Do-Not-Hospitalize Orders In Assisted Living Facilities: Perspectives From Direct Care Workers, 2023 University of New Mexico
Do-Not-Hospitalize Orders In Assisted Living Facilities: Perspectives From Direct Care Workers, Alanna Kates Dancis Dr.
Doctor of Nursing Practice Scholarly Projects
Context: Do-not-hospitalize (DNH) orders in assisted living facilities (ALFs) are often misunderstood, ignored, or countermanded by direct care workers (DCWs), potentially leading to residents being sent to the hospital against their wishes.
Objectives: The primary purpose of this study was to gather sufficient qualitative data to create an intervention that would help prevent DCWs from sending residents with DNH orders to the hospital against their wishes. To accomplish this goal, the study centered on three research objectives: 1) to understand more fully how DCWs interpret DNH orders; 2) to determine if carrying out DNH orders causes moral distress for DCWs; …
Examining The Need For Change By Describing The Attitudes And Perceptions Of Team Communications Related To Patient Care And Safety Among Ambulatory Clinic Healthcare Staff, 2023 Otterbein University
Examining The Need For Change By Describing The Attitudes And Perceptions Of Team Communications Related To Patient Care And Safety Among Ambulatory Clinic Healthcare Staff, Peter Seivers
Doctor of Nursing Practice Scholarly Projects
Medical errors account up to 250,000 patient deaths annually. Research suggests medical errors are attributable to poor healthcare team communications. The Institute of Medicine posits that communication and teamwork are essential components to safe and successful health care environments. According to the Joint Commission poor communication is considered the root cause of nearly 80% of all serious medical errors. Consequently, the Department of Defense and Agency for Healthcare Research and Research created a team-based training program, known as TeamSTEPPS®, which has shown to improve team communication, performance, effectiveness, patient safety, satisfaction, and health outcomes in healthcare settings. Despite evidence supporting …
Advance Care Planning: An Evidence-Based Practice Project, 2023 Valparaiso University
Advance Care Planning: An Evidence-Based Practice Project, Gabrielle Alanna Harvey
Evidence-Based Practice Project Reports
Advance care planning (ACP) is a topic that can be difficult for patients and providers to discuss due to lack of time, knowledge, communication skills, and discomfort surrounding the subject (Barkley et al., 2019; Hafid et al., 2021; Halpert et al., 2022; Marin, 2022). Delayed or absent ACP discussions may lead to nonbeneficial care, increased healthcare costs, end of life suffering and increased post-death family distress (Halpert et al., 2022; O’Hanlon et al., 2018). The purpose of this evidence-based practice (EBP) project was to increase the discussions and documentation regarding ACP in a family practice setting. The PICOT question guiding …
Implementation Of A Rounding Tool To Promote Compliance With Central Line Dressing Changes In An Adult Intensive Care Unit, 2023 Belmont University
Implementation Of A Rounding Tool To Promote Compliance With Central Line Dressing Changes In An Adult Intensive Care Unit, Fabiola Demuth
DNP Scholarly Projects
Abstract
Evidence supports implementing central line (CL) maintenance bundles and nurse-led rounding interventions to prevent central line-associated bloodstream infections (CLABSIs). In a Tennessee intensive care unit (ICU), increased CLABSI rates were associated with inconsistent CL dressing maintenance and documentation. This Doctor of Nursing Practice scholarly project was implemented to improve ICU CLABSI rates and reinforce nursing standard practices for CL dressing care. This quality improvement project used the Institute for Healthcare Improvement (IHI) model for improvement, which used the plan, do, study, act (PDSA) cycles as part of the framework to implement a daily nurse-led rounding tool in the ICU, …
Increasing Colorectal Cancer Screening Uptake Among Hispanic/Latino Patients: A Quality Improvement Initiative, 2023 Belmont University
Increasing Colorectal Cancer Screening Uptake Among Hispanic/Latino Patients: A Quality Improvement Initiative, Erick Hernandez Campos, Elizabeth Morse, David Phillippi
DNP Scholarly Projects
Background: In 2021, cancer (CRC) screening rates for Latino men (42%) and women (47.5%) remain well below the Health People 2020 target (70.5%). Extensive documentation of barriers for screening include language, insurance status, and other sociocultural barriers which contribute to delays in diagnosis and/or diagnosis at advanced stages of the disease, and worse health outcomes. Latinos need culturally and linguistically appropriate health promotion interventions aimed to increase CRC screening rates with any modality (FIT, Cologuard, or Colonoscopy).
Methods: The Donabedian Structure-Process-Outcome (S-P-O) Model for quality improvement was used to develop and target a provider-driven, language-concordant communication interventions for …
Improving Patient Outcomes Through An Evidence-Based Practice Nursing Boot Camp (Program Evaluation), 2023 Providence
Improving Patient Outcomes Through An Evidence-Based Practice Nursing Boot Camp (Program Evaluation), Kevin Brandini
Articles, Abstracts, and Reports
No abstract provided.
