Doctor Of Nursing Practice (DNP) Capstone Project .
Doctor of Nursing Practice (DNP)Capstone Project AbstractsCohort 6Submitted in partial fulfillment of the requirementsfor the Doctor of Nursing Practice DegreeDecember 11, 2015Michelle A. Beauchesne, DNSc, RN, CPNP, FAAN, FAANP, FNAPDNP Program DirectorAssociate ProfessorJanet Rico, PhD, MBA, NP-BCAssistant Dean for Graduate Programs, School of NursingAssociate Clinical ProfessorNancy Hanrahan, PhD, RN, FAANDean, School of NursingAssociate Dean, Bouvé College of Health SciencesProfessor
Doctor of Nursing Practice (DNP)Capstone ProjectsCohort 6Student Speakers:Kandree Hicks & Leah McKinnon-Howe1. Georgia Agganis, MSN, RN, CPNPCapstone Title: Preventing Sexually Transmitted Infections (STIs) in Adolescence: AQuality Improvement Project to Determine if Adolescent Females with the Long ActingContraceptive Nexplanon Continue with Condom UseCapstone Advisor: Karen Farnum, DNP, RN, PPCNP-BC, Adjunct Associate Clinical Professor,Northeastern University, Boston, MA; Pediatric Primary Care, Greater Lowell Pediatrics,Lowell, MAExpert Mentor: Michelle Beauchesne, DNSc, RN, CPNP, FAAN, FAANP, FNAP,DNP Program Director & Associate Professor, Northeastern University, Boston, MA2. Pooja Bhalla, MSN, RNCapstone Title: Development of an Urban Leadership Development Seminar Series forEmerging Nurse Leaders at Boston Health Care for the Homeless Program (BHCHP)Capstone Advisor: Michelle Beauchesne, DNSc, RN, CPNP, FAAN, FAANP, FNAP,DNP Program Director & Associate Professor, Northeastern University, Boston, MAExpert Mentor: Terri LaCoursiere Zucchero PhD, RN, FNP-BC, Healthcare for the Homeless,Boston, MA3. Jennifer Bragdon, MSN, MTS, BA, RN, CNOR, CPNCapstone Title: Current Nursing Pressure Ulcer Prevention Practice and Risk Factors ofPressure Ulcer Development in the Perioperative EnvironmentCapstone Advisor: Dorothea Devanna, DNP, RN, ACNS-BC, Adjunct Clinical AssociateProfessor, Northeastern University, Boston, MA; Medical-Surgical Clinical Nurse Specialist,Mount Auburn Hospital, Cambridge, MAExpert Mentor: Charlotte L. Guglielmi, MA, RN, CNOR, Clinical Manager, PerioperativeEducation, Beth Israel Deaconess Medical Center, Boston, MA4. Mary Bronski, MS, RNCapstone Title: A State Wide Web-Based Survey of the Characteristics and Demographicsof Residential Care Facility Residents in MassachusettsCapstone Advisor: Sharon Kuhrt, DNP, RN, Adjunct Associate Clinical Professor,Northeastern University, Boston, MA; Director, Clinical Excellence, Martin's Point Health1 Page
Care, Portland, MEExpert Mentor: Suzanne Meree Lawton, MHA, BSN, RN, President and Legislative Advocatefor M.A.R.C.H. (Massachusetts Association of Residential Care Homes) York, ME5. Debra Burke, MSN, MBA, RNCapstone Title: Characteristics of Nurse Directors that Contribute to High RegisteredNurse Satisfaction ScoresCapstone Advisor: Patricia A. Hickey, PhD, MBA, RN, CHPQ, NEA-BC, FAAN, AdjunctProfessor, Northeastern University, Boston, MA; Vice President & Associate Chief Nurse,Cardiovascular and Critical Care Services; Co-Executive Director, Center for MedicalSimulation, Boston Children’s Hospital, Boston, MA; Assistant Professor of Pediatrics,Harvard Medical School, Boston, MAExpert Mentor: Marianne Ditomassi, DNP, MBA, RN, Executive Director, Patient CareServices Operations and Magnet Recognition, Massachusetts General Hospital, Boston, MA6. Carlene Byfield, MS, RNCapstone Title: Strengthening Professional Resilience in Post Licensure Nurses WhoCare for Children with Special Health Care Needs and Complex Medical ConditionsCapstone Advisor: Ann C. Stadtler, DNP, RN, CPNP, Adjunct Associate Clinical Professor,Northeastern University Boston MA; Director, Touchpoints Site Development & Training,Brazelton Touchpoints Center, Boston Children's Hospital, Boston, MAExpert