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Full-Text Articles in Medicine and Health Sciences

The Use Of A Peanut Ball During Labor In Nulliparous Term Singleton Vertex Pregnancies To Decrease The Primary Cesarean Rate: An Evidence-Based Practice Improvement Project, Megan Elizabeth Honaker, Tracy L. Brewer, Melissa Nursing Hessock May 2021

The Use Of A Peanut Ball During Labor In Nulliparous Term Singleton Vertex Pregnancies To Decrease The Primary Cesarean Rate: An Evidence-Based Practice Improvement Project, Megan Elizabeth Honaker, Tracy L. Brewer, Melissa Nursing Hessock

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

BACKGROUND: Current statistics indicate cesarean section rates in nulliparous term singleton vertex (NTSV) pregnancies, a singleton first pregnancy > 37 weeks’ gestation in a vertex position, of 32.8% and rising. A peanut ball, a tool used to optimize pelvic opening and fetal head rotation, can decrease labor length and cesarean section rates. The aim of this evidence-based practice improvement project was to reduce the cesarean rate in NTSV pregnancies by 1% within three months. The project occurred in an urban 12-bed labor and delivery unit in Middle Tennessee. Participants included laboring women meeting NTSV criteria. METHOD: Plan- do- study- act cycles …


Human Trafficking Awareness Among Psychiatric Hospital Nursing Staff, Donna J. Czech, Tracy L. Brewer Mar 2021

Human Trafficking Awareness Among Psychiatric Hospital Nursing Staff, Donna J. Czech, Tracy L. Brewer

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Human trafficking is a public health crisis on a global, state, and local level. Victims of human trafficking are a vulnerable population who pass-through healthcare systems unrecognized by nurses and other healthcare professionals due to a lack of awareness about identifiable signs, symptoms, and circumstances. Nurses are in a crucial position to assess trafficking victims for a referral. The purpose of this evidence-based practice (EBP) pilot project was to understand nurses’ knowledge and awareness on human trafficking and assess the perceived ability to identify trafficked individuals in a psychiatric care setting for screening and potential referral. Nurses received an online …