DNP Final Project Depository
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Last Updated: 2021-10-04
Works (93)
71. Participation in an Educational Module for Medical Students in Regards to Complementary and Alternative Medicine (CAM) Therapies
- Title Tesim:
- Participation in an Educational Module for Medical Students in Regards to Complementary and Alternative Medicine (CAM) Therapies
- Creator:
- Zore, Heather and Green, Christine
- Description:
- Background and Review of the Literature: In the United States, the use of complementary and alternative medicine (CAM) has increased. The term CAM refers to a variety of alternative therapies and techniques usually not part of standard medical care. According to the National Center for Complementary and Integrative Health (NCCIH), more than thirty percent of adults and twelve percent of children use methods not typically considered conventional, or mainstream practice. Complementary medicine can be utilized with standard medical treatments for a more patient-centered collaborative approach, referred to as integrative medicine (IM). Although gaining popularity and driven by patients, many conventional healthcare providers lack the awareness and familiarity to discuss, recommend, or refer CAM therapies. Purpose: The purpose of this DNP project is to investigate medical students' knowledge, beliefs, attitudes and future collaboration practices related to complementary therapies through the use of an online educational portal Method: This project implemented an educational intervention in order to improve the knowledge of students enrolled in a Doctor or Osteopathic Medicine Program in regards to Complementary and Alternative Medicine. Implementation Procedure: An internet based resource tool was developed as a resource guide, providing information about complimentary licensed practitioners, therapies, best practices, and protocols.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Keyword:
- online educational portal and complementary and alternative medicine (CAM)
- Date Created:
- 2019
72. Pediatric Airway Educational Intervention and Simulation
- Title Tesim:
- Pediatric Airway Educational Intervention and Simulation
- Creator:
- Lauber, Landon and Soutar, Wesley
- Description:
- Background: The most common causes of morbidity during general anesthesia in pediatrics are airway and respiratory complications that commonly occur in both healthy children and infants. The high stress environment of pediatric anesthesia makes pediatric airway education paramount for the best opportunity of wanted outcomes. Marian University first-year SRNAs enter the clinical field without yet receiving hands on pediatric training. By providing an educational workshop and hands-on simulation training opportunity, SRNAs will have increased knowledge and confidence upon entrance into the clinical field. Purpose: This DNP project is an educational intervention aimed at improving the knowledge and confidence level of first-year SNRA students to successfully secure a pediatric airway. Methods: Quantitative data was collected with pre-education intervention test and post-education test questionnaires as well as a three-question pre-simulation self-confidence and post-simulation self-confidence survey. The data was used to assess differences in knowledge scores before and after the educational intervention and self-confidence scores before and after the hands-on simulation. Implementation Plan/Procedure: First-year Marian University SRNAs received an education module via the campus-wide Canvas learning platform. Once completed, participants were offered an opportunity to participate in a hands-on pediatric airway simulation. The education interventions were evaluated quantitatively for statistical relevance using a pretest and posttest knowledge-based assessment before and after the Canvas module via Qualtrics survey. In addition, a confidence level assessment was made available after the completion of the Canvas module and the post-simulation experience for those who chose to participate. Implications/Conclusion: A pediatric airway educational intervention via voice-over PowerPoint presentation statistically increased participants knowledge scores (p < 0.05) from pre- to post-education. Participants had a significant increase in confidence ( p < 0.05) in each of three NLN adapted confidence questions demonstrated in a pre- and post-simulation survey.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Type:
- Research Paper
- Keyword:
- airway, management, anesth$, pediatric, airway and respiratory complications , pediatric airway education, and educational intervention
- Date Created:
- 2023
73. Podcasts as a Learning Adjunct in Nurse Anesthesia Education
- Title Tesim:
- Podcasts as a Learning Adjunct in Nurse Anesthesia Education
- Creator:
- Scheil, Ashley
- Description:
- Educational techniques are constantly evolving because of influences from technology and improvements in the resources that are available to educators as well as learners. An educational adjunct, such as a podcast, may help students study by listening and using repetition as a way to strengthen previously learned concepts. Current literature suggests that utilizing podcasts in addition to conventional educational methods contributes to a higher level of satisfaction among learners. The goal of this translational research project was to provide student registered nurse anesthetists (SRNAs) with educational podcasts as an adjunct to their traditional learning process and then measure their satisfaction after listening to the podcasts. A series of six educational podcasts were recorded and made available on From the Head of the Bed, which is a free podcast platform for the anesthesia community that is available to Apple, Android, Spotify, or Rich Site Summary (RSS) users. The intervention of using educational podcasts was intended to supplement and reinforce traditional learning practices in nurse anesthesia education. A mixed methods study design was developed to assess the qualities of the learners as well as their satisfaction with the educational podcasts. A post-intervention anonymous online survey was administered to the SRNAs at Marian University. The results of this project provide additional support for the value of podcasts as a learning adjunct for SRNAs.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Keyword:
