2021 DNP PROJECTS - Vanderbilt University School of Nursing
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2021 DNP PROJECTS
With every class that graduates, your the world about what it means to
Vanderbilt degree gets stronger and be a Vanderbilt University School
stronger. With that in mind, we in the of Nursing alumnus.
Alumni Office are ready to connect you
WE’RE ALWAYS HERE FOR YOU with other Vanderbilt graduates who
can assist you as you journey through
You can ensure we have your latest
contact information by emailing:
your career and beyond. We hope you’ll vusn-alumninursing@vanderbilt.edu,
share your accomplishments with us calling 615-322-4836 or visiting:
so we can brag about you and inform http://vanderbi.lt/pik98
2021 DOCTOR OF NURSING PRACTICE PROJECTS
FOREWORD
Congratulations Doctor of Nursing Practice graduates!
You have met the rigorous standards of this program and achieved
individual scholarly accomplishments showcased in this booklet.
You chose the Vanderbilt University School of Nursing to learn,
transform and apply knowledge in new ways and you have certainly
reached those goals. The Institute of Medicine’s landmark
Future of Nursing report calls for significantly more doctorally
educated nurses to advance health care and you are prepared
to implement that recommendation. You are now well equipped
to make meaningful contributions within your own community,
your interest area and throughout the world of health care.
We are proud of you, and look forward to the difference you will make.
Sincerely,
LINDA NORMAN,
DSN, RN, FAAN
Valere Potter Menefee Professor of Nursing
Dean, Vanderbilt University School of Nursing
2
FROM THE DIRECTOR
The future of nursing is now as our 2021 DNP
graduates lead interprofessional teams to
create meaningful innovations that influence
advanced nursing practice and healthcare.
The DNP projects of the 2021 graduates
cross geographical and discipline boundaries
to bridge gaps in evidence and practice.
Self-described change experts, their impact
on quality outcomes for patient-centric
healthcare will be recognized across a myriad
of organizations and settings nationally
and globally.
TERRI ALLISON,
DNP, RN, ACNP-BC, FAANP
Professor of Nursing
Assistant Dean for Academics, Doctoral Nursing Practice
3
FACULT Y & PROGR AM DIREC T ORS
SUSIE ADAMS K. MICHELLE ARDISSON KAREN C. D’APOLITO
PhD, APRN, PMHNP, FAANP, FAAN DNP, RN, ACNP-BC PhD, APRN, NNP-BC, FAAN
Professor of Nursing Assistant Professor of Nursing Professor of Nursing
Faculty Scholar for Community Engaged Director, Neonatal Nurse Practitioner
Behavioral Health DEBRA ARNOW Specialty
DNP, RN, NE-BC
KELLY ALDRICH Associate Professor of Nursing MELISSA DAVIS
DNP, MS, RN-BC, FHIMSS Director, Nursing and Healthcare Leadership MSN, CNM, FNP
Lecturer Specialty Assistant Professor of Nursing
SHEREE ALLEN SHARON E. BRYANT JANELLE M. DELLE
DNP, APN, CPNP-AC/PC DNP, RN, ACNP-BC
DNP, ACNP-BC
Instructor of Nursing Assistant Professor of Nursing
Assistant Professor of Nursing
Director, Pediatric Nurse Practitioner-
RAMEELA RAMAN
Acute Care Specialty STEPHANIE DEVANE-JOHNSON
MA, PHD
PhD, CNM
Associate Professor of Biostatistics
MELANIE ALLISON Associate Professor of Nursing
DNP, RN, ACNP-BC TOM CHRISTENBERY
Assistant Professor of Nursing PhD, RN, CNE MISTY EVANS
Professor of Nursing DNP, APRN, CPNP-AC
TERRI ALLISON Assistant Professor of Nursing
Director of Program Evaluations
DNP, RN, ACNP-BC, FAANP
Professor of Nursing LAURIE CONNORS SARAH FOLLIARD
Assistant Dean for Academics, DNP, APNG, FNP-BC, AGN-BC, FAANP DNP, APRN, AGACNP-BC
Doctoral Nursing Practice Associate Professor of Nursing Instructor of Nursing
ANGEL ANTHAMATTEN COURTNEY J. COOK MARK E FRISSE
DNP, ADM, FNP-BC DNP, ACNP-BC MD, MS, MBA
Assistant Professor of Nursing Assistant Professor of Nursing Professor of Medicine
4
FACULT Y & PROGR AM DIREC T ORS
SARAH GAST QUEEN HENRY-OKAFOR PAM JONES
DNP, APRN, AG-ACNP-BC PhD, APRN, FNP-BC DNP, RN, NEA-BC
Assistant Professor of Nursing Assistant Professor of Nursing Associate Professor of Nursing
Senior Associate Dean for Clinical and
MARY JO GILMER JOELLEN HOLT Community Partnerships
PhD, MBA, RN-BC, FAAN
DNP, APRN, CCNS, CEN, CSSBB
Professor of Nursing APRIL N. KAPU
Assistant Professor of Nursing
Professor of Pediatrics, Monroe Carell Jr DNP, RN, ACNP-BC, FAANP, FCCM
Children’s Hospital at Vanderbilt LESLIE HOPKINS Associate Chief Nursing Officer
Co-Director, Pediatric Palliative Care for Advanced Practice Nursing
DNP, APRN-BC, FNP-BC, ANP-C
Research Team Professor of Nursing
Associate Professor of Nursing
MELISSA GLASSFORD Director, AGPCNP Specialty
SHARON KARP
DNP, FNP-C
PhD, RN, CPNP
Assistant Professor of Nursing MARSHAY JAMES
Professor of Nursing
DNP, PMC, CPNP-AC, CNE
MICHAEL D. GOOCH Instructor of Nursing BECKY KECK
DNP, ACNP-BC, FNP-BC, ENP-C
DNP, RN, NEA-BC
Assistant Professor of Nursing JASON JEAN
