Digital Commons Network^™

Right Ventricular Global Longitudinal Strain For Pulmonary Embolism Risk Stratification, Blake Brown Do, Nicholas Nassif Md, Ms, Kristina Strupp Msn, Arnp, Agcns-Bc, James Adefisoye Ms, Lynn Erickson Ms, Manuel Lamptey Ms, Renuka Jain Md, Vladyslav Dieiev Md, Pedro Salinas Md

Scientific Day

No abstract provided.

How Do Clinical Nurses Implement 'What Matters To You' For Hospitalized Older Adults?, Mary Hook Phd, Rn, Murad H. Taani Phd, Mph, Rn, Bryn Adams Mn, Rnc-Mnn, Rnc-Ob, Cnl, Katherine Davey Ms, Rn, Cmsrn, Jennifer Giron Bsn Rn, Laurae Kruse Msn, Rn, Phn, Cnl, Jennifer Sanders Bsn, Rn, Jeri Smith Acns-Bc, Linda Smith Bsn, Rn, Vida Vizgirda Phd, Jd, Rn

Scientific Day

No abstract provided.

Predictors Of Success Of Gpoem For Gastroparesis, Andrew Foong Md, Sarah Clark Np, Matt Pallini, Rick Bone Md, Woosuk Park Md, Markian Kuzycz Md, James Rydlewicz Md, William Tisol Md, Mohammed Qadeer Md

Scientific Day

No abstract provided.

Normal Non-Ossified Crista Galli Masquerading As Falcine Subdural Hemorrhage On Infant Head Ct, Emily Siffermann Md, Kim Souder Fnp-Bc, Anna Pesok Md, Ben Peters Do, Kathryn Brady Do, Talha Allam Md

Scientific Day

No abstract provided.

Reducing First-Year Nurse Turnover In The Emergency Department: A Simulation-Based Onboarding Program, Melissa Smith Bsn, Rn, Allison Condon, Hannah Watts Md, Facep, Chse

Scientific Day

No abstract provided.

The Impact Of Worksite-Based Yoga On Burnout Among Intensive Care Nurses, Merissa Lauzon Dnp, Msn, Apnp, David Victorson Ph.D.

Scientific Day

No abstract provided.

The Impact Of Prehabilitation On Hospital Admissions: A Pilot Study, Mitchell Voss Pp-Otd, Mba, Otr/L, Rebecca Donnay Pt, Dpt, Jennifer K. Homa-Bonell Ms, Stacey Hladish Pa-C, Jon Henry Md

Scientific Day

No abstract provided.

Mavacamten Safety And Efficacy In A Heart Transplant Patient Exhibiting Hypertrophic Obstructive Cardiomyopathy Phenotype/Phenocopy, Zaid Abood Md, Muddasir Ashraf Md, Asad Ghafoor Md, Amanda Misicka Rn, Patrycja Galazka Md, M Fuad Jan Mbbs, Md, Arshad Jahangir Md, A Jamil Tajik Md

Scientific Day

No abstract provided.

Empowering Picu Nurses: Enhancing Awareness And Understanding Of Post-Intensive Care Syndrome-Pediatric (Pics-P), Carissa A. Newman, Janelle A. Strain

Research & Creative Achievement Day

Statement of the Problem: Post-intensive care syndrome (PICS-p) threatens the health of children following a Pediatric Intensive Care Unit (PICU) stay. Morbidities associated with PICS-p can affect children's cognitive, functional, social, and emotional domains. Purpose: The project aimed to increase awareness of the term PICS-p, increasing knowledge and understanding among nursing staff, and developing their ability to identify patients at risk for developing PICS-p. Method: The Iowa Model Revised: Evidence-Based Practice to Promote Excellence in Healthcare was used to facilitate this project. 20 PICU nurses completed an educational module with a pre/post quiz to analyze learning outcomes about PICS-p. Interventions: …

Development And Evaluation Of Trauma Informed Care Education For Licensed Nurses, Kristina O'Meara

Epsilon Sigma at-Large Research Conference

Trauma informed care nursing education is crucial. Trauma informed care is a method of providing health care which understands the likelihood of past and present traumatic events in patients and families. The experience of past or present trauma often led to chronic diseases, substance abuse disorder, fragmented health care, fears surrounding health care, chronic stress, and other negative health consequences. The purpose of this project is to increase licensed nurses’ awareness and ability to practice trauma informed care in clinical practice, as well as promote policy initiation within the health care facilities. Method planning integrated the Knowledge to Action Cycle. …

Will The Implementation Of Nurse Competency Days Improve Knowledge And Satisfaction In Nursing Staff Of A Community Health Center?, Christina Morton

Epsilon Sigma at-Large Research Conference

Background: Nursing competencies are important for quality of care, patient safety, and identifying gaps in knowledge and skills. Patient harm has been linked to a lack of competency and insufficient policy and procedures.

