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1 A Fall Prevention Protocol for Home Hospice PatientsHospice patients are at a greater risk of falls than community-dwelling geriatric populations due to the nature of terminal illness. Although the necessity of developing a fall risk assessment and fall prevention protocol for home hospice patients has been discussed, an assessment protocol for home ...Park, MinjiAdvanced Practice Nursing; Education, Nursing, Graduate; Hospices; Hospice Care; Hospice and Palliative Care Nursing; Terminal Care; Quality of Life; Home Care Services; Risk Factors; Patient Safety; Accident Prevention; Accidental Falls; Cost of Illness; Evidence-Based Practice
2 A Module to Teach and Assess Medication Administration Principles Including Dosing, Procurement, Preparation, and Interaction with the Medication Administration Record (MAR)Background: Nurses have a long history of difficulty with math (D. L. Brown, 2006). Technology and dimensional analysis (DA) have demonstrated benefits for teaching dosing calculations (Craig & Sellers, 1995; Greenfield, Whelan, & Cohn, 2006; Kohtz & Gowda, 2010; Koohestani & Baghcheghi, 2010; Serem...Southam, GladeAdvanced Practice Nursing; Education, Nursing, Graduate; Medication Errors; Drug Dosage Calculations; Education, Nursing; Mathematics; Problem-Based Learning; Interactive Tutorial; Self Efficacy; Clinical Competence; Clinical Nursing Research; Evaluation Studies as Topic; Dimensional Analysis
3 A Motivational Interviewing Toolkit for Providers to Address Weight Among Pregnant WomenThe obesity epidemic poses a substantial public health challenge in the United States and worldwide. More than one-half of all pregnant women in the United States are overweight or obese. Overweight and obesity during pregnancy carry significant short and long-term maternal and fetal risks. However,...Cole, Erin JohnsonAdvanced Practice Nursing; Education, Nursing, Graduate; Pregnancy Complications; Obesity; Prenatal Care; Body Weight; Diet; Exercise; Counseling; Motivational Interviewing; Health Behavior; Health Promotion; Motivation; Health Education; Patient Education as Topic; Weight Gain; Midwifery; Metabolic...
4 Addressing HIV/AIDS Among Latinos Living In UtahMore than 56,000 Americans become infected each year with HIV/AIDS (CDC, 2009). Every 9½ minutes someone becomes infected with HIV (CDC, 2009). HIV/AIDS is topic that is not discussed by certain ethnicities/races. Latinos are one ethnicity/race that is affected more than others. In 2008, more than ...Montes, Victor M.Advanced Practice Nursing; Education, Nursing, Graduate; Hispanic Americans; Utah; Acquired Immunodeficiency Syndrome; HIV Infections; Attitude to Health; Health Promotion; Primary Health Care; Peer Group; Peer Influence; Health Knowledge, Attitudes, Practice; Homosexuality, Male; Sexual Behavior; S...
5 Alcohol Withdrawal Syndrome Recognition, Assessment, and Communication: A Quality Improvement ProjectAt the Volunteers of America (VOA) Adult Detoxification Center in Utah individuals across multiple disciplines unite together to form substance abuse treatment teams that coordinate the medical and psychosocial care of clients withdrawing from alcohol. These professionals have different training, ed...Monson, KristinaAdvanced Practice Nursing; Education, Nursing, Graduate; Alcohol-Induced Disorders; Substance Withdrawal Syndrome; Alcoholism; Alcohol Withdrawal Delirium; Patient Care Team; Volunteers; Patient Safety; Patient Education as Topic; Standard of Care; Vulnerable Populations; Health Communication; Psych...
6 An Evaluation of Follow-up for Postpartum Depression in Mothers with a History of DepressionThe purpose of this project was to evaluate provider follow-up at postpartum visits for women diagnosed with a history of depression before, during, or after a pregnancy in a large CNM/WHNP faculty practice. A chart review was completed on all women age 18 or older who gave birth at a large teaching...Kelley, SarahAdvanced Practice Nursing; Education, Nursing, Graduate; Depression, Postpartum; Postpartum Period; Mental Health Services; Referral and Consultation; Patient Health Questionnaire; Depressive Disorder; Follow-Up Studies; Incidence; Prevalence; Risk Factors; Primary Health Care; Primary Nursing; Dia...