- Podcasts, SRNA, education, nurse anesthesia, learning, CRNA, and SSEPQ
- Date Created:
- 2020
74. Podcasts as a Learning Adjunct in Nurse Anesthesia Education
- Title Tesim:
- Podcasts as a Learning Adjunct in Nurse Anesthesia Education
- Creator:
- Rouhselang, Skyler
- Description:
- Educational approaches are constantly evolving due to of influences from technology and improvements in the resources that are available to educators as well as learners. Current literature suggests that utilizing podcasts in addition to conventional educational methods contributes to a higher level of satisfaction among learners. The goal of this translational research project was to provide student registered nurse anesthetists (SRNAs) with educational podcasts as an adjunct to their traditional learning process and then measure their satisfaction after listening to the podcasts. A series of six educational podcasts were recorded and made available on From the Head of the Bed, which is a free podcast platform for the anesthesia community that is available to Apple, Android, Spotify, or Rich Site Summary (RSS) users. The intervention of using educational podcasts was intended to supplement and reinforce customary learning practices in nurse anesthesia education. A post-intervention anonymous online survey was administered to the SRNAs at Marian University. A mixed methods study design was developed to assess the satisfaction of the educational podcasts.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Keyword:
- Podcasts, SRNA, nurse anesthesia, learning, education, CRNA, and SSEPQ
- Date Created:
- 2020
75. Preoperative Administration of Acetaminophen for Women Undergoing Hysterectomy Reducing Opioid Consumption in the Postoperative Setting
- Title Tesim:
- Preoperative Administration of Acetaminophen for Women Undergoing Hysterectomy Reducing Opioid Consumption in the Postoperative Setting
- Creator:
- Kamran, Jasmine
- Description:
- There has been increased attention to pain control as well as patient satisfaction following surgical procedures. The interest in pain control coupled with the growing opioid epidemic has prompted anesthesia providers to utilize protocols that consist of multimodal techniques during the perioperative period to reduce post-surgical pain and improve patient outcomes. The postoperative consumption of opioids among adult patients that received preemptive acetaminophen (Ofirmev) were compared to those that did not to determine the impact of preoperative analgesics. This pain management implementation was measured among female patients that underwent hysterectomies. The sample included 39 female patients that received a hysterectomy (laparoscopic or open). Among the patients studied, there was no clear reduction in postoperative pain medications for those that received preoperative acetaminophen (Ofirmev) as the sole adjunct compared to those that did not receive Ofirmev preoperatively. There was also no definitive decrease in the pain scores or time to first dose of medication in the postoperative period for patients that received Ofirmev compared to those that did not. Data trends prove there is a need for postoperative opioid dosing education among PACU nurses that are administering opioids. There needs to be additional studies with more participants and defined controls to determine the true impact of this new multimodal approach.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Type:
- Research Paper
- Keyword:
- hysterectomy, opioid-sparing effect, opioids, preemptive analgesia, premedication, acetaminophen, and Postoperative pain
- Date Created:
- 2021
76. Preoperative Pain Management for Laparoscopic Cholecystectomy to Decrease Immediate Postoperative Pain and Opioid Consumption
- Title Tesim:
- Preoperative Pain Management for Laparoscopic Cholecystectomy to Decrease Immediate Postoperative Pain and Opioid Consumption
- Creator:
- Nnoruo, Valine C. and Enoweyere, Bessem
- Description:
- Inadequate pain management during a laparoscopic cholecystectomy can affect postoperative hemodynamics, impair recovery, and extend hospital stay. The use of opioid medications during and after surgeries can reduce postoperative pain, however, the complications of opioid use such as nausea, vomiting, respiratory depression with the associated cardiovascular implications, and pneumonia can also impair recovery from surgery, cause postoperative discomfort, prolong hospital stay and could potentially cause opioid abuse in some patient population with surgical exposure. Numerous studies have reported the crucial role of administering preoperative or intraoperative non-opioid medications to mitigate postoperative pain. The purpose of this project is to utilize preoperative non-opioid multimodal analgesics to manage postoperative pain and reduce intraoperative and postoperative opioid use. Eight patients were studied in this project to determine the efficacy of preoperative acetaminophen, in combination with gabapentin and ibuprofen to reduce post-operative pain perception and post-operative rescue opioid administration. The study determined that preoperative pain medications, intraoperative pain medications, duration of surgery, gender and age can all influence postoperative pain. Also, among the participants who perceived pain after surgery despite receiving preoperative treatment, pain was more significant among females compared to males, and pain rating was highest within the first 15 minutes and reduced as time progressed. Further studies need to include more variables such as comorbidities, and ethnic differences in how they affect postoperative pain. Also, more studies are needed to ascertain the best combination of preoperative non-opioid treatment regimen that can maximally reduce intraoperative and postoperative pain and opioid use.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Type:
