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- Patient satisfaction (3)
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Articles 1 - 23 of 23
Full-Text Articles in Medicine and Health Sciences
Perceived Effects Of Covid-19 On K-5 Educators And Learners, Fairbee Mintz
Perceived Effects Of Covid-19 On K-5 Educators And Learners, Fairbee Mintz
Master of Science in Nursing Theses and Projects
The COVID-19 pandemic disrupted traditional teaching methods at all academic levels bringing about unprecedented changes in the way education was delivered. In-person learning was halted all over the world as educators scrambled to transition to virtual education. The purpose of this Master of Science in Nursing research was to examine the perceived effects of systematic learning changes caused by the COVID-19 pandemic on primary and secondary educators and students as reported by educators. This research will then be applied to implications for future nursing educators and students. Nine K-5 educators were interviewed via Zoom in the spring of 2021 and …
Increasing Patient Initial Visit Compliance In An Outpatient Setting, Zackery Cooper
Increasing Patient Initial Visit Compliance In An Outpatient Setting, Zackery Cooper
Master of Science in Nursing Theses and Projects
Outpatient healthcare clinics make revenue based on patient visits and productivity is based on the number of visits seen per provider. When patients do not attend their scheduled appointments, practices lose the revenue from the visit, plus have the added cost of a potentially unproductive provider. The current practice in the project facility is to send reminder text messages through the electronic health record scheduling system. The system sends reminder texts 48 and 24 hours prior to the appointment date. The proposed change to the practice is to add telephone calls to patients the morning of their scheduled visit. The …
Hand Hygiene Compliance In Nursing Staff Of Long-Term Care Facilities, Lindsay Clontz
Hand Hygiene Compliance In Nursing Staff Of Long-Term Care Facilities, Lindsay Clontz
Master of Science in Nursing Theses and Projects
Elderly residents of long-term care facilities are most at risk to acquire serious infections. Because of the relationship with nursing staff members, they are most likely to get an infection from a member of the nursing team. It is imperative that nursing staff members receive proper training related to hand hygiene in order to adhere to infection prevention and control guidelines. The goal of this project is to improve hand hygiene in nursing staff to reduce the number of resident infections recorded on the monthly infection surveillance report. This project utilizes a multi-faceted approach including a pre-test, presentation, post-test, return …
Prevention Of Infection During Hemodialysis Treatment Initiation, Jessica Stroupe
Prevention Of Infection During Hemodialysis Treatment Initiation, Jessica Stroupe
Master of Science in Nursing Theses and Projects
Infection in the dialysis access of a patient can be detrimental to the health of a dialysis patient. For this reason, infection control is extremely important in the outpatient hemodialysis setting. The goal of this project is to prevent infection during dialysis treatment initiation. This goal will be achieved during a 5-week project in which staff of an outpatient hemodialysis unit will be directly observed and then educated on the importance of infection control during treatment initiation. Staff will be given education on areas that need improvement regarding infection control during treatment initiation. The staff will be able to use …
The Importance Of Skin-To-Skin Initiated In The Operating Room, Katina Miller
The Importance Of Skin-To-Skin Initiated In The Operating Room, Katina Miller
Master of Science in Nursing Theses and Projects
The benefits of skin-to-skin contact has been well documented for both infants and mothers. Out of all the different modes of delivery a pregnant patient can have, skin-to-skin contact is performed the least amount for mothers who delivery via cesarean section compared to mothers who have a vaginal delivery. All mothers, should they choose, should be allowed to have skin-to-skin contact with their infant in the operating room. This project was designed to increase skin-to-skin contact between a mother and their infant shortly after birth via cesarean section at least 75% of the time. Education was conducted during team huddles …
Fluid State And Diet Control In Patients With Acute Kidney Injury On Hemodialysis, Carolyn Evans-Howard
Fluid State And Diet Control In Patients With Acute Kidney Injury On Hemodialysis, Carolyn Evans-Howard
Master of Science in Nursing Theses and Projects
Prolonged hospitalization, high number of readmissions, and high mortality rates are associated with patients diagnosed with Acute Kidney Injury (AKI). The purpose of this quality improvement proposal is to address the need for more education for nurses caring for these patients. If the kidneys shut down temporarily due to acute illness or medication taken, fluid and toxins will build up in the body with no way of being released. It is proposed that if dietary and fluid restrictions are followed it may help the patient recover faster. The method proposed is to have nurses learn the necessary dietary and fluid …
Patient Satisfaction, Amber Bowman
Patient Satisfaction, Amber Bowman
Master of Science in Nursing Theses and Projects
This thesis project reviews how nursing care, specifically that of nursing assistance, impacts patient satisfaction. Care provided to patients during hospitalization is scored by post-discharge surveys. For this project, the HCAHP survey is specifically referred to and discussed. The survey data obtained from the HCAHP survey is available to the public for review. This data can affect the population's outlook on healthcare organizations. Research has found that care provided by nursing assistants has an impact on the satisfaction of patients. Research in the area of improving patient satisfaction is lacking in data and tools for improvement.
