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Reducing Annual Emergency Department Visits Through Improved Asthma Discharge Teaching, Alvin R. Walters 2016 University of San Francisco

Reducing Annual Emergency Department Visits Through Improved Asthma Discharge Teaching, Alvin R. Walters

Master's Projects

Asthma is the most common pediatric condition in the United States, and a child's home environment plays an impactful role in the triggering of asthma exacerbations (Harper et al., 2015). Current emergency department (ED) ideology focuses on symptoms management, with little time spent on education, and virtually no attention paid to the home environment. Evidence shows that programs which incorporate home environmental assessments into asthma patient education produce a reduction in annual ED visits, fewer missed school days, decreased use of rescue medications, and improvements in quality of life (Gruber K.J., et al, 2016, Hollenbach J.P. & Cloutier ...


In The Postoperative Cardiothoracic Surgical Patient Being Mechanically Ventilated, Is There A Difference In Outcomes When Comparing Sedation With Dexmedetomidine Versus Propofol?, Benjamin Heinrich Riebesel 2016 University of Southern Mississippi

In The Postoperative Cardiothoracic Surgical Patient Being Mechanically Ventilated, Is There A Difference In Outcomes When Comparing Sedation With Dexmedetomidine Versus Propofol?, Benjamin Heinrich Riebesel

Doctoral Nursing Capstone Projects

Patients undergoing a cardiothoracic operation typically require mechanical ventilation in the postoperative phase. Each year approximately 395,000 of these operations are performed in the United States alone. As many as 10% of these patients require reoperation within the first few hours of recovery due to complications (Barash & Cullen, 2013). This comprehensive review of the literature was performed to determine whether postoperative sedation with dexmedetomidine leads to better patient outcomes than sedation with propofol. Inclusion criteria included publications written in the English language, articles available in full text, articles written within the last 10 years, and publications with a focus ...


Defining Acute Lung Disease In Children With The Oxygenation Saturation Index, Neal J. Thomas, Michele L. Shaffer, Douglas F. Willson, Mei-Chiung Shih, Martha A. Q. Curley 2016 University of Pennsylvania

Defining Acute Lung Disease In Children With The Oxygenation Saturation Index, Neal J. Thomas, Michele L. Shaffer, Douglas F. Willson, Mei-Chiung Shih, Martha A. Q. Curley

Thomas L. Shaffer

Objective: To evaluate whether a formula could be derived using oxygen saturation (Spo2) to replace Pao2 that would allow identification of children with acute lung injury and acute respiratory distress syndrome. Definitions of acute lung injury and acute respiratory distress syndrome require arterial blood gases to determine the Pao2/Fio2 ratio of 300 (acute lung injury) and 200 (acute respiratory distress syndrome).

Design: Post hoc data analysis of measurements abstracted from two prospective databases of randomized controlled trials.

Setting: Academic pediatric intensive care units.

Patients: A total of 255 children enrolled in two large prospective trials ...


Liver Transplant Education And Training For Medical Surgical Icu Nurses, Matthew Redila 2016 University of San Francisco

Liver Transplant Education And Training For Medical Surgical Icu Nurses, Matthew Redila

Master's Projects

This project focuses on the CNL curriculum element of Nursing Leadership and explores the need for appropriate education and training for liver transplant as a new patient population for Medical Surgical ICU nurses. The transplant experience for these nurses currently include critically ill Bone Marrow Transplant, as well as stable heart and lunch transplant. The methods used to implement the project were to develop an education curriculum, a clinical orientation program, and a process to ensure proper communication occurs between all parties prior to clinical orientation. The competency-based orientation document, which is still being drafted, is used to determine clinical ...


Standardized Blood Transfusion Documentation, Kelly A. Hill 2016 University of San Francisco

Standardized Blood Transfusion Documentation, Kelly A. Hill

Master's Projects

The aim of this project was to improve nurse satisfaction through the use of a standardized blood administration documentation template. The goal was to reduce the time that nurses spend charting by offering a structured documentation template and to ensure that the procedure is correctly recorded in the patient’s electronic record. The leadership theme that supported this project is Information Manager, as the clinical nurse leader (CNL) uses information systems and technology at the point of care to improve health care outcomes. The selected microsystem is a medical/surgical/telemetry unit, which has 38 beds with 38 registered nurses ...