- Research Paper
- Keyword:
- laparoscopic cholecystectomy, pain management, postoperative hemodynamics, opioid medications, postoperative discomfort, prolonged hospital stay, and intraoperative non-opioid medications
- Date Created:
- 2023
77. Preoxygenation of Patients with Class Three Obesity
- Title Tesim:
- Preoxygenation of Patients with Class Three Obesity
- Creator:
- Williams, Andrea
- Description:
- Patients with class three obesity, formerly defined as morbid or extreme obesity, presenting for anesthesia come with an increased risk of experiencing complications. The oxygen storage capabilities and the functional residual capacity (FRC) in the lungs are reduced, making this patient population at risk for rapid oxygen desaturation with apnea. This patient population also has an increased risk for complications to occur while securing the patient’s airway during induction of anesthesia and are at risk for difficult airway management. Preoxygenation is performed before the induction of anesthesia to replace nitrogen in the lungs with oxygen, this will increase the time a patient can tolerate apnea without desaturating. Due to the increased risks which present with the class three obesity population, it is important to optimize preoxygenation prior to the induction of anesthesia and to consider providing apneic oxygenation during the intubation process to prevent desaturation. There are many studies and recommendations found in the literature concerning optimizing preoxygenation, patient positioning, and providing apneic oxygenation to the class three obesity patient population as means to prevent desaturation during induction of anesthesia. The objective of this project was to utilize the Iowa Model of Research-Based Practice to Promote Quality Care (IOWA Model) to perform a review of the literature concerning preoxygenation of obese patients and examine current preoxygenation practices at Hendricks Regional Health Hospital (HRH). Current practice at HRH was examined via retrospective chart review of three months of data. During September, October, and November of 2019, HRH had 82 patients with a BMI of 40 or greater receive anesthesia which required endotracheal tube (ETT) placement for airway management. 16 (20%) of these patients experienced a desaturation measured by a peripheral capillary oxygen saturation (SpO2) less than 90%. Data extracted from the retrospective chart review produced descriptive as well as parametric statistics. The results of the data analysis did not offer significant results identifying differences between the group of patients who experienced a desaturation and the group of patients who did not have a desaturation. Because of this, it is suggested each patient at risk for desaturation, including those with class three obesity, be treated as though they are going to experience a desaturation and measures to prevent this desaturation be taken. Techniques to decrease the percentage of patients who experiencing a desaturation during the induction of anesthesia at HRH are discussed in this paper.
- Subject:
- Nursing
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Type:
- Research Paper
- Keyword:
- class three obesity, preoxygenation, and morbid obesity
- Date Created:
- 2020
78. PrEP Provision and Persistence among Primary Care Providers
- Title Tesim:
- PrEP Provision and Persistence among Primary Care Providers
- Creator:
- Holder, Chauna
- Contributor:
- Baack, Cathryn
- Description:
- <b>Background and Review of Literature</b>: This study examined individual opinions from healthcare providers in Indiana about their willingness to prescribe Pre-Exposure Prophylaxis (PrEP) for Human Immunodeficiency Virus (HIV). <b>Purpose</b>: Describe facilitators and barriers to provider’s willingness to prescribe PrEP in order to inform policies and procedures to improve PrEP use as a prevention tool amongst targeted populations. <b>Methods</b>: Healthcare providers were administered a pre-test assessment to assess current knowledge about PrEP. A brief educational intervention was shared, and post-test administered to evaluate any change in knowledge and attitudes towards PrEP provision. <b>Procedures</b>: Electronic mail, online survey tools and personal interviews were used to obtain information about the willingness to prescribe PrEP to patients and responses were deidentified for confidentiality and anonymity prior to analysis and distribution of results. Pre- and post-test assessments were derived from published tools (used with permission) to assess PrEP attitudes, knowledge, and skills. The survey captured information about healthcare provider demographics, education, and opinions, in addition to knowledge and attitudes about PrEP, including initiation of treatment, prescribing, maintenance and discontinuation of services. <b>Implications/Conclusion</b>: Responses obtained overwhelmingly supported provider education about PrEP, standardized protocols, and policies about PrEP provision at the practice and institution levels and supported expert practitioners on hand within the practice to use as real-time resources when questions arise, consistent with earlier published studies.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Type:
