Medicine and Health Sciences Commons^™

Improving Veteran Access To Heart Failure Specialty Care: A Change Model Project, Mark Bird Whelchel

Dissertations

Background: Many Veterans Health Administration (VHA) facilities have cardiac services, but not all VHA centers offer heart failure care. Viable alternative models exist to traditional outpatient treatment by physicians, such as Tele-medicine consultations, the use of nurse practitioner run clinics, and the use of models such as Specialty Care Access Network-Extension for Community (SCAN-ECHO) and site specific contracted physician services models. These have the potential to improve Veteran access to care. Objective: The purpose of this change project was to conduct a needs assessment survey, in joint effort with the Hershey Medical Center Heart and Vascular Institute, to identify barriers …

Screening Initiative For Non-Stroke Geriatric Inpatients, Kimberly Harper

Doctoral Projects

Current literature reveals a need for improved depression screening efforts among inpatient geriatrics. This population is at higher risk for severe depression, suicidal ideations, poorer health outcomes related to decreased compliance to healthcare regimens, and increased healthcare costs. Current best practice involves the utilization of the Geriatric Depression Scale-Short Form (GDS-SF), a 15-question yes or no answer screening tool. While not diagnostic, the tool has established validity and reliability testing. The GDS-SF should not be used on subsets of the population diagnosed with stroke, dementia or delirium.

The purpose of this project was to develop a protocol for implementation of …

An Investigation Of Nurse Education Service Models In Acute Care Metropolitan Hospitals Across Australia, Carolyn Keane

Theses

The provision of continuing professional development for nurses is necessary to support the delivery of safe patient care. Nurse education departments need to function as effectively and efficiently as possible, producing measurable outcomes to justify their cost in regard to the organisation’s financial bottom line. In reviewing the literature, three recognised models of nurse education services within hospitals were identified. These are described as centralised, decentralised and combination models. All of these models have advantages and disadvantages that can affect service delivery, quality of service and cost.

The purpose of this study was to investigate the different nurse education service …

Or Rn Onboarding. A Quality Improvement Project, Victoria Burkhart, Eroica Hunter

Interprofessional Research and Innovations Council

OR RN Onboarding. A Quality Improvement Project.

Victoria Burkhart, BSN, RN

Eroica Hunter, BSN, RN, CNOR

Background: National Data¹ shows that about 18% (1 in 5) new RNs leave their 1^st job within 1 year; 1 in 3 leave within 2 years. National Data² also shows that OR nursing turnover was in 2014 17.2% and in 2015 this had increased to 19.2%. At MMC OR turnover compares to national data, but has been slightly lower over the past years (e.g. 2014 - 10.9%; 2015 - 10.8% and 2016 - 9.5%). However, today in MMC OR, 28 …