Matching Items (2)
Filtering by
- All Subjects: Nurse practitioners
- Creators: Ochieng, Judith
Description
Purpose & Background: Family Nurse Practitioner (FNP) residency programs are meant to ease providers' transition into practice, but there is limited evidence about their overall effectiveness and impact on provider satisfaction. When a FNP residency program in the Southwestern United States found they had high resident provider attrition rates, it prompted an investigation into current and past residents’ satisfaction levels.
Methods: Arizona State University’s (ASU’s) Institutional Review Board (IRB) and the project site’s review committee approved the project design for human subject protection. After approval, all current and past residents employed at the practice were e-mailed a link to SurveySparrow with the Misener Nurse Practitioner Job Satisfaction Scale (MNPJSS) and a demographic questionnaire in December 2021 and February 2022.
Results: Mean satisfaction scores indicated “minimally satisfied” overall. When satisfaction was compared over time using a two-tailed independent t-test for an alpha value of 0.05, p = 0.731, indicating no significant change in satisfaction over two months. Total satisfaction and subscales of satisfaction were divided by cohort, averaged, and compared on a Likert scale from “1” (Very Dissatisfied) to “6” (Very Satisfied). Current residents’ average satisfaction score was M = 3.77. They were most satisfied with challenge and autonomy, M = 4.28, and least with collegiality, M
= 3.26. Providers' one-year post-residency average satisfaction score was M = 3.98. They were most satisfied with benefits, M = 4.53, and least with time, M = 3.04. Providers' two-year post- residency average satisfaction score was M = 3.49. They were most satisfied with benefits, M = 4.56, and least with time, M = 2.90. Using Pearson Correlation tests there was no correlation between average satisfaction and average performance on Uniform Data Systems (UDS), r = 0.01, p = 0.968.
Conclusions: Overall providers were “minimally satisfied.” Opportunities to make program improvements were identified and could help improve retention and reduce costs and provider shortages.
ContributorsLuedtke, M. Erin (Author) / Ochieng, Judith (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2022-04-29
Description
Background: Vaccination is an effective public health tool; however, immunization rates are low in American adults, with disparities existing for Hispanics compared to non-Hispanic Caucasians, uninsured individuals, undocumented immigrants, and low-income individuals (Lu et al., 2014; Lu et al., 2015; Williams et al., 2016). Consequently, 42,000 adults still die each year in the United States (US) from vaccine-preventable diseases, and nine billion dollars are spent on associated healthcare costs and lost productivity (ADHS, 2015; Wilson et al., 2019). To improve adult vaccination rates, the National Vaccine Advisory Committee recommends the Standards for Adult Immunization Practices, including regular assessment, recommendation, delivery or referral, and documentation during follow-up on vaccination (Orenstein et al., 2014; CDC, 2016).
Local problem: A free clinic in Arizona serving uninsured, undocumented Latin American immigrants had low vaccination rates and a deficiency in vaccination documentation in electronic medical records.
Methods: An evidence-based quality improvement project was conducted to address low vaccination rates and provider practices using a multi-component intervention. The effect and usage were evaluated through chart audits and pre- post-intervention surveys.
Interventions: A vaccination questionnaire was administered at all in-person primary care visits. Brief educational videos were provided to providers and office staff before the intervention addressing the questionnaire's use, purpose, and goals. Adult immunization schedule printouts were made available in all patient rooms and provider charting areas. Additionally, a resource sheet on local free immunization programs was created for providers and patients.
Results: The intervention's effect was unable to be determined due to a breakdown in the protocol after the second week of implementation. However, 92% of completed questionnaires reviewed indicated the patient needed one or more vaccination. Sixty-five percent of electronic medical records reviewed had no vaccination documentation historically for assessment, recommendation, referral, follow-up, or scanned vaccination records. No charts reviewed had these areas documented regularly.
Conclusion: Vaccination rates and the Standards of Adult Immunization Practices are low at the free clinic. Further quality improvement measures are indicated addressing barriers present.
ContributorsDukes, Alyssa (Author) / Ochieng, Judith (Thesis advisor) / Arizona State University. College of Nursing & Healthcare Innovation (Contributor)
Created2021-04-27