Graduate Nursing Project
 
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1 Improving Food Insecurity Toolkit to Improve Screening, Follow-up, and Referral Process for Food Insecure Patients at the Urban Indian Center of Salt LakeRoyce, Emily R.; Puri, Danielle; Clifton, Jennifer2024Background: Food insecurity is the inability to purchase the proper quality or quantity of food for optimal health. More than one in four American Indians and Alaskan Natives experience food insecurity (Move for Hunger, 2023), which is associated with higher rates of chronic disease and depression (...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
2 Implementing Screening and Treatment Guidelines for Sexual Assault at a Student Health CenterBrown, Davin; Garrett, Larry2024Background: It is estimated that nearly half of all females in the United States will be victims of sexual assault sometime in their lifetime. College-aged individuals are at a particularly increased risk. Sexual assault can lead to a myriad of serious acute and chronic medical conditions that can l...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
3 Implementing a Goals of Care Simulation for Student Nurse Practitioners: An Evidence-based Practice ProjectAbbey Hafen; Ann Butt; Holli Martinez; Lisa Taylor-Swanson2024Background: Goals of Care discussions help patients clarify what they value most and what they hope to see happen with their medical care. These conversations require patients and clinicians to zoom out and talk about plans and potential decisions if a patient's course doesn't go as hoped. Patients ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
4 Stop the Bleed: A Needs Assessment for the School-aged PopulationAlejandro B. Moreno; Janet F. Cortez; Jennifer L. Hamilton2024Background: When penetrating or traumatic injury is involved, uncontrolled hemorrhage is the leading cause of preventable death. Stop the Bleed (STB) is a nationally recognized educational program developed by the National College of Surgeons. It seeks to 1. educate the public on recognizing life-th...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
5 Increasing Universal Hepatitis B Virus Screening in AdultsCheryl Anna Sherman; Keisa Lynch; Katherine Doyon2024Background: Approximately 580,000 to 2.4 million individuals in the United States (US) live with hepatitis B virus (HBV), and 66% of those might be unaware of their infection. Although HBV is a vaccine-preventable infection, a 2018 survey indicated that 70% of adults in the US revealed that they wer...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
6 Improving Communication Through Discharge Education of Initial Burn Management for Patients Awaiting Outpatient Burn Clinic Follow-upFerreira, Krystle S.;Thomspon, Callie; Garett, Larrey2024Background: There has been a decrease in burn injuries due to public awareness and safety efforts, thereby limiting providers' experience with assessment, management, and familiarity with the American Burn Association (ABA) referral criteria to verified burn centers. Inexperience can lead to unneces...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
7 Precipitous Delivery Protocol in Urgent CareFidler, Daniel M.; Baker, Melissa; Taylor-Swanson, Lisa2024Background: Unplanned precipitous deliveries in outpatient clinics pose significant challenges to healthcare systems, including the University of Utah healthcare system (UUHC). Despite their rarity, these events require an immediate and effective response to ensure the safety and wellbeing of both m...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
8 Metformin-induced Vitamin B12 Deficiency Screening: A Quality Improvement ProjectLesley Hemphill; Diane Chapman2024Background: Metformin is frequently prescribed to individuals worldwide as a first-line medication for the treatment of Type 2 diabetes mellitus (T2DM). Metformin has been associated with vitamin B12 deficiency in one-in-ten individuals. The American Diabetes Association (ADA) recommends annual scre...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
9 Implementation of HIV Pre-exposure Prophylaxis Toolkit: A Quality Improvement ProjectTolley, Victor M.; Allen, Nancy2024Background: In 2012, the Food & Drug Administration (FDA) approved the use of pre- exposure prophylaxis (PrEP) to reduce human immunodeficiency virus (HIV) transmission among high-risk individuals. When used correctly, PrEP reduces HIV infection risk by about 99%. Despite its effectiveness, PrEP is ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
10 Improving Referral Rates to a Rural Hospital-At-Home Program for Oncology PatientsMeng, Mesa; Littledike, Marcene;; Doyon, Katherine2024Background: The impact of Social Determinants of Health on the well-being and outcomes of oncology patients is amplified for those residing in rural and frontier regions. In 2023, an estimated 52,000 individuals in the Mountain West may receive a cancer diagnosis, with approximately 14,000 cases in ...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
11 Enhancing Stool Sample Collection in an Urban Gastroenterology Clinic: A Quality Improvement ProjectMaxfield, Sanda; Cross, McKenna; Hearne Jenny2024Background: Accurate stool sample collection is pivotal for diagnosing gastrointestinal conditions, offering a less-invasive and cost-effective alternative to endoscopic procedures. Research emphasizes that educating patients on accurate storage, transportation, and timing for stool specimens is cru...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
12 Implementing Fast-track Care in a Community Hospital Emergency Department: A Needs AssessmentChapple, Merica K.; Crockett, Steven D.; Garrett, Larry2024Background: Overcrowding in emergency departments (EDs) is a widespread issue affecting healthcare facilities worldwide, compromising both efficiency and patient care. Fast-Track Care efficiently meets the needs of low-acuity patients, thereby alleviating congestion and optimizing resources for more...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
13 Improvement of Methamphetamine Use Disorder Treatment in Primary CareTania A. Oliveira; Tony Gregory; Jennifer Clifton2024Background: Methamphetamine is a highly addictive central nervous system stimulant and is associated with several adverse health outcomes. Currently, there is little consensus and few guidelines for treating Methamphetamine Use Disorder (MUD) in primary care, resulting in providers' lack of clinical...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Primary Care / FNP
14 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
15 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
16 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
17 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
18 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
19 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
20 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
21 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
22 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
23 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
24 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
25 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
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