Implementing A Standardized Resilience Bundle For Neonatal Intensive Care Nurses, Jennifer Bouzid

Doctor of Nursing Practice (DNP) Scholarly Projects

Background: Nurse resilience is associated with improved psychological well-being, professional satisfaction, and retention. Neonatal intensive care unit nurses are frequently exposed to emotionally traumatic clinical events that may contribute to burnout, compassion fatigue, and turnover. A women’s hospital in central Texas identified increased nurse turnover and lower employee engagement scores related to well-being and intent to stay within the neonatal intensive care unit.

Purpose: The purpose of this quality improvement project was to implement and evaluate a standardized resilience support bundle for nurses following traumatic clinical events.

Methods: Guided by the Plan-Do-Study-Act framework, the project implemented a resilience bundle that …

Evaluating The Burnout Mitigating Effects Of A Structured Mentorship Program In Newly Hired Advanced Practice Providers, Melissa Soper

DNP Projects

Importance: Burnout is a leading driver of clinician intent to leave, lower productivity, increased medical errors, and increased resource use.

Objective: The purpose of this project was to evaluate the effects of an evidence-based mentorship program on newly hired advanced practice providers’ (APPs’) level of stress, burnout, and professional fulfillment.

Results: At baseline, APPs demonstrated higher stress levels, moderate professional fulfillment, and low burnout. Outcomes showed improvement at the end of a mentorship program.

Conclusion: Longitudinal studies with larger sample sizes are needed to determine the true effect of a 6-month mentorship intervention on APP burnout, stress, and professional fulfillment.

Establishing An Advanced Practice Provider-Led Transient Ischemic Attack Clinic: A Quality Improvement Initiative, Brittany A. Young

DNP Projects

Background: Due to lack of subspecialized neurological care in many rural community settings, care in tertiary hospitals is in demand. Insufficient care pathways can lead to lack of bed and provider availability. Advanced Practice Provider Transient Ischemic Attack clinics have been shown to be safe alternatives to hospital admission, for patients who meet criteria. This study targeted practice change at a 1000 bed tertiary academic hospital.

Methods: The quasi-experimental study sample inclusion criteria included Transient Ischemic Attack patients presenting to the emergency department with an ABCD2 < 4, complete symptom resolution, and no new cardiac changes on monitoring. A pre and post survey with educational PowerPoint intervention was provided to all emergency department and Neurology providers and nurses. A Transient Ischemic Attack clinic was established with a corresponding order set to be utilized for streamlined outpatient work up.

Results: During the pilot period, 29 admissions were deferred with 69% …

Stronger Together: Exploring The Impact Of Peer Support Meetings On Stress And Burnout In Ambulatory Nurse Managers, Sara Wellman

DNP Projects

Background

Nurse manager (NM) burnout is common and leads to decreased staff productivity, departmental effectiveness, and leadership capacity. This results in decreased staff morale, poor conflict management, and ineffective communication. Stress reduction and resilience programs have been shown to reduce burnout and enhance resilience in NMs, but more focus needs to be directed toward NMs who work in ambulatory settings.

Purpose

The aim of this project was to evaluate the effectiveness of a peer-to-peer resilience intervention in reducing stress and burnout among ambulatory nurse managers.

Methods

This project used a pre-test/post-test survey design and a convenience sample of ambulatory NMs. …

Voices Of Change: Nurses Advocating For Progress, Brennan Lewis, Christi Welter, Sally Derrick, Latieia Key

Podcasts

On this episode, we're discussing the importance of nurses involvement in professional advocacy - within your profession, within your practice for your patients, within your community.

Nurse Leader Burnout: Exploring Ways To Improve Wellness And Resilience, Kimberly Leger Kenney

DNP Scholarly Projects

BACKGROUND: Burnout among nurse leaders is a growing concern, driven by increasing workload, operational demands, and challenges with work-life balance. Addressing burnout is critical to maintaining stability within the leadership team and to delivering high-quality patient care.

