Patient-Centered Emr Communication, 2020 California State University, Northern California Consortium Doctor of Nursing Practice
Patient-Centered Emr Communication, Christi Lynn Camarena
Doctoral Projects
The electronic medical record (EMR) has become the standard in health care documentation. The EMR has been shown to improve the availability of medical records, provide tools to facilitate communication, and improve patient safety. Because of the absence of standardized training and EMR research, there is a gap in understanding the relationship between the EMR and the provider-patient relationship. The EMR requires the provider to use purposeful and deliberate patient-centered EMR communications behaviors to facilitate a meaningful, engaging, and educational dialogue with patients. These behaviors have been studied in physician populations and standardized tools have been developed to assist in …
Family-Centered Care In The Neonatal Intensive Care Unit, 2020 University of Arkansas, Fayetteville
Family-Centered Care In The Neonatal Intensive Care Unit, Sarah Brown
The Eleanor Mann School of Nursing Undergraduate Honors Theses
Family-centered care has not always been integrated with patient-care. In the mid-1900's, a movement began that altered the role of the family from observer to participant. With the help of family advocates, inclusive practices and partnerships between families, patients, and providers was initiated (Kuo et al, 2012). Now, family and patient-centered care is a widely practiced form of individualized care and relationship building between families, patients and their providers. Five principles shape the foundation for family-centered care. These include information sharing, respect and honoring differences, partnership and collaboration, negotiation, and care in the context of family and community (Kuo et …
A Protocol Driven Stroke Code's Impact On Door-To-Needle Times, 2020 East Tennessee State University
A Protocol Driven Stroke Code's Impact On Door-To-Needle Times, Jesse Osborne
Electronic Theses and Dissertations
Tissue plasminogen activator (tPA) is most effective the faster it is able to be administered to a patient that has been affected by stroke. A Stroke Code is a strategy that acute care facilities implement to reduce the time from diagnosing a stroke to administering tPA. The purpose of this study was to determine if the initiation of a Stroke Code in an acute care hospital reduces the door-to-needle time for patients affected by a stroke. In particular, does a Stroke Code reduce door-to-needle times. The research was conducted using data from April 1, 2014 to December 31, 2014 (pre-Stroke …
Dying Well: Improving End-Of-Life For Those Affected By Life-Limiting Illness, 2020 University of Texas at Tyler
Dying Well: Improving End-Of-Life For Those Affected By Life-Limiting Illness, Fawna R. Allen
MSN Capstone Projects
Healthcare at End-of-life (EoL) in the older adult with a life-limiting illness is often crisis-driven, incongruent with patient and family preferences, and futile. Advance care planning (ACP) is an effective means of aligning EoL goals of care to values and preferences. ACP near EoL in the United States healthcare system is frequently under-utilized and fragmented. Without timely communication and education regarding EoL care options patients and their families are susceptible to spending their last days consumed by ineffective and potentially painful treatments. Alignment of goals of care with patient and family preferences has been shown to reduce crisis-driven care and …
Qt Monitoring In The Icu: A Benchmark Project, 2020 University of Texas at Tyler
Qt Monitoring In The Icu: A Benchmark Project, Jeffrey S. Woodward
MSN Capstone Projects
In adult Intensive Care Unit (ICU) patients, does QT/QTc monitoring compared to no QT/QTc monitoring affect mortality or ventricular tachyarrhythmia rates during their ICU stay? Not monitoring changes in the QT interval can lead to poor outcomes since mortality rates are higher in patients with arrhythmias (Uvelin, Pejakovic, & Mijatovic, 2017). Approximately 300,000 sudden cardiac deaths occur in the United States each year with an estimated 15,000 because of a lethal ventricular tachyarrhythmia rhythm called Torsades de Pointes (TdP) that occurs when a QT interval is prolonged (Dave, Bessette, & Setnik, 2017). Some risk factors for developing prolonged QT intervals …
Impact Of Meaningful Recognition On Work Environment Perception Of Critical Care Nurses, 2020 University of Missouri-St. Louis
Impact Of Meaningful Recognition On Work Environment Perception Of Critical Care Nurses, Kristin Meinershagen
Dissertations
Problem: Absence of nursing staff recognition can lead to compassion fatigue, burnout, job dissatisfaction, and increased turnover rate resulting in high costs for hospitals. Meaningful recognition has been found to decrease compassion fatigue and reduce burnout. A meaningful recognition program was implemented over a 3-month period for staff nurses in an Intensive Care Unit (ICU) at a large midwestern, metropolitan hospital to determine its effect on nurse’s perception of work environment and turnover rate in the ICU.
