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Wright State University

2012

Doctor of Nursing Practice Program Projects

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Full-Text Articles in Medicine and Health Sciences

The Evaluation Of Coaching As An Evidence-Based Intervention For Nurse Managers, Marie A. Bashaw Jan 2012

The Evaluation Of Coaching As An Evidence-Based Intervention For Nurse Managers, Marie A. Bashaw

Doctor of Nursing Practice Program Projects

Nurse managers are a vital link between hospital administration, senior nursing leadership and staff nurses. Understanding and facilitating nurse managers’ job satisfaction is important for retention of current nurse managers and creating organizational success. Retaining nurse managers is not only important in terms of savings in turnover costs but for providing quality patient care. The purpose of this evidence-based practice (EBP) project was to implement a coaching intervention with nurse managers to decrease stress and improve job satisfaction.

Frameworks guiding this project were Watson’s Theory of Human Caring and Larrabee’s Model for Evidence-based Practice Change. A review of the literature …


Cardio Pulmonary Resuscitation Decisions In Nursing Home Residents, Melissa S. Bennett Jan 2012

Cardio Pulmonary Resuscitation Decisions In Nursing Home Residents, Melissa S. Bennett

Doctor of Nursing Practice Program Projects

Objective: Cardiopulmonary resuscitation (CPR) performed on nursing home residents, consistently demonstrates poor outcomes with less than 5% survival rate (AMDA, January 30, 2011). Study participants overestimate CPR survival based on television and lack of accurate information (Adams & Snedden, 2006; van Mil et al., 2000). This project evaluated use of a video decision tool on CPR choices in nursing home residents over three months.

Methods: A CPR video decision tool was added to advance care planning discussions as an audiovisual component to educate nursing home residents and their decision makers. Nurse Practitioners (NPs) documented the resident’s choices in the electronic …


Development Of A Best Evidence Statement (Best) For Confirmation Of Nasogastric (Ngt) Or Orogastric Tube (Ogt) Placement, Sherri A. Sievers Jan 2012

Development Of A Best Evidence Statement (Best) For Confirmation Of Nasogastric (Ngt) Or Orogastric Tube (Ogt) Placement, Sherri A. Sievers

Doctor of Nursing Practice Program Projects

The purpose of this scholarly project was to develop a Best Evidence Statement (BESt) for the confirmation of nasogastric or orogastric tube placement in hospitalized children. The nose-ear-xiphoid (NEX) method of measurement and auscultatory method of tube verification is commonly used but is unreliable and has resulted in misplaced tubes as well as poor patient outcomes. Radiography is considered the gold standard however the risks outweigh the benefits due to excessive radiation exposure, increases in healthcare costs and delay in delivery of care. Methods which utilize bedside testing and proper tube measurement have been shown to be effective in nasogastric …