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1 Promoting Obstetric Care for Rural Women in Northern Utah: "Choose the Right Provider for You"In 2012, approximately 55% of women living in rural Box Elder County (Northern Utah) sought obstetric services from larger facilities in distant locations, despite having quality, comprehensive services available in their community and a generally healthy, low-risk population. Uncomplicated pregnanc...Overson, AnnieAdvanced Practice Nursing; Education, Nursing, Graduate; Prenatal Care; Hospitals, Community; Reproductive Health Services; Rural Health Services; Personal Satisfaction; Maternal Welfare; Social Marketing; Consumer Behavior; Utah
2 Pediatric Obesity Treatment and Reimbursement in Primary CarePrimary care providers have struggled to find a cost-effective clinically-based pathway to treat pediatric obesity and cardiovascular risk. Providers cite lack of reimbursement for obesity-related services as one reason that precludes their ability to effectively treat obesity. With the implementati...Homer, Sarah BabcockAdvanced Practice Nursing; Education, Nursing, Graduate; Pediatric Obesity; Overweight; Primary Health Care; Disease Management; Body Mass Index; Body Weight; Life Style; Risk Factors; Counseling; Critical Pathways; Insurance, Health, Reimbursement; Medicaid; Patient Protection and Affordable Care...
3 Pre-Hospital Algorithm for Anticoagulation Therapy in ST-Segment Elevation Myocardial InfarctionFor a number of years the emphasis has been placed on the in hospital care of patients with acute myocardial infarction, a trend that was strengthened by the inception of coronary care units. In the past several years, however, increased attention has been focused on the pre-hospital phase. Recent s...Romero, TyreeAdvanced Practice Nursing; Education, Nursing, Graduate; Thrombosis; Cardiovascular Diseases; Myocardial Infarction; Acute Coronary Syndrome; Coronary Occlusion; Algorithms; Emergency Medical Services; Morbidity; Incidence; Anticoagulants; Fibrinolytic Agents; Practice Guidelines as Topic; Quality I...
4 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...
5 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...
6 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...
7 The Risks and Benefits of Male Infant CircumcisionMale infant circumcision (MIC) is the most commonly performed surgical procedure in the U.S. and the world. Each year in the U.S. half - over two million - of all new parents will decide whether or not to circumcise their male infant. The annual cost for MIC, in the U.S. alone, approaches half a bil...Anderson, Jess B.Advanced Practice Nursing; Education, Nursing, Graduate; Circumcision, Male; Infant; Risk Assessment; Health Education; Sexually Transmitted Diseases; HIV Infections; Evidence-Based Medicine; Health Knowledge, Attitudes, Practice; Parents
8 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
9 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...
10 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...
11 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...
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 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
14 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...
15 Postpartum Depression: Faith-Based Health PromotionPostpartum depression (PPD) is experienced by 10%-15% of women per year and often goes under recognized by women and communities (CDC, 2008). It is the most serious of postpartum disorders and most common pregnancy-related illness. Women experiencing PPD may not seek help for multiple reasons, inclu...Thomas, MaryAdvanced Practice Nursing; Education, Nursing, Graduate; Pregnancy; Depression, Postpartum; Postpartum Period; Signs and Symptoms; Diagnostic Screening Programs; Health Promotion; Risk Assessment; Needs Assessment; Health Knowledge, Attitudes, Practice; Mental Health; Social Stigma; Guilt; Fear; So...
16 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...
17 Prenatal Care Curriculum for Women with Substance AbuseThe goal of this project was to develop a group prenatal care curriculum for women on Methadone and Suboxone therapies. This curriculum implements best practices based on the most current research to provide prenatal care for women currently receiving treatment for substance abuse. In the 2010 Natio...Anderson, Laura McGrawAdvanced Practice Nursing; Education, Nursing, Graduate; Neonatal Abstinence Syndrome; Postpartum Period; Pregnancy Outcome; Self Efficacy; Self Care; Self Concept; Substance-Related Disorders; Prenatal Care; Counseling; Curriculum; Social Support; Risk Factors; Relaxation Therapy; Pregnancy
18 Pain Management for Patients with Dementia in Nursing HomesOf the 3.3 million Americans currently living in nursing homes, it is estimated that 45-80% suffer from significant chronic pain. Additionally, it is estimated that 70% of nursing home patients with dementia suffer chronic pain. Patients with dementia in nursing homes suffer disproportionately from ...Greenberg, Robert J.Advanced Practice Nursing; Education, Nursing, Graduate; Dementia; Cognition; Pain; Chronic Pain; Pain Management; Pain Measurement; Nursing Homes; Nursing Staff; Clinical Protocols; Drug Administration Schedule; Analgesia; Analgesics; Drug Monitoring; Palliative Care
19 Making a Diabetic Ketoacidosis Computerized Order Set User-FriendlyClinicians in the Shock-Trauma Intensive Care Unit (STICU) at Intermountain Medical Center have spoken frustration about the current diabetic ketoacidosis (DKA) order set. Both providers and nurses are often confused by these orders. This confusion has lead to delayed order implementation likely res...Checketts, Heidi, M.Advanced Practice Nursing; Education, Nursing, Graduate; Diabetic Ketoacidosis; Intensive Care Units; Critical Care; Medical Order Entry Systems; Quality of Health Care; Software Design; Questionnaires; Nursing Staff; Quality Improvement
20 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
21 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
22 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...
23 Lactation Services in the Pediatric Clinic: A Business Plan for Breastfeeding SupportData from the Centers for Disease Control and Prevention (2013) indicates that nearly 40% of infants who are initially breastfed are no longer exclusively breastfed at three months. Discontinuation of breastfeeding during the first week of life is primarily attributed to feeding difficulties and at ...Dunn, Stephanie L.Advanced Practice Nursing; Education, Nursing, Graduate; Breast Feeding; Postnatal Care; Primary Health Care; Infant Nutritional Physiological Phenomena; Personal Satisfaction; Cost Savings; Cost-Benefit Analysis; Health Behavior; Infant Welfare; Maternal Welfare; Health Care Coalitions
24 Treatment Options for Aortic Valve Stenosis: Developing an Algorithm for Best Practice between TAVR and Surgical AVRThis Doctor of Nursing Practice Scholarly Project addressed the problem of a lack of guidelines about the surgical options for the surgical treatment of aortic valve stenosis and the impact this has on a patient's ability to make an informed decision and their outcomes. The purpose of this project w...Byrd, KennedyAdvanced Practice Nursing; Education, Nursing, Graduate; Aortic Valve Stenosis; Heart Valve Prosthesis; Aged; Quality of Life; Risk Factors; Decision Making; Algorithms; Patient Preference; Transcatheter Aortic Valve Replacement; Cardiovascular Surgical Procedures
25 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
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