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Factors Contributing To 30-Day Readmission In Postsurgical Patients: A Reevaluation Of Hospital Policies And Proposal For Change, Miriam Morgan-Skinner Oct 2018

Factors Contributing To 30-Day Readmission In Postsurgical Patients: A Reevaluation Of Hospital Policies And Proposal For Change, Miriam Morgan-Skinner

Doctor of Nursing Practice Projects

Background

Readmission can cause much frustration for patients and families. The Center for Medicare and Medicaid Services (CMS) has emphasized the importance of finding ways to decrease readmissions within 30 days of discharge. In the southwest healthcare organization studied, the 30-day readmission rate for abdominal surgeries was 10%. The goal of the study was to identify the causative factors for the readmissions and make appropriate suggestive changes. This project identified the factors contributing to the 30-day readmission rate in selected abdominal surgeries between January 2016-July 2017 and developed a policy to address the predominant factor.

Method

After receiving institutional review …


Relationship Between Shift Hours Worked (12 Versus 8), Workload, And Nurses' Burnout: A Study Across Acute Care Units In A Community Hospital, Liliane Nyamuziga Jul 2018

Relationship Between Shift Hours Worked (12 Versus 8), Workload, And Nurses' Burnout: A Study Across Acute Care Units In A Community Hospital, Liliane Nyamuziga

Doctor of Nursing Practice Projects

Nurses are expected to provide quality care to patients, and work demands in the health care system are increasing. An increased turnover in nursing staff was observed in a southwest Michigan community hospital, and the possibility of burnout contributing to this turnout was proposed. The purpose of this scholarly project was to evaluate the significance and level of perceived burnout in nurses who work the 12-hour shift compared to those who work the eight-hour shift, to investigate the relationship between nurse-to-patient ratios and burnout, and to compare burnout levels between nurses working day versus night shifts. This project utilized a …


Impact Of Motivational Interviewing On Body Mass Index, Tajsier L. Thompson May 2018

Impact Of Motivational Interviewing On Body Mass Index, Tajsier L. Thompson

Doctor of Nursing Practice Projects

Introduction

Being overweight and obese has become a common lifestyle. More than half of American adults are overweight and more than a quarter of overweight adults are obese. Despite this overwhelming statistic, weight-loss coaching by primary care providers is usually disregarded due to time constraints and lack of skills to motivate patients to reach weight-loss goals. Motivational interviewing (MI) focuses on helping people investigate and overcome ambivalence toward healthy lifestyle modifications by helping them to explore their weaknesses, strengths, and preferences in an effort to facilitate behavioral changes.

Objective

The primary objective of this project is to assess the effectiveness …