Current Search: DNP Project 2019 (x)
Search results
(1 - 21 of 21)
- Title
- Assessment of Nurse Practitioners’ Screening, Prevention, and Treatment Practices in Pediatric Obesity.
- Creator
-
Hargraves, Kyla
- Date Issued
- 2019-04-26
- Identifier
- FSU_libsubv1_scholarship_submission_1556299477_f91733aa
- Format
- Citation
- Title
- Barriers and Implications of Controlled Substance Prescribing for Florida APRNs.
- Creator
-
Weissing, Lauren
- Abstract/Description
-
Purpose: To determine barriers impacting Florida APRNs’ decision to prescribe controlled substances post statutory change that lifted restrictions on controlled substance prescribing. Based on the results, the primary investigator developed a toolkit to decrease these barriers. Methods: A 39-question survey was utilized to determine what factors influence Florida APRN schedule II-IV substance prescribing behaviors. This questionnaire was delivered online and in person to active, licensed...
Show morePurpose: To determine barriers impacting Florida APRNs’ decision to prescribe controlled substances post statutory change that lifted restrictions on controlled substance prescribing. Based on the results, the primary investigator developed a toolkit to decrease these barriers. Methods: A 39-question survey was utilized to determine what factors influence Florida APRN schedule II-IV substance prescribing behaviors. This questionnaire was delivered online and in person to active, licensed APRNs who are members of various nurse practitioner organizations in Florida. Results: Reasons for APRN lack of controlled substance prescribing included practice setting restrictions, physicians writing these prescriptions, and a lack of desire to prescribe these medications. Fifty-five percent of respondents who completed the 3-hour CE course on controlled substances prescribing reported that it adequately prepared them to prescribe schedule II-IV medications, compared to 77% of individuals who took the 8-hour course. Prescriber confidence was significantly associated with protocol characteristics, graduate nurse practitioner programs, colleague support, knowledge, and the extent APRNs prescribe these medications. Respondents noted benefits to prescribing controlled substances that included more efficient patient care, increased autonomy, independent patient management, increased patient access to care, and relief of required physician signatures on all schedule II-IV substances. Discussion: Two years post statutory change, more than 80% of Florida APRNs are DEA registered prescribers of controlled substances. A majority of APRNs feel knowledgeable and comfortable prescribing these medications. Although House Bill 423 removed a barrier to controlled substance prescribing, additional barriers remain. Providing additional skills, reducing quantity limitations for schedule II medications, and decreasing DEA cost would help to reduce these barriers. Conclusion: It is imperative to address the identified needs of APRNs to support them in effectively prescribing schedule II-IV substances. Full practice authority may remove unnecessary protocols and quantity limitations for certain medications, further decreasing barriers for APRNs prescribing controlled substances. This ongoing project will be expanded to determine whether these findings are consistent among all Florida APRNs.
Show less - Date Issued
- 2019-04-26
- Identifier
- FSU_libsubv1_scholarship_submission_1556312288_8013b875
- Format
- Citation
- Title
- Closing the Gap: An Educational Intervention to Prevent the Sexual Transmission of the Zika Virus by Young Males.
- Creator
-
Bolduc, Alicia
- Abstract/Description
-
Purpose: The purpose of this project was to develop, implement and evaluate the effectiveness of a preventative educational intervention on the sexual transmission of Zika virus. Methods: A social media platform was used to market and deliver an educational module to young men ages 18 to 35 years old. Anyone on social media could access the educational intervention but purposive sampling focused on young males between 18 and 35 years of age living in the South-Eastern United States. Knowledge...
Show morePurpose: The purpose of this project was to develop, implement and evaluate the effectiveness of a preventative educational intervention on the sexual transmission of Zika virus. Methods: A social media platform was used to market and deliver an educational module to young men ages 18 to 35 years old. Anyone on social media could access the educational intervention but purposive sampling focused on young males between 18 and 35 years of age living in the South-Eastern United States. Knowledge of Zika virus transmission was measured before and after the educational intervention to evaluate learning. Descriptive statistics were computed to summarize demographic data and knowledge of Zika virus; paired t-tests were used to compare pre- and post-test responses. Results: Facebook/Instagram and Google AdWords media campaigns resulted in multiple potential participants navigating to the website and scanning information on sexual transmission of Zika. However, only 28 men meeting criteria completed the educational module and pre-/post-tests. The majority were Caucasian (89.3%) and married or in a domestic partnership (57.1%). Participants’ knowledge of the sexual transmission of Zika virus increased significantly following the educational intervention. Discussion: This project was proactive in offering an educational tool aimed at preventing another outbreak of Zika virus as opposed to reactionary based on increased rates of the sexual transmission of Zika virus. The media ad campaigns generated substantial interest by the target group but fell short in prompting participation in the educational intervention. Advertising costs were also increased when a specific audience was targeted directly. Conclusion: Zika virus remains an international threat that can be transmitted easily back into the United States. Preventative educational measures and innovative modes of delivery are needed to arrest the sexual transmission of Zika virus among young males. Major Professor: Dr. Eileen Cormier
Show less - Date Issued
- 2019-04-05
- Identifier
- FSU_libsubv1_scholarship_submission_1554770972_55b068bd
- Format
- Citation
- Title
- Correlation of Hypertension and Depression: Underserved Population 50 Years of Age or Above.
- Creator
-
Pearl, Alice Kina
- Abstract/Description
-
Purpose: The purpose of this project was to evaluate a quality improvement initiative by a small urban clinic that specializes in the elderly underserved population in south Florida. This initiative was to explore whether there was a correlation between depression and hypertension in the clinic population as well as be proactive in treating depression.Methods: After Florida State University Institutional Review Board (IRB) approval a retrospective chart review was accomplished after the...
