Medicine and Health Sciences Commons^™

Developing, Implementing, And Evaluating A Clinical Dashboard To Improve The Efficiency And Ease Of Tracking Institute For Healthcare Improvement Ihi Age-Friendly 4ms Framework Data., Margaret Parniawski Nsn, Ne-Bc, Kenneth Forte, Denis Mohess Md, Ray Wauthier Bsn, Erica Zerl Ssa, Edward Ostrowski Msn

Posters

The purpose of this study was to describe a user-centered development, implementation and preliminary evaluation of clinical dashboards to track Age-Friendly 4M Framework Data.

Adult Post-Cardiac Surgery Deep Sternal Wound Infections, Samantha Porcher, Cole Gatzke

Nursing DNP Projects

ABSTRACT

Purpose and rationale: Deep Sternal Wound Infections (DSWI) are associated with morbidity rates and mortality rates as high as 10% -15% as well as significantly increased hospital costs. The purpose of this project is to decrease current rates of DSWIs in adults undergoing cardiac surgery at a large medical institution.

Synthesis of evidence: The literature shows a strong relationship between elevated HbA1C and DSWI. All articles reviewed for this proposal which implement a sternal vest intervention support its use to prevent DSWI.

Practice change and implementation strategies: The strategy used to implement these evidence-based practice interventions includes …

Reducing Blood Culture Contamination In The Emergency Department: A Multi-Method Quality Improvement Project, Daryn Brauner Msn, Marlene Schmidt Msn, Nikki Campbell Bsn, Anthony Renzoni Pharmd, Keri Bill Msn, April Alfano

Posters

The goal of this quality improvement project is to reduce the monthly percentage of BCC in an academic emergency department (ED) through implementation of a multimethod intervention targeting registered nurses (RN) and patient care technicians (PCT) who perform phlebotomy for blood cultures

A Pilot Program To Address Nurse Leader Moral Distress Secondary To The Performance Evaluation Of Underperforming Personnel, Lisa Krening

Doctor of Nursing Practice Projects

Problem Description: First defined in 1984, as a nurse knowing the correct course of action but perceiving barriers that constrain the action, moral distress has evolved to include challenging situations associated with moral uncertainty, moral conflict, and ethical or moral dilemmas (Campbell et al., 2016; Fourie, 2015, 2016; Jameton, 1984). While the bulk of the moral distress literature has highlighted the challenges of direct care nurses, nurse leaders also grapple with ethical dilemmas that often lead to moral distress (Edmonson, 2010; Ganz et al., 2015; Prestia et al., 2017). Additionally, research indicates that nurse leaders lack experience in navigating ethical …

Implementing Best Practices To Improve Nurse-Patient Communication And The Ed Experience In A Small Suburban Hospital In The Northwestern U.S.: A Pilot Project, Kimberli Munn

Doctor of Nursing Practice Projects

As one measure of quality of care and patient satisfaction, healthcare systems now routinely evaluate the patient experience. Nurses at every level of care, especially those in the hospital, can directly impact the outcome of that experience (American Association of Colleges of Nursing [AACN], 2011; Natsui et al., 2018). Communication with the health care team during patient visits enhances overall patient satisfaction, and research has established a clear correlation between the patient experience and improved patient outcomes and quality of care (Hermann et al., 2019, Sonis et al., 2017; Tan et al., 2013). Quality care, a high standard, reflects the …

Sch Icu Expanding Pics Throughout Centracare, Jessica A. Tindal

Nursing Posters

Purpose:

Sharing information about Post Intensive Care Syndrome (PICS) to all in CentraCare. PICS symptoms do not appear until weeks to months after a critical care illness so patients at home may not know what to do with their symptoms.

Future Plans:

• May 2023 - introducing CICU to the PICS process during their Nurse Practice meeting.
• May 2023 - updating the Hospital Medicine Section CNS
• Fall 2023 - meeting with the Ambulatory Work Cabinet group to see if our system of notification is working
• What opportunities do we have with teaching Progressive RNs about PICS and our Diaries?
• How can …

College Of Nursing, Spring 2023, Jill Fier, Micayla Standish, Dave Graves, Addison Dehaven, Emily Weber

College of Nursing Magazine

College News
2 Nursing research continues growth
6 Marge and Ron Hegge Endowment
7 Leadership Challenge Opportunity
8 American Academy of Nursing Fellows
11 New faculty
12 Scholarly outcomes

Student News
14 A semester on the Emerald Isle
18 Madison Fitch: Future nurse

Alumni News
20 Corps of Jackrabbits excels in small-town Minnesota
23 Speaker promotes nursing-engineering collaboration

