Medicine and Health Sciences Commons^™

Decreasing Overall Breast Cancer Risk Through Assessment, Treatment, And Prevention Of Vitamin D Deficiency In The Adult Population, Rachel Jamison

Doctor of Nursing Practice Scholarly Project

The primary objective of this study is to examine the effectiveness of an educational initiative aimed at enhancing nurse practitioners' understanding and recognition of vitamin D deficiency. The purpose of this program is to equip them with the skills to screen, diagnose, and manage this condition to mitigate the overall risk of breast cancer in patients. Vitamin D deficiency is a prevalent global health issue that affects over one billion people, and it can manifest at any stage of life without showing any symptoms, making it challenging for healthcare providers to detect. However, even mild or prolonged deficiencies can lead …

Low Vitamin B12: The Need For Updated Provider Education, Tracy Coltharp

Doctor of Nursing Practice Scholarly Project

Vitamin B12 deficiency is a notable clinical problem with multi-factorial risk factors and a multitude of clinical manifestations. It is associated with polyglandular autoimmune syndromes, some familiar and some lesser well known. The specific aim of this scholarly project was to evaluate whether education aimed at providers such as nurse practitioners, nurse practitioner students, physician assistants, and physicians regarding updated diagnostic criteria for vitamin B12 deficiencies as well as associated diseases, specifically autoimmune gastritis, and pernicious anemia, increased their knowledge and ultimately improved clinical practice. The project utilized a pre-test/post-test design with education provided in between. There was an improvement …

The Effect Of Education Path And Nursing Specialty On Knowledge And Attitude Survey Regarding Pain Scores, Justin Cope

Doctor of Nursing Practice Scholarly Project

Pain is reported as the number one fear of patients, and has been shown to stop patients from seeking necessary medical treatment in a timely manner. Therefore, it is important that health care professionals be able to properly assess and treat pain. One area not previously studied is how degree path affects knowledge acquisition.

The purpose of this study is to determine the effect of structured education and clinical experience on general pain knowledge between traditional and non-traditional Bachelors of Science in Nursing students. Participants of this study include RN-BSN students and pre-licensure BSN students who have completed the Adult …

Christian-Based Health Promotion Program, Amber Vail

Doctor of Nursing Practice Scholarly Project

Chronic diseases are on a rise and placing hardship on healthcare in the United States. Regular physical activity and consumption of fruits and vegetables have proven to have health benefits related to decreasing chronic disease and improving the management of chronic diseases. A majority of the United States adult population do not meet the guidelines that are set forth by the CDC that will have a positive effect on the reduction of chronic diseases.

The purpose of this six-week Christian-based health promotion program was to improve the health of individuals in the congregation by increasing each individual’s weekly physical activity …

Frequency Of Ciwa Scoring In Patients With Alcohol Dependence In A Mental Health Setting, Heather Mcmanis

Doctor of Nursing Practice Scholarly Project

The purpose of this quality improvement project was too assess the knowledge and attitudes of nursing staff toward assessing patients diagnosed with alcohol dependence who are detoxing from alcohol in a mental health facility. An educational intervention was done with nursing staff to assess their knowledge of the Clinical Institute Withdrawal Assessment for Alcohol (CIWA) scale and to stress the importance of frequent and accurate use of the scale. Data was collected for three months before the educational intervention and three months after the educational intervention on the total number of patients admitted to the facility with a diagnosis of …

Expanding Clinical Knowledge And Awareness To Non-Benzodiazepine Treatments By Providing An Educational Intervention: A Quantitative Study, Alexander Labrador

Doctor of Nursing Practice Scholarly Project

This study examined the effectiveness of an educational intervention for healthcare clinicians to increase knowledge and awareness of non-benzodiazepine treatments for the treatment of anxiety and panic disorders. The target population were healthcare clinicians in a metropolitan area that commonly treat anxiety and panic disorders. Clinicians from different specialties were recruited to participate and evaluated on their knowledge of benzodiazepines on a 3-question pretest survey using a Likert scale. The clinician was then given a 30-minute educational intervention that covered the risks and dangers of benzodiazepines and a review of alternative, non-benzodiazepine treatment options. The clinician then self-evaluated themselves using …

