2021 DNP PROJECTS - Vanderbilt University
2021 DNP PROJECTS
WE’RE ALWAYS HERE FOR YOUWith every class that graduates, yourVanderbilt degree gets stronger andstronger. With that in mind, we in theAlumni Office are ready to connect youwith other Vanderbilt graduates whocan assist you as you journey throughyour career and beyond. We hope you’llshare your accomplishments with usso we can brag about you and informthe world about what it means tobe a Vanderbilt University Schoolof Nursing alumnus.You can ensure we have your latestcontact information by emailing:vusn-alumninursing@vanderbilt.edu,calling 615-322-4836 or visiting:http://vanderbi.lt/pik98
2021DOCTOR OF NURSING PRACTICE PROJECTS
FOREWORDCongratulations Doctor of Nursing Practice graduates!You have met the rigorous standards of this program and achievedindividual 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 certainlyreached those goals. The Institute of Medicine’s landmarkFuture of Nursing report calls for significantly more doctorallyeducated nurses to advance health care and you are preparedto implement that recommendation. You are now well equippedto 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, FAANValere Potter Menefee Professor of NursingDean, Vanderbilt University School of Nursing2
FROM THE DIRECTORThe future of nursing is now as our 2021 DNPgraduates lead interprofessional teams tocreate meaningful innovations that influenceadvanced nursing practice and healthcare.The DNP projects of the 2021 graduatescross geographical and discipline boundariesto bridge gaps in evidence and practice.Self-described change experts, their impacton quality outcomes for patient-centrichealthcare will be recognized across a myriadof organizations and settings nationallyand globally.TERRI ALLISON,DNP, RN, ACNP-BC, FAANPProfessor of NursingAssistant Dean for Academics, Doctoral Nursing Practice3
FACULT Y & PROGR AM DIREC T ORSSUSIE ADAMSK. MICHELLE ARDISSONKAREN C. D’APOLITOPhD, APRN, PMHNP, FAANP, FAANProfessor of NursingFaculty Scholar for Community EngagedBehavioral HealthDNP, RN, ACNP-BCAssistant Professor of NursingPhD, APRN, NNP-BC, FAANProfessor of NursingDirector, Neonatal Nurse PractitionerSpecialtyDEBRA ARNOWDNP, MS, RN-BC, FHIMSSLecturerDNP, RN, NE-BCAssociate Professor of NursingDirector, Nursing and Healthcare LeadershipSpecialtySHEREE ALLENSHARON E. BRYANTKELLY ALDRICHDNP, APN, CPNP-AC/PCInstructor of NursingDirector, Pediatric Nurse PractitionerAcute Care SpecialtyMELANIE ALLISONDNP, RN, ACNP-BCAssistant Professor of NursingTERRI ALLISONDNP, RN, ACNP-BC, FAANPProfessor of NursingAssistant Dean for Academics,Doctoral Nursing PracticeANGEL ANTHAMATTENDNP, ADM, FNP-BCAssistant Professor of NursingDNP, RN, ACNP-BCAssistant Professor of NursingRAMEELA RAMANMA, PHDAssociate Professor of BiostatisticsTOM CHRISTENBERYPhD, RN, CNEProfessor of NursingDirector of Program EvaluationsMELISSA DAVISMSN, CNM, FNPAssistant Professor of NursingJANELLE M. DELLEDNP, ACNP-BCAssistant Professor of NursingSTEPHANIE DEVANE-JOHNSONPhD, CNMAssociate Professor of NursingMISTY EVANSDNP, APRN, CPNP-ACAssistant Professor of NursingSARAH FOLLIARDLAURIE CONNORSDNP, APNG, FNP-BC, AGN-BC, FAANPAssociate Professor of NursingDNP, APRN, AGACNP-BCInstructor of NursingCOURTNEY J. COOKMARK E FRISSEDNP, ACNP-BCAssistant Professor of Nursing4MD, MS, MBAProfessor of Medicine
