Nursing Commons^™

Implementation Of An Evidence Based Quality Improvement Project To Improve Bathing Practices In The Neonatal Intensive Care Unit., Kimberly Johnson

Doctor of Nursing Practice Papers

Background: Conventional bathing practices in the NICU have shown to be a stressful, and even painful, activity for neonates and one that can negatively impact the developmental and physiological outcomes of premature infants. To negate these negative outcomes, and provide a positive experience for neonates and their parents, AWHONN recommends the implementation of immersion swaddle bathing [ISB] over conventional bathing practices, in premature infants and newborns. Purpose: The purpose of this quality improvement project was to implement and evaluate an evidence-based bathing practice in a Level III NICU that includes clinical practice guidelines and staff education. Methods: A live, education …

Developmentally Supportive Positioning In The Neonatal Intensive Care Unit., Taylor Morganti

Doctor of Nursing Practice Papers

Background: An estimated 15 million infants worldwide are born prematurely each year. These infants are at an increased risk of poor physical and neurodevelopment because of increased stress and inappropriate sensory stimuli experienced in the neonatal intensive care unit (NICU). The provision of developmentally supportive care can mitigate some of these noxious effects. By decreasing stress and conserving energy, developmentally supportive positioning can enhance sensory, motor, and neurodevelopment. Purpose: The purpose of this quality improvement project is to improve the positioning of premature neonates through an educational intervention and staff training on the importance of developmentally supportive positioning. Improved positioning …

The Effect Of An Educational Intervention On Nurses' Knowledge And Skills Related To The T-Piece Resuscitator., Christy Roe

Doctor of Nursing Practice Papers

Background: The t-piece resuscitator (TPR) is a device that provides respiratory support for neonates that has been shown to be safe and effective when used correctly. A recurring competency assessment for the TPR does not exist at the intervention site except for the biyearly Neonatal Resuscitation Program® checkoff. Nurses who are not competent and confident with the use of the t-piece resuscitator run the risk of not using it correctly when resuscitating a neonate and potentially causing harm. Methods: The Iowa Model of Evidence-Based Practice was used for this quality improvement project. A literature review was conducted to identify proper …

Improving Communication And Teamwork Among Emergency Department Nursing Staff., Phoebe Girgis

Doctor of Nursing Practice Papers

Background: Emergency Department (ED) nurses are experiencing a rise in patient visits, staffing shortages, lower levels of job satisfaction, higher nurse to patient ratios, increased acuity for trauma patients, and increased psychiatric admissions. Tension, frustration, and breakdowns in communication are among reasons for lateral violence among emergency nursing staff.

Setting: This evidence-based practice project took place at a level one trauma academic medical center in the Southeastern region of the United States. Emergency Psychiatric Services (EPS) is a subunit within the ED which has a capacity of 24 patients for psychiatric services. The main ED, Medical ED (MED), or the …

Program Evaluation: Assessing The Effectiveness Of Diabetes Group Education Utilizing The Diabetes Knowledge Test., Aminata Gueye

Doctor of Nursing Practice Papers

Background: Diabetes Mellitus (DM) is the 7th leading cause of death in the United States (HHS ODPHP, 2019). It is also the leading cause of chronic disease complications such as adult-onset blindness, kidney failure, and lower-limb amputations (HHS ODPHP, 2019). It is recommended that all people with diabetes should participate in diabetes self-management education (ADA, 2018). Purpose: The purpose of this DNP project is to evaluate the effectiveness of diabetes group education by assessing participants’ knowledge utilizing the diabetes knowledge test (DKT) at an outpatient diabetes care center in Louisville KY. The evidence from the literature review supports the importance …

The Implementation Of A Standardized Car Safety Seat Discharge Teaching To Improve Self-Efficacy In Neonatal Intensive Care Unit Nurses., Madeline Sass

Doctor of Nursing Practice Papers

Background: There is a lack of standardization for car safety seat education to caregivers before hospital discharge. Nationally, 59% of motor vehicle accident deaths occur because the car seat is misused (Greenwall, 2015). The American Academy of Pediatrics (1999) states this is a gap in care because all caregivers need to receive proper car safety seat instruction before discharge. Purpose: This quality improvement project aimed to increase nursing self-efficacy and compliance of registered nurses (RNs) by implementing a standardized CSS discharge intervention. Methods: RNs on the unit were educated with a 7-minute presentation video titled “Car Seat Safety: Discharge Teaching” …

Improving Pneumonia Immunization Rates Among Adult Residents Of A Long-Term Care Facility., Salma Hegazi

Doctor of Nursing Practice Papers

Background: Pneumonia is a significant cause of morbidity and mortality in long-term care facility (LTCF) residents (Stamm et al., 2020). Vaccination of LTCF residents is a reasonable prevention strategy, (Andre et al., 2018; Centers for Medicare & Medicaid Services, 2020; Kaiser Family Foundation, 2019). Improving immunization rates among LTCF residents remains to be a challenge (Rehm et al., 2012; Stamm et al., 2020).

