Doctor of Nursing Practice projects (MU)
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DNP Scholarly Project
The DNP Residency project is a faculty-guided scholarly experience that provides evidence of the student’s critical thinking and ability to apply research principles through identification of a significant practice problem, systematic appraisal of relevant scientific literature and outcome data; design of cost-effective, evidence-based, therapeutic interventions or programs; successful implementation of the selected interventions or program, and comprehensive evaluation of specific, measurable, and appropriate outcomes. The project will reflect the culmination of knowledge and skills developed during the DNP program. (Retrieved 2024/04/18 from https://nursing.missouri.edu/academic-programs/doctor-of-nursing-practice/dnp-program-requirements)
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Item Effectiveness of various treatment methods for generalized anxiety disorder(University of Missouri--Columbia, 2025) Petryshyn, LaurenEffectiveness of Various Treatment Methods for Generalized Anxiety Disorder Author Lauren Petryshyn Background According to the World Health Organization, approximately 301 million people are afflicted by an anxiety disorder. While it may first be identified in adulthood, anxiety symptoms frequently present in childhood or adolescence. Anxiety often leads to impairments in a person's quality of life, their productivity, and overall ability to function. There is a prevalence of 4.3% that the general population will develop GAD within their lifetime. The purpose of this quality improvement project was to discover the effectiveness of mindfulness as an adjunct to Cognitive Behavioral Therapy for GAD. Methods There are several effective treatment methods for GAD, including Cognitive Behavioral Therapy, Selective Serotonin Reuptake Inhibitors, and stress management techniques such as mindfulness. Mindfulness has proven to be beneficial for both one's mental and physical well-being. Implementation included informing potential participants via infographics in the offices, along with an email. One challenge that occurred was difficulty recruiting participants within the short time frame of under two months. To evaluate the efficacy of this intervention, participants were asked to complete the GAD-7 and McGill Quality of Life Questionnaire pre-intervention and post-intervention. Results Two participants recorded they did participate in a mindfulness intervention three times a week but for less than the six-week time frame. Unfortunately, these results are inconclusive. Conclusions Future studies should be conducted at numerous sites with a longer time frame to recruit patients to better analyze the impact mindfulness has on patients with Generalized Anxiety Disorder that are currently being treated with Cognitive Behavioral Therapy. IRB Approval IRB approval through full review. Co-Authors Dr. Nancy M. Birtley, Dr. Kimberly Hammonds, Dr. Crystal Quarry, & Dr. Jan Sherman Learning Objective The purpose of this quality improvement (QI) project was to discover the effectiveness of mindfulness as an adjunct to Cognitive Behavioral Therapy for GAD.Item Improving the quality of bowel preparation for patients undergoing a colonoscopy(University of Missouri--Columbia, 2025) Huntebrinker, MichelleImproving the Quality of Bowel Preparation for Patients Undergoing a Colonoscopy Author Michelle Huntebrinker Background Colorectal cancer is a deadly disease that accounts for 10% of all cancer cases worldwide and is the second leading cause of cancer-related deaths. The utilization of visual screening is the gold standard of colorectal cancer prevention. This quality improvement project implements the combination of verbal and visual instruction to educate patients and promote adequate bowel preparation prior to a colonoscopy. Methods Successful methods of communication to promote bowel preparation education included verbal and visual instruction. Variation in strategies to provide the patient education noted improved bowel preparation adequacy. A video was created to provide the bowel preparation education with verbal and visual communication. Patients were instructed to watch the video prior to beginning the bowel preparation regimen. Data was collected from the EMR and patient surveys to determine compliance and bowel preparation adequacy, along with demographics and rating of satistfaction. Results The adequacy rate of bowel preparation was unchanged after intervention implementation. Due to small sample size, the results of the quality improvement project were statistically insignificant. Conclusions Continuation of this quality improvement project with modifications is necessary due to the identified gap in patient education and lacking bowel preparation adequacy. All educational materials related to the study are available to the project sites. IRB Approval IRB approval through exempt review. C-Authors Dr. Kelli Cash, Dr. Rebecca Sidberry, Katie Hickey, Dr. Jan Sherman Learning Objective: The purpose of this quality improvement project was to implement an alternative method of education to improveme the adequacy rate of bowel preparation for patients undergoing a colonoscopy.Item Stigma reduction target education in adolescent school settings(University of Missouri--Columbia, 2025) Petrie, HayleyItem Care gap identification for meningococcal immunization(University of Missouri--Columbia, 2025) Kopp, Clarissa[Embargo until 2026-12-31] Identifying Care Gaps for Meningococcal Immunizations through the use of the Electronic Health Record Background Meningococcal disease is a vaccine-preventable disease associated with substantial morbidity and mortality. Despite vaccination recommendations, adherence among adolescents remains suboptimal due to missed opportunities for vaccination (MOV). Recent increases in U.S. cases highlight the need for improved prevention strategies. This quality improvement project aimed to improve immunization status assessment and reduce MOV through enhanced immunization screening processes on a pediatric inpatient unit. Methods A pre--post interventional design was implemented on a 24-bed pediatric medical-surgical unit at a Midwestern children's hospital. Nurses received education on meningococcal vaccines and were trained to use the electronic health record's (EHR) health maintenance section alongside a screening questionnaire to assess vaccination status. Data were collected from pre-intervention and post-intervention chart reviews, nurse surveys, and parent questionnaires. Statistical analyses included Chi-square tests and Mann--Whitney U tests with significance set at p ? .05. Results Meningococcal vaccine administration during admission increased, with the proportion of patients not receiving a vaccine decreasing from 61.5% at pre-intervention to 38.5% at post-intervention (p = .03). Documentation of vaccination status improved, with incomplete documentation decreasing from 71.3% to 28.7% (p = .001). Nurse utilization of the EHR health maintenance section increased significantly, with all charts updated at post-intervention compared to 41.5% before implementation (p < .001). Conclusions Integrating EHR-based immunization review and nurse-driven screening effectively increased meningococcal vaccine identification and administration while improving staff satisfaction. Expansion of this process across pediatric units is recommended to sustain reduced missed opportunities for vaccination and enhance inpatient immunization practices.Item Addressing nursing incivility : a faculty development initiative(University of Missouri--Columbia, 2025) Jang, Jiyoung[Embargo until 2026-05-21]