FACULT Y & PROGR AM DIREC T ORSSARAH GASTQUEEN HENRY-OKAFORPAM JONESDNP, APRN, AG-ACNP-BCAssistant Professor of NursingPhD, APRN, FNP-BCMARY JO GILMERJOELLEN HOLTDNP, RN, NEA-BCAssociate Professor of NursingSenior Associate Dean for Clinical andCommunity PartnershipsPhD, MBA, RN-BC, FAANProfessor of NursingProfessor of Pediatrics, Monroe Carell JrChildren’s Hospital at VanderbiltCo-Director, Pediatric Palliative CareResearch TeamAssistant Professor of NursingDNP, APRN, CCNS, CEN, CSSBBAssistant Professor of NursingLESLIE HOPKINSDNP, APRN-BC, FNP-BC, ANP-CAssociate Professor of NursingAPRIL N. KAPUDNP, RN, ACNP-BC, FAANP, FCCMAssociate Chief Nursing Officerfor Advanced Practice NursingProfessor of NursingMELISSA GLASSFORDDirector, AGPCNP SpecialtyDNP, FNP-CAssistant Professor of NursingSHARON KARPMARSHAY JAMESPhD, RN, CPNPProfessor of NursingMICHAEL D. GOOCHInstructor of NursingDNP, ACNP-BC, FNP-BC, ENP-CAssistant Professor of NursingKAREN HANDEDNP, ANP-BC, CNE, FAANPAssociate Professor of NursingAssistant Director, DNP ProgramDNP, PMC, CPNP-AC, CNEBECKY KECKInstructor of NursingDNP, RN, NEA-BCSenior Associate Dean,Administration & OperationsChief Administrative OfficerROLANDA JOHNSONBETSY B. KENNEDYJASON JEANDNP, RN, APRN, FNP-BCPhD, MSN, RNK. MELISSA SMITH HAYESProfessor of NursingDNP, ANP-BC, CHFNAssistant Professor of NursingAssistant Dean for Diversity and InclusionAssistant Dean for Academics5PhD, RN, CNEProfessor of NursingAssociate Dean for Non-Tenure Track FacultyAffairs and Advancement
FACULT Y & PROGR AM DIREC T ORSCHRISTIAN KETELJANA LAUDERDALEDONNA MCARTHURDNP, RN-BCAssistant Professor of NursingPhD, RNAssociate Professor of NursingJENNIFER KIMSUSIE LEMING-LEEPhD, FNP-BC, FAANPProfessor of NursingDNP Program Director, 2008-2012DNP, GNP-BC, FNAP, FAANPProfessor of NursingCo-Director, Vanderbilt Hartford Center forGerontological Nursing ExcellenceJOAN KINGPhD, RNC, ACNP, ANPProfessor of NursingRUTH KLEINPELLPhD, RN, FAAN, FAANP, FCCMProfessor of NursingAssociate Dean for Clinical ScholarshipIndependence Foundation Professorof Nursing EducationBRENDA KULHANEKDNP, MSN, RN, CPHQAssociate Professor of NursingDirector of Organizational PerformanceImprovementKANAH MAY LEWALLENDNP, RN, CPNPAssociate Professor of NursingELIZABETH R. MOOREDNP, RN, AGPCNP-BCAssistant Professor of NursingPhD, RN, IBCLCAssociate Professor of NursingMICHELE MARTENSGINNY MOOREDNP, RN, PMHCNS-BCInstructor of NursingJANET MYERSDNP, FNP/GNP-BC, CDE, BC-ADM, NE-BCAssistant Professor of NursingMELANIE LUTENBACHERPhD, MSN, MS, RN-BC, NPD-BC, NE-BCAssociate Professor of NursingPhD, MSN, FAANAssociate Professor of Nursing and Medicine(General Pediatrics)MARY LAMBERTMATTHEW MARTINDNP, RN, FAANAssociate Professor of NursingNATASHA MCCLUREDNP, RN, NEA-BC, NHDP-BCInstructor of Nursing6DNP, WHNP-BCAssociate Professor of NursingDirector, Women’s Health Nurse PractitionerSpecialtyCOLLEEN REILLY MOSSDNP, APRN, NNP-BCInstructor of NursingBRITTANY NELSONDNP, RN, CPNPAssistant Professor of NursingDirector, Pediatric Nurse PractitionerPrimary Care Specialty
