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Doctor of Nursing Practice (DNP) Final Projects Collection


The Doctor of Nursing Practice Final Projects Collection contains the completed works of students from the DNP Program at Arizona State University's College of Nursing and Health Innovation. These projects are the culminating product of the curricula and demonstrate clinical scholarship.


Date Range
2016 2020


Background and Aims: The aim of this research was to assess whether clients receiving treatment for substance abuse in a residential treatment facility will achieve lower rates of relapse with treatment in combination with active sponsorship. Prior studies suggest sponsorship may equally be impactful as attending 12-step meetings. Design: The primary hypothesis was that active participation as defined by contact with a sponsor of an hour or more per week, as measured by the impact on affective characteristics correlated with increased levels of sobriety, when measured by the AWARE questionnaire (Advance Warning of Relapse) within 7 days of entry and …

Contributors
Moore, Christa, Guthrey, Ann
Created Date
2018-04-21

Chronic illness and obesity has increased across all age groups necessitating evidence-based prevention, intervention, and interdisciplinary collaboration. In busy families, ‘time poverty’ limits meal planning and preparation, physical activity, and health knowledge acquisition. Families also often report limited access to safe places for activity and/or inability to afford healthy foods. Providers report not having training, time, resources, reimbursement and/or interdisciplinary team necessary for health promotion and consequently focus on reimbursable illness care. This project evaluated the feasibility and effectiveness of a theory-based, nurse-led transdisciplinary, multi-component health protection program designed to increase health knowledge, engagement, activation, and multi-generational family lifestyle behaviors …

Contributors
Gorombei, Deborah
Created Date
2016-05-04

Ineffective transitional care programs for ensuring the continuation of care from acute settings to the home settings post discharge can result in rehospitalization of elderly patients with chronic diseases. Usually, transitional care should be time-sensitive, patient-centered services intended to ensure continuity of care and an efficient transition between health care settings or home. A patient centered transitional care program was implemented at an outpatient primary care facility to reduce readmission rates. Institutional Review Board approval was obtained. Twenty adult patients with chronic diseases discharged from an acute setting were identified. A follow up phone call and/or a home visit within …

Contributors
Annor, Wilhelmina Sagoe, Baker, Laurie
Created Date
2020-05-05

Background and Purpose: Readmission rates for those with chronic conditions are exceeding benchmarks and driving up healthcare spending; there is a need to improve care coordination and outcomes. This project was done to evaluate and offer evidence-based suggestions for improvement to a multidisciplinary care coordination team in an Accountable Care Organization (ACO). Internal data suggests the team is underutilized within the ACO and that the ACO is underperforming. Conscious workflow design has been shown to improve the efficiency of existing work processes. Methods: The care coordination team (N=6), licensed practical nurses and social workers, were the project participants. Following Institutional …

Contributors
Shilhanek, Leigha, Nunez, Diane
Created Date
2018-04-27

Suicide among first responders, including pre-hospital emergency providers, emergency department staff, and law enforcement, is significantly higher than among the general population. There are various forms of mental health interventions, however, knowledge held by first responders could be a predictor of mental health outcomes. Implementing an educational curriculum enhancement for emergency medical technician (EMT) students may help increase self-efficacy and knowledge of mental health. In a community college in the southwestern United States, an educational intervention was developed to enhance mental health knowledge for EMT students. The intervention was created to include four interactions with students in the classroom setting …

Contributors
Meyer, Melissa M., Nunez, Dr. Diane
Created Date
2020-04-26

Background: The global prevalence of all types of diabetes increased from 108 million in 1980 to 422 million in 2014 (Nazir et al., 2018). The Centers for Disease Control and Prevention (2017) ranks diabetes as the 7th leading cause of death in the United States with an estimated annual expense of $327 billion. Within the rural setting, patients typically have less resources available for the treatment and self-management of their diseases. It is important to explore self-management techniques that can be utilized by patients with type 2 diabetes living in rural areas. Research demonstrating the importance of education, exercise, diet, …

Contributors
Witthar, Debra, Helman, Jonathan
Created Date
2020-05-04

Purpose: To implement a non-pharmacologic approach to reduce anxiety in patients receiving radiation treatment. Background and Significance: Anxiety is a prevalent health problem affecting up to 30% of the general population. Over 95% of radiation oncology patients report anxiety often related to not knowing what to expect during treatments. The current guideline for management of anxiety is the use of benzodiazepines; which can impose a risk to patients. Evidence demonstrates virtual reality videos can be an effective non-pharmacologic approach to reduce anxiety.. Design: Observational cohort evidence based project. Setting: Outpatient radiation oncology facility in the Southwest United States. Sample: 40 …

Contributors
Colao, Deirdre, Baker, Laurie
Created Date
2017-05-02

Aims: The goals of this project were (1) develop a sepsis clinical guideline, (2) enhance direct patient care staff knowledge of sepsis and (3) survey staff comfort level with identifying sepsis post intervention. Background: Sepsis remains a significant healthcare problem associated with high treatment costs and high mortality rates. Older adults are at an increased risk for developing sepsis, especially when age is combined with any type of compromising factor, such as chronic illness, recent hospitalizations, wounds, or invasive devices. Current evidence demonstrates that sepsis screening is effective for early identification of sepsis. Early identification of sepsis improves time to …

Contributors
Krzywicki, Erin, Nunez, Diane
Created Date
2017-04-29

Background: Only 40%-80% of health information is retained during an office visit due to ineffective communication. Caregivers, and patients, are unable to remember how to manage their health care needs. Teach back is an effective tool that encourages a conversation between the caregiver/patient and provider. The purpose of this project is to increase knowledge retention and self-management behaviors using a headache teach back tool. Methods: The quality department at a large children’s hospital in the southwestern United States approved the project as a practice change and parent consent was not required. The project design was a randomized controlled group: pretest-posttest …

Contributors
Two, Melissa A., Sebbens,, Danielle
Created Date
2019-05-01

Purpose: To assess study participants behavioral responses and perception of effectiveness of an activity tracking device to increase physical activity. Obesity is an endemic health issue in the U.S. and continues to gain concern for increasing morbidity and mortality rates. Benefits of physical activity are firmly established across healthcare disciplines to combat and prevent obesity, yet sedentary behaviors continue to be on the rise. The use of wearable technology, that provides real-time feedback of activity, has been identified as a promising tool for increasing physical activity. Methods: Analysis of a subset of questions from a larger survey was used to …

Contributors
Carroccio, Tanya, Nunez, Diane
Created Date
2018-04-28