7 An Overview of the Microbiome and the Deleterious Effects of AntibioticsMy project is to review the literature related to the microbiome and the effects of antibiotic use. I will write a manuscript synthesizing and summarizing the information I find. Problem Statement: Healthcare providers are generally unaware of recent studies that show how the complex microbiome play...Taggart, HillaryAdvanced Practice Nursing; Education, Nursing, Graduate; Microbiota; Drug Resistance, Microbial; Prebiotics; Probiotics; Clostridium difficile; Anti-Bacterial Agents; Irritable Bowel Syndrome; Inflammatory Bowel Diseases; Disease Management; Diet Therapy; Drug-Related Side Effects and Adverse Reacti...
8 Application of an Online Warmline as a Crisis Prevention Tool in Rural Sanpete County, UtahCompleted suicides, suicide attempts, self-harm behavior and violence towards others are significant indicators for the need for preventive services for Utah youth and their families. In addition rural youth and their families struggle with healthcare disparities, which leads to fewer services avail...Stewart, RhondaAdvanced Practice Nursing; Education, Nursing, Graduate; Adolescent; Mental Health Services; Suicide, Attempted; Suicide; Substance-Related Disorders; Problem Solving; Referral and Consultation; Counseling; Confidentiality; Healthcare Disparities; Crisis Intervention; Mental Disorders; Harm Reductio...
9 Ask What? Female Sexual Dysfunction Screening Provider TrainingThis project assessed providers' comfort with and knowledge of female sexual dysfunction screening tools and resources before and after a sexual dysfunction training session, thereby determining training session efficacy as a quality improvement project in a large faculty practice. Problem Statement...Rieff, MollieAdvanced Practice Nursing; Education, Nursing, Graduate; Sexual Behavior; Pleasure; Female; Sexual Dysfunction, Prevalence; Physiological; Sexual Dysfunctions, Psychological; Personal Satisfaction; Women's Health; Control Groups; Mass Screening; Patient Education as Topic; Health Knowledge, Attitude...
10 Assessment of Taxane Induced Peripheral NeuropathyTaxanes are commonly used chemotherapeutics in women with breast and ovarian cancer. As microtubule stabilizing agents they can be neurotoxic, leading to numbness, tingling, and pain in hands and feet. The symptoms usually start in the fingers and toes and can slowly progress along the extremities. ...Deininger, JuttaAdvanced Practice Nursing; Education, Nursing, Graduate; Antineoplastic Agents; Chemically-Induced Disorders; Taxoids; Peripheral Nervous System Diseases; Risk Factors; Symptom Assessment; Comprehensive Health Care; Genital Neoplasms, Female; Ovarian Neoplasms; Cancer Survivors; Self Report; Patient...
11 Bridging the Gap: Passive Hypothermia Prior to Transport in the Neonate At Risk for Hypoxic-Ischemic EncephalopathyPerinatal depression occurs after hypoxic insult to the fetus or neonate either during the intrapartum period, or immediately after birth. Obstetrical emergencies can cause hypoxic insult and have potential to precipitate perinatal depression. Hypoxic-ischemic encephalopathy (HIE) results from lack ...Ashcroft, Anglea K.Advanced Practice Nursing; Education, Nursing, Graduate; Hypoxia-Ischemia, Brain; Infant, Newborn; Hypothermia, Induced; Neonatal Nursing; Anoxia; Triage; Algorithms; Hypoxia, Brain; Transportation of Patients; Practice Guidelines as Topic
12 Bulimia Management in a Primary Care SettingBulimia nervosa is psychiatric condition characterized by self-induced vomiting, laxative abuse, diuretic use or excessive exercising (Frank et al., 2012). Bulimia can result in various medical complications. Subsequently, patients who suffer from bulimia initially seek care from their primary care ...Galbraith, Brianne MoffittAdvanced Practice Nursing; Education, Nursing, Graduate; Bulimia; Bulimia Nervosa; Prevalence; Primary Health Care; Evidence-Based Practice; Patient Care Management; Algorithms; Vulnerable Populations; Female; Body Image; Mental Health; Mass Screening; Eating Disorders; Surveys and Questionnaires
13 CAUTI Prevention and Guideline EducationUrinary 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 ...Vasquez, Carlos A.Advanced Practice Nursing; Education, Nursing, Graduate; Urinary Retention; Urinary Tract Infections; Urinary Catheters; Infection Control; Urinary Catheterization; Catheter-Related Infections; Cross Infection; Length of Stay; Clinical Protocols
14 Creating a Family and Patient Centered Environment: Development of a Communication FormCommunication within the Intensive Care Unit (ICU) among patients, families and physicians is of vital importance. Unfortunately satisfaction surveys frequently show communication as an area needing improvement. As health care providers we cannot expect patients and their families to make life alter...Worthen, RikkiAdvanced Practice Nursing; Education, Nursing, Graduate; Critical Illness; Intensive Care Units; Ethics Committees, Research; Communication Barriers; Communication; Comprehension; Decision Making; Professional-Family Relations; Consumer Satisfaction; Quality of Health Care; Patient Care; Pilot Proje...
