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Impact of an educational intervention on knowledge and attitudes concerning maternity care practices consistent with the "Baby-Friendly Hospital Initiative"
(2017-02-23)
Objective: The purpose of this study is to examine if an educational intervention increases knowledge and positively influence attitudes in maternity care staff in regards to maternity care practices consistent with the ...
Evidence-based pilot for improved antibiotic prescribing
(2017-09-21)
The nature and burden of inappropriate antibiotic prescribing for self-limiting respiratory tract infections (RTIs) in primary care settings, continues to pose great threats to public health. This high prevalence leads to ...
Effectiveness of inhaled albuterol delivery methods in adult intubated patients: An integrative review
(2017-07-06)
The purpose of this integrative review is to critically appraise the available literature related to effectiveness of albuterol delivery methods for the intubated patient undergoing general anesthesia and to make recommendations ...
Increasing the HPV vaccination rate in a family practice: A quality improvement project
(2017-05-19)
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 ...
Cuffed verses uncuffed endotracheal tubes for pediatric patients
(2017-06-23)
Pediatric airway management can present many challenges for anesthetists. One such challenge is whether to use a cuffed or uncuffed endotracheal tube (ETT) for pediatric patients younger than eight years. Practitioners ...
Perioperative pain management in patients on opioid replacement therapy: An integrative review
(2017-06-26)
Despite the lack of compelling evidence to support long-term efficacy in the treatment of opioid abuse, opioids are one of the most common classes of medications prescribed in the United States. As such, the significant ...
Recommendations for breast feeding mothers after anesthesia: A quality improvement project
(2017-06-26)
Quality improvement projects aim to address a clinical issue and subsequently improve patient care. Projects may improve or promote safe care, interpersonal care aspects, and life quality.1 The clinical issue addressed by ...
Pulmonary recruitment maneuver effects on laparoscopic complications: An evidence based practice analysis
(2017-06-26)
Postoperative shoulder pain is a common complication following laparoscopic surgery with an incidence as high as 80%.1 The etiology of the shoulder pain is thought to be due to residual carbon dioxide in the abdominal ...
Smoking cessation counseling training for WIC nurses
(2017-11-30)
Smoking is the leading cause of preventable death. An estimated 40 million adults in the United States currently smoke cigarettes (Center for Disease Control and Prevention [CDC], 2012), furthermore, nearly seventy percent of adults that smoke want to quit (World Health Organization [WHO], 2011). Unfortunately, pregnant women make up part of this tobacco using population. Women Infants and Children (WIC) clinics are located all over the United States and attempt to help women and their children from a low socio-economic status (SES) with nutrition and overall well-being. Since smoking during pregnancy leads to multiple preventable complications, it is of vital importance that nurses are able to assess and refer clients’ to appropriate cessation resources (Tobacco Free Kids, 2015). The PICOT question for this scholarly project is: For the Women, Infants and Children (WIC) nurses at the Livingston County Public Health Department, does the implementation of a "brief intervention and referral to treatment" training program and staff mentoring lead to improved knowledge, confidence and increased rates of performing brief interventions with clients and an increased number of tobacco interventions provided to women who smoke?
The Livingston County, Michigan WIC staff were trained and mentored on brief interventions for smoking cessation, also known as the 5 A Model (Ask, Advise, Assess, Assist, and Arrange) (“Treating Tobacco Dependence”, 2008). The results of this project indicated that nurses’ knowledge, confidence and follow-up were increased with statistical significance compared to the data pre-intervention. While the findings are not generalizable, they could be transferable at the microsystem level to other WIC clinics....
Ondansetron administration prior to subarachnoid block in cesarean section: An evidence based practice analysis
(2017-09-22)
Subarachnoid block (SAB) is a preferred regional technique utilized by many institutions for caesarean section. A sensory block height of T5 is necessary for a successful caesarean under SAB. Unfortunately, side effects ...