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1 Bone Marrow Transplant Survivorship Care Plan: Bridging the Knowledge and Care Access Gap: A Pilot StudyIn 2006, the Institute of Medicine (IOM), now known as National Academy of Medicine (NAM), recognized that there is a lack of continuation of cancer survivor care in the United States. The IOM recommended that all comprehensive cancer centers address the need of survivor care by using survivorship c...Lee, WennyAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Bone Marrow Transplantation; Graft vs Host Disease; Cancer Survivors; Cancer Care Facilities; Follow-Up Studies; Secondary Prevention; Electronic Health Records; Primary Health Care; Health Knowledge, Attitudes, Practice; Qua...
2 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; Clinical Competence; Certification; Licensure; Benchmarking; Quality of Health Care; Maternal Health; Patient Education as Topic; Pregnancy Outcome
3 Nursing Knowledge of the Opioid Epidemic in the Emergency DepartmentOpioid abuse in society dates back as far as 3400 BC when the poppy plant, otherwise known as opium, was used for medicinal and recreational purposes. As society evolved so did the abuse of opioids, including prescription opioids. This evolution brings us to today's national opioid epidemic and glob...Nielson, Heidi A.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Drug Overdose; Opioid-Related Disorders; Health Knowledge, Attitudes, Practice; Emergency Nursing; Substance-Related Disorders; Patient Education as Topic; Patient Discharge Summaries; Risk Reduction Behavior
4 Utah's Opioid Overdose Epidemic: Co-prescribing Naloxone for Long-term Opioid UsersBackground: Accidental opioid overdose is the leading cause of injury deaths in the state of Utah, even surpassing motor vehicle accidents. On average, 52 Utah adults die every month from drug poisoning. Currently, Utah is ranked 7th highest in the nation for opioid related overdoses. Co-prescribing...Brearton, Klinton L.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Drug Overdose; Opioid-Related Disorders; Social Problems; Substance-Related Disorders; Naloxone; Practice Patterns, Physicians'; Health Knowledge, Attitudes, Practice; Health Surveys; Liability, Legal; Prescription Drug Monit...
5 Improving Competency for Non-Licensed On-line Staff Working in Behavioral Health Acute Residential ProgramsThe ability to provide competent care within mental health treatment systems is of increasing importance due to rising demands to deliver high quality services with decreasing resources to do so. This ability to provide proficient care to people with a serious mental illness (SMI) can be influenced ...Bullock, RandyAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Professional Competence; Mental Health Services; Residential Treatment; Mental Disorders; Delivery of Health Care; Community Mental Health Services; Psychiatric Nursing; Health Personnel; Quality of Health Care; Education; Cl...
6 Improving Safety in the Emergency Department Through De-escalation TrainingViolence toward emergency care providers is common, with both patients and staff sustaining injuries (Hamdan & Hamra, 2015). Significant financial and personnel costs follow a violent incident, including damage to the facility and injuries resulting in medical care and lost time on the job for recov...Porter, StantonAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Emergency Service, Hospital; Workplace Violence; Aggression; Crisis Intervention; Inservice Training; Safety; Clinical Competence; De-Escalation Techniques; Management of Aggressive and Violence Attitude Scale
7 Increasing Emotional Intelligence in Healthcare ProvidersEmotional intelligence (EI) has long been overlooked in medical education and recent studies show medical providers miss opportunities to show EI to patients and staff. Emotional intelligence can enhance patient-provider communication and patient trust, thus affecting overall patient care and safety...Taylor, NoelleAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Emotional Intelligence; Professional-Patient Relations; Physician-Patient Relations; Nurse-Patient Relations; Patient-Centered Care; Trust; Empathy; Health Communication; Self-Assessment; Sampling Studies; Professional Compet...
8 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; Systems Analysis; Telemedicine; Prenatal Education; Breast Feeding; Rural Health Services; Health Services Accessibility; Hospitals, Rural; Feedback; Remote Consultation; Population Health; Telehealth Lactation Services
9 Timely and Safe Removal of Backboards in a Rural Emergency DepartmentThis study explored the need for timely and safe removal of backboards in a rural emergency department where no guidelines or protocols were currently in place for patients being brought in on backboards. Studies indicate adverse effects on patients who are allowed to have prolonged backboard time b...Garrett_CraigAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Spinal Injuries; Pressure Ulcer; Immobilization; Time-to-Treatment; Emergency Service, Hospital; Hospitals, Rural; Practice Guidelines as Topic; Patient Safety; Emergency Medical Services; Clinical Competence; Quality Improve...
