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26,737 full-text articles. Page 7 of 1134.

The Creation Of A Critical Care Admission Pressure Injury Prevention Cart To Reduce Hospital-Acquired Pressure Injuries, Hollie Gow, Courtney Willard, Nelkys Casal, Seth Lopez, Laurie Green, Jose Arnaez, Carolina Granados, Diana Petraitis, Dayana Aguilera, Nushi Berahman, Ismaray Machin, Stephanie Colon, Rayma Yero, Shireen Knox, Gabriela Castillo, Catherina Chang Martinez 2022 Baptist Hospital of Miami

The Creation Of A Critical Care Admission Pressure Injury Prevention Cart To Reduce Hospital-Acquired Pressure Injuries, Hollie Gow, Courtney Willard, Nelkys Casal, Seth Lopez, Laurie Green, Jose Arnaez, Carolina Granados, Diana Petraitis, Dayana Aguilera, Nushi Berahman, Ismaray Machin, Stephanie Colon, Rayma Yero, Shireen Knox, Gabriela Castillo, Catherina Chang Martinez

Nursing & Health Sciences Research Journal

The goal of this process improvement initiative is to reduce hospital-acquired pressure injuries related to Covid-19 with Critical Care patients. Critically ill and ventilated patients require prone position therapy and prolonged ventilator times place the patient at risk for hospital acquired conditions and pressure injuries. The Critical Care team created a Critical Care Admission Pressure Injury Prevention Cart that contains preventative dressings for all pressure areas at risk.

The Critical Care Admission Pressure Injury Prevention Cart has significantly reduced the pressure injury rate. With the emergence of the pandemic and additional surges, pressure injuries continued to be on the rise …


Evidence-Based Selection Of A Fall Risk Assessment Tool: A Program Evaluation Review, Lindsey Adams 2022 University of St. Augustine for Health Sciences

Evidence-Based Selection Of A Fall Risk Assessment Tool: A Program Evaluation Review, Lindsey Adams

Student Scholarly Projects

Fall prevention strategies are a consistent topic of discussion for healthcare regarding patient safety, as patient falls are costly to the patient and the organization. This project uses the CDC Framework for Program Evaluation to assess the fall prevention policy of a local hospital system, with particular emphasis on the fall risk assessment tool, Hester Davis. This project also explores the risks and benefits of adopting an alternative fall risk assessment tool, predictive analytics. Predictive analytics uses electronic health record (EHR) data analysis to provide a highly individualized patient fall risk score based on a large variety of patient and …


Education Of Staff Nurses On The Implementation Of A Standardized Clinical Care Pathway For Patients Who Undergo Correction Of Pectus Excavatum, Amber Jones, Tracy Brewer, Sally McQuilkin 2022 University of Tennessee, Knoxville

Education Of Staff Nurses On The Implementation Of A Standardized Clinical Care Pathway For Patients Who Undergo Correction Of Pectus Excavatum, Amber Jones, Tracy Brewer, Sally Mcquilkin

Graduate Publications and Other Selected Works - Doctor of Nursing Practice (DNP)

Objective: Educate staff nurses on a new standardized clinical care pathway (SCCP) for Nuss Procedure patients to decrease the length of stay, decrease hospital costs, decrease postoperative complications, and improve pain control. Design: Evidence-based practice improvement initiative. Setting/Local Problem: An inpatient surgery unit at a local pediatric medical center with no previous standardized care plan for Nuss Procedure patients. Participants: All staff nurses working on the inpatient surgery unit of a pediatric medical center. Intervention/Measurements: An SCCP was created by a multidisciplinary care team. All staff nurses on the inpatient surgery unit at a local pediatric medical center were assigned …


Reducing Readmission (And Mortality) For Older Patients & Survivors Of Life-Threatening Conditions: A Study Using The Staarr Protocol, Akhenaten Amun 2022 Kennesaw State University

Reducing Readmission (And Mortality) For Older Patients & Survivors Of Life-Threatening Conditions: A Study Using The Staarr Protocol, Akhenaten Amun

Symposium of Student Scholars

Readmission rates for patients admitted for heart failure, pneumonia, chronic obstructive pulmonary disorder, a myocardial infarction, a hip or knee arthroplasty, or coronary artery bypass surgery tend to have high readmission and mortality rates within 30 days of their discharge from a hospital. Starting in October 2012, the Healthcare Reimbursement Reduction Program enforced penalties on Medicare reimbursements for hospitals with readmission rates, for patients with the conditions above, were higher than averages based on facilities with similar characteristics and patient populations. Teach-back and verify (Klingbeil & Gibson, 2018), interdisciplinary teams that engage in patient care and support (Reiter-Palmon et al., …