Show morePurpose: The purpose of this project was to evaluate a quality improvement initiative by a small urban clinic that specializes in the elderly underserved population in south Florida. This initiative was to explore whether there was a correlation between depression and hypertension in the clinic population as well as be proactive in treating depression.Methods: After Florida State University Institutional Review Board (IRB) approval a retrospective chart review was accomplished after the implementation of the depression-screening tool of all patients coming to the clinic for medical appointments. This project gathered data on 100 patients, 50 patients with depression and 50 patients without depression. Hypertension rate was compared on the 100 patients. Depression was screened utilizing the ‘Patient Health Questionnaires’ (PHQ-9) form and the diagnosis data using ICD-10 codes. The information originated from the clinic’s electronic health record (EHR). The office manager provided the de-identified information to the principal investigator. Results: 50 patients (50%) were diagnosed with having depression and 37 patients (47%) had hypertension from a total of 100 patients. The top comorbidities in patients with depression were: hypertension (58%), chronic pain (40%), hyperlipidemia (38%), anxiety and/or panic attack (36%); diabetes mellitus or type II diabetes (26%), insomnia or sleeping disorder (26%), coronary artery disease (CAD) and/or cardiomyopathy (22% of total), chronic obstructive pulmonary disease (COPD) (22%), and gastro-esophageal reflux disease (GERD) (20%). Conclusion: In general the top comorbidities in patients with depression were higher in rate than the same comorbidities in patients without depression. The incidence of depression in this clinic was seven times the national average. The incidence of hypertension was 1.5 times the national average. There was a positive correlation between depression and hypertension in the sample population of this research. The incidence of hypertension in patients with depression was almost double the national average adults with hypertension. Implementing the depression screening tool will better serve the underserved population and promote positive patient outcomes in dealing with comorbidities with depression.
Show less - Date Issued
- 2019-04-27
- Identifier
- FSU_libsubv1_scholarship_submission_1556367303_746ed6c5
- Format
- Citation
- Title
- Debriefing After Traumatic Events for Emergency Nurses: A Way to Decrease Secondary Traumatic Stress.
- Creator
-
Kahrs, Rebecca
- Abstract/Description
-
Purpose: To identify if the technique of debriefing after a traumatic event would decrease the secondary traumatic stress (STS) symptoms in emergency nurses.Methods: The use of a pre intervention survey, a debriefing educational intervention and a post intervention survey were utilized to gather data. The pre and post surveys created by Bird, et al., (2004) both utilized the same seventeen questions from the “Secondary Traumatic Stress Scale” for a thorough comparison of the secondary...
Show morePurpose: To identify if the technique of debriefing after a traumatic event would decrease the secondary traumatic stress (STS) symptoms in emergency nurses.Methods: The use of a pre intervention survey, a debriefing educational intervention and a post intervention survey were utilized to gather data. The pre and post surveys created by Bird, et al., (2004) both utilized the same seventeen questions from the “Secondary Traumatic Stress Scale” for a thorough comparison of the secondary traumatic stress symptoms before and after the use of the debriefing intervention. The debriefing toolkit included a brief STS description, STS symptoms, description of debriefing and top self-care tips. The data was analyzed using descriptive statistics and the Mann Whitney U test. Results: Forty-one ED nurses participated in the initial surveys and debriefing intervention. The participants decreased to thirty-seven for the post intervention survey. The significant symptoms included feeling emotionally numb, trouble sleeping, discouraged for the future, disturbing dreams, avoiding working with certain patients, the expectation of something bad to happen and finding gaps in memory. This revealed a p-value of 0.007 proving that the data was statistically significant for a decrease in secondary traumatic stress symptoms with the use of the debriefing educational toolkit in emergency department nurses after traumatic events. Discussion: The use of the debriefing educational intervention was found useful in decreasing secondary traumatic stress symptoms in emergency nurses after traumatic events. Emergency nurses found that with the recognition of symptoms and positive coping tools, that they are more successful professionally in dealing with secondary traumatic stress symptoms.Conclusion: Secondary traumatic stress can affect emergency nurses due to the frequent exposure to traumatic events such as deaths, severe injuries and critical illnesses. The recognition of secondary stress and a tool such as debriefing, can decrease and potentially eliminate secondary traumatic stress in emergency nurses that can encourage overall mental well-being improve burnout rates.
Show less - Date Issued
- 2019-04-20
- Identifier
- FSU_libsubv1_scholarship_submission_1555813997_69f8e52e
- Format
- Citation
- Title
- An Educational Toolkit for Diet Based Weight Loss Programs.
- Creator
-
Poley, Kevan Michael
- Abstract/Description
-
Purpose: This review examined five chosen diet-based weight loss programs for common barriers to weight loss, efficacy, and risks and benefits specific to each diet. An educational toolkit was then produced to help providers counsel their patients on these programs. Methods: A search of empirical literature in electronic databases (e.g., CINAHL, Pubmed, JANE, Dynamed Plus, Cochrane’s Library, and ScienceDirect) was conducted during November and December of 2018. Of the 36 included articles,...
