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Title: Does a patient’s disease report card encourage patient self- accountability and in turn improve patient literacy?.
Creator: McCaffrey, Janine, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355956
Format: Document (PDF)

Title: Early Detection and Management of Acute Kidney Injury in Long Term Care Residents: Increasing Nursing Staff Knowledge, Confidence, and Competence.
Creator: Jamero, Fredeline, Hain, Debra, Speranza, Janet, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: The incidence of acute kidney injury AKI (also known as acute renal failure) is an emerging public health concern worldwide and it is associated with high healthcare cost, prolonged hospital stays, progression to chronic kidney disease and end-stage renal disease and higher mortality. Advanced age increases the vulnerability to AKI due to both structural and functional degeneration over time affecting many older adults living in long term care facilities. The literature shows AKI is...
Show moreThe incidence of acute kidney injury AKI (also known as acute renal failure) is an emerging public health concern worldwide and it is associated with high healthcare cost, prolonged hospital stays, progression to chronic kidney disease and end-stage renal disease and higher mortality. Advanced age increases the vulnerability to AKI due to both structural and functional degeneration over time affecting many older adults living in long term care facilities. The literature shows AKI is preventable with early detection and management. The purpose of this quality improvement project was to assess if the implementation an evidence-based education presentation to a group of nurses in a long-term care facility on early detection and management of AKI while improving the staff’s knowledge, confidence and competence will prevent the AKI in the facility, decrease AKI related hospitalizations and ultimately improve health outcomes. The plan, do, study, act (PDSA) method was used, and descriptive statistics were utilized to analyze the data of this project obtained from a pre-post survey questionnaire. A retrospective chart review of hospitalization data was utilized to record pre and post intervention hospital discharges. Results indicated that the education presentation improved knowledge and management of AKI; therefore, recommendations for practice change are necessary.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000020
Format: Document (PDF)

Title: Educating Staff of a Memory Disorder Clinic on the Utilization of a Standardized Suicide Screening Tool to Improve Knowledge and Care for Patients Diagnosed with Dementia.
Creator: Belgarde, Eden, Kelly, Tracian, Ortega. Maria de los Angeles, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: Suicide is a major health problem that is among the leading causes of deaths in the United States and can be prevented through community-based interventions. Suicide rates in older adults are increasing. Common suicidal risk factors include a decline in cognitive function, having other psychiatric comorbidities, and dementia. The risk for suicide increases for individuals within the first three months of receiving a dementia diagnosis and includes the first three months of another...
Show moreBackground: Suicide is a major health problem that is among the leading causes of deaths in the United States and can be prevented through community-based interventions. Suicide rates in older adults are increasing. Common suicidal risk factors include a decline in cognitive function, having other psychiatric comorbidities, and dementia. The risk for suicide increases for individuals within the first three months of receiving a dementia diagnosis and includes the first three months of another subgroup of individuals who were diagnosed with dementia before the age of 65. Purpose: The purpose of this quality improvement project is to educate the staff at a memory and wellness center in Boca Raton on how to use a standardized suicide screening tool to improve their knowledge and perceived comfort in utilizing the tool and providing care to patients with dementia.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000084
Format: Document (PDF)

Title: Education, Screening, and Follow Up to Reduce Obstructive Sleep Apnea in a Prison Reentry Residential Community.
Creator: Lazcano, Amanda, Wiese, Lisa, Hain, Debra, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Obstructive sleep apnea affects an estimated 936 million people worldwide (Pivetta, 2021). Untreated OSA can lead to adverse metabolic, cardiovascular, and neurocognitive consequences, possibly reducing one’s lifespan. Education and screening can spread awareness among a community which typically has limited access to resources and may promote early recognition and treatment. In a Christian-based prison reentry residential community, a pre-test survey was provided to a total sample of 19...
Show moreObstructive sleep apnea affects an estimated 936 million people worldwide (Pivetta, 2021). Untreated OSA can lead to adverse metabolic, cardiovascular, and neurocognitive consequences, possibly reducing one’s lifespan. Education and screening can spread awareness among a community which typically has limited access to resources and may promote early recognition and treatment. In a Christian-based prison reentry residential community, a pre-test survey was provided to a total sample of 19 participants to measure baseline knowledge of OSA. After administration of the pre-survey, education was provided in a group setting, using a detailed brochure the DNP student created. After participants read through the material and questions were answered, the post-survey was administered to measure if knowledge regarding OSA increased. Screening using the STOP-Bang questionnaire occurred after the post-surveys. The DNP student followed up with participants found to be at high risk for OSA patients over a 3-month period. A 37% of participants scored high risk for OSA, 37% scored intermediate risk, and 26% scored low risk. The p-value calculated to measure pre-and-post OSA knowledge using the survey total score was statistically significant (< .001.). Of the seven total participants who scored high risk, two were newly diagnosed with OSA after referral to a PCP for a sleep study with the help of the telephonic phone sessions. Education and screening demonstrated to be beneficial, resulting in positive outcomes. Project partakers were successfully able to define OSA, list risk factors, and describe how to diagnose and treat the condition. Participants who were newly diagnosed, previously diagnosed, or refused the sleep study managed to adjust modifiable risk factors over the summer such as weight loss, diet, and management of chronic conditions.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000079
Format: Document (PDF)

