Journal of Doctoral Nursing Practice最新文献

Improving Diabetic Care Through Education and Innovation. 通过教育和创新改善糖尿病护理。

IF 0.2

Journal of Doctoral Nursing Practice Pub Date : 2024-08-05 DOI: 10.1891/JDNP-2023-0060

Riki J Williamson, Renea Powell, Andrea K Shepherd

{"title":"Improving Diabetic Care Through Education and Innovation.","authors":"Riki J Williamson, Renea Powell, Andrea K Shepherd","doi":"10.1891/JDNP-2023-0060","DOIUrl":"https://doi.org/10.1891/JDNP-2023-0060","url":null,"abstract":"Background: Despite the innovative advancements in diabetes care, providers may not recognize patients with type 2 diabetes mellitus (T2DM) who qualify for a continuous glucose monitoring (CGM) device or the benefits of a telemedicine program for improving self-management behaviors. Objective: This quality improvement (QI) project aimed to determine if an advanced practice registered nurse (APRN)-led telemedicine program using CGM could improve glycemic control and self-management in patients with insulin-dependent T2DM. Methods: A 6-week telemedicine program was developed and implemented using the CGM's time-in-range to deliver patient-specific education. Clinical metrics were collected at each visit. All patients completed a pre- and postintervention Diabetes Self-Management Questionnaire-Revised (DSMQ-R) survey. Results: A repeated measures analysis of variance revealed that the telemedicine program had a statistically significant impact on time-in-range outcomes, F(2, 14) = 18.203, p < .001. Paired-samples t tests indicate that APRN-led education improved body mass index, t(8) = 4.232, p = .002; decreased systolic blood pressure, t(8) = 2.90, p = .010, and diastolic blood pressure, t(8) = 3.21, p = .007; and increased self-management skills as evidenced by DSMQ-R, t(8) = -5.498, p < .001. Conclusions: This QI project highlights multiple interventions for improving diabetes management in a primary care facility. Implications for Nursing: An APRN-led telemedicine program integrating CGM time-in-range data can improve glycemic control and self-management skills in patients with T2DM who administer insulin.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894556","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Barriers to Healthcare for Transgender Individuals. 变性人获得医疗保健的障碍。

IF 0.2

Journal of Doctoral Nursing Practice Pub Date : 2024-08-05 DOI: 10.1891/JDNP-2023-0018

Lisa A Nelson, Kathleen Shurpin

引用次数: 0

Leveraging Doctor of Nursing Practice Scholarship to Meet Organizational Leaders' Expectations. 利用护理实践博士奖学金满足组织领导者的期望。

IF 0.2

Journal of Doctoral Nursing Practice Pub Date : 2024-08-05 DOI: 10.1891/JDNP-2023-0052

Karen Kesten, Sarah Beebe, Dianne Conrad, Catherine Corrigan, Katherine Moran, Amy Manderscheid

{"title":"Leveraging Doctor of Nursing Practice Scholarship to Meet Organizational Leaders' Expectations.","authors":"Karen Kesten, Sarah Beebe, Dianne Conrad, Catherine Corrigan, Katherine Moran, Amy Manderscheid","doi":"10.1891/JDNP-2023-0052","DOIUrl":"https://doi.org/10.1891/JDNP-2023-0052","url":null,"abstract":"Background: The Doctor of Nursing Practice (DNP) degree prepares nurses for engagement in practice scholarship to improve health outcomes at multiple system levels. Organizational leaders' and employers' perceptions and expectations of DNP-prepared nurses require further study. Objective: To explore the perception of organizational leaders regarding expectations and engagement of DNP-prepared nurses in practice scholarship activities. Methods: Guided by the Actualized DNP Model, a cross-sectional design was used to survey organizational leaders (N = 87) regarding DNP-prepared nurses' engagement in practice scholarship. Results: Findings indicate that 92% (n = 80) of participants believed practice scholarship should be an expectation of DNP-prepared nurses serving in a variety of roles. Of the 77 respondents to the scholarship engagement questions, 97.4% (n = 75) reported that DNP-prepared nurses engaged in one or more practice scholarship activities over the past year. Conclusions: Aligning DNP practice scholarship competencies, as outlined in the American Association of Colleges of Nursing 2021 Essentials, with organizational needs, expectations, and provision of sufficient time to support these scholarship activities is needed. Implications for Nursing: Opportunities exist for DNP-prepared nurses to articulate and demonstrate their value by conducting practice scholarship through innovative advanced nursing roles to realize organizational goals. Organizational support is necessary for practice scholarship activities to transform DNP education.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.2,"publicationDate":"2024-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141894558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Letter to the Editor: EBPQI Is Not Research. 致编辑的信：EBPQI 不是研究。

