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Articles 1 - 13 of 13
Full-Text Articles in Medicine and Health Sciences
Implementing The Coordinated-Transitional Care Program To Reduce All Cause Readmissions, Tonya Page
Implementing The Coordinated-Transitional Care Program To Reduce All Cause Readmissions, Tonya Page
Doctor of Nursing Practice Projects
Readmission to an acute care hospital are common, costly, and frequently avoidable. Transitions of care are critical to quality, safe patient care and increases effective prevention of readmissions. Although there is an abundance of knowledge related to causes of hospital readmissions and the effectiveness of preventative measures hospital readmission continue to plague healthcare organizations. A review of the literature was conducted, and 11 studies were reviewed and analyzed. The literature review showed evidence to support implementing a telephonic post-discharge follow-up protocol as an effective intervention to reduce hospital readmissions. The purpose of this project was to implement a telephonic, protocol-driven …
Implementing An Evidence Based Fall Prevention Program In A Long-Term Care Facility, Annie Schweikert
Implementing An Evidence Based Fall Prevention Program In A Long-Term Care Facility, Annie Schweikert
Doctor of Nursing Practice Projects
Falls among the elderly are a significant problem with severe consequences. Residents of long-term facilities account for twenty percent of fatal falls. It is imperative that evidence-based practices be implemented at this level of care to address this problem. A multifaceted evidence-based fall prevention program was implemented at a 70 bed, skilled nursing, long-term care facility located in Florida, whose fall rate of 7.14 is above than the national average (2.74-5.48). The fall prevention program included staff education, implementation of a checklist for universal fall precautions, post fall huddles, and the appointment of a falls champion. One-month post intervention results …
Using An On-Line Educational Module To Increase Nurses' Conviction And Confidence In The Use Of The Teach-Back Method For Discharge Instructions, Allison S. Morrison
Using An On-Line Educational Module To Increase Nurses' Conviction And Confidence In The Use Of The Teach-Back Method For Discharge Instructions, Allison S. Morrison
Doctor of Nursing Practice Projects
Health literacy status can affect an individual’s ability to self-monitor and manage chronic conditions. It is not uncommon for patients to have difficulty comprehending key patient instructions. The role of the nurse in the hospital setting encompasses many facets which include patient teaching. Providing effective patient teaching is one role that many nurses do not feel confident in implementing. A sample of (N=18) nurses participated in on-line educational program to improve conviction and confidence in use of the teach-back method for delivery of discharge instructions. A pretest-posttest design was utilized and measured nurses’ conviction and confidence using the Conviction and …
The Effect Of Ostomate-To-Ostomate Support On Psychosocial Adaptation To Stoma, Marjorie C. Summers
The Effect Of Ostomate-To-Ostomate Support On Psychosocial Adaptation To Stoma, Marjorie C. Summers
Doctor of Nursing Practice Projects
Approximately one million people in North America are living with an ostomy, and an additional 100,000 will undergo ostomy surgery annually. Persons living with ostomies, often referred to as ostomates, require specialized care and management to sustain physical health and quality of life. Fecal diversion ostomates, when compared to the general population, are more likely to experience psychological disturbance and higher levels of depression. These ostomates have reported increased loneliness, lowered self-esteem, decreased or absent libido, irritability, suicidal ideation, poor self-image, and symptoms of generalized anxiety disorder and social phobia. Being an ostomate has been associated with a reduction in …
The Effect Of Fall Prevention Education That Includes A Fall Safety Agreement On Fall Incident Rates, Rebecca Dotson
The Effect Of Fall Prevention Education That Includes A Fall Safety Agreement On Fall Incident Rates, Rebecca Dotson
Doctor of Nursing Practice Projects
Patients experiencing falls while in the acute care setting is a challenge that plagues healthcare. In 2014, 29 million hospitalized patients fell causing 7 million injuries. Eighty-five percent or greater of unfavorable hospital occurrences are linked to falls. Falls occur regularly and can have detrimental effects both physically and psychologically. Literature reviews revealed encouraging results in relation to a reduction in falls with fall prevention education and the use of a fall safety agreement. The purpose of this project was to explore the effect of fall prevention education including a fall safety agreement on falls and falls with injury during …
Use Of The Coleman Transition Model To Reduce Copd Readmissions, Sara Briggs
Use Of The Coleman Transition Model To Reduce Copd Readmissions, Sara Briggs
Doctor of Nursing Practice Projects
This paper explores the use of the Coleman Transition Model as an evidenced based intervention to reduce 30-day readmissions of Chronic Obstructive Pulmonary Disease (COPD) patients on a pulmonary unit. Nearly 20% of Medicare beneficiaries are re-hospitalized within 30 days after discharge, resulting in an annual cost of approximately $17 billion. Hospitals can engage in activities to lower their rate of readmissions. The evidenced based intervention includes robust case management using The Coleman Transition Model in hospitalized COPD patients to reduce readmissions. COPD is a prevalent, complex, and costly condition to manage. COPD is now the third leading cause of …
Patient Deterioration Simulation Education And New Graduate Nurses' Self-Confidence And Competence, Heather B. Norris
Patient Deterioration Simulation Education And New Graduate Nurses' Self-Confidence And Competence, Heather B. Norris
Doctor of Nursing Practice Projects
