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Full-Text Articles in Medicine and Health Sciences
Improving Mental Health Access Through Primary Care: Implementation Of A Generalized Anxiety Disorder Screening And Specialist Referral Protocol, Sydney L. Halliday, Jeremy Mills, Ashley Vasilik
Improving Mental Health Access Through Primary Care: Implementation Of A Generalized Anxiety Disorder Screening And Specialist Referral Protocol, Sydney L. Halliday, Jeremy Mills, Ashley Vasilik
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Abstract
Background: One in five rural residents experience anxiety. Specialty mental health services are often scarce in these communities, leading primary care providers (PCPs) to manage and treat these symptoms. This poses barriers to care, such as time constraints that delay the identification of generalized anxiety disorder (GAD) and referrals to mental health services.
Local Problem: This project aimed to address this high prevalence of anxiety among patients at a Tennessee primary care clinic without a GAD screening and referral process. The GAD Screening and Specialty Referral Toolkit was created with the aim to screen 60% of patients presenting for …
Optimizing A Clostridium Difficile Screen For Intensive Care Unit Admissions, Mary Katherine V. Natour, Jennifer Smith
Optimizing A Clostridium Difficile Screen For Intensive Care Unit Admissions, Mary Katherine V. Natour, Jennifer Smith
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Background: Clostridium difficile infection is one of the most common healthcare-associated infections. Careful screening upon hospital admission enables clinicians to mitigate the spread and sequelae of this illness through early intervention and isolation but this screening must be accurate and highly sensitive to maximize benefit.
Local problem: The site for this project, an ICU in Tennessee, currently employs a highly sensitive but nonspecific tool to detect CDI. This has resulted in low accuracy, low staff compliance, low patient morale, and unnecessarily high personal protective equipment (PPE) costs.
Methods: Levin’s evidence-based practice improvement model was chosen to guide this project from …