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Limiting Potentially Inappropriate Medications In Long-Term Care, Clare M. Ironside

Doctor of Nursing Practice Scholarly Projects

Aim: This project aimed to assess the effectiveness of the STOPP/START tool in identifying and reducing potentially inappropriate medications among multi-morbid, older, long-term care residents in a metropolitan area of a Southwestern state.

Design: In this quality improvement project, seven prescribers working within four long-term care facilities were trained to assess for potentially inappropriate medications using the STOPP/START tool. The medication lists for long-term care residents (n =45) over age 65 were collected at baseline and again at three months post-intervention and assessed for overall medication use, psychotropics, and proton pump inhibitors. The project also assessed prescribers’ comfort and …

Community Isolation Project, Natalie M. Danhof, Lydia Santucci, Abigail Dempsey, Nathaniel Navarro, Ivy Mills, Samantha Thompson

Nursing Leadership in Community Engagement Projects

Introduction

The authors of this summary are nursing students at Seattle Pacific University, and the project goal is focused on understanding feelings of isolation in elderly communities and whether fostering social activities, such as Bingo, would improve social interaction between residents in this community.

For the past two years, the COVID-19 pandemic has altered various aspects of social interaction. From masking to social distancing, societal norms and expectations evolved in a manner that promoted isolation and minimal interaction to inhibit the spread of Covid infection between individuals. Of the general populace, the most vulnerable and at risk for infection are …

Improving Use Of The Stop And Watch Tool (Interact) To Decrease Rehospitalization Of Nursing Home Residents, Sebrena Chapman-Fitzsimmons

Graduate Theses, Dissertations, and Capstones

The purpose of this clinical quality improvement project was to determine if using the Stop and Watch tool (a tool used to identify change in resident condition) would improve communication between stakeholders and nurses, resulting in fewer re-hospitalizations. The evidence-based literature behind the problem of re-hospitalization shows that improving communication among stakeholders can positively affect long term care residents’ quality of life and decrease events that could result in re-hospitalizations.

The design for this study includes process development on the use of the Stop and Watch tool (a communication component of the Intervention to Reduce Acute Care Transfers tool [INTERACT …

Alzheimer's And Patient Caregiver Burnout: A Review Of The Literature, Madeline Hekeler

James Madison Undergraduate Research Journal (JMURJ)

The term “silent epidemic” is fitting for Alzheimer’s disease (AD), as its negative impact is widely felt but rarely discussed. Burnout among AD caregivers has become an epidemic of its own as caregivers experience an increase in health risks, stress, and financial burden. This literature review focuses on caregiver burnout and how imperative it is that caregivers are better supported in their role. Researchers have developed instruments to assess and intervene in caregiver burnout that have shown effectiveness among caregivers and their families.Nevertheless, further longitudinal research is warranted regarding more effective interventions, including stress management and social support mechanisms.

Evidence-Based Best Practice For Discharge Planning: A Policy Review, Marissa Lewis

Student Scholarly Projects

Ineffective discharge planning produces poor patient healthcare outcomes, potential adverse events, and medical errors. A primary deterrent to successful discharge planning is communication, either within the interdisciplinary team or during handoff to the receiving transition of care facilities of home health, skilled nursing, or acute rehabilitation.

The purpose of the evaluation project was to determine if current policies, communication tools, and workflows of three healthcare organizations were based on evidence and make recommendations for policy revisions. The Johns Hopkins Evidence-Based Practice for Nurses and Healthcare Professionals Model (JHNEBP) was used with the Centers for Disease Control (CDC) Policy Process (POLARIS) …

A Contemporary Shared Governance Structure And Its Role In Managing Nurse Turnover, Kagale Kiwanuka

Student Scholarly Projects

Practice Problem: Nurse turnover can adversely impact any health system's financial performance and the clinical practice environment, and it is detrimental to patient safety and quality of care.

PICOT: The PICOT question that guided this project was for nurses on a Labor and Delivery and Antepartum unit at a 382-bed community hospital in Austell, GA(P), does the utility of a contemporary shared governance structure in everyday practice (I) compared to the current shared governance structure (C) decrease nurse turnover rates (O) within four weeks (T)?

Evidence: Shared governance permits the reduction of turnover and the intent to …

Perception Is Everything: Implementation Of A Peer Evaluation Program For Nurse Leaders In A Hospital Setting, Teruko Williams

Student Scholarly Projects

Practice Problem: A hospital in the Sacramento County area seeking the ANCC Pathway to Excellence Program^® designation determined upon performing a gap analysis that Element of Performance 2.8, a peer evaluation program, was absent, thus creating a deficiency in the fulfillment of the requirements for the designation.

