Medicine and Health Sciences Commons^™

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 …

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

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 …

Virtual Visits In Prenatal Care: An Integrative Review, Katrina Wu, Christina Lopez, Michelle Nichols

Graduate School Faculty Publications

Introduction: Addressing gaps in access to prenatal care is an important step to reversing rising rates of maternal and neonatal morbidity and mortality and invites the exploration of innovative care models. This integrative review of published literature explores the patient, health care provider, and organizational experience of integrating virtual visits in prenatal care.

Methods: A literature search to identify original studies and quality improvement projects published between 2010 and 2020 was conducted in PubMed, Scopus, CINAHL, and Google Scholar using keywords associated with both telemedicine and prenatal care. Inclusion criteria specified articles pertaining to synchronous virtual visits between pregnant patients …

The Implementation Of A Validated Csec Screening Tool For Youth Age 11 - 17 In A Pediatric Emergency Room, Julie Clark, Josie Doss, Krystal E. Canady, Yameika Head Md

Graduate Research Showcase

Abuse of children is a public health issue covering a range of inflicted harm from neglect to physical to sexual abuse. A severe form of child sexual abuse is the Commercial Sexual Exploitation of Children (CSEC). This phenomenon involves sexual crimes against children, including exploitation for gain. High-risk indicators are noted throughout the literature to aid in identification, but some children are vulnerable because of their young age. Perpetrators can be family, friends, or acquaintances and choose their potential victims by recognizing a child’s vulnerabilities. Inevitable physical and mental health consequences are associated with CSEC involvement; hence these youth seek …

Shifting The Focus Of Mental Health Onto Graduate Students, Rosanna Jaramillo

Graduate Research Showcase

The transition from undergraduate to graduate school has the potential to increase demands among students surrounding coursework as well as fiscal responsibilities. The increased demand has the potential to alter the student’s physical activity which can negatively affect mental health. Physical exercise has the potential to reduce depression as well as negative mood symptoms, such as stress. Exercising also allows for boosting energy, improvement of sleep quality, and relaxation quality. The purpose of this research study was to examine the mental health of the graduate participants prior and after a two-week exercise regimen. The presented study focused on a two-week …

Enablers And Barriers To Non-Dispensing Pharmacist Integration Into The Primary Health Care Teams Of Aboriginal Community-Controlled Health Services, Aaron Drovandi, Deborah Smith, Robyn Preston, Lucy Morris, Priscilla Page, Lindy Swain, Erik Biros, Megan Tremlett, Hannah Loller, Mike Stephens, Alice Nugent, Fran Vaughan, Sophia Couzos

Nulungu Journal Articles

Background: The primary health care management of chronic disease affecting Aboriginal and Torres Strait Islander peoples requires healthcare quality and equity demands to be met, and systems that foster better team-based care. Non-dispensing pharmacists (NDPs) integrated within primary healthcare settings can enhance the quality of patient care, although factors that enable or challenge integration within these settings need to be better understood.

Objectives: To investigate enabling factors and barriers influencing integration of NDPs within Aboriginal community-controlled health services delivering primary health care. This was achieved through qualitative evaluation of the Integrating Pharmacists within Aboriginal Community Controlled Health Services (IPAC) Trial …

Library & Knowledge Services Newsletter - Winter 2021/22, Baystate Health Sciences Library

Library Newsletters

Baystate Library & Knowledge Services Newsletter - Winter 2021/22

Wellness Through Progressive Muscle Relaxation For Healthcare Workers, Danyelle Cady Rn, Kaitlyn Gauthier Rn, Heidi Davis Rn, Cheryl Crisafi, Msn, Rn, Cnl, Megan Thompson Rn

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

Improving The Delivery Of Stroke Education, Karen Marcoux Rn, Jennifer Mayo Rn

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

The Impact Of Stress Reduction Techniques On Nurse Burnout: A Literature Synthesis, Kaitlyn Forbes Rn

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event posters.

