Matching Items (9)

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Visualizing the Embryo: Establishing Procedures for Digital image Production with the Embryo Project

Description

The Embryo Project (EP) Encyclopedia is an online database that has consolidated hundreds of development-related research articles, with subcategories addressing the context of such research. These articles are written by

The Embryo Project (EP) Encyclopedia is an online database that has consolidated hundreds of development-related research articles, with subcategories addressing the context of such research. These articles are written by undergraduate students, graduate students, and professionals in the fields of biology, history, and other fields, and are intended for a diverse audience of readers from both biology and non-biology related backgrounds. As the EP addresses a public audience, it is imperative to utilize all possible means to share the information that each article covers. Until 2013, the EP Encyclopedia did not present images in articles as no formal protocol for image development existed. I have created an image style guide that outlines the basic steps of creating and submitting an image that can complement an EP article and can enhance a reader's understanding of the discussed concept. In creating this style guide, I investigated similar protocols used by other scientific journals and medical professionals. I also used different programs and based my style guide off of the procedures I used in Adobe Illustrator CS6.

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Created

Date Created
  • 2013-05

Asthma Clinical Excellence – A Quality Improvement Project

Description

Purpose: Improper management of asthma leads to poor patient outcomes and increases in both costs and resources. This study aims to increase provider adherence to asthma clinical practice guidelines.

Methods:

Purpose: Improper management of asthma leads to poor patient outcomes and increases in both costs and resources. This study aims to increase provider adherence to asthma clinical practice guidelines.

Methods: A multifaceted intervention was utilized that included educational sessions for providers, adjustments to the electronic health record (EHR), access to toolkits, and workflow changes. Pediatric patients aged 5-18 years and diagnosed with asthma (N = 173) were evaluated using a pre-post design. Provider adherence to key components of clinical practice guidelines were assessed prior to implementation, and a three and six months post-implementation. Data was analyzed using descriptive statists and the Friedman’s ANOVA by rank.

Results: Provider education, EHR adjustments, provider toolkits, and changes to office workflow improved provider adherence to key aspects of asthma clinical practice guidelines. A significant difference was found between the pre and post implementation groups (p < .01).

Conclusion: Increased adherence to clinical practice guidelines leads to fewer complications and an overall improved quality of life. Continuing provider education is critical to sustained adherence.

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Created

Date Created
  • 2018-04-27

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Controlling Chemotherapy-Induced Nausea and Vomiting Through Guideline Adherence

Description

Background:
Thirty to fifty percent of cancer patients undergoing chemotherapy will experience
chemotherapy induced nausea and or vomiting (CINV) despite the use of antiemetic prophylaxis Uncontrollable CINV can lead to

Background:
Thirty to fifty percent of cancer patients undergoing chemotherapy will experience
chemotherapy induced nausea and or vomiting (CINV) despite the use of antiemetic prophylaxis Uncontrollable CINV can lead to complications that add extra stress to patients, increase in healthcare costs, and utilization of resources. CINV can lead to chemotherapy dose reductions, treatment delays, chemotherapy changes, or discontinuation of treatment. Guidelines exist to better prevent and treat CINV. Evidence supports the use of guidelines to prevent CINV, however patients still suffer from CINV often due to a lack of guideline adherence.

Objectives:
The purpose of this project was to increase CINV guideline adherence by increasing knowledge of antiemetic guidelines utilizing an educational intervention for providers and nurses at an outpatient oncology office.

Methods:
A brief educational intervention on CINV and recommended NCCN guidelines was
conducted with providers and nurse (n=6) at an oncology practice in Southwestern United States. An evaluation to assess change in knowledge was performed using a pre and post test format. Statistical analysis was performed using descriptive statistics, McNemar tests and Wicoxan Signed Rank Test.

Findings:
There was a significant effect on knowledge of NCCN antiemetic guidelines (Z=-1.89, p=0.059, mean 2.5) post intervention. There also was a significant impact on likelihood to use guidelines in practice (Z=-1.89, p=0.059, mean 2.5). Increasing awareness and likelihood to CHEMOTHERAPY INDUCED NAUSEA AND VOMITING 3 follow recommended guidelines may improve CINV symptoms in patients undergoing chemotherapy and improve the treatment outcomes for these patients.

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Created

Date Created
  • 2018-04-29

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Effects of an Education Presentation for Hospital Providers on Heart Failure and Core Measures

Description

Purpose: To evaluate the effectiveness of providing education on current heart failure (HF) guidelines and core measures documentation (CMD) for healthcare providers to improve implementation of HF guidelines.

