Medicine and Health Sciences Commons^™

Evaluation Of A Revised Clinical Ladder Program In Addressing Clinical Competence And Performance, Accountability, Professional Growth, Rewards And Benefits, Job Satisfaction And Engagement, And Autonomy And Decision Making, Vaughn Hansen Msn, Rn, Ne-Bc

Doctor of Nursing Practice Projects

Background: The surge of nurses leaving the profession has increased in recent years raising concerns that unless systemwide changes are implemented this trend will increase exponentially for years to come. Healthcare organizations struggle to retain an experienced, competent nursing workforce and seek ways to keep them from leaving. A clinical ladder program is one potential method being implemented in which healthcare organizations mitigate the exodus of nurses and create a healthier work environment.

Objectives: This doctoral project aimed to measure the perceptions of how well a revised clinical ladder program influenced the nursing workforce satisfaction in the following areas: clinical …

Roadmap To Reduce Barriers To Medical Aid In Dying For Rural Coloradans: A Health Policy Analysis And Advocacy Campaign, Ashley D. Fry Msn, Apn, Agacnp-Bc, Achpn

Doctor of Nursing Practice Projects

No abstract provided.

Management Of Stage I And Stage Ii Labor Arrest Disorder To Reduce Primary Cesarean Section Birth Rate For African American Women, Ariam Yitbarek Mha, Bsn, Rn, Nea-Bc

Doctor of Nursing Practice Projects

Background: Cesarean section delivery rate in the United States has reached an alarming rate of over 30%. African American women experience a higher cesarean birth rate compared to Caucasian Women. The repeat c-section rate for all patients is greater than 80%. These findings underscore the need for intervention to reduce primary cesarean section deliveries in African American Women.

Objective: This quality improvement project aimed to implement caregiver education on the ACOG/SMFM definition of the first and second-stage labor arrest disorder to reduce primary cesarean section birth for African American women.

Method: This pre-and post-intervention quality improvement project was conducted on …

Implementation Of Collaborative Care Intervention Within A Fqhc To Achieve Uniform Data System (Uds) Measure Of Depression Remission, Rasha A. Kafi Msn, Rn, Fnp-C

Doctor of Nursing Practice Projects

Background: Depression is one of the most common and treatable mental health conditions. Untreated depression causes emotional suffering, reduced productivity, lost wages, increased comorbidity risks, and increased healthcare costs.

Purpose: The purpose of this project was to implement Collaborative Care Interventions (CCI) to achieve the Uniform Data System (UDS) Measure of Depression Remission.

Aims: The AIMS of this project were: (a) Increases the percentage of nursing staff compliance and completion of the educational training; (b) increases nursing staff knowledge of recognition of depression signs and symptoms, early identification of depression, and administration to all adult patients; (c) Increase the percentage …

Cultivating Unit-Based Leaders Through A Tiered, Structured Mentorship Program, Brittney Daley Msn, Rn, Ccrn

Doctor of Nursing Practice Projects

Background: Succession planning and mentorship is an essential need in developing future nursing leaders. The IOM and published literature strongly support the importance of mentorship programs in nursing (IOM, 2021). The current succession plan and mentorship program is not sufficient.

Purpose: The purpose of this project was to create and implement an evidence-based, 3-tiered unit-based leadership mentorship program (LMP) for bedside registered nurses to support growth and professional development between tiers over a 4-month period.

Aims/Objectives: Using the completion of a pre and post survey the mentee was assigned a tier from novice to experienced leaders. Through the program, the …

Addressing Verbal Aggression To Reduce Workplace Violence Against Nurses, Rebecca Harris

Doctor of Nursing Practice Projects

Background: Almost three-quarters of non-fatal workplace violence-related injuries requiring time away from the workplace occur in the healthcare and social services sector. More than 90 percent of assaults against nurses are from patients. Verbal aggression was correlated with physical violence and could contribute to nurses’ stress and dissatisfaction and compromise patient care. Policies and guidelines addressing verbal aggression against nurses are often unclear and not well-supported by evidence. This can leave nurses unprepared to recognize and respond to verbal aggression or threats of physical harm without compromising their safety.