Hypoxic Pulmonary Vasoconstriction, Miranda Shull 2016 Otterbein University

Hypoxic Pulmonary Vasoconstriction, Miranda Shull

Master of Science in Nursing (MSN) Student Scholarship

A poster project about Hypoxic Pulmonary Vasoconstriction.


The Artificial Nutrition Debate: Still An Issue…After All These Years, Cheryl Monturo 2016 West Chester University of Pennsylvania

The Artificial Nutrition Debate: Still An Issue…After All These Years, Cheryl Monturo

Cheryl Monturo

No abstract provided.


A.S.P.E.N. Ethics Position Paper, Albert Barrocas, Cynthia Geppert, Sharon M. Durfee, Julie O'Sullivan Maillet, Cheryl Monturo, Charles Mueller, Kathleen Stratton, Christina Valentine, A.S.P.E.N. Board of Directors 2016 West Chester University of PA

A.S.P.E.N. Ethics Position Paper, Albert Barrocas, Cynthia Geppert, Sharon M. Durfee, Julie O'Sullivan Maillet, Cheryl Monturo, Charles Mueller, Kathleen Stratton, Christina Valentine, A.S.P.E.N. Board Of Directors

Cheryl Monturo

No abstract provided.


Advance Directives At End-Of-Life: Nursing Home Resident Preferences For Artificial Nutrition, Cheryl Monturo, Neville E. Strumpf 2016 West Chester University of Pennsylvania

Advance Directives At End-Of-Life: Nursing Home Resident Preferences For Artificial Nutrition, Cheryl Monturo, Neville E. Strumpf

Cheryl Monturo

No abstract provided.


Malignant Hyperthermia, Aaron Roth 2016 Otterbein University

Malignant Hyperthermia, Aaron Roth

Master of Science in Nursing (MSN) Student Scholarship

Malignant hyperthermia is a rare disease trait and can take place in a variety of settings. If not treated in a timely manner, the consequences will be dire. It is recommended that nurses and other healthcare personnel be properly educated on MH crises. By detecting the signs and symptoms associated with the disease, providers can efficiently remedy the crisis and save patient lives (Seifert, 2014). Since the discovery of dantrolene in 1975 and the advancement of genetics regarding MH, death rates dropped from about 80% to about 5% (Schneiderbanger et al., 2014). Today there is a MH group called the ...


Guillain-Barre Syndrome, Tyler B. Skelton 2016 Otterbein University

Guillain-Barre Syndrome, Tyler B. Skelton

Master of Science in Nursing (MSN) Student Scholarship

Guillain-Barre Syndrome consists of a group of neuropathic conditions characterized by progressive weakness and diminished or absent myotatic reflexes. The estimated annual incidence in the United States is 1.65 to1.79 per 100,000 persons (Walling & Dickson, 2013). Understanding how this condition progresses and the affects it has on a patient will assistant in providing optimal patient care as a future nurse anesthetist. As stated by Turakhia, P., Barrick, B., and Berman, J. (2013) “the anesthetic implications for the various comorbidities are varied and can be profound” (p.1). An individual who suffers from Guillain-Barre is a patient who ...


Reducing Iv Infiltrates In The Neonatal Population, Stephanie L. Miller 2016 University of San Francisco

Reducing Iv Infiltrates In The Neonatal Population, Stephanie L. Miller

Master's Projects

Abstract

The objective of the CNL project is to improve the quality of care provided to our patients. The project focuses efforts to reduce IV infiltrates by auditing all running IV lines, IV management monitoring and auditing infiltrate grading and documentation to find commonalities that could be causing infiltrates.