10 Motivational Interviewing for Substance Use Counseling in the Juvenile Justice Setting: A Nursing Staff Quality Improvement ProjectThe majority of youth in juvenile justice facilities have substance use disorders. Motivational interviewing (MI) has been found to be an effective counseling style for substance use among adolescents. The purpose of this study was to evaluate the effectiveness of a brief MI training for nurses and ...Leavitt, Jessica L.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Substance-Related Disorders; Alcohol Drinking; Health Risk Behaviors; Adolescent; Motivational Interviewing; Counseling; Role Playing; Health Knowledge, Attitudes, Practice; Computer-Assisted Instruction; Quality Improvement...
11 Sexuality Education within the Juvenile Justice ServicesOver 71% of adolescents in the Utah Juvenile Justice System report being sexually active. With the national average in the United States being just over 40%, there is a significant increased risk for sexually transmitted infections (STI) and unintended pregnancies in this population. While adolescen...Stratford, ShaneAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Sexuality; Sex Education; Adolescent; Sexually Transmitted Diseases; Pregnancy in Adolescence; Preventive Health Services; Health Literacy; Educational Technology; Juvenile Justice Services; Educational Intervention
12 A Clinical Practice Guideline for the Recognition, Diagnosis, and Management of Neonatal DeliriumPurpose. The objective of this project was to create a clinical practice guideline (CPG) in order to standardize the assessment and treatment of neonatal delirium in a newborn intensive care unit (NICU) environment. Methods. An evidence-based CPG was developed using literature pertaining to pediatri...Schulte, KristaAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Practice Guidelines as Topic; Stakeholder Participation; Delirium; Infant, Newborn; Intensive Care, Health Knowledge, Attitudes, Practice; Risk Factors; Neonatal; Neonatal Delirium; Pediatric Delirium; Cornell Assessment of P...
13 Effectiveness of an Educational Intervention to Increase Naloxone Prescribing Practices Among Rural Providers to Decrease the Death Rate from Opiate OverdoseBackground: The death rate from opiate overdoses has exploded into what health officials call an epidemic. Nationwide, over 42,000 opiate overdose deaths occurred in 2016 with 40% of those being attributed to prescribed opiates. Between 2015-2016, there was a 10% increase in the death rate from pres...Robbins, EmilyAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Naloxone; Opioid-Related Disorders; Drug Overdose; Patient Education as Topic; Rural Population; Vulnerable Populations; Prescription Drugs; Narcotic Antagonists; Social Problems; Educational Intervention; Opioid Epidemic; Na...
14 An Evidence-Based Educational Intervention to Improve the Recognition and Photo Documentation of Child Abuse Injuries in a Rural Health FacilityBackground: Child abuse is an unfortunate reality for millions of children across the United States every year. The consequences of abuse result in long term emotional problems, including aggressive behavior, depression, anxiety, and thoughts of suicide; physical consequences include risk of asthma,...Byrd, Tami L. FikstadAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Child Abuse; Child Protective Services; Sentinel Surveillance; Rural Population; Mandatory Reporting; Health Knowledge, Attitudes, Practice; Hotlines; Self-Evaluation Programs; Early Medical Intervention; Primary Prevention; ...
15 Creation of a Mobile Schoolhouse; Teaching BLS, ACLS & PALS Within a National Guard CERFP UnitIn an effort to provide medical aid as well as the mitigate and prevent human suffering during homeland disasters the Air National Guard has been tasked with augmenting the public and private sector in emergency response. Specially trained units known as the Chemical, Biological, Radiological, Nucle...Lowe, Spencer N.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis, Emergency Responders; Certification; Disaster Planning; Quality Improvement; Teacher Training; Health Personnel; Certification; Military Personnel; Basic Life Support; Advanced Cardiac Life Support; Pediatric Advanced Life Su...
16 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; Systems Analysis; Healthcare Disparities; Hispanic Americans; Needs Assessment; Health Literacy; Health Knowledge, Attitudes, Practice; Health Status Disparities; Health Risk Behaviors; Intensive Care Units; Educational Status; Health Services...
