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1 A Fall Prevention Protocol for Home Hospice PatientsPark, Minji2014Hospice 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 ...
2 A Module to Teach and Assess Medication Administration Principles Including Dosing, Procurement, Preparation, and Interaction with the Medication Administration Record (MAR)Southam, Glade2014Background: 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...
3 A Motivational Interviewing Toolkit for Providers to Address Weight Among Pregnant WomenCole, Erin Johnson2014The 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,...
4 Addressing HIV/AIDS Among Latinos Living In UtahMontes, Victor M.2014More 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 ...
5 Alcohol Withdrawal Syndrome Recognition, Assessment, and Communication: A Quality Improvement ProjectMonson, Kristina2014At 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...
6 An Evaluation of Follow-up for Postpartum Depression in Mothers with a History of DepressionKelley, Sarah2014The 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...
7 An Overview of the Microbiome and the Deleterious Effects of AntibioticsTaggart, Hillary2014My project is to review the literature related to the microbiome and the effects of antibiotic use. I will write a manuscript synthesizing and summarizing the information I find. Problem Statement: Healthcare providers are generally unaware of recent studies that show how the complex microbiome play...
8 Application of an Online Warmline as a Crisis Prevention Tool in Rural Sanpete County, UtahStewart, Rhonda2014Completed 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...
9 Ask What? Female Sexual Dysfunction Screening Provider TrainingRieff, Mollie2014This 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...
10 Assessment of Taxane Induced Peripheral NeuropathyDeininger, Jutta2014Taxanes 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. ...
11 Bridging the Gap: Passive Hypothermia Prior to Transport in the Neonate At Risk for Hypoxic-Ischemic EncephalopathyAshcroft, Anglea K.2014Perinatal 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 ...
12 Bulimia Management in a Primary Care SettingGalbraith, Brianne Moffitt2014Bulimia 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 ...
13 CAUTI Prevention and Guideline EducationVasquez, Carlos A.2014Urinary 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 ...
14 Creating a Family and Patient Centered Environment: Development of a Communication FormWorthen, Rikki2014Communication 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...
15 Determining Appropriate Use Between Minimally Invasive And Non-invasive Hemodynamic Monitoring In The Shock Trauma ICUKissell, Kristi2014Fluid 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...
16 Developing a Faith-Based Prenatal Education Curriculum for African-American Women in Salt Lake City, UtahBrooks, Brandy2014African-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...
17 Developing a Mentoring Program for Homeless Youth in Salt Lake CityWanserski, Melissa M.2014Homeless 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...
18 The Development and Implementation of a Practitioner in Triage Process for the Emergency Department at Intermountain Medical CenterGardner, Kristen2014The 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...
19 Development of the ESA Assessment for Safety Improvement (EASI) Online Decision Support ToolVietti, Mary2014This 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 ...
20 Disparities in Cancer Pain Assessment and Management among Ethnic MinoritiesKogan, Laura2014Poor 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...
21 Educating CDEs to Screen for Impaired Cognition in Elderly Individuals with Type 2 Diabetes MellitusCardenas, Elizabeth2014There 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 ...
22 Evaluation of an Interdisciplinary Approach to Treating Chronic Pain in Women Veterans at a Veterans Administration Medical CenterHouskeeper, Karla2014Primary care providers are often uneducated on how to effectively treat and manage chronic pain, yet they prescribe 20 percent of all narcotics given for pain (Manubay, Muchow & Sullivan, 2011). Managing chronic pain with an interdisciplinary approach is a more successful treatment, especially as na...
23 Exploring an Integrated Maternity Care System Across Birth Settings in the Salt Lake ValleyWhiting, Christina2014Birth 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 ...
24 Implementation of the Ask Me 3 Program in a Pediatric ClinicHarvey, Anne G.2014Failures 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...
25 Improving Integration of HEEADSSS Screening in Adolescent Preventative Care Visits - A Practice Improvement ProjectJorgensen, Jennifer2014Despite 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...
26 Incidence of Thrombus with Central Venous Catheterization (CVC)Shivers, Mary Ellen2014In 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...
