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Reducing Blood Culture Contamination In The Emergency Department: A Multi-Method Quality Improvement Project, Daryn Brauner MSN, Marlene Schmidt MSN, Nikki Campbell BSN, Anthony Renzoni PharmD, Keri Bill MSN, April Alfano 2023 Yale New Haven Health/Bridgeport Hospital

Reducing Blood Culture Contamination In The Emergency Department: A Multi-Method Quality Improvement Project, Daryn Brauner Msn, Marlene Schmidt Msn, Nikki Campbell Bsn, Anthony Renzoni Pharmd, Keri Bill Msn, April Alfano

Posters

The goal of this quality improvement project is to reduce the monthly percentage of BCC in an academic emergency department (ED) through implementation of a multimethod intervention targeting registered nurses (RN) and patient care technicians (PCT) who perform phlebotomy for blood cultures


Sch Icu Expanding Pics Throughout Centracare, Jessica A. Tindal 2023 CentraCare Health

Sch Icu Expanding Pics Throughout Centracare, Jessica A. Tindal

Nursing Posters

Purpose:

Sharing information about Post Intensive Care Syndrome (PICS) to all in CentraCare. PICS symptoms do not appear until weeks to months after a critical care illness so patients at home may not know what to do with their symptoms.

Future Plans:

  • May 2023 - introducing CICU to the PICS process during their Nurse Practice meeting.
  • May 2023 - updating the Hospital Medicine Section CNS
  • Fall 2023 - meeting with the Ambulatory Work Cabinet group to see if our system of notification is working
  • What opportunities do we have with teaching Progressive RNs about PICS and our Diaries?
  • How can …


Implementing The Fall Tailoring Interventions For Patient Safety (Tips) Program To Increase Nursing Knowledge Of Fall Prevention & Reduce Falls & Falls With Injury In The Medical-Surgical Setting, Anne M. Aquila, Palumbo John MBA, MS, MT (ASCP), Karen Bauce DNP, MPA, RN, NEA-BC 2023 Yale New Haven Health/Bridgeport Hospital

Implementing The Fall Tailoring Interventions For Patient Safety (Tips) Program To Increase Nursing Knowledge Of Fall Prevention & Reduce Falls & Falls With Injury In The Medical-Surgical Setting, Anne M. Aquila, Palumbo John Mba, Ms, Mt (Ascp), Karen Bauce Dnp, Mpa, Rn, Nea-Bc

Posters

The purpose of this translational research project was to determine if the reimplementation of the Fall TIPS Program in the medical-surgical setting reduced falls and falls with injury over a 10-week period.

The aims of this project were to:

1) improve RNs’ and PCTs’ Fall TIPS knowledge

2) reduce patient falls and falls with injury


Bedside Safety Nurses: A Novel Approach To Reducing Patient Harm, Kenneth Forte, Corinne Booth BSN, RN, Nikki Campbell BSN, RN, Danielle Jimenez MSN, RN, Alexandra Mingolello BSN, RN, Heather Nachilo MSN, RN, Heidi Steller MSN, RN, Joubin Bavarian RN, Mary Christoffersen DNP, RN, Morine Cebert PhD, APRN 2023 Department of Emergency Medicine, Yale New Haven Health-Bridgeport Hospital, Bridgeport, CT.

Bedside Safety Nurses: A Novel Approach To Reducing Patient Harm, Kenneth Forte, Corinne Booth Bsn, Rn, Nikki Campbell Bsn, Rn, Danielle Jimenez Msn, Rn, Alexandra Mingolello Bsn, Rn, Heather Nachilo Msn, Rn, Heidi Steller Msn, Rn, Joubin Bavarian Rn, Mary Christoffersen Dnp, Rn, Morine Cebert Phd, Aprn

Posters

The purpose of this longitudinal interventional pre-and post-intervention study was to assess the ability of Bedside Patient Safety Nurses to Identify and intervene in patient safety issues before they reach the patient.


