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Articles 1 - 11 of 11
Full-Text Articles in Nursing
Privacy Issues With The Electronic Medical Record, Pamela Aselton, Sandra Affenito
Privacy Issues With The Electronic Medical Record, Pamela Aselton, Sandra Affenito
Elaine Marieb College of Nursing Faculty Publication Series
Electronic medical records (EMR) all have privacy safeguards in place. Major healthcare institutions have taken steps to prevent employees from looking up information on patients whom they do not treat directly, however numerous potential intrusions into patient privacy are still possible. Centralization of medical records in the increasing number of multi-group practices distributes personal medical data over larger networks and increases the likelihood that personal medical data may be shared or viewed by unauthorized users. This article reviews the benefits of EMRs and the possible mechanisms by which data may be shared without patient knowledge, as well as solutions and …
Preventing Dysfunctional Behaviors Of Those With Dementia Based On The Progressively Lowered Stress Threshold Model, Mary Chrabaszcz
Preventing Dysfunctional Behaviors Of Those With Dementia Based On The Progressively Lowered Stress Threshold Model, Mary Chrabaszcz
Doctor of Nursing Practice (DNP) Projects
Abstract
Dementia is a disease that impacts millions of people worldwide. Amongst the complications of this disease are behaviors that affect not only the individual with dementia but also their caregivers. These behaviors can be challenging especially for formal caregivers and it is important that they are taught how to prevent them. Long-term care facilities are the perfect settings for this type of education. For this reason, an educational program, including a needs assessment, PowerPoint presentation, and on-site support, was brought to a locked, assisted-living unit of Jewish Geriatric Services in Longmeadow, Massachusetts. The educational program was inspired and supported …
Evaluation Of A Continued Safe Patient And Handling Program, Mary K. Daily
Evaluation Of A Continued Safe Patient And Handling Program, Mary K. Daily
Doctor of Nursing Practice (DNP) Projects
Nursing staff have a high risk of on the job injury from patient handling and movement. Safe Patient Handling and Movement programs help reduce injury through education and training to employees. Programs need to be evaluated regularly to determine if the goals are being met. When a program is not meeting its projected goals, modifications are needed to improve the program and its outcomes. The purpose of this project was to evaluate a continued safe patient handling program. The goals were to provide best evidence from research. Use best evidence to enhance the program. Promote positive behaviors from employees. Reduce …
Improving Discharge Planning And Education Of Nursing Students: A Collaborative Approach, Lea Dodge
Improving Discharge Planning And Education Of Nursing Students: A Collaborative Approach, Lea Dodge
Doctor of Nursing Practice (DNP) Projects
Nurses require training to provide discharge teaching yet nursing students are often not assigned the task of discharge teaching and are overwhelmed by the task once they enter the workforce (London, 2004). Few nursing programs provide opportunities for nursing students to participate in quality improvement projects. In an attempt to decrease post-discharge adverse events (AE) and increase exposure to discharge teaching and quality improvement by nursing students, 13 nursing students in a baccalaureate undergraduate nursing program assigned to a DEU in a sub-acute rehabilitation facility were provided with instruction utilizing the evidenced-based teach-back method. The nursing students conducted the discharge …
Improving Nurses’ Pain Management In The Post Anesthesia Care Unit (Pacu), Amelia D. Madenski
Improving Nurses’ Pain Management In The Post Anesthesia Care Unit (Pacu), Amelia D. Madenski
Doctor of Nursing Practice (DNP) Projects
Pain after surgery is distressing to patients and is a significant problem in post anesthesia care unit (PACU). Ineffective pain management in the immediate postoperative period can prolong the patient’s length of stay in the PACU which may lead to increased cost of care. The nurses’ lack of knowledge regarding pain management and ineffective team communication are barriers to effective pain management. An educational intervention based on the Knowledge- to-Action Model was implemented to 22 nurses in the recovery room at an urban hospital. A one group pre-test and post-test measure design was used to evaluate educational program. The data …
Improving The Transition Of Care From The Hospital To Primary Care Providers For Patients With Heart Failure, John Blake
Improving The Transition Of Care From The Hospital To Primary Care Providers For Patients With Heart Failure, John Blake
Doctor of Nursing Practice (DNP) Projects
