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Comparison Of Emla And Diclofenac On Reduction Of Pain And Phlebitis Caused By Peripheral Iv Catheter: A Randomized-Controlled Trial Study, Faezeh Babaieasl, Hossein Y. Yarandi, Seyedehtanaz Saeidzadeh, Motahareh Kheradmand 2019 Wayne State University

Comparison Of Emla And Diclofenac On Reduction Of Pain And Phlebitis Caused By Peripheral Iv Catheter: A Randomized-Controlled Trial Study, Faezeh Babaieasl, Hossein Y. Yarandi, Seyedehtanaz Saeidzadeh, Motahareh Kheradmand

Nursing Faculty Research Publications

Peripheral venous catheters (PVC) are often used to provide hydration, medications, and blood products when the length of therapy is expected to be less that one week. Pain and phlebitis are frequent complications of PVC. Diclofenac and EMLA have been used to minimize these adverse effects, however, conflicting results have been reported regarding which has better outcomes. This double-blind, randomized controlled trial was conducted to compare the efficacy of EMLA and Diclofenac (TDP) in attenuating PVC pain and phlebitis. The inpatient setting was chosen because of the higher frequency of PVC insertions, allowing for a sufficient sample size. One hundred ...


Healing Wounds Through Nutrition, Deanna Garza 2018 The University of San Francisco

Healing Wounds Through Nutrition, Deanna Garza

Master's Projects and Capstones

Abstract

The role of nutrition in wound care is often overlooked. The main reasons why wounds fail to heal are malnutrition, infection, impaired organ function due to co-existing diseases such as diabetes, hypertension, renal disease, and peripheral vascular disease to name a few. These factors have contributed to poor patient outcomes and patient satisfaction, as well as an increase in hospital length of stay. To promote wound healing, fuel from macro and micronutrients are necessary to deliver oxygen and energy for cell regeneration. However, nurses must possess knowledge and understanding of these requirements and the effects of nutrition on wound ...


Transforming Nursing Preceptors By Developing Emotional Intelligence, Michael Francis 2018 The University of San Francisco

Transforming Nursing Preceptors By Developing Emotional Intelligence, Michael Francis

Doctor of Nursing Practice (DNP) Projects

Changing the process of professionally developing nursing preceptors to meet the growing and changing needs of the nursing profession is critical. This evidence-based project leveraged an advanced preceptor education program for inclusion of basic emotional intelligence tenets and transitioning them into preceptor self-awareness, leadership recognition, and return on human capital investment. A large integrated healthcare system in Northern California identified a strategic need for preceptor development and within the system two acute care hospitals and one home health/hospice agency were selected to participate. The intervention included the development of a six-hour curriculum delivered through an interactive and innovative in-person ...


An Innovative Discharge Intervention: A Quality Improvement Project, Yvonne Swain 2018 The University of San Francisco

An Innovative Discharge Intervention: A Quality Improvement Project, Yvonne Swain

Master's Projects and Capstones

Abstract

Problem: This project aims to decrease the discharge time of a patient from the hospital once the discharge order has been written. Current discharge times are averaging over 3 hours, leading to a breakdown in the patient throughput process. A patient survey was conducted to determine the reason for prolonged discharge times. The survey revealed that patients are not aware of their day of discharge, which may lead them to being discharged without transportation home. Many studies conclude that there are improvement opportunities around discharge planning and communication.

Context: This quality improvement initiative takes place in a 26-bed, medical-surgical ...


Catheter-Associated Urinary Tract Infection Reduction: A Quality Improvement Project, Wallace Kramm 2018 The University of San Francisco

Catheter-Associated Urinary Tract Infection Reduction: A Quality Improvement Project, Wallace Kramm

Master's Projects and Capstones

Abstract

Problem: Hospital-acquired infections are preventable harm that occurs to patients while in the hospital. Catheter-associated urinary tract infection (CAUTI) is a preventable hospital-acquired infection that continues to plague hospitals nationwide. The Centers for Disease Control and Prevention estimates that there are more than 13,000 CAUTI related deaths in the United States annually (Scanlon, 2017). In addition to the harm caused to patients by CAUTIs, the estimated $500 million yearly cost for CAUTI treatment has created a fiscal burden on healthcare systems (Scanlon, 2017). Decreasing the rate of CAUTI by decreasing overall number of catheters is the goal of ...


