ItemIncreasing the Diagnosis & Management of Generalized Anxiety Disorder in Primary Care by Utilizing the GAD-7(2020-05-01) Talton, RobinThis evidence-based project (EBP) implements the GAD-7 as a screening tool in diagnosing and treatment management of patients with GAD. The evaluation of the screening tool includes comparing the number of patients diagnosed with GAD before and after implementing the GAD-7 into practice, and HCPs perspectives of the standardized tool in diagnosing and treatment management of patients. ItemExperiential Learning to Teach Cultural Competency in Nursing(2020-05-01) Schulte, AnitaCultural competence of healthcare professionals, especially nurses, has been identified as a key factor in reducing health disparities. However, despite the widespread recognition of the importance of cultural competence, curricular strategies to teach this skill have yielded mixed results. The purpose of this evidence-based practice project is to implement experiential learning strategies such as simulation, cross-cultural immersion, and service-learning to improve cultural competence in undergraduate nursing students. ItemUtilizing Purposeful Hourly Rounding to Decrease Falls on A Medical-Surgical Unit(2020-05-01) Randle, TommieRounding on patients is not a new practice in health care, but purposeful hourly rounding is a fairly new proactive approach to patient care. Purposeful rounding is a structured process whereby nurses and patient care assistants in hospitals perform regular checks, usually hourly, with individual patients using a standardized protocol to address issues of positioning, pain, personal needs, and placement of items. Hourly rounding is one of the most important activities staff can take to improve patient safety and reduce falls in hospitals. Decreasing patient falls improves patient outcomes and lessens the cost associated with falls in hospitals. The purpose of this project is decrease falls by implementing a more structured rounding tool along with the proper use of visilerts on a medical-surgical unit. ItemUsing 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. ItemImproving Quality of Life with Early Initiation of Palliative Care in Patients with Advanced Cancer(2020-05-01) Gnan, CaitlinThis evidence-based project explores the effect of initiating palliative care early in advanced cancer to improve patients’ quality of life, anxiety, and depression. Medical oncology providers will identify patients with distant metastases, late-stage, or life-limiting cancer, educate identified patients on benefits of palliative care, and refer them for initial palliative care consultation. Quality of life, depression and anxiety will be measured for each patient prior to consultation and after three months of receiving dedicated palliative care services, using the MQOL, PHQ9 and GAD7 questionnaires. ItemPrioritizing Acute Care Education in Renal Transplant Recipients – An Evidenced Based Approach with the ACE STAR Model of Knowledge Transformation(2020-05-01) Garcia, FerdinandThis EBP project focuses on prioritizing acute care education with an EBP approach with the ACE STAR Model of Knowledge of Transformation. It demonstrates the positive outcomes of acute intervention have improving medication adherence rates, decreasing readmission rates, the average length of stay, enhancing patient educational experience and reducing costs to hospitals. ItemImproving Pregnancy Outcomes by Implementing Centering Pregnancy into Prenatal Care(2020-05-01) Elegon, IyoboThis evidence-based research project discusses the benefits of group prenatal education and its outcome on the rates of birth rates and preterm births. With the limited amount of time given in clinical practice, there becomes an inability to educate pregnant patients with enough prenatal education. There is substantial evidence that reveals a lack of prenatal education is linked to an increase risk of preterm birth and low birth rates. This project recommends that Centering Pregnancy, which is a group prenatal education program, decreases those risks as compared to standard prenatal education. The tools used in the Centering Pregnancy prenatal education program not only benefits the mother by educating her with important knowledge but decreases the risks of premature birth and low birth rates in their unborn child. ItemNurse Champions to Reduce Catheter-Associated Urinary Tract Infections(2020-05-01) Dunmore, AlexisThis evidence-based project aims to address the implementation of a unit nurse champion compared to having no unit-specific nurse educator in efforts to decrease the occurrences of CAUTIs on the inpatient hospital unit over a three-month timespan. The nurse champion can be identified as a staff nurse who cares for patients alongside fellow bedside nurses while serving as an expert educator of evidence-based practices (Mount & Anderson, 2015). The nurse champions will receive training from evidence-based project (EBP) mentors, and; the newly trained scholars (nurse champions), transfer of peer-to-peer knowledge, and assiduous administration buy-in, will foster the implementation of best evidence and quality care leading to a decrease in CAUTIs (English, 2016).