Nursing Commons^™

Executive Summary: Quality Improvement Initiative Personalized Interdisciplinary Fall Prevention Plan And Fall Rates At An Inpatient Rehabilitation Hospital, Kayla Jackson

Walden Dissertations and Doctoral Studies

Despite ongoing fall prevention strategies, falls continue to be a concern across healthcare organizations. There has been an identified increase in the fall rate at an inpatient rehabilitation facility (IRF) in the southeastern United States. An interprofessional and collaborative approach to fall prevention has been found to lead to a decrease in falls with injury and an increase in the culture of safety. This doctor of nursing practice (DNP) project involved an evaluation of a quality improvement (QI) initiative of a personalized interdisciplinary fall prevention plan at a rehabilitation hospital located in the southeastern region of the United States. The …

Identification And Treatment Of Ipv/Nonfatal Strangulation By First Responders, Mary L. Turner

Walden Dissertations and Doctoral Studies

Ineffective and inconsistent education focusing on domestic violence (DV)/intimate partner violence (IPV)/nonfatal strangulation identification and treatments results in first responders’ failure to move patients to a higher level of care, resulting in possible delayed complications. The purpose of the Doctor of Nursing practice (DNP) project was to determine if an educational program increased first responders’ knowledge and improved treatment of DV/IPV/nonfatal strangulation patients. Roger’s diffusion of innovation theory provided the framework throughout the educational process. The Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) tool was utilized to score the participants’ knowledge prior to and after the education. The …

Executive Summary: Quality Improvement Initiative Implementing Fixed Water Dispensers In An Inpatient Psychiatric Hospital, Elycia Victoria Hernandez

Walden Dissertations and Doctoral Studies

The current hydration system using water pitchers was outdated and inefficient, leading to potential risks of contamination, inconsistent hydration, and increased staff workload in this inpatient psychiatric facility. Psychiatric patients may struggle to access adequate hydration due to cognitive or behavioral limitations. Addressing this gap is essential for improving patient care, enhancing operational efficiency, and ensuring consistent access to clean water. This DNP scholarly project was an evaluation of an interprofessional team-based quality initiative to replace traditional water pitchers with fixed water dispensers in an acute inpatient psychiatric facility. The primary practice-focused question was: Will an interprofessional team reach consensus …

Staff Education To Enhance Nurses’ Knowledge In Managing Alcohol Withdrawal, Nodeen Nicoal Glen

Walden Dissertations and Doctoral Studies

Summary Summary This DNP clinical practice staff education was developed to address the lack of nursing knowledge, and skills needed to assess and manage alcohol withdrawal effectively in an observation unit. Ineffective assessment and management of patients’ withdrawal symptoms may result in deterioration of their condition and require further aggressive treatment. The project aimed to educate nurses on evidence-based strategies for assessing and managing alcohol withdrawal using an evidence-based assessment tool. Sixteen nurses participated in the program to increase their understanding of alcohol withdrawal and the use of the Richmond Agitation-Sedation Scale (RASS). They completed a pretest before participating in …

Educating Mental Healthcare Staff On Using The Phq-9 In Telehealth, Anoopa M. Jacob

Walden Dissertations and Doctoral Studies

I developed a quality improvement staff educational program aimed at addressing the inconsistent use of the Patient Health Questionnaire (PHQ-9) at the project facility, which could adversely affect the quality and continuity of patient care. The need for the program was prompted by the increasing use of telehealth services and the necessity for consistent mental health evaluation tools. I aimed to educate mental health staff about evidence-based practices using the PHQ-9 in telehealth to enhance the quality of care for patients with depression in remote settings. Analytical methods included administering pre- and postintervention tests to measure changes in staff knowledge …

Evaluation Of A Primary Care Community Health Center’S Mammogram Program In Relation To Current Evidence-Based Practice., Brianna Childress

Doctoral Dissertations & Projects

Breast cancer is the second leading cause of cancer deaths among women over 50 years of age. Although mammograms have been proven to be effective in early detection of breast cancer, compliance rates are declining in the United States making it an objective for Healthy People 2030 to achieve and maintain a national compliance rate of 80.3%. For early detection of breast cancer among women between 50 to 74 years old to occur, an effective breast cancer screening program is vital. To understand why mammogram compliance rates were below the national average at a primary care community health center in …

The Association Of Individual Characteristics, Treatment Type, Treatment Satisfaction, Symptoms Of Pain And Fatigue With Health-Related Quality Of Life Among Adults With Gaucher Disease Type 1, Shauna L. Mangum

