Medicine and Health Sciences Commons^™

Evidence Based Solutions: Creating Specialty Units, Jacqueline Adams, Msn, Rn, Corln, Ccctm, Megan Bagonis, Rn, Bsn, Michelle Lewandowski, Rn, Bsn, Mha

Department of Nursing Posters

Purpose

To describe how the development of a specialty Ear, Nose, and Throat (ENT) care unit staffed by experienced ENT nurses positively influences quality outcomes, patient experience, ICU admissions, and readmission and LOS rates in a large, urban, academic medical center.

Refusing To Let The Dust Settle: Creative Evaluation Of A Concept-Based Curriculum, Jeannette Kates, Phd, Gnp-Bc, Rn, Mary Hanson-Zalot, Edd, Rn, Julia Ward, Phd, Rn, Jamie Smith, Msn, Rn, Ccrn, Valerie Clary-Muronda, Phd, Msn-Ed, Rn

College of Nursing Posters

Concept-based curricula are being implemented in nursing education as a means to shift the emphasis from content to an emphasis on concepts and conceptual learning (Giddens & Brady, 2007). This paradigm shift requires concomitant changes in how faculty teach and how students learn. In concept-based curricula, teachers use student-centered learning activities, such as case studies, questions, or problems to engage students in active learning (Giddens, Caputi, & Rodgers, 2015).

Strategies To Improve Rn Communication Hcahps, Karen Montoro, Bsn, Rn, Ne-Bc

Department of Nursing papers and presentations

BACKGROUND

The impact of value based purchasing on reimbursement based on HCAHPS is a reality that Heath Care Organizations need to address. This Quality Improvement Project was designed by the CNO, Vice president of Nursing and the Nurse Manager to oversee the project. The decision was made to utilize an existing group of frontline staff who were engaged in efforts to improve patient satisfaction. This RN Communication Team met monthly beginning in March 2015.

Conducting A Systematic Review Using Prisma Guidelines From A Student's Perspective, Malinda Hawkins, June Horowitz, Phd, Rn, Faan, Kathleen Black, Phd, Rnc

College of Nursing Faculty Papers & Presentations

RESEARCH QUESTION

To understand how to conduct a systematic review using PRISMA guidelines.

INTRODUCTION

The purpose of this presentation is to depict a student’s point of view about conducting a systematic review using PRISMA guidelines. We sought to determine what inflammatory markers have been identified for preeclampsia.

** A faculty team is conducting this systematic review and invited the student to participate.

Improving Outcomes By Optimizing Sleep Opportunities In The Critically Ill Neuroscience Patient, Marie Wilson, Bsn, Rn, Ccrn, Cnrn

Department of Nursing papers and presentations

Purpose

The purpose of the Neuroscience Intensive Care Unit is to provide specialized quality care to a high acuity and vulnerable critically ill population with the desired outcome of health improvement. It would appear that the goal for both Neuroscience Intensive Care Units and “sleep” would be one of healing; however it is also well documented that routine sleep disturbances due to either deprivation or disruption in neuroscience critical care units negatively affects patient outcomes.

Further exploration of sleep architecture, physiologic responses that occur during sleep and factors contributing to a lack of qualitative and quantitative sleep in critical care …

Perceptions Of Neonatal Nurse Practitioner Role Among Nicu Nurses, Michele K. Savin, Msn, Nnp-Bc

College of Nursing Faculty Papers & Presentations

Purpose: The purpose of this project was to examine Neonatal Intensive Care Unit (NICU) nurses’ perceptions of the NNP role and barriers to entering the role.

Background: A shortage of neonatal nurse practitioners (NNPs) exists. Hiring NNPs from outside the current NICU staff has resulted in turnover and additional cost. If current nursing staff prepared as NNPs, the organization would benefit; yet few nurses have done so. Reasons that dissuade nurses from pursuing the NNP role have not been adequately examined. Knowing how nurses perceive the NNP role may help to decrease barriers and inform plans to address the problem.

A Descriptive Study Of Non Traditional School Health Delivery; Funding Sources, Outcomes And Staff Configurations, Sherri Becker, Msn, Mba, Rn, Erin D. Maughan, Phd, Ms, Rn, Aphn-Bc, June Horowitz, Phd, Rn, Faan

College of Nursing Faculty Papers & Presentations

Background:

1) The traditional funding for school nursing has been educational dollars.

2) As school district budgets tighten, the number of students with health needs continues to rise and the Affordable Care Act (ACA) puts increased emphasis on community care, new school health delivery models are emerging.

3) There is limited study in this area. Anecdotal stories of wide variability exist.

The Effect Of Breathable Under Pads To Decrease Hospital Acquired Pressure Ulcers: A Nurse Resident Project, Sara Meshino, Bsn, Rn, Bridget Trefz, Bsn, Rn

Department of Nursing papers and presentations

PURPOSE

To reduce the rate of hospital acquired pressure ulcers (HAPU), in June 2013, a large urban academic medical center switched from non-breathable to breathable under pads for incontinent patients lying on either a standard bed (low risk patients) or low-air-loss mattress (high risk patients). Standard pressure ulcer prevention measures were maintained. Staff on two oncology units sought to determine the effectiveness of breathable vs. non-breathable under pads in reducing the rate of HAPU and UAPU.