LOCAL PROBLEM: Prior to the development of the QI proposal, engagement survey results showed scores 0.11 points below the benchmark in leadership responsiveness, and more than 50 nurse leader positions have turned over in the past 5 years. The specific aims of this project include: 1. 75% of nurse leaders report that they would implement an activity from the toolkit. 2. Fewer than …

Improving Access To Care And Utilization Of Telehealth In Pediatric Inflammatory Bowel Disease Patients Through Scheduling Interventions: A Quality Improvement Project, Sarah R. Bergstrom

Graduate Theses, Dissertations, and Problem Reports (ETD)

Abstract

Improving Access to Care and Utilization of Telehealth in Pediatric Inflammatory Bowel Disease Patients Through Scheduling Interventions: A Quality Improvement Project

Sarah Bergstrom

Introduction/Background. Inflammatory bowel disease (IBD) tends to affect pediatric patients with a more severe, aggressive phenotype as compared to adults. Following closely with a pediatric gastroenterologist (GI) is best practice to manage pediatric IBD. However, pediatric subspecialty clinics are generally located within academic institutions in urban areas. Patients in rural areas often have limited access to pediatric GI care, and poor access to care is associated with increased risk of poor disease control. Telehealth subspecialty …

Enhancing Clinical Judgement In Pre-Licensure Nursing Students Through Active Learning Strategies Of Unfolding Case Studies And Simulations For Postpartum Hemorrhage, Lisa M. Alley

Doctor of Nursing Practice Projects

New graduate nurses lack the appropriate clinical judgement to provide optimal, safe, quality care, as evidenced by the report of errors in health care (Rodziewicz et al., 2024). The purpose of this project was to provide an evidence-based intervention that used an unfolding case study and simulation to further develop clinical judgement among undergraduate nursing students in a rural ADN program. The project used a pre-test and post-test to measure students' improvement prior to versus after the learning experience and debrief. This project also introduced a DASH tool, which is a debriefing assessment for simulations in healthcare, to help students …

Navigating Nursing Professional Governance: Unveiling Its Significance, Part 2, Brennan Lewis, Christi Welter, Misty Daugherty

Podcasts

Learn about the fundamental principles and practices of NPG to elevate nursing practice, foster professionalgrowth, and enhance patient outcomes.

Revolutionizing Nursing Care: Implementing Acuity Based Staffingstrategies, Brennan Lewis, Christi Welter, Natalie Denson, Marshall Stephenson

Podcasts

On this episode, we are discussing an innovative approach to staffing based on tailoring nurse staffing to meet patient needs, and how this can lead to enhanced patient outcomes and nurse satisfaction.

Navigating Nursing Professional Governance: Unveiling Its Significance, Part 1, Brennan Lewis, Christi Welter, Tammy Webb

Podcasts

Children’s Health Chief Nurse Executive Tammy Webb discusses some of the key components of nursing professional governance or NPG and why we transitioned to this new model. Together, Tammy and Brennan laid the groundwork and spearheaded the strategy for NPG at Children's Health.

Cultivating Wellness: Nurturing Gratitude And Resilience, Brennan Lewis, Christi Welter, Elaine Beardsley, Alison Kell

Podcasts

This heartfelt discussion on the power of wellbeing and gratitude in nursing practiceoff ers practical strategies to gear up for the busy season, prioritize wellness and recognize the invaluable contributions of your nursing colleagues.

Fueling Nursing Excellence: Exploring New Talent Pipelines, Brennan Lewis, Christi Welter, Deb Echtenkamp, Christina Smith

Podcasts

Learn about an innovative talent pipeline developed to help build our clinical nursespecialist team, and how they are shaping the next generation of nursing professionals that will lead the way in care delivery.