SDSU Foundation
24 Commitment to our people
25 Scholarships at SDSU

Implementing The Fall Tailoring Interventions For Patient Safety (Tips) Program To Increase Nursing Knowledge Of Fall Prevention & Reduce Falls & Falls With Injury In The Medical-Surgical Setting, Anne M. Aquila, Palumbo John Mba, Ms, Mt (Ascp), Karen Bauce Dnp, Mpa, Rn, Nea-Bc

Posters

The purpose of this translational research project was to determine if the reimplementation of the Fall TIPS Program in the medical-surgical setting reduced falls and falls with injury over a 10-week period.

The aims of this project were to:

1) improve RNs’ and PCTs’ Fall TIPS knowledge

2) reduce patient falls and falls with injury

Bedside Safety Nurses: A Novel Approach To Reducing Patient Harm, Kenneth Forte, Corinne Booth Bsn, Rn, Nikki Campbell Bsn, Rn, Danielle Jimenez Msn, Rn, Alexandra Mingolello Bsn, Rn, Heather Nachilo Msn, Rn, Heidi Steller Msn, Rn, Joubin Bavarian Rn, Mary Christoffersen Dnp, Rn, Morine Cebert Phd, Aprn

Posters

The purpose of this longitudinal interventional pre-and post-intervention study was to assess the ability of Bedside Patient Safety Nurses to Identify and intervene in patient safety issues before they reach the patient.

Preoperative Skin Preparation Protocol For Patients Undergoing Abdominal And Spinal Surgery, Lia Moyer

The Eleanor Mann School of Nursing DNP Capstone Projects

Surgical site infections are an avoidable complication in surgical patients and one of the most common hospital-acquired infections. Adverse effects of surgical site infections include increased hospital length of stay, increased costs to patient and healthcare system, disability, morbidity, and mortality. The purpose of this quality improvement project was to design a protocol with the objective of decreasing surgical site infections in abdominal and spinal surgery patients. The protocol developed used targeted depilation and antisepsis with a chlorhexidine wipe to mitigate infection risk. Results of the project showed a static hospital length of stay, no increase in preoperative time, and …

Controlling High Blood Pressure, Heather M. Tatusko

Masters Theses/Capstone Projects

High blood pressure (HBP), also known as Hypertension (HTN), is a common diagnosis for primary care office visits in the United States; however, a persistent gap remains between the stated public health targets and achieved blood pressure (BP) control rates in the United States (US). In a small sample of patients with essential HTN (ICD 10: I10) receiving primary care at a mid-western Federally Qualified Health Center (FQHC), a chart audit tool revealed 10 out of 10 patients achieved BP control during the measurement period (defined as a BP reading <140/90). Quality improvement (QI) analysis revealed the bigger picture: Achieved BP control rates of patients does not reflect the 2017 American College of Cardiology/American Heart Association HBP guidelines. Additionally, the author found potential care gaps for patients in elevated BP (120-129/>80; n=34) and Stage 1 HTN (130-139/80-89; n=44) categories (who …

Opioid-Crisis Intervention: A Pilot To Moderate Patient’S Use Of Post-Operative Opioid Medications Using A Video-Based Perioperative Education Tool, Ahmed Alshaarawi

Doctor of Nursing Practice Projects

Problem Description

The opioid epidemic has been ravishing communities in the United States for nearly two decades, resulting in opioid misuse, dependence, and overdose-related deaths. Healthcare providers have inadvertently fueled the epidemic by overprescribing opioid medications contributing to 40% of the opioid overdose-related deaths. One in every 48 patients who receives an opioid medication for the first time will become a chronic user of these medications. Furthermore, 6% of all surgical patients will continue chronic use of opioid medications 90 days after their surgeries regardless of absence of pain. With over 50 million surgical cases performed each year in the …

Transformational Leadership And Structural Empowerment For Nurse Managers To Improve Nursing Job Satisfaction, Engagement, And Retention, Leah M. Gehri

Doctor of Nursing Practice Projects

Problem Description

Low nurse job satisfaction and engagement have historically been associated with high attrition. While it is too soon to fully quantify the impact of Covid-19 on nurse satisfaction, engagement, and turnover, evidence is emerging that high chronic fatigue and persistent feelings of being overwhelmed are causing nurses to either leave the bedside or quit nursing altogether, exacerbating existing nurse staffing challenges caused by a decades long nursing shortage that, pre-pandemic, predicted a national deficit of over one-half million nurses by 2030. The financial impact of competing for experienced nurses, and recruiting, hiring, and training new nurses to replace …

Stroke Education Compliance Improvement, Natasha Pflueger

Nursing Posters

Plan:

• Per stroke best practice guidelines, stroke education must be provided verbally and in literature format post stroke. Our plan is to improve compliance and documentation of stroke education by improving staff awareness of patient's stroke education status. by enhancing communication and improving the documentation process, nursing practice can be supported, and best patient care delivered.
• Per stroke guidelines, education on individualized risk factors is preferred by patients. Studies support that patient education is an effective method to improve vascular risk factors (Meschia, Bushnell, Boden-Albata, et al, 2014).

