Pediatric Nursing Commons^™

Implementation Of A Standardized Nursing Handoff In A Pediatric Intensive Care Unit, Tori Keeven

Dissertations

Handoff communication is critical in healthcare and is associated with patient safety outcomes. Various tools and interventions are available to improve handoff communication as inadequate communication contributes to medical errors, patient adverse events, and increased mortality. The implementation of a standardized handoff tool has been shown to be effective. Findings revealed a significant 60% reduction in reported patient harm events, despite the study's limited sample size and lack of statistical significance (p = .614). Challenges such as low utilization (18.62%) were attributed to concerns about tool organization, spatial constraints, and staff resistance to change. Recommendations include refining the tool to …

Bridging The Gap: Psychopharmacologic Education And Side Effect Screening For Non-Prescribing Mental Health Professionals, Elaine Fitzgerald

Dissertations

Abstract

Problem: The United States is experiencing a growing demand for pediatric mental health support. Surges in mental health diagnoses and psychotropic medication prescriptions have occurred, compounded by a shortage of psychiatric providers. Non-prescribing mental health professionals are well-positioned to recognize psychotropic medication side effects. However, psychologists and counselors lack formal pharmacology education.

Methods: The quality improvement (QI) initiative was guided by the Plan-Do-Study-Act (PDSA) model. The evidence-based psychopharmacologic education for non-prescribers utilized a quasi-experimental pre- and post- test design. Data collected from clinicians included knowledge, confidence, and skill concerning psychotropic medications. The Psychotropic Medication Monitoring Checklist (PMMC) screen clients …

A Guideline-Based Approach To Increase Early Mobilization In The Pediatric Patient Following Cardiothoracic Surgery, Kayla Keeven

Dissertations

A Guideline-Based Approach to Increase Early Mobilization in the Pediatric Patient Following Cardiothoracic Surgery

Problem: Prolonged bedrest during the post-operative period contributes to complications that lengthen hospital stay and increase mortality and medical costs. Early mobilization is recognized as safe and feasible in critically ill children. However, there is no standardized procedure nor method of identifying patients who are safe to mobilize in a pediatric cardiac intensive care unit (ICU).

Method: The quality improvement (QI) project employed a descriptive observational design utilizing a retrospective-prospective method to assess the effects of implementing an early mobilization guideline in a pediatric cardiac ICU. …

Neonatal Hyperbilirubinemia And Phototherapy: The Implementation Of Seminal Clinical Practice Guidelines, Christina Coleman

Dissertations

Problem: On a postpartum care and pediatric unit from February 2022 to December 2023, the average monthly percentage of neonatal patients greater than 35 weeks gestation with hyperbilirubinemia who were treated with phototherapy before it was medically supported by the current guidelines was 42.855% (N=668). The department’s goal was to decrease this number to 10%. Initiation of phototherapy with a subthreshold bilirubin level exposes many infants to an unnecessary treatment modality which can prolong the infant’s length of stay in the hospital and can be associated with adverse effects, such as maternal-infant bonding and breastfeeding rates.

Methods: The …

360 Degree Clinical Competence Evaluation For Pediatric Hospitalist Advance Practice Provders, Elizabeth A. Schickler

Dissertations

Problem: Advanced practice provider (APP) peer reviewed clinical competencies is an expected part of professional, organizational, and The Joint Commission (Joint Commission) requirements, however, is not well defined and subject to organizational application and interpretation. Providers favor peer review as a means to improve professional practice. There is a lack of data to support frequency of feedback and method of feedback to support readiness to change practice and comfort giving and receiving feedback.

Methods: The quality improvement project utilized an analytical experimental design.

The Cardin Hospitalist Advanced Practice Provider - Readiness Assessment (CHAPP-RA) tool was implemented to a convenience sample …

Improving Nurse Response To Seizure Events In A Pediatric Epilepsy Monitoring Unit With Use Of A Standardized Process, Stacey Obst Paule

Dissertations

Problem: Nurses responding to seizure events in the pediatric epilepsy monitoring unit (EMU) should initiate a neurological exam in addition to managing seizure activity. When nurses respond to these events, however, there can be significant variability, which can result in diagnostic inaccuracy and adverse patient outcomes. The purpose of this project is to implement a nursing response checklist and neurological assessment guide to standardize the process of response to seizure events in the pediatric EMU.