Reducing Observation Unit Length Of Stay Hours: A Quality Improvement Project, Rena D. Cantrell
Reducing Observation Unit Length Of Stay Hours: A Quality Improvement Project, Rena D. Cantrell
Master of Science in Nursing Theses and Projects
An acute care observation unit provides care for patients admitted via Emergency Center (EC) or direct admission from a healthcare provider’s office who do not yet require inpatient status. The goal length of stay (LOS) for these patients should be less than or equal to 24-48 hours. This project is being developed for a 22-bed observation unit in the Southeastern United States to decrease current LOS hours. Currently, the goal LOS for this unit is 24 hours, not to exceed 48 hours, and for patients admitted with a chest pain diagnosis, no longer than 19 hours. A plan to expand …
Proposal For A Formal Pediatric Abuse Screening Tool For The Emergency Department, Christina Bolin
Proposal For A Formal Pediatric Abuse Screening Tool For The Emergency Department, Christina Bolin
Master of Science in Nursing Theses and Projects
Implementation of a quick, reliable pediatric child abuse assessment tool for use in the emergency department is of great importance. A thorough assessment of all pediatric patients presenting to the emergency department (ED), regardless of complaint, should become second nature in order to recognize the signs of child abuse. Because a tool of this nature is lacking in many ED's, the Escape Instrument is needed. This instrument is a successful, efficient screening tool that can be applied to all pediatric patients during triage in the emergency department. This tool will allow the emergency department staff to quickly identify children under …
A Day In The Life Of A Hospital Bedside Nurse: A Different Look At Nurse Stressors, Angela R. Higdon
A Day In The Life Of A Hospital Bedside Nurse: A Different Look At Nurse Stressors, Angela R. Higdon
Master of Science in Nursing Theses and Projects
This project is intended to be an example of the affects on the nursing work environment after years of technological advancement, healthcare reform, and process improvement. The bedside nurse work environment is riddled with a multitude of interruptions, intricate processes, and complicated documentation to prove quality care and compliance to regulatory agencies and for tracking purposes. These demands are significant as nurses are continuously reprioritizing work to meet the needs of the patient while also meeting the organizational and regulatory demands. The demands on nurses often lead to delays in patient care and sometimes omission of certain less acute patient …
Medication Reconciliation: Protecting The Geriatric Population, Charles Jennings
Medication Reconciliation: Protecting The Geriatric Population, Charles Jennings
Master of Science in Nursing Theses and Projects
This project was designed to address the issue of medication errors that occur during the transition from an acute care setting to an assisted living setting. Geriatric adults are often supported by a complement of medical specialists and subspecialists. As a result, reconciling medications following a hospital discharge can be challenging. To further complicate the problem, oftentimes, the primary care provider is not highly engaged with the specialists and subspecialists. The World Health Organization (WHO) has prioritized this issue through the introduction of the Medication Without Harm initiative. This initiative is focused on reducing adverse drug reactions (ADRs) and adverse …
Reduce Nurse Burnout During Covid-19: Implementation Of The Stop Method, Heather Smallwood
Reduce Nurse Burnout During Covid-19: Implementation Of The Stop Method, Heather Smallwood
Master of Science in Nursing Theses and Projects
Historically, inpatient nurses experience significant levels of stress and exhaustion which can lead to burnout. Currently, nurses are at the frontlines of the COVID-19 pandemic. The workloads have increased, physical and mental burdens have increased, and fear of contracting the virus is an added stressor. There is an immediate need for mental health support and interventions to improve the well-being of nurses. The purpose of the project is to evaluate the benefits of a mindfulness-based intervention, such as the STOP technique to reduce stress and burnout among nurses. An inpatient COVID-19 unit at a large hospital will have 60 nurses …
Promoting Alternative And Evidence-Supported Birthing Options In Healthcare Facilities, Ashley Johnson Ross
Promoting Alternative And Evidence-Supported Birthing Options In Healthcare Facilities, Ashley Johnson Ross
Master of Science in Nursing Theses and Projects
