Medicine and Health Sciences Commons^™

Implementation Of Diabetic Foot Care Education Improvement Project, Mitaliben R. Gor

GW Research Showcase 2021-2024

No abstract provided.

Examining Hpv-Related Beliefs And Health Information Use Through The Health Belief Model Lens: Towards Cancer Prevention Among Racial-Ethnic Minorities, Min Jeong Jeon, Hee-Soon Juon, Daisy Le

GW Research Showcase 2021-2024

No abstract provided.

Mindfulness Training In Mitigating Implicit Bias:Improving Cultural Competency For Nurses Caring For Lgbt Individuals, Daniel Terrell

GW Research Showcase 2021-2024

No abstract provided.

A Quality Improvement Initiative To Engage Older Adults In The Discharge Process Using The Ideal Discharge Protocol, Ava D. Williams, Karen S. Kesten, Beverly K. Lunsford, Margaret Venzke

GW Research Showcase 2021-2024

No abstract provided.

Pediatric Mental Health Clinical Experiences In Fnp Programs, Dustin K. Mckague, Sarah L. Beebe, Angela M. Mcnelis, Kristina Thomas Dreifuerst

GW Research Showcase 2021-2024

No abstract provided.

Symptoms And Comorbidities Of Older Adult Lung Cancer Patients In The 2017 Medicare Claims Data, Noelle A. Herrier, Kathleen A. Griffith, Alice S. Ryan, Beth B. Hogans

GW Research Showcase 2021-2024

No abstract provided.

Implementing Teamstepps® Training To An Interdisciplinary Healthcare Team To Improve Teamwork, Tina J. Dimarino, Eugene Protzko, Richard Ricciardi

GW Research Showcase 2021-2024

No abstract provided.

The Effects Of Diabetes Self-Management Education Among African Americans, Nkeiruka Muonagolu, Joyce Knestrick, Karen Kesten

GW Research Showcase 2021-2024

No abstract provided.

Implementation Of Capnography Monitoring To Improve Outcomes Among Intensive Care Unit Patients On Patient-Controlled Analgesia Or Opioids, Leslie Smith, Karen Whitt, Deborah Kolakowski

GW Research Showcase 2021-2024

No abstract provided.

Just In Time Orientation Of Non-Critical Care Nurses To The Critical Care Environment, Meghan Doelger, Karen Kesten, Bonnie Sakallaris

GW Research Showcase 2021-2024

No abstract provided.

Insights From Healthcare Worker Parents On Parenting Stress During The Covid 19 Pandemic: A Qualitative Perspective, Michelle Clausen, Annalyn Velasquez, Min Jeong Jeon, Sherrie Flynt Wallington

GW Research Showcase 2021-2024

No abstract provided.

Effectiveness Of Community-Based Hemorrhage Control Education, Kristin Conti, Qiuping (Pearl) Zhou, Colleen Brooks

GW Research Showcase 2021-2024

No abstract provided.

Cannabis Use And Self-Reported Difficulties Concentrating, Remembering, Or Making Decisions Among Adults 50 And Over, Sarah L. Beebe, Maritza Dowling, Ellen T. Kurtzman

GW Research Showcase 2021-2024

No abstract provided.

Improving Mental Health Competency In School Nurses, Jennifer M. Walsh

GW Research Showcase 2021-2024

No abstract provided.

Design And Implementation Of A Nursing Peer Review Program In A Two-Hospital Setting, Joan L. Goss Ms, Rn, Acns-Bc

Doctor of Nursing Practice Projects

Background and Purpose: The Institute of Medicine’s (IOM) landmark publication To Err Is Human: Building a Safer Healthcare System measured the impact of medical error on the American public in both unnecessary human suffering and unsustainable financial cost to the US healthcare system. Nursing literature suggests that peer review of safety events can help mitigate the impact of medical errors by increasing nurse accountability for practice and empowerment for leading change.

Methods: Fourteen volunteers were selected from over 900 direct care nurses to participate in a four-month Nursing Peer Review Program (NPRP) pilot. Structure, process, and outcome measures of implementation, …

Adoption Of Evidence-Based Practices In Stroke Transitions Of Care, Sabena Passarello, Rn, Msn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Stroke is a leading cause of mortality in the U.S. Individuals who suffer from stroke or transient ischemic attack are at risk for further cerebrovascular events. Prevention requires thorough diagnostic evaluation and care coordination, particularly from inpatient to outpatient settings. Transition of Care programs are effective methods for developing long-term treatment, establishing follow-up, and preventing further complications.

Aims/Objectives: The project purpose was to integrate evidence-based recommendations into a Transitions of Care program for patients with ischemic stroke or transient ischemic attack. The aims were to evaluate whether implementation of Stroke Transitions of Care improved outpatient follow-up and stroke readmission …

Mentorship For Newly Licensed Nurses: A Pilot Program, Michelle Doran, Rn, Dnp, Npd-Bc

Doctor of Nursing Practice Projects

Background: The turnover rate for newly licensed nurses is high, posing financial and resource challenges for healthcare organizations. Transition to practice programs are an effective means of supporting retention. Mentorship is a best practice within such programs as it promotes job satisfaction, professional growth and development, and retention.