Purpose: The purpose of this quality improvement (Q.I.) project is to improve the pneumococcal pneumonia immunization rates at an LTCF in Louisville, KY.

Methods: A review of each residents' medical record to obtain immunization status, evaluating the …

Excessive Oxygen Administration During General Anesthesia, Soleil Gibbs

Nurse Anesthesia Student Research Posters

Nearly all patients undergoing general anesthesia will be administered oxygen and 83% of patients will be exposed to potentially preventable hyperoxemia (Suzuki et al., 2018). Physiological changes occur within the body when exposed to supranormal oxygen levels. Nurse Anesthetists must evaluate the potential risk and benefit of oxygen therapy. A review of the literature was completed to provide evidence based practice guidance to Anesthesia Providers regarding the use of perioperative oxygen administration.

Expediting Dental Treatment For Patients With Diabetes Mellitus In A University-Based Dental Clinic., Michelle Baxter

Doctor of Nursing Practice Papers

Oral health and diabetes are connected in a reciprocal relationship linked through the pathological mechanisms of bacteremia, inflammation, and the immune response. Dental patients experience a delay in receiving treatment at a university-based dental clinic secondary to obtaining required medical consultation from the patients’ private providers for complex medical conditions. This project was implemented to minimize barriers in access to care, reduce the risk for oral health and systemic diabetes complications, and optimize the health outcomes for diabetic patients seeking comprehensive dental treatment. The intervention group included 32 patients with diabetes who participated in hemoglobin A1c (HbA1c) testing during their …

Effectiveness Of An Evidence Based Cognitive Behavioral Therapy Program (Creating Opportunities For Personal Empowerment [Cope]) To Improve Childhood Mental Health Outcomes In A Private School., Carlatesha Flippin

Doctor of Nursing Practice Papers

Background: When mental health issues are left untreated in children, there is an increased risk for poor school performance, substance abuse, and missing essential experiences in life. School-based cognitive-behavioral therapy programs improve negative emotions, increase student positive experiences, increase coping skills knowledge, and provide adequate resources for effective mental health management of symptoms. School-based -behavioral therapy programs improve childhood mental health outcomes and promote coping skills utilization amongst pediatric populations.

Purpose: To implement Creating Opportunities for Personal Empowerment (COPE) a cognitive behavioral therapy program in a private school-based setting to assist children in obtaining optimal mental health outcomes.

Methods: Seven …

Community-Based Wound Care Intervention Utilizing Non-Clinical Personnel In The Intravenous Drug Use Population., Jennifer Fox

Doctor of Nursing Practice Papers

Background: Wounds resulting from injection drug use can increase morbidity and mortality in intravenous drug users (IVDU) (Kerr, et al., 2004; Phillips, et al., 2012; Pieper, 2019). Lack of access to healthcare contributes to self-treatment, worsening wounds, and severe co-morbidities (Robinowitz et al., 2014). Needle exchange programs (NEP) offer clean injecting equipment and infectious disease testing. NEP employees have close contact and high rapport with this population (Robinowitz et al., 2014). NEP can be utilized to assess skin for infection and high-risk injecting behaviors contributing to wound development. Early detection of wounds through assessment and prevention through cleaner injecting behaviors …

Increasing Pneumococcal Polysaccharide Vaccination Rates In Adults Age 65 Years And Older In A Primary Care Clinic, Ashley Sandbothe

Doctor of Nursing Practice Scholarly Project

The purpose of this study was to increase PPSV23 vaccination rates in adults over the age of 65 years in a Midwestern primary care clinic.

For this project, staff was educated regarding interventions including patient awareness, provider recommendation, staff and provider education, vaccine access, use of the immunization information systems (IIS) and appropriate use of electronic health record (EHR) reminders that have been shown to increase vaccination rates.

