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Approach To Safety Improvement: Focusing On Better Care (Fall Prevention In Medical Surgical/Intermediate Care Unit), Jose Fox Caballes Jr 2016 University of San Francisco

Approach To Safety Improvement: Focusing On Better Care (Fall Prevention In Medical Surgical/Intermediate Care Unit), Jose Fox Caballes Jr

Master's Projects

Patient safety is one of the major concern of any healthcare provider during their patient’s hospital stay. This project addressed the steady trend of fall incidences compared to last fiscal years’ data of an average of 4 falls per month. This trend created urgency to envisioned a plan for solutions to prevent this circumstance from happening. This Clinical Nurse Leader led a project in creating a process in identifying all patients that are high risk to fall (HRTF) prior to their admittance or transfer to Medical Surgical/Intermediate Care Unit and throughout their hospital stay until they are discharged ...


The Lived Experience Of Fathers With Advanced Cancer, Maria Mowassee 2016 The Graduate Center, City University of New York

The Lived Experience Of Fathers With Advanced Cancer, Maria Mowassee

All Graduate Works by Year: Dissertations, Theses, and Capstone Projects

Historically, fathers have been neglected as a research population in the nursing and oncology literature. This was in relation to their role being viewed as a disciplinarian and breadwinner instead of a nurturer. Fast-forward to modern day society, their role has evolved into a more involved parent that is necessary for their child’s development and well-being. The literature has also evolved and in recent years, this population has been gaining recognition and it is of great importance to understand their role, perception, and concerns as it pertains to being involved fathers. Therefore, when considering fathers with advanced cancer when ...


Improving Unit Dynamics: Incorporating Lead Nurse Program On A Medical-Surgical Unit, Kara Mace 2016 University of San Francisco

Improving Unit Dynamics: Incorporating Lead Nurse Program On A Medical-Surgical Unit, Kara Mace

Master's Projects

Clinical nursing leadership is now recognized as a key professional competency that will assure quality patient care and efficient work processes. The medical-surgical unit (MSU) at VA Mather has had high turnover rates and low staff satisfaction surveys for the past two years, which has led to a decline in staff morale. Lead nurses are in key positions to develop their unit staff, promote leadership development, and they are encouraged to act as role models in their practice. Change is difficult; therefore, the application of essential leadership skills is a necessary accompaniment to a change strategy in order to produce ...


Issues In Patient Information Transmission: Standardizing Home Health Admission, Philippa Thomas 2016 University of San Francisco

Issues In Patient Information Transmission: Standardizing Home Health Admission, Philippa Thomas

Master's Projects

When 84 patients, current and former, complained about lack of information during the intake process within five months period, a uniform "Patient Screening Tool" (Appendix L) was developed to improve the admissions process to this home health agency. Intake staff is responsible for receiving accurate information from the referral sources, confirming qualifications to receive services, and initiating education about services to the patient. While the population served has a wide range in age, diagnoses, discharge settings and cultures, the majority are over 65, frail, homebound and are returning home after hospital, SNF or rehabilitation settings.

Data were collected through evidence ...


Standardized Blood Transfusion Documentation, Kelly A. Hill 2016 University of San Francisco

Standardized Blood Transfusion Documentation, Kelly A. Hill

Master's Projects

The aim of this project was to improve nurse satisfaction through the use of a standardized blood administration documentation template. The goal was to reduce the time that nurses spend charting by offering a structured documentation template and to ensure that the procedure is correctly recorded in the patient’s electronic record. The leadership theme that supported this project is Information Manager, as the clinical nurse leader (CNL) uses information systems and technology at the point of care to improve health care outcomes. The selected microsystem is a medical/surgical/telemetry unit, which has 38 beds with 38 registered nurses ...


Advanced Practice Nursing In Latin America And The Caribbean: Regulation, Education And Practice, Keri Elizabeth Zug, Silvia Helena De Bortoli Cassiani, Joyce Pulcini, Alessandra Bassalobre Garcia, Francisca Aguirre-Boza, Jeongyoung Park 2016 George Washington University

Advanced Practice Nursing In Latin America And The Caribbean: Regulation, Education And Practice, Keri Elizabeth Zug, Silvia Helena De Bortoli Cassiani, Joyce Pulcini, Alessandra Bassalobre Garcia, Francisca Aguirre-Boza, Jeongyoung Park

Nursing Faculty Publications

OBJECTIVE: to identify the current state of advanced practice nursing regulation, education and practice in Latin America and the Caribbean and the perception of nursing leaders in the region toward an advanced practice nursing role in primary health care to support Universal Access to Health and Universal Health Coverage initiatives.

