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Fall Risk and Patient Safety
Sidney Sparda, Iza Lobue, and Lilly Morrissey
In patients with increased fall risk how does using the TIPS tool compared to The Johns Hopkins Fall Risk Assessment Tool (JHFRAT) affect patient falls within an acute care setting?
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Falls Happen... Do Tele sitters vs. 1:1 Companions Make a DIfference?
Jenna Flewelling RN, Gabby Guzman RN, and Rhiannon Regan RN
In patients with an increased fall risk (P), how does a tele sitter (I) compared to a 1:1 in person companion (C) affect the amount of falls that occur (O) within a hospital stay (T)?
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Glycemic Control in Type II Diabetics
Brianna Jordan BSN, RN; Caelyn Smith BSN, RN; Kyleigh Alt BSN, RN; and Sarah Goslin BSN, RN
In type two diabetics, how does in-patient insulin protocols compare to interventions at home influence glycemic control over 6 months?
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Handoff Report & Standardizing Report Sheets
Isabella Santeramo RN ADN, Caitlin Salas RN ADN, Samantha Neilhart RN ADN, and Debra Harmon RN ADN
PICOT Question: In nursing, how does a standardized report compared to a non-standardized report affect efficiency in continuity of care in a 12-hour shift?
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HELP Programs Impact on Delirium
Abigail Holt
Background: Delirium is a condition that affects 1/3 of patients in the hospital. It is a condition that is preventable and reversible.
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How Can We Improve How Delirium is Managed in Acute Care?
Lauren Wargo RN, Kaylyn Ritchie RN, and Jillian Lefebvre RN
In the acute care population, does assessing the patient's risk factors for delirium upon admission and daily, as well as implementing evidence based preventative measures based upon risk factors, reduce the incidence and duration of delirium compared to the patient that is not screened for risk factors and does not have preventative measures implemented?
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How Environment of Care Standards Impact Patient Satisfaction
Taylor Tantingco and Raeven Bilugan
Background: Environment of Care (EOC) are standards of care that revolve around the safety and well-being of both the staff and the patient.
EOC takes into account variables such as a clean environment, basic standards of care (ADLs), and access to resources/materials.
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How will the use of a black out hour and the improvement in handoff communication increase patient safety when arriving on the medical surgical units?
Mackenzie Aleva
Background: Change of shift admissions also increase nurse's frustration and workload. Most importantly change of shift admissions pose a risk for patient safety. On this unit specifically there are frequent change of shift admissions that occur.
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Impact of Gum Chewing on Return of Gastrointestinal Motility in Postoperative Colorectal Surgery Patients
Cheryl Kaufman RN
PICOT Question: In postoperative colorectal surgery patients, how does gum chewing versus non-gum chewing beginning post op day one impact the return of gastric motility and the prevention of postoperative ileus?
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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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Improving Nurse-Provider Communication
Caitlin Martel-Harrington and Martha Mary Lane
Background: Ineffective communication among healthcare staff has been shown to cause an increase in errors and decrease in patient satisfaction.
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Improving Outcomes: Preoperative Education in Cardiac Surgery
Carson Dyer RN, BSN and Odette Zouri RN, BSN
In patients undergoing cardiac surgery, does preoperative teaching vs. no preoperative teaching decrease anxiety and increase adherence to changes in lifestyle during the postoperative period?
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Improving the Balance Between Patient Satisfaction and Efficient ED Throughput
Jessica Graham and Izzi Marceau
Background: Patients come into the Emergency Department (ED)when they are having an emergent health concern. One role of the ED nurse is balancing the patient expectations of care with ensuring the flow of the department. The studies reviewed here examine the way that ED nurses can help to coordinate realistic expectations for patients as they are waiting to be seen.
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Initiation of J-tube
Emily Bolduc, Olivia Lagace, Megan Dunn, Lauren Long, and Rolanda Nubuor
How does the initiation of J-Tube feeds affect the postoperative care plan of an esophagectomy patient?
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In patients aged 70 and above, male and female, how does the length of stay after treatment compared to early discharge impact the patient's level of orientation?
Amanda Ames, Caitlin Chasse, and Jamie Beaupre
Background: The length of stay after treatment can put patients’ health and well-being at a disadvantage. Length of stay can not only cause delirium but can also have detrimental impacts on pre-existing comorbidities. By decreasing a patient's length of stay following the completion of treatment, there are lower levels of adverse outcomes that not only benefit the patient but also those around them.
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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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Labor & Delivery EBP Project: Reducing Implicit Bias in Nursing as a Way to Decrease Maternal Racial Health Disparities and Improve Outcomes
Julianne Andreades and Robin Illian
Introduction/Background:
• Maternal mortality for Black birthing people in the United States is 3X higher than it is for white birthing people (CDC, 2022).
• Racism, including implicit bias, is a driver of these disparities (CDC, 2022).
• Research has shown that clinicians' implicit bias, defined as unconscious attitudes and beliefs that impact behaviors, affects treatment decisions and patient outcomes (Groves et al., 2021 and Siden et al., 2022).
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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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Medical Play
Sophie Dugas RN and Michella Canning RN
PICOT Question: Does medical play create a positive outlook during and after medical procedures in pediatric patients during their hospital stay?
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Mental Health in Emergency Nursing
Devyn Taylor RN, BSN
In emergency nursing, how does the early provision of mental health care and interventions compared to lack of such care impact the occurrence of early burnout?
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Mental Health Interventions for the High-Risk Antepartum Inpatient Population
Mary Halle BSN, RN
In the high-risk antepartum patient population, do tailored mental health interventions, compared to routine intervention, improve patients’ overall mental well-being during inpatient hospitalization?
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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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Noise Levels in the Operating Room
Olivia Bruzkova RN, Jaime Gore RN, Jennifer Suttles RN, and Sarah Trinward RN
PICOT Question: For patients undergoing surgical interventions, how does reduced noise levels compared to unreduced noise levels influence patient outcomes and satisfaction?
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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