Browsing Louise Herrington School of Nursing by Issue Date
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ItemImproving COVID-19 Vaccine Compliance in Pediatric Primary Care(2023-07-24) Bray, Alison Wimberley; Carlson, Cheryl; Louise Herrington School of Nursing; Baylor University; Baylor University, Louise Herrington School of Nursing ItemUsing Evidence-Based Practice to Improve Interprofessional Communication During Emergent Birth Center Transfers(2023-07-24) McCullough, Alisha; Peck, Jessica; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of NursingThe purpose of this project was to implement an emergent birth center transfer communication tool and mock drill exercises to improve communication and collaboration among birth center Certified Nurse-Midwives (CNMs), local emergency medical services (EMS), and receiving hospital staff during emergent perinatal birth center transfers. The objectives of this project were to: 1. Improve interprofessional communication and collaboration. 2. Consistently transport emergent transfer patients to MCM, a level II facility where CNMs have admitting privileges. 3. Consistently use emergent birth center transfer form for each patient admission and transport. 4. Increase paramedic knowledge of perinatal emergencies and midwifery scope of practice. ItemUtilization of a Multimodal Approach in the Treatment of T2DM(2023-07-24) Zindani, Anum; Peck, Jessica; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of NursingThe purpose of this project is to implement a multimodal approach for the treatment of T2DM in a rural primary care clinic, thereby improving self-management behaviors and lowering HbA1c. The DNP project will utilize an evidence-based practice change (EBP) to address the purpose statement and promote quality of care in patients with T2DM. The EBP change incorporated six steps for effective implementation, which included assessing the need for change in practice, locating the evidence, critically appraising the evidence, planning the practice change, implementing, and evaluating change in practice, and lastly maintaining changing in practice (Melnyk & Fineout-Overholt, 2019). ItemDecreasing Retinopathy of Prematurity Through Histogram Use(2023-07-24) Reynolds, Carolyn Charis; Schultz, Donna; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of Nursing ItemImproving Nurse Practitioner Intention to Screen for Diabetic Retinopathy: A Quality Improvement Project(2023-07-24) Hagiyusuf, Hamdi Ali; Carr, Halli; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of Nursing ItemIncreasing HPV Vaccination Rates Using Text Reminders: An Integrative Review of the Literature(2023-07-24) Khuwaja, Sonya Shiraz; Peck, Jessica; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of NursingReminders and recalls for vaccine appointments through communication technologies such as phone calls and text messages are well-received and effective evidence-based methods to improve vaccination rates (Morris et al., 2015; Francis et al., 2017; Henrikson et al., 2018). As electronic medical records and mobile technology use is consistently rising, it is more feasible for clinical practices to implement technical reminder systems (Morris et al., 2015). The purpose of this integrative literature review is to answer the following clinical question: does a text message reminder system effectively improve HPV vaccination rates in eligible children 9 through 26 years of age who have an HPV dose due compared to having no communication technology interventions? ItemImproving the Use of Mothers Own Milk in the Neonatal Intensive Care Unit for Low-Birth-Weight Infants(2023-07-24) Perez, Patricia Yvonne; Peck, Jessica; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of NursingThe purpose of this Evidenced Based Project (EBP) is to address the use of MOM for low-birth-weight infants weighing 2500 grams or less at birth admitted to a Level 3 NICU. Currently, there is a disconnect between what feeding is ordered and what is available to feed the infant. The unavailability of MOM leads to a delay in initiation of feedings, or other options, including donor breastmilk or preterm formulas (Costa et al., 2018). Mothers' own milk decreases the incidence of complications in premature infants and improves their long-term health (Heller et al., 2021). The project design for this initiative is an evidence-based project (EBP). The EBP used a combined effort from the team to improve the quality of care in the neonatal population, specifically LBW infants. A multidisciplinary team approach was essential for the success of this project. ItemHolistic Hypertension Management(2023-07-24) Carmichael, Rachel Kathryn Berry; Peck, Jessica; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of NursingHypertension (HTN) is a major healthcare problem affecting nearly half of American’s adult population. HTN is one of the costliest diagnoses amongst cardiovascular disease and leads to other major cardiovascular complications which increase overall morbidity and mortality. Of those diagnosed with HTN in America, only one-fourth of patients are living with well-controlled HTN. This evidenced-based HTN management practice innovation was conducted to explore evidenced-based, holistic nursing practice of a low sodium dietary approach to stop hypertension (DASH) diet, and exercise alongside antihypertensive medication management in decreasing systolic blood pressure (SBP) and diastolic blood pressure (DBP) in adult patients diagnosed with HTN. This community-based holistic care initiative supports data previously published which suggests a low sodium DASH diet, exercise, and antihypertensive medication management are effective in decreasing SBP and DBP. This project supported clinicians seeking to integrate a complementary holistic and traditional approach approach to HTN management in patients diagnosed with HTN. ItemLearning Experiences to Raise Nursing Awareness of Implicit Bias on Health Outcomes for Black Persons(2023-07-24) Anderson-Wright, Bridgett; Peck, Jessica; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of NursingDespite efforts towards progress, Black persons continue to face disparities and inequities in access to healthcare, health outcomes, and quality of care. Nurse educators are ideally positioned and equipped to provide effective educational interventions to raise awareness of implicit bias and improve health outcomes. This concept-based learning experience was developed using an evidence-based translational framework (the Knowledge-to-Action Model). This innovative pedagogical approach used a flipped-classroom paradigm with active learner engagement and facilitated dialogue to raise awareness of implicit bias in nursing. ItemDiversity, Equity, & Inclusion Policies of National Nursing Organizations(2023-07-24) Jolley, Chandra; Peck, Jessica; Louise Herrington School of Nursing; Baylor University.; Baylor University. Louise Herrington School of NursingSystemic racism is a recognized public health issue that continues to plague populations of color. Current evidence-based research relating to implicit bias in healthcare highlights how providers contribute to this problem directly and indirectly. Efforts are ongoing to define implicit bias (IB), identify affected populations, and create study designs with scientific rigor to evaluate provider understanding of IB and its effect on patient care. However, IB hinders the healthcare system and leads to inequalities, adverse health outcomes, and disparities for patients of color. Isolated efforts have taken place to educate nurses and provide approaches to address inequalities and the systemic elements that engender unhealthy patient outcomes. This article reviews national nursing organization policy efforts to address systemic racism and implicit bias while providing an inclusive platform to examine the issue and create diverse and equitable strategies to promote optimal health outcomes.