Methods: This quality improvement (QI) project utilized a cohort study design. Standardized tools were placed in an accessible area outside patient rooms. Education was provided …

A School-Based Asthma Initiative To Improve Student Self-Management Behaviors, Jenni R. Newland

All Doctor of Nursing Practice (DNP) Scholarly Projects

Problem: In a Midwest public school system, students received robust academic education. Health education programs, specifically asthma management, were not offered. Over 400 elementary students with asthma lacked the knowledge and skills to effectively recognize and manage their asthma symptoms resulting in increased school clinic visits and absences, highlighting the urgent need for targeted intervention.

Aim of the Project: The aim of this project was to improve students’ asthma self-management skills by providing education based on the Open Airways for Schools (OAS) curriculum. Improving asthma self-management skills reduces student absences and time away from the classroom.

Review of Evidence: A …

Parental View On Hpv Vaccination, Rebecca Elaine Rhodes

Electronic Theses and Dissertations

The human papillomavirus (HPV) is a sexually transmitted infection widely seen in the United States. Millions of Americans are affected by it each year, especially those in their late teens and early 20s. Although most infections will resolve on their own, 1 in 10 will lead to health problems such as cancer. The HPV vaccine can prevent over 90% of associated precancers and cancers. However, uptake of the HPV vaccine and its completion among adolescents are significantly lower than other recommended adolescent immunizations, falling short of the Healthy People 2030 goal of 80% coverage. Understanding parental attitudes, beliefs, and perceptions …

Tight Squeeze!: The Implications Of Prolonged Tourniquet Time In The Pediatric Emergency Department, Kaitlyn Beresford, Kayla Bhakta, Jared Grace, Samantha Swift

2023

No abstract provided.

Head, Shoulders, Heels And Toes: Are Toes An Appropriate Option For Capillary Blood Sampling, Camille Chicoine, Nina De Leon, Ahley Diaz, Roe Ronia Eminikhah, Laisha Killian, Brianna Leal, Adalie Lepoire, Genesia Rivera, Genesis Rivera

2023

No abstract provided.

Heat Check: Comparing Temporal And Axillary Temperatures, Carmen Tobias, Brissa Campos, Lana Nowar, Bailee Troyer- Womack, Oluwatimilehin Tope-Ojo, Montserrat Meza, Stephanie Delarosa, Michelle Amoah

2023

No abstract provided.

Improving Sleep In The Pediatric Inpatient Population, Courtney Brooks, Julie Fraustro, Brooke Martin, Sydney Mcwilliam, Samantha Ortiz Rios, Lesly Reveles, Claire Zempel

2023

No abstract provided.

Before You Stick, Know The Tricks!, Quinlan Duncan, Samantha Entwisle, Destiny Nwoko, Ashley Rich

2023

No abstract provided.

Prevention Is The Only Way, Don't Let A Fall Ruin Your Day, Grace Wichmann, Sagen Williams, Deanna Fleeman, Lauren Kinner, Caroline Honza

2023

No abstract provided.

The Effectiveness Of Photo-Biomodulation Therapy In Oral Mucositis, Molly Amado, Kara Otts, Madeline Scott, Sophie Steffey, Katie Williams, Evelyn Zaragoza

2023

No abstract provided.

Bundle Up For Ue Prevention, Mikaela Potaracke, Bre Showers, Nia Traylor, Duy Lu

2023

No abstract provided.

Evaluating Nurse Perception Of Continuous Glucometer Monitoring (Cgm) Use At The Bedside, Valeria De La Torre, Shantia Henderson, Savannah Kenvin, Hannah Lee, Faith Van Haaster, Jordan White

2023

No abstract provided.

Ready, Set, Code!Investigating The Use Of Two Standardized Resuscitation Algorithms To Improve Outcomes In Patients In A Level 4 Nicu., Lauren Ayala, Grace Farina, Shelby Hudson, Anna Nguyen, Mireya Ortiz, Luke Wuesthoff

2023

No abstract provided.

Rn Perception Of Ease During Pediatric Capillary Blood Draws, Cierra Davis, Rachel Santinover, Maria Soria, Amber Waldron, Tarayja White

2023

No abstract provided.

Improving Communication With Patient Passports, Terrie-Lynne Hundley, Alexandra Schreiber, Tiffany Dang, Breezy Escamilla Herrera, Samantha Le, Elizabeth Vincent, Surabhi Lamsal, Bianca Hernandez, Andrea Robinson

2023

No abstract provided.