Stroke Education Compliance Improvement, Natasha Pflueger 2023 St. Cloud Hospital, CentraCare Health

Stroke Education Compliance Improvement, Natasha Pflueger

Nursing Posters

Plan:

  • Per stroke best practice guidelines, stroke education must be provided verbally and in literature format post stroke. Our plan is to improve compliance and documentation of stroke education by improving staff awareness of patient's stroke education status. by enhancing communication and improving the documentation process, nursing practice can be supported, and best patient care delivered.
  • Per stroke guidelines, education on individualized risk factors is preferred by patients. Studies support that patient education is an effective method to improve vascular risk factors (Meschia, Bushnell, Boden-Albata, et al, 2014).

Act:

  • As with prior to the implementation of adding notes to the …


Lessons From A Natural-Born Teacher: Reflections On Mentorship And Kindness In Medical Education, Chloe Hille, Brianna Wetmore 2023 Nova Southeastern University KPCOM

Lessons From A Natural-Born Teacher: Reflections On Mentorship And Kindness In Medical Education, Chloe Hille, Brianna Wetmore

be Still

The transition from preclinical education to medical clerkships is an important period of medical school that challenges students to advance their clinical knowledge. The help of strong and inspirational mentors is crucial for students to not only gain proficiency in their clinical skills, but to also develop into confident and compassionate future physicians.


The Benefits Of Using Patient Transfer Devices In The Emergency Department, Abby Lawhorn, Mikaylen Dearmond 2023 Murray State University

The Benefits Of Using Patient Transfer Devices In The Emergency Department, Abby Lawhorn, Mikaylen Dearmond

Scholars Week

The Emergency Department (ED) is known as one of the most fast-paced environments in which nurses work. Because of the nature of their responsibilities and daily tasks, ED nurses are at high risk of injury. One of those tasks that occur multiple times throughout the day is patient transfers. The Emergency Department staff is constantly moving patients in and out of the unit. Most often, patients seen in the ED are weak, in pain, elderly, or unable to transfer from vehicles, ambulance, stretchers, or wheelchairs independently or without minimal assistance. Our research focuses on the benefits of using assistive devices …


Burnout In Medical Assistants In Primary Care: Can Mindfulness Be A Solution?, Natalee D. Calais 2023 Abilene Christian University

Burnout In Medical Assistants In Primary Care: Can Mindfulness Be A Solution?, Natalee D. Calais

Electronic Theses and Dissertations

Burnout is described as feelings associated with emotional exhaustion, depersonalization of patients, and a loss of sense of personal accomplishment and it is unique to healthcare workers. Current research highlights this condition among physicians, nurses, and mid-level providers; however, insufficient research exists regarding the effects of burnout on medical assistants. Research led to mindfulness as a possible solution defined as an intentional regulation of attention and awareness of the present moment. This project sought to see if mindfulness practices could be utilized to mitigate the effects of burnout in medical assistants. It was hypothesized that mindfulness could be a solution. …


Venous Leg Ulcers: An Analysis Of Nursing Knowledge, Shelia Moore-Miller 2023 Abilene Christian University

Venous Leg Ulcers: An Analysis Of Nursing Knowledge, Shelia Moore-Miller

Electronic Theses and Dissertations

This project evaluated the knowledge level of wound center nursing staff on venous leg ulcer etiology and treatments after an educational intervention. To determine the effectiveness of the educational intervention, participants completed a pretest and posttest evaluation. Venous leg ulcers (VLUs) are chronic lower extremity ulcers affecting older Americans. VLUs are painful and negatively affect activities of daily living. Inadequate VLU treatment can become an infectious process that can ultimately threaten limb existence. A quantitative, quasi-experimental study was conducted over three weeks in a hospital-based wound care center in central Florida. The theoretical framework applied to this project is Lydia …


Complexities Of Health And Care Worker Migration Pathways And Corresponding International Reporting Requirements, Margaret Walton-Roberts, Ivy Bourgeault, Denise Spitzer 2023 Wilfrid Laurier University

Complexities Of Health And Care Worker Migration Pathways And Corresponding International Reporting Requirements, Margaret Walton-Roberts, Ivy Bourgeault, Denise Spitzer

