Depression Screening Tool For Hysterectomy Patients,
2023
University of San Francisco
Depression Screening Tool For Hysterectomy Patients, Dede C. Mihedji
Doctor of Nursing Practice (DNP) Projects
Abstract
Background: The prevalence of hysterectomies in the United States ranges from
5.1 to 5.8 per 1000 women (Harnod et al., 2018). A standardized screening tool for assessing
depression preoperatively could mitigate the worsening of postoperative depressive symptoms in patients scheduled for a hysterectomy.
Local Problem: Currently, there is no standard of practice to routinely screen for depression in preoperative patients scheduled for hysterectomy surgeries. However, as with any surgical intervention, there are risks of long-term complications. Studies have identified that a hysterectomy may increase the risk of cardiovascular events, menopause, depression, and other outcomes (Madueke-Laveaux et al., 2022). …
Mindfulness Based Self Care Toolkit For Psychiatric Healthcare Staff,
2023
The University of San Francisco
Mindfulness Based Self Care Toolkit For Psychiatric Healthcare Staff, Harkirat K. Bajwa
Doctor of Nursing Practice (DNP) Projects
Abstract
Background: Healthcare professionals (HCPs) are at high risk of stress, burnout, and compassion fatigue (CF). Nearly half of the doctors and one-third of the nurses experience burnout in the United States. The risk becomes more evident during the coronavirus disease (COVID -19) pandemic as more patients and healthcare providers seek mental health services.
Problem: The physical and mental health of HCPs is impacted by burnout and CF, leading to increased practice errors, decreased patient safety, and negative effects on HCPs’ physical and mental health. Mindfulness practice is beneficial to reduce stress and burnout in various populations, but HCPs have …
Attention-Deficit/Hyperactivity Disorder And Teachers,
2023
Murray State University
Attention-Deficit/Hyperactivity Disorder And Teachers, Samantha Ann Tierney, Samantha Ann Tierney
Honors College Theses
Attention-Deficit/Hyperactivity Disorder (ADHD) is a common disorder, estimated to affect 5% of all children and adolescents. The current rate of diagnosis is steadily increasing. This increase in the number of students with ADHD affects educators, who have a large role in the success of students with ADHD. Despite this, many teachers are not prepared to deal with the extra challenges that come with teaching students with ADHD. Teachers may not be properly taught how to deal with children who have ADHD in their classrooms or the role they have in these children’s lives. The purpose of this study is to …
Increasing Pulmonary Artery Catheter Education Among Ccu Nurses: A Quality Improvement Project,
2023
Seattle Pacific University
Increasing Pulmonary Artery Catheter Education Among Ccu Nurses: A Quality Improvement Project, Kayla Marie Fisher Rn, Bsn
Doctor of Nursing Practice (DNP) Scholarly Projects
Executive Summary
Title: Increasing Pulmonary Artery Catheter Education Among CCU Nurses: A Quality Improvement Project
Background and Significance: Among the patient population in the Cardiac Care Unit (CCU) at a large academic medical center in Seattle, pulmonary artery (PA) catheters are commonplace. PA catheters are invasive central venous access devices with the ability to measure hemodynamic parameters that reveal information about the functionality and cardiac output of the heart. Should values obtained from PA catheters be incorrectly measured, serious complications could arise. Appropriate management of this device requires specialized expertise which is usually limited to cardiac critical care and surgical …
3d-Wound Imaging: Precise, Consistent, And Efficient,
2023
University of San Diego
3d-Wound Imaging: Precise, Consistent, And Efficient, Aubrey Halili
Doctor of Nursing Practice Final Manuscripts
Background: The most common method of obtaining wound measurements is the hand-ruler method. Studies show that the hand-ruler method results in the most inaccurate measurements with the lowest interrater reliability. Studies also show that using 3D-wound imaging yields the most accurate measurements with the best interrater reliability. 3D-wound imaging technology also increases efficiency by allowing users to obtain images and document assessments using one device at the bedside.
