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1 Identifying Barriers in Meeting the 2-Day Post Discharge Telephone Call: A National Veteran's Hospital Performance MeasureIn order to improve the quality of health care to the nation's veterans, the Veteran's Health Administration (VHA) adopted a patient-centered medical home model in 2011. They refer to it as the Patient Aligned Care Team (PACT). As part of this transition many new performance measures were introduced...Valentine, DeborahAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Patient Care Team; Patient Care Management; Outcome and Process Assessment (Health Care); Patient Discharge; Follow-Up Studies; Interviews as Topic; Communication Barriers; Hospitals, Veterans; Work Performance; Surveys and Q...
2 Educating Rural Nurses Regarding Therapeutic Care Following Fetal DemiseCurrently, the Centers for Disease Control and Prevention report the neonatal death rate at 4.5 per 1,000 births. This is a significant decrease from the rate of 20.5 per 1,000 reported in the 1950's. While this is an impressive decrease, fetal demise, defined as any fetal or neonatal death after 20...Waters, KiraAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Rural Nursing; Fetal Death; Professionalism; Anxiety; Empathy; Bereavement; Grief; Self Efficacy; Nurse-Patient Relations; Education; Wyoming
3 Improving Care Delivery to Patients Through Multiple-Patient Simulation ExperienceSimulation-based learning is part of the standard curriculum in many nursing programs across the nation. However, most simulation experiences focus on single-patient scenarios. This focus does not reflect the reality of professional clinical settings, in which nurses take care of multiple patients s...Prince, WendeAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Delivery of Health Care; Patient Simulation; Education, Nursing; Curriculum; Quality of Health Care; Quality Improvement; Pilot Projects; Clinical Competence; Surveys and Questionnaires; Patient Safety; Competency-Based Educa...
4 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; Systems Analysis; Social Adjustment; Adaptation, Psychological; Decision Making; Social Behavior; Adolescent; Female; School Health Services; Social Norms; Dangerous Behavior; Sexual Behavior; Sexually Transmitted Diseases; Rural Population; S...
5 Nutritional Intake Guidelines for Obstetrical PatientsThe purpose of this scholarly doctoral nurse practitioner (DNP) project was to create nutritional intake guidelines for obstetrical patients who were laboring at a local hospital. Currently in the United States, women who are laboring are routinely deprived of food and are often restricted to minima...Scott, Heather A.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Labor, Obstetric; Vomiting; Practice Guidelines as Topic; Eating; Drinking; Pneumonia, Aspiration; Anesthesia, Epidural; Anesthesia, Obstetrical; Risk; Patient Outcome Assessment
6 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; Systems Analysis; Systems Analysis; 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
7 Increasing Provider Awareness and Promoting Adaptation of the American Academy of Pediatrics Recommended Guidelines for Patients with Down SyndromeIndividuals with Down Syndrome (DS) often have unique health challenges which include complex medical conditions, multiple physical malformations, cognitive impairment and developmental delays. These health challenges significantly increase the morbidity rate of people with DS. Coupled with varied m...Callister, SaraAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Down Syndrome; Practice Guidelines as Topic; Health Personnel; Evidence-Based Practice; Primary Health Care; Clinical Competence; Quality of Health Care; Primary Health Care; Checklist
8 Increasing Knowledge of the Intrauterine Device as Emergency Contraception among Pregnant and Parenting TeensTeen mothers are at high risk of repeat pregnancy due to continued sexual activity and inconsistent contraceptive use. Among 22 studies, the mean rate of repeat teen pregnancy within 18 months was 39% (Meade & Ickovics, 2005). Emergency contraception (EC) is a safe and effective method to decrease t...Guerra, HelenaAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Pregnancy in Adolescence; Contraception, Postcoital; Pregnancy Outcome; Intrauterine Devices, Copper; Patient Education as Topic; Education, Nonprofessional; Parenting; Reproductive Health Services; Health Knowledge, Attitud...