Senior Associate Dean,
DNP, RN, APRN, FNP-BC
KAREN HANDE Administration & Operations
Instructor of Nursing Chief Administrative Officer
DNP, ANP-BC, CNE, FAANP
Associate Professor of Nursing ROLANDA JOHNSON
Assistant Director, DNP Program
BETSY B. KENNEDY
PhD, MSN, RN PhD, RN, CNE
K. MELISSA SMITH HAYES Professor of Nursing Professor of Nursing
DNP, ANP-BC, CHFN Assistant Dean for Diversity and Inclusion Associate Dean for Non-Tenure Track Faculty
Assistant Professor of Nursing Assistant Dean for Academics Affairs and Advancement
5
FACULT Y & PROGR AM DIREC T ORS
CHRISTIAN KETEL JANA LAUDERDALE DONNA MCARTHUR
DNP, RN-BC PhD, RN PhD, FNP-BC, FAANP
Assistant Professor of Nursing Associate Professor of Nursing Professor of Nursing
DNP Program Director, 2008-2012
JENNIFER KIM SUSIE LEMING-LEE
DNP, GNP-BC, FNAP, FAANP DNP, MSN, RN, CPHQ NATASHA MCCLURE
Associate Professor of Nursing
Professor of Nursing DNP, RN, CPNP
Director of Organizational Performance
Co-Director, Vanderbilt Hartford Center for Associate Professor of Nursing
Improvement
Gerontological Nursing Excellence
KANAH MAY LEWALLEN ELIZABETH R. MOORE
JOAN KING DNP, RN, AGPCNP-BC PhD, RN, IBCLC
PhD, RNC, ACNP, ANP Assistant Professor of Nursing Associate Professor of Nursing
Professor of Nursing
MICHELE MARTENS GINNY MOORE
RUTH KLEINPELL DNP, RN, PMHCNS-BC DNP, WHNP-BC
PhD, RN, FAAN, FAANP, FCCM Instructor of Nursing Associate Professor of Nursing
Professor of Nursing Director, Women’s Health Nurse Practitioner
Associate Dean for Clinical Scholarship JANET MYERS Specialty
DNP, FNP/GNP-BC, CDE, BC-ADM, NE-BC
Independence Foundation Professor
Assistant Professor of Nursing COLLEEN REILLY MOSS
of Nursing Education
DNP, APRN, NNP-BC
MELANIE LUTENBACHER
BRENDA KULHANEK PhD, MSN, FAAN
Instructor of Nursing
PhD, MSN, MS, RN-BC, NPD-BC, NE-BC Associate Professor of Nursing and Medicine
Associate Professor of Nursing BRITTANY NELSON
(General Pediatrics)
DNP, RN, CPNP
MARY LAMBERT MATTHEW MARTIN Assistant Professor of Nursing
DNP, RN, FAAN DNP, RN, NEA-BC, NHDP-BC Director, Pediatric Nurse Practitioner-
Associate Professor of Nursing Instructor of Nursing Primary Care Specialty
6FACULT Y & PROGR AM DIREC T ORS
KEN NELSON III COURTNEY J. PITTS MAVIS N. SCHORN
DNP, RN, NE-BC, CPHQ DNP, MPH, FNP-BC PhD, CNM, FACNM
Instructor of Nursing Associate Professor of Nursing Professor of Nursing
Director, Family Nurse Practitioner Specialty Senior Associate Dean for Academics
LINDA NORMAN
GERI C. REEVES MATT SCHROER
DSN, RN, FAAN
APRN, PHD, FNP-BC
Valere Potter Menefee Professor of Nursing DNP, PMHNP-BC
Associate Professor of Nursing
Dean Instructor of Nursing
ANNA RICHMOND
ABBY PARISH DNP, FNP-C
PATTI SCOTT
Assistant Professor of Nursing DNP, APN, NNP-BC, C-NPT
DNP, AGPCNP-BC, GNP-BC, FNAP
Assistant Professor of Nursing
Associate Professor of Nursing
JENNIFER RIDGWAY
Director of Education Innovation PATRICIA P. SENGSTACK
DNP, APRN, CPNP
Instructor of Nursing DNP, RN-BC, CPHIMS, FAAN
MARY LAUREN PFIEFFER
Senior Associate Dean for Informatics
DNP, FNP-BC, CPN SHELZA RIVAS Director, Nursing Informatics Specialty
Assistant Professor of Nursing DNP, WHNP-BC, AGPCNP-BC
Nursing Informatics Executive,
Instructor in Nursing
Vanderbilt University Medical Center
JULIA PHILLIPPI
PhD, CNM, FACNM SUSANNA RUDY
DNP, MSN, MFS, AG-ACNP, FNP-BC,
MEGAN SHIFRIN
Assistant Professor of Nursing DNP, RN, ACNP-BC
ENP, CCRN
Director, Nurse-Midwifery Specialty Assistant Professor of Nursing
Instructor of Nursing
BONNIE PILON MICHELLE RUSLAVAGE MEGAN SIMMONS
DSN, RN, BC, FAAN DNP, MSN, RN, NE-BC, CPE DNP, RN, PMHNP-BC
Professor Emerita Instructor of Nursing Assistant Professor of Nursing
7FACULT Y & PROGR AM DIREC T ORS
KIM STEANSON RICK WATTERS CAROL ZIEGLER
DNP, APRN, CPNP-PC/AC PhD, RN DNP, NP-C, MS, RD
Assistant Professor of Nursing Associate Professor of Nursing Professor of Nursing
PAMELA WAYNICK-ROGERS MARCI ZSAMBOKY
JULIA STEED DNP, PMHNP/CNS-BC, CNE
PhD, RN, FNP-BC DNP, APRN-BC
Assistant Professor of Nursing
Assistant Professor of Nursing Assistant Professor Nursing
Director, Psychiatric Mental Health Nurse
Practitioner Specialty
CLARE THOMSON-SMITH BRIAN WIDMAR
PhD, RN, ACNP-BC, ACNPC, CCRN, FAANP
MSN, RN, JD, FAANP
Associate Professor of Nursing
Assistant Professor of Nursing
Assistant Dean, Advanced Nursing Practice
DAWN VANDERHOEF Director, Adult-Gero Acute Care Nurse
Practitioner Specialty
PhD, DNP, PMHNP/CS-BC
Associate Professor of Nursing JENNIFER WILBECK
DNP, APRN-BC, CEN, FAAN, FAANP
JESSICA VAN METER
Professor of Nursing
DNP, MSN, RN, APN-BC, CCRN, A-EMT
Director,
Assistant Professor of Nursing
Emergency Nurse Practitioner Specialty
ROSE VICK CHRISTOPHER TY WILLIAMS
PhD, PMHNP-BC DNP, RN, ACNP-BC, FNP-BC
Assistant Professor of Nursing Assistant Professor of Nursing
JESSICA WALKER STEFANI YUDASZ
DNP, APRN, PMHNP-BC DNP, WHNP-BC
Assistant Professor of Nursing Instructor of Nursing
8DNP GRADUATES!
