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Bachelor's and Certificate Admissions
Accolades entries are organized by degree program. Each program section includes an overview of the featured student works followed by a listing of individual project abstracts for easy browsing.
Students in the Master of Science in Nursing program pursue tracks in either nursing administration or education while also building an evergreen foundation of core skills applicable to a range of health care settings. Work-based projects provide the opportunity to apply new knowledge and skills in real time and enable students to drive improvements in their work environments during – as opposed to after – the program.
This business plan will be developed as a planning and operations guide for Dartmouth-Hitchcock Medical Center. Dartmouth-Hitchcock Medical Center (DHMC) to work with unit and department leaders to create a 24-hour second victim response team to support clinicians throughout the hospital. This plan will outline the service, market analysis and costs of creating and operating this team. The second victim response team (SVRT) will be a 24-hour service provided to volunteers, clinicians, and staff to assist in times when there is an unexpected or adverse patient experience or outcome. The team will be comprised of clinicians such as nurses, physicians and respiratory therapists, from high-risk areas of the hospital (ICU, OR, etc.). These staff members will form a frontline team that will respond to the needs of staff at any hour of the day to avoid long-term, debilitating, or career-ending psychological or emotional trauma. There is a clear unmet need, and evidence based practice that is showing that an SVRT program can be beneficial to implement in patient care areas (Scott, Hirschinger, & Cox, 2009). There is a distinct need to support clinical staff psychologically and emotionally while providing patient care, but currently there is no support for staff when these negative patient outcomes occur. The program will be paid for by the facility, with no cost to the staff consumer. Funds will be utilized from the Employee Assistance (EA) budget. Allocation of these funds and the SVRT budget can be found in this business plan.
This project focuses on the Integration of Telehealth Technology into treatment of Substance Use Disorder (SUD) for veterans. This intervention will extend access and reduce barriers to veterans who are treated for SUD that may have a variety of constraints that interfere with consistent treatment. Telehealth in SUD would increase access for veterans with transportation issues, family care or job (scheduling) constraints, in addition to providing access to veterans living in rural or under-served locations. With a pre-existing telehealth infrastructure in place at the VA, the integration of this project could assist many veterans and their families outside of the safety net of brick and mortar VA Medical Centers. Minor software adjustments could easily integrate: medication compliance assurance, cognitive behavioral therapy (CBT), and implement 12-Step therapy focused on treatment of SUD patients. This project can positively affect the lives of thousands of veterans and their families, by reaching those who cannot travel to VA Medical Centers for SUD treatment and aftercare.
Communication between nurse and physician is crucial to successful patient care. This communication has begun to deteriorate and there is a correlating rise in patient care errors. Currently, the physicians lead the rounds and nurses are simply there as support staff. This plan proposes that nurses be the central point of presenting the patient as they are the ones spending continuous time at the bedside. This gives the nurse a chance to voice her concerns, fosters a sense of equality in care for the patient between nurse and physician, and ensures that plans for the patient are adequately communicated among all care givers. All of these points serve to improve the communication between nurse and physician and, ultimately, to improve patient outcomes and decrease medical errors.
According to the Centers for Disease Control and Prevention (2015), those who are in healthcare occupations have a twofold higher rate of musculoskeletal injuries than other professions at 76 per 10,000 workers in 2011. Implementing the use of the mechanical Patient Lift System (PLS) can reduce risk of injury to nurses and patients, providing that the equipment is utilized appropriately. The rise of obesity makes it more challenging for nurses to mobilize patients. Utilization of a PLS will assist the nursing staff in meeting patient outcomes such as optimizing patient mobility and preventing skin breakdown and complications from immobility. The lifts enable the nurse to independently reposition a patient in bed or to move a patient from bed to chair and back. Education for the nursing staff on the use of the PLS presents challenges due to the different maturity levels and length of service of the staff, shift work, reluctance to change, time commitment, and lack of knowledge regarding the importance of utilizing a lift system. In setting up a program for nursing education, three theories will be intertwined to meet learning needs and competency goals. Theories that will be applied to the educational plan are Marilyn Ray’s Theory of Bureaucratic Caring, Malcolm Knowles’ Assumptions of Adult Learners and Patricia Benner’s Theory of Nursing Practice Expertise and the Novice to Expert Model.