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Type One Diabetes Mellitus In Immigrant And Minority Pediatric Populations, Kristina Nielson 2020 Brigham Young University

Type One Diabetes Mellitus In Immigrant And Minority Pediatric Populations, Kristina Nielson

Student Publications

Type 1 diabetes mellitus (T1DM) is a prevalent chronic illness affecting children and adolescents. Globally, it is estimated that at least 1 million children under the age of 19 years are affected by T1DM. Immigrants and minorities have worse diabetic outcomes than the majority population. The purpose of this article is to identify common challenges in children with T1DM who are part of immigrant or minority populations. Major health challenges for children with T1DM who are immigrants or minorities include issues regarding access to healthcare, communication, and cultural adaptation. Access of children with T1DM to high-quality healthcare and new diabetes ...


Peer-Led Education Expedites De-Prescribing Proton Pump Inhibitors For Appropriate Veterans, Mary H. Bowman 2020 University of San Diego

Peer-Led Education Expedites De-Prescribing Proton Pump Inhibitors For Appropriate Veterans, Mary H. Bowman

Doctor of Nursing Practice Final Manuscripts

Costly proton pump inhibitors (PPIs) have been widely prescribed since the 1990’s for prevention and treatment of ulcers and gastroesophageal reflux disease (GERD). Evidence published since 2012 demonstrates risks associated with taking PPIs longer than eight weeks. Primary care providers (PCPs) mostly de-prescribe PPIs for persons not meeting criteria for long term use. Many patients resist discontinuation.

A three-month evidenced based practice (EBP) education project was conducted by a nurse practitioner to improve PCP peer de-prescribing successes with appropriate patients in an outpatient California based veteran Primary Care Clinic. Fifteen PCPs were pretested about usual care practices between two ...


Recruiting And Retaining Np Preceptors, Angelica Renteria 2020 The University of San Francisco

Recruiting And Retaining Np Preceptors, Angelica Renteria

Doctor of Nursing Practice (DNP) Projects

It is estimated that by 2020, the shortage of primary care providers will reach over 20,000. This has led to a surge of nurse practitioner (NP) programs across the nation. Recruiting and retaining preceptors is of paramount importance. Barriers and incentives to precepting must be identified in order to maximize teaching capacity. More effective ways of training NP students (NPs) need to be explored to capitalize on the time preceptors invest with students. The adoption of the OMP teaching model may facilitate training for the preceptor and improve the learning of NPs due to its simplicity and efficiency.


Nurse-Driven Protocol To Reduce Urinary Catheter Infections: A Quality Improvement Project, Sara Burrington 2019 The University of San Francisco

Nurse-Driven Protocol To Reduce Urinary Catheter Infections: A Quality Improvement Project, Sara Burrington

Master's Projects and Capstones

Costs of healthcare are astronomical, not only in the financial sense, but in many aspects of life for both patients and healthcare providers. Costs include those accompanying healthcare associated infections (HAI), where as a result of environmental factors, a patient acquires an infection during their admission. Since 2008, Medicare and Medicaid no longer reimburse hospitals for infections deemed ‘reasonably preventable.’ The biggest offender of this type of HAI is overwhelmingly, catheter associated urinary tract infections (CAUTI) (Kennedy, Greene & Saint, 2013). With approximately 31% of the inpatient population requiring an indwelling catheter at some point throughout their stay, risk of infection ...


Burnout, Depression And Suicide Prevention For Nursing Staff In High-Intensity Settings, April Ritchie 2019 The University of San Francisco

Burnout, Depression And Suicide Prevention For Nursing Staff In High-Intensity Settings, April Ritchie

Doctor of Nursing Practice (DNP) Projects

Nurses working in high-intensity settings experience burnout at higher rates than in other nursing areas. Burnout in healthcare is a problem estimated as high as 70% by the Agency for Healthcare Research and Quality. Burnout can lead to depressive symptoms, which can lead to suicidal ideation in affected healthcare providers, which makes early identification and treatment of utmost importance to the mental and physical wellbeing of these nurses.

The purpose of this project is to examine burnout in nursing staff working in high-intensity areas of the hospital in order to help identify burnout and/or depressive symptoms before they lead ...