A Hapi Reduction Qi Project: Don't Leave Your Patient In S.H.A.M.B.L.E.S, 2023 Providence WA/MT
A Hapi Reduction Qi Project: Don't Leave Your Patient In S.H.A.M.B.L.E.S, Anissa Guzman, Ashlee Garcia, Valerie Lindsay
Articles, Abstracts, and Reports
No abstract provided.
Oncology Infusion Nurses' Personal Protective Equipment Use While Handling Hazardous Drugs, 2023 Providence
Oncology Infusion Nurses' Personal Protective Equipment Use While Handling Hazardous Drugs, Deborah Yoon
Articles, Abstracts, and Reports
Infusion Nurses’ Personal Protective Equipment Use While Handling Chemotherapy Drugs Purpose: To describe perceived barriers, perceived risks, interpersonal influence (modeling and norms), perceived conflict of interest, and organizational influences and select demographics related to Personal Protective Equipment (PPE) use for out-patient, oncology infusion nurses. Background: The proper use of PPE should be common practice among nurses who administer chemotherapy. However, despite training and education, many studies have demonstrated that infusion nurses’ PPE adherence is as low as 50%. Improper PPE use can increase exposure to chemotherapy and has potential adverse health effects including fertility issues and risks of cancer. Few …
Improved Bonding & Maternal Self-Efficacy In The Nicu: A Scoping Review, 2023 University of Tennessee Health Science Center
Improved Bonding & Maternal Self-Efficacy In The Nicu: A Scoping Review, Alexandria Sneed Nauert Bsn, Rnc-Nic, Mckenleigh N. Hill Bsn, Rnc-Nic, Bobby Bellflower Dnsc, Nnp-Bc, Faanp
Doctor of Nursing Practice Projects
Purpose/Background
Mothers of infants admitted into the neonatal intensive care unit (NICU) are at risk for developing anxiety, depression, and post traumatic stress disorder (PTSD) related to their child’s hospitalization which impedes the mother-infant bonding and attachment process. Research shows that children of mothers suffering from these issues are more likely to develop their own behavioral, emotional and cognitive problems later in life. The purpose of this scoping review is to analyze the literature regarding methods to improve bonding and attachment between NICU patients and their mothers to improve long-term outcomes for the whole family.
Methods
The authors conducted a …
Go Forth With Wisdom & Leadership, 2023 East Tennessee State University
Go Forth With Wisdom & Leadership, Kristen Montgomery
Epsilon Sigma at-Large Research Conference
see attached pp
Implementing An Acute Stress Disorder Screening Tool In The Trauma Intensive Care Unit Setting, 2023 East Tennessee State University
Implementing An Acute Stress Disorder Screening Tool In The Trauma Intensive Care Unit Setting, Sierra Bridgers
Epsilon Sigma at-Large Research Conference
This is a quality improvement project that focuses on implementing screening for acute stress disorder using the Acute Stress Disorder Structured Interview–DSM-IV tool in a Trauma Intensive Care Unit (ICU) at a Level 2 Trauma Center in Nashville, TN. Currently, at this hospital there is not a screening process implemented for these patients. Every trauma patient meets the criteria for acute stress disorder. Starting the process early aims for patients to be properly educated about their trauma and gets them the resources they need to heal mentally from the trauma.
During the 6-week implementation period of this project, the trauma …
Toxic Positivity: A Concept Analysis, 2023 East Tennessee State University
Toxic Positivity: A Concept Analysis, Hannah G. Shipp, Katherine C. Hall
Epsilon Sigma at-Large Research Conference
Purpose: Post-COVID-19 workforce issues have pushed terms like resilience and burnout further into the forefront of professional discourse. Strategies aimed to improve resilience, decrease burnout, and increase retention appear to be less effective in the current climate. One potential unexplored contributor is toxic positivity. The purpose of this research is to analyze the concept of toxic positivity and its relevance to nursing.
Aims: Research questions; “1) How is toxic positivity used across contexts?; 2) Whose perspectives are represented and whose are not?; 3) What are the dimensions of toxic positivity?; 4) How are the dimensions related?; and 5) How is …
The Effect Of Masks On Allergic Rhinitis Symptoms Related To Ragweed And Its Influence On College Students, 2023 Olivet Nazarene University
The Effect Of Masks On Allergic Rhinitis Symptoms Related To Ragweed And Its Influence On College Students, Katherine Knutte
Scholar Week 2016 - present
BACKGROUND: This study explored the effect of masks on allergic rhinitis related to ragweed. Research has been shown that surgical and KN95 masks reduce allergic symptoms due to dust, pollen, and ragweed. A study in Israel found a strong correlation was between wearing a KN95 and reducing severe allergic rhinitis symptoms related to nasal symptoms and another study focusing on pollen supported this finding. Lastly, a previous study on ragweed found that all nasal symptoms improved, and ocular symptoms remained unchanged.