FACULT Y & PROGR AM DIREC T ORSKEN NELSON IIICOURTNEY J. PITTSMAVIS N. SCHORNDNP, RN, NE-BC, CPHQDNP, MPH, FNP-BCAssociate Professor of NursingDirector, Family Nurse Practitioner SpecialtyPhD, CNM, FACNMProfessor of NursingSenior Associate Dean for AcademicsGERI C. REEVESMATT SCHROERInstructor of NursingLINDA NORMANDSN, RN, FAANValere Potter Menefee Professor of NursingDeanABBY PARISHDNP, AGPCNP-BC, GNP-BC, FNAPAssociate Professor of NursingDirector of Education InnovationMARY LAUREN PFIEFFERAPRN, PHD, FNP-BCAssociate Professor of NursingANNA RICHMONDDNP, FNP-CAssistant Professor of NursingJENNIFER RIDGWAYDNP, APRN, CPNPInstructor of NursingDNP, FNP-BC, CPNSHELZA RIVASAssistant Professor of NursingDNP, WHNP-BC, AGPCNP-BCInstructor in NursingJULIA PHILLIPPIPhD, CNM, FACNMAssistant Professor of NursingDirector, Nurse-Midwifery SpecialtyBONNIE PILONDSN, RN, BC, FAANProfessor EmeritaSUSANNA RUDYDNP, MSN, MFS, AG-ACNP, FNP-BC,ENP, CCRNInstructor of NursingMICHELLE RUSLAVAGEDNP, MSN, RN, NE-BC, CPEInstructor of Nursing7DNP, PMHNP-BCInstructor of NursingPATTI SCOTTDNP, APN, NNP-BC, C-NPTAssistant Professor of NursingPATRICIA P. SENGSTACKDNP, RN-BC, CPHIMS, FAANSenior Associate Dean for InformaticsDirector, Nursing Informatics SpecialtyNursing Informatics Executive,Vanderbilt University Medical CenterMEGAN SHIFRINDNP, RN, ACNP-BCAssistant Professor of NursingMEGAN SIMMONSDNP, RN, PMHNP-BCAssistant Professor of Nursing
FACULT Y & PROGR AM DIREC T ORSKIM STEANSONRICK WATTERSDNP, APRN, CPNP-PC/ACAssistant Professor of NursingPhD, RNAssociate Professor of NursingDNP, NP-C, MS, RDProfessor of NursingJULIA STEEDPAMELA WAYNICK-ROGERSMARCI ZSAMBOKYPhD, RN, FNP-BCAssistant Professor of NursingCLARE THOMSON-SMITHMSN, RN, JD, FAANPAssistant Professor of NursingDAWN VANDERHOEFPhD, DNP, PMHNP/CS-BCAssociate Professor of NursingJESSICA VAN METERDNP, MSN, RN, APN-BC, CCRN, A-EMTAssistant Professor of NursingROSE VICKPhD, PMHNP-BCAssistant Professor of NursingCAROL ZIEGLERDNP, APRN-BCAssistant Professor NursingBRIAN WIDMARPhD, RN, ACNP-BC, ACNPC, CCRN, FAANPAssociate Professor of NursingAssistant Dean, Advanced Nursing PracticeDirector, Adult-Gero Acute Care NursePractitioner SpecialtyJENNIFER WILBECKDNP, APRN-BC, CEN, FAAN, FAANPProfessor of NursingDirector,Emergency Nurse Practitioner SpecialtyCHRISTOPHER TY WILLIAMSDNP, RN, ACNP-BC, FNP-BCAssistant Professor of NursingJESSICA WALKERSTEFANI YUDASZDNP, APRN, PMHNP-BCAssistant Professor of NursingDNP, WHNP-BCInstructor of Nursing8DNP, PMHNP/CNS-BC, CNEAssistant Professor of NursingDirector, Psychiatric Mental Health NursePractitioner Specialty
DNP GRADUATES!
