Get America Talking: Implementing Advanced Care Planning In Primary Care, 2021 University of San Diego
Get America Talking: Implementing Advanced Care Planning In Primary Care, Sasha Recht
Doctor of Nursing Practice Final Manuscripts
Advanced Care Planning (ACP) is an essential part of providing adequate care in the primary care setting. Discussing end of life with patients can be a tedious and uncomfortable conversation for many providers, however, its continued avoidance contributes to the stigma of end of life care and may also result in significant healthcare cost expenditure with the use of unwanted invasive treatments. All providers should engage in consistent advanced care planning in order to improve patient and provider communication, improve patient satisfaction, increase advanced directives on file, reduce the stigma of the topic, and improve quality of life.
Treatment Anxiety Education For Pediatric Cardiac Neurodevelopmental Patients, An Evidence Based Project, 2021 University of San Diego
Treatment Anxiety Education For Pediatric Cardiac Neurodevelopmental Patients, An Evidence Based Project, Mary Nagel
Doctor of Nursing Practice Final Manuscripts
Congenital heart disease (CHD) is the most common birth defect and affects almost 1% of all live births. Treatment anxiety is common among children with CHD who undergo multiple procedures early in their lifetime. Dramatically increased life spans for this cardiac population has led to a shift from focusing on survival to their long-term health outcomes.
Administration of the Peds QL Cardiac Module 3.0 assesses health related quality of life (HRQOL) during annual visits to a Cardiac Neurodevelopmental (ND) Clinic by evaluating the level of Treatment Anxiety a patient experiences during healthcare appointments. The questionnaire scores ...
Achieving Advance Care Planning In Diverse Populations Via Teleconferencing With Skilled Nursing Facility Residents, 2021 University of San Diego
Achieving Advance Care Planning In Diverse Populations Via Teleconferencing With Skilled Nursing Facility Residents, Tania Huezo
Doctor of Nursing Practice Final Manuscripts
Background: Advance care planning (ACP) has always been a priority in healthcare, and even more crucial during the COVID-19 pandemic. It has been extremely challenging for ACP to occur in the skilled nursing facility (SNF) population once social distancing restrictions were put in place to protect residents and staff.
Purpose: The purpose of this evidence-based project was to assess the effectiveness of ACP via teleconferencing with skilled nursing facility (SNF) residents in the hope of increasing completion of high-quality Physician’s Orders for Life-Sustaining Treatment (POLST) forms.
Methods: The San Diego Coalition for Compassionate Care developed an ACP community outreach ...
A Guide To Vaccine Policy Change At A National Level, 2021 University of San Diego
A Guide To Vaccine Policy Change At A National Level, Janelle Bird
Doctor of Nursing Practice Final Manuscripts
Health policy is in a near constant state of improvement. In order to solidify those improvements, health policy requires assistance from the upcoming generations of healthcare workers to push for those changes. Due to the outdated vaccination policy in the American Nurses Association (ANA), many states continued to issue exemptions based upon unsupported religious preferences. This helped to worsen the outbreak of measles in 2018-2019. The Previous ANA Policy on Vaccinations as of July 21, 2015 stated the ANA supports immunization exemptions only for the following reasons: Medical contraindications and Religious beliefs. Educate and train future health care professionals ...
Providing High Reliability Care For Picu Patients With Pulmonary Hypertension: A Quality Improvement Project, 2021 University of New Mexico
Providing High Reliability Care For Picu Patients With Pulmonary Hypertension: A Quality Improvement Project, Anjali Subbaswamy, Nicholas Tan, Iric Guthrie, Kelsey Fath, Cole Linzmeyer, Elizabeth Yakes Jimenez
Quality Improvement/Patient Safety Symposium
Providing High Reliability Care for PICU Patients with Pulmonary Hypertension: A Quality Improvement Project
Anjali Subbaswamy, MD; Nicholas Tan, DO; Iric Guthrie, MD; Kelsey Fath, MD; Cole Linzmeyer, DO; Elizabeth Yakes Jimenez, PhD, RDN, LD
Purpose: Pediatric patients with pulmonary hypertension (PHTN) are a high acuity, low frequency population, and are often admitted to the pediatric intensive care unit (PICU). To mitigate the risk of precipitating a potentially life-threatening pulmonary hypertensive crisis, health care staff need to take specific precautions. This quality improvement (QI) project aims to increase the number of inpatient PHTN patients for whom PHTN precautions are applied ...