Title: Educational Intervention to Increase Knowledge of Compassion Fatigue among Interprofessional Staff and Improve BPSD.
Creator: Smith-Hector, Janet, Kelly, Tracian, Ortega. Maria de los Angeles, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Caring for chronically ill patients, such as those suffering from dementia, can have a significant impact on the stress levels of healthcare professionals. Healthcare professionals are often physically and mentally affected by the stress experienced in their jobs, which may result in compassion fatigue. Compassion fatigue negatively affects healthcare providers, patients, and healthcare organizations. Current guidelines encourage education with self-care strategies to prevent or decrease the...
Show moreCaring for chronically ill patients, such as those suffering from dementia, can have a significant impact on the stress levels of healthcare professionals. Healthcare professionals are often physically and mentally affected by the stress experienced in their jobs, which may result in compassion fatigue. Compassion fatigue negatively affects healthcare providers, patients, and healthcare organizations. Current guidelines encourage education with self-care strategies to prevent or decrease the effects of compassion fatigue. This quality improvement project aimed to increase knowledge of compassion fatigue among the interprofessional staff at an adult daycare and improve clients' behavioral and psychological symptoms of dementia (BPSD). Within a six-week timeframe, a one-time educational intervention about compassion fatigue and mitigation strategies was implemented. Participants completed a preintervention ProQOL5 assessment and pre- and post-intervention surveys of knowledge about compassion fatigue. Although the sample was small and the time was short, analysis of the quantitative data showed significant improvement in knowledge about compassion fatigue post-intervention. The results of the ProQOL5 also demonstrated differences in compassion satisfaction and compassion fatigue among participants based on demographics. There were no documented changes in the BPSD of the clients who attended the adult daycare. It was recommended that new and current staff education about compassion fatigue be incorporated into the training programs. Future projects should include larger sample sizes, more extended periods of study time, and methods for tracking BPSD symptoms.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000082
Format: Document (PDF)

Title: Effects of a Crisis Intervention Team (CIT) Training Program upon police officers before and after crisis intervention team training: an evidenced based program evaluation project in Miami Dade county Florida.
Creator: Ellis, Horace, Christine E. Lynn College of Nursing, Florida Atlantic University
Date Issued: 2012
PURL: http://purl.flvc.org/fcla/dt/3355952
Format: Document (PDF)

Title: Effects of Adding an Instructional Mobile Phone Application to Asthma Treatment Plans on Inhaler Technique and Pulmonary Function.
Creator: Doimeadios, Adelaida, Harris, Nancy, De Taboada, Darinka, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Asthma is a chronic lung disease affecting all age groups worldwide with a need of educational interventions to ensure asthmatic individuals are correctly and accurately using prescribed inhalers. To improve pulmonary function on asthmatic individuals, this doctoral quality improvement project was designed to increase the knowledge of patients with an asthma diagnosis by using traditional teaching methods with the addition of an instructional mobile phone app to treatment plans on inhaler...
Show moreAsthma is a chronic lung disease affecting all age groups worldwide with a need of educational interventions to ensure asthmatic individuals are correctly and accurately using prescribed inhalers. To improve pulmonary function on asthmatic individuals, this doctoral quality improvement project was designed to increase the knowledge of patients with an asthma diagnosis by using traditional teaching methods with the addition of an instructional mobile phone app to treatment plans on inhaler technique and pulmonary function. The purpose of this paper is to address the need for proper and sufficient inhaler education for individuals with an asthma diagnosis requiring a prescribed inhaler to increase FEV1 by using the latest evidence-based research and providing a complete description of this doctoral quality improvement project with recommendations for change of practice. Included will be an analysis of the results, evaluation of the complete project and future practice changes.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000019
Format: Document (PDF)

