Diabetes Knowledge Of Critical Care Nurses: A Quality Improvement Project, 2019 Rhode Island College
Diabetes Knowledge Of Critical Care Nurses: A Quality Improvement Project, Sarah Christine Huley
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Diabetes mellitus continues to become more prevalent in the United States, with approximately 1.5 million new cases diagnosed each year (ADA, 2018). Nurses play a key role in providing education to diabetic patients on the management of this disease. This encompasses a multitude of topics such as diabetic medications, treatments, and lifestyle choices that ultimately may aid in decreased morbidity and mortality otherwise associated with the disease and its co-morbidities. However, nurses’ own perceived diabetes knowledge has been found to be overestimated when compared to actual nursing knowledge (Alotaibi, Ghlizadeh, Al-Ganmi & Perry, 2017; Wakefield & Wilson, 2014). Research also …
Moral Distress In Critical Care And Emergency Department Nurses, 2019 James Madison University
Moral Distress In Critical Care And Emergency Department Nurses, Morgan Timberlake, Nicole Phillips
Senior Honors Projects, 2010-2019
Moral distress is a phenomenon that occurs when a person is unable to carry out what they believe is the ethically appropriate action due to various external constraints. This literature review seeks to explore the interventions that are most effective in reducing moral distress in critical care and emergency department nurses who have experienced moral distress in practice.
Reducing Re-Hospitalizations Of Patients With Heart Failure At A Skilled Nursing Facility, 2019 University of Arkansas, Fayetteville
Reducing Re-Hospitalizations Of Patients With Heart Failure At A Skilled Nursing Facility, Louis D'Onofrio Jr.
The Eleanor Mann School of Nursing Student Works
The purpose of this project was to introduce the quality improvement (QI) process to reduce re-hospitalization rates in a skilled nursing facility (SNF) in Stratford, Connecticut for patients having a diagnosis of heart failure (HF). After reviewing the data from the nursing facility for re-hospitalization rates over a three-month period, it was discovered that 22% of patients at the SNF were re-hospitalized within 30 days. Of this population of patients, 22.9% had a diagnosis or complication of HF, which is associated with the highest re-hospitalization rates. This QI project focused on HF education customized towards nursing and nursing assistant staff …
Comparing Two Surgical Outcomes: Minithoracotomy Or Full Sternotomy In Coronary Artery Bypass Grafting Surgery, 2019 California State University, Northern California Consortium Doctor of Nursing Practice
Comparing Two Surgical Outcomes: Minithoracotomy Or Full Sternotomy In Coronary Artery Bypass Grafting Surgery, Shirin Badrkhani
Doctoral Projects
Cardiovascular diseases and heart-related conditions can be life-threatening; however, some cardiovascular conditions can be managed with open heart surgery. Coronary artery bypass grafting (CABG) is the most common type of heart surgery performed on adults. There are two different surgical procedures to correct cardiac defects: mini-thoracotomy and full sternotomy. Mini thoracotomy approach has been shown to reduce complications, such as pneumonia, excessive blood loss, and infection in mitral valve repair surgeries. However, little research has been done to compare these two surgical approaches performed for patients undergoing coronary artery bypass grafting (CABG).
Specifically, there is inadequate data to compare these …
Who Codes In The Nicu: An Analysis Of Demographics And Factors That Place Neonates At Higher/Lower Risk Of A Serious Code Event And Prognosis Post-Code, 2019 Children's Mercy Hospital
Who Codes In The Nicu: An Analysis Of Demographics And Factors That Place Neonates At Higher/Lower Risk Of A Serious Code Event And Prognosis Post-Code, Danielle N. Gonzales, Ashley K. Sherman, Jennifer Dremann, Staci Elliott, Amelia Gute, Amber Bellinghausen, Jessica Brunkhorst, Danielle Reed
Posters
This study analyzed resuscitation events in a level IV neonatal intensive care unit from 2012-2017 to determine whether there are identifiable differences between those who have a rapid response event and those with a short or long code and determine factors post-event that may impact survival to discharge.