DNP PROJECTS CLASS OF 2021
NELLY AGHILI EMILY BRIGNOLA
National APRN Practice and Pandemic Survey: California Results............ 15 Implementing Lifestyle Changes in Patients
with Vestibular Migraine................................................................................................ 21
PRISCILLA EYRAM AKUETEY
BREANNA BUCCO
Antimalarial Stewardship Program for Adult Outpatient Providers Evaluating the Talk with Me Baby Program
in Ghana................................................................................................................................16 in the Home Visitation Setting...................................................................................22
NINA ARMSTRONG ABIGAIL BURKETT VETTER
Perceived Usefulness of an Educational Intervention Regarding Increasing Awareness of Long Acting Reversible Contraceptives
in Maya Adolescents of Belize.................................................................................... 23
Gender-Affirming Hormone Treatment in an Outpatient
Mental Health Clinic......................................................................................................... 17 HILARY BUTELLA
Utilization of Pharmacogenomic Testing to Improve Clinical Outcomes
STACEY O. BACHMAN in Major Depressive Disorder and Major Depressive Episodes...............................24
Effect of Expanded APN Privileges on Pediatric Hospital
ALESSANDRA CATIZONE
Length of Stay....................................................................................................................18 Digital Video Education to Increase Initiation Rates
of the HPV Vaccine in Adolescents.......................................................................... 25
SARA M. BECKER
Implementation of an Indwelling Urinary Catheter EILEEN M. CZERWINSKI
Nursing Care Bundle.......................................................................................................19 Early Integration of Palliative Care in Frail Patients
with Hip Fracture.............................................................................................................26
ANNE BRENNEMAN
TIFFANY DARLING
Evaluation of a Pediatric Crisis Stabilization Shared Decision-Making and Treatment Adherence
Mobile Response Program..........................................................................................20 in the Oncology Patient................................................................................................ 27
10DNP PROJECTS CLASS OF 2021
PATRICIA DONLEY ASHLEY HURT
The Effect of Social Determinants Perceived Barriers to Pre-Exposure Prophylaxis Initiation
on Chronic Disease Management.............................................................................28 in Men who have Sex with Men..................................................................................35
LAUREN FLAGG DEBORAH S. JENKS
Implementing a Delirium Screening Program
Implementing Continuous Performance Testing
in a Combined PICU and PCICU................................................................................29
to Improve Patient Satisfaction in ADHD Evaluation.......................................36
NICOLE L. FROST
LAURA KOEL
Nursing Knowledge and Confidence in the Delivery
of Palliative Care: A Quality Improvement Project...........................................30 Smartphone Reference Application: Emergency Ultrasound
for Emergency Nurse Practitioner Students....................................................... 37
FRANCES M. GAUDIER-SCHMIDT
Program Development for Effective Patient-Provider Partnerships......... 31 KOMI KOKOU-ABI
The Effects of Provider Education on Deprescribing
MONALIZA ALONZO GAW
in a Psychiatric Hospital................................................................................................38
Implementing Institute for Healthcare Improvement's Joy in Work:
A Quality Improvement Project................................................................................ 32 VICTORIA KUCINSKI
Nurse Manager Shared Governance Education
MELINA M. HANDLEY
Reducing Redundant Genetic Testing for 22q11.2 Deletion Syndrome: and Unit Practice Council Functionality.................................................................39
A Process Improvement Project...............................................................................33
CHELSEA J. LAUDERDALE
SUSAN HERNANDEZ Assessing Provider Knowledge and Confidence in the Disclosure
Retention of a Millennial Nursing Workforce.......................................................34 of Abnormal Newborn Screening Results........................................................... 40
11DNP PROJECTS CLASS OF 2021
JULIE DIANE METCALF CLAUDIA PERRY
Family-Integrated Quality Improvement in the NICU Evaluation of Unit-Based Care Team Implementation
to Improve Discharge Developmental Follow-up..............................................41 and Effect on Length of Stay......................................................................................48
PAMELA ANNE NELSON DAKOTA RHODES
Impact of Psychiatric Consultation Services on Boarding
Development of a Critical Care Ultrasound Competency Course
in the Emergency Department..................................................................................42
for ICU Nurse Practitioners..........................................................................................49
DEBORAH O'BRIANT
REBECCA SILVERS
Volunteer Musicians’ Perceptions of Therapeutic Music
in ICU Project.....................................................................................................................43 Capacity Building in Northern Laos: An Evaluation of the Pediatric
Nursing Training Program at Lao Friends Hospital for Children.................50
AMY E. OLSON
Impact of Observation Unit Admission Criteria on Quality Metrics..........44 JENNY MORRIS SLAYTON
Comfort and Competency in Healthcare Teams Caring for Patients
RADWA CLARISSA OMAR-ALLEN
with Substance Use Disorder at Risk for Hospital Misuse............................... 51
Under-immunized Children of Appalachia:
Parental Beliefs at an Eastern Kentucky Rural Health Clinic........................45 ISABELL STOLTZ
PATRICIA OZUNA Impact of LEAP! Mentorship Program on APPs at VUMC............................. 52
Reducing Registered Nurse Burnout in the CVICU..........................................46
ALEXANDRA TAYLOR
MELISSA PEARSON Identifying Barriers and Potential Solutions to Obtaining
Music in the Intensive Care Unit: Registered Nurses’ Perceptions............. 47 a MAT Waiver for Primary Care Providers............................................................53
12DNP PROJECTS CLASS OF 2021
BRENDAN G. TENNEFOSS
Assessing Readiness to Change for Weight Loss
in Women with Obesity.................................................................................................54
DEMETRIA TENNEFOSS
Improving Clinic Efficiency via Implementation
of a Genitourinary Infection Treatment..................................................................55
ERIN TICKLE
A Sociotechnical Evaluation of an
Electronic Healthcare Record Implementation..................................................56
JOSHUA WADDELL
Program Evaluation of Dispensing Buprenorphine/Naloxone
in Medication Assisted Treatment............................................................................ 57
ASHLEY C. WALKER
Orthopedic Training Modules for New Nurse Practitioners
Transitioning into Practice...........................................................................................58
CORY R. WILLIAMS
Impact of COVID-19 on Illinois APRN Practice...................................................59
JANYE WILSON
Outpatient Clinic Care Team Perceived Acceptance
and Use of the Patient Portal.................................................................................... 60
13Our best wishes to Vanderbilt University School of Nursing Dean Linda D. Norman, DSN, FAAN, who steps down as dean on June 30, 2021. Dean Norman has long been a champion of the Doctor of Nursing Practice degree, and was instrumental in the establishment of the program at Vanderbilt. As Senior Associate Dean for Academics, she worked with VUSN faculty and national DNP experts to develop and launch the DNP program in 2008. Since then, she has proudly watched the program grow to its current stature as the No. 6 DNP program in the country and has served as DNP curriculum consultant for universities across the U.S. After her 30-year career at Vanderbilt, Dean Norman will take a year’s sabbatical to travel and work on papers related to the School of Nursing’s role in the Vanderbilt University COVID-19 response. Thank you Dean Norman for your impact on Vanderbilt School of Nursing and its Doctor of Nursing Practice graduates; we wish you the best now and always.