Methods: This was an observational, descriptive, cohort design utilizing the AACN Healthy Work EnvironmentSurvey instrument for assessing results before and after implementation …
Controlled Donation After Circulatory Death: Benchmark Study, 2020 Unversity of Texas at Tyler
Controlled Donation After Circulatory Death: Benchmark Study, Marilyn R. Strait
MSN Capstone Projects
Abstract
In potential organ donors after circulatory death (P), does the utilization of an evidence-based critical pathway from identification of potential donor to organ donation (I) versus no utilization of an evidence-based critical pathway (C) increase the rate of organ procurement and the satisfaction of donor families with the donation process (O)? A benchmark study was conducted to answer this question, and in short, yes, it does. The utilization of a critical pathway, when individualized to a local population and hospital’s organization increases the organ procurement rate, the donor family satisfaction with the process, and increases staff satisfaction with the …
Healthcare Provider Overlap On Evidenced-Based Practice In Intubated Patients Using The Theoretical Domain Framework: A Case Study, 2020 Concordia University - Portland
Healthcare Provider Overlap On Evidenced-Based Practice In Intubated Patients Using The Theoretical Domain Framework: A Case Study, Katie Bull
CUP Ed.D. Dissertations
Intubation by endotracheal or tracheostomy means is a common life-saving intervention bearing significant, yet preventable risk. Evidence-based practice (EBP), intended to mitigate risk, is often inconsistently adhered to by healthcare providers (HCPs) due to a variety of factors, leaving patients vulnerable to adverse outcomes such as ventilator-associated pneumonia or tracheostomy-related stenosis. A review of the literature identified socially related barriers resulting from overlapping roles and expectations of primary HCPs. Little research has been conducted to understand the impact of overlap on EBP adherence. Using the Theoretical Domains Framework (TDF), this case study explored HCP overlap in one critical care unit …
Honoring Patient Do Not Resuscitate Wishes And Reducing Harm During Transitions Of Care: A Quality Improvement Project, 2020 Grand Valley State University
Honoring Patient Do Not Resuscitate Wishes And Reducing Harm During Transitions Of Care: A Quality Improvement Project, Emily L. Kraus
Doctoral Projects
Objectives: The quality improvement project objectives were to honor documented Do Not Resuscitate wishes in emergency departments by examining and improving workflow during primary care to emergency department transitions. A location for advance care planning documentations was designated for advanced directives, yet not utilized.
Methods: Mixed method, pre-/post-comparison, and thematic design examined clinicians and patients in a primary care office and two emergency departments in a Midwest healthcare system. Data was collected from patient records, clinician surveys, and observation of workflow. Descriptive statistics, frequency counts and non-parametric tests were used to analyze data.
Results: Patient charts were audited (N=261 [pre=124; …
The Effects Of Non-Pharmacological Interventions Consisting Of Earplugs And Eye Masks, Reducing Environmental Factors To Improve Self-Reported Sleep Quality In Icu Patients, 2020 George Washington University
The Effects Of Non-Pharmacological Interventions Consisting Of Earplugs And Eye Masks, Reducing Environmental Factors To Improve Self-Reported Sleep Quality In Icu Patients, Stephen Risch Msn, Rn, Ccrn, Ccns
Doctor of Nursing Practice Projects
Background: Intensive Care Units (ICU) are noisy environments that hinder sleep. Sleep disruption may have negative affects in ICU patients’ recovery.
Aims/Objectives The aim was to determine the feasibility, patient’s comfort level, and the effects of ear plugs, eye masks, and limiting nursing interventions on self-reported sleep quality during ICU stay.
Methods: This quality improvement project was conducted in a community hospital using a quasi-experimental design. Patients in the intervention group wore earplugs and eye masks with limited nursing interventions during nighttime hours compared to patients in the control group who received routine care. Patients subjective sleep quality was measured …
Using Non-Pharmacological Interventions To Promote Sleep In The Intensive Care Unit, 2020 Murray State University
Using Non-Pharmacological Interventions To Promote Sleep In The Intensive Care Unit, Regan Kull
Scholars Week
When patients are in critical condition in the ICU, sleep is not prioritized among all of the patients’ other issues. The lack of sleep may result in a decreased immune system and neurocognitive changes producing delirium, potentially increasing the length of stay, and increasing morbidity, especially in older adults and those who have been in the ICU for a long period of time. The purpose of this review of literature is to examine evidence which studied the effectiveness of non-pharmacological interventions on sleep quality of patients in the ICU. Among the evidence for this project, it was found that the …
Utilization Of Music Therapy In The Icu Setting, 2020 Murray State University
Utilization Of Music Therapy In The Icu Setting, Danielle York
Scholars Week
This topic was selected in the hopes of bringing awareness to music therapy and the positive benefits it can have on patients and their pain in a high stress environment. The evidence shows that music therapy can have a positive effect on patient outcomes and is a cost-effective measure that hospitals can easily implement. The education needed to implement this intervention would be geared toward patients that nurses could present to them upon pain report. The evidence proves that this is an efficient way to control patient pain and allow for a more relaxing environment.
