Medicine and Health Sciences Commons^™

Impact Of Fall Education To Oncology Staff On Oncology Patient Fall Rates, Danni Sloane

Articles, Abstracts, and Reports

Significance & Background

Falls and fall-related injuries impact patients' health outcomes and are the most commonly reported adverse event in hospitals. Patient falls also affect reimbursement rates and can increase length of stay by about 6.3 days and increase undue patient harm. An increase of patients falls on the medical and surgical oncology acute care units have caused undue physical harm, increased moral distress, mental fatigue, and burnout in nurses; as well as placing financial burdens on the healthcare system. Implementing fall education and interventions aligns with national patient safety goals, is a top-priority project, is in alignment with the …

Health Professional Concern For Environment And Behaviors To Protect Climate Health, Mary Jo Kelly, Sarah Johnson, Teresa Rangel, Gale Springer

Articles, Abstracts, and Reports

No abstract provided.

Preventing And Responding To Workplace Violence In The Emergency Department, Janina La Porte, Stefanie Lai, Alicia Rodriguez

Articles, Abstracts, and Reports

No abstract provided.

Fall Prevention Quality Initiative: Implementation Of Fall Ambassador Safety Team (F.A.S.T.), Jerome Codilla, Joanna Arraiza, Joanna Felix-Mendez, Grace Marie Rillorta, Isabel Shellburne-Vargas

Articles, Abstracts, and Reports

No abstract provided.

Healthcare Professional Awareness Of Climate Health And An Evidence-Based Environmental Stewardship Framework, Patricia Joubert, Rosemary Timmerman, Angie Shemwell, Barbara Ngyuen, Teresa Rangel

Articles, Abstracts, and Reports

No abstract provided.

Perceived Moral Distress Among Patient-Facing Healthcare Professionals During The Covid-19 Pandemic, Sarah Sumner, Karen Colorafi, Teresa Rangel

Articles, Abstracts, and Reports

No abstract provided.

Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation, Shanekia Garrett, Stefanie Lai, Jairo Pagan, Wendy Lu, Katie Whitehead

Articles, Abstracts, and Reports

No abstract provided.

Primary Care Organizational Readiness And Implementation Climate For Task Sharing Of Tele-Mental Health Interventions, Frances Chu, Brenna Renn, Erin Abu-Rish Blakeney, Sean Munson, Oleg Zaslavsky

Articles, Abstracts, and Reports

Primary Care Organizational Readiness and Implementation Climate for Task Sharing of Tele-Mental Health Interventions

Chu, F.; Renn, B.; Blakeney, E.; Munson, S.; Zaskavsky, O. Providence Swedish/University of Washington, Seattle, WA

Purpose: To examine perceptions of organizational readiness and implementation climate for task sharing of telemental health (TMH) interventions from primary care healthcare professionals by levels of behavioral health integration (BHI) and roles. Background/Significance: BHI clinics have positive impact on patient outcomes. Task sharing, a strategy used to address shortages of behavioral/mental health (BMH) specialists, with TMH interventions adds complexity. Method: The mixed methods study surveyed 151 healthcare professionals with Organizational …

Implementing In-Room Recycling On A Family Medical Center, Ariann Schultz, Sarah Johnson

Articles, Abstracts, and Reports

No abstract provided.

Improving Time To Defibrillation​, Jonathan Eyestone, Dana Gilbreth, Amanda Maloney, Tina Pham

Articles, Abstracts, and Reports

"ABSTRACT TITLE: Improving Time to Defibrillation

Background: Providence St. Vincent Medical Center (PSVMC) Medical Surgical units are not meeting the American Heart Association requirement of less than 3 minutes to defibrillation. Time to defibrillation in codes with shockable rhythms averages 4.2 minutes. In Mock Codes, only one met the time less than 3 minutes; four Mock Codes had times over 5 minutes. Resuscitation Quality Improvement CPR (RQI) training is required quarterly. Defibrillator practice with overall Code Blue competency is annual.

Purpose: Combine the hands-on practice of the defibrillator with the hands-on training for RQI.

Methods: The Medical Surgical unit 6 …

An Educational Intervention Differentiating Between Pressure Injuries And End-Of-Life Wounds, Alicia Perez Verela

Articles, Abstracts, and Reports

No abstract provided.

Population Screening For High-Risk Patient Identification Partnership With Care-Comprehensive Assessment, Risk, And Education., Ora K Gordon, Brad Bott, Nanor Parseghian, Kimberly K Childers, Sandra Brown

Articles, Abstracts, and Reports

No abstract provided.

