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1 A Feasibility Trial of a Metabolic Syndrome Intervention in Hospitalized Cardiac PatientsAllred, Anna2015Brief description: The incidence of metabolic syndrome is increasing dramatically in the U.S. as obesity rates rise. Metabolic syndrome increases diabetes incidence by 5 times and doubles a person's risk of MI, stroke and death. Little is being done in tertiary care to educate patients about metabol...
2 A Quality Improvement Project to Develop and Evaluate Systems of Care for Undocumented Immigrants with End-Stage Renal Disease in Southwest IdahoChild, Clinton2015In Southwest Idaho undocumented immigrants have, compared to legal residents, little to no access to, or funding for, preventative and maintenance care of ESRD. The disparity of care in the current delivery system for undocumented immigrants results in poorer outcomes, longer length of stay, and a s...
3 Addressing Access to Diabetes Education in a Rural Hispanic PopulationWebster, Scott2015Diabetes education continues to demonstrate improved outcomes in the increasing population of patients with diabetes. Despite research clearly supporting diabetes education, many adults in Utah do not access diabetes self-management education. Additionally, Hispanic adults have significant barriers ...
4 Adolescent Depression Screening in Primary CareStapley, Nicole2015The purpose of the project was to identify the most reliable and valid adolescent depression screening tool(s) to be used in primary care and develop a manuscript discussing the significance of adolescent depression, the importance of screening in primary care, and the most effective screening tools...
5 American College of Nurse Midwives Position Statement on Environmental HealthLeonhardt, Analiesa2015Robust 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...
6 APRN Diagnosis and Management of Attention-Deficit/Hyperactivity Disorder in the College PopulationHuber, Janis2015Advanced Practice Registered Nurses (APRNs) treat students at the Student Health Service Center on the University of Utah Campus. The Nurse Scope of Practice includes ability of APRNs to diagnose ADHD. However, research reflects a wide diversity in reported comfort level in diagnosis and treatment o...
7 Assessing Learning Needs Regarding Barriers to and the Use of N2O for the Management of Labor PainLoveridge, Danica2015This project was designed to assess the learning needs and barriers of various obstetric (OB) staff prior to implementing the use of nitrous oxide (N2O) on a labor and delivery unit at a tertiary care center in Salt Lake City, Utah. The purpose of the project was to provide information for the nurse...
8 Breast Cancer Survivorship Care Plan: Integration into the EHRPulgiano, Tiffany2015The 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...
9 Breastfeeding Promotion in a Primary Care SettingCarter, Nadine2015Breastfeeding (BF) promotion is critical for improving infant and child health outcomes. Many providers lack knowledge and confidence in BF promotion, and clinics often lack the structured education and tools to support providers in BF promotion. The purpose of this project was to increase the knowl...
10 Cystic Fibrosis Guidelines for the NICUChristiansen, Suelly2015This Doctor of Nursing Practice scholarly project consists of developing diagnostic guidelines for Cystic Fibrosis in the Neonatal Intensive Care Unit. This guideline is based on current literature and consultation with experts in Cystic Fibrosis, nutrition, and neonatology. Cystic Fibrosis (CF) is ...
11 Developing a Successful Implementation Plan for a Diabetes Self-Management Support ProgramHardwick, Dawn I.2015This 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 ...
12 Developing the Care Model for Comprehensive Outpatient Pediatric Palliative CareBerg, Angela2015Children continue to lose their lives to life threatening and life limiting illnesses. Less than ten percent of them receive palliative or hospice support. This project addresses design and development of an outpatient model to provide comprehensive pediatric palliative care. Outpatient access to th...
13 Development of a Provider Treatment Toolkit for Postpartum DepressionJohnson, Erika2015The purpose of this project was to focus provider efforts on the diagnosis, treatment and referral for postpartum depression (PPD) in the clinical setting through the use of a PPD treatment toolkit. The objectives of this project were to develop a PPD treatment toolkit that provided assessment tools...