Show morePurpose: This review examined five chosen diet-based weight loss programs for common barriers to weight loss, efficacy, and risks and benefits specific to each diet. An educational toolkit was then produced to help providers counsel their patients on these programs. Methods: A search of empirical literature in electronic databases (e.g., CINAHL, Pubmed, JANE, Dynamed Plus, Cochrane’s Library, and ScienceDirect) was conducted during November and December of 2018. Of the 36 included articles, 14 were randomized controlled trials and ten were systematic reviews or meta analyses. The remaining 12 were either nonrandomized, observational, cross sectional, or qualitative. Four websites provided background information on these programs. Results: Barriers to weight loss included lack of accountability and self-motivation, as well as interference with life and personal tastes. Every diet produced significant weight loss compared to baseline and a control group. Statistically significant differences in weight loss were not seen when comparing two or more diets. However, the Ketosis diet had weight loss efficacy outcomes that were substantially larger comparatively. Every diet was found to have at least one associated benefit or risk. The ketosis diet had several adverse effects and medical contraindications. Discussion: This literature review suggests the chosen diets are effective at producing weight loss in patients who adhere to the diet. There were no statistically significantly differences in weight loss outcomes or improvements in cardiovascular risk factors among the chosen diets. The ketosis diet, while effective at generating weight loss, is shown to be contraindicated with several chronic healthcare problems. Conclusions: This literature review suggests that healthcare providers should fully appraise an individual’s history before recommending a diet-based weight loss program in order to increase adherence and maximize benefits for individuals with specific chronic conditions.
Show less - Date Issued
- 2019-03-12
- Identifier
- FSU_libsubv1_scholarship_submission_1552447054_df4c9557
- Format
- Citation
- Title
- Essential Oils in Healthcare.
- Creator
-
Ely, Macy
- Abstract/Description
-
Purpose: This study examined the benefits, risk, and usage of essential oils in self and primary care as well as provide an educational tool kit to use as self-care and for providers to use in practice. Methods: A convenience sampling method was utilized for collecting data. Fifty-six students and faculty who are registered nurses or an advanced registered nurse practitioner at the College of Nursing participated in the study. Descriptive statistics were used to analyze data for examination...
Show morePurpose: This study examined the benefits, risk, and usage of essential oils in self and primary care as well as provide an educational tool kit to use as self-care and for providers to use in practice. Methods: A convenience sampling method was utilized for collecting data. Fifty-six students and faculty who are registered nurses or an advanced registered nurse practitioner at the College of Nursing participated in the study. Descriptive statistics were used to analyze data for examination of the study aims. Results: The majority of nurses surveyed use essential oils for self-care (80%), and of those who do are 90.9% are at least moderately comfortable using essential oils. Only 3 participants (5.6%) report using essential oils in primary care. The major knowledge deficits reported were not having a toolkit to use as guidelines for what essential oils can be used for common conditions (34.6%), evidence-based research and what the research shows (23.6%), and adverse reactions of essential oils (14.5%). Conclusion: Both findings from the literature and survey demonstrated the need for nurses to enhance their knowledge about essential oils for self and primary care. Nurses often partake in using essentials oils and have a very high comfort level while using essential oils. It is time for nurses to take the next step and get additional information, such as a toolkit, so they can help others experience the benefits of essential oils.
Show less - Date Issued
- 2019-04-04
- Identifier
- FSU_libsubv1_scholarship_submission_1554418983_57325a25
- Format
- Citation
- Title
- Evaluating Appearance-Based Education on Sunscreen Knowledge and Use in Young Adults.
- Creator
-
Otis, Mishya, Greenhalgh, Jolynn
- Date Issued
- 2019-03-23
- Identifier
- FSU_libsubv1_scholarship_submission_1553360219_4af178d0
- Format
- Citation
- Title
- Evaluation of the C.A.R.E. Program: a Quality Improvement Program Aimed at Addressing Substance Abuse in the Medical-Surgical Setting.
- Creator
-
Gau, Dana, Little, Barbara, Porterfield, Susan
- Abstract/Description
-
Purpose: The purpose of this study is to evaluate the C.A.R.E Program - a program aimed at integrating substance abuse treatment into the medical-surgical acute care setting to improve both nursing and patient outcomes. Methods: This is a descriptive comparison study to evaluate the C.A.R.E. Program that was implemented on five units in an 819-bed public hospital in Southwest Florida. This study has two phases. Phase I analyzed de-identified survey data to determine what effect the program...
Show morePurpose: The purpose of this study is to evaluate the C.A.R.E Program - a program aimed at integrating substance abuse treatment into the medical-surgical acute care setting to improve both nursing and patient outcomes. Methods: This is a descriptive comparison study to evaluate the C.A.R.E. Program that was implemented on five units in an 819-bed public hospital in Southwest Florida. This study has two phases. Phase I analyzed de-identified survey data to determine what effect the program had on therapeutic attitude and professional quality of life in the nursing staff on 4 units. Phase II analyzed de-identified data based on a retrospective patient chart review to determine the effect of the program on patient outcomes as evidenced by length of stay, readmission rates, and cost, which also included one additional unit from the pilot study. Results: After implementing the structured care program, the survey results indicated an improvement in respondent’s attitudes (n=41) towards working with drug users. Compassion satisfaction and burnout were essentially unchanged from pre-implementation to post. There was no significant impact on patient outcomes noted that could be directly correlated to implementation of the program. Discussion: The nurses surveyed demonstrated a statistically significant improvement in therapeutic attitude after implementation of the structured care program. Consistent levels of compassion satisfaction and burnout pre- and post-implementation may speak to the excellence of the organization overall. Patient outcomes did not appear to be impacted by the program. The patient population involved is extremely complex, medically as well as psychosocially, and requires extensive case management. More resources are needed in order to ensure adequate case management and impact patient outcomes. Conclusions: Implementation of a structured care program for patients with underlying substance abuse disorders results in improved therapeutic attitude in nurses caring for such patients and is recommended for acute inpatient settings. More research is needed to explore how such a program can positively impact patient outcomes.
