Nurse Residency

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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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  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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  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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  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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  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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  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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  No Longer NPO at Midnight for Heart Catheterizations

  Danica Brassbridge RN, BSN; Jessica Creelman RN, BSN; and Dominique Smith RN, BSN

  Does keeping cardiac catheterization patients NPO at midnight significantly reduce their adverse outcomes compared to those who are able to have clear liquids four hours pre procedure?

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  Nurse and CNA Communication/Delegation

  Maddi Michaud BSN, RN; Alexis Witham BSN, RN; and Katie O'Donnell BSN, RN

  Does having RN and CNA quality communication/delegation opposed to lack of/poor communication improve staff performance, satisfaction and patient outcomes?

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  Oral Care and Oral Hygiene

  Margaret Yenna RN, BSN and Shelby Morin RN, BSN

  In adults hospitalized oncology patients undergoing medical care, does doing oral care reduce incidents with oral complication compared to those who do not receive mouth care?

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  Postoperative Pain: Numerical Scale vs. Subjective

  Megan Lenihan BSN, RN; Amanda Moffo BSN, RN; and Emily Young BSN, RN

  In a post-op patient, what is the effectiveness of a numerical pain scale, compared to a subjective pain scale, when it comes to proper pain management?

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  Preventing Delirium in Hospitalized Patients with Art and Diversional Activity

  Natasha Fitzgerald RN, BSN and James Ozog RN, BSN

  For patients in the inpatient hospital setting, does participating in diversional activities (e.g. arts and crafts, music, games) reduce the risk of onset of delirium, compared with patients without such activities?

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  Preventing Post Operative Complications with Early Ambulation

  Eliza Helliwell RN, BSN; Shannon O'Roak RN, BSN; and Meghan Dadiego RN, BSN

  In patients who undergo surgery, how does early mobilization following surgery prevent post operative complications and shorten their length of stay?

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  Reduction in Hospital-Acquired Pressure Injuries

  Kelsey White BSN, RN and Kaley Rumery BSN, RN

  In admitted in-patient adult patients, is the Braden scale assessment tool compared to other nursing interventions, more accurate in decreasing hospital acquired pressure injuries?

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  Reduction of Skin Breakdown with Early Indication of Low Braden Scale Score

  Robert Inniss RN, BSN and Kendra Sloan

  In adult patients being admitted to the hospital from the emergency department, will early indication of low Braden Scale scores and the use of an air mattress help prevent skin integrity breakdown/help prevent the further breakdown of skin in patients who already are experiencing skin breakdown?

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  Shared Decision Making: The Importance of Communicating with Guardians and Pediatric Patients

  Kali Coyne RN, BSN; Kaitlynn Hutchins RN, BSN; Alyssa Albert RN, BSN; and Katy Ray RN, BSN

  In pediatric patient who visit the emergency room, is including the child in shared decision making compared to having the parent be the surrogate decision maker more beneficial to the experience and satisfaction of the family?

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  Subcutaneous Anticoagulation Administration vs Ecchymosis

  Ethan Langlois RN

  In adult patients receiving subcutaneous anticoagulation, how does using a slow injection time and local cold application compared to standard practice affect bruising?

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  TAVR Closure Devices and Their Effect on Bedrest Time

  Emily Curtis RN, Allie Gilbert RN, Morgan Jackson RN, Jaden Morin RN, and Shauna Riordan RN

  In transfemoral transcatheter aortic valve replacement patients, how do different bed rest times as well as different closure devices affect the patient outcomes postoperatively?

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  The Benefits of Psychosocial Interventions on the Inpatient Pediatric Population Diagnosed with Eating Disorders

  Melissa Guzzi, Samantha Pelkey, Rebekah Reny, and Molly McCluskey

  What is the effect of consistent, scheduled psychosocial interventions versus the absence of scheduled psychosocial interventions on the pediatric inpatient population diagnosed with eating disorders and requiring medical stabilization?

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  Trauma-Informed Care for NICU Parents

  Emma Stahl BSN RN and Elise Tilton BSN RN

  For parents of neonates that have been admitted to the NICU, does the use of trauma-informed care reduce the risk of parental stress/ trauma?

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  Uninterrupted Bedside Handoff Impact on Patient Care

  Amina Nur RN, BSN; Kalli Grover RN, BSN; Kaela Godwin RN, BSN; and Sue Aubuchon RN

  When addressing the needs of hospital inpatients(P), what is the effect of having an uninterrupted hand-off report(I) on patient care(C), compared to one that is delayed or interrupted by addressing emergent patient needs(O) during the shift change hand-off reporting(T)?

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  Unsafe Sleep Practices

  Hillary Nash RN, BSN; Caitlin Rouselle RN, BSN; and Sabrina Schleh RN, BSN

  In newborns does enhanced verbal and visual education given to their parents/guardians related to unsafe sleep practices help to lower the incidence of unsafe sleep reported on our unit?