Title: Effects of Text Messaging, Educating, and Screening for Postpartum Depression on Participant Knowledge, Engaging in Self-Care Behaviors, and Quality of Life.
Creator: Melchanova, Nataliya, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Postpartum depression (PPD) is a very common medical condition, which can be very dangerous, if left untreated. According to CDC, one in every eight women experiences postpartum depression (CDC, 2020). It has been drawing a lot of medical attention more recently in some of the countries, including the USA. This is caused by the debilitating effects it has on the mother, her bonding with the infant, the family as a unit, as well as other factors. In certain countries, such as the countries of...
Show morePostpartum depression (PPD) is a very common medical condition, which can be very dangerous, if left untreated. According to CDC, one in every eight women experiences postpartum depression (CDC, 2020). It has been drawing a lot of medical attention more recently in some of the countries, including the USA. This is caused by the debilitating effects it has on the mother, her bonding with the infant, the family as a unit, as well as other factors. In certain countries, such as the countries of the former USSR, PPD is not considered to be a legitimate medical condition. Therefore, many women from those counties are not properly educated on the causes, symptoms, effects, and treatment for PPD. They do not receive proper support and treatment. The intention of this quality improvement project is to screen women for this condition, educate, treat, and follow up using text messages, calls, and video conferences. These steps should improve women’s knowledge about PPD, their quality of life, their ability to seek treatment, and their condition.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000072
Format: Document (PDF)

Title: Enhancing Hypertension Management Strategies Through the Loving Heart Program.
Creator: Clarke, Joan, Love, Tamara, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background: The aim of this project was to describe a quality improvement program for Afro-Americans and Afro- Caribbean with hypertension that implemented a self-management program to enhance knowledge and self-management strategies to lower hypertension (HTN) and body mass index (BMI) within a twelve-week period. These markers addressed variables such as blood pressure monitoring, prevention, or reduction of hypertension. Method: This quality improvement project consisted of six volunteer...
Show moreBackground: The aim of this project was to describe a quality improvement program for Afro-Americans and Afro- Caribbean with hypertension that implemented a self-management program to enhance knowledge and self-management strategies to lower hypertension (HTN) and body mass index (BMI) within a twelve-week period. These markers addressed variables such as blood pressure monitoring, prevention, or reduction of hypertension. Method: This quality improvement project consisted of six volunteer participants. The participants were comprised of two males and four females of Afro- American and Afro-Caribbean descent with a history of hypertension who received the Hypertension Knowledge-Level (HKL) scale questionnaires used as a pre-and post-intervention, American Heart Association (2018), pre-training demographic questionnaire, and evidence-based educational guidelines materials about hypertension and self-management.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000087
Format: Document (PDF)

Title: Enhancing Nurse Practitioner Student Preparation for Pediatric Practicum Settings.
Creator: Akinpelu, Olufunmilayo, Evangelista, Jasmin, Bulfin, Susan, Opalinski, Andra, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Due to increasing numbers of family nurse practitioner programs and lack of suitable pediatric clinical sites, other alternative methods such as using simulations must be sought out in order to increase confidence levels and enhance family nurse practitioner (FNP) students' preparedness to practice with the pediatric population.
Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000001
Format: Document (PDF)

Title: Evaluating a Virtual Program of Therapeutic Interactive Pets to Improve Behavioral and Psychological Symptoms and Cognitive Status Among Older Adults Experiencing Alzheimer’s Disease and Related Dementias.
Creator: Johnston, Melissa, Wiese, Lisa, Ordoñez, Maria, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Nearly 6 million Americans of all ages are living with Alzheimer’s dementia or related dementias (ADRD), and the prevalence is only expected to increase as our population ages (Gaugler, et al., 2019). Recent estimates indicate that ADRD may be moving from the sixth most common cause of death in older adults to the third, after heart disease and cancer (National Institute on Aging, [NIA] 2019). Currently there is no cure for Alzheimer’s disease or related dementias.
Date Issued: 2020
PURL: http://purl.flvc.org/fau/fd/faudnp000011
Format: Document (PDF)