The project is focusing on the neonatal population at a children’s hospital in the Neonatal Intensive Care Unit (NICU). This NICU is an 80 bed unit that houses both critical care patients and intermediate care neonates.

Auditing was a major component to the project and helped with identifying common causes ...


National Institute Of Health Stroke Scale (Nihss) Inter-Rater Reliability And Confidence Among Nihss Certified Nurses: Implementation Of A Standardized Patient Simulation, Kelly J. Trieglaff 2016 Valparaiso University

National Institute Of Health Stroke Scale (Nihss) Inter-Rater Reliability And Confidence Among Nihss Certified Nurses: Implementation Of A Standardized Patient Simulation, Kelly J. Trieglaff

Evidence-Based Practice Project Reports

The National Institute of Health Stroke Scale (NIHSS) is the most common stroke assessment used by nurses. Nurses certified on the NIHSS do not consistently demonstrate inter-rater reliability nor are they confident when assessing stroke patients using the tool (Josephson, Hills, Johnston, 2006). This EBP project evaluated a standardized patient simulation for maintaining inter-rater reliability and confidence in NIHSS certified nurses. A literature review showed that a decrease in inter-rater reliability occurs within four weeks to three months of NIHSS certification. A single cohort of intensive care nurses and emergency department nurses used the NIHSS tool in a standardized patient ...


Nursing Input During Interprofessional Rounds In The Intensive Care Unit, Kathrine A. Winnie 2016 California State University, Northern California Consortium Doctor of Nursing Practice

Nursing Input During Interprofessional Rounds In The Intensive Care Unit, Kathrine A. Winnie

Doctoral Projects

Interprofessional rounding has become a standard in intensive care units. Healthcare organizations such as The Joint Commission (2013) and the Institute of Medicine (2010) promote interprofessional teamwork with the goal of improving patient safety and outcomes. The 2010 IOM report, The Future of Nursing – Leading Change, Advancing Health discusses the need for all nurses to work as part of an interprofessional team to improve healthcare. Interprofessional rounding offers a venue for nurses to demonstrate their role as an equal member of the healthcare team. At the hospital of focus, there has been no previous formal attempt to measure the actual ...


Teaching And Evaluation Of Suicidal Assessment, Five-Step Evaluation And Triage (Safe-T) In The Emergency Department, Evangeline Rico 2016 California State University, Northern California Consortium Doctor of Nursing Practice

Teaching And Evaluation Of Suicidal Assessment, Five-Step Evaluation And Triage (Safe-T) In The Emergency Department, Evangeline Rico

Doctoral Projects

Suicide remains to be a global and a national problem, and it continues to be one of the leading causes of death in the United States (U.S.) The Emergency Department (ED), being the gateway to the hospital can provide a great opportunity to assess each patient for suicidal ideation, and evaluate if patients present with risk factors for suicide. The competency of the ED staff plays a critical role in early recognition of patients who are at risk, and in implementing a plan of care for those with positive screens. However, researchers showed that knowledge deficit and lack of ...


A Comparison Of Educational Approaches To The End-Of-Life-Nursing Education Consortium (Elnec) Course, Jennifer L. Bodine 2016 California State University, Northern California Consortium Doctor of Nursing Practice

A Comparison Of Educational Approaches To The End-Of-Life-Nursing Education Consortium (Elnec) Course, Jennifer L. Bodine

Doctoral Projects

Purpose: The purpose of this project was to compare the effectiveness of two different educational approaches to teaching the End of Life Nursing Education Consortium course.

Background: Terminally ill patients frequently visit the emergency department for palliative care. However, various references show that staff does not have the knowledge base necessary to provide quality end-of-life care in the emergency setting.

Method: Participants from the emergency department at a Level I Trauma Center were recruited. A quantitative, cross-sectional pilot study was conducted to investigate whether lecture or lecture with simulation was more effective in increasing the knowledge base of participants regarding ...


