Journal of Doctoral Nursing Practice最新文献_第10页

Improving Depression Screening in Primary Care. 改善初级保健中的抑郁症筛查。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-07-01 DOI: 10.1891/JDNP-2021-0005

Marlene Lindsay, Veronica B Decker

{"title":"Improving Depression Screening in Primary Care.","authors":"Marlene Lindsay, Veronica B Decker","doi":"10.1891/JDNP-2021-0005","DOIUrl":"https://doi.org/10.1891/JDNP-2021-0005","url":null,"abstract":"Background: Depression is a serious problem in the United States. It not only impacts chronic illness and healthcare utilization, but it can also result in death, intentional or unintentional. Despite the seriousness associated with depression, it continues to be underdiagnosed and undertreated. The primary care setting provides an ideal location to screen and initiate treatment for depression in individuals who would otherwise not be screened.Objective: The objective of this evidence-based practice project was to improve the diagnosis and treatment of depression in an adult primary care office.Method: An intervention consisting of a HealthWatcher reminder for depression screening, the administration of the PHQ-9 instrument, and a treatment algorithm was incorporated into the office workflow. The charts of a pre-intervention random sample were compared to a post-intervention random sample to test for significant differences in depression screening and treatment rates.Results: Using the chi-squared test, the post-intervention sample screening rate was significantly higher than pre-intervention sample rate (90% vs 23.3%; χ2 = 54.3, df = 1, P < .000).Conclusion/implications: It is feasible to improve the diagnosis and treatment of depression for adult primary care patients by modifying office protocols and using the PHQ-9 screening instrument and a treatment algorithm.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"15 2","pages":"84-90"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40586986","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

Utilization of Pediatric Standing Orders by Triage Nurses in a Free-Standing Emergency Department. 独立急诊科分诊护士对儿科常设医嘱的利用。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-07-01 DOI: 10.1891/JDNP-2021-0024

Randy Hamm

{"title":"Utilization of Pediatric Standing Orders by Triage Nurses in a Free-Standing Emergency Department.","authors":"Randy Hamm","doi":"10.1891/JDNP-2021-0024","DOIUrl":"https://doi.org/10.1891/JDNP-2021-0024","url":null,"abstract":"Background: Pediatric pain-related complaints continue to be a common presenting factor of most emergency departments (EDs). Studies have shown that several barriers in assessing and treating pediatric pain exist, including nursing knowledge regarding appropriate pain level assessment.Objective: This quality improvement study aimed to provide and evaluate specific education regarding pediatric pain management for free-standing ED triage nurses to expedite medication administration during the triage phase of an ED visit.Method: This pre/post-test intervention study was used to measure whether the education provided to nurses working in a primarily adult patient free-standing ED increased the utilization of triage standing orders related to pediatric pain management.Results: Paired sample t-tests results indicated a statistically significant increase (p = .000) in the percentage of patients that received pain medication during the triage phase of an ED visit after specific education was provided to triage nurses.Conclusion: Free-standing ED triage nurses are more likely to follow and implement triage standing orders if education explicitly related to pain management in pediatric patients has been provided.Implications for practice: Pediatric pain management education should be revisited annually to re-educate nurses on the importance of early interventions.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"15 2","pages":"112-122"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40586987","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

Preliminary Development and Testing of the Risk Assessment Checklist for Self-Injury in Autism-Medical (RACSA-M). 自闭症患者自我伤害风险评估表(RACSA-M)的初步编制与检验。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-07-01 DOI: 10.1891/JDNP-2021-0034

Lisa B Alberts, Tracy L Kettering

引用次数: 0

Quality Improvement in Teen Pregnancy Prevention: Follow-Up to a "Focus on Fidelity". 青少年怀孕预防的质量改进:“注重忠诚”的后续行动。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-07-01 DOI: 10.1891/JDNP-2021-0028

Brooke A Flinders, Alexis Zehler

{"title":"Quality Improvement in Teen Pregnancy Prevention: Follow-Up to a \"Focus on Fidelity\".","authors":"Brooke A Flinders, Alexis Zehler","doi":"10.1891/JDNP-2021-0028","DOIUrl":"https://doi.org/10.1891/JDNP-2021-0028","url":null,"abstract":"Background: In teen pregnancy prevention (TPP) evidence-based program replication, fidelity toolkits (FTKs) provide structure to ensure that essential curricular components are delivered as intended.Objective: The purpose of this project was to extend quality improvement efforts (Flinders, 2017) through analysis of FTKs from four years of TPP implementation.Methods: An evidence-based TPP program was delivered to females, 15-19 years of age (n = 1,658) from four suburban Ohio counties. Fidelity rates were calculated by agency staff and undergraduate nursing students. Grounded theory was used to identify themes from the narrative sections of the FTKs. Plan-Do-Study-Act methodology (Agency for Healthcare Research and Quality, 2008) guided this quality improvement work.Results: Staff fidelity was reported as 98.38%. Student fidelity was reported at 99.05%. Key themes, identified as a result of the qualitative analysis, were categorized as participant factors, site factors, or presenter factors.Conclusions: Toolkits created an effective safeguard to ensure the replication of the evidence-based TPP program, with fidelity.Implications for nursing: Undergraduate students are capable of implementing evidence-based programming, with fidelity, to meet the educational needs of their communities. Analysis of narrative comments from toolkits can influence FTK revisions to improve program delivery.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"15 2","pages":"105-111"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40586983","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

