Nursing Commons^™

The Impact Of Mentorship On Burnout Among Novice Nurse Faculty, Lucas Gless

Doctor of Nursing Practice Projects

Burnout among novice nurse educators contributes to increased rates of faculty turnover and vacancies in nursing education. This is especially significant in rural settings. This quality improvement project aimed to determine the impact of mentorship on novice nurse educators’ perception of burnout at a rural community college in East Texas. Utilizing a mixed methods design, novice nurse educators with less than two years of academic nurse education experience were assigned experienced faculty mentors over an eight-week period. The Maslach Burnout Inventory-Educators Survey (MBI-ES) measured emotional exhaustion, depersonalization, and personal accomplishment, both before and after the intervention. Data analysis, using the …

Quality Improvement Project Prevention Of Perioperative Pressure Injury Utilizing Scott Triggers Education, Assessment, And Interventions, Lisette Miller

Doctor of Nursing Practice Projects

Abstract

The quality improvement project was initiated to educate perioperative staff on the evidence-based practice of Scott Triggers to reduce perioperative hospital-acquired pressure injuries (HAPIs). The purpose of the project was to provide Scott Trigger’s education to perioperative nurses for the reduction of perioperative HAPIs utilizing Scott Trigger's risk assessment tool and recommended interventions. Using a quantitative quasi-experimental design, the project consisted of two separate three-month data collection sets, one set collected pre-educational intervention, and the second set collected post-educational intervention. The project proved the use of the Scott Triggers high-risk assessment tool and utilization of the recommended interventions to …

Quality Improvement Project Impact Of Multidisciplinary Patient Education On Heart Failure 30-Day Readmission Rate, Jeanne P. Williams

Doctor of Nursing Practice Projects

Patients diagnosed with heart failure are at an increased risk for readmission to the hospital within 30 days of discharge, and their care costs are projected to continue to increase. This Doctor of Nursing Practice (DNP) quality improvement (QI) project aimed to implement an evidence-based initiative to mitigate the increased heart failure 30-day readmission rate on a 30-bed medical-surgical telemetry unit in an acute care facility. Using the teach-back communication method, multidisciplinary patient education was implemented to prepare patients diagnosed with heart failure to manage their condition once discharged home. The theoretical and implementation frameworks used were Lewin’s Change Model, …

Executive Summary: Development Of An Evidence-Based Prevention Bundle To Reduce Falls On An Inpatient Psychiatric Detoxification Unit, Ramatu Dougrey Jalloh

Walden Dissertations and Doctoral Studies

Following a 16% increase in patient falls from 2023 to 2024 in an inpatient psychiatric detoxification unit, a quality improvement education project was implemented to assess the impact of an evidence-based fall prevention bundle on fall rates and nursing compliance. Nurses received education through a PowerPoint presentation to enhance understanding and implementation of the bundle, which included Edmonson reassessments after high-risk medication administration, ISHAPED bedside shift handoffs, care plan updates, and SWIFT daily safety huddles. Posttests identified that the objective score of 80% knowledge for nurses was met. During the 10-week implementation, the goal was 100% compliance with all bundle …

Dexmedetomidine As An Adjunct To Local Anesthetics In Neuraxial Anesthesia: A Scoping Review, Meaghan Elrod, Jacob Flake, Sarah Eggers, Kieraney Coston, Dwayne Accardo Dnp, Crna, Faana

Doctor of Nursing Practice Projects

Purpose/Background

Neuraxial anesthesia is key for pain management and comfort during surgery. While local anesthetics and opioids have notable side effects, Dexmedetomidine (DEX) offers a promising alternative. Early studies suggest DEX improves pain control, prolongs anesthesia duration, and reduces opioid-related side effects. This review explores the benefits of incorporating DEX into neuraxial anesthesia for better patient safety and comfort

Methods

This scoping literature review took place from August 2023 to April 2024, utilizing PubMed, CINAHL, Cochrane Library, and Google Scholar for sources. After reviewing over 2,000 abstracts, 25 articles met the inclusion criteria, with nine selected as most relevant. Four …

Enhancing Hospital Throughput With The Power Of Reminders: Implementing A Discharge Before Noon Strategy At An Urban Teaching Hospital, Jessie Ventura

Doctoral Projects

The doctoral project deploys a "Discharge Before Noon" strategy at an urban teaching hospital to resolve discharge delays and improve patient throughput efficiency. Hospitals experiencing overcrowding must prioritize timely patient discharges to enhance clinical results and operational performance. The project adopted the PARIHS framework to steer implementation through its emphasis on evidence-based practices, contextual factors, and facilitation strategies. The research gathered discharge data and team coordination results before and after the intervention period. The findings revealed elevated discharge numbers before noon and substantial progress in interdisciplinary team collaboration. The initiative indicated an optimizing trend for discharge procedures, even though statistical …

