Improving Fall Rates And Satisfaction Through Implementation Of Bedside Shift Report Protocol., Olive Atsafack Tieumo

Doctor of Nursing Practice Final Project Abstract

PURPOSE

Implementing BSR Protocol to improve patient fall rates and satisfaction in an adult medical surgical unit in Texas aims to decrease the patient fall rates by 10%, increase patient satisfaction rates by 7%, and improve the completion of nursing BSR and fall checklists by 10% with the implementation of a standardized BSR tool and a fall TIPS checklist within 16 weeks.

BACKGROUND

High fall-risk patients are found on the unit, and about 86.1% of inpatient falls occur at the bedside. The average unit fall rates exceed the target of 2.3 and HCAHPS scores stay below 65%. Inconsistencies in shift …

Effectiveness Of Virtual Reality In Anesthesia Machine Education, Heather Milder, Rachel Geisendorfer

Doctor of Nursing Practice Projects

The anesthesia machine is an essential part of anesthesia practice, as it connects the patient to the provider and provides a constant stream of vital information. Therefore, the Certified Registered Nurse Anesthetist (CRNA) should be trained to utilize and troubleshoot the anesthesia machine to deliver high-quality patient care. Education about the anesthesia machine begins with Student Registered Nurse Anesthetists (SRNAs) through various learning opportunities. Immersive virtual reality simulation has emerged as a potential educational aid to engage active learners. This project aimed to determine the effectiveness of utilizing the immersive virtual reality simulator SIMVANA for first-year Southern Illinois University Edwardsville …

Emr Templates For Age-Appropriate Well-Child Pediatric Visits, Alison Drerup, Kelsey Piper

Doctor of Nursing Practice Projects

The world of pediatric medicine is continually evolving. The Centers for Disease Control and Prevention (CDC) and the American Academy of Pediatrics (AAP) regularly update guidelines to have the most current information available to providers and their patients. The overwhelming majority of primary care offices have transitioned to electronic medical records (EMRs) for charting purposes. Templates included in EMRs ease the workflow and documentation process for providers. In the primary care setting, templates include essential information discussed at well-child visits, such as developmental milestones, vaccination schedules, and anticipatory guidance. The project’s purpose was to update the age-specific well-child templates at …

Student Veterans’ Transition To Nursing Education: Barriers And Facilitators, Bruce P. Hunter, Steven Busby Dr., Jeannie Giese Dr., David Phillippi Dr.

DNP Projects

Student Veterans’ Transition to Nursing Education: Barriers and Facilitators

Abstract

The transition for student veterans from military service to higher education can be a challenging endeavor, especially for those pursuing an education in nursing. While the experiences and perspectives of each student veteran is unique, their successful integration into an academic environment can be influenced by a complex array of barriers and facilitators. This mixed-methods study aims to explore the themes and concepts that can be found in the transition experiences of student veterans in nursing education, with a focus on identifying the barriers they face and the facilitators that …

Promoting Mental Health And Well-Being Among Undergraduate Nursing Students: A Practice Guideline, Armen Mailyan

DNP Projects

Poor mental health and well-being among undergraduate nursing students negatively affects social dynamics, communication, decision making, and stress management, thus compromising the quality of healthcare delivery and patient care outcomes. It is imperative that nursing programs support students to develop positive self-care, resilience, and mental health skills while in school to foster their well-being, enhance their academic success, and to promote high-quality, patient-centered care in their future practice. The purpose of this Doctor of Nurse Practice (DNP) project was to develop a mental health and well-being practice guideline with a comprehensive set of evidence-based interventions for academic nursing programs to …

Use Of Acupuncture As A Complementary Therapy For The Treatment Of Chronic Pain In The Veteran Population To Improve Outcomes: An Integrative Review, Tabitha T. Smithers

Doctoral Dissertations and Projects

Clinical care in patient management is progressive and should change as evidence-based practice research is available. Veterans’ experiences with pain related to their service-related injuries are unique. This pain can limit their ability to function in society successfully. Many of the patients continue to experience uncontrolled pain, as well as side effects from medications that have been prescribed. This integrative review focused on the use of acupuncture as a complementary therapy to improve pain and quality of life in the Veteran population. The review analyzes systematic reviews, randomized control trials, and additional levels of evidence from scholarly articles supporting the …