Show less - Date Issued
- 2019
- Identifier
- FSU_libsubv1_scholarship_submission_1555086488_7084277d_comp
- Format
- Set of related objects
- Title
- Factors Influencing Parental and Adult Decision Making for Pediatric Vaccines.
- Creator
-
Thomas, Madison
- Abstract/Description
-
Purpose: In an effort to further understand vaccination decision making, this study examined factors adult decision makers take into consideration when deciding whether or not to have children vaccinated. Methods: This project used a descriptive design to explore the effects that dissemination of evidence-based knowledge regarding vaccines has had on adult decision making to adhere or refrain from the recommended pediatric immunization schedule. A non-random, convenience sampling method was...
Show morePurpose: In an effort to further understand vaccination decision making, this study examined factors adult decision makers take into consideration when deciding whether or not to have children vaccinated. Methods: This project used a descriptive design to explore the effects that dissemination of evidence-based knowledge regarding vaccines has had on adult decision making to adhere or refrain from the recommended pediatric immunization schedule. A non-random, convenience sampling method was utilized to obtain participants by an online ad via Facebook advertisement. Demographic data was obtained, and participants had the option to provide narrative responses regarding vaccine decisions. Results: The results of the study demonstrate the presence of various factors which influence parent and adult decision makers’ decision to follow or refrain from the recommended pediatric immunization schedule. Influencing factors include but are not limited to number of children in the family, education level, religion, and information from resources such as a healthcare provider, friends and family, the internet, and research articles. This study also showed that parent and adult decision makers fear vaccines for a variety of reasons. Parent and adult decision makers cited fears such as the presence of toxic ingredients, too many shots at once, vaccines being ineffective, and side effects or vaccine injury. Discussion: This study demonstrates the need to educate parent and adult decision makers with unbiased, evidence-based information regarding vaccines, regardless whether they adhere to or refrain from the recommended pediatric immunization schedule. Conclusions: This study provides a distinctive reflection on immunization practices among parents and adult decision makers. This study calls for nurses and providers to make an effort to identify and provide knowledge to families and children who choose to deviate from the recommended pediatric immunization schedule or completely forgo immunization to address a main source of under immunized children in a sensitive manner. Future studies should focus on minority groups, people of color, ADM for those greater than 26 years old (i.e. special needs adults and dependent elders), and utilize different strategies to recruit participants.
Show less - Date Issued
- 2019-04-17
- Identifier
- FSU_libsubv1_scholarship_submission_1555550252_b80e7305
- Format
- Citation
- Title
- A Gap Analysis: Healthcare Provider Perceptions of Nurse Practitioner Scope of Practice.
- Creator
-
Kaiser, Kelsey Nicole
- Abstract/Description
-
Purpose: The purpose of this project was to promote interprofessional education and collaboration among healthcare providers by identifying gaps in knowledge regarding NP scope of practice among medical doctors (MDs), osteopathic physicians (DOs), and physician assistants (PAs) in Florida. Methods: This quasi-experimental, gap analysis utilized a repeated measures design wherein the study participants served as their own controls. Surveys were delivered via Qualtrics, an online survey...
Show morePurpose: The purpose of this project was to promote interprofessional education and collaboration among healthcare providers by identifying gaps in knowledge regarding NP scope of practice among medical doctors (MDs), osteopathic physicians (DOs), and physician assistants (PAs) in Florida. Methods: This quasi-experimental, gap analysis utilized a repeated measures design wherein the study participants served as their own controls. Surveys were delivered via Qualtrics, an online survey platform, at two points in time: (1) before an online educational intervention and (2) four to six weeks after an online educational intervention to all actively practicing, Florida-licensed MDs, DOs, and PAs registered with the Florida Department of Health.Results: The Pre-Intervention Survey was started by 1,515 respondents, representing a response rate of 1.96%. Of the respondents: (1) 881 met inclusion criteria, and (2) completed the Pre- and Post-Intervention Surveys. Approximately 36.8% of PAs answered the question, “Can nurse practitioners in Florida prescribe schedule II drugs independently?” incorrectly. Approximately 27.1% of PAs answered the question, “Can nurse practitioners in Florida practice autonomously?” incorrectly. NP knowledge-based questions related to signing disabled person placard forms, autonomous practice, and prescribing schedule II drugs independently were incorrectly responded to by most participants. Discussion: PAs incorrectly perceive that NPs in Florida can practice autonomously and can prescribe schedule II drugs independently. MDs, DOs, and PAs have the greatest knowledge deficit in topics related to whether NPs can sign disabled person placard forms, practice autonomously, and prescribe schedule II drugs independently.Conclusion: Interprofessional education can mitigate confusion related to NP scope of practice, however, for interprofessional educational opportunities to be successful, knowledge deficits among collaborative healthcare providers must first be identified. Responses to knowledge-based questions in the Pre-Intervention Survey identified specific deficits among healthcare providers. Identifying deficiencies facilitate the development of effective interprofessional educational training materials and programs.
Show less - Date Issued
- 2019-04-26
- Identifier
- FSU_libsubv1_scholarship_submission_1556304833_db584f32
- Format
- Citation
- Title
- Health Needs Assessment for a Methodist Congregation: A Health Ministry Pilot Study.
- Creator
-
Keatley, Craig Thomas, Schluck, Glenna, Porterfield, Susan
- Abstract/Description
-
Purpose: The purpose of this project is to promote physical well-being and disease prevention by exploring the health needs of a mid-sized Methodist congregation in southeast Florida and implementing an educational health fair workshop within a church setting. Methods: A quality improvement needs assessment was distributed amongst all members of a mid-sized Methodist congregation in order to determine the health topic with the most interest. Following the needs assessment, a health fair...
