Murray State University
University of San Francisco
University of St. Augustine for Health Sciences
University of Arkansas, Fayetteville
University of Texas at Tyler
Mentoring Nurses After Specialty Training Or Orientation In Labor And Delivery,
2023
The University of San Francisco
Mentoring Nurses After Specialty Training Or Orientation In Labor And Delivery, Benjamin Jlopleh Worji
Master's Projects and Capstones
Mentoring Nurses After Specialty Training or Orientation in Labor and Delivery
Abstract
Background: The setting for this project was a northern California hospital-based healthcare system referred to as “Hospital KV.” Hospital KV is a non-profit, integrated hospital that operates to improve the community’s health. Hospital KV’s maternal child health (MCH) department comprises a labor and delivery(L&D) unit, a mother and baby unit (MBU), also referred to as a postpartum unit, and an intermediate nursery (IMN).
Problem: The hospital KV MCH department faced the challenge of a nursing shortage. The nursing shortage was associated with substantial challenges to Hospital KV, its …
Poster: Moral Injury & Nurse Work Performance Following The Covid-19 Surges,
2023
Providence Little Company of Mary
Poster: Moral Injury & Nurse Work Performance Following The Covid-19 Surges, Annette Callis, Trisha Saul, Ross Bindler
2023 South Division Nursing Research Conference
No abstract provided.
Poster: Eliminating Hospital Acquired Pressure Injuries (Hapis) In The Intensive Care Unit,
2023
Providence
Poster: Eliminating Hospital Acquired Pressure Injuries (Hapis) In The Intensive Care Unit, Luzbel Diaz
2023 South Division Nursing Research Conference
No abstract provided.
Poster: Clinical Practice Panel: Don't Skip A Beat, Follow The Sheet! Designing A Clinical Care Map For Open Heart Patients In The Icu,
2023
Providence Saint John's Health Center
Poster: Clinical Practice Panel: Don't Skip A Beat, Follow The Sheet! Designing A Clinical Care Map For Open Heart Patients In The Icu, Danielle Fogel, Nico Vargas
2023 South Division Nursing Research Conference
No abstract provided.
About Dying And Death: Thanatology's Place In Medical Curriculum,
2023
Western University
About Dying And Death: Thanatology's Place In Medical Curriculum, Jill Dombroski
Electronic Thesis and Dissertation Repository
This study explored how healthcare providers engage in advance care planning and end-of-life care conversations. The research explored what shapes their understanding and the extent to which concepts from thanatology they intuitively bring in, explicitly bring in, and maybe fail to recognize. To achieve this, constructivist grounded theory (CGT) methodology guided the design, data collection, analysis, and interpretation of the findings, which allowed for iteration across interviews and analysis with existing theories and data in the literature. The CGT design encouraged further engagement with the literature in an ongoing iterative fashion as well as with the analysis of the data. …
Early Mobility In The Intensive Care Unit,
2023
The University of San Francisco
Early Mobility In The Intensive Care Unit, Kimberly Masse
Master's Projects and Capstones
Abstract
Problem: Within the intensive care unit (ICU) environment, the inconsistent implementation of early mobility practices poses a significant challenge, resulting in suboptimal patient outcomes. This quality improvement project addressed the critical issue of lower mobility scores and the barriers faced in promoting early mobilization due to the complex nature of the ICU, including the patient population and therapeutic interventions.
