Search
Now showing items 1-20 of 115
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 ...
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. ...
Standardized Code Blue Process
(University of Missouri -- Kansas City, 2019)
Cardiac arrest remains an increasing health problem, leading to thousands of cardiopulmonary
resuscitation attempts annually. With variations in code blue documentation and post-event team
debriefings, a standardized ...
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 ...
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 ...
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 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 ...
Patient Satisfaction Outcomes Following Antibiotic Resistance Education for Adults
(University of Missouri -- Kansas City, 2019)
Antibiotics have saved many lives since their discovery, but today, due to overuse, are becoming
less effective. A portion of provider reimbursement from Medicare and Medicaid is based on
patient satisfaction. Because ...
Implementation and Evaluation of a Compassion Satisfaction Program for Healthcare Providers of Children with Medical Complexity
(University of Missouri -- Kansas City, 2020)
Compassion fatigue, secondary traumatic stress, and burnout are forms of exhaustion that often
take a toll on healthcare providers, evidenced by decreased performance, increased errors,
absenteeism, depersonalization, ...
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, ...
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...
Breast and Cervical Cancer Screening in African American Women After Multiple Interventions
(University of Missouri--Kansas City, 2017)
African American women are consistently diagnosed at later stages of breast and cervical cancer
than Caucasian women, leading to increased morbidity and mortality rates. Although the
mammogram and Papanikolaou (Pap) ...
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 ...
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 ...
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 ...
Maternal and Fetal Outcomes and Early Neuraxial Engagement in Obese Parturients
(2016-05)
dystocia, hemorrhage, fetal intolerance to labor, and NICU admissions. The results indicated decreased failure rate for epidurals (0.876%), lower numerical pain scores, and reduction in general anesthesia (0.9%), higher incidence of fetal intolerance (6...
Medication Assisted Treatment and Psychosocial Therapy for Opioid Use Disorder at An Outpatient Substance Abuse Clinic
(University of Missouri -- Kansas City, 2022)
Opioid addiction has a significant impact on individual and public health, as opioids continue to
be the primary substance implicated in fatal overdoses. In 2018, opioids were present in
approximately 70% of all drug ...
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 ...