Multi-Cancer Early Detection Testing (Mced), Ora K Gordon, Brad Bott, Nanor Parseghian, Paul Psychogios, Kimberly K Childers, Sandra Brown

Articles, Abstracts, and Reports

No abstract provided.

Medication Review Project For The Aspiring Ma Iii, Marie Millan

Articles, Abstracts, and Reports

No abstract provided.

Interdisciplinary Involvement In Htn Management, Kirsten Curcio, Maurice N. Tran, Estera Ianciuc

Articles, Abstracts, and Reports

No abstract provided.

The Mindfulness Minute For Caregiver Wellbeing, Veronica Silva, Trisha Saul

Articles, Abstracts, and Reports

Purpose {What): Research has shown a correlation between stress and job burnout. The Minute Project was developed as a simple tool for caregivers to reduce stress. Our intention is that when stress is reduced, burnout will also be reduced. This tool can be used anytime throughout the day to help our caregivers. Significance {Why): The wellbeing of caregivers in a hospital setting have been challenged over the past 2-3 years. Research has shown that mindfulness practices have an impact on stress levels by activating the parasympathetic nervous system. Given the limited education resources, we felt that addressing the stress levels …

Engaging Nurses With In-Person Multidisciplinary Education, Caitlin Silva

Articles, Abstracts, and Reports

"Title: Engaging Nurses with In-Person Multidisciplinary Education

By Caitlin Silva MSN, RN, CCRN, SCRN

Purpose:

This project was to evaluate the impact of “Brain Day,” a targeted multidisciplinary continuing education (CE) class that utilized in-person teaching to promote engagement and satisfaction among nurses in a progressive care unit (PCU).

Relevance/Significance/Background:

Staffing shortages have reached critical levels and educators are tasked to find new ways to increase engagement and satisfaction. Perceived organizational support and workplace relationships have a significant impact on retention. Required contact hours can be used to address staff identified learning needs to keep CE relevant and promote satisfaction. …

Role Of A Multidisciplinary Pulmonary Embolism Response Team And Impact Of Interventional Therapy In The Management Of Patients With Intermediate-High Risk Pulmonary Embolism, Juan N Pulido, Robert Fletcher, Michelle A. Poitevin, Kristina Pratt, Paul P Huang, Eric J Lehr, George P Pappas

Articles, Abstracts, and Reports

Background: Despite emerging interventional options for pulmonary embolism (PE), the mortality rate for intermediate high-risk PE (IHR-PE) remains high and the optimal therapeutic approach unclear due to a lack of robust outcomes data. We describe the outcomes of patients presenting with IHR-PE managed by a multidisciplinary PERT program with all available reperfusion options.

Methods: This single center retrospective study included EMR data from patients that were a part of the multidisciplinary PERT program from January 2012 to June 2023. PERT was activated if risk of death was intermediate or higher. The simplified pulmonary embolism severity index (sPESI) and Bova score …

Outcomes Of Patients With Intermediate Risk Pulmonary Embolism Treated With A Multidisciplinary Pulmonary Embolism Response Team. The Emergent Role Of Percutaneous Catheter Thrombectomy And The Importance Of Cardiac Surgery Engagement, Juan N Pulido, Robert Fletcher, Michelle A. Poitevin, Kristina Pratt, Paul P Huang, George P Pappas, Eric J Lehr

Articles, Abstracts, and Reports

Background: Management of Intermediate Risk Pulmonary Embolism (IRPE) remains controversial due to the dynamic nature of the disease and the lack of correlative outcomes with large clot burden. We describe the outcomes of patients presenting with IRPE managed by a multidisciplinary Pulmonary Embolism Response Team (PERT).

Methods: This single center retrospective study included EMR data from patients that were a part of the multidisciplinary PERT program from January 2012 to June 2023. PERT was activated if risk of death was intermediate or higher. The simplified pulmonary embolism severity index (sPESI) and Bova score were used as risk stratification tools. Patients …

Reboot: Resurrecting A Nursing Mentorship Program Post Covid, Cindy Wishon

Articles, Abstracts, and Reports

" REBOOT! Resurrecting a Nursing Mentorship Program post COVID Rationale: Mentorship programs have been recognized as beneficial in enhancing nurse retention and professional development as evidenced by PTAP and Magnet recommendations. EBP Question: In two PTAP Certified and Magnet aligned hospitals, can the reimagining of a 1-year Nurse Mentorship Program benefit the participants, compared to non-participants, as evidenced by program engagement, participant satisfaction with their professional role, and retention rates. Literature Search, Appraisal & Synthesis: EBSCO search including terms mentorship, nursing, and program implementation was conducted. Two Level 1 Systematic Reviews, as well as several Level 6 studies, both qualitative …

