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Alarm Fatigue: Alarm Management/Intervention Education vs. Current State
Keegan Dodge Dodge RN BSN
PICOT Question: In inpatient telemetry units, how does alarm management/intervention education in comparison to current state affect a decrease in non-actionable alarms and reduce alarm fatigue?
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An Evaluation of Peripheral Nerve Stimulation When Monitoring ICU Patients Requiring Chemical Paralysis
Justin Moscone, Tomas Gibbons, and Anna Walker
In ICU patients receiving infusions of vecuronium or cisatracurium, is a clinical assessment-based titration model compared to a train-of-four titration model more effective when monitoring paralysis?
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Baby Doll Therapy for Older Adults with Dementia
Ashley Holmes RN BSN and Naimo Ukash RN BSN
PICOT Question: In patients older than 65 with dementia, (P), how does doll therapy (I) as compared to pharmaceutical interventions (C) affect caregiver burden (O)?
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Bean 5 Turn Team: Improves Turing Interventions & Reduces HAPI Rates
Paige Thompson RN and Johnna Grant RN
Does implementing a turn team on hospital units aid in preventing pressure-related injuries as compared to standard of care, without a turning team?
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Betamethasone and the effects on newborns of various gestations
Julie Allen, Hanna Freeman, and Kristina Smith
PICOT Question: In newborns of various gestational ages, how does administering betamethasone affect newborn outcomes within the first 72 hours of life?
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Burnout in Healthcare
Katie Bernard RN BSN, Kiana Fuller RN ADN, and Ashley Rhoades RN BSN
In a hospital setting, are nurses who practice coping strategies at a lower risk for nurse burnout then nurses who do not?
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Burns: A Standardized Approach for Resuscitation of Burn Patients in the Critical Care Setting
Joshua Cole RN BSN, Marcus Leo RN ADN, Kyle Jacques RN BSN, and Lauren Miller RN BSN
PICOT Question: In adult major burn patients (Burns greater than 15% body surface area), how does a burn critical care bay with visual cues and intervention specific carts, compare to standard critical care bays affect patient outcomes over the course of their hospital stay?
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Comparing the Efficacy of Different Wound Care Modalities (topical solution) in the Prevention of Pseudomonas Aeruginosa growth in Burn Soft Tissue Populations
Suzy Bryan BSN RN, Hajra Chand BSN RN, Brooke Sorbello BSN RN, Kiah Newton BSN RN, and Grace Boisvert BSN RN
The purpose of this project is to gain a deeper understanding of the treatment modalities used on R3, and why certain treatment soaks are more effective methods at promoting wound healing and prevention of Pseudomonas colonization in BST patients.
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Complementary Therapies for Chemotherapy Induced Side Effects in Oncology Patients
Alyssa Gravel RN and Tori Welch RN
PICOT Question: In oncological patients undergoing conventional treatment, what is the effectiveness of non-pharmacological interventions in treating side effects of chemotherapy and radiation?
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Constipation in Postoperative Cardiovascular Patients
Jessica Diaz BSN, Samuel Mulunda RN, Jacob Rudolph RN, and Emily Lovejoy RN
Would postoperative cardiovascular patients that receive a preoperative bowel preparation as opposed to those who receive no bowel prep have a shorter ICU stay and less complications postoperatively?
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Dedicated Turn Teams Make the Difference
Madeline Gill RN BSN, McKenzie Kelly RN BSN, and Phaelan Mead RN BSN
PICOT Question: Are patients with impaired bed mobility admitted to hospitals with rotating turn teams at decreased risk of developing pressure wounds compared to patients admitted to hospitals without assigned turn teams during their hospitalization?
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Delirium Prevention Strategies in Hospitalized Patients
Julia Couture
In hospitalized patients do pharmacological interventions targeted to prevent or treat delirium reduce the incidence, severity or duration of delirium compared to non-pharmacological interventions during hospitalization?
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Delirium Protocols and the Impact on Patient's Extended Stays and Care
Devin Cheetham-Wilmot RN, Aislinn Murphy RN, Bronson Kieltyka RN, and Molly Dall RN
PICOT Question: In patients with stays over 3 days, how does a delirium protocol and interventions improve their stay and symptoms compared to the current standard of practices to shorten length of stay and improvement in care quality within a 6-month experience?
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Diaper Destiny
Delilah Graffam BSN RN and Liz Yeaton BSN RN
PICOT Question: In the infant population, how does the use of different diapering techniques –such as textured/highly absorbent diapers and pH buffered wipes– impact skin integrity and the occurrence and/or severity of diaper dermatitis?
