Graduate Nursing Project
 
Filters: Relation Is Part Of: "Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal" Collection: ehsl_gradnu Subject: "Advanced Practice Nursing"
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1 De-implementing the Routine Measurement of Gastric Residual Volumes in an All-Referral Newborn Intensive Care UnitTucker, Erin B.2023Background: Routine gastric residual volume measurement has historically been the standard of care in many neonatal intensive care units to monitor for feeding intolerance and necrotizing enterocolitis. However, current evidence suggests that gastric residual volume is a poor indicator of these path...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
2 Increasing Utilization of Extended-Dwell Peripheral Intravenous Catheters in the Neonatal Intensive Care Unit: A Quality Improvement ProjectShepherd, Laura2023Background: Repeated pain exposure in neonates is often associated with decreases in long-term cognitive and motor outcomes. Peripheral intravenous (PIV) catheterization attempts are a common source of pain. PIVs need to be replaced frequently given the nature of neonatal peripheral blood vessels. E...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
3 End-of-Life Self-Efficacy Initiative for Advanced Practice Providers in the NICUTrimm, M. Rhiannon2022Background: End-of-life care is ever-present in the newborn intensive care unit, with approximately 5% of neonatal patients in the United States requiring end-of-life care annually. A scarcity of educational resources currently exists with little to no formal training offered to advanced practice pr...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
4 Implementation of Ultrasound Use for Vascular Access in the Newborn ICUNickels, Joshua D.; Chan, Belinda; Schiefelbein, Julieanne2022Background: Peripheral intravascular access (PIV) is one of the most common procedures in the Newborn Intensive Care Unit (NICU). However, it is common for neonates to undergo multiple attempts before successful PIV placement can be achieved. Ultrasound-Guided intravenous placement (USG-IV) has been...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
5 Prioritizing Family-Centered Care in a Level IV NICU:Development and Implementation of a Skin to Skin Care BundleHarbison, Lauren2022Background: Skin to skin care (SSC), also known as kangaroo care, is the practice of placing a mostly undressed infant onto the bare chest of a parent, where they can be held for an extended period. Evidence shows that SSC provides many benefits to infants and their parents, particularly for the hig...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
6 Prevention of Hypothermia at Delivery in Infants Born Preterm, at 28 to 34 Weeks Gestation, Through Implementation of a Clinical-Workflow ProcessRowley, Denise O.2022Background: According to the March of Dimes, 10% of infants born nationally in 2021 were born prematurely, at less than 37 weeks. In Utah, 1% of infants are born prematurely each year, between 28 and 34 weeks. Worldwide, hypothermia at delivery occurs at a rate of 30% to 90% among infants delivered ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
7 Optimizing time to treatment for Hypoxic Ischemic Encephalopathy (HIE) for Transported NeonatesDeLaney, Kathryn; Hamilton, Jennifer; Baserga, Mariana; DuPont, Tara2021Background: Most infants requiring therapeutic hypothermia (TH) therapy for Hypoxic Ischemic Encephalopathy (HIE) are born at facilities without therapeutic capabilities. There is a narrow timeframe for initiating TH, necessitating prompt identification, transport, and initiation of therapy. Quali...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
8 Optimizing time to treatment for Hypoxic Ischemic Encephalopathy (HIE) for Transported NeonatesDeLaney, Kathryn; Hamilton, Jennifer; Baserga, Mariana; DuPont, Tara2021Background: Most infants requiring therapeutic hypothermia (TH) therapy for Hypoxic Ischemic Encephalopathy (HIE) are born at facilities without therapeutic capabilities. There is a narrow timeframe for initiating TH, necessitating prompt identification, transport, and initiation of therapy. Quali...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
9 Implementation of a Probiotic Protocol at an Urban Level 3 NICUHalford, Tami2020Background: Necrotizing enterocolitis (NEC) is a common cause of morbidity and mortality among premature and low birth weight infants. Infants who suffer from NEC are at increased risk for death and other poor outcomes, including problems associated with prolonged parenteral nutrition, long-term gas...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
10 Education on Appropriate Infant Positioning In the NICUBodamer, Peggy2020Background:Infant positioning plays a vital role in the development of neonates. Inappropriate positioning of premature infants born at less than 34 weeks' gestation increases the risk of developing positional non-synostotic head deformities (NHD) and non-congenital ear deformities (NCED). Bedside p...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
11 Are Placental Blood Samples a Proxy for Infant Blood Samples When Comparing LabVance, McKenna2020Background: Neonatal anemia is a common problem faced by infants admitted to the NICU. Admission labs to the NICU typically required 3-4 mL of blood for diagnostic purposes. Blood losses from phlebotomy draws increases the likelihood of anemia in preterm infants less than 32 weeks gestation and may ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