Title: Evaluating Certified Nursing Assistants’ Self Efficacy in Caring for Patients with Dementia.
Creator: Geyer, Jaimie, Wiese, Lisa Ann Kirk, Hernández, María de los Ángeles Ortega, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: In 2018, 50 million people were living with dementia worldwide, and this number is expected to increase to 82 million by 2030 (Novotny et al., 2018). The aim of this quality improvement project was to assess Certified Nursing Assistants’ (CNAs) dementia knowledge, self-efficacy in establishing caring relationships, and attitudes toward people living with dementia. In addition to sociodemographic data, measures used to guide development of the education intervention included questions from...
Show moreIn 2018, 50 million people were living with dementia worldwide, and this number is expected to increase to 82 million by 2030 (Novotny et al., 2018). The aim of this quality improvement project was to assess Certified Nursing Assistants’ (CNAs) dementia knowledge, self-efficacy in establishing caring relationships, and attitudes toward people living with dementia. In addition to sociodemographic data, measures used to guide development of the education intervention included questions from three measures; the Dementia Knowledge Assessment Scale (DKAS), Dementia Attitudes Scale (DAS), and Caring Efficacy Scale (CES). The results of the project demonstrated a need for further education of CNAs regarding health promotion strategies to reduce the risk of developing dementia and strategies for those already experiencing dementia. There was also an identified need for education regarding best techniques for communicating with people experiencing dementia, and ways in which those experiencing dementia communicate with those in their environment, including manifested behaviors. These survey results are intended to be used to build a web-based asynchronized and on-demand course to meet these educational gaps. and further improve the understanding and care of those experiencing dementia within the workplace of the CNA.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000054
Format: Document (PDF)

Title: Evaluating Perceptions and Educational Needs of Police Officers in the Care of Older Adults with Dementia.
Creator: Gonzalez, Alexandra Rich, Hernández, María de los Ángeles Ortega, Wiese, Lisa Ann Kirk, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Dementia, Alzheimer’s disease, and other neurocognitive disorders causing memory loss in the older adult population has substantial implications on one’s physical, mental, social, and economic well-being. This quality improvement project aimed to evaluate the perceptions of current resources in place and what educational needs exist for police officers when providing care to older adults with dementia. The project intervention included an evidence-based online survey intended to assess police...
Show moreDementia, Alzheimer’s disease, and other neurocognitive disorders causing memory loss in the older adult population has substantial implications on one’s physical, mental, social, and economic well-being. This quality improvement project aimed to evaluate the perceptions of current resources in place and what educational needs exist for police officers when providing care to older adults with dementia. The project intervention included an evidence-based online survey intended to assess police officers’ sociodemographic information, previous exposure to dementia training, participants’ baseline dementia knowledge, general caring beliefs, and attitudes toward individuals with dementia. Most (97%; n = 28 of 29) respondents completed the surveys. Over half (64%) of respondents admitted to never receiving specialized training for dementia and 61% of respondents admitted to knowing someone in a professional setting with dementia. The overall average score of the Dementia Knowledge Assessment Scale (DKAS) questions was 76%, but there were 5 total questions that were answered correctly by less than 60% of respondents. The lowest scoring domains of questions from the DKAS included the “Communication and Behavior” domain and the “Risks and Health Promotion” domain. The data was interpreted and recommendations were made to inform the development of a 20-hour continuing education certificate course for first responders entitled, “Compassionate Care of Older Adults at Risk for Dementia.” The project results demonstrated the lack of formal training in dementia among police officers and emphasized areas of strength and areas of opportunity to learn more about caring for those with dementia. This project holds future application for learning about dementia among other first responder disciplines, such as firefighters or paramedics, including the administration of a post survey following the pilot program of the first responder continuing education certificate course.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000055
Format: Document (PDF)

