Addressing Moral Distress In Critical Care Nurses,
2015
Baptist Hospital of Miami
Addressing Moral Distress In Critical Care Nurses, Rose Allen, Eve Butler
All Publications
No abstract provided.
Review Of The Accuracy Of Two Pain Assessment Tools In Nonverbal Adult Patients,
2015
The University Of Akron
Review Of The Accuracy Of Two Pain Assessment Tools In Nonverbal Adult Patients, Mackenzie Mosley, Emily Hartman, Kristen Tankovich, James Galantis
Williams Honors College, Honors Research Projects
Intensive care units frequently have patients that are unable to verbally communicate their pain, thus negating conventional pain assessment techniques and making pain assessment difficult. Pain management is often a priority in all patients’ circumstances and therefore, assessment and reassessment are included in the plan of care. Different observational pain scales have been used in intensive care units, but often times these scales must be adapted to fit the patient’s circumstances. Pain scales that are used for nonverbal patients typically include behavioral indicators and some are adapted to incorporate physiologic indicators such as vital signs. The aim of this review …
Evaluation Of Chlorhexidine Bathing Practices In Trauma/ Surgical Intensive Care Units,
2015
University of Kentucky
Evaluation Of Chlorhexidine Bathing Practices In Trauma/ Surgical Intensive Care Units, Kara Willett
DNP Projects
Central venous catheters (CVC) are vital in present-day medical practice, particularly in the intensive care unit (ICU). However, their use puts patients at risk for developing central line-associated bloodstream infections (CLABSIs) which are a major concern in today’s health care system. CLABSIs are a significant source of patient mortality, increased length of stay, and healthcare spending. The heightened awareness of these infections along with their escalating cost has amplified implementation of preventative protocols.This practice inquiry project includes three manuscripts, each of which discusses relevant aspects of CLABSIs prevention utilizing daily whole body chlorhexidine gluconate bathing inlcuding a review of literautre …
An Evaluation Of The Adherence To An Indwelling Urinary Catheter Maintenance Bundle,
2015
University of Kentucky
An Evaluation Of The Adherence To An Indwelling Urinary Catheter Maintenance Bundle, Jessica Lynn Johnston
DNP Projects
Background: There are more than 1 million Catheter Associated Urinary Tract Infection (CAUTI) occurrences per year in the United States, with an estimated cost to treat of $400 million dollars annually (Clarke et al., 2013). Urinary Tract Infections are the most common hospital acquired infection, comprising roughly 30 - 40% of all infections occurring in acute care hospitals (Gould et al., 2009). In February of 2013, the University of Kentucky (UK) Hospital made drastic changes to the current Catheter Associated Urinary Tract Infection (CAUTI) prevention standards by instituting a CAUTI Maintenance Bundle to prevent the incidence of CAUTIs.
Purpose …
Comparing Must And The Nri Tools In The Identification Of Malnutrition In Heart Failure Patients,
2015
University of Kentucky
Comparing Must And The Nri Tools In The Identification Of Malnutrition In Heart Failure Patients, Cassondra D. Degener
DNP Projects
The purpose of this project was to test the performance of albumin, NRI and MUST screening tools in comparison to the standardized measure of prealbumin among HF patients admitted to the University of Kentucky Chandler Medical Center. Inclusion criteria included all HF patients with the 428 diagnostic code, admitted from January 1, - December 31, 2013, ages 18 and older, with all laboratory values available specified in the data collection tool (Appendix A). A retrospective electronic medical record (EMR) review was performed for 100 patients who met the inclusion criteria. All data were collected through the University of Kentucky’s secure …
The Efficacy Of Stemi Networks And Systems Of Coordinated Stemi Care: An Evaluation Of The Implementation Of A Stemi Network,
2015
University of Kentucky
The Efficacy Of Stemi Networks And Systems Of Coordinated Stemi Care: An Evaluation Of The Implementation Of A Stemi Network, Julianne M. Evers
DNP Projects
Purpose: The purpose of this project was to evaluate the implementation of an ST-elevation myocardial infarction (STEMI) Network into a large metropolitan healthcare system in Kentucky. The objectives of this project were to (1) determine if (and to what extent) the implementation of the STEMI Network decreased walk-in, emergency medical services (EMS), and transfer door to balloon (D2B) times at a STEMI receiving center at a metropolitan Kentucky academic hospital, (2) determine if there is a difference in treatment times for those individuals who present during working hours compared to non-working hours of the day, and (3) examine the associations …
Verification Of Nasogastric Tube Placement In Inpatient Populations: A Review Of Current Literature,
2015
West Chester University of Pennsylvania
Verification Of Nasogastric Tube Placement In Inpatient Populations: A Review Of Current Literature, Sarah Hines, Jenna Magee
Nursing Student Work
No abstract provided.
