Primary Objective: Incorporate a Hands-On Labor Support Class for Labor & Delivery nurses to:
• Enhance skills and knowledge of labor support techniques utilized during the first and second stage of labor.
• Reduce Nulliparous, Term, Singleton, Vertex (NTSV) Cesarean Birth Rate.
• Reduce Total cesarean section rate. Secondary Objective To compare birth beliefs of L&D nurses related to birth practice before and after attending the hands-on Labor Support... Read More
Catherine A. Draus
Background: Professionalism in is a belief system in which members have shared competency standards and ethical values and is an essential ingredient in achieving a healthy work environment. It involves a commitment to the values and behaviors specific to that career identity and incorporates attitudes representing identification and commitment to a profession (Kim Godwin, Baek, &Wynd, 2010). Inherent in this is the commitment to life long learning and a... Read More
Catherine A. Draus, Therese B. Mianecki, and Hannah M. Musgrove
Angela Floyd, Paula K. Robinson, Lisa Cohen, and Princetta Morales
Introduction: Catheter associated urinary tract infections (CAUTI) can place significant financial burden on healthcare facilities, decrease quality of care and increase length of stay. Reducing indwelling urinary catheter days reduces the risk of a CAUTI. Current practice after catheter removal includes the reinsertion of the catheter if the patient demonstrates three episodes of urinary retention that requires intermittent urinary catheterization. Intermittent urinary catheterization, when implemented appropriately, has proven to... Read More
Mariah Foster, Karen Zastrow, Gay Alcenius, R.J. Dressel, and Erin Muller
For the treatment of alcohol withdrawal syndrome (AWS), phenobarbital works differently than benzodiazepines. Benzodiazepines activate only gamma-aminobutyric acid (GABA) whereas phenobarbital has the additional mechanism of inhibiting glutamate receptors. In the absence of alcohol, GABA receptor numbers are increased, and glutamate receptors are decreased causing withdrawal symptoms. By giving phenobarbital, we are counteracting both receptors. This mechanism is associated with less agitation and delirium then what is typically seen... Read More
Noel K. Koller-Ditto, Lisa MacLean, Hassan A. Chaaban, and Catherine A. Draus
Purpose: The purpose of this study was to determine the prevalence of psychological distress in frontline healthcare workers during the COVID 19 pandemic, and to identify if interventions and higher measures of resiliency helped to minimize the prevalence of symptoms.
Outcomes Associated with Using the Identification of Seniors at Risk (ISAR) Score to Determine Geriatric Evaluations of Trauma Patients with Hip Fractures
Taylor K. Long, Stephanie D. Booza-Gierman, and Lauren Turner
Background: Falls are a leading cause of injury in older adults in the U.S., commonly contributing to hip fractures specifically (Centers for Disease Control, 2016; Moreland, Kakara, & Henry, 2020). Many older adults who sustain a hip fracture will not return to their baseline function and may even require nursing home placement for additional care (Rubenstein & Josephson, 2006). Henry Ford Macomb Hospital (HFMH) is a community teaching hospital... Read More
Kristen Ludwig and Taylor Brazelton
Learning objectives: The learner will be able to describe the patterns related to the initiation of physical restraints. The learner will be able to explain characteristics of patients who require the use of physical restraints on General Practice Units. The learner will be able to apply elements of bedside rounding to impact physical restraint use or other quality initiatives.
Background: Facilities utilize restraints to prevent falls, self harm, and... Read More
Hannah M. Musgrove and Yolanda Thompson
Background: A preceptor is an experienced nurse who teaches and provides feedback to a new orientee on their professional practice for a designated time. The preceptor is the key educator for new nurses in their learning process. Continuing education for the nurse preceptor is necessary to foster the professional development of this complex role.
Aims: The purpose of this study is to determine if nurse preceptors perceive non traditional... Read More
Lei Lani Tacia, Karen Gossman, Kathleen Walsh, Laura Thomas, Vanessa Walker, and Erin Muller
Diane Wyatt, Jodie M. Cole, Saif Ahmed, Esther Funez Castro, Kassem Makki, Neha Saini, Lianne Strimpel, Bill Corser, and Nikhil Goyal
Primary outcome: Improve nurse and resident communication; strengthen the working relationship between residents and nurses.
Secondary outcomes: Improve patient outcomes; improve job satisfaction; increase nurse retention.
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