Date Available


Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Andrew Makowski

Clinical Mentor

Melissa Soper

Committee Member

Dr. Julie Perry

Committee Member

Dr. Brooke Judd



Background: Post intensive care syndrome is a condition that can lead to a range of physical,

cognitive, and psychiatric issues and is frequently undiagnosed. Educating Nurse Practitioners,

Physician Assistants, and Physician Fellows who work in the ICU about post intensive care

syndrome and a cognitive screening tool like the MoCA can significantly enhance their

understanding and ability to diagnose a component of this syndrome.

Purpose: The purpose of this project was to evaluate the effect of an educational intervention

regarding post intensive care syndrome among ICU nurse practitioners, physician assistants, and

physician fellows treating patients within the ICU.

Methodology: The project employed a quasi-experimental one-group pre-test and post-test

design. The pre-test (Appendix A) and post-test (Appendix B) evaluated healthcare providers'

knowledge of post intensive care syndrome, and providers’ knowledge of and likelihood of using

of the MoCA before and after a 20-minute educational module. The project also measured the

rate of MoCA screenings completed by providers four weeks before and four weeks after the

educational module.

Results: Post intensive care syndrome mean knowledge scores increased from 5.1 (SD=0.7) to

7.2 (SD=0.9), and MoCA mean knowledge scores increased from 3.6 (SD=1.3) to 6.4 (SD=1.6).

The likelihood of implementing the MoCA into practice increased from 3.2 (SD=0.9) to 3.9

(SD=0.7). There was no change in MoCA screening rates from pre-intervention to postintervention.

Conclusions: The educational intervention was effective in improving providers knowledge

regarding post intensive care syndrome and MoCA scoring. Despite the change in attitudes to

adopting the MoCA for cognitive screenings in the ICU, there was no change in screening rates