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Articles 1201 - 1230 of 21426

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Delirium In The Acute Care Setting From The Families Perspective: A Scoping Review, Amber Mclean, Beverley Ewens, Amanda Towell-Barnard Jan 2026

Delirium In The Acute Care Setting From The Families Perspective: A Scoping Review, Amber Mclean, Beverley Ewens, Amanda Towell-Barnard

Research outputs 2022 to 2026

Aim: To explore the existing literature on delirium within the acute care setting from the family members' perspective and summarise key findings. Design: A scoping review guided by Arksey and O'Malley's methodological framework and refined by the Joanna Briggs Institute. Review Methods: The Population, Concept, and Context framework recommended by the Joanna Briggs Institute's scoping review protocol identified the main concepts in the primary review question. The inclusion criteria focused on primary research studies from any chronological date that explored the family members' experience of delirium within the acute care setting. Following screening by two independent reviewers, data extraction was …


Barriers To Adherence To Standard Precautions Among Community Health Workers: A Scoping Review, Margaret D. Adejumo, Melanie Baker, Davina Porock Jan 2026

Barriers To Adherence To Standard Precautions Among Community Health Workers: A Scoping Review, Margaret D. Adejumo, Melanie Baker, Davina Porock

Research outputs 2022 to 2026

Aim: This review aims to map available evidence on the adherence level and barriers to standard precautions among home-based community health workers. Methods: A scoping review using the JBI protocol searched multiple databases (Medline, CINAHL, PsycINFO and Web of Science) as well as Google Scholar for published articles on standard precaution practices of community health workers during home visits. Search terms included “standard precautions”, “guideline adherence”, “community health” and “home care”. Two-stage screening (title/abstract and full-text) was conducted to select relevant articles. Results: Eight eligible studies yielded three major themes: home environment context, individual factors and organisational factors. Findings indicated …


Establishing An Advanced Practice Provider-Led Transient Ischemic Attack Clinic: A Quality Improvement Initiative, Brittany A. Young Jan 2026

Establishing An Advanced Practice Provider-Led Transient Ischemic Attack Clinic: A Quality Improvement Initiative, Brittany A. Young

DNP Projects

Background: Due to lack of subspecialized neurological care in many rural community settings, care in tertiary hospitals is in demand. Insufficient care pathways can lead to lack of bed and provider availability. Advanced Practice Provider Transient Ischemic Attack clinics have been shown to be safe alternatives to hospital admission, for patients who meet criteria. This study targeted practice change at a 1000 bed tertiary academic hospital.

Methods: The quasi-experimental study sample inclusion criteria included Transient Ischemic Attack patients presenting to the emergency department with an ABCD2 < 4, complete symptom resolution, and no new cardiac changes on monitoring. A pre and post survey with educational PowerPoint intervention was provided to all emergency department and Neurology providers and nurses. A Transient Ischemic Attack clinic was established with a corresponding order set to be utilized for streamlined outpatient work up.

Results: During the pilot period, 29 admissions were deferred with 69% …


Stronger Together: Exploring The Impact Of Peer Support Meetings On Stress And Burnout In Ambulatory Nurse Managers, Sara Wellman Jan 2026

Stronger Together: Exploring The Impact Of Peer Support Meetings On Stress And Burnout In Ambulatory Nurse Managers, Sara Wellman

DNP Projects

Background

Nurse manager (NM) burnout is common and leads to decreased staff productivity, departmental effectiveness, and leadership capacity. This results in decreased staff morale, poor conflict management, and ineffective communication. Stress reduction and resilience programs have been shown to reduce burnout and enhance resilience in NMs, but more focus needs to be directed toward NMs who work in ambulatory settings.

Purpose

The aim of this project was to evaluate the effectiveness of a peer-to-peer resilience intervention in reducing stress and burnout among ambulatory nurse managers.