Objectives: The purpose of this project was to implement and evaluate a pilot mentor program with new nurses. Outcomes were: development of a structured program, enhancement of mentees knowledge about the value of mentorship, and assessment of mentee and mentor satisfaction with the program through a final satisfaction survey.

Methods: Participants were …

Prep Education Intervention, Kristina Jung Msn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: The nation’s HIV infection rate is alarming, yet only a small percentage of eligible individuals are prescribed pre-exposure prophylaxis (PrEP). This sluggish PrEP uptake may be related to lack of knowledge among non-HIV specialist providers. Thus, interventions toexpand providers’ use of PrEP as an HIV prevention strategy are needed.

Objectives: The project aim was to develop an intervention to improve retail nurse practitioners’ (NP) knowledge for PrEP clinical practice, comfort screening for “at-risk HIV” patients, confidence prescribing PrEP, and likeliness to prescribe PrEP in the next six months.

Methodology: An online PrEP tutorial was implemented for retail clinic NPs. …

Quality Improvement Initiative: Implementing A Nurse Peer Mentorship Program, Vepuka E. Kauari

Doctor of Nursing Practice Projects

Introduction: Formal mentoring programs are valuable experiences for the mentor and the mentee. They provide nurses with the ability to develop professional networks while refining their competency. Nurses should be properly mentored in focusing skills in addition to addressing their emotional needs. The purpose of this quality improvement project was to promote and evaluate the effectiveness of an existing mentoring program on intent to stay, perceived competency, and job satisfaction.

Methods: Institutional Review Board approval was obtained. A convenience sample of new nurses with less than 2 years’ experience in an academic medical center was recruited to assess their intent …

Implementing Teamstepps® Training For An Interdisciplinary Healthcare Team To Improve Teamwork, Tina J. Dimarino, Msn, Rn, Cnor, Casc

Doctor of Nursing Practice Projects

Background: Ineffective teamwork and communication increase the risk of adverse patient outcomes. An evidence-based teamwork training intervention was implemented to improve teamwork and communication.

Aims /Objectives: The team participated in a TeamSTEPPS® training program. The aims and objectives were to improve the staff’s attitudes and perceptions of teamwork and communication; pre, post and sustained at 30-days, reduce the number of documented near misses and measure for daily use of the newly acquired skills.

Methods: This is a quality improvement project with a one group, pretest and posttest design. The TeamSTEPPS® intervention was presented to the healthcare team. Participants’ teamwork attitudes …

Mindfulness Training In Mitigating Implicit Bias: Improving Cultural Competency For Nurses Caring For Lgbt Individuals, Daniel Terrell, Msn, Rn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Equitable care remains a goal of the United States healthcare system, with cultural competency training used as one intervention to mitigate disparities. Cultural competency education is primarily based on racial and ethnic differences, often omitting other marginalized groups. Implicit bias consequences are not addressed in such training programs despite the association with health outcome disparities. Research related to implicit bias has demonstrated the ability to promote malleability in implicit associations.

Objectives: This project assessed a mindfulness meditation exercise intervention on nursing awareness in interacting with lesbian, gay, bisexual, and transgender (LGBT) patients. Additionally, an LGBT health education module that …

A Program Development And Evaluation Project For Provider Use Of Buprenorphine Maintenance, Kyle Olson, Aprn

Doctor of Nursing Practice Projects

Background: Buprenorphine (BNX) is used in Opioid Use Disorder (OUD) deterrence. Optimal long-term duration with BNX is unclear, but evidence shows that there is a high risk for relapse when medicine is discontinued even if maintenance has been stable for some time.

Outcomes: The purpose of this project was to decrease barriers for providers implementing BNX therapy for individuals diagnosed with OUD. Outcomes measured included: (1) knowledge of and barriers to implementing current guidelines, (2) factors preventing use of guidelines, (3) recommendations for BNX maintenance as per guidelines.

Methods: Using a pre-post intervention design, participant knowledge on BNX guidelines, factors …

Implementation Of Diabetic Foot Care Education Quality Improvement Project, Mitaliben R. Gor, Msn Aprn Fnp-C

Doctor of Nursing Practice Projects

Background: A diabetic foot ulcer is a major complication in diabetes mellitus that results in increased mortality, morbidity, costs, and reduced quality of life. In 2015, the prevalence of diabetic foot ulcers was estimated by the International Diabetes Federation to develop annually among 9.1 million to 26.1 million people with diabetes worldwide. Diabetic foot care has economic consequences due to the expenses related to the treatments that arise from prolonged and recurrent hospitalizations and social problems from employment losses.