Purpose: The purpose of this project is to make the process of assessing wounds more efficient by decreasing the time spent on photographing, measuring, and documenting wound assessments by implementing the use …
School-Based Development And Implementation Of An Educational Toolkit,
2023
University of San Francisco
School-Based Development And Implementation Of An Educational Toolkit, Chantel M. Kilford Ms
Doctor of Nursing Practice (DNP) Projects
The purpose of this evidence-based change in practice is to increase knowledge and confidence among healthcare providers and teachers within a high school setting by providing an educational tool kit about behavioral disorders in children. The disorders that will be focused upon are conduct disorder, oppositional defiant disorder, and common co-morbidities of these disorders. There will be education about an appropriate childhood, evidence based mental health assessment tool that assesses childhood mental health, including how to score the tool and interpret the results. Evidence suggests that healthcare providers and teachers are not confident or knowledgeable about identification, assessment, and behavioral …
Breastfeeding After Maternal Anesthesia: A Guideline Development,
2023
Otterbein University
Breastfeeding After Maternal Anesthesia: A Guideline Development, Megan Berens
Doctor of Nursing Practice Scholarly Projects
Postoperative breastfeeding recommendations for lactating mothers by anesthesia providers are inconsistent and often inaccurate. Inappropriate recommendations have led to withholding of breastmilk to the infant, unnecessary disposal of breastmilk, surgical delay, exposure of an infant to high levels of drugs in breastmilk, and early cessation of breastfeeding. The purpose of the scholarly project was to develop a set of evidenced-based practice guideline recommendations and a proposed implementation plan for anesthesia providers to use in support of breastfeeding mothers who recover from surgery. Many studies in the literature indicate that there are inconsistencies in postoperative breastfeeding recommendations by anesthesia providers. When …
Creating A Culturally Adaptable Comprehensive Sexuality Education Teacher's Manual,
2023
Brigham Young University
Creating A Culturally Adaptable Comprehensive Sexuality Education Teacher's Manual, Stephanie Carteciano
Student Works
Purpose: The purpose of this project was to create a culturally adaptable comprehensive sexual education teacher’s manual by (a) standardizing content using The United Nations Educational, Scientific and Cultural Organization’s (UNESCO) 2018 International Technical Guidance on Sexuality Education (CSE), (b) providing evidence-based CSE pedagogy in the form of classroom activities, and (c) including adaptable teaching methods to fit diverse cultural contexts.
Development: The manual lessons were derived from UNESCO’s 2018 International Technical Guidance on Sexuality Education, and the pedagogy followed Anderson and Krathwohl’s revision of Bloom’s Taxonomy. Health information was obtained from various medical and university resources. We surveyed eight …
Adult Post-Cardiac Surgery Deep Sternal Wound Infections,
2023
Winona State University
Adult Post-Cardiac Surgery Deep Sternal Wound Infections, Samantha Porcher, Cole Gatzke
Nursing DNP Projects
ABSTRACT
Purpose and rationale: Deep Sternal Wound Infections (DSWI) are associated with morbidity rates and mortality rates as high as 10% -15% as well as significantly increased hospital costs. The purpose of this project is to decrease current rates of DSWIs in adults undergoing cardiac surgery at a large medical institution.
Synthesis of evidence: The literature shows a strong relationship between elevated HbA1C and DSWI. All articles reviewed for this proposal which implement a sternal vest intervention support its use to prevent DSWI.
