The Use Of Online Applications To Improve Chronic Wound Care In Primary Care; A Literature Review, Zahra Naderi Asiabar

DNP Qualifying Manuscripts

Abstract

Background: Chronic wounds are a major burden on patients, health care professionals, and the healthcare system. Primary care professionals need to be prepared with the information and skills that will help them perform high-quality wound care.

Objective: The purpose of this manuscript is to assess the use of mobile applications to support health care providers in primary care who care for patients with chronic wounds.

Data Sources: A review of the evidence was performed using CINAHL, Cochrane/ DARE, PubMed, Ovid, and Evidence-Based Journals to explore the consequences of using online wound care applications by primary care practitioners.

Conclusions: The …

Understanding End-Of-Life Care Experiences Of Baccalaureate Mexican American Nursing Students: An Interpretive Phenomenology Study, Shalla M. Copeland

Nursing Theses and Dissertations

Although education is an important factor regarding competent end-of-life care, varying educational strategies occur within pre-licensure nursing curricula without evidence as to what strategy is most effective for the learner. The aim of this study was to generate a holistic understanding of Mexican American baccalaureate nursing student experiences of providing end-of-life care and to solicit experience-based approaches to adequately prepare those students to care for dying persons. An integrative review of the literature was completed to summarize the current evidence of pre-licensure nursing educational strategies that affect nursing students’ attitudes toward care of the dying. A concept analysis of a …

An Appraisal Of Nursing Informatics Research And The Influence Of The Unified Theory Of Acceptance And Use Of Technology, Diodemise Ovwasa

Library Philosophy and Practice (e-journal)

Abstract

The study recognized the importance of healthcare informatics in today’s dynamic health systems, and narrows down to how nursing informatics, a component of healthcare informatics, can provide efficient and effective healthcare delivery. Hence, underpinned by the unified theory of acceptance and use of technology (UTAUT), the study aimed at situating research activities on nursing informatics within existing studies that have applied the theory to investigate healthcare informatics in general. The study adopted a systematic review of literature to explored online databases: Google Scholar and Ebscohost from 2014 to 2019. The search returned a total of 205 articles for the …

Involuntary Treatment In Dementia Care At Home: Results From The Netherlands And Belgium, Angela M. H. J. Mengelers, Vincent R. A. Moermans, Michel H. C. Bleijlevens, Hilde Verbeek, Elizabeth Capezuti, Frans Tan, Koen Milisen, Jan P. H. Hamers

Publications and Research

Aims and objectives: To gain insight into the request, use and associated factors of involuntary treatment in people with dementia (PwD) receiving professional home care in the Netherlands and Belgium.

Background: Most of the PwD remain living at home as long as possible. Due to complex care needs, this can result in an increased risk for care provided against the wishes of the client and/or to which the client resists, referred to as involuntary treatment.

Design: Secondary data analyses of two cross-sectional surveys.

Methods: Dementia case managers and district nurses filled in a questionnaire for each PwD in their …

Intravenous Catheter Antiseptics To Prevent Infections, Tiara Ford

MSN Capstone Projects

This presentation focuses on finding the most effective antiseptic to preventing intravenous catheter related infections (CRI). There have been many antiseptics used over the years for cleaning the site before insertion, during maintenance, and removal. But there still have been cases of CRI that are costly to hospitals, outpatient settings, and patients. In this benchmark study there have been 12 research articles that have been intensely reviewed to come up with own conclusion, the best antiseptic. Chlorhexidine has been found to be the most effective according to the 12 research articles compared with other antiseptics. The presentation is comparing chlorhexidine …

Music Therapy In The Nicu, Chandler Tice

MSN Capstone Projects

This paper discusses the importance of implementing the use of music therapy in the NICU. Preterm infants experience procedures that cause stress, overstimulation, and a change in vital signs. The use of music therapy aids in protecting preterm infants. This paper discusses the implementation and evaluation process and the benefits, cost, and literature associated with this change.