Act:

• As with prior to the implementation of adding notes to the …

Diabetes Type 2 Management, Thuy H. Trinh, Shannon Harris, Anthony Labady

Poster Presentations

Diabetes is a complex and chronic disease. Patients with diabetes may suffer complications such as microvascular and macrovascular diseases [1]. In 2018, the prevalence of diabetes was estimated to affect 34.2 million people, or 10.5% of the US population [2]. About 1 in 10 adults in Georgia has diabetes, a health condition that can be prevented with weight loss and lifestyle changes [3]. In 2018, diabetes-related emergencies accounted for 17 million emergency room visits, with 248,000 for hyperglycemia and 242,000 for hypoglycemia [4]. The purpose of this study was to implement a personalized, clinic-based diabetes management program with healthy lifestyles, …

Improving Annual Diabetic Foot Examinations At A Rural Primary Care Clinic, Michaela Moore, Shannon Harris, Christy Mnzava

Poster Presentations

The goal of this quality improvement project was to increase the number of adult patients who receive an annual diabetic foot examination through the education and training of clinicians and support staff.

Reducing Blood Pressure Through Education On Lifestyle Interventions, Charlotte M. Fuller, Shannon Harris, Mohammad A. Naeem

Poster Presentations

The purpose of this study was to develop an educational plan for patients with elevated blood pressure to increase their knowledge and self-efficacy of lifestyle interventions proven to help lower blood pressure rates.

Benefits Of Individualized Weight Loss Program In The Overweight Adult Population In Primary Care, Susan Mcguire, Shannon Harris, Nasir Asghar

Poster Presentations

The purpose of this project was to increase health by implementing a personalized, clinic-based weight loss program for overweight/obese patients leading to a decrease in weight, BMI, and waist circumference and an increase in muscle mass by using resistance training (RT) exercises as an adjunct to diet, therefore helping to decrease comorbidities associated with obesity. This project aimed to use strength training exercises as an adjunct therapy to lifestyle changes (diet, exercise, counseling) to decrease body weight by 8 pounds, decrease BMI by at least 1%, decrease waist circumference by at least 1 inch, and increase muscle mass percentage by …

Implementing Adverse Childhood Experiences (Aces) In A Youth Regional Treatment Center, Lauren Russell-Smith

Poster Presentations

In 2019, 57% of Adolescents who have substance or alcohol abuse disorders experienced at least one ACE, and 25 % experienced two or more ACEs; this means that over half of the patients admitted to an adolescent substance and alcohol abuse program have experienced childhood trauma (Gomez et al., 2017).

This study investigated ACE awareness amongst staff working with a population known to have high ACE scores. The intended purpose was to evaluate staff understanding of ACEs and their impact on patient satisfaction scores.

The AIM of this project was to increase staff awareness of ACE to 85% and increase …

Reducing Blood Pressure Through Education On Lifestyle Interventions, Charlotte M. Fuller, Shannon Harris, Mohammad A. Naeem

Virtual Presentations

This is the virtual presentation on a quality improvement study conducted in fulfillment of the Doctor of Nursing Practice degree requirements. The purpose of this study was to develop an educational plan for patients with elevated blood pressure to increase their knowledge and self-efficacy of lifestyle interventions proven to help lower blood pressure rates.

Implementing Adverse Childhood Experiences (Ace) In A Youth Regional Treatment Center, Laruen Russell-Smith

Virtual Presentations

The purpose of this study was to investigate Adverse Childhood Experiences (ACE) awareness among staff working with a population known to have high ACE scores. The intended purpose was to evaluate staff understanding of ACEs and their impact on patient satisfaction scores.

Virtual Osce Solutions For Nurse Practitioner Students During Covid, Lori Prewitt Moore, Shannon Harris

Virtual Presentations

This presentation discusses the Objective Structured Clinical Examinations (OSCE) utilized for evaluating the clinical skills of graduating nursing students. The OSCE method assesses clinical competency in a structured manner with an emphasis on objectivity. The framework involves multiple stations where students rotate and perform designated tasks for assessment in healthcare disciplines.

