College of Nursing
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Item Open Access A Medication Quality Improvement Project for the Surgical Time-out: Executive Summary(2024-07-26) Long, Lee Anne; Graduate Nursing ScienceImplementation of the inclusion of medication time-outs in the surgical time-outs in operating rooms is essential. The Quality improvement project implemented at this rural North Carolina hospital warranted this need. It proved to be a beneficial step in improving the quality and safety of surgical patients.Item Open Access Improving Adherence to Treatment in Hypertensive Patients(2024-07-26) Krista Whitley; Johnson, Sharona; Graduate Nursing ScienceExecutive summary for the completion of the DNP programItem Open Access Transforming Health with Breast Density Insights(2024-07-11) Williams, Sharon Kemp; Isaacs, Terri; Graduate Nursing ScienceItem Open Access Pulmonary Prehabilitation in Patients Undergoing Thoracic Lobectomy(2024-07-23) Ormond, Jade; Long, Lee AnnAn executive summary for the completion of a DNP degree.Item Open Access Using Social Media for Education in Women’s Health(2024-07-23) Helton, Heather; Hodges, Alex; Graduate Nursing ScienceThis Executive Summary is a component of the DNP program.Item Open Access Burnout Among Ambulatory Nurse Managers: Insights from Qualitative Focus Groups(2024-07-23) Rimmer, Samantha; Johnson, Sharona; Graduate Nursing ScienceExecutive summary for the completion of the DNP program.Item Open Access Increasing Access to the Sleep Medicine Specialty for Veterans(2024-07-23) Lindsey Barrett; Conway, Victoria; Graduate Nursing ScienceExecutive Summary for the completion of the DNP program.Item Open Access Written Asthma Action Plan for Adult Patients: Executive Summary(2024-07-23) Toler, Rebecca; Johnson, Sharona; Graduate Nursing ScienceExecutive summary used to fulfill the requirements of the Doctor of Nursing Practice program.Item Open Access Impact of a Home Telehealth Heart Failure Outpatient Order Set on Veteran Hospitalizations(2024-07-21) Ballard, Melissa; Hodges, Alexis; Graduate Nursing ScienceCongestive heart failure (CHF) admissions are above the national Veterans Affairs (VA) benchmark at a large health care facility serving Veterans in Western North Carolina (WNC) The VA has outpatient home services, including telehealth, that can manage CHF patients and avoid hospitalizations This project updated the home telehealth (HT) consultation form to include blood pressure and target weight range goals for Veterans with CHF in the outpatient setting. After the intervention HT received fewer consults and only 9% of the forms included weight and blood pressure goals It was discovered that registered nurses can place CHF consultations to HT which increases patient access to care Providers and nurses need education regarding establishing CHF blood pressure and target weight goals to improve CHF care for VeteransItem Open Access Executive Summary: Continuous Glucose Monitoring Implementation in Primary Care(0024-07-24) Braddock, Haley; Conway, Victoria; Graduate Nursing ScienceDNP Executive Summary: Use for the paper required to fulfill the Doctor of Nursing Practice program.Item Open Access Improving Depression Treatment Quality in Primary Care(2024-07-25) Betley, Christopher B.; Hodges, Alexis; Graduate Nursing ScienceItem Open Access Executive Summary: Telehealth Education(2024-07-25) Linda Banks; Hodges, Alexis; Graduate Nursing ScienceThis Executive Summary has been developed to meet the competencies of the DNP program and review a DNP project.Item Open Access Patient Identified Barriers to Completing Advance Directives(2024-07-21) Shotwell, Marnie; Conway, Victoria; Graduate Nursing ScienceAdvance Care Directives (ACD) are legal documents that identify a healthcare power of attorney and personal choices about medical interventions an individual would or would not want if unable to speak for themselves. A healthcare power of attorney identifies someone to advise medical care a patient would want or not want and a living will identify what interventions a patient may want. They aide healthcare providers with implementation of appropriate medical interventions when a patient is unable to decide at that moment. Although all legally competent people over age 18 can have one or both of these forms, the Centers for Disease Control (CDC) has reported that less than 30% of people have these documents completed (2018).Item