Physical Activity For Rheumatoid Arthritis Patients: Benchmark Study, Lauren Nicholson

MSN Capstone Projects

Rheumatoid arthritis (RA) is an autoimmune inflammatory condition that affects the joints; without proper treatment and management, RA leads to the destruction of joint function. The standard of care for RA includes medications such as biologic therapy and disease-modifying anti-rheumatic drugs. An often-overlooked area of disease management is the implementation of exercise programs for patients with RA. Exercise is known to decrease systemic inflammation, symptoms of depression, and combat fatigue – all common symptoms reported by patients with RA.

Standard of care for patients with RA does not currently include lifestyle management factors such as diet, exercise, and cessation of …

Patient Controlled Fluid Restriction Monitoring, Christina Tindel

MSN Capstone Projects

Patients are often placed under non-pharmacologic orders such as fluid restrictions during their hospital stay. The following article will discuss a plan to implement a change to have patients take a more active role in their plan of care by being the main ones to monitor their fluid intake.

Start Stop-Bang, Valerie D. Reeve

MSN Capstone Projects

Currently standard of care in the perioperative unit is not conducive when caring for patients with obstructive sleep apnea (OSA). OSA is highly prevalent and often undiagnosed. Screening patients with a STOP-Bang questionnaire is quick, effective, and cost efficient. OSA is linked to poor postoperative outcomes. Patients at high risk for OSA often encounter complications such as: additional airway management, respiratory complications, cardiovascular complications, and increased length of stay. Screening creates awareness and identification of patients at risk for postoperative complications.

Structured Discharge Education: A Benchmark Study, Michaela E. Place

MSN Capstone Projects

Patient satisfaction is a topic of interest in many clinical settings. There are many ways healthcare providers can attempt to promote patient satisfaction. One of the most important is to ensure comprehensive discharge instructions are given to patients, especially in the emergency department (ED). One particular study found that in patients discharged from the emergency department, approximately one-fifth experience negative health-related issues that result in readmission or return visits to the ED in the month post-discharge (Campione, Smith & Mardon, 2017). “To reduce the readmission rate, various discharge planning and patient education programs have been provided to the patients preparing …

Honey For The Diabetic Foot Ulcer: Alternatives In Wound Care, Hannah Esther Campbell

MSN Capstone Projects

A literature review was conducted over the available articles surrounding the use of honey in wound care for chronic diabetic foot ulcers. Medical-grade honey bandages have been found to have many properties that can enhance wound healing, and honey dressings were found to promote faster healing times than several alternatives. A benchmark project was conducted to delineate the process for application of research and implementation of practice change in a healthcare facility.

Pcos Lifestyle Management Change Project, Elizabeth King

MSN Capstone Projects

This paper proposes the Lifestyle Modification Change Project to help fulfill this lack of education and emphasis on lifestyle modifications that occurs with patients diagnosed with PCOS. This change project would include a 16-week lifestyle modification program that would evaluate pre- and post- participation data including: BMI, weight, inches, testosterone levels, menstrual cycle regularity numbers, and quality of life questionnaire.

Asthma Pathophysiology, Chad Webster

Nursing Student Class Projects (Formerly MSN)

Asthma is a chronic underlying condition that affects millions of people worldwide. It has a variety of issues that it may cause including shortness of breath, difficulty breathing, airway inflammation and swelling among many others. These issues usually arise from a potential trigger (environmental or genetic) and can cause an hyper-responsive airway issue. The Doctor of Nursing Practice practitioner should be extremely knowledgeable and trained on the different types of interventions and implications when dealing with asthma. The intention of this poster is to educate students on the importance of understanding the pathophysiology of asthma and its effect on the …

A Measure To Determine Acceptable Workload For Increasing Operational Efficiencies For The Conduct Of Clinical Trials, Lester Rey Lledo Rn, Crnp, Dnp, Catherine Johnson Fnp, Pnp, Phd, Anne Chew Phd, Joan Gilmore Bs, Karen Dengel Bsn, Jane Anderson Ms

Doctor of Nursing Practice (DNP) Manuscripts

As the demands for the conduct of clinical trials rise, it becomes increasingly important to establish a quantitative means of estimating the appropriate staffing resource to coordinate trial related activities. There has been a limited amount of research conducted to evaluate methods or tools to measure workload in the clinical trial setting. A literature search revealed a gap in the literature about tools used to measure workload and its impact on clinical trial performance and job satisfaction. The aim of this pilot project was to test the Ontario Protocol Assessment Level (OPAL) complexity rating tool in generating quantitative measurements of …