Combining Patient-Centered-Care And Technology To Reduce Falls In A Medical/Telemetry Unit, Megan Mira 2018 The University of San Francisco

Combining Patient-Centered-Care And Technology To Reduce Falls In A Medical/Telemetry Unit, Megan Mira

Master's Projects and Capstones

Abstract

PROBLEM: From October 2017 through June 2018 there were 25 patient falls recorded on the 5th floor medical surgical telemetry unit. Top factors contributing to this high fall rate include: poor patient-centered-care planning, and inadequate set-up for use of technology.

CONTEXT: According to the Joint Commission, 2015, each fall with injury costs $14,000. This estimate doesn’t include the potential indirect costs that account for the long-term effects of injuries such as disability, dependence on others, lost time from work, household duties, and reduced quality of life.

INTERVENTIONS: Staff education was introduced and focused on using a ...


Defying The Gravity Of Falls On Msu, Alvin Joseph Abad 2018 The University of San Francisco

Defying The Gravity Of Falls On Msu, Alvin Joseph Abad

Master's Projects and Capstones

Falls are a leading cause of injury and death for adult males in the United States and have been an ongoing problem on the Medical Surgical Unit (MSU). Therefore, the aim of this project is to increase fall prevention education and communication on MSU in order to ultimately improve fall rates. Although there are currently fall prevention processes already in place, these may not be sufficient as demonstrated by recent fall metrics. Many RNs on MSU are fairly new nurses; and their enthusiasm and adaptability may be an advantage for this evidence-based project. Furthermore, the management team seems to be ...


Reducing Inpatient Readmissions Through Early Follow-Up Appointment Planning: A Quality Improvement Project, Isabella Cuenco 2018 The University of San Francisco

Reducing Inpatient Readmissions Through Early Follow-Up Appointment Planning: A Quality Improvement Project, Isabella Cuenco

Master's Projects and Capstones

Problem: Inpatient readmissions have a highly negative impact on healthcare systems. Not only do these hospitalizations have a detrimental effect on patient outcomes they also are accompanied by a prohibitive financial burden to the hospitals.

Context: Follow-up appointment with a primary care provider after discharge has been demonstrated as a viable strategy to reduce the risk of readmissions.

Interventions: Create a volunteer program to schedule patient appointments with a primary care provider within seven days of discharge.

Measures and Results: Compare the number of patients that were discharged with a follow-up appointment after the intervention to before the intervention, and ...


Post-Traumatic Stress Disorder Screening Project For Adult Males From The Middle East And Afghanistan, Ricky Norwood 2018 University of San Francisco

Post-Traumatic Stress Disorder Screening Project For Adult Males From The Middle East And Afghanistan, Ricky Norwood

Master's Projects and Capstones

Current research indicates a significant rise in PTSD signs and symptoms of adult males arriving from the Middle East and Afghanistan. In an effort to increase the awareness of Post-Traumatic Stress Disorder (PTSD) in clinical personnel and adult males from the Middle East and Afghanistan, the Sacramento Refugee Health Clinic implemented a PTSD Screening Project. This project was designed to ensure the maximum number of the adult males from the Middle East and Afghanistan would be appropriately screened for PTSD and provided additional opportunities to meet the mental and acute primary care needs of these patients in an adequate and ...


Tools To Increase Compliance And Decrease Mortality Due To Sepsis, Cody F. Carr 2018 The University of Southern Mississippi

Tools To Increase Compliance And Decrease Mortality Due To Sepsis, Cody F. Carr

Doctoral Projects

Severe sepsis is a leading cause of death in the United States and is the most common cause of death among critically ill patients in non-coronary intensive care units (Mayr, Yende, & Angus, 2014). The incidence of severe sepsis is estimated to be 300 cases per 100,000 population and cost an estimated $14 billion in the United States (Mayr et al., 2014). This Doctor of Nursing Practice (DNP) project focused on identifying an early-assessment tool to identify sepsis and increase compliance when using the tool. Identifying sepsis early is important in starting a treatment plan to prevent morbidity and mortality ...