DNP PROJECTSCLASS OF 2021NELLY AGHILIEMILY BRIGNOLANational APRN Practice and Pandemic Survey: California Results. 15Implementing Lifestyle Changes in Patientswith Vestibular Migraine. 21PRISCILLA EYRAM AKUETEYBREANNA BUCCOAntimalarial Stewardship Program for Adult Outpatient Providersin Ghana.16Evaluating the Talk with Me Baby Programin the Home Visitation Setting.22NINA ARMSTRONGABIGAIL BURKETT VETTERIncreasing Awareness of Long Acting Reversible Contraceptivesin Maya Adolescents of Belize. 23Perceived Usefulness of an Educational Intervention RegardingGender-Affirming Hormone Treatment in an OutpatientMental Health Clinic. 17HILARY BUTELLASTACEY O. BACHMANUtilization of Pharmacogenomic Testing to Improve Clinical Outcomesin Major Depressive Disorder and Major Depressive Episodes.24Effect of Expanded APN Privileges on Pediatric HospitalALESSANDRA CATIZONELength of Stay.18Digital Video Education to Increase Initiation Ratesof the HPV Vaccine in Adolescents. 25SARA M. BECKERImplementation of an Indwelling Urinary CatheterEILEEN M. CZERWINSKINursing Care Bundle.19Early Integration of Palliative Care in Frail Patientswith Hip Fracture.26ANNE BRENNEMANTIFFANY DARLINGEvaluation of a Pediatric Crisis StabilizationShared Decision-Making and Treatment Adherencein the Oncology Patient. 27Mobile Response Program.2010
CLASS OF 2021DNP PROJECTSPATRICIA DONLEYASHLEY HURTThe Effect of Social Determinantson Chronic Disease Management.28Perceived Barriers to Pre-Exposure Prophylaxis InitiationLAUREN FLAGGDEBORAH S. JENKSin Men who have Sex with Men.35Implementing a Delirium Screening Programin a Combined PICU and PCICU.29Implementing Continuous Performance Testingto Improve Patient Satisfaction in ADHD Evaluation.36NICOLE L. FROSTLAURA KOELNursing Knowledge and Confidence in the Deliveryof Palliative Care: A Quality Improvement Project.30Smartphone Reference Application: Emergency Ultrasoundfor Emergency Nurse Practitioner Students. 37FRANCES M. GAUDIER-SCHMIDTKOMI KOKOU-ABIProgram Development for Effective Patient-Provider Partnerships. 31The Effects of Provider Education on DeprescribingMONALIZA ALONZO GAWin a Psychiatric Hospital.38Implementing Institute for Healthcare Improvement's Joy in Work:A Quality Improvement Project. 32VICTORIA KUCINSKINurse Manager Shared Governance EducationMELINA M. HANDLEYReducing Redundant Genetic Testing for 22q11.2 Deletion Syndrome:A Process Improvement Project.33and Unit Practice Council Functionality.39SUSAN HERNANDEZAssessing Provider Knowledge and Confidence in the DisclosureRetention of a Millennial Nursing Workforce.34of Abnormal Newborn Screening Results. 40CHELSEA J. LAUDERDALE11
