Nursing Commons^™

Implementation Of A Planned Extubation Nurse-Led Safety Bundle In A Pediatric Cardiac Intensive Care Unit, Broderick Sutton

Doctor of Nursing Practice Final Project Abstract

Purpose: To implement and evaluate a nurse-led planned extubation safety bundle designed to improve nurse preparedness, interdisciplinary communication, workflow consistency, and confidence during planned extubation events in a pediatric Cardiac Intensive Care Unit (CICU).

Background: Planned extubation in critically ill pediatric cardiac patients requires effective interdisciplinary coordination. Variability in nurse preparation, communication, and knowledge of sedation pharmacokinetics contributed to workflow inefficiencies and patient safety concerns. Evidence supports standardized nurse-led protocols to improve extubation readiness and reduce practice variability.

Methodology: A prospective pre-post quality improvement project was conducted over eight weeks in a pediatric CICU. The intervention included a nurse-led planned …

Staff Education To Improve Interpretation And Documentation Of Category Ii Fetal Heart Rate Patterns In Labor And Delivery Nurses, Lizette Girado

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Clinical Task Prioritization Among Outpatient Clinical Staff, Adebayo Arowolo

Walden Dissertations and Doctoral Studies

No abstract provided.

Improving Diagnostic Accuracy Through Implementation Of An Artificial Intelligence-Enabled Ambient Scribe In Skilled Nursing Psychiatric Practice, Ernest Glenn Gorleski

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education On The Use Of Music To Alleviate Anxiety In Patients With Dementia Within Long-Term Care Facilities, Anyinkeng Lydia Tazi

Walden Dissertations and Doctoral Studies

No abstract provided.

The Implementation Of A Home Blood Pressure Monitoring Program, Michelle Oxendine

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education On Lipoprotein (A) Screening And Clinical Follow-Up In Primary Care, Deshawntae Griffin

Walden Dissertations and Doctoral Studies

No abstract provided.

Improving Postoperative Handoff For Placenta Accreta: Implementing A Structured Handoff Communication Tool, Isabelle L. Gerrard

Doctor of Nursing Practice Final Project Abstract

Purpose Implement a standardized postoperative handoff tool to improve interdisciplinary communication during transfer of placenta accreta spectrum (PAS) patients from the operating room to an obstetric intensive care unit at an academic women's hospital.

Background Placenta accreta spectrum (PAS) is a high-risk obstetric condition requiring coordinated multidisciplinary care. At the project site, operating room (OR)-to-obstetric intensive care unit (OB ICU) handoffs lacked a standardized process. This resulted in inconsistent communication and omission of critical information. Nurses reported reduced confidence. Standardized handoff tools can improve communication and promote safer transitions of care.

Methodology This 10-week quality improvement project used Plan-Do-Study-Act methodology …

Development Of An Evidence Based Pressure Ulcer Prevention Bundle For The Medical Surgical Unit, Fanhelea Morency

Walden Dissertations and Doctoral Studies

No abstract provided.

Improving Esi Triage Accuracy In The Emergency Department, Taibat Mursal Verdi

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Implement The Phq-9 Assessment Tool In Crisis/Trauma Services, Lewis Wilson

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Appointment Adherence In Outpatient Behavioral Health, Yvonne Joseph

Walden Dissertations and Doctoral Studies

No abstract provided.

Fall-Prevention Program For A Long-Term Care Organization, Roslyn Y. Heyward

Walden Dissertations and Doctoral Studies

No abstract provided.

Patient Reported Outcome Measure Use In Heart Transplant Care, Nichole Côté

Doctoral Projects

Despite growing evidence supporting Patient-Reported Outcome Measures (PROMs) in chronic disease management, no consistent application exists within the international heart transplant community. This Doctor of Nursing Practice project implemented the Kansas City Cardiomyopathy Questionnaire-12 (KCCQ-12) as a PROM within the a large volume heart transplant clinic, evaluating workflow feasibility, the association between Overall Summary Scores (OSS) and visit length, and clinician perceptions of PROM use. The KCCQ-12 was administered via a mobile health application with automated distribution. Workflow integration was assessed by calculating the percentage of scheduled visits with completed PROM documentation. Visit length was measured using electronic medical record …

Staff Education On The Phq-9 Tool And Its Use, Claudine Agwi Mbah

Walden Dissertations and Doctoral Studies

No abstract provided.

Measuring Effectiveness Of A Mobility Aide On A Medical-Surgical Unit, Jamie L. Granatowicz, Laura N. Rogers, Leeza A. Struwe

Doctor of Nursing Practice Projects: College of Nursing

Purpose: To evaluate the effectiveness of a mobility aide on a medical-surgical inpatient unit to improve patients’ surgical outcomes, decrease hospital length of stay, and decrease the number of falls.

Design: A retrospective review was conducted to determine the effects of a mobility aide implemented on a medical-surgical unit. The intent was to ensure the utilization of the Enhanced Recovery After Surgery (ERAS) protocol for early mobilization before and after implementation. Two-month periods were analyzed before and after implementation.

Findings: The results demonstrated clinical significance for patients when implementing a mobility aide. The mean length of stay was 1.044 days …

Reducing Emergency Department Overuse Through Patient Education, Maddie Pieper, Joshua Heuertz

Doctor of Nursing Practice Projects: College of Nursing

Background/Introduction

Emergency departments (EDs) are designed to provide rapid evaluation and management of acute, life-threatening, and time-sensitive conditions. However, EDs are frequently used for nonemergent or low-acuity concerns that could be managed in primary care or urgent care settings. This overuse contributes to rising healthcare costs, resource strain, longer wait times, and overcrowding. Underserved populations may rely more heavily on ED services because of barriers such as limited primary care access, language differences, low health literacy, restrictive work schedules, transportation challenges, and difficulty navigating the healthcare system. These factors can make the ED seem the most accessible source of care. …

Colorectal Cancer Screening: Implementation And Evaluation Of A Screening Algorithm In A Rural Family Practice Clinic, Mollie M. Tate, Whitney Dubas

Doctor of Nursing Practice Projects: College of Nursing

Background: Colorectal cancer (CRC) is the second leading cause of cancer-related mortality in the United States and disproportionately affects rural populations. Although more than 90% of cases occur in adults older than 50 years, increasing incidence among younger adults prompted an update to national guidelines recommending screening beginning at age 45. Rural residents face multiple barriers to colorectal cancer screening (CRCS), including limited access to care, transportation challenges, lack of insurance, and absence of standardized screening processes in primary care. These barriers contribute to lower screening rates, delayed diagnosis, and poorer outcomes. Evidence demonstrates that CRCS reduces CRC morbidity and …

Staff Education To Improve Gad-7 Screening For Generalized Anxiety Disorder In Outpatient Behavioral Health Settings, Senami Olubunmi Edalere-Lukula

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Fall Prevention In A Behavioral-Health Urgent Care Setting, May Nnenna Akalemeaku

Walden Dissertations and Doctoral Studies

No abstract provided.