First Advisor

Coast, MaryJo


Rueckert-Hartman College for Health Professions

Degree Name

Doctor of Nursing Practice


Loretto Heights School of Nursing

Document Type

Thesis - Open Access

Number of Pages

138 pages


This Doctorate of Nursing Practice (DNP) project used a quasi-experimental, pre-test post-test design. It was conducted in the Denver area of Colorado. Purpose: The purpose of this quality improvement project is to improve the home health nurses’ knowledge regarding peristomal skin care through in-service education provided by a Certified Wound Ostomy and Continence Nurse (CWOCN). Goal: The goal is to improve the nurses’ knowledge on peristomal skin care, with the ultimate goal of positively impacting the care of the ostomy patients at home. Knowledge improvement was evaluated by administering an identical pre- and post-test on peristomal skin care. Objectives: 1.) Provide a one-hour, evidence-based in-service to increase the home health nurses’ knowledge on peristomal skin care. 2) Administer a pre-test to demonstrate baseline knowledge of participant nurses regarding peristomal skin care. 3) Administer a post-test to demonstrate knowledge acquisition. Methods: Regis University’s Internal Review Board approved the study. This author went to the different home health agencies to conduct the one-hour long in-service. Demographic forms were completed by the participants. A test was administered before and after the in-services. Descriptive and inferential statistics were used to analyze the data gathered. Results: 86 home health nurses participated in this project. A statistically significant improvement in mean knowledge scores was noted in the post-intervention assessment, suggesting that educational intervention was successful in increasing nurses’ knowledge on the topic. There was a significant difference in the pre- and post-test scores, pre-test (M=.5267, SD=.19062) and post-test (M=.7791, SD=.16458); t (85)=-9.521, p<.001. CI=–.30502 to –.19963.

Date of Award

Fall 2015

Location (Creation)

Colorado (state); Denver (county); Denver (inhabited place)

Rights Statement

All content in this Collection is owned by and subject to the exclusive control of Regis University and the authors of the materials. It is available only for research purposes and may not be used in violation of copyright laws or for unlawful purposes. The materials may not be downloaded in whole or in part without permission of the copyright holder or as otherwise authorized in the “fair use” standards of the U.S. copyright laws and regulations.