Nursing ETDs

People with rare disease have lower health-related quality of life (HRQoL) than the general population. Gaucher disease type 1 (GD1) is a rare, autosomal recessive, lysosomal storage disorder that affects multiple bodily systems. HRQoL improved with enzyme replacement and/or substrate reduction therapies, however, little is known about specific variables associated with HRQoL in GD1. This study explored associations between individual characteristics (gender, race, ethnicity, age, and genotype), treatment variables (treatment type, length of time on treatment, and treatment satisfaction) and symptoms of fatigue and pain with HRQoL among 97 adults with GD1. No significant associations were found among individual characteristics …

Failure To Rescue Black And Brown Maternity Patients, Dorothy Marie Glisson

Walden Dissertations and Doctoral Studies

Reducing maternal mortality rates is one of the leading health indicators in the nation. Pregnant and postpartum Black mothers make up a disproportionate number of maternal deaths. Many result from failure to rescue (FTR), defined as the inability to prevent a death from a disease, illness, or complication. Over 700 women die daily from preventable causes related to pregnancy. Black patients are attributable to almost 40% of maternity mortality rates and represent over 50% of pregnancy-related deaths due to complications. Black women are more likely to die during pregnancy or after pregnancy, with heart disease causing almost half of pregnancy-related …

Management Of Post-Operative Pain In Those With A Drug History, Emelyn Stockton, Maddie Griggs

Scholars Week

Addressing postoperative pain management in patients with a history of opioid abuse is essential for enhancing patient safety and quality care. Implementing evidence-based practices and standardized protocols can reduce the risk of relapse and improve the outcomes for this population. By focusing on staff education and training, healthcare providers can gain the necessary skills to effectively manage pain while minimizing the reliance on opioids. Ultimately, a comprehensive approach that includes alternative therapies and consistent monitoring will foster better recovery experiences for patients.

Benefits To Swaddle Bathing, Brenna Dotson, Kori Redden, Cassidy Payne

Scholars Week

Swaddle bathing is a technique that entails bathing an infant while they are comforted in a swaddle. This technique is rarely seen in everyday hospital practice, even though there is ample evidence of its benefits and advantages. Our project aimed to combine research proving the effectiveness of swaddle bathing through scoring methods that consider pain, vital signs, temperature, crying duration, and more. The research is combined to support the impact that swaddle bathing can have on not only infants but parents as well. Parents implementing the swaddle bath enjoy improved confidence and attachment, along with decreased stress. The evidence was …

Benefits Of Nitrous Oxide For Pain Management During Labor, Hannah Young, Madison Smith

Scholars Week

Nitrous oxide is widely used in the United States, but is still limited in our area. Nitrous oxide used during labor is a way for mothers to avoid adverse effects that other forms of pain management can cause. Nitrous oxide is used to increase pain tolerance for laboring mothers, and has also been proven to reduce anxiety. Nitrous oxide has limited adverse effects on the mother and no know adverse effects to the fetus. If a side effect is caused by nitrous oxide, the effects will wear off almost immediately after discontinuation of use. It also is more cost effective …

Clinical Learning Obstacles Of Nursing Students At The University Of Mosul: A Qualitative Study, Karam Yaseen Fathi, Younes K. Attia, Atheer Abd Ahmed, Ahmed K. Mohamed Taher

BioMed Visions Journal

Background: Clinical learning is a crucial component of nursing education, as it provides students with the opportunity to apply their theoretical knowledge in real-life healthcare settings. However, nursing students often face obstacles during their clinical experiences that can hinder their learning and professional development. The study aim to explore the obstacles that nursing students confront during clinical training.

Materials and Methods: A qualitative phenomenological study design was used to reach the study's aim. The study was conducted in Mosul city and included 20 nursing students who were selected purposefully. A semi-structured interview with open-ended questions was used to collect …

Interventions Aimed To Reduce Hospital Admissions In Patients With Cardiovascular Disease Related To Substance Use Disorder, Hannah Lambert, Kayla Landaverde

Master's Projects

Heart failure (HF) and substance use disorder (SUD) are both growing epidemics in the United States. When combined, patients with concurrent substance abuse and heart failure may present with various cardiac complaints such as chest pain, hypertension, and shortness of breath. There are little to few studies specifically evaluating interventions for decompensated heart failure to counteract the rising rates of cardiovascular issues associated with SUD. This review aims to investigate the effects of interventions targeted to prevent hospital readmission in patients with congestive heart failure associated with substance use disorder. An integrative review methodology was applied to gain an inclusive …

Successful Application Of Craniosacral Therapy In A Case Of Colic In An 8-Week-Old Baby, Caro O’Neill, Angie Butterfield

Journal of Transformative Touch

This case study reports on the effectiveness of CranioSacral Therapy (CST) for an eight-week-old baby boy experiencing colic. A CST pediatric protocol was utilized during two sessions, a week apart, in May 2023. An improvement in symptoms was recorded after the first treatment. After the second treatment the baby was no longer presenting with symptoms related to infant colic. This case suggests that CST can be an effective support for babies experiencing infant colic.