Purpose: The purpose of this quality improvement project was to achieve standardization of nursing competencies within nurse-led clinics.

Aims: The aims of this project were to validate select competency days and determine the satisfaction of the competency days by the participants. The second aim of this project was to develop an electronic tracking form. A third aim was to develop and present a policy and procedure …

The Effects Of Age, Employment, Marriage, And Education On Academic Motivation In Undergraduate Nursing Students, Jessica Hamm Msn Rn Phd Student

Epsilon Sigma at-Large Research Conference

The Effects of Age, Employment, Marriage, and Education on Academic Motivation in Undergraduate Nursing Students

Purpose: The amount of research on non-cognitive variables affecting motivation is limited in nursing students. By using Self-Determination Theory, faculty can determine what motivates students to learn which will allow the creation of a learning environment that promotes student achievement.

Aim: To determine the effect age, marriage status, employment, and education level have on academic motivation in nursing students in the third semester of a baccalaureate nursing program within the framework of Self-Determination Theory.

Method: A descriptive correlational design was used to identify the effect …

Recipe For Research Success: Mentorship & Organization, Kristen Montgomery

Epsilon Sigma at-Large Research Conference

Kristen S. Montgomery, PhD, CNM is an Assistant Professor at East Tennessee State University College of Nursing in Johnson City, TN. She received her PhD in Nursing from Case Western Reserve University in Cleveland, OH, her MSN in perinatal nursing from the University of Pennsylvania in Philadelphia, and her BSN from Oakland University in Rochester, Michigan. She received a post-master’s certificate in nurse-midwifery from East Carolina University and completed a Post-Doctoral Program in Health Promotion and Risk Reduction Interventions at the University of Michigan.

What’S Your Q? Empowering Nurses To Answer Clinical Questions Through The Evidence-Based Practice Process, Jodie Pufundt

Nursing Research & Professional Development Conference

Background/Rationale

The research-to-practice gap of approximately 15 years is due to many factors, one lacking clinician’s evidence-based practice (EBP) knowledge, skills, and competency. Evidence-Based Practice is a problem-solving process incorporating external evidence, clinical expertise, and patient preferences, guiding clinicians to integrate evidence into practice. Fostering a spirit of inquiry empowers nurses to engage in the EBP process to solve clinical practice problems and improve patient outcomes. A system-wide practice change for filtering IV fluids led to a wondering question about the best practice for filtering intravenous parenteral nutrition in the neonatal population.

Purpose

To engage clinical nurses in the EBP …

Health & Wellbeing Of The Nurse, Erin E. Bichler, Regina Michler

Nursing Research & Professional Development Conference

Background and/or Rationale:

Central Shared Governance focused on the strategic goal of promoting nurse health and well-being. A survey found interrupted or skipped meal breaks were common on inpatient units. We reviewed the literature and found that the majority of nurses experience workplace stress and that adequate breaks and break areas can decrease stress. Central Shared Governance identified this common occurrence as being misaligned with our nurse health and well-being goals.

Aim or Purpose:

We decided to promote and support uninterrupted, restorative breaks and provide high quality break areas to reduce stress based on the evidence we found.

Implementation Plan: …

Ready, Set, Go! Implementing An Electronic Handoff Tool To Decrease Emergency Department Length Of Stay, Jennifer Peterburs

Nursing Research & Professional Development Conference

Background:

According to the CDC’s (2019) review of health care data in 2019, over 150 million patients were seen in Emergency Departments across the United States. Of these patients, more than 20 million were admitted to the hospital. Longer Emergency Department wait times equate to worse patient outcomes, including higher in-hospital mortality rates and increased occurrence of in-hospital cardiac arrest.

Handoff is considered a high-risk activity (Freel & Flaherty, 2021). Studies have shown most effective handoff tools include the use of mnemonics or tools to aid in the organization of critical information (Kear, 2016).

Aim or purpose of the initiative: …

The Beat Goes On: Resuscitate Your Ecg Program, Tammy Lis, Frances Majca, Patti Stockhausen

Nursing Research & Professional Development Conference

Background/Introduction:

In response to the pandemic, electrocardiogram (ECG) rhythm interpretation education transitioned to an online, self-paced course with optional instructor-led virtual labs. Challenges included technology issues, limited learner engagement, inefficient use of instructor time, and low pass rates. Lab capacity was 30, but average attendance was 5.5. Prescheduled tutoring required instructor availability with only 25% of offerings attended. Legacy learning management system permitted multiple test attempts leading to competency concerns and inaccurate passing rate data.

Purpose or Objective:

Create an innovative hybrid ECG program engaging learners, increasing learner confidence and competence, while improving valuable human resource allocation.

