Journal of Doctoral Nursing Practice最新文献_第6页

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

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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。

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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。

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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

Nursing Faculty Experiences Transitioning to a Virtual DNP Residency During COVID-19. 在COVID-19期间，护理学院向虚拟DNP住院医师过渡的经验。

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Journal of Doctoral Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/JDNP-2021-0029

Emily E. Hopkins, K. Spadaro, N. Z. Hoh, Ashley Singh, M. Doas

引用次数: 0

Is it Feasible? A Quality Improvement Project to Integrate Complementary Therapy Into a Pain Management Program on a Transitional Care Unit. 这可行吗?将补充疗法纳入过渡护理单位疼痛管理方案的质量改进项目。

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Journal of Doctoral Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/JDNP-D-20-00037

Mary G. Sayler, Chandler E Domian Ommen, Brenna J McKimmy, Kimberly Smith

引用次数: 0

Bundling Your Way to Quality Care. 捆绑您的方式获得优质护理。

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Journal of Doctoral Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/JDNP-2021-0039

E. Kennedy

引用次数: 1

Utilizing Patient Reported Outcomes and Quality of Life Measures in the Management of Obesity. 利用患者报告的结果和生活质量测量来管理肥胖。

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Journal of Doctoral Nursing Practice Pub Date : 2022-02-01 DOI: 10.1891/JDNP-2021-0008

Madalene Dawson Drummond, Angelina Anthamatten, Karen A. Hande, Leena Choi

引用次数: 0

Increasing Access to Diabetes Care in Underserved Populations Using Mobile Medicine: How Point-of-Care Testing on Mobile Clinics Strengthens Hemoglobin A1c Adherence in Vulnerable and Underserved Populations. 使用移动医疗增加服务不足人群糖尿病护理的可及性:移动诊所的护理点检测如何加强弱势和服务不足人群的血红蛋白A1c依从性

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Journal of Doctoral Nursing Practice Pub Date : 2021-11-01 DOI: 10.1891/JDNP-D-20-00066

Rebecca Owen, Mary Wyckoff, Rebecca Rogers

{"title":"Increasing Access to Diabetes Care in Underserved Populations Using Mobile Medicine: How Point-of-Care Testing on Mobile Clinics Strengthens Hemoglobin A1c Adherence in Vulnerable and Underserved Populations.","authors":"Rebecca Owen, Mary Wyckoff, Rebecca Rogers","doi":"10.1891/JDNP-D-20-00066","DOIUrl":"https://doi.org/10.1891/JDNP-D-20-00066","url":null,"abstract":"Background: The Center for Disease Control and Prevention (CDC) reported 26.9 million individuals a diabetes diagnosis rate of 9.4% in the United States had diabetes in 2018, equivalent to 8.2% of the population (CDC, 2020). Key government organizations have developed clinical quality indicators (CQIs) to ensure patients receive adequate care. The CQIs for comprehensive diabetes care are complex and often indicate a gap-in-care among vulnerable populations.Objective: To evaluate if the availability of point-of-care (POC) hemoglobin A1c (HbA1c) testing in a mobile clinic increases CQIs adherence in vulnerable populations.Methods: This evidence-based clinical practice change project (EBCPCP) focused on improving diabetic CQIs in vulnerable populations by implementing POC HbA1c testing on a federally qualified health centers (FQHC) mobile clinic.Results: The results, 125 individuals having received HbA1c results, indicate having POC HgbA1c testing available on the mobile unit increased HbA1c testing. No patients had an HbA1c lab completed prior to the availability of POC testing.Conclusion: The availability of POC testing on a mobile clinic increases access to HbA1c for vulnerable populations which improves practice outcomes and increased CQI adherence.Implications for nursing: The results of this EBCPCP indicate POC testing increases access to diagnostics and care.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"14 3","pages":"204-212"},"PeriodicalIF":0.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39631327","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

Family Support Practices to Impact Stress Scores in Parents of Critically Ill Children. 家庭支持实践对危重儿童父母压力得分的影响。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2021-11-01 DOI: 10.1891/JDNP-D-20-00057

Margaret Gettis, Akane Fujimoto, Michelle Rullo, Jennifer Millinger

{"title":"Family Support Practices to Impact Stress Scores in Parents of Critically Ill Children.","authors":"Margaret Gettis, Akane Fujimoto, Michelle Rullo, Jennifer Millinger","doi":"10.1891/JDNP-D-20-00057","DOIUrl":"https://doi.org/10.1891/JDNP-D-20-00057","url":null,"abstract":"Background: When a child becomes critically ill and hospitalized in intensive care, this can be emotionally and physically traumatic for parents.Objective: The purpose of the initiative was to utilize a stress screening tool to quantify parental stress and examine the use of family support services as a way to impact stress scores.Methods: The Family Stress Thermometer (FST) was introduced and parents were asked to circle their stress level at up to three time points. Along with recorded stress scores, resources accessed were documented, how often it was utilized, and parental suggestions that might ease stressors recorded.Results: The results indicate the FST accurately recorded elevated stress levels in parents with critically ill children, analysis showed a statistically significant decrease in the stress levels of parents over time.Conclusions: This project appears to validate parental distress levels as a modifiable risk factor.Implications for nursing: The FST was cost-effective and easy to administer. As part of comprehensive plans of care for families, interprofessional teams can work to design support services that meet individualized needs of parents with critically ill children. Partnering with parents to quantify their stress and responding to their needs will insure the likelihood of this happening.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"14 3","pages":"176-185"},"PeriodicalIF":0.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39631324","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

Incorrect Surgical Counts: A Potential for Retained Surgical Items. 不正确的手术计数:保留手术物品的可能性。

IF 0.3

Journal of Doctoral Nursing Practice Pub Date : 2021-11-01 DOI: 10.1891/JDNP-D-20-00045

Patricia Nelson

{"title":"Incorrect Surgical Counts: A Potential for Retained Surgical Items.","authors":"Patricia Nelson","doi":"10.1891/JDNP-D-20-00045","DOIUrl":"https://doi.org/10.1891/JDNP-D-20-00045","url":null,"abstract":"Background: In the main operating rooms of a large academic hospital there was a report of 408 count discrepancies in 2015-2016 and 13 incidences of retained surgical items (RSIs). There was a lack of a consistent and standardized surgical count process among nurses.Objectives: To reduce count discrepancies by 25%, prevent RSIs, and improve the compliance of the perioperative nursing team regarding the surgical count process.Methods: An evidence-based quality improvement project with a sample of 455 surgical procedures and 118 nurses. Data collection occurred over an eight-week period in 2018 using a Plan-Do-Study-Act (PDSA) methodology to study the effectiveness of the utilization of the Association of periOperative Registered Nurses (AORN) practice guidelines for the prevention of RSIs.Results: The inclusion of risk reduction strategies such as the utilization of an AORN guideline whiteboard to record surgical items and the identification of high-risk items for retained device fragments or high-risk surgical items for RSIs resulted in the reduction of incorrect surgical counts by 71.43%, with no incidence of RSIs. Further, nurse compliance on surgical count practices improved significantly, F (5, 46) = 2.47, p = .046, PES = .21.Conclusion: The implementation of the AORN guidelines for perioperative surgical count practices by the perioperative nursing team provided an improved surgical count process.Implication for nursing: A system approach to performance improvement is needed to prevent RSIs.","PeriodicalId":40310,"journal":{"name":"Journal of Doctoral Nursing Practice","volume":"14 3","pages":"213-224"},"PeriodicalIF":0.3,"publicationDate":"2021-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39646633","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: 2