Graduate Nursing Project
 
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26 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...
27 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
28 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...
29 Revision of the American Nurses Association Code of Ethics for Social Justice ContentThis project examined the social justice content of the nursing ethical codes from the United States, Canada, and Australia. Based on this comparative review suggestions were made for revision of the current American Nurses Association (ANA) Code of Ethics. The overall aim of the project was to desc...Daly, AnneAdvanced Practice Nursing; Education, Nursing, Graduate; American Nurses' Association; Codes of Ethics; Nurses; Faculty, Nursing; Advisory Committees; Healthcare; Social Justice; Public Policy; Disparities; Poverty; Cultural Competency; Socioeconomic Disparities in Health; Health Disparate, Minority...
30 Optimizing Depression Outcomes in Rural Family PracticeThe United States Preventive Services Task Force recommends screening for depression in clinical practices only when the practice has the means and procedure to ensure that the diagnosis can be followed with effective treatment and follow-up. The purpose of this scholarly project is to increase prov...Allen, MelindaAdvanced Practice Nursing; Education, Nursing, Graduate; Depression; Depressive Disorder; Primary Health Care; Mental Health Services; Rural Health Services; Evidence-Based Practice; Family Practice; Follow-Up Studies; Disease Management; Practice Guidelines as Topic; Utah
31 The Utilization of a Pediatric Early Recognition Tool in Identifying the Deteriorating Pediatric Patient in the Non-ICU SettingThis project seeks to evaluate the effectiveness of an early recognition tool at identifying clinical pediatric patient deterioration. The project includes a retrospective comparison of two early recognition tools in patients who experience clinical deterioration in the Non-ICU setting as well as ra...Bartlett, CourtneyAdvanced Practice Nursing; Education, Nursing, Graduate; Hospitals, Pediatric; Pediatric Nursing; Retrospective Studies; Quality Improvement; Cardiopulmonary Resuscitation; Nursing Assessment; Monitoring, Physiologic; Point-of-Care Systems
32 Overcoming Clinical Inertia in the Management of Type 2 DiabetesDiabetes is a disease associated with significant, life threatening complications. Adequate glycemic control is essential to prevent micro- and macrovascular complications. Despite the wide dissemination of published evidence and clinical guidelines, fewer than half of individuals with diabetes achi...Brown, LindseyAdvanced Practice Nursing; Education, Nursing, Graduate; Diabetes Mellitus, Type 2; Vulnerable Populations; Socioeconomic Factors; Prediabetic State; Hyperglycemia; Blood Glucose; Algorithms; Critical Pathways; Disease Management; Metformin; Hypoglycemic Agents; Health Knowledge, Attitudes, Practi...
33 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
34 Increasing Awareness and Knowledge of Advance Directives in the Healthy Older Adult CommunityEnd-of-life treatment decisions have long been debated among healthcare providers, policy makers, and the public. Historically, physicians made end of life decisions based on the assumption professionals were acting in the patient's "best interest". With advancements in medical technology, patients ...Timm, MelissaAdvanced Practice Nursing; Education, Nursing, Graduate; Terminal Care; Quality of Life; Advance Care Planning; Advance Directives; Mental Competency; Primary Health Care; Patient Self-Determination Act; Disease Management; Health Care Costs; Nursing Homes; Hospice and Palliative Care Nursing; Advan...