2021 DNP PROJECTS
National APRN Practice and Pandemic Survey: California Results
PURPOSE and inpatient settings during the pandemic. Over
This project aimed to describe barriers to APRN 60% of participants reported inpatient reduction
full practice authority in California and examine in revenue. Qualitative analysis of open-ended
the effects of lifting restrictions on APRN practice questions revealed that inpatient providers were
due to the healthcare demands of the SARS- frequently reassigned to different services. Even
CoV-2 (COVID-19) pandemic. after the removal of practice restrictions, 53%
of APRNs reported no changes in their practice
METHODOLOGY authority.
The National APRN Survey was designed to
identify and evaluate the impact of some states’ IMPLICATIONS FOR PRACTICE
decision to temporarily remove practice barriers Lessons learned from survey responses during
to APRN full practice authority during the
pandemic. Survey participants included APRNs
the pandemic should lead to significant changes
that improve organizational performance, remove
NELLY
from California who are willing to participate. barriers to full practice authority, address staff AGHILI
Existing quantitative and qualitative data were and patient safety and well-being, and thus DNP, RN, AGACNP-BC
analyzed. increase the level of preparedness for a future
crisis. As health care leaders, APRNs have an
RESULTS essential role in affecting these changes and Adult-Gerontology
Over forty-one percent of participants reported working with policymakers and administrators to Acute Care
a reduction in the outpatient visits, including new ensure that the lessons learned from this crisis are Nurse Practitioner
patient, preventative, chronic, and acute care put to good use.
visits. Over 53% of outpatient APRNs reported a
reduction in revenue as a result. The utilization
of telehealth in the outpatient setting during
the pandemic reached 70.5%. Sixty-six APRNs
(37.9%) identified difficulty in obtaining referrals/
consultation and securing supplies in outpatient
152021 DNP PROJECTS
Antimalarial Stewardship Program for Adult Outpatient Providers
in Ghana
PURPOSE and Ghanaian guidelines for the WHO’s recommendation
The purpose of this DNP project the diagnosis and treatment of to confirm parasitological
was to develop an antimalarial uncomplicated malaria were diagnosis before treatment. This
stewardship program in the included in the education. evidence-based antimalarial
form of an evidence-based stewardship program intends to
educational intervention to RESULTS improve provider adherence to
educate outpatient providers An evidence-based antimalarial guidelines by enhancing their
to reduce inappropriate stewardship program for knowledge and understanding
prescribing of antimalarials by providers was developed. of the problem while providing
outpatient providers in Ghana. Evaluation plan and evaluation them with the tools needed
PRISCILLA METHODOLOGY
tools, including pre-post
implementation surveys
to evaluate the impact of the
project. Program outcomes are
EYRAM This exploratory model and a knowledge test for also expected to prevent the
AKUETEY of program development
and evaluation involved
providers, were developed. A
chart audit tool for evaluating
emergence of antimalaria drug
resistance in Ghana.
DNP, MSN, the development of an provider prescribing practices
AGACNP-BC, FNP-BC antimalarial stewardship pre- and post-intervention
educational program including implementation was also
an implementation plan created.
Emergency and evaluation plan guided
Nurse Practitioner by an outpatient antibiotic IMPLICATIONS FOR PRACTICE
stewardship toolkit published Malaria elimination efforts are
by the Center for Disease being tempered by antimalaria
Control and Prevention’s (CDC). drug resistance. Inappropriate
Materials from the World antimalaria prescribing persists
Health Organization (WHO) despite the implementation of
162021 DNP PROJECTS
Perceived Usefulness of an Educational Intervention
Regarding Gender-Affirming Hormone Treatment
in an Outpatient Mental Health Clinic
PURPOSE informational handout. The mean 2.75/10 (range 1-5) and
Measure self-reported handout covered potential relevance rated 6.9/10 (range
knowledge gaps and impact on timelines of physical changes, 3-10). All participants stated
future practice of an education possible side effects, serious that they felt this knowledge will
session about the most risks, interactions with common impact their practice.
frequently used gender-affirming psychiatric medications, and
hormone therapy medications prices of medications. IMPLICATIONS FOR PRACTICE
in transgender and non-binary Both PMHNPs and therapists
patients described by PMHNPs RESULTS reported feeling that a lack
and therapists in a small, private
practice mental health clinic in
Prior to reviewing the handout,
PMHNPs rated their confidence
of knowledge about LGBTQI
and transgender populations
NINA
Portland, Oregon. in treating this population impacted their practice. After ARMSTRONG
as a mean of 6.14/10 (range reviewing the handout, everyone DNP, MSN, MA, PMHNP
METHODOLOGY 4-8) and preparedness at a stated that they felt this
Two unique pre-and post- 6.3/10 (range 4-10. Therapists knowledge would impact practice
participation surveys were rated their confidence at 4/10 going forward. Most participants Psychiatric-Mental Health
developed specifically for (range 1-7) and preparedness stated that they had more than Nurse Practitioner
this project. They were used at 3.5/10 (range 1-7). After the they wanted to learn about (Lifespan)
to assess the participants’ educational handout, PMHNPs caring for this population moving
subjective reports of their rated their familiarity with the forward. This clinic site may be
perceived benefits from the information at 4.5/10 (range able to provide further clinician
information, its usefulness, any 3-5) and gave a mean relevance information based on these
potential impact on practice, and score of the information at questions. Additionally, this tool
further gaps in their knowledge 9/10 (range 5-10). Therapists’ may be useful for other clinicians
before and after viewing an familiarity was rated at a in other areas of practice.
172021 DNP PROJECTS
Effect of Expanded APN Privileges on Pediatric Hospital
Length of Stay
PURPOSE RESULTS
This pilot project was designed to evaluate if The circumstances related to COVID 19 impacted
pediatric asthma patients' length of stay, and the size and characteristics of the post-process
the number patients boarding in the Emergency change group and the overall hospital census.
Department (EDB), were impacted when APN The pre-process change group (N = 124) was
hospitalists were granted the ability to discharge 47% larger than the post- process change group
hospitalized patients independently. (N = 66). Patients were older and sicker in the
post-cohort. There was a reduction in the median
METHODOLOGY difference between (ALOS) and (ILOS) in the
APN hospitalist privilege document was updated post- cohort but it was not statistically significant
STACEY O. to add the ability to independently discharge
patients. Data regarding patient age, actual length
(p = 0.081). Ongoing data collection will be
required to assess program effectiveness after
BACHMAN of stay (ALOS), and ideal length of stay (ILOS) hospital operations return to a steady-state post-
DNP, MSN, RN, CPNP-PC were collected for a three-month period for COVID 19.
patients who met inclusion criteria prior to, and
again following, the process change. Descriptive IMPLICATIONS FOR PRACTICE
Pediatric and inferential statistics were used to describe APNs improve quality, reduce cost of care,
Nurse Practitioner - the cohorts. The difference between the ALOS optimize patient flow, improve patient satisfaction,
Primary Care and ILOS for each patient cohort was compared and improve staff satisfaction in the inpatient
via Excel. SciStatCal was used to compare the setting. Additional data are needed to determine
Executive Leadership differences between cohorts. Daily inpatient if this practice change impacted pediatric length
census and number of ED boarders were collected of stay and the number of EDB.
using hospital data systems.
