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26 Implementing a Revised Controlled Medication ProtocolPrescription drug abuse (PDA) in Utah continues to be at an epidemic level, which has many widespread ramifications, including a huge financial burden placed on the United States economy, and the healthcare system as a whole (Trust for America's Health, 2013). Healthcare providers play an important ...Hoffman, Sarah A.Advanced Practice Nursing; Education, Nursing, Graduate; Prescription Drug Misuse; Substance-Related Disorders; Opioid-Related Disorders; Controlled Substances; Drug Overdose; Comorbidity; Patient Medication Knowledge; Controlled Substances
27 Development of a Provider Treatment Toolkit for Postpartum DepressionThe purpose of this project was to focus provider efforts on the diagnosis, treatment and referral for postpartum depression (PPD) in the clinical setting through the use of a PPD treatment toolkit. The objectives of this project were to develop a PPD treatment toolkit that provided assessment tools...Johnson, ErikaAdvanced Practice Nursing; Education, Nursing, Graduate; Depression, Postpartum; Behavior Therapy; Counseling; Evidence-Based Practice; Practice Guidelines as Topic; Patient Education Handout; Treatment Outcome; Clinical Protocols; Women's Health Services; Patient Care Management; Surveys and Questi...
28 Addressing Access to Diabetes Education in a Rural Hispanic PopulationDiabetes education continues to demonstrate improved outcomes in the increasing population of patients with diabetes. Despite research clearly supporting diabetes education, many adults in Utah do not access diabetes self-management education. Additionally, Hispanic adults have significant barriers ...Webster, ScottAdvanced Practice Nursing; Education, Nursing, Graduate; Diabetes Mellitus; Health Services Accessibility; Patient Education as Topic; Rural Health Services; Hispanic Americans; Culturally Competent Care; Outcome Assessment (Health Care); Self Care; Cultural Competency; Surveys and Questionnaires
29 American College of Nurse Midwives Position Statement on Environmental HealthRobust evidence demonstrates that toxins in the water, air, food, and living environments in the US are linked with health consequences ranging from birth defects, to altered development, to reproductive cancers. Pregnant women, developing fetuses, and babies are disproportionately vulnerable to env...Leonhardt, AnaliesaAdvanced Practice Nursing; Education, Nursing, Graduate; Nurse Midwives; Pregnancy; Environmental Pollutants; Environmental Health; Environmental Exposure; Pregnancy Complications; Hazardous; Substances; Reproductive Health; Developmental Disabilities
30 Empowering Tween Girls at a Rural Middle SchoolThis DNP project consisted of implementing the empowerment program "Owning Up" to a group of 10 to14 year-old tween girls in a rural middle school in 1 hour sessions given weekly for 8 weeks. "Owning Up" aims at helping participants gain the necessary social, emotional and behavioral skills they nee...Petersen, KierstinAdvanced Practice Nursing; Education, Nursing, Graduate; Social Adjustment; Adaptation, Psychological; Decision Making; Social Behavior; Adolescent; Female; Self Concept; Emotional Intelligence; School Health Services; Social Norms; Dangerous Behavior; Problem Behavior; Sexual Behavior; Sexually Tra...
31 Developing the Care Model for Comprehensive Outpatient Pediatric Palliative CareChildren continue to lose their lives to life threatening and life limiting illnesses. Less than ten percent of them receive palliative or hospice support. This project addresses design and development of an outpatient model to provide comprehensive pediatric palliative care. Outpatient access to th...Berg, AngelaAdvanced Practice Nursing; Education, Nursing, Graduate; Congenital Abnormalities; Palliative Care; Terminal Care; Health Personnel; Social Support; Outpatients; Patient Outcome Assessment; Nevada; Outpatients; Pediatric Nurse Practitioners; Patient Outcome Assessment; Models, Nursing; Remote Consul...