Implementation And Evaluation Of A Diabetic Education Program, Brianna Cole

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to help create and evaluate a diabetes education program that was accessible to diabetic patients over the age of 18. This project was conducted through Enhanced Healthcare of the Ozarks clinic with the guidance and approval of the American Diabetes Association. There is currently one other diabetic education program available in Northwest Arkansas. The theme of this project was to provide education in individual and group settings regarding medication use, emergency situations, nutritional choices, and self-management techniques. These patients learned meal planning strategies, proper nutrition choices, functions of the body, self-management techniques, emergent situation …

Registered Nurse Education On Prevention Of Ventilator Associated Pneumonia In An Urban Midwestern Intensive Care Unit, Jodi Marie Weber

Doctor of Nursing Practice Scholarly Project

Ventilator associated pneumonia (VAP) is a preventable health condition causing increased hospital stays, over 35,000 deaths each year, and one of the costliest healthcare associated infections. VAP occurs when a patient develops pneumonia after being intubated and mechanically ventilated. Preventative measures are commonly in place amongst facilities, despite these measures VAPs still are occurring. Poor compliance with preventative measures have been observed in regards to oral care. Staff nurses in an intensive care unit (ICU) at a midwestern urban hospital were provided education on VAPs and preventative measures, with a focus on proper oral care. Staff nurses were given a …

Provision Of Formal Education To Nursing Staff: Kangaroo Mother Care Within Maternal-Child Units, Jessica Holly

Doctor of Nursing Practice Scholarly Project

Kangaroo mother care (KMC) is an evidence-based intervention that improves neonatal outcomes and reduces mortality in infants. KMC is not fully integrated into local hospital maternal-child departments and nursing professionals do not have a standard education offering concerning KMC. While the use of KMC is not entirely absent, nursing knowledge and understanding of its correct execution leads to lesser occurrences of KMC initiation. This scholarly project addresses nursing knowledge as a practice quality improvement. A literature review was completed, including searches through CINAHL, Merck Manuals, MEDLINE Plus Health Information, ProQuest, and UpToDate. A pretest, educational video, and posttest were then …

Evaluation Of The Train 2 Run Program At The Joplin Va Community Based Outpatient Clinic (Cboc), Jenifer Webb

Doctor of Nursing Practice Scholarly Project

THE EVALUATION OF A TRAIN 2 RUN PROGRAM AT THE JOPLIN VA CLINIC

An Abstract of the Scholarly Project

by Jenifer Webb, MSN, RN, FNP-C

The purpose of this project is to evaluate the effectiveness and satisfaction levels of participants in the Train 2 Run program that was started at the Joplin VA in Joplin, MO. The program was from May 3, 2022, to October 8, 2022, for a total of 5 months. The participants for this study were selected from the patients, family members, and staff who participated in the Train 2 Run program for a minimum of six …

The Impact Of Personal Barriers To Incorporating The American Heart Association Diet, Aaron Bigando

Doctor of Nursing Practice Scholarly Project

The leading cause of death worldwide is cardiovascular disease. Diet is the most influential, modifiable factor related to the development and progression of cardiovascular disease. The American Heart Association developed a diet that delivers guidelines for diet. Therefore, identifying the most significant factors that hinder the effectiveness of the diet was necessary. These hindrances can be categorized as physical, psychosocial, and socioeconomic barriers. Demographic differences also impact diet.

A survey was developed to identify and account for the most common dietary barriers. The Barriers to Healthy Eating scale addressed different circumstances which impact diet. By using this scale, providers can …

Impact Of Maternal Fetal Triage Index On Emergency Healthcare Providers, Samantha Shepard

Doctor of Nursing Practice Scholarly Project

IMPACT OF MATERNAL FETAL TRIAGE INDEX ON EMERGENCY HEALTHCARE PROVIDERS

An Abstract of the DNP Scholarly Project by

Samantha Shepard

Care of obstetrical patients in non-delivering facilities is increasing. Obstetrical service availability in rural areas has decreased by more than 50% in recent years, according to Hung et al. (2018). Healthcare providers in these areas lack confidence and competence due to lack of regular training and encounters with obstetrical patients. The Maternal Fetal Triage Index (MFTI) provides a standardized approach for triaging the obstetrical population. The purpose of this project was to determine if staff confidence and competency improves within …