Developing Cultural Competency In Anesthesia Through Student Registered Nurse Anesthetists, Emma To 2018 University of Southern Mississippi

Developing Cultural Competency In Anesthesia Through Student Registered Nurse Anesthetists, Emma To

Doctoral Projects

Certified Registered Nurse Anesthetists (CRNAs) are the main anesthesia providers in over 70% of rural hospitals providing anesthesia. Each year, over 2,000 student registered nurse anesthetists (SRNAs) graduate and continue as licensed CRNAs. This Doctor of Nurse Practice (DNP) project emphasizes the importance of developing culturally competent providers in anesthesia by promoting early outreach in cultural competence education of SRNAs. Cultural competence is described as possessing characteristics of congruent attitudes, awareness, and conduct that provides and enables effective skills in cross-cultural encounters. Encompassing cultural competency education early in the SRNAs profession may provide valuable lifelong cultural skills that will ...


Analysis Of Current Practices For Measuring Endotracheal Cuff Pressures, Myisha Jessie Dixon 2018 The University of Southern Mississippi

Analysis Of Current Practices For Measuring Endotracheal Cuff Pressures, Myisha Jessie Dixon

Doctoral Projects

The current practice for the measurement of endotracheal tube (ETT) cuff pressure intraoperatively is subjective, potentially leading to negative consequences for patients. The purpose of this best practice project was to examine and synthesize the current evidence-based literature on measuring ETT cuff pressure and developed a policy recommendation for measuring ETT cuff pressure in the intraoperative setting by anesthesia providers. The ACE star model of knowledge transformation guided this best practice project. An extensive literature review was performed to evaluate and synthesize the current evidence-based research that can be used to develop the policy on measuring endotracheal tube cuff pressure ...


Peer Health Educators On Campus: Teaching Safe Medication Practices, Baylee Q. Bryan, Olga O. Vlashyn, Stephanie A. Deremiah, Murphy K. O'Toole, Katherine M. Joseph, Jane E. Krause 2018 Purdue University

Peer Health Educators On Campus: Teaching Safe Medication Practices, Baylee Q. Bryan, Olga O. Vlashyn, Stephanie A. Deremiah, Murphy K. O'Toole, Katherine M. Joseph, Jane E. Krause

Purdue Journal of Service-Learning and International Engagement

Baylee Q. Bryan, Olga O. Vlashyn, Stephanie A. Deremiah, and Murphy K. O’Toole are advanced professional students in the Doctor of Pharmacy program at Purdue University, graduating in May 2019. Katherine M. Joseph is a senior in the School of Nursing, graduating in December 2018. Jane E. Krause (Clinical Associate Professor of Pharmacy Practice, Purdue College of Pharmacy) served as a faculty mentor for this project. In this article, the authors describe their service-learning project intended to increase awareness on campus regarding prescription drug abuse and misuse.


Improving Communication To Reduce Patient Falls In A 48-Bed Medical-Surgical Unit, Christian Gella 2018 The University of San Francisco

Improving Communication To Reduce Patient Falls In A 48-Bed Medical-Surgical Unit, Christian Gella

Nursing and Health Professions Faculty Research and Publications

Abstract

Problem: Patient falls has been associated with increased morbidity, mortality and decreased quality of life. The increase in total patient falls for 2018 relative to 2017, and a spike of 10 patient falls for the month of June 2018 from a baseline of 5.3 falls per month has gained greater attention to reduce patient harm from falls while hospitalized. Prevention of falls minimizes patient exposure to the possibility of being injured. Despite efforts to curtail patient falls, improvement in communication is essential to address the safety issues surrounding improving quality of care practices, and consequentially reduce un-reimbursable hospital ...


Faith Community Nursing In Community/Public Health Education: A Positive Student Nursing Experience, Pamela Preston 2018 Saint Anselm College

Faith Community Nursing In Community/Public Health Education: A Positive Student Nursing Experience, Pamela Preston

International Journal of Faith Community Nursing

Faith Community Nursing sites were recently integrated into a Community/Public Health Nursing course at a traditional Catholic baccalaureate college in New England. Junior and senior nursing students were randomly assigned to spend 10 clinical days at a site for their clinical experience. The students planned, participated in, and conducted diverse nursing and educational activities. At the end of the rotation, students completed evaluations rating the experience. The evaluations indicated that the clinical experience was positive. The diverse activities including support, health promotion, screening, and education in addition to the spiritual dimension allowed the students to participate in true holistic ...