Method or Evaluation: …

Nurse Driven Intervention To Improve Acute Kidney Injury (Aki), Theresa Briggs

Nursing Research & Professional Development Conference

Background and/or rationale

Acute kidney injury (AKI) following the use of contrast agents is a known complication of coronary angiography. The National Cardiovascular Data Registry (NCDR) defines AKI as an acute increase of > 0.3mg/dl or a 50% or greater increase in the serum level of creatinine from baseline and cardiac patients are at high risk for AKI. At a Midwest quaternary medical center, the risk adjusted AKI rate was 8.63% (Q3, 2021) which is above the national average of 3.46% (NCDR).

Aim or purpose of the initiative

The purpose of this project was twofold: 1) Increase nurse’s knowledge about oral …

Implementation Of A Pediatric Intensive Care Unit Diary, Linda Esposito

Nursing Research & Professional Development Conference

Background: Critical illness and the PICU environment may contribute to the development of Post Intensive Care Syndrome (PICS) in children, their parents, or their siblings. PICS has a negative impact on quality of life, including development of PTSD, reduced school performance, or delay in meeting developmental milestones. Diaries have been used to create context and memory after discharge, extending cognitive and emotional support beyond the PICU stay. Entries are staff-written in letter format, including details about the patient’s day, events, or feelings. The diaries become a supportive tool for the patient and family on their journey post critical illness.

Purpose …

Do Your New Nurses Have What It Takes To “Escape”?, Kathleen Kingman, Megan Kirchen, Mary Mcmanus

Nursing Research & Professional Development Conference

Background: The Nursing Education Professional Development Team were challenged to limit new hire orientation to one in-person learning day and transition all essential content to self-paced computer-based modules. The Nursing Education Professional Development Team are accountable for supporting new hires to achieve established goals in the clinical setting with less time.

Aim: New tools were needed to support new hires to validate the uptake of the essential content. The Nursing Education Professional Development Team reviewed innovative best practices to reinforce organizational education and orientation needs.

Implementation Plan: The Nursing Education Professional Development Team redesigned the curriculum and created …

Keep Calm And Labor On! Use Of Aromatherapy In Labor And Delivery, Erica Biancalana, Tricia Green

Nursing Research & Professional Development Conference

Background and/or rationale

Labor pain is unavoidable and can be the biggest determining factor of the labor experience. In labor, a patient’s anxiety stimulates the sympathetic nervous system and releases stress related hormones, which increases the severity of pain. Nonpharmacologic interventions can decrease anxiety and the perception of pain. Benefits to nonpharmacologic strategies include sense of control when patients actively manage their pain, lack of serious side effects, minimal expense, and ease of use. Lavender aromatherapy can decrease labor anxiety while also decreasing pain perception.

Aim or purpose of the initiative

This EBP project purpose: Does utilizing aromatherapy with birthing …

"Coast"Ing Through Bedside Shift Report, Kristi Webster

Nursing Research & Professional Development Conference

Background: Multiple types of shift report exist, a “blended” bedside shift report incorporates verbal face to face between staff with a bedside component. Baseline audits in March 2023 showed during bedside report only 3% addressed codes status, 3% oxygen, 6% access, 3% safety, and 12% tubes and drains. Additional baseline data from March 2023 showed 71% compliance with No CPR band application and one fall. This prompted the PICO question: Does the use of a blended bedside report compared to traditional verbal report increase communication between staff?

Aim/Purpose: To implement blended shift report in one ICU at a quaternary medical …

Patient Experience Best Practices: An Exemplar Of Advanced Practice Registered Nurse Ebp Mentor Team Led Inquiry, Jodie Pufundt, Kelly Perez, Megan Morgan

Nursing Research & Professional Development Conference

Background/Rationale

Patient experience is one of the five tenets of the Quintuple Aim- population health, cost of care, clinician wellbeing, and health equity. The Aim is a model for achieving high quality, safe, and cost-effective care. Engagement is an important strategy for reaching an optimal state of the patient and family care experience. At our organization, the patient experience scores have been static and under target for a while, despite implementation of many interventions. A team of APRN evidence-based practice (EBP) Mentors (Clinical Nurse Specialists and a Nurse Practitioner) engaged in the EBP process identified practices that impact the patient …

Keep Calm And Screen For Sepsis, Nicole Hamilton

Nursing Research & Professional Development Conference

Background:

Pediatric emergencies have been found to be challenging for emergency professional teams. Sepsis is one of the leading causes of mortality in children in the US with 1.2 million pediatric patients are diagnosed with sepsis annually.