Global Nurse Migration Pathways: A Comparative Project

The increasing complexity of the migration pathways of health and care workers is a critical consideration in the reporting requirements of international agreements designed to address their impacts. There are inherent challenges across these different agreements including reporting functions that are misaligned across different data collection tools, variable capacity of country respondents, and a lack of transparency or accountability in the reporting process. Moreover, reporting processes often neglect to recognize the broader intersectional gendered and racialized political economy of health and care worker migration. We argue for a more coordinated approach to the various international reporting requirements and processes that …


Female Ex-Offenders Transitioning Into Society, Stacey L. Forte 2023 Abilene Christian University

Female Ex-Offenders Transitioning Into Society, Stacey L. Forte

Electronic Theses and Dissertations

The purpose of this qualitative study was to examine female ex-offenders’ perceptions of their lived experience(s) while transitioning into society after incarceration. This study examined risk factors that female ex-offenders faced while transitioning into society asking the question, “What are the lived experiences of female ex-offenders who utilized transitional housing for reentry with regard to their perception of the benefits of certain services/offerings and staff support?” Nine participants were part of the study ranging from 25–64 years of age, with the majority being between the ages of 25 and 55 years old, residing originally in five different states. Sixty percent …


Novice Nurse Educator Perceptions And Integration Of Academic Nurse Educators' Core Competencies: A Qualitative Case Study, Shelley Wolfe 2023 Winona State University

Novice Nurse Educator Perceptions And Integration Of Academic Nurse Educators' Core Competencies: A Qualitative Case Study, Shelley Wolfe

Education Doctorate Dissertations

The shortage of qualified nursing faculty contributes to the nation’s shortage of registered nurses. Addressing the nursing faculty shortage includes strategies aimed at supporting the development of nurse educators. The National League for Nursing Core Competencies of Academic Nurse Educators (NLNCC) describe the knowledge, skills, and attitudes necessary for nurse educators within the academic setting. The purpose of this qualitative case study was gaining a deep understanding of how novice nurse educators teaching in a prelicensure baccalaureate nursing program in the Midwest perceived and integrated their skills and application experiences of the NLNCC. A conceptual framework consisting of the Nurse …


Building Resilience In Graduate Nurses Through Online Virtual Simulation, Robert Grant Harmon 2023 Abilene Christian University

Building Resilience In Graduate Nurses Through Online Virtual Simulation, Robert Grant Harmon

Electronic Theses and Dissertations

Resilience has become a popular topic in nursing research. Nurses experience enormous stress throughout their training process that extends into their first employment as they transition into practice. Simulation training is a standard for training nurses and for continuing professional education within academia. Most simulation training for nurses is focused on building critical thinking skills. While critical thinking is an essential quality equipping nurses to meet professional demands, resilience is a crucial quality to overcome the stress of both training and practice. Resilience is believed to play an essential role in the retention of new graduate nurses and preventing burnout …


Adherence To Antihypertensive Medications Among African Americans Adults, Obiageli Obah-Mbanefo 2023 University of San Diego

Adherence To Antihypertensive Medications Among African Americans Adults, Obiageli Obah-Mbanefo

Dissertations

Purpose: To describe adherence to antihypertensive medications among African Americans adults aged 35 to 65 years in south Los Angeles.

Study Aims: Aim 1: Describe patient sociodemographic factors (age, gender, education, insurance, employment, living arrangement and income), clinical factors (history of current depressive symptoms, comorbidities, comorbidity Charlson score and number of comorbidities), health literacy level, and medication adherence to hypertension (HTN) medications. Aim 2: Describe the relationships between sociodemographic factors, clinical factors, health literacy level, and medication adherence. Aim 3: Compare medication adherence between patients with high health literacy level, low possible health literacy, and low health literacy level.

