Medicine and Health Sciences Commons^™

Music Therapy As A Means Of Pain Reduction And Decreased Opioid Use In The Icu Setting, Dakota Shemwell

Scholars Week

Abstract

Being in the ICU as a patient is not a pleasant experience by any stretch of the imagination. Patients in the ICU have recently had major surgery, are ventilated, or are critically ill in other ways. On top of this are the painful procedures that take place in the ICU; repositioning the patient and endotracheal suctioning are just two such procedures that take place in the ICU. Music therapy has been proven effective in reducing a patient’s pain thus, leading to fewer needed doses of PRN opioid pain medications. With our nation in the midst of an opioid epidemic, …

Implementing A Standard Handoff Amongst Nurses, Brennan Kunkel

Scholars Week

For many years the nursing handoff procedure was an informal passing of information between two nurses. While informal this handoff was still very vital to the care of a patient in any given circumstance. It can provide key details and information that could be missed or unknown from a previous shift. The nursing handoff has gone through many changes and improvements throughout the years. This paper looks at the error in nursing handoff and implementing a standard form to reduce error and improve patient safety and satisfaction. Upon inspection it was noticed that this topic has been overlooked in the …

Implementing Trauma-Informed Care Early In The Lives Of Children And Adults, Carley Clymer

Scholars Week

Throughout the health care industry, providers are failing to recognize the implications that adverse childhood experiences (ACEs) have upon adult health. As a result, these patients not only have to endure these traumas, but they’re also faced with crippling health conditions that accompany them including depression, heart disease and obesity. The prevalence of common high-risk behaviors such as smoking, drinking and illicit drug use can also co-exist with adversity, which leads to an exacerbation of already poor health. This presentation aims to relay the significance of adopting a trauma informed care (TIC) approach early in the lives of clients to …

Implementing Mandatory Bedside Report Between Nurses, Tosha Taylor

Scholars Week

Implementing bedside report into nursing practice is shown to be the best evidence based practice. However, many nurses do not implement bedside report into their practice for various reasons such of lack of knowledge on how to properly conduct bedside report. Bedside report can reduce medication errors, increase patient safety, and increase nurse accountability among other issues. This paper reviews the benefits of bedside report as well as how to properly implement mandatory bedside report among nurses through policy.

Couplet Care, Melanie Husk

Scholars Week

Abstract

In many recent studies, maternity units in hospitals have been making the transition from traditional separate care for the mother and baby to couplet care for the mother and baby. (Brenneman, 2014; Abney-Roberts, 2012; Backus, 2017) Couplet care is family-centered care in which the mother and the baby stay together from childbirth until discharge. (Emory-Decatur, 2019) Studies have shown that this form of care has many benefits for both the mother and the baby. Parents become more educated on how to care for their newborn and infants gain the foundation for how they will develop socially, emotionally, and behaviorally. …

Implementing Mandatory Psychiatric Training For Medical-Surgical Nurses, Hannah Berry

Scholars Week

Hospitals worldwide experience poor outcomes for patients with mental illnesses. Psychiatric patients have a lesser likelihood of surviving a particular illness than does a person with that same illness who does not have a psychiatric comorbidity. This is a bleak reality that nurses have the unique opportunity to influence for the better. Destigmatizing mental illness is perhaps the largest component of stepping toward this goal. Our nurses being more educated on the nature of mental illnesses—their signs, symptoms, and common treatments—will improve care outcomes for patients who suffer from them. Not only should we educate nurses on mental illness for …

Music Therapy In The Labor & Delivery Setting, Erin Windham

Scholars Week

My presentation addresses the need as well as informs you of the benefits of having a policy that allows for music therapy interventions to be implemented in the labor and delivery setting to aid in pain and stress management.

Family Presence During Resuscitation, Brittany Whistle

Scholars Week

Background:

Families want more involvement in their loved one’s care than they did just twenty years ago. Especially, in the matter of resuscitation efforts, this involvement remains controversial.

Evidence and Findings:

Based on research, theories, and multiple educated opinions, family presence during resuscitation (FPDR) needs to be implemented in hospitals. Theories by Kolcaba and Helvie demonstrate a need for comfort and positive energy around patients to enhance the healing process. Evidence has shown multiple benefits of FPDR. The patient receives a holistic approach of care, the family gains closure and feeling of participation of care, and provides a plan for …

Implementation Of Music Therapy To Reduce Anxiety In Icu Patients, Calley Womack

Scholars Week

Current practice in intensive care units regarding anxiety commonly results in administration of an anxiolytic, which can potentially increase patient’s time admitted, increase costs due to adverse effects, and decrease patient involvement in care. An analysis of multiple research studies was conducted to explore the best practice for management of anxiety, particularly the implementation of music therapy. Studies have been conducted on the implementation of music therapy to reduce levels of anxiety in patients on intensive care floors. Specifically, extensive research with music therapy has been conducted on patients receiving ventilation in the ICU. Consequentially, these studies have shown that …

Implementing Dysphagia Screenings In Stroke Patients, Meredith Buller

Scholars Week

Dysphagia screenings are important to be done for all stroke patients in order to prevent aspiration, pneumonia, and other complications. All patients should be screened regardless of severity of stroke. Many policies outline that all patients should be screened, but many floors are not implementing the policy on all patients. This article reviews research associated with dysphagia screenings and how to properly perform one. Dysphagia screenings should be performed on all stroke patients at the hospital to achieve the best outcomes post-stroke.