Methods

This project used a pre-test/post-test survey design and a convenience sample of ambulatory NMs. …


Implementing An Electronic Referral System In A Community Mental Health Clinic To Streamline Patient Care: An Evidence-Based Quality Improvement Project, Judith Ngante Jan 2026

Implementing An Electronic Referral System In A Community Mental Health Clinic To Streamline Patient Care: An Evidence-Based Quality Improvement Project, Judith Ngante

Master's Theses or Doctor of Nursing Practice

Inefficient referral processes in community mental health clinics contribute to delayed access to care, fragmented communication, and increased administrative burden. Traditional referral methods, including phone, fax, and paper-based systems, often result in prolonged wait times and documentation errors, negatively impacting patient outcomes. Evidence supports electronic referral (e-referral) systems as effective tools for improving care coordination, reducing delays, and enhancing provider satisfaction. This Doctor of Nursing Practice (DNP) quality improvement project aimed to implement an e-referral system in a community mental health clinic in metropolitan Texas to streamline patient care and reduce referral wait times by at least 30% over a …


Patient Safety: Paramedic To Nurse Patient Handover Quality And Its Influence On Clinical Deterioration In The Emergency Department, Madison P. Penick Jan 2026

Patient Safety: Paramedic To Nurse Patient Handover Quality And Its Influence On Clinical Deterioration In The Emergency Department, Madison P. Penick

Nursing | Senior Theses

Background: Quality patient handoff from Emergency Medical Services to the Emergency Department is a crucial transition of care that directly impacts patient safety, medical intervention, and patient outcomes. If concise, effective communication is not achieved, critical details can be left out resulting in medical errors, delayed intervention times, and lack of identification of clinical deterioration.

Aim: This study aims to understand how paramedic to nurse handoff quality impacts a nurse’s early identification of clinical deterioration.

Proposal:

Methodology: A quasi-experimental study of mixed-method research.

Recruitment strategy: A fire department in Marin County, CA and ED nurses from the base trauma center …


Increasing Colorectal Cancer Screening Rates At A Federally Qualified Health Center: A Quality Improvement Project, Kaeli H. Mcphee Jan 2026

Increasing Colorectal Cancer Screening Rates At A Federally Qualified Health Center: A Quality Improvement Project, Kaeli H. Mcphee

DNP Scholarly Projects

Abstract 

Background: Colorectal cancer (CRC) is on the rise and is currently the second leading cause of cancer-related death in the United States (Wender, 2022). CRC screening rates are below national goals, particularly among underserved populations. At Lowell Community Health Center (LCHC), only 41.9% of eligible adults were up to date with CRC screening as of 2024.

Purpose: This quality improvement project aimed to increase CRC screening rates among average-risk adults aged 45 to 75 by implementing a multifaceted, low-burden intervention targeting both provider and patient behaviors.

Methods: Guided by the Plan-Do-Study-Act (PDSA) framework, the intervention included: (1) provider and …


Development Of An Educational Toolkit For Clinical Staff At Little Rivers Health Care To Guide Shared Decision Making For The Expanded Age Range Of The Hpv Vaccine, Maureen B. Boardman Jan 2026

Development Of An Educational Toolkit For Clinical Staff At Little Rivers Health Care To Guide Shared Decision Making For The Expanded Age Range Of The Hpv Vaccine, Maureen B. Boardman

DNP Scholarly Projects

BACKGROUND: The Human Papillomavirus (HPV) is the most common sexually transmitted infection (STI) in the United States (CDC, 2024). Unlike other common STI's, persistent infection with HPV increases the risk of cancer. A Human Papillomavirus (HPV) vaccination was approved in the United States in 2006 for girls and women aged 9 to 26 and in 2009 it was approved for boys and men in this same age range. Despite 20 years of data on the efficacy and safety of the HPV vaccine, rates of completed HPV vaccine series remain low. In 2019 the Advisory Committee on Immunization Practices (ACIP) expanded …


Nurse Leader Burnout: Exploring Ways To Improve Wellness And Resilience, Kimberly Leger Kenney Jan 2026

Nurse Leader Burnout: Exploring Ways To Improve Wellness And Resilience, Kimberly Leger Kenney

DNP Scholarly Projects

BACKGROUND: Burnout among nurse leaders is a growing concern, driven by increasing workload, operational demands, and challenges with work-life balance. Addressing burnout is critical to maintaining stability within the leadership team and to delivering high-quality patient care.