Interventions To Decrease Readmission Rates In Lvad Patients, Karolina Jackson 2022 Kennesaw State University

Interventions To Decrease Readmission Rates In Lvad Patients, Karolina Jackson

Symposium of Student Scholars

Interventions to Decrease Readmission Rates in LVAD Patients

Karolina Jackson

WellStar School of Nursing, Kennesaw State University

NURS 4417: Advanced Clinical Practicum

Lynnda Campbell

October 21, 2022

Abstract

Background: Patients who have undergone implantation of a left ventricular assistive device are at a higher risk for readmission- whether that be due to driveline dressing infections, thrombosis, bleeding at the site of implantation, or electrolyte imbalances. These readmission rates in the LVAD population can be decreased through appropriate intervention methods. Literature Review: This study’s main purpose was to discover interventions healthcare facilities and core LVAD staff can implement in practice to …


The Evaluation Of Prevention Measures Against Hospital-Acquired C. Difficile, Lauryn Glover 2022 Kennesaw State University

The Evaluation Of Prevention Measures Against Hospital-Acquired C. Difficile, Lauryn Glover

Symposium of Student Scholars

Today, many hospitals struggle with the increase in hospital-acquired infections, but more specifically the spread of Clostridioides Difficile (C. Difficile) infections among patients. It has caused not only a burden on the patient’s health but has also created a financial burden on hospitals. Due to the spread of C. Diff infections in the hospital setting, many hospitals are implementing strategies to combat the spread of C.Diff. One essential prevention method starts with healthcare workers. Hospital staff is required to use hand sanitizer and frequent handwashing to prevent the spread of disease to their patients. The overall purpose of this research …


Impact Of Alarm Management Classes In Reducing Alarm Fatigue, Elizabeth Laegen 2022 Kennesaw State University

Impact Of Alarm Management Classes In Reducing Alarm Fatigue, Elizabeth Laegen

Symposium of Student Scholars

Alarm fatigue is becoming a more and more common problem for nurses working in inpatient hospital units, especially critical care units. Monitoring systems, ventilators, vital signs monitors, and other electronic devices designed to detect critical or pending critical values and alterations in patients have become more of a nuisance than the lifesaving systems they were designed to be. With alarms sounding frequently for what are typically nonactionable alerts, nurses to have developed a decrease in sensitivity to all alarms, regardless of importance. Research of alarm fatigue has shown that while the significance of the problem is clear and studies have …


In Adult Icu Patients With Central Lines, Does Improved Staff Adherence To The Clabsi Prevention Clinical Practice Guidelines Reduce The Incidence Of Clabsis?, Job Waihiga 2022 Kennesaw State University

In Adult Icu Patients With Central Lines, Does Improved Staff Adherence To The Clabsi Prevention Clinical Practice Guidelines Reduce The Incidence Of Clabsis?, Job Waihiga

Symposium of Student Scholars

A central line-associated bloodstream infection (CLABSI) is a serious infection that occurs when bacteria or viruses enter the bloodstream through the central line. Background: This project is important because central line-associated bloodstream infections increase hospital mortality rates, lengths of stay, and 30-day readmission rates. They also impose heavy financial burdens on hospital systems. Furthermore, out of all the nosocomial infections, central line-associated bloodstream infections have the highest and most recent incidence rates in this adult ICU unit. Purpose: This project aims to identify an intervention to improve staff adherence to the CLABSI prevention bundle and decrease the rate of …


Reducing Noise Levels In Intensive Care Units Using Noise Monitoring Technology, Kayla Kloes 2022 Kennesaw State University

Reducing Noise Levels In Intensive Care Units Using Noise Monitoring Technology, Kayla Kloes

Symposium of Student Scholars

Intensive care units require many medical procedures, activities, machines, and staff that contribute to high levels of noise. These high noise levels have been found to cause adverse psychological and/or physiological health effects related to sleep disturbances, increased anxiety, and increased stress. These health effects may lead to decreased patient satisfaction. The purpose of this proposal is to explore the effectiveness of the SoundEar 3-300 device in decreasing levels of noise and as a result, increasing patient satisfaction. The current research indicates that the SoundEar 3-300 device is successful at reducing hospital noise levels. This device allows for the measurement …


