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Nurse-Driven Palliative Care Screening Tools in the ICU
Olivia Sarkis BSN, RN; Fiona Hill BSN, RN; and Isak Madden BSN, RN
PICOT Question: In adult ICU patients, how does implementing a nurse-driven palliative care screening tool, compared to provider-discretion palliative care consultation, affect rates of palliative care consultation in the ICU?
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Safety Practices Regarding Oral Nimodipine Administration
Hannah Linsky BSN, RN; Nathan Mendoza-Connell BSN, RN; Perla Moguel BSN, RN; and Andrew Vachon BSN, RN
PICOT Question: In adult patients with subarachnoid hemorrhage who are unable to swallow, does pharmacy prepared nimodipine oral solution administered via EnFit syringes, compared with bedside aspiration of nimodipine capsule solution using a blunt needle into syringes, reduce medication administration errors during hospitalization?
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Effective Education Prevents Readmission Rates
Taylor Johnson, Gabby Belanger, Ben Mittleman, and Bella Ferguson
PICOT Question: In older adult patients, does nurse-driven education, compared with standard care, reduce hospital readmission rates?
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Meeting Nurses Where We're At
Michal Brown, Kayley McLaughlin, and Lauren Damm
PICOT Question: For night shift nurses, how does implementing flexible shift-friendly educational strategies, such as reordered or alternatively scheduled sessions, compare with traditional morning in person education classes affect their ability to positively participate and engage in required education throughout the nurse residency program?
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Early Ambulation in Post-Operative Medical-Surgical Patients
Rebecca Telemaco RN
In adult post-operative patients on a medical surgical floor, does initiating early ambulation during the night shift, compared with delaying ambulation until daytime, lead to improved recovery outcomes such as reduced postoperative complications or shortened?
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Enhancing Alzheimer's Care: Impact of Staff Education on Behavioral Outcomes
Laura Caton RN
Would additional staff training and education in Alzheimer’s patient interactions compared to minimal/or no staff training and education in Alzheimer’s patient interactions lead to reduced behavioral events in bedside nursing?
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Enhancing Patient Safety and Satisfaction: Evaluating the Impact of Bedside Shift Reporting on a MedSurg Floor
Sarah Delaware BSN, RN
On Medical Surgical hospital units, how does the implementation of RN bedside shift report, compared to traditional shift report away from the patient, impact patient satisfaction and patient safety outcomes?
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Improving Functional Outcomes Through Increased Mobility Frequency in Rehabilitation
Anita Mantais ADN, RN
In older adults in a Rehabilitation and Skilled facility, how does increased frequency of physical therapy and mobility interventions compared to standard or less frequent physical therapy affect functional independence and mobility outcomes during their stay or at discharge?
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Improving Sepsis Bundle Compliance Through a Structured Emergency Department Rapid Response Protocol
Melanie Bogdanovich BSN, RN
In adult patients presenting to the Emergency Department with suspected sepsis, does the implementation of structured sepsis rapid response protocol or team, compared to standard care, improve compliance with sepsis bundles and attainment of sepsis benchmark performance measures?
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Positioning the Surgical Patient
Jennifer Condon RN, BSN
For patients undergoing surgery does implementation of AORN standard for safe positioning practice compared toa non-standardized approach improve surgical outcomes?
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Reevaluating Arm Precautions: Evidence-Based Practice for Post-Mastectomy and Post-Lumpectomy Patients in Critical Care
Mallory Palmer BSN, RN
In critically ill post-mastectomy and post-lumpectomy patients, how does allowing intravenous (IV) access in the ipsilateral arm compared to maintaining traditional arm precautions (avoiding IVs, blood draws, and blood pressure on the affected side) affect the incidence of lymphedema, infection, or other complications during hospitalization or critical care stay?
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Hospitalized Adult Patients with Hypokalemia (cont.)
Lisa McLaughlin
In hospitalized adult patients with hypokalemia, how does intravenous potassium supplementation compare to oral (PO) potassium supplementation in affecting the time to normalization of serum potassium levels within a 72-hour inpatient stay?