Online Echocardiography Modules For Pediatric Cardiology Fellows, 2021 Children’s Mercy Hospital
Online Echocardiography Modules For Pediatric Cardiology Fellows, Sarah Studyvin, Doaa Aly, Tyler Johnson, Laura Kuzava, Alison Samrany, Nitin Madan, Sanket Shah
Background: Adequate echocardiographic (echo) education is integral to successful cardiology training. Online education is proven to be effective in other specialties, but pediatric echo training data are lacking.
Objectives/Goal: Our aim was to design and assess the role of a novel online module-based curriculum to enhance pediatric cardiology fellows’ echo education.
Methods/Design: Four interactive modules, focused on principles and interpretation of a normal echo, were delivered to fellows. Content included high quality 2D and 3D echo clips as well as interactive quizzes and could be accessed from a phone, tablet, or computer. All fellows completed pre- and post-tests ...
Efficacy Of Pediatric Surgery Mobile Application For General Surgery Residents, 2021 Children's Mercy Hospital
Efficacy Of Pediatric Surgery Mobile Application For General Surgery Residents, James Fraser
Background/Objectives/Goal: Integration of pediatric surgery content into the general surgery curriculum poses unique challenges as the patient population, pathophysiology, and management of surgical disease is distinctive from other subspecialties. Pediatric surgery represents approximately 2% of content on the in-training exam for residents (ABSITE) and is often underemphasized in didactic material, contributing to difficulty with preparation for these clinical rotations. We hypothesize that implementation of a mobile-based application with pertinent clinical algorithms and resources for pediatric surgical education will improve resident performance and enhance learning experiences in the management of pediatric surgery patients.
Methods/Design: Seventeen residents rotating on ...
Impactful Interactions With Medical Interpretation, 2021 University of South Dakota
Impactful Interactions With Medical Interpretation, Alyssa L. Reinschmidt
The purpose of this paper is to examine the quality of healthcare that one can receive when the language barrier is a factor, looking specifically at the collaboration of interpreters and physicians in the delivery of care. To carry out this study, I have analyzed the presence of the language barrier in South Dakota, the current methods of interpretation in clinical settings, and how physicians and interpreters work together to provide care to Limited English Proficiency (LEP) patients. Data has been collected from scholarly articles, journals, presentations, and videos.
Ultimately, with my committee’s help, I have created a physician-interpreter ...
Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning : A Repeated Measures Design Study, 2021 University of South Dakota
Service-Learning And Case-Based Learning’S Impact On Student’S Clinical Reasoning : A Repeated Measures Design Study, Gordon B. Tsubira
Occupational Therapy Capstone Presentations
Clinical reasoning is crucial for the occupational therapy profession to thrive in an ever-changing healthcare environment but is seldom isolated for explicit instruction and outcome measurement in course curricula. A single-factor repeated measures design study was conducted to compare the impact of didactic case-based learning and experiential service-learning on the development of the clinical reasoning of students at a midwestern public university’s entry-level master of occupational therapy program. The participants were sixteen graduate occupational therapy students who had completed their foundation-level courses.
Participants explored modes of clinical reasoning in occupational therapy for eight weeks (the first half of the ...
