Doctor of Nursing Practice (DNP) Final Projects
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
Displaying 1 - 8 of 8
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- Creators: McIntosh, Wayne
- Creators: Bain, Ilyssa D.
Description
Although estimated to be 50-60% more than in heteronormative populations, intimate partner violence (IPV) in LGBTQ+ populations is often unrecognized. This project aims to increase nurse practitioner (NP) IPV screening to facilitate early intervention and decrease LGBTQ+ IPV rates.
The researcher gathered information from 1:1 interview with LGBTQ+ IPV survivors (n=3) and produced a dramatization narrating experiences. Subjects were required to preregister and consent. Nurse practitioners (n=6) participated in a 1.5hr online educational intervention, viewing the video and a 45-min webinar.
The Physician Readiness to Manage Intimate Partner Violence Scale (PREMIS) and the LGBT Development of Clinical Skills Scale (LGBT-DOCCS) were administered as test-retest. The PREMIS measures (? =.963) readiness to screen for IPV, the LGBT-DOCCS measures attitude (?=.80), clinical preparedness (?=.88) and knowledge (?=.83). All participants in both groups were voluntary and recruited from e-lists and special interest groups. Cox’s Theory of Interaction and the Minority Stress Theory were the dual framework along with the ACE model of transformational knowledge to support methodology and outcomes.
Results
Statistically significant (p<0.05) improvements in readiness to screen for IPV, knowledge, and attitudes as measured by PREMIS domains (p= .006; p=.012) and LGBT-DOCSS (p = .028). Clinically significant improvement in mean scores for likelihood to screen for SOGI.
Supported by the theoretical framework and implementation model, increased readiness to screen, improved knowledge and improved attitude, will lead to better NP-patient interactions, decreased minority stress, increased NP screening and intervention, and decreased rates of IPV in LGBTQ+ populations.
ContributorsPhelps-Byam, Wendy (Author) / McIntosh, Wayne (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Sleep deprivation is linked to poor mental and physical health outcomes for professional firefighters. The importance of sleep hygiene practices and health promotional activities may increase the amount of quality sleep firefighters get on their days off. As the adverse outcomes of circadian misalignment due to sleep deprivation becomes more apparent in firefighter wellbeing, the need for a sleep health program becomes more evident. The purpose of this paper is to examine and assess the effects of a sleep health program for firefighter wellness. Research emphasizing the relevance of poor health outcomes related to sleep disturbances is prevalent in the literature. The findings have prompted the development of an evidence-based sleep coaching program for firefighters in a local fire department guided by The Cognitive Behavioral Therapy Model (Brewin, C.R., 1996). and a knowledge-to-Action process framework for evidence-based-practice (Graham et al., 2006).
ContributorsAnon, Melanie (Author) / McIntosh, Wayne (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-28
Description
Attention Deficit Hyperactivity Disorder (ADHD) impacts as many as 1 in 10 children. ADHD can affect academic performance, social interactions, relationships, and self-esteem. Pharmacological interventions with the use of stimulant medication is the first line of treatment. Children who do not respond to medication trials and suffer adverse side effects need alternative treatment options to manage symptoms. New and immerging treatment options being studied to determine efficacy for symptom management is cognitive behavior therapy, social skills training, exercise and neuro feedback. They represent alternative options for non-pharmacological treatment. Evidence supports the use of these treatment options alone, or in conjunction with medication management. The evidence has led to an evidence base practice project conducted in a psychiatric outpatient clinic using Play Attention technology and quantitative behavior testing to determine the effectiveness of neurofeedback in treating children and adolescents with ADHD.
ContributorsCarter, Adam (Author) / McIntosh, Wayne (Thesis advisor)
Created2018-04-18
Description
Adolescents in the U.S. are experiencing a growing epidemic of maladaptive coping. The increasing occurrence of these behaviors make it likely that school personnel will continue to see an increase in adolescents presenting with maladaptive coping patterns, such as nonsuicidal self-injury and suicide, highlighting the urgency for continued research regarding effective education. Nonsuicidal self-injury is highly correlated with suicidal behavior, and suicide is the second leading cause of death among ten to nineteen year olds in the US. Research points to the use of a specific type of Coping Skills Training known as Mental Health Literacy that reduces the chances that maladaptive coping will become the norm in adulthood.