Aim: This health policy analysis aimed to explore a range of …

Implementing A Diabetes Prevention Program At A Community Pharmacy, Monica A. Geiger Msn, Rn

Doctor of Nursing Practice Projects

Background: Hispanics are 70% more likely to be diagnosed with diabetes and twice as likely to experience complications related to this disease than non-Hispanic whites (CDC, 2021). Currently there is consistent evidence supporting that community-based educational initiatives called cultural and linguistically appropriate services (CLAS) have a significant impact on Body Mass Index (BMI) in Hispanic populations. The CLAS standards are intended to advance health equity, improve quality, and help eliminate health care disparities. Yet, CLAS has not been implemented in some areas in Dallas, Texas.

Purpose: To implement a community-based educational program based on CLAS to increase participants’ knowledge regarding …

Impact Of An Automated Text And Phone Call Post-Discharge Follow-Up Program On Patient Satisfaction Scores And 30-Day Hospital Readmission Among Adult Patients, Michael Clarke

Doctor of Nursing Practice Projects

Background: The Center for Medicare & Medicare (CMS) withholds reimbursement from hospitals that fail to meet established benchmarks for the rate of 30-day hospital readmission and patient satisfaction.

Objective: This project aimed to improve patient satisfaction scores and decrease 30-day hospital readmissions among adult patients at the project hospital by implementing an automated phone call and text message post-discharge follow-up program.

Methods: This quality improvement project utilized a Plan-Do-Study-Act (PDSA) method. Program participants’ 30-day readmission data and patient satisfaction scores were collected and analyzed throughout the 90-day project and up to 30 days after the project ended. Program participants received …

The Impact Of Remote Video Monitoring On Costs And Patient Outcomes, Karen Wyche Latham Msn, Rn, Nea-Bc, Cenp

Doctor of Nursing Practice Projects

Background: Reducing patient falls remains a challenge for many acute care hospitals. Sitters (1:1 observation) are often utilized as an intervention to mitigate this. This costly intervention has drained both personnel and financial resources, forcing hospitals to find less costly alternatives to achieve the same safety outcomes. Remote video monitoring technology (RVM) is an innovative technology that supports the monitoring of multiple patients by one observer from a remote location and is an effective alternative in reducing patient falls and/or injury and associated costs.

Aim: The goal of this evidence-based practice initiative was to evaluate the effectiveness of RVM compared …

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 …

Implementing A Teamstepps® Approach With An Interdisciplinary Team To Increase Successful Post-Surgical Discharge Efficiencies, Ann Marie Moynihan Msn, Aprn, Nea-Bc, Onc

Doctor of Nursing Practice Projects

Background: Communication breakdowns contribute to discharge delays in the acute care settings. TeamSTEPPS® is and evidence-based program that seeks to optimize patient outcomes by improving communication and teamwork.

Objectives: The primary aim of this Quality Improvement (QI) project was to increase by 5% the number of patients discharged by noon. The secondary aims of this project were to improve the interdisciplinary team's communication and to improve workforce efficiencies and use of staff time.

Methods: A pre and post intervention design was used to collect and analyse the rate of successful discharges by noon, in addition to evaluating the interdisciplinary team’s …

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 …

Impacts Of Emotional Intelligence Skill Development Training On Nurse Leaders, Denise A. Holyoak Dnp, Rn, Ccrn-K, Nea-Bc

Doctor of Nursing Practice Projects

Background: Emotional intelligence (EI) skills are recognized as an essential tool for leaders’ success in their organization. Research shows that an EI skill development training program is effective at improving this skill set of nurse leaders and thus positively influence individual and organizational outcomes.

Aims: The purpose of this evidence-based practice (EBP) project was to design an EI skill development curriculum for frontline inpatient nurse managers and to evaluate its impact on three aims: EI skill scores of nurse managers, patient satisfaction scores related to nurse communication and nurse manager leadership communication scores.

Methods: Eleven inpatient nurse managers from a …

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), …