Journal of Doctoral Nursing Practice最新文献_第2页

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":"17 1","pages":"47-53"},"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":"17 1","pages":"21-29"},"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":"17 1","pages":"30-38"},"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":"17 1","pages":"39-46"},"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

Expert-Type Content Validity Applications to Doctor of Nursing Practice Projects. 专家型内容有效性在护理实践博士项目中的应用。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2024-03-27 DOI: 10.1891/JDNP-2022-0010

Zane Robinson Wolf

{"title":"Expert-Type Content Validity Applications to Doctor of Nursing Practice Projects.","authors":"Zane Robinson Wolf","doi":"10.1891/JDNP-2022-0010","DOIUrl":"10.1891/JDNP-2022-0010","url":null,"abstract":"Background: Developing rigorous doctor of nursing practice (DNP) projects continues to challenge faculty and doctoral students. To address project rigor, expert content validity methods have been applied to clinical projects. Students implement expert content validity processes to literature-based project components. Objectives: The objectives of this study are to describe some of the developmental phases of DNP projects during the courses of one DNP program and to explore one strategy for increasing the rigor of DNP projects, review details on expert-type content validity methods, and examine literature for projects implementing an alternate application of expert-type content validity and scoring approaches to components of DNP projects. Methods: Expert content validity methods are described for DNP projects, such as guidelines, teaching plans, support groups, and algorithms. They are used to judge components generated from initial content analysis strategies. Types of expert panelists and descriptions of scoring ranks on project components are presented to represent different expert content validity strategies. Results The steps are presented to support expert content validity processes. Conclusions: DNP projects challenge faculty and students to create systematically constructed quality improvement projects on important and interesting clinical problems. The expert context validity process is one approach of enhancing project rigor. Implications for Nursing: An outline offers steps to establish expert content validity for translational DNP projects.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"17 1","pages":"54-64"},"PeriodicalIF":0.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307234","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

Piloting an Opioid Risk Screening Tool in Clinical Practice. 在临床实践中试用阿片类药物风险筛查工具。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2024-03-27 DOI: 10.1891/JDNP-2023-0023

Godfrey Aneke, Jeffery Wade Forehand, Brandy Simpler, Amanda Dunagan

{"title":"Piloting an Opioid Risk Screening Tool in Clinical Practice.","authors":"Godfrey Aneke, Jeffery Wade Forehand, Brandy Simpler, Amanda Dunagan","doi":"10.1891/JDNP-2023-0023","DOIUrl":"10.1891/JDNP-2023-0023","url":null,"abstract":"Background: Despite much research and many interventions, the opioid epidemic continues to plague the United States. According to the Centers for Disease Control and Prevention (2021), 136 people die daily from both prescription and illicit opioids. Objective: The goal of this pilot quality improvement project is to examine how the implementation of the Opioid Risk Tool (ORT) in clinical practice might impact the beliefs and attitudes of nurse practitioners (NPs) toward prescribing opioid therapy. Methods: A pre-post design was utilized. A convenience sample recruited participants from a private NP Facebook group. The intervention included a prerecorded presentation on the ORT and the use of the ORT for 8 weeks. Results: While 46 NPs completed the presurvey, only 19 NPs completed the postsurvey. Statistical results did not yield significance, but there were several significant clinical trends discovered. Conclusion: Utilizing the ORT to screen for opioid misuse risks has been shown to improve providers' confidence in opioid prescribing. ORT guides providers in discerning patient risk for developing dependence on opioids. Implications for Nursing: Screening for opioid misuse risk is feasible. ORT adds to the clinical context in deciding a course of treatment in pain management.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"17 1","pages":"11-20"},"PeriodicalIF":0.3,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140307237","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

Developing Empathy in Emergency Nurses Using Hearing Voices Simulation 利用 "听声模拟 "培养急诊护士的同理心

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2023-12-15 DOI: 10.1891/jdnp-2023-0003

