Medicine and Health Sciences Commons^™

An Evaluation Of Adolescent Concussion Management And Guidelines By Primary Care Providers In The Outpatient Setting: Dnp Scholarly Project, Mary Beth Newkirk

Doctor of Nursing Practice Scholarly Project

Understanding the pathology of a concussion has been a challenging task for many experts in healthcare. An agreed upon definition has yet to be developed and many health care providers are not properly educated to assess and care for those suffering from a concussion. Management of concussion in adolescents, a vulnerable population, requires even more consideration and training. The purpose of this study was to determine the knowledge current providers in the four-state region regarding sport-related concussion management in the adolescent population, to improve patient care and outcomes, and to improve knowledge learned through exposure to a clinical practice guideline-based, …

Evaluation Of A Fall Prevention Program For Older Adults In A Rural Community, Candice Morris

Doctor of Nursing Practice Scholarly Project

This project set out to evaluate fall prevention interventions for older adults in a rural community. A literature review was performed to identify evidence-based fall prevention programs that could be modified to meet the needs of the community. Stopping Elderly Accidents, Deaths, and Injuries (STEADI), the Otago Exercise Program, and Stepping On were selected as the most appropriate fit for the needs of this project. The researcher combined and modified the programs in order to bring the intervention to participants in the community. The modified fall prevention intervention successfully reduced key fall risk factors in the participants that completed the …

Ascension Via Christi Hospital Collection, Circa 1940-2004, Special Collections, Leonard H. Axe Library

Finding Aids

A collection of documents, photos, scrapbooks, and other items regarding Mt. Carmel Hospital and Ascension Via Christi Hospital in Pittsburg, Kansas.

In 1903, the Mt. Carmel Hospital was opened to the public in Pittsburg, Kansas by the Sisters of St. Joseph, of Wichita, Kansas, serving local citizens and miners. The hospital was operated by the Sisters, who performed the cooking, cleaning, nursing, and other tasks while doctors donated their services and time. Throughout the years, many additions were added to the hospital. Though the final expansion was finished in 1951, by 1960 it showed signs of needing its own doctor …

Wolfer Drug Store Collection, 1878-1884, Special Collections, Leonard H. Axe Library

Finding Aids

A collection of ledgers from Wolfer Drug Store in Yates Center during the 1870s-1880s.

Wolfer Drug Store was started by James M. Wolfer (c1852-?), the first drug store in Yates Center, Kansas and was the third store in the town. Yates Center, the county seat of Woodson County, was founded in 1875 and named after the original owner of the town site, Abner Yates. In 1880, the store was sold to Dr. Samuel Jewett Bacon (1847-1908) who operated the store until the early 1900s.

Ultrasound Guided Intravenous Access In The Emergency Department, Lynieta Leisure

Doctor of Nursing Practice Scholarly Project

One-quarter of all emergency department visits in the United States results in peripheral intravenous line (PIV) placement for parenteral fluid administration (Fields, Piela, Au and Ku, 2014). When PIV access is delayed, critical care measures are also delayed. Meyer et al. (2014), reports the first attempt PIV access failure rate is approximately 25%. In the critically ill patient, timely PIV access may be the difference between survival and death. Difficult venous access is present in approximately one in ten ED patients requiring PIV access (Fields et al., 2014). The purpose of this scholarly project is to implement a quality improvement …

A Study On Ecological Distribution Of And Selected Gene Expression In Amblyomma Americanum: An Insight Into The Alpha-Galactose Allergy Caused By Tick Bites, Leah Cuthill

Electronic Theses & Dissertations

Ticks transmit a wide variety of pathogens including viruses, bacteria, protozoa, and helminthes to vertebrates. Their life cycle depends on blood meals from various hosts as well as on environmental conditions such as the temperature and habitat type. A newly recognized allergic disease has been identified and is characterized by a delayed reaction following the consumption of some mammalian meats. The allergy often results in life threatening reactions such as anaphylaxis, hives, and breathing problems 3-6 hours after the consumption of mammalian meat. Not everyone develops the allergy when they are bitten by a lone star tick, and the cause …

