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The KnowledgeBank at OSU (80.208 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 67

  1. Policies and Protocols to Prevent the Spread and Costs of Clostridium Difficile Infection

    Kovalchik, Stephanie
    Background: Clostridium Difficile Infection (CDI) is a highly contagious, potentially lethal, and often preventable hospital acquired infection that costs the U.S. healthcare system billions of dollars annually. Because of the serious consequences and expensive nature of CDI, it is predicted the Centers for Medicare and Medicaid Services will begin following CDI trends and basing reimbursement on how well a facility can protect against this infection. Objectives: The overall purpose of this quality improvement project was to develop, implement, and evaluate an evidenced-based protocol to guide the staff of the University of Cincinnati Medical Center (UCMC) to recognize and prevent the spread...

  2. An Electronic Medical Record Training Conversion for Onboarding, Inpatient Nurses

    Smailes, Paula
    Because of federal policy that impacted healthcare organizations to convert to electronic medical records, we began to see inpatient nurses at our academic medical center arrive with prior Epic experience. This served as a catalyst for our organization to rethink how we train these onboarding nurses, who would traditionally have received instructor-led training (ILT). In August of 2016, we converted from ILT to eLearning for the inpatient nurse electronic medical record (EMR) training, but had yet to complete a program evaluation of this transition. The purpose of this DNP project is to evaluate the eLearning usability (effectiveness, efficiency, and satisfaction)...

  3. Wired for Best Practice - Disposable Lead Wires Impact on Sternal Wound Infection Rates

    Lloyd, Rianna
    Background: Post open-heart surgery, patients are at risk for sternal wound infections. Such infections come at a significant safety and financial cost to patients, nursing care, and organizations. A review of current process and evidence-based research identified one area of telemetry lead wire use as potential risk. Reusable medical equipment, such as lead wires may impact surgical site infections via risk of cross-contamination of bacteria. Purpose: To determine if disposable vs reusable telemetry lead wires reduce sternal wound infection rates. Method: A quality improvement project was performed using disposable telemetry lead wire sets on post open heart surgical patients in lieu of...

  4. Transition of Care from Hospital to Home: Faith Community Nurses Fill the Gap: A Program Evaluation

    Strait, Lee Ann
    High risk patients over the age of sixty-five (65) demonstrate a 34 % readmission rate to the hospital within 30 days of discharge. Transition of Care Models have shown to reduce the hospital readmission rate by up to 67% by offering coordination and continuity of care. The purpose of the Doctor of Nursing Practice evidence-based project was to evaluate a Congregational Transitional of Care (CTOC) program designed to accommodate the faith community following a hospitalization to reduce inpatient readmission. The CTOC program uses a volunteer faith based registered nurse (VFB-RN) in the congregation to make contract with a parishioner following...

  5. Outcome Evaluation of an Evidence-based Quality Improvement Initiative to Integrate Health and Wellness Coaching in Advanced Nursing Practice

    Teall, Alice
    Chronic diseases linked to lifestyle behaviors are the leading causes of preventable morbidity and mortality in the United States (Centers for Disease Control and Prevention, 2017). To provide effective prevention and management of chronic illness requires clinicians to motivate individuals to achieve self-determined goals and to sustain healthy lifestyle behaviors, and yet studies document that about 25% of providers do not have adequate knowledge and skills to create effective partnerships (Bos-Touwen, Trappenburg, van der Wulp, Schuurmans, & de Wit, 2017; Greene, Sacks, Hibbard, & Overton, 2017). Providers who use health and wellness coaching techniques in practice can enhance motivation, improve...

  6. Evaluation of the Spontaneous Awakening Trial Protocol: Staff Nurse Facilitators and Barriers to Compliance

    Wahlrab, Lisa A.
    Every year 5.7 million people are admitted to an intensive care unit (ICU). Many of these patients require continuous sedation to tolerate invasive life support methods necessary for their care. Continuous sedation has been shown to lead to negative outcomes such as increases in duration of mechanical ventilation, length of stay, morbidity, and mortality. Recent research has shown that utilizing a spontaneous awakening trial, or SAT, can improve patient outcomes through decreases in duration of mechanical ventilation, decreases in ICU length of stay, and decreases in morbidity and mortality. The surgical intensive care unit at this institution has documented low...