Tabitha F Legambi, Susan L. Bindon, Megan Doede, Mary Zaleski

引用次数: 0

Improving Effective Chlamydia Screening for Women at Risk at a Rural Family Planning Clinic. 提高农村计划生育诊所对高危妇女衣原体筛查的有效性。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2023-12-01 DOI: 10.1891/JDNP-2023-0010

Vanessa Shields-Haas, Carla Bray

{"title":"Improving Effective Chlamydia Screening for Women at Risk at a Rural Family Planning Clinic.","authors":"Vanessa Shields-Haas, Carla Bray","doi":"10.1891/JDNP-2023-0010","DOIUrl":"10.1891/JDNP-2023-0010","url":null,"abstract":"Background: Chlamydia is the most common bacterial sexually transmitted infection (STI) in the United States, with an incidence of 1.7 million infections annually. It results in an estimated $691 million in lifetime medical costs. Objective: The objective of the project was to improve effective care for women at risk of chlamydia infection in a rural family planning clinic to 80% in 90 days. Methods: The Plan-Do-Study-Act process of quality improvement (QI) was implemented over four 2-week cycles. Qualitative and quantitative data were collected and analyzed iteratively and informed tests of change for each cycle. Results: Results indicated an improvement in effective care from a baseline of 42%-81%. Patient visit time decreased from 38 minutes at baseline to 23 minutes. Compared with pre-implementation, the number of positive chlamydia test results went from three to six, doubling the positivity rate, while the number of chlamydia tests billed increased by 32%. Conclusions: This project was successful in improving effective care. Implementing a standardized risk assessment decreased patient visit time. Implications for nursing: QI projects directed at meeting national standards for STI screening can be implemented in rural health clinics at low cost and with high impact.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"16 3","pages":"205-212"},"PeriodicalIF":0.3,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138483100","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

Quality Improvement: Increasing SANE Utilization of Evidence-Based Practice. 质量改进：提高SANE对循证实践的利用率。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2023-11-09 DOI: 10.1891/JDNP-2022-0009

Priscilla M Simms-Roberson, Susan Thul, Jenny Holcombe

{"title":"Quality Improvement: Increasing SANE Utilization of Evidence-Based Practice.","authors":"Priscilla M Simms-Roberson, Susan Thul, Jenny Holcombe","doi":"10.1891/JDNP-2022-0009","DOIUrl":"https://doi.org/10.1891/JDNP-2022-0009","url":null,"abstract":"Background: Varying protocols among sexual assault nurse examiner (SANE) programs lead to inconsistent patient care and indicate that evidence-based recommendations are not being utilized. To address this problem, an evidence-based treatment protocol designed to improve care provided to patients who have experienced sexual assault was implemented at an outpatient rape crisis center (RCC). In addition to implementing the new protocol, a SANE education program was provided. Methods: Retrospective chart reviews were conducted. A total of 21 protocol components were examined pre- and post-implementation of the quality improvement project. Additionally, a knowledge quiz and self-efficacy tool were administered before, immediately after, and 3 months after the SANE education program. Results: Before implementation, the overall compliance with the 21 protocol components was 42.1% for RCC exams and 17.9% for hospital exams. After implementation, the overall compliance increased to 85.3% for RCC exams and 56% for hospital exams. When examining protocol components individually, compliance varied dramatically. There was an improvement in SANE knowledge and self-efficacy when comparing pre- and post-scores; however, the results were not statistically significant and were found to have unequal variances. Conclusion: Nurses are ideally positioned to instigate protocol changes that will positively impact patient outcomes. Other nursing professionals can utilize the quality improvement project content, steps, lessons learned, and results to create similar evidence-based practice quality improvement projects to address gaps in practice.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":" ","pages":""},"PeriodicalIF":0.3,"publicationDate":"2023-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"72015674","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

Co-locating Primary Care in a Behavioral Health Home Improves Outcomes. 将初级保健机构安置在行为健康之家可以改善结果。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2023-11-09 DOI: 10.1891/JDNP-2022-0044

Bridgitte C Gourley, Jessica Stallings, Mary Campbell

引用次数: 0