Dominican University of California
University of St. Augustine for Health Sciences
University of San Francisco
University of Texas at Tyler
University of Arkansas, Fayetteville
Factors Impacting Organ Transplant Outcomes,
2022
Dominican University of California
Factors Impacting Organ Transplant Outcomes, Katelyn Grubich
Nursing | Senior Theses
Organ transplants are crucial to the survival of those on the receiving end. With medicine advancing, so has transplantation. Health care providers are becoming more aware of the strategies necessary to prolong the transplanted organ and how to obtain better outcomes. Heart, lungs, kidney, liver, pancreas, and some where more than one organ are involved, are the types of organ transplants performed.
Providing patients information will allow them to be a part of their treatment and can help to ease their anxiety knowing what is being performed and what can be expected. Health care providers must ensure that patients and ...
The Effects Of Bundle Adherence On Ventilator-Associated Pneumonia: A Quality Improvement Project,
2022
University of Tennessee, Knoxville
The Effects Of Bundle Adherence On Ventilator-Associated Pneumonia: A Quality Improvement Project, Sara Borges, Tracy L. Brewer, Donita Beard
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Abstract
Ventilator-associated pneumonia (VAP) is a hospital-acquired infection that affects intubated patients on a ventilator. The risk of acquiring the infection increases the longer a patient stays on the ventilator. Complications from ventilator-associated pneumonia can impact the patient physically, financially, or emotionally. Evidence-based recommendations collectively implemented to prevent VAP are referred to as a care bundle. Despite rising VAP cases in a local hospital, adherence to all elements of the VAP prevention bundle remained low. Our quality improvement project aimed to provide training to staff to increase awareness and adherence to the VAP bundle and decrease the number of VAP ...
Caring For The Caregiver During Covid-19 Suspended Visitation,
2022
Northeast Georgia Health System
Caring For The Caregiver During Covid-19 Suspended Visitation, Melissa D. Rouse, Lorie K. Shoemaker, Priscilla Kyle, Chris Tenold, Whitney Anthony, Jordan White
Patient Experience Journal
During the 4th surge of COVID-19, August to November 2021, visitation was suspended in a hospital system in North Georgia. The Compassionate Connections Call Center (CCCC) was created to alleviate staff stress and to manage calls and communication. The goal of the initiative was to reduce interruptions to patient care caused by the increased number of calls to the clinical units by patients, families, loved ones and personal caregivers. The CCCC managed all incoming calls and communicated with the patient’s primary nurse through a coordinated process which limited interruptions. By caring for the caregiver, the aim was to improve ...
Improving Compliance With The Sep-1 Sepsis Management Bundle,
2022
University of San Francisco
Improving Compliance With The Sep-1 Sepsis Management Bundle, Allison Uppendahl Mrs.
Master's Projects and Capstones
Abstract
Problem: Providing high quality sepsis care is an organizational priority, however this medical center has only met the target compliance goal for the Centers for Medicare & Medicaid Service (CMS) SEP-1 sepsis management bundle 50% of the time over the past year. Root cause analysis has revealed that 40% of the fallouts have been attributed to non-compliance with the intravenous fluid bundle element.
Context: A microsystem analysis was completed on the quality department, a supporting microsystem to the larger mesosystem involved with providing acute sepsis care. A return-on-investment analysis demonstrated that efforts to improve sepsis care and reduce sepsis progression ...
Asking The Question ‘What Matters To You?’ In A London Intensive Care Unit,
2022
Royal Free Hospital
Asking The Question ‘What Matters To You?’ In A London Intensive Care Unit, Harriet Pittaway, Laura White, Karen Turner, Angelique Mcgillivary
Journal of Patient-Centered Research and Reviews
Purpose: At the heart of the paradigm shift in approach to patient care from paternalism toward shared decision-making lies the international “What Matters To You?” (WMTY) movement. However, WMTY principles are not frequently applied to the critical care setting. The aim of this quality improvement project work was to design and integrate a tool for all patients admitted to the intensive care unit (ICU) that helped answer WMTY.
Methods: Using Plan-Do-Study-Act (PDSA) methodology across 8 cycles, a multidisciplinary team designed and integrated a bedside poster into the ICU. Quantitative and qualitative data were collected via a bedside audit process on ...
Can Variables From The Electronic Health Record Identify Delirium At Bedside?,
2022
Advocate Aurora Health; University of Wisconsin School of Medicine and Public Health
Can Variables From The Electronic Health Record Identify Delirium At Bedside?, Ariba Khan, Kayla Heslin, Michelle Simpson, Michael L. Malone
Journal of Patient-Centered Research and Reviews
Delirium, a common and serious disorder in older hospitalized patients, remains underrecognized. While several delirium predictive models have been developed, only a handful have focused on electronic health record (EHR) data. This prospective cohort study of older inpatients (≥ 65 years old) aimed to determine if variables within our health system’s EHR could be used to identify delirium among hospitalized patients at the bedside. Trained researchers screened daily for delirium using the 3-minute diagnostic Confusion Assessment Method (3D-CAM). Patient demographic and clinical variables were extracted from the EHR. Among 408 participants, mean age was 75 years, 60.8% were female ...