14 Development of education intervention to improve awareness and knowledge of heart disease in Hispanic women at a non-profit organization in Salt Lake CityGuitarrari, Carolina2015Heart 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...
15 Educating Intra-partum Nurses on Quality Maternity CareFullmer, Che'Lyn Crapo2015For 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...
16 Educating Rural Nurses Regarding Therapeutic Care Following Fetal DemiseWaters, Kira2015Currently, 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...
17 Education, Nursing, Graduate; Developing the Care Model for Comprehensive Outpatient Pediatric Palliative CareBerg, Angela2015Children continue to lose their lives to life threatening and life limiting illnesses. Less than ten percent of them receive palliative or hospice support. This project addresses design and development of an outpatient model to provide comprehensive pediatric palliative care. Outpatient access to th...
18 Education, Nursing, Graduate; Telemedicine in Critical Care: Provider Acceptance of a Tele-ICU ProgramBostwick, Meg2015Current intensive care unit trends show an increase in the number and severity of patients. Consequently, the need for providers specializing in critical care medicine is also increasing. Medical management by an intensivist has been shown to improve ICU patient outcomes, yet there are not enough in...
19 Empowering Tween Girls at a Rural Middle SchoolPetersen, Kierstin2015This 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...
20 Evaluation of the Use of Neonatal Nurse Practitioners in Level I and II Neonatal Intensive Care UnitsDansie, Chad2015Neonatal Nurse Practitioners (NNPs) play a significant role in providing medical care for neonates in neonatal intensive care units (NICUs) across the United States. NNPs are employed in all levels of neonatal care due to their competence, skills, experience, and lower cost to hospitals and patients...
21 Evaluation Study of a Web-Based Virtual Preceptorship for Moderate Sedation TrainingMudalige, Aruni2015Safe Sedation Training® (SST®), is an interactive, web-based module related to moderate sedation. SST® can be utilized to standardize moderate sedation training in a given healthcare organization. However, SST has not been formally evaluated or tested in a broad spectrum of healthcare workers or ...
22 Evidence-Based Asthma Guideline Implementation in a Pediatric Primary Care PracticeYoosook, Vanessa2015Despite 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...
23 Evidence-Based Practice Core Curriculum and Life Care Planning MethodologyMetekingi, Judy2015A life care plan (LCP) outlines life-long needs with associated costs for individuals (clients) with catastrophic illnesses and injuries. Nursing science has created a significant body of knowledge to guide the discipline of nursing practice and has expanded the scientific underpinnings of the disci...
24 Factors Influencing Breast Cancer Rates in Utah CountyPexton, Laura2015The Federal government initiative Healthy People 2020 has set some cancer-related objectives to reduce late stage diagnosis and death rates for breast cancer. Data predicted that it would take 13 years or more for Utah County to reach these goals. To identify possible explanations for these rates, 1...
25 Hepatitis C Screening in the Birth Cohort (1945-1965)Fillmore, Eric2015Hepatitis 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...
26 Home-Based Pediatric Palliative Care Delivered by a HospiceBarrus, Heidi2015This project was designed to address the lack of outpatient pediatric palliative care programs in Nevada by initiating a new program involving an existing specialty children's center and an existing hospice. The objectives of the project included proposing a palliative care model involving new servi...
27 Identifying Barriers in Meeting the 2-Day Post Discharge Telephone Call: A National Veteran's Hospital Performance MeasureValentine, Deborah2015In 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...
28 Imaging Teaching Module: Thoracic CTMontague, Shannon2015There have been many recent changes in the healthcare; one is that we have seen more nurse practitioners (NPs) take on roles that are traditionally filled by physicians. This is leaving more NPs with the responsibility to order and interpret CT scans, including thoracic CTs, and then make treatment ...
29 Impacting the Care of Children with Rare Disease through the Medical Home PortalJensen, Susan2015Introduction: There are over 7,000 known rare diseases, with over half having a childhood onset. Although rare diseases are singularly uncommon, collectively 6-10% of the population is affected. The sheer number of rare diseases and infrequent prevalence create a difficult challenge for health care ...
