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TitleCreatorDateDescription
26 A Clinical Practice Guideline for the Recognition, Diagnosis, and Management of Neonatal DeliriumSchulte, Krista2018Purpose. The objective of this project was to create a clinical practice guideline (CPG) in order to standardize the assessment and treatment of neonatal delirium in a newborn intensive care unit (NICU) environment. Methods. An evidence-based CPG was developed using literature pertaining to pediatri...
27 An Evidence-Based Educational Intervention to Improve the Recognition and Photo Documentation of Child Abuse Injuries in a Rural Health FacilityByrd, Tami L. Fikstad2018Background: Child abuse is an unfortunate reality for millions of children across the United States every year. The consequences of abuse result in long term emotional problems, including aggressive behavior, depression, anxiety, and thoughts of suicide; physical consequences include risk of asthma,...
28 Identifying and Addressing Health Disparities Among Hispanic Adults in the Intensive Care Unit: A Needs AssessmentGutierrez, Sandra2018The existence of health disparities among Hispanic adults in the critical care setting has been well documented. Multifactorial causes are often implicated but clear characterizations for health disparities in this setting have not been identified. The purpose of this needs assessment was to investi...
29 Implementing Training Modules to Facilitate the Patient Health Questionnaire-2&9 (PHQ-2&9) Screening Administration for Improving Depression Screening in a Local Free ClinicNicol, Hanna2018Background: Major depressive disorder affects approximately 9 percent of the adult population annually and has a 17 percent lifetime prevalence in the United States (Maurer, 2012; Meyer & Grob, 2014; NIMH, 2015). Adult depression occurs more frequently in low income and uninsured populations in the ...
30 A Pilot Study to Promote Abstinence from Nicotine: The Effects of the End Nicotine Dependence ProgramBowles, Dallas2018Cigarette smoking is the leading cause of preventable death in the U.S. Cigarette smoking primarily starts in adolescence. Among detained juvenile offenders, 82.1% had smoked cigarettes prior to their incarceration. None of the six juvenile justice services (JJS) facilities located in Utah offer a s...
31 Empowering Maternal Mental Health Wellness: A Pilot ProgramMurphy, Hannah R.2018Perinatal depression (PD) is the most common complication of childbirth in the United States and has devastating consequences for women, their infants, families, employers, and communities. Mindfulness Based Cognitive Behavioral Therapy (MBCBT) is an effective method for treatment and prevention of ...
32 Engaging Remote Providers in Evidence-Based Practice Using a Social Learning PlatformStock, Jennifer Speyer2018Background Evidence-based practice (EBP) is central to providing excellent patient care, but many advanced practice providers (APPs) lack the knowledge and support to continue EBP after graduation. Time and geographical constraints limit access to regional provider meetings and peer-to-peer collabor...
33 Nurse Case Management Model for Office-Based Opioid TreatmentHaggerty, Erin2018The United States is currently experiencing an opioid epidemic. For healthcare providers, providing access and delivering evidence-based treatments, including Medication Assisted Treatment with buprenorphine can be challenging. This is due to the chronic nature of the disease of addiction, lack of p...
34 Defining Current Practice of Iron Deficiency Screening Among High-Risk NeonatesWilles, Dallin2018Infants that are born small for gestational age (SGA), very low birthweight (VLBW), or as an infant of a diabetic mother (IDM) are at an increased risk of having iron deficiency anemia early in their life. Iron deficiency anemia puts an infant at risk for several serious conditions that can be detri...
35 Educating Long Term Care Registered Nurses in the Competency Activity of Advance Care PlanningRedfield, Carol S.2018The aim of this project was to educate Registered Nurses (RNs) who work in Long Term Care (LTC) settings on the importance of executing a key competency skill: guiding complex decisions and discussions such as Advance Care Planning (ACP) with residents/families. The LTC population encompasses those ...
36 Increasing Utilization of the Ottawa Ankle Rules in the Urgent Care SettingSteinly, Aimee2018The Ottawa Ankle Rules (OAR) have not been efficiently utilized in the urgent care setting. Even though multiple studies support providers in understanding the use of these tools for clinical decision making, clinicians continue to underutilize these tools. This quality improvement study was aimed a...
37 A Study of Micronutrient Deficiencies after Bariatric SurgeryNickel, Alexa2018Background: The United States is plagued with an obesity epidemic, with a resultant growing interest in bariatric surgery. Bariatric surgical procedures alter the GI tract, impeding absorption of micronutrients. Multivitamins (MVI) are an essential supplement after bariatric surgery to prevent nutri...
