Open Access. Powered by Scholars. Published by Universities.®
- Keyword
-
- DNP Capstone Project (7)
- High fidelity simulation (2)
- Nursing education (2)
- Self-efficacy (2)
- Academic medical center (1)
-
- Adams County (1)
- Associate Degree Nurses (1)
- Care delivery time (1)
- Centers for Medicare and Medicaid Services (1)
- Centralized referral system (1)
- Clinical learning experience (1)
- Colo. (1)
- Computer programs (1)
- Cost-effective healthcare (1)
- Department of Health & Human Services (DHHS) (1)
- EBP Education (1)
- End-of-life care (1)
- Faculty/Peer Mentoring (1)
- Hand pain (1)
- Health services accessibility--United States (1)
- Healthcare access (1)
- Heart attack care (1)
- Hospice Nurse Education (1)
- Hypothermia (1)
- Immigrants--Health and hygeine--United States (1)
- Immigration Outreach Service Center (1)
- Late preterm infant (1)
Articles 1 - 19 of 19
Full-Text Articles in Medicine and Health Sciences
A Descriptive Analysis Of The Effects Post Discharge Phone Calls Have On Readmission Rates For Medicare Beneficiaries, Heaven Owens
A Descriptive Analysis Of The Effects Post Discharge Phone Calls Have On Readmission Rates For Medicare Beneficiaries, Heaven Owens
Regis University Student Publications (comprehensive collection)
One in five Medicare patients is readmitted within 30 days of a previous hospitalization, which impacts patients and the healthcare system with exponential expenditures (Allaudeen, Vidyarthi, Maselli, Auerbach, 2011). The Centers for Medicare and Medicaid Services have mobilized recovery audits to begin recapturing funds related to readmission, and medical institutions must take an active role to ensure their financial integrity and protect their clinical reputation. For the purpose of this project, the population of interest was Medicare beneficiaries age 50 through 88 with a primary diagnosis of Chronic Obstructive Pulmonary Disease (COPD) or Congestive Heart Failure (CHF). The intervention included …
Impact Of A Case Management Program On Immigrants' Health Status And Access To Care, Nelly Kangethe
Impact Of A Case Management Program On Immigrants' Health Status And Access To Care, Nelly Kangethe
Regis University Student Publications (comprehensive collection)
In the United States (U.S.), immigrants are among the fastest growing populations of all communities. Today, they comprise approximately 11% of the total U.S. population. Forty-three percent of immigrants are without insurance. They are also associated with higher numbers of untreated medical conditions, fewer interactions with the health care system, and receiving health care through emergency departments (ER). The consequences of these practices include increases in health care costs, changes from preventive care to emergency treatment, delays in identifying illnesses until later, and higher disease prevalence. Case managers are frequently faced with immigrants' concerns regarding access to care and prevention …
Rural Heart Attack Care, Julie J. Benz
Rural Heart Attack Care, Julie J. Benz
Regis University Student Publications (comprehensive collection)
The rural and frontier populations have fewer health care resources and remain an underserved health care consumer. The purpose of the Capstone Project was to standardize care of the rural STEMI patient with an algorithm developed by teams, and using systems improvements. The nationally recognized urban algorithm for STEMI care (Kushner et al., 2009) was tested in the rural environment of Heart of the Rockies Regional Medical Center (HRRMC) in Salida Colorado. The project emphasis was process improvement. A multi-disciplinary team was developed at Heart of the Rockies Regional Medical Center (HRRMC) and the clinical practice guidelines were reviewed. A …
Impact Of A Nurse Residency Program On First-Year Retention Rates For New Graduate Nurses, Cathern S. Velasquez
Impact Of A Nurse Residency Program On First-Year Retention Rates For New Graduate Nurses, Cathern S. Velasquez
Regis University Student Publications (comprehensive collection)
The purpose of this DNP Capstone Project was to explore if participation in a Nurse Residency Program would positively impact the retention rate of the new graduate nurse population, during the initial year of clinical practice in the academic medical center care setting. The goals of the project were to successfully implement a Nurse Residency Program in the academic medical center practice setting, to measure participant satisfaction with the level of support the program would provide during the initial year of practice, and increase the first year retention rate for this population of nurses. This was accomplished by examining data …
Improving Care And Outcomes For The Late Preterm Infant, Angela T. Houck
