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Title | Creator | Date | Description | Relation Is Part Of |
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Readiness Assessment for Extubation Planning for Mechanically Ventilated Patients in the Intensive Care Unit: A Quality Improvement Initiative | Johnny, Jace D. | 2019 | Problem/Background: Extubation failure (EF) is the need for reintubation within 48 hours after a planned extubation in patients meeting weaning criteria from mechanical ventilation (MV). The incidence rate varies in the literature but has a statistically significant correlation with mortality, prolo... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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An Initiative to Improve the Mobility of the Critically Ill: A Nurse-Driven Protocol | Elmer, Chantelle | 2019 | Problem/Background: More than 6 million Americans have a stay in the ICU each year frequently leading to prolonged bedrest and immobility. Research indicates that mobility is the single most important variable in maintaining and preserving short and long term physical function, yet often it's placed... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Quality Improvement Project for Early Sepsis Iintervention and Education with Pre-Hospital EMS Teams | Woodruff, Whitney S. | 2019 | In the United States, sepsis is currently the third leading cause of death, and the number one leading cause of death of hospitalized patients (CDC, 2018; HCUP, 2016). Each year the United States pays over 27.4 billion dollars in the management and treatment of hospitalized patients with sepsis (HCU... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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A Collaborative Staffing Model: Utilizing Nurse Practitioners and Physicians on the Hospitalist Service | Lovell, Amber | 2018 | POSTER | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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A Collaborative Staffing Model in the Urban Community Hospital: Advanced Practice Clinician Integration | Michael, John | 2018 | Changes within the healthcare environment are requiring medical systems to find creative ways to improve how they deliver care in order to optimize quality and cost-effectiveness. The addition of APC coverage within the hospital setting is heavily supported by data and has proven to be a worthwhile ... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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A Collaborative Staffing Model: Utilizing Nurse Practitioners and Physicians on the Hospitalist Service | Lovell, Amber | 2018 | The purpose of this needs assessment is to determine an effective solution to provide additional coverage to the hospitalist service. It also serves to identify what patient factors are responsible for increases in workload for the hospitalist service. Studies indicate that an increase in patient ag... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Delirium in the Intensive Care Unit (ICU) | Jarvis, Matthew | 2017 | POSTER | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Ottawa Guidelines Implementation for a Local Government Run Hospital | Cluff, David | 2017 | The incidence of lower extremity injury that present to emergency departments in the United States yearly is unknown. But, due to the high numbers of lower extremity injuries seen at Emergency Departments (ED), overutilization of resources such as radiology can occur. Approximately 30% of patients r... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Identifying Strategies to Decrease ED Boarding | VansCoy, Darrin | 2017 | Keeping patients in the emergency department (ED) after an admission decision has been made, also known as ED boarding, leads to ED overcrowding. Boarded patients continue to use ED resources and prevent new patients from being seen. Boarding can also have adverse effects, such as higher mortality r... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Delirium Management in the Intensive Care Unit | Jarvis, Matthew | 2017 | Delirium is a cognitive impairment that includes an altered level of consciousness, disorganized thinking and inattention. Hospitalized patients, especially those critically ill, are at an increased risk for developing acute delirium during the hospital stay. Delirium in the intensive care unit (ICU... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Early Mobilization in Mechanically Ventilated Patients: A QI Project at a Large Teaching Institution | Barton, Tim | 2016 | This is a quality improvement project in a medical intensive care unit (MICU) with the aim of increasing the rates of early mobilization in mechanically ventilated patients. In spite of the research showing the benefits to early mobility, many institutions are slow to adopt this practice. Designing ... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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A Retrospective Study of ICU Readmission of Cardiothoracic Surgery Patients | Gentner, Amanda | 2016 | Transfer from the cardiovascular intensive care unit (CVICU) to a lower level of care represents a high-risk transition. Patients who survive critical illness are likely to have complex care needs and are at risk for adverse events and poor outcomes. Readmission to the CVICU is associated with incre... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Improving Sedation in the ICU by Adhering to National Guidelines and Recommendations | England, Lorraine D. | 2016 | Over five million individuals are admitted to a critical care unit in the United States each year. The number one diagnosis for admission is respiratory failure. Something as simple as decreasing the amount of medication a patient receives can improve outcomes for this large and vulnerable patient p... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Heart Score in the Emergency Department | Spencer, Abbie | 2016 | The evaluation of chest pain can be very costly. Ruling out low-suspicion chest pain early can lead to decreased costs to patients and hospitals. Currently, all patients who present to the ED with the chief complaint of chest pain receive an extensive work-up, including serial labs, electrocardiogra... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Development of a Workflow Algorithm for an Early Mobilization Protocol in a Neurologic Critical Care Unit | Crane, Ashle M. | 2016 | The benefits of early mobilization in an intensive care unit (ICU) setting have been well established. Mobilizing patients early is associated with decreased hospital length of stays, number of days on ventilators, use of sedation, and number of hospital-acquired infections. Early mobilization has a... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Provider Perceptions of Palliative Care in an Emergency Department | Tateoka, Elizabeth Buffy | 2016 | Health-related quality of life (HRQoL) is defined by Healthy People 2020, and addresses aspects of physical, mental, emotional, and social health, and how health status affects and impacts emotions and overall satisfaction with life (USDHHS, 2015). Emergency departments see high volumes of older adu... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Implementing a Fast Track | Burton, Kassie | 2016 | Over the past 10 years there has been an increase in the number of emergency room visits. From 1993 to 2013 the number of Emergency Departments in the United States has dropped by more than 500 (AHA, 2013). These changes have caused an increasing overcrowding problem; many researchers have categoriz... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Heart Failure Self-Management Education: Does Timing Have an Impact on Readmission Rates? | Clayton, Anne | 2016 | Hospital readmissions are expensive but relatively common among heart failure (HF) patients. Studies have found that teaching patients self-management strategies to use at home, including early reporting of symptoms, can help to prevent hospital readmissions. Therefore, identifying and implementing ... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Education, Nursing, Graduate; Developing the Care Model for Comprehensive Outpatient Pediatric Palliative Care | Berg, Angela | 2015 | Children continue to lose their lives to life threatening and life limiting illnesses. Less than ten percent of them receive palliative or hospice support. This project addresses design and development of an outpatient model to provide comprehensive pediatric palliative care. Outpatient access to th... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Skin-to-Skin Care in the Level IV NICU: A Quality Improvement Project | Taylor, Moriah | 2015 | Skin-to-skin care (SSC), also known as kangaroo care, is a simple intervention that involves placing a naked, or nearly naked, newborn in a prone position on the chest of the parent. This practice was originally devised in the late 1970s as a means of preventing hypothermia in premature infants. Sin... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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A Quality Improvement Project to Develop and Evaluate Systems of Care for Undocumented Immigrants with End-Stage Renal Disease in Southwest Idaho | Child, Clinton | 2015 | In Southwest Idaho undocumented immigrants have, compared to legal residents, little to no access to, or funding for, preventative and maintenance care of ESRD. The disparity of care in the current delivery system for undocumented immigrants results in poorer outcomes, longer length of stay, and a s... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Study of Pain Management Practices in Infants with Gastroschisis in a Level IV Newborn Intensive Care Unit | Fish, Jennifer | 2015 | Gastroschisis is an abdominal wall defect specific to the neonatal population, where the abdominal organs protrude through an opening next to the umbilicus. The severity of the defect varies between patients, but all infants with the diagnosis of gastroschisis will require surgical intervention. Pai... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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The Development and Implementation of a Practitioner in Triage Process for the Emergency Department at Intermountain Medical Center | Gardner, Kristen | 2014 | The number of people visiting the emergency department (ED) has trended upwards over the last 20 years. Over utilization of the ED results in congestion and over crowding. The inappropriate use of the ED by lower acuity patients has created a financial burden and pulled resources from critical patie... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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Retrospective Review of Post-Operative Ileus and/or Bowel Obstruction in Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Stage III-IV after Cytoreductive Surgery | Johnson, Linda | 2014 | This 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... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |
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CAUTI Prevention and Guideline Education | Vasquez, Carlos A. | 2014 | Urinary tract infections (UTIs) caused by foley urinary catheters, accounts for 80% of all nosocomial infections encountered in the hospital setting. The cost of all nosocomial infections in the US is about $340 million dollars annually. The Healthcare Infection Control Practices Advisory Committee ... | Graduate Nursing Project, Doctor of Nursing Practice, DNP |