Implementing A Loneliness Assessment Tool In An Older Adult Population, Marquette Leach

Doctor of Nursing Practice (DNP) Manuscripts

Abstract

Loneliness is a subjective experience characterized by a profound decrease in the amount and the quality of desired social connectedness. Community-dwelling older adults are particularly vulnerable to loneliness because of age-related changes such as the loss of driving privileges, loss of a spouse, living alone, socioeconomic changes caused by retirement, and a lack of access to meaningful social activities. These factors diminish an older adult’s sense of belonging, the quality of their social relationships, and the degree to which they are socially engaged. Loneliness presents a significant threat not only to the psychosocial wellbeing of older adults, but also …

Reducing Medical Assistants Clinical Errors Through A Focused Training Program: A Quality Improvement Project, Jackie Thomas

Doctor of Nursing Practice (DNP) Manuscripts

Purpose: To develop and implement an organization-based focused medical assistant (MA) Training Program for all newly hired, previously untrained MAs resulting in zero errors in medication administration, blood pressure (BP) measurements, and pediatric growth chart measurements and documentation.

Background and Significance: Ambulatory Care Clinics models are traditionally staffed by MAs who come with a wide range of education or experience leading to an assortment of skills abilities and competencies. To provide safe and effective high-quality patient care it is imperative that MAs are competent in many skills (MAERB, 2015). With no standardized training program and no system in place to …

Using The Copes Acronym To Improve Nurses’ Response Time In The First Three Minutes Of A Code Blue: A Quality Improvement Project, Linda Baker

Doctor of Nursing Practice (DNP) Manuscripts

Abstract

Literature consensus indicates overall Cardiopulmonary Resuscitation (CPR) survival rates have remained unchanged despite equipment, drugs, and training improvements. Preparing and educating nurses for the inevitable Code Blue (cardiopulmonary event) is a sound and prudent practice. The purpose of this quality improvement (QI) project was to provide targeted CPR education, including timely Automated External Defibrillator (AED), and the COPES acronym as part of Basic Life Support (BLS) by improving nurses’ focus and automaticity in the initial minutes of Code Blue events. Combining multiple teaching methods including active learning scenarios (mock codes), question and answer sessions, audio-visuals (technical and non-technical), and …

New Graduate Nurses Experiences During Their Transition From Novice To Competent And How Mentorship Post Residency Affect Their Experiences, Kelsey N. Murphy

MSN Capstone Projects

Staffing competent nurses in specialized areas poses a unique challenge to hospitals across the country. Competent and experienced RNs are leaving the bedside for a multitude of reasons including dissatisfaction in workplace environment, retirement, and hospitals are facing a shortage of skilled nurses in acute care (Valdez, 2008). To address this growing concern and meet increasingly complex health care demands, hospitals are relying on nursing schools to produce competent graduate nurses (GNs) (Valdez, 2008). Hospitals recruit and hire GNs for highly specialized roles in acute care areas despite the stressors accompanied with these roles. Clinical educators have the opportunity to …

Bipolar Disorder, Heather Guthrie

Nursing Student Class Projects (Formerly MSN)

Bipolar disorder is a mental disorder that causes severe swings in mood, energy, activity, concentration, and activities of daily living. These mood swings range from extremely euphoric, irritable, or animated behavior (manic) to despondent, apathetic, or dejected periods (depressive). This phenomenon was why this disorder was known as manic-depressive or manic depression. The need to understand the multiple factors regarding the disease process of this disorder, and the importance of treatment is vital for the safety and health of people across the world inflicted by bipolar disorder. Education is the key to how this disorder affects the entire trajectory of …

Hypoplastic Left Heart Syndrome, Stacey Carey

Nursing Student Class Projects (Formerly MSN)