The project examined the standard birthing process for low-risk, natural labor, and births at healthcare facilities. All deliveries should not be treated the same with the supine-lithotomy birthing position or over-medicalized, obstetric practices, as evidence-based research advises against such practices. The goal of the project intended to deviate from standard birthing practices and implement alternative, evidence-supported birthing options at healthcare facilities. The goal of promoting alternative, evidence-supported birthing options in healthcare facilities by maternity staff, would come after thoroughly educating maternity staff and providers with intel and benefits affiliated with alternative birthing options. Evidence reveals alternative birthing options, such as …
Implementing Rapid Response And Medical Emergency Simulation Training For Medical-Surgical Nurses, Brandon Burnett
Implementing Rapid Response And Medical Emergency Simulation Training For Medical-Surgical Nurses, Brandon Burnett
Master of Science in Nursing Theses and Projects
This project is based on the problem of nursing competence and confidence within medical emergency and rapid response scenarios. This problem affects all patients, but specifically the medical-surgical patient population of which rapid assessment and intervention can lead to a change in patient mortality. The goal of the project is to use simulation, a common tool in undergraduate nursing education, to improve nursing competence and confidence after participation. The nurses will be cycled through three simulated scenarios, followed by a debriefing, and then moved to the next simulation. The nurses’ performance will be evaluated using evaluator checklists for each of …
Smoking Cessation: A Nurse-Led Approach To Address Gaps In Patient Care, Katie L. Durham
Smoking Cessation: A Nurse-Led Approach To Address Gaps In Patient Care, Katie L. Durham
Master of Science in Nursing Theses and Projects
Currently, the rate of smoking in the US is 13.7%. While this value represents the lowest rate of smoking in documented US history, cigarette smoking remains the leading cause of preventable death, disease, and morbidity. Healthy People 2030 has set a goal to reduce the rate of smoking to 5%. Though many patients report wanting to quit smoking, nearly half report they did not receive advice from a healthcare professional to do so. Many recommended smoking cessation tools and resources remain underutilized by both clinicians and patients. To help mitigate this issue, this project sought to develop a nurse-led smoking …
Case Manager Discharge Planning For Safe Discharge Of Homeless Patients, Melody Jenkins
Case Manager Discharge Planning For Safe Discharge Of Homeless Patients, Melody Jenkins
Master of Science in Nursing Theses and Projects
Acute care case managers are continually challenged with the task of identifying discharge barriers and preparing a discharge plan that facilitates successful recovery and healing. Planning a discharge for a patient that is homeless can be extremely challenging. This MSN Nursing project addresses the complex discharge barriers involved in planning a safe discharge for homeless patients. The project goal was to create a Case Management Resource Algorithm that will organize available community resources to meet the social determinants of health deficits to prevent the progression of disease processes, prevent repeat visits to the emergency room, decrease inpatient admissions, as well …
Reducing The Use Of Physical Restraints Of The Elderly In The Acute Care Setting, Rachael Malone
Reducing The Use Of Physical Restraints Of The Elderly In The Acute Care Setting, Rachael Malone
Master of Science in Nursing Theses and Projects
The aim of this MSN project is to identify and improve the gaps in education regarding physical restraint use in the acute care setting on the elderly patient population. When admitted into hospitals, elderly patients are at much greater risk for being placed in physical restraints due to little education regarding alternative measures to physical restraints and inappropriate assessments. The purpose of this project is to implement education about the detrimental factors and consequences patients may suffer once placed in physical restraints and improve the use of alternative measures to physical restraints. This project will be evaluated by acute care …
Promoting Organ Donation Among Adults, Susan Hammitt
Promoting Organ Donation Among Adults, Susan Hammitt
Master of Science in Nursing Theses and Projects
Organ donation is an important component of the American healthcare system however, the issue of low organ donation rates among the average American population is an ever-growing problem. In the United States, more than 135,000 people are waiting for an organ transplant, and as of 2019, only 39,000 donors have consented to donation. The purpose of this project is to develop an evidence-based approach to promote organ donorship among adults. The goal is to promote organ donation through hospital-based educational intervention to give patients, their families, and hospital staff the information to help promote consent for donation.