METHOD: a descriptive cross-sectional design utilizing a web-based survey of 173 nursing leaders about their perceptions of the state of nursing practice and potential development of advanced practice nursing in their countries, including definition, work environment, regulation, education, nursing practice, nursing culture, and perceived receptiveness to an expanded role in ...


Nursing Knowledge And Perceived Comfort Level In Acute Infusion Reactions From Antineoplastic Agents, Andrea L. Maiorini 2016 University of Central Florida

Nursing Knowledge And Perceived Comfort Level In Acute Infusion Reactions From Antineoplastic Agents, Andrea L. Maiorini

Andrea Maiorini

INTRODUCTION: Acute infusion reactions from antineoplastic agents can include hypersensitivity reactions, anaphylaxis, and cytokine release infusion reactions. Severe acute infusion reactions happen in about 5% of the oncology patient population and nurses are responsible for assessment and management of the reaction. This is a high stress task for a nurse magnified by the lack of exposure. This project explores nursing knowledge and perceived comfort level of acute infusion reactions caused by antineoplastic agents.
METHODOLOGY: An original survey was created to test nursing knowledge and assess comfort level. Nursing knowledge was broken down into six subscales: general knowledge of acute infusion ...


Factors Associated With Self-Care Behavior In Persons With Heart Failure., Mohammed Munther Al-Hammouri 2016 Mohammed Al-Hammouri

Factors Associated With Self-Care Behavior In Persons With Heart Failure., Mohammed Munther Al-Hammouri

Electronic Theses and Dissertations

Introduction: Heart failure is a serious illness that mostly affects the elderly. It is characterized by progressive deterioration of the heart muscle and affects the quality of life of those living with it. The progression of the illness has been shown to be slower with appropriate self-care. Several studies examined predictors of self-care extensively. The results were inconsistent and usually explained a small fraction of the variance in self-care in persons with heart failure, and they usually overlooked some potential predictors that could be related to self-care in person with heart failure. Purpose: The purpose of this study was to ...


Comparative Look At The Depression Treatment Modalities Of Cognitive, Teresa M. Page 2016 Liberty University

Comparative Look At The Depression Treatment Modalities Of Cognitive, Teresa M. Page

Graduate Student Projects and Scholarship

This integrative review provides a comparative view of cognitive behavioral therapy (CBT) and pharmacotherapy (PCT) as treatment modalities for adult depression. The foci of this integrative review are to examine research articles on CBT and PCT to determine which therapy, monotherapy or combination therapy, provide a higher level of therapy for depression. The metrics utilized are depression symptom remission, response to therapy, recovery from depression, and quality of life. Individual preference and response to treatment vary. This makes the reader more aware that specific populations may be more receptive to one therapy instead of the other.


Perceptions Of Renal Disease Risk Among African Americans: A Review Of The Literature, Casey L. Migliore, Julie Barroso, Allison Vorderstrasse 2016 Duke University School of Nursing

Perceptions Of Renal Disease Risk Among African Americans: A Review Of The Literature, Casey L. Migliore, Julie Barroso, Allison Vorderstrasse

Journal of Health Disparities Research and Practice

African Americans are disproportionately at risk for renal disease, especially those with type 2 diabetes (McDonough et al., 2011). Despite this disease disparity, the literature lacks research on renal disease awareness and risk perceptions among African Americans with type 2 diabetes. Therefore, a literature review guided by the Common Sense Model was conducted to review and synthesize the literature on African Americans’ awareness of renal disease and existing risk perceptions, capturing sociocultural factors in the African American community that could influence the development of those risk perceptions. The literature identified an overall lack of knowledge about renal disease risk factors ...


