College of Nursing’s Fall 2023 Evidence-Based Practice Posters for NURS 4314

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This collection gathers projects developed in NURS 4314 (Fall 2023) under Dr. Linda Connelly and Dr. Danielle Quintana

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    The Effectiveness of Continued Education Units on the Confidence and Competency of Nurses
    (2023-12) Duong, Mary; Nguyen, Kenneth; Rios, Daniel
    After completing the required degree education, it is easy for nursing skills to deteriorate if they are not regularly performed in practice. As required by the Texas Board of Nursing, nurses must complete 20 hours of Continued Education Units(CEUs) in order to renew their state license every 2 years. 6 The goal of these courses is to facilitate lifelong learning, improve nursing performance, and ensure that nurses are keeping up to date with standards of practices. It is largely up to the nurse themself to seek out the ever changing developments that occur in the healthcare world. Participation in skills based CEU Courses has been a beneficial way to promote nursing confidence by keeping nurses current with skills and providing insight into new practices
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    Rising Incidence of Cardiovascular Events in Adolescent Athletes: Mandating ECG Testing in Sports Physicals
    (2023-12) Brown, Sophia; Honoré, Jenna; Nguyen, Faith
    Hypertrophic cardiomyopathy (HCM)can leadto left ventricular hypertrophy, with stiffening of the myocardium, and eventually results incardiac demand thatexceeds supply. The body overexerts itself and the risk ofsudden cardiac death (SCD) increases due to the inability to compensate.Young student athletes engaging in strenuous physical activity are at greaterrisk for SCD related to non-mandated comprehensive sports screening physicals. The top leading cause of death among student-athletes is cardiac-related, and experts suspect that one high school student will die every three days of sudden cardiac death (NATA, 2023).Electrocardiogram screening is the appropriate diagnostic test to identify this myopathy as it may indicate increased voltage of the QRS complex and inverted T waves in the lateral leads, allowing cardiologists to identify this problem before it results in SCD.Following European guidelines, the proposed policy would be to “recommendthe use of... ECG,” in addition to the preexisting sports physical requirementswhich currently only includes “personal and family history and physicalexamination,” (Han,Lalario,Merro, et al., 2023) in the United States.“Preparticipation cardiac screening” will increase the detection rate of HCM andthus decrease life-threatening cardiac events (Han,Lalario,Merro, et al., 2023).
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    Colon Cancer Rates Inceasing in the Younger Population
    (2023-12) Huynh, Denise; Kidwai, Selma; Nguyen, Jannette
    The current guideline regarding colorectal cancer (CRC) screening encourages screening starting at age 45 in those at high risk, per the American Cancer Society (American Cancer Society, 2020). In recent years, the prevalence of colorectal cancer has become more significant in adults under the age of 45 (Peterse et al., 2018). A study showed that there was a 29.6% increase from 2001 to 2011 in the age group of 20–34 years (Sifaki-Pistolla, 2022). As a result of this, CRC screening guidelines should be modified to increase screening in the 20-30 year old age group population that have a family history of CRC, or meet the lifestyle or environmental risk factors for colorectal cancer. The modification of the CRC screening guidelines are aimed at the increased detection of CRC in the earlier, non-metastasized stages, in order to improve health outcomes and promote early treatment in populations that are vulnerable for the development of CRC.
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    How a Routine Oro/Nasopharyngeal Suction Versus No Suction at Birth Affects Respiratory and Cardiac Outcomes of Newborns
    (2023-12) Boado, Carissa; Chau, Cindy; Nagpacan, Pauleen
    Obstruction of the oropharynx and nasopharynx passageways in infants after birth is fairly common. Thus, it is a routine procedure to use suction for all neonates. This method prompts the nurse to use a suction device, such as a bulb syringe or a catheter, to remove secretions to aid the baby in ventilation. However, in a baby that is born through clear amniotic fluid and lacks obstruction of these passageways, the need for suction may not be pertinent. Adverse effects such as lower oxygen saturation, have been associated with oro/nasopharyngeal suctioning that deem it more harmful than good, leading to the review of this practice. It is crucial to determine whether there are clear advantages or disadvantages for infants whose airway undergoes suctioning compared to those who do not.
