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Himmelfarb Health Sciences Library, The George Washington University

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Full-Text Articles in Medicine and Health Sciences

Himmelfarb Headlines - May/June 2020, George Washington University, Himmelfarb Health Sciences Library May 2020

Himmelfarb Headlines - May/June 2020, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News, information and resources relating to Himmelfarb Library that is of interest to patrons.


The Gw School Of Medicine And Health Sciences Medical Student Research Day, George Washington University Apr 2020

The Gw School Of Medicine And Health Sciences Medical Student Research Day, George Washington University

GW Research Days 2016 - Present

No abstract provided.


Public Health Research Day 2020, George Washington University Apr 2020

Public Health Research Day 2020, George Washington University

GW Research Days 2016 - Present

No abstract provided.


Using Five Wishes To Improve Advance Care Planning In A Maryland Primary Care Practice, Amanda Bridges, Msn, Acnp-Bc Apr 2020

Using Five Wishes To Improve Advance Care Planning In A Maryland Primary Care Practice, Amanda Bridges, Msn, Acnp-Bc

Doctor of Nursing Practice Projects

Background: Advance Care Planning (ACP) at this primary care practice was minimal and lacked a consistent process to document existing advance directives (AD) or educate patients about ADs.

Objectives: The purpose of this QI project was to improve ACP engagement, documentation of existing ADs and educate patients about Five Wishes.

Methodology: Adults, at each office encounter, were asked three kiosk questions: Do you have an AD, know what ADs are and want to discuss ACP? The responses were uploaded to the EHR to become an evidence backed, visual reminder. Affirmation of existing ADs were descriptively documented. ACP engagement was analyzed ...


Combating Pediatric Obesity With A Community-Based, Family-Centered Pediatric Obesity Prevention Program, Hillary Mayers, Msn, Fnp-C Apr 2020

Combating Pediatric Obesity With A Community-Based, Family-Centered Pediatric Obesity Prevention Program, Hillary Mayers, Msn, Fnp-C

Doctor of Nursing Practice Projects

Background: Overweight and obesity among children contributes to significant adverse health outcomes that reduce quality of life. Because children are influenced by the behaviors of their parents, there is a need for multicomponent family-based interventions within the community to help overcome these issues.

Objectives: This quality improvement project provided parents and children aged four to six years old with an interactive nutrition and physical activity educational program to increase their knowledge related to healthy lifestyle patterns and alter BMI status.

Methods: A 10-week pre/posttest design was implemented to evaluate outcome measures including BMI percentile, physical activity and nutritional habits ...


Time For Quiet Reducing Nighttime Interruptions In The Icu (Turn In-Icu): Evaluation And Implementation Of A Nonpharmacological Sleep Bundle To Improve Sleep Quality, Delirium, And Nighttime Sedation Requirements, Christina Junker, Msn, Rn, Ccrn Apr 2020

Time For Quiet Reducing Nighttime Interruptions In The Icu (Turn In-Icu): Evaluation And Implementation Of A Nonpharmacological Sleep Bundle To Improve Sleep Quality, Delirium, And Nighttime Sedation Requirements, Christina Junker, Msn, Rn, Ccrn

Doctor of Nursing Practice Projects

Background: Undisturbed, restful sleep is essential for physiological as well as psychological well-being. For critically ill patients, sleep deprivation caused by frequent nighttime interruptions is associated with poor sleep quality and negative patient outcomes.

Objectives: The purpose of this Quality Improvement (QI) project was to promote uninterrupted sleep between the hours of 10 PM and 5 AM. Outcomes for evaluation consisted of the following three components: (1) sleep quality, (2) incidence of delirium, and (3) nighttime sedation requirements. Except for sleep quality, these variables were compared before and after the intervention.

Methods: A descriptive, before and after design for data ...


The Development, Implementation And Evaluation Of An Evidence-Based Biohazard Training Program Within A Pediatric Ambulatory Practice, Lakeshia L. Evans Mba, Fnp-Bc Apr 2020

The Development, Implementation And Evaluation Of An Evidence-Based Biohazard Training Program Within A Pediatric Ambulatory Practice, Lakeshia L. Evans Mba, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Communicable disease(s) such as Ebola or Coronavirus can cause a catastrophic health crisis within the United States healthcare system, especially among the pediatric and elderly population. Lack of knowledge, skills and confidence among health care professionals in the pediatric setting regarding these infectious organisms can affect early identification, proper isolation, early treatment, and increased risk of a possible pandemic and/or fatalities.