Using A Data Quality Framework To Clean Data Extracted From The Electronic Health Record: A Case Study., Oliwier Dziadkowiec, Tiffany Callahan, Mustafa Ozkaynak, Blaine Reeder, John Welton 2016 University of Colorado, College of Nursing, Anschutz Medical Campus

Using A Data Quality Framework To Clean Data Extracted From The Electronic Health Record: A Case Study., Oliwier Dziadkowiec, Tiffany Callahan, Mustafa Ozkaynak, Blaine Reeder, John Welton

eGEMs (Generating Evidence & Methods to improve patient outcomes)

Objectives: Examine (1) the appropriateness of using a data quality (DQ) framework developed for relational databases as a data-cleaning tool for a dataset extracted from two EPIC databases; and (2) the differences in statistical parameter estimates on a dataset cleaned with the DQ framework and dataset not cleaned with the DQ framework.

Background: The use of data contained within electronic health records (EHRs) has the potential to open doors for a new wave of innovative research. Without adequate preparation of such large datasets for analysis, the results might be erroneous, which might affect clinical decision making or results of Comparative ...


The Tree Of Life Model Of Faith-Based Living: A Practice Model For Faith Community Nursing, Marcus M. Gaut 2016 The University of Southern Mississippi

The Tree Of Life Model Of Faith-Based Living: A Practice Model For Faith Community Nursing, Marcus M. Gaut

International Journal of Faith Community Nursing

The advancement of nursing practice is supported by a plethora of theories, conceptual models, and theoretical frameworks. Additionally, the complexity of nursing and the profession’s ability to respond to diverse manifestations of patient or client response to illness manifests in a number of specialty areas of practice. Faith Community Nursing is a specialty area of nursing practice that appears to lack a specific conceptual model upon which to support the faith-based practice of Faith Community Nurses. The Tree of Life Model of Faith-Based Living, an adaptation of the Activities of Living Model, supports the faith-based practice of Faith Community ...


Church-Based Health Education: Topics Of Interest, Cathy H. Abell 2016 Western Kentucky University

Church-Based Health Education: Topics Of Interest, Cathy H. Abell

International Journal of Faith Community Nursing

Seventy-seven percent of American adults identify with a specific church affiliation (Pew Research Center, 2015). This offers support for the development of health ministry programs in church settings as a venue to offer a variety of health services in a convenient, comfortable location in the community. When thinking of implementing a health ministry program including health education and other services, it is important to spend time on planning and getting input from others. This article describes a descriptive correlational research study conducted to examine interest of church members in regards to the implementation of a health ministry program. Findings indicate ...


Use Of The Patient Whiteboard To Improve Communication Of Pain Medication Schedule, Carmela Gonzalez-Shalaby MSN, RN 2016 usfca

Use Of The Patient Whiteboard To Improve Communication Of Pain Medication Schedule, Carmela Gonzalez-Shalaby Msn, Rn

Master's Projects

Abstract

Despite advances in treatment, pain remains a significant problem in healthcare today. Sub-optimal pain management results in poor patient outcomes and patient satisfaction, culminating in decreased quality of life and financial loss for the health care facility. An important component of pain management is transparent and timely health care team/ patient communication. This project aims to improve patient satisfaction in pain management by incorporating pain medication last given and next available times on patient whiteboards. The targeted floor was a busy post-op medical floor in a medium sized community hospital. Staff were educated with short educational sessions, educational pamphlets ...


Complex Regional Pain Syndrome, Maria A. Hendrix 2016 Otterbein University

Complex Regional Pain Syndrome, Maria A. Hendrix

Master of Science in Nursing (MSN) Student Scholarship

Complex regional pain syndrome (CRPS) is a chronic and often disabling condition that is seen in many patients seeking pain management. The condition leaves patients in excruciating pain that is disproportionate to the inciting injury. In addition, patients with this pain disorder experience abnormal sensations such as cold and heat allodynia, hyperalgesia, edema, abnormal sudomotor activity and trophic changes (D. Lee et al., 2015). CRPS disproportionally affects four times as many women as men (Alexander, Peterlin, Perreault, Grothusen, & Schwartzman, 2012). There are two types of CRPS: type 1, often referred to as reflex sympathetic dystrophy (RSD), is not evident of ...