Improving Care And Outcomes For The Late Preterm Infant, Angela T. Houck
Regis University Student Publications (comprehensive collection)
Abstract The late preterm infant population is the fastest growing and largest segment of preterm infants delivered on a global level. Neonatal Intensive Care Unit transfer and Pediatric unit re-admission rates were examined at a regional medical center in the context of providing an evidence-based practice guideline designed specifically for this cohort of newborns. Prior to instituting the Association of Women's Heath, Obstetric, and Neonatal Nurses Assessment and care of the late preterm infant: Evidence-based clinical practice guideline at a regional medical center, NICU transfer and Pediatric re-admission rates were retrospectively examined. After instituting the guideline for a six-month period, …
Primary Prevention Of Preschool Children Through A Patient Centered Medical Home Approach, Joanna Dominick
Primary Prevention Of Preschool Children Through A Patient Centered Medical Home Approach, Joanna Dominick
Regis University Student Publications (comprehensive collection)
Background: Data from the Colorado Health Department Child Health Survey (2010) confirmed particular needs for increased enrollment in Medicaid and Child Health Plan Plus (CHP+) and improved coordination of health services. Families in Adams County continue to face challenges and barriers in the Medicaid/CHP+ enrollment and retention process. Improved outreach at the local level is needed to improve access to these vital resources for children in Adams County.
Purpose: To ascertain whether a referral and tracking system in Adams County preschools will identify children with healthcare needs, improve access to the healthcare system from the preschool, and improve preventive care …
Patient Satisfaction: Communication With Nurses, Cathy C. Oni
Patient Satisfaction: Communication With Nurses, Cathy C. Oni
Regis University Student Publications (comprehensive collection)
Abstract Patient satisfaction is a pivotal issue within the healthcare industry. Hospital Consumer Assessment of Healthcare Provider and System (HCAHPS) survey clearly states that patient response to surveys is the indicator for '“quality of care" (Wagner & Bear, 2008, p. 692). A patient may equate quality of care to the manner in which it was delivered; hence when unsatisfied with their care, the patient may translate this into negative feedback on HCAHPS surveys (Lo, Burman, Rodin, & Zimmermann, 2009).
The Effects Of Instructor Immediacy And Online Course Design In Student Satisfaction And Successful Course Completion, Nancy Slizewski
The Effects Of Instructor Immediacy And Online Course Design In Student Satisfaction And Successful Course Completion, Nancy Slizewski
Regis University Student Publications (comprehensive collection)
Background: The withdrawal and failure rates for online classes and student satisfaction of online courses are identified as problems. Aim and Objectives: The aim was to investigate the effects of course design and instructor feedback on student success and satisfaction in online courses. Method: The literature review supported further investigation of student satisfaction and course completion in online courses and the college approved the project. Student satisfaction with the course and instructor were evaluated utilizing the college's current survey tool. Student course completion was evaluated. Results of the project were compared to the 2010 online Medical Terminology course and all …
An Educational Intervention For Hospice And Palliative Care Nurses, Troy E. Fletcher
An Educational Intervention For Hospice And Palliative Care Nurses, Troy E. Fletcher
Regis University Student Publications (comprehensive collection)
The provision of high quality nursing care to the dying has become a significant concern in the United States (Kruse, Melhado, Convertine & Stecher, 2008). The goal of palliative care is to provide care that allows for optimal quality of life for patients and their families (Betcher, 20 10; Mcllfatrick, Mawhinney, & Gilmour, 2010). The recognition of valuable and underutilized zed end-of-life nursing skills may provide guidance for the development of interventions to improve nurses' roles in caring for dying patients and their family members (Reinke et al., 2010). The American Association of the Colleges of Nursing (AACN. 2002) has …
Nursing Students' Experiences Using High-Fidelity Cardiovascular Simulation: A Descriptive Study, Teresa A. Paden
Nursing Students' Experiences Using High-Fidelity Cardiovascular Simulation: A Descriptive Study, Teresa A. Paden
Regis University Student Publications (comprehensive collection)
