Graduate Nursing Project
 
Filters: Collection: "ehsl_gradnu" Subject: "Quality Improvement"
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TitleCreatorDateDescriptionRelation Is Part Of
1 Creating a Regional Anasthesia CPG to Manage Postoperative Pain in Eligible NICU Patients: A Quality Improvement ProjectKeirsey, Samantha C.; Mansfield, Kelly2024POSTERGraduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
2 Creating a Regional Anasthesia CPG to Manage Postoperative Pain in Eligible NICU Patients: A Quality Improvement ProjectKeirsey, Samantha C.; Mansfield, Kelly2024Over 4000 neonates require surgery annually in the United States. The use of opioids for postoperative pain control and sedation during a lengthy stay in the NICU can result in increased cumulative doses, leading to adverse effects in the neonatal patient. Opioid administration may have adverse clin...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
3 The Creation and Implementation of a Neonatal Palliative Care ToolkitWarren, Charise; Bierer, Ryan; Hamilton, Jennifer2023Background: According to the March of Dimes (2020), the infant mortality rate in Salt Lake County, Utah was 5.4 per 1,000 live births, with 69% of these infant deaths occurring during the neonatal period. Advances in perinatal medicine have led to increased identification of fetuses with fatal or li...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
4 De-implementing the Routine Measurement of Gastric Residual Volumes in an All-Referral Newborn Intensive Care UnitTucker, Erin B.2023Routine 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 pathologies. Fur...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
5 Decreasing day to first skin-to-skin holding in Infants <30 WeeksHardy, Rachael; Hardin, Pamela2022Background: According to the CDC (2020) 1 out of every 10 pregnancies in the United States will result in a pre-term birth. Continued advancement of neonatal care has led to an increase in survival rates for these very preterm infants. Skin-to-skin (STS) holding has been widely studied and demonstra...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
6 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
7 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
8 Evaluating Provider Readiness to Adopt an Early Enteral Nutrition Guideline for Infants Undergoing Therapeutic HypothermiaCraig, McKenna L.; Patterson, Melinda M.2024POSTERGraduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
9 Evaluating Provider Readiness to Adopt an Early Enteral Nutrition Guideline for Infants Undergoing Therapeutic Hypothermia: A Needs AssessmentCraig, McKenna L.; Patterson, Melinda M.2024The incidence of hypoxic-ischemic encephalopathy (HIE) in the United States is one per 1,000 live births, has not improved in recent years, and is associated with increased mortality despite advances in perinatal care. The long-standing practice of withholding enteral nutrition during therapeutic hy...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
10 Evaluating the Effectiveness of an Existing Late Onset Sepsis Tool in a Culture-positive Patient Subgroup at a Level III Newborn Intensive Care UnitValadez, Marta G.; Hardin, Pamela2022Background: Late-onset sepsis is an overwhelming systemic response to a bacterial, viral, or fungal infection and a leading cause of neonatal morbidity and mortality. The Surviving Sepsis Campaign has recommended each unit have a systematic sepsis screening process. Implementing a screening approach...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
11 Evaluation of the Parent Experience with Home Enteral Feeding Tubes in Infants Discharged from the Newborn Intensive Care UnitMitchell, Megan I.2022Background: Infants who spend time in the Newborn Intensive Care Unit must attain full oral feedings prior to discharge. Waiting for a clinically stable infant to attain full oral feedings can considerably increase their time spent in the hospital. Allowing these infants to discharge home with a fee...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 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
14 Implementation of a Tracheal Aspirate Clinical Practice Guideline: A Quality Improvement ProjectMartinez, Rachael2024POSTERGraduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
15 Implementation of a Tracheal Aspirate Clinical Practice Guideline: A Quality Improvement ProjectMartinez, Rachael2024Infants in the Neonatal Intensive Care Unit (NICU) are prone to infection, due to immature immune systems and exposure to nosocomial infections. Antibiotics are the most- prescribed medications in the NICU, and are overprescribed, partially caused by nonspecific infection symptoms in neonates. Becau...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
16 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
17 Implementation of The CDC's Developmental Milestone Guideline for Infants Corrected Age 2-4 Months Hospitalized in the NICUHall, Catherine A.2022Background: Every year in the United States there are approximately 360,000 babies that are born premature. In the state of Utah that number is approximately 45,700, which is almost 10% of all babies born. Preterm infants are at greater risk for developmental delays. Long lengths of stay in the Newb...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
18 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
19 Implementing a Breastfeeding Establishment Guideline in the NICURivera, Maelee; Knighton, Christina; Patterson, Melinda2024POSTERGraduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
20 Implementing a Breastfeeding Establishment Guideline in the NICURivera, Maelee; Knighton, Christina; Patterson, Melinda2024Breastfeeding rates in the newborn intensive care unit (NICU) are suboptimal. Prematurity is a significant barrier to breastfeeding in the NICU. Evidence shows that direct breastfeeding does not increase the length of hospital stay for a preterm infant in the NICU. Local Problem: A level III NICU in...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
21 Implementing a CPG Screening for Term Neonates for Congenital Heart Disease When Discharged with Supplemental Oxygen: An Evidence-based Quality Improvement ProjectCohn, Zoe N.; Ling, Con Yee J. Hogan, Whitnee; Friddle, Kim M.; Mansfield, Kelly J.2024Congenital heart defects (CHD) are the leading cause of infant morbidity and mortality from a birth defect. Early detection of critical congenital heart defects (CCHD) has improved with the institution of mandatory pulse oximetry screening due to the screening's moderate sensitivity, high specificit...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
22 Implementing a CPG Screening for Term Neonates for Congenital Heart Disease When Discharged with Supplemental Oxygen: An Evidence-based Quality Improvement ProjectCohn, Zoe N.; Ling, Con Yee J. Hogan, Whitnee; Friddle, Kim M.; Mansfield, Kelly J.2024POSTERGraduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
23 Implementing an Early Mobility Protocol in a Newborn Intensive Care Unit for Infants with a Corrected Gestational Age of 37 Weeks or Greater: A Needs AssessmentWhite, Mckenzie A.; Patterson, Melinda2024POSTERGraduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
24 Implementing an Early Mobility Protocol in a Newborn Intensive Care Unit for Infants with a Corrected Gestational Age of 37 Weeks or Greater: A Needs AssessmentWhite, Mckenzie A.; Patterson, Melinda2024Neonates cared for in newborn intensive care units (NICUs) who have lengthy hospital stays compounded with other risk factors, including prematurity, low birth weight, and mechanical ventilation, are at an increased risk of delayed developmental outcomes. Current literature suggests that implementin...Graduate Nursing Project, Doctor of Nursing Practice, DNP, Neonatal
25 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
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