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Respiratory Infection And Antimicrobial Prescribing: How Well Are The Guidelines Adhered To?, Veronica Seippel
Respiratory Infection And Antimicrobial Prescribing: How Well Are The Guidelines Adhered To?, Veronica Seippel
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Approximately two million people in the United States (US) are infected annually by organisms that have developed resistance to one or more of the antimicrobials designed to eradicate them. The highest-ranking category of illness for which antibiotics are most commonly overprescribed is respiratory infections (CDC, 2014a). The purpose of this project was to explore current antimicrobial prescribing trends for respiratory infections at an urgent care facility. The ACE Star Model of Knowledge Transformation (Stevens, 2004) was utilized to serve as a guide in conducting this research study. Utilizing the detailed guidelines and treatment criteria for respiratory infections developed by the …
Evidence-Based Practice In Nursing, Sandra M. Linde
Evidence-Based Practice In Nursing, Sandra M. Linde
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Evidenced-based practice (EBP) as defined by the Institute of Medicine(IOM) is the integration of "best research with clinical expertise and patient values for optimum care"(IOM, 2003, p.45-46). Evidence-based practice (EBP) is considered a standard for safe and quality care (Carlson & Plonczynski, 2008). Healthcare leaders recognize EBP as an integral part of achieving quality outcomes and attaining high reliability. The Institute of Medicine (IOM) has established a goal that 90% of healthcare decisions in the United States be evidenced based by the year 2020 (IOM, 2009). Despite the fact that EBP has been promoted for many years, inconsistencies in implementation …
Development Of An Education Program For Nursing Staff Related To Obtaining Standardized And Accurate Daily Weights, Jessica L. Prew
Development Of An Education Program For Nursing Staff Related To Obtaining Standardized And Accurate Daily Weights, Jessica L. Prew
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Obtaining daily weights is an integrated process in daily nursing practice and considered useful data in treatment options. Literature reviewed revealed evidence based knowledge that daily weights are routinely used in everyday practice. However this data obtained is not always reliable and the task is not performed based on a standardized practice. The purpose of this education program was to educate nursing staff regarding procedures to obtain accurate daily weights. The program development used a pre-survey, intervention and post-survey design. The educational program for nursing staff served as the intervention. The sample included nursing staff employed on 4 East, a …
Reversing The Stop Signs To Proactive Nursing Care In Dnr Patients, Natalie Volpe
Reversing The Stop Signs To Proactive Nursing Care In Dnr Patients, Natalie Volpe
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Research has supported that patients with a do-not-resuscitate (DNR) code status receive less aggressive treatment and have higher mortality rates compared to those without DNR orders, after adjusting for confounding factors (Cohn, Fritz, Frankau, Laroche, & Fuld, 2012). Health care providers erroneously understand DNR status to imply that a patient is dying and should not undergo other life-saving interventions (Hewitt & Marco, 2004). Surveyed critical care nurses revealed that they believed that interventions such as complete history and physicals, checking vital signs, monitoring neuro status, and ICU admission should not be performed as regular interventions on patients with a DNR …
Is There A Difference In Pain Management Of Patients With Upper Extremity Injuries In Relation To Age?, Cheryl Pappas
Is There A Difference In Pain Management Of Patients With Upper Extremity Injuries In Relation To Age?, Cheryl Pappas
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Timely and appropriate analgesia for the treatment of long bone fractures is a primary goal of Emergency Departments. Despite incentives from the Centers of Medicare and Medicaid and accreditation agencies studies have found the existence of pain management disparities. The purpose of this research study was to conduct a retrospective chart review to investigate if patients with an upper extremity long bone fracture received pain medication within 60 minutes of arrival to the ED and to identify if there was a difference in the pain management of patients, with identical injuries, by age. Katharine Kolcaba’s comfort theory was used to …
Reducing Hospital Acquired Pressure Ulcers, Jessica M. Leblanc
Reducing Hospital Acquired Pressure Ulcers, Jessica M. Leblanc
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
Pressure ulcers have been a persistent issue in hospitals for many years and continue to remain a major cause of morbidity and mortality. Most hospital acquired pressure ulcers (HAPUs) are considered preventable and are identified by the National Quality Forum as a nurse-sensitive quality indicator. Intensive care patients in particular tend to be at a higher risk to develop PUs and prevention in the intensive care population continues to be a major challenge in many hospitals. Recently, some intensive care units have been utilizing a preventative silicone foam barrier dressing applied to patients admitted to the unit in order reduce …
Do Patients In The Intensive Care Unit Receive Recommended Total Daily Calories With Enteral Feedings Using A Rate Based Protocol?, Karen A. Schaefer
Do Patients In The Intensive Care Unit Receive Recommended Total Daily Calories With Enteral Feedings Using A Rate Based Protocol?, Karen A. Schaefer
Master's Theses, Dissertations, Graduate Research and Major Papers Overview
When a patient is unable to eat or eat enough nutrients due to an illness or surgery, nutrition from another source may be required. Supplemental nutrition may be given in the form of enteral nutrition. The current practice is delivering enteral feedings on a rate based protocol to deliver calculated required calories over a specific length of time. Patients who receive enteral nutrition may have feedings interrupted due to a variety of reasons such as a procedure or diagnostic exam. Interruptions reduce the total daily calories delivered. If a patient does not achieve their total daily calories, it can be …