Family Practice Nursing Commons^™

Evidence-Based Verbal De-Escalation Techniques For The Family Nurse Practitioner: Education And Simulation, Rachael K. Misitano

Doctor of Nursing Practice (DNP) Projects

Background: Healthcare workers are 4 times more likely to be exposed to workplace violence than workers employed in private industry, with assault rates as high as 7.8 per 10,000 workers. The National Institute for Occupational Safety and Health defines workplace violence as “violent acts, including physical assaults, and or threats of assault, directed toward persons at work or on duty” (OSHA, 2015, p. 2). Verbal de-escalation techniques that assist with care of the agitated patient are not routinely taught to Family Nurse Practitioners (FNPs) throughout their years of advanced coursework, yet it is something they are likely to ...

Promotion Of Advance Care Planning For Individuals Experiencing Homelessness, Sarah A. Hubbell

Doctor of Nursing Practice (DNP) Projects

Vulnerable populations in the United States experience disparities in access to advance care planning and may have significant unmet healthcare needs at the end of life, including unrelieved suffering. People who are homeless have increased morbidity and mortality risks, yet lack opportunities to discuss end-of-life preferences. A Doctor of Nursing Practice project consisted of designing, implementing, and evaluating an educational intervention in two settings for nurse practitioners and other clinicians on advance care planning with individuals experiencing homelessness. The intervention was associated with increased knowledge and confidence in advance care planning ability. Participants expressed positive intention to change individual practice ...

I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam

Master's Projects and Capstones

The title of the clinical nurse leader project is “I’m a Big Kid Now: Enhancing Transition RN Residents’ Confidence During Pediatric Patient Care”. The project aims to improve the support components for Transition RN residents during their Transition RN Residency at Children’s Hospital Los Angeles. The clinical leadership theme that correlates to this project is communication. The clinical nurse leader’s role is to act as an educator and a facilitator throughout this project. In examining the clinical nurse leader competencies, competencies “use performance measures to assess and improve the delivery of evidence-based practices and promote outcomes that ...

Standardization Of Shift Report By Implementing A Nursing Report Sheet And Addressing Patient Values To Meet Patient Needs, Roman A. Salas

Master's Projects and Capstones

Bedside shift report is a complex process, which involves the transition of care from one clinician to another. The Agency for Healthcare Research and Quality (AHRQ) (2013) reported that approximately 70% of patient adverse events are attributed to communication failures between healthcare providers. Nurses remain inconsistent with information sharing during bedside shift report leading to communication gaps. The object of the clinical nurse leader (CNL) internship project is to provide true patient-centered by standardizing bedside shift report by implementing a nursing report sheet and addressing patient needs. The project was conducted in a level-one trauma center in San Diego, CA ...

Preserving Dignity In The Long Term Care Of Actively Dying Residents, Libby-Rose Cronican

All College Thesis Program

As one goes through the process of aging and approaches death, they experience a series of losses: from the loss of physical or mental ability to the ultimate loss of life. These losses make the individual vulnerable to harms that can come from a variety of sources. One source is found within the everyday interactions of long-term care nurses and aides with their elderly, dying residents. Creating this harm stems from a poor nursing practice where the nurse or aide fails to recognize and promote the resident’s dignity and autonomy. The normal notion of dignity and autonomy does not ...

Preconception Care Of Women On Prescribed Opioids, Rebecca-Maria Norwick

Doctoral Projects

The landmark 2015 report from the Center for Disease Control (CDC) posited that too many women of reproductive age received prescribed opioids. This is significant because fetal exposure to a known teratogen can have catastrophic outcomes. Furthermore, women are often ambivalent about birth control and many pregnancies are unplanned. Fortunately, women identify interactions with health care providers as acceptable cues for preconception decision making. Data has shown that Medicaid populations are disproportionately prescribed opioids compared to insured populations. However, the CDC defines reproductive status by age only. Therefore, the purpose of this research project was to identify women’s actual ...

Attitudes And Perceptions Of Advanced Practice Nurses Towards Health Information Technology And Its Effects On Caring, Debbie Ramos Shih

Doctoral Projects

Technology is rapidly, constantly evolving, and affecting healthcare. While it has the ability to improve healthcare outcomes, it is important to realize the impact this technology has on the relationships between patients and nurses (Korhonen, et al., 2015). Interactions with patients are increasing through computer technology and decreasing by physical presence and touch, potentially compromising the development of a trusting relationship and thus affecting patient quality outcomes (Sandelowski, 2002).