KEYWORDS: Music, therapy, pain, education, …
Chlorhexidine: The Fight To End Ventilator-Associated Pneumonia, 2020 Murray State University
Chlorhexidine: The Fight To End Ventilator-Associated Pneumonia, Jeremy Gaspari
Scholars Week
There is a major problem that affects patient outcomes in the hospital setting. This problem is ventilator-associated pneumonia. Ventilator-associated pneumonia is the second most nosocomial infection in critical care patients. A new policy is needed to ensure that interventions are being done to decrease the risk of patients getting ventilator-associated pneumonia. Ventilator-associated pneumonia also has a high risk of mortality. If interventions are being done, the risk of ventilator-associated pneumonia and mortality will decrease. Prophylactic oral care with chlorhexidine solution is show through evidence to decrease the risk of both ventilator-associated pneumonia and mortality rates. The use of ventilator bundles …
Deep Tissue Injuries, 2020 St. Cloud Hospital, CentraCare Health
Deep Tissue Injuries, Mary Pohlmann, Katie Meyer
Nursing Posters
Purpose Statement from Poster:
- Recognize and identify Deep Tissue Injuries
- Ability to describe and define Deep Tissue Injuries
- Increase awareness of Deep Tissue Injuries in order to promote early identification and treatment
Is The Evidence Worth It?, 2020 Misericordia University
Is The Evidence Worth It?, Christian Contessa
Student Research Poster Presentations 2020
No abstract provided.
Crowded Er Waiting Rooms – Are Freestanding Ers The Way To Go?, 2020 Misericordia University
Crowded Er Waiting Rooms – Are Freestanding Ers The Way To Go?, Jesse Keats
Student Research Poster Presentations 2020
This poster discusses the differences in freestanding and hospital emergency departments. My position on this topic focuses on the idea that free standing ERs do not reduce overcrowding in an emergency room.
Are Healthcare Workers In The Hospital Ready For Disasters In The Community?, 2020 Misericordia University
Are Healthcare Workers In The Hospital Ready For Disasters In The Community?, Nicholas Hromek
Student Research Poster Presentations 2020
This poster presents the idea that healthcare workers in hospitals are not equipped for disasters in the community. During such a vulnerable and relevant time such as the COVID-19 pandemic, this poster focuses on the pitfalls of the healthcare and hospital system.
Implementation Of Proper Lead Selection Based On Ecg Practice Standards In Hospitalized Patients, 2020 CentraCare Health
Implementation Of Proper Lead Selection Based On Ecg Practice Standards In Hospitalized Patients, Teresa Jahn, Nicole Hubbard, Samantha Pohlmann, Lauren Hoeschen, Shayna Lahr
Nursing Posters
Ensure adult patients in a 36 bed Telemetry Unit and 14 bed Cardiac Intensive Care Unit (CICU) with the diagnosis of STEMI and NSTEMI are being monitored in the appropriate leads to detect acute or silent ischemia and arrhythmias.
Reduced Frequency Monitoring Post-Stoke Treatment, 2020 CentraCare Health
Reduced Frequency Monitoring Post-Stoke Treatment, Melissa Freese
Nursing Posters
In 2020, the nation was faced with a pandemic that quickly depleted health care resources. Standards of care were reviewed to identify opportunities to reduce the burden on healthcare resources. One of the standards of care that was reviewed nationally and locally at the St. Cloud Hospital (SCH), was the postalteplase/ thrombectomy patient placement and monitoring.
The standard of care for the placement and monitoring of post-alteplase patients was established during the 1996 NINDS trial and has not been studied since. Very minimal literature is available on the standard of care for patient placement and monitoring post-thrombectomy.
Molecular Genetic Cancer Screening: Role Of Prediction Of Colorectal Disease In The Clinic Setting, 2020 Southern Adventist University
Molecular Genetic Cancer Screening: Role Of Prediction Of Colorectal Disease In The Clinic Setting, Samantha Spinks
DNP Research Projects
Colorectal Cancer is the third most common cancer in men and women and the second leading cause of cancer related deaths (ACS, 2019). Colonoscopy screening can prevent colon cancer by early detection and removal of adenomatous colon polyps. The ACS has been lowered from age 50 to 45 due to an increase in the prevalence of colon cancer in people below the age of 50 years of age. Molecular genetic screening is a tool that providers can use to identify patients who are at risk for premature adenomas. People who have a genetic variant are more likely to develop adenomas …