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The KnowledgeBank at OSU (74.597 recursos)

Knowledge Bank contains collections of presentations, publications and reports related to Ohio State University.

Doctor of Nursing Practice Final Document Projects

Mostrando recursos 1 - 20 de 56

  1. Utilization of a Feedback Device during Cardiopulmonary Resuscitation

    Chucta, Sheila
    Purpose: The purpose of this quality project was to assess utilization and appraisal of a real-time feedback device during a cardiopulmonary resuscitation event. Utilization of this device during a cardiac resuscitation event should assist in providing the standard of resuscitation per AHA guidelines, compression rate of 100-120/minute and respiratory rate of 10-12/minute. Additionally, this will strengthen the code quality improvement project already in place at an Academic Community Hospital. Methods: Utilization of this feedback device was on a trial basis and was used for a period of 3 months during cardiopulmonary resuscitation events. This feedback device was a critical part of...

  2. Retrospective Chart Audit of a Rural Family Practice to Identify Obesity and Current Interventions for Quality Improvement

    Yarkosky, Erin A.
    Childhood obesity prevalence is a concern nationwide. Pediatric patients who are overweight or obese have an increased risk of developing physical and emotional health issues. As with many diseases, obesity prevention and early detection is associated with more favorable long-term health outcomes. Health care providers who care for pediatric patients are uniquely poised to identify and intervene for children who are overweight or obese. Despite the known risks of obesity, providers often struggle to prevent and effectively manage the needs of overweight pediatric patients to prevent obesity. In 2015, Reyes reported that only thirty-one percent of the overweight and obese...

  3. Establishing Content Validity of a Self-Developed Survey Tool: Implications for Use in Future Studies on Opiate Addiction Treatment Patterns and Barriers Within the Advanced Practice Nursing Population

    Brown, Shelly
    In the United States, opioid addiction is a growing health concern that affects millions of Americans. Opiate addiction creates significant burdens to health, and can lead to an increase in morbidity and mortality. Opiate addiction is the leading cause of drug deaths in America. Individuals who need treatment for opiate addiction are not likely to receive it, therefore, there is a need for healthcare providers to be knowledgeable and capable of treating this disease. The purpose of this Doctor of Nursing Practice (DNP) scholarly project is to establish content validity of a self-developed survey that will be used in the...

  4. Depression screening of college students at a student health center: A quality improvement initiative

    Bobek, Heidi
    Many young adults entering college experience multiple developmental transitions and challenges to coping during their college career which may increase their risk of depression. Additionally, many young adults experience their first signs of depression just before or during their college years. Depression screening is recommended for adults in practices that can provide resources of diagnosis, effective treatment and follow up. The purpose of this quality improvement project is to develop an evidence-based screening protocol for healthcare providers to use within a college healthcare setting with students aged 18-24 years for earlier identification and treatment of depression. The Model of Evidence-Based...

  5. Initiation of Term Newborn Skin-To-Skin Contact in the Operating Room Following Scheduled Cesarean Section: A DNP Capstone Project

    Labardee, Ruth
    Breastfeeding provides many short and long-term health benefits to the mother and the newborn, however breastfeeding rates are lower among women who deliver via Cesarean Section as compared to those who deliver vaginally. Key initiatives to improve successful breastfeeding include skin-to-skin contact soon after birth, initiation of breastfeeding within an hour of birth, limited maternal-newborn separation and frequent on-demand feedings. Despite the multiple health benefits to both the mother and the newborn, hospital policies and existing practices can be a significant barrier to breastfeeding. The purpose of the project was to implement newborn skin-to-skin contact in the operating room as...

  6. Use of GOLD Guidelines for COPD Patients in an Out-patient Pulmonary Practice: Implications for a Future Practice Change

    Nagel, Kelly
    Abstract. Background: Chronic Obstructive Pulmonary Disease (COPD) is a treatable disease and exacerbations from COPD are preventable, but can require hospitalizations, that cause poor outcomes for these patients. The continued increasing costs and burdens of COPD on the current health care system are rising significantly; even though there are proven Evidence Based Practices (EBP) Global Initiatives for Chronic Obstructive Lung Disease (GOLD) guidelines that have been shown to consistently improve COPD patient outcomes and prevent exacerbations. Purpose: The purpose of this DNP quality improvement project was to evaluate the use of the adoption of Global Obstructive Lung Disease Initiative (GOLD) recommendations in an outpatient pulmonary practice (Gold Guidelines...

