Search
Now showing items 21-30 of 673
IV ketamine infusions for the treatment of depression: An evidence based practice analysis
(2018-05-18)
According to the World Health Organization, major depressive disorder (MDD) is a mental health condition which affects a significant portion of the worldwide population and is projected to become the leading cause of ...
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 ...
The use of thromboelastograpy guided transfusion therapy in trauma: An integrative review
(2018-05-11)
Trauma induced mortality can often be attributed to hemorrhage in the early phase of trauma. Up to one-half of trauma deaths are due to uncontrolled bleeding within the first few hours of injury. Patient survival following ...
The Mallampati test versus the upper lip bite test in predicting difficult intubation
(2018-05-11)
The accurate assessment of the airway is one of the most important skills an anesthesia practitioner should perfect. A difficult intubation is often defined as a Cormack Lehane (CL) grade of III or IV in adult patients. ...
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 ...
Aseptic administration of intravenous medications by anesthesia providers; A quality improvement project
(2018-05-22)
This quality improvement project addresses the lack of compliance by anesthesia providers in following aseptic techniques for preparing and administering IV medications. An initial 8-question survey was conducted to assess ...
Breastfeeding and the Baby-Friendly Hospital Initiative: A quality improvement project
(2016-09-21)
The purpose of this DNP project was to provide support for nursing staff to feel empowered and motivated to provide new mothers with the support they needed to have a positive breastfeeding experience for their babies and themselves. Adult Learning Theory and the Rosswurm and Larrabee Model for Evidence-based Practice provided the framework for the project. A quasi-experimental study design was used to evaluate if the implementation of an educational intervention decreased barriers and improved nurses’ self-confidence in supporting mothers in the decision to breastfeed their infants. The project took place on the birthing center at a regional hospital in a Midwest state where approximately 120 infant deliveries occur monthly. The project director (PD) distributed an anonymous pre-intervention survey to all nursing staff in the birthing center by email using Qualtrics survey system to identify barriers that occurred when nurses tried to assist and educate a breastfeeding mother and to rate their self-confidence in assisting mothers. The PD recruited nursing staff for a breastfeeding taskforce through face-to-face communication and email separate from the survey. The breastfeeding taskforce, led by the PD, met to review survey data and brainstormed how to address identified breastfeeding education and support barriers. The taskforce developed two standardized staff education documents to address these barriers. Three months following the implementation of the newly written staff education, the PD distributed an anonymous post-intervention survey to all nursing staff by email that contained the same questions as in the pre- intervention survey. The PD analyzed the pre and post intervention survey data to determine if there was a decrease in barriers and increase of self-confidence in the nurses’ ability to assist patients with breastfeeding and support other nurses in the process. This information was shared with the taskforce to decide if any revisions in the written process were needed. No revisions were deemed necessary by the taskforce.
As a result of the findings of the breastfeeding taskforce and the PD, an algorithm titled. When Baby Does or Doesn’t Latch and a staff education sheet Nipple Shields 101 were created. When Baby Does or Doesn’t Latch was developed using Baby Friendly Hospital Initiative’s guidelines and the hospital’s hypoglycemia policy to provide nursing staff with a resource to use when babies are not breast or bottle feeding well. Nipple Shields 101 was created to give staff members a resource to use when assisting a patient that needs to use a nipple shield in order to help the baby to latch. Data gathered from the pre- and post- intervention surveys did show a statistically significant increase in the self-confidence the nursing staff felt when helping patients and each other with breastfeeding skills. Limitations on the study of outcomes for the project included time constraints, small survey sample, lack of ability to compare pre- and post-intervention survey results by person due to anonymity, and possible discrepancies in meaning of survey questions between PD and the survey participants....
The 5As Model for Smoking Cessation: Engaging health care providers and overcoming barriers to change
(2016-09-21)
The purpose of this DNP project was to improve provider utilization of the 5As model for smoking cessation (asking, advising, assessing, assisting and arranging for follow up) for patients who smoke with every patient ...