Hypoplastic left heart syndrome (HLHS) is a severe and rare form of congenital heart disease with no known cause that decreases life expectancy and occurs during fetal cardiac development. Without treatment HLHS is fatal. HLHS consists of the underdevelopment of the left-sided heart structures leading to the failure of the left ventricle to support the systemic circulation resulting in single-ventricle physiology (Mussa & Barron, 2016). Prior to the 1980s HLHS was a universally lethal condition until 1982, when surgical management became available (Mussa & Barron, 2016). However, surgical management is not curative because the heart can never be “normal” (Mussa …

Aging: The Impact Of Diet And Inflammation, Morgan Wiland-Gress

Nursing Student Class Projects (Formerly MSN)

The immune system is a complex cohesive network. It requires every cell to work efficiently at maintaining homeostasis. It also prevents and repairs damage from internal and external pathogens. Recent research has focused on the concept of inflammaging, which is defined as age-related changes that occur in the immune system leading to dysfunction. The current understanding is that inflammaging contributes to the development of chronic diseases including; Type II Diabetes, Cardiovascular disease, Cancer, autoimmune disorders, neurological disorders, Alzheimer and Parkinson’s disease. The underlying pathophysiology of inflammaging is chronic inflammation and the imbalance of pro-inflammatory and anti-inflammatory mediators. This imbalance leads …

An Evidence-Based Approach To Understanding And Treating Electronic Cigarette Use In The Adolescent Population, Adelaide Amini

Student Works

ABSTRACT

An Evidence-Based Approach to Understanding and Treating Electronic Cigarette Use in the Adolescent Population

Adelaide Laurel Amini College of Nursing, BYU Master of Science

Electronic cigarette (e-cigarette) use is popular among adolescents and leads to high levels of nicotine exposure in this population. E-cigarette use by teenagers can lead to development of nicotine addiction, chronic lung disorders, and lifelong incidence of depression, anxiety, and attention-deficit disorder. Thus, it is vital that nurse practitioners understand electronic cigarette devices and their effects on adolescent health, as well as treatment guidelines regarding nicotine dependence specific to e-cigarettes. An educational module detailing the …

Therapeutic Hypothermia, False Hope In Cooling, Katherine Zuniga

MSN Capstone Projects

According to the American Heart Association (2018), every year 356,000 people suffer from cardiac arrest. In the vast majority of these cases, the patient is unable to be resuscitated. However, for the individuals for whom Return of Spontaneous Circulation (ROSC) is achieved, the AHA recommends targeted temperature management or therapeutic hypothermia. TH is the process of cooling a comatose person in hopes of preserving neurological function. However, despite this intervention, many still perish or do not retain their prior level of function. In post cardiac arrest patients, what is the effect of therapeutic hypothermia compared to maintaining normothermia on patient …

Examining The Efficacy Of Web-Based Quality Improvement Hand Hygiene Education In Reducing Post-Cesarean Birth Surgical Site Infection, Lilian Allen

Grace Peterson Nursing Research Colloquium

Abstract

Objective: This is a quality improvement project aimed to evaluate the effectiveness of an educational training initiative on hand-hygiene (HH) for health care providers in women's health department to identify learning needs, behaviors, and attitudes.

Design: A descriptive, prospective, longitudinal design, using baseline data collection points before the web-based intervention was introduced (time 0), immediately after the web-based intervention completion (time 1), one to six weeks after completion of the intervention (time 2).

Setting: A Chicagoland area tertiary care hospital.

Participants: Clinical staff of the women's care center, which included the Labor and Delivery, Mother and Baby, and …

Use Of Fiberoptic Intubation Simulation To Enhance Skill And Confidence Among Anesthesia Providers, Fredrich F. Raz, Kris Toribio

Grace Peterson Nursing Research Colloquium

Abstract

Background: The purpose of this study was to describe the usefulness of a video-recorded low-fidelity Fiber Optic (FO) intubation simulation and its effect on anesthesia providers’ confidence and skill in performing FO intubation.

Method: The study was conducted during the 2019 IANA Airway Workshop using a post-test only study design. All participants who volunteered to participate in the simulation were asked to watch a video-recorded instruction on FO intubation. Immediately after viewing the video, the participants completed a hands-on simulation while the researchers recorded their FO intubation times. Participants were allowed up to three recorded attempts.