  7. Assessing the Needs of NNP Preceptors

    Keels, Erin L.
    Neonatal Nurse Practitioners (NNPs) provide high quality, safe and effective care to high risk neonates, and are valuable members of collaborative care team models in Neonatal Intensive Care Units (NICU) across the United States. Limited access to NNP preceptors for NNP students has been cited as a contributing factor to the NNP workforce shortage. This project, in the form of a needs assessment, aimed to better understand the challenges and needs, in terms of essential items, processes or supports, from the perspective of NNP preceptors, related to NNP students preceptorship. The 13 item needs assessment was conducted through a one...

  8. Comparative Analysis of Evidence-Based Transition Practices in a Pediatric Spina Bifida Clinic

    Carpenter-Wells, Renee L.
    Problem: Medical advances in the treatment of spina bifida (SB) have resulted in life-long need for healthcare. A pediatric medical center (PMC) in an urban Midwest setting provided care to adult patients within a pediatric clinic construct. Purpose: This DNP capstone project: a) compared and contrasted evidence-based best practices with current practices in the PMC SB Clinic to determine gaps, b) developed a best practices transition protocol and c) proposed future directions for improvement of transition care. Findings/Results: Critical appraisal of transition literature revealed three major themes: a) position statements, b) patient/family perspectives and c) foundations of transition programs. A best...

  9. The Impact of Implementing a Provider in Triage in the Emergency Department on Overall Length of Stay and Frequency of Patients Leaving Without Being Seen

    Combs, Julie
    Hospital emergency departments are experiencing overcrowding across the United States, which causes adverse effects such as increased patients leaving without being seen, increased length of stay, and prolonged wait times. A local emergency department (ED) is experiencing an increase in the numbers of left without being seen (LWBS) patients. The effects can be detrimental for the patient, and organization. As a departmental intervention and quality improvement study, a provider was in triage for a trial period of five days during the highest volume hours. The purpose of this project is to determine if the impact of implementing a provider in triage...

  10. Advanced Practice Provider Grand Rounds: Improving Interdepartmental Networking

    Burt, Meleana
    Advanced Practice Provider Grand Rounds (APPGR) at The Ohio State University Wexner Medical Center (OSUWMC) was implemented in March 2015 to create more opportunities for advanced practice providers (APPs) to network and consult with one another while gaining continuing education. By developing more opportunities for interdepartmental networking and communication in the organization, the potential exists to improve overall patient outcomes. Physicians who were asked about the relevance of grand rounds expressed that they like the connections they make person-to-person and are more prepared to make referrals to specialists they have met at grand rounds events (Howell, 2010). The purpose of...

  11. Reducing Emergency Department Length of Stay: Designing an Evidence-Based Guideline for Oral Contrast Use in Abdominopelvic CTs

    Slivinski, Andrea K.
    Prolonged emergency department length of stay has gained attention and momentum in the healthcare arena over the last several years. ED crowding and inefficient process of patients have negatively affected the quality of care, leading to increased inpatient mortality, adverse events, lengthier inpatient stays, and increased overall resource use. ED length of stay metrics within the project site consistently performs below state and national benchmarks. It is imperative for the organization to adopt evidence-based practice strategies to reduce ED length of stay and improve the overall patient experience. The use of oral and intravenous contrast agents for patients who present...

  12. Assessment of Neonatal Nurse Practitioner Workload in a Level IV Neonatal Intensive Care Unit

    Jaeger, Carol
    The neonatal nurse practitioner (NNP) is a direct care provider in the neonatal intensive care unit (NICU), with responsibilities for patient care management and supervision of physician fellows and residents, and monitoring the care activities performed by the nurse with the patient and family. In recent years, regulations have been set in place to limit the number of patients for whom a resident should provide care. This has resulted in more neonates left to the care of the NNP, and fellows who have less clinical experience than was true in the past. There are no standards or processes for determining...

  13. Development of an APRN Informational Website for State Legislators in Ohio

    Harding, Keeley A.
    The Consensus Model for APRN Regulation proposes goals to expand patient access to advanced practice registered nurses (APRNs) and promote a consistent scope of practice across the United States and its jurisdictions (APRN Joint Dialogue Group, 2008). In order to achieve this goal in Ohio, state legislators will need to pass bills removing barriers to APRN scope of practice. Enacting these laws will allow Ohio APRNs to practice comparable to other states where APRNs have full practice authority. The website, developed for this DNP project, OhioAPRN.com, is one way to help accomplish this goal. The purpose of this project was to...

