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76 Integrating Outcome and Self-Efficacy Expectations that Influence Career Decisions in Mental Health Nursing: A Quality Improvement ProjectThere 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...Pawlus, AllisonAdvanced Practice Nursing; Education, Nursing, Graduate; Career Choice; Psychiatric Nursing; Self Efficacy; Health Workforce; Mental Health Services; Vocational Guidance; Professional Competence; Quality Improvement
77 One Year Review of Experience with Postpartum IUD InsertionsAims: This quality improvement project aimed to understand postpartum contraceptive initiation trends in a midwifery practice at a teaching hospital in the Intermountain West. The primary aim was to measure the uptake of intrauterine device (IUD) and other long-acting contraception (LARC) in this po...Radmall, JessicaAdvanced Practice Nursing; Education, Nursing, Graduate; Midwifery; Perinatal Care; Postpartum Period; Contraceptive Devices; Long-Acting Reversible Contraception; Contraception Behavior; Time Factors; Pregnancy; Pregnancy, High-Risk; Equipment Failure; Uterine Perforation; Practice Guidelines as To...
78 Piloting a Weight Management Program at a College Health CenterBackground: Approximately 37% of US college students report being either overweight or obese. A college health center at a large Western US university routinely screens students for overweight and obesity, but offers limited weight management counseling. The purpose of this quality improvement proje...Price, JaredAdvanced Practice Nursing; Education, Nursing, Graduate; Obesity; Body Weight Maintenance; Weight Loss; Motivational Interviewing; Comorbidity; Health Behavior; Counseling; Student Health Services; Counseling; Preventive Health Services; Health Promotion; Healthy Lifestyle; Universities; Health Imp...
79 Prenatal Care Implications for the Primary Care ProviderFamily Nurse Practitioners (FNPs) are extensively trained in their programs of study and are certified and skilled to care for patients ranging from birth to death. Due to the significant amount of curricular content required in FNP programs, creative ways of disseminating education regarding specif...Karr, JenniferAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Prenatal Care; Primary Health Care; Family Nurse Practitioners; Health Knowledge, Attitudes, Practice; Clinical Competence; Certification; Licensure; Evidence-Based Practice; Education, Distance; Quality of Health Care; Mater...
80 Identifying and Addressing Health Disparities Among Hispanic Adults in the Intensive Care Unit: A Needs AssessmentThe 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...Gutierrez, SandraAdvanced Practice Nursing; Education, Nursing, Graduate; Healthcare Disparities; Hispanic Americans; Social Status; Needs Assessment; Health Literacy; Health Knowledge, Attitudes, Practice; Health Status Disparities; Health Risk Behaviors; Intensive Care Units; Educational Status; Health Services Ac...
81 Evaluation of a Telehealth Intervention for Postpartum DepressionPurpose. This project investigated the effectiveness of using a computer-based telehealth platform in order to facilitate early recognition and initiation of interventions for postpartum depression (PPD). The purpose of this project was to increase awareness and prevention of postnatal depression th...Wharton, Hollie J.Advanced Practice Nursing; Education, Nursing, Graduate; Evaluation Studies as Topic; Health Behavior; Postpartum Period; Depression, Postpartum; Telemedicine; Midwifery; Diagnostic Screening Programs; Telerehabilitation; Remote Consultation' Psychiatric Status Rating Scales; Self Efficacy; Health K...
82 Pediatric Resident Education to Facilitate Adolescent Contraceptive CounselingTeenage pregnancy is associated with myriad physical and socioeconomic risks for both mother and baby. Pediatricians have a vital role in providing sexual health education, ideally before the onset of sexual activity, and in preventing teenage pregnancy. Prevention of pregnancy during adolescent yea...Birdsall, RebekahAdvanced Practice Nursing; Education, Nursing, Graduate; Reproductive Health; Counseling; Adolescent; Sexual Health; Pregnancy in Adolescence; Contraception; Long-Acting Reversible Contraception; Contraceptive Agents, Female; Health Knowledge, Attitudes, Practice; Health Surveys; Health Personnel; A...
83 PTSD in Utah's Rural ICU Nurses: A Needs AssessmentPost-traumatic stress disorder (PTSD), when experienced by rural intensive care unit (ICU) nurses, can negatively impact safe, effective, patient care (Badger, 2001; Mealer, Burnham, Goode, Rothbaum, & Moss, 2009). Hospitals share responsibility for supporting these nurses through work-related traum...Ferrin, BruceAdvanced Practice Nursing; Education, Nursing, Graduate; Needs Assessment; Occupational Health; Occupational Stress; Stress Disorders, Post-Traumatic; Intensive Care Units; Emergency Service, Hospital; Rural Nursing; Hospitals, Rural; Critical Care Nursing; Adaptation, Psychological; Social Support;...