LOCAL PROBLEM: Prior to the development of the QI proposal, engagement survey results showed scores 0.11 points below the benchmark in leadership responsiveness, and more than 50 nurse leader positions have turned over in the past 5 years. The specific aims of this project include: 1. 75% of nurse leaders report that they would implement an activity from the toolkit. 2. Fewer than …


Pocus Implementation Via Multiprofessional Training Workshop With Mixed Didactic And Simulation Guided Intravenous Access In The Nicu For Quality Improvement, Kristen Carrierfenster, Eileen Hollis, Rehman Chowdhry Jan 2026

Pocus Implementation Via Multiprofessional Training Workshop With Mixed Didactic And Simulation Guided Intravenous Access In The Nicu For Quality Improvement, Kristen Carrierfenster, Eileen Hollis, Rehman Chowdhry

DNP Scholarly Projects

Background. Rapid evolving technology and the use of Point-of-Care (POCUS) for Intravenous (IV) access requires a foundational understanding of ultrasound imaging, gadgetry, along with a basic understanding of anatomy and physiology. Initially, there is a steep learning curve; this is reduced with standardized training and techniques that will improve overall procedural performance. Designing educational frameworks is necessary as technology innovation expands to improve the way we prevent, screen, diagnosis, and treat patients.

Problem Statement. The national standard of care and best practice in pediatrics allows two attempts per provider for IV access. Unsuccessful IV attempts lead to patient discomfort and …


Utilizing A Mobile App To Enhance Patient Engagement & Self-Efficacy Of Adults With Type 2 Diabetes In Primary Care: A Quality Improvement Project, Melissa Ann Donais Jan 2026

Utilizing A Mobile App To Enhance Patient Engagement & Self-Efficacy Of Adults With Type 2 Diabetes In Primary Care: A Quality Improvement Project, Melissa Ann Donais

DNP Scholarly Projects

Abstract

Background: Diabetes is a common condition encountered in primary care and requires significant attention to lifestyle factors to be properly managed. The primary care provider may lack the time needed to assist the patient with self-management strategies to improve glycemic control. Mobile applications may be a tool that the primary care provider can use to help improve diabetes self-efficacy and patient engagement.

Theoretical Framework: The Mountain Model guided this quality improvement (QI) project by providing a framework to translate research into clinical practice. The Mountain Model bridged the gap between research and the standard of care in this practice. …


Erythropoiesis-Stimulating Agent (Esa) Therapy In Dialysis Patients With Cancer: Yes Or No?, Jesette Baliad, Ferlie Joy Dela Cruz, Essie Galvan, Ma.Dulce Palting Jan 2026

Erythropoiesis-Stimulating Agent (Esa) Therapy In Dialysis Patients With Cancer: Yes Or No?, Jesette Baliad, Ferlie Joy Dela Cruz, Essie Galvan, Ma.Dulce Palting

Covenant Nurses Week 2026

No abstract provided.


Innovative Strategies For Incorporating Clinical Experiences Into An Rn To Bsn Program, Angie Hensley, Jessica Rice, Brooke Kuns-Adkins Jan 2026

Innovative Strategies For Incorporating Clinical Experiences Into An Rn To Bsn Program, Angie Hensley, Jessica Rice, Brooke Kuns-Adkins

Nursing Faculty Publications

Curricula for Registered Nurse to Baccalaureate (RN to BSN) programs need to enhance nurse’s scope of practice, critical reasoning, and analytical skills. The purpose of this paper is to demonstrate how one RN to BSN program innovatively integrated clinical experiences into the curriculum.  Students enrolled in the RN to BSN program were required to complete 40 hours of an on-site practice experience that integrated classroom learning with direct clinical experiences incorporated into the Capstone course.