Pediatric Pain Management During Intravenous Line Placement: Nursing Perceptions And Interventions, 2019 Dominican University of California
Pediatric Pain Management During Intravenous Line Placement: Nursing Perceptions And Interventions, Kate Shaffer
Honors Theses
Children are under assessed and under treated for pain associated with medical procedures, specifically during venipuncture. Recent studies show that procedural pain is preventable and that pain management interventions are underutilized. Failure to provide adequate pain relief can mentally and physically hurt children - in addition to inducing fear, suffering and lack of trust, exposures to pain can alter the central nervous system and increase a child’s sensitivity to pain. Pediatric nurses are responsible for assessing and managing pain before, during and after a procedure. Therefore, this review of literature and pilot study examines how registered nurses practicing in the …
Rescue Dosing As A Standardized Treatment Protocol For Neonatal Abstinence Syndrome (Nas) To Decrease Length Of Hospital Stay, 2019 University of Tennessee, Knoxville
Rescue Dosing As A Standardized Treatment Protocol For Neonatal Abstinence Syndrome (Nas) To Decrease Length Of Hospital Stay, Mallory Lanier
Chancellor’s Honors Program Projects
No abstract provided.
Early Extubation After Cardiac Surgery: An Evidenced-Based, Nurse-Driven Protocol, 2019 University of Texas at Tyler
Early Extubation After Cardiac Surgery: An Evidenced-Based, Nurse-Driven Protocol, Emily Brooks
DNP Final Reports
Prolonged mechanical ventilation in cardiac surgery patients has been associated with increased hospital stay, increased intensive care unit (ICU) length of stay, higher health care costs, and higher morbidity from atelectasis, intrapulmonary shunting and pneumonia. Early extubation of post-operative cardiac surgery patients has been associated with shorter ICU and overall hospital stays, reduced mortality, decreased resource use, and is safe and effective in elderly patients with no increased risk of reintubation. As such, the question arises in intubated post-operative cardiac surgery patients, how does a nurse-driven extubation protocol compared to no standardized protocol affect extubation rates within six hours post-operative? …
The Efficacy Of Mechanical Compression Devices In Cardiopulmonary Resuscitation, 2019 Murray State University
The Efficacy Of Mechanical Compression Devices In Cardiopulmonary Resuscitation, Emma A. French
Scholars Week
This project examines the ability of mechanical compression devices, such as the popular LUCAS device, to produce the desired outcomes of cardiopulmonary resuscitation (CPR) when compared to manual chest compression performed by a CPR certified individual. For the purpose of this project, desired outcomes include correct compression rate and depth according to American Heart Association (AHA) guidelines, return of spontaneous circulation (ROSC) in the patient, long term survival of patients who achieve ROSC, and prevention of serious physical damage related to chest compressions. Data from multiple research studies comparing outcomes of mechanical compression devices and manual chest compression was reviewed …
Does Preoperative Ostomy Education Decrease Anxiety In The New Ostomy Patient?, 2019 California State University, Northern California Consortium Doctor of Nursing Practice
Does Preoperative Ostomy Education Decrease Anxiety In The New Ostomy Patient?, Michelle Suzann Harris
Doctoral Projects
Background: There are approximately 100,000 patients with new ileostomies and colostomies created in the United States each year. These patients have specialized needs that include acceptance of altered body image, psychological stress, learning of difficult tasks, and occasionally an ominous diagnosis leading to the need for surgery. In addition to pre-surgical stoma site marking on the abdomen, ostomy nurses have identified early education to be an important factor in long-term success and management of the patient . Early education and stoma site marking may assist with a better-situated stoma leading to fewer complications related to appliance adherence and leakage. …
Addressing Disparities In Nurses’ Understanding Of Congestive Heart Failure, 2019 California State University, Northern California Consortium Doctor of Nursing Practice
Addressing Disparities In Nurses’ Understanding Of Congestive Heart Failure, David Tomas Palecek
Doctoral Projects
Congestive heart failure (CHF) continues to affect millions of people a year and remains one of the leading causes of re-hospitalization in the US. Within the Central San Joaquin Valley (CSJV) the incidence of CHF remains significantly higher than the rest of California. In order to ensure appropriate patient care and outcomes registered nurses (RNs) must have a thorough and full understanding of the disease process and its associated symptomatology. This study aimed to find if the implementation of an interactive multimedia educational program focusing on all aspects of CHF could improve RNs education and understanding of CHF. It is …
Implementation Strategies To Increase Uptake Of Hester Davis Tool Tailoring Of Fall Prevention Interventions, 2019 Grand Valley State University
Implementation Strategies To Increase Uptake Of Hester Davis Tool Tailoring Of Fall Prevention Interventions, Beena Philip