Show morePurpose: The purpose of this project is to promote physical well-being and disease prevention by exploring the health needs of a mid-sized Methodist congregation in southeast Florida and implementing an educational health fair workshop within a church setting. Methods: A quality improvement needs assessment was distributed amongst all members of a mid-sized Methodist congregation in order to determine the health topic with the most interest. Following the needs assessment, a health fair presentation was given to distribute information about the health topic of interest. Evaluation surveys were distributed immediately following the presentation. Results: Thirty-three needs assessment surveys were completed and returned. The health topic with the largest demand was hypertension (30%) followed by depression (24%). Additionally, 39% of participants selected multiple options. Results from the evaluation survey indicated that 93% of the participants would be extremely likely to participate in health ministry activities in the future. Discussion: This study demonstrates that despite an initially tepid reaction from the congregation regarding the health ministry program, a health-fair styled workshop is something in which they may be willing to participate. Health condition resources could be made available to the congregation for education and proper implementation of a successful health ministry program. Conclusions: The population will continue to age and resources need to be available to meet the needs of this dynamic population. Non-traditional healthcare settings, such as health ministry programs, can be utilized to help close gaps in providing quality health care. Future expansion of the health ministry program is something that should be considered for enhancing the health of the Methodist congregation. Major Professors: Glenna Schluck, PhD & Susan Porterfield, PhD, FNP-c
Show less - Date Issued
- 2019-04-17
- Identifier
- FSU_libsubv1_scholarship_submission_1555522793_80481958
- Format
- Citation
- Title
- Improving Culturally Sensitive Communication among Healthcare Providers in Underserved Communities.
- Creator
-
Massie, Denise Lee Marlatte
- Abstract/Description
-
Purpose: The purpose of this project is to improve healthcare literacy in underserved patients by addressing healthcare providers’ modes of communication when caring for this population. This study will identify culturally common terms used in the underserved community to describe chronic disease processes, as well as assess graduate NP nursing student’s knowledge of common substitute terms and application when providing care in the underserved population. Additionally, we will examine if...
Show morePurpose: The purpose of this project is to improve healthcare literacy in underserved patients by addressing healthcare providers’ modes of communication when caring for this population. This study will identify culturally common terms used in the underserved community to describe chronic disease processes, as well as assess graduate NP nursing student’s knowledge of common substitute terms and application when providing care in the underserved population. Additionally, we will examine if demographic information effects the use of culturally competent language when providing care. Methods: A quasi-exploratory designed study was employed. A convenience sampling method was utilized for collecting data. Thirty-four graduate NP nursing students at one College of Nursing participated in the study. Descriptive statistics were used to analyze data for examination of the study aims. Results: There were a total of 34 participants to take the survey. The majority of the graduate student NPs who took the Self-Assessment tool learned key words for enhanced communication during assessment (58.9%) while (2.9%) did this rarely or not at all. When asked if participants learned familial colloquialisms (58.9%) while (2.9%) did this rarely or not at all. When asked to identify substitute terms used by the underserved population 2 of the participants identified the terms incorrectly. When asked if these terms were utilized when providing educational information, thirty-one replied “yes” while 3 answered “no”. After taking the Self-Assessment combined with years of experience did the respondents feel comfortable with the use of cultural literacy and communication fourteen replied “yes” and 2 replied “no”. Conclusion: Findings from the Self-Assessment tool demonstrate that graduate nurse NP students are aware and utilize culturally sensitive communication in the underserved population. Using words or phrases that are familiar to the patient population provides improved communication. Further investigation is needed to evaluate undergraduate nursing students. Additionally, demographic information including place of employment and specialty could enhance utilization of culturally sensitive communication. The nursing profession is focused on the patient as an individual, this also includes dialect and cultural terms that are recognizable to the individual and the community.
Show less - Date Issued
- 2019-03-27
- Identifier
- FSU_libsubv1_scholarship_submission_1554135005_c209d476
- Format
- Citation
- Title
- Journaling as a Therapeutic Intervention to Decrease Postpartum Depressive Symptoms and Stress in Mothers with an Infant in NICU: A Case Study.
- Creator
-
Munday, Kathryn
- Abstract/Description
-
Title: Journaling as a Therapeutic Intervention to Decrease Postpartum Depressive Symptoms and Stress in Mothers with an Infant in NICU: A Case StudyPrimary Investigator: Kathryn Munday, BSN, RNPurpose: The purpose of this paper is to demonstrate a protocol that can assess and positively influence maternal wellness during infant hospitalization in Neonatal Intensive Care Unit (NICU).Methods: This case study details a mother’s experience in NICU and the impact collaborative care, postpartum...
