Nursing Commons^™

Evaluation Of Shared Governance Perceptions At Parkview Health, Erin Lacross Dnp, Rn, Nea-Bc, Cenp, Jan Powers Phd, Rn, Ccns, Ccrn, Ne-Bc, Ebp-C, Fccm, Fcns, Faan, Mindy Flanagan Phd

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Shared governance is a structure for clinical nurses to have a voice in decisions regarding practice and the practice environment. It is imperative to have a model that is inclusive of all nurses and allows for decision-making and accountability related to nursing practice. It is essential that nurses are empowered to make decisions at the point of care related to patient care decisions. Objective: The purpose of this study was to assess current state of shared governance councils at Parkview Health. Method: Data was collected using the Index of Professional Nursing …

Slay The Antibiotic Delay, Angela Shuch Asn, Rn, Lauren Meyer Bsn, Rn, Kristina Pavey Bsn, Rn, Gero-Bc

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Rapid Response nurses are educated to respond to emergent situations and provides support to the patient care team, often intervening to prevent patient complications. These specialty nurses are repeatedly called to place an intravenous (IV) for scheduled medications when the bedside nurses is unsuccessful or hesitant to place one. Prioritizing IV starts compete with emergent patient situations which frequently cause retiming of IV antibiotics. Objectives/Aim/Purpose: The purpose of this quality improvement project was to prevent IV medication delays including re-timing. Methods: Nurses were surveyed and identified reasons for delays and re-timing …

Decreasing Healthcare Associated Infections (Hais) With Pre-Shift Chlorohexidine Gluconate (Chg) Handwashing. Does It Work?, Mackenzie Spangler Bsn, Rn, Ocn, Julie Roth Bsn, Rn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Nursing Research Symposium.

Background: HAIs are a concern for all healthcare organizations. Implementing preventative measures to minimize these occurrences become paramount within nursing practice. CHG is a common antimicrobial solution used throughout healthcare to decrease colonization on patients, but there is also data suggesting that staff performing CHG handwashing prior to a shift as an additional layer of prevention. Purpose: The purpose of this EBP project was to determine if the addition of CHG hand hygiene prior to starting the bedside shift was superior when compared to hand hygiene standards including alcohol-based sanitizer and regular soap …

Evaluating Stress Relief Management Through Use Of Candy On An Orthopedic Trauma Unit, Kelsi Cantrell Bsn, Rn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background : Questioned the evidence and opportunity for simple strategies to reduce in-the-moment clinical staff anxiety or stress. Came across a popular therapy trend in which sour or spicy candy is used as a form of distraction for momentary panic-level anxiety. With help from the Parkview Librarian, discovered there was not much information to support this theory, but also that it may not have been evaluated in the context of in-patient, clinical staff stress. Initiated “Stress Relief Treats” project on the Orthopedic Trauma unit in June 2024 to assess if pausing to …

Birth By Land Or By Water: Implementing Waterbirth At Parkview Randallia, Kim Noga Msn, Rn, Rnc-Mnn, Ibclc, C-Efm, Allison Thorpe Mba, Msn, Cnm, Nataley Frane Bsn, Rn, Sarah Pickens Bsn, Rn, Lisa Smith Msn, Rn, Agcns-Bc, Np-C, Rnc-Ob, Angela Russ Russ Msn, Rn, Rnc-Mnn, Ibclc

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Childbirth is a natural physiologic event, with most women requiring some form of pain relief during their birth experience. The transition of Parkview’s Certified Nurse Midwife Program to Parkview Randallia’s Family Birthing Center in the fall of 2023 increased the demand for non-pharmacologic labor and birth options for low-risk pregnant patients. One option for non-pharmacologic pain relief is water immersion and waterbirth. Water immersion during labor and waterbirth can promote comfort and reduce the need for medical interventions during labor. There is currently no option for women to achieve a waterbirth …

When The Lights Go Out: Drill Your Way To Downtime Success, Krista Dreyer Msn, Rn, Cmsrn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium

Problem: The adoption of the electronic medical record (EMR) in healthcare facilities has significantly surged since the implementation of the Health Information Technology for Economic and Clinical Health Act in 2009. Despite advancements in electronic documentation, both planned and unplanned EMR downtimes pose substantial challenges. Such downtimes can disrupt clinical workflows, lead to delays in patient care and compromise the overall quality of services provided. Purpose: The aim of this project is to evaluate solutions for EMR downtime preparation that enhance staff confidence and minimize disruption of workflow during downtime events. Methods: …