Improving Mental Wellness In Clinical Staff: Using Respite Rooms And Mindfulness Strategies In Ambulatory Care Settings, Whitney Hodges Shanley

Doctor of Nursing Practice Projects

Background: Diminished physical and mental wellness of clinical staff leads to poor patient health outcomes and high turnover rates. Providing designated quiet spaces to practice mindfulness can be beneficial to the overall health of healthcare workers, thus, improving compassion fatigue, job satisfaction, and retention of clinical staff.

Aim: This project implemented a respite room in an ambulatory care practice to improve clinical staff’s self-reported ratings of compassion fatigue, compassion satisfaction, and intent to leave their job.

Methods: This quality improvement project used a pre- and post-test design to compare clinical staff ratings of compassion fatigue (burnout and secondary traumatic stress), …

Depression Screening In Hematology/ Oncology Outpatient Clinic, Nikki Marshall Msn, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Oncology patients have multiple factors that can lead to depression, such as treatments, end-of-life decisions, stressors from home, pain, financial responsibilities, and transportation needs. If depression goes unaddressed, it can diminish the quality of life in oncology patients.

Objectives: (1) The purpose of this evidence-based practice (EBP) project is to improve Hematology/ Oncology (HEM/ONC) patient quality, with improved screening (PHQ-9 screening tool) and identification as well as referral for adult patients (18 and older). (2) Assess the knowledge, perception of depression, and confidence level of utilizing the PHQ-9 screening tool in the hem/onc outpatient clinic staff. (3) To increase …

The Oncology Clinical Trial Nurse Complex Design And Role Comprehension Training Evaluation Project, Pamela Herena Msn, Rn, Ocn

Doctor of Nursing Practice Projects

Background: The oncology Clinical Trial Nurse (CTN) plays a significant role in conducting clinical trials; however, the role comes with many challenges. These difficulties are related to the expanding landscape, advances in cancer research, complex trial designs, and the lack of role definition leading to role confusion and limited role comprehension.

Aims/Objectives: The project’s purpose was to develop a training program specific to complex clinical trial design, cancer disease overview and the oncology clinical trial nurse role. The aim focuses on the evaluation of the program by clinical trial research leaders.

Methods: A non-probability convenience snowball sampling method was used …

Driving Toward A Culture Of “Zero Cautis”, M Bowe, E Bowen, S Carlton, L Dyjur, P Harmon, J Harrod, L Jackson

Articles, Abstracts, and Reports

No abstract provided.

Orientation Materials: Impact Of Transitioning From Paper To An Electronic Format, Megan Bowles, Abby Lust, Teresa Rangel, Tobi Bryan

Articles, Abstracts, and Reports

Background:

In one region including 4 hospitals, acute care nurses historically met with professional development practitioners (PDP) and received binders containing printed, specialty-specific policies and a competency checklist (required to be signed and returned to the nurse leader) upon new hire or transfer. Creating physical orientation packets is costly, time-consuming, and restricts the ability to share appropriate orientation materials in the event of a PDP sick call. Real-time communication between the orientee, preceptor, PDP, and nurse leader regarding status of the competency checklist cannot occur with a physical binder. Providing electronic onboarding materials is a potential solution.



Purpose:

To describe …

Creation And Implementation Of A Trauma-Informed Care Safety Tool In An Inpatient Mental Health Unit, Katie Rhea, Jeremy Williams, Teresa Rangel

Articles, Abstracts, and Reports

No abstract provided.

Implementation Of A Patient Satisfaction Survey At A Free Community Clinic: A Quality Improvement Project, Nora O'Sullivan

DNP Projects

Background: The uninsured, underinsured, and underserved populations in the US are impacted by health disparities and have unique experiences with healthcare. Yet, settings which serve these populations – the “safety net”- are not adequately supported to gather patient experience data. In Connecticut, Fairfield County has a higher percentage of uninsured people than the overall state. Additionally, this population has demonstrated higher frequency of emergency department utilization than the overall population. Therefore, processes to measure the barriers to accessing quality care and patient experience and satisfaction with care are needed in safety net clinics to promote elimination of health disparities and …

Implementing Team Birth To Improve Patient Satisfaction On An Ldrp (Team Birthsingleroom ) Unit, Deanna Higgins, Alyson Willard, Teresa Rangel

Articles, Abstracts, and Reports

No abstract provided.