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Improving Compliance With Clinical Practice Guidelines To Reduce Urinary Tract Infection In Long Term Care, Charman L. Miller
Improving Compliance With Clinical Practice Guidelines To Reduce Urinary Tract Infection In Long Term Care, Charman L. Miller
Doctor of Nursing Practice Program Projects
This evidence-based clinical change project addressed the clinical problem trigger of increased rates of urinary tract infections and related unplanned discharges in a rural Ohio nursing center. The clinical change involved the implementation of a nursing-driven protocol for suspected Urinary Tract Infection (sUTI) based on the American Medical Director’s Association Clinical Practice Guideline: Common Infections. An interdisciplinary team approach to evidence-based clinical change was utilized through use of the Iowa Model of Evidence-based Practice to Promote Quality Care. Both the process and the intervention were evaluated through analysis of outcome data including rates of urinary tract infection, compliance with the …
Alcohol, Tobacco And Illicit Drug Screening In Pregnancy, Lisa R. Jasin
Alcohol, Tobacco And Illicit Drug Screening In Pregnancy, Lisa R. Jasin
Doctor of Nursing Practice Program Projects
Intrauterine substance exposure is a nationally growing problem. A steady increase in neonates with neonatal abstinence syndrome in the state of Ohio was noted. Prenatal substance use presents a significant burden to society. Of infants exposed to intrauterine opiates, 55-94 percent develop signs of withdrawal. For example, the estimated lifetime cost for a neonate with fetal alcohol spectrum disorder is $2 million. The purpose of this evidence based practice improvement project was to evaluate the utility of the 5Ps screening tool and brief intervention by community health workers during the first prenatal home visit. The Evidence-Based Practice Improvement (EBPI) model …
Use Of Change Agent To Facilitate Implementation Of Personalized Health Plans, Colleen Miranda
Use Of Change Agent To Facilitate Implementation Of Personalized Health Plans, Colleen Miranda
Doctor of Nursing Practice Program Projects
In 2015, the Centers of Disease Control and Prevention reported that the most common, costly but preventable health problems are heart disease, stroke, cancer, diabetes, obesity, and arthritis. Literature shows preventable chronic diseases have increased in the current healthcare system. Healthcare leaders are calling for a change in the current faulty healthcare delivery system to personalized healthcare. A patient-centered approach focuses on the health gains that can be made in the prevention and treatment of chronic disease with a higher level of patient engagement.
The Veterans Health Administration (VHA) is advocating patient-centered care (PCC) to focus on the health gains …
Nurse Rounding: An Evidenced Based Practice Report, Todd E. Tussing
Nurse Rounding: An Evidenced Based Practice Report, Todd E. Tussing
Doctor of Nursing Practice Program Projects
Today’s healthcare environment is becoming increasingly competitive for patient volume and revenue dollars. The introduction of Value Based Purchasing by the Center for Medicare and Medicaid Services (CMS) links patient satisfaction and healthcare quality to government reimbursement. Patient satisfaction has been linked to increased market share, thereby, positively impacting revenue for healthcare organization and increasing the competitiveness between healthcare organizations. In addition, patient satisfaction has been linked to increased compliance with prescribed healthcare regimens leading to improved health outcomes.
Nursing leaders of today’s healthcare systems must develop strategies to increase patient satisfaction and improve the revenue streams for their organizations. …