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Articles 1 - 6 of 6
Full-Text Articles in Medicine and Health Sciences
Patient Placement Matters: The Impact Of Unnecessary Lateral Movement On Patients, Jacqueline Strinden
Patient Placement Matters: The Impact Of Unnecessary Lateral Movement On Patients, Jacqueline Strinden
Doctor of Nursing Practice (DNP) Projects
Patient Placement Matters: The Impact of Unnecessary Lateral Movement on Patients
Abstract
Background: National trends to decrease the number of licensed beds have created inpatient capacity constraints which have resulted in increased unnecessary lateral patient movement events, which contribute to decreased patient safety and quality of care. The incidence of adverse events increases significantly when multiple unnecessary lateral relocations result from secondary efforts to relieve hospital capacity constraints and improve efficiency.
Problem: At a 352 acute care hospital, 12,906 patient movement events were evaluated over a baseline period of three months resulting in an average of 1.48 unnecessary lateral patient …
Creating A Pipeline To Increase Diversity In Executive Leadership Positions, Trarina Harris
Creating A Pipeline To Increase Diversity In Executive Leadership Positions, Trarina Harris
Doctor of Nursing Practice (DNP) Projects
Background: Minority nurse leader presence at the executive leadership level is suboptimal, with insufficient pathways to increase representation. The lack of diversity in executive leadership threatens efforts to improve patient care and reduce disparities (Jerome Harris, 2021).
Local Problem: Practices to increase the diversity of executive nurse leaders at a pediatric medical center have had very little to no impact. Frontline nurses and nurse executives are not racially or ethnically representative of the increasingly minority patient populations served.
Context: As a commitment to increasing workforce diversity, the medical center developed an executive-level Racial Equity Taskforce, which aligned with the …
Manager Onboarding To Improve Knowledge And Confidence To Lead, Christine (Tina) K. Asiimwe
Manager Onboarding To Improve Knowledge And Confidence To Lead, Christine (Tina) K. Asiimwe
Doctor of Nursing Practice (DNP) Projects
Background: Primary care (PC) is increasingly the setting for affordable, coordinated, end-to-end patient care, with PC managers in charge of organizational performance. While PC managers are central to high-functioning teams, they often receive inadequate onboarding.
Local Problem: Primary care onboarding competes with other operational priorities and faces time constraints, lack of mentorship, and cost.
Context: At an integrated healthcare system, a need was identified to develop structured, role-specific onboarding for newly hired PC managers to improve knowledge and confidence to lead.
Interventions: Bauer’s Four Cs framework for onboarding guided the development of a manager onboarding program for 12 new PC …
Development And Implementation Of An Evidence-Based Practice Mentor Fellowship, Stacy L. Alves
Development And Implementation Of An Evidence-Based Practice Mentor Fellowship, Stacy L. Alves
Doctor of Nursing Practice (DNP) Projects
Background: The Institute of Medicine (2008) set a goal that 90% of healthcare decisions would be based on the best evidence possible by 2020, yet many challenges remain. Common barriers include clinicians’ beliefs about the value of evidence-based practices, their competency to implement it, and systems issues such as time, resources, and organizational value and preparedness (Melnyk et al., 2017).
Local Problem: A hospital within an integrated health care system sought to increase the use of EBP for clinical decision making. A gap analysis revealed a lack of sufficient EBP mentors to lead efforts to promote system-wide EBP implementation.
Context: …
Technology-Based Advance Care Planning Education For Primary Care Patients, Taryn Achong
Technology-Based Advance Care Planning Education For Primary Care Patients, Taryn Achong
Doctor of Nursing Practice (DNP) Projects
Background: Advance Care Planning (ACP) encompasses a multidisciplinary, collaborative process that allows patients to understand their health and make informed decisions in their treatment plans. Considering the COVID-19 pandemic and recent research, ACP is considered imperative for all patients. Evidence-based approaches include supplemental group sessions, case manager interventions, and provision of at-home resources. Within the pandemic, there has also been a rapid shift to telemedicine, restricting most ACP efforts. Therefore, the utilization of technology-based ACP resources and telemedicine is highly supported.
Purpose: This DNP project serves to assist an internal medicine practice located in Hawaii’s metropolitan area. Although the …
Utilizing Tracer Methodology To Evaluate The Effectiveness Of A Hospital Antimicrobial Stewardship Program, Christine Smyth
Utilizing Tracer Methodology To Evaluate The Effectiveness Of A Hospital Antimicrobial Stewardship Program, Christine Smyth
Doctor of Nursing Practice (DNP) Projects
Antimicrobial resistant organisms are a growing threat in the United States and globally. It has become the expectation that healthcare institutions, including hospitals, contribute resources to create and maintain antimicrobial stewardship programs to decrease antimicrobial resistance, improve patient outcomes, and decrease the spread of multi-drug resistant organisms. The methods utilized to evaluate antimicrobial stewardship at hospitals often only evaluate outcome measures and fail to capture knowledge of the hospital antimicrobial stewardship program among prescribers, clinical pharmacists, and nurses, as well potential barriers to antimicrobial stewardship among healthcare providers. The purpose of this Doctor of Nursing project is to implement and …