PICOT: The PICOT question that guided this project was: In nurse leaders (P) how does the development of a formal peer evaluation process (I) compared to no formal process (C), influence the performance outcome score of self-efficacy (O) over 8 weeks (T)?

Evidence: The evidence demonstrated that if a …

Nurse-Driven Protocols For Abdominal Pain In The Emergency Department, Chris Schmidt

Student Scholarly Projects

Practice Problem: Emergency department (ED) crowding hinders the opportunity to deliver safe, quality care to abdominal pain patients and detrimentally affects clinical outcomes. Leadership of a rural community ED recognized a comparable issue by introducing a nurse-driven protocol (NDP) to reduce patient length of stay (LOS) and the rate of patients who leave the department prior to physician evaluation.

PICOT: The PICOT question that guided this project was: For adult patients in an emergency department, how does a nurse-driven protocol for abdominal pain compared to no protocol use affect the LOS and left without being seen (LWBS) rate over 10 …

Vitamin D Supplementation For The Treatment Of Depressive Symptoms In Women With Type 2 Diabetes: A Randomized Clinical Trial, Sue Penckofer Phd, Monique Ridosh, William Howard Adams, Meghan Grzesiak, Jennifer Woo, Mary Byrn, Joanne Kouba Phd, Rdn, Ldn, Patricia M. Sheean, Colleen Kordish, Ramon Durazo-Arvizu, Diane Wallis, Mary Ann Emanuele, Angelos Halaris

Nursing: School of Nursing Faculty Publications and Other Works

Aim. To determine the efficacy and safety of vitamin D₃ supplementation in reducing depressive symptoms in women with type 2 diabetes (T2D), depression, and low vitamin D. Methods. In this double-blind randomized active comparator-controlled trial, women with significant depressive symptoms as assessed by the Center for Epidemiologic Studies Depression (CES-D) scale received weekly oral vitamin D₃ supplementation (50,000 IU) or an active comparator (5,000 IU) for 6 months. Assessments of vitamin D, 25-hydroxyvitamin D [25 (OH) D], and depression were measured at baseline, 3 months, and 6 months. Results. A total of 129 women were …

Predicting 31- To 60-Day Heart Failure Rehospitalization Among Older Women, Carolyn Biggs Sue-Ling Phd, Rn, Mpa, Nalini Jairath

Publications

The current study sought to identify social, hemodynamic, and comorbid risk factors associated with 31-to 60-day heart failure (HF) rehospitalization in African American and Caucasian older (aged >65 years) women. A non-equivalent, case-control, quantitative design study using secondary data analysis of medical records from a local community hospital in the Southeast region of the United States was performed over a 3-year period. Relationships between predictor variables and the outcome variable, 31- to 60-day HF rehospitalization, were explored. The full model containing all predictors was not able to distinguish between predictors (χ[21, N = 188] = 35.77, p = 0.12). However, …

Qualitative/Covid Journals, Judy Schmitt

Library Faculty Works

No abstract provided.

Effects Of Nonpharmacological Interventions On Disruptive Vocalisation In Nursing Home Patients With Dementia-A Systematic Review, Saad Bilal Ahmed, Alfredo Obieta, Tamsin Santos, Saara Ahmad Muddasir, Joseph Elliot Ibrahim

Department of Biological & Biomedical Sciences

Background: Vocally disruptive behaviour is a common and difficult to treat condition in older residents with dementia. The aim of this systematic review is to evaluate the efficacy of nonpharmacological interventions in its management in persons with dementia residing in a nursing home.
Methodology: A systematic search was conducted using Ovid MEDLINE, CINAHL, and Cochrane databases and reference lists from relevant publications on various nonpharmacological approaches to manage vocally disruptive behaviour in nursing home residents. The method of appraisal was through the National Institutes of Health scoring for the Quality Assessment of controlled intervention studies. Inclusion criteria included residents of …

Usability Of Health-Related Websites By Filipino-American Adults And Nursing Informatics Experts, Kathleen Begonia

Dissertations, Theses, and Capstone Projects

Filipino-Americans are an understudied minority group with high prevalence and mortality from chronic conditions, such as cardiovascular disease and diabetes. Facing barriers to care and lack of culturally appropriate health resources, they frequently use the internet to obtain health information. It is unknown whether they perceive health-related websites to be useful or easy to use because there are no published usability studies involving this population. Using the Technology Acceptance Model as a theoretical framework, this study investigated the difference between website design ratings by experts and the perceptions of Filipino-American users to determine if usability guidelines influenced the perceived ease …