DNP Team Projects: A Reflection of Team Science. DNP团队项目:团队科学的反映。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-07-01 DOI: 10.1891/JDNP-2021-0021

Andrea Collins, Mary Annette Hess, Melanie Gibbons Hallman, Karmie Johnson, Lindsey Harris, Ashely Petty, Linda Roussel

{"title":"DNP Team Projects: A Reflection of Team Science.","authors":"Andrea Collins, Mary Annette Hess, Melanie Gibbons Hallman, Karmie Johnson, Lindsey Harris, Ashely Petty, Linda Roussel","doi":"10.1891/JDNP-2021-0021","DOIUrl":"https://doi.org/10.1891/JDNP-2021-0021","url":null,"abstract":"Background: Concern has been raised related to the rigor of DNP team projects due to the potential lack of individual opportunity for growth. However, team science, the scientific collaboration conducted by more than one individual in an interdependent fashion, is becoming standard practice for scientific inquiry and dissemination. DNP team projects provide an opportunity to demonstrate competencies related to collaboration, communication, organization, planning, reliability, accountability and acknowledgement of other opinions, expertise, and contributions. Faculty working with student teams may encounter challenges related to team dynamics and individual student evaluation. Thoughtful application of team science principles can assist in minimizing these challenges.Method: The purpose of this paper is to describe two school's combined experiences and lessons learned in application of team science to DNP team projects.Conclusion: When undertaken with an informed and organized approach, DNP team projects are an ideal strategy to enhance collaborative skills and position nurse leaders to positively impact health outcomes.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"15 2","pages":"123-128"},"PeriodicalIF":0.3,"publicationDate":"2022-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"40586985","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: 1

Improving Depression Screening in Primary Care. 改善初级保健中的抑郁症筛查。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-05-03 DOI: 10.1891/JDNP.2021-0005

Marlene Lindsay, Veronica B Decker

{"title":"Improving Depression Screening in Primary Care.","authors":"Marlene Lindsay, Veronica B Decker","doi":"10.1891/JDNP.2021-0005","DOIUrl":"10.1891/JDNP.2021-0005","url":null,"abstract":"Background: Depression is a serious problem in the United States. It not only impacts chronic illness and healthcare utilization, but it can also result in death, intentional or unintentional.Despite the seriousness associated with depression, it continues to be underdiagnosed and undertreated. The primary care setting provides an ideal location to screen and initiate treatment for depression in individuals who would otherwise not be screened.Objective: The objective of this evidence-based practice project was to improve the diagnosis and treatment of depression in an adult primary care office.Method: An intervention consisting of a HealthWatcher reminder for depression screening, the administration of the PHQ-9 instrument, and a treatment algorithm was incorporated into the office workflow. The charts of a pre-intervention random sample were compared to a post-intervention random sample to test for significant differences in depression screening and treatment rates.Results: Using the chi-squared test, the post-intervention sample screening rate was significantly higher than pre-intervention sample rate (90% vs 23.3%; χ2 = 54.3, df = 1, P < .000).Conclusion/implications: It is feasible to improve the diagnosis and treatment of depression for adult primary care patients by modifying office protocols and using the PHQ-9 screening instrument and a treatment algorithm.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"1 1","pages":""},"PeriodicalIF":0.3,"publicationDate":"2022-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48645872","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

Educating Mental Health Nurse Practitioners on Interprofessional Collaboration and Preparing Them for Collaborative Practice. 教育心理健康护理从业人员的跨专业合作和准备他们的合作实践。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/JDNP-2021-0006

Judy Haefner, Marilyn S. Filter

引用次数: 1

Assessing Vaccine Hesitancy Among Pediatric Healthcare Providers. 评估儿科医疗保健提供者的疫苗犹豫。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/JDNP-2021-0033

Shelby Pope, A. Rader, Sheryl Stansifer

引用次数: 0

Facilitating Communication in a Pediatric Surgery Center: Implementation of an Interactive Communication Board. 促进儿科手术中心的沟通：互动沟通板的实施。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/JDNP-2021-0045

Theresa Kiblinger, Margaret A Gettis, Ann-Marie Brown

引用次数: 0

A Quality Improvement Initiative: A Nurse Practitioner-Led Interdisciplinary Approach to Reducing Readmissions in the Subacute Population. 质量改进倡议：执业护士领导的跨学科方法，以减少亚急性人群的再教育。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/JDNP-D-20-00072

Clare Rovito, K. Fagan

引用次数: 0