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Applying Efficiency To Quantify Workplace Violence Situations For Meaningful Analysis, Erika Whetstone Msn, Rn, Cphq

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background/Problem: Standard data gathering around workplace violence has been a national gap and there is not a national recommendation on how or what data points to collect. Purpose: A process was developed that enabled automated data collection and aggregation which allowed gathering of workplace violence data. The process built moved from a manual time-consuming endeavor to an efficient process that quantified a multitude of key metrics needed for analysis that can be used to drive meaningful mitigation. Methods: A focus study was built within Midas that included most of the elements from …

Decreasing Healthcare Associated Infections (Hais) With Pre-Shift Chlorohexidine Gluconate (Chg) Handwashing. Does It Work?, Mackenzie Spangler Bsn, Rn, Ocn, Julie Roth Bsn, Rn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Nursing Research Symposium.

Background: HAIs are a concern for all healthcare organizations. Implementing preventative measures to minimize these occurrences become paramount within nursing practice. CHG is a common antimicrobial solution used throughout healthcare to decrease colonization on patients, but there is also data suggesting that staff performing CHG handwashing prior to a shift as an additional layer of prevention. Purpose: The purpose of this EBP project was to determine if the addition of CHG hand hygiene prior to starting the bedside shift was superior when compared to hand hygiene standards including alcohol-based sanitizer and regular soap …

Evaluating Stress Relief Management Through Use Of Candy On An Orthopedic Trauma Unit, Kelsi Cantrell Bsn, Rn

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background : Questioned the evidence and opportunity for simple strategies to reduce in-the-moment clinical staff anxiety or stress. Came across a popular therapy trend in which sour or spicy candy is used as a form of distraction for momentary panic-level anxiety. With help from the Parkview Librarian, discovered there was not much information to support this theory, but also that it may not have been evaluated in the context of in-patient, clinical staff stress. Initiated “Stress Relief Treats” project on the Orthopedic Trauma unit in June 2024 to assess if pausing to …

Birth By Land Or By Water: Implementing Waterbirth At Parkview Randallia, Kim Noga Msn, Rn, Rnc-Mnn, Ibclc, C-Efm, Allison Thorpe Mba, Msn, Cnm, Nataley Frane Bsn, Rn, Sarah Pickens Bsn, Rn, Lisa Smith Msn, Rn, Agcns-Bc, Np-C, Rnc-Ob, Angela Russ Russ Msn, Rn, Rnc-Mnn, Ibclc

Nursing Publications, Posters, & Presentations

Presented at the 2024 Parkview Nursing Research Symposium.

Background: Childbirth is a natural physiologic event, with most women requiring some form of pain relief during their birth experience. The transition of Parkview’s Certified Nurse Midwife Program to Parkview Randallia’s Family Birthing Center in the fall of 2023 increased the demand for non-pharmacologic labor and birth options for low-risk pregnant patients. One option for non-pharmacologic pain relief is water immersion and waterbirth. Water immersion during labor and waterbirth can promote comfort and reduce the need for medical interventions during labor. There is currently no option for women to achieve a waterbirth …

Thoughts From The Frontline - November 2024, Tennessee Center For Nursing Advancement, East Tennessee State University

Thoughts from the Frontline Newsletter

No abstract provided.

Improving Sep-1 Compliance Among Clinicians And Registered Nurses In The Emergency Department, Luke Roesler

Doctor of Nursing Practice Papers

Background: Sepsis is attributable to more than one in three in-hospital deaths in the United States and 20% of deaths globally each year. In 2015, the Centers for Medicare and Medicaid Services (CMS) adopted an early goal-directed 3 and 6-hour bundle intervention measure titled “SEP-1” based on recommendations from the International Surviving Sepsis Campaign (SSC) consensus panel to improve patient outcomes in cases of severe sepsis and septic shock. Sepsis is most often identified in the emergency department (ED) setting due to 87% of cases beginning in the community (Sepsis Alliance, 2022). National compliance with SEP-1 is 50% despite a …