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26 Incidence of Thrombus with Central Venous Catheterization (CVC)Shivers, Mary EllenIn the United States millions of central venous catheters are inserted annually with the well-known complication of thrombus occurring between 33% and 59% of these placements. Studies show that the role of nurse practitioner in practice has proven to be safe and efficacious, yet barriers and questio...
27 Incorporating BRCA1 and BRCA2 Testing into Clinical PracticeLedingham, DebraThis project seeks to support the clinical practice of using established guidelines for evaluating women at risk of hereditary breast and ovarian cancer. Breast cancer is the second most common cause of cancer in women and the second leading cause of cancer death. Breast cancer and ovarian cancer re...
28 Increasing Awareness and Knowledge of Advance Directives in the Healthy Older Adult CommunityTimm, MelissaEnd-of-life treatment decisions have long been debated among healthcare providers, policy makers, and the public. Historically, physicians made end of life decisions based on the assumption professionals were acting in the patient's "best interest". With advancements in medical technology, patients ...
29 Lactation Services in the Pediatric Clinic: A Business Plan for Breastfeeding SupportDunn, Stephanie L.Data from the Centers for Disease Control and Prevention (2013) indicates that nearly 40% of infants who are initially breastfed are no longer exclusively breastfed at three months. Discontinuation of breastfeeding during the first week of life is primarily attributed to feeding difficulties and at ...
30 Making a Diabetic Ketoacidosis Computerized Order Set User-FriendlyChecketts, Heidi, M.Clinicians in the Shock-Trauma Intensive Care Unit (STICU) at Intermountain Medical Center have spoken frustration about the current diabetic ketoacidosis (DKA) order set. Both providers and nurses are often confused by these orders. This confusion has lead to delayed order implementation likely res...
31 Optimizing Depression Outcomes in Rural Family PracticeAllen, MelindaThe United States Preventive Services Task Force recommends screening for depression in clinical practices only when the practice has the means and procedure to ensure that the diagnosis can be followed with effective treatment and follow-up. The purpose of this scholarly project is to increase prov...
32 Overcoming Clinical Inertia in the Management of Type 2 DiabetesBrown, LindseyDiabetes is a disease associated with significant, life threatening complications. Adequate glycemic control is essential to prevent micro- and macrovascular complications. Despite the wide dissemination of published evidence and clinical guidelines, fewer than half of individuals with diabetes achi...
33 Pain Management for Patients with Dementia in Nursing HomesGreenberg, Robert J.Of the 3.3 million Americans currently living in nursing homes, it is estimated that 45-80% suffer from significant chronic pain. Additionally, it is estimated that 70% of nursing home patients with dementia suffer chronic pain. Patients with dementia in nursing homes suffer disproportionately from ...
34 Pediatric Obesity Treatment and Reimbursement in Primary CareHomer, Sarah BabcockPrimary care providers have struggled to find a cost-effective clinically-based pathway to treat pediatric obesity and cardiovascular risk. Providers cite lack of reimbursement for obesity-related services as one reason that precludes their ability to effectively treat obesity. With the implementati...
35 Postpartum Depression: Faith-Based Health PromotionThomas, MaryPostpartum depression (PPD) is experienced by 10%-15% of women per year and often goes under recognized by women and communities (CDC, 2008). It is the most serious of postpartum disorders and most common pregnancy-related illness. Women experiencing PPD may not seek help for multiple reasons, inclu...
36 Pre-Hospital Algorithm for Anticoagulation Therapy in ST-Segment Elevation Myocardial InfarctionRomero, TyreeFor a number of years the emphasis has been placed on the in hospital care of patients with acute myocardial infarction, a trend that was strengthened by the inception of coronary care units. In the past several years, however, increased attention has been focused on the pre-hospital phase. Recent s...
37 Prenatal Care Curriculum for Women with Substance AbuseAnderson, Laura McGrawThe goal of this project was to develop a group prenatal care curriculum for women on Methadone and Suboxone therapies. This curriculum implements best practices based on the most current research to provide prenatal care for women currently receiving treatment for substance abuse. In the 2010 Natio...
38 Promoting Obstetric Care for Rural Women in Northern Utah: "Choose the Right Provider for You"Overson, AnnieIn 2012, approximately 55% of women living in rural Box Elder County (Northern Utah) sought obstetric services from larger facilities in distant locations, despite having quality, comprehensive services available in their community and a generally healthy, low-risk population. Uncomplicated pregnanc...
39 Raising Concussion Awareness and Integrating ImPACT Testing at Uintah High SchoolBirch, BeckyThe incidence of concussions has doubled in the past decade. Emerging research on concussion recovery time is now finding that after physical symptoms have resolved, cognitive recovery time may be significantly longer than many athletic trainers and physicians assumed. Research suggests that neurolo...
40 Reducing Contrast Induced Nephropathy: Developing a Treatment AlgorithmMaxwell, WendyContrast induced nephropathy (CIN) is the result of acute renal impairment after the administration of IV radiocontrast medium. Because of the increasing age of our population as well as the increased incidence of chronic kidney disease, we can only expect to also see an increase number of patients ...
41 Retrospective Review of Post-Operative Ileus and/or Bowel Obstruction in Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Stage III-IV after Cytoreductive SurgeryJohnson, LindaThis project involves a retrospective chart review of 25 patients who underwent cytoreductive surgery for ovarian cancer stage IIIb or IV to identify if they developed an ileus, length of stay, and cost. The evaluation of the feasibility of a clinical/surgical fast track protocol at the Huntsman Can...
42 Revision of the American Nurses Association Code of Ethics for Social Justice ContentDaly, AnneThis project examined the social justice content of the nursing ethical codes from the United States, Canada, and Australia. Based on this comparative review suggestions were made for revision of the current American Nurses Association (ANA) Code of Ethics. The overall aim of the project was to desc...
43 The Risks and Benefits of Male Infant CircumcisionAnderson, Jess B.Male infant circumcision (MIC) is the most commonly performed surgical procedure in the U.S. and the world. Each year in the U.S. half - over two million - of all new parents will decide whether or not to circumcise their male infant. The annual cost for MIC, in the U.S. alone, approaches half a bil...
44 School-Based Telemedicine to Improve Healthcare Access for Rural School-Aged ChildrenNorman, ShelliChildren living in rural communities often experience disparity in access to healthcare services. The purpose of this project was to explore a school-based telemedicine plan to improve access to comprehensive healthcare services for school-aged children that live in the rural community of Coeur d' A...
45 Screening for Impaired Glucose Tolerance in the Adolescent PopulationToone, KeiraImpaired glucose tolerance (IGT) occurs when the body's cells are not able to effectively utilize available insulin. As a result, plasma glucose levels are elevated, but not considered high enough for a diagnosis of diabetes. This occurs in about 16% of the adolescent population in the United States...
46 Treatment Options for Aortic Valve Stenosis: Developing an Algorithm for Best Practice between TAVR and Surgical AVRByrd, KennedyThis Doctor of Nursing Practice Scholarly Project addressed the problem of a lack of guidelines about the surgical options for the surgical treatment of aortic valve stenosis and the impact this has on a patient's ability to make an informed decision and their outcomes. The purpose of this project w...
47 The Utilization of a Pediatric Early Recognition Tool in Identifying the Deteriorating Pediatric Patient in the Non-ICU SettingBartlett, CourtneyThis project seeks to evaluate the effectiveness of an early recognition tool at identifying clinical pediatric patient deterioration. The project includes a retrospective comparison of two early recognition tools in patients who experience clinical deterioration in the Non-ICU setting as well as ra...
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