Sepsis Screening Education, Brittany R. Horn

Doctor of Nursing Practice Scholarly Project

Sepsis is a significant burden to the healthcare field with 1.7 million Americans annually diagnosed with this condition. Earlier diagnosis and treatment are the most effective ways of reducing morbidity and mortality related to sepsis. The current sepsis screening tool in place at Stormont-Vail Hospital, in Topeka, Kansas, is the systemic inflammatory response (SIRS) criteria; however, this screening tool has proven to be less effective than other screening tools available. The screening tools proven more effective than the SIRS criteria, are the quick sequential organ failure assessment (qSOFA) and the sequential organ failure assessment (SOFA). For this project, nursing staff …

Quality Family Planning: Enhancing The Knowledge Of Contraception Counseling In Primary Care, Allison N. Littleford

Doctor of Nursing Practice Scholarly Project

Reducing unintended pregnancies continues to be an important health initiative in the United States. National rates have demonstrated a slow decline, yet the CDC estimates rates remain near fifty percent, with rural women facing higher unintended pregnancy rates than their urban counterparts. Research demonstrates following evidence-based practice recommendations regarding family planning improves contraceptive adherence and helps women achieve desired pregnancy spacing.

This mixed methods research design evaluates provider family planning knowledge levels prior to introduction of an educational video and PDF file, and following the educational tools. Results of the study showed a majority of providers were aware of CDC …

Understanding The Knowledge, Perceptions, And Advocacy Of Family Presence During Resuscitation By Emergency Department Registered Nurses, Myranda Prather

Doctor of Nursing Practice Scholarly Project

Although recommended by current evidence-based literature, family presence during resuscitation (FPDR) continues to be inconsistently implemented in healthcare facilities. This study aimed to assess and understand nurses’ knowledge, perceptions, and advocacy of family presence during resuscitation in the emergency department. For this cross-sectional descriptive study, an anonymous electronic survey was administered via email to all nurses employed in the emergency department at a local healthcare facility. Hard copies of the survey were also distributed in-person. Data collection occurred over a three week period. The data were coded and entered into a computer software statistics program for analysis. Descriptive statistics were …

Effectiveness Of Heart Failure Clinics On Reducing Hospital Readmissions, Sarah Stoughton

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to determine if follow up visits at the AdventHealth Heart Failure Clinic in Shawnee Mission, Kansas were effective in reducing the 30-day readmission rate of heart failure patients. It was also to determine if a patient’s BMI, EF, GFR, and A1c would improve or remain stable with follow-up appointments at the same clinic or if they would worsen. The author assessed this through a retrospective chart review and collection of data. Data was collected on the 30-day readmission rate of heart failure patients prior to the opening of the clinic in the fall of …

Determining The Knowledge And Practices Of Obstetrics Healthcare Professionals Regarding Maternal Intrapartum Pertussis Vaccination Administration, Kristie Mattix

Doctor of Nursing Practice Scholarly Project

Pertussis is a contagious respiratory disease that can occur in all age groups. Signs and symptoms of pertussis, however, are worse in infants and young children; likewise, the rates of severe cases, hospitalizations, and deaths are higher in this group as well. Vaccination against pertussis is the most effective way to combat this illness. In the last 15 years, there have been a number of changes in the recommendations regarding vaccination against pertussis. In order for these recommendations to be followed, healthcare professionals must be aware of the guidelines as well as be knowledgeable about the condition they are trying …

Identifying Risk Factors For Developing Post-Operative Complications After Breast Reconstruction Surgery In Breast Cancer Patients, Kelsey Akin

