Nursing Commons^™

A New Approach To Sternal Precautions: Keep Your Move In The Tube, Kelijo Fernholz, Jayna Theis, Erik Anderson

Nursing Posters

Purpose:

• To guide patients and staff in a new approach to sternal precautions following median sternotomy

Current Practice:

• 10-pound lifting restriction for 4 weeks
• 20-pound lifting restriction until 3 months post operation
• Limited arm exercises
• Sit to stand push restrictions

Why Change:

• Literature review demonstrates great variation in sternal precautions
• Currently too restrictive; may hinder recovery and long-term mobility. Too many restrictions can create fear of movement, resulting in short term rehab discharge needs
• To create more independence for the patient, less reliant on family members for ADLs and basic needs. Patients to return to regular home and work activities …

Performance Improvement Leadership Rounding Implementation, Dena Walz

Nursing Posters

To improve patient experience scores and address patient concerns in real time.

A proactive behavior that facilitates leaders building relationships with patients and families, managing expectations, and achieving and validating consistency of key behaviors.

A member of leadership will conduct a purposeful conversation with a chosen patient three days a week regarding the care provided during their procedural appointment.

Contemporary Treatment Options For Pulmonary Embolism, Tanya Glenz, Teresa Jahn

Nursing Posters

Purpose:

Provide RNs education on the classifications of PEs and new catheter directed treatment options.

Significance:

• PE remains a common and lethal entity
• PE is the 3rd leading cause of cardiovascular death in hospitalized patients (60,000-1000,000 per year)
• 150,000-250,000 PE related hospitalizations per year
• RNs must be knowledgeable of the classifications of PEs and catheter directed therapies to promote positive patient outcomes
• Prior to catheter directed therapies, submassive PEs had a mortality rate up to 20% at 3 months and were traditionally treated with IV heparin, or oral anticoagulant therapy

Routine Post Surgical Vital Signs: Time For A Change, Kristina Kjellberg, Elizabeth Plante, Sadie Seezs

Nursing Posters

Purpose Statement:

The purpose of this evidence-based practice project is to evaluate the current routine post operative vital signs and determine if reduced frequency of vital signs is as effective in identifying deterioration after a post anesthesia care unit (PACU) discharge.

Synthesis of Evidence:

• Patient survival in the post operative time period is maximized with the recognition and management of abnormal vital signs
• Post op periods can carry great respiratory and circulatory complications, which are identified by abnormal vital signs especially heart rate and blood pressure
• Multiple sources have identified that current frequency of post operative vital signs is based …

Rapid Evaluation Teams (Ret): No Longer Just For Hospitals, Amanda Thorson

Nursing Posters

Study:

Everyone goes to the Nursing Home for End of Life - Right? Wrong Cumulatively, over a 4-year study there were 678 residents with Full Code status residing at Carris Health Care Center and 687 residents the DNR/DNI status. That is only a 10-resident different between Full Code and DNR/DNI

Plan:

• Improve long-term care staff's ability to call for, and receive, support to rapidly evaluate and address an urgent or concerning situation.
• Need for this plan is supported by increased number of OHFC substantiated events related to code status in MN and number of residents with Full Code status in …

Suspension Of Independent Double-Check For Subq Insulin Administration, Mallory Mondloch, Jennifer Watson

Nursing Posters

Study:

After a 1-month pilot of suspending the dual sign-off/independent double-check process, 160/163 random subQ insulin administrations from various units were administered correctly. This yielded a 98% success rate. No patient harm occured.