ContributorsLandon, Rebecca J. (Author) / McIntosh, Wayne (Thesis advisor)
Created2019-04-15
Description
Background and Aims: Due to the significant rise in opioid use and fatal opioid overdoses, an opioid reversal agent naloxone has been made available to the public through standing orders at Arizona pharmacies. The aim of this project is to implement a virtual naloxone education program to increase community knowledge of opioid addiction, opioid overdose, and opioid overdose response. Design: Utilized a one group, pretest-posttest design utilizing Brief Opioid Overdose Knowledge (BOOK) screening tool. Participants recruited through Mesa Community College website as an online event open to students, staff, and public. Setting: Online WebEx event through Mesa Community College. Intervention: Presented a 45-minute educational PowerPoint on opioids, opioid overdose, and opioid overdose response with a 15-minute question answer session. Participants: A total of 67 people attended the online event, 38 participated in pre-test and 19 participated in post-test survey. Demographics included 73.7% female, 55.3% between ages 18-30, 86.7% identify as white/Caucasian, and 92% signed up with a community college email address. Findings: Statistically significant results, with alpha value of 0.05, t(13) = -3.99, p = .002, d=1.07. Conclusions: Implementing an online education session is associated with increased knowledge on opioid use, opioid overdose, and opioid overdose response. Implementing community-based education programs may increase knowledge on opioid overdose prevention and community intervention.
ContributorsLeeper, Nicole (Author) / McIntosh, Wayne (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-27
Description
Major depressive disorder contributes to a growing disease burden globally, with limiting or
inadequate treatment options available to patients and healthcare providers. Traditional
medications to treat the disorder demonstrate modest efficacy while best outcomes are seen when
psychotherapy is implemented adjunctively. Barriers to delivering optimal treatment can lead to
relapse, diminished psychosocial functioning, and suicide, a leading cause of death in the United
States. The purpose of this paper is to examine the rapid antidepressant effects of ketamine
combined with nurse-delivered mindfulness-based cognitive therapy to help reduce depression
severity and support remission. Research differentiating ketamine’s mechanism of action from
traditional anti-depressants and the efficacy of mindfulness-based interventions to reduce
depression, have led this evidence-based project integrating these modalities.
ContributorsYuhas, John V. (Author) / McIntosh, Wayne (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-20
Description
Objective: Pediatric patients with asthma are frequently cared for in the emergency department (ED). Many studies show early administration of corticosteroids (CS) can improve outcomes for children experiencing an asthma exacerbation. Despite the evidence, delays in care remain. The purpose of this study is to streamline the process for nurse-initiated, triage-based CS administration and determine the effect on overall length of stay (LOS). Methods: For this quality improvement initiative, ED nurses at a large, freestanding, children’s emergency department in the southwestern United States were given education on inclusion and exclusion criteria for nurse-initiated CS in ED triage. Time to CS administration, LOS, and whether the ED nurse or provider ordered the CS were evaluated through chart reviews of patients presenting with a chief complaint of difficulty breathing. These metrics were compared to charts from the previous year during the same timeframe to evaluate for improved timeliness of CS delivery. Results: Time to CS administration decreased from a mean of 98.6 minutes to 57.6 minutes. LOS decreased from an average of 259.3 minutes to 169.6 minutes. The effect of timely CS on LOS was significant for December p =.003, January p =.002, and February p = <.001. Conclusion: A streamlined process for CS delivery to pediatric patients experiencing an asthma exacerbation can enable providers to achieve efficient and effective care in the ED and decrease a patient’s overall LOS.
ContributorsBain, Ilyssa D. (Author) / Bucci, Aimee (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-23
Description
Background: Alarming levels of burnout in mental health care staff is a significant concern not only for the organization but for the individual as well. Identifying and addressing burnout ought to be an essential protocol in a behavioral health organization. Currently, burnout remains an ongoing concern for mental health care organizations as it is associated with negative impacts for staff, patients, families, and the organization.
Method: The purpose of this project is to utilize the Maslach burnout inventory (MBI) survey tool to measure burnout pre and post intervention. The intervention utilized will be mindfulness-based interventions (MBI) to reduce burnout among mental healthcare workers. Implementing mindfulness interventions has evidence that it reduces burnout rates in mental health care staff. Current literature supports mindfulness-based interventions and have showed a decrease in burnout, stress, and depersonalization.
Results: The pre-intervention results were as followed: emotional exhaustion; 40, depersonalization; 20.4 and personal accomplishment 32. The post-intervention results emotional Exhaustion; 28, depersonalization; 14.90 and personal accomplishment 30. It was found that the category for emotional exhaustion was statistically significant as it had a P value .040, whereas depersonalization was not statistically significant as the P value was .171 and personal accomplishment was not statistically significant as the P value was .577.
Discussion: The use of MBI as an intervention has robust literature supporting the effectiveness in decreasing burnout and stress in mental health care staff.
ContributorsHenao, Cinthya (Author) / McIntosh, Wayne (Thesis advisor)
Created2020-05-01