DNP students presented posters at UCSF 2024 Clinical Inquiry Conference.
Alisa Chard, BSN, RN, CEN; Qingting Lin, BSN, RN, CMSRN, CCRN; Blanche Mayo, BSN, RN; and Rong Xiao, BSN, RN, all Doctor of Nursing Practice (DNP) Family Nurse Practitioner students, presented their posters at the University of California San Francisco (USCF) 2024 Clinical Inquiry Conference in February. They were the only non-UCSF students to present their posters at the conference.
Their posters are:
"Initiating a Medical Assistant-led Health Coaching Program," Chard
DNP Project Faculty/Faculty Second Reviewer: Ngozi Osuagwu/Angela Gimose
Using an evidence-based curriculum from UUCSF, Chard created a formal health coaching program for a Federally Qualified Health Center and trained two medical assistants to become health coaches. Formal processes were put in place at all four clinical sites for provider referrals to the program, patient opt-in consent, and structuring of the coaching sessions. Training fidelity was the primary outcome and was established through the use of a validated tool. Both health coaches achieved the "competency level."
"Implementation of Reminders to Improve Reassessment Rate of Specialty Beds," Lin
DNP Project Faculty/Faculty Second Reviewer: Maranda Jackson-Parkin/Renee Franquiz
Insufficient reassessments, especially during patient transfers from intensive care units, have led to prolonged specialty bed use and increased financial costs. Data from a 24-bed Neurotrauma Intermediate Care Unit showed that patients remain in specialty beds until discharge. This quality improvement project was designed to implement reminders for nurses to reevaluate specialty bed need via the hospital's bed request system/bed algorithm during ICU patient transfers. Findings suggest that employing reminders can effectively foster clinical changes and optimize resource use.
"Re-Standardization of Bedside Shift Report in an Acute Inpatient Rehabilitation Facility," Mayo
DNP Project Faculty/Faculty Second Reviewer: Bridgitte Gourley/Susan Antol
The goal of the quality improvement project was to increase nurse adherence with carrying out a report at the bedside while also including the patient during the report. The quality improvement took place during a 15-week period. A Bedside Shift Report checklist from the Agency for Healthcare Research and Quality was used as a training tool to help nurses perform the bedside shift report appropriately. Also, pre- and post-implementation surveys were sent out to nurses to get their perceptions about the bedside shift report. Implementation strategies such as staff recognition, early adopters, and use of champions were used to achieve outcomes. There was an improvement in patient satisfaction scores for inclusion at shift change when compared with results pre-implementation.
"Implementing Postpartum Depression Screening in a Pediatric Primary Care Setting," Xiao
DNP Project Faculty/Faculty Second Reviewer: Barbara Wise/Suzanna Fitzpatrick
A chart review found that postpartum depression (PPD) screening in a private pediatric practice involves a single unstructured question at the 1-week and 2-months well-child checkups. No at-risk mothers were identified using this approach. In this project, implemented over a 15-week period, the Edinburgh Postnatal Depression Scale (EPDS) was used and a mental health referral list was created to increase the early detection and referral rates of PPD. The implementation of the validated EPDS tool in a pediatric primary care setting increased identification of at-risk mothers for depression. Approximately 12% of PPD screenings yielded positive results, which closely aligns with the 15% rate reported in the literature.
photo, l. to r.: Lin, Chard, Mayo, and Xiao