Poster: Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation, Shanekia Garrett, Stefanie Lai, Jairo Pagan, Wendy Lu, Katie Whitehead

Articles, Abstracts, and Reports

Improving Emergency Department Belongings Inventory Electronic Medical Record Documentation Rates Background: Electronic Medical Record (EMR) education and training for RNs should be multifaceted and targeted to the RN clinical workflow. Input from direct care RNs is essential to ensure EMR education is relevant and effective. Shared Governance at a community hospital identified quality and safety concerns among inpatient RNs. RNs reported that belongings inventories were not consistently documented in the EMR for Emergency Department (ED) admissions. Hospital policy requires belongings inventory EMR documentation for all admitted patients. An audit of charts for ED admissions over three months revealed only 5% …

Poster: "Improving High Reliability Organization (Hro) Education, Culture, & Engagement Through Video ", Francis Khan, Alison Branson

Articles, Abstracts, and Reports

Background: While Providence began the HRO journey in 2015, the Northern California region didn’t launch until March 2022. While most leaders and caregivers have been trained, several still have difficulty remembering and applying the HRO principles and tools. The HRO Vlog provides a series of short videos that not only reinforce the various high reliability principles, but also provides real-life stories of caregivers who have successfully applied HRO principles and tools in their daily work. Purpose: According to Press Ganey’s Virtuous Cycle Model (Fig A.), safety and engagement the drivers of HRO. When safety and engagement operate in tandem, benefits …

Improving Patient Outcomes Through An Evidence-Based Practice Nursing Boot Camp (Program Evaluation), Kevin Brandini

Articles, Abstracts, and Reports

No abstract provided.

A Hapi Reduction Qi Project: Don't Leave Your Patient In S.H.A.M.B.L.E.S, Anissa Guzman, Ashlee Garcia, Valerie Lindsay

Articles, Abstracts, and Reports

No abstract provided.

Oncology Infusion Nurses' Personal Protective Equipment Use While Handling Hazardous Drugs, Deborah Yoon

Articles, Abstracts, and Reports

Infusion Nurses’ Personal Protective Equipment Use While Handling Chemotherapy Drugs Purpose: To describe perceived barriers, perceived risks, interpersonal influence (modeling and norms), perceived conflict of interest, and organizational influences and select demographics related to Personal Protective Equipment (PPE) use for out-patient, oncology infusion nurses. Background: The proper use of PPE should be common practice among nurses who administer chemotherapy. However, despite training and education, many studies have demonstrated that infusion nurses’ PPE adherence is as low as 50%. Improper PPE use can increase exposure to chemotherapy and has potential adverse health effects including fertility issues and risks of cancer. Few …

Hospital Acquired Pressure Injury (Hapi)– Related To Bilevel Positive Airway Pressure (Bipap) In Definitive Stepdown Unit (Dsu)​, Carmyle Seville, Bsn, Rn, Pccn, Angelica Taneca, Bsn, Rn, Pccn

Articles, Abstracts, and Reports

2023 Western Institute of Nursing Research (WIN)

Leveraging Technology to Advance Nursing and Equity in Research, Practice, and Education

HAPI-Related to BIPAP in DSU

Carmyle Seville, BSN, RN, PCCN

Angelica C. Taneca, BSN, RN, PCCN

Background: Most Medical-Device Related Pressure Injuries develop when skin or underlying tissues are subjected to a sustained pressure or shear from medical devices. Dressings have shown substantial biomechanical effectiveness in alleviating facial tissue deformations and stresses by providing localized cushioning to the tissue at risk. Our units (DSU and SDU) provides for the monitoring and care of patients with moderate or potentially severe physiologic instability …

A Case Report Of Immune Checkpoint Inhibitor-Associated Acute Pancreatitis Presenting As Mixed Dka/Hhs: Histopathological And Radiological Findings, Amanda Sams

Articles, Abstracts, and Reports

No abstract provided.

Apremilast For Generalized Granuloma Annulare: A Case Series Of Eight Patients, Tory Starzyk

Articles, Abstracts, and Reports

No abstract provided.

Qi Project: Clopidogrel In Nstemi, Amanda Sams, Erin Kaya, Carsten Kirby, Ester Peters, Michael Stewart (Faculty Advisor)

Articles, Abstracts, and Reports

No abstract provided.

Identifying Gaps In Interpretive Services To Improve Patient Care: A Root Cause Analysis, Christiane Phillips, Reed Ritterbusch, Ken Scott, Jenny Wickens

Articles, Abstracts, and Reports

No abstract provided.