Keywords: Stroke, aspiration, screening, dysphagia

Implementing Ppe And Precaution Use Among Patient Families And Visitors, Ashley Dunn

Scholars Week

The purpose of this paper is to discuss the current nursing policy regarding education, knowledge, and compliance of PPE (personal protective equipment) among patient families and visitors, and to further assess whether or not the policy in place needs to be strengthened and improved, or changed altogether. Upon investigation, it was found that PPE compliance and knowledge as well as hand hygiene compliance are lacking and are current issues seen among not only families and visitors of families, but nurses as well. There are few studies about this topic due to the fact that it is an issue that is …

Recommending That School Nurses Provide Mental Health Screenings To Students, Mariah Dufault

Scholars Week

Childhood mental health issues not being identified early, caused by a lack of knowledge and awareness in childhood mental health, can lead to lifelong debilitating issues. The Center for Disease Control states, “Mental disorders among children are described as serious changes in the way children typically learn, behave, or handle their emotions, which cause distress and problems getting through the day” (CDC 2020). These issues can lead to negative self-worth, a lack of ambition, thoughts of self-harm, aggression towards others, and suicidal ideations. Studies have even shown that, “Half of adults with mental health disorders report or have been shown …

Animal-Assisted With Nursing Home Residents, Kierstyn Stevens

Scholars Week

This study was conducted to evaluate the use of animal-assisted therapy in nursing home residents, particularly a Nursing and Rehabilitation center in Paducah, KY. Residents of long term care facilities, like a nursing home, face many challenges due to physical and mental changes. Factors contributing to these changes may include financial changes, loss of autonomy, mobility changes, etc. Various articles concerning animal-assisted therapy in elders, residents of hospitals, and residents of long-term care facilities were gathered to examine potential benefits. Findings indicated significant improvement in variables found often in elders, such as anxiety, depression, aggression, and loneliness. Many of these …

Implementing Music As A Distraction To Reduce Pain And Anxiety In Pediatrics, Marcanah Frye

Scholars Week

Music therapy is a safe and inexpensive intervention that can be used to reduce pain and anxiety in pediatric patients. There are several research articles that have proven that music therapy can positively affect patients. Various factors, like pain and anxiety scores, heart and respiratory rates, blood pressure, and oxygen saturation levels were observed throughout the study to help base the decision on whether or not music therapy was effective at reducing pain and anxiety. This therapy can be based upon the nursing theory of comfort by Katharine Kolcaba. Her goal for this theory of comfort was to put comfort …

Stat-Lock Stabilization, Michelle Hicks

Scholars Week

NUR 412 EBP Project Presentation- Stat-Lock Stabilization

Educating Nurses On Therapeutic Discussion Of Code Status, Alanna Wathen

Scholars Week

My presentation outlines the best ways according to current evidence on how nurses should discuss code status therapeutically with patients.

Requiring That Information On Umbilical Cord Blood Banking Options Be Provided Prior To Admission To The L&D Unit, Leighton Terrell

Scholars Week

This research project covers the topic of educating expectant mothers on the options for umbilical cord blood banking or donation. Through the research, it was determined exactly what umbilical cord blood banking was and the types of banking available. Umbilical cord blood banking has many benefits and has been proven to help treat various diseases. Transplantation of umbilical cord blood stem cells rather than bone marrow has improved the cure rates and survival rates of many treatments. Since the first transplantation in 1988, multiple lives have been changed, some even saved, by using blood that has been taken from an …

Lifting Teams In The Acute Care Settings, Mary Makalyn Smith

Scholars Week

Research studies have analyzed the importance of lifting teams in the acute care settings of the hospital. Lifting teams provide nurses with the trained assistance they need to refrain from reoccurring musculoskeletal injuries. These lift team members are scheduled and trained staff members who are able to focus on patients’ needs and modes of transportation. The focus of these lift teams would be to add efficiency to the healthcare system and increase patient skin integrity and satisfaction rates. In my first study it examined the effectiveness of a multifaceted minimal-lifting environment on nursing areas. The study was focused on musculoskeletal …