Show moreTitle: Journaling as a Therapeutic Intervention to Decrease Postpartum Depressive Symptoms and Stress in Mothers with an Infant in NICU: A Case StudyPrimary Investigator: Kathryn Munday, BSN, RNPurpose: The purpose of this paper is to demonstrate a protocol that can assess and positively influence maternal wellness during infant hospitalization in Neonatal Intensive Care Unit (NICU).Methods: This case study details a mother’s experience in NICU and the impact collaborative care, postpartum mental health screening, and journaling can have on maternal mental health outcomes. Tools essential for NICU nurses used to identify and assist mothers of infants in NICU are: (1) Postpartum Educational Handout, (2) PHQ-9, (3) PSS: NICU, (4) Journal Handout, and (5) a JournalResults: The NICU nurses were able to recognize that J.S, the mother in the case study, was high risk for postpartum depressive and stress symptoms secondary to her infant’s admission to NICU. J.S used the journal to document various experiences and emotions throughout NICU journey. J.S found that journaling was helpful throughout her infant’s stay in NICU. The PHQ-9 and PSS: NICU scores improved from admission to discharge indicating that support from NICU and journaling had a positive impact on J.S. Discussion: NICU nurses are in a position to discuss maternal mental health with mothers of infants in NICU. Screening tools are easily provided, but assistance from a qualified provider is necessary in case of increased PHQ-9 scores or thoughts of suicide. A journal can be provided in all situations and does not require collaboration with other medical providers. All NICUs should provide mothers with a handout of local and online resources.Conclusions: Identification and discussion begins with infant admission, and all NICU mothers should be considered at increased risk for PPD and stress symptoms. NICU nurses, social work, medical staff, and mothers can collaborate to ensure appropriate screening, educational tools, coping options, and identification of community resources.Major Professor: Susan Liipfert Shelton, PhD, APRN, CNM
Show less - Date Issued
- 2019-04-25
- Identifier
- FSU_libsubv1_scholarship_submission_1556245276_9780a3a4
- Format
- Citation
- Title
- A Multistep Educational Intervention for Successful Outpatient Colonoscopy Preparation in a Rural Community.
- Creator
-
Smythe, Samantha Andersen
- Abstract/Description
-
AbstractPurpose: The purpose of this project was to increase patient knowledge related to bowel preparation success for screening colonoscopies. Methods: Twenty-eight patients scheduled for screening colonoscopies in a rural gastroenterology practice consented to participate in this project. The multi-step, interventional study project utilized an audiovisual educational tool with a pre/post-test design to determine both changes in knowledge base and any clarification that was still needed...
Show moreAbstractPurpose: The purpose of this project was to increase patient knowledge related to bowel preparation success for screening colonoscopies. Methods: Twenty-eight patients scheduled for screening colonoscopies in a rural gastroenterology practice consented to participate in this project. The multi-step, interventional study project utilized an audiovisual educational tool with a pre/post-test design to determine both changes in knowledge base and any clarification that was still needed regarding the prescribed bowel preparation. An investigator developed audio-visual presentation related to the procedure was provided. A one-on-one education session was then held to provide any clarification. The bowel cleanliness was later graded by the physician during the colonoscopy utilizing the Boston Bowel Preparation Scale (BBPS). A final survey was completed by participants to determine satisfaction with the study intervention. Paired samples t-tests were computed to evaluate the pre/post-test scores with descriptive statistics computed to evaluate the BBPS and satisfaction survey scores. Results: Over half (68%) of participants had an increase in posttest scores, demonstrating enhanced knowledge from the audiovisual presentation alone (p<.001). Most (86%) of the BBPS total scores were five or greater, meeting the criteria associated with higher polyp detection rates. Twenty-one (75%) participants reported that the intervention made the bowel preparation process easier. Discussion: The educational intervention in addition to the standard written instructions for colonoscopy bowel preparation demonstrated the potential to increase the number of successful outpatient screening colonoscopies. Physician and participant feedback supported the sustainability of the intervention in daily practice. Conclusions: The successful outcomes of this project support the need for enhanced educational interventions for use when instructing patients on their colonoscopy bowel preparation process. The data additionally promotes that the addition of enhanced educational interventions for patients may be effective in increasing bowel preparation success.
Show less - Date Issued
- 2019-04-25
- Identifier
- FSU_libsubv1_scholarship_submission_1556226011_1523eb96
- Format
- Citation
- Title
- Nutritional Education Intervention for Nurses Caring for Heart Failure Patients.
- Creator
-
Chacon, Camilla
- Abstract/Description
-
Purpose: The purpose of this project was to educate nurses on nutrition for patients with congestive heart failure (CHF), and improve discharge teaching practices by holding an educational intervention.Design: A quality improvement project.Setting: A small hospital in the Southeastern United States.Subjects: A convenience sample of 20 registered nurses employed in a medical-surgical floor and intensive care unit (ICU). 10 participants completed the project.Intervention: Pre- and post...
Show morePurpose: The purpose of this project was to educate nurses on nutrition for patients with congestive heart failure (CHF), and improve discharge teaching practices by holding an educational intervention.Design: A quality improvement project.Setting: A small hospital in the Southeastern United States.Subjects: A convenience sample of 20 registered nurses employed in a medical-surgical floor and intensive care unit (ICU). 10 participants completed the project.Intervention: Pre- and post-intervention surveys were developed which included the validated Nurses’ Knowledge of Heart Failure Education Principles Survey. A Patient Take- Home Toolkit was developed as a tool for discharge teaching. Educational in-services were held and the Patient Take-Home Toolkit was introduced. Nurses completed the pre-intervention survey in a paper format when attending the in-service and post-intervention surveys were emailed to nurses using SurveyMonkey one month later.Analysis: Descriptive statistics were used to evaluate the demographic data and current practices. Wilcoxon signed rank test was used to analyze nurses’ knowledge.Results: Pre-intervention, 40-50% (N=20) of participants provided verbal teaching alone for nutritional topics related to CHF, while 30-35% provided verbal teaching and a handout. Post- intervention, 55-60% (n=7) of participants reported the ideal practice of verbal education and the Take-Home Patient Toolkit for 2 of 3 topics. Analysis of survey items written by the PI demonstrated statistically significant increase in knowledge (W=1, p = 0.027<0.05, n=5).Analysis of the Nurses’ Knowledge of Heart Failure Survey indicates a significant increase in test score at the alpha = 0.10 level but not alpha = 0.05 level (W=1.5, p=0.068 < 0.10, n=8). Discussion: The results are promising, as the intervention successfully increased the percentage of nurses who provide ideal discharge nutritional teaching to patients with CHF. Nurses’ knowledge of nutrition and CHF management also demonstrated a statistically significant increase. However, the study results are limited by the small sample size.Conclusions: An educational intervention effectively increased ideal discharge teaching practices and increased knowledge among participants. Further studies with larger sample sizes would validate these results, and the long-term effect on CHF re-admission rates could be studied to determine the significance of nurse education on patient outcomes.
