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Now showing items 51-60 of 77
Safe transport of telemetry patients with ED RN's - Unintended consequences
(2015-02-04)
Purpose: Maintaining safe transport of telemetry patients from the Emergency Department (ED) by having an ED RN accompany them has become a priority in recent years. Unfortunately, many ED’s do not have the resources ...
Protecting patients against CVC and PIV-related infections: An ED survey
(2015-02-04)
Background: As regulatory requirements related to infection control practices and reimbursement continues to expand, emergency nurses can play a vital role in infection prevention before, during, and after IV therapy. Since ...
Implementing a monitoring and feedback program for major depression
(2015-10-05)
Background: Depression is a significant public health concern and deeply affects both the depressed person’s life and the lives of their family members. The purpose of this project is to improve the monitoring of ...
Culture of safety improvement project requires sustained organizational commitment
(2015-10-09)
Hospital leaders have been directed to focus on assuring patient safety and improving outcomes through the development of a strong safety culture. The Safety Attitude Questionnaire (SAQ) at a small rural hospital ...
The use of laughter yoga to decrease stress and improve coping in nursing students
(2015-01-21)
Nursing students experience stress from many different facets. Stress has a negative impact on academic performance and cognition. Research shows the positive effects mirthful laughter has on psychological and physiological ...
Intraosseous and venous blood lactate levels correlate; PT/INR do not
(2015-02-04)
Purpose: Intraosseous (IO) vascular access is useful for fluid and medication delivery and blood sampling when intravenous access is difficult or impossible. Serum lactate is a potentially useful biomarker when managing ...
Implementing recommended perioperative pain practice guidelines by incorporating intravenous acetaminophen
(2015-04-21)
Optimizing perioperative pain management is important in decreasing adverse outcomes in surgical patients. The purpose of this project was to implement recommended perioperative pain practice guidelines by incorporating intravenous acetaminophen (IVA) as part of multimodal analgesia at an acute care hospital in Northern Arizona. Lewin’s change theory guided this project by using strategies to break barriers in accepting and changing perioperative pain guidelines by completing a retrospective chart review to determine IVA efficacy. Data was obtained from adult surgical patients at this facility from January 1, 2014-July 31, 2014 which resulted in 74 charts that met criteria; 37 patients received IVA and 37 patients did not receive IVA. Chi-square analysis and a paired t-test compared mean pain scores, total opioid dosages in the first 24 hours, length of hospital stay (LOS) and patient demographics/clinical characteristics. Statistically significant differences were noted in pain scores at 12 and 24 hours, total opioid dosages and LOS (p< 0.05) in the IVA group. There were no statistically significant difference in demographic characteristics between the two groups nor in postoperative care unit (PACU) pain scores (p>0.05). These findings support current literature review that IVA is an effective non-analgesic for perioperative pain management. ...
Validating defining characteristics of nursing diagnosis: Excessive fluid volume
(9/18/2015)
An evaluatory study to validate the defining characteristics of NANDA nursing diagnosis ‘excessive fluid volume’ amongst pre-hemodialysis patients diagnosed with Chronic Kidney Disease in a selected hospital, ...
Validating nursing diagnosis: Impaired physical mobility
(10/2/2015)
Validation studies are important for advancing evidence based nursing practice. In our study, we validated defining characteristics of NANDA nursing diagnosis of Impaired Physical Mobility in Total knee replacement patients. ...
A study of the selected factors influencing the academic performance of the first year basic B. Sc. nursing students of colleges
(4/22/2015)
The principal aim of the research was to identify and correlate the selected factors influencing the academic performance of the First Year Basic B. Sc. Nursing students.