CLASS OF 2021DNP PROJECTSJULIE DIANE METCALFCLAUDIA PERRYFamily-Integrated Quality Improvement in the NICUEvaluation of Unit-Based Care Team Implementationto Improve Discharge Developmental Follow-up.41and Effect on Length of Stay.48PAMELA ANNE NELSONDAKOTA RHODESImpact of Psychiatric Consultation Services on BoardingDevelopment of a Critical Care Ultrasound Competency Coursein the Emergency Department.42for ICU Nurse Practitioners.49DEBORAH O'BRIANTREBECCA SILVERSVolunteer Musicians’ Perceptions of Therapeutic MusicCapacity Building in Northern Laos: An Evaluation of the Pediatricin ICU Project.43Nursing Training Program at Lao Friends Hospital for Children.50AMY E. OLSONJENNY MORRIS SLAYTONImpact of Observation Unit Admission Criteria on Quality Metrics.44Comfort and Competency in Healthcare Teams Caring for PatientsRADWA CLARISSA OMAR-ALLENwith Substance Use Disorder at Risk for Hospital Misuse. 51Under-immunized Children of Appalachia:Parental Beliefs at an Eastern Kentucky Rural Health Clinic.45ISABELL STOLTZPATRICIA OZUNAImpact of LEAP! Mentorship Program on APPs at VUMC. 52Reducing Registered Nurse Burnout in the CVICU.46ALEXANDRA TAYLORMELISSA PEARSONIdentifying Barriers and Potential Solutions to ObtainingMusic in the Intensive Care Unit: Registered Nurses’ Perceptions. 47a MAT Waiver for Primary Care Providers.5312
DNP PROJECTSCLASS OF 2021BRENDAN G. TENNEFOSSAssessing Readiness to Change for Weight Lossin Women with Obesity.54DEMETRIA TENNEFOSSImproving Clinic Efficiency via Implementationof a Genitourinary Infection Treatment.55ERIN TICKLEA Sociotechnical Evaluation of anElectronic Healthcare Record Implementation.56JOSHUA WADDELLProgram Evaluation of Dispensing Buprenorphine/Naloxonein Medication Assisted Treatment. 57ASHLEY C. WALKEROrthopedic Training Modules for New Nurse PractitionersTransitioning into Practice.58CORY R. WILLIAMSImpact of COVID-19 on Illinois APRN Practice.59JANYE WILSONOutpatient Clinic Care Team Perceived Acceptanceand Use of the Patient Portal. 6013
Our best wishes to Vanderbilt UniversitySchool of Nursing Dean Linda D. Norman,DSN, FAAN, who steps down as dean onJune 30, 2021.Dean Norman has long been a championof the Doctor of Nursing Practice degree,and was instrumental in the establishmentof the program at Vanderbilt.As Senior Associate Dean for Academics,she worked with VUSN faculty and nationalDNP experts to develop and launch the DNPprogram in 2008. Since then, she has proudlywatched the program grow to its currentstature as the No. 6 DNP program in thecountry and has served as DNP curriculumconsultant for universities across the U.S.After her 30-year career at Vanderbilt,Dean Norman will take a year’s sabbaticalto travel and work on papers related to theSchool of Nursing’s role in the VanderbiltUniversity COVID-19 response.Thank you Dean Norman for your impacton Vanderbilt School of Nursing and itsDoctor of Nursing Practice graduates;we wish you the best now and always.