Background: …


Using Doctoral Education And Research-Based Learning To Advance The Nurse Leader, Kara R. De La Fosse 2023 Minnesota State University, Mankato

Using Doctoral Education And Research-Based Learning To Advance The Nurse Leader, Kara R. De La Fosse

The Journal of Advancing Education Practice

Nurse leaders perform in highly autonomous positions in two dimensions; academia, and the clinical setting with the awesome responsibility to serve and protect others. To guide nursing practice, research-based skills are crucial to ensure leadership decisions are founded in evidence-based practice. Random controlled studies are gold-standard in healthcare compared to correlation or descriptive studies and employ a systematic review to strengthen findings (Schmidt & Brown, 2021). Research skills are prominent in numerous components of the leadership scope to perform at a stellar level.


Accelerated Onboarding For Unlicensed Personnel When Preceptors Are Limited, Britney Winkelman 2023 CentraCare Health

Accelerated Onboarding For Unlicensed Personnel When Preceptors Are Limited, Britney Winkelman

Nursing Posters

Problem:

The timeframe between hiring unlicensed personnel (UP) to beginning the role within the organization began to increase due to limited orientation resources, rising staff shortages, and insufficient number of preceptors.

Purpose:

Accelerate the onboarding of UPs to decrease the workload for preceptors and reduce staff shortages, while generating competence and reducing costs for the organization.


Clinical Nurse Specialists: A Rare Breed, Teresa Jahn, Evalyn Michira, Elizabeth Plante 2023 St. Cloud Hospital, CentraCare Health

Clinical Nurse Specialists: A Rare Breed, Teresa Jahn, Evalyn Michira, Elizabeth Plante

Nursing Posters

What is a CNS?:

  • A clinical nurse specialist (CNS) is an advanced practice registered nurse (APRN) with graduate level education in nursing.
  • CNSs are prepared to provided leadership, consultation, and clinical expertise for patients and their families, nurses, and systems.
  • Have the autonomy to diagnose and treat based on advanced clinical assessment like other APRNs (Nurse practitioners, certified nurse midwives, certified registered nurse anesthetists).
  • CNS work in all areas of healthcare like clinics, emergency departments, hospital units, entire healthcare systems, or even as independent practitioners/contractors.


Icu Cauti Incidence Reduction, Michelle Gamble 2023 CentraCare Health

Icu Cauti Incidence Reduction, Michelle Gamble

Nursing Posters

Situation:

Catheter-Associated Urinary Tract Infection (CAUTI) rates in the adult Intensive Care Unit (ICU) increased from nine infections in FY21 to 18 in FY22.

Backgroud:

CAUTIs are the most reported healthcare acquired infection. It is important for healthcare providers to understand the complications and effects of CAUTIs. CAUTIs contribute to extended length of stay, increased healthcare costs, and patient morbidity and mortality.

Most CAUTIs are directly related to inadequate urinary catheter care. Evidence based practice demonstrates a decrease in CAUTIs related to the use of Theraworx® Protect wipes twice daily (BID) and as needed (PRN) for patients with a …


Pupillometry, Elizabeth Plante, Casey Schmidt 2023 St. Cloud Hospital, CentraCare Health

Pupillometry, Elizabeth Plante, Casey Schmidt

Nursing Posters

Background:

  • Measuring pupillary light reflex is a standard part of neurological assessment.
  • Changes in pupil reactivity may indicate unfavorable outcomes, such as increased intracranial pressure and brain herniation.
  • Physiologic and pharmacologic agents may affect pupil reactivity.
  • In some instances, pupillary light reflex is the only piece of neurologic assessment readily testable.


What I Need: Self Care At The Unit Level, Jessica A. Tindal 2023 CentraCare Health

What I Need: Self Care At The Unit Level, Jessica A. Tindal

Nursing Posters

Purpose:

Self-care is individualized and best done when awarded on a small scale.

Goals:

For all employees of the ICU to:

  • Feel valued outside of work
  • Be recognized for taking care of themselves
  • Participate in positive discussions
  • Be rewarded for work life balance
  • Be reminded of self-care
  • Not feel alone with their thoughts
  • Pause and reflect
  • Help others, spouses, kids, etc.

Future plans include:

  • Seasonal questions of things to see, places to explore
  • Recipe sharing
  • Hobby experts
  • Focusing on staffs' interests


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