An Emergency Department Resource Nurse Checklist, Aaron Tucker

Doctor of Nursing Practice Scholarly Project

Introduction: Like many hospitals across the country, a Southwest Missouri hospital emergency department (ED) is frequently crowded with patients. The resource nurse role is one method EDs use to help manage surges in patient care. A resource nurse is a registered nurse whose dedicated role it to help other nurses in the unit. Unfortunately, there are no specific written expectations to guide the resource nurse. The nurse often waits to be needed and productivity and dependability are highly variable. Purpose: Implementation of a checklist could prompt the resource nurse to be more productive, will provide written expectations for the role, …

Enhancing Provider Knowledge On The Benefits Of Larc Use In Teens, Lyndsay Camper

Doctor of Nursing Practice Scholarly Project

The present study investigated the effects of introducing an educational intervention to enhance the knowledge of family and obstetric providers in the rural area on the benefits of Long-Acting Reversible Contraceptive (LARCs) use in teens. Teen pregnancy is associated with many different health risks including eclampsia, endometritis, and systemic infections. These mothers are also at risk of poverty, lower education levels, reduced employment, and dependence on government assistance programs. Apart from their lack of knowledge on the different types of contraceptives available, many teens do not take their oral contraceptives appropriately. LARCs can include IUDs or implants that prevent unwanted …

Improving Advance Directive Documentation In A Primary Care Clinic In The Midwest, Teresa Hagedorn

Doctor of Nursing Practice Scholarly Project

An Abstract of the Scholarly Project by

Teresa Gayle Hagedorn

Advance care planning (ACP) is a continuous communication process linking patients, family members, caregivers, and healthcare providers. Personal values, life goals, and preferences regarding future medical care are significant to every person as we will inevitably reach the end of life. Advance directives (ADs) promote patient autonomy and provide legal documentation of a patient’s wishes for future care. According to the National Institute of Health (2018), only 1 in 3 adults in the United States have a documented AD in their electronic medical records (EMR). This quality improvement project aimed …

Promoting Safety Through Advocacy And Practice: Nurse Input And Beliefs Regarding Hospital Fall Prevention Policies In The Inpatient Setting, Jimmy Milano

Doctor of Nursing Practice Scholarly Project

Throughout the evolving healthcare system, many issues in the hospital setting pose significant risk to patient safety and outcomes. Falls occur at detrimental rates that inevitably impact both the patient and the nurse. Of the several reasons one would choose to join the profession, nurses often seek the satisfaction of knowing the care they have provided impacted a patient, physically and spiritually. The healthcare system has allotted for variables in patient safety to promote safe outcomes and the reduction of fall risk, such as evidence-based practices and tools like cameras and assessments. However, the lack of nursing involvement in these …

A Pre And Post Survey Of How Teaching Interventions Of Anticoagulant/Antiplatelet Medications Affect Patient Outcomes In The Primary Care Setting, Renee Roth

Doctor of Nursing Practice Scholarly Project

With the elderly population expanding in the United States, primary care providers are having to place more emphasis on managing multiple disease etiologies and medication modalities in the outpatient clinic setting. Patients and providers struggle to overcome educational communication barriers that facilitate proper medication adherence and monitoring. The specific aim of this study was to evaluate whether antiplatelet management education increased the patients’ knowledge of medication understanding and possible adverse outcomes. Evaluation of antiplatelet knowledge was conducted in a rural health clinic in Columbus, Kansas. The study utilized an individual pretest-posttest design to patients who received self-management and monitoring education …

Comparing Student Satisfaction In High- And Low-Fidelity Simulation Experiences, Bailey Kuhlman

Doctor of Nursing Practice Scholarly Project

The purpose of this project was to compare student satisfaction in high- and low-fidelity simulation experiences. The project took place at the Pittsburg State University Irene Ransom Bradley School of Nursing. Participants included 79 pre-licensure Fundamentals of Nursing students in their first semester of nursing school. Implementation took place in the Fall of 2022. Students underwent either a high- or low-fidelity patient simulation experience related to pneumonia. Upon completion of the scenario students were asked to voluntarily participate in a satisfaction questionnaire. The questionnaire was composed of 27 closed-ended questions. There was a statistically significant difference with higher satisfaction scores …