Show less - Date Issued
- 2019-04-27
- Identifier
- FSU_libsubv1_scholarship_submission_1556410342_3616ee71
- Format
- Citation
- Title
- Obstructive Sleep Apnea and the Postoperative Patient.
- Creator
-
Busby-Drewek, Rachel, Porterfield, Susan
- Abstract/Description
-
Purpose: Patients with Obstructive Sleep Apnea (OSA) are at an increased risk for serious health risks for up to a week following surgery due to physiological changes that increase after the introduction of anesthesia and opioid pain management. Improved nurse education about current evidence-based postoperative care recommendations can provide the tools to assist nurses with providing safe, knowledgeable care. This quality improvement project sought to increase nurses’ knowledge of...
Show morePurpose: Patients with Obstructive Sleep Apnea (OSA) are at an increased risk for serious health risks for up to a week following surgery due to physiological changes that increase after the introduction of anesthesia and opioid pain management. Improved nurse education about current evidence-based postoperative care recommendations can provide the tools to assist nurses with providing safe, knowledgeable care. This quality improvement project sought to increase nurses’ knowledge of postoperative monitoring and care needs for patients with Obstructive Sleep Apnea through the presentation of an educational toolkit. Method: A convenience sample of 55 Registered Nurses participated on four selected units at a 772-bed hospital that performs approximately 16,400 surgeries per year. This QI project utilized an identical pretest/ post-test technique given around an educational intervention. The educational intervention included a narrated PowerPoint, a brochure, and a reminder card. A demographic and OSA behavioral questionnaire was included with the pretest to assist with demographic and needs assessment data. Data was analyzed utilizing SPSS Version 25.0 using descriptive statistics and paired t-test analysis. Results: In the behavioral survey nurses were questioned on their care and rated their frequency of providing recommended postoperative measures on a scale of 0-5. The mean scores ranged from 1.89 to 3.36. This indicates that recommended postoperative care measures were not always being met. Knowledge test scores showed a statistically significant change in post-test scores from pretest scores (p < .001, t(54) = -6.103). Scores improved 11.5% from pretest to post-test after the educational intervention. The largest improvement in scores was found in questions related to OSAs association with cardiac arrhythmias, OSA prevalence in men versus women, REM sleep pattern changes effect on OSA, and REM sleep pattern changes after surgery. Discussion: Improved test scores suggest the need for further education of nurses on postoperative OSA needs. The behavioral care survey suggests that implementation of a structured postoperative OSA protocol would help to improve compliance with current recommendations. Conclusions: This QI project suggests the need for continued nurse education about postoperative OSA monitoring and care needs. Implementation of a formal educational program and postoperative OSA protocol is suggested. Further QI projects should aim to develop written discharge instructions to provide for the patient.
Show less - Date Issued
- 2019-04-17
- Identifier
- FSU_libsubv1_scholarship_submission_1555524136_86ae6286
- Format
- Citation
- Title
- Promoting Influenza Vaccination Among Healthcare Workers at a Local Health Department.
- Creator
-
Keller, Vivian R
- Abstract/Description
-
This study investigated factors influencing public healthcare workers decision making regarding whether or not to get vaccinated for influenza. It aimed to increase the uptake of influenza vaccines among employees by implementing a multifaceted intervention.
- Date Issued
- 2019-03-27
- Identifier
- FSU_libsubv1_scholarship_submission_1553699854_e841bedd
- Format
- Citation
- Title
- QI Evaluation: A Nurse Driven Foley Elimination Initiative.
- Creator
-
Lindner, Colleen, Craig-Rodriguez, Alicia
- Abstract/Description
-
Purpose: The goal is to evaluate effectiveness of a pre-procedural voiding protocol and post-procedural urinary retention algorithm toward eliminating unnecessary indwelling catheter use and associated hematuria among patients undergoing atrial fibrillation ablation or transaortic catheter valve replacement.Methods: This was a retrospective study of patients who underwent the aforementioned procedures under anesthesia care and the standard practice protocol for these procedures is the use of...