Mentor: Rona Schlau, MS, RN, Assistant Vice President and Chief Nursing Officer, St.Mary's Hospital for Children with Special Health Care Needs, Bayside, NY7. Immacula Cann, MSN, RN-BCCapstone Title: Assessing for Presenteeism and Interest in "One Body" Stress ReductionFitness Program in a Healthcare SettingCapstone Advisor: Dorothy M. Mullaney, DNP, MHS, APRN, Adjunct Associate ClinicalProfessor, Northeastern University, Boston, MA; Director, Advanced Practice, DartmouthHitchcock Medical Center, Lebanon, NHExpert Mentor: Lee R. Radke, Ed.D, Director of Education & Training and Infection Control,Southwest Connecticut Mental Health System, Bridgeport, CT8. Julie Cronin, MSN, RN, OCNCapstone Title: Implementing and Evaluating a COMFORT Communication in PalliativeCare Curriculum for Oncology NursesCapstone Advisor: Kelly A. McCue, DNP, RN, AOCNS, Adjunct Clinical Associate Professor,Northeastern University, Boston, MA; Program Manager Oncology and Breast, BrattleboroMemorial Hospital, Brattleboro, VTExpert Mentor: Gino Chisari, DNP, RN, Director, The Norman Knight Nursing Center forClinical & Professional Development within the Institute for Patient Care, Boston, MA9. Heather Farmer, MSN, RN, PMHNP-BCCapstone Title: Evaluating Provider Response to the Proposed Addition of the Specifier"With Psychopathic Features" to the Diagnosis of Antisocial Personality DisorderCapstone Advisor: Karen Pounds, PhD, APRN-BC, Assistant Clinical Professor, NortheasternUniversity, Boston, MAExpert Mentor: James Schrage, Psy.D, Unit Director, Bridgewater State Hospital,Bridgewater, MA2 Page
10. Kandree E. Hicks, MPS, MSN, APRN, NP-CCapstone Title: Curriculum Design in Postgraduate Education and Training (PGET)Programs for Primary Care Nurse Practitioners: A Multiple Program AnalysisCapstone Advisor: Janet Rico, PhD, MBA, NP-BC, Assistant Dean, Graduate Programs,Northeastern University, Boston, MAExpert Mentor: Margaret Flinter, PhD, APRN, FNP-C, Senior Vice President and ClinicalDirector, Community Health Center, Inc, Middletown, CT11. Jonathan Kopchick, MS, CRNACapstone Title: Do Elderly Patients Having Hip Surgery Who Receive IntraoperativeKetamine Experience Less Postoperative Delirium? A Retrospective Chart ReviewCapstone Advisor: John Hanlon, DNP, CRNA, Adjunct Associate Clinical Professor,Northeastern University, Boston, MA; President, Sleep Safe Anesthesia, PLLC, Hudson, NHExpert Mentor: Isabel Legarda, MD, Anesthesiologist, Norwood Hospital, Norwood, MA12. Theresa Lesniak, MSN, PMHNP-BCCapstone Title: Assessing Primary Care Nurse Practitioners' Perceptions in Screeningfor Depression and Suicidality: An Educational Pilot StudyCapstone Advisor: Nancy Dirubbo, DNP, RN, FNP-BC, FAANP, Certificate in Travel Health;Adjunct Assistant Professor, Northeastern University, Boston, MAExpert Mentor: Charlotte Barry, PhD, RN, NCSN, FAAN, Professor, Florida AtlanticUniversity, Boca Raton, FL13. Joseph Lynn, MSN, CRNACapstone Title: Implementation of Enhanced Recovery After Surgery (ERAS) Protocol: AQuality Improvement Project to Evaluate Compliance and Outcomes with ERAS ProtocolCapstone Advisor: Lynn Reede, DNP, MBA, CRNA, Adjunct Associate Clinical Professor,Northeastern University, Boston, MA; Senior Director, Professional Practice, AmericanAssociation of Nurse Anesthetists, Park Ridge, ILExpert Mentor: Michael Loughren, PhD, CRNA, J CIV USARMY MEDCOM MAMC (US)14. Terra Mangum, MSN, ARNP, FNP-BCCapstone Title: Parental Perceptions of Adolescent Preventive Health Care: A CommunityQuality Improvement ProjectCapstone Advisor: Pamela Burke, PhD, RN, FNP, PNP, FSAHM, FAAN, Clinical Professor,Northeastern University, Boston, MAExpert Mentor: Marcy Shimada, BS, CEO, Edmonds Family Medicine, Edmonds, WA15. Leah McKinnon-Howe, MS, APRN-BCCapstone Title: Identifying Knowledge Gaps in Clinicians Who Evaluate and Treat VocalPerforming Artists in College Health SettingsCapstone Advisor: Susan Jo Roberts, DNSc, RN, ANP-BC, FAAN, Professor, Director PrimaryCare Adult/Gerontology and Family Nurse Practitioner, Northeastern University, Boston,MAExpert Mentor: Jayme Dowdall, MD, Co-Director, Voice Program, Brigham and Women’sHospital; Instructor, Department of Otology and Laryngology, Harvard Medical School,Boston, MA16. Anne M. Mingolelli, MSN, PMHNP-BC, APRN-BCCapstone Title: Analysis of Current Practices for Re-Entry to School Following Inpatient3 Page
