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The Doctor of Nursing Practice Final Projects collection contains the completed works of students from the DNP Program at Arizona State University's College of Nursing and Health Innovation. These projects are the culminating product of the curricula and demonstrate clinical scholarship.

Collaborating Institutions:
College of Nursing and Health Innovation
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Communication Plan: Patients with Suspected COVID-19

Description
Hospital visitation policies have continued to evolve throughout the pandemic resulting in visitation restrictions for COVID patients. To positively shape the experience for patients, families, and care providers a new communication plan utilizing virtual visiting emerged. The purpose of this quality improvement project, developed based on the caring theory, is to explore if implementing…

Hospital visitation policies have continued to evolve throughout the pandemic resulting in visitation restrictions for COVID patients. To positively shape the experience for patients, families, and care providers a new communication plan utilizing virtual visiting emerged. The purpose of this quality improvement project, developed based on the caring theory, is to explore if implementing iPads with virtual visiting capabilities is effective in increasing patient and family satisfaction. IPads were deployed throughout a large, emergency department located in the southwest United States to enable virtual communication among patients, families, and healthcare workers to measure the patient and family’s satisfaction. After the virtual visit the patient and family member had the option to complete a satisfaction survey. The anonymous post-visit Likert-scale surveys measured (1) ease of iPad use, (2) staff engagement, and (3) mental health - coping and stress. Participants were recruited via the electronic medical record that displayed patients being ruled out for COVID. Data was analyzed using descriptive analysis and the results showed high levels of satisfaction among the patients and families in all areas. There is sufficient evidence to suggest that the availability of virtual visits is beneficial for patients and families. The implementation of video communication via iPad showed high levels of patient and family satisfaction, mental health outcomes and increased family involvement.
ContributorsZirkus, Cloe (Author) / Rauton, Monica (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-30
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Heart Failure Anticoagulation Teach-Back Education and Readmissions

Description

Heart failure affects millions of Americans each year. Treatment of advanced heart failure with reduced ejection fraction and left ventricular failure is sometimes treated with implantation of a left-ventricular assist device. While living with this life-sustaining machine, anticoagulation with Coumadin is necessary. Many of these patients are readmitted within 30-days…

Heart failure affects millions of Americans each year. Treatment of advanced heart failure with reduced ejection fraction and left ventricular failure is sometimes treated with implantation of a left-ventricular assist device. While living with this life-sustaining machine, anticoagulation with Coumadin is necessary. Many of these patients are readmitted within 30-days of being discharged for pump clots, gastro-intestinal bleeds and even strokes. Patients are often discharged without adequate education on Coumadin management, which promotes inadequate self-care and medication non-adherence.

In current practice, healthcare providers lecture information in a quick manner without the evaluation of patients’ comprehension. Research suggests implementing the teach-back method during education sessions to assess for comprehension of material to improve medication adherence. Healthcare providers should implement Coumadin teach-back education to heart failure patients with left-ventricular assist devices to improve quality of life, increase medication adherence and decrease 30-day hospital readmission rates.
ContributorsKucharo, Alexa (Author) / Rauton, Monica (Thesis advisor)
Created2020-04-25