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Improving Patient Safety in Hospitals with Smartwatch Technology
Shelby Giannelli RN and Katrina Thibodeau RN
In hospitalized adult patients, how does the use of smart bracelets compare to standard care affect patient safety and monitoring outcomes?
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Pedi Psych Boarding in the Emergency Department
Cryspin Russo
Will implementation of structured intervention(s) during ED boarding improve the boarding experience for our pediatric psych patients?
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Physical and Mental Outcomes Associated with Patient with Cognitive Impairments Compared to Those Without
Jessica Forcier RN
In hospitalized older adult patients with cognitive impairment and physical decline, how does an extended length of hospital stay, compared to a shorter or average length of stay, affect their physical and mental health outcomes?
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Reducing Delirium in Older Adults: The Role of Quiet Hours During Hospitalization
Kelly Hermawan BSN, RN
In older adults how does the implementation of quiet hours compared to no quiet hours affect the incidence of delirium as measured by positive cam score during hospitalization?
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Scheduled Ambulation Twice Per Shift to Reduce Hospital-Acquired Delirium
Rylee Collins RN
In older adult inpatients ages 65 and older on a medical-surgical telemetry unit, does scheduled ambulation twice per shift with staff assistance, compared to as-needed ambulation, reduce the incidence of hospital-acquired delirium during hospitalization?
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Importance of Interdepartmental Communication in Relation to Patient Outcomes
Murphy Duffy RN and Joseph Sargent RN
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Music Therapy: Treating Pain and Anxiety in the Perioperative Patient
Derek Bascom RN
In perioperative patients, what is the effectiveness of music therapy in treating anxiety and pain compared to standard care without music therapy?
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Reducing Burnout and Improving Staff Retention in Critical Care
Shane Rhodes
For hospital-based nurses, how do team-level or systemic interventions, compared to approaches focusing on individual resilience or well-being, affect burnout, retention, and perceptions of patient safety?
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Reducing Falls in Medical-Surgical Patients
Braelyn Bailey BSN, RN; Haylee Paione BSN, RN; and Elizabeth Young BSN, RN
PICO: In adult patients at risk for falls on Med Surg units, how does the implementation of fall-reducing interventions compare to standard fall precautions impact inpatient fall rates?
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The Impact Workplace Violence Has on Nurse Burnout
Olivia Merryman RN
In nurses working in the healthcare field, how does increased exposure to workplace violence, in comparison to an environment with effective violence prevention affect the rates of nurse burnout and retention of staff?
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Well Controlled GDM vs Poorly Controlled GDM Effects on Infant Blood Glucose Levels at Birth
Molly Chicoine BSN, RN; Cheyanne Greene BSN, RN; and Ainsley Bryant BSN, RN
In pregnant women with gestational diabetes, how does well-controlled maternal blood glucose during pregnancy, compared to poorly controlled glucose levels, affect the incidence of abnormal newborn blood glucose levels at birth?
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Delirium in Intubated Adult ICU Patients
Emily Martin, Colby Obrecht, and Jacob Scott
PICOT Question: In intubated adult ICU patients, does sedation with Dexmedetomidine compared to Propofol reduce the incidence of hospital acquired delirium during the ICU stay?
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Dementia- Friendly Interventions in the Hospital Setting and Positive Patient Outcomes
Breanna Wenger
PICOT Question: In patients with dementia, what impact does a “dementia-friendly” hospital have on their outcomes in comparison to hospitals that do not employ dementia-friendly practices during their stay?
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Do Hospitalized Patients' Quality of Life benefit from Alternative Lighting Practices?
Daniel Singer
PICOT Question: In hospitalized patients, does exposure to alternative lighting interventions, as opposed to standard lighting practices, improve quality of life and/or recovery outcomes during their hospital stay?
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From Harm to Healing: Centering Towards Black and Ethnic Minority in Birth Equality
JodiAnn Coleman and Ikesha Green
PICOT Question: In ethnic minority pregnant individuals, does anti racism training for healthcare providers improve the birthing experience compared to standard care?