2021 DNP PROJECTSNational APRN Practice and Pandemic Survey: California ResultsPURPOSEThis project aimed to describe barriers to APRNfull practice authority in California and examinethe effects of lifting restrictions on APRN practicedue to the healthcare demands of the SARSCoV-2 (COVID-19) pandemic.and inpatient settings during the pandemic. Over60% of participants reported inpatient reductionin revenue. Qualitative analysis of open-endedquestions revealed that inpatient providers werefrequently reassigned to different services. Evenafter the removal of practice restrictions, 53%of APRNs reported no changes in their practiceauthority.METHODOLOGYThe National APRN Survey was designed toidentify and evaluate the impact of some states’decision to temporarily remove practice barriersto APRN full practice authority during thepandemic. Survey participants included APRNsfrom California who are willing to participate.Existing quantitative and qualitative data wereanalyzed.IMPLICATIONS FOR PRACTICELessons learned from survey responses duringthe pandemic should lead to significant changesthat improve organizational performance, removebarriers to full practice authority, address staffand patient safety and well-being, and thusincrease the level of preparedness for a futurecrisis. As health care leaders, APRNs have anessential role in affecting these changes andworking with policymakers and administrators toensure that the lessons learned from this crisis areput to good use.RESULTSOver forty-one percent of participants reporteda reduction in the outpatient visits, including newpatient, preventative, chronic, and acute carevisits. Over 53% of outpatient APRNs reported areduction in revenue as a result. The utilizationof telehealth in the outpatient setting duringthe pandemic reached 70.5%. Sixty-six APRNs(37.9%) identified difficulty in obtaining referrals/consultation and securing supplies in outpatient15NELLYAGHILIDNP, RN, AGACNP-BCAdult-GerontologyAcute CareNurse Practitioner
2021 DNP PROJECTSAntimalarial Stewardship Program for Adult Outpatient Providersin GhanaPRISCILLAEYRAMAKUETEYDNP, MSN,AGACNP-BC, FNP-BCEmergencyNurse PractitionerPURPOSEThe purpose of this DNP projectwas to develop an antimalarialstewardship program in theform of an evidence-basededucational intervention toeducate outpatient providersto reduce inappropriateprescribing of antimalarials byoutpatient providers in Ghana.METHODOLOGYThis exploratory modelof program developmentand evaluation involvedthe development of anantimalarial stewardshipeducational program includingan implementation planand evaluation plan guidedby an outpatient antibioticstewardship toolkit publishedby the Center for DiseaseControl and Prevention’s (CDC).Materials from the WorldHealth Organization (WHO)and Ghanaian guidelines forthe diagnosis and treatment ofuncomplicated malaria wereincluded in the education.RESULTSAn evidence-based antimalarialstewardship program forproviders was developed.Evaluation plan and evaluationtools, including pre-postimplementation surveysand a knowledge test forproviders, were developed. Achart audit tool for evaluatingprovider prescribing practicespre- and post-interventionimplementation was alsocreated.IMPLICATIONS FOR PRACTICEMalaria elimination efforts arebeing tempered by antimalariadrug resistance. Inappropriateantimalaria prescribing persistsdespite the implementation of16the WHO’s recommendationto confirm parasitologicaldiagnosis before treatment. Thisevidence-based antimalarialstewardship program intends toimprove provider adherence toguidelines by enhancing theirknowledge and understandingof the problem while providingthem with the tools neededto evaluate the impact of theproject. Program outcomes arealso expected to prevent theemergence of antimalaria drugresistance in Ghana.