The Impact Of Night Shift On New Nurses: Effects On Mental Health And Work-Life Balance, Avery Windham, Abby Maruskin, Elizabeth Yoder

Williams Honors College, Honors Research Projects

This research examines the impact of night shift schedules on new nurses' mental health and work-life balance as they transition into professional practice. The transition from nursing school to the workforce presents challenges that are further compounded by shift work, which can disrupt circadian rhythms and contribute to stress, fatigue, and reduced job satisfaction. The purpose of this research is to evaluate how starting on night shift versus day shift influences nurses’ self-evaluation of work-life balance within their first year of practice. This systematic review synthesizes findings from peer-reviewed sources to assess the physical, emotional, and professional consequences of night …

Hospital-Acquired Pressure Injury Reduction: A Quality Improvement Bundle Strategy, Vickey Thompson

Doctor of Nursing Practice (DNP) Scholarly Projects

Hospital-acquired pressure injuries (HAPIs) remain a national and global challenge, contributing to preventable harm and negatively affecting patient safety, quality of care, and clinical outcomes. Current evidence underscores opportunities to strengthen pressure injury prevention strategies. Purpose: This quality improvement project implemented an evidence-based pressure injury prevention (PIP) bundle to reduce HAPI rates by improving nursing knowledge and attitudes and increasing adherence to protective dressing application and repositioning practices. Methods: The PIP bundle consisted of targeted education, monitoring of prophylactic dressing application, and structured repositioning strategies focused on turn frequency and offloading angle. Data were collected via pre- and …

Improving Nurse–Patient Communication Through Evidence-Based Strategies, Tekhesia Phillips

Doctor of Nursing Practice (DNP) Scholarly Projects

Effective nurse–patient communication is essential to patient understanding, safety, and experience. This quality improvement project evaluated a structured communication bundle consisting of Teach-Back, intentional bedside nurse rounding, and nurse leader rounding on an adult intermediate care unit. A pre–post quality improvement design guided by the Plan–Do–Study–Act framework was used. The historical nurse communication composite baseline was 46.7%, and the project objective was to increase the composite by at least 10 percentage points while achieving at least 80% adherence to each process measure. During implementation period, nurse leader rounding was completed in 313 of 523 eligible opportunities (59.8%). Teach-Back was validated …

Blister Packaging Versus Bottles: Caregiver Accuracy And Child Safety In Pediatric Medication Gummy Administration, Paolo Olimpiada

Nursing | Senior Theses

The safety of medication in pediatric settings has become an increasing concern as gummy-formulated medications have gained popularity in children’s care. Gummy-formulated medications have a close resemblance to candy, and this may mislead children to ingest additional doses or more than what was prescribed. Children also depend a lot on their caregivers for medications. Therefore, the design of packaging would be impactful in supporting medication dosing accuracy. And studies have evaluated safety features of packaging related to adherence, misuse, and unintended administration. However, limited studies have examined the influence of medication packaging on the dosing accuracy at the time of …

Succession Planning As A Tool For Nursing Recruitment, Retention, And Resilience, Natalie Kennett

DNP Scholarly Projects

Background: Healthcare is facing a significant nursing shortage. This shortage not only impacts bedside nurses but also nurse leaders. Succession planning is a method for recruiting, retaining, and building resilience among nurse leaders.

Purpose: This quality improvement project applied principles of succession planning, including leadership education, training, and assessment of leadership retention and resilience.

Methods: Two interventions were implemented in this quality improvement project. The first was an assessment of a modification in nursing leadership organizational structure that was made in 2024 with the purpose of improving succession planning. This evaluation was completed with the use of …

Npd Winner's Circle: Overcoming Imposter Syndrome In New Clinical Specialties, Leanna Ross

Publications 2026-present

No abstract provided.

Joyful Nursing By Leading With Heart In Perinatal Loss Care And Staff Wellness, Kelli Griffiths, Holly Puckett, Bruce Slagle

Montview Journal of Research & Scholarship

This quasi-experimental study evaluates if providing individualized follow-up care through self-care bags, follow-up phone calls, open communication for debriefing, and tailored mental health resources enhances support for obstetric staff and improves their ability to care for patients experiencing perinatal loss. Interventions were implemented from February 2024 to August 2024. A total of 103 self-care bags were distributed throughout the designated hospital systems’ two labor and delivery departments. A five question post-intervention survey was conducted and found the following question to be statistically significant, “I feel the joy in nursing would be restored, to a degree, if obstetric staff were more …