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Importance of Mobility During Hospital Stays
Jennifer Davis
PICOT Question: In hospitalized patients, how does lack of mobility compared to regular ambulation affect mental health during their hospital stays?
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Mouth Matters: Impact of Therapeutic Communication on Inpatient Oral Hygiene Practices in Medical-Surgical Units
Duncan Macleod RN, Terence Olds RN, and Acadia Birk RN
PICOT Question: In adults over 18 years of age on a medical-surgical floor(P), how can therapeutic communication strategies be implemented to encourage oral hygiene practices(I), compare to providing the resources without therapeutic communication(C), in maintenance of daily oral hygiene practices(O), during length of hospital stay(T).
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The Impact of Implementing a Nurse Residency Program
Lexus Freeman
Does a nurse residency program enhance retention among new graduate nurses compared to immediately entering practice?
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Time Reduction or Waste Production?
Katryna Smith, Brittany Grannell, and Cheri Geurtin
PICOT Question: In adult patients arriving at the Emergency Department, does proactively conducting standard laboratory tests prior to provider assessment, as opposed to waiting for provider instructions, lead to a reduction in the overall length of stay during a single visit?
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What Sucks the Best? The DuCanto!
Gabe Gunning
Background: Airway management is a defining skill that demands mastery by emergency physicians. Airway emergencies pose considerable morbidity and mortality risks. Familiarity with, and mastery of, a variety of airway management approaches and equipment can prove invaluable for management of anatomically and physiologically difficult airways.
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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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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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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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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 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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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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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?
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Impact of Sleep Comfort Measures on Patient Experience
Elizabeth Cotsifas RN, Lydia Gordon RN, Lillian Renier RN BSN, and Emily Schade RN
PICOT Question: For hospitalized patients, how does the utilization of sleep comfort measures, or lack of, affect patient quality of sleep from admission to discharge?
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Impacts of Fluid Restriction in Heart Failure Patients
Monica Lopez RN, Jacob Maxwell-Couch RN, Jennifer Perry RN, and Barbara Shea RN
PICOT Question: In hospitalized patients with heart failure does a fluid restriction versus liberalized fluid intake lead to improvement of heart failure symptoms?
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Intermittent Auscultation vs Electronic Fetal Monitoring in Laboring Patients
Nichole Plummer and Jennifer Kellerman
In healthy laboring women, how does the use of Intermittent auscultation, compared to continuous monitoring, affect fetal and maternal outcomes?
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Interventions to Improve Mental Health in New Graduate Nurses
Katherine Lewis RN BSN, Cordelia Inman RN BSN, Hannah LeClair, and Caroline Spencer RN BSN
PICOT Question: In new graduate nurses (CN1), how does mental health support groups compared to no specific mental health support affect new nurses within the first year of hire?
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Low vs. High Patient Ratio Effects on Medical Errors
Katelynn Watkins RN, Chris Strong RN, and Najmo Ali RN
PICOT Question: This evidence-based practice project aimed to analyze; in acute-care settings how do variations in nurse-to-patient ratios when comparing low and high ratios, influence medical errors, patient outcomes and nurse outcomes?
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Newborn Bathing Within 24 Hours
Julie Sirois
Does delayed bathing in newborns decline negative patient complications compared to those who received a bath prior to 24 hours of birth?
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Postoperative Atrial Fibrillation
Ryan Thurlow RN BSN, Olya Tucci RN BSN, and Lily Williams RN BSN
What is the more effective treatment metoprolol or amiodarone for best patient outcomes?
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Reducing Implicit Bias in Nursing to Decrease Maternal Racial Health Disparities and Improve Patient Outcomes
Robin Illian BSN and Julianne Andreades BSN
PICOT Question: For Black birthing patients, how does receiving nursing care from nurses trained in implicit bias and racial health disparities impact maternal morbidity, mortality, and patient satisfaction, compared to those receiving current standard current nursing care?
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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