Psychiatric HospitalizationCapstone Advisor: Linda Malone, DNP, RN, CPNP-PC, Assistant Clinical Professor, Director,Pediatric Nurse Practitioner Specialty, Northeastern University, Boston, MAExpert Mentor: Mary Anne Gapinski, MSN, RN, NCSN, Director of School Health Services,Massachusetts Department of Public Health17. Nina Mitchell, MSN, RN, PMHNP-BC, ANP-BCCapstone Title: The Implementation of an Electronic Health Record in BehavioralHealth: An Analysis of the Patient StoryCapstone Advisor: Mary Samost, DNP, RN, Adjunct Associate Clinical Professor,Northeastern University, Boston, MA; Associate Chief Nursing Officer, Cambridge HealthAlliance, Cambridge, MAExpert Mentor: Brendan Wynne, DNP, RN, PMHNP-BC, Psychiatric Nurse Practitioner, LaheyHealth Behavioral Services, Beverly, MA18. Sicilia Montrond, MSN, RN, CDNCapstone Title: The Past, Present and Future of Nurse Residency Programs: A ProgramAnalysisCapstone Advisor: Susan A. Distasio, DNP, ANP-CS, APRN, AOCNP, Adjunct Associate ClinicalProfessor Northeastern University, Boston, MA; Nurse Practitioner, Pain ManagementCenter, Dartmouth-Hitchcock Medical Center, Lebanon, NHExpert Mentor: Michele DeGrazia, PhD, RN, NNP-BC, FAAN, Adjunct Associate Professor,Northeastern University, Boston, MA; Director of Nursing Research, Neonatal Intensive Care& Neonatal Nurse Practitioner, Boston Children’s Hospital; Instructor in Pediatrics, HarvardMedical School, Boston, MA19. Yasmin Noel, MSN, FNP-BCCapstone Title: A Web-Based Survey Exploring the Perceived Impact of InternationalImmersion Experiences (IIE) on Graduate Nursing StudentsCapstone Advisor: Janet Dewan, PhD, CRNA, Assistant Clinical Professor, NortheasternUniversity, Boston MAExpert Mentor: Teresa Chopoorian, Ed.D, MSN, RN, Administrator, Mansion Nursing andRehabilitation Center, Central Falls, RI20. Jessica Ochs, MSN, APRN, ANP-BCCapstone Title: Developing, Delivering, and Evaluating an Innovative Pedagogy forTeaching Transcultural NursingCapstone Advisor: Mary Mayville, DNP, RN, CNE, Assistant Clinical Professor, NortheasternUniversity, Boston, MAExpert Mentor: Barbara Moloney, DNP, RN, CCRN, Assistant Director, Course Coordinator,Associate Professor, Lawrence Memorial/Regis College, Medford, MA21. Caitlin O’Connell, MSN, RN, CPNP-AC/PCCapstone Title: Weaning of opioid and sedative medications in pediatric patients withcongenital heart disease: A national survey to assess the state of the practiceCapstone Advisor: Jean Connor, PhD, RN, CPNP, FAAN, Adjunct Professor, NortheasternUniversity, Boston, MA; Director of Nursing Research, Cardiovascular & Critical CareServices, Boston Children’s Hospital, Boston, MAExpert Mentor: Lauren Hartwell, BS, Quality Improvement Consultant, Boston Children's4 Page