METHODS: This was a qualitative study involving twenty college students aged 18 to 25 from Olivet Nazarene …
Mental Health In Sexual And Ethnic Minorities, 2023 East Tennessee State University
Mental Health In Sexual And Ethnic Minorities, Aaliyah Bailey, Ashlyn Bowers, Ashley Clark, Cassidy Paquette, Garrett Bassham
Epsilon Sigma at-Large Research Conference
Evidence Based Health Promotion Scientific Abstract
Introduction & Background:
Mental Health resources are scarce in rural areas. In 2020, suicide was the third leading cause of death for African Americans ages 15 to 24; this is only one example of the mental health disparities experienced by minority groups.
Purpose Statement and Research Question:
We saught to answer: “Are there greater mental health disparities among sexual and ethnic minorities, such as LGBTQ+ groups or Middle Eastern women, compared to their heterosexual, majority counterparts; if so, is there anything we can do about the issue as nurses?”
Literature Review:
To match the …
Mental Health Disparities In Minorities And Their Relation To Nursing Practice, 2023 East Tennessee State University
Mental Health Disparities In Minorities And Their Relation To Nursing Practice, Aaliyah Bailey, Ashley Clark, Ashlyn Bowers, Cassidy Paquette, Garrett Bassham
Epsilon Sigma at-Large Research Conference
Evidence Based Health Promotion Scientific Abstract
Introduction & Background:
Mental Health resources are scarce in rural areas. In 2020, suicide was the third leading cause of death for African Americans ages 15 to 24; this is only one example of the mental health disparities experienced by minority groups.
Purpose Statement and Research Question:
We saught to answer: “Are there greater mental health disparities among sexual and ethnic minorities, such as LGBTQ+ groups or Middle Eastern women, compared to their heterosexual, majority counterparts; if so, is there anything we can do about the issue as nurses?”
Literature Review:
To match the …
Prevention And Education In Medication Assisted Treatment Facilities, 2023 East Tennessee State University
Prevention And Education In Medication Assisted Treatment Facilities, Lindsey Mccartt
Epsilon Sigma at-Large Research Conference
Introduction and Background: Between 1999 and 2014 the number of patients in the labor and delivery that were on medication for opioid use disorder (MOUD) quadrupled. The rate of unintended pregnancies in pregnant patients of mOUD is at a tremendous high due to inconsistencies in the use of reliable contraception in this population.
Purpose Statement: To reduce the number of unintended pregnancies and infants born with neonatal abstinence syndrome there is a need for prevention and required education for men and women in medication-assisted facilities.
Literature Review: Twenty research studies were reviewed and evaluated. These articles were …
Effects Of Same Sex Parenting, 2023 Lincoln Memorial University
Effects Of Same Sex Parenting, Erin Hermann
Epsilon Sigma at-Large Research Conference
Ensuring the safety and welfare of children has a lasting effect on society. As we progress to a more inclusive concept of what constitutes a family, the effect of same sex parenting (SSP) must be considered.
Health related outcomes describing the advantages, disadvantages and unique challenges experienced by this population is surprisingly robust.
How Lifestyle Implementations Affect The Health Of Obese Women Compared To Women Who Are Not Obese, 2023 East Tennessee State University
How Lifestyle Implementations Affect The Health Of Obese Women Compared To Women Who Are Not Obese, Chloe Hensley, Callie Marshall, Adela Robles, Adrianna Winseman
Epsilon Sigma at-Large Research Conference
Obesity is a major risk factor for many health problems, including cardiovascular disease and diabetes. It is anticipated that the prevalence of obesity in the United States will grow as time passes. The objective of this study is to compare the health of obese women who engage in regular exercise to that of nonobese women. This literature review is drawn from eight library-based research articles at East Tennessee State University (ETSU). The search engine covers topics such as obesity, postmenopausal women, physical activity, nutrition, health, fitness, and lifestyle. Taking nutritional supplements and increased physical exercise minimizes the likelihood of health …
Animal-Assisted Green Care Farming For Patients With Traumatic Brain Injury, 2023 East Tennessee State University
Animal-Assisted Green Care Farming For Patients With Traumatic Brain Injury, Alex Sargsyan
Epsilon Sigma at-Large Research Conference
Animal-Assisted Green Care Farming for Patients with Traumatic Brain Injury
Purpose
To examine the effects of Animal Assisted Therapies with Farm Animals (AATF) with domesticated ducks on depression and anxiety.
Aim
The proposed study will use single-group time series design and collect survey data to explore the changes in anxiety and depression in patients exposed to AATF. The study will be guided by the Self-Efficacy Theory. The study will involve 30 patients with TBI living in The Crumley House Rehabilitation Center in Limestone, TN.
Hypothesis. Engaging in AATF with domesticated ducks will be associated with decrease in anxiety and depression. …
Contributing To Nursing Science: Who Me?, 2023 East Tennessee State University
Contributing To Nursing Science: Who Me?, Mary Ellen Wright
Epsilon Sigma at-Large Research Conference
Opening keynote address by Mary Ellen Wright, RN., Ph.D., Associate Professor, College of Nursing, East Tennessee State University (ETSU) and moderated by Kendrea Todt, PhD, TN.