In recent years high-fidelity simulation in nursing has become an increasingly popular education tool (Sanford, 2010). Many nursing programs throughout the United States and abroad have incorporated simulation into their nursing program curricula. In 2003, the National League of Nurses (NLN) endorsed the use of simulation in order to prepare students for critical thinking, self-reflection and the complex clinical environment (Jeffries, 2007). Simulation was defined as the creation of an event, situation or environment that closely mirrors what one would encounter in the '“real world" (Cioffi, 2001; Rauen, 2001). Simulations were designed to motivate students to actively participate in the …
Evidence-Based Practice Gap In Knowledge, Margaret M. Orn
Evidence-Based Practice Gap In Knowledge, Margaret M. Orn
Regis University Student Publications (comprehensive collection)
Evidence-based practice (EBP) has been shown to affect quality, safety, and decrease costs to organizations. To improve patient outcomes, health care facilities are adopting standards that require nurses to provide care based on evidence. Until recently, diploma and associate nursing curriculums have failed to include education on the principles of EBP leaving these nurses unprepared to adapt to changes as evidence is implemented. The American Association of Colleges of Nursing (2008) designates EBP as a key component of professional education in the baccalaureate level of education. The purpose of this project was to investigate a change in Associate Degree Nurses' …
Utilizing High Fidelity Simulation To Enhance Nursing Students' Level Of Self-Efficacy In Caring For Patients And Their Families In Their End Of Life Journey, Joann Gjellum Crownover
Utilizing High Fidelity Simulation To Enhance Nursing Students' Level Of Self-Efficacy In Caring For Patients And Their Families In Their End Of Life Journey, Joann Gjellum Crownover
Regis University Student Publications (comprehensive collection)
Abstract Background: Thc nurse impacts the EOL journey for both the patient and family members more than any other healthcare provider. Many nurses believe that they are inadequately prepared and lack confidence in providing care to dying patients and family. Research has shown that there are major deficiencies in EOL education for nurses. Design: This Capstone Project assessed the pedagogical effectiveness of utilizing hybrid high fidelity simulation to enhance the self-efficacy of senior level baccalaureate nursing students in caring for dying patients and their families. This innovative educational strategy was evaluated using a descriptive study design to determine the students' …
An Educational Intervention To Enhance Nursing Competency In The Prevention And Treatment Of Pressure Ulcers In The Rural Setting, Cassie M. Banks
An Educational Intervention To Enhance Nursing Competency In The Prevention And Treatment Of Pressure Ulcers In The Rural Setting, Cassie M. Banks
Regis University Student Publications (comprehensive collection)
Abstract Pressure ulcers have been identified as a major source of morbidity, contributing to poor patient outcomes and increased healthcare cost (Bergquist-Beringer et aI., 2009). The significance to nursing practice lies in the fact that pressure ulcers are preventable with appropriate nursing care and interventions (Benbow). According to Banks, Gilmartin and Fink (2010), nurses caring for patients "in the rural setting have faced a unique challenge in maintaining competency" (p. EI), particularly when encountering uncommon complications. This study aimed to assess the effectiveness of a focused, multifaceted educational intervention on nursing knowledge related to prevention and treatment of pressure ulcers …
From Competency To Capability, Rickie Jo Bonner
From Competency To Capability, Rickie Jo Bonner
Regis University Student Publications (comprehensive collection)
Abstract Nursing students may experience difficulty tmnsitioning from being competent in the campus lab environment to being capable in a clinical environment when the campus lab experience does not offer realistic challenges. Students have the knowledge of how to safely perform the skills but cannot demonstrate the skills, utilizing clinical reasoning, in the unstable and unpredictable hospital environment. Traditional campus lab instruction for medication administration includes small group practice that is task oriented in a stable and predictable environment. Progressive simulation challenges the student with utilization of multiple levels of simulation incorporating clinical reasoning .. The goal of this project …
Improving Access To Primary Healthcare And Cost Effective Care For Underserved Populations, Patricia T. Dey