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to identify risk factors for the development of post-operative complications in breast cancer patients after breast reconstruction surgery. The author first identified possible risk factors through a literature review and evaluated a current risk assessment tool being used in current practice. A retrospective chart review was conducted of fifty charts of patients who underwent a mastectomy and breast reconstruction surgery for the treatment of breast cancer. The author compared possible risk factors from the groups of patients who developed complications versus those who did not. The author found two possible relationships between two identified …

Evaluation Of Intravenous Catheter Insertion Skills And Confidence Levels Of Nurses In The Acute Care Setting, Kelly Mishmash

Doctor of Nursing Practice Scholarly Project

The use of IVs for medication administration is an essential component in healthcare and benefits the patients (Castro-Sanchez, Charani, Drumright, Sevdalis, Shah, & Holmes, 2014). Obtaining intravenous access is a specialized nursing skill that requires a combination of clinical knowledge and psychomotor coordination (Ramer, Hunt, Ortega, Knowlton, Briggs, & Hirokawa, 2016). Difficulties created by vein size, obesity, and tortuosity can make even a skilled staff member struggle which then can lead to delays in treatment (Idemoto, Rowbottom, Reynolds, & Hickman, 2014). A single phase survey was conducted in a rural southwest Missouri hospital in order to assess confidence levels in …

Using Provider Education About Self Care To Reduce Compassion Fatigue Among Nurses, Priscella Caron

Doctor of Nursing Practice Scholarly Project

Many have scrolled through Facebook and news stories highlighting nurses as “heroes” of the current coronavirus pandemic. Pictures of nurses in personal protective equipment while at work or clips of nurses making fun tiktok video’s celebrating recovered COVID -19 patients. Social media does not capture the sheer emotional, physical, and spiritual wear that nurses experience providing compassionate care to patients facing light threatening illness or events. Health care organizations are under pressure to control cost, increase productivity, and increase patient satisfaction scores, all while facing a pandemic crisis. This type of pressure can create inadequate staffing and increase clinical responsibilities …

Increasing Knowledge About Hpv And The Hpv Vaccine Amongst College Students, Morgan Baxter

Doctor of Nursing Practice Scholarly Project

This scholarly project included an education presentation to Pittsburg State University students enrolled in the Health Promotion class in the Fall of 2019, a pretest was taken before the educational presentation and then a posttest was completed to assess the student’s knowledge of HPV and the HPV vaccine. The posttest evaluated whether there was an increase in knowledge after the presentation. In this scholarly project there was an overall increase in knowledge with statistical significance (p

Salary, Benefits Packages, And Negotiation Skills For Nurse Practitioners, Lea Ann Tyler, Laura A. Weiss

Doctor of Nursing Practice Scholarly Project

Currently, there are nearly 250,000 practicing nurse practitioners providing care in a broad variety of healthcare settings, and that number is growing by three to four thousand every year. Historically, nurse practitioners have been paid a salary commensurate with experience. As the healthcare market changes, so too is the way NPs are being paid. It is imperative that nurse practitioner students are educated and knowledgeable about nurse practitioner salary, benefits packages and negotiation techniques. This information is necessary to make informed decisions on these matters, and before signing any formal contract.

Through a substantial literature review, it was determined there …

Increased Knowledge Of Autism Spectrum Disorders Reduces Stress Levels In Staff Caring Directly For Patients With Autism Spectrum Disorder., Katelyn E. Triplett

Doctor of Nursing Practice Scholarly Project

Autism Spectrum Disorders (ASD) is a group of disorders that affects approximately 1 in 59 children (Autism Spectrum Disorder, 2019). This group of disorders can cause deficits in communication, social relationships, and those with the diagnosis may exhibit undesirable behaviors as well as restrictive and repetitive behaviors (RRBs). There is limited education given to healthcare providers on this group of disorders, making it difficult to care for these patients. This study was conducted to determine if the stress level of staff that directly care for patients with ASD, at a pediatric behavioral health hospital, decreased following an educational presentation over …

Preventing Childhood Obesity With Increased Education On Responsive Feeding Practices In Parents Of Newborns In A Community Health Center, Heather Burns

