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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: To evaluate the effectiveness of providing education on current heart failure (HF) guidelines and core measures documentation (CMD) for healthcare providers to improve implementation of HF guidelines. Background and Significance: HF affects over 5.1 million people in the United States, costing $31 billion a year; $1.7 billion spent on Medicare readmissions within 30 days of discharge. Guidelines and care coordination prevent expenses related to hospital readmissions and improve quality of life for adults with HF. Methods: Healthcare providers (HCPs) at a metropolitan hospital participated in an education session reviewing HF treatment and CMD. Thirty participants completed the single five-point …

Contributors
Conway, Beth
Created Date
2016-04-28

Background: It is estimated that 50% of all mental illness arises prior to age 14, an incident attributed in part to disruptions and imbalances within the family system. Equine assisted learning is a complementary and alternative approach to family therapy which is being used increasingly to promote mental health in both adults and children. This study sought to build and deliver an evidence-based, family-centered equine assisted learning program aimed at promoting family function, family satisfaction and child social-emotional competence, and to measure its acceptability and preliminary effect. Method: Twenty families with children 10 years and older were recruited to participate …

Contributors
Solarz, Allison, Chen, Angela
Created Date
2019-05-02

Heart failure (HF) is one of the most common and costly conditions for hospital readmissions in the United States (Conway, 2015). Cardiac rehabilitation (CR) programs are effective in decreasing hospital readmission rates (Koukoui, Desmoulin, Lairy, Bleinc, Boursiquot, Galinier, & Koukoui, 2015). Medicare has established new requirements for qualification into a CR program; thus, patients are at risk for readmission in the six-weeks post discharge. To reduce HF hospital readmissions and to increase enrollment into the HF program, an infrastructure was implemented beginning in January 2016. This quality improvement project employed a patient chart audit reviewing overall hospital readmission rates for …

Contributors
Montez, Nicol, Rauton, Monica
Created Date
2017-05-01

Opioid overdose is now the leading cause of unintentional injury related mortality in the U.S. with two people dying each day as a result of opioid overdose in Arizona. Among patients treated for opioid use disorder, chronic pain is frequently cited as the reason for opioid use. Treatment of chronic pain with long-term use of opioids is linked to increased medication tolerance, worsened pain sensitivity, and psychological symptoms. Acceptance of chronic pain is the individual’s ability to be willing to endure pain and their ability and willingness to participate in activities despite experiencing chronic pain. Increased acceptance of chronic pain …

Contributors
Martori, Joanna, Velasquez, Donna
Created Date
2020-05-01

There is an increased risk of misdiagnosis of Attention Deficit Hyperactivity Disorder (ADHD) in preschoolers due to the lack of validated diagnostic tools and provider knowledge of normal behavior and development. The goal of this project was to standardize the diagnostic process by adopting an evidence-based ADHD algorithm protocol for preschoolers (3-5 years). In an urban military pediatric clinic, five pediatric care clinicians were provided with an educational ADHD algorithm. Pre/posttest surveys were used to assess provider knowledge and perceptions of care. Chart audits determined preschooler ADHD diagnosis prevalence pre- and post-implementation of the algorithm. The rate of ADHD diagnosis …

Contributors
Branch, Nancy, Jacobson, Diana
Created Date
2017-05-01

Background: Suicidal ideation and attempts are increasing in the adolescent population and suicide is now the second leading cause of death for youth 10-24 years of age (Center for Disease Control and Prevention [CDC], 2016). Children that continue to struggle with suicidality and depression after treatment as usual have an increased length of stay, from an average of five days to nine days per admission. Recidivism rates are also increasing, with some patients requiring readmission the same day as discharge. Method: The purpose of project was to check the feasibility of the use of cognitive behavioral therapy-based group called Creating …

Contributors
Freeman, Latasha, Guthery, Ann
Created Date
2020-05-02

Background: Vaccine-preventable diseases significantly influence the health and academic success of college students. Despite the known negative impact of these diseases, vaccination rates routinely fall short of national goals and recommendations. Although vaccination decisions are complex, a recommendation from a health care provider is one of the key motivators for individuals receiving a vaccine. Motivational interviewing (MI), a counseling approach primarily used to address substance abuse, can be applied to other health-related behaviors. Local Problem: Despite previous quality improvement efforts aimed at increasing vaccine rates for influenza, human papillomavirus (HPV), and meningitis B (MenB), vaccinations at large university health centers …

Contributors
Wermers, Rita, Ostroski, Tammy, Hagler, Debra
Created Date
2019-04-26

Purpose: The purpose of health literacy education is to increase an individual’s understanding of health and use of the healthcare system. Low health literacy is associated with misuse of healthcare resources and misunderstanding of healthcare teaching. Education has demonstrated efficacy in improving health literacy. A personalized educational program was provided to parents of Head Start children, offered in Spanish and English, and at a 3rd to 5th education level. Design: Using an established program for health literacy education, a Doctor of Nursing Practice project was implemented. The effect the program had on increasing the health literacy of participants over a …

Contributors
Vasquez, Damara, Jacobson, Diana
Created Date
2017-05-02

Purpose: The purpose of this project was to implement health promotion education for overweight and obese adults with endocrine disorders. The overarching goal was to change dietary intake and improve exercise to reduce the incidence, prevalence, and impact of comorbidities associated with obesity. Background/Synthesis: Obesity is a significant epidemic facing the nation today with multiple impacts on the national healthcare system. There is often an association between obesity and endocrine disorders such as type 2 diabetes and prediabetes. Both obesity and diabetes cost the nation billions of dollars annually in healthcare costs. Evidence shows that lifestyle modifications related to nutrition …

Contributors
DeVeau, Kristina, Velasquez, Donna
Created Date
2016-05-06

Heart failure affects millions of Americans each year. Treatment of advanced heart failure with reduced ejection fraction and left ventricular failure is sometimes treated with implantation of a left-ventricular assist device. While living with this life-sustaining machine, anticoagulation with Coumadin is necessary. Many of these patients are readmitted within 30-days of being discharged for pump clots, gastro-intestinal bleeds and even strokes. Patients are often discharged without adequate education on Coumadin management, which promotes inadequate self-care and medication non-adherence. In current practice, healthcare providers lecture information in a quick manner without the evaluation of patients’ comprehension. Research suggests implementing the teach-back …

Contributors
Kucharo, Alexa, Rauton, Monica
Created Date
2020-04-25