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Impact of Nurse Practitioner Practice Regulation on Access to Healthcare Services
(2014-09-26)
Nurse practitioner (NP) practice regulations vary from state to state across the United States. Despite strong evidence supporting the quality of care and satisfaction with care provided by NPs, restrictive regulations continue to limit the practice...
Toxic Stress Education for Pediatric Practitioners to Improve Health Outcomes
(University of Missouri--Kansas City, 2018)
Toxic stress associated with adverse childhood experiences during childhood can have
catastrophic lifelong neurobiological, social, and emotional effects and has been shown to
decrease life expectancy up to 20 years. ...
Effect of an APRN Fellowship Program on Job Satisfaction and Retention
(University of Missouri -- Kansas City, 2020)
Transition from the role of registered nurse to APRN can be stressful and frustrating as the
novice navigates the first year of being a provider. Role confusion, uncertainty, lack of support,
and self-doubt are a few ...
Primary Care Heart Failure Education Program to Improve Quality of Life
(University of Missouri--Kansas City, 2018)
Heart failure is a public health concern within today’s healthcare system at both the national and
local level. As the prevalence of heart failure continues to rise, interventions on improving
patient outcomes, reducing ...
The Effects of Mindfulness on Test Anxiety in Nursing Students
(University of Missouri -- Kansas City, 2021)
Test anxiety in nursing students is a common problem that greatly affects individual performance
in nursing school. The purpose of this quasi-experimental evidence-based practice improvement
project is to reduce test ...
Adolescent Suicide Risk Screening in the Pediatric Primary Care Setting
(University of Missouri -- Kansas City, 2022)
Adolescent suicide is a major health concern in the United States, with numbers continuing to
rise each year. The literature suggests that there may be a lack of screening, detection, and
recognition of adolescent suicide ...
Improving Adolescent Asthma Management Using a Smart Phone Application
(University of Missouri -- Kansas City, 2020)
Asthma is a common condition in adolescence and finding a way to optimize asthma care
management is a priority in primary care. The purpose of this project was to introduce an
electronic asthma action plan using a ...
Clinical Pathway for the Fontan Patient to Standardize Care
(University of Missouri -- Kansas City, 2019)
The Fontan repair is the final stage of surgical palliation for the pediatric patient with a single
ventricle heart. The post-operative medical management of this patient population can be
variable and hospital length ...
The Effects of Risk Stratifying Patients with the Screener and Opioid Assessment for Patients with Pain (SOAPP-R) on Aberrant Drug-Taking Behavior in the Primary Care Population
(University of Missouri -- Kansas City, 2021)
As the opioid epidemic continues to negatively affect morbidity and mortality in the United
States, providers must implement risk reduction strategies when prescribing opioids. Evidence
suggests that risk screening ...
Decreasing the Risk for Postoperative Pulmonary Complications from Obstructive Sleep Apnea by Utilizing the STOP-Bang Questionnaire
(2016-05)
Obstructive sleep apnea is a medical condition affecting up to 26% of the general population and
is the most common sleep disorder that practitioners will encounter. Patients presenting for a
surgical procedure with ...
An Educational Module to Increase Competence for Nurse Mentors Who Mentor Nursing Students on a Dedicated Educational Unit
(University of Missouri -- Kansas City, 2021)
Nurses who mentor nursing students in a dedicated educational unit play an essential role in
developing nursing students' knowledge, competencies, clinical skill, critical thinking skills, and
professional development. ...
Online Breastfeeding Training for Increasing Staff Knowledge and Breastfeeding Initiation Rates on a Mother/Infant Unit
(University of Missouri -- Kansas City, 2021)
of this quality improvement project was to retrospectively evaluate an evidence-based, online breastfeeding education series for staff on a mother/infant unit at a Missouri hospital. The outcomes measured were staff knowledge and hospital breastfeeding rates. A...
Improving Advance Directive Completion Rates: Utilizing Technology with a Virtual Platform
(University of Missouri -- Kansas City, 2019)
Advance care planning and advance directives guide patients in remaining autonomous when
considering and planning for future healthcare. Improving the regularity of advance care
planning as a preventative measure and ...
Improving Identification of Adolescents at Risk for Substance Use Disorders
(University of Missouri -- Kansas City, 2019)
The American Academy of Pediatrics recommends screening adolescent patients for drug and
alcohol use following a standardized process and utilizing a developmentally appropriate
screening tool. The purpose of the ...
Implementing an Evidence-Based Depression Treatment Program for Adults with Comorbid Depression and Chronic Illness
(University of Missouri -- Kansas City, 2021)
Depression is a prevalent problem globally and affects mental, emotional, and physical health.
Multiple studies have shown that unrecognized or untreated depression strongly correlates with
chronic illnesses. Understanding ...
Pre-Diabetes Lifestyle Prevention Program to Decrease Development of Diabetes in Adults
(University of Missouri--Kansas City, 2018)
This pilot quality improvement project for prediabetes adult patients in the family practice
setting investigated if a lifestyle change intervention compared to no lifestyle intervention
decreased hemoglobin A1C and ...
The STRATA Study: Structural Antecedents of Tdap Administration in Obstetrical Practices in the Midwestern United States
(University of Missouri -- Kansas City, 2019)
Every year in the United States, young infants die from pertussis. The incidence of
pertussis among infants exceeds that of all other age groups. Protection is only available if
the mother receives the tetanus, diphtheria, ...
Using Telemedicine to Improve Breastfeeding Outcomes in the Primary Care Setting
(University of Missouri--Kansas City, 2017)
Breastmilk is the most complete form of nutrition for most infants, and it is recommended that
infants are exclusively breastfed for the first six months of life. Nationally, breastfeeding rates
fall short of the goals ...
Improving Early Infant Feeding Practices with an Evidence Based Education Handout
(University of Missouri--Kansas City, 2018)
Nearly half of all infants are introduced to solid food before the recommended age. The World
Health Organization and American Academy of Pediatrics have established guidelines
encouraging parents to delay solid food ...
Improving Adherence to Antihypertensive Regimen Using the SIMPLE Method: A Pilot Study
(University of Missouri--Kansas City, 2017)
to antihypertensive regimen was measured using the Hill Bone Compliance to High Blood Pressure Therapy Scale (HCHTS). Six participants, three Caucasian males and females participated in the evidence based project. Pre and post intervention blood pressure values were...