Reducing The Incidence Of Clabsi Through Hand Hygiene,
2022
University of St. Augustine for Health Sciences
Reducing The Incidence Of Clabsi Through Hand Hygiene, Bindu Paudel
Student Scholarly Projects
Practice Problem: Central line-associated bloodstream infections (CLABSI) account for most hospital-associated preventable infections in the United States and globally. Implementation of effective hand hygiene practices is considered to be highly effective in preventing CLABSIs if performed during insertion and every handling instance.
PICOT: The PICOT question guiding this project is as follows: Among intensive care unit employees (P), implementation of hand hygiene awareness program and practice (I) compared to current practices (C) in reducing CLABSI incidences (O) among adult inpatients in 10 weeks (T)?
Evidence: The evidence from a rigorous literature review showed that the appropriate education promotes hand hygiene ...
Nurse-Led Intervention: Implementing Early Mobilization Of Patients In The Intensive Care Unit,
2022
University of St. Augustine for Health Sciences
Nurse-Led Intervention: Implementing Early Mobilization Of Patients In The Intensive Care Unit, Lou A. Hill
Student Scholarly Projects
Practice Problem: Immobility of patients in the hospital intensive care unit can cause longer stays in the intensive care unit and the hospital. Evidence-based early mobilization of patients helps to reduce length of stay (LOS) and avoid many detrimental sequelae, leading to short and long-term debilitation.
PICOT: The PICOT question that guided this project was: In the adult medical and surgical intensive care units (P), how does implementation of a nurse-driven protocol for early mobility (I), affect the LOS in the intensive care units and the LOS in the hospital (O), as opposed to not using a protocol for early ...
What About Anosmia From Covid-19 ?,
2022
University of Louisville
What About Anosmia From Covid-19 ?, Sharanya S E Santhi, Sara Elnour, Steven B Lippmann
The University of Louisville Journal of Respiratory Infections
No abstract provided.
Clabsi’S: Reducing The Rates In An Urban Intensive Care Unit By Consistent Use Of The Central Line Maintenance Evaluation Tool (Clmet),
2022
Jacksonville State University
Clabsi’S: Reducing The Rates In An Urban Intensive Care Unit By Consistent Use Of The Central Line Maintenance Evaluation Tool (Clmet), Bridget Smith
Doctor of Nursing Practice Projects
Background: Quality improvement efforts from an urban facility have observed a need for staff education on the central line maintenance bundle and consistent surveillance with the Central Line Maintenance Evaluation Tool (CLMET).
Purpose: To address the practice gap of central line maintenance bundle usage at the bedside by utilizing the CLMET consistently.
Methods: A voluntary didactic program offered to staff and encouraging daily utilization of the CLMET that included real-time feedback by the supervisors.
Results: Pretest grade for the unit (n=13, 82.06) and the post-test grade (n=13, 86.33), which is + 4.27 points after education. Pre-implementation ...
Education Regarding Advance Directives Improves The End-Of-Life Choices Documentation In Heart Failure Patients,
2022
Jacksonville State University
Education Regarding Advance Directives Improves The End-Of-Life Choices Documentation In Heart Failure Patients, Phebe Hagins Wright
Doctor of Nursing Practice Projects
Background: Heart failure affects the lives of more than 6 million people in the United States and outpatient heart failure clinics offer an opportunity to educate patients while providing evidence-based care. A needs analysis revealed that many heart failure patients do not have an advance directive (AD) on file.
Purpose: The DNP project aims to implement an educational program that provides the tools and knowledge to heart failure patients to assist patients in determining their end-of-life care goals and allow them to document these goals in the Five Wishes document.
Methods: This quality improvement project consisted of a didactic educational ...
Treating Cytokine Storm In Patients With Covid-19,
2022
University of Louisville
Treating Cytokine Storm In Patients With Covid-19, Ahmed Abdelhaleem, Deekshitha Turaka, Shameera Shaik Masthan, Steven B Lippmann
The University of Louisville Journal of Respiratory Infections
No abstract provided.
An Evidence--Based Intervention: Use Of Visual Aids For Patient Education During Bedside Team Rounding,
2022
Winona State University
An Evidence--Based Intervention: Use Of Visual Aids For Patient Education During Bedside Team Rounding, Kristin Clifford, Shay Gruber
Nursing DNP Projects
Abstract Purpose: To increase patient health literacy and satisfaction in hospitalized adult medical-surgical patients through an evidence-based provider intervention (advanced practice providers, APPs, or physicians, MDs) adding visual aids to current verbal patient education methods during daily bedside team rounding (BTR).