PICO statement: Nurses and patient care technicians in the Emergency Department caring for a pediatric patient aged 5 years or younger presenting with symptoms of sepsis will have improved outcomes when comparing current practice after a skill-based program that will improve knowledge, skill, and confidence of Nurses and Patient Care.

AIM: Focus of the initiative:

• Improved outcomes for included pediatric sepsis positive screened …

Shared Governance Led Pilot To Implement A Multidisciplinary Case Review Process, Amanda Smith, Katalin Stanaszak, Venus Grice

Nursing Research & Professional Development Conference

Background:

Enterprise Population Health Ambulatory Care Management established Nursing Shared Governance Practice Council in 2022, aimed at identifying opportunities for process improvement to promote application of evidence-based best practice. Practice Council was tasked with developing a clinical case review process to implement within Ambulatory Care Management Midwest region.

Purpose of the initiative:

Evaluate current literature, and reflect on historic departmental practices, to create a Multidisciplinary Case Review process for use in Ambulatory Care Management.

Implementation Plan:

Practice Council conducted current/previous state analysis of case review processes across Ambulatory Care Management. Information was obtained on the purpose, frequency, duration, case identification …

Perfecting The Poke, Alyssa Krueger, Morgan Brill

Nursing Research & Professional Development Conference

Background/Introduction:

Aurora Medical Center Grafton Resource Nurses noted high volumes of requests to assist with peripheral intravenous catheter placements. Between January - October 2021, 868 requests were made for intravenous catheters to be placed by other resources. This data was brought to the nursing professional development team for evaluation. A significant need for directed efforts to grow nurse competency was identified. This included increased confidence in basic insertion skills and training nurses for complex placements utilizing ultrasound guidance.

Purpose or Objective:

Create a professional development program to increase nurse confidence with basic peripheral intravenous insertion skills and increase nurses trained …

Best Fit For Nurse Advancement: Program Development & Evaluation, Dulce Torres, Sara Marzinski, Jeannie Hlebichuk

Nursing Research & Professional Development Conference

Background: Nurses are provided resources and guidance early in their careers, but they need continued support, opportunities, and assistance to professionally develop and make next steps in their careers. Literature has shown that nurses report professional development as fundamental to the profession of nursing (Mlambo et al., 2021). Moreover, supporting nurses with development and career advancement has been shown to aid in retention (Williamson et al., 2022).

Purpose/Objective: The Best Fit for Nurse Advancement (BFNA) program was developed and implemented in 2022. The program’s purpose is to provide experienced nurses with the opportunity to explore professional development and career …

Utilizing Simulation To Increase Confidence In Onboarding Care Managers & Social Workers, Tara Nixon, Elena Ochakovski, Jenn Mepham, Kari Congenie

Nursing Research & Professional Development Conference

Background

New hire inpatient care managers and social workers are often overwhelmed with the complexity of their new care coordination role. Role-play is a useful experiential strategy connecting theory to practice in a safe space. Use of standardized patients for communication simulation improves patient centeredness versus role playing, justifying organizational investment. Simulation helps learners reflect and analyze practice within a psychologically safe environment. A simulation-based advanced care transition program was adapted to provide onboarding teammates opportunities to experience complex care coordination situations aligning with organizational and regulatory requirements.

Purpose

The purpose of this project is to provide onboarding Inpatient Care …

Coming Out Of Covid: Resuscitating Live Onboarding, Patricia Shafer, Claire Hackelberg

Nursing Research & Professional Development Conference

Background: Effective onboarding and orientation processes are critical for successful new hire engagement and retention. The COVID-19 pandemic caused disruption in the established in-person onboarding process leading to inconsistency and fragmentation. Evidence suggests that structured and supported on-the-job training is the most effective onboarding strategy (Frogeli et al., 2023). A program make-over was needed.

Purpose: To redesign the onboarding and orientation process for new nurses with effective and efficient process to address issues and increase satisfaction.

Method: Nursing Professional Development (NPD) Staff collaborated with the hospital and unit managers to gather input and redesign the on-boarding process for new hires. …

Do Ask Do Tell: Improving Sexual Orientation And Gender Identity Documentation Completion Within Electronic Medical Records, Patrick Griggs

Nursing Research & Professional Development Conference

Background – Lesbian, Gay, Bisexual, Transgender, and other (LGBTQIA+) patients represent a minority group in healthcare settings. This population is underrepresented due to many factors, including lack of sexual orientation and gender identity (SOGI) reporting via electronic medical record (EMR) though it is a federally mandated policy. By not reporting SOGI for patients, underrepresentation of LGBTQIA+ health issues are reported. Increasing documentation of SOGI, patients can have their identities seen and ultimately helps improve health equity for LGBTQIA+ patients.

Purpose – Increase documentation in EMR related to patients’ sexual orientation, gender identity, sex assigned at birth, and pronouns in the …