182021 DNP PROJECTS
Implementation of an Indwelling Urinary Catheter
Nursing Care Bundle
PURPOSE RESULTS
The lack of an evidence-based indwelling urinary Nursing staff knowledge was evaluated by
catheter care protocols in a rural hospital setting analyzing scores before and after the education
was identified as a risk for catheter associated intervention utilizing a validated tool title CAUTI
urinary tract infections and subsequent poor control precaution scale. Scores revealed 3
patient outcomes. The purpose of this project questions with clinically significant improvement
was to implement an evidence-based indwelling in scores. Total catheter days were compared from
urinary catheter nursing care bundle for the same months of 2019 and 2020 showing a
hospitalized adults meeting national standards decrease from 178 to 107 total catheter days.
of care and to provide education and training
to nursing staff regarding current practice
guidelines.
IMPLICATIONS FOR PRACTICE
Outcomes of the implementation of a nurse-
SARA M.
driven bundle for IUC care in this rural hospital BECKER
METHODOLOGY were consistent with current evidence that these DNP, APRN,
The project design involved the translation of bundles are effective in reducing infection and ACNP-BC, FNP-BC
evidence into practice, specifically implementing decrease total catheter days overall.
evidence-based practices utilizing the CDC
Recommendations for CAUTI Guideline for Emergency
Prevention of Catheter-Associated Urinary Tract Nurse Practitioner
Infections (2009).
192021 DNP PROJECTS
Evaluation of a Pediatric Crisis Stabilization
Mobile Response Program
PURPOSE from 5-17 years with a mean encounter, this represents
The purpose of this project was age of 12.4 years (SD = 3.2). a potential cost savings of
to evaluate a new Stabilization Parents initiated SMR in 99 $39,493.43 over the evaluation
Mobile Response (SMR) (89.2%) encounters. Encounters period.
program for Salt Lake County lasted a median of 30 minutes
in the first three months of (IQR = 15-60). If the SMR IMPLICATIONS FOR PRACTICE
operation. The SMR program visit had not occurred, in 62 Innovative care delivery models
provides in home crisis outreach (24%) encounters the family such as the SMR program can
and stabilization for youth stated they would have sought improve access to behavioral
experiencing a behavioral health alternative care resulting in the health care for youth and
ANNE challenge. youth being placed outside the
home. Crisis encounters in five
their families while preventing
utilization of high intensity
BRENNEMAN METHODOLOGY local emergency departments services such as the emergency
DNP, APRN CPNP-PC The SMR team documented were lower in the months of department. A formal
data in a REDCap survey October-December 2020 (n evaluation process can assist in
following every interaction with = 558) compared with the determining the value of new
Pediatric Nurse Practitioner - a family. Additional outcomes same months in 2018 (n = programs to ensure they are
Primary Care data were collected using the 628) and 2019 (n = 623). In producing quality outcomes and
healthcare system’s operational 37 encounters families stated meet the needs of the target
Executive Leadership data reporting systems. they would have gone to the population while being efficient
emergency department had and cost effective.
RESULTS they not used the SMR program.
The program served 70 unique With emergency department
patients in 301 encounters with crisis visits costing an average
monthly volumes increasing of $1,067.39 more than an
over time. Youth ranged in age SMR mobile crisis outreach
202021 DNP PROJECTS
Implementing Lifestyle Changes in Patients with Vestibular Migraine
PURPOSE of lifestyle modifications in symptoms with the use of
The purpose of this project was in patients with vestibular lifestyle changes alone. This
to evaluate the effectiveness migraine. project informs clinicians about
of an evidence-based lifestyle patient experiences with the
treatment plan at reducing RESULTS recommended intervention so
perceived measure of dizziness After a one-month recruitment they are able to give patients
in adult patients newly period, 3 patients qualified to realistic expectations about the
diagnosed with vestibular participate in the project. The timeline for improvement of
migraine after four weeks of pre-implementation DHI scores symptoms. Our work suggests
lifestyle modifications using the ranged from 30 to 78, with an clinicians can educate patients
standardized dizziness handicap average of 46. After 4 weeks not to abandon lifestyle
inventory (DHI) tool. of lifestyle modifications, the
post-implementation DHI scores
changes after 2-3 weeks,
and they may notice some
EMILY
METHODOLOGY ranged from 32 to 56, with an improvement by 4 weeks. BRIGNOLA
The quality improvement average of 44. Lastly, the current project DNP, MSN, APRN, FNP-C
project involved two nurse highlights the positive impact
practitioners educating patient IMPLICATIONS FOR PRACTICE nurse practitioners in otology
participants newly diagnosed Vestibular migraine is a have in the management Family Nurse Practitioner
with vestibular migraine on common form of dizziness of patients with vestibular
lifestyle modifications. Patient that currently does not have migraine.
participants were asked to fill a consensus on management.
out the DHI tool at the initial The data obtained from this
visit for pre-implementation project provides information
scores and again after 4-weeks for clinicians and patients
of lifestyle modifications for with vestibular migraine
post-implementation scores about when they may begin
to determine the effectiveness to experience improvements
212021 DNP PROJECTS
Evaluating the Talk with Me Baby Program
in the Home Visitation Setting
PURPOSE METHODOLOGY patient’s culture as a barrier to
The present qualitative This quality improvement implementation of the TWMB
improvement study investigated project utilized a twenty-two- skills.
and evaluated the perceptions, question virtual survey as the
benefits, barriers, and if/how primary tool for collecting IMPLICATIONS FOR PRACTICE
the care coordinators are using evidence. The survey was Future implications should
TWMB in the home visitation emailed to the 400 home address the barriers identified
setting. Previous research visitors that attended the in the evaluation for the home
shows that a child's vocabulary summit. Data analysis was health setting, updates on
at age three is the strongest conducted using descriptive the TWMB skills and coaching
BREANNA predictor of the child's ability to
read proficiently by the end of
statistics. to keep the trainees active
and confident with the skills,
BUCCO the third grade (Zauche et al., RESULTS enhancement of the TWMB
DNP, MSN, RN, CPNP-PC 2017). The TWMB program is Results from the evaluation coach training, and creation
geared at improving language showed that the trainees of additional resources to help
development, providing evaluated the improvement the trainees implement the
Pediatric language-rich interactions, of language development and TWMB skills. Future research
Nurse Practitioner - improving home language nutrition of their patients at a should be conducted into home
Primary Care environments, and increasing 4.86 on a scale of zero to ten. literacy environments (HLE)
reading ability by third grade. The trainees evaluated the and how they impact language
In 2018, Tennessee held a home benefit of the TWMB skills at a development, gender, parental
visitation summit that presented 5.29 on a scale of zero to ten. involvement, and race.
the TWMB skills to 400 home Multiple barriers were identified.
health visitors. However, no Time was a significant barrier
follow up evaluation was for 42.9% of participants
conducted. and 35.7% identified the
222021 DNP PROJECTS
Increasing Awareness of Long Acting Reversible Contraceptives
in Maya Adolescents of Belize
PURPOSE RESULTS
This project aimed to offer an evidence-based Nine female adolescents, aged 14 – 21 years,
contraception education program to adolescent participated. Mean pre-testscores were 26.34%
female Maya living in Aguacate, Toledo district, and increased to 70.78% on the post-test.