This cross sectional study explored the attitudes and perceptions of APRNs towards HIT and its effects on caring. 150 Advanced Practice Clinicians in a Northern California healthcare was surveyed, using the ...

Sexually Transmitted Infection Prevention In 18 To 24-Year-Old Heterosexual Men: Pilot Study, Susan P. Mckeefrey

Doctoral Projects

The CDC reported that there were over 20 million cases in the United States and half affected young adults, 15 to 25-year olds. Strategies STD prevention have been developed by the CDC but does not include avoiding alcohol or other similar agents in the context of a sexual encounter. The purpose of this study was to assess the effectiveness of STD prevention education intervention by improving Condom Use Self-Efficacy in heterosexually 18 to 24-year old men. It was hypothesized self-efficacy would improve with a face-to-face brief educational intervention. A quasi-experimental, pre-/post-test design with simple randomization of subjects into control ...

African American Men And Ostrich Behavior, Debbie Slack-Gay

Doctoral Projects

This project explores why African American men choose Ostrich Behavior when it comes to health care prevention and maintenance as related to hypertension. The population was African American men, ages18–80, in Northern California. Men were recruited while getting a haircut or waiting for one or after church services. Blood pressure readings were taken and a health questionnaire was administered. The results show that even if hypertension is known, men ages 18–45 go to fewer office visits than African American men in other age groups, and older men tend to seek medical care and take medication if prescribed.

Provider Based Interventions To Mitigate Risk For Opioid Pain Medication Abuse Among Adult Patients In A Primary Care Setting, Sheree Lamara Conley-Donaldson

Doctoral Nursing Capstone Projects

Mental and substance use disorders are predicted to exceed all physical disease processes causing major disability by 2020. Misuse and overdose of opioid pain medications is a significant public health concern in the United States. Approximately 1 in 4 patients receiving prescription opioids in primary care settings struggle with misuse. Half of all opioid prescriptions are written by primary care providers, including nurse practitioners. The purpose of this DNP project was to determine if nurse practitioner providers are implementing evidence-based practice guidelines including screening, brief intervention, and referral to treatment (SBIRT) to mitigate risk of prescription opioid pain medication misuse ...

Implementing A Home-Based Blood Pressure Monitoring Program To Improve Hypertension Management, Nicole S. Bello

Georgia College Student Research Events

Hypertension is a major problem in the United States. It is critical to identify effective strategies to treat and manage hypertension. An experimental design was utilized to determine the effectiveness of home-based blood pressure monitoring (HBPM) in the management of prehypertension, newly diagnosed, or uncontrolled hypertension. A randomized convenience sample of 20 adults was recruited into a control (n=9) and experimental (n=11) group. The translational care project was conducted over 60 days where participants measured their blood pressures as instructed for the intervention and control groups. An independent t-test was conducted to analyze the effectiveness of HBPM on ...

Enhancing Nursing Students’ Understanding Of Oral Health: An Educational Intervention With An Interprofessional Component, Shelley Spurr Dr., Jill Bally Dr., Alyssa Hayes Dr., Marcella Ogenchuk Dr., Krista Trinder

Quality Advancement in Nursing Education - Avancées en formation infirmière

Oral health is integral to general health and essential for well-being, and therefore, should be prioritized in pediatric nursing education. The purpose of this pilot study was to examine if an oral health education intervention with an Interprofessional Education (IPE) component delivered to third-year baccalaureate nursing students would improve their knowledge of pediatric oral health care. Nursing students (n=99) from a Bachelor of Nursing program in a mid-Western Canadian university completed a survey before and after receiving the educational intervention which included a two-hour lecture from a Dentistry faculty member and a one-hour clinical lab in which nursing students ...

Group Education In Hypertension, Abby Lara

Scholars Week

Abstract Title: Group Education in Hypertension

Presenter: Abby Noisworthy APRN, FNP-BC

Category: Clinical Concerns for Practicing APRNs

Purpose/Goal Statement: Evaluate the effectiveness of group education in improving knowledge and self-reported compliance.

Clinical Question: In hypertensive patients, does increased education, including group educational seminars, increase knowledge and therefore self-reported compliance?

Methods: 45-minute group seminar designed to increase knowledge and promote compliance. Pre- and post-tests administered to evaluate effectiveness. Pre- and post-test means were calculated using Microsoft Excel. Eight-week follow up phone calls were made to evaluate self-reported compliance.

Findings: Mean pre-test score was 69%. Mean post-test score was 98%. A ...