Show morePurpose: The goal is to evaluate effectiveness of a pre-procedural voiding protocol and post-procedural urinary retention algorithm toward eliminating unnecessary indwelling catheter use and associated hematuria among patients undergoing atrial fibrillation ablation or transaortic catheter valve replacement.Methods: This was a retrospective study of patients who underwent the aforementioned procedures under anesthesia care and the standard practice protocol for these procedures is the use of indwelling urinary catheters. In a single site high-volume ambulatory cardiac catheterization lab in Southwest Florida, a convenience sample of patients was studied over a 24- month period. Tools were designed for the data to be collected both pre and post-practice change. De-identified data from the EMR was gathered and descriptive and Chi-square analysis was completed to determine if the practice change would lower the noninfectious complication rate.Results: Study data included 1,287 participants. Prior to implementation, 5.5% of patients with indwelling catheters experienced hematuria. After implementation, 3.7% of post-procedure participants required straight or indwelling catheter insertion according to the urinary retention algorithm. Among these, no instance of hematuria was reported. Discussion: This study did find that patients could successfully undergo atrial fibrillation ablation or transaortic catheter valve replacement without the use of indwelling urinary catheters. This research demonstrated a decrease in catheter usage and noninfectious complications associated with the use of indwelling urinary catheters. Conclusions: As the length of procedures shorten related to technology and practitioner proficiency, indwelling urinary catheter use may become unnecessary. A prospective study would be needed to assess for accuracy of documentation, as well as the needs to explore patient bladder capacity and post-operative urinary retention (POUR) to improve urinary retention algorithms for improved patient outcomes. Nurses in ambulatory settings are uniquely poised to challenge long-standing practices toward eliminating complications and improving patient outcomes. Major Professor: Alicia Craig-Rodriguez, DNP, MBA, APRN, FNP-BC
Show less - Date Issued
- 2019-04-25
- Identifier
- FSU_libsubv1_scholarship_submission_1556244519_ded8f733_comp
- Format
- Set of related objects
- Title
- Sexual Harassment at the Bedside: Nurse Preparedness.
- Creator
-
Walker, Corynn
- Abstract/Description
-
Purpose: The purpose of this project was to explore factors regarding and the potential benefits of sexual harassment training videos specific to bedside nursing. Methods: A quasi-experimental research design was implemented to explore occurrence, confounding factors, and nurse preparation regarding sexual harassment at the bedside as well as the potential benefit of nurse-specific training videos. A convenience sampling of (n=31) graduate nursing students at Florida State University...
Show morePurpose: The purpose of this project was to explore factors regarding and the potential benefits of sexual harassment training videos specific to bedside nursing. Methods: A quasi-experimental research design was implemented to explore occurrence, confounding factors, and nurse preparation regarding sexual harassment at the bedside as well as the potential benefit of nurse-specific training videos. A convenience sampling of (n=31) graduate nursing students at Florida State University completed a pre-intervention survey, review of nurse-specific sexual harassment training videos, and post-intervention survey utilizing Qualtrics via internet. Data analysis was completed by the principal investigator using Microsoft Excel. Results: Initial pre-intervention data demonstrated 23 (74.19%) of research participants had experienced sexual harassment within their place of work. Of these participants, 78.36% of nurse participants believed they were not adequately prepared to handle the issue and had previously experienced sexual harassment from a patient. Of those participants who had not personally experienced sexual harassment, less than 50% stated they would notify management and only 25% stated they would remove themselves from the situation. Following the review of the nurse-specific training videos, reported incidence of sexual harassment increased to 80.64%. 30 (96.77%) of participants stated they found the educational videos helpful and 80.64% believed they would be adequately prepared for further instances. Discussion: This study provides continued support of the alarmingly high occurrence of sexual harassment amongst the nurse population and a lack of nurse preparedness as well as the potential benefit of nurse-specific sexual harassment training videos. Conclusions: Nurses experience sexual harassment at an incredibly high rate and may benefit from training that is specific to their profession.
Show less - Date Issued
- 2019-04-17
- Identifier
- FSU_libsubv1_scholarship_submission_1555543508_72759753
- Format
- Citation
- Title
- The Use of Simulation for Nurse Practitioner Students: Clinical Presentation Curriculum.
- Creator
-
Tuck, Jennifer Marie, Whyte, Maria
- Abstract/Description
-
Purpose: The pilot project is to implement an Objective Structured Clinical Examination (OSCE) simulation and compare three Florida State University, Doctor of Nursing Practice (FSU DNP) cohorts to improve the clinical evaluation process.Methods: The FSU nurse practitioner students from all three cohorts completed a pre-test and were given educational materials regarding patient presentation. The participants were then evaluated on their assessment, plan, and presentation of a standardized...
Show morePurpose: The pilot project is to implement an Objective Structured Clinical Examination (OSCE) simulation and compare three Florida State University, Doctor of Nursing Practice (FSU DNP) cohorts to improve the clinical evaluation process.Methods: The FSU nurse practitioner students from all three cohorts completed a pre-test and were given educational materials regarding patient presentation. The participants were then evaluated on their assessment, plan, and presentation of a standardized patient. During the post simulation, students were given faculty evaluation feedback, which included: strengths, weaknesses, and areas of improvement. The post-test was delivered three months later.Results: Pre-test and post-test scores only showed marginal improvement; feedback from students and faculty showed that the simulation was useful for the evaluation. The faculty evaluations used a point scale from zero to six. The highest student score was 97 out of a total possible score of 102; the lowest score was 50. The average student score was 78.2 with a mean of 81.Discussion: The pilot supported OSCE to evaluate clinical students in the future as a benchmark to continue in the program. OSCE benchmarks can reduce the travel costs for the college during the clinical course of evaluation. Comparing the cost of using standardized patients and faculty travel for evaluations, the expense of using standardized patients would be less than the faculty travel costs, based on approximately $300 for a 6-hour evaluation day.Conclusions: The pilot identified the need for improving the scenario that was created, the potential economic benefits to the College, and recognized the technology limitations in the College of Nursing. Additionally, further investigation into the use of trained standardized patients is indicated.Primary Investigator: Jennifer Marie Tuck, BSN, RNMajor Professor: Maria D. Whyte, ARNP-C, DHScKeywords: simulation, standardized patient, nurse practitioner student, competency
Show less - Date Issued
- 2019-04-22
- Identifier
- FSU_libsubv1_scholarship_submission_1555946178_fbb9fd8a
- Format
- Citation