A Formal Hcahps Teaching Program Targeting Communication Improves Hcahps Scores, Bobbie Davis 2019 University of San Francisco

A Formal Hcahps Teaching Program Targeting Communication Improves Hcahps Scores, Bobbie Davis

Master's Projects and Capstones

The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey given to patients after discharge from an inpatient unit is a validate tool used to determine the level of patient experience. Organizations across the country, including the Northern California Academic Medical Center, have implemented many initiatives aimed at improving these scores. HCAHPS scores for the hematology/oncology unit at this medical center remain low even after previous education efforts. The aim of this quality improvement project was to improve the patient experience, as evidenced by HCAHPS scores, with the implementation of an HCAHPS teaching program for nursing staff, focusing ...


Generational Differences In Nursing Influencing Job Satisfaction, Sarah Carter, RN, CAPA, MaryJo Marino Hertzog, RN, BSN, CAPA, Demetrius Trihoulis, RN, Viktor Hum, RN 2019 Aria Jefferson Health

Generational Differences In Nursing Influencing Job Satisfaction, Sarah Carter, Rn, Capa, Maryjo Marino Hertzog, Rn, Bsn, Capa, Demetrius Trihoulis, Rn, Viktor Hum, Rn

Aria Health Posters

Purpose

A generation is defined as a group of individuals who are roughly the same age, and who experience and are influenced by the same set of significant historical events during key developmental periods in their lives.

With multiple Nursing generations working together in the heath care setting identifying and understanding generational differences that influence job satisfaction will help to promote a healthy work environment and a sustainable work force.


Does Having A Nurse Navigator Vs. Not Having A Nurse Navigator Decrease The Cost Of Healthcare In Patients With A Sepsis Diagnosis?, Marybeth Forward, RN, Amanda Kuzewycz, BSN, RN-BC, Sandra Little, MSN, RN, Anne Lyons, BSN, RN-BC, Kelly Panei, BSN, RN, PCCN, Diane Yaple, MS, LPC 2019 Aria Jefferson Health

Does Having A Nurse Navigator Vs. Not Having A Nurse Navigator Decrease The Cost Of Healthcare In Patients With A Sepsis Diagnosis?, Marybeth Forward, Rn, Amanda Kuzewycz, Bsn, Rn-Bc, Sandra Little, Msn, Rn, Anne Lyons, Bsn, Rn-Bc, Kelly Panei, Bsn, Rn, Pccn, Diane Yaple, Ms, Lpc

Aria Health Posters

Purpose

The nurse navigator facilitates the care of a patient with the diagnosis of sepsis across the healthcare continuum. This includes:

  • Promoting optimal outcomes
  • Preventing readmissions
  • Patient education
  • Decreasing length of stay in skilled nursing facilities

The coordination of transition of care starts from the time of admission through the 90 day post acute period.


Governance Education: Preparing Nurses Of Influence In Contemporary Times / La Formation À La Gouvernance : Préparer Des Infirmières D’Influence Dans Le Contexte Actuel, Florence Myrick, Jacinthe I. Pepin 2019 Université de Montréal

Governance Education: Preparing Nurses Of Influence In Contemporary Times / La Formation À La Gouvernance : Préparer Des Infirmières D’Influence Dans Le Contexte Actuel, Florence Myrick, Jacinthe I. Pepin

Quality Advancement in Nursing Education - Avancées en formation infirmière

No abstract provided.


Un Modèle De Développement Et De Déploiement De Compétences Pour Les Enseignants Et Les Formateurs Cliniques En Sciences Infirmières / A Model Of Competency Development And Deployment For Nurse Academics And Clinical Educators, Martin Charette, Johanne Goudreau, Anne Bourbonnais 2019 Université de Montréal

Un Modèle De Développement Et De Déploiement De Compétences Pour Les Enseignants Et Les Formateurs Cliniques En Sciences Infirmières / A Model Of Competency Development And Deployment For Nurse Academics And Clinical Educators, Martin Charette, Johanne Goudreau, Anne Bourbonnais

Quality Advancement in Nursing Education - Avancées en formation infirmière

La communication entre les milieux d’enseignement en sciences infirmières et les milieux cliniques ne se fait pas de façon optimale. L’utilisation d’un langage commun partagé par les enseignants et les formateurs cliniques, en particulier en ce qui concerne les notions de développement et de déploiement de compétences, permettrait de situer les attentes envers les étudiants et les nouveaux diplômés sur un continuum débutant lors de la formation initiale et se poursuivant dans le milieu clinique. Cet article présente un modèle de développement et de déploiement de compétences en pratique infirmière, construit théoriquement par l’intégration des travaux ...


