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Now showing items 1-10 of 34
A screening tool for early recognition and treatment of sepsis
(2014-05-14)
Purpose: This study investigates the use of a sepsis screening tool to decrease the length of time from triage to treatment.
Design: In this exploratory study, a convenience sample was drawn from all patients triaged in ...
Influenza Education to Improve Vaccination Rates Among College Students
(2014-05-02)
Objective The purpose of this project was to provide influenza vaccine education and improve vaccine uptake among Eastern Arizona College dormitory residents. College students living in dormitories are considered a high-risk ...
Diabetes: What are the barriers to diet, exercise and medication adherence in a rural Southern Arizona clinic?
(2014-05-02)
Purpose: To identify patient reported barriers to diet, exercise and medication adherence in adults who are diabetic patients in a rural Southern Arizona family practice clinic.
Data Sources: A cross-sectional, quantitative ...
Testosterone replacement in symptomatic men: Assessing knowledge, barriers, and prescribing habits of nurse practitioners
(2014-05-13)
Purpose: Approximately 13 million men suffer with low testosterone, reporting symptoms of fatigue, decreased libido, erectile dysfunction (ED), and depression. Despite the published benefits of testosterone therapy, ...
Recommendations for promoting culturally and resource appropriate care for Native American (NA) patients at Flagstaff Medical Center (FMC)
(2014-05-13)
Flagstaff Medical Center (FMC) is a primary referral center for its surrounding Native American (NA) communities. As such, FMC has a unique patient population with distinctive needs related to culture and available ...
Development of a new practice model: Postmortem sexual evidence collection forensic examiner multimedia training module
(2014-05-02)
The aim of this Forensic Nurse Examiner (FNE) practice improvement initiative was to design an online multimedia training module for postmortem sexual evidence collection. FNEs, as clinical experts in antemortem sexual assault and interpersonal violence evidence collection, are uniquely qualified for the expanded role in postmortem sexual evidence collection. Current forensic literature lacks data regarding injury identification in sexual homicide victims limiting forensic training, new program development and potential advancements in forensic research. Additionally, inconsistent data collection in sexual homicides poses prosecution concerns with identification of sexual homicides and evidentiary examinations. Antemortem and postmortem sexual evidence collections are not identical processes; FNE expertise may not translate to understanding of critical postmortem changes and clinical evidence collection requirements in deceased patients. A multimedia-training module on postmortem evidence collection was developed to expand the role of the FNE. A 25-item survey critiquing essential training module content was distributed to 23 nationally recognized forensic experts. Fifteen surveys were completed and analyzed using descriptive statistics and percent agreement of four content areas. Reviewer comments were also incorporated in the analysis. Expert agreement regarding content was supported with statistically significant Intraclass Correlation Coefficient (ICC = .838, 95% CI = .638, .944, p < .001) and average pairwise agreements of 90.5% and 89.1% respectively. This practice improvement initiative provides the scientific foundation for a multimedia training module as an ideal training platform to expand Forensic Nurse Examiner practice. ...
Transparency and advanced practice nurse value on an interprofessional team by time-driven activity-based costing
(2014-05-09)
To address the current challenge in the United States of increasing access to high quality healthcare, healthcare systems must analyze and understand the value of their resources in terms of patient outcomes achieved per ...
Obesity management: A pilot test of an electronic health record prompt
(2014-05-09)
The project objective was to conduct a pilot study to discover primary care providers’ responses to using a newly developed obesity screening and management addition to an electronic health record (EHR). ...
Telehospice: A systematic review
(2014-05-13)
Purpose: A review of the literature was conducted in order to identify, appraise, and report on the use of telehospice in patient care. Questions addressed in the review were, what is the current state of telehospice ...
Behavioral health self-help interventions conducted during chronic pain visits in a primary care setting
(2014-08-11)
Purpose: This practice implementation assessed the feasibility and impact of implementing behavioral health self-help interventions during chronic pain management visits in a primary care setting.
Data sources: Time series data collection occurred following the implementation of behavioral health interventions utilizing self-help strategies that included the Gate Control theory of pain control and sleep hygiene. Participants received monthly pain management visits conducted by their usual provider and interventions were performed by a single behavioral health specialist for consistency.
Conclusions: Mean pain scores were significantly reduced from 5.93 to 4.29 (p=0.000) on a scale of zero to ten, and improvement was sustained over the two month post-intervention phase at the completion of the project. Mean pain assessment guide scores, range of zero (no impact) to fifty (maximum negative impact), significantly decreased from 23.30 to 16.89 (p=0.001).
Implications for practice: This simple, brief behavioral health intervention, integrating Gate Control theory and an individualized plan for self-management, has shown lasting impact on the participant’s ability to control and manage their response to pain outside of the clinic setting. Encouraging engagement and ownership of the individualized self-help activities by the patients is an important and empowering aspect of this intervention. ...