15 Determining Appropriate Use Between Minimally Invasive And Non-invasive Hemodynamic Monitoring In The Shock Trauma ICUFluid resuscitation remains the mainstay of treatment for the hemodynamically unstable or hypotensive patient. Only approximately 50% of these patients are determined to have a therapeutic response to fluid administration also known as fluid responsiveness. Patients who receive over or under fluid r...Kissell, KristiAdvanced Practice Nursing; Education, Nursing, Graduate; Fluid Therapy; Resuscitation; Central Venous Pressure; Pulmonary Wedge Pressure; Hemodynamics; Shock; Intensive Care Units; Monitoring, Physiologic; Stroke Volume; Noninvasive Ventilation
16 Developing a Faith-Based Prenatal Education Curriculum for African-American Women in Salt Lake City, UtahAfrican-American women are nearly three times more likely to have their infants die before the age of one year (Utah Health Department, 2009). In Utah, 61 % of infant deaths in this population are linked to preterm birth and low birth weights (Utah Health Department, 2009). Additionally, this popula...Brooks, BrandyAdvanced Practice Nursing; Education, Nursing, Graduate; African Americans; Culture; Cultural Characteristics; Health Education; Health Promotion; Prenatal Education; Premature Birth; Prenatal Care; Delivery of Health Care; Women's Health Services; Public Health; Faith-Based Organizations
17 Developing a Mentoring Program for Homeless Youth in Salt Lake CityHomeless youth face complex challenges that can have significant harmful effects on their well-being. Although much remains to be known about the homeless youth experience, current research identifies that homeless youth often lack trusting relationships with adults and further support systems (Bart...Wanserski, Melissa M.Advanced Practice Nursing; Education, Nursing, Graduate; Homeless Persons; Homeless Youth; Cooperative Behavior; Mentors; Adult; Adolescent; Harm Reduction; Social Support; Social Change; Trust; Housing; Community Integration; Cooperative Behavior; Health Services Needs and Demand; Risk Factors
18 The Development and Implementation of a Practitioner in Triage Process for the Emergency Department at Intermountain Medical CenterThe 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...Gardner, KristenAdvanced Practice Nursing; Education, Nursing, Graduate; Emergency Service, Hospital; Emergencies; Cost of Illness; Length of Stay; Crowding; Patient Acuity; Triage; Nurse Practitioners; Efficiency, Organizational; Patient Care Management; Evidence-Based Nursing; Advanced Practice Nursing
19 Development of the ESA Assessment for Safety Improvement (EASI) Online Decision Support ToolThis project supported initial validation of the ESA Assessment for Safety Improvement (EASI) online support tool. The purpose of this tool is to help clinicians navigate the complicated diagnostic and treatment guidelines developed by the National Cancer Care Network (NCCN) and the National Kidney ...Vietti, MaryAdvanced Practice Nursing; Education, Nursing, Graduate; Erythropoietin; Decision Support Techniques; Hematinics; Kidney Diseases; Chronic Disease; Patient Safety; Anemia; Thrombosis; Neoplasms; Myelodysplastic Syndromes; Antineoplastic Protocols; Cost Savings
20 Disparities in Cancer Pain Assessment and Management among Ethnic MinoritiesPoor pain control impairs quality of life and functionality. Despite the increased knowledge of pain mechanisms, existing guidelines and improved methods to manage cancer pain, it remains inadequately treated, especially among ethnic minorities. A number of factors play role in the existing cancer p...Kogan, LauraAdvanced Practice Nursing; Education, Nursing, Graduate; Minority Groups; Ethnic Groups; Cultural Competency; Bias, Implicit; Social Stigma; Demography; Neoplasms; Neuralgia; Pain Measurement; Pain Management; Primary Health Care; Quality of Life; Referral and Consultation; Palliative Care; Healthc...