Purpose: To evaluate the effectiveness of providing education on current heart failure (HF) guidelines and core measures documentation (CMD) for healthcare providers to improve implementation of HF guidelines.

Background and Significance: HF affects over 5.1 million people in the United States, costing $31 billion a year; $1.7 billion spent on Medicare readmissions within 30 days of discharge. Guidelines and care coordination prevent expenses related to hospital readmissions and improve quality of life for adults with HF.

Methods: Healthcare providers (HCPs) at a metropolitan hospital participated in an education session reviewing HF treatment and CMD. Thirty participants completed the single five-point Likert scale pre/post surveys evaluating their opinions of knowledge and behaviors toward implementation of guidelines and CMD. Patient outcome data was abstracted measuring pre/post education compliance for ejection fraction, ACE/ARB, beta-blocker, HF education, follow-up appointments, aldosterone antagonist, anticoagulation, hydralazine nitrate, and CMD 30-45 day’s pre/post education. Analyses included descriptive statistics of participants and pre/post surveys using a paired t-test. Percentage of compliance for quality measures was completed on patients from September through December.

Results: Providers post intervention showed improved knowledge and behaviors toward implementation of guidelines and CMD, including reconciliation of medications to statistical significance. However, the demographics showed the majority of participants were non-cardiac specialties. Improved compliance for outcome data of quality measures was insignificant over time. The non-cardiac demographic may have contributed to this result.

Conclusion: The surveys did not correlate with the patient outcome data. Recommendations would include targeting cardiac focused HCPs for future education sessions.

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Created

Date Created
  • 2016-04-28

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Pediatric Asthma Guidelines and Provider Educational Sessions

Description

Purpose and Aims: An Asthma Project team was assembled and created an Asthma Clinical Practice guideline with the most current literature. The purpose of the Doctor of Nursing Practice

Purpose and Aims: An Asthma Project team was assembled and created an Asthma Clinical Practice guideline with the most current literature. The purpose of the Doctor of Nursing Practice (DNP) project is to introduce the Asthma Clinical Practice guidelines and discuss how to maintain a reliable system to sustain positive change created by implementing the project.

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Created

Date Created
  • 2016-05-06

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Implementation of a Pediatric Asthma Protocol within a Pediatric Primary Care Clinic

Description

Background:
Asthma is one of the most common pediatric diseases, affecting 6.3 million U.S. children in 2014, that can result in negative health outcomes if not managed correctly due to

Background:
Asthma is one of the most common pediatric diseases, affecting 6.3 million U.S. children in 2014, that can result in negative health outcomes if not managed correctly due to it's chronic and complex nature requiring frequent and close management (NHLBI, 2007). The National Heart, Lung, and Blood Institute's (NHLBI) Guidelines for the Diagnosis and Management of Asthma will be implemented into practice to determine the health outcomes of patients before and after guideline implementation.

Methods:
Inclusion criteria includes patients 5-18 years with a history of asthma, recurrent albuterol use, or intermittent symptoms of airflow obstruction. Data will be collected through EHR data reports at pre implementation, 3 months, and 6 months post implementation and will be analyzed using SPSS. Descriptive statistics, paired t-tests, and a Friedman's ANOVA will be conducted to analyze data.

Results:
A Friedman ANOVA was conducted comparing the outcome variables six months priot to the practice change, at three months post implementation, and at six months post implementation. A significant difference was found (x2(15) = 216.62, p<.05). The implementation of the practice change significantly affected the outcome variables.

Conclusions:
In general, the implementation of a practice change to use evidence based NHLBI ERP-3 Asthma Guidelines, along with staff and provider education sessions and creation of standardized assessment and documentation tools resulted in positive changes in the outcomes variables. Findings from this study along with the literature of implementing evidence based asthma guidelines supports similar practice change implementations in other pediatric primary care clinics.

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Agent

Created

Date Created
  • 2018-05-01

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Improving COPD Screening in an Internal Medicine Practice by Implementing the GOLD Guidelines

Description

Purpose: Improve chronic obstructive pulmonary disease (COPD) screening in primary care by implementing Global Initiative for Chronic Obstructive Lung Disease (GOLD) screening criteria.