Incontinence And Skin Integrity In Immobile Populations,
2015
West Chester University of Pennsylvania
Incontinence And Skin Integrity In Immobile Populations, Frederick Green, Alyssa Starr
Nursing Student Work
No abstract provided.
Ng Tube Placement Methods: An Ebp Review,
2015
West Chester University of Pennsylvania
Ng Tube Placement Methods: An Ebp Review, Amanda Salerno, Kim Robinson
Nursing Student Work
No abstract provided.
Reducing The Incidence Of Hospital-Acquired Pressure Ulcers By Using Alternating Pressure Air Mattresses,
2015
West Chester University of Pennsylvania
Reducing The Incidence Of Hospital-Acquired Pressure Ulcers By Using Alternating Pressure Air Mattresses, Marie Morrison, Mary Wise
Nursing Student Work
No abstract provided.
Implementing A Hospital-Acquired Pressure Ulcer Prevention Program,
2015
University of Kentucky
Implementing A Hospital-Acquired Pressure Ulcer Prevention Program, Maryann L. Lancaster
DNP Projects
Objective: To implement a Hospital-Acquired Pressure Ulcers (HAPU) prevention program utilizing an assessment tool to identify patients at risk, and intervene with a sacral Mepilex® dressing. Our aims are to determine if a change in nursing knowledge and change in nursing behavior after implementing our program.
Background: HAPUs are a significant problem in patient care and healthcare organizations must implement prevention protocols to reduce HAPU prevalence. Guidelines for implementing HAPU prevention programs suggest use of a validate risk assessment tool and initiating preventive interventions. One intervention found in the literature is the adjunctive use of prophylactic Mepilex® dressings to sacral …
Fall Prevention Through Proactive Toileting,
2014
The University of San Francisco
Fall Prevention Through Proactive Toileting, Kristin Smith
Master's Projects and Capstones
This paper will summarize the quality improvement falls prevention project conducted by a University of San Francisco Clinical Nurse Leader student. Falls in the hospital setting are an ongoing problem in our healthcare system as they have great physical and financial impacts (Salamon, Victory, & Bobay, 2012). Hospital A, an urban teaching hospital, uses the Schmid scale for determining if a patient is a fall risk which includes the assessment of need for ambulatory aids, history of falls, and impaired cognition among other criteria (Schmid,1990). Fall rates are climbing in the United States and the trend is similar on Hospital …
Increasing Compliance Of Personal Protective Equipment S Election And Use For Isolation Precautions Among Rns & Nas On A Med-Surg Unit,
2014
The University of San Francisco
Increasing Compliance Of Personal Protective Equipment S Election And Use For Isolation Precautions Among Rns & Nas On A Med-Surg Unit, Megan R. Alsmeyer
Master's Projects and Capstones
Background: Due to the high potential of transferring infectious diseases and/or organisms among patients, themselves, and the community, healthcare workers (HCWs) must be knowledgeable and confident in selecting the appropriate type of personal protective equipment (PPE), and the use in technique when putting on (donning) and removing (doffing) PPE based on the level of isolation precautions required for the patient being cared for.