The Struggle To Alleviate Nurse Burnout, Shawn Harmon
The Struggle To Alleviate Nurse Burnout, Shawn Harmon
Master of Science in Nursing Theses and Projects
This project assumes the purpose of defining, reviewing, and performing a three-part activity to alleviate some fraction of a detrimental disorder that has plagued the nursing profession for years identified as nurse burnout. This debilitating stress induced by burnout can lead to decreased job satisfaction. If burnout is left unchecked, it may result in nurses leaving the profession altogether. The meaningful results, if realized, will be presented to the administrative leaders to implement changes as they see fit. The goals are to see positive results translate into interventions by the hospital that will, over time, increase job satisfaction for every …
Improving Communication Skills Of New Graduate Nurses: Using Sbar Format, Meredith Lyanne Parker
Improving Communication Skills Of New Graduate Nurses: Using Sbar Format, Meredith Lyanne Parker
Master of Science in Nursing Theses and Projects
New graduate nurses face many challenges as they transition to professional practice (Mongale et al., 2018). Support from transition to practice (TTP) programs can have a tremendous impact on the success of a new graduate nurse and improve retention rates (Silvestre, 2017). Research identifies a gap in new graduate knowledge of communication skills (Song & McCreary, 2020). Education on improving communication using a standard format can impact patient outcomes and improve provider confidence (Marshall et al., 2008). Research also links provider confidence and proficiency to improved outcomes (Owens & Keller, 2018). Benner’s Novice to Expert Theory provides a theoretical foundation …
Bedside Reporting, Morgan Sanford
Bedside Reporting, Morgan Sanford
Master of Science in Nursing Theses and Projects
Bedside reporting can directly correlate with preventing errors in the healthcare setting. The three main errors that occur are falls, medication errors, and sentinel events. These errors have a vast number of different outcomes, even resulting in death in some cases. Despite The Joint Commission directly stating that bedside reporting is best practice, this is not always what is conducted in many hospital organizations. Literature has suggested the problem that exists with implementation is the longevity of the implementation from staff. Identifying a feasible and conducive way to implement bedside reporting that is both favorable for the patient and staff …
Reducing The Number Of Patients Leaving Before Evaluation From The Emergency Department, Myranda Dills
Reducing The Number Of Patients Leaving Before Evaluation From The Emergency Department, Myranda Dills
Master of Science in Nursing Theses and Projects
Boarding patients in the emergency department (ED) can lead to several adverse events and errors that can prolong the patient’s hospitalization and delay discharges from the inpatient floors. These excessively long hospital stays decrease the number of bed available to patients being admitted from the ED, creating a bottleneck effect of patients backflowing in the ED. When this occurs, there are less available beds and resources for new ED patients, creating long wait times, and eventually an increase in the number of patients leaving before provider evaluation. This MSN project serves to create a new job role in the ED …
Combating The Challenge Of Maintaining Active-Duty Military Medical Force Readiness, Thomas Jones
Combating The Challenge Of Maintaining Active-Duty Military Medical Force Readiness, Thomas Jones
Master of Science in Nursing Theses and Projects
The United States of America’s military involvement in conflict is at one of its lowest points in over 2 decades. This presents a challenge for members of the military medical force to maintain the medical readiness skills they are expected to be proficient at in a moment’s notice to care for casualties in the nation’s next crisis or conflict. In addition to other pre-established methods, this project seeks to provide a unit-level training opportunity for Air Force active-duty medical members such as those in the United States Indo-Pacific region to practice certain medical readiness skills while continuing their steady-state daily …