2021 DNP PROJECTSPerceived Usefulness of an Educational InterventionRegarding Gender-Affirming Hormone Treatmentin an Outpatient Mental Health ClinicPURPOSEMeasure self-reportedknowledge gaps and impact onfuture practice of an educationsession about the mostfrequently used gender-affirminghormone therapy medicationsin transgender and non-binarypatients described by PMHNPsand therapists in a small, privatepractice mental health clinic inPortland, Oregon.METHODOLOGYTwo unique pre-and postparticipation surveys weredeveloped specifically forthis project. They were usedto assess the participants’subjective reports of theirperceived benefits from theinformation, its usefulness, anypotential impact on practice, andfurther gaps in their knowledgebefore and after viewing aninformational handout. Thehandout covered potentialtimelines of physical changes,possible side effects, seriousrisks, interactions with commonpsychiatric medications, andprices of medications.RESULTSPrior to reviewing the handout,PMHNPs rated their confidencein treating this populationas a mean of 6.14/10 (range4-8) and preparedness at a6.3/10 (range 4-10. Therapistsrated their confidence at 4/10(range 1-7) and preparednessat 3.5/10 (range 1-7). After theeducational handout, PMHNPsrated their familiarity with theinformation at 4.5/10 (range3-5) and gave a mean relevancescore of the information at9/10 (range 5-10). Therapists’familiarity was rated at a17mean 2.75/10 (range 1-5) andrelevance rated 6.9/10 (range3-10). All participants statedthat they felt this knowledge willimpact their practice.IMPLICATIONS FOR PRACTICEBoth PMHNPs and therapistsreported feeling that a lackof knowledge about LGBTQIand transgender populationsimpacted their practice. Afterreviewing the handout, everyonestated that they felt thisknowledge would impact practicegoing forward. Most participantsstated that they had more thanthey wanted to learn aboutcaring for this population movingforward. This clinic site may beable to provide further clinicianinformation based on thesequestions. Additionally, this toolmay be useful for other cliniciansin other areas of practice.NINAARMSTRONGDNP, MSN, MA, PMHNPPsychiatric-Mental HealthNurse Practitioner(Lifespan)
2021 DNP PROJECTSEffect of Expanded APN Privileges on Pediatric HospitalLength of StayPURPOSEThis pilot project was designed to evaluate ifpediatric asthma patients' length of stay, andthe number patients boarding in the EmergencyDepartment (EDB), were impacted when APNhospitalists were granted the ability to dischargehospitalized patients independently.STACEY O.BACHMANDNP, MSN, RN, CPNP-PCPediatricNurse Practitioner Primary CareExecutive LeadershipRESULTSThe circumstances related to COVID 19 impactedthe size and characteristics of the post-processchange group and the overall hospital census.The pre-process change group (N 124) was47% larger than the post- process change group(N 66). Patients were older and sicker in thepost-cohort. There was a reduction in the mediandifference between (ALOS) and (ILOS) in thepost- cohort but it was not statistically significant(p 0.081). Ongoing data collection will berequired to assess program effectiveness afterhospital operations return to a steady-state postCOVID 19.METHODOLOGYAPN hospitalist privilege document was updatedto add the ability to independently dischargepatients. Data regarding patient age, actual lengthof stay (ALOS), and ideal length of stay (ILOS)were collected for a three-month period forpatients who met inclusion criteria prior to, andagain following, the process change. Descriptiveand inferential statistics were used to describethe cohorts. The difference between the ALOSand ILOS for each patient cohort was comparedvia Excel. SciStatCal was used to compare thedifferences between cohorts. Daily inpatientcensus and number of ED boarders were collectedusing hospital data systems.IMPLICATIONS FOR PRACTICEAPNs improve quality, reduce cost of care,optimize patient flow, improve patient satisfaction,and improve staff satisfaction in the inpatientsetting. Additional data are needed to determineif this practice change impacted pediatric lengthof stay and the number of EDB.18