I Was Clear With My Goals, Where I’M Heading, And What I Wanted With My Life: Life History Of An Omani Woman And Nurse Leader, Christie Emerson 2018 Kennesaw State University

I Was Clear With My Goals, Where I’M Heading, And What I Wanted With My Life: Life History Of An Omani Woman And Nurse Leader, Christie Emerson

Doctorate of Nursing Science Dissertations

This study uses life history methodology to examine the personal experience of being an Omani woman during the Omani Renaissance, choosing a career in nursing, and evolving into a nurse leader. There is a lack of research on why Omani women choose to enter the workforce, choose nursing career paths, and what sustains them in the nursing workforce. There is also a lack of research on the path to Omani nurse leadership. The research question is: What is the personal experience of being an Omani woman during the Omani Renaissance, choosing a career in nursing, and becoming a nurse leader ...


Evaluating The Effects Of Handmade Cards On Hospitalized Patients’ Health, Abigail Prins 2018 Murray State University

Evaluating The Effects Of Handmade Cards On Hospitalized Patients’ Health, Abigail Prins

Scholars Week

Social support has a major influence on the health of patients. However, many hospitalized patients receive little or no visits from friends or family. The absence of social support may have negative effects on patients’ health. The knowledge of health benefits from social support are growing, however, there is little research on interventions offering support. The purpose of this research project is to evaluate the intervention of giving handmade cards to patients in the hospital setting on psychological and physiological health. The design will indicate if gifting handmade cards elicits effects of social support. The investigator used a convenience sample ...


Determining The Frequency For Chronic Foley Catheter Cleaning And Changing, Jeral Mack 2018 Murray State University

Determining The Frequency For Chronic Foley Catheter Cleaning And Changing, Jeral Mack

Scholars Week

The title of this research project is “Determining the Frequency for Chronic Foley Catheter Cleaning and Changing”. The project was conducted by Jeral Mack, a senior Murray State University School of Nursing student. The initial investigation for the topic of this research was to determine defined guidelines for chronic foley cleaning and changing for a hospital-specific policy. In this paper, an analysis of four published research articles was conducted to define the best practice for the prevention of catheter-associated urinary tract infections (CAUTIs) as it relates to chronic Foley catheter cleaning and changing in healthcare settings. In nursing, using the ...


Problems Experienced In The Second And Third Months After Discharge From A Heart Failure-Related Hospitalization, Joan S. Grant, Lucinda J. Graven 2018 University of Alabama at Birmingham School of Nursing

Problems Experienced In The Second And Third Months After Discharge From A Heart Failure-Related Hospitalization, Joan S. Grant, Lucinda J. Graven

Journal of Patient-Centered Research and Reviews

The purpose of this study was to identify high-priority problems experienced by individuals during the second and third month after discharge from an acute care facility for heart failure. This descriptive, exploratory study, an extension of a previous analysis that examined high-priority problems in the first month, comprised 19 participants who were assigned to an intervention group that received a randomized, 12-week-pilot coping partnership (COPE-HF) intervention. A trained research nurse provided the intervention, and participants used a standard list to identify high-priority heart failure-related problems. Quantitative and content data analysis was conducted. While the highest-priority problem continued to be managing ...


Exploring Men Who Have Sex With Men’S Hiv Pre-Exposure Prophylaxis Initiation Decision-Making Processes In The Southern United States, Portia Thomas 2018 Kennesaw State University

Exploring Men Who Have Sex With Men’S Hiv Pre-Exposure Prophylaxis Initiation Decision-Making Processes In The Southern United States, Portia Thomas

Doctorate of Nursing Science Dissertations

In 2012, the first pharmacological HIV preventative agent, pre-exposure prophylaxis (PrEP) was approved in the U.S. for individuals at high-risk of contracting HIV. Men who have sex with men (MSM) are at increased HIV risk, due to their engagement in anal intercourse (AI), which is the most common mode of HIV transmission and the riskiest type of sex. Although evidence indicates that most PrEP paients are MSM, a paucity of evidence exists on MSM’s PrEP initation decision-making process. The purpose of this study was to explore how HIV-negative MSM engaging in protected or unprotected AI decide to initiate ...


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