The goal of this quality improvement project was to enhance the transition of care from the hospital to primary care providers for patients with heart failure at one acute care hospital in Tampa, Florida. A literature review revealed that discharge summaries have a pivotal communication role in the transition of care. Consequently, the electronically recorded discharge summaries relating to a random sample of 60 patients discharged from this hospital were audited for a trial period of six months (three months before and three months after an intervention by the DNP candidate to encourage the attending physicians to improve the transition …
Copd Dyspnea Palliation Project: Dyspnea Palliation In End-Stage Copd Patients, Kaveri M. Roy
Copd Dyspnea Palliation Project: Dyspnea Palliation In End-Stage Copd Patients, Kaveri M. Roy
Doctor of Nursing Practice (DNP) Projects
Chronic Pulmonary Obstructive Disease (COPD) is a chronic and incurable disease that affects over 12 million Americans. The number of people with COPD is rising, and it is the third leading cause of death in the United States. Management and palliation of COPD symptoms has become a public health issue. The capstone project, the COPD Palliation Project, was a pilot study that combined nursing case management and patient education to provide optimal patient dyspnea palliation and self-efficacy of dyspnea management to end-stage COPD hospice patients. For the intervention, end-stage COPD patients were taught to use a dyspnea algorithm to palliate …
Non-Pharmacological Management Of The Behavioral And Psychological Symptoms Of Dementia, Chito O. Uyanwune
Non-Pharmacological Management Of The Behavioral And Psychological Symptoms Of Dementia, Chito O. Uyanwune
Doctor of Nursing Practice (DNP) Projects
The focus of this change in practice implementation project is to emphasize and encourage the use of non-pharmacological interventions as the first line intervention in managing the Behavioral and Psychological Symptoms of Dementia (BPSD) among nursing home residents. A sample of nurses (N = 14) and nursing assistants (N = 11) working in two local nursing homes participated in an educational intervention about dementia care. Two hundred and one charts were reviewed of the residents of both homes for antipsychotic use. Regardless that one home seems very organized, is using less antipsychotic than the other home compared to their bigger …
Eat Well, Live Actively: A Primary Care Interventional Program For The Treatment Of Childhood Obesity, Julianne M. Randlemon
Eat Well, Live Actively: A Primary Care Interventional Program For The Treatment Of Childhood Obesity, Julianne M. Randlemon
Doctor of Nursing Practice (DNP) Projects
Over the last thirty years, childhood obesity has become one of the presiding diseases in the pediatric population. Last year the CDC (2012) reported that 12.5 million children under the age of five were not only overweight but also obese. This growing trend has been inadequately addressed by the United States preventive healthcare system. The pandemic has continued to spread: America’s obese children have substantially contributed to the ever-growing fiscal demands of health care in the United States. Olshansky et al. (2005) suggest this will in turn translate into the first generation of American adults that will be sicker and …
Evaluation Of Radiation Exposure From Computed Tomography Of The Head, Nelly Vega-Woo
Evaluation Of Radiation Exposure From Computed Tomography Of The Head, Nelly Vega-Woo
Doctor of Nursing Practice (DNP) Projects
In an effort to reduce radiation exposure from computed tomography (CT), practitioners and facilities need to monitor radiation exposure while delivering high-quality diagnostic exams. Computed tomography scanners have a range of pre-programmed protocols for different examination types, with set values for tube potential, tube current, and rotation time (American Association of Physicists in Medicine, 2007). One way to minimize a patient’s exposure to radiation from CT is the use of an automatic exposure control (AEC) device. Current research is focusing on these devices and their actual benefits to patients. To assess the effectiveness of such a device, analysis of radiation …
Perceived Family Support And Depression Among People Living With Hiv/Aids In The Kathmandu Valley, Nepal, Sadhana Shrestha, Krishna Poudel, Kalpana Poudel-Tandukar, Jun Kobayashi, Basu Dev Pandey, Junko Yasuoka, Keiko Otsuka, Masamine Jimba
Perceived Family Support And Depression Among People Living With Hiv/Aids In The Kathmandu Valley, Nepal, Sadhana Shrestha, Krishna Poudel, Kalpana Poudel-Tandukar, Jun Kobayashi, Basu Dev Pandey, Junko Yasuoka, Keiko Otsuka, Masamine Jimba
Elaine Marieb College of Nursing Faculty Publication Series
Background: Depression is emerging as a highly prevalent psychiatric condition among people living with HIV/AIDS (PLWHA). Perceived family support (PFS) buffers depression among chronic disease patients. However, a similar relationship among PLWHA is unexplored. Objective: To examine the relationship between PFS and depression among PLWHA in the Kathmandu Valley, Nepal. Methods: In this cross-sectional study, depression was measured by Beck Depression Inventory Ia. Perceived family support was measured by Nepali Family Support and Difficulties Scale. The status of depression was compared between 208 PLWHA and 208 HIV-negative participants. The relationship between PFS and depression was examined only among PLWHA. Results: …