35 Incorporating BRCA1 and BRCA2 Testing into Clinical PracticeThis project seeks to support the clinical practice of using established guidelines for evaluating women at risk of hereditary breast and ovarian cancer. Breast cancer is the second most common cause of cancer in women and the second leading cause of cancer death. Breast cancer and ovarian cancer re...Ledingham, DebraAdvanced Practice Nursing; Education, Nursing, Graduate; Breast Neoplasms; Ovarian Neoplasms; Primary Health Care; Genes, BRCA2; Genetic Counseling; Genetic Testing; Referral and Consultation; Electronic Health Records; Early Detection of Cancer; Quality of Health Care
36 Raising Concussion Awareness and Integrating ImPACT Testing at Uintah High SchoolThe incidence of concussions has doubled in the past decade. Emerging research on concussion recovery time is now finding that after physical symptoms have resolved, cognitive recovery time may be significantly longer than many athletic trainers and physicians assumed. Research suggests that neurolo...Birch, BeckyAdvanced Practice Nursing; Education, Nursing, Graduate; Athletic Injuries; Adolescent; Brain Concussion; Post-Concussion Syndrome; Parental Consent; Symptom Assessment; Brain Damage, Chronic; Health Belief Model
37 Retrospective Review of Post-Operative Ileus and/or Bowel Obstruction in Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Stage III-IV after Cytoreductive SurgeryThis project involves a retrospective chart review of 25 patients who underwent cytoreductive surgery for ovarian cancer stage IIIb or IV to identify if they developed an ileus, length of stay, and cost. The evaluation of the feasibility of a clinical/surgical fast track protocol at the Huntsman Can...Johnson, LindaAdvanced Practice Nursing; Education, Nursing, Graduate; Ovarian Neoplasms; Chemotherapy, Adjuvant; Patient Education; Ileus; Colectomy; Intestinal Obstruction; Postoperative Complications; Prospective Studies; Clinical Protocols; Oncology Nursing; Length of Stay; Narcotic Antagonists; Receptors, Op...
38 Reducing Contrast Induced Nephropathy: Developing a Treatment AlgorithmContrast induced nephropathy (CIN) is the result of acute renal impairment after the administration of IV radiocontrast medium. Because of the increasing age of our population as well as the increased incidence of chronic kidney disease, we can only expect to also see an increase number of patients ...Maxwell, WendyAdvanced Practice Nursing; Education, Nursing, Graduate; Contrast Media; Kidney Diseases; Renal Insufficiency, Chronic; Acute Kidney Injury; Incidence; Algorithms; Risk Factors; Emergency Service, Hospital; Acetylcysteine; Infusions, Intravenous; Nurse Practitioners; Tomography, X-Ray Computed
39 School-Based Telemedicine to Improve Healthcare Access for Rural School-Aged ChildrenChildren living in rural communities often experience disparity in access to healthcare services. The purpose of this project was to explore a school-based telemedicine plan to improve access to comprehensive healthcare services for school-aged children that live in the rural community of Coeur d' A...Norman, ShelliAdvanced Practice Nursing; Education, Nursing, Graduate; Rural Population; School Health Services; Telemedicine; Needs Assessment; Health Services Needs and Demand; Primary Health Care; Patient-Centered Care; Medicaid; Healthcare Disparities; Comprehensive Health Care; Adolescent; Child; Idaho
40 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
41 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
42 Incidence of Thrombus with Central Venous Catheterization (CVC)In the United States millions of central venous catheters are inserted annually with the well-known complication of thrombus occurring between 33% and 59% of these placements. Studies show that the role of nurse practitioner in practice has proven to be safe and efficacious, yet barriers and questio...Shivers, Mary EllenAdvanced Practice Nursing; Education, Nursing, Graduate; Central Venous Catheters; Venous Thromboembolism; Advanced Practice Nursing; Nurse Practitioners; Radiology, Interventional; Trauma Centers; Incidence; Pulmonary Embolism; Venous Thrombosis; Quality Improvement
43 Screening for Impaired Glucose Tolerance in the Adolescent PopulationImpaired glucose tolerance (IGT) occurs when the body's cells are not able to effectively utilize available insulin. As a result, plasma glucose levels are elevated, but not considered high enough for a diagnosis of diabetes. This occurs in about 16% of the adolescent population in the United States...Toone, KeiraAdvanced Practice Nursing; Education, Nursing, Graduate; Glucose Intolerance; Insulin; Diabetes Mellitus, Type 2; Pediatric Obesity; Adolescent; Knowledge Bases; Primary Health Care; Prevalence; Mass Screening; Insurance Coverage; Questionnaires; Patient Compliance; Guideline Adherence; Health Care...
44 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
45 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
46 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
47 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...
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