Date of Graduation

Spring 2026

Document Type

Culminating Project

Degree Name

Doctor of Nursing Practice (DNP)

Department

Nursing

Committee Chairperson

Cheryl D. Schlamb DNP, CRNP

Committee Member

Jackie Owens DNP, CRNP, FNP-BC

Committee Member

Davis Lee, MD

Abstract

Ensuring that clinical order sets reflect current evidence-based practice is essential to delivering safe, high-quality, and consistent patient care across health systems. In multi-hospital organizations, maintaining alignment across facilities presents additional challenges, including variability in workflow, stakeholder involvement, and policy adherence. This quality improvement project evaluated the existing order set review process within a three-hospital health system to determine whether current policies effectively support system-wide needs and promote best practices. Guided by Lewin’s Change Theory, a qualitative descriptive design was used to assess current workflows and gather feedback from stakeholders involved in order set development and review. Survey data, with representation from all three hospitals and a response rate of approximately 50%, highlighted gaps in consistency, communication, and inclusion across the system. Findings indicated a clear need for a more standardized, inclusive, and proactive review process.

Final Version Confirmation

1

Download

Included in

Other Nursing Commons

Share

COinS