Thoughts From The Frontline - November 2024, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

Improving Sep-1 Compliance Among Clinicians And Registered Nurses In The Emergency Department, Luke Roesler

Doctor of Nursing Practice Papers

Background: Sepsis is attributable to more than one in three in-hospital deaths in the United States and 20% of deaths globally each year. In 2015, the Centers for Medicare and Medicaid Services (CMS) adopted an early goal-directed 3 and 6-hour bundle intervention measure titled “SEP-1” based on recommendations from the International Surviving Sepsis Campaign (SSC) consensus panel to improve patient outcomes in cases of severe sepsis and septic shock. Sepsis is most often identified in the emergency department (ED) setting due to 87% of cases beginning in the community (Sepsis Alliance, 2022). National compliance with SEP-1 is 50% despite a …

The Importance Of Early Mobilization In The Inpatient Setting, Amanda Brawn

Nurse Residency

For hospital patients, how do early mobility interventions, compared to current practice (no intervention), affect their length of hospital stay and readmission rate?

Newborn Bathing Within 24 Hours, Julie Sirois

Nurse Residency

Does delayed bathing in newborns decline negative patient complications compared to those who received a bath prior to 24 hours of birth?

Differences In Outcomes In Patients With Treatment-Resistant Depression (Trd) Receiving Electroconvulsive Therapy (Ect) Vs. Ketamine Infusion Therapy, Kimberly Crowley

Nurse Residency

In patients with treatment-resistant depression, how does ketamine infusion therapy compare to electroconvulsive therapy (ECT) in its impact on depressive symptoms and remission rates?

Dedicated Turn Teams Make The Difference, Madeline Gill Rn Bsn, Mckenzie Kelly Rn Bsn, Phaelan Mead Rn Bsn

Nurse Residency

PICOT Question: Are patients with impaired bed mobility admitted to hospitals with rotating turn teams at decreased risk of developing pressure wounds compared to patients admitted to hospitals without assigned turn teams during their hospitalization?

Evaluating The Effectiveness Of Silicone Foam Dressing In Preventing Pressure Ulcers In Intensive Care Settings, Farah Ibrahim Rn Bsn

Nurse Residency

PICOT Question: For critically ill patients and high-risk aged care residents, does the use of multi-layer silicone foam dressing reduce the future risk of developing pressure injuries compared with those who receive the standard pressure injury preventions without the application of the dressing on their sacrum and heels?

Reducing Implicit Bias In Nursing To Decrease Maternal Racial Health Disparities And Improve Patient Outcomes, Robin Illian Bsn, Julianne Andreades Bsn

Nurse Residency

PICOT Question: For Black birthing patients, how does receiving nursing care from nurses trained in implicit bias and racial health disparities impact maternal morbidity, mortality, and patient satisfaction, compared to those receiving current standard current nursing care?

The Benefits Of Self-Care And Wellness, Tara Nau

Nurse Residency

Among practicing nurses, does participation in health-promoting self-care and lifestyle interventions improve their health behaviors and well-being compared to those who do not engage in such interventions?

Delirium Protocols And The Impact On Patient's Extended Stays And Care, Devin Cheetham-Wilmot Rn, Aislinn Murphy Rn, Bronson Kieltyka Rn, Molly Dall Rn

Nurse Residency

PICOT Question: In patients with stays over 3 days, how does a delirium protocol and interventions improve their stay and symptoms compared to the current standard of practices to shorten length of stay and improvement in care quality within a 6-month experience?

Burns: A Standardized Approach For Resuscitation Of Burn Patients In The Critical Care Setting, Joshua Cole Rn Bsn, Marcus Leo Rn Adn, Kyle Jacques Rn Bsn, Lauren Miller Rn Bsn

Nurse Residency

PICOT Question: In adult major burn patients (Burns greater than 15% body surface area), how does a burn critical care bay with visual cues and intervention specific carts, compare to standard critical care bays affect patient outcomes over the course of their hospital stay?