30 Implementing a Revised Controlled Medication ProtocolHoffman, Sarah A.2015Prescription 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 ...
31 The Importance of Proper Glucose Levels Prior to Conception: A Community Awareness ProjectPinkerman, Marcia2015Uncontrolled 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...
32 Improving Adherence to Evidence-Based Metabolic Monitoring for Patients Taking Second Generation Antipsychotics (SGAs) in Primary CareAskerlund, Robert N.2015This project was designed to improve fidelity to ADA/APA metabolic monitoring guidelines for patients taking SGAs. Second Generation Antipsychotics demonstrate a high affinity for serotonin 2c/1a, histamine and muscarinic receptors which frequently lead to dyslipidemia, diabetes, and obesity. As a r...
33 Improving Care Delivery to Patients Through Multiple-Patient Simulation ExperiencePrince, Wende2015Simulation-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...
34 Improving Communication Between Night-Shift Nurses and Critical-Care Physicians in the Thoracic Intensive Care UnitSweet, Jenna2015The 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 ...
35 Improving End-of-Life Care: An Evidence-based CurriculumMcleskey, Nanci2015Americans are not only living longer, many experience terminal illnesses for extended periods of time. Management of these terminal illnesses and deaths frequently occur in acute care settings where nurses are often the healthcare professional at the bedside. Unfortunately, many nurses caring for ol...
36 Improving Fever Literacy to Reduce Fever PhobiaWeber, Laura2015Although fever has been cited as the most common complaint among children, there is significant misunderstanding of fever among parents (Chiappini et al., 2012; Krantz, 2001; Wallenstein et al., 2013). In 1980, Dr. Barton Schmitt discovered that nearly all parents believed fever caused physical harm...
37 Improving Pediatric Asthma Control: A Storybook InitiativeAnderson, Jacob2015Between 2009 and 2013, Davis County combined asthma prevalence rate increased from the Utah state average of 8.6% to 9.5%, the highest in the state. Pediatric patients account for 25% of total asthmatics, but accrue over 50% of total emergency room (ER) visits and hospitalizations for asthma exacerb...
38 Increasing Knowledge of the Intrauterine Device as Emergency Contraception among Pregnant and Parenting TeensGuerra, Helena2015Teen 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...
39 Increasing Provider Awareness and Promoting Adaptation of the American Academy of Pediatrics Recommended Guidelines for Patients with Down SyndromeCallister, Sara2015Individuals 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...
40 Integrating Falls Specialist Referrals into Primary Care: Barriers and ImplementationCatchpole, Laura A.2015Falls 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...
41 Integrating Refugee Youth Mental Health Screenings into the Domestic Refugee Medical ExaminationChapman, Diane2015Refugees are people displaced from their native countries and unable to return due to a fear of persecution. Refugees often experience cumulative stressors during the preflight, flight, and resettlement periods. Refugees of all ages have considerable risks for the development of mental distress. A h...
42 Integrating U.S. Preventive Services Task Force (USPSTF) Recommendations on Childhood Obesity into PracticeGardiner, Jane2015Childhood 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...
43 Maternal Placenta Consumption: A Novel Therapy Used by Postpartum WomenHayes, Emily Hart2015This Doctor of Nursing Practice (DNP) scholarly project was designed to inform obstetric health care providers about maternal postpartum placenta consumption, which is a novel therapy that is growing in popularity among postpartum women. The objectives of this project were to: (1) synthesize existin...
44 Motivational Interviewing for Health Care Change: Implementing Clinical Guidelines in the Treatment of ObesityDodd-Cardon, Catherine2015As 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...
45 Nurses' Use of the TBM for Heart Failure Patients' Self-Care Management after Hospital DischargeDalling, Jo Ann2015Heart 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...
46 Nutritional Intake Guidelines for Obstetrical PatientsScott, Heather A.2015The 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...