Belize to increase their knowledge of Long Percentage improvement on individual questions
Acting Reversible Contraceptives (LARC) and scores ranged from 3.70% to 166.67%.
the appropriate use and effectiveness of those Questions pertaining specifically to the LARC
contraceptive options. options showed a increase in knowledge.
METHODOLOGY Four of the nine participants (44.44%) stated they
This project translated current and best evidence
into practice. An evidenced-based sexual
would ask their medical provider for a LARC. ABIGAIL
education program focusing on LARCs was IMPLICATIONS FOR PRACTICE BURKETT
presented via video. Results of a pre- and post–
test questionnaire administered at the time of the
Adaptations of current evidenced based
contraceptive education programs can be
VETTER
educational program presentation was analyzed adapted to the unique needs of Maya of Belize DNP, APRN, CPNP-AC/PC
using descriptive statistics. while maintaining cultural competence.
Delivery of education to the remote region by
alternative methods such as video presentation Pediatric Nurse Practitioner -
with the support of the village healthcare Acute Care/Primary Care
worker is feasible and realistic. Feedback from
participants revealed the desire to learn more
about contraception.
232021 DNP PROJECTS
Utilization of Pharmacogenomic Testing to Improve Clinical Outcomes
in Major Depressive Disorder and Major Depressive Episodes
PURPOSE group. Pharmacogenomic results achieved full response. In the
The purpose of this Doctor of were provided to clinicians pharmacogenomic guided group,
Nursing Practice Project was to guide treatment decisions. 12.5% (4/32) of participants
to evaluate the effectiveness Control participants were achieved remission compared to
of pharmacogenomic guided treated according to standard 2.1% (1/47) of participants in the
treatment for participants of care. PHQ-9 assessments treatment as usual group.
diagnosed with either major were obtained three months
depressive disorder (MDD) or after baseline to re-assess the IMPLICATIONS FOR PRACTICE
major depressive episode. participant's self-evaluation of The World Health Organization
depression symptoms. predicts that the leading
METHODOLOGY cause of disability by the year
HILARY The project design followed a
purposive sampling and non-
RESULTS
After three months, the
2030 will be MDD. This DNP
project highlights the clinical
BUTELLA blinded approach, enrolling treatment as usual group utility of pharmacogenomic
79 outpatient psychiatry (n=47) experienced a 29.3% testing and suggests increased
DNP, APRN, FNP, PMHNP
patients. After IRB approval decrease in mean PHQ-9 scores, clinical response and remission
and informed consent, baseline while the pharmacogenomic rates for patients suffering
Psychiatric-Mental Health patient assessments were guided intervention group from depression compared
completed using the Patient (n=32) experienced a 48.7% to treatment as usual. While
Nurse Practitioner
Health Questionnaire (PHQ-9) decrease in mean scores. In the medication selection based
(Lifespan)
for self-evaluation of depressive treatment as usual group, 38% on pharmacogenomic testing
Family symptoms such as sleep, energy (18/47) of participants achieved continues to evolve in clinical
Nurse Practitioner levels, appetite, concentration, partial response and 21% practice, this project emphasizes
anhedonia, and suicidal (10/47) achieved full response. the potential utility of this
thinking. Pharmacogenomic In the pharmacogenomic emerging personalized approach
and neurotransmitter testing guided group, 47% (15/32) of in biotechnology to improve
with the GX Sciences test was participants achieved partial patient outcomes in advanced
completed for the intervention response and 35% (12/32) nursing practice.
242021 DNP PROJECTS
Digital Video Education to Increase Initiation Rates
of the HPV Vaccine in Adolescents
PURPOSE and/or had further questions, least one of the videos; whereas
The aim of this quality they were given the option to five declined to watch any of the
improvement project was to watch videos on HPV vaccine videos.
educate parent/guardian and safety, age for vaccination, and
adolescents about the HPV general information about the IMPLICATIONS FOR PRACTICE
vaccine using digital educational HPV vaccine. After watching the This quality improvement
videos to promote adherence to video(s), the pediatric primary project provides insights into
the HPV vaccine by increasing care provider was available to the effectiveness of using digital
vaccination initiation rates answer questions or discuss educational videos to increase
of eligible 11- to 17-year olds concerns about the HPV vaccine. HPV initiation rates. These
from 11.2% to 30% during their
well-child check visits between RESULTS
videos address the safety of
vaccination, appropriate age
ALESSANDRA
January 29, 2021 to February Nineteen adolescents and their for vaccination, and general CATIZONE
26th, 2021. parent/guardian participated inquiry about vaccination. Digital DNP, CPNP-PC
in the project. Thirteen of educational videos combined
METHODOLOGY adolescents’ parents/guardians with open communication
During routine well-child exams, accepted and six declined the between the parent or guardian Pediatric
adolescents and their parent/ initiation of the HPV vaccine and pediatric primary care Nurse Practitioner -
guardian were informed and series during their appointment provider can also positively Primary Care
invited to participate in the for a vaccination rate of 64.8%. impact HPV initiation rates.
project. The nurse or medical Of the 13 who accepted, eleven
assistant provided them watched at least one of the
with the Vaccine Information videos; whereas two declined
Statement and asked if they to watch any of them. Of those
would like the HPV vaccine for who declined the initiation of the
their adolescent. If they said no HPV vaccine, one watched at
252021 DNP PROJECTS
Early Integration of Palliative Care in Frail Patients with Hip Fracture
PURPOSE implementation of a targeted IMPLICATIONS FOR PRACTICE
Frailty is a condition of frailty screening intervention. Frail older adults represent
vulnerability with traumatic Nurses were educated on a uniquely vulnerable subset
events, such as hip fracture, use of Clinical Frailty Scale of all hip fracture patients.
often being the tipping point (CFS) screening tool used to Approaches to clinical care
for poor outcomes. Evidence trigger palliative care consult in for these individuals should
suggests the benefits of patient’s scoring 6 or higher. consider the high probability of
palliative care (PC) in this functional disability and death
population however, variations RESULTS after fracture and suggest
in clinical practice exist. Of the 16 patients (age > 65) that counseling regarding
The purpose of this quality who presented with hip fracture prognosis for survival and
EILEEN M. improvement (QI) project was
to increase access to palliative
during the study period,
10 of 10 (100%) eligible
recovery, explicit discussions of
goals of care, and aggressive
CZERWINSKI care services in this population. participants, per CFS score, efforts to control pain and
DNP, MSN, RN, ACNPC-AG The aim was to change clinical received PC consults as other distressing symptoms
practice and encourage compared to 1 of 22 (4.5%) pre represent essential components
earlier integration of palliative implementation. The results of for management of frail older
Adult-Gerontology care services in the targeted this project demonstrate the adults with hip fracture.