Improving Access To Primary Healthcare And Cost Effective Care For Underserved Populations, Patricia T. Dey
Regis University Student Publications (comprehensive collection)
Abstract Background: Research findings continue to demonstrate populations who lack healthcare insurance have limited or restricted access to primary healthcare. Lack of health insurance has been shown to be the most significant contributing factor to poor quality of care for some of the core measures captured by the Agency for Healthcare Research and Quality. Health insurance coverage is highly correlated with an individual's ability to gain access to health care, from doctor visits to filling prescriptions. Purpose: The purpose of the this Capstone Project was to analyze the potential impact of independent Nurse Practitioner models of care on accessibility and …
Effects Of A Cued Break And Stretch Program On Computer Use Productivity And Hand Or Wrist Pain, Ruth R. Korecki
Effects Of A Cued Break And Stretch Program On Computer Use Productivity And Hand Or Wrist Pain, Ruth R. Korecki
Regis University Student Publications (comprehensive collection)
Problem Computer usage is commonplace in today's workplace environment. Over time, employees who use computer keyboards greater than six hours per day, five days per week risk developing a repetitive motion injury of the hands or wrists (U.S. Department of Labor, 2009). Could a computer program that cues a break and stretch activity every two hours increase stretching at the workstation, create a workplace environment of positive productivity and ultimately decrease hand or wrist pain? The population understudy is computer users, using an intervention a break and stretch computer program, for one month, with outcomes measured through pre and post …
The Development Of A Faculty/Peer Mentoring Program For First Semester Baccalaureate Nursing Students, Felicia G. Pendleton
The Development Of A Faculty/Peer Mentoring Program For First Semester Baccalaureate Nursing Students, Felicia G. Pendleton
Regis University Student Publications (comprehensive collection)
The employment of Bachelor of Science in Nursing (BSN)-prepared nurses at the bedside in clinical areas is necessary to realize improved care outcomes. The increased retention of BSN students will ultimately provide for an increased proportion and larger workforce of BSN-prepared nurses. The purpose of the Doctor of Nursing Practice (DNP) Capstone Project was to demonstrate nurse-sensitive outcomes in the educational setting. These outcomes have the potential to ultimately impact clinical practice and patient care outcomes. This DNP Capstone Report describes an evidence-based intervention aimed at increasing academic performance and retention of undergraduate baccalaureate nursing students '“at risk" for academic …
Simulation In Nursing Education: A Tool For Program Evaluation, Janet M. Withersty
Simulation In Nursing Education: A Tool For Program Evaluation, Janet M. Withersty
Regis University Student Publications (comprehensive collection)
The identified area of interest for this outcomes research project was high fidelity simulation as clinical experience within the nursing educational process in a rural setting. Teaching students in a rural setting poses many challenges regarding access to clinical sites. The high fidelity simulation experience occurs in a controlled environment in which students practiced safely and gained knowledge they might not receive in random learning experience in a clinical practice site. This research project was undertaken in partial fulfillment of the requirements of the Doctor of Nursing Practice Degree at Regis University. The instruments used for this study will also …
A Practice-Based Research Approach To Explore The Relationship Of Preoperative Warming To The Incidence Of Surgical Site Infection In The Ambulatory Surgical Patient, Krista A. Larussa
A Practice-Based Research Approach To Explore The Relationship Of Preoperative Warming To The Incidence Of Surgical Site Infection In The Ambulatory Surgical Patient, Krista A. Larussa
Regis University Student Publications (comprehensive collection)
Surgical site infections are a financial burden to society and are the second most frequently reported Health Associated Infection (HAI) that increases hospital stays and the chief cause of preventable death (Agency of Health Research and Quality [AHRQ], 2009; National Priorities Partnership [NPP], 2008). It is branded as the top national priority for the United States Department of Health & Human Services (DHHS) and the AHRQ. Unplanned perioperative hypothermia (UPH) is associated with a 68 percent increase in the incidence of surgical site infections (Kurz, Sessler, & Lenhardt, 1996; Pikus & Hooper, 2010). The prevention of UPH and promotion of …