A Multimodal Intervention To Improve Treatment And Clinical Outcomes In Children With Recurrent Otitis Media, Daniel Courtaney

Evidence-Based Practice Project Reports

Acute otitis media is the number one cause for primary health care visits and antibiotic prescriptions in the pediatric population (El Feghaly & Jackson, 2023). Upwards of 27% of children experience multiple episodes of otitis media (OM) that meet recurrent otitis media (ROM) diagnosis criteria (Pelton & Marchisio, 2023). Guided by the Iowa Model (Iowa Model Collaborative, 2017), the project’s purpose was to implement a multimodal intervention to decrease recurrent OM and repeat clinic visits. A comprehensive literature search of 5 databases yielded 16 sources ranging from levels I-IV (Melnyk & Fineout-Overholt, 2023). Using the AGREE II and JBI Critical …

Staff Education For Infection Control Prevention, Beatrice I. Cesar

Walden Dissertations and Doctoral Studies

This project was a quality improvement staff education program to address the increase in hospital-acquired infections in the project facility. The hospital administrator identified that staff were overwhelmed and may not be consistently implementing appropriate infection control practices. If infection control practices are not addressed in hospitals system, there would be a much higher rate of hospital-acquired diseases among hospitalized patients and the staff. A staff education program about evidence-based strategies relating to infection control prevention was implemented to increase the nurses’ knowledge about strategies to decrease the spread of infection in the project facility. Eleven registered nurses participated in …

Staff Education To Enhance The Diagnosis Of Depression In Older Adults, Abiola Oyenwen Izekor

Walden Dissertations and Doctoral Studies

The aim of this staff education project was to improve provider knowledge on using the Geriatric Depression Scale (GDS) for screening depression in older adults. Geriatric depression is often underdiagnosed due to atypical symptoms and reliance on generalized tools such as the Patient Health Questionnaire-9 (PHQ-9), leading to delays in treatment and increased health care costs. To address this gap, I collaborated with a librarian to conduct a literature search, initially identifying 149 articles and refining them to 20 for review. I followed the analysis, design, development, implementation, and evaluation (ADDIE) model to structure the educational intervention. The training included …

Staff Education To Improve Staff Knowledge And Attitudes Regarding Aggressive Patient Behaviors, Roya Khoshbakht

Walden Dissertations and Doctoral Studies

Aggressive behavior among psychiatric patients threatens safety and quality in healthcare, causing physical and psychological harm to staff and contributing to burnout and high turnover rates. This Doctor of Nursing Practice (DNP) project addressed gaps in staff knowledge and attitudes, particularly among nurses, regarding aggression management and de-escalation techniques through a comprehensive education program on the causes of aggression, warning signs, and effective strategies. The evidence-based practice (EBP) question was, Will staff education on evidence-based strategies for preventing and managing aggressive behavior improve staff knowledge and attitude? Project team members used the Johns Hopkins Evidence-Based Practice (JHEBP) model to develop …

Second Language Acquisition For Adults, Sara Santos Costa

Seton Hall University Dissertations and Theses (ETDs)

The process of Second Language Acquisition (SLA) has been explored by several scholars, who start with fundamental questions such as: “Does second language acquisition work in the same way as first language acquisition?” “What are the differences in the processes each individual experiences?” “Is it possible to become fluent in a second language at an older age?” This paper aims to show some key research conducted on this topic and provide a clear understanding of the processes that second language learners face.

This paper will delve into three main approaches to SLA: Behaviorist Theory, Universal Grammar (UG) and Interactionist Theory. …

Exploring Metacognitive Interventions To Enhance Pre-Licensure Nursing Student Academic Performance: A Mixed-Methods Perspective, Angela Christian, Kara Delafosse

The Journal of Advancing Education Practice

rigorous demands of nursing school and the high expectations for critical thinking. Situating students for success requires implementing effective study strategies. Metacognition is the ability of students to manage their studying and learning tactics, while recognizing how and when to employ various strategies to master content (Chang et al., 2021). Metacognition directly correlates with enhanced critical thinking, clinical judgment, effective communication skills, and problem-solving capabilities which are critical in the nursing profession (Chang et al., 2021). Incorporating these skills to assist students as they matriculate through their academic journey situates them for success in the nursing profession. Using metacognitive awareness …

In-Person And Virtual Adaptation Of An Interprofessional Palliative Care Communications Skills Training Course For Pediatric Oncology Clinicians, Karen Moody, Clark R. Andersen, Robert M. Arnold, Julie Bradley, Allie Carter, Lauren Draper, Timothy Garrington, Jonathan B. Gill, Douglas J. Harrison, Masanori Hayashi, Amy Heaton, Cynthia Holladay, Alex Lion, Alakh Rajan, Beatriz N. Rozo, Daniel V. Runco, Shermini Saini, Laura K. Salvador, Kathryn Sutton, Verna Ferguson

Advances in Cancer Education and Quality Improvement

Introduction

Empathic communication is crucial for clinicians when discussing palliative and end-of-life (PC/EOL) care with parents of children with cancer. Unfortunately, many parents report inadequate communication at these distressing times. This study evaluates the communication skills training (CST) clinicians received to deliver a PC/EOL communication intervention as part of a multi-site randomized-controlled trial (RCT). Training was provided using an in-person format and then adapted to a virtual platform to accommodate remote learners.

