Now showing items 1-10 of 536
Baby Doll Therapy in Dementia Patients
Executive Summary Dementia is a condition exhibited by emotional and physical states such as anxiety, agitation, sleeplessness, inability to care for oneself, wandering, defiant and sometimes violent behavior, and other ...
Outcomes of a School-Based Asthma Education Program: An Evidence-Based Practice Project
The identified problem in school-aged children is a lack of education to recognize triggers, symptoms, and methods to self-manage asthma episodes. The PICOT statement of interest was: In children 8 to 12 years old, does implementation of the Open Airways for Schools, a school-based program for asthma management versus no previous program for asthma management affect knowledge, avoidance of triggers, school absenteeism, and peak flow readings following six group sessions of asthma education over a three week period. The purpose of the evidence-based practice project was to connect the identified problem and the needs of children to cope with asthma while at school through implementation of a school-based asthma education program. Evidence suggests that education encourages health promotion behaviors by mitigating the negative effects of this chronic disease to achieve an optimum level of control. The Model for Evidence-Based Practice Change guided the implementation process. The Open Airways for Schools program was implemented over a total of six sessions twice weekly to children 8 to 12 years old (N= 19) with the diagnosis of asthma. The children who met inclusion criteria attended sessions during their lunch period. The sessions were based upon the six educational sessions outlined in the program curriculum. A comparison of the pre and post questionnaire demonstrated gains in asthma knowledge. The students recognized the importance of avoiding asthma triggers post program implementation. Additionally, a decrease in school absenteeism and an increase in peak flow meter results from initial reading to post program reading over a three-week implementation period were exhibited. Recommendations for implementation are provided....
Efficacy and Feasibilities of an Evidence Based Program for Seventh Graders on Teen Dating Violence An Evidence Based Nursing Practice Project
The presence of teen dating violence (TDV) among the adolescent population is becoming recognized as a significant problem in the U.S. and worldwide. A growing body of evidence has begun to reveal the magnitude of ...
The Evaluation of the Implementation of a Shared Medical Appointment for Patients with Diabetes in a Rural Private Practice
Abstract Objective: This practice improvement project was designed to test the efficacy and feasibility of implementing Shared Medical Appointments (SMA) as an innovative approach to improve the care of diabetic ...
End of Life Discussions in the Community
Advance Care Planning (ACP) is a process of review and discussion between patients, family members, and healthcare providers that focus on goals of care rather than specific treatments. ACP should be initiated and implemented ...
Implementation of a Mentor Led Physical Activity Program among Disadvantaged Youth
Physical activity is an integral part of the war on pediatric obesity. Pediatric obesity is a worldwide epidemic affecting children of all races, classes, and gender. According to the Ohio Youth Risk Behavior Survey of 2013 over one third of Ohio children in grades nine through twelve were considered overweight or obese and engage in more than three hours of screen time, television, computers or video games daily. The purposes of this project was to introduce physical activity in the classroom environment in the form of physical activity breaks, led by physical activity leaders (PALs) to achieve improved BMI category, increase grade point average (GPA), and increase physical activity (measured by PACE score) of high school students in health class. The Larrabee’s Model for Evidence Based Practice Change was used to guide the planning, implementation, and evaluation of this evidence based project. The intervention was delivered to an inner city high school in West Central Ohio. Two health teachers and the project coordinator were enrolled and trained in Let’s Move Active Schools curriculum and served as PALs. The PALs designed physical activities and introduced physical actives in the classroom in the form of physical activity breaks for ten minutes. Thirty eight freshman students in health class completed 8-week program. Results showed that there were significant differences in GPA and PACE score however there was no significant difference in body weight status due to short time frame of project. Project results will be disseminated to school administration with anticipation of inclusion of physical activity breaks for every classroom for the remainder of the school year and beyond. >...
Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with Chronic Obstructive Pulmonary Disease (COPD)
(Registered Nurses' Association of Ontario, 2010-02)
This guideline, Nursing Care of Dyspnea: The 6th Vital Sign in Individuals with COPD, will address the nursing assessment and management of stable, unstable and acute dyspnea associated with COPD. The guideline focuses its ...
Primary Prevention of Childhood Obesity
(Registered Nurses' Association of Ontario, 2014-05)
The purpose of this Guideline is to provide nurses across all practice settings with evidence-based practice, education, system, organization and policy recommendations for the primary prevention of obesity in infants, ...
Assessment and Management of Pain
(Registered Nurses' Association of Ontario, 2013-12)
This guideline provides evidence-based recommendations for nurses and other members of the interprofessional team who are assessing and managing people with the presence, or risk of, any type of pain.
Collaborative Care for Depression in Primary Care
Improvements in symptom recognition and treatment of depression can be improved through collaborative care. Collaboration of both primary care provider and behavioral health providers can help patients with depression ...