Aims/Objectives: The aim of this study was to develop, implement and evaluate an evidence-based biohazard training program-using the Identify, Isolate and Inform (3I) tool within a pediatric urgent care center to increase the staff’s ...


Multidisciplinary Team Approach To Prevent Hf Readmissions In Rural Areas, Naydu Lucas, Rn, Msn, Mba Apr 2020

Multidisciplinary Team Approach To Prevent Hf Readmissions In Rural Areas, Naydu Lucas, Rn, Msn, Mba

Doctor of Nursing Practice Projects

Background: Despite the national efforts to decrease 30-days hospital readmissions, readmission remains a challenge for healthcare organizations across the continuum of care. The aim of this quality improve project was to develop and implement a multidisciplinary team approach to provide education to patients hospitalized with congestive heart failure (CHF) to improve 30-day hospital readmissions.

Method: This project was conducted in a critical access hospital in Northeast Washington. Using a pre-post design, we evaluated the 30-day readmission before and after implementing the multidisciplinary education program for patients hospitalized with CHF. The education focused on disease management, discharge education, pharmacy consult and ...


The Effects Of Diabetes Self-Care Management Education Paired With Behavior Change Support Program Using Mobile Technology In Improving Disease Knowledge, Self-Care Activities, And Health Outcomes In Adult Type Ii Diabetes, Ji Min Msn, Fnp-C Apr 2020

The Effects Of Diabetes Self-Care Management Education Paired With Behavior Change Support Program Using Mobile Technology In Improving Disease Knowledge, Self-Care Activities, And Health Outcomes In Adult Type Ii Diabetes, Ji Min Msn, Fnp-C

Doctor of Nursing Practice Projects

Background: Research has shown that Diabetes Self-care Management Education (DSME) paired with the Behavioral Changes Support Program using Mobile Technology (BCSP-MT) has improved patient outcomes by promoting self-care activities. Yet, not many primary practices provide BCSP-MT to improve diabetes care.

Objectives: The study aimed to assess the effectiveness of DSME paired with BCSP-MT in adult type 2 diabetes patients to improve diabetes knowledge, self-care practices, and diabetes control in a primary care setting.

Methods: In this quality improvement project, a 3-months, one-arm, pre-post pilot study was conducted in a clinic, the Northeastern U.S. A convenient sample of 14 people ...


Implementing A Digital Imaging Platform Using Tissue Analytics In A Level 1 Trauma Center, Victoria Donaldson, Msn, Aprn, Fnp-Bc Apr 2020

Implementing A Digital Imaging Platform Using Tissue Analytics In A Level 1 Trauma Center, Victoria Donaldson, Msn, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: More than 2.5 million people develop pressure ulcers (PUs) annually. PUs cost the U.S. $9.1-11.6 billion per year and add about $43,180 to a hospital stay. The Centers for Medicare Medicaid Services (CMS) stopped reimbursement for hospital-acquired pressure ulcers (HAPUs). Documentation of PUs must indicate if they are present on admission (POA) and include accurate stages and treatment plan of PUs. Aims/Objectives: To use Digital Imaging platform using Tissue Analytics (TA) along with the standard care protocol. The objectives of this study were to (1) Improve identification of PUs, (2) Increase accuracy of ...


A Systems Perspective For Integrating A Community-Based, Family-Centered Nutrition And Exercise Program Into A Preexisiting Physical Extracurricular Activity, Chayna Hardy-Taylor, Msn, Fnp-C Apr 2020

A Systems Perspective For Integrating A Community-Based, Family-Centered Nutrition And Exercise Program Into A Preexisiting Physical Extracurricular Activity, Chayna Hardy-Taylor, Msn, Fnp-C

Doctor of Nursing Practice Projects

Background: Childhood obesity continues to be a problem in urban areas despite an understanding of the causes and consequences. It is essential to develop ways to reduce childhood obesity from a systems perspective, addressing the multifaceted elements that contribute to it.

