Other Nursing Commons^™

Improving Hepatitis B Vaccination Rates In Nephrology Patients With Chronic Kidney Disease: A Qi Initiative, Jill Swanson

Nursing Posters

• Hepatitis B vaccination is an important health maintenance preventative measure for patients with chronic kidney disease (CKD)
• Prior to initiating dialysis, hepatitis B vaccination administration is proven to be more effective than waiting until patients begin dialysis treatments.
• Efficacy and immune response of the hepatitis B vaccine is greater when kidney function is greater
• To better improve hepatitis B vaccine administration among the CKD stage 4 population, education measures and Epic modifiers will be implemented to achieve change
• Nursing knowledge and hepatitis B vaccine administration will improve after implementation of these measures

A New Approach To Sternal Precautions: Keep Your Move In The Tube, Kelijo Fernholz, Jayna Theis, Erik Anderson

Nursing Posters

Purpose:

• To guide patients and staff in a new approach to sternal precautions following median sternotomy

Current Practice:

• 10-pound lifting restriction for 4 weeks
• 20-pound lifting restriction until 3 months post operation
• Limited arm exercises
• Sit to stand push restrictions

Why Change:

• Literature review demonstrates great variation in sternal precautions
• Currently too restrictive; may hinder recovery and long-term mobility. Too many restrictions can create fear of movement, resulting in short term rehab discharge needs
• To create more independence for the patient, less reliant on family members for ADLs and basic needs. Patients to return to regular home and work activities …

Performance Improvement Leadership Rounding Implementation, Dena Walz

Nursing Posters

To improve patient experience scores and address patient concerns in real time.

A proactive behavior that facilitates leaders building relationships with patients and families, managing expectations, and achieving and validating consistency of key behaviors.

A member of leadership will conduct a purposeful conversation with a chosen patient three days a week regarding the care provided during their procedural appointment.

Contemporary Treatment Options For Pulmonary Embolism, Tanya Glenz, Teresa Jahn

Nursing Posters

Purpose:

Provide RNs education on the classifications of PEs and new catheter directed treatment options.

Significance:

• PE remains a common and lethal entity
• PE is the 3rd leading cause of cardiovascular death in hospitalized patients (60,000-1000,000 per year)
• 150,000-250,000 PE related hospitalizations per year
• RNs must be knowledgeable of the classifications of PEs and catheter directed therapies to promote positive patient outcomes
• Prior to catheter directed therapies, submassive PEs had a mortality rate up to 20% at 3 months and were traditionally treated with IV heparin, or oral anticoagulant therapy

Routine Post Surgical Vital Signs: Time For A Change, Kristina Kjellberg, Elizabeth Plante, Sadie Seezs

Nursing Posters

Purpose Statement:

The purpose of this evidence-based practice project is to evaluate the current routine post operative vital signs and determine if reduced frequency of vital signs is as effective in identifying deterioration after a post anesthesia care unit (PACU) discharge.

Synthesis of Evidence:

• Patient survival in the post operative time period is maximized with the recognition and management of abnormal vital signs
• Post op periods can carry great respiratory and circulatory complications, which are identified by abnormal vital signs especially heart rate and blood pressure
• Multiple sources have identified that current frequency of post operative vital signs is based …

Rapid Evaluation Teams (Ret): No Longer Just For Hospitals, Amanda Thorson

Nursing Posters

Study:

Everyone goes to the Nursing Home for End of Life - Right? Wrong Cumulatively, over a 4-year study there were 678 residents with Full Code status residing at Carris Health Care Center and 687 residents the DNR/DNI status. That is only a 10-resident different between Full Code and DNR/DNI

Plan:

• Improve long-term care staff's ability to call for, and receive, support to rapidly evaluate and address an urgent or concerning situation.
• Need for this plan is supported by increased number of OHFC substantiated events related to code status in MN and number of residents with Full Code status in …

Suspension Of Independent Double-Check For Subq Insulin Administration, Mallory Mondloch, Jennifer Watson

Nursing Posters

Study:

After a 1-month pilot of suspending the dual sign-off/independent double-check process, 160/163 random subQ insulin administrations from various units were administered correctly. This yielded a 98% success rate. No patient harm occured.

Plan:

Per Institute of Safe Medication Practices, dual sign-offs/independent double-checks are more effective for select high risk meds and not all. Since implementation of the insulin calculator, medication errors related to subQ insulin administration have reduced compared to previously when solely two licensed staff members performed a manual, independent double-check. After implementation of the validated eMAR tool - the insulin calculator - it was still required for …

A Practice Innovation To Improve Staff Vaccination Knowledge And Skills, Ijeoma Ugochukwu

Nursing Posters

Abstract:

The practice improvement project explored the best practices for equipping CentraCare Health System's (CCHS) Licensed Practical Nurses (LPNs) and Certified Medical Assistants' (CMAs) with childhood vaccination knowledge and communication skills necessary to educate hesitant patients and parents about the benefits of vaccination compliance. Innovative computer-based education (CBE) was identified and developed to empower LPNs and CMAs working in the ambulatory setting with childhood vaccination knowledge and communication skills to improve their ability to educate hesitant patients and parents about the benefits of vaccination. The CBE module was guided by the Theory of Planned Behavior in identifying vaccination knowledge and …

A Mixed Methods Evaluation Of An Intensive Therapeutic Lifestyle Change Program For Nurses With Obesity, Theresa L. Free

DNP Research Projects

No abstract provided.