Acute Care population. need for frailty screening to
Nurse Practitioner identify high risk population
METHODOLOGY and prompt referral to PC.
This QI project was conducted Having a standardized process
over a 2-month time frame. to accurately identify high risk
A retrospective chart review population results in a higher
of patients (age > 65) and percentage of appropriate PC
admitted for hip fracture referrals when compared to
was conducted pre and post usual practice.
262021 DNP PROJECTS
Shared Decision-Making and Treatment Adherence
in the Oncology Patient
PURPOSE RESULTS
This purpose of this project was to evaluate Following implementation of SDM, the overall
the treatment adherence and appointment appointment fidelity (keeping >80% of scheduled
fidelity of oncology patients before and after appointments) improved from 30 patients
implementation of shared decision-making (SDM). (60%) pre-SDM to 44 patients (88%) post-SDM.
Refill adherence (refilling >80% of expected
METHODOLOGY medications) improved from 38 patients (76%)
The project involved a retrospective comparison pre-SDM to 47 patients (94%) post-SDM, and
of patient appointment fidelity and medication infusion adherence (receiving >80% of expected
adherence pre- and post-SDM. Aggregate data infusions) improved from 44 patients (88%) to 48
from January and February 2019, and January and
February, 2020, were obtained from 25 metastatic
patients (96%). TIFFANY
cancer patients and 25 newly diagnosed cancer IMPLICATIONS FOR PRACTICE DARLING
patients. Descriptive statistics were used to Implementation of SDM resulted in improvement DNP, APRN,
compare the treatment adherence pre- and post- of overall treatment adherence. As part of the AGACNP-BC, VA-BC
SDM implementation. Oncology Care Model objectives to improve
healthcare, SDM may be a valuable tool resulting
in improved treatment adherence, improved Adult-Gerontology
outcomes, improved healthcare satisfaction, Acute Care
and reduced healthcare costs. The results of this Nurse Practitioner
project showed that even with selective SDM
utilization, further implementation in oncology
and other clinical settings is warranted.
272021 DNP PROJECTS
The Effect of Social Determinants on Chronic Disease Management
PURPOSE six months of the program, scale improvement project
In the current healthcare participants' outcomes data demonstrated the benefit of
delivery system, filled with were analyzed using descriptive social determinant assessment
unprecedented challenges statistics. in a nursing care plan. When
related to the rising cost of care, invited to participate in the
disparate health outcomes, and RESULTS program, social determinant
a global pandemic, developing Over 50% (11) of the 19 program need was unknown in the
equitable care models that participants identified a population. Yet, more than half
meet the diverse needs of our social need during care plan of the sample identified social
population has never been more development. Of those needing factors that were affecting
important. The purpose of this social determinant intervention, disease management in the
PATRICIA study is to examine the effect of
a nurse-driven chronic disease
73% (8) required financial
assistance; 36% (4) expressed
initial assessment. To level the
structural imbalances associated
DONLEY management program, that food insecurity, and 10% (2) with social determinants, future
DNP, MSN, RN, NEA-BC incorporates social determinant identified barriers related care models must address
assessment and intervention, on to transportation. Following inequities affecting health.
emergency department visits program enrollment, mean With a distinguished history of
Executive Leadership and inpatient probability risk. generalized risk score and health promotion and disease
median inpatient probability prevention, professional nurses
METHODOLOGY risk improved, and median stand poised, prepared, and
This study evaluates a quality annual emergency department trusted to take an active role
improvement project formed visits decreased in the sample in the transformation of care
to address health equity population. delivery that is equitable,
and disparities in care in a holistic, and cost-effective.
high-risk chronic disease IMPLICATIONS FOR PRACTICE
management population. Despite limitations associated
Following completion of at least with the pandemic, the small-
282021 DNP PROJECTS
Implementing a Delirium Screening Program
in a Combined PICU and PCICU
PURPOSE nursing staff responsibility for increased to 42.5% during
The purpose of this DNP project CAPD screening, monitored via phase three, though the mean
is the implementation of a chart review. positive CAPD assessments per
delirium screening program screening time remained 2.9.
using the Cornell Assessment of RESULTS
Pediatric Delirium (CAPD) within Baseline delirium was evaluated IMPLICATIONS FOR PRACTICE
a combined PICU and PCICU at during phases one and two with Preliminary prevalence data
an academic tertiary care center. a combined sum of 250 patients indicates delirium is an active
eligible for CAPD assessment, problem in our units, presenting
METHODOLOGY 72 positive screens (prevalence an opportunity for improvement.
Implementation of the delirium
screening program occurred
27.6%), and mean of 2.9
positive CAPD assessments
Ongoing staff support and
education is necessary to
LAUREN
over six weeks in three phases: per screening. During phase improve compliance with FLAGG
1) Baseline delirium point two, 40 staff (59%) completed screening and prevention DNP, APRN, CPNP-AC
prevalence assessment was the education modules and initiatives. Additional PDSA
evaluated by the investigator submitted the post-education cycles should be considered
and nursing staff using RASS survey, and 59 (87%) completed to fully optimize the delirium Pediatric
criteria and the CAPD tool; in-person CAPD competency screening program to achieve Nurse Practitioner -
2) delirium education was check off. During phase three, defined education and screening Acute Care
delivered via online modules 332 patients were eligible for compliance goals. This project
followed by a knowledge assessment with 189 having serves as a foundation for future
assessment survey and documented CAPD screening, quality improvement initiatives
guided application to assure and 80 with positive screens. that focus on evidence-based,
competence using the CAPD Mean phase three nursing therapeutic interventions to
tool and improve interrater completion of CAPD screening reduce delirium prevalence in
reliability; and 3) transition to was 57%. Delirium prevalence critically ill pediatric patients.