84 Nursing Perspectives of Developmental Care in Reducing Opioid Exposure in the Preterm Infant in the NICUAs medical technology advances, so do the number of lives saved, including the lives of extremely low-birth-weight preterm infants. Although these babies are being given the chance at life, the care and procedures they require can have detrimental long-term effects. Many of these procedures are pain...Russell, KathrynAdvanced Practice Nursing; Education, Nursing, Graduate; Intensive Care, Neonatal; Infant, Extremely Low Birth Weight; Pain Management; Analgesics, Opioid; Fentanyl; Morphine; Long Term Adverse Effects; Neurons; Neurodevelopmental Disorders; Treatment Outcome; Practice Guidelines as Topic; Surveys a...
85 Can Telehealth Lactation Services Provide Effective Breastfeeding Support for Rural Areas?In recent years, local and national organizations have emphasized the importance of exclusive breastfeeding and increasing access to lactation support. However, rural areas consistently have lower breastfeeding rates than urban areas and access to lactation consultants is limited. Telehealth lactati...Dahlsrud, SadieAdvanced Practice Nursing; Education, Nursing, Graduate; Telemedicine; Prenatal Education; Breast Feeding; Lactation; Rural Health Services; Health Services Accessibility; Hospitals, Rural; Feedback; Remote Consultation; Population Health; Women's Health; Health Promotion; Quality Improvement
86 Reducing High Utilization Patient Care through Improved Provider CommunicationNearly 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...Gonzales, Rebecca R.Advanced Practice Nursing; Education, Nursing, Graduate; Health Services Misuse; Medical Overuse; Patient Readmission; Professional-Patient Relations; Communication; Health Care Costs; Cost Control; Transitional Care; Continuity of Patient Care; Patient Care Management; Transitional Care; Patient-...
87 Development and Dissemination of a Telemental Health Startup ToolkitTelemental health (TMH) is largely underutilized by psychiatric mental health nurse practitioners (PMHNP) despite substantial literature supporting its use. This project sought to improve current and future PMHNP understanding of, and accessibility to, the components needed to provide TMH services i...Greene, LizAdvanced Practice Nursing; Education, Nursing, Graduate; Telemedicine; Mental Health Services; Rural Health Services; Health Services Accessibility; Nurse Practitioners; Rural Nursing; Delivery of Health Care; Educational Technology; Inservice Training; Remote Consultation; Distance Counseling; Surv...
88 Screening of Patients at Risk for Post-Intensive Care Unit Post-Traumatic Stress DisorderMany patients discharged from the intensive care unit (ICU) setting experience post-ICU post-traumatic stress disorder (PTSD) for up to a year after discharge. With the right knowledge and screening tools ICU staff can minimize the frequency and severity of post-ICU PTSD. The focus of this project w...Dayton, KaliAdvanced Practice Nursing; Education, Nursing, Graduate; Veterans; Intensive Care Units; Stress Disorders, Post-Traumatic; Emergence Delirium; Diagnostic Screening Programs; Risk Factors; Health Knowledge, Attitudes, Practice; Clinical Competence; Critical Care Nursing; Hypnotics and Sedatives; Sur...
89 Increasing Identification of Perinatal Posttraumatic Stress Disorder: An Education Module for Women's Health ProvidersPOSTERWilliams, ErinPoster as Topic; Advanced Practice Nursing; Education, Nursing, Graduate; Prenatal Care; Pregnancy Complications; Postpartum Period; Stress Disorders, Post-Traumatic; Mental Health; Signs and Symptoms; Anxiety; Parturition; Maternal Health; Maternal Mortality; Maternal Morbidity; Health Personnel; H...
90 Increasing Motivational Interviewing Use Among Primary Care Providers Counseling on Weight LossThe purpose of this project was to increase the use of weight loss counseling that integrated motivational interviewing (MI) techniques among primary care providers (PCPs) at a local primary practice. A quality improvement initiative was offered to 20 PCPs employed by seven community-based family pr...Gunnell, EmilieAdvanced Practice Nursing; Education, Nursing, Graduate; Obesity; Weight Loss; Motivational Interviewing; Bias, Implicit; Counseling; Inservice Training; Primary Health Care; Clinical Competence; Quality Improvement
91 Improving Access to Evidenced-Based Parent Training in an Outpatient Psychiatric ClinicBackground: 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...Polombo, BritneyAdvanced Practice Nursing; Education, Nursing, Graduate; Parents; Child; Adolescent; Community Mental Health Service; Child Behavior; Adolescent Behavior; Attention Deficit and Disruptive Behavior Disorders; Outpatients; Psychotherapeutic Processes; Evidence-Based Practice; Parent-Child Relations; C...
