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1 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; Systems Analysis; 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, Ne...
2 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; Systems Analysis; Minority Groups; Ethnic Groups; Cultural Competency; Demography; Neoplasms; Neuralgia; Pain Measurement; Pain Management; Primary Health Care; Quality of Life; Referral and Consultation; Palliative Care; Healthcare Dispariti...
3 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; Systems Analysis; Medication Errors; Drug Dosage Calculations; Education, Nursing; Mathematics; Problem-Based Learning; Interactive Tutorial; Self Efficacy; Clinical Competence; Clinical Nursing Research; Evaluation Studies as Topic; Dimension...
4 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; Systems Analysis; 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
5 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; Systems Analysis; Chemically-Induced Disorders; Taxoids; Peripheral Nervous System Diseases; Health Surveys; Symptom Assessment; Questionnaires; Nurses; Genital Neoplasms, Female; Ovarian Neoplasms; Severity of Illness Index; Incidence; Neural...
6 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; Systems Analysis; Hispanic Americans; Utah; Acquired Immunodeficiency Syndrome; HIV Infections; Attitude to Health; Health Promotion; Primary Health Care; Peer Group; Homosexuality, Male; Sexual Behavior; Patient Education as Topic; Utah; Heal...
7 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; Systems Analysis; Pregnancy; Depression, Postpartum; Postpartum Period; Signs and Symptoms; Health Promotion; Risk Assessment; Needs Assessment; Health Knowledge, Attitudes, Practice; Mental Health; Social Stigma; Guilt; Fear; Socioeconomic F...
8 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; Systems Analysis; Urinary Retention; Urinary Tract Infections; Urinary Catheters; Infection Control; Urinary Catheterization; Catheter-Related Infections; Cross Infection; Length of Stay; Clinical Protocols; Questionnaires
9 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; Systems Analysis; Athletic Injuries; Adolescent; Brain Concussion; Post-Concussion Syndrome; Parental Consent; Symptom Assessment; Brain Damage, Chronic; Health Belief Model
10 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; Systems Analysis; 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;...
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; Systems Analysis; Diabetes Mellitus, Type 2; Cognition; Cognition Disorders; Dementia; Patient Safety; Risk Factors; Aged; Prevalence; Primary Health Care; Health Services Needs and Demand; Comorbidity; Hypoglycemia; Memory Disorders
12 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; Systems Analysis; Emergency Service, Hospital; Emergencies; Cost of Illness; Length of Stay; Crowding; Patient Acuity; Triage; Nurse Practitioners; Aged; Efficiency, Organizational; Patient Care Management; Evidence-Based Nursing; Advanced Pra...
13 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; Systems Analysis; 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; Questionnai...
14 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; Systems Analysis; Adolescent; Confidentiality; Primary Health Care; Standard of Care; Retrospective Studies; Questionnaires; Risk; Social Support; Interview, Psychological; Health Behavior; Preventive Health Services; HEEADSSS Screening
15 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; Systems Analysis; Health Literacy; Health Communication; Personal Satisfaction; Patient Safety; Primary Health Care; Parents; Child; Decision Making; Patient Outcome Assessment; Self Efficacy; Self Care; Health Behavior
16 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; Systems Analysis; 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;...
17 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; Systems Analysis; Erythropoietin; Decision Support Techniques; Hematinics; Kidney Diseases; Chronic Disease; Patient Safety; Anemia; Thrombosis; Neoplasms; Myelodysplastic Syndromes; Antineoplastic Protocols; Cost Savings
18 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; Systems Analysis; Central Venous Catheters; Venous Thromboembolism; Advanced Practice Nursing; Nurse Practitioners; Radiology, Interventional; Trauma Centers; Incidence; Quality Improvement; Pulmonary Embolism; Venous Thrombosis
19 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; Systems Analysis; Glucose Intolerance; Insulin; Diabetes Mellitus, Type 2; Pediatric Obesity; Adolescent; Knowledge Bases; Primary Health Care; Prevalence; Mass Screening; Insurance Coverage; Questionnaires; Patient Compliance; Guideline Adhe...
20 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, Stepahnie L.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; 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 Coali...
21 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; Systems Analysis; Aortic Valve Stenosis; Heart Valve Prosthesis; Aged; Quality of Life; Risk Factors; Decision Making; Algorithms; Patient Preference; Cardiovascular Surgical Procedures
22 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; Systems Analysis; Contrast Media; Kidney Diseases; Renal Insufficiency, Chronic; Acute Kidney Injury; Incidence; Algorithms; Risk Factors; Emergency Service, Hospital; Acetylcysteine; Infusions, Intravenous; Nurse Practitioners; Tomography, X-...
23 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; Systems Analysis; American Nurses' Association; Codes of Ethics; Nurses; Faculty, Nursing; Advisory Committees; Social Determinants of Health; Healthcare; Social Justice; Public Policy; Disparities; Poverty; Goals; Cultural Competency
24 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; Systems Analysis; Breast Neoplasms; Ovarian Neoplasms; Primary Health Care; Genes, BRCA2; Genetic Counseling; Genetic Testing; Referral and Consultation; Questionnaires; Electronic Health Records; Early Detection of Cancer
25 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; Systems Analysis, Graduate; Depression, Postpartum; Postpartum Period; Mental Health Services; Referral and Consultation; Questionnaires; Depressive Disorder; Follow-Up Studies; Incidence; Prevalence; Risk Factors; Primary Health Care; Primar...
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