Adult Tobacco Product Use Patterns Across The Urban–Rural Continuum: The Longitudinal Population Assessment Of Tobacco And Health (Path) Study, 2016–2023, Jing Zhang, Shyanika W. Rose, Ellen J. Hahn, Megan E. Roberts, Bethany Shorey Fennell, Jenny E. Ozga, Seth Himelhoch, Saber Feizy, W. Jay Christian, Amanda Thaxton Wiggins, Melissa Abadi, Delvon T. Mattingly, Mary Kay Rayens Jan 2026

Adult Tobacco Product Use Patterns Across The Urban–Rural Continuum: The Longitudinal Population Assessment Of Tobacco And Health (Path) Study, 2016–2023, Jing Zhang, Shyanika W. Rose, Ellen J. Hahn, Megan E. Roberts, Bethany Shorey Fennell, Jenny E. Ozga, Seth Himelhoch, Saber Feizy, W. Jay Christian, Amanda Thaxton Wiggins, Melissa Abadi, Delvon T. Mattingly, Mary Kay Rayens

Nursing Faculty Publications

Purpose: To determine the association between adult tobacco/nicotine product use over time and residence location (urban, suburban, town, rural), controlling for demographics.

Methods: Data from Waves 4–7 (2016–2023) of the Population Assessment of Tobacco and Health (PATH) study (N = 18,590 adults) were analyzed using survey-weighted logistic regression to evaluate location and time differences in likelihoods of current, daily, and established use of combustible tobacco, electronic nicotine delivery systems (ENDS), smokeless products, and poly use (≥2 products).

Findings: Compared to those residing in urban locations, suburban residents were less likely to report current (adjusted odds ratio (aOR) …


Guideline For A Burnout Bundle For Nurses In Psychiatric Mental Health Units, Festus Irabor Jan 2026

Guideline For A Burnout Bundle For Nurses In Psychiatric Mental Health Units, Festus Irabor

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Abstract

Problem: Burnout among nurses, especially in psychiatric mental health units, significantly impacts both their well-being and the quality of patient care. Despite its severity, with approximately 30% of nurses worldwide affected and contributing to a 31.5% nurse turnover rate (Ge et al., 2023), there are limited formal guidelines specifically targeting nurse burnout prevention in the mental health setting. The issue is particularly acute in the United States, where 91.1% of psychiatric nurses report experiencing burnout, compared to 79.9% of other healthcare professionals (Anger et al., 2024). In the local unit 38.05% have experienced burnout.

Purpose: The PICOTS for this …


Iron Deficiency And Iron Deficiency Anemia: Inconsistent Screening Practices And Delayed Result Processing In Children 12-18 Months, Madonna J. Mahoney Marshall Jan 2026

Iron Deficiency And Iron Deficiency Anemia: Inconsistent Screening Practices And Delayed Result Processing In Children 12-18 Months, Madonna J. Mahoney Marshall

Doctor of Nursing Practice (DNP) Scholarly Projects - Archive

Introduction:

Iron deficiency and iron deficiency anemia in children aged 12 to 18 months are prevalent conditions that, if not identified and treated early, are associated with adverse neurodevelopmental outcomes.

Purpose:

This quality improvement project evaluated the impact of a standardized screening and follow-up protocol on laboratory result retrieval, provider review, and caregiver follow-through in a military pediatric clinic.

Method:

A pre-post intervention design guided by the Plan-Do-Study-Act framework was implemented over 11 weeks and included staff education, standardized workflows, and caregiver outreach.

Results:

The intervention improved laboratory completion and caregiver follow-up rates; however, sustainability was limited by staffing constraints …


One-Stop-Shop (Oss): Community Health Nursing: (For Undergraduate Nurses), Sarmad Muhammad Soomar Jan 2026

One-Stop-Shop (Oss): Community Health Nursing: (For Undergraduate Nurses), Sarmad Muhammad Soomar

Books

No abstract provided.


ผลของโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงต่อความพึงพอใจของผู้ดูแล หอผู้ป่วยเด็ก โรงพยาบาลศิครินทร์ กรุงเทพมหานคร, ธัญญพัทธ์ นิธิชัยพัฒนากิจ, วณัฐธมนต์ เจริญสิงห์, นันทนา ยะแสง, กัญญดา ประจุศิลป, นรลักขณ์ เอื้อกิจ Jan 2026

ผลของโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงต่อความพึงพอใจของผู้ดูแล หอผู้ป่วยเด็ก โรงพยาบาลศิครินทร์ กรุงเทพมหานคร, ธัญญพัทธ์ นิธิชัยพัฒนากิจ, วณัฐธมนต์ เจริญสิงห์, นันทนา ยะแสง, กัญญดา ประจุศิลป, นรลักขณ์ เอื้อกิจ

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์ : เพื่อศึกษาผลของโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงต่อความพึงพอใจของผู้ดูแล หอผู้ป่วยเด็ก โรงพยาบาลศิครินทร์ กรุงเทพมหานคร

แบบแผนงานวิจัย : การวิจัยแบบกึ่งทดลอง แบบศึกษาสองกลุ่มวัดครั้งเดียว

วิธีดำเนินการวิจัย : กลุ่มตัวอย่างเป็นผู้ดูแลอายุ 20 ปีขึ้นไป ที่รับผิดชอบดูแลผู้ป่วยเด็กที่มีอาการสำคัญในการมาโรงพยาบาลด้วยมีไข้สูง อุณหภูมิกายมากกว่า 38.5 องศาเซลเซียส ซึ่งเป็นอุณหภูมิแรกรับที่รับผู้ป่วยเข้ารับการรักษาตัวในหอผู้ป่วยเด็ก แบ่งเป็นกลุ่มทดลอง และกลุ่มควบคุม กลุ่มละ 24 คน กลุ่มทดลองได้รับโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงตามแนวคิดการมีส่วนร่วมของผู้ดูแลร่วมกับการทบทวนวรรณกรรม กลุ่มควบคุมได้รับการพยาบาลตามปกติ เครื่องมือที่ใช้ในการวิจัย ได้แก่ แบบสอบถามข้อมูลทั่วไปของผู้ดูแลและของเด็กที่มีไข้สูง แบบสอบถามความพึงพอใจของผู้ดูแลต่อการพยาบาลเด็กที่มีไข้สูง โดยผ่านการตรวจสอบความตรงเชิงเนื้อหาจากผู้ทรงคุณวุฒิ 3 คน มีค่าดัชนีความตรงตามเนื้อหาเท่ากับ 1 วิเคราะห์ข้อมูลโดยใช้สถิติเชิงพรรณนา และสถิติทดสอบที

ผลการวิจัย : ค่าเฉลี่ยความพึงพอใจของผู้ดูแลระหว่างกลุ่มที่ได้รับโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูง สูงกว่ากลุ่มที่ได้รับการพยาบาลตามปกติอย่างมีนัยสำคัญทางสถิติที่ระดับ 0.05 (t = 5.182)

สรุป : โปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูง ส่งผลให้ผู้ดูแลเด็กที่มีไข้สูงเกิดความพึงพอใจสูงขึ้น ผู้บริหารการพยาบาล ควรนำโปรแกรมการมีส่วนร่วมในการดูแลเด็กที่มีไข้สูงนี้ไปอบรมพยาบาลเด็ก เพื่อนำไปสอนญาติหรือผู้ดูแลเด็กที่มีไข้สูงได้อย่างมีประสิทธิภาพ


ผลของโปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผนต่อความสะอาดของลำไส้ใหญ่และความพึงพอใจการบริการพยาบาลของผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรก, วัชรพันธ์ สุขอุบล, รุ่งรัตติกาล รุ่งเรือง, กัญญดา ประจุศิลป, ศกุนตลา อนุเรือง Jan 2026

ผลของโปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผนต่อความสะอาดของลำไส้ใหญ่และความพึงพอใจการบริการพยาบาลของผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรก, วัชรพันธ์ สุขอุบล, รุ่งรัตติกาล รุ่งเรือง, กัญญดา ประจุศิลป, ศกุนตลา อนุเรือง

Journal of Nursing Research, Innovation, and Health

วัตถุประสงค์: เพื่อเปรียบเทียบความสะอาดของลำไส้ใหญ่ และความพึงพอใจการบริการพยาบาล ผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรกก่อน-หลังเข้าร่วมโปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผน

รูปแบบการวิจัย: การวิจัยแบบกึ่งทดลอง (Quasi-experimental research design) แบบ 2 กลุ่ม

วิธีการดำเนินการวิจัย: การวิจัยนี้เก็บข้อมูลในระหว่างวันที่ 1 กุมภาพันธ์ ถึง 30 เมษายน 2567  ในผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรก ณ หอผู้ป่วยนอก แผนกโรคทางเดินอาหารและตับ โรงพยาบาลเอกชน ที่อายุตั้งแต่ 20 ปีขึ้นไป ทั้งเพศชายและเพศหญิง จำนวน 50 คน แบ่งเป็นกลุ่มทดลองและกลุ่มควบคุม กลุ่มละ 25 คน โดยจับคู่กลุ่มตัวอย่างให้มีคุณสมบัติใกล้เคียงกันด้วย อายุและโรค กลุ่มทดลองได้รับโปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผน ส่วนกลุ่มควบคุมได้รับการพยาบาลตามปกติ เครื่องมือที่ใช้ในการเก็บรวบรวมข้อมูล 3 ชุด ได้แก่ 1) ข้อมูลทั่วไปส่วนบุคคล 2) แบบประเมินสะอาดของลำไส้ 3) แบบประเมินความพึงพอใจบริการพยาบาลของผู้ป่วยนอก สัมประสิทธิ์แอลฟาของครอนบาคได้ 0.8 วิเคราะห์ข้อมูลด้วยสถิติเชิงพรรณนา และ Mann Whitney U test โดยกำหนดระดับนัยสำคัญทางสถิติที่ .05

ผลการวิจัย: หลังสิ้นสุดโปรแกรม กลุ่มทดลองมีความสะอาดของลำไส้ใหญ่ดีกว่ากลุ่มควบคุมอย่างมีนัยสำคัญทางสถิติที่ระดับ .05 และค่าเฉลี่ยคะแนนความพึงพอใจการบริการพยาบาลดีกว่ากลุ่มควบคุมอย่างมีนัยสำคัญทางสถิติที่ระดับ .05

สรุป: โปรแกรมส่งเสริมการจัดการตนเองโดยการให้ข้อมูลอย่างมีแบบแผน ตามแนวคิดทฤษฎีการจัดการตนเอง Creer (2000) ทำให้ผู้ที่เตรียมตัวก่อนส่องกล้องลำไส้ใหญ่ครั้งแรกมีความรู้ และสามารถในการจัดการตนเองได้  เพื่อความสะอาดของลำไส้ใหญ่และความพึงพอใจการบริการพยาบาลได้


A Quality Improvement Initiative To Decrease The Length Of Stay In The Post-Anesthesia Care Unit For Children Undergoing Iv Anesthetic Inductions For Gastrointestinal Procedures, Kaylee Bahret Bangs Jan 2026

A Quality Improvement Initiative To Decrease The Length Of Stay In The Post-Anesthesia Care Unit For Children Undergoing Iv Anesthetic Inductions For Gastrointestinal Procedures, Kaylee Bahret Bangs

Graduate Theses, Dissertations, and Problem Reports (ETD)

Background: Pediatric patients at WVU Medicine Children’s (WVU-CH) are emerging slowly from anesthetics during diagnostic gastrointestinal procedures which delays discharge from the post-anesthesia care unit. The cumulative effect is an increased length of hospital stay and the associated increases in costs. This project explores a novel method to reduce the amount of medication pediatric patients receive by using virtual reality goggles as a nonpharmacologic intervention to reduce preprocedural anxiety.

