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Full-Text Articles in Medicine and Health Sciences
Improving Glycemic Control During The Covid-19 Pandemic: A Quality Improvement Project, Megan Henderson
Improving Glycemic Control During The Covid-19 Pandemic: A Quality Improvement Project, Megan Henderson
Doctors of Nursing Practice (DNP) Final Projects, 2020-current
Diabetes is a costly, chronic health condition. The COVID-19 pandemic has significantly impacted the delivery of health care and exacerbated chronic health conditions, such as diabetes. Diabetes is one of the most significant comorbid conditions associated with poor COVID-19 outcomes (Cariou et al., 2020). Control of blood glucose levels during the COVID-19 pandemic has proved challenging to maintain. The purpose of this quality improvement project is to identify gaps in diabetic self-care and then implement a diabetic toolkit to improve self-efficacy of diabetes self-management. According to the American Diabetes Association (2022), self-management of diabetes, education, and support from providers is …
Improving Access For Medicare Inpatient Psychiatric Patients: A Health Policy Analysis, Malinda B. Whitfield
Improving Access For Medicare Inpatient Psychiatric Patients: A Health Policy Analysis, Malinda B. Whitfield
Doctors of Nursing Practice (DNP) Final Projects, 2020-current
The Medicare Inpatient Psychiatric Services (IPS) policy, originally developed in the 1960s and without any significant or meaningful updates since the 1980’s, is physician specific, does not reflect the current model of care for psychiatric inpatients, and is restrictive for psychiatric mental health nurse practitioner (PMHNP) practice. The policy is complex, consists of outdated regulations, and results in millions of dollars in compliance costs for Inpatient Psychiatric Facilities (IPFs) annually (NABH, 2019). Although clearly an important part of the inpatient psychiatric services team, PMHNPs are not identified or defined in the policy (Center for Medicare and Medicaid Services [CMS], 2019). …
Examining Opioid Risk Mitigation Practices In A Rural Pain Management Clinic: A Quality Improvement Project, Stanley W. Hatcher
Examining Opioid Risk Mitigation Practices In A Rural Pain Management Clinic: A Quality Improvement Project, Stanley W. Hatcher
Doctors of Nursing Practice (DNP) Final Projects, 2020-current
Many Americans are dependent on or misuse prescription opioids. Increasing opioid misuse and opioid use disorder rates have led to record opioid-related deaths in recent years. Provider prescribing practices are one part of the problem. Evidence indicates that prescribers should assess for risks related to substance misuse and abuse in high-risk populations, such as patients on long-term opioid therapy. By evaluating risk level, the provider will have additional information to guide treatment decisions and a baseline for assessing future changes in risk status. Identifying high-risk patients is a first step in promoting quality care for this population. This project used …