Can Non-Pharmacological Interventions Effectively Reduce Anxiety And Pain In Chronic Pediatric Patients?, Kiara Harvey 2022 Kennesaw State University

Can Non-Pharmacological Interventions Effectively Reduce Anxiety And Pain In Chronic Pediatric Patients?, Kiara Harvey

Symposium of Student Scholars

Abstract

Pediatric anxiety and pain have been historically poorly managed. The failure of providers to adequately address medically-induced anxiety and pain in pediatric patients has been shown to prevent them from proactively seeking medical care in the future and has been linked with both altered brain development and increased risk of opioid abuse. Furthermore, poorly managed pain leads to sustained levels of cortisol and exposes patients to several long-term health risks like hypertension. Because non-pharmacological interventions are often preferred by providers, patients, and their caregivers, this research question poses an exploration of the efficacy of non-traditional methods in alleviating procedure-related …


Protocols For Postpartum Hemorrhage, Jackleen Chambers 2022 Kennesaw State University

Protocols For Postpartum Hemorrhage, Jackleen Chambers

Symposium of Student Scholars

The occurrence of postpartum hemorrhages (PH) within the healthcare system are on the rise. The detrimental effects that can occur are extremely serious and require an intervention of education and proper training. Labor and delivery units experience traumatic PHs due to lack of proper training regarding early warning signs and correct technical interventions needed for a quick turnaround. This project will use research from scholarly articles to take a closer look at statistical evidence based on the outcomes of being prepared versus underprepared. The project will discuss various methods on how to better prepare nurses to care for hemorrhagic situations. …


Postpartum Depression For Mothers With Early Fetal Death Or Stillbirths, Callie Goldman 2022 Kennesaw State University

Postpartum Depression For Mothers With Early Fetal Death Or Stillbirths, Callie Goldman

Symposium of Student Scholars

Background: Many times, prevention of early fetus death and stillbirths is possible; however, some mortality events are spontaneous or unavoidable. While existing research reveals the likelihood of postpartum depression for mothers following birth, few studies address the potential for postpartum depression of mothers of stillbirth or demised fetuses. The purpose of this study is to determine how mothers can be better prepared for the hardship of losing a baby during childbirth, while going through common difficulties, such as postpartum depression, following birth. Methods: A mixed method approach will be conducted to gather qualitative (interview) and quantitative (Edinburgh Postnatal Depression Scale …


Impact Of Alarm Fatigue In Critical Care Nurses On Patient Outcomes, Addie McTyre 2022 Kennesaw State University

Impact Of Alarm Fatigue In Critical Care Nurses On Patient Outcomes, Addie Mctyre

Symposium of Student Scholars

Background

Critical care units are equipped with extensive amounts of patient monitoring equipment that sound alarms to alert nursing staff to changes in the patient’s condition. The constant beeping of alarms can result in a phenomenon known as alarm fatigue, when nursing staff becomes accustomed to the continuous sound of alarms and either tune it out or ignore it completely. This can result in poor patient outcomes. The purpose of this project is to propose techniques to decrease false alarms to reduce the overall number of alarms during a shift. This will lead to a reduction in the occurrence of …


Pediatric Spinal Cord Injury Spasticity Interventions, Zola Lopeman 2022 Kennesaw State University

Pediatric Spinal Cord Injury Spasticity Interventions, Zola Lopeman

Symposium of Student Scholars

Muscle spasticity is a common spinal cord injury sequela that causes muscle stiffness, spasms, and painful involuntary contractions. Spasticity can result in difficulty walking, deformed joints, lack of head control, and impairment performing activities of daily living. Spasticity is dynamic and often requires a multifaceted approach to manage symptoms and achieve patient goals. The leading treatment for spasticity is oral Baclofen. Additional treatment methods include electrical stimulation and phenol injections. Oral baclofen is frequently prescribed in combination with these.