Hospital, Boston, MA; Sonja Ziniel, PhD, MA; Associated Personnel, Boston Children'sHospital, Boston, MA22. Kathy Prairie, MS, RN, FNP, CCRNCapstone Title: A Quality Improvement Project Focused on Reducing Nuisance VentilatorAlarms in a Surgical and Neuroscience Intensive Care UnitCapstone Advisor: Laura Mylott, PhD, RN, ANP-BC, Clinical Professor, NortheasternUniversity, Boston, MAExpert Mentor: Dan R. Thompson, MD, MA, FACP, MCCM, Professor of Surgery,Anesthesiology and Biomedical Ethics, Albany Medical College, Surgical Critical CareMedicine, Alden March Bioethics Institute, Albany, NY23. Margaret Reither, MS, CNMCapstone Title: Midwifery Management of Pregnant Women Who are ObeseCapstone Advisor: Michele DeGrazia, PhD, RN, NNP-BC, FAAN, Adjunct Associate Professor,Northeastern University, Boston, MA; Director of Nursing Research, Neonatal Intensive Care& Neonatal Nurse Practitioner, Boston Children’s Hospital; Instructor in Pediatrics, HarvardMedical School, Boston, MAExpert Mentor: Elaine Germano, DrPH, CNM, FACNM, Senior Education Policy Advisor,American College of Nurse Midwives, Washington, DC24. Mark Schierenbeck, MHS, ARNP, CRNACapstone Title: Inter-rater Reliability and Usability of a New and Innovative StudentRegistered Nurse Anesthetist Clinical Performance Evaluation InstrumentCapstone Advisor: Steve Alves, PhD, CRNA, FNAP, Clinical Professor, Nurse AnesthesiaProgram Director, Project Director US Army Graduate Program in Anesthesia Nursing,Northeastern University, Boston, MAExpert Mentor: John Murphy, DNP, CRNA, Clinical Deputy Director, US Army GraduateProgram in Anesthesia Nursing, Carl R. Darnall Army Medical Center, Fort Hood TX25. Christina Simington, MS, RN, CPNP-PC/ACCapstone Title: Pediatric Primary Care Mental Health Evaluation of AdolescentsCapstone Advisor: Michele DeGrazia, PhD, RN, NNP-BC, FAAN, Adjunct Associate Professor,Northeastern University, Boston, MA; Director of Nursing Research, Neonatal Intensive Care& Neonatal Nurse Practitioner, Boston Children’s Hospital; Instructor in Pediatrics, HarvardMedical School, Boston, MAExpert Mentors: Elisabeth Bailey, DNP, RNPC, PMHCNS-BC, Clinical Assistant Professor,Boston College, Newton, MA; Lester Hartman, MD, MPH , Medical Home Director,Westwood-Mansfield Pediatric Associates, Westwood, MA26. Donald Van Dam, MSN, CRNA, LTC (Retired Army)Capstone Title: Peripheral Nerve Blockade Outcomes in an Ambulatory Care CenterCapstone Advisor: Tiffany Kelley, PhD, MBA, RN, Adjunct Associate Professor, NortheasternUniversity, Boston, MA; Founder & CEO, Nightingale Apps, Boston, MAExpert Mentors: John P. Maye, PhD, CRNA, CAPT USN (RET), Staff CRNA, KimbroughAmbulatory Care Center, Department of Anesthesia, Fort Meade, MD; Jason M. McGuire,PhD, CRNA, CDR, USN, Chief, Center of Nursing Science and Clinical Inquiry, Walter ReedNational Military Medical Center, Bethesda, MD5 Page
AcknowledgementsSpecial thanks go to all the DNP Faculty who, in addition to the many capstone advisors and expertmentors, have contributed throughout this cohort’s doctoral journey:Karla Damus, PhD, MSPH, MN, FAANMichele DeGrazia, PhD, RN, NNP, FAANTiffany Kelly, PhD, RNSharon Kurht, DNP, RNKelly McCue, DNP, MSN, AOCNS, RNRichard Ricciardi, PhD, NP, FAANPWe would also like to thank:Brienne Leary and Alice Murphy for their time and dedication to the DNP program and thedevelopment of this booklet.Nan Clark Regina, Director, HSRP, and Andrea B. Goldstein, Coordinator, HSRP, for their continuingguidance and due diligence in safeguarding Human Subjects Research Protection.References for Capstone Abstracts are available upon request.All projects were approved as quality improvement/performance improvement by all IRBs.6 Page
Preventing Sexually Transmitted Infections (STIs) in Adolescence: A Quality ImprovementProject to Determine if Adolescent Females with the Long Acting Contraceptive NexplanonContinue with Condom UseGeorgia AgganisBackground: Adolescents need to be fully informed and counseled on contraceptive options inorder to decrease pregnancy risk and prevent sexually transmitted infections (STIs) (U.S.Department of Health and Human Services, 2014). Long acting reversible contraception is nowthe most preferred method of contraception in adolescent females (American Academy ofPediatrics (AAP, 2014) due to reliability and