A Multidisciplinary Diabetes Collaborative, Michelle Whitney Rn, Kat Boughton, Chelsea Gordner Md, Holley Allen Md, Satoko Igarashi Md, Amy Struzziero Rn, Courtney Beauregard Rn, Jen Gold Rn, Crystina Kusy Rn, Emily Torcato Rn, Stacey Cagan Rn, Deborah Naglieri-Prescod Phd

Nursing Research and Scholarship 2022

Holistic and Nursing Scholarship Symposium Event Posters.

Does Capnography Monitoring Reduce The Occurrence Of Code Blue?, Sarah Brandt Rn, Kim Mendibe Rn, Amber Leary Rn, Christine Callahan, Felicia Easton Rn, Deirdre Felici Rn

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

Implementation Of A Pressure Ulcer Prevention Protocol In The Perioperative Setting, Tan Melecio Rn, Marjorie Childers Rn, Deborah Naglieri-Prescod, Cathi Dutton Rn

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

Perseverance: The Decision-Making Process Of The Emergency Triage Nurse, Ellen Smithline Rn, Rachel K. Walker, Raeanna Leblanc Phd, Jenna Marquard Phd

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

Culture Change In Post Operative Cardiac Surgical Pain Management, Lisa Grady Rn

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

Feasibility And Implementation Of A Daily Safety Brief At A Children’S Hospital-In-A-Hospital, Weijen Chang Md, Patricia Fontaine Rn, Stephanie Adam Rn, Joanna Beachy Md, Mark Heelon, Harry Hoar, Maryann Westcott Rn, Becker Larsen Rn, Christine Mckiernan Md, Deborah Naglieri-Prescod, Nancy Rines Rn, Robert Rothstein Md, Charlotte Boney Md

Nursing Research and Scholarship 2022

Holistic and Nursing Scholarship Symposium Event Posters

Trauma Jeopardy- Providing Nursing Education In The Wake Of Covid-19, Caitlin Millett Rn, Jennifer Gold Rn, Kristina Grochowski, Ida Konderwicz, Yolanda Marrow Rn, Angel Soto Rn, Erin Markt Bs

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

Benefits Of Implementing A Daily Safety Brief At The Baystate Children’S Hospital, Stephanie Adam Rn, Joanna Beachy Md, Charlotte Boney Md, Weijen Chang Md, Jennie Docarmo Rn, Anna English, Patricia Fontaine Rn, Mark Heelon, Harry Hoar, Becker Larsen Rn, Christine Mckiernan Md, Deborah Naglieri-Prescod, Kristy Parker Rn, Nancy Rines Rn, Rob Rothstein Md, Maryann Westcott Rn

Nursing Research and Scholarship 2022

Nursing Scholarship Symposium Event Posters.

Bridging The Experience-Complexity Gap With The Clinical Education Coordinator Role, Renee Beaulieu Rn, Amanda Sevinc Rn, Jamie Butler Rn, Kaitlyn Patrick Rn

Nursing Research and Scholarship 2022

Holistic and Nursing Scholarship Symposium Event Posters

Practical Pearl: Syncope - January 2022, Eva Nunlist Md

Pediatrics Practical Pearls: Referral Guidelines for Common Problems

No abstract provided.

Research Annual Report Fy2022, Children's Mercy Kansas City

Research Annual Reports

Annual report of the research at Children's Mercy Hospital in Kansas City MO, a pediatric medical center.

Bedside Diagnosis Of Hemoperitoneum By Characteristics Of Fluid Visualized On Focused Assessment With Sonography In Trauma Exam In A Patient In Non-Traumatic Shock, Margarita S. Popova, Khai-El Johnson, Daniel R. King, Megan T. Quintana, Kendarius Talton, Keith S. Boniface

Emergency Medicine Faculty Publications

No abstract provided.

Fusion, 2022, George Washington University, William H. Beaumont Medical Research Honor Society

Fusion

No abstract provided.