Purpose: The purpose of this project was to implement diabetic foot care education among diabetes patients in the clinic as a …

A Quality Improvement Initiative To Engage Older Adults In The Discharge Process Using The Ideal Discharge Protocol, Ava D. Williams, Msn, Crnp Fnp-Bc

Doctor of Nursing Practice Projects

Background: Readmissions are costly and adversely affect patient outcomes. Readmissions significantly impact older adults’ ability to manage post-discharge. Older adults are more likely to have challenges with understanding newly prescribed medications after discharge and therefore are less compliant with medications. Older adults are also less likely to follow-up with their primary care physician after discharge. Engaging patients and families in a collaborative discharge process is a key foundational element needed to improve patient outcomes and reduce avoidable readmission rates.

Purpose: This quality improvement initiative engaged patients and families in an evidence-based discharge protocol to reduce avoidable readmission over three months. …

Increasing Mental Health Competency In School Nurses, Jennifer M. Walsh Msn, Cpnp, Cne

Doctor of Nursing Practice Projects

Background: Mental health concerns in the pediatric population have increased over recent years, even more so due to the COVID-19 pandemic. Time from onset of symptoms to treatment is over eight years, leaving less than 25% receiving care. Virginia ranks 47th for pediatric mental health care. School nurses spend a significant amount of workload on MH issues but often report being untrained to deal with these issues. Aims: Implement a quality improvement pilot program for school nurses designed to increase competency of identification, management, and referrals for students with mental health concerns. Outcomes measured domains of knowledge, attitude, and competency …

Improving Nurse Manager Job Satisfaction: An Urban Academic Quality Improvement Project, Patricia A. Winston, Ms, Rn, Nea-Bc, Fache

Doctor of Nursing Practice Projects

Background: It is important that the nurse managers are able to contribute to organizational vision, mission, and goals by influencing others, sharing the vision, and implementing it (Boyce, 2018). They are pivotal to the successful accomplishments of the hospital mission. The issue of recruiting, developing and retaining nurse managers is one that challenges many health care institutions, hospitals, hospitals, and health systems. The literature regarding this concern was reviewed and the paucity of useful science in this regard led to question of how to improve the job satisfaction and job retention of nurse managers at urban academic medical centers.

Objective: …

The Effects Of Diabetes Self-Management Education Among African American Adults, Nkeiruka Muonagolu Msn, Aprn, Fnp-Bc

Doctor of Nursing Practice Projects

Background: Type II diabetes continues to be a pervasive issue among African American adults. Significant challenges in effective management have resulted in poor health outcomes that have disproportionately threatened the quality of life among this group and increased the risk of mortality. Diabetes Self-Management Education (DSME) has demonstrated success in improved patient management and its capacity to mitigate risks for complications. Although researchers and health institutions generally accept DSME as an effective tool for managing diabetes, limited studies exist on its efficacy for African Americans.

Purpose: This study aimed to examine the effects of DSME intervention on diabetes management among …

Heart Failure Management In A Skilled Nursing Facility, Leigh T. Simpkins

Doctor of Nursing Practice Projects

Background: Reducing heart failure hospital readmissions remains a priority for health systems and is a marker of quality for the Center for Medicare and Medicaid Services (CMS). Heart Failure is the most common cause of U.S. hospital admissions and an effective management program in the nursing home setting is crucial for quality and outcomes.

Purpose: The purpose of this project was to implement and evaluate a Nurse Practitioner/Physician supported heart failure management program in a skilled nursing facility that is able to be incorporated into facility staff workflow, enhances nursing staff knowledge of heart failure, improves identification of patients with …

Implementation Of Capnography Monitoring To Improve Outcomes Among Intensive Care Unit Patients On Patient-Controlled Analgesia Or Opioids, Leslie Smith, Msn, Bmtcn, Aocns, Aprn-Cns

Doctor of Nursing Practice Projects

Background: Patient-controlled analgesia (PCA) administration of opioids is associated with risk for respiratory depression. Capnography is a non-invasive way to identify early respiratory depression and prevent adverse patient events.

Purpose: This project evaluated the effectiveness of capnography versus standard monitoring in reducing adverse events among patients admitted to an intensive care unit (ICU) who were prescribed PCA opioids and evaluated patients at high-risk for respiratory depression according to age, gender, diagnosis, co-morbidities, and type of opioid prescribed.

Methods: This project used a pre- and post-intervention design to compare differences in the number of adverse events among 20 adult patients …

A Multi-Faceted Quality Improvement Project Amid A Global Pandemic: Improving Guideline-Consistent Cervical Cancer Screening Rates And Provider Knowledge Of Abnormal Cervical Cancer Screening Results During Reactivation Of A Metro Family Practice Clinic, Taylor Villwock, Agpcnp-Bc

Doctor of Nursing Practice Projects

Background: Despite the evidence-based value of cervical cancer screening, recent updates to guidelines, and general availability of the Papanicolaou (Pap) test, guideline-adherent screening rates remain low. The COVID-19 pandemic further impedes progress as preventive healthcare is delayed and patients are reluctant to enter healthcare facilities.

Objectives: The purpose of this project was to evaluate if provider education and patient reminder letters comprising written education and risk-mitigation efforts improved cervical cancer screening rates and increased providers’ knowledge of appropriate follow-up during reopening of a metro family practice clinic amid the COVID-19 pandemic.

Methods: A multi-faceted quality improvement project included a 3-month …