9 The Importance of Proper Glucose Levels Prior to Conception: A Community Awareness ProjectUncontrolled blood glucose levels prior and during pregnancy is associated with devastating adverse pregnancy outcomes for the mother and infant (Collier, Mulhonlland, Williams, Mersereau, Turay, and Prue, 2011). The percentage of live births affected by diabetes each year is alarming at about 5% of...Pinkerman, MarciaAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Health Knowledge, Attitudes, Practice; Blood Glucose; Glycemic Index; Fertilization; Patient Education as Topic; Diabetes, Gestational; Diabetes Complications; Evidence-Based Practice; Population Characteristics; Health Promo...
10 Venous Thromboembolism Chemoprophylaxis in Traumatic Intracranial HemorrhageVenous thromboembolism (VTE) includes deep vein thrombosis and pulmonary embolism. It is a common complication of neurosurgical patients with an incidence in traumatic brain injury as high as 54%. Understanding that this is a preventable complication, one can recognize this statistic as alarming. An...Whipple, AllisonAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Intracranial Hemorrhage, Traumatic; Brain Hemorrhage, Traumatic; Thromboembolism; Algorithms; Chemoprevention; Anticoagulants; Practice Guidelines as Topic; Outcome Assessment (Health Care); Evidence-Based Practice
11 Improving Communication Between Night-Shift Nurses and Critical-Care Physicians in the Thoracic Intensive Care UnitThe Thoracic Intensive Care Unit (TICU) at Intermountain Medical Center cares for critically ill patients who are suffering from a variety of cardiac, pulmonary, and vascular ailments. These individuals have multiple comorbidities, which potentiates the need for complex care and attention delivered ...Sweet, JennaAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Night Nurse; Critical Care; Intensive Care Units; Medical Staff, Hospital; Outcome Assessment (Health Care); Interprofessional Relations; Communication; Medical Errors; Patient Handoff; Quality Improvement; Evidence-Based Pra...
12 Breast Cancer Survivorship Care Plan: Integration into the EHRThe cancer survivor population is growing and requires specific coordinated continual care. In 2005, the Institute of Medicine (IOM) noted a gap in the continuum of survivorship care. As a result, they recommended that all cancer survivors be provided a survivorship care plan (SCP) upon completion o...Pulgiano, TiffanyAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Breast Neoplasms; Electronic Health Records; Survivors; Lost to Follow-Up; Quality of Life; Long-Term Care; Patient Care Planning; Delivery of Health Care, Integrated; Primary Care Nursing; Follow-Up Studies
13 Developing a Successful Implementation Plan for a Diabetes Self-Management Support ProgramThis Doctor of Nursing Practice Scholarly Project addressed provider and healthcare team support for a diabetes self-management support (DSMS) program in a community health clinic system. The clinic is currently participating in a National Institute of Health (NIH) study and anticipates clinic-wide ...Hardwick, Dawn I.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Patient Education as Topic; Self Care; Diabetes Mellitus; Evidence-Based Practice; Primary Prevention; Health Plan Implementation; Surveys and Questionnaires
14 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; Systems Analysis; Breast Neoplasms; Survival Rate; Aftercare; Electronic Health Records; Delivery of Health Care, Integrated; Quality of Health Care
15 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; Systems Analysis; Maternal-Child Nursing; Fetal Monitoring; Education, Nursing; Evidence-Based Nursing; Midwifery; Parturition; Health Knowledge, Attitudes, Practice; Treatment Outcome; Surveys and Questionnaires
16 Study of Pain Management Practices in Infants with Gastroschisis in a Level IV Newborn Intensive Care UnitGastroschisis is an abdominal wall defect specific to the neonatal population, where the abdominal organs protrude through an opening next to the umbilicus. The severity of the defect varies between patients, but all infants with the diagnosis of gastroschisis will require surgical intervention. Pai...Fish, JenniferAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Pain Management; Acetaminophen; Analgesics, Non-Narcotic; Intensive Care Units, Neonatal; Gastroschisis; Infant, Newborn; Evidence-Based Practice
17 Hepatitis C Screening in the Birth Cohort (1945-1965)Hepatitis C is one of the most common blood borne pathogens in the United States. It is an insidious infection that frequently remains asymptomatic in its host, causing damage years after initial contact. The negative health effects of an undiagnosed hepatitis C infection often include liver cirrhos...Fillmore, EricAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Hepatitis C; Mass Screening; Cohort Studies; Primary Prevention; Primary Health Care; Mass Screening; Colonoscopy
18 Pain, Agitation and Delirium Management in an Adult Intensive Care UnitThe Centers of Disease Control reports an estimated 300,000 patients receive mechanical ventilation each year. Patients receiving mechanical ventilation therapy have a high risk for complications and poor outcomes. Current clinical practice guidelines recommend managing pain, agitation and delirium ...Fawcett, Tina M.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Critical Illness; Adult; Intensive Care Units; Pain Management; Consciousness; Delirium; Conscious Sedation; Deep Sedation; Critical Care; Respiration, Artificial; Practice Guidelines as Topic; Pain Measurement; Clinical Prot...
