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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


Purpose: The purpose of this project was to examine if a relationship existed between the changes in attitude and knowledge of a mental health care provider, before and after an educational intervention was given on how to identify sex trafficking victims. Background: According to the National Trafficking Hotline (2017), last year there were over 5,000 cases of sex trafficking reported. Lederer & Wetzel (2014) discuss that more than 88% of victims interact with a health care provider while being trafficked at least once. A majority of cases, mental health care providers were informed that their patient was a sex trafficking …

Contributors
Chang, Lillian, Chen, Angela Chia-Chen
Created Date
2018-04-29

As the incidence of acute and chronic wound conditions rises and wound dressing protocols become more complex, uninsured patients lacking access to specialty wound care are challenged to manage their own wounds. Understanding multistep dressing change protocols may be inhibited by low health literacy. Low health literacy is associated with reduced disease knowledge and self-care. Little evidence of health literacy effects on wound patients is available nor are literacy-sensitive educational interventions that address wound knowledge and self-care. Improved outcomes occur in all health literacy levels in other diseases with the use of literacy-sensitive educational interventions that incorporate more than one …

Contributors
Tharalson, Erin, Root, Lynda
Created Date
2018-04-20

The purpose of this project is to implement an on-site mindfulness-based intervention to reduce stress and burnout among mental health care workers. Healthcare professionals are among the most stressed of any profession, and mental health workers are at an extremely high risk for burnout and compassion fatigue (Christopher & Meris, 2010) with an estimated 21% to 67% of mental health workers reporting that they experience high levels of burnout (Salyers et al., 2011). After researching the literature, it was evident that practicing mindfulness can lead to less stress and higher job satisfaction. In an effort to combat this problem, an …

Contributors
Uwimana, Aimee
Created Date
2016-04-29

Background and Significance: In patients with chronic joint pain, the therapeutic intervention of physical activity has been reported to be highly effective, yet underutilized. Depression is a common reason for this underutilization and may coexist in up to 48% of patients. By increasing screening for coexistent depression in patients with chronic joint pain using interprofessional collaboration (IPC), depression can be detected. If managed appropriately patients may interrupt the pain-depression cycle, increase utilization of physical activity and thereby improve outcomes for chronic joint pain sufferers. Purpose/Aims: The purpose of this project was to increase the rate of depression screening for patients …

Contributors
McKiver, Megan
Created Date
2016-05-02

Purpose: Improper management of asthma leads to poor patient outcomes and increases in both costs and resources. This study aims to increase provider adherence to asthma clinical practice guidelines. Methods: A multifaceted intervention was utilized that included educational sessions for providers, adjustments to the electronic health record (EHR), access to toolkits, and workflow changes. Pediatric patients aged 5-18 years and diagnosed with asthma (N = 173) were evaluated using a pre-post design. Provider adherence to key components of clinical practice guidelines were assessed prior to implementation, and a three and six months post-implementation. Data was analyzed using descriptive statists and …

Contributors
Feith, Megan, Crawford, Daniel
Created Date
2018-04-27

Disease burden is higher in the United States than in comparable countries. The Patient Self Determination Act of 1990 requires healthcare facilities to provide Advance Care Planning (ACP) information to all Medicare patients. The healthcare staffs’ (n=7) commitment to 3-days of ACP training increase ACP rates in the primary care setting. The Medicare Incentive Program is the platform for this initiative. This quantitative project used a valid and reliable pre and posttest design that consisted of 27 items on a Likert-scale. A 3.5-month chart audit (n=91) was conducted to assess the completion rate. Descriptive statistics was used to describe the …

Contributors
Bautista, Hija Mae, Johannah, Uriri-Glover
Created Date
2020-04-30

Online education has become increasingly popular in graduate nursing education. Establishing a strong sense of teaching presence in online courses requires planning and effort on the part of the instructor. The purpose of this project was to develop an evidence-based online asynchronous educational module to enhance nurse educators’ teaching presence behaviors in online courses. Teaching presence survey tools were developed and pilot tested to evaluate instructors’ self-reported teaching presence behaviors over time, as well as their intent and actual follow-through in performing teaching presence behaviors. Despite statistically significant higher levels of participants’ intent to perform teaching presence behaviors following the …

Contributors
Miller, Connie Sue
Created Date
2016-04-06

Background: As the nation’s population ages and the prevalence of chronic diseases, like dementia, increases, informal caregivers will play an increasingly important role in maintaining independence for the elderly. Informal caregivers provide most long-term care for the elderly in this country and save hundreds of billions of dollars in healthcare costs annually. However, most informal caregivers experience burden secondary to caregiving that adversely impacts their physical, social, and/or psychological health. Caregiver burden threatens caregiver health and contributes to institutionalization of care recipients. Since the program of all-inclusive care for the elderly (PACE) model of care delivery relies heavily on informal …

Contributors
Craft-Otterbacher, Erin, Nunez, Diane
Created Date
2019-04-30

Hospital readmissions for palliative care patients are costly for patients, families, insurance providers, and palliative care organizations. The evidence shows that integrating virtual visits into palliative care is an innovative way to reduce hospital readmissions, preserve costs, and reduce geographical barriers. The purpose of this article is to evaluate how well transitional care virtual visits reduce future hospital readmissions for palliative care patients when compared to usual care of in-home nurse visits. Palliative care patients from a large palliative company in Arizona, who received a transitional care, post hospital discharge, virtual visit with traditional model care (intervention) were compared to …

Contributors
Furletti, Adriana, Mensik, Jennifer
Created Date
2018-05-10

Background Thirty to fifty percent of cancer patients undergoing chemotherapy will experience chemotherapy induced nausea and or vomiting (CINV) despite the use of antiemetic prophylaxis Uncontrollable CINV can lead to complications that add extra stress to patients, increase in healthcare costs, and utilization of resources. CINV can lead to chemotherapy dose reductions, treatment delays, chemotherapy changes, or discontinuation of treatment. Guidelines exist to better prevent and treat CINV. Evidence supports the use of guidelines to prevent CINV, however patients still suffer from CINV often due to a lack of guideline adherence. Objectives The purpose of this project was to increase …

Contributors
Barbosa, Jennifer, Baker, Laurie
Created Date
2018-04-29