Family Practice Nursing Commons^™

Pots: Educating School Nurses, Stephanie Sherwood

Doctoral Dissertations and Scholarly Projects

The project used educational modules as a means for providing knowledge about postural orthostatic tachycardia (POTS) to school nurses. It evaluated knowledge of symptoms and the referral process. A pre and post-test were used immediately prior to and following an educational module to determine gained knowledge about POTS. Participants completed a survey evaluating their perceived knowledge and comfort level to evaluate POTS symptoms and refer patients for further evaluation. One hundred percent of participants demonstrated improvement in their post-test score confirming knowledge gained in all participants. All participants reported that the modules helped them about POTS, and they felt confident …

Clustering Diabetes Appointments And Education, April Pugh

Doctoral Dissertations and Scholarly Projects

Diabetes impacts the lives of millions of Americans, and the number is growing rapidly every year. Diabetes education has been demonstrated to have a positive impact of the self-management of this chronic disease and effective in the reduction of A1C, weight, and blood pressure. Barriers to attendance at both diabetes education classes and provider appointments are varied with lack of transportation and available time cited as two of the many reasons, especially in the rural and medically underserved regions of the country. The project assessed a process improvement intervention clustering diabetes education with provider appointments to increase attendance and decrease …

Educational Intervention To Improve Self-Efficacy And Self-Care In Patients With Heart Failure, Helen Parke

Doctoral Dissertations and Scholarly Projects

Heart failure is a high mortality, chronic disease that is economically and physiologically costly for patients, caregivers, and society. Heart failure teaching alone is insufficient in meeting the complex self-care needs of the heart failure patient. This project implemented evidence-based teaching methods that are skill-based and problem-solving based to educate heart failure patients in an outpatient setting. The theoretical foundation of this project was Bandura’s theory of self-efficacy and Orem’s theory of self-care. The level of self-care and self-efficacy was assessed before and after the multi-sensory teaching intervention. Self-care and self-efficacy have been studied and shown to be major components …

Strategies To Improve Control Of Blood A1c In Diabetics, Jennifer Aronson, Leanne Bellino, Elizabeth Eisenhardt, Diane Bryant, Haley Pelletier, Internal Medicine Team, Adult Outpatient Clinic

MaineHealth Maine Medical Center

A1c monitoring is an important aspect of controlling the health of a diabetic patient. An adult internal medicine clinic noted that the percentage of their diabetic patients who had an A1c higher than 9 or no reading within the past year exceeded the national average. As a result, operational excellence methods were implemented with the overall goal to reduce their percentage to 18% or less.

A root cause analysis identified several deficiencies to includelack of essential equipment, variations in

staff education and the absence of daily reminders.

Post KPI implementations, an overall decrease in the percentage of patients with poorly …

2017-2018 Graduate Studies In Nursing Handbook, Otterbein Office Of Graduate Programs

Graduate School

A graduate handbook for the Graduate Studies in Nursing programs at Otterbein University.

Preserving Dignity In The Long Term Care Of Actively Dying Residents, Libby-Rose Cronican

All College Thesis Program, 2016-2019

As one goes through the process of aging and approaches death, they experience a series of losses: from the loss of physical or mental ability to the ultimate loss of life. These losses make the individual vulnerable to harms that can come from a variety of sources. One source is found within the everyday interactions of long-term care nurses and aides with their elderly, dying residents. Creating this harm stems from a poor nursing practice where the nurse or aide fails to recognize and promote the resident’s dignity and autonomy. The normal notion of dignity and autonomy does not encompass …

Increasing Primary Care Hepatitis C Screening In The 1945-1965 Birth Cohort, Maria M. Shimizu

Doctor of Nursing Practice Projects

Background: Over 3.2 million American citizens have been infected with the Hepatitis C virus (HCV). It is estimated three fourths of this population are from the birth cohort born between 1945 and 1965, otherwise known as Baby Boomers. Despite the Centers for Disease Control and Prevention (CDC; 2014) recommendations to screen this population at least one-time regardless of risk factors, screening practices in the primary care setting have been suboptimal (American Association for the Study of Liver Diseases [AASLD], 2015).

Aim: The aim of this project was to identify barriers to HCV screening of the Baby Boomer population in the …

Effectiveness Of Educating Parents Of Children With Attention Deficit Hyperactivity Disorder (Adhd) On Children’S Behavioral Issues And The Stress Experienced By Parents: An Integrative Review, Vivaksha Khanduri

Doctor of Nursing Practice (DNP) Projects

Background: Attention deficit hyperactivity disorder (ADHD) is a common condition characterized by hyperactivity, impulsivity, and inattention. Over 50% of children diagnosed with ADHD experience these symptoms into adulthood. The symptoms of ADHD a child exhibits can be very challenging for parents to manage and their understanding of the child’s behavior is often limited. Parenting programs include psychosocial interventions that teach techniques that parents can use to manage their child’s challenging behavior. Parent-focused education on managing symptoms for a child with ADHD has been shown to improve quality of life for both parents and child.