Play Your Aces: Clinical Practice Change For Adverse Childhood Experiences, Jordan Lefevers

Doctor of Nursing Practice Scholarly Project

The study included an educational module provided to healthcare providers in order to evaluate whether an increase in knowledge occurred based on responses to questions specific to Adverse Childhood Experiences (ACEs). The study assessed the providers’ baseline knowledge on ACEs based on pretest data. This study aims to evaluate if there was increased knowledge after review of educational materials. Following the educational module, a follow-up posttest survey was provided via web link to assess the providers’ knowledge specific to this topic after receiving additional education. The study measured if providers lacked general awareness on ACEs, and if there was an …

Evaluation Of Nurse Burnout And Currently Used Prevention And Treatment Interventions, Karina Burton

Doctor of Nursing Practice Scholarly Project

The purpose of this scholarly project was to determine the feelings of nurse burnout and intervention techniques utilized and available to registered nurses at a regional medical center in the Midwest on a Cardiac-Telemetry unit. A survey was provided to 61 registered nurses to evaluate the feelings of nurse burnout and evaluate intervention resources available to gain a better understanding of the feelings of burnout on a Cardiac-Telemetry unit.

Genetics And Genomics In Nursing Practice: Assessing Barriers, Facilitators, And Tailoring Implementation Strategies, Jaanna Guillory

Doctor of Nursing Practice Scholarly Project

The Essential Nursing Competencies and Curricula Guidelines for Genetics and Genomics were published in 2006. These guidelines define the minimal competency in genetics expected of all nurses regardless of role, specialty, or level of education. However, research indicates that nurses lack knowledge and confidence in their role in genetics/genomics.

This quality improvement project aimed to assess barriers and facilitators of genetics/genomics integration into nursing. This study followed a cross-sectional design emphasizing a representative subset of the nursing practicing community at the Veterans Healthcare System of the Ozarks. Participants were invited to complete the Genetics and Genomics in Nursing Practice Survey …

Improving Palliative Care Education In The Acute Hospital Setting, Maria Klug

Doctor of Nursing Practice Scholarly Project

As the geriatric population grows rapidly, the importance of utilizing and understanding palliative services continues to rise. Although palliative and hospice care are included in different healthcare courses, misconceptions and lack of knowledge continue to serve as barriers to the utilization of palliative care. The purpose was to assess knowledge, improve palliative care education, and increase understanding of the perspectives of the interdisciplinary team involved in acute patient care. The setting was the telemetry unit in a 300-bed acute care Kansas hospital. A mixed design was utilized with a goal of quality improvement in the use of palliative care. The …

Reducing The Stigma Associated With Maternal Substance Use Disorder In A Rural Midwest Hospital And Clinic, Jami Vineyard

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to determine if an educational resource provided to maternal healthcare providers, more specifically, providers in a Midwest regional hospital and clinic, would reduce the stigma associated with maternal substance use disorder (SUD). This project also aimed at increasing provider knowledge on the disease process of maternal SUD and current treatment guidelines.

A quantitative research design was used for this study. There was no control group; therefore, it is a quasi-experimental study. Qualtrics were utilized to design a pre-test and post-test. An email including a brief description of the study, an invitation to participate, and …

Improving Family Involvement Through Dementia Education Using A Video Sharing Service, Marissa Lynn Bernabe

Doctor of Nursing Practice Scholarly Project

Dementia is a growing issue among healthcare organizations within the United States (U.S.) with approximately 5.7 million individuals diagnosed. These numbers of affected individuals are expected to increase and reach approximately 152 million by 2050 globally. Dementia is a progressive disease of cognitive loss. Establishing goals or items the patient can perform can have a positive impact on patient care by allowing for a collaborative approach and initiating the family as necessary participants in the care of the dementia patient. Video sharing services such as YouTube have made learning easily accessible for a multitude of varied reasons.

