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Title
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Virtual reality as complementary treatment after spinal fusion
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Creator
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Krueger, Emily (Emily Ann)
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Date
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2022
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Collection
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Doctor of Nursing Practice Projects
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Description
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Background and Significance: The number of lumbar spinal fusion patients increases each year nationwide. The amount of opioid pain medication used can affect the outcomes, patient satisfaction, and quality of recovery. In this project, emphasis was placed on implementing and using non-pharmaceutical interventions to assist in the management of postoperative pain. Purpose: The purpose of this project was to implement the use of virtual reality to supplement the current postoperative care...
Show moreBackground and Significance: The number of lumbar spinal fusion patients increases each year nationwide. The amount of opioid pain medication used can affect the outcomes, patient satisfaction, and quality of recovery. In this project, emphasis was placed on implementing and using non-pharmaceutical interventions to assist in the management of postoperative pain. Purpose: The purpose of this project was to implement the use of virtual reality to supplement the current postoperative care protocol to minimize the length of stay, increase pain control, and lower opioid usage. Methods: The project was implemented in a neurological unit at a midwestern trauma two hospital. All patients admitted after lumbar spinal fusion surgery performed by the employed neurosurgeons were included in the intervention. Evaluation: Pain scores, length of stay, readmission rates, and morphine milligram equivalencies were documented and compared to patients who had undergone similar surgical procedures before the addition of postoperative virtual reality.
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Title
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A project plan : healthy work environment and unit culture
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Creator
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Woltschlaeger-Brooks, Susanne A.
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Date
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2022
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Collection
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Doctor of Nursing Practice Projects
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Description
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Background and Review of Literature: A Healthy Work Environment (HWE) has broad implications impacting wellness and retention of team members, recruitment, quality and safety of care delivered, and the overall organizational culture. A review of the literature demonstrates various factors contribute to the presence or absence of a HWE. Purpose: The purpose of this evidence-based quality improvement project is to improve the HWE and ultimately decrease team member churn, increase team member...
Show moreBackground and Review of Literature: A Healthy Work Environment (HWE) has broad implications impacting wellness and retention of team members, recruitment, quality and safety of care delivered, and the overall organizational culture. A review of the literature demonstrates various factors contribute to the presence or absence of a HWE. Purpose: The purpose of this evidence-based quality improvement project is to improve the HWE and ultimately decrease team member churn, increase team member belonging and engagement as well as likelihood to recommend on a neuroscience clinical unit within a large midwestern Magnet ® designated hospital. Methods: Key interventions were implemented focusing on the fundamental core components of the IHI Framework for Improving Joy in Work: camaraderie and teamwork, choice and autonomy, meaning and purpose, and physical and psychological safety. Implementation Plan / Procedure: Following the IHI Framework for Improving Joy in Work, "What matters to you?"208Aconversations to identify impediments to joy at work were held with team members. Targeted strategies to address impediments were developed and implemented. Results/Interpretation: Effectiveness of the IHI Framework for Improving Joy in Work was evaluated by comparing pre and post implementation data for rolling twelve month transfer and churn percentage, engagement and belonging scores, and likelihood to recommend. The twelve month rolling transfer and churn percentage decreased from August 2021 to January 2022. Belonging and engagement scores decreased from July 2021 to November 2021. Likelihood to recommend decreased from August 2021 to January 2022. Implications/Conclusion: The COVID-19 pandemic impacted the implementation of the IHI Framework for Improving Joy in Work as it proved to be a significant disruption impacting overall stress, staffing levels, and tested the resilience of healthcare organizations across the nation. It is recommended that the neuroscience clinical unit consider continued application of the IHI Framework for Improving Joy in Work as a strategy to recover from the COVID-19 pandemic.
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Title
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Providing nurses with a structured approach to emotional support during COVID-19
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Creator
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Martel, Michael (Michael J.)
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Date
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2021
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Collection
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Doctor of Nursing Practice Projects
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Description
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The increased demands on healthcare facilities as a result of the COVID-19 pandemic have taken an emotional and physical toll on Healthcare Workers (HCW) including nurses, who are on the front lines of patient care. HCW are at an increased risk of mental health disorders, including depression, anxiety, and post-traumatic stress disorder (PTSD), as a result of repeated exposure to traumatic events, long working hours, workplace violence, and repeated exposure to death and suffering....
Show moreThe increased demands on healthcare facilities as a result of the COVID-19 pandemic have taken an emotional and physical toll on Healthcare Workers (HCW) including nurses, who are on the front lines of patient care. HCW are at an increased risk of mental health disorders, including depression, anxiety, and post-traumatic stress disorder (PTSD), as a result of repeated exposure to traumatic events, long working hours, workplace violence, and repeated exposure to death and suffering. Additionally, nurses have a higher risk of suicide than the general population. A literature review was conducted and identified resilience interventions as a theme. Interventions identified were small group resiliency training, a multiple intervention approach, structured debriefing, and peer-to-peer support. The purpose of this Doctor of Nursing Practice (DNP) project is to implement a strategy to promote resilience with the goal of alleviating fatigue, depression, burnout, anxiety and stress, and mental/physical quality of life. The Battle Buddy intervention consists of a structured process of peer-to-peer support. The Battle Buddy program is widely used by the U.S. Army and was recently implemented in the hospital setting by the University of Minnesota as a response to the COVID-19 pandemic. The Anticipate, Plan, Deter (APD) model and strategies to promote resilience and emotional well-being were made available to the participants. The intervention was piloted with Advanced Practice Registered Nurse (APRN) students in the graduate program of a large Midwestern College of Nursing. The intervention was implemented in phases that include assigning Battle Buddy pairs, providing resources, and structured (optional) Battle Buddy Workshops. An informal Battle Buddy workshop survey was administered following each workshop. The Well Being Index (WBI) was used to survey the APRN students at baseline, six, and 12 weeks after implementation. Despite limited survey responses, the quantitative and qualitative data show that participants benefitted from being able to connect on their own time with a peer who understood their struggles.
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