Plan:

Per Institute of Safe Medication Practices, dual sign-offs/independent double-checks are more effective for select high risk meds and not all. Since implementation of the insulin calculator, medication errors related to subQ insulin administration have reduced compared to previously when solely two licensed staff members performed a manual, independent double-check. After implementation of the validated eMAR tool - the insulin calculator - it was still required for …

A Practice Innovation To Improve Staff Vaccination Knowledge And Skills, Ijeoma Ugochukwu

Nursing Posters

Abstract:

The practice improvement project explored the best practices for equipping CentraCare Health System's (CCHS) Licensed Practical Nurses (LPNs) and Certified Medical Assistants' (CMAs) with childhood vaccination knowledge and communication skills necessary to educate hesitant patients and parents about the benefits of vaccination compliance. Innovative computer-based education (CBE) was identified and developed to empower LPNs and CMAs working in the ambulatory setting with childhood vaccination knowledge and communication skills to improve their ability to educate hesitant patients and parents about the benefits of vaccination. The CBE module was guided by the Theory of Planned Behavior in identifying vaccination knowledge and …

The Kenton Hardin County Family Bike Program., Jamie Hunsicker

Nursing Faculty Scholarship

No abstract provided.

2021 Midwest Nursing Research Society Award-Winning Abstracts., Jamie Hunsicker

Nursing Faculty Scholarship

No abstract provided.

Across The Curriculum And The Community: Building Bridges To Improve Care Of Overdose Patients., Megan Lieb, Christina Liebrecht, Jamie Hunsicker

Nursing Faculty Scholarship

No abstract provided.

Pre-Operative Education For Elective Spine Patients, Sandra Aaron

DNP Research Projects

No abstract provided.

The Science Of Happiness And Its Effect On Professional Quality Of Life In Mental Health Providers, Mona E. Yeary

DNP Research Projects

Abstract

OBJECTIVE: The science of happiness is part of the field of positive psychology, which should not be confused with positive thinking, self-help, or religious beliefs, but is considered a scientific evidence- based practice. The purpose of this quantitative, descriptive, study was to examine the relationship of education on the science of happiness and a gratitude intervention on subjective happiness and professional quality of life of mental health care providers.

METHODS: The mental healthcare providers for this study included psychiatrists, advanced practice nurses, physician’s assistants, psychologists, social -work and registered nurses in a large medical system in Tennessee …

The Effect Of Physical Activity On The Mental Health Of Pre-Nursing Students And Undergraduate Student Nurses, Larinda J. Fandrich

DNP Research Projects

Abstract

Mental health concerns are on the rise among the college-aged student. College students face a great deal of stress, which can lead to depression and anxiety. Nursing students, as a sub-group of college students, are under even greater stress related to rigorous course work and the responsibility of caring for other people, which can lead to greater depression and anxiety. This study aimed to determine what effect, if any, physical activity has on depression and anxiety scores using the PHQ-9 and GAD-7 instruments in pre-nursing and nursing students. In this study, physical activity is defined as is “any bodily …

A Mixed Methods Evaluation Of An Intensive Therapeutic Lifestyle Change Program For Nurses With Obesity, Theresa L. Free

DNP Research Projects

No abstract provided.

Faculty Readiness To Integrate Clinical Simulation, Jercilla Murmu

DNP Research Projects

Abstract

Objective: Nursing education is called for reform in the nursing curriculum to meet the complex health care system of the 21st century. The traditional teaching model is inadequate to meet the current nursing practice and requires innovation in education using technology. Lack of faculty and clinical sites has called for alternative teaching methods such as clinical simulation. Currently, up to 50% of clinicals hours can be replaced by simulation in the prelicensure core nursing courses. However, the readiness of faculty to use the technology as an innovation strategy is not well established. This study aims to assess the readiness …

The Green Rx: An Intervention In Nurse Anxiety And Depression, Melissa Dawley

DNP Research Projects

No abstract provided.

The Effects Of Covid-19 On Web-Based Education Among African Americans With Cardiometabolic Syndrome: A Qualitative Case Study, Sarah Omodele

DNP Research Projects

No abstract provided.

Atrial Fibrillation In Covid-19: A Descriptive Study Of Incidence, Mortality And Related Factors, Diana L. Taylor

DNP Research Projects

Abstract

This scholarly project determined the relationship of atrial fibrillation (AF) occurrences in COVID-19, as it is the most frequent arrhythmia in the U.S. and is driven by inflammatory pathology. In COVID-19 positive patients with AF occurrences understanding the relationship between these conditions could help identify patients with poor prognosis, higher morality, and other factors earlier in the hospital course.