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  Use of SAT/SBT in Adult Critical Care

  Jack Shibles RN, Kelsie Lynch RN, Grace Decker RN, and Matthew McDonald RN

  In mechanically ventilated adult Intensive Care Unit (ICU) patients, how does having a protocol for pairing a spontaneous breathing trial (SBT) with a spontaneous awakening trial (SAT) compared to not having a protocol affect the number of ventilator days?

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  Why do we care about safety with TBI patients?

  Delaney Loring RN BSN, Haley Greenleaf RN, Olivia Kaczmarek RN BSN, and Michaela Ryerson-Wing RN

  Do nurses working with acute and chronic TBI patients need additional education and training to provide safe, patient and family centered care during an inpatient hospital stay?

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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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  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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  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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  Professional Socialization

  Colleen Dyer RN, Ben Torpey RN, and Drew Wunderli RN

  In the on-boarding process for new graduate registered nursing staff, how does Professional socialization compare to traditional orientation influence staff retention or satisfaction after their first year of employment?

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  Psychosocial Health of Patients with a Left Ventricular Assist Device

  Sarah Christensen, Trang Le, and Natalie Pagenstecher

  Among adult patients diagnosed with advanced heart failure, what is the effect of left ventricular assist device (LVAD) implantation on self-reported measures of psychosocial health during the post implantation period?

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  Reducing Heart Failure Readmissions

  Jenny Dutra BSN, RN; Taylah Kilby BSN, RN; and Carolyn Palmer BSN, RN

  How Does Structured Nursing Led Heart Failure Education Compare to Basic Patient Education and Resources, and How Does it Influence Reducing Heart Failure Readmissions Within 30 Days of Discharge?

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  Sleep Menu: Maintaining a Normal Sleep Regiment in an Unfamiliar Environment

  Samantha Donnell, Hallie Shiers, Nichole Demarco, and Taysier Elshaikh

  Key aspects of the health benefits of good sleep in the hospital setting

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  Staff Assist Process in the Emergency Department Setting

  Caroline Goodnight RN, Rasha Burkeba RN, and William Covert RN

  In the Emergency Department, how do zone-based response systems compare to department-wide response systems in a staff assist affect overall patient outcomes within a one-year period of time?

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  The Power of Empowerment: What Happens When We Include Patients in Nutritional Decision-Making

  Katarina Konstantino BSN, Julia Vaughan BSN, and Jennifer Hillyard BSN

  In hospitalized patients, how do personalized meal selections impact patient satisfaction and overall quality of life during hospital stays?

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  Using the Johns Hopkins Mobility Goal Calculator to Improve Functional Outcomes During Inpatient Stays and after Discharge

  Thomas Badger BSN, RN; Katherine Bower BSN, RN; and Becky Radolf MSN, RN

  Do adult hospital inpatients achieve pre-admission baseline functionality with higher frequency using the Johns Hopkins Mobility Goal Calculator (JH-MGC) versus the standard clinical approaches to mobility?

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  Palliative Care and Length of ICU Admission

  Grace Howard RN, Briana Kramer RN, Chloe Heslin RN, and Kyle Cleary RN

  Does incorporating palliative care influence the length of stay in intensive care patients?

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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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  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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  Q2 Turns and Air Fluidized Therapy Beds

  Fartun Hirsi RN, Audrey Iradukunda RN, and Krissia Walker RN

  PICOT Question: How does repositioning patients every 2 hours compared to Air Fluidized therapy beds reduce the incidence of pressure injuries in critically immobile ill older adults?

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  The Benefits of Heat Application and Range of Motion vs. Ice Therapy

  Jared Proulx RN BSN and Alejandro Canales RN

  PICOT Question: In patients with musculoskeletal injuries, is heat application and gentle range of motion more or less effective than standard icing and immobilization methods in regard to the healing process, prognosis and positive patient outcomes?

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  The Complexity of PRN Psychotropic Medications in the Acute Care Setting

  Morgan Pasquali BSC RN

  PICOT Question: In the geriatric population who have PRN medication for agitation compared with those without PRN medication for agitation, are at risk for adverse events during their hospital stay?

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  The Need and Impact of Child Life Interventions and Support on Night Shift

  Meranda Martin RN, Elise Moloney RN BSN, and Natani Condo RN BSN

  PICOT Question: For pediatric patients (P), how would having a Child Life resource available on night shift (I) improve (C) overall patient experience (O) during hospital stays (T)?

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  The Use of Nitrous Oxide in Adult Inpatient Populations for Analgesic and Anxiety Management During Bedside Procedures

  Avery Low RN, Frances Brown RN, and Hannah Lewis RN

  PICOT question: In adult medical-surgical inpatient populations, how does nitrous oxide compared to commonly used pain medications, affect patient procedure compliance and/or experience, within the length of their hospital visit?

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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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  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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  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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  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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  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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  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?