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    A Healthy Community : The Impact of Healthcare Access
    (2023-12) Adame, Fernando; Derecho, Jom; Tekie, Nftalem
    The implementation of government sponsored healthcare programs aimed at providing free health screenings is seen as a solution to address healthcare disparities among low income residents in underserved communities. These programs seek to improve healthcare utilization rates, facilitate early disease detection, and reduce financial barriers to healthcare access. The rationale behind this research inquiry stems from the pressing need to assess the tangible impacts of such initiatives on vulnerable populations, as limited empirical evidence exists to guide policy decisions.
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    The Impact of Operating Room Health-Acquired Infections on Patients
    (2023-12) Azeeza, Sana; Medrano, Eileen; Ramirez Jordi, Loeyis
    Ensuring healthcare staff such as scrubtechnicians and scrub nurses are followingproper protocols during surgical procedures isof utmost importance in preventing health-acquired infections. Failure to do so can leadto complications such as poor surgical sitehealing, development of skin pathogens, andsepsis. It is important to consider thesepotential complications in order to preservethe health status of the patient. Hospitals mayhave different standards of care and policies,but they are all primarily focused on theimportance of proper surgical hand scrubbing.
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    The Effects of Hypnotherapy in Addition to Traditional Medicine on Patients with Acute or Chronic Pain
    (2023-12) Batz, Yolanda; Chu, Danny; Singleton, Jasmine
    Pharmacological interventions are traditionally the first line treatment for pain but they come with disadvantageous side effects such as dizziness, drowsiness, gastrointestinal irritation, nausea and vomiting, respiratory depression, stupor and loss of consciousness. In addition, with high, long-term doses, they could potentially cause immunosuppressive effects and dependence on the medication (NIDA, 2021). These side effects decrease the client’s overall quality of life. Hypnotherapy is a heightened state of concentration and focused attention. Guided by a trained, certified hypnotist or hypnotherapist, hypnosis allows the client to be more receptive to suggestions to enact healthful changes in their perceptions, sensations, emotions, memories, thoughts or behaviors. The utilization of hypnotherapy can limit pain by altering the client’s perception. The use of hypnotherapy is successful in altering both acute and chronic pain (Elkins et al., 2007). Common causes of pain include menstrual pain, surgical procedures, physical injuries, ischemia, and chronic health conditions such as cancer, sickle cell anemia, arthritis, and multiple sclerosis to name a few. Hypnotherapy, when used in conjunction with pharmacological treatments for acute and chronic pain, can potentially result in decreased pain and increased clients’ overall quality of life.
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    Effectiveness of Fowler's Position on Preventing VAP in Adult ICU Patients
    (2023-12) Bapat, Ramaa; Benjamin, Jem; Ibarra, Mia
    In the ICU, patients are often placed on mechanical ventilation. Mechanical ventilation is an artificial airway for patients that lack spontaneous breathing or are experiencing other critical conditions that can severely impair respiratory function. Being on mechanical ventilation for more than forty eight hours increases the risk of ventilator associated pneumonia. It is the second most common hospital acquired infection and accounts for 7% to 32% of all healthcare associated infections ( Kohbhi et al., 2022). Ventilator associated pneumonia (VAP) is also expensive for hospitals because it increases the length of time spent in the hospital (Fadda & Ahmad, 2021). Healthcare professionals can contribute to the decrease of VAP by encouraging certain positions other than supine for the patient. Placing patients at thirty to forty five degree angle decreases the chance of VAP ( Kallet , 2019).
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    The Effect of Music in the Operating Room
    (2023-12) Nieto, Jeremiah; Nguyen, Derek; Garcia, Ivan
    Background:The operating room (OR) is a vital healthcare setting, requiring effective communication for patient safety. Recently, attention has turned to the role of music in the OR, sparking discussions on its potential impact on healthcare outcomes. Significance: Understanding how music in the OR enhances surgical task performance by surgical personnel. Introduction: This EBP project explores the impact of music in the OR on surgical task performance by surgical personnel. Examining music's influence on patient experience and reduction in anxiety.