Development And Validation Of A Tool For Measuring The Professional Identity Of Nursing Students: The Q-Ipei / Le Développement Et La Validation D’Un Instrument De Mesure De L’Identité Professionnelle Chez Les Étudiantes Infirmières : Le Q-Ipei, Eric Tchouaket Pr, PhD, Dominique Houle RN, PhD, Dominique Therrien RN, Msc, PhD (C), Catherine Larouche RN, Msc, Annie Denoncourt RN, Msc, Pascale Reny RN, Msc 2019 Université du Québec en Outaouais

Development And Validation Of A Tool For Measuring The Professional Identity Of Nursing Students: The Q-Ipei / Le Développement Et La Validation D’Un Instrument De Mesure De L’Identité Professionnelle Chez Les Étudiantes Infirmières : Le Q-Ipei, Eric Tchouaket Pr, Phd, Dominique Houle Rn, Phd, Dominique Therrien Rn, Msc, Phd (C), Catherine Larouche Rn, Msc, Annie Denoncourt Rn, Msc, Pascale Reny Rn, Msc

Quality Advancement in Nursing Education - Avancées en formation infirmière

Background: The various pressures on nurses in their practice environment, given the complexity of care, have exposed the confusion around the role definition and level of professional identity (PI) of future nurses. To support them in their practice, it is important throughout their education to know their commitment, representations, and sense of identity with respect to their future profession. To our knowledge, there is no measurement tool in the literature that can be used to measure the PI of nursing students throughout their education, given its complex multidimensional nature.

Objective: Based on a framework that takes into account the diversity ...


Facilitation Of Disorientating Events For The Rpn To Bscn Learner / Soutenir, Par Des Occasions Déconcertantes, Les Apprentissages De L’Infirmière Diplômée D’Un Programme Collégial (Rpn En Ontario) Pour Devenir Infirmière Bachelière (B.Sc.), Maurine Parzen, Katharine Janzen 2019 Brock University

Facilitation Of Disorientating Events For The Rpn To Bscn Learner / Soutenir, Par Des Occasions Déconcertantes, Les Apprentissages De L’Infirmière Diplômée D’Un Programme Collégial (Rpn En Ontario) Pour Devenir Infirmière Bachelière (B.Sc.), Maurine Parzen, Katharine Janzen

Quality Advancement in Nursing Education - Avancées en formation infirmière

Jack Mezirow’s transformative learning theory provides a framework in which to explore learning experiences that facilitate the Registered Practical Nurses (RPN) who returns to school to upgrade their credentials to that of a Registered Nurse (RN). It is through self-exploration and critically reflection upon previous nursing knowledge that RPNs can begin to enhance their knowledge and transform their practice. Mezirow claims there are precursor steps that adult learners contemplate as they engage in the process of perspective transformation which is initiated by disorientating dilemmas. RPNs who return to school to upgrade their credentials to that of an RN need ...


Is University Nursing Education In Canada Taking The Lead In A World Focused On Sustainable Development? / La Formation Universitaire Au Canada Est-Elle À L’Avant-Plan Dans Un Monde Centré Sur Le Développment Durable?, Ginger Sullivan, Jennifer Bell Ms, Mona Haimour, Solina Richter Dr. 2019 University of Alberta

Is University Nursing Education In Canada Taking The Lead In A World Focused On Sustainable Development? / La Formation Universitaire Au Canada Est-Elle À L’Avant-Plan Dans Un Monde Centré Sur Le Développment Durable?, Ginger Sullivan, Jennifer Bell Ms, Mona Haimour, Solina Richter Dr.

Quality Advancement in Nursing Education - Avancées en formation infirmière

Global Health is widely being adopted by universities and higher education institutions in Canada and around the world. The current global climate has given rise to an emphasis on the necessity of global health education for nurses. Nursing educators as well as nursing students are seeking guidance as they integrate global health as part of their learning, teaching, research and practice. In September 2015, the member states of the United Nations adopted the Sustainable Development Goals (SDGs): seventeen goals to end poverty, protect the environment, and ensure health and well-being for all. These seventeen goals will guide the world’s ...


Moving Forward In Nursing Education Through A Participatory Mode Of Thinking / Aller De L’Avant En Formation Infirmière En Adoptant Un Mode De Pensée Participatif, Jacinthe I. Pepin, Florence Myrick 2019 Université de Montréal

Moving Forward In Nursing Education Through A Participatory Mode Of Thinking / Aller De L’Avant En Formation Infirmière En Adoptant Un Mode De Pensée Participatif, Jacinthe I. Pepin, Florence Myrick

Quality Advancement in Nursing Education - Avancées en formation infirmière

No abstract provided.