An Organization-Wide Service Improvement Approach, Jennifer Jasmine Arfaa, Phd, Mhsa, Cynthia Line, Phd, Nora Kramer, Msn, Rn, Karen Montoro, Rn, Richard D. Blob,, Maria Francesco, Jaime Stazi, Rn, Elisabeth Kunkel, Md, Susan Krekun, Md, Lizanne Mason, Rn, Kathy Evans, Rn, Lorraine Weikel, Rn, Ann D. Clark, Ms, Otr/L, Ray Wisniewski, Teresa Heavens

Department of Nursing papers and presentations

APPROACH TO PROBLEM SOLVING

High priority index questions from HCAHPS and Press Ganey surveys, including overall ratings, communication with RNs and MDs, hospital environment and response to concerns and complaints, were targeted for improvement. These high priority indices served as the basis for redesigning Patient Services using a multi-faceted approach to improve patients’ experiences.

At Thomas Jefferson University Hospital (TJUH), high performance on the Patient Experiences of Care Survey has been driven by a successful multi-tiered approach to patient services:

·Hospital leadership guided and implemented new approaches to ensure excellence in patient services is an ever-present and obtainable goal

·Physician …

Using Nursing Knowledge To Improve Health Literacy, Michele K. Savin, Msn, Nnp-Bc

College of Nursing Faculty Papers & Presentations

Health Literacy: an ability to obtain and understand written, oral, and numerical health information, which allows people to make appropriate healthcare decisions for themselves and their family members.

The Problem:

*Low Health Literacy affects up to twenty percent of the adult population in the US and is not correlated with highest education achieved.

*Hospitals and healthcare professionals are increasingly being held accountable to create systems of care that address this issue with every patient encounter.

*AHRQ talks about implementing Universal Literacy Precautions.

Pneumonia Pathway Effects On Hospital Readmission Rates, Maribeth Kelly, Msn, Rn, Pccn, Raymond Malloy, Mha, Rrt, Brian Glynn, Bs, Rrt

Department of Nursing papers and presentations

Purpose

There are inconsistencies in treating inpatients with community acquired pneumonia (CAP) and providing adequate post

discharge follow-up contributing to significant hospital readmission rates and increased health care costs. Our null hypothesis for this study was that the use of a pneumonia care pathway will have a significant effect on hospital readmission rates.

The Impact Of Community Use Of Novel Oral Anticoagulants On An Academic Medical Center, Luis Eraso, Md, Taki Galanis, Md, Kristina Kipp, Pharm.D., Walter K. Kraft, Md, Michael Palladino, Pharm.D., Cacp, Alejandro Perez, Md, Kimberle Ferebee-Spruill, Crnp, Geno Merli, Md, Brian G. Swift, Pharm.D., Mba, Lynda Thomson, Brittany Vining

Department of Pharmacology and Experimental Therapeutics Faculty Papers

Warfarin has been a mainstay of therapy for treatment and prevention of venous thromboembolic disease (VTED) and prevention of stroke and systemic embolism for over 50 years. Recent FDA approval of several novel oral anticoagulants has offered more extensive treatment options for management of these disease states.

The availability of the novel anticoagulants offers an attractive alternative to warfarin therapy for patients due to their convenience of use. In comparison to warfarin, dabigatran, rivaroxaban and apixaban offer: - a fixed dosage regimen

- a relatively small potential drug interaction profile

- minimal laboratory monitoring

- little to no dietary restrictions. …

Implementing An Rn-Driven Proactive Roaming Rapid Response Team, Elizabeth Avis, Msn, Rn, Ccrn, Pccn, Marybeth Foy, Msn, Rn, Nicholas Collins, Bsn, Rn, Ccrn, Kristine Irvin, Rn, Lois Grant, Rn

Department of Nursing papers and presentations

Poster presented at: UHC Annual Conference 2012, Orlando Florida.

Goal: Redesign RRT to create a permanent team of RNs and an RRT focused on patient care and improving RRT process.

Stroke Education In The Chinese Community: A Nurse Resident Project, Laura Beans, Bsn, Rn, Roisin Harvey, Bsn, Rn, Jonathan Lee, Bsn, Rn, David Lincul, Bsn, Rn, Gina Ramos, Bsn, Rn, Jodi Schantz, Bsn, Rn

Department of Nursing papers and presentations

Objectives:

To educate an urban Chinese community by creating a stroke prevention program that increases awareness of the disease.

To educate an urban Chinese community about stroke risk factors, stroke warning signs, and how to reduce modifiable stroke risk factors.

