Medicine and Health Sciences Commons^™

Core Measures, Nikki Laudenbach, Kristi Patterson, Carol Upcraft

Nursing Posters

Core Measures are hospital quality measures that are monitored and reported to the Joint Commission and the Centers for Medicare & Medicaid Services (CMS). They are evidence-based practices, scientifically researched standards of care which result in improved clinical outcomes for patients, and impact Value Based Purchasing reimbursement. They assist us to provide optimal care across all patient populations, help us identify areas where we can improve patient outcomes, and provide a focus for the development of clinical pathways and standard order sets.

Important Message From Medicare: A New Delivery Process, Norene Chavez

Nursing Posters

To evaluate and change the current delivery guidelines of the IMM, and to communicate those changes to all involved staff through a live education session.

Capnography Monitoring: A New Tool For Sch, Brenda Swendra-Henry, Peggy Lange

Nursing Posters

To incorporate capnography into the care of patients receiving or recovering from continuous opioid infusions or sedation or at the discretion of RN or RT for patients with respiratory compromise.

Development And Implementation Of A Pediatric Palliative Care Program, Terri Mccaffrey, Diane Pelant, Jean Beckel

Nursing Posters

To define, develop, and implement a pediatric palliative care program.

Hardwiring Excellence: Applying Healthy Work Environment Principles To The Pediatric/Nicu Department, Diane Pelant

Nursing Posters

The goals of HWE is to improve trust, communication, employee engagement, patient satisfaction, patient safety, and patient clinical outcomes through skilled communication, true collaboration, effective decision making, appropriate staffing, meaningful recognition, and authentic leadership.

Demonstrating Nurse-Sensitive Outcomes: Do Barrier Perceptions Differ By Role?, Jean Beckel

Nursing Posters

This study provides some of the first evidence to demonstrate the existence of barriers and differences in barrier perception related to role.

Blood Transfusion In Elective Total Hip And Total Knee Arthroplasty Patients, Naomi Schneider, Gina Anderson-Malum

Nursing Posters

To standardize the use of blood transfusion in total hip arthroplasty (THA) and total knee arthroplasty (TKA) patients.

Improving The Preparedness Of Discharge Education For Patients On The Bone And Joint Center, Angela Moscho

Nursing Posters

To improve discharge education in order to increase the percent of overall discharge and patient satisfaction in relation to being discharged.

Sitter Observation, Lisa Kilgard, Elizabeth Schuler

Nursing Posters

To implement a practice change at St. Cloud Hospital which reduces one to one observation in medical and behavioral patients as compared to current routine practice of one to one sitter use as a common intervention used.

Methadone Use In Palliative Care Patients, Kim Ruprecht

Nursing Posters

Methadone is increasingly being used for palliative cancer patients for pain management. Physicians are "rotating" opioids to help reduce opioid side effects, and help increase pain response due to tolerance of another opioid. Methadone has been compared to other opioids in studies in which it has been rotated with another opioid. The studies compared the adverse effects, cost, and the rate of success to achieve adequate pain management.

Rehabilitation Fall Prevention Strategies, May Schomer, Kathy Toulouse

Nursing Posters

To improve communication and education among health care workers on fall prevention measures in order to decrease fall rates and increase patient satisfaction.

Northern Stars Of Education: Enhancing Nursing Practice Through Collaboration, Jenelle Brekken, Kristin Brandt, Tammy Filippi, Mary Leyk

Nursing Posters

To utilize collaboration to increase communication, innovation, and support.

Revising A Patient Medication Program To Improve Medication Adherence And Patient Outcomes, Rebecca Kastanek, Sandi Mulliner, Ann Summar

Nursing Posters

To improve education and understanding of medications in order to improve overall quality of care, to ensure our patients stay healthy and retain the gains they made during their rehabilitation stay, and to decrease readmission rates.

Nicu Ebp Project: Transitioning Caregivers To A Private Room Nicu, Kristin Gjerset

Nursing Posters

To identify challenges, address concerns, and educate staff in order to make the transition to the utilization of private rooms in the NICU a smooth one.

It's Just An Insulin Pump! The Top 10 Questions Asked By Staff Nurses, Sue Kruse, Chelsea Kilanowski

Nursing Posters

To educate staff nurses on the use of insulin pumps.

Nursing Bed Side Report: Changing Our Relationship With Our Patients, Naomi Schneider, Mary Leyk

Nursing Posters

To improve bed side shift reporting in order to standardize practices, to increase efficiency, to decrease RN late clock outs, and to increase patient satisfaction.

Nursing Annual Report 2011-2012, Children's Mercy Hospital

Nursing Annual Reports

Annual report for nursing services at Children's Mercy Kansas City.

