Medicine and Health Sciences Commons^™

Implementation Of A Palliative Care Program In Rural Minnesota, Barbara Lenarz

Nursing DNP Projects

Background: Rural areas have higher percentages of older adults with multiple chronic illnesses yet disparities exist with access to palliative care (PC) in rural areas. Palliative care can improve quality measures that positively impact care and health outcomes.

Objective: The evidence-based project’s (EBP) objective was to implement a community-based PC program in a rural primary care clinic in rural Minnesota, US and evaluate quality metrics to further support program sustainability.

Design: The project developed and implemented a community-based PC program in rural Minnesota. A tool kit was created for use for the site’s care providers and leaders.

Setting/Subjects: …

Dnp Proposal: Delirium Prevention Protocol, Aaron Klein, Julia Kvam

Nursing DNP Projects

Purpose and Rationale: To implement a delirium prevention (DP) sleep protocol to at risk intensive care unit (ICU) patients to reduce delirium incidence and duration.

Synthesis of Evidence: A review of one clinical practice guideline, eight systematic reviews and meta-analysis, four randomized controlled trials, nine quasi-experimental trials, and one qualitative study provided evidence that interventions targeted to improve patients’ sleep may decrease delirium incidence and duration in adult patients in the ICU.

Improving Nurse Knowledge And Comfort In Advance Care Planning, Hajrudina Brkic, Marisia Young

Nursing DNP Projects

Objectives: The purpose of this project was to increase nurses’ knowledge and comfort level regarding advance care planning (ACP) in patients with a diagnosis of heart failure (HF) in a clinical setting.

Methods: A quasi-experimental design was used with a pre-and-post test administered to nurses prior to the beginning of a four-hour interactive class and immediately following the class. The data was analyzed using a 5-point Likert scale and paired t-tests were used to determine statistical significance. Statistical significance was set at 0.05.

Results: Of the eight nurses who participated in the interactive course, seven were female, one …

Ppe Compliance And Knowledge Among Healthcare Staff, Beatrice Hagert, Nicole Krummel

Nursing DNP Projects

Abstract

Problem: One of the most important steps in infection prevention is the use of personal protective equipment (PPE) to protect patients and staff from infectious agents; yet, research indicates that PPE compliance remains suboptimal in many healthcare institutions.

Purpose: To identify the effect of a multidisciplinary education campaign on PPE compliance and knowledge among healthcare workers (HCWs) on a rehabilitation unit of a large, midwestern teaching hospital.

Methods: This project utilized pre-intervention observational audits and a survey to determine baseline PPE compliance and knowledge on the piloted units. A post-intervention survey was sent to HCW to assess for a …

An Escape Room For Sepsis Education, Brit Voshage, Autumn Leigh Cole

Nursing DNP Projects

Abstract

The desired outcome for this project is to improve nurse’s self-perceived confidence, competence and knowledge in recognizing the early symptoms of sepsis in adult medical patients. Evidence indicates that early recognition and intervention are key to survival.

Overall, the literature regarding sepsis education indicates that education in combination with a screening tool is the most effective in assisting nurses with early recognition of sepsis in hospitalized patients. All studies reviewed on escape rooms focused on nursing knowledge and self-perceived confidence or competence and used a pre/posttest design.

Registered nurses will participate in a high fidelity escape room to help …

An Innovative Approach For Type 2 Diabetes Education, Rachel Domagala

Nursing DNP Projects

Objective: To improve self-efficacy in patients with type 2 diabetes and a Hemoglobin A1c (HbA1c) of 8% (64 mmol/mol) or greater using an innovative education multidisciplinary approach in a group setting.

Research Design and Methods: Out of 248 patients that were contacted with type 2 diabetes, who had a HbA1c of 8% or greater, five patients from a large clinic in the Midwest agreed to participate in group education. The primary outcome of interest was lowering HbA1c levels to increase the number of patients with type 2 diabetes who meet the community standard of care.

Results: Patients …

Implementation Of The Lasater Clinical Judgment Rubric As A Progress Review Tool, Lydia Lazzara

Nursing DNP Projects

The organization determined there was a lack of a standardized progress review tool to objectively evaluate nurses’ clinical judgment during orientation. Further assessment determined gaps in communication between the preceptors and unit-based nursing education specialists (NESs), and a perceived lack of value in progress reviews. Tanner’s (2006) review of nearly 200 nursing research articles determined a nurse’s clinical judgments impact patient outcomes, making it imperative that organizations ensure their nurses have adequate clinical judgment to protect patients. Lasater’s clinical judgment rubric (LCJR), based on Tanner’s (2006) clinical judgment model was the only published tool found for assessing nurses’ clinical judgment. …