92 A Study of Micronutrient Deficiencies after Bariatric SurgeryBackground: 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...Nickel, AlexaAdvanced Practice Nursing; Education, Nursing, Graduate; Micronutrients; Vitamins; Bariatric Surgery; Nutrition Assessment; Nutritional Support; Obesity; Malnutrition; Medication Adherence; Reproducibility of Results; Self Report; Patient Education as Topic; Quality Improvement
93 Online Education Campaign to Improve Awareness and Appropriate Antibiotic Use for Respiratory Tract ConditionsBackground: Antibiotics are often over used in the treatment of uncomplicated acute respiratory tract conditions. Over-use of antibiotics leads to antibiotic resistance. Consumer or patient lack of knowledge about antibiotics and expectations for use contribute to their inappropriate use. Aims: This...Reynolds, Casey J.Advanced Practice Nursing; Education, Nursing, Graduate; Education, Distance; Anti-Bacterial Agents; Drug Resistance, Bacterial; Respiratory Tract Infections; Health Literacy; Prescription Drug Misuse; Health Knowledge, Attitudes, Practice; Patient Education as Topic; Potentially Inappropriate Medic...
94 Thermoregulation During Neonatal TransportBackground: Thermoregulation is important during neonatal resuscitation to decrease morbidity and mortality. Thermoregulation can be a challenge especially for infants born outside tertiary care centers requiring transportation. Objectives: The purpose of this study was to improve thermoregulation f...Jensen, AimeeAdvanced Practice Nursing; Education, Nursing, Graduate; Body Temperature Regulation; Monitoring, Physiologic; Infant, Newborn; Transportation of Patients; Intensive Care, Neonatal; Hypothermia; Clinical Protocols; Neonatal Transport; Quality Improvement
95 Improving the Quality of Provider Education on High Screen Time Use Given to Parents of Infant's & Young Children within a Primary Care Clinical SettingINTRODUCTION: Research has shown that too much screen time can be harmful to young children. Primary care and pediatric providers see children a total of 21 times for Well Child Checks (WCC) before their fifth birthday, allowing for plenty of time for providers to discuss the importance of screen ti...Owens, Shalise H.Advanced Practice Nursing; Education, Nursing, Graduate; Screen Time; Needs Assessment; Infant; Child; Primary Health Care; Social Media; Mobile Applications; Video Games; Television; Parent-Child Relations; Motivational Interviewing; Self Efficacy; Socialization; Social Communication Disorder; Soci...
96 Increasing Utilization of the Ottawa Ankle Rules in the Urgent Care SettingThe 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...Steinly, AimeeAdvanced Practice Nursing; Education, Nursing, Graduate; Algorithms; Symptom Assessment; Ankle Injuries; Fractures, Tarsal Bones; Pain; Gait; Radiography; Reproducibility of Results; Sensitivity and Specificity; Ambulatory Care; Quality Improvement
97 Improving the Rural Provider's Ability to Manage Complex Diseases: Implementing and Facilitating the Use of Project ECHOPurpose: To discover the challenges and potential solution(s) for the rural primary care providers using project ECHO (Extension for Community Healthcare Outcomes) to better manage common complex diseases. Rationale/Background: Research has demonstrated that those living in rural areas have higher m...Willardson, DevenAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Rural Health; Rural Health Services; Community Health Services; Community Health Centers; Primary Health Care; Telemedicine; Telecommunications; Outcome Assessment (Health Care); Health Services Accessibility; Practice G...
98 Improving Provider Recommendation of Therapeutic Exercise in Substance Abuse TreatmentAn 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...Terry, BrianaAdvanced Practice Nursing; Education, Nursing, Graduate; Substance Abuse Treatment Centers; Residential Treatment; Secondary Prevention; Risk Reduction Behavior; Health Behavior; Motivation; Psychological Theory; Long-Term Sobriety; Behavior Therapy; Exercise Therapy; Quality Improvement
99 Education for Mental Health Professionals Working With Child and Adolescent Patients With Suicidal Ideation About the Smartphone App SafeUTFrom 2007 to 2014 in Utah, the youth suicide rate nearly tripled to 8.5 per 100,000, and is currently the leading cause of death among 10- to 17-year-olds. Compared to national statistics, the 2014 youth suicide rate in Utah is more than double the national rate. Considering these rates of suicide a...Lee, YounchanAdvanced Practice Nursing; Education, Nursing, Graduate; Suicide; Suicidal Ideation; Bullying; Peer Influence; Depression; Depressive Disorder, Major; Anxiety; Child; Adolescent; Mobile Applications; Smartphone; Internet-Based Intervention; Crisis Intervention; Preventive Health Services; Mental He...
100 Empowering Maternal Mental Health Wellness: A Pilot ProgramPerinatal 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 ...Murphy, Hannah R.Advanced Practice Nursing; Education, Nursing, Graduate; Pilot Projects; Perinatal Care; Mindfulness; Self Report; Maternal Health; Mental Health; Preventive Health Services; Depression; Postpartum Period; Depression, Postpartum; Psychiatric Status Rating Scales; Health Promotion; Behavior Therapy; ...
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