Objective: To determine whether parent training …

An Integrative Review With Toolkit For Caregivers Of Persons With Dementia, Lea Grippin

Doctor of Nursing Practice (DNP) Projects

Abstract

Background: The risk of burnout among caregivers of people with dementia is on the increase. Dementia is a progressive neuropsychiatric disorder affecting the cognitive function resulting in confusion and disorientation leading to greater demands on the caregiver which can lead to depression, social isolation, stress, worsening personal health, anxiety, fatigue, financial losses, and potential for abuse.

Methods: This project focused on creating a toolkit for nursing staff caring for patients with dementia followed by a presentation designed to provide options for caregiver support that can assist the caregiver in decreasing their feelings of stress and burnout. This included strategies …

Intimate Partner Violence Screening, Elsa Dehart

Doctor of Nursing Practice (DNP) Projects

Background: Intimate partner violence (IPV) has become pervasive in our society and is a major public health threat. More than one in three women (35.6%) and one in four men (28.5%) in the United States have experienced violence at the hands of an intimate partner at a cost of 12.6 billion annually. Intimate partner violence includes physical, sexual or psychological assault, including physical aggression, sexual coercion, psychological abuse and controlling behaviors by one who is, was or wants to be in an intimate relationship. Health care provider contacts are an appropriate place for an intervention aimed at reducing the rates …

The Negative Impact Of Excessive Screen Time On Language Development In Children Under 6-Years-Old: An Integrative Review With Screen Time Reduction Toolkit And Presentation For Outpatient Pediatric And Family Health Providers, Cristina Kuta

Doctor of Nursing Practice (DNP) Projects

Background. Increased amounts of recreational screen time, defined as time watching television and DVDs, playing videogames, and using computers, tablets, and cellular phones without academic purpose, and the lack of effective media use assessment and patient education being done by primary care providers is associated with increased risk of language developmental delays for young children under 6-years-old.

Purpose. The purpose of this integrative review is to develop a toolkit that provides education for providers and families on the adverse effects of excessive screen time on language development in children younger than 6-years-old and evidence-based screen time reduction strategies that can …

Educating Mothers Of Obese Hispanic Preschoolers To Create Lifelong Healthy Habits, Lynette Marshall

Doctor of Nursing Practice Projects

Problem and Background: Childhood obesity has doubled in children and quadrupled in adolescents in the past 3 decades, increasing from 5% to 17% in one generation. The highest rates of childhood obesity are among Mexican Americans. Obesity can increase health morbidities, and as obese children continue to grow, these health concerns progress to adulthood. In spite of enhanced education and communication between mothers of obese children and their primary care providers, minimal improvement has taken place in terms of outcomes and lifestyle changes.

Methods: Fourteen obese Hispanic 2- to 5-year-olds and their mothers participated in the study. The children’s BMIs …

The Impact Of Spinal Manipulation Therapy (Smt) For Nonspecific Low Back Pain In The Military Population: An Integrative Review With Presentation Of The Smt Toolkit To Primary Care Providers, Kelsey Ress

Doctor of Nursing Practice (DNP) Projects

Background: Nonspecific Low Back Pain (NLBP) continues to be a frequent cause for medical care and creates significant direct and indirect costs for the patient and healthcare system. Military members are a unique patient population that is at increased risk for experiencing NLBP. Evidence supports spinal manipulation therapy (SMT) for the treatment of NLBP and clinical practice guidelines (CPG) recommend the use of SMT in the treatment of NLBP. Purpose: The purpose of this integrative review was to determine if SMT is an effective intervention for the military population experiencing NLBP. Presentation and Toolkit: An educational presentation …

Identification And Ptsd Screening Of Military Veteran Patients In Community Healthcare: A Quality Improvement Project, Caitlin Rose Budrewicz

Doctor of Nursing Practice (DNP) Projects

Background: Military veterans are at an increased risk for post-traumatic stress disorder (PTSD) related to their prior military service. Establishing veteran status of patients cared for in civilian healthcare and screening for PTSD will increase the likelihood of identifying symptoms and prompt appropriate treatment. Purpose: The focus of this project is to increase practitioner awareness and knowledge of PTSD in veteran patients as well as to identify and screen veteran patients for PTSD symptoms utilizing the primary care PTSD screen (PC-PTSD). Method: To determine veteran status, patients over the age of 18 years in an internal medicine clinic will be …

Nurse Practitioner Screening For Adverse Childhood Outcomes In Adult Primary Care, Mary B. Shafer

Doctor of Nursing Practice (DNP) Projects

Adverse childhood experiences (ACE) contribute to negative health outcomes. The impact of ACE is linked with physical, mental, and developmental disruption, increase in health-risk behaviors, and increased healthcare utilization. Approximately sixty percent of the US population reports a history of ACE. Despite this growing evidence that ACE is associated with health problems, primary care providers infrequently screen patients for ACE, nor do they consider the impact of ACE on health. The lack of routine screening for ACE in primary care represents lost opportunities to impact health outcomes and promote wellness. The overall goal of this project is to translate research …