Dnp Final Report: Reducing The Rate Of Falls With A Stuctured Fall Program, 2021 University of Texas at Tyler
Dnp Final Report: Reducing The Rate Of Falls With A Stuctured Fall Program, Elanda L. Douglas
DNP Final Reports
Background: Fall rates continue to be a significant problem in health care facilities despite all the research and tool kits created to prevent falls. Hospitals that have successfully reduced fall rates find it challenging to sustain a reduction in the fall rates. During hospitalizations, 3%-20% of patients fall, with 30%-50% resulting in injury (Joint Commission, [JC], 2015).
Internal Evidence: Despite Medical City Alliance (MCA) having an evidence-based fall program, the fall rate has not decreased. Falls are one of the quality measures identified at the division level that needs improvement.
PICOT: In adult patients in a progressive care ...
Decreasing Hospital Acquired Pressure Injuries Through Interdisciplinary Team Engagement, 2021 University of Texas MD Anderson Cancer Center
Decreasing Hospital Acquired Pressure Injuries Through Interdisciplinary Team Engagement, Alice Hung Rn, Bsn, Cmsrn, Cfcn, Cwocn, Yvette Ong Ms, Bsn, Rn, Ocn, Ne-Bc, Klaire Angeli Coluso Rn, Msn, Cwocn, Lini Abraham Rn, Bsn, Cwocn, Jamie Belardo Bsn, Rn, Cwocn, Jeanine Hanohano Bsn, Rn, Cwocn, Christie Cabato Bsn, Rn, Cwocn, Paul Castro Bsn, Rn, Cwocn, Diane Cho Bsn, Rn, Cwocn, Chi Eziakonwa Msn, Rn, Cwocn, Jarrod Vance Bsn, Rn, Cwocn, Sugitha Dickson Bsn, Rn, Cwocn, Iowa Modequillo Bsn, Rn, Cwocn
2021 Education Week Posters
Department of Wound, Ostomy & Continence Nursing
Department of Nursing
Zero Balancing In The Chiropractic Practice, 2021 Zero Balancing Touch Foundation
Zero Balancing In The Chiropractic Practice, Michele Doucette Dc
The International Journal of Zero Balancing and Transformative Touch
Discovering the profound gifts of the leading-edge structural and energetic manual therapy Zero Balancing (ZB), and adding it to my chiropractic and nutrition practice, has unified my personal growth with the sustainability of my professional practice. Much of humanity is starving for wholeness, authenticity, and meaningful connection with ourselves, others, and something greater. Chiropractors are well positioned to be leaders in a true evolution of healthcare, especially if, as we continue to explore the various branches of our therapeutic repertoires, we stay connected to our vitalistic roots that are now more supported than ever by new findings in the fields ...
Workplace Violence Interventions: A Benchmark Project, 2021 University of Texas at Tyler
Workplace Violence Interventions: A Benchmark Project, Madison Orwosky
MSN Capstone Projects
Workplace violence incidence rates are increasing in the medical field. The staff in the emergency department (ED) is especially prone to these workplace violence events due to patients arriving in such unpredictable states. Alarmingly, most medical staff members report experiencing some type of workplace violence, whether that is verbal, physical, or sexual violence. The former director of the Parkland ED sent out a survey to the ED staff regarding workplace violence. Out of 145 participants that completed this survey, 121 participants reported that they had personally experienced a workplace violence event. This survey data illuminates that a change is warranted ...
Designing A Strategic Plan For The Jefferson Center For Interprofessional Practice And Education (Jcipe), 2021 Thomas Jefferson University
Designing A Strategic Plan For The Jefferson Center For Interprofessional Practice And Education (Jcipe), Larry M. Starr, Phd, John Pourdehnad, Phd
School of Continuing and Professional Studies Posters
No abstract provided.
A Descriptive Study Of Health-Related Risks And Outcome Differences By Loneliness Status In A Sample Of Older Veterans, 2021 University of Missouri-St. Louis
A Descriptive Study Of Health-Related Risks And Outcome Differences By Loneliness Status In A Sample Of Older Veterans, Rachael Beard
There is a need to understand the influences and outcomes related to loneliness in veterans living with complex illness. Patients require self-care to manage complications and exacerbations associated with complex illness. Deficits in self-care result in negative health outcomes and drive resource utilization upward. The identification of potential factors related to self-care is important. Loneliness may be one factor that influences patients’ ability and desire to care for themselves. Descriptive correlational design was used to evaluate loneliness both as a predictor and outcome in veterans admitted to the hospital for three complex respiratory illnesses (heart failure, chronic obstructive pulmonary disease ...