  7. Development and Evaluation of an Evidence-Based Telephone Triage Orientation Education Program for Oncology Registered Nurses

    Delaney, Elizabeth
    Telehealth is a growing area of healthcare. Within telehealth there is a subgroup entitled telephone triage. Oncology nurses provide telephone triage in private community oncology settings. However, in private community oncology settings constraints such as financial concerns, accreditation requirements, ever changing insurance and governmental issues may constrain the ability to create and maintain supportive structures for oncology care such as evidence-based nursing education. This paper describes the development and implementation of an oncology nursing telephone triage education program in a private, community, oncology office. Registered nurses performing telephone triage participated in an education needs assessment and one hour evidence-based telephone triage “basics” face to face education program. This was...

  8. Assessing the Impact of Chemotherapy Education on Practice Change for Error Prevention: A Program Evaluation

    Wyant, Tracy
    Antineoplastic regimens are complex, with inherent toxicity and narrow therapeutic indices that may result in life-threatening patient harm should an error occur. Chemotherapy nurses need to have specialized knowledge and competence in error prevention and recognition. Additionally, workplace culture, leadership, and policies and procedures must provide support for safe chemotherapy care. This project assessed how completion of a comprehensive chemotherapy course may impact individual and organizational error prevention strategies. Fifteen error preventive nursing behaviors were identified in practice guidelines and standards. These critical behaviors and the organizational processes to support them were addressed in a descriptive, cross-sectional survey that utilized...

  9. Needs Assessment for a Home-based Physical Activity Program for Mid-life African American Women with Chronic Health Conditions in an Underserved Healthcare Setting: A Quality Improvement Project

    Seeling, Deborah L.
    Only 21% of U.S. adults meet the U.S. Department of Health and Human Services (HHS) 2008 Physical Activity (PA) Guidelines. African Americans (AA) are less likely to meet PA guidelines despite higher rates of chronic health conditions that benefit from regular PA. To understand how to best engage patients in their own health promotion behaviors, healthcare providers must first understand the needs and preferences of specific patient populations for these activities. The aim of this project was to conduct a needs assessment regarding the feasibility and acceptability of a home-based PA program for underserved mid-life AA women diagnosed with at...

  10. Beliefs and Practices of Nurse Practitioners Related to the Use and Recommendations of Probiotics for the Prevention of Antibiotic-Associated Vulvovaginal Candidiasis in Adult-aged Women: An Opportunity for Evidence-based Practice Change

    Burris, Donnamarie
    The purpose of this quality improvement project was twofold: (a) conduct semi-structured interviews to explore the beliefs and current practices of Nurse Practitioners (NPs) that prescribe antibiotic therapy in the outpatient setting, regarding probiotic products, and (b) compare these beliefs and practices to the best current evidence. A synthesis of the literature was conducted to describe and critically analyze current best practices of probiotic use in the clinical setting. The results from the semi-structured interviews may augment practice recommendations in clinic settings and effectiveness of probiotics as adjunctive treatment. An executive summary for dissemination to key stakeholders was produced. The...

  11. An Evidence-Based Protocol to Improve Treatment Compliance and Decrease Time-to-Treat for Employees Exposed to Infectious Diseases

    Pryear, Reginald
    Abstract Problem: Employees who are exposed to infectious diseases are not screened and treated in a timely manner. Barriers with screening and treatment protocols are concerning and need addressed. Purpose: The purpose of this project was to create an evidence-based protocol to improve efficiency and treatment compliance among employees at a large, Midwestern medical center who have been exposed to infectious diseases during work hours. The intervention focused on changing the point-of-care from a central Employee Health location to on-site screening. Methods: The literature search revealed that removing barriers and making it more convenient for employees to be screened and treated...

  12. 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...

  13. 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...

  14. 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...

  15. 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...

  16. 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...

  17. 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...

  18. 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...

  19. 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...

  20. 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...

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