12 Implementation of a Minimal Stimulation Guideline for Infants Less than 29 Weeks Gestation for the First Week of LifeOrr, Jennifer2020Background:The prevalence of prematurity is significant, with 1 in 8 live births occurring before 37 weeks gestation. More infants are surviving who are born between 22-28 weeks gestation. These infants are at high risk for adverse neurodevelopmental outcomes. Steps taken during the first week of li...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
13 Exploring the Role of the Neonatal Nurse Practitioner Beyond the NICUYilaire, Renee Y.2020Background: The Neonatal Intensive Care Unit (NICU) graduate is at an increased risk of morbidities and mortality after discharge from the acute care setting of the NICU. The lack of experienced healthcare providers with specialized training and knowledge of the NICU graduate creates gaps in follow-...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
14 Increasing the use of Blood Warmers in a Level 4 NICUCanfield, Christy2020Background Blood warmers have been proven to be safe and effective in the adult population in preventing hypothermia induced from transfusions. However, using blood warmers for transfusions is not standard practice in the neonate population, except for exchange transfusions. Infusing warm fluids h...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
15 Improving Adherence to an Existing Protocol for Infants at Risk for HypoglycemiaWright, Rachel2020Background: Prolonged hypoglycemia and delays in treatment correlate with poor neurological outcomes and developmental delays in infants. Research shows that infants at risk can be managed successfully with proactive intervention and management until their bodies have compensated. Protocols enhance ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
16 Exclusive Human Milk Diet for Extremely Low Birth Weight InfantsBushati, Charity2020Problem:Despite advances in nutrition, extremely low birth weight (ELBW) infants remain at high risk for extrauterine growth restriction that is correlated with adverse neurodevelopmental outcomes. To provide adequate calories and essential nutrients, fortification of human milk (HM) is necessary. T...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
17 Improving Nurse-Provider Communication in the Special Care Nursery Through Implementation of RSBARSmith, Jessica L.2020Background: Ineffective interprofessional communication directly contributes to medical errors, adverse patient events and the deterioration of operational relationships. A Joint Commission root cause analysis found that over 70% of all U.S. hospital sentinel events were directly related to failures...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
18 A Post-Operative Pain Management Guideline for Opioid Exposed NeonatesPabst, Erin2020Background:Neonates are commonly prescribed opioids in the NICU for pain management. Prolonged opiate exposure can lead to increased drug tolerance and/or dependence, and result in higher total opiate exposure and suboptimal pain control. Evidence suggests that the use of a standardized pain managem...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
19 Implementation of Feeding Guidelines for NeonatesElwood, Christine2020Background:Preterm neonates in the Neonatal Intensive Care Unit (NICU) require specialized care when it comes to their nutrition. Poor nutrition will further worsen an already complicated clinical course as well as increase morbidity, mortality, and poor neurodevelopmental outcomes. A thorough revie...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
20 Decreasing the Inappropriate Use of Pain and Sedation Medications in a Level III NICUSchaeffer, Lisa2020Background: Overuse of pain and sedation medications continue to be a problem in newborn intensive care units (NICU). The use of pain and sedation medications can have harmful long term neurodevelopmental sequlae and these medications should only be used when nonpharmacological interventions are not...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
21 Exploring the Antecedents of Neonatal Bowel PerforationMantle, Ashley2020Background: Spontaneous intestinal perforation (SIP) occurs in 3-8% of preterm neonates before they reach two weeks of age. Early, concurrent neonatal use of Indocin and Hydrocortisone is a known association of SIP. Mothers in premature labor often receive Indocin as a tocolytic therapy for early la...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
22 Neonatal Golden Hours ProjectThompson, Amy S.2020Background: Preterm infants are a vulnerable population that require specialized care to achieve optimal outcomes. Preterm infants are at an increased risk of developing sepsis, temperature instability, and hypoglycemia during the first few hours of life. Studies have shown that implementing an ev...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
23 Incidence of Necrotizing Enterocolitis and Improvement in Growth Using a Standardized Cardiac Feeding GuidelineDunyon, Tyler2020Background.Necrotizing enterocolitis (NEC) is a gastrointestinal infection with high morbidity and mortality in the neonatal period. Ductal dependent congenital heart disease (CHD) is considered a significant risk factor for developing NEC in both term and preterm infants. These infants are also at ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
24 Standardizing Post-Operative Pain Management in the NICU: A Pilot StudyBirkeland, Angela H.2019Background: The American Academy of Pediatrics recommends that all institutions have written pain management guidelines to standardize the management of neonatal pain to improve pain management practices and to increase patient safety. Despite the increased awareness and evidence-based recommendatio...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
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