Graduate Nursing Project
 
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1 Improving Patient Self-Management of Hypertension in a Rural Primary Care ClinicDembergh, Katherine; Clifton, Jennifer2023Background: Hypertension (HTN) is a leading cause of cardiovascular disease and death in persons aged 35 and older. While pharmacotherapy is required for most patients, lifestyle modifications can also significantly lower blood pressure (BP). Rural populations are more likely to develop HTN, a major...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
2 Implementing Social Needs Screening in Primary Care Using an Electronic Screener with Automated ReferralNordblad, Krissa L.H.2023Background: Social needs are widespread and significantly affect health. When social needs are met, health improves. Primary care is an optimal setting for screening for social needs, yet providers and clinical staff express concerns that screening is time-intensive and difficult to address. Local P...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
3 Palliative Care Trigger Tool in the CVICU: A Needs AssessmentMoore, Gabriella H.2023Background: Palliative care is a valuable resource that assists patients in determining their goals of care and end-of-life care preferences. Automated trigger tools can help to identify patients in the intensive care unit (ICU) who may benefit from palliative care. Problem: Several ICUs at the Univ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
4 Suicide Prevention in a Rural, Critical Access Emergency Department: Development and Implementation of a Suicide Care ToolkitKinsey, Elizabeth S.2023Background: Suicide has become one of the leading causes of death in the United States during recent years. Throughout this time, Utah experienced one of the nation's highest suicide rates. During the onset of the coronavirus pandemic of 2019, hospitalizations for suicidality drastically increased t...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
5 Post-Heart Transplant Education Outpatient Screening and Referral: A Quality Improvement ProjectBrady, Cariann2023Background: After heart transplant, patients are given an overwhelming amount of information before discharge. Studies show that comprehension among hospitalized patients is poor, and, on average, they immediately forget 40-80% of what they are taught, and surgery can further hinder the learning and...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
6 Quality Improvement Project: Improving Pediatric Primary Care Screening and Response for Postpartum Depression by Implementing a Referral ProtocolBermingham, Mekenna A.2023Background: Maternal mental health is a rising problem in Utah; one-in-eight women are affected by postpartum depression (PPD). A Utah review of maternal deaths found that 65% occurred after 43 days postpartum, meaning the routine 4-week postpartum obstetric follow-up is a missed opportunity to prev...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
7 An Expanded Examination of Outcomes from Revisional Bariatric Surgery: A Needs AssessmentReynolds, Lauren M.2023Background: Bariatric surgery has been established as the first-line treatment for morbid obesity. Revisional bariatric surgery follows a failed or complicated primary bariatric procedure; however, the outcomes of revisional bariatric surgery remain controversial. The current recommendation for revi...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
8 Increasing Screening for Adult ADHD in Primary CareWynn, Taylor M.; Hart, Sara2023Background: An estimated 70% of adults with ADHD are undiagnosed, which puts individuals at increased risk of medical and psychiatric comorbidities, suicide, accidental injury, and all-cause mortality. However, primary care is ideal for screening and identifying adults at risk of undiagnosed ADHD. L...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
9 Implementing a Social Determinants of Health Screening Tool for Child Abuse Risk Factors in a Rural Pediatric ClinicQuinton, Shari L.S.2023Background: Child abuse and neglect are substantial public health problems. Child abuse is preventable when risk factors are recognized and addressed. The purpose of this quality improvement project was to determine if using the SEEK PQ-R parental questionnaire in a rural clinic would a) increase cl...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
10 Exploring Barriers to Primary Care Hospice Referral: A Needs AssessmentSpangrude, Tegan E.2023Background: The Veterans Health Administration has made significant improvements in end-of-life care, including an increase in hospice utilization. Timely referrals to hospice care are crucial for improving the quality of life for terminally ill Veterans. The primary care setting is an ideal place t...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
11 Improving Providers' Knowledge of the Benefits of Early Identification of AmyloidosisSouthwick, Haley2023Background: Transthyretin amyloidosis (ATTR) is an underdiagnosed systemic infiltrative disease that may involve the heart and cause heart failure. The median survival of cardiac amyloidosis is around 3.5 years without treatment. Earlier diagnosis is critical, as novel therapies for cardiac amyloido...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
