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Health and Medical Administration Commons™
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- Screening (3)
- Primary care (2)
- Risk assessment (2)
- Antibiotic resistance (1)
- Antibiotic stewardship (1)
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- BRCA1 (1)
- BRCA2 (1)
- Belize (1)
- Blood glucose testing (1)
- COPD (1)
- COPD exacerbation (1)
- Chronic obstructive pulmonary disease (1)
- Clinical pathway (1)
- Culturally-directed education (1)
- DSME (1)
- Detoxification (1)
- Diabetes (1)
- Discharge planning (1)
- Familial risk assessment tool (1)
- Generalized Anxiety Disorder 7-Item (1)
- Generalized anxiety disorder (1)
- Genetic counseling (1)
- Guidelines (1)
- HBOC (1)
- Health education (1)
- Hereditary breast and ovarian cancer (1)
- Hispanic adults (1)
- Johns Hopkins Evidence-Based Practice Model (1)
- Long-term sobriety (1)
- Mental health access (1)
Articles 1 - 7 of 7
Full-Text Articles in Health and Medical Administration
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 …
The Long And Winding Road: What Comes Next After Detox, Michelle Pryce, Karen Lasater
The Long And Winding Road: What Comes Next After Detox, Michelle Pryce, Karen Lasater
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
BACKGROUND: Detoxification centers are specialized facilities treating patients with substance use disorder (SUD). The detoxification process is a medically managed treatment where substances are slowly weaned from the body. This process lasts approximately 5-7 days. Most patients meet the criteria for SUD upon admission, but do not seek specialized post-discharge treatment, which has been found to increase long-term sobriety.
LOCAL PROBLEM: The site was a 16-bed adult detoxification center located in South Carolina. The operations manager identified there was no standardized discharge educational planning process to support long-term sobriety. This project’s aim was to increase the percentage of …
Initiating Culturally-Directed Education For Hispanic Adults With Type 2 Diabetes Mellitus, Marie Davis, Jennifer Smith, Mandy Horner
Initiating Culturally-Directed Education For Hispanic Adults With Type 2 Diabetes Mellitus, Marie Davis, Jennifer Smith, Mandy Horner
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
BACKGROUND:
The U.S. Hispanic population has the highest rate of Type 2 diabetes mellitus (T2DM), which is influenced by socio-economic status and language barriers. Current evidence suggests that the delivery of culturally-directed Diabetes Self-Management Education (DSME) with the use of an interpreter can reduce diabetes-associated complications.
LOCAL PROBLEM:
The project took place at a free clinic in North Carolina. The purposes of this project was to create a culturally-directed DSME bundle for Hispanic adults with the use of a Spanish interpreter to improve understanding of T2DM management.
METHODS:
The Johns Hopkins Nursing Evidence-Based Practice Model (JHNEBP) was …
Antibiotic Stewardship In Patients With Viral Upper Respiratory Illness: Improving Quality Measures In Retail Health, Meredith A. Nolan, Robin Harris, Clay Smith
Antibiotic Stewardship In Patients With Viral Upper Respiratory Illness: Improving Quality Measures In Retail Health, Meredith A. Nolan, Robin Harris, Clay Smith
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
BACKGROUND: Millions of people will die from antibiotic-resistant bacterial infections in the next 30 years. Retail health providers are pivotal in this global epidemiological problem.
LOCAL PROBLEM: Setting included 15 retail health clinics operated by Vanderbilt University Medical Center in Middle Tennessee. Project examined provider education, patient engagement, and commitment to antibiotic stewardship, components of the CDC's Core Elements of Outpatient Antibiotic Stewardship framework. Specific aims were that providers would have a significant reduction in the percentage of antibiotics prescribed for viral illness over the study period.
METHODS: Using the Evidence-Based Practice Improvement Model, a Quality Improvement …
Reducing Copd Readmissions Through The Implementation Of A Guideline-Based Clinical Pathway: An Evidence-Based Practice Improvement Project, Hannah F. Hall, Allyson Neal, Samantha Bauer
Reducing Copd Readmissions Through The Implementation Of A Guideline-Based Clinical Pathway: An Evidence-Based Practice Improvement Project, Hannah F. Hall, Allyson Neal, Samantha Bauer
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Background: Chronic obstructive pulmonary disease (COPD) is a leading cause of death worldwide. It is characterized by airway inflammation and damage that inhibits appropriate airflow. Exacerbations of COPD (ECOPD) hasten disease progression and have profound impacts on the patients.
Local Problem: East Tennesseans experience higher rates of COPD than the rest of the state. Community members at the project site identified that the inpatient management of ECOPD is inconsistent and discordant with the 2023 Global Initiative for Chronic Obstructive Lung Disease (GOLD) guidelines. The purpose of this project was to reduce readmissions and increase guideline concordance by developing an algorithm …
Implementation Of An Evidence-Based Diabetic Screening Tool In Rural Belizean Communities, Morgan Lee Taylor, Annelyse Caffrey
Implementation Of An Evidence-Based Diabetic Screening Tool In Rural Belizean Communities, Morgan Lee Taylor, Annelyse Caffrey
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Significance/Background: Type II Diabetes Mellitus (TIIDM) is a growing epidemic in Belize. The prevalence is increasing yearly, responsible for considerable health complications and deaths. Rates are much higher in Belize than in any other developing Central American country, and many rural citizens are undiagnosed and untreated. Access to healthcare is complex, and travel is often required in rural areas. Primary care visits in Belize are significantly less than in surrounding North and Central American countries. As a result, chronic illnesses such as TIIDM often go undiagnosed among children, adolescents, and adults- leaving TIIDM a leading cause of death in Belize. …
Implementation Of Standardized Hereditary Breast And Ovarian Cancer (Hboc) Risk Assessment And Genetic Referral, Melissa M. Hessock, Tracy L. Brewer, Sadie Hutson
Implementation Of Standardized Hereditary Breast And Ovarian Cancer (Hboc) Risk Assessment And Genetic Referral, Melissa M. Hessock, Tracy L. Brewer, Sadie Hutson
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Objective: To increase identification and genetic referral rates for women at risk of Hereditary Breast and Ovarian Cancer (HBOC).
Design: Evidence-based practice improvement initiative
Setting/Local Problem: Private suburban OB/GYN practice in Tennessee with no standardized process for HBOC risk assessment or genetic referral.
Participants: Women age 18 or older, presenting for routine well-woman visits.
Intervention/Measurements: Using PDSA (plan-do-study-act) cycles, a familial risk assessment tool was selected, and a clinical decision-making algorithm for risk assessment and genetic referral was designed and implemented for use in well-woman encounters. Pre-implementation and post-implementation risk identification and referral rates were …