Inconsistent identification and intervention for patient deteriorations has been identified as a global healthcare issue that has a profound effect on patient outcomes. Failure to rescue (FTR) rates are influenced by the quality of care a hospital provides in the event of patient deterioration. Rapid Response Teams (RRTs) are summoned to the bedside in the event of a patient deterioration to assess the patient and intervene quickly. Efficient use of RRTs prevents cardiopulmonary arrests and decreases hospital mortality, thirty-day morality, and length of stay. Patient deterioration simulation education can improve the use of RRTs and positively influence patient outcomes. New …
A Process Improvement For Depression Screening And Management In A University Health Clinic, Margaret H. Zoellers
A Process Improvement For Depression Screening And Management In A University Health Clinic, Margaret H. Zoellers
Doctor of Nursing Practice Projects
Research indicates that among college students, there is a high prevalence of depression that is frequently undiagnosed and untreated, placing students at risk of impaired academic performance and suicidal behavior. The purpose of the evidence-based process improvement was: a) establish a depression screening and management protocol in the university health clinic, and b) increase university health clinic providers’ knowledge of evidence-based depression screening and management. Family nurse practitioner providers in the university health clinic (n=6) participated in a depression screening and management education program. Knowledge of evidence-based depression screening and management was measured prior to and after the program. A …
Care Coordination: Using A Nurse Navigator In An Endoscopy Unit, Judith L. Poe
Care Coordination: Using A Nurse Navigator In An Endoscopy Unit, Judith L. Poe
Doctor of Nursing Practice Projects
Compliance with colorectal cancer (CRC) screening in Kentucky is low. This is substantiated by Kentucky having the highest rate of new CRC cases in the nation and being the fourth highest in CRC-related mortality. Kentucky’s colorectal screening rate in 2012 was 62.9%. The incidence rate for colorectal cancer in Kentucky is 49.2 per 100,000 which is the highest rate in the United States. Patient navigation has shown promise in increasing compliance with CRC screening and reducing health disparities. The adoption of a patient navigation model in an endoscopy unit can increase efficiency, reduce patient cancellations and same day no show …
Best Practices For Screening, Identification, And Referral Of Female Collegiate Athletes With Disordered Eating, Brenda Caudill
Best Practices For Screening, Identification, And Referral Of Female Collegiate Athletes With Disordered Eating, Brenda Caudill
Doctor of Nursing Practice Projects
Eating disorders have the highest mortality rate of any mental illness, including depression. Female collegiate athletes are at greater risk compared to the non-athlete population. Athletic personnel should be prepared to screen, identify, and refer female athletes for eating disorders. However, most staff are not familiar with common signs and symptoms of disordered eating, which could delay recognition of unhealthy behavior and ultimately long-term health risks. Appropriate screening protocols can assist with early identification. The purpose of this DNP project was improve the knowledge of the athletic staff regarding eating disorder recognition, awareness of university policy for identification and referral …
Designing A Nurse Residency Program For Cultural Fit: A Pilot Project, Melinda Blair
Designing A Nurse Residency Program For Cultural Fit: A Pilot Project, Melinda Blair
Doctor of Nursing Practice Projects
New graduate registered nurse (NGRN) turnover in an acute care setting is estimated between 35% - 61% nationally and is costly to an organization. Costs are estimated between $60,000 – $90,000 dollars to replace one NGRN. A smooth transition from student nurse to professional nurse is fraught with problems, including increased job stress and pressures imposed on the NGRN from a high-paced, uncertain health care environment. The purpose of this project was to design a customized nurse residency program (NRP) curriculum to increase NGRN retention. NRP curriculum elements were identified using findings from the Casey Fink Graduate Nurse Experience Survey …
A Nurse Mentor Program In A Long Term Acute Care Hospital, Regina Masters
A Nurse Mentor Program In A Long Term Acute Care Hospital, Regina Masters
Doctor of Nursing Practice Projects
Nurse turnover is a national problem with the potential to affect quality of care and patient outcomes. A Long Term Acute Care Hospital (LTACH) with nurse turnover rates above the national average as high as 28% sought to address this problem. A review of the literature identified nurse mentor programs increasing registered nurse (RN) satisfaction and decreasing turnover. Therefore, the purpose of this project was to implement a mentor program for newly hired RNs. Mentors were paired with new RNs for a four-week program. Pre and post intervention data were collected via the McCloskey Mueller Nurse Satisfaction Survey (MMSS) and …
Medication Error Reporting To Improve Patient Safety, Dianna Madden
Medication Error Reporting To Improve Patient Safety, Dianna Madden
Doctor of Nursing Practice Projects
In 2006, the Institute of Medicine estimated that 1.5 million preventable adverse drug events occur in healthcare facilities annually (Institute of Medicine, 2006). Each ADE adds approximately $8,750 per hospital stay (Institute of Medicine, 2006). In 2017, the Food and Drug Administration (FDA) estimated that 1.3 million people are injured annually from medication errors (Agency for Healthcare Research and Quality, 2017). For the purposes of this project, all Registered Nurse staff on the Medical-Surgical unit were mandated to participate in an education targeted at medication error reporting, the importance of reporting, and a demonstration of inputting an error into the …