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Differences in Outcomes in Patients with Treatment-resistant Depression (TRD) Receiving Electroconvulsive Therapy (ECT) vs. Ketamine Infusion Therapy
Kimberly Crowley
In patients with treatment-resistant depression, how does ketamine infusion therapy compare to electroconvulsive therapy (ECT) in its impact on depressive symptoms and remission rates?
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Early Ambulatory Cardiac Monitoring for Detection of Arrhythmias in Stroke Patients: Holter Monitor vs Zio Patch
Jennifer Chretien RN
In patients diagnosed with acute ischemic stroke, is 14-day monitoring with an ECG patch (e.g., Zio patch, Ezypro) more effective at detecting cardiac arrhythmias than traditional 24–48-hour Holter monitoring?
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Early Mobilization in Mechanically Ventilated ICU Patients
Garrett LaFrance BSN RN, Jasmine Olshin BSN RN, Olivia Powers BSN RN, and Lauren Baecher BSN RN
PICOT Question: In mechanically ventilated ICU patients, does early mobilization decrease length of ICU stay in comparison with patients on strict bedrest?
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Early vs. Delayed Ambulation: Impact on Postoperative Patient Outcomes During Hospitalization
Nhi D, Alex T, and Hannah H
In post-op patients, how does early mobilization compared to delayed mobilization affect patient outcomes within hospital time?
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Effect of Stop-Cocks in Reducing Post-Procedure Femoral Access Complications
Alessia Toohey RN, Ross Underwood RN, and Clare Zorena RN
n patients undergoing cardiac procedures requiring femoral artery access, does the use of stop-cocks with figure-8 stitches in femoral access closure compared to standard closure methods without these techniques reduce the incidence of post-procedure complications such as bleeding and hematoma within 24 to 48 hours post procedure?
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Effects of Providing Discharge Instructions in Native Language
Samantha Hogan RN; Julia Latham RN, BSN; Kimberly Phelps RN; and Eli Seeman Rn, BSN
How effective is providing discharge instructions in native language for patients with limited English proficiency on decreasing adverse events when compared to those instructions provided in written English?
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Environmentally Friendly Disposal of Pharmaceuticals in the Hospital Setting
Kate Sobanik
Background: The Environmental Protection Agency and Department of Drug Enforcement have regulations on the safe handling of narcotics as well as guidelines for environmental sustainability with the disposal of all pharmaceuticals. Federal, state and local regulations can vary but hospitals are required to dispose of pharmaceuticals in specific ways to prevent injury to the environment and living organisms.
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Evaluating the Effectiveness of Silicone Foam Dressing in Preventing Pressure Ulcers in Intensive Care Settings
Farah Ibrahim RN BSN
PICOT Question: For critically ill patients and high-risk aged care residents, does the use of multi-layer silicone foam dressing reduce the future risk of developing pressure injuries compared with those who receive the standard pressure injury preventions without the application of the dressing on their sacrum and heels?
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Evidence-Based Diabetes Exercise Intervention
Laura Smith
Type 2 diabetes mellitus is a chronic, noninfectious disease that affects a large population of adults in the world. Typically, it is associated with obesity, a sedentary lifestyle, and the consumption of undesirable meals (Nakrani et al., 2020/2023). Even with various treatments available for type 2 diabetes, most patients find it challenging to maintain a steady blood glucose level.
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Fall Rates in Patient Populations with Remote Video Monitoring Compared to Companions
Alexandra Volpe and Catherine Close
Background: Healthcare facilities are constantly searching for new and improved interventions to minimize injury and fall rates within their units. 1:1 companions, or ‘sitters’, have been used to provide the patient with close monitoring in order to accomplish these goals. However, companions are not always a liable option for facilities due to poor staffing and increased expense in order to staff a ratio of 1 companion to 1 patient. Research has started to develop on the benefits of remote video monitoring, or ‘telesitting’, as an intervention to minimize fall risk and injury.
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Fall Reduction: Using Exercise Interventions to Reduce the Number of Falls Among People with Parkinson's Disease
Michael D. Healy RN
PICOT Question: In geriatric patients with Parkinson's, what is the effectiveness of lower extremity strength training combined with medication management for the reduction of unplanned falls?
This is a collection of work created by members of the New Graduate Nurse Residency Program of MaineHealth. This program serves as an adjunct to the traditional clinical orientation experience of one-on-one with a registered nurse preceptor.
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