Medicine and Health Sciences Commons^™

Innovating Cultural Competence Education For Nurses, Darian A. Frieson, Jennifer Patrick, Walker Ray Corless, Abigail Taylor Coulthard, Rebecca R. Fogerty

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Objective

To improve cultural competency levels of registered nurses on the Mother/Baby unit by educating nurses.

Background

Demographics are shifting in the U.S. with an increase in minority populations. Research has revealed insufficient education or a complete absence of education, resulting in nurses that are not equipped to adequately care for culturally diverse patients.

Methods

The Evidence-Based Practice Improvement (EBPI) Model guided the development and implementation of the project. A cultural competence education module was developed utilizing resources from the U.S. Department of Health and Human Services. Outcomes were measured using a pretest/posttest design tool, the Inventory for Assessing the …

Increasing Nurse Awareness Of A Breastfeeding And Substance Use Disorder Guideline To Improve Rates Of Breast Milk And Skin To Skin Usage: A Quality Improvement Initiative​, Makenna R. Black, Alexandria L. Tasket, Megan L. Young, Tracy L. Brewer

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Neonatal opioid withdrawal syndrome (NOWS) is related to opioid exposure in utero, and cases of NOWS have been increasing. In Tennessee in 2020, 824 newborns were born with NOWS. NOWS treatment involves pharmacological and nonpharmacological treatment. Breastfeeding, a nonpharmacological treatment, decreases the need and length for pharmacological treatment, the length of stay, and NOWS symptoms. Skin-to-skin may also reduce symptoms of NOWS. This quality improvement (QI) project involved implementing an Opioid Use Disorder Toolkit from the Tennessee Initiative for Perinatal Quality Care (TIPQC) and specifically educating staff nurses in a Women and Infant’s Department in a regional medical center on …

The Periviable Infant: The Implementation Of A Standardized Perinatal/Neonatal Outpatient Consultation Program, Janna Wright, Tracy L. Brewer

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Common ethical principles are the foundation for why we ask parents for informed consent before proceeding with their infant's care. Respecting parental decisions in periviable resuscitation can benefit from adopting a new practice. This evidence-based practice project detailed the identified needs-based practice change for a standardized perinatal/neonatal outpatient consult concerning the periviable infant. Initiating early consultation of high-risk deliveries provides an understanding of parental wishes and satisfaction in decision-making, care of their infant, and bereavement support through a shared decision-making model. The project aligns with value-based care delivery, designed to improve healthcare by focusing on outcomes. Larrabee's Evidence-Based Practice model …