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Now showing items 71-80 of 257
Impact of the North Carolina Board of Nursing Regulation Change on Clinical Nurse Specialist Practice
(2015-11-18)
Entry level preparation for the clinical nurse specialist (CNS) role is completion of a graduate degree or post-master’s certificate in nursing, with clinical specialization and preparation for expanded role functioning. ...
Implementation of the Best Evidence: Probiotics in the Neonatal Intensive Care Setting in an Effort to Prevent Necrotizing Enterocolitis in Preterm Infants
(2015-11-10)
Necrotizing enterocolitis (NEC) is a devastating and deadly disease that causes inflammation and tissue necrosis of the intestinal tract. Probiotics, live microbial additives that colonize the intestines, are known to ...
Screening for Obstructive Sleep Apnea in Primary Care
(2019-04-13)
Despite efforts to improve health and reduce morbidity and mortality rates, health screenings for significant conditions such as obstructive sleep apnea (OSA) are often missed. It is estimated that 80% of OSA cases remain ...
Increasing Ophthalmology Referrals for Early Detection of Diabetic Retinopathy
(2019-04-25)
Diabetes mellitus currently afflicts 1 out of every 10 residents of North Carolina (North Carolina Department of Health and Human Services, 2016). Diabetic retinopathy (DR) is a distinct vascular complication of diabetes ...
Implementing Substance Abuse Screening in a Free Clinic
(2019-04)
Substance abuse in the United States is on the rise and evidence has shown that screening patients is ideal in primary care. Early identification of substance use is important in decreasing mortality and morbidity associated ...
Improving Advance Care Planning Among Providers in a Long-Term Care Setting
(2019-04-25)
A quality improvement (QI) initiative was implemented to increase Advance Care Planning (ACP) conversations and documentation by healthcare providers in two southeastern skilled nursing facilities (SNF) in North Carolina. ...
Co-prescribing Naloxone with Opioids in the Emergency Department
(2019-04-24)
Background: The United States is facing an opioid epidemic with 115 Americans dying every day from opioid overdoses and they are the leading cause of accidental death. Naloxone (Narcan) is an opioid antagonist, which ...
Clinical Practice Change: Suboxone Use in Inpatient Psychiatry
(2019-04-26)
The opioid epidemic is public health crisis with veterans twice as likely as civilians to die from opioid overdose (National Council on Alcoholism and Drug Dependence [NCADD], 2017). The VA prescribes Suboxone in the ...
Implementation of Sacral Ulcer Prevention Protocol
(2019-04-25)
The purpose of this quality improvement project was to effect a change in nursing practice to prevent pressure ulcers in a hospital setting, by implementing an adjunctive nursing protocol aligned with current evidence-based ...
Identifying Patient Education Needs in Hypertension Management
(2019-04-23)
Purpose: Hypertension is one of the most commonly treated chronic diseases by primary care providers, with approximately half of those patients being uncontrolled. The purpose of this DNP quality improvement project is to ...