47 Optimizing Electronic Health Record Use and Workflow for Management of Type 2 Diabetes Mellitus at Idaho Minor Emergency and Family PracticeL'Heureux, Nancy2015Primary care providers bear the majority of the responsibility for the ongoing management of the costly, disabling, and deadly chronic disease, type 2 diabetes mellitus (T2DM). A preponderance of evidence demonstrates that diabetes management guidelines improve patient outcomes; however, primary car...
48 Pain, Agitation and Delirium Management in an Adult Intensive Care UnitFawcett, Tina M.2015The 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 ...
49 Pilot Implementation of the Flu-FIT ProgramBowers, Pamela2015Introduction The primary goal of this project is to determine if the Flu-FIT program could serve as an effective way to increase compliance with colorectal cancer screening guidelines among low-income and uninsured residents of Utah County. Problem Statement The U.S. Preventative Services Task Force...
50 Primary Care: Filling the Gap for Stage I & II Early Stage Breast Cancer Follow-upBond-Jorgensen, Stacy2015With earlier detection, more women are being diagnosed with early stage breast cancer and these women all need follow-up care. Simultaneously, there are concerns about a projected shortage in the work force of oncology specialists to care for these patients. Primary care providers can fill the gap f...
51 Reducing Blood Pressure through a Home Blood Pressure Monitor ProgramIrving, Stewart2015High blood pressure, also known as the "silent killer", affects millions of people, or one in three adults in the United States and is costing the nation over $45 billion each year. Untreated high blood pressure leads to cardiovascular disease and strokes, the two leading causes of death for America...
52 Resolving Misconceptions about Midwifery CareChaney, Chelsea2015The purpose of this project was to address misconceptions and provide accurate information about childbirth and midwifery services to a group of young women in Utah. The midwifery model of care has been shown to provide cost-effective and high quality healthcare that is associated with a reduction i...
53 Restructuring Advanced Practice LeadershipShowalter, Allison2015National utilization of Advanced Practice Clinicians (APCs), specifically Nurse Practitioners (NPs), throughout the healthcare system has significantly increased in recent years, especially within the hospital setting. As a result, NPs are seen as a vital component to providing quality healthcare. H...
54 Screening for Toxic Stress In The 4 Year Old ChildWhite, Alexandria2015Introduction: The purpose of this project was to assist an urban clinic in implementing a quality improvement (QI) project to screen 4-year-old children at well child visits for symptoms of toxic stress, and to assist with the development and implementation of a sustainability plan. Problem Statemen...
55 Skin-to-Skin Care in the Level IV NICU: A Quality Improvement ProjectTaylor, Moriah2015Skin-to-skin care (SSC), also known as kangaroo care, is a simple intervention that involves placing a naked, or nearly naked, newborn in a prone position on the chest of the parent. This practice was originally devised in the late 1970s as a means of preventing hypothermia in premature infants. Sin...
56 Study of Pain Management Practices in Infants with Gastroschisis in a Level IV Newborn Intensive Care UnitFish, Jennifer2015Gastroschisis 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...
57 Telemedicine in Critical Care: Provider Acceptance of a Tele-ICU ProgramBostwick, Meg2015Current intensive care unit trends show an increase in the number and severity of patients. Consequently, the need for providers specializing in critical care medicine is also increasing. Medical management by an intensivist has been shown to improve ICU patient outcomes, yet there are not enough in...
58 Treatment Summary and Prevention of Breast Cancer Survivorship Care PlanGerrard, Angela2015The 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...
59 Utilizing Human Patient Simulation to Improve Nursing Care of the Mentally Ill ClientAtwood, Jason2015Individuals who suffer with mental illness are often regarded with fear and stigma. Unfortunately these views can exist among professional nurses and nursing students. Harboring these attitudes result in a lack of confidence when caring for psychiatric patients, and inferior care for the mentally il...
60 Venous Thromboembolism Chemoprophylaxis in Traumatic Intracranial HemorrhageWhipple, Allison2015Venous 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...
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