The Use Of Personalized Whiteboards In The Inpatient Acute Care Setting And Their Effect On Patient And Nurses Perception Of Communication, Cheryl Karn 2016 University of San Francisco

The Use Of Personalized Whiteboards In The Inpatient Acute Care Setting And Their Effect On Patient And Nurses Perception Of Communication, Cheryl Karn

Master's Projects

A microsystem assessment of two inpatient medical-surgical wards in a medical facility determined a majority of nurses reported dissatisfaction with the amount and type of communication with the interdisciplinary team. This, along with a review of Press-Ganey scores from the inpatient wards, revealed patients reported decreased satisfaction when asked if “nurses kept me informed”, compared to previous quarterly reports as well as other VA facilities. Multiple studies have shown the benefit of personalized whiteboards (PWs) at the patient bedside in improving not only communication but also safety and patient outcomes. A PW was developed by the Clinical Nurse Leader (CNL ...


Implementing Change To Decrease The Re-Admission Rate For Clients Of A Care Transition Program, Aileen Tran 2016 University of San Francisco

Implementing Change To Decrease The Re-Admission Rate For Clients Of A Care Transition Program, Aileen Tran

Master's Projects

The clinical nurse leader (CNL) internship project’s purpose is to implement a change to decrease readmission for clients in a care transition program, thereby improving quality of life. This care transition program aids with the transition from hospital to home for adults. The microsystem is composed of public health nurses, volunteers, student interns, supervisors, and an administrative assistant. The aim statement for this change project is to improve patient safety by decreasing readmission rates by implementing an initial follow-up phone call within one day of discharge in 75% of the care transition clients by April 30, 2016. This project ...


An Interdisciplinary Approach To Reducing Falls: Utilizing Team Huddles And Visual Aids To Increase Nursing Staff And Patient Knowledge On T.E.A.M. Fall Risk Interventions, Jennifer A. Viernes 2016 University of San Francisco

An Interdisciplinary Approach To Reducing Falls: Utilizing Team Huddles And Visual Aids To Increase Nursing Staff And Patient Knowledge On T.E.A.M. Fall Risk Interventions, Jennifer A. Viernes

Master's Projects

One of the most important aspects of patient safety is the prevention of patient falls (PFs). PFs are a never event and are preventable. The project addresses the ongoing increase in PFs on a medical-surgical oncology unit in an inpatient hospital setting. The increase in PFs created urgency to provide solutions to these preventable circumstances. This Clinical Nurse Leader (CNL) led the project and conducted a comprehensive microsystem assessment of the potential causes of PFs calling for further investigation of the unit’s current fall policy. After conducting two surveys of both the nursing staff (NS) and patients’ knowledge of ...


Implementing Ways To Reduce Catheter-Associated Urinary Infections (Cautis), Maryam Keyhani 2016 University of San Francisco

Implementing Ways To Reduce Catheter-Associated Urinary Infections (Cautis), Maryam Keyhani

Master's Projects

Abstract

Center for Control and Disease Prevention (CDC), estimates that 40% of all Urinary Tract Infections (UTIs) are related to Hospital-acquired Infections (HAIs) (CDC, 2013). The Facility where the project was done consists of oncology, orthopedic, medical-surgical, telemetry, incentive care, and step-down units. This hospital with 242 licensed beds has approximately 51,571 ER visits and a total of 10,606 admissions per year.The prevalence of Cather-associated Urinary Tract Infections (CAUTIs) on the 4th floor, the medical-surgical unit with 42 beds was significantly higher than other units. The hospital goal is to increase patient safety and satisfaction as well ...


Utilizing Tiger Competencies To Improve Informatics Practice, Kwun Ying M. Fung 2016 University of San Francisco

Utilizing Tiger Competencies To Improve Informatics Practice, Kwun Ying M. Fung

Doctor of Nursing Practice (DNP) Projects

Nursing Informatics (NI) is quickly becoming an essential part of nursing. From the classroom, to the bedside, and to the boardroom, nurses across the nursing continuum are expected to use NI in their practice with the hopes of delivering better quality care to their patients. However, the training and education of NI provided to all levels of nurses is unable to keep up with the pace of technology. This project seeks to improve the NI competency of the nursing workforce at a pediatric hospital through an educational course using NI competencies identified by the Technology Informatics Guiding Educational Reform (TIGER ...


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