Open Access Improving Perioperative Education for Parents to Decrease Anxiety Related To Pediatric Anesthesia(2024-07-25) Cline, Andrea; Conway, Victoria; Graduate Nursing ScienceExecutive Summary for completion of DNP ProgramItem Open Access Cost-Savings of a Nurse-Led Cervical Collar Application Program(2024-07-24) Cook, Nicole; Hodges, Alexis; Graduate Nursing ScienceExecutive Summary for the completion of DNP.Item Open Access Improving Nurse Efficiency through Flowsheet Macros(2024-07-24) Kathleen Duckworth; Sherrod , Bradley; Graduate Nursing ScienceNurses report that the documentation burden is significant. This project proposed a solution to reduce documentation burden for nurses. Flowsheet macros is a new technology solution that fills in electronic health record (EHR) flowsheet documentation in one click. This allows nurses to spend less time documenting and more time at the bedside with the patient. Macros can also be personalized by nurses to allow for repeatable documentation to be completed more efficiently. Macros have been used by other disciplines to reduce documentation time. Implementing flowsheet macros reduced flowsheet documentation time for nurses in a step-down unit by 17.77%.Item Open Access Improving Clinical Process Efficiency in Well-Child Visits(2024-07-23) Michelle Howell; Long, Lee Ann; Graduate Nursing ScienceAn executive summary submitted for the completion of a DNP degree.Item Open Access Transition Program Redesign for Cardiac Congenital Patients(2024-07-23) Emily K. Gobble; Sherrod, Bradley; Graduate Nursing ScienceCongenital heart patients experience physical, mental, social, and financial stressors throughout their lifetime. Evidence-based practice supports congenital heart patients participating in a transition program to increase their heart health competency and independence as they grow into adulthood. Historically, most established transition programs are managed by pediatric cardiology under the directorship of the children’s hospital; however, one transition program was failing under this model. Process improvement was completed and a novel approach where the Adult Congenital Heart Disease (ACHD) program managed the transition program was created. Next, a quality initiative project compared the rates of documentation compliance before and after the process update for assessment and education topics. The results showed a significant increase in documentation compliance of both the assessment and education topics. These results showed that a transition program for congenital heart patients can be successful when managed by the adult congenital program. Limited research is available on the workflow models of congenital heart transition programs; therefore, the introduction of a novel approach is significant.Item Open Access Cultivating a Weight-Inclusive Environment in Student Health(2024-07-23) Wiggins, Brooke; Long, Lee Ann; Graduate Nursing ScienceExecutive summary for the completion of the DNP projectItem Open Access Evaluating New Roles for a More Efficient Staffing Model to Address the Nursing Shortage(2024-07-23) Marlena Brokob; Sherrod, Bradley; Graduate Nursing ScienceStaffing challenges in healthcare have been a longstanding issue, leading to severe shortages within healthcare organizations. The identified problem for this evidence-based project was high nursing staff vacancy rates in an academic regional medical center. A literature review indicated the potential benefits of introducing unlicensed assistive personnel (UAP) roles, to address staffing shortages. Using a Plan-Do-Study-Act (PDSA) framework, this quality improvement project was implemented over a four-month period. The project aimed to evaluate the impact of integrating these roles on staff vacancy rates, job satisfaction, patient falls, and cost-effectiveness. Results demonstrated a substantial reduction in Registered Nurse (RN) and Nursing Assistant (NA) vacancy rates, improved staff satisfaction, and a notable decrease in patient falls. However, the financial impact varied, with cost savings achieved during night shifts through effective use of UAP, while day shift costs increased due to using the new UAP role. The discoveries reveal the importance of strategic role deployment and suggest that UAP roles can enhance staffing efficiency and patient care quality. Further research is recommended to refine these roles and optimize their integration into healthcare settings.