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Feasibility study of a nurse-led heart failure standardized education program to reduce 30-day readmission
(2017-09-22)
Standardized heart failure education programs focused on increasing knowledge and self-care behaviors are known to improve symptom management. In this presentation, we will discuss the implementation of a nurse-led education ...
Integrated application process for nursing student clinical practicum
(2017-07-10)
The nursing students’ decision where to complete their education can be difficult with multiple clinical options. A process to improve communication and quality of selection through an integrated application was the ...
Exploring water, sanitation, and hygiene practices in Gatineau, Haiti
(2017-07-10)
Purpose: Haiti is the poorest country in the Western Hemisphere. Located in the Western Caribbean, Haiti is populated by more than 10 million people, sharing the island of Hispaniola with the Dominican Republic. More than ...
Outcomes of an innovative evidence-based project: Building a difficult access team in an emergency department
(2017-07-06)
Background/Introduction: Emergency departments across the nation face challenges of longer lengths of stay due to increased volumes and patient acuity. Intravenous (IV) access is vital to emergency care, and a large proportion of patients seen in the Emergency Department have difficult venous access, resulting in patient care delays. Difficult venous access (DVA) is identified as a condition among individuals who most often require 2 or more attempts for successful IV access, leading to an increased length of time needed to obtain IV access, or may require special interventions to establish peripheral IV access.
Purpose/Objectives: The objective of this project was to determine if a dedicated difficult access team will decrease the number of attempts and amount of time for successfully obtaining IV access in difficult venous access patients.
Methods: The intervention included the implementation of a difficult access clinical technician team. The specialized team was initiated as a pilot to determine whether use of a specialized team would decrease number of attempts and amount of time for successfully obtaining IV access in difficult venous access patients. This study included convenience samples of patients visiting the adult emergency department with a provider order to place IV access. We compared the mean number of attempts and time it took for obtaining successful IV access for the pre and post- intervention periods, among two samples.
Results: Prior to the intervention, there were 3.8 (SD 1.18) mean number of attempts for obtaining IV access for (N=52) patients who were identified to have DVA. After the intervention, a mean number of attempts per DVA patient was reported at 1.2 (0.47). A significant difference (p= <0.05; CI 95% 2.25-2.94) was found between the pre intervention and post intervention mean number of successful attempts but no significant reduction in the time it takes to obtain successful IV access among these two samples.
Conclusion: IV access is an essential procedure for the assessment and treatment of patients seeking health care in the emergency department. It important to consider a feasible solution for managing DVA among patients. Our findings suggest that implementation of a dedicated difficult access team can decrease the time and number of attempts necessary for obtaining IV access in individuals with difficult venous access. Further investigation is necessary to determine variables that impact increased time to obtain successful IV access in patients with difficult venous access....
Cultural humility in simulation education: A state of the science
(2016-07-13)
Session presented on Saturday, July 23, 2016 and Sunday, July 24, 2016:
Purpose: The National League for Nursing, a voice for nursing education, has identified diversity as a core value. Leading organizations including ...
Barriers to treating hypertension and preventing potential risk for cardiovascular disease among Haitians
(2016-07-13)
Session presented on Friday, July 22, 2016:
Purpose: Hypertension (HTN) is the greatest cause of morbidity in Haiti, where it is an identified cause of heart failure for 45% of patients, and primarily associated with more ...
An intervention to increase number of certified nurses in an adult emergency medicine department
(2016-07-13)
Session presented on Friday, July 22, 2016 and Thursday, July 21, 2016:
Background: In the evolving health care marketplace, competition between health care organizations is driven by accreditation requirements, patient ...
Cultural humility: A concept analysis
(2016-03-17)
Session presented on Saturday, July 25, 2015:
Diversity is being increasingly recognized as an area of emphasis in health care. The term cultural humility is used frequently but society's understanding of the term is ...
Promoting respect for and inclusion of diversity among clinical faculty
(2016-03-17)
Session presented on Sunday, July 26, 2015:
Purpose: Evaluate the impact of a diversity-related video on the awareness, knowledge, skills, and confidence of clinical nursing instructors for fostering a teaching environment ...
Improving door-to-ECG time for patients presenting with chest pain in the adult emergency department
(2017-07-19)
Purpose: The American Heart Association/ American College of Cardiology guidelines recommend rapid door-to-electrocardiography (ECG) times for patients who present with chest pain. Reducing ECG-to-door time is important ...