19 Nurses' Use of the TBM for Heart Failure Patients' Self-Care Management after Hospital DischargeHeart failure (HF) currently affects 6.5 million adults in the United States and its prevalence is projected to increase by 25% by 2030. The Centers for Medicare & Medicaid Services has mandated reporting of hospital-level 30-day readmission rates and possible penalties for HF in an effort to improv...Dalling, Jo AnnAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Heart Failure; Patient Readmission; Self Care; Patient Education as Topic; Patient Safety; Patient Care; Teach-Back Communication; Cardiovascular Nursing; Evidence-Based Nursing; Surveys and Questionnaires; Patient Discharge;...
20 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; Systems Analysis; Prescription Drug Misuse; Substance-Related Disorders; Opioid-Related Disorders; Controlled Substances; Drug Overdose; Comorbidity; Patient Medication Knowledge; Potentially Inappropriate Medication List
21 Integrating U.S. Preventive Services Task Force (USPSTF) Recommendations on Childhood Obesity into PracticeChildhood obesity is a significant problem in the United States, with one in three children overweight or obese. The physical and emotional consequences of childhood obesity often continue into adulthood. The United States Preventive Services Task Force (USPSTF) recommends that clinicians screen chi...Gardiner, JaneAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Pediatric Obesity; Weight Reduction Programs; Risk Reduction Behavior; Preventive Health Services; Primary Prevention Health Promotion
22 Motivational Interviewing for Health Care Change: Implementing Clinical Guidelines in the Treatment of ObesityAs the obesity epidemic continues to escalate in this country and with it the increased risk of chronic conditions and the ever-increasing expense those conditions impose upon our healthcare system, evidence-based interventions delivered by providers becomes increasingly imperative. Research shows u...Dodd-Cardon, CatherineAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Obesity; Weight Loss; Clinical Protocols; Anti-Obesity Agents; Nursing Assessment; Evidence-Based Nursing; Practice Guidelines as Topic; Health Behavior; Behavior Therapy; Motivation; Health Promotion; Primary Health Care; Co...
23 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; Systems Analysis; Pregnancy; Environmental Health; Environmental Exposure; Pregnancy Complications; Hazardous; Substances; Reproductive Health; Developmental Disabilities; Toxicology
24 Integrating Falls Specialist Referrals into Primary Care: Barriers and ImplementationFalls are common among the older adult (≥ 65 years) population and may result in significant morbidity and mortality, including: diminished physical and cognitive ability, exacerbation of chronic medical conditions, isolation, hospitalizations, and death. Because of serious implications for the in...Catchpole, Laura A.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Accidental Falls; Syncope; Primary Prevention; Risk Reduction Behavior; Aged; Mass Screening; Health Plan Implementation; Patient Education as Topic; Mobility Limitation
25 Evidence-Based Asthma Guideline Implementation in a Pediatric Primary Care PracticeDespite the availability of national guidelines on asthma management, asthma and its' complications continue to negatively impact many children and their families. Inadequate asthma management decreases quality of life, increases pediatric morbidity and drives up the cost of health care. Pediatric a...Yoosook, VanessaAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Asthma; Disease Management; Evidence-Based Practice; Patient Education as Topic; Primary Health Care; Child; Comorbidity; Practice Guidelines as Topic; Self Care; Cost of Illness
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