Objectives: This project aimed to implement and evaluate a community-based, family-centered nutrition and exercise program to improve health outcomes and long-term complications related to childhood obesity in a New Jersey city.

Methods: A 12-week nutrition and exercise program based on materials from Let’s Go 5210 was provided for children age 8-13 enrolled in a community organization dance class ...


Increasing Adult Influenza Vaccination Rates In The Primary Care Setting, Leah Prescott Msn, Fnp-Bc Apr 2020

Increasing Adult Influenza Vaccination Rates In The Primary Care Setting, Leah Prescott Msn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Provision of vaccinations is one of the most basic interventions aimed at health promotion and disease prevention in the primary care setting. Despite increased public awareness and improved access to vaccinations through minute-clinic settings, health fairs, and employer-offered vaccination clinics, adults in the United States continue to fall short of national goals. Literature demonstrates vaccination rates among adults vary widely and may be affected by a multitude of factors, however vaccination rates may be greatly improved with increased provider engagement.

Objectives: The purpose of this project was to develop, implement, and evaluate a program to improve immunization rates in ...


Educational Session To Improve The Knowledge And Confidence Of State Agency Surveyors In Deficiency Citation Of Immediate Jeopardy Findings In Nursing Homes, Aileen Renolayan, Msn, Ma, Rn, Phn Apr 2020

Educational Session To Improve The Knowledge And Confidence Of State Agency Surveyors In Deficiency Citation Of Immediate Jeopardy Findings In Nursing Homes, Aileen Renolayan, Msn, Ma, Rn, Phn

Doctor of Nursing Practice Projects

Background: The oversight of nursing homes is a shared federal-state responsibility. Under the agreement with Centers for Medicare and Medicaid Services (CMS, 2018), state survey agencies assess nursing homes using standard surveys. Several studies indicate that the type of deficiencies issued to nursing facilities varies significantly by state, suggesting inconsistency in the survey process for issuing deficiencies. For example, variation in Immediate Jeopardy (IJ) citations among state agency surveyors has been the subject of reports from the Government Accountability Office (GAO, 2019) and the Office of the Inspector General (OIG, 2014).

Objective: To determine if a 1-hour educational session about ...


Alcohol Screening, Brief Intervention, And Referral To Treatment Protocol In The Emergency Department, Malvis Ndips Achonduh Tamon, Dnp, Aprn, Fnp-Bc Apr 2020

Alcohol Screening, Brief Intervention, And Referral To Treatment Protocol In The Emergency Department, Malvis Ndips Achonduh Tamon, Dnp, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: The impact that results from inappropriate alcohol consumption poses challenges to public health. The rate of alcohol-related visits to the Emergency Department (ED) has increased, which has resulted in an increased annual cost of alcohol-related visits. ED serves as a common portal of entry into the healthcare system for many patients and offers a unique opportunity to impact drinking behaviors.

Objectives: To increase the number of alcohol screenings and brief interventions when indicated to adult patients who visit the ED and increase ED nurses' knowledge regarding alcohol misuse and indications for brief interventions.

Methods: An educational module was delivered ...


A Nurse Led Pre-Operative Patient Education Intervention And Its Effect On Anxiety Levels In General Surgical Patients, Elisabet C. Harms Ms, Rn, Cmsrn, Cnecl Apr 2020

A Nurse Led Pre-Operative Patient Education Intervention And Its Effect On Anxiety Levels In General Surgical Patients, Elisabet C. Harms Ms, Rn, Cmsrn, Cnecl

Doctor of Nursing Practice Projects

Background: Substantial research has shown anxiety can negatively affect patients during the surgical period. Healthcare staff have limited time to educate.

Objectives: This study assessed the effect of pre-operative patient education on general surgical patients’ level of state anxiety. Also, compared the differences of pre and post intervention anxiety scores between patients undergoing different types of surgery and anticipating varied length of hospital stay.

Methods: A one-hour educational class, either in-person or online, provided information about surgery and recovery phase to 20 pre-operative patients. Participants’ anxiety levels before and after the class were measured using the State Anxiety Inventory questionnaire ...