38 Integrating Outcome and Self-Efficacy Expectations that Influence Career Decisions in Mental Health Nursing: A Quality Improvement ProjectPawlus, Ally2018There is a shortage of mental health nurses with a rise in mental health illnesses worldwide. To provide adequate mental health care of the increasing population suffering from mental illness, more mental health nurses must be recruited and trained. This study assessed nurse outcome and self-efficac...
39 Education for Soldiers to Increase Contraceptive UseNapolet, Amanda2018Background In the U.S. military, unintended pregnancy rates are higher than the national average at 52%, despite access to healthcare for all active duty service members and their families. Within the military, unintended pregnancy carries the potential to impact operational readiness. Evidence sugg...
40 Improving Pelvic Floor Dysfunction Screening in Primary CareHill, Alycia2018Background: Dysfunction means that something is not working appropriately. The pelvic floor is composed of a network of muscles, ligaments, and tissues that act like a hammock to support the organs of the pelvis: the uterus, vagina, bladder, urethra, and rectum. If the muscles of these organs become...
41 Educational Intervention to Increase Provider-Initiated Use of Psychiatric Advance DirectivesJones, Allyce K.2018Introduction: Mental health providers lack knowledge and training about psychiatric advance directives (PADs) which is a barrier to patient completion. The purpose of this study was to determine if an educational intervention with outpatient mental health providers would increase provider-reported i...
42 A Collaborative Staffing Model in the Urban Community Hospital: Advanced Practice Clinician IntegrationMichael, John2018Changes within the healthcare environment are requiring medical systems to find creative ways to improve how they deliver care in order to optimize quality and cost-effectiveness. The addition of APC coverage within the hospital setting is heavily supported by data and has proven to be a worthwhile ...
43 A Collaborative Staffing Model: Utilizing Nurse Practitioners and Physicians on the Hospitalist ServiceLovell, Amber2018The purpose of this needs assessment is to determine an effective solution to provide additional coverage to the hospitalist service. It also serves to identify what patient factors are responsible for increases in workload for the hospitalist service. Studies indicate that an increase in patient ag...
44 Establishing Routine Antenatal Depression Screening in a Medium-Sized Private Group Obstetric PracticeHimes, Annette2018Background. Antenatal depression is one of the most common complications of pregnancy (UMMHC, 2016). Studies have found prevalence rates anywhere from 14-23% in obstetric populations. Unfortunately, less than ten percent of American adults are appropriately screened for depression, and this statisti...
45 Reducing High Utilization Patient Care through Improved Provider CommunicationGonzales, Rebecca R.2018Nearly one-fifth of Medicare patients who have been discharged from a hospital in the United States are readmitted within thirty days. Almost half of these hospital readmissions are deemed to be preventable (Verhaegh, K. et. al., 2014). The Affordable Care Act (ACA) established the Hospital Readmiss...
46 Improving Provider Recommendation of Therapeutic Exercise in Substance Abuse TreatmentTerry, Briana2018An epidemic of substance abuse in the United States is wrecking havoc on millions of people and their families. Relapse rates remain high with more than 70% of patients relapsing within the first year after initiating substance abuse treatment (Smith & Lynch, 2012). Inpatient and outpatient substanc...
47 Multicultural Orientation Training: An Innovative Method to Develop Cultural Humility Among Health Care ProvidersKemp, Brittany2018The purpose of this pilot study was to trial Multicultural Orientation training among health care providers (HCPs) in a university academic health sciences setting. Multicultural orientation (MCO) is a method for training HCPs to navigate patient cultural values and incorporate these values into the...
48 Improving Access to Evidenced-Based Parent Training in an Outpatient Psychiatric ClinicPolombo, Britney2018Background: Behavioral problems are some of the most commonly encountered clinical symptoms in children and adolescents within psychiatric/mental health settings (Pastor, Reuben, & Duran, 2012). Scientists have associated emotional and behavioral problems in childhood, with adverse outcomes across a...
49 Is It Time For Telehealth in Your Rural Hospital?: A Needs AssessmentSimmons, Sarah2018Healthcare shortages in rural areas are problematic, with a physician to patient ratio of 1 physician per 2,513 patients. The purpose of this needs assessment was to determine the access and demand for specialized providers in one rural level IV critical access hospital in Utah. This project assesse...
50 Developing Anticipatory Guidance to Facilitate Optimal Care Transition Outcomes for Adolescents with Type 1 DiabetesMcDowell, Megan2018Background: Emerging adults with type 1 diabetes (T1D) are at increased risk for poor health outcomes as they transition from pediatric to adult care providers. This is in part due to the complexities of young adult life as individuals with T1D enter the work force, leave home, or start college whil...
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