Millennial Students' Preferred Learning Style : Evaluation Of Collaborative Learning Versus Traditional Lecture Methods, Michelle Roa

Student Theses, Dissertations and Capstones

Nurse educators are challenged with a new generation of students referred to as the Millennial generation. These millennial students, who have different learning style preferences, are testing the traditional pedagogical methods of nurse educators such as lecture. The social nature of millennial students coincides with the social constructivism theory that students learn in groups. The purpose of this quasi-experimental study was to examine if there was an improved retention of knowledge in millennial students who were taught by collaborative learning strategies rather than the traditional lecture method in an associate degree nursing program. Additionally, the study examined if learning by …

Final Report: Randomized Comparison Of Two Internet-Supported Methods Of Natural Family Planning, Richard J. Fehring, Mary Schneider

Randomized Comparison of Two Internet-Supported Methods of Natural Family Planning

Studies consistently show that women want safe, effective, easy to use, and convenient methods of family planning (Arévalo,1997; Severy 2001). Although Natural Family Planning (NFP) methods are free of side effects, they are often ineffective and complex to learn and use (Grimes et al. 2005). Efforts have occurred over the past 10 years to simplify the teaching and use of NFP methods and increase their efficacy. These efforts include the development of low tech calendar-based methods (Arévalo et al. 2004), simplifying instructions (Frank-Herrmann et al. 2005), and developing accurate biological markers of fertility (Guida et al. 1999).

A new high-tech …

Optimizing Safe, Comfortable Icu Care Through Multi-Professional Quality Improvement: Just Do It, Alison J. Montpetit, Curtis N. Sessler

School of Nursing Publications

Translating research to the bedside can present significant challenges in the complex ICU environment. In this issue of Critical Care, de Jong and colleagues report on a quality improvement project (NURSE-DO) that led to a decrease in severe pain and serious adverse events during nursing care procedures in their ICU. In this commentary we describe three aspects of this quality improvement study that we think contributed to the overall success of the NURSE-DO project: the hospital environment and culture; multi-professional partnerships; and an evidence-based structured approach.

Epigenetics In Research And Practice, Debra E. Lyon, Susan G. Dorsey, Leorey Saligan

School of Nursing Publications

This special issue focused on the intersection of epigenetics with nursing research and practice. The first paper in this series addresses the role of epigenetic modifications in pain and analgesia response, highlighting the need for future research on epigenomic modification in the development of chronic pain, and summarizes the therapeutic potential to alter epigenetic processes to improve health outcomes. The second studies the epigenetic alterations and an increased frequency of micronuclei in women with fibromyalgia, highlighting a difference in an epigenetic biomarker in participants versus controls. The third paper explored the role of epigenetics in critical illness and the need …

Recruiting For Epigenetic Research: Facilitating The Informed Consent Process, Nancy Jallo, Debra E. Lyon, Patricia Anne Kinser, Debra Lynch Kelly, Victoria Menzies, Colleen Jackson-Cook

School of Nursing Publications

Because the effects of epigenetic (gene-environment interaction) changes have been associated with numerous adverse health states, the study of epigenetic measures provides exciting research opportunities for biobehavioral scientists. However, recruitment for studies focusing on any aspect of genetics poses challenges. Multiple factors, including lack of knowledge regarding a research study, have been identified as barriers to recruitment. Strengthening the informed consent process through extended discussion has been found to be effective in recruiting for research studies in general, yet there is a paucity of information that focused on such a recruitment strategy for epigenetic studies. In this paper, we share …

Psychoneuroimmunology-Based Stress Management During Adjuvant Chemotherapy For Early Breast Cancer, Jo Lynne W. Robins, Nancy L. Mccain, R. K. Elswick Jr., Jeanne M. Walter, D. Patricia Gray, Inez Tuck

School of Nursing Publications

Objective. In a randomized trial of women with early stage breast cancer undergoing adjuvant chemotherapy, two stress management interventions, tai chi training and spiritual growth groups, were compared to a usual care control group, to evaluate psychosocial functioning, quality of life (QOL), and biological markers thought to reflect cancer- and treatment-specific mechanisms. Method. The sample consisted of 145 women aged 27–75 years; 75% were Caucasian and 25% African American. A total of 109 participants completed the study, yielding a 75% retention rate. Grounded in a psychoneuroimmunology framework, the overarching hypothesis was that both interventions would reduce perceived stress, enhance QOL …

Control Group Design: Enhancing Rigor In Research Of Mind-Body Therapies For Depression, Patricia Anne Kinser, Jo Lynne W. Robins