Strength of Evidence: A literature review resulted in 15 studies meeting inclusion criteria including two meta-analyses, three randomized control trials, two quasi-experimental studies, five systematic reviews, two descriptive studies, and one clinical practice guideline. Evidence revealed the addition of visual information to verbal and written education methods significantly improves patient knowledge, understanding, and recall of health information and increases ...
Covid-19 Case Complicated With Organizing Pneumonia And Pneumothorax: Correspondence,
2022
Orlando VA
Covid-19 Case Complicated With Organizing Pneumonia And Pneumothorax: Correspondence, Hammad A. Bhatti, Minh Q. Ho
The University of Louisville Journal of Respiratory Infections
No abstract provided.
Implementation Of An Educational Guide To Improve Icu Delirium Awareness And Detection,
2022
University of Tennessee, Knoxville
Implementation Of An Educational Guide To Improve Icu Delirium Awareness And Detection, Samantha Payne, Samereh Abdoli
Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)
Intensive care unit (ICU) delirium is a prevalent condition that can occur in up to 80% of critical care patients. It can increase hospital length of stay, morbidity rates, and recovery time. It can also demand higher costs for care and long-term effects on the patient. A good practice statement, issued by the Society of Critical Care Medicine, acknowledges the importance of delirium awareness (Devlin, 2018). For ICU nurses, educational approaches of ICU delirium have shown significant increases in delirium awareness and detection. The purpose of this project was to determine if an evidenced-based education program on delirium would improve ...
A Competence-Based Online Learning Video And In-Situ Simulation To Improve Perioperative Anesthesia Nurse Practitioner Self-Efficacy In Responding To Anesthesia Emergencies,
2022
University of Massachusetts Boston
A Competence-Based Online Learning Video And In-Situ Simulation To Improve Perioperative Anesthesia Nurse Practitioner Self-Efficacy In Responding To Anesthesia Emergencies, Sara Durgerian
Doctor of Nursing Practice Scholarly Projects
Background: Nurse Practitioners (NPs) are broadly educated to the population-based role in which they practice. Further education in subspecialties is essential as more NPs are working autonomously in highly specialized care areas.
Problem: In the Department of Anesthesia at a large urban hospital, perioperative anesthesia NPs lack formal training in the subspecialty of anesthesia, which contributed to a lack of self-efficacy when responding to anesthesia emergencies.
Methods: An asynchronous multimodal brief instructional video accompanied by an in-situ simulation of an anesthesia emergency was developed to increase knowledge and confidence in perioperative anesthesia nurse practitioner response to anesthesia emergencies.
Results: A ...
Everyday Ethics And Equity At The Bedside,
2022
Children's Mercy Hospital
Everyday Ethics And Equity At The Bedside, Shika Kalevor, Angie Knackstedt
Research Days
Background: Traditional bioethics training, although important, may not be completely suited to the nursing role. In contrast to traditional clinical ethics, which focuses on healthcare dilemmas, everyday ethics focuses on routine clinical encounters between clinicians, patients, and families and may be better suited to help nurses address issues such as bias and racism at the bedside.
Objectives/Goal: This study aims to provide a data-backed approach to ethics education for nurses as it pertains to improvements in the understanding of Diversity, Equity, & Inclusion (DEI) efforts in healthcare. This study also provides an opportunity for the field of bioethics to provide ...
The Impact Of Simulation-Based Mastery Learning For Central Venous Catheter Dressing Changes With Staff Nurses At A Nebraska Critical Access Hospital,
2022
University of Nebraska Medical Center
The Impact Of Simulation-Based Mastery Learning For Central Venous Catheter Dressing Changes With Staff Nurses At A Nebraska Critical Access Hospital, Paige Pavlik, Michaela Haddock
Doctor of Nursing Practice Projects: College of Nursing
Abstract
Purpose
The purpose of this pilot feasibility study was to assess if a simulation-based mastery learning (SBML) intervention on central venous catheter (CVC) dressing changes by staff nurses at Nemaha County Hospital could further develop staff nurses’ central line care skills by increasing their knowledge of a central line dressing change, improving their comfort level and learning self-efficacy with central line care, determining if there is a relationship between knowledge, learning self-efficacy and comfort in the clinical area, and assessing nurses’ satisfaction on the SBML intervention. The clinical research questions being explored are, “Will nurses in a Nebraska critical ...
Covid-19, Vaccination, And Heart Transplantation,
2022
University of Louisville
Covid-19, Vaccination, And Heart Transplantation, Forest W. Arnold
The University of Louisville Journal of Respiratory Infections
No abstract provided.
Transferring Patients To A Higher Level Of Care,
2022
University of Tennessee Health Science Center
Transferring Patients To A Higher Level Of Care, Chiquita Rockiemore Rn, Msn, Olubunmi Osinloye Bsn, Rn, Angela Uta Bsn, Rn, Tracy Mcclinton Dnp, Ag-Acnp-Bc
Doctor of Nursing Practice Projects
The purpose of this study is to determine whether the transfer of critically ill patients, who require a higher level of care, to another facility impacts morbidity and mortality within 24-72 hours post transfer