Purpose: This quality improvement project seeks to reduce time spent in PACU for children undergoing IV induction GI procedures by using preoperative virtual reality (VR) headsets during IV placement …


An Evidence-Based Practice Initiative To Expedite Pediatric Recovery And Discharge Following Myringotomy Tube Placement, Nicole Marie Rillera Jan 2026

An Evidence-Based Practice Initiative To Expedite Pediatric Recovery And Discharge Following Myringotomy Tube Placement, Nicole Marie Rillera

Graduate Theses, Dissertations, and Problem Reports (ETD)

Introduction: The use of multiple sedatives, anxiolytics, and analgesics to prevent emergence agitation (EA)in pediatric patients undergoing myringotomy (MT) placement at West Virginia University Medicine Children's is leading to prolonged lengths of stay in the post-anesthesia care unit (PACU). These extended stays are causing delays in subsequent procedures and raising concerns for staff, patients, and their families.

Evidence Review: The combination of intranasal dexmedetomidine given preoperatively and intramuscular ketorolac given intraoperatively for pediatric patients reduces the incidence of EA more effectively than oral midazolam and acetaminophen.

Purpose: This evidence-based practice project aims to establish a standardized, evidence-based anesthesia plan to …


Improving Access To Care And Utilization Of Telehealth In Pediatric Inflammatory Bowel Disease Patients Through Scheduling Interventions: A Quality Improvement Project, Sarah R. Bergstrom Jan 2026

Improving Access To Care And Utilization Of Telehealth In Pediatric Inflammatory Bowel Disease Patients Through Scheduling Interventions: A Quality Improvement Project, Sarah R. Bergstrom

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Improving Access to Care and Utilization of Telehealth in Pediatric Inflammatory Bowel Disease Patients Through Scheduling Interventions: A Quality Improvement Project

Sarah Bergstrom

Introduction/Background. Inflammatory bowel disease (IBD) tends to affect pediatric patients with a more severe, aggressive phenotype as compared to adults. Following closely with a pediatric gastroenterologist (GI) is best practice to manage pediatric IBD. However, pediatric subspecialty clinics are generally located within academic institutions in urban areas. Patients in rural areas often have limited access to pediatric GI care, and poor access to care is associated with increased risk of poor disease control. Telehealth subspecialty …


Increasing Documentation Of Endotracheal Tube Cuff Pressures: A Quality Improvement Initiative For Flight Crew Providers, Matthew D. Noss Jan 2026

Increasing Documentation Of Endotracheal Tube Cuff Pressures: A Quality Improvement Initiative For Flight Crew Providers, Matthew D. Noss

Graduate Theses, Dissertations, and Problem Reports (ETD)

ABSTRACT

Background: There was a lack of documentation of endotracheal tube (ETT) cuff pressures (CPs) by flight crew providers at Base 1 of HealthNet Aeromedical Services. A three-month pre-intervention data collection showed 1.8% of patients had initial CPs documented. Inadequate documentation and monitoring of ETT CPs can lead to patient complications such as tracheal injury and aspiration making this an important area for quality improvement.

Purpose: To increase documentation of ETT CPs through education and evidence-based interventions.

Intervention: This project implemented an educational in-service on ETT cuff syringe manometry for flight crew providers. The educational intervention consisted of …


Increasing Awareness Of Obesity And Its Associated Risks In Adults, Esther E. Bayode Jan 2026

Increasing Awareness Of Obesity And Its Associated Risks In Adults, Esther E. Bayode

Doctor of Nursing Practice Projects

Obesity is a significant and growing public health concern in a metropolitan area of North Carolina, reflecting statewide and national trends. With 36% of adults in North Carolina classified as obese, the condition contributes to chronic diseases such as hypertension, diabetes, heart disease, and certain cancers. This project targeted adults aged 18 and older within a local faith-based community, where preliminary findings showed a strong association between elevated body mass and increased chronic disease burden. To address this issue, a two-session educational intervention was implemented in partnership with a religious organization to increase knowledge about obesity, its causes, associated risks, …


Beat By Beat: Empowering Communities With Lifesaving Cpr Skills, Allyssa Mb Hutchins Jan 2026

Beat By Beat: Empowering Communities With Lifesaving Cpr Skills, Allyssa Mb Hutchins

Doctor of Nursing Practice Projects

Introduction: This doctoral project was created to increase bystanders' willingness and ability to perform CPR by building their confidence in performing it effectively. A total of 13 participants participated in this project to increase knowledge and confidence in CPR interventions.