Nurse’S Perception Of Safety Culture And Patient Safety Following Implementation Of A Handoff Communication Process Between Pre-Operative And Operating Room Nurses, Tracy Willett, Msn, Mba, Rn, Nea-Bc, Cnor Apr 2020

Nurse’S Perception Of Safety Culture And Patient Safety Following Implementation Of A Handoff Communication Process Between Pre-Operative And Operating Room Nurses, Tracy Willett, Msn, Mba, Rn, Nea-Bc, Cnor

Doctor of Nursing Practice Projects

Background: In a hospital environment the care of the patient is transferred multiple times during his or her stay. Current needs assessment indicates that nurses’ perception of safety culture with handoff communication and patient safety is an area of focus for the practice site.

Objectives: This study aimed to improve the Pre-operative and Operating Room nurses’ perception of safety culture measured with four valid and reliable survey questions. The second study’s aim was to improve patient safety with the handoff process, measured by the number of adverse events reported by the practice site.

Methods: Pre-implementation data was collected. Nurses ...


Improving Patient And Provider Engagement By Utilizing Ask Me 3®, Joseph G. Smith, Msn, Arnp, Fnp Bc Apr 2020

Improving Patient And Provider Engagement By Utilizing Ask Me 3®, Joseph G. Smith, Msn, Arnp, Fnp Bc

Doctor of Nursing Practice Projects

Background: Patient and provider engagement in healthcare has an impact on health outcomes.

Purpose: To study the implementation of the Ask Me 3 (AM3) tool, a tool that encourages patients to ask three questions about their health to their care provider. The aim of the project is to explore the level of patient and provider engagement by patients` reports of their perception of engagement with their provider and in understanding their diagnosis.

Methods: The setting was a small urban family practice in the Pacific Northwest. Every patient that checked in for their appointment, excluding pediatric and younger than 18 years ...


Mitigating Delirium For The Elderly Post-Operatively Without Medication, Ann Lo Basso Apr 2020

Mitigating Delirium For The Elderly Post-Operatively Without Medication, Ann Lo Basso

Doctor of Nursing Practice Projects

Background: Often occurring after surgery, or hospitalization, the development of delirium in older adults, initiates a cascade of events culminating in loss of independence, increased morbidity and mortality, and high health care costs (Oh, et al., 2017).

Objective: The purpose of this quality improvement (QI) project was to adapt and implement best practices using HELP for managing older patients with postoperative delirium through the existing 1:1 observation structure and implementing cognitive care strategies. The 1:1 sitter roles and responsibilities were redesigned to include non-pharmacological, multicomponent interventions.

Methods: The QI project used a pre-test post-test intervention design comparing groups ...


Himmelfarb Headlines - February/March 2020, George Washington University, Himmelfarb Health Sciences Library Feb 2020

Himmelfarb Headlines - February/March 2020, George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News and information about Himmelfarb Health Sciences Library of interest to users.


Himmelfarb Library Liaison Letter - December 2019, The George Washington University, Himmelfarb Health Sciences Library Dec 2019

Himmelfarb Library Liaison Letter - December 2019, The George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.


Underreporting Of Patient-Reported Outcomes In Myeloproliferative Neoplasms Clinical Trials, Anthony Messina, Quentin O'Brien Dec 2019

Underreporting Of Patient-Reported Outcomes In Myeloproliferative Neoplasms Clinical Trials, Anthony Messina, Quentin O'Brien

Clinical Research and Leadership Faculty Posters and Presentations

Introduction

Improvements in overall survival (OS) and quality of life (QoL) are clinically relevant outcomes that should guide clinical decision-making. Patients with MPNs can live with their disease for a long period of time, which increases the importance of understanding the impact of treatment in regards to a patients’ Health-Related QoL. Therefore, including PROs in clinical trials has become paramount in facilitating informed treatment decisions made by health care providers and patients. Furthermore, the FDA encourages the implementation of patient-centric measures in clinical trials.

Objective

We aimed to evaluate the frequency at which PRO measures are utilized as study endpoints ...