32 Educating Intra-partum Nurses on Quality Maternity CareFor the past several decades the use of routine birth interventions, such as continuous electronic fetal monitoring (cEFM) has been on the rise. Despite the increasing use of this interventions as a bio-medical model of care, 1 in 3 women gave birth via cesarean in 2011, and nearly ¼ of those opera...Fullmer, Che'Lyn CrapoAdvanced Practice Nursing; Education, Nursing, Graduate; Maternal-Child Nursing; Fetal Monitoring; Education, Nursing; Evidence-Based Nursing; Midwifery; Parturition; Health Knowledge, Attitudes, Practice; Treatment Outcome; Surveys and Questionnaires
33 Pilot Implementation of the Flu-FIT ProgramIntroduction The primary goal of this project is to determine if the Flu-FIT program could serve as an effective way to increase compliance with colorectal cancer screening guidelines among low-income and uninsured residents of Utah County. Problem Statement The U.S. Preventative Services Task Force...Bowers, PamelaAdvanced Practice Nursing; Education, Nursing, Graduate; Pilot Projects; Colorectal Neoplasms; Early Detection of Cancer; Utah; Geography, Medical; Medically Uninsured; Occult Blood; Preventive Health Services; Sensitivity and Specificity; Safety-net Providers; Immunization Programs; State Health Pl...
34 Screening for Toxic Stress In The 4 Year Old ChildIntroduction: The purpose of this project was to assist an urban clinic in implementing a quality improvement (QI) project to screen 4-year-old children at well child visits for symptoms of toxic stress, and to assist with the development and implementation of a sustainability plan. Problem Statemen...White, AlexandriaAdvanced Practice Nursing; Education, Nursing, Graduate; Child; Illness Behavior; Adverse Childhood Experiences; Exposure to Violence; Mass Screening; Stress Disorders, Post-Traumatic; Psychological Trauma; Child Abuse; Child Abuse, Sexual; Stress, Psychological; Stress Disorders, Risk Factors; Resi...
35 APRN Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in the College PopulationAdvanced Practice Registered Nurses (APRNs) treat students at the Student Health Service Center on the University of Utah Campus. The Nurse Scope of Practice includes ability of APRNs to diagnose ADHD. However, research reflects a wide diversity in reported comfort level in diagnosis and treatment o...Huber, JanisAdvanced Practice Nursing; Education, Nursing, Graduate; Primary Care Nursing; Population; Risk Reduction Behavior; Signs and Symptoms; Attention Deficit Disorder with Hyperactivity; Attention Deficit and Disruptive Behavior Disorders; Prevalence; Students; Nurse Practitioners; Student Health Servi...
36 Assessing Learning Needs Regarding Barriers to and the Use of N2O for the Management of Labor PainThis project was designed to assess the learning needs and barriers of various obstetric (OB) staff prior to implementing the use of nitrous oxide (N2O) on a labor and delivery unit at a tertiary care center in Salt Lake City, Utah. The purpose of the project was to provide information for the nurse...Loveridge, DanicaAdvanced Practice Nursing; Education, Nursing, Graduate; Labor Pain; Nitrous Oxide; Anti-Anxiety Agents; Placenta; Maternal-Fetal Exchange; Pain Management; Parturition; Gas Scavengers; Analgesics, Short-Acting; Evidence-Based Practice; Obstetric Nursing; Quality of Health Care; Quality Improvement
37 Development of Education Intervention to Improve Awareness and Knowledge of Heart Disease in Hispanic Women at a Non-Profit Organization in Salt Lake CityHeart disease continues to be the primary cause of death for women in the United States (CDC, 2015). In 2009, heart disease killed 292,188 women, and despite the effort of education campaigns, only 54% of women identify that heart disease is their number one killer (CDC, 2014). Hispanic women have b...Guitarrari, CarolinaAdvanced Practice Nursing; Education, Nursing, Graduate; Heart Diseases; Hispanic Americans; Women; Health Knowledge, Attitudes, Practice; Attitude to Health; Health Promotion; Risk Factors; Primary Prevention; Culturally Competent Care; Patient Education as Topic; Organizations, Nonprofit
38 Resolving Misconceptions about Midwifery CareThe purpose of this project was to address misconceptions and provide accurate information about childbirth and midwifery services to a group of young women in Utah. The midwifery model of care has been shown to provide cost-effective and high quality healthcare that is associated with a reduction i...Chaney, ChelseaAdvanced Practice Nursing; Education, Nursing, Graduate; Nurse Midwives; Midwifery; Utah; Maternal Health Services; Women's Health Services; Cost-Benefit Analysis; Social Perception; Pilot Projects; Health Education; Health Knowledge, Attitudes, Practice; Evidence-Based Practice; Quality of Health C...