Embracing Technology To Optimize Patient Repositioning, Michelle Gideon

Doctoral Dissertations and Projects

An evidence-based quality improvement approach was used for this project. The aim of the project was to examine the effect of the use of a patient monitoring system on the rate of change in pre-existing pressure injuries; for those that spend time in the intensive care unit (ICU). A patient monitoring system can provide real-time feedback on the frequency and angle of a patient’s repositioning. Additionally, the project looked at the ability of such a system to generate reports on staff compliance with patient repositioning. Data were collected for 8 weeks prior to implementation and 8 weeks after implementation of …

Defining Best Practices And Validation For Curriculum Mapping, Hannah Smith, Jesse Chittams

College of Nursing Faculty Papers & Presentations

The alignment of curriculum content with standards is a quality improvement measure used to identify gaps or overlaps in academic content. Curriculum mapping results, while commonly used, are rarely reported. Undergraduate faculty mapped 11 courses in a single timepoint using a web-based curriculum mapping tool. Quantitative results were calculated and compared to defined client needs categories. A validation analysis was performed by mapping one course in triplicate. Faculty feedback following the exercise was obtained by online survey. Three client needs categories were determined to be marginally out of range in the initial analysis of the quantitative mapping data. The curriculum …

Prognostic Values Of Serum Lactate-To-Bicarbonate Ratio And Lactate For Predicting 28-Day In-Hospital Mortality In Children With Dengue Shock Syndrome, Thanh Nguyen Tat, Nhu Vo Hoang-Thien, Dat Nguyen Tat, Phuc Hoang Nguyen, Lien Thi Ho, Duong Hung Doan, Dung Tuan Phan, Yen Nguyen-Hoang Duong, Truc Huynh Nguyen, Tuyet Kim Nguyen, Ha Thi-Thu Dinh, Thuy Thi-Diem Dinh, Anh Thi-Mai Pham, Viet Do Chau, Tung Huu Trinh, Luan Vo Thanh

Faculty, Staff and Student Publications

This study aimed to assess the clinical utility of blood lactate-to-bicarbonate (L/B) ratio, as a prognostic factor for 28-day in-hospital mortality in children with dengue shock syndrome (DSS), admitted to the pediatric intensive care unit (PICU). This single-center retrospective study was conducted at a tertiary children hospital in southern Vietnam from 2013 to mid-2022. Prognostic models for DSS mortality were developed, using a predefined set of covariates in the first 24 hours of PICU admission. Area under the curves (AUCs), multivariable logistic and Least Absolute Shrinkage and Selection Operator (LASSO) regressions, bootstrapping and calibration slope were performed. A total of …

The Predictive Relationship Between Pre-Nursing Boot Camp Participation And Successful Completion Of The First Semester And Retention In An Associate Degree Nursing Program, Misty Beth Stine

Doctoral Dissertations and Projects

First semester students in undergraduate nursing programs are at the highest risk for attrition, so retention of these students is a priority concern. The purpose of this non-experimental correlational predictive quantitative study was to investigate whether participation in a pre-nursing student boot camp is predictive of successful completion of the first semester and retention at an Associate Degree Nursing program at a community college in the rural Southwestern United States. Data was retrospectively obtained from archival student records for all first semester nursing students accepted into the ADN program from 2018-2022. Sample size was N = 227. The chi-square test …

An Exploration Of The Lived Experience Of Novice Adjunct Nursing Faculty As They Transition From Clinical Expert To Novice Educator, Angelique Tolentino-Martin

Doctoral Dissertations and Projects

This transcendental phenomenological study aimed to describe and understand the lived experiences of novice adjunct nursing faculty teaching in the United States in undergraduate nursing programs as they transition from clinical practice to academia. The theories that guided this study are Meleis’ transition theory and Schoening’s nurse educator transition model which provide a framework for the transition experiences for novice adjunct nursing faculty. The central research question is: What are the lived experiences of novice undergraduate adjunct nursing faculty transitioning from clinical expert to novice nurse faculty? Purposive sampling and snowball sampling were used to recruit participants who were novice …

Preyemary Care Optical Coherence Tomography: Increasing Adherence To Retinopathy Screening, Henry Junior Peña