Background: Cardiac arrests remain a leading cause of death, yet research indicates that rural communities have lower rates of bystanders trained and willing to assist. Increasing CPR awareness and eliminating barriers to care for classes can improve CPR confidence and have a positive community impact.

Methods: Three 4-hour CPR classes were held in Zirconia, NC, at no …


Spreading Awareness To College Athletes About Skin Cancer And Improving Sun Protection Habits, Baylee B. Whiteside Jan 2026

Spreading Awareness To College Athletes About Skin Cancer And Improving Sun Protection Habits, Baylee B. Whiteside

Doctor of Nursing Practice Projects

Introduction: The intention of this Doctor of Nursing Practice evidence-based project was to provide education on improving awareness of skin cancer to potentially improve sun protection habits. A total of 100 college athletes participated in this project. The goal was to increase educational knowledge and practice intentional sun protection habits.

Background: One in 5 people will develop a type of skin cancer by age 70 (Skin Cancer Foundation, 2024). Several studies have proven that young adults, ages 15-25, are at an increased risk of sun exposure due to decreased knowledge about skin cancer. Teaching and improving the knowledge in this …


Safe And Effective Injection Practices For Insulin And Glp-1 Users, Lydia A. Anderson Jan 2026

Safe And Effective Injection Practices For Insulin And Glp-1 Users, Lydia A. Anderson

Doctor of Nursing Practice Projects

Improper insulin and GLP-1 injection techniques can reduce treatment effectiveness in patients diagnosed with diabetes mellitus. This quality improvement project aimed to improve patients' knowledge and safety regarding insulin and GLP-1 medications by conducting an educational session and demonstration of proper injection techniques. The project took place at a community senior center where individuals reported not receiving instruction or education on correct injection practices when prescribed these medications. Pre- and post-intervention surveys assessed changes in patient knowledge, confidence, and understanding of proper injection methods. Results demonstrated clear improvements in patient knowledge, confidence, and technique. This project highlights the significance of …


Enhancing Uncontrolled Hypertension Compliance And Self-Management In A Senior Center, Kimberly D. Strickland Jan 2026

Enhancing Uncontrolled Hypertension Compliance And Self-Management In A Senior Center, Kimberly D. Strickland

Doctor of Nursing Practice Projects

Hypertension is a complicated, chronic condition that affects individuals worldwide. The prevalence of this condition has increased nearly 48% in the last decade in America. This project served to determine if participants in a targeted area/community would show increased knowledge and awareness of hypertension after implementation of educational sessions. A post-session survey was provided to determine if the educational sessions were effective. Data was collected and analyzed that showed an increase in awareness and knowledge regarding the prevalence of hypertension, diet modification, lifestyle, and compliance.


Increasing Teens' Knowledge On The Health-Related Effects Of Vaping, Anteja Gore Jan 2026

Increasing Teens' Knowledge On The Health-Related Effects Of Vaping, Anteja Gore

Doctor of Nursing Practice Projects

Vaping in teens has become an increasing public health issue related to the growth in the number of teens who are using vapes. Many teens are not aware of the potential associated risk of using vapes, as they perceive them to be a safer alternative to smoking cigarettes. The purpose of this project was to increase the middle school teens’ knowledge of the potential health risks associated with vaping through an educational awareness session. This project was implemented in the middle school setting, targeting students aged 12-14 years. The students who participated completed anonymous pre- and post- questionnaires that evaluated …


Opioid Abuse: Community Education, Meggan N. Wolff-Jackson Jan 2026

Opioid Abuse: Community Education, Meggan N. Wolff-Jackson

Doctor of Nursing Practice Projects

The opioid epidemic in the United States has persisted for over two decades and has become one of the leading causes of accidental deaths nationwide (Robert et al., 2022). The opioid crisis represents a widespread public health emergency that extends beyond individual and community boundaries, imposing burdens on both the national economy and the healthcare system (Kyei et al., 2024). Although the opioid epidemic is a global concern, it is particularly concerning in the target community located in the western part of North Carolina. This region has some of the highest rates of opioid overdoses within the state, with 118 …