- Research Paper
- Keyword:
- PrEP, HIV, PEP, protocols, and policies
- Date Created:
- 2021
79. Provider Adherence to Practice Guidelines in Overcoming Hypothermia in the Postoperative Period
- Title Tesim:
- Provider Adherence to Practice Guidelines in Overcoming Hypothermia in the Postoperative Period
- Creator:
- Espinoza, Esmeralda
- Description:
- Background: The implementation of a standardized warming protocol aims to prevent hypothermia in the postoperative period. Hypothermia in the postoperative period can result in inadvertent adverse outcomes for patients undergoing surgical procedures. In 2011, The Joint Commission (TJC) and Center for Medicare and Medicaid (CMS) issued the Surgical Care Improvement Project (SCIP) Inf-10 guidelines, known as the body temperature management guidelines, to decrease morbidity and mortality in surgical patients undergoing general anesthesia. These guidelines recommend using an active warming system, such as the 3M TM Bair Hugger TM System to warm patients intraoperatively. Review of Literature: Randomized control trials (RCTs) and meta-analysis were included as part of the literature review with the use of Cumulative Index to Nursing and Allied Health Literature (CINAHL), Cochrane Collaboration and Medline databases. Purpose: In this study, the research aims to evaluate the effectiveness of preventing hypothermia in a hospital that adopted the evidence-based body temperature management guidelines. Methods: The author retrospectively analyzed a total of 243 medical records, which included 158 paper medical records and 85 electronic medical records using the hospital’s information management system. As part of the study, two groups, each consisting of 50 patient medical records meeting inclusion criteria, were analyzed. A total of 108 paper medical records and 85 electronic medical records were excluded from the study for not meeting criteria. Results: Patients were randomized and divided into two groups. Group A (n=50) consisting of patients who did not receive active warming in 2010, and Group B (n=50) consisting of patients who received the active warming intervention in 2020. Group B revealed a mean body temperature that was 0.1° Celsius higher than Group A. At the end of surgery, Group A demonstrated nearly a 15% higher incidence of hypothermia when compared to Group B. Descriptive statistics were analyzed using an independent sample t-test, assuming unequal variance for the two groups. There was a statistically significant difference between the two groups (P < 0.028). The study’s results support the use of forced air warming (FAW) in the intraoperative period as an effective way of preventing postoperative hypothermia in the Post Anesthesia Care Unit (PACU). Implications/Conclusion: This study assessed the effectiveness of SCIP Inf-10 guidelines in preventing hypothermia in patients undergoing surgical procedures. Prior to 2011, there were no recommendations issued by TJC or CMS to actively warm patients. Active warming, as characterized by the 3M TM Bair Hugger TM System warming system has been shown to be decrease morbidity and mortality, surgical site infections and other complications. Group B, which consisted of patients having undergone surgical procedures in 2020, were actively warmed and experienced a 0% incidence of hypothermia. Group A, which consisted of patients having undergone surgery before the release of SCIP Inf-10 guidelines, experienced nearly a 15% incidence of hypothermia. It is reasonable to conclude that the utilization of body temperature management guidelines is effective in preventing hypothermia in patients undergoing surgical procedures.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Type:
- Other
- Keyword:
- intraoperative warming, hypothermia, hypothermia protocol, general anesthesia, active warming, and forced air-warming
- Date Created:
- 2020
80. Providing Post Anesthesia Care Unit Nurse Education on Commonly Used Anesthetic Medications
- Title Tesim:
- Providing Post Anesthesia Care Unit Nurse Education on Commonly Used Anesthetic Medications
- Creator:
- Bartel, Hilda
- Description:
- Medication errors and interactions happen every day in the perioperative setting. It is the responsibility of the post-anesthesia care unit (PACU) nurse to manage pain, nausea, vomiting, and maintain hemodynamics after surgery and prior to discharge. This project aimed to educate and/or re-educate PACU nurses on commonly used anesthesia medications in a rural hospital in southern Indiana. This project was requested by the nurses and the director of perioperative services as their 2023 Anesthesia Competency and had three weeks to complete this training. A pre-test was distributed prior to the educational PowerPoint on commonly used medications by anesthesia providers. After reviewing the PowerPoint, a post-test was distributed for assessment. The tests were distributed to the nurse’s work email by Qualtrics.com to track individual responses. The average score on the pre-test was 69.2%, the average post-test score was 83.3%, and the commonly missed question was on the medication dexmedetomidine. This project showed the importance of providing educational material on commonly used anesthetic medications for PACU nurses.
- Rights statement:
- http://rightsstatements.org/vocab/InC/1.0/
- Language:
- English
- Type:
- Research Paper
- Keyword:
- PACU, post anesthesia care unit, medication errors, recovery, and education
- Date Created:
- 2023