Trans And Non-Binary Patient Satisfaction In Relation To Practitioner Education, Kristen Goodale

Nurse Residency

In trans and non-binary patients, how does the use of mandatory education modules compared to no specific mandatory education modules impact patients’ satisfaction, safety, and trust in the care they receive in the emergency department?

Impact Of Sleep Comfort Measures On Patient Experience, Elizabeth Cotsifas Rn, Lydia Gordon Rn, Lillian Renier Rn Bsn, Emily Schade Rn

Nurse Residency

PICOT Question: For hospitalized patients, how does the utilization of sleep comfort measures, or lack of, affect patient quality of sleep from admission to discharge?

Postoperative Atrial Fibrillation, Ryan Thurlow Rn Bsn, Olya Tucci Rn Bsn, Lily Williams Rn Bsn

Nurse Residency

What is the more effective treatment metoprolol or amiodarone for best patient outcomes?

Virtual Reality In Pain Management And Its Role In Replacing Traditional Pharmacological Therapies, Jessica Dupler Rn Bsn, Morgen Allain Rn Bsn

Nurse Residency

PICOT Question: In the adult inpatient population does engaging in virtual reality manage pain in a significant way?

Fall Reduction: Using Exercise Interventions To Reduce The Number Of Falls Among People With Parkinson's Disease, Michael D. Healy Rn

Nurse Residency

PICOT Question: In geriatric patients with Parkinson's, what is the effectiveness of lower extremity strength training combined with medication management for the reduction of unplanned falls?

Treatment Protocol For Withdrawal Of Alcohol, Kendra Bishop, Simone Lauture, Benita Ehomo, Andrey Popov

Nurse Residency

PICOT Question: In patients experiencing or at risk for alcohol withdrawal, how does Phenobarbital protocol compared to standard protocol (use of Benzodiazepines) affect patient detox experience and outcome within their hospitalization?

Low Vs. High Patient Ratio Effects On Medical Errors, Katelynn Watkins Rn, Chris Strong Rn, Najmo Ali Rn

Nurse Residency

PICOT Question: This evidence-based practice project aimed to analyze; in acute-care settings how do variations in nurse-to-patient ratios when comparing low and high ratios, influence medical errors, patient outcomes and nurse outcomes?

Complementary Therapies For Chemotherapy Induced Side Effects In Oncology Patients, Alyssa Gravel Rn, Tori Welch Rn

Nurse Residency

PICOT Question: In oncological patients undergoing conventional treatment, what is the effectiveness of non-pharmacological interventions in treating side effects of chemotherapy and radiation?

Impacts Of Fluid Restriction In Heart Failure Patients, Monica Lopez Rn, Jacob Maxwell-Couch Rn, Jennifer Perry Rn, Barbara Shea Rn

Nurse Residency

PICOT Question: In hospitalized patients with heart failure does a fluid restriction versus liberalized fluid intake lead to improvement of heart failure symptoms?

Delirium Prevention Strategies In Hospitalized Patients, Julia Couture

Nurse Residency

In hospitalized patients do pharmacological interventions targeted to prevent or treat delirium reduce the incidence, severity or duration of delirium compared to non-pharmacological interventions during hospitalization?

Intermittent Auscultation Vs Electronic Fetal Monitoring In Laboring Patients, Nichole Plummer, Jennifer Kellerman

Nurse Residency

In healthy laboring women, how does the use of Intermittent auscultation, compared to continuous monitoring, affect fetal and maternal outcomes?

Enhancing Nurse Confidence And Efficiency In Chest Tube Management: Implementation Of A Structured Troubleshooting Checklist, Ashley Kever Bsn, Rn, Cmsrn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Nursing Research Symposium

Background: Chest tube management is critical in pulmonary care, yet challenges arise with unexpected events such as air leaks, dislodgement, failed clamping trials, and tubing disconnections. Concerns raised by the Pulmonology team highlighted nurses' uncertainties and the frequent need for guidance during these events. This prompted the development of a troubleshooting checklist aimed at providing clear, step-by-step instructions for managing these scenarios. By following structured checklists, nurses can reduce the risk of errors, ensure adherence to best practices, and enhance patient safety. Objectives/Purpose: The primary aim of this quality improvement project was to …

Preventing Hospital-Acquired Pressure Injuries On Medical-Surgical Unit, Kayce Hamilton

MSN Student Capstones

No abstract provided.