17 Improving Training to Reduce Co-Prescribing of Benzodiazepines and OpiatesConcomitant use of prescription benzodiazepines and opiates is a current public health crisis, especially among veterans (Jones & McAninch, 2015). Approximately 27% of veterans who have an opiate prescription are also taking a benzodiazepine (Park et al, 2015). The combination of these medications i...Manwaring, Ryan T.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Benzodiazepines; Analgesics, Opioid; Opioid-Related Disorders; Veterans; Inappropriate Prescribing; Practice Guidelines as Topic; Motivational Interviewing; Quality Improvement; Evidence-Based Practice; Co-Prescribing
18 Implementing Training Modules to Facilitate the Patient Health Questionnaire-2&9 (PHQ-2&9) Screening Administration for Improving Depression Screening in a Local Free ClinicBackground: Major depressive disorder affects approximately 9 percent of the adult population annually and has a 17 percent lifetime prevalence in the United States (Maurer, 2012; Meyer & Grob, 2014; NIMH, 2015). Adult depression occurs more frequently in low income and uninsured populations in the ...Nicol, HannaAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Early Diagnosis; Depressive Disorder, Major; Cost of Illness; Quality of Life; Medically Uninsured; Diffusion of Innovation; Evidence-Based Medicine; Primary Health Care; Patient Health Questionnaire; Electronic Health Record...
19 A Pilot Study to Promote Abstinence from Nicotine: The Effects of the End Nicotine Dependence ProgramCigarette smoking is the leading cause of preventable death in the U.S. Cigarette smoking primarily starts in adolescence. Among detained juvenile offenders, 82.1% had smoked cigarettes prior to their incarceration. None of the six juvenile justice services (JJS) facilities located in Utah offer a s...Bowles, DallasAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Pilot Projects; Feasibility Studies; Tobacco Use Disorder; Adolescent; Tobacco Use Cessation; Smoking Cessation; Smoking Devices; Electronic Nicotine Delivery Systems; Vaping; Tobacco; Health Status Disparities; Socioeconomic...
20 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; Systems Analysis; Pilot Projects; Mindfulness; Self Report; Maternal Health; Mental Health; Preventive Health Services; Depression; Postpartum Period; Depression, Postpartum; Psychiatric Status Rating Scales; Health Promotion; Behavior Therapy...
21 Engaging Remote Providers in Evidence-Based Practice Using a Social Learning PlatformBackground Evidence-based practice (EBP) is central to providing excellent patient care, but many advanced practice providers (APPs) lack the knowledge and support to continue EBP after graduation. Time and geographical constraints limit access to regional provider meetings and peer-to-peer collabor...Stock, Jennifer SpeyerAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Evidence-Based Practice; Clinical Protocols; Practice Guidelines as Topic; Remote Consultation; Social Learning; Mentors; Clinical Decision-Making; Professional Practice Gaps; Stakeholder Participation; Intersectoral Collabor...
22 Nurse Case Management Model for Office-Based Opioid TreatmentThe United States is currently experiencing an opioid epidemic. For healthcare providers, providing access and delivering evidence-based treatments, including Medication Assisted Treatment with buprenorphine can be challenging. This is due to the chronic nature of the disease of addiction, lack of p...Haggerty, ErinAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Addiction Medicine; Opioid-Related Disorders; Case Management; Drug-Seeking Behavior; Buprenorphine, Naloxone Drug Combination; Evidence-Based Practice; Medication Therapy Management; Medication-Assisted Treatment; Electronic...
23 Defining Current Practice of Iron Deficiency Screening Among High-Risk NeonatesInfants that are born small for gestational age (SGA), very low birthweight (VLBW), or as an infant of a diabetic mother (IDM) are at an increased risk of having iron deficiency anemia early in their life. Iron deficiency anemia puts an infant at risk for several serious conditions that can be detri...Willes, DallinAdvanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Pregnancy in Diabetics; Intensive Care, Neonatal; Infant, Very Low Birth Weight; Infant, Small for Gestational Age; Infant, Premature, Diseases; Anemia, Iron-Deficiency; Neonatal Screening; Quality of Health Care
24 Educating Long Term Care Registered Nurses in the Competency Activity of Advance Care PlanningThe aim of this project was to educate Registered Nurses (RNs) who work in Long Term Care (LTC) settings on the importance of executing a key competency skill: guiding complex decisions and discussions such as Advance Care Planning (ACP) with residents/families. The LTC population encompasses those ...Redfield, Carol S.Advanced Practice Nursing; Education, Nursing, Graduate; Systems Analysis; Nurses; Nursing Care; Advance Care Planning; Long-Term Care; Quality of Health Care; Clinical Competence; Quality of Life; Resuscitation Orders; Advance Directives; Proxy; Advance Directive Adherence
25 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; Systems Analysis; Algorithms; Ankle Injuries; Pain; Gait; Radiography; Reproducibility of Results; Sensitivity and Specificity; Ambulatory Care; Quality Improvement; Ottawa Ankle Rules
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