Hepatitis B Virus Screening And Vaccination, Uwaezu J. Umeh 2019 University of San Francisco

Hepatitis B Virus Screening And Vaccination, Uwaezu J. Umeh

DNP Qualifying Manuscripts

Abstract

Hepatitis B is a virus that mostly affects the liver, it could be asymptomatic and if left untreated or undetected, could lead to liver cancer, cirrhosis or even death. When Hepatitis B virus enters the body, it could be detected as early as 30 days post exposure and if it persists, may develop into a chronic condition. Chronic hepatitis B is the persistence of hepatitis B surface antigen for six months or more. It is a global health problem in which an estimated 2 billion people worldwide are infected and with about 2.2 million people infected in the ...


Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg 2019 Aurora Health Care

Incorporating Home Visits In A Primary Care Residency Clinic: The Patient And Physician Experience, Mary Caitlin St. Clair, Jessica J. F. Kram, Glenda Sundberg

Aurora Family Medicine Residents

Purpose: Home visits, once a popular but now uncommon form of health care delivery, are on the rise. Few studies have focused on the value the experience brings to resident physicians and their patients.

Methods: A 6-month pilot was conducted with 11 residents who participated in 32 home visits with 11 patients. Patient and resident experiences were captured through a survey following the home visits.

Results: In all, 100% of patients and a majority of residents were very interested in being a part of and incorporating future home visits, respectively. Every patient in the survey said that the visits resulted ...


Wellness Review 2019, Part 1, Martin Huecker, Brian A. Ferguson 2019 US Air Force

Wellness Review 2019, Part 1, Martin Huecker, Brian A. Ferguson

Journal of Wellness

No abstract provided.


Transient Dynamics Of Infection Transmission In An Intensive Care Unit, Christopher Short, Matthew S. Mietchen, Eric T. Lofgren 2019 WSU

Transient Dynamics Of Infection Transmission In An Intensive Care Unit, Christopher Short, Matthew S. Mietchen, Eric T. Lofgren

Annual Symposium on Biomathematics and Ecology: Education and Research

No abstract provided.


Using Complex, Multi-Sectoral Data In A Needs Assessment To Inform Future Strategies In Childhood Asthma Management, Loren Raun, David Persse, Gwendolyn Johnson, Katherine Ensor, Elizabeth Stevenson, Melissa A. Valerio, Erin K. Caton, Laura Campos, Harold J. Farber 2019 Rice University

Using Complex, Multi-Sectoral Data In A Needs Assessment To Inform Future Strategies In Childhood Asthma Management, Loren Raun, David Persse, Gwendolyn Johnson, Katherine Ensor, Elizabeth Stevenson, Melissa A. Valerio, Erin K. Caton, Laura Campos, Harold J. Farber

Health Behavior Research

The purpose of this needs assessment was to study the current state of asthma management in high-risk children in Houston, Texas to inform a theory-based approach to improving asthma management. The mixed-method assessment included multi-sectoral survey, quantitative, and geospatial data that address a range of social and community factors in family, community, home, and medical contexts. Houston Emergency Medical Services (EMS) provided ambulance-treated asthma data mapped by geographic area to identify where childhood asthma management was weakest. Texas Children’s Health Plan (TCHP) provided medication compliance rates and counts of children by zip code that TCHP considered high-risk according to ...


Impact Of Nurse Manager Peer Mentorship Program On Job Satisfaction And Intention To Stay, Tonya Roth, Diane Whitehead 2019 Walden University

Impact Of Nurse Manager Peer Mentorship Program On Job Satisfaction And Intention To Stay, Tonya Roth, Diane Whitehead

Journal of Excellence in Nursing and Healthcare Practice

Nurse managers (NMs) play a vital role in patient outcomes by providing a stable work environment for teams. Numerous factors influence a NM’s job satisfaction and intent to remain in a job. The purpose of this project was to develop an evidence-based formal mentorship program for NMs in an effort to impact retention rates. A secondary purpose was to evaluate the impact that a formal mentorship program has on NMs’ job satisfaction and intent to stay. Across two hospitals in the Pacific Northwest, 15 NMs participated in a 6-month mentorship program. The program was guided by both the mentorship ...


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