Doctor of Nursing Practice Scholarly Project

This project sought to increase healthcare providers’ responsive feeding education to parents of newborns at a community health center in Southeast Kansas. An educational offering was held for participating providers who provided health services throughout infancy. The offering reviewed the projects’ methodology, instruments, and intervention to increase responsive feeding education. Parents of newborns who met the inclusion criteria and who presented for an initial newborn visit with their healthcare provider were invited to participate. Parents completed surveys prior to receiving education at the initial appointment and the a follow-up survey at the infant’s two-month well child appointment to analyze parental …

Assessing The Health Literacy Levels Of Diabetic Patients Located In Rural Southeast Kansas, Meghan Murray

Doctor of Nursing Practice Scholarly Project

Data shows that limited health literacy is prevalent throughout the United States. This data has also found a correlative relationship between limited health literacy and poor health outcomes. An individual’s health literacy level affects many areas of their health, including their ability to effectively manage chronic diseases, such as diabetes mellitus. Awareness of an individual’s health literacy level allows for targeted interventions and a potential improvement for a patient’s health outcomes. The Newest Vital Sign (NVS) is a validated screening tool that allows for the identification of a patient’s likely health literacy level. The purpose of this Doctor of Nursing …

Improving Pcs 5.67 Meditech’S User Interface By Adding A “One-Click-One-Screen” Electronic Page, German Abarca

Doctor of Nursing Practice Scholarly Project

Medical organizations and physicians have been encouraged to implement different EHR systems. Initially these systems aimed to record, and store clinical data and improve its access and legibility. However, as these systems have become almost indispensable, users are demanding from these applications more complex tasks. Small practices and/or rural medical organizations often cannot afford to continuously upgrade their EHR systems or acquire modern systems. Research has shown that one way to solve this problem is to customize and add features that can facilitate user navigation. The purpose of this QI project was to investigate if integrating a “one-click-one-screen” electronic window …

Tri-State Mining District, Ecological System, And Human Health: Systematic Literature Review Analysis, Jihyun Jane Min

Posters

Objective: Although extensive research exists on corrosive environments in the Tri-State Mining District (TSMD), there has been a lack of research on how such harmful effects in the TSMD could affect residents living in those areas. However, quite recently, such research regarding relationships between the health conditions of low-income residents and toxic elements in TSDM began to grow. Therefore, the increase of empirical studies means greater complexity of the findings that require a more intricate understanding.

Methods: To meet the necessity of the study, this research was conducted by an extensive systematic review of the literature on the harmful effects …

Cardiovascular Surgery Practice Remodel: Increasing Job Satisfaction And Reducing Turnover Rates Of Advanced Practice Providers, Christian Brooks

Doctor of Nursing Practice Scholarly Project

Cardiovascular Surgery Practice Remodel: Increasing Job Satisfaction and Reducing Turnover Rates of Advanced Practice Providers

Background: The CVS practice in a Midwestern state had a shift in morale and job satisfaction in their advanced practice providers (APPs). This shift lead to the high turnover rate of 35% in 2018. In an effort to bring a halt to the high turnover rate, and to continue the excellent patient care for which the hospital is known, hospital administration became involved and set up a committee to guide the development of a new CVS APP practice model. The goal was to develop …

Inappropriate Antibiotic Use: A Survey Of Provider Prescribing Behaviors, Brice I. Saunders

Doctor of Nursing Practice Scholarly Project

Antibiotics save lives and are one of the most widely used medications of modern medicine. However, the widespread use of antibiotics has led to the development of antimicrobial resistance (AMR). AMR is a major public health crisis with disastrous consequences on national and global healthcare systems. AMR is associated with increased healthcare costs, increased morbidity and mortality, longer hospital stays, increased readmission rates, and overall poorer patient outcomes. The use of antibiotics is the single most important leading factor involved in the development of resistance. Current estimates suggest that at least 30% and up to 50% of all antibiotics prescribed …