Prior to the intervention, data was retrieved, and it was found that between April 1^st-May 31^st 2020, there were 162 patients over the age of 65 that presented to …

Knowledge, Attitude And Practices On Contraceptives In Married Women Of Odisha, Smitha Moonjelly Vijayan Dr, Mamata Das Mrs, Kajal Patwal Ms, Prachi Parichita Ms, Chhaya Sharma Ms, Vidya Seervi Ms

Manipal Journal of Nursing and Health Sciences

Introduction: In developing countries, maternal and new-born mortality and morbidity rates can be reduced with apt contraceptive usage. This study aimed to assess the knowledge, attitude, and practices regarding contraception among married women

Methods: A descriptive study was conducted among 110 married women attending Obstetrics & Gynaecology OPD of AIIMS Bhubaneswar.

Result: The mean ± S.D. age of participants was 29.13±3.51 years. About half of the women (50.9%) had poor knowledge of contraception. More than half of women (65.17%) had a positive attitude on contraceptive use; however, only 24% of the subjects used a contraceptive, the most preferred contraceptive being …

Increasing Referrals To School Counselors By Integrating An Evidence-Based Program For Educators Identifying Adolescents At Risk For Suicide In A Rural High School, Wendy Holloway

Doctor of Nursing Practice Projects

Background: Addressing suicide in America's youth is imperative. Teachers play an essential role in identifying and intervening with adolescents experiencing psychological distress leading to suicide. Teachers and staff lack professional development addressing the identification of students in psychological distress.

Purpose: This project aimed to increase referrals to school counselors by integrating an evidence-based program for educators identifying adolescents at risk for suicide in a rural high school.

Design Method: This was a quantitative quality improvement project with a pre-/post-test design. Additionally, referrals to the school guidance counselors before implementing the program and after the completion of the program were …

Nurses’ And Patients’ Perceptions Of The Availability Of Post-Hospital Instrumental Support As A Predictor Of 30- And 60-Day Acute Care Utilization, Beth E. Schultz

Theses and Dissertations

Social support is now part of the social determinants of health objective in Healthy People 2030. Positive social support improves health and well-being. Social support is concerned with people having the support they need within the community, including interacting and communicating with others on a regular basis. Instrumental support is a type of social support that is action oriented, involving one person directly assisting another person. A concept analysis of instrumental support was completed and revealed that the concept is well defined, but the terms used to describe it vary. Other terms in the research literature, most commonly “tangible support”, …

Roli I Përkrahjes Në Shëndetin Mental, Lirjeta Mahmuti

Theses and Dissertations

Shëndeti ynë mendor ndikon drejtpërdrejt në mënyrën se si mendojmë, ndjejmë dhe veprojmë gjithashtu ndikon në shëndetin tonë fizik.

Për të gjithë individët, shëndeti mendor, fizik dhe social janë fillesa jetësore dhe të ndërthurura të jetës. Ndërsa kuptimi ynë për këtë marrëdhënie rritet, bëhet gjithnjë e më e qartë se shëndeti mendor është thelbësor për mirëqenien e përgjithshme të individëve, shoqërive dhe vendeve. Në të vërtetë, shëndeti mendor mund të përkufizohet si një gjendje e mirëqenies që u mundëson individëve të realizojnë aftësitë e tyre, të përballen me streset normale të jetës, të punojnë në mënyrë produktive dhe të frytshme …

“Pamjaftueshmëria E Zemrës“, Gentianë Berisha

Theses and Dissertations

Dështimi ose pamjaftueshmëria (insuficienca) e zemrës do të thotë se muskuli i zemrës nuk pompon aq gjak sa organizmi ka nevojë. E cila nënkupton se puna e zemrës nuk ka ndaluar mirëpo nuk punon aq sa duhet.

Në ketë sëmundje gjaku lëviz nëpër trup me një shpejtësi më të vogël dhe presioni në zemrën rritet, si rezultat zemra nuk arrin dot të transportojë sasinë e duhur të oksigjenit dhe të lëndëve ushqyese për organizmin. Në mënyrë që pompa (zemra) të kryejë funksionin e saj

duhet që muskuli i zemrës të jetë shëndoshë e mirë. Duhet që sistemi elektrik i zemrës …

Roli I Kujdesit Infermieror Në Mjekësinë Familajre, Zahide Halimi

Theses and Dissertations

Hyrje: Para vitit 1989 shërbimet e pacientëve në spital operonin përmes gjashtë spitaleve. Kujdesi primar shëndetësor u ofrua përmes klinikave të mëdha (shtëpive shëndetësore) në 29 komuna që mbikëqyrnin një rrjet të klinikave të vogla (ambulanta dhe punkteve).