Navigating The Digital Divide: A Teaching-Learning Initiative With The Ipad2, Beth Ann Swan, Kathryn Shaffer, Kellie Smith, Anthony J. Frisby, Mary Hanson-Zalot

College of Nursing Faculty Papers & Presentations

Background/ Rationale: It has been established that Interprofessional Education (IPE) offers a solution to foster teamwork and improve patient care and should be implemented early in professional role development. Thomas Jefferson University has been providing IPE to interprofessional healthcare students for over 5 years. A long term strategic goal was identified to “create innovative learning environments that support interprofessional education including state-of-the-art technologies”. In actualizing this goal, the curriculum was enhanced with technology supported collaborative learning techniques to assist in group processing and reflection. Combining traditional IPE activities with technology supported components incorporated the advantages of both delivery methods, …

Health Information Technology (Hit) And Chemotherapy Management, Diane Abisaleh, Rn, Bsn, Msn

Department of Nursing papers and presentations

• Cancer is the 2nd most common cause of death, accounting for 26% of all deaths.
• Chemotherapy errors can potentially lead to significant harm or death
• 1 out of every 50 chemotherapy orders, results in serious death
• Lack of HIT support for workflow increases error

Partnership Between University Clnical Skills/Simulation Center And Nursing Staff Development-New Products, Mary Bent Mangano, Msn, Rn, Cns, John J. Duffy, Rn, Msn, Ccrn, Cnrn

Department of Nursing papers and presentations

There is a growing evidence in the nursing literature about the effectiveness of clinical simulation as a powerful teaching/learning strategy. This wealth of research attributes simulation's effectiveness to its design that creates an environment where "students become active learners, abandoning memorization for accessing knowledge, and thinking and applying learning in context rather than providing answers to fact-based test" (Jeffries, 2007). A simulation suite provides a "safe, supportive environment that allows students to learn a variety of complex skills in a stress-free environment" (Ghiglieri, Ruiz, & Vasudevan, 2007). Creating this environment requires meticulous planning to details. The learner must have a …

Clinical Care Plan: Interdisciplinary Course (Ccpic), Marcia Levinson, Pt, Phd, Mft, Amy M Egras, Pharm.D, Bcps, E. Adel Herge, Otd, Otr/L, Kathryn Shaffer, Rn, Msn

Department of Physical Therapy Faculty Papers

Background/Rationale:

Interprofessional collaborative practice significantly improves patient outcomes, reduces mortality and enhances quality-of-life.

Person-focused care demands collaboration among professions in a team approach to address multiple issues including illness, prevention, and health promotion activities.

Key elements of successful implementation of interprofessional education supported by Clinical Care Plan, Interprofessional Course (CCPIC):

-Increasing knowledge of the roles, responsibilities, and competencies of multiple health professions.

-Collaborating in teams

-Recognizing the patient as the expert

-Communicating effectively

Course Statistics:

-176 students from various disciplines completed course (2008-2011).

Disciplines include:

-Medicine, Nursing, Occupational Therapy, Physical Therapy, Pharmacy

Effective, Efficacious, And Safe Nurse Driven Dysphagia Screening, Robin Fry, Bsn, Rn, Cnrn, Marie Wilson, Bsn, Rn, Ccrn, Cnrn, Carey Heck, Ms, Msn, Rn, Acnp-Cs, Ccrn, Cnrn

Department of Nursing papers and presentations

Introduction:

With 795,000 people suffering strokes and more than 140,000 deaths annually, stroke is the third leading cause of death in the United States.

Dysphagia screening can reduce stroke complications, such as aspiration, and can decrease delays in nutritional support. Decreasing nutritional support delays can improve patient outcomes.

The Impact Of Gi Inpatient Nursing Rounds On Patient Procedure Cancellations, Barbara Alpini, Rn, Cgrn, Elise Dorr-Dorynek, Rn, Bsn, Crrn, Cgrn

Department of Nursing papers and presentations

Abstract:

Research on rounding among hospital providers demonstrated the fundamental value in the practice. If rounding is of value in surgical, medical, and other areas, it is logical to hypothesize that structured rounds would be useful for other nursing units, such those performing special procedures. Structured rounding between GI nurses and colleagues on inpatient units could enhance preparation and efficient care of patients, decrease same day cancellations, and increase RN satisfaction with communication. Analysis using a Z-test demonstrated some support for a reduction in canceled procedures. Nurses also reported satisfaction with this new rounding procedure.

Fostering Community Of Relationships Via Online Discussion, Kellie Smith, Rn, Msn

College of Nursing Faculty Papers & Presentations

Background:

Statistics reveal that online education continues to expand in significant numbers throughout higher education. Nursing education must evolve and incorporate instructional technologies to meet the needs of the new era of tech-savvy students. An important aspect to consider for online and nursing education is creating and fostering a strong sense of community among students. Establishing a sense of community builds relationships among nursing students, assists in developing a comfort level with online course technology, is conducive to learning, and encourages reflection on learning possibilities. It has been established that online threaded discussions can encourage the growth of a learning …