IF 0.2

Journal of Doctoral Nursing Practice Pub Date : 2024-08-05 DOI: 10.1891/JDNP-2024-0006

Julee B Waldrop, Staci S Reynolds

引用次数: 0

Sustainable Academic–Clinical Alliance: A Model to Improve Academic–Practice Partnerships 可持续的学术-临床联盟：改善学术与实践合作关系的模式

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2024-06-04 DOI: 10.1891/jdnp-2023-0027

Bim Akintade, Keisha Indenbaum-Bates, Shannon Idzik

引用次数: 0

Integration of Palliative Care Screening Tools for End-Stage Liver Patients to Improve End-of-Life Care 整合晚期肝病患者姑息治疗筛查工具，改善临终关怀

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2024-06-04 DOI: 10.1891/jdnp-2021-0004

Susanne Gaines, Rosemarie D. Satyshur, Suzanna Fitzpatrick

引用次数: 0

Asthma Academy for Family Caregivers: A Quality Improvement Project. 家庭护理人员哮喘学院：质量改进项目。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2024-03-27 DOI: 10.1891/JDNP-2023-0009

Victoria Horowitz, Cynthia Foronda, Karina A Gattamorta, Ana Bandin, Jennifer Cordo

{"title":"Asthma Academy for Family Caregivers: A Quality Improvement Project.","authors":"Victoria Horowitz, Cynthia Foronda, Karina A Gattamorta, Ana Bandin, Jennifer Cordo","doi":"10.1891/JDNP-2023-0009","DOIUrl":"10.1891/JDNP-2023-0009","url":null,"abstract":"Background: Asthma affects one in every 12 children in United States with significant prevalence in underserved groups. Family caregiver education is essential to improve childhood asthma control. The literature suggests that family caregivers' lack of knowledge about asthma management affects their children's health outcomes. An evidence-based education program that improves caregivers' asthma knowledge may improve the family's well-being. Objectives: The goal of the Asthma Academy project is to improve the disease management of children with asthma by providing an in-person family caregiver education program. The main objectives are to (a) improve family caregivers' asthma knowledge, (b) enhance their confidence in asthma management, and (c) evaluate caregivers' satisfaction with the education program. Method: This quality improvement project used an in-person educational program with an asthma education video resource for caregivers of children with asthma. Results: The family caregivers' asthma knowledge improved significantly after the education. The confidence levels in caring for children with asthma increased. Caregivers' satisfaction with the Asthma Academy education session was favorable. Conclusions: The Asthma Academy was an acceptable and effective delivery method of education for family caregivers of children with asthma in the in-patient setting. Empowering family caregivers of vulnerable children through asthma education may improve child health outcomes and mitigate complications from asthma. Implications for Nursing Nurses and clinicians are steward of providing patient education. Individualized, patient-tailored education is recommended.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307232","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contributors to Hospitalized Infective Endocarditis Outcomes Among Patients With Substance Use. 药物滥用患者感染性心内膜炎住院治疗结果的诱因。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2024-03-27 DOI: 10.1891/JDNP-2023-0019

Christine Kociszewski, Christina J Ezemenaka, Susan J Appel, Powen Hsu

{"title":"Contributors to Hospitalized Infective Endocarditis Outcomes Among Patients With Substance Use.","authors":"Christine Kociszewski, Christina J Ezemenaka, Susan J Appel, Powen Hsu","doi":"10.1891/JDNP-2023-0019","DOIUrl":"10.1891/JDNP-2023-0019","url":null,"abstract":"Background: Patients with substance use (SU) diagnosed with infective endocarditis (IE) have high rates of discharge against medical advice (DAMA) and 30-day readmission. Objective: Evaluate contributors associated with DAMA and 30-day readmission among patients with SU and IE. Methods: This retrospective chart review included patients >18 years, admitted to one hospital in the Northeastern, United States for SU and IE from January 2018 to December 2020. Patient demographic and clinical characteristics and their association with DAMA and 30-day readmission were summarized using descriptive statistics and Logistic Regression. Results: Of the 144 patients, 60.4% used more than one substance, 38.2% experienced DAMA, and 61.1% were readmitted within 30 days. Age (odds ratio [OR], 0.96; 95% confidence interval [CI], 0.92-0.98), Length of stay (LOS) (OR, 0.95; 95% CI, 0.93-0.98), Medicaid (OR, 2.98; 95% CI, 1.45-6.16), Medicare (OR, 0.29; 95% CI, 0.10-0.81), opioid usage (OR, 2.29; 95% CI, 1.01-5.16), and stimulant usage (OR, 2.89; 95% CI, 1.43-5.84) were all significantly associated with DAMA but not with 30-day readmission. Conclusions: Additional investigations of factors associated with DAMA and 30-day readmission are needed to help improve practices and reduce negative outcomes. Implications for Nursing: Multiple factors can affect patient adherence to treatment in this high-risk population. Nursing directly impacts the identification and addressing of unique SU IE patient needs to optimize treatment goals.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307233","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Increasing HIV Screening in a Federally Qualified Health Center: A Quality Improvement Project. 增加联邦合格医疗中心的 HIV 筛查：质量改进项目。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2024-03-27 DOI: 10.1891/JDNP-2022-0045