Grieving Nurses' Need For Support, Tammy Patterson

Master of Science in Nursing Theses and Projects

Veteran nurses vacate their positions after more than 20 years of nursing experience due to the chronic emotional grief experienced after patient death. Nursing programs lack the curriculum support to sufficiently instruct student nurses how to appropriately deal with patient death. This lack of understanding leads the way for nurses to develop unhealthy coping mechanisms and withdrawing from the profession. A needs assessment was conducted and confirmed the desire and demand for support of nurses experiencing grief. A method was developed to support grieving nurses who are experiencing or will experience grief. A peer support group was established to assist …

A Dnp Quality Improvement Project Addressing Low Hiv Screening Rates Of College Students, Kimberly Griffin

Graduate Research Showcase

Abstract

A DNP Quality Improvement Project Addressing Low HIV Screening Rates of College Students

The overall HIV testing rate is very low in the United States. HIV is easily preventable with safe sexual practices, and early HIV screening is effective in identifying individuals affected and assuring linkage to care. The rate of HIV testing among college students reflects the low numbers of the national average. This quality improvement project evaluated attitudes towards HIV testing of undergraduate college students. The project aimed to determine attitudes of college students towards testing as well as relationships between demographic factors, frequency of HIV testing, …

Improving The Safety Knowledge Of Associate Degree Nursing Students, Melissa Jones

Doctor of Nursing Practice Projects

The purpose of this study was to implement the Quality and Safety Education for Nurses (QSEN) safety component using several teaching strategies during didactic experiences to improve the safety knowledge and competency of first-year students enrolled in an associate degree nursing program. As a metric assessment, aggregate scores of the QSEN safety areas on the Health Educational System, Inc © (HESI) exam were compared to the previous year’s aggregate scores on the same examination. The results indicated an improvement in scores in students who participated in the implemented intervention. Statistical analysis suggests the intervention improved the participant’s knowledge and acquisition …

Freestanding Ers: The Answer To Overcrowding, Karen Traub

Student Research Poster Presentations 2021

No abstract provided.

Does A “Just Culture” Improve Patient Safety?, Wanda Lucille Parks

Student Research Poster Presentations 2021

No abstract provided.

Nursing: Global Impact Increases Healthcare Effectiveness, Madison Slacktish

Student Research Poster Presentations 2021

The discipline of nursing has a major impact on the world globally. Research has found when nurses collaborate across boarders, then patient outcomes tend to increase. Disease does not stop because there is a boarder from one country to the next. Therefore, worldly collaboration has positive influences on how nurse's practice and ways to change protocols to increase better patient outcomes.

Staff Perceptions Of The Health Call Center Workplace Environment, Eric Lee Escobedo-Wu

Regis University Student Publications (comprehensive collection)

The complexities of the Health Call Center (HCC) amidst of a pandemic has caused an uptick in nurses and staff experiencing physical, emotional, and mental fatigue. An increase in sick calls during peak call days and times, breakroom discussion related to workload and competing patient and clinical priorities, and the consistent need to care for patients and caregivers, while maintaining familial and fiscal responsibilities and priorities contribute to the exhaustion of the nurses. The purpose of this Quality Improvement (QI) project was to use a structured survey tool and open-ended questions to identify HCC nurses’ perceptions of stressors and burnout …

Discharge Instructions In The Emergency Department, Josh Jorgensen

Master of Science in Nursing Family Nurse Practitioner

No abstract provided.

The Impact Of An Escape Room Simulation On Confidence And Competence In Nursing Student’S Identification Of Critical Changes In Patients: A Mixed-Method Approach, Kristy Schmaldinst

Doctor of Nursing Practice Projects

Background The novice nurse takes time to show competency and confidence when implementing the new skills learned throughout their time in nursing school. With the increasing complexities of the healthcare system in the United States, it is necessary to ensure graduates are adequately prepared to handle critical situations. However, the ability of novice nurses to recognize critical changes in patients continues to be a hurdle that nursing faculty are attempting to address.

Objectives The objectives of this project were to explore the impact of an escape room simulation on student’s confidence and competence in recognizing critical changes in patients.

Design …

Fostering Peer Evaluation Skills In Nursing Students, Lisa Dubose

Journal of the Arkansas Academy of Science

Nursing peer review is a professional practice in which nurses offer constructive, non-personal, practice-related feedback to fellow nurses. The use of nursing peer review has been recommended by the American Nurses Association (ANA 1988, 2014) and the American Nurses Credentialing Center (ANCC 2008). Despite being recommended by professional organizations, the use of peer review in nursing has not been widely implemented. Evaluation of nursing colleagues has the potential to enhance professional nursing, both in practice and in nursing education.

Fostering the skills needed to provide peers with evaluative feedback might best be accomplished if the process is started during nursing …

Decreasing Test Anxiety In Nursing Students Using Cute/Funny Animal Videos, Lynn Kelso

DNP Projects

Abstract

Background: Stress, test anxiety and worry continue to increase in nursing students. As successful completion of course exams is required for nursing students to complete their program of study, these increased levels of stress, anxiety and worry can hinder their ability to perform at their best. Purpose: The aim of this project is to show that using cute/funny animal videos prior to an exam can decrease test anxiety (TA) and improve performance. Project Improvement Framework: The plan-do-study-act, PDSA, quality improvement framework was used for the final, modified project. Method: A video was embedded into three of …