27 Incorporating BRCA1 and BRCA2 Testing into Clinical PracticeLedingham, Debra2014This 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...
28 Increasing Awareness and Knowledge of Advance Directives in the Healthy Older Adult CommunityTimm, Melissa2014End-of-life treatment decisions have long been debated among healthcare providers, policy makers, and the public. Historically, physicians made end of life decisions based on the assumption professionals were acting in the patient's "best interest". With advancements in medical technology, patients ...
29 Lactation Services in the Pediatric Clinic: A Business Plan for Breastfeeding SupportDunn, Stephanie L.2014Data 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 ...
30 Making a Diabetic Ketoacidosis Computerized Order Set User-FriendlyChecketts, Heidi, M.2014Clinicians 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...
31 Optimizing Depression Outcomes in Rural Family PracticeAllen, Melinda2014The United States Preventive Services Task Force recommends screening for depression in clinical practices only when the practice has the means and procedure to ensure that the diagnosis can be followed with effective treatment and follow-up. The purpose of this scholarly project is to increase prov...
32 Overcoming Clinical Inertia in the Management of Type 2 DiabetesBrown, Lindsey2014Diabetes is a disease associated with significant, life threatening complications. Adequate glycemic control is essential to prevent micro- and macrovascular complications. Despite the wide dissemination of published evidence and clinical guidelines, fewer than half of individuals with diabetes achi...
33 Pain Management for Patients with Dementia in Nursing HomesGreenberg, Robert J.2014Of 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 ...
34 Pediatric Obesity Treatment and Reimbursement in Primary CareHomer, Sarah Babcock2014Primary 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...
35 Postpartum Depression: Faith-Based Health PromotionThomas, Mary2014Postpartum 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...
36 Pre-Hospital Algorithm for Anticoagulation Therapy in ST-Segment Elevation Myocardial InfarctionRomero, Tyree2014For 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...
37 Prenatal Care Curriculum for Women with Substance AbuseAnderson, Laura McGraw2014The 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...
38 Promoting Obstetric Care for Rural Women in Northern Utah: "Choose the Right Provider for You"Overson, Annie2014In 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...
39 Raising Concussion Awareness and Integrating ImPACT Testing at Uintah High SchoolBirch, Becky2014The 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...
40 Reducing Contrast Induced Nephropathy: Developing a Treatment AlgorithmMaxwell, Wendy2014Contrast 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 ...
41 Retrospective Review of Post-Operative Ileus and/or Bowel Obstruction in Epithelial Ovarian, Fallopian Tube, or Primary Peritoneal Cancer Stage III-IV after Cytoreductive SurgeryJohnson, Linda2014This project involves a retrospective chart review of 25 patients who underwent cytoreductive surgery for ovarian cancer stage IIIb or IV to identify if they developed an ileus, length of stay, and cost. The evaluation of the feasibility of a clinical/surgical fast track protocol at the Huntsman Can...
42 Revision of the American Nurses Association Code of Ethics for Social Justice ContentDaly, Anne2014This 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...
43 The Risks and Benefits of Male Infant CircumcisionAnderson, Jess B.2014Male 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...
44 School-Based Telemedicine to Improve Healthcare Access for Rural School-Aged ChildrenNorman, Shelli2014Children living in rural communities often experience disparity in access to healthcare services. The purpose of this project was to explore a school-based telemedicine plan to improve access to comprehensive healthcare services for school-aged children that live in the rural community of Coeur d' A...
45 Screening for Impaired Glucose Tolerance in the Adolescent PopulationToone, Keira2014Impaired 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...
46 Treatment Options for Aortic Valve Stenosis: Developing an Algorithm for Best Practice between TAVR and Surgical AVRByrd, Kennedy2014This 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...
47 The Utilization of a Pediatric Early Recognition Tool in Identifying the Deteriorating Pediatric Patient in the Non-ICU SettingBartlett, Courtney2014This project seeks to evaluate the effectiveness of an early recognition tool at identifying clinical pediatric patient deterioration. The project includes a retrospective comparison of two early recognition tools in patients who experience clinical deterioration in the Non-ICU setting as well as ra...
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