Claudette Akpodiete, Nicole LeShoure, Loretta Taylor Lee

{"title":"Increasing HIV Screening in a Federally Qualified Health Center: A Quality Improvement Project.","authors":"Claudette Akpodiete, Nicole LeShoure, Loretta Taylor Lee","doi":"10.1891/JDNP-2022-0045","DOIUrl":"10.1891/JDNP-2022-0045","url":null,"abstract":"Background: HIV is a chronic infection that can lead to acquired immunodeficiency syndrome, a life-threatening condition. The highest number of new HIV diagnoses occurs in males, particularly Black men living in the southern region of the United States.  Black men tend to test less frequently than other races.   Objective: This pilot project was a quality improvement (QI) initiative to increase HIV screening rates among Black men who received healthcare at a Federally Qualified Healthcare Center (FQHC). Methods: The 8-week QI initiative was implemented during clinic hours. A retrospective chart review was performed to compare baseline with post-initiative HIV screening rates for eligible patients who received care in Birmingham, Alabama, which was shown to be low. Then, a risk assessment questionnaire was administered before providing educational materials to improve screening rates among Black men at an urban multisite FQHC. Results: HIV screening rates among Black men increased after the two-part initiative (20% and 21%, respectively). Conclusions: This QI initiative demonstrated that HIV screening rates could increase with tailored provider-initiated interventions, including risk assessment and educational materials. Implications for Nursing: A DNP or other healthcare providers could use this project to inform the development of a larger-scale QI initiative at an FQHC to improve HIV screening rates for under-resourced populations.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307236","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Improving Clinical Wait Times in a Veterans Affairs' Urologic Setting. 改善退伍军人事务部泌尿科临床候诊时间。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2024-03-27 DOI: 10.1891/JDNP-2022-0029

Eyitemi Owens, Susan Montgomery, Jennifer Robles

{"title":"Improving Clinical Wait Times in a Veterans Affairs' Urologic Setting.","authors":"Eyitemi Owens, Susan Montgomery, Jennifer Robles","doi":"10.1891/JDNP-2022-0029","DOIUrl":"10.1891/JDNP-2022-0029","url":null,"abstract":"Background: Long clinic wait times can contribute to treatment delays and decreased patient satisfaction. Veterans are often waiting in the urology clinic for a prolonged period that delays treatments including possible surgical interventions leading to patient dissatisfaction. Purpose: The purpose of this quality improvement project was to decrease the overall procedural wait times in an outpatient urology clinic by implementing a Fast-Track procedural clinic. Methods: The Fast-Track procedural clinic was developed to expedite care for veterans actively under bladder or prostate cancer surveillance, employing lean methodology principles. We also utilized the Consumer Assessment of Healthcare Providers and Systems Outpatient and Ambulatory Surgery Survey (OAS CAHPS) tool to assess patient satisfaction with the newly implemented Fast-Track clinic. Wait times were collected and analyzed by SPSS statistical software to determine the effectiveness of a Fast-Track clinic. Results: The Fast-Track clinic was implemented to veterans presenting to the urology clinic for procedural appointments from June 2021 to December 2021. The usage of a Fast-Track clinic decreased the overall wait times from 131 to 75 minutes within 8 weeks (43% improvement). The OAS CAHPS tool found that 55% of veterans received easy-to-understand instructions pre-Fast-Track implementation, compared with 59% post-Fast-Track implementation (a 4% improvement). Furthermore, 82% of veterans reported that they did not receive written discharge instructions post-Fast-Track implementation compared with 32% pre-Fast-Track implementation. Conclusion: Incorporating a Fast-Track procedural clinic helped minimize wait times, leading to a reduction in procedural wait times and urologic surgical delays. Implications for Nursing: The implications for practice include future studies focusing on other strategies for improving clinic wait times including block schedules and qualitative measures in the urologic and other specialty areas.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":null,"pages":null},"PeriodicalIF":0.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307235","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0