Semester

Summer

Date of Graduation

2026

Document Type

Problem/Project Report

Degree Type

DNP

College

School of Nursing

Committee Chair

Laurel Miner

Committee Member

Michael Schwalm

Committee Member

Robin Betler

Abstract

Introduction: Operating room debriefing is an evidence-based strategy shown to improve communication, efficiency, patient safety, and safety culture; however, debriefing is inconsistently performed in obstetric operating rooms due to workflow, cultural, and time-related barriers.

Purpose: The purpose of this Doctor of Nursing Practice (DNP) project was to increase the frequency of debriefings in the Birthing Center operating rooms at WVU Medicine Children’s Hospital through implementation of a nurse-driven, evidence-based debriefing initiative.

Intervention: A nurse-driven debriefing protocol was implemented using the Iowa Implementation for Sustainability Framework. Interventions included staff education, accessible laminated debriefing documents, identification of nurse champions, leadership support, and reminders integrated into unit workflows.

Methods: A 72-day baseline period and a 60-day implementation period were conducted. Debriefing occurrences were tracked using self-report documentation, and four Plan–Do–Study–Act cycles were completed. Informal interviews with circulating nurses provided qualitative feedback.

Results: Baseline debriefing was rare. During implementation, documented debriefing remained limited; however, nurses reported increased awareness, perceived value, and informal use of debriefing, with perceived improvements in communication and workflow efficiency.

Conclusions: The project demonstrated that debriefing is a feasible, low-cost intervention with positive perceived impact. Findings highlight the importance of workflow integration, interdisciplinary engagement, and sustained leadership support to promote adoption and sustainability.

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