Results: Fifty-eight participants …

An Examination Of Certified Nurse-Midwives' Attitudes And Beliefs Surrounding Breastsleeping: Implications For Advanced Nursing Practice And Education, Lucy Mueller Wiesemann

Grace Peterson Nursing Research Colloquium

An Examination of Certified Nurse-Midwives' Attitudes and Beliefs Surrounding Breastsleeping: Implications for Advanced Nursing Practice and Education

Lucy Mueller Wiesemann, DNP, CNM, APN, CLS; DePaul University, Chicago, IL

Abstract

Introduction: Breastsleeping, defined as cosleeping while breastfeeding, is a practice commonly employed in breastfeeding families. However, literature examining this concept, its prevalence, and related education for safe breastsleeping is scant. Provider’s attitudes surrounding breastsleeping play an essential role in practice and outcomes when caring for breastfeeding patients and families. The purpose of the study was to examine Certified Nurse-Midwives’ attitudes and beliefs surrounding breastsleeping.

Methods: An adapted 18-item Nurse Attitudes and …

Self-Management And Quality Of Life In Young Adults After Healthcare Transition, Jennifer Herbert

Grace Peterson Nursing Research Colloquium

The transition from pediatric to adult healthcare has become healthcare concern of increasing importance as more adolescents with chronic conditions survive to adulthood requiring continuing care. In order to understand the current status of healthcare transition (HCT), we identified the HCT services received by young adults, their existing healthcare self-management skills and how skills correlated with their quality of life. A correlational and retrospective cross-sectional online survey of English-speaking young adults in the United States ages 18-26 with at least one pediatrically diagnosed chronic condition was conducted August-October 2019. Participants completed a healthcare transition feedback survey, the TRANSITION-Q self-management skills …

Implementing Positive Language In Anesthesia: Utilizing The Comfort Scale, Elisabeth Prehm, Tricia Oakes

Grace Peterson Nursing Research Colloquium

Implementing Positive Language in Anesthesia: Utilizing the Comfort Scale

Tricia Oakes & Elisabeth Prehm

Faculty Sponsor: Pamela Schwartz DNP, CRNA

Background

Verbal numeric pain scales (ranking pain on a scale from zero to ten) are widely utilized and taught in medicine. Evidence-based research has shown that verbal numeric comfort scales are associated with a decrease in opioid administration, improved pain perceptions, and overall better patient satisfaction .7

Objective

The purpose of this study is to assess the impact of a video-based educational tool demonstrating the use of a comfort scale in the perioperative setting among Nurse Anesthesia Trainees (NATs), and …

Malignant Hyperthermia Simulation, Michael D. Quidort, Rachael K. Tse

Grace Peterson Nursing Research Colloquium

Malignant Hyperthermia Simulation

Rachael Tse, BSN, RN and Michael Quidort, BSN, RN

Faculty Sponsor: Anne Sauri, CRNA, DNP and Julia Feczko, CRNA, DNP

Background: Malignant hyperthermia (MH) is a life-threatening condition in which survival is highly dependent on early recognition and prompt treatment. The purpose of this DNP project was to examine the impact of an in vivo high-fidelity malignant hyperthermia simulation on CRNA confidence in crisis management.

Objectives: Does a high-fidelity simulation training exercise improve CRNAs’ confidence in identifying signs and symptoms during a MH crisis? Does a simulation-based training exercise improve CRNAs’ confidence in the management of a …

The Effects Of Guided Meditation On The Stress Levels Of Student Registered Nurse Anesthetists, Olivia Nassoiy, Abigail Hadley

Grace Peterson Nursing Research Colloquium

Background: Student Registered Nurse Anesthetists (SRNAs) cope with both academic and clinical stressors which can lead to an increase in stress, anxiety and depression. ¹ The literature demonstrates that guided meditation is a useful tool that can be integrated into daily life to help decrease stress and improve well-being. ²

Objectives: The purpose of this DNP project was to describe the level of stress among SRNAs and examine the relationship between a guided meditation intervention and self-reported stress, depression, wellness, and self-efficacy among second year SRNAs.

Method: The participants were second year anesthesia students attending NorthShore University School of Nurse …