Methods

Clinicians were trained in dyads (one physician and one nurse [RN] or advanced practice provider [APP]) over 3 days (in-person or virtually). Four pediatric oncology cases were …

Patient Satisfaction Survey – Every Patient Matters, Stephanie Pigg, Hailey Goulas, Jonathan Ortegon

Covenant Nurses Week 2025

No abstract provided.

“Call Don’T Fall, Does It Matter At All?” Evaluating Fall Bundle Modalities And Its Effectiveness In Current Practice: A Review Of Literature, Kenn Everard Lachenal, Zandraline Lachenal, Jelly Jacob, Charmaine Capili, Jason Dela Cruz

Covenant Nurses Week 2025

No abstract provided.

Improving Hospital Discharges Before Noon: Implementation Of A Vida (Very Important Discharge Appointment), Nadia Paul

Evidence-Based Practice Project Reports

Delays in hospital discharge can negatively affect hospital throughput and bed capacity, resulting in increased length of stay and boarding of patients in off-unit locations which causes concerns for patient safety and potential harm (Rutherford et al., 2017). The purpose of this DNP project was to determine if the implementation of a very important discharge appointment (VIDA) would increase the number of hospital discharges occurring before noon (DBN) each day. This project was implemented at a 350-bed academic medical center in East Central Indiana. A 25-bed, adult medical unit served as the pilot unit. In total, 538 patients were included …

Psilocybin-Assisted Therapy As An Alternative Intervention For Treatment-Resistant Depression In Healthcare Workers, Aidan Booth, Vegas Casey, Gloria Gufrey, Ian Lawson

NURS 464: Evidence-Based Nursing Capstone

Psilocybin, a naturally occurring psychedelic compound and 5-HT2A (serotonergic) receptor agonist, has recently gained attention for its potential therapeutic benefits in individuals with TRD. A landmark study published in The New England Journal of Medicine demonstrated that a single dose of psilocybin reduced depressive symptoms in patients with treatment-resistant depression, with sustained improvements noted weeks after treatment (Goodwin et al., 2022). Further, recent research involving frontline healthcare workers during the COVID-19 pandemic 3 found psilocybin therapy to be effective in alleviating symptoms of depression and burnout (Back et al., 2024). These findings suggest psilocybin therapy may offer a novel and …

Weed Out The Pain: Using Cannabis To Manage Endometriosis, Jamie Calderbank, Holly Goodacre, Claire Mcelroy, Makayla Schmierer

NURS 464: Evidence-Based Nursing Capstone

Those with endometriosis are four times more likely to chronically use opioids than those without the condition, despite the well-known adverse effects and misuse potential of opioids (Farooqi et al., 2023). Due to the risks and costs associated with opioid use, those with endometriosis are turning to other forms of self-medication that are more accessible. One example is the use of cannabis, which has been shown to not only decrease pain but also improve other symptoms like sleep quality and overall mood (Sinclair et al., 2021). Endocannabinoids are a series of complex molecules that naturally exist in the body and …

Impact Of Family Presence During Hospital Rounds, Lucas Bjorklund, Abby Rose-Hupe, Amber Stone, Derek Trinh

NURS 464: Evidence-Based Nursing Capstone

Healthcare team members use multidisciplinary rounds to communicate, clarify, and plan details of the patient’s care. Family-centered rounds, or FCRs, are a type of rounding designed to actively involve family members in these discussions (Woldering et al. 2023). Woldering et al. (2023) propose that family members can participate in rounds by asking questions, providing insight on the patient’s experiences, and engaging in collaborative goal setting. This study shows that FCRs can reduce anxiety, increase family participation, and lower the length of hospitalization, showing benefits to both the patient and their families. Currently, healthcare systems lack an evidence-based, standardized system for …

Longevity And Cardiovascular Health: Lessons From The Mediterranean Blue Zones, Lyndsay Bancroft, Miranda Daley, Hitomi Tanizawa

NURS 464: Evidence-Based Nursing Capstone

Cardiovascular diseases are the leading cause of death globally, and poor diet is a leading risk factor for adverse cardiac events (Ahmed et al., 2023). The Mediterranean diet provides protection against coronary heart disease, regardless of the common risk factors for cardiovascular diseases like smoking, hypertension, diabetes, etc (Legrand et al., 2019). Those living in the blue zones of Greece and Italy have far fewer deaths from cardiovascular disease than populations living in other parts of the world (Legrand et al., 2021). This project aims to investigate how the Mediterranean diet has influenced the rates of cardiovascular disease amongst the …