Nurse Practitioners' Adjustment To The Hospitalist Position: A Grounded Theory Study, Donna Tanzi

Dissertations, Theses, and Capstone Projects

Hospital based medicine is the fastest growing medical specialty in the United States. While most hospitalists are internal medicine residency graduates, most of these new internal medicine medical graduates are choosing not to enter hospital medicine, resulting in a growing hospitalist workforce shortage. To fill this staffing gap, nurse practitioners (NPs), some with no previous NP experience, are assuming hospitalist positions. As more NPs assume hospitalist positions, they face challenges adapting to the prevailing physician-based hospitalist model, such as attaining requisite medical knowledge and skills and establishing credibility and rapport with other care team members. Through a series of semi-structured …

A Physical Therapy Mobility Checkup For Older Adults: Feasibility And Participant Preferences From A Discrete Choice Experiment, Dalerie Lieberz, Hannah Borgeson, Steven Dobson, Lindsey Ewings, Karen Johnson, Kori Klaysmat, Abby Schultz, Rachel Tasson, Alexandra L. Borstad

Journal of Patient-Centered Research and Reviews

Purpose: Physical performance measures, like walking speed, identify and predict preclinical mobility disability but are rarely used in routine medical care. A preventive model of care called Mobility Checkup is being designed to reduce mobility disability in older adults. This study had two purposes: 1) determine feasibility and outcomes of the Mobility Checkup, and 2) identify preferences of older adults regarding this model of care using a discrete choice experiment.

Methods: Adults over 55 years of age were recruited from the community. In the study’s first phase, participants completed a Mobility Checkup, with feasibility evaluated using 6 criteria. In the …

Implementing Rapid Response And Medical Emergency Simulation Training For Medical-Surgical Nurses, Brandon Burnett

Master of Science in Nursing Theses and Projects

This project is based on the problem of nursing competence and confidence within medical emergency and rapid response scenarios. This problem affects all patients, but specifically the medical-surgical patient population of which rapid assessment and intervention can lead to a change in patient mortality. The goal of the project is to use simulation, a common tool in undergraduate nursing education, to improve nursing competence and confidence after participation. The nurses will be cycled through three simulated scenarios, followed by a debriefing, and then moved to the next simulation. The nurses’ performance will be evaluated using evaluator checklists for each of …

Caring Minds, Uthealth Cizik School Of Nursing

Caring Minds

No abstract provided.

Perceived Self-Efficacy, Confidence, And Skill Among Factors Of Adult Patient Participation In Transitional Care: A Systematic Review Of Quantitative Studies., Andrea Bailey, Jennifer Mallow, Laurie A. Theeke

Nursing Faculty Publications

Introduction: An advancing healthcare system in which patients are often required to self-manage care needs across countless settings and clinicians is increasing focus on participation in care. Mismanagement of care during already risky care-transitions further increases adverse care outcomes. Understanding factors of patient participation in transitional care in an adult population can help guide ways to reduce this burden.

Methods: A systematic review of the literature guided by the PRISMA method was conducted to identify factors of patient participation in transitional care. Quantitative studies in which patient participation was measured as an outcome variable and related statistics reported, and data …

A Quality Improvement Evaluation On A Nurse Residency Program, Mary Christine Richards

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this DNP project was to explore new graduate nurse (NGN) residency program retention data in a large healthcare system to assess if participant retention met or exceeded identified retention benchmarks. The second project question explored NGNs’ reasons for leaving the organization after the first year of experience. The Plan Do Study Act model framed this quality improvement evaluation project. The total number of NGN residency participants for the system in 2020 was 586 and 680 in 2021.Year one retention in 2020 was 539 (92%). Year one retention in 2021 was 625 (92%). Year two retention data were …

Attitudes And Perceptions Of Nursing Graduates Regarding Interest In Gerontological Nursing Practice, Sonia Millicent Donaldson

Walden Dissertations and Doctoral Studies

AbstractAn ongoing increase in the number of older adults means an increased need for specialized health care, creating, in turn, a need for an increase in nurses in the United States to meet the demand. However, there is a problem in that nursing graduates, from the time they are students, do not choose geriatric-gerontological nursing (GN) as is practiced in long-term care and some specialty areas or units. The purpose of this basic qualitative study was to explore nursing graduates’ perceptions of GN as a field for professional practice and to determine how interest in GN may be encouraged. The …

Ic025: Transcripts Of Video Presentations, University Of Texas Health Science Center At Houston. School Of Nursing

Cizik School of Nursing 50th Anniversary

Transcripts of edited video presentations, including "Pioneers of Nursing Education, Practice and Discovery", Marianne Marcus Remembers, Janet C. Meininger Oral History, Dr. Vaunette Fay retires after 4 years at Cizik School of Nursing at UTHealth Houston and Dean Emerita Patricia Starck, PhD, RN, FAAN Shares Her Leadership History and Achievements.