Practice change and implementation strategies: The strategy used to implement these evidence-based practice interventions includes …
Increasing Student Engagement: Case-Based Teaching And Learning,
2023
University of Nevada, Las vegas
Increasing Student Engagement: Case-Based Teaching And Learning, Necole Leland, Lisa Nicholas
UNLV Best Teaching Practices Expo
Case-based learning (CBL) is an active learning approach using hypothetical or real life problems that help learners develop clinical judgment and problem-solving skills (Bastable, 2023). CBL can be used in multiple settings, including the classroom, the clinical environment, and simulation. CBL can be used in most disciplines to bring real life scenarios to life for learners. Learners identify the problem in the case, develop multiple approaches to solving problems, discuss different viewpoints or assumptions, propose alternate decisions, and weigh consequences (Young & Paterson, 2007). CBL helps make connections that transfer theoretical knowledge to practical application (Billings & Halstead, 2020). CBL …
Coronary Care Unit Nurses’ Experiences Of Care Management Self-Efficacy: A Qualitative Content Analysis,
2023
Guilan University of Medical Sciences, Rasht, Iran
Coronary Care Unit Nurses’ Experiences Of Care Management Self-Efficacy: A Qualitative Content Analysis, Fatemeh Mansouri, Parand Pourghane, Maryam Rajab Pour Nikfam, James C. Oleson
The Qualitative Report
Recognizing various aspects of the self-efficacy concept in specialized medical units such as intensive care units (ICUs) and coronary care units (CCUs) has the potential to help nurses improve their quality of care. Therefore, we conducted a qualitative content analysis study in 2018 in hospitals of the Guilan Province, northern Iran, to help explain nurses’ perceptions of self-efficacy in care management within CCU wards. Thirty-four semi-structured interviews were conducted with nurses from CCUs. Using Graneheim and Lundman’s (2004) analytical techniques, we extracted three main themes and nine sub-themes from the data: decline in self-efficacy (e.g., time constraint, high work pressure, …
Accessibility, Acceptance, And Equity: Examining Disability-Linked Health Disparities As Nursing And Communication Scholars,
2023
Rollins College
Accessibility, Acceptance, And Equity: Examining Disability-Linked Health Disparities As Nursing And Communication Scholars, Sarah Parsloe, Stacey M. Carroll
Nursing Communication
People with disabilities (PWD) experience health disparities, often related to contextual factors beyond the physical differences in body structure and function. The purpose of this article was to develop a research agenda for nursing and communication scholars that explores how developing accessible and empowering communication environments in healthcare contexts might mitigate disability-linked health disparities. We focused on two broad research objectives: developing both accessible communication environments and empowering communication environments in healthcare settings. Elements proposed as comprising accessible communication environments were: making health literacy accessible, addressing complex communication needs, and communicating the embodied experience of disability. Empowering communication environments were …
Effectiveness Of End-Of-Life Strategies To Improve Health Outcomes And Reduce Disparities In Rural Appalachia: An Analytic Codebook,
2023
University of Tennessee, Knoxville
Effectiveness Of End-Of-Life Strategies To Improve Health Outcomes And Reduce Disparities In Rural Appalachia: An Analytic Codebook, Radion Svynarenko, Guoping Huang, Theresa L. Profant, Lisa C. Lindley
Faculty Publications and Other Works -- Nursing
Appalachia is one of the most medically underserved areas in the nation. The region has provider shortages and limited healthcare infrastructure. Children and adolescents in this area are in poor health and do not receive the needed quality care. Implementation of section 2302 of the 2010 Patient Protection and Affordable Care Act (ACA) enabled children enrolled in Medicaid/Children's Health Insurance Program with a terminal illness to use hospice care while continuing treatment for their terminal illness. In addition to being more comprehensive than standard hospice care, this relatively new type of care is more culturally congruent with the end-of-life values …
Heart Safe Community Update: Presentation,
2023
Molloy University
Heart Safe Community Update: Presentation, Mary Mccormack Dnp, Aprn, Fnp-C
Faculty Works: Nursing
Heart Safe Community Project update presentation at the School of Nursing & Health Sciences department meeting on 1/19/23 at Molloy University.
Optimizing Your Capstone Experience: A Guidebook For Allied Health Professionals,
2023
School of Health Sciences
Optimizing Your Capstone Experience: A Guidebook For Allied Health Professionals, Virginia E. Koenig
Open Touro Textbooks
This guidebook is designed for allied health professional students. Each chapter in this guidebook provides students with useful information, tools, and examples that will support them before, during, and after their capstone journey. This is a one of a kind resource that can be used in a variety of professional academic settings. The primary goal of this guidebook is to support students throughout their capstone experience and to help them understand how the capstone process will enrich both their personal and professional advancement.