Doctoral Dissertations & Projects

Background: Diabetic retinopathy (DR) is a leading cause of preventable blindness in working age adults in the United States. Nonadherence to screening recommendations persists due to significant barriers. Early detection is crucial to mitigate economic burdens and improve patient outcomes. This quality improvement project aimed to increase DR screening access for patients with diabetes at an urban Midwest safety net clinic by implementing an optical coherence tomography (OCT) screening program. Methods: A 12-week, cross-sectional study design using convenience sampling to recruit adult diabetic patients, type-1, or type-2, at a Midwest primary care clinic. Intervention involved retinal imaging scans of participants …

A Benchmark Project On Early Mobility In The Intensive Care Unit, Millicent Odhiambo

MSN Capstone Projects

Introducing early mobility interventions in the Intensive Care Unit (ICU) is a crucial measure to improve patient outcomes and optimize care delivery in the critical care setting. The objective of this project is to tackle the difficulties caused by extended periods of immobility in the Intensive Care Unit (ICU), with the aim of diminishing complications, shortening the duration of ICU stays, and enhancing the functional recovery of patients.

"Salir Adelante": Improving The Quality Of School Entrance Physicals For Immigrant Minors, Jennifer Sternberg, Elizabeth Morse

DNP Projects

The purpose of this QI project was to improve the delivery of school physicals in the setting of an -friendly non-profit safety-net clinic by creating a patient-centered clinical pathway to improve focused screening and referrals for newly arrived migrant children and their families by routinely assessing and addressing behavioral health care (BH) and social determinants of health needs (SDoH).

Using QI methodology and Donabedian’s Structure Process Outcomes framework, the project team implemented a clinical pathway that included an immigration-focused history of present illness, systematic behavioral health (BH), and social determinants of health (SDoH) screenings embedded within an electronic health record …

Prevalence And Prevention Of Pressure Injuries In Residents Over The Age Of 65, Bao Vo, Trista Theimer, Joe Nordstrom

Celebrating Scholarship and Creativity Day (2018-)

Pressure injuries are an ongoing problem for people over the age of 65 who have chronic comorbid conditions. Many interventions have been implemented to decrease pressure injuries. Pressure injuries cause pain and can lead to medical issues including sepsis and death. The cost of pressure injuries is high due to the medical complications that result from the pressure injury. Client repositioning is an extremely important intervention to prevent pressure injuries. Risk assessment is also important in order to identify clients at risk to support early interventions. This quality improvement project focused on educating staff and implementing best practices to prevent …

Flow Of Communication Between Interdisciplinary Team Members In Long-Term Care, Danielle Anderson, Ellie Anez, Isabella Gillman, Annabelle Handt, Anne Koslowski, Ella Madson

Celebrating Scholarship and Creativity Day (2018-)

Communication is an essential tool for maintaining quality care in any health care setting, including long-term care. Interdisciplinary communication is also essential in providing and coordinating care that addresses resident needs. Lack of communication can lead to safety concerns for residents and staff, decreased care proficiency, ineffective care plans, and decreased staff satisfaction. Upon review of the surveys among staff at the long-term care facility, it was identified that nursing and housekeeping staff highlighted the admission process to be an area that they would like to see improvement in. Room changes and discharges were areas that were reported to need …

The Effectiveness Of Dexmedetomidine As An Adjunct In Spinal Anesthesia For Pain Relief In Cesarean Patients: A Scoping Review, Tyler Polanco Bsn, Rn, William Riley Bsn, Rn, Michelle Russell Bsn, Rn, Christina Samson Bsn, Rn, Bria Sharp Bsn, Rn, Dwayne Accardo Dnp, Ccrna, Faana

Doctor of Nursing Practice Projects

No abstract provided.

Depression Screening In Type 2 Diabetes In Adolescent 12-18 Year Olds, Mykyla Coleman Bsn,Rn, Chelsea Conlee Bsn,Rn, Carol Gracia Msn, Aprn, Fnp-Bc, Emily Jennewine Msn, Aprn, Cpnp-Pc, Ibclc, Sally Humphrey Dnp, Aprn, Cpnp-Pc

Doctor of Nursing Practice Projects

Background

Although more commonly diagnosed in adults, type 2 diabetes is increasingly diagnosed in pediatric populations in the United States. Research suggests a correlation between depression and type 2 diabetes, however, a gap in research exists regarding depression and type 2 diabetes among pediatrics, specifically adolescents. This scoping review aims to address this gap by assessing the impact of depression screening on glycemic control in this specific population.