This single-center scholarly project was a retrospective descriptive chart review to determine the relationship between AF and COVID-19 over a 6-month timeline in Chattanooga, TN. Of the 565 hospitalized COVID-19 positive patients included, 82 (14.5%) had AF occurrences. A higher …

The Effectiveness Of Mixed Personality Trait Analysis With Multiple Stress Education Model In Coping With Stress Among International Students In American, Xiaoyang Mei

DNP Research Projects

No abstract provided.

Implementing Tele-Coaching Diabetes Education To Improve Self-Care And Clinical Outcomes For Patients With Type 2 Diabetes, Sori Jung

DNP Research Projects

Abstract

Background: Type 2 diabetes (T2DM) requires initial and continuous patient education for lifelong management due to the complexity of the disease. However, diabetes education is not very well-supported in the office setting due to the providers’ limited time per patient. However, with the aid of technology-based intervention, patients can be more supported and educated, leading to better T2DM control.

Aims: The purpose of this scholarly project was to evaluate the effectiveness of diabetes education through tele-coaching in patients with T2DM for improved self-care and clinical outcomes, including hemoglobin A1c (A1c) and body mass index (BMI).

Method: A mixed-method, single …

Changing The Culture Of Nurse Practitioners: Incorporating Medical Billing And Coding To Prevent Fraud, Waste And Abuse, Tralissa Morrow

DNP Research Projects

Medical coding and billing errors are avoidable problems that have afflicted practitioners for decades. Correct coding and billing are required for reimbursement of healthcare services. Fraud, waste and abuse increase healthcare costs, reduce the quality of care provided and directly impact costs to patients. This pilot study was intended to evaluate the impact of an educational webinar on medical billing and coding, fraud, waste and abuse on nurse practitioner (NP) knowledge using a pretest posttest design. Mean scores increased from 58.4% to 76.4%. Test reliability was low at 0.477 (pretest) and 0.142 (posttest) with two questions that were unable to …

The Effect Of Nutrition Education On Dietary Knowledge And Fruit And Vegetable Consumption In Children, Colleen A. Thompson

DNP Research Projects

No abstract provided.

Self-Efficacy: Nurses’ Perceptions Of Caring For Patients Living With Diabetes, Victoria Yaros Mccue

Student Theses, Dissertations and Capstones

Diabetes is an epidemic that affects over 415 million people worldwide. In the United States, the number of people diagnosed with diabetes is projected to triple to over 60 million by 2060. With this surge, the number of hospitalizations across the country has significantly increased. Direct care nurses play a vital role in the management of patients living with diabetes. The purpose of this research study was to explore and describe medical-surgical nurses’ perceptions of self-efficacy related to caring for patients living with diabetes. This study's guiding research question was: What are nurses’ perceptions on the influences that impact self-efficacy …

Advancing Disease Knowledge And Health Beliefs On Dyslipidemia By Implementing Patient Education, Edwin S. Ramos

Student Theses, Dissertations and Capstones

Dyslipidemia represents a chronic health condition with adverse effects on the individual’s health and wellbeing that go beyond the factual elevation in the levels of total cholesterol in the blood or the increase in levels of low-density lipoprotein cholesterol (LDL-C). The association of dyslipidemia and adverse health events, including cardiovascular conditions such as coronary artery disease (CAD) and stroke, are evident in clinical practice. Vulnerable populations, such as the adult and elderly Hispanic individuals in a primary care setting, can greatly benefit from increasing their knowledge and health beliefs related to dyslipidemia. The purpose of this evidence-based practice (EBP) educational …

The Art Of Nursing: Perceptions, Experiences, And Interpretation Of Value Among Practicing Registered Nurses And Senior Bacclaureate Nursing Students, Anne Bizup

Student Theses, Dissertations and Capstones

Background: The art of nursing is enjoying renewed interest due to changes in the healthcare reimbursement models in the U.S. Value-based reimbursement strategies utilize quality metrics to determine payments. Quality metrics are linked to the art of nursing.