21 Educating CDEs to Screen for Impaired Cognition in Elderly Individuals with Type 2 Diabetes MellitusThere is a growing population of older Americans with diabetes at increased risk for cognitive impairment, however this risk is poorly disseminated among providers of diabetes care. The purpose of this project was to research and disseminate the state of the science regarding the increased risk for ...Cardenas, ElizabethAdvanced Practice Nursing; Education, Nursing, Graduate; Aged; Diabetes Mellitus, Type 2; Cognition; Cognition Disorders; Dementia; Patient Safety; Risk Factors; Prevalence; Primary Health Care; Health Education; Comorbidity; Hypoglycemia; Memory Disorders; Diagnostic Screening Programs; Health Lite...
22 Evaluation of an Interdisciplinary Approach to Treating Chronic Pain in Women Veterans at a Veterans Administration Medical CenterPrimary care providers are often uneducated on how to effectively treat and manage chronic pain, yet they prescribe 20 percent of all narcotics given for pain (Manubay, Muchow & Sullivan, 2011). Managing chronic pain with an interdisciplinary approach is a more successful treatment, especially as na...Houskeeper, KarlaAdvanced Practice Nursing; Education, Nursing, Graduate; United States Department of Veterans Affairs; Veterans; Chronic Pain; Primary Health Care; Patient Participation; Comorbidity; Female; Quality of Life; Stress Disorders, Post-Traumatic; Drug Overdose; Patient Care Team; Outpatients; Pain Manag...
23 Exploring an Integrated Maternity Care System Across Birth Settings in the Salt Lake ValleyBirth certificate data from 2010 reported that 1.18% of U.S. births occurred out of hospital (OOH) (MacDorman, Declerq, & Mathews, 2013, p. 2). Evidence for safety in births that take place OOH is debated for various reasons. Research methods are observational and not controlled or randomized which ...Whiting, ChristinaAdvanced Practice Nursing; Education, Nursing, Graduate; Home Childbirth; Nurse Midwives; Nurse Practitioners; Cooperative Behavior; Birthing Centers; Delivery of Health Care, Integrated; Prenatal Care; Pregnancy Outcome; Risk; Risk Management; Referral and Consultation; Infant, Newborn
24 Implementation of the Ask Me 3 Program in a Pediatric ClinicFailures in health literacy and communication result when patients do not understand their health problems, what they can do to manage their disease and why it is important for them to do so. In addition, navigation of the healthcare system can be complicated, confusing and intimidating; particularl...Harvey, Anne G.Advanced Practice Nursing; Education, Nursing, Graduate; Health Literacy; Health Communication; Personal Satisfaction; Patient Safety; Primary Health Care; Parents; Child; Decision Making; Patient Outcome Assessment; Self Efficacy; Self Care; Health Behavior
25 Improving Integration of HEEADSSS Screening in Adolescent Preventative Care Visits - A Practice Improvement ProjectDespite general consensus that adolescents should receive annual preventative care during which psychosocial screening and provision of pertinent anticipatory guidance is provided, studies have demonstrated that few receive this standard of care. This problem is clinically significant when you consi...Jorgensen, JenniferAdvanced Practice Nursing; Education, Nursing, Graduate; Adolescent; Confidentiality; Primary Health Care; Standard of Care; Retrospective Studies; Risk; Social Support; Interview, Psychological; Health Behavior; Preventive Health Services; Diagnostic Screening Programs
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