Ic025: Janet C. Meininger, Transcript, University Of Texas Health Science Center At Houston. School Of Nursing

Cizik School of Nursing 50th Anniversary

Transcipt of the oral history interview with Janet C. Meininger. See more at University of Texas School of Nursing records and its finding aid.

Ic025: Vaunette Fay, Transcript, University Of Texas Health Science Center At Houston. School Of Nursing

Cizik School of Nursing 50th Anniversary

Transcript of the oral history interview with Vaunette Fay. See more at University of Texas School of Nursing records and its finding aid.

Ic025: Patricia Starck, Transcript, University Of Texas Health Science Center At Houston. School Of Nursing

Cizik School of Nursing 50th Anniversary

Transcript of the oral history interview with Patrica Starck. See more at University of Texas School of Nursing records and its finding aid.

2022-2023 Nursing Graduate Msn-Fnp Handbook, Morehead State University. Nursing Department.

Nursing Department Publications Archive

2022-2023 Graduate Student Handbook for the Department of Nursing at Morehead State University.

Evaluating Providers’ Knowledge, Attitudes And Intentions Toward Assessing Pregnancy Desires In Women Of Childbearing Age, Sydney Hahn

DNP Projects

Abstract

Background: Unintended pregnancies account for over half of all pregnancies in the United States. Unintended pregnancies can lead to abortion, socioeconomic difficulties, medical complications, psychological issues, and political issues. Unintended pregnancies are potentially harmful to both the mother and the baby. Healthy People 2030 listed reducing the number of unintended pregnancies as one of their family planning objectives.

Purpose: The purpose of this DNP project was to evaluate providers’ knowledge, attitudes, and intentions toward assessing pregnancy desires in women of childbearing age. Methods: The study was a one-group pre/post intervention design. The data was gathered via a convivence sample …

Telehealth Simulation And Education Impact On Student Knowledge, Leah Schmitt

Schultz-Werth Award Papers

Background: One of the most recent improvements to the everchanging healthcare is telehealth. Telehealth is used by about 70% of healthcare providers across the United States. It is used to reach patient populations such as those in rural locations or with limited resources. Telehealth can improve patient outcomes and encourage quality patient care. However, many nursing schools include programs to educate students on the utilization of telehealth. Purpose: In undergraduate and graduate nursing school, do telehealth simulations and education improve student knowledge? Methods: A review of literature was completed using the databases: EBSCOhost, PubMed, and CINAHL. Key words searched included …

Clinical Nurse Specialist Job Description Assignment, Diane R. Maydick Youngberg

Open Educational Resources

The Clinical Nurse Specialist (CNS) is an advanced practice registered nurse with expertise in assessment, diagnosis, and treatment of specialty patient populations. In addition to direct care, the CNS role expands to other areas including research, education, quality improvement, and inter professional teamwork. Creating a detailed CNS Job description helps to clarify the role.

Increasing Nurses’ Knowledge Of Richmond-Agitation Sedation Score Assessment And Documentation Through Education, Kara Jeanne Beaulieu

Walden Dissertations and Doctoral Studies

Patients in the intensive care unit (ICU) are critically ill and faced with numerous physical and psychological stressors that often require a multidisciplinary approach to improve outcomes and relieve suffering. Patients are given sedation to tolerate invasive treatments and procedures. Using the Richmond-Agitation Sedation Score (RASS), nurses assess objective findings and the level of sedation a patient is experiencing, and titrate sedation according to an ordered RASS score. Ineffective and inaccurate use of the RASS score leads to patients being oversedated and demonstrates a lack of understanding of how to appropriately use the RASS score assessment tool. The purpose of …

Nursing Student Self-Efficacy In Clinical Skills, Levels Of Anxiety, And Utilization Of Alternative Education Experiences During The Covid-19 Pandemic, David Hart

Honors Theses and Capstones

Background: Higher education students, especially those studying nursing, faced many challenges during the COVID-19 pandemic. Many higher education institutions decided to transition their clinical experiences into a virtual, e-learning format (Chandratre, 2020). As an area of study with high levels of stress and anxiety to begin with, these emotions may have been exacerbated during the pandemic for those studying nursing. Sudden changes in clinical format caused increased anxiety levels in senior nursing students (García-Gonzalez et al., 2021). Graduating students are entering a workforce of healthcare workers who have battled the COVID-19 illness and exposed themselves and their families to this …