adherence. Nexplanon is a long acting reversiblecontraceptive that is offered in many primary care pediatric settings. In the current literaturethere are no specific guidelines set for adolescents receiving Nexplanon regarding follow upcare.Purpose and Goal: The purpose of this practice improvement project was to identify sexualhealth practices of adolescent females that receive Nexplanon, and evaluate their risk ofcontracting STIs after insertion. The goal is to develop guidelines for the provision of improvedcounseling services and better management of the sexual health of adolescent females who havehad Nexplanon inserted.Methodology: A convenience sample group of 37 adolescent females aged 14-19 years that hadNexplanon inserted during the implementation of this service, from November 1, 2014, toOctober 22, 2015, were recruited from a pediatric primary care practice in Massachusetts. Priorlegal counseling and ethical approval were obtained. Participants were recruited by phone callsusing their personal cellular phone numbers and asked to answer 3 questions about their sexualhealth.1: Are you still involved in a sexual relationship after your Nexplanon was inserted?2: Are you using Condoms?3: Would you like to leave a urine sample at the office at your convenience to check forGonorrhea and Chlamydia?All patients who answered yes to having a sexual relationship were counseled about theimportance of condom use in order to reduce STI risk and additional laboratory testing wasoffered. Of note, all who requested additional STI testing were provided that testing, but resultswere not included within the parameters of this study.Results: Data indicates that adolescents do not engage is safe sexual intercourse after receivingNexplanon. Therefore, a structured follow up is needed to continue with anticipatory guidanceabout STI prevention and to provide indicated screenings.Implications for practice: The results will inform development of practice guidelines toimprove and implement structured follow up care for adolescent females with Nexplanoninsertions. It is the intent that this project will create a greater awareness of the need to maintainoptimal sexual health and the value of health promotion.7 Page
Development of an urban leadership development seminar series for emerging nurse leadersat Boston Health Care for the Homeless Program (BHCHP)Pooja BhallaBackground: America’s Health Care for the Homeless (HCH) projects are community based,patient-centered programs. The homeless population has unique health care needs requiringproviders who have unique knowledge, competencies, and skills. In this complex health careenvironment of many reforms, organizations providing healthcare to homeless individuals needto identify, support and mentor staff who are emerging leaders.Purpose and Goals: The purpose of this project is to develop and implement a leadershipdevelopment seminar. The aims were to (1) identify knowledge gaps for emerging nurse leaders,(2) implement a pilot educational urban leadership seminar series for emerging nurse leaderswho work in settings that provide care to homeless men, women and children, and (3) measureacquisition of skills and competencies acquired from a seminar series. A long term goal is tobetter prepare nurses for sustained leadership roles and better meet the needs of organizationsproviding health care to homeless individuals in this evolving health care environment.Methodology: This project used a purposive sample of 15 registered nurses (RN) who worked ata health care for the homeless population setting in the urban Boston area. Inclusion criteriaincluded RN’s with 10 years nursing practice in this area who had moved into a leadershipposition within the last three years. This intervention utilized a pre- and post-test design toevaluate the