39 Evaluation Study of a Web-Based Virtual Preceptorship for Moderate Sedation TrainingSafe Sedation Training® (SST®), is an interactive, web-based module related to moderate sedation. SST® can be utilized to standardize moderate sedation training in a given healthcare organization. However, SST has not been formally evaluated or tested in a broad spectrum of healthcare workers or ...Mudalige, AruniAdvanced Practice Nursing; Education, Nursing, Graduate; Conscious Sedation; Anti-Anxiety Agents; Preceptorship; Nurses; Evaluation Studies as Topic; Web Browser; Monitoring, Physiologic; Evidence-Based Nursing; Clinical Competence; Drug Administration Routes; Patient Safety; User-Computer Interfac...
40 Optimizing Electronic Health Record Use and Workflow for Management of Type 2 Diabetes Mellitus at Idaho Minor Emergency and Family PracticePrimary care providers bear the majority of the responsibility for the ongoing management of the costly, disabling, and deadly chronic disease, type 2 diabetes mellitus (T2DM). A preponderance of evidence demonstrates that diabetes management guidelines improve patient outcomes; however, primary car...L'Heureux, NancyAdvanced Practice Nursing; Education, Nursing, Graduate; Electronic Health Records; Workflow; Diabetes Mellitus; Quality of Health Care; Family Practice; Practice Guidelines as Topic; Outcome Assessment (Health Care); Disease Management; Evidence-Based Practice; Health Knowledge, Attitudes, Practice...
41 Skin-to-Skin Care in the Level IV NICU: A Quality Improvement ProjectSkin-to-skin care (SSC), also known as kangaroo care, is a simple intervention that involves placing a naked, or nearly naked, newborn in a prone position on the chest of the parent. This practice was originally devised in the late 1970s as a means of preventing hypothermia in premature infants. Sin...Taylor, MoriahAdvanced Practice Nursing; Education, Nursing, Graduate; Kangaroo-Mother Care Method; Intensive Care Units, Neonatal; Quality of Health Care; Hypothermia; Body Temperature Regulation; Length of Stay; Evidence-Based Practice; Advanced Practice Nursing; Neonatal Nursing; Social Class; Socioeconomic Fa...
42 Improving Pediatric Asthma Control: A Storybook InitiativeBetween 2009 and 2013, Davis County combined asthma prevalence rate increased from the Utah state average of 8.6% to 9.5%, the highest in the state. Pediatric patients account for 25% of total asthmatics, but accrue over 50% of total emergency room (ER) visits and hospitalizations for asthma exacerb...Anderson, JacobAdvanced Practice Nursing; Education, Nursing, Graduate; Asthma; Primary Prevention; Patient Education as Topic; Child Behavior; Social Class; Socioeconomic Factors; Health Status Disparities; Patient Compliance; Health Literacy; Self Care; Self Efficacy; Child; Adolescent; Utah
43 Impacting the Care of Children with Rare Disease through the Medical Home PortalIntroduction: There are over 7,000 known rare diseases, with over half having a childhood onset. Although rare diseases are singularly uncommon, collectively 6-10% of the population is affected. The sheer number of rare diseases and infrequent prevalence create a difficult challenge for health care ...Jensen, SusanAdvanced Practice Nursing; Education, Nursing, Graduate; Rare Diseases; Chronic Disease; Child; Genetic Testing; Fabry Disease; Evidence-Based Practice; Parent-Child Relations; Health Information Systems; Health Services Needs and Demand
44 Improving End-of-Life Care: An Evidence-based CurriculumAmericans are not only living longer, many experience terminal illnesses for extended periods of time. Management of these terminal illnesses and deaths frequently occur in acute care settings where nurses are often the healthcare professional at the bedside. Unfortunately, many nurses caring for ol...Mcleskey, NanciAdvanced Practice Nursing; Education, Nursing, Graduate; Terminal Care; Palliative Care; Delivery of Health Care; Patient Care Management; Evidence-Based Practice; Hospice and Palliative Care Nursing; Problem-Based Learning; Curriculum; Quality of Health Care
45 A Quality Improvement Project to Develop and Evaluate Systems of Care for Undocumented Immigrants with End-Stage Renal Disease in Southwest IdahoIn Southwest Idaho undocumented immigrants have, compared to legal residents, little to no access to, or funding for, preventative and maintenance care of ESRD. The disparity of care in the current delivery system for undocumented immigrants results in poorer outcomes, longer length of stay, and a s...Child, ClintonAdvanced Practice Nursing; Education, Nursing, Graduate; Evidence-Based Nursing; Kidney Failure, Chronic; Emigrants and Immigrants; Hispanic Americans; Population Characteristics; Risk Factors; Health Services Accessibility; Emergency Service, Hospital; Preventive Health Services; Culturally Compete...