Purpose: The purpose of this study was to gather information about practicing nurses and senior baccalaureate nursing students’ interpretation of the human, social, and economic value and their experiences and perceptions of the art of nursing. This information supports changes in practice, policy, and education.

Theoretical Framework: Alligood’s theory of the art of nursing (2002) is the theoretical basis for the study. …

Wound Nurse Specialists’ Pressure Injury Knowledge And Specialty Support Surface Preferences, Catherine Koutroumpis

Master of Science in Nursing Theses and Projects

Low-level foam specialty support surfaces are negatively affecting the number of hospital-acquired pressure injuries that occur each year and overall skin health of acute care patients. Lack of knowledge by wound care specialists on different types of therapy could lead to patients not receiving the best possible specialty surfaces available. An online anonymous survey of 19 certified wound care nurses was conducted. The survey examined the nurses’ knowledge of pressure injuries using the Pieper Zulkowski Pressure Ulcer Knowledge test (PZPUKT) and choice of specialty support surface for prevention of pressure injuries. One hundred percent of nurses scored 80% and higher …

Utilization Of Hiv Care Coordination Programs To Address Gaps In Care, Jessica Chavis

Master of Science in Nursing Theses and Projects

This project evaluated the use of HIV care coordination programs in healthcare and their impact on care. The purpose of this project was to evaluate the role of HIV care coordination programs and their relationship with patient outcomes. The goal was to provide education on the benefits of these programs and how the lack of their presence in today’s healthcare system impacts transmission and general patient care. The plan of implementing a care coordination program at a local health department was established. Gaps in care, increasing medication adherence, and improving viral suppression rates were targeted by addressing social, mental, and …

Undergraduate Nursing Students’ Attitudes Toward Mental Illness And Psychiatric Nursing As A Career Choice, Sharon Zurline

Master of Science in Nursing Theses and Projects

Purpose: The purpose of this study is to examine the relationship between the attitudes of undergraduate nursing students toward mental illness, and the interest in choosing psychiatric nursing as a desirable career choice. Methodology: A nonexperimental descriptive study design was chosen for this study. Sample size of 18 undergraduate nursing students participated in the self-reported survey, The Mental Health Nursing Education Survey (MHNES) Part 2. This survey has 43-items that report the attitudes and beliefs toward people diagnosed with mental illness and towards mental health nursing and scored on a 7-point Likert Scale. Findings: Data reported from the survey report …

A Quality Improvement Project To Increase Intimate Partner Violence Screening On College Campuses, Becky Murck

Graduate Research Showcase

Abstract

A Quality Improvement Project to Increase Intimate Partner Violence Screening on College Campuses

Background: Sexual assault or rape on college campuses can be a life-changing event and goes unreported 80% of the time. Women are not screened for intimate partner violence (IPV) regularly when being seen in university student health settings, even though females ages 18 to 24 have the highest rape and sexual assault rates compared to females in all other age groups. Students that are victims of IPV may not report because of fear, embarrassment, or being unsure who to or where to report. Student health settings …

A Pilot One Group Feasibility, Acceptability, And Initial Efficacy Trial Of Listen For Loneliness In Lonely Stroke Survivors., Laurie A. Theeke, Jennifer A Mallow, Elliott Theeke

Nursing Faculty Publications

Loneliness is a prevalent problem for adult stroke survivors, and a known contributor to hypertension, secondary stroke, functional decline, poorer quality of life, and mortality in older adults. LISTEN (Loneliness Intervention using Story Theory to Enhance Nursing-sensitive outcomes), a theoretically based behavioral health intervention designed to target loneliness, in a sample of lonely survivors of ischemic stroke.