Background and Significance: Evidence shows primary care providers

Purpose: Improve chronic obstructive pulmonary disease (COPD) screening in primary care by implementing Global Initiative for Chronic Obstructive Lung Disease (GOLD) screening criteria.

Background and Significance: Evidence shows primary care providers (PCPs) are not adhering to the GOLD Guidelines for COPD screening.

Methods: Guideline education with pre/post-intervention survey and percent of eligible participants screened.

Results: Pre-intervention surveys (n=10) and post-intervention surveys (n=8) completed. Significant increase in knowledge regarding the CAT score (M score = 11.50, U = 24.000, p<.05). Part 2) 24% (n=6) of participants were screened with the CAT questionnaire.

Conclusions: PCPs are aware of the GOLD Guidelines, but do not always adhere to its recommendations. Future research should concentrate on effective ways to implement the GOLD Guidelines screening recommendations in primary care clinics.

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Created

Date Created
  • 2017-04-30

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Using a Clinical Guideline Coupled with Education to Improve Healthcare Providers' Knowledge of Early Sepsis Recognition in the Post-Acute Care Setting: A Quality Improvement Project

Description

Aims: The goals of this project were (1) develop a sepsis clinical guideline, (2) enhance direct patient care staff knowledge of sepsis and (3) survey staff comfort level with identifying

Aims: The goals of this project were (1) develop a sepsis clinical guideline, (2) enhance direct patient care staff knowledge of sepsis and (3) survey staff comfort level with identifying sepsis post intervention.

Background: Sepsis remains a significant healthcare problem associated with high treatment costs and high mortality rates. Older adults are at an increased risk for developing sepsis, especially when age is combined with any type of compromising factor, such as chronic illness, recent hospitalizations, wounds, or invasive devices. Current evidence demonstrates that sepsis screening is effective for early identification of sepsis. Early identification of sepsis improves time to treatment initiation, which improves outcomes.

Methods: An evidence-based, provider approved clinical guideline was developed for a post-acute care facility after an extensive review of the literature. Upon implementation, brief educational sessions were provided to direct patient care staff. Participants completed pre- and post-tests as well as a demographic survey. A satisfaction survey was administered 30 days post intervention. A paired samples t-test was used to analyze the difference in test scores. Pearson's correlation was used to analyze the relationship between staff comfort levels and the clinical guideline.

Results: The samples included 25 participants in the educational intervention and 18 in the satisfaction survey. There was a significant difference in the scores between pre-test (M = 72.3, SD = 12.43) and post-test scores (M = 86.6, SD = 10.2); t(24) = -5.578, p < 0.001. There was a significant correlation between staff who felt comfortable in identifying sepsis with ease of screening (r = .831, p < .01) and high comfort levels with the policy (r = .889, p < .01).

Conclusion: Utilizing a clinical guideline, coupled with education, improves staff knowledge and comfort identifying sepsis in the post-acute care setting, which may improve early recognition and treatment initiation. This outcome is clinically significant as patients in this setting represent a vulnerable population.

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Created

Date Created
  • 2017-04-29

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Publication Guidelines and the Use of Qualitative versus Quantitative Data in the Reporting of Research in Elsevier’s Animal Behaviour

Description

Many journals provide guidelines for their publications, which outline the expectations for authors when submitting an article for publication. Although these guidelines have become common practice for some journals, there

Many journals provide guidelines for their publications, which outline the expectations for authors when submitting an article for publication. Although these guidelines have become common practice for some journals, there is little written regarding the impact that these guidelines have on the reporting of research. This paper aims to provide insight regarding the question of “How do journal guidelines address the reporting of data in scientific journals?” This study does not measure the impact that guidelines have had on the reporting of research and instead aims to use the established methodology of document analysis to develop a new instrument for helping understand how and whether publication guidelines impact the reporting of data. The work conducted to develop this methodology involved analysis of the language used in publication guidelines and its potential impact on the use of qualitative versus quantitative data in the reporting of animal behavior research. The topic was chosen as animal behavior research often requires the use of both quantitative and qualitative observations when reporting. In this study, we examined the differences in publication guidelines outlined by the Elsevier’s Animal Behaviour between the years 1960 and 2019, to identify any potential influence of the journal’s publication guidelines on the reporting of scientific research in Animal Behaviour. This study highlights three emerging themes (data presentation, types of research topics and paper types) and identifies supporting language in the guidelines that address the use of qualitative and quantitative terms in the reporting of scientific research.

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Created

Date Created
  • 2019-12