Project Purpose: The purpose of this project is to determine whether assessing the knowledge and actual practice with observing, and utilizing an innovative approach of video and educational tools to isolation precautions would improve the consistency of …
Cardiovascular Intensive Care Unit Patient Transition,
2014
University of San Francisco
Cardiovascular Intensive Care Unit Patient Transition, Jenna-Lynn Stewrat
Master's Projects and Capstones
With no designated cardiovascular step-down unit at Phoenix Children’s Hospital, patient transitions to acute care are inconsistent following admission to the Cardiovascular Intensive Care Unit (CVICU). We aim to improve CVICU patient continuum of care through transferring patients to a step-down telemetry unit starting October 13th, 2014 exemplified by a 95% patient satisfaction of care provided by January 1st, 2015. The progression of the project was influenced by Lippitt’s theory, which includes seven phases in the change process. To accommodate post CVICU patients, the acute care unit was transformed to include cardiac monitors, telepacks, a central …
Improving Patient Outcomes Through Use Of The Teach-Back Method In The Post Anesthesia Care Unit,
2014
University of San Francisco
Improving Patient Outcomes Through Use Of The Teach-Back Method In The Post Anesthesia Care Unit, Kathleen Osullivan
Master's Projects and Capstones
The setting for this Clinical Nurse Leader (CNL) project was the Post Anesthesia Care Unit (PACU) at a level I trauma center in the Bay Area. The goal was to improve the discharge education performed by the PACU nurses to improve patient safety and decrease the chance of complications or readmissions to this hospital. With no clear instructions for how discharge teaching should be done, the nurses have many differing styles which leaves room for gaps in discharge planning. This influenced the implementation of the teach-back method during discharge planning in order to ensure proper education and increased patient understanding. …
Patient Satisfaction Related To Noise In The Coronary Care Unit,
2014
Michael E. DeBakey VA Medical Center
Patient Satisfaction Related To Noise In The Coronary Care Unit, Anjanette S. Dominguez
Master's Projects and Capstones
Background The CCU staff recognized a department trend for low patient-satisfaction score related to environmental noise levels. Based on the Press Ganey score, the patient-satisfaction score plummeted in relation to noise level beginning in March 2014.
Purpose To improve patient satisfaction regarding noise level in the CCU to 100% by November 21, 2014.
Methods Senior & Fleming’s Hard System Model of Change guided this literature search of CINAHL and Fusion for articles published from 2009 to 2014. Specific terms used were noise, critical care, and sleep promotion. From September to November 2014, earplugs were offered to all alert/oriented patients entering …
The Significance Of Timing Of Patient Daily Weights And The Barriers,
2014
University of San Francisco
The Significance Of Timing Of Patient Daily Weights And The Barriers, Ann Pan
Master's Projects and Capstones
Background. Current unit practice is that patient daily weights are obtained in the afternoon or evenings. However, patient weights in the afternoon and evenings are not accurate dry weights. According to evidenced based research, to obtain an accurate patient daily weight, patients should be weighed every morning, after their first void and before they eat breakfast.
Purpose. The focus of the study was to compare the current practices of obtaining daily weights in the afternoon and evenings, compared to the evidenced based practice recommended in the literature.
Method. Through interviews and surveys with staff, the barriers to obtaining patient weights …
Emergency Preparedness On An Inpatient Hospital Unit,
2014
University of San Francisco
Emergency Preparedness On An Inpatient Hospital Unit, Hailee Marie Barnes
Master's Projects and Capstones
This paper will discuss the implementation of an emergency preparedness quality improvement project conducted by a University of San Francisco Clinical Nurse Leader (CNL) student on an inpatient cardiac unit, Unit H, at an urban teaching hospital in Northern California, Hospital B. An assessment of the current state of emergency preparedness, a diagnosis of Unit H’s area of greatest needs, the details of planning and implementing the quality improvement as well as the final evaluation will be discussed. The nursing process will be used for the structure of this paper as it was used as the structure of this project. …
Patient Characteristics Associated With False Arrhythmia Alarms In Intensive Care [Abstract 19717],
2014
University of California, San Francisco
Patient Characteristics Associated With False Arrhythmia Alarms In Intensive Care [Abstract 19717], Patricia Harris, Jessica K. Zègre-Hemsey, Tina Mammone, Daniel Schindler, Xiao Hu, Yong Bai, Steven M. Paul, Barbara J. Drew
Patricia Harris
Needs Of Patient’S Families In The Hospital Tele-Intensive Care Unit,
2014
University of Massachusetts Amherst
Needs Of Patient’S Families In The Hospital Tele-Intensive Care Unit, Mary L. Jahrsdoerfer
Doctoral Dissertations
Purpose: To explore, identify and describe the perceptions of family members of a patient admitted to a telemedicine intensive care unit (tele-ICU); and to determine if these needs differ from those established by the Critical Care Family Needs Inventory (CCFNI) in the traditional ICU setting. Background: The tele-ICU is a new care modality in which offsite nurses provide consultation to bedside clinical staff at geographically-dispersed ICUs. The last decade demonstrates a growing existence of tele-ICU’s in our healthcare culture. ’Information’, ‘close proximity’, ‘assurance’, ‘support’ and ‘comfort’ have been identified as the top five needs of family members in the traditional …