Effective Imagery In Scientific Etextbooks, 2021 Murray State University
Effective Imagery In Scientific Etextbooks, Jordan Moore
This presentation overviews the benefits of eTextbook images in the fields of science.
Development And Implementation Of Computer-Based Learning Modules On Alternative Communication For Pediatric Nurses And Nursing Students, 2021 University of Tennessee Health Science Center
Development And Implementation Of Computer-Based Learning Modules On Alternative Communication For Pediatric Nurses And Nursing Students, Amanda Kaye Simmons
Theses and Dissertations (ETD)
Purpose and Rationale. To develop, implement, and assess computer-based learning modules (CBLs) on augmentative and alternative communication (AAC) with pediatric nurses and nursing students for knowledge outcomes, self-efficacy, and perceived relevance and effectiveness. Effective communication ensures all parties can understand and express themselves clearly, through any means necessary, often including AAC tools, supports, and strategies. Communication is essential in healthcare but there is limited research with pediatric nurses. Previous research with a single hospital indicated a need for nurse education on AAC. This research used focus groups and interviews to understand pediatric nurse and nursing student knowledge about AAC. The ...
A Comparison Of Live Vs. Asynchronous Ipe In Physical Therapy And Physician Assistant Students: A Randomized Cohort Study, 2021 LSUHS-Shreveport School of Allied Health
A Comparison Of Live Vs. Asynchronous Ipe In Physical Therapy And Physician Assistant Students: A Randomized Cohort Study, Erin Mccallister, Emily Weidman-Evans, Amanda Bernard, Ashley Fort
Online Journal of Interprofessional Health Promotion
Interprofessional education (IPE) is a required part of the curricula for many healthcare professions. The literature cites many limitations to successful implementation of IPE including logistics, coordination of curricula, and adequate meeting space. In order to overcome some of these logistical limitations, the investigators sought to determine if an asynchronous IPE activity produces similar outcomes as the same activity delivered in a traditional “live” format. Students enrolled in the first year fall semester of two consecutive cohorts of the Physician Assistant and Physical Therapist educational programs were eligible to enroll. They were randomly assigned to either a live or asynchronous ...
Evidence-Based Practice: Delaying Infant Bathing, 2021 Murray State University
Evidence-Based Practice: Delaying Infant Bathing, Gabrielle Wadle, Grace Frankland
A hospital's policy regarding infant bathing is currently not congruent with best nursing practice. The hospital’s current policy is to bathe an infant once they are stable and their rectal temperature is at or above 98.6 °F. Although the infant may become stable within the first 24-hours of birth, the World Health Organization recommends that, “Bathing should be delayed until 24 hours after birth.” (2013, p. 4). Research has been completed to support delaying infant bathing until 24 hours post-delivery, suggesting potential modifications to current policy.
Physicians’ Emotional Intelligence: Improving Performance While Reducing Burnout, 2021 Aventura Hospital and Medical Center
Physicians’ Emotional Intelligence: Improving Performance While Reducing Burnout, Miriam Zylgerblait Lisigurski, Umair Shaikh, Brian Toston
HCA Healthcare Journal of Medicine
Today’s physicians are being confronted with an increasing number of challenges and opportunities as our evolving healthcare system progresses into the future. The expectation is not only to provide the best clinical care, but also to satisfy metrics, fulfill budgets, achieve high patient satisfaction levels and accomplish institutional requirements in order to be considered good providers. All these additional demands seem to be affecting not only the clinical performance of physicians but also their wellness, increasing the risk of burnout, depression and suicide.