Andy and Barbara Gessner College of Nursing Scholarly Outputs
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This community gathers collections of faculty and student scholarship generated in the Andy and Barbara Gessner College of Nursing
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Browsing Andy and Barbara Gessner College of Nursing Scholarly Outputs by Issue Date
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Item Early Mobility in ICU Patients Improves Outcomes(2018) Lee, Rachaeya; Marediya, Shareen; Long, SydneyLack of mobility for ICU patients is associated with myriad negative patient outcomes that are positively impacted by early mobility interventions.Item Dietary Fiber to Improve Metabolic Syndrome in Adults(2018-04) Butella, HilaryThis evidence based project explores evidence supporting the effectiveness of psyllium fiber dietary supplementation to improve hypertension, hyperlipidemia, glycemic control, weight and waist circumference in adult patients meeting criteria for metabolic syndrome diagnosis. The project recommends that psyllium fiber dietary supplementation be included in clinician recommended therapeutic lifestyle changes for this patient population.Item Early Identification of Maternal Depression Symptoms by Instituting a Postpartum Depression Screening(2018-04-13) Rosser, ChristinaThis evidence-based practice project explores the necessity and feasibility of a practice change of administration of the Edinburg Postnatal Depression Scale (EPDS) by pediatric providers to mothers at every well child appointment, up to one year of age, increasing the rates of capture and referral of patients with postpartum depression.Item Ketogenic Diet To Improve Outcomes In Patients with Type 2 Diabetes Mellitus(2018-04-13) Yap, MarkThe recommendation of a ketogenic diet for type 2 diabetes is often overlooked in favor of the traditional high carbohydrate, low-fat diet due to lack of knowledge. There is accumulating evidence to show that a ketogenic diet can have a significant effect on treatment. This evidence-based project compares a ketogenic diet to high carbohydrate, low-fat diet and shows that in comparison, ketogenic diets show improved glucose control, A1C levels, a good safety profile, and warrant inclusion in diabetic therapy.Item Decreasing Congestive Heart Failure Readmission with Telemonitoring(2018-04-13) Ezebuiro, MaryDirect congestive heart failure costs are expected to rise from 21 billion dollars in 2012 to an estimated 53 billion dollars in 2030. There is a 20% lifetime risk of developing congestive heart failure with a five-year mortality rate higher than many cancers (McTernan, et al., 2016). This poster provides information about using CHF app, EBP guidelines, and multidisciplinary care to reduce mortality and readmission rates, and improve quality of life.Item Targeted Education Increases Medication Compliance in Older Adults(2018-10-02) Walzer, Christopher; Vo, Yvonne; Ellenberg, SarahIn older adult patients, how does an availability of educational support measures compared with a lack of educational support measures affect medication compliance in the home setting from the time of discharge until the follow-up appointment?Item Electronic Health Record: Helping or Harming Patient-Centered Care?(2018-10-02) Lappin, Leah; Mitchell, Miranda; Slater, StacyHow do patients perceive the quality of care and communication effectiveness while healthcare providers implement the electronic health record as a primary contributor to the plan of care during a clinical visit?Item A Comparison of Two Sepsis Risk Identification Methods in the ED(2018-10-02) Lucas, Elizabeth; Keh, April; Hunsaker, AnnieIn the Emergency Department, is an EHR algorithm compared with clinical assessment more effective in identifying patients at risk for developing sepsis?Item Behavioral Approach to Improve Insomnia in Older Adults(2019-04-12) Chacon, AlidaInsomnia is a sleep disorder highly prevalent, especially among older adults, and it is associated with cognitive impairment, increased risk for falls, depression, decreased quality of life, and increased healthcare utilization. Good quality sleep is essential for good health and quality of life. There is ample evidence that supports the use of behavioral interventions as a primary treatment for insomnia. This evidence-based poster supports the implementation of current guidelines that recommend the use of cognitive behavioral therapy to treat insomnia in older adults.Item Increasing the HPV Vaccination Rates: A Primary Care Initiative(2019-04-12) Olvera, OznyAccording to the CDC, about 1 in 4 people currently have the HPV virus (2018). The current CDC recommendation is that all children ages 11-12 years of age receive two HPV vaccines 6-12 months apart. As infection with HPV progresses, it can lead to preventable cancers such as cervical cancers in women and penile cancers in men. Despite the availability of the HPV vaccine, vaccination rates continue to be low. With the susceptibility of HPV preventable cancers, the lowered vaccination rates are a cause for concern to healthcare providers. Research has shown that when a provider makes a strong recommendation for the HPV vaccine, parents are more likely to vaccinate. This evidence-based practice project explores the effects of a presumptive provider-led recommendation to vaccinate versus ancillary staff on compliance in vaccination.Item Home Health Transitional Care Interventions (TCI) to Reduce Rehospitalization in Geriatric Patients with Heart Failure(2019-04-12) Munuve'-Akinnola, RoseThis evidence-based project evaluates the evidence that