Context: Situated in a 327-bed hospital, the 20-bed ICU caters to critically ill patients with diverse diagnoses, such as stroke, heart failure, sepsis, and Covid pneumonia. The ICU staff comprises registered nurses (RNs), patient care technicians (PCTs), and other …
Reduce Extended Length Of Stay By Reducing In-Hospital Falls,
2023
The University of San Francisco
Reduce Extended Length Of Stay By Reducing In-Hospital Falls, Norberto Benitez
Master's Projects and Capstones
Abstract
Problem: Every year, there are many in-hospital falls (IHFs). Nationally there are between 700,000 to 1 million falls recorded each year. Hospital falls financially burden our healthcare industry, costing approximately 34 billion annually. Context: In a local hospital in Northern California, Marin County, the microsystem has had an extraordinary number of in-hospital falls (IHFs). To date (June 2023), 13 falls have been recorded thus far; the microsystem is on track to beat the previous year's record number of 21 falls in a calendar year. Interventions: The MSN–CNL student proposed re-educating staff, resetting expectations, and reestablishing workflow. We also sought …
Early Mobilization In Critical Care: A Benchmark Study,
2023
University of Texas at Tyler
Early Mobilization In Critical Care: A Benchmark Study, Monica Paige Voelkel
MSN Capstone Projects
Critically ill patients often have complex injuries to multiple organ systems creating barriers to mobilization and a decrease in functional status (Bergbower et al., 2020). Early mobilization (EM) in hospitalized patients has shown to improve patient outcomes and decrease length of stay (LOS) (Bergbower et al., 2020). The link between EM and LOS is one that warrants further investigation with the PICOT question: In critically ill patients (P), how does early mobilization (I), compared to standard mobility (C) improve patient outcomes (O) over a three-month period (T)? The purpose of this paper is to discuss the rationale for the benchmark …
Improving Safety In The Emergency Department: Utilizing Metal Detectors To Mitigate Weapon Possession,
2023
University of Texas at Tyler
Improving Safety In The Emergency Department: Utilizing Metal Detectors To Mitigate Weapon Possession, Jonathan Garcia
MSN Capstone Projects
Today’s high risk-healthcare environment has prioritized patient safety with great initiatives and, unfortunately, placed staff safety second. However, safety for both groups should be equal priorities. Evidence suggests that Emergency Departments (ED) often care for patients with a history of crime and mental health diagnoses, creating an environment where the threat of violence and weapons is increasingly prevalent compared to other clinical settings. (Erlyana, 2019) Risk mitigation is possible if we consider studies by Malka et al. (2015) and Laidlaw et al. (2017) that indicate the efficacy of metal detectors in accurately identifying concealed weapons. To improve clinician and patient …
Interfacility Transfer Of Pediatric Patients To A Comprehensive Children's Hospital,
2023
University of St Augustine for Health Sciences
Interfacility Transfer Of Pediatric Patients To A Comprehensive Children's Hospital, Kim Zaky
Student Scholarly Projects
Practice Problem: Secondary transfers to pediatric centers have increased by 25% due to the regionalization of specialty care. Low pediatric volume and the lack of access to pediatric subspecialty confounds the need for transfer requests to comprehensive children’s hospitals. Referring hospitals rely on pediatric teams to determine the level of service and mode of transportation decisions due to a lack of comfort in caring for and managing pediatric patients.
PICOT: This project was guided by the following question. In pediatric patients transferring from other healthcare facilities to a comprehensive children’s hospital (P), does the implementation of a nurse-led pediatric illness …
Implementation Of A Patient Care Specialist Role To Enhance The Patient Experience In A Pediatric Emergency Department,
2023
Jacksonville State University
Implementation Of A Patient Care Specialist Role To Enhance The Patient Experience In A Pediatric Emergency Department, Jillian Brodeur
Doctor of Nursing Practice Projects
Background: Patient-centered care (PCC) has been an emerging trend in healthcare for the past two decades (Walsh et al., 2022). PCC and the patient experience have become essential measures of the quality of care provided and are linked to reimbursement dollars and improved patient outcomes (Rapport et al., 2019).
Purpose: The purpose of the Doctor of Nursing Practice (DNP) project was to improve the patient experience in the Emergency Department (ED) of a metropolitan hospital. The DNP project focused on the benefit of a patient advocate in the ED to improve the patient experience. The project sought to improve …
On The Respiratory Syncytial Virus Vaccine,
2023
University of Louisville
On The Respiratory Syncytial Virus Vaccine, Forest W. Arnold
The University of Louisville Journal of Respiratory Infections
No abstract provided.
Impact Of Using Personal Mobile Phones In The Operating Theatre: A Scoping Review,
2023
Master Student at Universidade Católica Portuguesa, Portugal
Impact Of Using Personal Mobile Phones In The Operating Theatre: A Scoping Review, Sara Reis, Rita D. Marques, Patrícia Pontífice-Sousa Phd
Journal of Perioperative Nursing
Background: Nowadays, mobile phones are an indispensable tool in multiple settings, particularly in the field of health care. Consequently, it is important to understand the impact of their use by health care professionals in the operating theatre – an environment that should be as ‘sterile’ as possible, to ensure patient safety.
Purpose: To map the available scientific evidence on the impact of the multidisciplinary team’s use of personal mobile phones in the operating theatre.
