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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.

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Acid Reflux Screening in Idiopathic Pulmonary Fibrosis: An Assessment of Provider’s Belief and Readiness in Evidence-Based Practice

Description
Importance: Idiopathic Pulmonary Fibrosis (IPF) is a worldwide deadly disease with a mortality rate of nearly 100% without lung transplantation (IPF Foundation, 2020). The exact cause of this disease is unclear. Evidence has shown that IPF patients have a high risk of having abnormal acid reflux. Chronic acid reflux can…

Importance: Idiopathic Pulmonary Fibrosis (IPF) is a worldwide deadly disease with a mortality rate of nearly 100% without lung transplantation (IPF Foundation, 2020). The exact cause of this disease is unclear. Evidence has shown that IPF patients have a high risk of having abnormal acid reflux. Chronic acid reflux can worsen IPF prognosis. Objective: To assess the effectiveness of an online educational intervention in enhancing clinician’s belief, confidence and readiness in implementing an acid reflux screening protocol in IPF patients. Methods: Physicians and nurse practitioners in primary care and pulmonary specialties within the United States were asked to complete online pre- and post-surveys after reviewing a webpage presenting up-to-date research evidence showing the relationship between IPF and gastroesophageal reflux disease (GERD). Main Outcomes and Measures: Questionnaires adapted from the Evidence-Based Practice Beliefs and Implementation Scales by Melnyk were utilized to evaluate changes in belief, confidence and readiness to implement evidence-based practice recommendations. Results: Percentage of participants who strongly believed in acid reflux screening in IPF increased from 60% pre-survey to 80% post survey (M=4.75, SD=0.58). The percentage of participants who thought they were ready to implement this screening protocol decreased from 60% pre-survey to 50% post survey (M=4.44, SD=0.63). More participants felt strongly confident during the post-survey. The pre-survey had 130 views with a completion rate of 12.3%. Conclusion and Relevance: An online educational tool such as a webpage was an effective way to enhance clinician’s belief and confidence in acid reflux screening in IPF. Keywords: idiopathic pulmonary fibrosis, gastroesophageal reflux disease, abnormal acid reflux screening, evidence-based practice
ContributorsFoster, Lillian (Author) / Baker, Laurie (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-27