2021 DNP PROJECTSImplementation of an Indwelling Urinary CatheterNursing Care BundlePURPOSEThe lack of an evidence-based indwelling urinarycatheter care protocols in a rural hospital settingwas identified as a risk for catheter associatedurinary tract infections and subsequent poorpatient outcomes. The purpose of this projectwas to implement an evidence-based indwellingurinary catheter nursing care bundle forhospitalized adults meeting national standardsof care and to provide education and trainingto nursing staff regarding current practiceguidelines.RESULTSNursing staff knowledge was evaluated byanalyzing scores before and after the educationintervention utilizing a validated tool title CAUTIcontrol precaution scale. Scores revealed 3questions with clinically significant improvementin scores. Total catheter days were compared fromthe same months of 2019 and 2020 showing adecrease from 178 to 107 total catheter days.IMPLICATIONS FOR PRACTICEOutcomes of the implementation of a nursedriven bundle for IUC care in this rural hospitalwere consistent with current evidence that thesebundles are effective in reducing infection anddecrease total catheter days overall.METHODOLOGYThe project design involved the translation ofevidence into practice, specifically implementingevidence-based practices utilizing the CDCRecommendations for CAUTI Guideline forPrevention of Catheter-Associated Urinary TractInfections (2009).SARA M.BECKERDNP, APRN,ACNP-BC, FNP-BCEmergencyNurse Practitioner19
2021 DNP PROJECTSEvaluation of a Pediatric Crisis StabilizationMobile Response ProgramANNEBRENNEMANDNP, APRN CPNP-PCPediatric Nurse Practitioner Primary CareExecutive LeadershipPURPOSEThe purpose of this project wasto evaluate a new StabilizationMobile Response (SMR)program for Salt Lake Countyin the first three months ofoperation. The SMR programprovides in home crisis outreachand stabilization for youthexperiencing a behavioral healthchallenge.METHODOLOGYThe SMR team documenteddata in a REDCap surveyfollowing every interaction witha family. Additional outcomesdata were collected using thehealthcare system’s operationaldata reporting systems.RESULTSThe program served 70 uniquepatients in 301 encounters withmonthly volumes increasingover time. Youth ranged in agefrom 5-17 years with a meanage of 12.4 years (SD 3.2).Parents initiated SMR in 99(89.2%) encounters. Encounterslasted a median of 30 minutes(IQR 15-60). If the SMRvisit had not occurred, in 62(24%) encounters the familystated they would have soughtalternative care resulting in theyouth being placed outside thehome. Crisis encounters in fivelocal emergency departmentswere lower in the months ofOctober-December 2020 (n 558) compared with thesame months in 2018 (n 628) and 2019 (n 623). In37 encounters families statedthey would have gone to theemergency department hadthey not used the SMR program.With emergency departmentcrisis visits costing an averageof 1,067.39 more than anSMR mobile crisis outreach20encounter, this representsa potential cost savings of 39,493.43 over the evaluationperiod.IMPLICATIONS FOR PRACTICEInnovative care delivery modelssuch as the SMR program canimprove access to behavioralhealth care for youth andtheir families while preventingutilization of high intensityservices such as the emergencydepartment. A formalevaluation process can assist indetermining the value of newprograms to ensure they areproducing quality outcomes andmeet the needs of the targetpopulation while being efficientand cost effective.
2021 DNP PROJECTSImplementing Lifestyle Changes in Patients with Vestibular MigrainePURPOSEThe purpose of this project wasto evaluate the effectivenessof an evidence-based lifestyletreatment plan at reducingperceived measure of dizzinessin adult patients newlydiagnosed with vestibularmigraine after four weeks oflifestyle modifications using thestandardized dizziness handic
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 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
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-
nurses to achieve a terminal degree. The DNP students at MSJ demonstrate the relentless advocacy needed to transform health care access, delivery, and outcomes. Through this work, our communities of care become safer, healthier, and sustainable. Congratulations to the 2021 DNP graduates! Kristin Clephane DNP, RN, CPN MSN-DNP Program Director
DNP Project examples from the AACN White Paper (2015) can be found in Appendix I. Key elements that should be considered as the student progresses in the program include: DNP Projects are designed to be completed by the end of NU798 DNP Project III. DNP Projects are evidence-based, and generally have a complex systems analytical
DNP BSN to DNP & MSN to DNP MAJOR GUIDEBOOK 2021-2022 . BSN to DNP NP& MSN to DNP Revised May 19, 2021 -ADA Compliant . 2 . FOREWORD . Program Director's Welcome to Students .
In the first semester of the DNP program, all students will receive a DNP Hours Table (Part A) on which they should document their DNP Hours activities related to the Program Outcomes. BSN-DNP students will receive the part of the table (Part B) with Professional Role Competencies or COA Graduate Standards when they begin clinical courses.
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