Addressing Tobacco Use With Improved Utilization Of 5as Framework In Primary Care, Binta Bojang

Doctor of Nursing Practice Projects

Abstract

Identifying and treating tobacco use disorder through screening and evidence-based intervention is necessary to assist all tobacco users to quit and or to decrease typical tobacco-linked health risks. The findings from the literature review suggested that the implementation of the technology-enhanced 5As model (asking, advising, assessing, assisting and arranging for follow up) approach might serve as a reminder to clinicians to assess tobacco use, and improve patient outcomes in tobacco cessation care. The purpose of this DNP project was to improve the treatment of tobacco use disorder among adults in a primary care. The objective of this project was …

Bridging The Gap In Education For Patients On Oral Chemotherapy: A Qi Project, Lindsay Rodriguez

Doctor of Nursing Practice Projects

Abstract

Oral chemotherapy and intravenous (IV) chemotherapy share many of the same side effects. However, at community General Hospital Medical Center oral chemotherapy patients were not receiving equitable monitoring and education like their IV chemotherapy counterparts. To bridge the gap, a quality improvement (QI) initiative to improve education, documentation and follow-up between visits was proposed to increase compliance and understanding. The QI project consisted of patients taking oral chemotherapy within the first 12 weeks of starting treatment. Patients were contacted weekly via nurse lead follow up calls and the Oral Chemotherapy Template was discussed with the patient to identify concerns …

Malignant Hyperthermia, Brennon Pinion

Nursing Student Class Projects (Formerly MSN)

Malignant Hyperthermia is a rare but potentially fatal disorder that is triggered by the use of certain anesthetic medications. It is caused by a mutation in specific proteins in skeletal muscle that causes prolonged contraction, leading to a hypermetabolic state. This condition can have deadly effects like kidney failure, hemodynamic instability, and cardiac arrest. It is normally discovered during surgery and must be treated right away. The discovery of the treatment of Malignant Hyperthermia has dramatically decreased the fatality of the disorder, but treatment must be given immediately. For patients who develop Malignant Hyperthermia to have the highest chance of …

Myasthenia Gravis, Jonathan Garcia

Nursing Student Class Projects (Formerly MSN)

Poster Abstract

Jonathan C. Garcia

Department of Nursing, Otterbein University

NURS 6810 – Advanced Pathophysiology for the Advanced Practice Nurse

Dr. Deana Batross and Dr. Shivani Bhatnagar

July 29, 2022

Abstract

Myasthenia Gravis (MG) is a rare autoimmune neuromuscular disorder caused by the destruction or decreased availability of nicotinic acetylcholine receptors in the post-synaptic neuromuscular junction. Muscular weakness that worsens with activity and improves with rest is a hallmark of MG. MG patients are at increased risk for many postoperative and anesthesia-related complications. However, risk can be mitigated when providers thoroughly understand MG's pathophysiology and implications on the anesthetic plan. …

Creating A Pre-Illness Covid-19 Action Plan: A Web-Based Public Education Initiative, Brian S. Hustad

DNP Research Projects

Abstract

Background: The COVID-19 pandemic took the world by storm in the beginning stages of 2020. Public health agencies were overwhelmed, undermanned, and therefore slow to respond. Information began to flow at an unprecedented rate. Yet, very limited resources were put into place to present this information or to instruct the public on evidence-based prevention, treatment, or care at home during active infection.

Intervention: A project website was created and accessed through a QR code on the project flyer or by entering the URL into any browser. Participants were able to access three evidence- based video modules, which introduced the …

Use Of Point-Of-Care Ultrasound For Lung Assessment: A Practice Change Educational Program For Advanced Practice Providers And Students, Mark W. Owen

DNP Research Projects

Abstract Background: With over 130 million emergency room (ER) visits per year in the United States, many emergency departments (ED) are struggling with overcrowded conditions. Contributing to overcrowded conditions are those presenting with dyspnea, who are nearly 4 million in number. ED crowding has serious implications. Exploring and implementing evidence-based methods to alleviate congestion is critical. Problem: One method being explored is the integration of point-of-care ultrasound (POCUS) into the stretcher side assessment of dyspneic patients. Multiple pathologies can cause dyspnea and rapidly isolating the underlying etiology is critical. Various studies have demonstrated the efficiency of POCUS at identifying lung …