Shumica e shqiptarëve të Kosovës u pushuan nga drejtimi dhe pozitat e larta në të gjitha shërbimet publike gjatë viteve 1990 deri në 1992. Shoqata Nënë Tereza krijoi një sistem paralel të kujdesit shëndetësor parësor me 96 klinika në të gjithë Kosovën, të punësuar dhe të përdorur nga kosovarët shqiptarë.

Kujdesi parësor është kujdesi shëndetësorë që është i pranueshëm, i gjithanshëm, i …

“Roli I Infermierit Në Kujdesin E Të Sëmunrëve Në Shtëpi Të Shëndetit”, Fadil Krasniqi

Theses and Dissertations

Hyrje: Kujdesi shëndetësor është identifikuar si përparësia numër një e shumicës së vendeve të botës dhe infermierët luajnë një rol qendror e krucial në ofrimin e kujdesit shëndetësor. Infermierët kanë rol për promovimin e shëndetit, edukojnë pacientët dhe publikun për parandalimin e sëmundjeve dhe lëndimeve, ofrojnë kujdes dhe ndihmojnë në shërim, marrin pjesë në rehabilitim dhe sigurojnë mbështetje.

Qëllimi i punimit: Qëllim i punimit është edhe analizimi i të dhënave statistikore për numrin e pacientëve me sëmundje të ndryshme të trajtuar në Urgjencën e Malishevës më datën 01 dhe 02 të muajt Qershor, viti 2021.

Metodologjia: Punimi është i llojit …

Takotsubo Cardiomyopathy, Aimee Baker

Nursing Student Class Projects (Formerly MSN)

This poster evaluates the current understanding of Takotsubo Cardiomyopathy (TTC) and describes current treatment recommendations, long-term prognosis, and advanced practice nursing implications. TTC is a relatively rare disease and is present in about 2% of suspected ST-segment myocardial infarctions in women. (Sattar et al., 2017) TTC is not well understood and has several current hypotheses regarding cellular pathology. This poster explores the current understanding of pathophysiologicderangements from an organ system and two pathologic hypotheses at the cellular level. Current treatment recommendations include subclasses of treatments stratified by types of complications. Also, this poster introduces a new subclass of heart failure …

Neuroinflammation & Mood Disorders, Andrea Zanders

Nursing Student Class Projects (Formerly MSN)

The world of mental health treatment is evolving as more information is discovered about its multifaceted pathophysiology. This poster takes a glimpse at one of these factors: the role of neuroinflammation in mood disorders. Above normal levels of inflammation are found in patient’s suffering from depression and bipolar disorder. Elevated inflammation has significant negative effects on the brain that as a result cause dysregulation in mood. Mental health treatments that have been found to effectively address neuroinflammation include nutritional and exercise interventions. The progression of neuroinflammation research in mood disorders gives a positive outlook for patient outcomes as individuals continue …

School Of Nursing News, Georgia Southern University

Nursing: News & Publications (2013-2023)

• School of Nursing Reaccredited

Improving Medication Communication Hospital Consumer Assessment Of Healthcare Providers And Systems (Hcahps) Score, Danyel Weldon Munster

Doctor of Nursing Practice Projects

Nurses provide education on medication purposes and side effects to hospitalized patients. Patient satisfaction surveys measure this intervention with the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS). HCAHPS determines a portion of hospital reimbursement and star rating. By improving patient satisfaction through effective medication communication, the hospital’s star ratings and reimbursements increase. Various clinical settings utilize the teach-back method to improve patient understanding and participation in their medication education. This quality improvement project aims to improve HCAHPS medication communication-specific scores through scripted, nurse-delivered teach-back interventions. The student DNP educated the staff nurses on an adult medical-surgical unit, …

Reducing Incidence Of Contrast-Induced Acute Kidney Injury Through Nursing Education, Hilarie Rankin