  14. The Implementation of an Evidence-Based Advanced Nursing Preceptor Course

    Bridgett, Melissa
    “It is critical that preceptors are aware of the unique opportunity they have to connect with a new person in ways that ease the new hire transition, while still maintaining patient safety during the learning process,” (Baggot, Hensinger, Parry, Valdes, & Zaim, 2005, p.139). Maintaining patient safety and care delivery by maximizing internal employees to provide quality role modeling for new employees emerged as a topic for further review from a nursing educator’s perspective. Further investigation as a nurse educator, targeting the effectiveness and intentional support of nurse preceptor development in conjunction with the onboarding and orientation process of new...

  15. The Evaluation of a Depression Screening Protocol in a Pediatric Primary Care Office

    Cairns, Cheryl
    Background: Adolescent depression is a disorder that has significant consequences to the individual, family and community. Depression is thought to affect up to 15% of adolescents yet only 1 in 5 are actually recognized and appropriately treated. Most adolescents visit their primary care provider but less than half of pediatric primary care providers screen for depression. Depression screening is the first step to recognition of depression. Purpose: To evaluate if a protocol using the PHQ-9 A as a depression screening tool within a primary care clinic made a difference by increasing the number of diagnosis of depression and/or the number...

  16. Improving Care Delivery and Communication during Hospital Rounds using Quality Improvement Methodology: A Multidisciplinary Team Approach

    Gossett, Joshua
    Effective communication and collaboration with patients and their families is essential to the care of the patient. An ideal opportunity for this to be accomplished is during multidisciplinary, family-centered rounds. Current rounding practices are not effective in consistently meeting the needs of the patients’ families. A feedback tool of 7 questions was developed that provided feedback on communication and care delivery in the rounding process. The percentage of these questions that were answered “Always” was used as the outcome measure for improvement. Five different PDSA ramps were tested during the project timeline. Changes in the outcome measure were evaluated continuously during the testing to evaluate the success...

  17. Ultra-Early Blood Pressure Control in Aneurysmal Subarachnoid Hemorrhage

    Koser, Lisa
    Background: The incidence of aneurysmal subarachnoid hemorrhage (aSAH) occurs in approximately 10 - 15 per 100,000 (Labovitz et al., 2006 & Shea et al., 2007). Within twenty-four hours twenty-five percent of these patients die (AHA, 2012). Additionally two thirds have some neurological deficit and decreased quality of life (AHA, 2012). Re-bleeding is a serious complication prior to repair. The highest risk of re-bleeding occurs in the first twelve hours, most occurring in the first three hours with mortality rates as high as seventy percent (American Stroke Association [ASA], 2012). According to the ASA (2012), ultra-early blood pressure management is one...

  18. Hand-off Communication: Implementation of an Electronic Shift Report to Improve Patient and Nurse Satisfaction

    Wade, Dana
    Purpose: The purpose of this quality improvement project was to examine the effects of a new hand-off shift report process (I PASS the BATON and bedside reporting) compared to the current process (SBAR) on patient and nurse satisfaction. Background and Significance: Effective communication during patient hand-off is vital in ensuring patient safety and quality of care. Hand-off shift report performed at the bedside has been found to increase patient satisfaction, nursing teamwork, and improve communication among caregivers and patients. Design: The design for this project was a quantitative, 2 independent group cross sectional design using data retrieved from standard-of-care value-based...

  19. Evaluation of Patient Satisfaction in Men Receiving External Beam Radiation Therapy for a Diagnosis of Prostate Cancer

    Hoffman, Kellie
    Abstract The objectives of this DNP project were to determine patient satisfaction with current post radiation symptom assessment conducted in the clinic setting and to determine the patient’s willingness to participate in a telephone assessment instead of a clinic visit to assess post radiation treatment symptoms. Specifically the objectives were to: 1. Evaluate patient satisfaction with the current face to face post symptom assessment 2. Evaluate patient acceptability of the use of telemedicine for post radiation symptom assessment. A small convenience sample of adult males with a diagnosis of prostate cancer who were receiving radiation therapy at the Ohio State University Comprehensive Cancer Center...

  20. Health Literacy Assessment of University Employees Using the Newest Vital Sign (NVS) Tool

    Karl, Joyce I. McKee
    The purpose of this DNP quality improvement project was to assess health literacy in a sample of university employees using the Newest Vital Sign (NVS) tool and to evaluate the feasibility of using this tool in clinical practice. An observational, cross-sectional design was used with a convenience sample of 120 university employees visiting an outpatient clinic for onboarding, medical surveillance, or non-urgent care. Health literacy was measured using the NVS, a valid and reliable screening tool that assesses literacy by having individuals interpret a nutrition label. Socio-demographic data were collected and time for NVS administration was measured. On average, university...

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