Northern Arizona University School of Nursing, DNP Doctoral Papers
This collection houses the doctoral project papers of the DNP students of Northern Arizona University School of Nursing. The school of nursing program offers challenging and rewarding coursework in multiple learning environments that reflects the standards of professional nursing and prepares students to practice in a variety of healthcare settings and graduate school.
To learn more about the school, please visit nau.edu.nursing.
Recent Submissions
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Implementing Evidence to Improve Chronic Insomnia Treatment for Older Adults in Primary Care: A Quality Improvement Project
Background: Chronic insomnia (CI) affects over 50% of American adults 65 years and older. The most currently used treatment approach for this problem is inconsistent with the most up-to-date evidence-based clinical guidelines ... -
Evidence Based Change: A Protocol to Reduce Ambulance Diversion Using the National Emergency Department Overcrowding Scale Tool
Background: Ambulance diversion (AD) occurs when emergency departments (EDs) experience over-demand of available resources and can no longer accept ambulance patients. Current evidence however, shows that AD delays critical ... -
Enhancing Patient Education to Reduce Unnecessary Health Information Seeking Behavior after Cardiac Ablation
Problem: Atria fibrillation (a-fib) is an irregular heart rhythm effecting approximately 2.7 to 6.1 million individuals annually (CDC, 2017), of which approximately 153 underwent catheter ablation by the electrophysiologist ... -
Adapting an Evidence-Based Insomnia Practice Guideline for Use in a University Healthcare Setting
(2018-07-03)Recent evidence-based practice guidelines (EBPGs) recommend cognitive-behavioral therapy for insomnia (CBT-I) as first-line treatment for adults with chronic insomnia, with pharmacotherapy as a secondary option. Pharmacotherapy ... -
Evidence-Based Practice Change: Implementation of a Collaborative Practice Model for Diabetes
(2017-09-12)Background: The prevalence of type II diabetes mellitus (T2DM) in the United States is high, especially in underserved populations. Many patients with T2DM do not receive the optimal interprofessional collaborative care ... -
Promoting safe infant sleep: The creation and appraisal of a practice guideline for nurses
(2017-09-12)Background: Every day in America, healthy infants are dying from sudden infant death syndrome (SIDS) and other sleep-related deaths. Once a terrifying mystery, these deaths, also called sudden unexpected infant death (SUID), ... -
Implementation of a Diabetes Treatment Algorithm in Primary Care for Use in the Adult Hispanic Population
(2017-09-01)Diabetes Mellitus Type 2 (DM2) is a growing problem in the United States. Hispanic Americans have a higher prevalence of diabetes than Non-Hispanic Whites and suffer from more severe complications of the disease. Although ... -
Education and Implementation of POLST Protocols in Northern Arizona
(2017-09-01)Provider orders for life-sustaining treatment (POLST) is a medical order set that is signed by a physician, nurse practitioner, or a physician assistant and describes how patients wish to be cared for regarding their medical ... -
Improving Culturally Competent Care for International Students
(2017-08-31)Background: As the international student population grows on college campuses across the United States (U.S.), health professionals are challenged to meet national and college health objectives for providing culturally ... -
Implementation of Rheumatoid Arthritis Assessment Tool: A Quality Improvement Project
(2016-10-07)Objective. Rheumatoid arthritis is a common inflammatory arthritis resulting in joint destruction that leads to physical and functional disability. This condition is characterized by variable disease activity levels, ... -
Procalcitonin as a Prognostic Indicator of Risk for Sepsis in the Neonate
(2016-06-22)Introduction. Procalcitonin (PCT) is a biomarker that rises at the onset of bacterial infection while remaining relatively low in other inflammatory processes. Diagnosing serious bacterial infection (SBI) in neonates ... -
Implementation of Depression Screening to Optimize Chronic Pain Management
(2016-06-15)Background: Chronic pain affects millions of people worldwide and the evidence demonstrates prevalent co morbidity of chronic pain and psychological issues such as anxiety, insomnia, and depression. The existence of ... -
Improving Intimate Partner Violence Screening in the Emergency Department Setting
(2015-04-29)Intimate partner violence (IPV) is a significant public health issue. Global rates of IPVrange between 15% and 71%. Approximately three million U.S. women are affected during theirlifetimes; and approximately 15.5 million ... -
Adult ADHD: An Assessment Tool for Non-Psychiatric Nurse Practitioners
(2015-04-23)Evidence suggests primary care providers, including nurse practitioners (NPs), have deficits in knowledge, use of assessment tools, and management of adult attention deficit hyperactivity disorder (ADHD). Education to ... -
Qualitative Assessment of an Electronic Diabetes Education Tool for Burmese Immigrants
(2015-04-22)Providing preventative health education to refugee groups presents challenges due to language barriers, limited literacy, educational resources, and time constraints. Purpose: pilot an electronic audio-visual Burmese ... -
Faculty Development to Support Interprofessional Education in Healthcare Professions: A Realist Synthesis
(2015-04-21)Interprofessional education (IPE) is essential to graduate collaboration-ready healthcare professionals. Faculty have limited experience and expertise in facilitating IPE, slowing adoption of this strategy. This article ... -
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 ... -
Identification of Internal Risk Factors and Interventions to Prevent Exertional Heat Illnesses in Hikers: A Systematic Review
(2015-03-27)Objective: To identify internal risk factors (e.g., caffeine and alcohol consumption, weight, medications, and medical conditions) and intervention strategies for prevention of exertional heat-related illnesses in ... -
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 ... -
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 ...
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