Dopamine D2 Receptor Modulates Wnt Expression And Control Of Cell Proliferation, Fei Han, Prasad Konkalmatt, Chaitanya Mokashi, Megha Kumar, Yanrong Zhang, Allen Ko, Zachary J. Farino, Laureano D. Asico, Gaosi Xu, Xiaoxu Zheng, Robin A. Felder, Robin E. C. Lee, Pedro A. Jose, Zachary Freyberg, Ines Armando Nov 2019

Dopamine D2 Receptor Modulates Wnt Expression And Control Of Cell Proliferation, Fei Han, Prasad Konkalmatt, Chaitanya Mokashi, Megha Kumar, Yanrong Zhang, Allen Ko, Zachary J. Farino, Laureano D. Asico, Gaosi Xu, Xiaoxu Zheng, Robin A. Felder, Robin E. C. Lee, Pedro A. Jose, Zachary Freyberg, Ines Armando

Medicine Faculty Publications

No abstract provided.


Himmelfarb Headlines - November/December 2019, The George Washington University, Himmelfarb Health Sciences Library Nov 2019

Himmelfarb Headlines - November/December 2019, The George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Headlines (2009 - present)

News and information about Himmelfarb Health Sciences Library of interest to users.


Himmelfarb Library Liaison Letter - November 2019, The George Washington University, Himmelfarb Health Sciences Library Nov 2019

Himmelfarb Library Liaison Letter - November 2019, The George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.


Creation Of A Health And Wellness And Self Care Tool For Mothers Of Infants Requiring A Neonatal Intensive Care Unit Stay, Genevieve Maccarthy Oct 2019

Creation Of A Health And Wellness And Self Care Tool For Mothers Of Infants Requiring A Neonatal Intensive Care Unit Stay, Genevieve Maccarthy

Doctor of Occupational Therapy Capstone Projects

Purpose: Despite occupational therapy’s established role in the neonatal intensive care unit (NICU) in providing family centered intervention, mothers continue to report lack of readiness to discharge home and emotional distress while in the NICU and upon discharge home. Occupational therapists have the unique skillset to promote engagement in meaningful activities and facilitate overall health and wellness for mother’s during and after their NICU stay.

Method: A qualitative survey was distributed to a convenience sample of fifteen participants to identify emotional experiences in the NICU, how these experiences impact each mother fulfilling her role as a primary caretaker ...


A Discharge Checklist To Combat Patient Readmission: A Case Study In A Skilled Nursing Facility, Shaylin O’Connell Oct 2019

A Discharge Checklist To Combat Patient Readmission: A Case Study In A Skilled Nursing Facility, Shaylin O’Connell

Doctor of Occupational Therapy Capstone Projects

A Discharge Checklist to Combat Patient Readmission: A Case Study in a Skilled Nursing Facility focuses on the creation of a discharge checklist, as an intervention, to increase the competency for occupational therapists working in skilled nursing facilities discharging clients back to their home environment. A SNF (Skilled Nursing Facility) provides post-acute healthcare services and rehabilitation for patients following a hospitalization prior to discharging home (Burke et al., 2017). This case study for clinical improvement uses the DMAIC (define, measure, analyze, improve, control) quality model and a multiple case study research design for evaluation. The goal of the quality improvement ...


Joining A Large Academic Consortium: Benefits And Challenges For A Health Sciences Library, Jolinda Thompson, Laura Abate, Ruth Bueter, Sara Hoover Oct 2019

Joining A Large Academic Consortium: Benefits And Challenges For A Health Sciences Library, Jolinda Thompson, Laura Abate, Ruth Bueter, Sara Hoover

Himmelfarb Library Faculty Posters and Presentations

No abstract provided.


Full-Text Fast: Bouncing Back From The Loss Of Linkout, Laura Abate, Jolinda Thompson Oct 2019

Full-Text Fast: Bouncing Back From The Loss Of Linkout, Laura Abate, Jolinda Thompson

Himmelfarb Library Faculty Posters and Presentations

No abstract provided.


Himmelfarb Library Liaison Letter - October 2019, The George Washington University, Himmelfarb Health Sciences Library Oct 2019

Himmelfarb Library Liaison Letter - October 2019, The George Washington University, Himmelfarb Health Sciences Library

Himmelfarb Library Liaison Letters

No abstract provided.


Gw Nursing, Fall 2019, George Washington University, School Of Nursing Oct 2019

Gw Nursing, Fall 2019, George Washington University, School Of Nursing

GW Nursing Magazine

No abstract provided.