Doctoral Projects
Introduction. Falls are the most common cause of injury to patients in acute care hospitals globally and higher incidences of falls with injury are reported in the hospitalized elderly. Falls can result in physical and emotional injury, long-term pain, functional impairment, disability, loss of income, increased hospital stay and mortality. Research demonstrates individualized, multifactorial fall prevention interventions are most beneficial in preventing falls and related injuries. This paper reports whether accurate fall risk assessment using the Hester Davis, proactive use of 5T’s (toileting, tolerating pain, tidy, turn, technology), appropriate gait belt use, individualized interventions and intentional toileting for patients with …
Developing An Evidence-Based Supportive Services Program For Cancer Survivors In A Private Oncology Practice, 2019 Grand Valley State University
Developing An Evidence-Based Supportive Services Program For Cancer Survivors In A Private Oncology Practice, Joseph Ellul
Doctoral Projects
Improvements in cancer treatment have led to a rapidly increasing survivor population. In response, multiple side effects of cancer and cancer treatment as well as the various wellness needs of survivors have been recognized. Survivorship programs have been developed to care for survivors with residual effects of cancer and the side effects of treatment; however, additional support is needed. The purpose of the project was to highlight the need for a comprehensive supportive services program for the cancer survivor population and describe the steps that were required to successfully develop the program. The clinical question addressed by the project was: …
Critical Care Nurses At Higher Risk Of Burnout, 2019 Pittsburg State University
Critical Care Nurses At Higher Risk Of Burnout, Jayden Rusher, Barbara Mcclaskey
Posters
In practice today, units with high intensity, stress, and patient needs are being burnt-out quickly due to patients’ intense needs, uncertain outcomes, and the ongoing witnessing of suffering and death. The purpose of this paper is to determine if there is a significant relationship between critical care units, and a high risk of nurses who work on those units exhibiting more characteristics of burnout. The study was done to gauge burnout, strength, and prevalence of moral distress, differentiated moral distress from day-to-day stressors, and determine fortitude and other aspects indicative of resilience. There was a cross-sectional survey model to test …
Extracorporeal Cardiopulmonary Resuscitation, 2019 Liberty University
Extracorporeal Cardiopulmonary Resuscitation, Emily Carr
Senior Honors Theses
Extracorporeal cardiopulmonary resuscitation (ECPR) is a method of resuscitation in which venoarterial (VA) extracorporeal membrane oxygenation(ECMO) is initiated during refractory cardiac arrest. ECPR promises to enhance outcomes after cardiac arrest by minimizing neurological deficits, stabilizing the patient for early reperfusion and hypothermia, and serving as a bridge to treatment or transplant. ECPR must be initiated according to structured guidelines and protocols, which are based on the patient’s age, comorbidities, code status, neurological baseline, no flow time, and low flow time.
If a patient achieves return of spontaneous circulation on ECMO, the patient will receive post cardiac arrest care which includes …
Acquiring Blood Pressures On High Risk Sepsis Patients In The Ed, 2019 Children's Mercy Hospital
Acquiring Blood Pressures On High Risk Sepsis Patients In The Ed, Mckenna Scharlau, Jacob Schneider
Nurse Presentations
Describes a project to improve use of the Sepsis Tool in the Emergency Department and to improve documentation of blood pressure measurements in high risk sepsis patients under three years of age.
Minimizing Unplanned Extubations In The Intensive Care Nursery, 2019 Children's Mercy Hospital
Minimizing Unplanned Extubations In The Intensive Care Nursery, Lindsay Barrosse, Blaire Collins, Cassidy Horton, Jodie Seitzer, Brittney Hunter, Jenny Mckee
Nurse Presentations
Describes a project to ensure compliance with a standardized process for endotracheal tube management in the intensive care nursery in order to reduce the number of unplanned extubations and their consequent adverse effects.
Timely Interventions In Patients Developing Sepsis Within The Picu, 2019 Children's Mercy Hospital
Timely Interventions In Patients Developing Sepsis Within The Picu, Lindsey Bloom, Ashley Bramel, Kelsey Cumpton, Christopher Damrat, Emily Lingo, Grace Sexton, Breton Struble
Nurse Presentations
Describes a project to increase the number of sepsis interventions completed within one hour in the pediatric intensive care unit, and to improve the documentation (COW Cards) of rapid interventions.
Engaging Student Nurses In A Professional Association, 2019 Linfield College-Portland Campus
Engaging Student Nurses In A Professional Association, Nicholas Craig
Student Engagement Posters
Nicholas Craig discusses student engagement at Linfield College with regard to his involement with the Critical Care Nurses' Club.
Sepsis: Triage Triggers, Outcomes Quicker, 2019 Children's Mercy Hospital
Sepsis: Triage Triggers, Outcomes Quicker, Rylee Ainge, Mackenzie Flaws, Natalie Heim, Emily Herndon, Hayley Norris, Amy L. Scott
Posters
No abstract provided.