School of Nursing Publications

Although a growing body of research suggests that mind-body therapies may be appropriate to integrate into the treatment of depression, studies consistently lack methodological sophistication particularly in the area of control groups. In order to better understand the relationship between control group selection and methodological rigor, we provide a brief review of the literature on control group design in yoga and tai chi studies for depression, and we discuss challenges we have faced in the design of control groups for our recent clinical trials of these mind-body complementary therapies for women with depression. To address the multiple challenges of research …

Epigenetic Alterations And An Increased Frequency Of Micronuclei In Women With Fibromyalgia, Victoria Menzies, Debra E. Lyon, Kellie J. Archer, Kimberly Jones, Guimin Gao, Timothy P. York, Colleen Jackson-Cook

School of Nursing Publications

Fibromyalgia (FM), characterized by chronic widespread pain, fatigue, and cognitive/mood disturbances, leads to reduced workplace productivity and increased healthcare expenses. To determine if acquired epigenetic/genetic changes are associated with FM, we compared the frequency of spontaneously occurring micronuclei (MN) and genome-wide methylation patterns in women with FM () to those seen in comparably aged healthy controls ( (MN); (methylation)). The mean (sd) MN frequency of women with FM (51.4 (21.9)) was significantly higher than that of controls (15.8 (8.5)) (; df = 1; ). Significant differences ( sites) in methylation patterns were observed between cases and controls considering a 5% …

Perceptions Of Nursing Education Administrators Regarding The Relationship Of Admission Criteria To Student Graduation, Joy F. Cline

Theses, Dissertations and Capstones

This research investigated admission criteria of baccalaureate nursing students related to their success in a multi-state sample of peer universities in the United States. The researcher used mixed methods to collect data that were analyzed using descriptive and phenomenological approaches. The sample of the study was chairpersons from peer institutions of nursing. Data were collected based on the lived experiences of the chairpersons. The purpose of the study was to identify admission criteria that the schools in the study were using and to identify the criteria that predicted success as defined by graduation. The premise of the study was that …

Intraoperative Hyperglycemia In Adult Patients Undergoing An Emergency Craniotomy Following A Traumatic Brain Injury As A Predictor Of Postoperative Outcomes And Mortality, Sara Lynn Hoover

Theses, Dissertations and Capstones

Abstract: The purpose of this study was to determine if there was an association between intraoperative blood glucose ≥150 mg/dl in patients undergoing an emergency craniotomy and Intensive Care Unit (ICU) Length of Stay (LOS), hospital LOS and mortality.

Introduction: Traumatic Brain Injuries (TBI)’s are associated with increased morbidity and mortality. The stress response by the body may cause an increase in blood glucose levels which can cause secondary brain injury. When a patient undergoes an emergency craniotomy following a TBI the increased stress on the body can cause an even higher blood glucose. There is no consensus in …

Improving Patient Flow Through The Implementation Of A Results Pending Treatment Area, Heather L. Bryant

Nursing Theses and Capstone Projects

Abstract

The purpose of this research study is to retrospectively evaluate whether the implementation of a Results Pending Treatment Area (RPTA) altered patient flow patterns and therefore reduced patient length of stay (LOS) for ambulatory patients in a Level One Trauma Center Emergency Department. The research is justified because a reduction in the length of stay for patients is shown to decrease overcrowding, ED wait times, loss of revenue, and diversion while improving patient safety and patient satisfaction. The Roy Adaptation Model was the overarching theoretical conceptual framework utilized to support the research, with a more detailed emphasis on Swanson's …

Improving Faculty Perceptions Of And Intent To Use Simulation: An Intervention Project, Charles Tucker

Nursing Theses and Capstone Projects

Human patient simulation is an innovative teaching strategy that can facilitate practice development and preparation for entry into today's healthcare environment for nursing students. Unfortunately, the use of human patient simulation has been limited due to the perceptions of nursing faculty members. This project sought to explore those perceptions using the Theory of Planned Behavior attributes of attitude, subjective norm, and perceived behavioral controls. A two phase project explored the use of an educational workshop intervention to change faculty perceptions and potentially improve intent to use human patient simulation by the nursing faculty. While the educational workshop intervention demonstrated statistically …

Cultural Bias Education Of Nursing Faculty, Frank Castelblanco

Nursing Theses and Capstone Projects

A cultural bias education seminar was presented to nursing faculty at a private university in Western North Carolina in an attempt to increase the level of cultural competence. Leininger's "Culture Care and Universality"; a nursing theory was used as the theoretical framework for the project and Campinha-Bacote's Inventory for Assessing the Process of Cultural Competency Among Healthcare Professionals, Revised (IAPCC-R) was employed to measure the pre- and post-cultural competence levels of the nursing faculty. The faculty voluntarily completed the pre-assessment, the seminar was completed and 17 participants completed the post assessment. The statistical findings illustrated an increase in total cultural …