high-intensity transitional care interventions at home are effective at preventing re-hospitalization, reducing mortality and improving quality of life in geriatric patients with heart failure. The project recommends consistent implementation, at home, of an interdisciplinary team, use of a standardized tool to assess re-hospitalization risk and regular use of the Teach Back method for patient and caregiver education (AHRQ, 2015). These strategies should be part of the standard outpatient intervention.Item 5 A’s Intervention to Increase Smoking Cessation in Primary Care(2019-04-12) Mobolade, ChristianaTobacco use remains the leading preventable cause of death in US adults. Healthcare providers have frequent contacts with their patients yearly in primary care clinics and are well positioned to identify patients who smoke and to assist with smoking cessation. The Agency for Healthcare Research recommends a comprehensive smoking cessation intervention, the “5 A’s,”; to ask, advise, assess, assist, and arrange smoking cessation interventions for patients who smoke (Grandes, Cortada, & Arrazola, 2018). This evidence-based project shows the effectiveness of the 5 A’s comprehensive smoking cessation intervention in every day routine consultation in primary care to increase smoking cessation.Item PDMP Utilization to Decrease Prescription Opioid Overdose Deaths(2019-04-12) Ugochukwu, KenechukwuOn average, 130 Americans die every day from an opioid overdose. From 1999 to 2016, more than 200,000 people died in the U.S. from overdoses related to prescription opioids (CDC, 2017). Prescription Drug Monitoring Program (PDMP) is an electronic database that tracks controlled substance prescriptions in a state. This EBP project focuses of the utilization of Prescription Drugs Monitoring Programs (PDMP) to decrease overdose deaths related to prescription Opioid abuse.Item Probiotics Treat and Prevent Antibiotic-Associated Diarrhea(2019-04-12) Pongvachararak, AaronThis evidence-based project explores evidence supporting the effectiveness of probiotics to treat and prevent antibiotic-associated diarrhea in adult patients ages 18-65 years. The project recommends that probiotics be prescribed concurrently with clinician recommended antibiotic treatment for this patient population.Item STOPP/START Protocol to Reduce Polypharmacy Among Geriatric Population(2019-04-12) Harris, CourtneyUp to 94% of the geriatric population is affected by polypharmacy and these medications are referred to as PIMs (potentially inappropriate medications), which are a global health concern. Polypharmacy and PIMs increase adverse drug events (ADEs) in the geriatric population, which can decrease independence and quality of life while increasing emergency room visits, rehospitalizations, and cost of living due to an increased amount of already finite monetary resources going towards health care. This evidence-based practice project recommends implementing STOPP/START Criteria, Screening Tool of the Older Person’s Prescriptions (STOPP) and Screening Tool to Alert Doctors to Right Treatment (START) to decrease polypharmacy in elderly population.Item Vitamin D Supplementation to Decrease Respiratory Infections in Adults(2019-04-12) Mburu, RuthVitamin D plays a vital role in the immune status of an individual. Various immune cells in the human body contain vitamin D receptors and vitamin D metabolizing enzymes. Respiratory tract infections (RTIs) are a major cause of mortality and morbidity globally. This evidence-based project explores the use of vitamin D supplementation in decreasing respiratory infections in African American adults 60 years and older.Item Triage Process and the Effect on Patients Leaving Against Medical Advice and Wait Times(2019-10-17) Lopez, Angie; Maldonado, Andy; Tran, GabyIn ER waiting rooms, how does early intervention in the waiting room compared with the standard linear triage process affect the number of patients leaving against medical advice and the emergency department length of stay? This poster was presented at the Phi Chi Sigma Theta Tau Nursing Honor Society Induction on October 17, 2019.Item Outpatient Use of Compliance Aids in Improving Medication Adherence in the Elderly(2019-10-17) Abernathy, Peyton; Olurebi, Joy; Williams, ReneIn people aged 65 and older, does the use of compliance aids, compared to those not using compliance aids, improve medication compliance? This poster was presented at the Phi Chi Sigma Theta Tau Nursing Honor Society Induction on October 17, 2019.Item Delaying the Newborn’s First Bath to Enhance Neonatal Stability(2019-10-17) Anyanwu, Ogechi; Hoffman, Risa; Meynard, LorinIn newborns, how does delaying the first bath to after the first 24 hours of life compared to bathing within 6 hours after delivery influence optimal neonatal stability of thermoregulation, glucose control, and breastfeeding? This poster was presented at the Phi Chi Sigma Theta Tau Nursing Honor Society Induction on October 17, 2019.Item Using a Multifaceted Approach to Improve HPV Vaccination Rates in Primary Care Settings(2020-05-01) Mims, HollieHuman papilloma virus is so prevalent, it is estimated that nearly all sexually active men and women will contract the infection at some point in their lives. HPV is responsible for 80% of all cervical cancers as well as growing numbers of anal, oropharyngeal, and penile cancers as well. With an effective vaccine widely available, why are vaccination compliance rates in the state of Texas less than 50%? This project utilizes a multimodal approach in a primary care setting to improve rates of HPV vaccination administration and completion.