A descriptive quality …

Pregnancy Education In Rural Areas, Kayla Tinsley

Doctor of Nursing Practice Scholarly Project

Educating of the pregnancy population before, during and after pregnancy can help to ensure a healthy pregnancy and in turn reduce maternal mortality. The purpose of this research project was to understand education provided in the clinic and hospital setting in a rural area by those who take care of and talk to pregnant women and their support persons. A descriptive research design was utilized to discover the important education topics that are discussed, and the routine tests that are done throughout the pregnancy, during labor and at delivery, and even ask how prepared they feel they are equipped to …

Provider Education On Non-Pharmacologic Treatment Of Osteoarthritis, Brandi P. Whetzell

Doctor of Nursing Practice Scholarly Project

Osteoarthritis is an arthritic condition of the joints commonly found in the elderly population. This condition occurs as intra-articular cartilage wears down over time. Most patients present with joint pain. The pain that occurs from joint pain often impedes physical activity, which can ultimately increase pain levels. There are several treatments for osteoarthritis, however, there is no cure. Providers often prescribe non-steroidal anti-inflammatories and other oral analgesics for pain management. Because osteoarthritis typically occurs in the elderly population, adding medications to what often is a long list of medications can cause issues such as drug interactions and medication toxicities. Other …

Evaluation Of An Educational Presentation On Improving Nursing Students’ Knowledge About Medication Reconciliation, My Trinh

Doctor of Nursing Practice Scholarly Project

Medication reconciliation is the process of comparing a patient’s medications that they are currently taking and comparing it with newly ordered medications or comparing the list to another source of information. It is completed to avoid and reduce the risk for potential adverse drug events, medication discrepancies, and improve communication between transition of care settings. Although people acknowledge and perceive the value of medication reconciliation as an important process in reducing medication errors and patient harm, healthcare team members including nurses may receive little formal training and education in school. The purpose of the Doctor of Nursing Practice (DNP) scholarly …

Improving Venous Thromboembolism Prophylaxis Knowledge Among Registered Nurses On A Medical-Surgical Inpatient Unit In The Midwest, Theresa Umscheid

Doctor of Nursing Practice Scholarly Project

Venous thromboembolism (VTE) is the third most common vascular disease and includes approximately 900,000 cases annually in the United States. The purpose of this quality improvement project was to enhance education regarding VTE prophylaxis for registered nurses on a medical-surgical inpatient unit at a hospital in the Midwest. This study was initiated due to one nurse’s perception that staff on this unit lacked confidence and expertise on the importance of VTE prophylaxis interventions. Participants completed a VTE knowledge pretest, followed by an educational intervention on VTE prophylaxis utilizing Health Stream. After the intervention, participants completed a VTE knowledge post-test. The …

Factors Influencing Vaccination Rates In Children Under Two In Southeast Kansas, Danielle Bennett

Doctor of Nursing Practice Scholarly Project

Introduction

A large Federally Qualified Health Center (FQHC) in Southeast Kansas has a 37% compliance of children completing the recommended combo 10 primary vaccination series before their second birthday. An additional 20% of children would be compliant if the flu vaccine was excluded, raising the compliance rate to 57%. This is still below the national average of 68-75%, leaving many children in Southeast Kansas and northeast Oklahoma unprotected from preventable childhood diseases.

Purpose

The purpose of this scholarly project was to identify barriers to vaccination, including vaccine hesitancy and socioeconomic barriers affecting completion of the primary vaccine series, or combo …

Provider Education On Physical Activity For Older Adults, Joseph Morris

Doctor of Nursing Practice Scholarly Project

PROVIDER EDUCATION ON PHYSICAL ACTIVITY FOR OLDER ADULTS

An Abstract of the Scholarly Project by

Joseph Morris

The purpose of this study was to educate nursing staff and providers on the importance of physical activity for older adults to prevent functional decline and maintain quality of life. The project was conducted online using Qualtrics survey software. Data was collected from October 25, 2021 to November 25, 2021. Nursing staff and healthcare providers (physicians, nurse practitioners and physician assistants) that are actively practicing medicine and have experience interacting with older adults participated by completing a two-part survey. The survey consisted of …