Integrating Social Determinants Of Health Into Primary Care Clinical And Informational Workflow During Care Transitions, Sharon Hewner, Sabrina Casucci, Suzanne Sullivan, Francine Mistretta, Yuqing Xue, Barbara Johnson, Rebekah Pratt, Li Lin, Chet Fox 9843262

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Context: Care continuity during transitions between the hospital and home requires reliable communication between providers and settings and an understanding of social determinants that influence recovery.

Case Description: The coordinating transitions intervention uses real time alerts, delivered directly to the primary care practice for complex chronically ill patients discharged from an acute care setting, to facilitate nurse care coordinator led telephone outreach. The intervention incorporates claims-based risk stratification to prioritize patients for follow-up and an assessment of social determinants of health using the Patient-centered Assessment Method (PCAM). Results from transitional care are stored and transmitted to qualified healthcare providers across ...

Anesthesia "Hand Off" Process For Patients At High Risk For Obstructive Sleep Apnea, Terry Yeager

Student Scholar Showcase

No abstract provided.

Perceived Effectiveness Of Cultural Competence Training By Nursing Students Caring For Refugees, Siobhan Brennan, Ellie Purdy, Phyllis Shiluli

Family Nurse Practitioner Theses

Providing culturally competent care is a vital component of the nursing profession to improve patient outcomes by overcoming cultural barriers in an ever-changing global environment. Research shows cultural competency education that includes self-assessment, cultural knowledge, and cultural sensitivity training can improve the use of cultural competency practice for nurses. In this study, an educational cultural competency intervention including self-assessment, training module, and clinical rotation was developed and implemented for baccalaureate nursing students with the goal to increase the students' perceived knowledge and use of cultural competence when working with refugee populations. Thirty-two participants completed a clinical rotation at a primary ...

Elements Of An Effective Dpp Program In At-Risk Adults With Prediabetes, Stephanie Martin, Patricia Sheltom, Magdalena Sheldon

Family Nurse Practitioner Theses

One major health concern for the United States is prediabetes. Therefore, it is pertinent for providers to be knowledgeable of an effective diabetes prevention program (DPP) to prevent the onset of diabetes. The objective of this article is to identify effective DPP's which reduce the development of type 2 diabetes in at risk adults, in the primary care setting. A systematic literature review was conducted from 2011 to 2016 which revealed the key components of an effective DPP. The key components include the use of a trained lifestyle coach, length and number of session, method of delivery, follow-up sessions ...

Feeding Method And Education In Military Families, Brenna Gibson, Natasha Garritson, Melissa Myrick

Family Nurse Practitioner Theses

Introduction: The purpose of this study is to examine breastfeeding rates and provider lactation education received by Army families in the North Georgia area. The researchers hope to analyze breastfeeding rates and lactation education to provide a better understanding if lactation education is associated with increased breastfeeding rates among North Georgia Army families. With the decision to breastfeed, are Army families in the North Georgia area, who have had lactation education by any healthcare provider compared to those who have not, more likely to breastfeed?

Literature Review: 12 Peer reviewed research articles were reviewed and provide the background for this ...

Adolescent Depression/Suicide: How Do Healthcare Providers Influence A Change?, Grace Acero-Smith, Beverly Jackson

Family Nurse Practitioner Theses

This paper discusses depression and suicide in adolescents and how healthcare providers can influence a change through screening and identification. Depression is a commonly diagnosed condition in primary care and is growing in prevalence. Symptoms are both behavioral and somatic, and their most serious consequence is suicide. Healthcare providers are in a strategic position to implement screening tools that provide early identification and treatment. These screening tools have been deemed effective and can assist in the identification of mild to moderate depression. The intent of this project is to write a continuing education unit article for publication to demonstrate the ...

Reduction Of Moderate Cardiovascular Disease Risk Factors In Adults Through Community Based Intervention Programs, Kristin Bennett, Nicole Payne, Ashley Simms

Family Nurse Practitioner Theses

Per the American Heart Association (AHA) 2016, and the Centers for Disease Control (CDC) 2016, most recent reports, cardiovascular disease (CVD) continues to be the leading cause of death nationally and globally. In the United States (U.S.), more than 600,000 adults die each ear of heart disease (CDC, 2015). The economic burden that cardiovascular disease places on society is tremendous. In the U.S. alone, the estimated direct and overall cost resulting from CVD is reported to be between 273 billion and 444 billion dollars annually (CDC/MMWR, 2011; WHO, 2016). Because of estimations like these, the U ...