Effect Of An Emergency Nurse Heart Failure Educational Intervention, Lori Hudgens 2016 California State University, Northern California Consortium Doctor of Nursing Practice

Effect Of An Emergency Nurse Heart Failure Educational Intervention, Lori Hudgens

Doctoral Projects

Background: Research indicates many nurses lack the appropriate heart failure (HF) education necessary to assist with readmission reduction efforts. Employer approved nurse HF education has resulted in improved nurse HF knowledge, and, reduced readmissions.

Problem: ED nurses require a competent knowledge of heart failure to effectively educate heart failure patients upon admission to the ED. No research has been conducted with ED nurse specific populations to assess ED nurse knowledge of heart failure, and, to determine if heart failure educational interventions increase ED nurse' HF knowledge.

Aims: To evaluate the effectiveness of an ED nurse b.eart failure educational intervention ...


Patient Perceptions Of An Aidet And Hourly Rounding Program In A Community Hospital: Results Of A Qualitative Study, Tosha Allen, Tyne Rieck, Stacie Salsbury 2016 Genesis Health System

Patient Perceptions Of An Aidet And Hourly Rounding Program In A Community Hospital: Results Of A Qualitative Study, Tosha Allen, Tyne Rieck, Stacie Salsbury

Patient Experience Journal

Quantitative evidence links patient satisfaction scores to the use of communication strategies such as AIDET (Acknowledge, Introduce, Duration, Explanation, and Thank you) and Hourly Rounding. However, little is known about patient perceptions of these tools in regards to their hospital experience. Qualitative interviews were conducted with a convenience sample of 14 adult medical/surgical inpatients in one mid-sized, community hospital, following hospital discharge. The interview data was transcribed and opened coded, utilizing constant comparison to identify common themes. Themes emerged in four topical areas: (a) patient experience of hospitalization, (b) AIDET, (c) Hourly Rounding, and (d) unexpected findings. Patients placed ...


First-Responders And Emergency Department Healthcare Provider Interactions During Emergency Situations: A Grounded Theory Study, Jennifer A. Mohaupt 2016 The University of Western Ontario

First-Responders And Emergency Department Healthcare Provider Interactions During Emergency Situations: A Grounded Theory Study, Jennifer A. Mohaupt

Electronic Thesis and Dissertation Repository

Interactions between and among first-responders and emergency department (ED) healthcare providers impact the way in which patients are managed during emergency situations. The purpose of this study was to develop a grounded theory to explain the interactions between and among first-responders and ED healthcare providers during emergency situations. Interprofessional collaboration and teamwork has been extensively studied, however little is known about interactions that include first-responders. This study was guided by Strauss and Corbin’s (1990) approach to grounded theory. Data were collected through 256 hours of first-responder and ED observational opportunities and informal interviews with accompanying detailed field notes. As ...


Hospice And Oncology Nurses’ Perspectives On Legalizing Physician-Assisted Suicide In California: A Pilot Study, Anna P. Rana 2016 Dominican University of California

Hospice And Oncology Nurses’ Perspectives On Legalizing Physician-Assisted Suicide In California: A Pilot Study, Anna P. Rana

Scholarly and Creative Works Conference

People are living with congenital anomalies, chronic diseases, and disabilities. It is universally agreed upon that every human being has a right to life, however, there is no unanimous decision regarding the right to death. Of the hospice nurses and social workers in Oregon, two-thirds of them reported having a patient ask them about the PAS option (Miller, Harvath, Ganzini, Goy, Delorit, & Jackson, 2004) California, Oregon, Vermont, and Washington have all legalized physician-assisted suicide through legislation. California’s law, the right to death passed on September 11th, 2015. The purpose of this research study is to examine hospice and oncology nurses’ perspectives of Physician-Assisted Suicide. Current research is inconclusive. Further research is necessary to understand how nurse's religion or spiritual framwork affects attitudes, what are ethical alternatives, and what are common perceptions of PAS, etc. This research was guided by the research question; how do hospice and oncology nurses describe the positive and negative aspects of PAS? According to the American Nurses Association (ANA) Code of Ethics for Nurses with Interpretive Statements (2001), “the nurse should not participate in assisted suicide ...


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