Nursing Commons^™

Bhs Ubc, Romina Bobadilla

St. Joseph Hospital, Orange, CA. Evidence Based Practice Conference

No abstract provided.

Clinical Practice Guidelines For Fall Prevention In The Neurology Unit, Jorge Martin Fernandez

Walden Dissertations and Doctoral Studies

This clinical practice guideline (CPG) initiative addressed the rising patient fall rates at an inpatient general care neurology unit (GCNU) in North Carolina. Falls are a leading cause of preventable injury, yet the facility lacked evidence-based (EB) fall prevention practices. This doctoral project developed a CPG for GCNU fall prevention, which was evaluated by an expert panel using the AGREE II instrument. A literature review identified 20 studies assessed via the Johns Hopkins model, which informed the CPG. Expert review scored the CPG at 100% in all domains, leading to its approval for clinical use. Key recommendations include CPG expansion, …

Effect Of Telehealth Interventions On Hypertension Management In A Veterans Affairs Community-Based Outpatient Clinic (Cboc), Cherilyn Schumacher

Student Scholarly Projects

Practice Problem: Per U.S. Department of Veterans Affairs (2020), hypertension (HTN) is prevalent in active and retired military personnel with 13% of those in active duty and in “more than one in three Veterans…making it the most common chronic condition for Veterans” (p. 1). Per the Electronic Quality Measure (eQM) portal, a PACT clinic in a CBOC is scoring well below the national and facility benchmarks, showing a need for an intervention that will improve HTN management.

PICOT: For current veteran patients ages 18-85 assigned to a PACT (P), what is the effect of nurse-led telehealth blood pressure …

Enhancing Neonatal Resuscitation Optimizing Epinephrine Dosing And Improving Communication, Sonsare Holtzclaw

MSN Student Capstones

No abstract provided.

Improving Surgical Turnover Times, Jessica Palmer

MSN Student Capstones

No abstract provided.

Navigating Pediatric Fever: Diagnosis, Treatment And Parental Guidance, Marquita D. Mack

MSN Student Capstones

No abstract provided.

Safety Issues Due To Inadequate Utilization Of Policies And Procedures To Identify And Confiscate Dangerous Contraband Found On Patients, Onyinye Uche

MSN Student Capstones

No abstract provided.

Understanding And Enhancing Health Literacy In The Management Of Oncology Patients, Sarata Saidykhan

MSN Student Capstones

No abstract provided.

Enhancing Pain Management Practices In An Orthopedic Medical-Surgical Unit, Christiana Owusu

MSN Student Capstones

No abstract provided.

Increasing Operating Room Efficiency Through A Case Cart Facilitation And Staging Process, Susan Tomco

MSN Student Capstones

No abstract provided.

Fall Reduction In The Emergency Department, Victoria Barbee

MSN Student Capstones

No abstract provided.

Reducing Falls On A Cardiac Telemetry Unit, Tracey C. Fields

MSN Student Capstones

No abstract provided.

Discharge Planning For Mental Health Patients, Katie Geer

MSN Student Capstones

No abstract provided.

Identifying The Risk Of Violence In The Inpatient Setting, Megan Julian

Student Scholarly Projects

Practice Problem: Workplace violence directly contributes to the development of psychological conditions in nurses and reduces nurses’ level of job satisfaction as well as organizational commitment (ANA, 2018). Additionally, the occurrence of workplace violence events impacts patient and organizational outcomes.

PICOT: The PICOT question that guided this project was, in acute-care medical-surgical nurses (P), does the use of a structured risk of violence screening tool (I), compared to current practice (C), improve the nurses’ perceived ability to identify patients who are at risk for becoming violent (O) over eight weeks (T)? Evidence: Evidence that was reviewed supported the implementation of …

Examining Mentoring As A Catalyst For Nurse Work Engagement And Professional Development, Cherryl A Rainey

Dissertations

Abstract

Research literature has identified mentoring as a strategic intervention for employee professional development. The Business and Psychology disciplines have used mentoring widely for employee development, but it has not been used extensively in nursing.

Nursing has unique challenges and is constantly changing with a need to meet some of those needs by advancing the development of nurses to serve as leaders and fill positions due to nurse shortages and high turnover rates. Mentoring has also been identified as a vehicle to promote work engagement.

The purpose of this study was to examine mentoring as a catalyst for nurses’ professional …

Teaching Sbirt To Nurses In A Mental Health Setting For Improved Assessment And Management Of Patients With Substance Use Disorders, Kifle Gashie Jikamo

Walden Dissertations and Doctoral Studies

Addressing the knowledge gap is essential in nursing practice, as RNs are the first point of contact for patients in mental health settings where substance use significantly influences overall health and recovery. This Doctor of Nursing Practice project focused on the need for staff education in an inpatient mental health unit regarding the assessment and triage of patients with substance use disorders (SUDs). The guiding question for this project was: “In nurses working within an inpatient mental health setting, does the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) training improve knowledge in assessing, managing, and providing care …

Centralized Triage: Working Together To Improve Patient Safety, Quality And Satisfaction - A Focus On Improving Average Speed To Answer, Maria Larner, Tammy Palamitia, Nora Closser, Heather Waske

Nursing Research and EBP Day 2024

The speed in which triage calls are answered affects patient access to care. After addressing workflows and barriers through huddles and team meetings, this quality improvement project adjusted staff schedules, partnered with Access Coordinators, and utilized the Genesys team to streamline calls and monitor call volume, quality and safety.

Results from these initiatives substantially reduced the average speed to answer for both inbound and outbound queues. The team will continue to monitor the data and capture trends in volume to ensure we sustain the gains.

Nurses Busting Burnout: How Self Care Programs Support Nurse Well-Being, Lenard Fernandez, Marguerite Loughrey, Andrea Cooley, Ashley Dilimone, Mariah Luce, Gabriella Rindell

Nursing Research and EBP Day 2024

Nurses working in acute care suffer from high levels of stress, burnout and turnover. Our question: For acute care nurses, what is the effect of self-care program versus no program on moral resilience? A literature review was conducted and results showed that when education on group-based wellness practices was provided, there was increased job satisfaction, moral resilience, and problem solving ability. There were decreases in feelings of burnout, and improved work/life balance. Some studies demonstrated an increase in patient satisfaction. Within Rochester Regional Health, it may not be too difficult to implement group based programs and coaching services.

The Effect Of Interruptions In Surgical Counts, Jaidin Degraw, Brooke Gisel

Nursing Research and EBP Day 2024

Retained surgical items can lead to patient frustration and prolonged hospital stays. They remain the top reason for reoperation despite the tools that are used to maintain accurate counts. Minimizing disruptions and distractions in the operating room may be one way to assist circulating nurses in obtaining correct and consistent counts.

Children In Psychiatric Crises, Elizabeth Mcgarvey, Gabriella Demeo, Jasmine Clark, Carrie Ribbing, Paige Hameister, Sally Hannafon

Nursing Research and EBP Day 2024

Mental illness in children is on the rise and more children are becoming psychiatric boarders while awaiting treatment. Many hospitals lack a separate area to board children in psychiatric crisis who can’t be discharged to home which means that children are housed in the same unit as adult psychiatric patients. This EBP project sought to identify best practices for children experiencing a mental health crisis, but a more thorough review of the literature as well as an evidence synthesis needs to be completed before practice recommendations can be identified.