impact of a pilot urban leadership seminar series. Data were collected through theadministration of a baseline and post intervention survey modified from the Leadership PracticesInventory (LPI) self-assessment tool (reference). The 30-item, 10-point Likert rating scale LPImeasures specific leadership behaviors, based on The Five Practices of Exemplary Leadership(Kouzes and Posner, 2011). Participants were offered a series of five 90-minute urban leadershipseminars based on the Nursing Leadership Institute Competency Model (NLICM, 2003) in fall2015.Results: Both quantitative and qualitative descriptive statistics were the basis for data analysis.Results will be used to inform the improvements and development of leadership skills for thenurses who participated in the emerging leader program.Implications for Practice: It is anticipated that participation in this
Expert Mentor: Marcy Shimada, BS, CEO, Edmonds Family Medicine, Edmonds, WA 15. Leah McKinnon-Howe, MS, APRN-BC Capstone Title: Identifying . Albany Medical College, Surgical Critical Care Medicine, Alden March Bioethics Institute, Albany, NY . Peripheral Nerve Blockade Outcomes in an Ambulatory Care Center Capstone Advisor: Tiffany Kelley .
DNP Essential: V DNP Course: 464, 471,575, DNP Practica Advanced Nursing Practice 5. Integrates advanced nursing knowledge and specialty competencies with clinical scholarship in an identified area of nursing practice DNP Essential: VIII, III DNP Course: DNP Practica, (masters core and specialty coursework) * course sunsetted spring, 2018
Interim Director, Advanced Practice and DNP Programs Johns Hopkins School of Nursing 1. Objectives 1. Examine the history and factors leading to the development of the DNP 2. Consider benefits of the DNP 3. Identify pathways for the DNP . University of Maryland -**BSN-DNP: NP, CNS, CRNA -*Post-Masters
DNP, FNP-C Assistant Professor of Nursing MICHAEL D. GOOCH DNP, ACNP-BC, FNP-BC, ENP-C Assistant Professor of Nursing KAREN HANDE DNP, ANP-BC, CNE, FAANP Associate Professor of Nursing Assistant Director, DNP Program K. MELISSA SMITH HAYES DNP, ANP-BC, CHFN Assistant Professor of Nursing QUEEN HENRY-OKAFOR PhD, APRN, FNP-BC
DNP Education, Practice, and Policy, Second Edition Mastering the DNP Essentials for Advanced Nursing Practice Stephanie W. Ahmed DNP, FNP-BC, DPNAP Linda C. Andrist PhD, RN, WHNP Sheila M. Davis DNP, ANP-BC, FAAN Valerie J. Fuller PhD, DNP, AGACNP-BC, FNP-BC, FAANP April 2018 Paperback 9780826140180 80.00 Make your textbooks more affordable!
Rutgers DNP Project to Accompany THE DNP PROJECT WORKBOOK A Step-by-Step Process for Success Molly J. Bradshaw, DNP, APRN, FNP-BC, WHNP-BC Tracy Vitale, DNP, RNC-OB, C-EFM, NE-BC Springer Publishing Company wishes to acknowledge the work of Michelle Santoro, DNP, APN, FNP-
DNP students in the completion of program progression, the DNP Project and practicum hours. The DNP is a practice doctorate designed to prepare professional nurses for scholarly practice as clinical and health systems experts who will lead and inspire health care improvement and reform. Jefferson College of Nursing's DNP curriculum focuses on
DNP students in the completion of program progression, the DNP Project and practicum hours. The DNP is a practice doctorate designed to prepare professional nurses for scholarly practice as clinical and health systems experts who will lead and inspire health care improvement and reform. Jefferson College of Nursing's DNP curriculum focuses on
The DNP curriculum primarily involves mastery of an advanced specialty within nursing practice and methods of practice improvement and change. The DNP Project is used to demonstrate mastery of the DNP curricular content. Guided by faculty and with assistance of a consultant in the area of interest, the DNP Project demonstrates .