Methods: A scoping review was conducted, following the methodology recommended by the Joanna Briggs Institute. The bibliographic search was carried out in the ‘PubMed’ and ‘Web …
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 …
Amniotic Fluid Embolism Diagnosis & Treatment Pathway,
2023
Southern Illinois University Edwardsville
Amniotic Fluid Embolism Diagnosis & Treatment Pathway, Jeremy May
Doctor of Nursing Practice Projects
Access to care in rural areas can prove difficult for any patient, but especially for the expecting mother. Healthcare providers in these rural settings often lack the staffing and experience to effectively recognize and treat rare obstetric emergencies. Amniotic fluid embolism (AFE) is a rare medical emergency that requires healthcare providers to rapidly diagnose, monitor, and treat the sequela of resulting symptoms in the obstetric patient. After a literature review, a teaching session was developed and implemented as part of the annual training for 20 nursing staff at a small 50-bed rural hospital in central California. An 8-question pre-test was …
Improving Timely Sepsis Care Through Staff Education Within The Emergency Department,
2023
University of San Francisco
Improving Timely Sepsis Care Through Staff Education Within The Emergency Department, Spencer Forest
Master's Projects and Capstones
Problem: This quality improvement project aims to increase SEP-1 sepsis bundle compliance among nursing staff at a 16-bed emergency department through targeted continual staff education on sepsis screening and best practices. Currently, the unit is experiencing cases of sepsis fallout and is not meeting the 90% threshold on three treatment metrics as defined by the institutional sepsis bundle time goals. Bundle compliance that adheres to the time goals decreases incidences of sepsis fallout and overall days in the hospital, while increasing positive patient health outcomes.
Context: A microsystem assessment was completed along with a staff gap survey to determine areas …
Increasing Sepsis Bundle Compliance Through Nurse Education,
2023
University of San Francisco
Increasing Sepsis Bundle Compliance Through Nurse Education, Parth S. Papaiya
Master's Projects and Capstones
There exists opportunities for improvement in regards to sepsis management and compliance rates in efforts to reduce sepsis-related complications and incidents in the ED. SEP-1 fallouts and requirements linked to education gaps about sepsis bundle protocols, nurses’ attitudes about implementation of the protocols, and differences in nurse/physician order sets present as deterrents for timely sepsis management and improvements in the rates of compliance/adherence. Denouncing the usage of standardized protocols/use of order sets have been identified as a process gap and a much needed opportunity for improvement. It is presumed that the failure to implement, in addition to improper documentation of …
Improving Timely Sepsis Care Through Staff Education Within The Emergency Department,
2023
University of San Francisco
Improving Timely Sepsis Care Through Staff Education Within The Emergency Department, Gregory James Trevino
Master's Projects and Capstones
Problem: Providing high-quality sepsis care in a San Francisco Bay Area emergency department (ED) is an organizational priority, however Centers for Medicare & Medicaid Service (CMS) SEP-1 sepsis bundle compliance has decreased to an average of 79% compliance since October of 2022. It was revealed that CMS SEP-1 sepsis bundle compliance issues have resulted in increased patient fallouts.
Context: A microsystem assessment was conducted by the quality improvement team to help identify gaps in practice. After an assessment survey of nursing staff, it was revealed that barriers such as physician order sets, lack of communication, lack of staffing during peak …
Early Sepsis Recognition: Improving Sepsis Education In A Medical-Surgical/Telemetry Unit,
2023
The University of San Francisco
Early Sepsis Recognition: Improving Sepsis Education In A Medical-Surgical/Telemetry Unit, Kathileen Tran
Master's Projects and Capstones
Problem: This quality improvement project aimed to increase sepsis education and bundle compliance within the medical-surgical/telemetry unit to improve sepsis mortality and morbidity rates.
Context: A microsystem assessment was completed by Clinical Nurse Leader (CNL) students in the medical-surgical/telemetry unit at Hospital X located in the San Francisco Bay Area. This microsystem cares for patients diagnosed with sepsis, congestive heart failure (CHF), electrolyte imbalance, and alcohol withdrawal.
Interventions: Due to time constraints, an intervention was not implemented; however, the students provided recommendations for interventions to the leadership team for follow up. The recommended interventions encompass implementing sepsis protocol reference cards, …
Educating Medical-Surgical Nurses In A Large Hospital Organization On Sepsis: Bundle Elements,
2023
University of San Francisco
Educating Medical-Surgical Nurses In A Large Hospital Organization On Sepsis: Bundle Elements, Grace Jenks
Master's Projects and Capstones
Problem: Based on the findings of a pre-survey conducted, it was observed that around 6% of the Medical-Surgical nurses who participated from Hospital A possessed "expert knowledge" of the "inpatient handoff sepsis bundle checklist." The results highlight the potential for educating and boosting the confidence of nurses working in a healthcare organization located in Northern California, enabling them to provide better care for patients afflicted with sepsis.
Context: The microsystem is a Medical-surgical unit situated within Hospital A, which is one of the 21 hospitals located in Northern California. Dr. Theresa Mostasisa conducted a survey on February 15, 2023, …