Research suggests SCI induced spasticity can cause changes in the muscle. Thus, it is important to assess neural and muscle impacts …


Improving Discharge Planning In The Nicu, Jessica Fleming 2022 Kennesaw State University

Improving Discharge Planning In The Nicu, Jessica Fleming

Symposium of Student Scholars

The birth of a child is an exciting time for parents. They spend months preparing for the arrival of their baby, but parents aren’t prepared for complications that can occur at birth. Events such as early arrival or respiratory issues can result in a newborn being admitted to the NICU. This can create stress and anxiety for parents. Once a child is admitted to the NICU, it is important that discharge planning and education begin promptly, to alleviate parental distress, prepare them to care for their child upon discharge, and improve patient outcome, but some NICUs struggle to provide and …


Reducing The Risk Of Chemotherapy Exposure, Miranda Susman 2022 Kennesaw State University

Reducing The Risk Of Chemotherapy Exposure, Miranda Susman

Symposium of Student Scholars

Concerns about antineoplastic drugs (ANPDs), also known as chemotherapy, began in the early 1970s by the National Institute for Occupational Safety and Health. Although ANPDs are used as a standard treatment for cancer, these drugs are considered hazardous due to their adverse health effects. About eight million healthcare workers are exposed to ANPDs and therefore essential that we continue to educate on ways to reduce the risk of exposure to occupational and home health hazards. The overall purpose of this study is to determine if additional education and use of surface wipe samplings reduce the risk of exposure. A literature …


Botulism Toxin And Its Affects On Spasticity, Paige Nicholas 2022 Kennesaw State University

Botulism Toxin And Its Affects On Spasticity, Paige Nicholas

Symposium of Student Scholars

Abstract

Spasticity is a symptom associated with spinal cord injury patients that is caused from an influx in excitatory and inhibitory signals controlling muscles and reflexes generating a pattern of spasms in a period of time. When not treated properly adverse effects include: contractures, respiratory arrest, pain, paralysis and decrease in efficiency of nursing and therapeutic care. Interventions including medications (i.e. baclofen, dantrolene, gabapentin), physical therapy, surgery and orthotic devices are used to decrease spasticity however show minimal effect, short duration and multiple side effects. These side effects include dizziness, weakness, confusion, headaches, nausea and constipation. Recent research has shown …


Training In The Use Of Interpretive Services For Patients With Limited English Proficiency, Kristina Wooten 2022 Kennesaw State University

Training In The Use Of Interpretive Services For Patients With Limited English Proficiency, Kristina Wooten

Symposium of Student Scholars

In clinical settings, there is a disconnect between health care professionals (HCPs) and patients with limited English proficiency (LEP). HCPs rely on ad hoc interpreters to communicate with patients with LEP (e.g. nurses using untrained friends and family or nursing students to interpret care information). Refusing to use or misusing professional interpreters and other interpretive services may lead patients with LEP to avoid seeking necessary care, misunderstand their diagnoses and treatment regimens, and fail to return for follow-up care. This increases the already existing health care disparity between patients who speak English and patients with LEP. Studies show that if …


Does The Use Of Machine Learning Algorithms Help Reduce Mortality Rates In Patients With Sepsis, Jacqueline Easter 2022 Kennesaw State University

Does The Use Of Machine Learning Algorithms Help Reduce Mortality Rates In Patients With Sepsis, Jacqueline Easter

Symposium of Student Scholars

Abstract

Background: Sepsis is the result of the body’s dysregulated response to an infection. The response can cause an inflammatory chain reaction which can lead to multiple organ dysfunction septic shock, and death. Early recognition and treatment of risk of sepsis is essential to control the disease. Each hour of delay treatment is associated with 3%-9% increase in mortality rate (Kuo et al., 2021). The current methods for prediction of sepsis such as SOFA have prediction rates low as 61% (van Doorn et al., 2021). Research using Machine Learning Algorithm has demonstrated prediction rates of 95% within an hour (Singh …


Intensive Care Unit (Icu) Delirium, McKenna Redmond 2022 Kennesaw State University

Intensive Care Unit (Icu) Delirium, Mckenna Redmond

Symposium of Student Scholars

The purpose of this evidence-based practice project is to implement and evaluate an effective way to prevent intensive care unit (ICU) delirium. My research question is asking whether nonpharmacological or pharmacological therapies are effective for preventing intensive care unit delirium acquired during stay. Delirium is a mental state that occurs from a variety of reasons that creates changes in arousal, cognition, and in mental abilities. It results in confused thinking and a lack of awareness of someone's surroundings. Delirium during acute settings, such as the ICU, can cause an increased risk for mortality. Thorough evaluation of multiple studies exemplified that …


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