12 Adapting and Implementing Guidelines for Managing Sleep Disturbances in Incarcerated YouthsJacobs, Elizabeth L.2023Background: Providers working in Utah Juvenile Justice Youth Services (JJYS) lack specific guidelines for managing sleep disturbances in the high-risk incarcerated youth population. Guidelines can give providers a consistent, effective, and evidence-based approach to managing sleep disturbances. Loc...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
13 Improving Colorectal Cancer Screening Through the Implementation of a Standardized Toolkit at a Primary Care Clinic: A Quality Improvement ProjectPadillo-Romero, Sonia2023Background: The COVID-19 pandemic left a national gap in preventative cancer care; more specifically, colorectal cancer (CRC) screening decreased by 82% in from April 2019 to May 2020. This left patients at risk for delayed early detection, disease progression, and mortality. Local Problem: Similarl...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
14 Increasing Sexual Orientation and Gender Identity Data Collection in Utah ClinicsUlsh, Alyssa A.2023Background: Sexual orientation and gender identity (SO/GI) data is largely underreported in clinics across America (Kress, et al., 2021). The absence of sexual orientation and gender identity information can contribute to the health disparities faced by the Lesbian, Gay, Bisexual, Transgender, and Q...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
15 Implementing an Electronic Social Needs Screener and Referral in a Rural Nurse Practitioner Owned and Operated Family Primary Care ClinicDuncan, Alycia I.; Wallace, Andrea; Luther, Brenda2023Background: Many clinicians understand the connection between social determinants of health (SDoH) and poor health outcomes, yet there remains a reluctance to screen for social needs (Andermann, 2018). Reasons for reluctance include not knowing what to do if needs are found, where to refer patients,...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
16 Improving Depression and Anxiety Care in the Post-COVID PopulationLarson, Alyssa I.2023Background: The coronavirus pandemic has left countless individuals with lingering symptoms, both mental and physical. Anxiety and depression were among some of the top complaints reported by patients, causing an increased need for mental health care in the post-COVID patient population. Adequate sc...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
17 Increasing Screening and Referrals in Primary Care for Adults with Adverse Childhood ExperiencesConnolly, Katie D.2023Background: Adverse Childhood Experiences (ACEs) are common and have been linked to many adverse health outcomes. Despite this evidence, only 33% of primary care providers screen for ACEs; subsequently patients are often unaware of the health impacts and less likely to be referred to psychotherapy. ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
18 Overcoming Barriers to ACE Screening in Primary CareWallace, Chiara; Doyon, Kate2023Background: Adverse childhood experiences (ACEs) are strongly linked with risk factors for the leading causes of death in adults, and recent evidence suggests that ACEs among college students are correlated with worse depression, substance use, diet, and sleep, and increased suicidal ideation. Local...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
19 Identifying Depression in Adult Refugees With the Refugee Health Screener-15: A Quality Improvement ProjectParkin, Eliza2023Background: There are over 68.5 million people forcibly displaced worldwide due to persecution, violence, or conflict. Of this population, 25.4 million are refugees. Prevalence of depression and other mental health concerns is found to be around 30% in this population and yet current mental health s...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
20 Increasing Advance Care Planning and Outpatient Palliative Care Referral Rates in Primary CareGarcia, Hana M; Christensen, Scott S.2023Background: Worldwide, approximately 14% of individuals who need palliative care (PC) services are currently receiving PC and only 30% of Americans have an Advance Care Plan (ACP). Local Problem: There is a decreased awareness among policy-makers, healthcare providers, and the public about PC servic...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
21 Improving Dietary Awareness Among the Parents of Elementary School Children of the Bhutanese Community in Utah (BCU)Dulal, Biren; Reinke, Lynn2023Background: After spending an extended period in a refugee camp and experiencing food deprivation, food scarcity, and other struggles associated with a poor socioeconomic status, a refugee population is more likely to lack proper knowledge about the importance of their daily intake of vegetables, fr...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
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