Purpose

The goal of the review is to contribute to the development of effective strategies for depressing screening in adolescents with type 2 diabetes, with the expectation this may positively impact glycemic …

Referral To In-Person Smoking Cessation Counseling As A Smoking Cessation Aid, Annie Mandrell Bsn, Rn, Matthew Keathley Bsn, Rn, Lewis Linden Bsn, Rn, Laura Reed Dnp, Aprn, Fnp-Bc, Cne

Doctor of Nursing Practice Projects

Referral to In-Person Smoking Cessation Counseling as a Smoking Cessation Aid

Purpose/Background

Smoking increases an individual’s risk of acute and chronic disease morbidity and mortality, as well as creating a financial burden for the individual and healthcare system. In the United States, tobacco smoking is the leading cause of preventable death. There are an estimated 5 million tobacco-related deaths each year due to tobacco smoking. Additional healthcare costs are also seen due to the need for increased treatments, medical supplies, and staffing. Previous research for smoking cessation resources has primarily focused on traditional primary care offices. Research shows that in-person …

Medicinal Treatment Versus Dialysis In End Stage Renal Disease Patients With Perioperative Hyperkalemia: A Scoping Review, Haley Bishop, Bsn, Rn, Hannah White, Bsn, Rn, Matthew Wilhaucks, Bsn, Rn, Ashton Weaver, Bsn, Rn, Christin Simpson, Bsn, Rn, Margaret Harvey, Phd, Acnp-Bc, Chfn

Doctor of Nursing Practice Projects

No abstract provided.

Brain Matters: Cognitive-Behavioral Therapy And Antidepressants For Post-Stroke Depression, Lindsey Anne Smith

MSN Capstone Projects

Stroke is the leading cause of death and disability in the United States, and approximately one-third of these patients will develop post-stroke depression, which is associated with higher rates of morbidity and mortality (American Stroke Association, 2022). Even though post-stroke depression is prevalent, it often goes undertreated. The combination of antidepressants and cognitive-behavioral therapy has shown to be an effective method of treating post-stroke depression. There are cognitive-behavioral exercises that nurses can implement, such as group therapy, acceptance therapy, and cognitive retraining, a method of coaching the patient to replace negative thoughts with positive ones (Byun et al., 2021). With …

Improving Hpv Vaccination Rates In A Pediatric Group: A Pilot Project, Jason Warhurst, Karlen Beth Luthy, Michael S. Robinson

Student Works

Background: Human Papillomavirus (HPV) is the most common sexually transmitted infection in the United States. HPV vaccines are both safe and effective, providing long-lasting protection. Some organizations recommend the HPV vaccine should be initiated at age 9 years.

Specific Aims: The purpose of this pilot project was to improve HPV vaccination rates by 10% in patients ages 9-10 years at a large pediatric group. This purpose was accomplished through pediatric healthcare provider (HCP) education.

Methods: A quantitative and open-response questionnaire was used to determine HCPs’ confidence levels regarding the HPV vaccine at baseline. HCPs attended one evidence-based …

Advancing Health Equity On Campus A Minority Health Promotion Quality Improvement Initiative, Natasha Wilson

DNP Projects

Abstract Background: Minority students at predominantly white institutions face unique stressors due to their minority status, impacting their health. Initiatives promoting community engagement, diversity, equity, and inclusion can help reduce minority stress and foster health equity and success in higher education Method: This project employed a Community-Based Participatory Research (CBPR) framework to enhance minority student involvement in sexual and mental health services both on campus and in the wider community. It involved forming partnerships between minority student organizations, faculty, and community partners to organize wellness events focusing on sexual and mental health during the fall semester of 2023. The events …

Healthcare Leaders' Attitudes And Perceptions On Use Of Artificial Intelligence (Ai) And Ai Enabled Tools In Healthcare Settings, Avery Steffen

Student Academic Conference

Problem or Gap: Numerous studies have shown that AI can be used for diagnosis, problem-solving, identification of key disease features, and treatment planning processes for complex clinical cases1. It is important to note that leaders and managers play a key role in implementing AI methods throughout their organizations, however, there is a dearth of studies that examines attitudes and perceptions of clinical and administrative leaders towards integration of AI in healthcare settings. Furthermore, there is a need for literature that helps in identification of both facilitators that lead to AI adoption and barriers that can hinder AI adoption in healthcare …

Food Insecurity Screening Of Families In A Level Iii Neonatal Intensive Care Unit, Katelyn P. Vawter Rn, Bsn, Rnc-Nic, Megan Ortiz Rn, Bsn, Bobby Bellflower Dnsc, Nnp-Bc, Faanp

Doctor of Nursing Practice Projects

Full Study Title: Food Insecurity Screening of Families in a Level III Neonatal Intensive Care Unit

Background: Early infancy food insecurity (FI) is linked to poor health later in life, and Neonatal Intensive Care Units (NICUs) are often overlooked. Routine FI screening can help identify and assist the families suffering from FI seen in the NICU before being discharged home.