46 Home-Based Pediatric Palliative Care Delivered by a HospiceThis project was designed to address the lack of outpatient pediatric palliative care programs in Nevada by initiating a new program involving an existing specialty children's center and an existing hospice. The objectives of the project included proposing a palliative care model involving new servi...Barrus, HeidiAdvanced Practice Nursing; Education, Nursing, Graduate; Health Personnel; Palliative Care; Hospice and Palliative Care Nursing; Pediatric Nursing; Home Care Services; Child; Quality of Health Care; Delivery of Health Care; Quality of Life; Reimbursement Mechanisms; Medicaid; Nevada
47 Improving Fever Literacy to Reduce Fever PhobiaAlthough fever has been cited as the most common complaint among children, there is significant misunderstanding of fever among parents (Chiappini et al., 2012; Krantz, 2001; Wallenstein et al., 2013). In 1980, Dr. Barton Schmitt discovered that nearly all parents believed fever caused physical harm...Weber, LauraAdvanced Practice Nursing; Education, Nursing, Graduate; Fever; Child; Health Literacy; Attitude to Health; Education, Nonprofessional; Guidelines as Topic; Phobic Disorders; Anxiety; Parenting; Evidence-Based Practice; Patient Education as Topic
48 Integrating Refugee Youth Mental Health Screenings into the Domestic Refugee Medical ExaminationRefugees are people displaced from their native countries and unable to return due to a fear of persecution. Refugees often experience cumulative stressors during the preflight, flight, and resettlement periods. Refugees of all ages have considerable risks for the development of mental distress. A h...Chapman, DianeAdvanced Practice Nursing; Education, Nursing, Graduate; Emigration and Immigration; Refugees; Mental Health Services; Mass Screening; Acculturation; Culturally Competent Care; Risk Factors; Population Characteristics; Child; Adolescent; Surveys and Questionnaires; Patient Health Questionnaire
49 Restructuring Advanced Practice LeadershipNational utilization of Advanced Practice Clinicians (APCs), specifically Nurse Practitioners (NPs), throughout the healthcare system has significantly increased in recent years, especially within the hospital setting. As a result, NPs are seen as a vital component to providing quality healthcare. H...Showalter, AllisonAdvanced Practice Nursing; Education, Nursing, Graduate; Nurse Practitioners; Leadership; Organizations, Nonprofit; Quality of Health Care; Patient Safety; Policy Making; Standard of Care; Models, Nursing; Models, Organizational; Evidence-Based Practice; Job Satisfaction
50 Treatment Summary and Prevention of Breast Cancer Survivorship Care PlanThe American Cancer Society estimates there will be 2.8 million breast cancer survivors in the United States in 2014. Because of the increased survival rates in breast cancer there are growing numbers of survivors who need comprehensive survivorship care for longer life spans. This long term care re...Gerrard, AngelaAdvanced Practice Nursing; Education, Nursing, Graduate; Breast Neoplasms; Survival Rate; Cancer Survivors; Aftercare; Patient Care Planning; Electronic Health Records; Delivery of Health Care, Integrated; Quality of Health Care; Quality Improvement
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