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Now showing items 141-150 of 164
Third trimester screening for chlamydia and gonorrhea in pregnant teens
(2016-11-07)
Purpose: The purpose of this project was to implement a practice change in a clinic caring for underserved pregnant teens to align with national standard of care guidelines from the Centers for Disease Control and Prevention ...
The effective management of high blood pressure by improving adherence through education
(2016-10-11)
This project assessed the effectiveness of the adoption of a policy including guidelines and training to improve antihypertensive medication adherence rates. The project determined the utilization of hypertensive clinical ...
Decreasing blood pressure readings using a patient-centered interprofessional team approach
(2016-10-07)
Background and Purpose: Hypertension is one of the most modifiable risk factors for the prevention of heart disease. Current practice involves medical management of hypertension by the primary care provider. Provision of medical management alone is not improving blood pressures of patients with hypertension. Therefore, a patient-centered interprofessional team was developed to address the lack of a coordinated approach to the management of hypertensive patients.
Methods: The family nurse practitioner as clinician guides the interprofessional team in the management of hypertension. An interprofessional team was implemented in a rural Midwestern family practice clinic. Patients included were 18 to 60 years old with a diagnosis of hypertension. At least two previous blood pressure readings were required, and the last reading must have remained elevated over 140/90. Initial blood pressure readings were compared to final visit readings to measure improvement. Systolic blood pressure was reduced significantly throughout the project (p = 0.0067).
Conclusion: Implementation of the interprofessional team in the management of hypertension has provided a positive improvement in the BP of the patients participating.
Implications for Practice: The interprofessional team design supports the perfect environment for advanced practice nursing leadership.
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Disposable blood pressure cuffs: A safer alternative
(6/9/2016)
Background: Health care acquired infections are avoidable and not only cause patient suffering but are also costly to the hospitals. These unintentional infections cost hospitals approximately 35-45 billion dollars ...
Teaching strategies to reduce VAP at Mulago Hospital: A capstone project
(2016-10-18)
Mulago National Referral Hospital (Mulago), in the sub-Saharan African country of Uganda, is one of the largest hospitals in East Africa. Continuing education requirements for nurses working in the ICU at Mulago are ...
A Qualitative Exploration of the Impact of Destination Therapy on Patients and Their Families
(6/9/2016)
The purpose of this research was to explore the lived experiences of destination therapy (DT) left ventricular assist device (LVAD) patients and their families using a narrative method of inquiry. Previous ...
School-located influenza vaccination program effectiveness: An observational, descriptive case study.
(6/8/2016)
Introduction: Children have the highest influenza infection rates of all population groups. The Advisory Committee on Immunization Practices (ACIP) recommends annual universal influenza vaccination of all persons ≥ 6 months of age. Many school-aged children do not receive recommended vaccinations and experience influenza, which results in poor health, absences from school, and transmission of infection to family and community members.
Aims and Objectives: The purpose of this evaluation was to determine the effectiveness of a school located influenza vaccination program planned and operated by public health nurses.
Materials and Methods: A descriptive, case study approach was used. A convenience sample included 58 schools located in urban and rural settings with a total enrollment of 13,356 children aged 5-18 years in 2010-11 school year. Program evaluation methods included analysis of program data, survey of public health and school personnel, public health nursing grand rounds, and benchmarking. Measures included vaccination rates, operational and financial factors, survey results and benchmarks.
Results and Discussion: The baseline influenza vaccination rate was 21% in 2010-11 school year. Results of clinics operated during school hours was 30.38% (SD=7.02) and after school hours clinics was 16.27% (SD=7.47), t(56)=7.0, p<0.01. All clinics were held during school-hours in 2011 and 2012 with rates of 19% and 28% respectively. Urban to rural schools vaccination rate proportions were 16:31% (0.52), 15:28% (0.54), and 24:34% (0.71) in 2010-11, 2011-12 and 2012-13 school years respectively.
Conclusion: Pragmatic interpretation of evaluation findings supported improvements, decision making, and knowledge discovery. Though not reaching the goal of 50% coverage, the program progressed toward the goal....
Relationship between HCAHPS scores (patient experience) and Watson’s Theory of Caring
(2016-11-10)
The HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems) Survey measures patient experience. It is an important survey because some of the hospitals’ payment is dependent on the scores. It was ...
Improving baccalaureate nursing students' critical thinking ability through the initiation of patient safety simulations
(4/4/2016)
Patient safety is the priority objective within the healthcare system (Harjai & Tiwari, 2009; Robert & Petersen, 2013; Robson, Clark, Pinnock, White, & Baxendale, 2013; Vaismoradi, Salsali, & Marck, ...
Promoting student engagement through the use of mobile applications
(9/21/2016)
Mobile technology has found its way into nursing education as a way to in enhance learning and engage today’s techno savvy student. The purpose of this study was to determine the impact of mobile technology on student ...