Now showing items 1-10 of 13
Increasing the HPV Vaccination Rate in a Family Practice: A quality improvement project
The purpose of this DNP project was to identify barriers in a family practice setting to recommending the HPV vaccine and to use this information to develop a practice protocol to enhance the delivery of the vaccine series. ...
The Influence of Lifestyle Medicine on Nurses’ Belief of Evidence Based Practice
Adult onset type 2 diabetes can be improved with lifestyle medicine, which is a prescriptive and patient-centered evidence-based practice model. It affords consistent patient monitoring and provides nurses with the education ...
Evaluating the Effects and Process of Nurse Bedside Shift Report on Nurse’s Perceptions of Communication Patterns, Nurse Satisfaction, and Patient Involvement
Background: A growing body of evidence identifies transitions of care as vulnerable points in the care continuum where vital information is often omitted and inadequate communication occurs. Nurse shift report has been ...
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....
Recurrent Bacterial Vaginosis: An evidenced-based protocol for the improvement of patient outcomes
Bacterial Vaginosis (BV) is the most frequent vaginal infection of women of childbearing age, with a prevalence of 10% to 50% (Parma, Vanni, Bertini, & Candiani). BV in women has been associated with pelvic inflammatory ...
Perioperative Low-Dose Ketamine Infusion and its Impact on Postoperative Pain: An Evidence Based Practice Analysis
Acute pain after surgery is a common problem with multiple consequences. Patients, anesthesia professionals, and surgeons want adequate pain control with minimal side effects. Opioid analgesics are commonly relied upon in ...
Utilizing Evidence Based Practice to Reduce Hemoglobin A1c Levels in Primary Care by Increasing Frequency of Office Visits
Diabetes Mellitus is one of the leading chronic diseases in the United States as well as in the world. It is a disease that becomes progressively more difficult to manage as time goes by with each patient. It costs the ...
Educating Nursing Staff in Evidence-based Practice: A Process Improvement, Development, and Implementation of a Preadmission Clinic
An evidence-based practice (EBP) education project was developed and implemented to create a preadmission clinic in the surgical services department of a small rural hospital. The project objectives were to (a) improve ...
Use Of Standarized Processes To Achieve Optimal Pre-Surgical Skin Asepsis
Surgical site infections are a significant threat to patient safety, they increase patient mortality and morbidity, and increase health care expenditures. A pre-surgical protocol that implements two applications of 2% Chlorhexidine gluconate using prepackaged cloths is an evidence-based practice that kills and then prohibits the growth of potentially dangerous skin flora. The purpose of this project was to evaluate the effectiveness of 2% Chlorhexidine gluconate cloths when administered twice pre-surgically to reduce the incidence of surgical site infections and to improve pre-surgical documentation. The Iowa framework for quality improvement was used with results demonstrating that, while documentation remained an area for improvement, there was a significant decrease in surgical site infections over the comparison group. Keywords: Surgical site infection, 2% Chlorhexidine gluconate cloths, Pre-surgical skin asepsis, Patient Safety, Teamwork, EMR Documentation...
An Evidence-Driven Campaign to Decrease Venous Thromboembolism
To identify gaps in practice, opportunities for improvement and decrease venous thromboembolism in hospitalized patients at Carilion Roanoke Memorial Hospital.