Purpose: The aim was to identify if families were assessed for FI by social workers or if they were more likely to report FI in a brief survey.

Method: A randomized chart review of social work notes for 30 NICU …

Best Practice: Implementation Of A Central Line Bundle To Reduce Central Line-Associated Bloodstream Infections, Alexis N. Montero

MSN Capstone Projects

Central line-associated bloodstream infections (CLABSIs) are among the most frequent health care-associated infections and are reported to be correlated with an increased number of inpatient days, higher cost, and attributable mortality rates (Devrim et al., 2016). For this reason, central line bundles (CLB) have been widely used in hospitals to aid in the decrease of CLABSIs. Through implementation of the prevention strategies included in CLBs, CLABSIs can be reduced by greater than fifty percent (Devrim et al., 2016). A decrease in CLABSIs is clinically significant with the avoidance of negative patient outcomes and a decrease in healthcare costs (Rinke et …

Clinician Education Program: Promoting The Use Of Care Bundles In Reducing The Hospital Length Of Stay And Readmission Rates Of Adult Copd Patients, Nordita R. Bascon

MSN Capstone Projects

Management of COPD patients can cost hospitals approximately $308,502 per month. This is based on a single COPD readmission encounter costing $7,500 and estimated daily expenses of $2,883 (Davis, 2023; Hegwer, 2018). This executive summary outlines a clinician education program held at a community hospital in West Texas to promote patient quality care by encouraging healthcare professionals to use evidence-based chronic obstructive pulmonary disease (COPD) care bundles. Eighteen physicians and nurse practitioners attended the program. Then, a survey was conducted to assess the impact of the proposed program. Most attendees said they would incorporate care bundles in COPD care.

Internal …

Nursing Care Of Individuals Engaging In Non-Suicidal Self-Injury: Impact Of Dialectical Behavior Therapy Skills Reinforcement, Lucas Bridgens

MSN Capstone Projects

As explained by Linehan et al. (2006b), the seriousness of borderline personality disorder can be highlighted by the manifestations of emotional dysregulation, such as impulsive and suicidal and non-suicidal self-injurious (NSSI) behaviors. As the mental health field grows, so too does the knowledge base from which practitioners derive therapeutic interventions with hopes of effectively and safely treating patients while maintaining a culture of dignity and respect. One such treatment modality that has proven to reduce NSSI and improve interpersonal functioning, specifically in patients with borderline personality disorder, is Dialectical Behavior Therapy (DBT) which is a form of cognitive-behavioral therapy developed …

Stepping Into Mindfulness: Enhancing Mental Health For Nursing Student Athletes, Amanda A. Marek

MSN Capstone Projects

This capstone project explores the impact of mindfulness practice on nursing student athletes, aiming to understand how mindfulness techniques can enhance their psychological well-being. The project investigates the intersection of mindfulness and addresses the unique challenges and stressors face by nursing student athletes. The project proposals a research study that focuses on how mindfulness can impact nursing student athletes. There is literature that shows how mindfulness can improve stress and mental disorders for nursing students and student athletes separately, but there is a lack of knowledge on how this may affect nursing students who are also student athletes. Mindfulness based …

A Conceptual Model Of Organizational Compassion In Healthcare, Rachel Thienprayoon, Eli Awtrey, Teresa Pestian, Beth A. Lown, Naomi Winick, Jason Kanov

Journal of Wellness

Introduction: In healthcare, while the suffering of patients is often evident, the suffering of clinicians receives less focus. Some sources of clinician distress are directly related to constant exposure to patient suffering, but others are caused by the health care system, and thus potentially preventable. Looking at clinician suffering through the lens of compassion fosters a new paradigm of individual, team, and organizational capabilities, and moves the responsibility to alleviate this suffering from the individual onto the organization and team. Yet research into the impact of organizational compassion in healthcare has been extremely limited.

Approach: Our conceptual model of organizational …