Parental Contextual Factors And Decision-Making Related To Periviable Birth: An Integrative Review,
2023
University of Toronto
Parental Contextual Factors And Decision-Making Related To Periviable Birth: An Integrative Review, Amy L. Wright, Elizabeth Mens, Gausiha Rathitharan
The Qualitative Report
Parents facing a periviable birth, or birth before 25 weeks of gestation, commonly engage in antenatal consultation with healthcare providers to determine a plan of care. Parents’ pre-existing contextual factors, beliefs, and values influence their decisions regarding birth and the care of their infant. This study aims to understand the role of parental contextual factors and best-practices to their integration during antenatal consultation The Whittemore and Knafl (2005) approach to conducting an integrative review along with thematic analysis was employed to determine and present the findings. Results describe three themes related to how contextual factors influence parental decision-making: personal values …
Review Of Storytelling In Queer Appalachia: Imagining The Unspeakable Other,
2023
West Virginia University
Review Of Storytelling In Queer Appalachia: Imagining The Unspeakable Other, Sandra L. Cotton Dnp, Rn, Anp-Bc, Fnap, Laurie A. Theeke Phd, James Messer
Journal of Appalachian Health
The Journal of Appalachian Health is committed to reviewing published media that relates to contemporary concepts affecting the health of residents of Appalachia. Improving the health in the region of Appalachia means knowing our people as they live and thrive in communities. The book reviewed here, Storytelling in Queer Appalachia: Imagining the Unspeakable Other (Edited by Glasby, Gradin, and Ryerson), is a must read for people who wish to gain insight on the real experience of being queer in Appalachia.
Using Hierarchy Of Needs To Build Care Team Engagement,
2023
Maine Medical Center
Using Hierarchy Of Needs To Build Care Team Engagement, Catherine Palleschi, Katherine Skroski, Samantha Canonico, Hailey Frager, Mary Beeaker
Maine Medical Center
Cardiology Intensive Care & Cardiovascular Interventional Care teams provide superb care to critically ill cardiac patients at Maine Medical Center. Covid Pandemic revealed the importance of caregiver physical and mental health wellbeing, as well as engagement in order to continue to provide outstanding care to patients. Leadership devised innovative ways to improve team engagement and ensure that care team members' needs are met.
Instituting An Educational Module To Improve Knowledge Of Local Anesthetic Systemic Toxicity Among Anesthesia Providers,
2023
University of Tennessee, Knoxville
Instituting An Educational Module To Improve Knowledge Of Local Anesthetic Systemic Toxicity Among Anesthesia Providers, Alisha Marie Linehan, Chad Andrew Mcclure, Steven Taylor Moon, Shukhratilla Ibragimov Shamshitdinov, Julie Newton Bonom, Jason Michael Buehler
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Local anesthetic use in the perioperative period is increasing in the United States as healthcare providers seek alternatives to opioid-based pain management. While increased use of local anesthetics has many benefits, their use also increases the risk of Local Anesthetic Systemic Toxicity (LAST), which is a serious and potentially life-threatening complication. A search of the literature indicates there is a considerable gap in knowledge of LAST among healthcare providers, including Certified Registered Nurse Anesthetists (CRNAs) and anesthesia residents. This knowledge gap is combined with a lack of standardized approaches to identifying and treating this complication. Identifying and treating LAST is …
Metabolomics Of A Neonatal Cohort From The Alliance For Maternal And Newborn Health Improvement Biorepository: Effect Of Preanalytical Variables On Reference Intervals,
2023
Aga Khan University
Metabolomics Of A Neonatal Cohort From The Alliance For Maternal And Newborn Health Improvement Biorepository: Effect Of Preanalytical Variables On Reference Intervals, Lena Jafri, Aysha Habib Khan, Muhammad Ilyas, Muhammad Imran Nisar, Javairia Khalid, Hafsa Majid, Aneeta Hotwani, Fyezah Jehan
Department of Pathology and Laboratory Medicine
Background: The study was conducted to determine reference interval (RI) and evaluate the effect of preanalytical variables on Dried blood spot (DBS)-amino acids, acylcarnitines and succinylacetone of neonates.
Methodology: DBS samples were collected within 48-72 hours of life. Samples were analyzed for biochemical markers on tandem mass spectrometer at the University of Iowa. Comparison of RI across various categorical variables were performed.
Results: A total of 610 reference samples were selected based on exclusion criteria; 53.2% being females. Mean gestational age (GA) of mothers at the time of delivery was 38.7±1.6 weeks; 24.5% neonates were of low birth weight and …