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    The Use of Complementary and Alternative (CAM) Therapies to Reduce Pain Levels in Laboring Women
    (2023-12) Zuno, Brisa M.; Vo, Ha Nhat K.; Mohamed, Mawaddah
    The use of Complementary and Alternative Medicine (CAM) therapies for pain has become widespread; and within the context of laboring women, it may be an integral method of holistic pain relief. The term CAM refers to interventions done alongside mainstream medicine and pharmacology to enhance relief of the body, mind and spirit. CAM is used in conjunction with traditional medical care and under the guidance of a healthcare provider to incorporate within the patients’ birth plans. CAM can help patients feel more in control during the labor process to alleviate any distress and pain. Many of the CAM interventions can include (but are not limited to) acupuncture, aromatherapy, music therapy, yoga, and even guided imagery. There is a need to establish protocol to fully integrate CAM therapies as first line options for laboring women in the hospital.
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    The Effectiveness of Implementing Tailor Suicide Screening Tools for All Young Adolescents Admitted into the Emergency Department
    (2023-12) Johnson, Brianna; Richardson, Cailey; Ugona, Somto
    A growing number of young adolescents who are admitted into the emergency department show a high risk for suicide, even those who are admitted for non- psychological medical problems 5. Studies show that current suicide screenings that are commonly used, including the Columbia-Suicide Severity Rating Scale Screener (C-SSRS), are not accurate predictors of suicide attempts after discharge from emergency departments 7. One study showed that most patients who were released from the ED and died from suicide screened negative for suicidal ideation and did not receive psychiatric services in the ED.7 The Computerized Adaptive Screen for Suicidal Youth (CASSY) has a high sensitivity and specificity for detecting future suicide attempts and might allow nurses in the ED to more accurately identify adolescents at risk of future suicide attempts
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    Tiniest Warriors : Managing Pain Through Music
    (2023-12) Madubuko, Chimuanya; Ramos, Gisselle; Andrade, Alejandra
    Neonatal Intensive Care Units (NICUs) play a pivotal role in providing specialized care to critically ill newborns. Despite the life-saving interventions they are offered, many infants in the NICU often experience painful procedures and medical interventions. It is well-established that neonates have the capacity to perceive pain, and the consequences of unmanaged pain in this vulnerable population can be profound. Pain is often cared for through pharmacological interventions without looking for deep cause. However, implementing non-pharmacological interventions such a music therapy can differentiate procedure pain from complication pain.
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    CLABSI Prevention Across Pediatric ICU Population
    (2023-12) Martinez, Emily; Randall, Amanda; Silveyra, Mariana
    The pediatric population in the PICU has a higher likelihood for the necessity of a central line placement. Among many other reasons, these may include the need for long-term medication therapy, receiving large amounts of fluid and medications, and a longer hospital stay. The use of a central line placement has many benefits for these clients, but comes with a high risk of infection, which can be detrimental to the overall health of the client due to the placement of the central line within the heart. This population is more susceptible to develop a central line-associated bloodstream infection (CLABSI) if there is a lack of CLABSI bundle compliance by the PICU nurses.7 The CLABSI rate per 1000 patient-days dropped from 3.1 per 1000 device-days to 0.4 per 1000 device-days.3 This means that the CLABSI rate dropped from 0.31% to 0.04% per device use days.3 CLABSI Bundle compliance decreased the prevalence by nearly 8 times. The CLABSI bundle approach aims to prevent the incidence of CLABSIs within the PICU population. The CLABSI bundle slightly varies, but should include hand hygiene, aseptic technique for accessing and changing connectors, standardized tubing changes, accurate charting of dressing changes, and daily review of catheter necessity.
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    The Effects of Hand Hygiene Procedures on Reducing Incidence of MRSA Infections in the Immunocompromised Adult ICU Population
    (2023-12) Ilagan, Matthew; Mire, Julien; Crooker, Eric
    Hand hygiene is a vital intervention in infection control in healthcare settings. Healthcare-associated infections (HAIs) are a significant concern in the hospital setting, leading to increased patient morbidity and mortality, extended hospital stays, and substantial healthcare costs (World Health Organization, 2020). In this context, this research seeks to address the following key research questions: How does the implementation of an enhanced hand hygiene intervention program impact the hand hygiene compliance rates among healthcare workers in acute care settings? What is the relationship between improved hand hygiene compliance and the incidence of healthcare associated infections in these units? By exploring these questions, this study aims to provide valuable insights into the effectiveness of handwashing practices in a hospital setting and contribute to the ongoing efforts to reduce HAIs and improve patient safety.