Doctor of Nursing Practice Projects

Contrast-induced acute kidney injury (CI-AKI) occurs commonly in patients following percutaneous coronary intervention (PCI) and has been linked to increased patient morbidity, higher risk for cardiovascular mortality, and a large burden of annual healthcare costs. The implementation of evidence-based care standards by nursing staff has been shown to reduce incidence of CI-AKI. Current discrepancies in nursing care have been linked to increased incidence of CI-AKI; therefore, the need for enhanced nurse buy-in with evidence-based protocols is paramount. The primary investigator sought to increase knowledge of CI-AKI and nursing compliance with an established evidence-based protocol at a single center hospital. After …

Unifying Vision: Strategies That Influence Nurse Self-Care Practices, Nancy Weaver

Doctor of Nursing Practice Projects

Background: Self-care is about physical health and includes the individual's emotional, mental, and spiritual aspects. Self-care behaviors are tailored to an individual's perceptions and values. Stress among nurses has been linked to high turnover rates and nursing shortages. When nurses experience job-related stress, effectively managing a patient's care becomes difficult.

Purpose: This project aimed to create a website presenting creative strategies that encourage a healthy lifestyle and teach nurses how to engage in self-care practices. Through interviews with executives at a privately owned, multi-specialty physician clinic, stakeholders identified the need for easy access to information supporting nurses' ability to …

Implementing Stop The Bleed In Schools, Tonya Bright

Doctor of Nursing Practice Projects

Background: An emergency or disaster can strike at any time, even during the day, while numerous students are in school. This paper will discuss how an educational program initiating Stop the Bleed (StB) in public schools prepares and equips school nurses to respond to a bleeding emergency in the school setting.

Design method: Initiate StB as a "train-the-trainer" course for school nurses. School nurses will have knowledge, training, and supplies to train the employees at their schools. Conduct pre- and post-surveys to assess learning objectives and attitudes toward training and readiness.

Conclusion: The StB educational intervention effectively improved knowledge by …

Sepsis Initiative: Champion Series, Ashlie Barnes

Doctor of Nursing Practice Projects

Sepsis is defined as a life-threatening organ dysfunction syndrome caused by a dysregulated host response to infection. Septic shock is defined as a subset of sepsis in which particularly profound circulatory, cellular, and metabolic abnormalities are associated with a higher risk of mortality than with sepsis alone. Each year, more than 1.7 million people are diagnosed with sepsis in the United States, and at least 270,000 Americans die. There is no confirmatory diagnostic test to diagnose sepsis. Therefore, clinical judgment based on evidence of infection and organ dysfunction is key.

Despite thousands of articles and hundreds of trials, sepsis plays …

Improving Health Literacy For Diabetics In A Rural Community, Elissa Purvis

Doctor of Nursing Practice Projects

Adults with type II diabetes mellitus need to understand the disease and manage their chronic condition to live a healthy and comfortable life. This project aimed to educate adults with type II diabetes mellitus in self-management of their chronic illness to increase their health literacy to improve their heart health, kidney health, nutrition, and exercise. The project utilized a Doctor of Nursing Practice (DNP) approach to education for adults with type II diabetes mellitus on the disease process.

METHODS: This project is a quality improvement project focused on educating adults with type II diabetes mellitus in managing their chronic conditions …

Early Antibiotic Administration For Sepsis, Joseph Hooks

Doctor of Nursing Practice Projects

Sepsis is a life-threatening organ dysfunction caused by the body's response to an infection causing systemic inflammation. Timely intervention with broad-spectrum antibiotics is linked to improved outcomes, reversal of organ failure, and decreased hospital length of stay. Studies show that the incidence of sepsis is increasing, while mortality related to sepsis has declined over the past several decades. Effective treatment of the source of infection is key to improving sepsis recovery and preventing septic shock. Epidemiologic studies are showing startling increases in sepsis cases with falling mortality rates. Sepsis awareness is a primary focus of quality improvement initiatives in hospitals …

Increasing Colorectal Cancer Screening Rates Through Education, Kayla Metz

Doctor of Nursing Practice Projects

Colorectal cancer is the second leading cause of cancer deaths in the United States. Adenomatous polyps cause 90% of colorectal cancer. These polyps can be identified before they become cancerous through numerous colorectal cancer screenings. There are many ways to help cover the cost of screenings or to make them no cost to patients, but the number of individuals who have ever been screened or who are current with screening recommendations remains low. This DNP project aims to provide education to providers and individuals regarding the various type of colorectal cancer screening options. A reduction in fears and improved knowledge …