Integrating Autism-Specific Care Plans For Pediatrics: Increasing Satisfaction, Madison S. Vandiver

Scholars Week

Abstract

Recent studies have explored the importance on integrating Autism-Specific Care Plans (ACP) into practice. These care plans provide patients with Autism Spectrum Disorder (ASD) or their caregivers the opportunity to identify individualized needs that are imperative for healthcare providers to provide personalized care and accommodations. These ACPs identify baseline characteristics, behavior patterns, communication techniques and management strategies for the patient with ASD during hospitalization. The focus of the ACP is to recognize patient needs and make those available to those providing care. Understanding the patient’s normal behavior variations can alert providers to a problems or stressors of the patient …

Pulmonary Rehabilitation Initial Education, Allison Vititoe

Scholars Week

Abstract

Pulmonary rehabilitation has been proven successful among those with chronic pulmonary diseases. However, there is a low rate of involvement and a lower rate of completion for these patients.

One of the major underlying factors contributing to this problem is patients’ lack of motivation. If the patients can be given information on the benefits of this program that align with what they hold as important there will be increased level of motivation and subsequently completion of pulmonary rehabilitation.

Using Non-Pharmacological Interventions To Promote Sleep In The Intensive Care Unit, Regan Kull

Scholars Week

When patients are in critical condition in the ICU, sleep is not prioritized among all of the patients’ other issues. The lack of sleep may result in a decreased immune system and neurocognitive changes producing delirium, potentially increasing the length of stay, and increasing morbidity, especially in older adults and those who have been in the ICU for a long period of time. The purpose of this review of literature is to examine evidence which studied the effectiveness of non-pharmacological interventions on sleep quality of patients in the ICU. Among the evidence for this project, it was found that the …

Choosing A Vaginal Birth After A Cesarean Rather Than A Repeat Elective Cesarean Delivery, Sydney Carter

Scholars Week

The VBAC (Vaginal Birth After Cesarean) rate has been increasing over the recent years. However, it is still a much lower rate as compared to 1996. During this time uterine rupture instances and maternal mortality rates were found to have increased. As a result, facilities over corrected and stopped offering VBACs as an option. Current research shows they are actually safer than a cesarean but most facilities do not offer this option. The purpose of this policy change is to increase the rate of VBACs by providing good education to expectant mothers through their nurses.

Proper Indwelling And External Catheter Use To Reduce Cauti's, Taylor Stephens

Scholars Week

Evidence based practice and research shows that the risk for CAUTI’s increases each day of catheterization. Research also showed that the rate of inappropriate catheterizations was very high. The conclusion made from the research recommended that catheters be removed as soon as possible in order to decrease the risk of CAUTI’s. Interventions to decrease CAUTI and inappropriate catheterization rates includes requiring a new doctors order for the continuation of an indwelling catheter every day and requiring more frequent assessment of the need for a PureWick. This method forces both the doctor and the nurse to assess the patient for the …

Utilization Of Music Therapy In The Icu Setting, Danielle York

Scholars Week

This topic was selected in the hopes of bringing awareness to music therapy and the positive benefits it can have on patients and their pain in a high stress environment. The evidence shows that music therapy can have a positive effect on patient outcomes and is a cost-effective measure that hospitals can easily implement. The education needed to implement this intervention would be geared toward patients that nurses could present to them upon pain report. The evidence proves that this is an efficient way to control patient pain and allow for a more relaxing environment.

KEYWORDS: Music, therapy, pain, education, …

Chlorhexidine: The Fight To End Ventilator-Associated Pneumonia, Jeremy Gaspari

Scholars Week

There is a major problem that affects patient outcomes in the hospital setting. This problem is ventilator-associated pneumonia. Ventilator-associated pneumonia is the second most nosocomial infection in critical care patients. A new policy is needed to ensure that interventions are being done to decrease the risk of patients getting ventilator-associated pneumonia. Ventilator-associated pneumonia also has a high risk of mortality. If interventions are being done, the risk of ventilator-associated pneumonia and mortality will decrease. Prophylactic oral care with chlorhexidine solution is show through evidence to decrease the risk of both ventilator-associated pneumonia and mortality rates. The use of ventilator bundles …

Delayed Newborn Bathing, Trisha Freudenberg

Scholars Week

Abstract:

The title of this paper is Delayed Newborn Bathing. The purpose of this project was to research the evidence and literature that supports the need for a delayed newborn bath. The project discusses the benefits of a delayed bath and what affect it has on the infant’s temperature, blood sugar/blood glucose, and exclusive breast feeding rates. Three evidence-based research studies have been presented within this project (“Impact on delayed newborn bathing one exclusive breastfeeding rates, glucose, and temperature stability, and weight loss”, “Initiative to improve exclusive breastfeeding by delaying the newborn bath”, and “Effects of delayed newborn bathing on …