292021 DNP PROJECTS
Nursing Knowledge and Confidence in the Delivery
of Palliative Care: A Quality Improvement Project
PURPOSE level and attitude when caring and readmission rates also
The purpose of this project was for palliative care patients decreased in the month
to address a gap in nursing were analyzed using a 7-point following the educational
knowledge of inpatient palliative Likert scale. Nursing palliative intervention.
care services for patients referrals were evaluated pre
with chronic conditions who and post- intervention to assess IMPLICATIONS FOR PRACTICE
could benefit from specialized for application of nursing The implementation of an
symptom management. The knowledge and confidence in educational module on
expectation was that nursing the delivery of care. palliative care was effective in
would be able to provide enhancing nursing knowledge
NICOLE L. palliative care to patients with
confidence through knowledge
RESULTS
Forty quantitative surveys
and confidence in caring for
palliative care patients. The
FROST gained from an educational (N=40) were analyzed results of this project can
DNP, MSN, AGACNP-BC, module and improve outcomes using descriptive statistics. be applied to support the
FNP-BC, RN and quality of life for this Knowledge scores increased implementation of educational
population. from 50% to 83% (M=10.0, strategies within nursing
SD=4.3; t(39)=7.0, p2021 DNP PROJECTS
Program Development for Effective Patient-Provider Partnerships
PURPOSE and/or Zoom©. Participants A statistically significant
To develop, implement, and were sent links to the three difference was found between
evaluate an educational YouTube© videos and all pre and post surveys for the
program on patient-provider Zoom© meetings. Program question regarding preparing
partnership, communication, progress was tracked for each for provider visits (p = 0.03;
and shared decision-making participant. A novel survey was 95% Confidence Interval: -0.55
techniques with a population completed before and after to -0.03).
from a community resource the educational intervention to
center. The aim was to enhance collect data. IMPLICATIONS FOR PRACTICE
healthcare involvement Findings imply that participants
perspectives through providing RESULTS had positive perspectives
an online program to inform
and empower older adults to
Demographic, qualitative, and
quantitative data was collected
on patient participation in
healthcare, strengthened
FRANCES M.
advocate for an active role in from participant surveys. through education. This data GAUDIER-
their healthcare. Population aged 65-89, all
African American, 86.8% female
has strong clinical significance
for participant willingness and
SCHMIDT
METHODOLOGY and 13.2% male. Qualitative ability to effectively engage in DNP, AGPCNP-BC, RN
A three-week online program thematic analysis showed their healthcare. This project
for participants over the age common concepts were action demonstrates that vulnerable
of 65 was provided. Three words, information, thank you, populations can successfully use Adult-Gerontology
sessions on different healthcare and healthcare. Quantitative technological tools and devices Primary Care
involvement concepts offered results comparing pre to when provided with sufficient Nurse Practitioner
information and strategies for post survey response options support. Technology skills
patients to better collaborate showed a total decrease in learned in this program can
with providers. PowerPoint© Never by 50% and Sometimes improve aspects of healthcare
presentations were used to by 43% with a total increase delivery and personal life.
deliver content on YouTube© of 11% in Always responses.
312021 DNP PROJECTS
Implementing Institute for Healthcare Improvement's Joy in Work:
A Quality Improvement Project
PURPOSE quarterly pulse survey was used infections, and 100% hand
The administrative problem pre- and post- intervention. hygiene compliance from July
of burnout and turnover was Additional information was to September. Additionally,
identified on a selected medical- obtained from the National patient experience overall rating
surgical unit. In an effort to Database for Nursing Quality of the hospital scores improved
improve nurse engagement, this Indicators (NDNQI) RN survey from 65.2% (July) to 70%
QI project aimed to implement administered in August. (September).
IHI's Joy in Work initiative.
RESULTS IMPLICATIONS FOR PRACTICE
METHODOLOGY The quarterly pulse survey A systems approach that
MONALIZA The IHI Joy in Work initiative
includes four steps: ask staff
showed an increase in
engagement index from 68%
carefully examines the
challenges faced by caregivers
ALONZO what matters, identify unique (April) to 72% (July) among is integral in the successful
GAW impediments at the unit-level,
commit to a systems approach
clinical nurses on the selected
unit. In addition, the NDNQI
achievement of the Triple Aim
of better health, lower cost, and
DNP, MPA, MSN, RN, to making joy in work a RN survey indicated the unit improved patient experience.
NEA-BC, FACHE, CPHQ shared responsibility, and use outperformed the mean in four The results of this QI project
improvement science (i.e. Plan, out of five categories (i.e. nurse demonstrate IHI's Joy in Work
Do, Study, Act [PDSA] cycles). participation in hospital affairs, initiative can potentially improve
Executive Leadership During an eight-week period, foundations of quality of care, nurse engagement. Moreover,
a feedback board was used nurse manager leadership and this project supports the
by clinical staff, PDSA cycles nurse to nurse interaction). At quadruple aim and validates
were implemented to address the same time, there were zero the need for caregivers to find
perceived barriers, and a catheter associated urinary meaning in their work in order
gratitude journal was provided. tract infections, zero central to provide safe care for patients.
The organization's existing line associated blood stream
322021 DNP PROJECTS
Reducing Redundant Genetic Testing for 22q11.2 Deletion
Syndrome: A Process Improvement Project
PURPOSE Heart Disease” clinical decision 60% of patients with 35% having
The process improvement guide was implemented for a genetic diagnosis and there
study aims to reduce duplicate the consideration of 22q11.2ds were no diagnoses of 22q11.2ds.
genetic testing to less than genetic testing at a large The rate of duplicate genetic
5% in neonates admitted to hospital in the northwest United testing was reduced to 2.6%.
the Seattle Children’s Hospital States. Of the twenty-five providers
(SCH) cardiac intensive care invited, forty-four percent
unit (CICU) who are 90 days of RESULTS responded to the surveys. One-
age or less and diagnosed with In the 1-year pre-intervention hundred percent of respondents
congenital heart disease (CHD). phase, 103 patients met indicated the need for more
METHODOLOGY
inclusion criteria, 49.5% were
female, 50.5% were male,
information about genetic
testing, 45% stated the clinical
MELINA M.
A single-institution pre- and and 86% were 7 days of age decision guide is beneficial to HANDLEY
post-intervention retrospective or less on admission. Genetic their practice, and 12% had not DNP, PNP-AC, APRN
chart and database review was testing was obtained in 61% yet used the decision guide.
completed to determine CICU of patients with 25% having a
demographics, CHD diagnoses, genetic diagnosis and 8% being IMPLICATIONS FOR PRACTICE Pediatric
and genetic testing procedures. diagnosed with 22q11.2ds. The Provider education and use Nurse Practitioner -
An education session with rate of duplicate genetic testing of the clinical decision guide Acute Care
pre and post intervention orders was 39%. In the 14-week may have decreased duplicate
surveys was completed postintervention phase 38 genetic test orders by 80%.
with twenty-five health care patients met inclusion criteria, Further studies are needed to
providers (9 physicians, 4 40% were female, 60% were determine the reliability and
nurse practitioners, and 12 male and 76% were 7 days validity of the clinical guideline
fellows). The “Genetic Testing of age or less on admission. for genetic testing in vulnerable
for Neonates with Congenital Genetic testing was obtained in populations.
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