Health and Medical Administration Commons^™

Assessing Preinjury Frailty In The Elderly Hip Fracture Patient To Promote Palliative Care Referral In Those At Risk For High Morbidity And Mortality, Alicia N. Walker, Jewyl Gibson, Sara Dunham

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

The objective of this project is to assess preinjury frailty in hip fracture patients aged 65 and older as a predictor for postsurgical morbidity and mortality, prompting early referral to palliative care services in patients deemed high-risk for postoperative complications. Including palliative care in the multidisciplinary care of the high-risk patient has been shown to improve quality of life, increase patient and caregiver satisfaction, and reduce healthcare costs. The design is a quality improvement initiative. The setting is an academic medical center, serving as the region’s Level 1 Trauma Center. There is no current process for measuring frailty as a …

Pediatric Palliative Care Training To Advance Nurses’ Knowledge And Increase Patient Referrals, Whitney Lynn Stone, Lisa Merritt, Tammy Childers

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Objective: The purpose of this evidence-based practice quality improvement project was to implement an educational intervention to improve pediatric palliative care services in a Pediatric Intensive Care Unit (PICU). The goal was to improve nurses’ knowledge of palliative care and increase the number of palliative care consults.

Methods: Educational sessions were created using the End-of-Life Nursing Education Consortium (ELNEC) Pediatric Curriculum. Participants included 46 PICU nurses. Knowledge of palliative care was measured at three timepoints; pre-, immediately post- and four weeks post-intervention. The number of palliative care referrals were measured at two timepoints; three months pre- and three months post-intervention. …

The Periviable Infant: The Implementation Of A Standardized Perinatal/Neonatal Outpatient Consultation Program, Janna Wright

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Common ethical principles are the foundation for why we ask parents for informed consent before proceeding with their infant's care. Respecting parental decisions in periviable resuscitation can benefit from adopting a new practice. This evidence-based practice project detailed the identified needs-based practice change for a standardized perinatal/neonatal outpatient consult concerning the periviable infant. Initiating early consultation of high-risk deliveries provides an understanding of parental wishes and satisfaction in decision-making, care of their infant, and bereavement support through a shared decision-making model. The project aligns with value-based care delivery, designed to improve healthcare by focusing on outcomes. Larrabee's Evidence-Based Practice model …