Title: Evaluation of a Nursing Home Hospital Transfer Prevention Program.
Creator: Mitchell, Laverne, Chadwell, Katherine, Langley, Tamara, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background Potentially avoidable nursing home-to-hospital transfers can cause harm to vulnerable residents and are costly (McCarthy et al., 2020). Nursing homes (NH) with an effective hospital transfer prevention program (HTPP) have been shown to keep residents safe, improve health outcomes, and control healthcare expenditures (McCarthy et al., 2020). Studies have shown that many hospital transfers can be avoided with evidence-based interventions (Ouslander et al., 2014). Aim This program...
Show moreBackground Potentially avoidable nursing home-to-hospital transfers can cause harm to vulnerable residents and are costly (McCarthy et al., 2020). Nursing homes (NH) with an effective hospital transfer prevention program (HTPP) have been shown to keep residents safe, improve health outcomes, and control healthcare expenditures (McCarthy et al., 2020). Studies have shown that many hospital transfers can be avoided with evidence-based interventions (Ouslander et al., 2014). Aim This program evaluation aims to examine the current HTPP at a nursing facility in South Florida to determine its effectiveness in decreasing hospital transfers by evaluating the use of the interventions in place and the number of hospital transfers each quarter in one year.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000058
Format: Document (PDF)

Title: Evaluation of an Established In-Home, Palliative Care Program and its Impact on Improving Patient Health Outcomes.
Creator: Guillaume, Keishan, Hain, Debra, Kennedy, Karen, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background and Review of Literature: Palliative care has a high potential to increase quality of life for patients with serious illnesses through symptom management and providing care and support. There are various settings and organizations where individuals can receive such care. Still, many people prefer staying at home in a familiar environment. The problem is that palliative care programs should be effective to justify the resources invested and maintain patients' quality of life....
Show moreBackground and Review of Literature: Palliative care has a high potential to increase quality of life for patients with serious illnesses through symptom management and providing care and support. There are various settings and organizations where individuals can receive such care. Still, many people prefer staying at home in a familiar environment. The problem is that palliative care programs should be effective to justify the resources invested and maintain patients' quality of life. Moreover, as literature review shows they should involve advanced practice registered nurses (APRN) to achieve better outcomes since these specialists have considerable skills and competencies, but their potential is not used to the fullest. Purpose: The current DNP project is aimed at evaluating the palliative care program provided by Prospero Health to confirm its compliance with the goals of adequate care. Moreover, the project assesses the strengths and weaknesses of the project, identifies barriers to its implementation, and assesses the effectiveness in a decrease of hospitalizations. Another goal is to provide recommendations to improve the performance of the Prospero Health program based on the evaluation results.
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Date Issued: 2022
PURL: http://purl.flvc.org/fau/fd/faudnp000063
Format: Document (PDF)

Title: Evaluation of Geriatric Education and Interprofessional Collaboration in Healthcare Practice: Identifying Opportunities to Improve Care for Older Adults.
Creator: Jarrin, Tatiana, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Background Interprofessional collaboration and knowledge of how to care for older adults are important components of high-quality care for a multitude of healthcare disciplines. The aging population presents unique challenges to healthcare professionals, and education on how to care for older adults can equip them with the knowledge and skills needed to provide optimal care. Florida Atlantic University’s (FAU) Office of Interprofessional Education and Practice (IPE&P) designed a Foundational...
Show moreBackground Interprofessional collaboration and knowledge of how to care for older adults are important components of high-quality care for a multitude of healthcare disciplines. The aging population presents unique challenges to healthcare professionals, and education on how to care for older adults can equip them with the knowledge and skills needed to provide optimal care. Florida Atlantic University’s (FAU) Office of Interprofessional Education and Practice (IPE&P) designed a Foundational Level Program which includes the Canvas modules for IPEP 2022-2023 and the Senior Adult Geriatric Educator (SAGE) visits. This program is an example of an academic initiative that aims to improve interprofessional collaboration among healthcare professionals regarding education and assessment of the aging population. Aim This program evaluation aimed to examine the current SAGE Mentor program that is presented through Florida Atlantic University’s Office of Interprofessional Education and Practice and to evaluate whether students who participated experienced enhanced competency upon completion of this Foundational Level Program.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000089
Format: Document (PDF)

Title: Evaluation of Management Adherence in Afro-Caribbean Pediatric Patients with Diabetes.
Creator: Colimon, Iseberte, Bulfin, Susan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Purpose: This project was implemented to address and improve the need for management adherence among the Afro-Caribbean pediatric population with Type 1 and Type 2 Diabetes (T1D) and (T2D). Background and Problem: Over the past 5 years, there has been an increased number of children diagnosed with diabetes. Particularly, one of the problems being faced by Haitians and other Afro-Caribbean patients with chronic illnesses, is poor management adherence due to lack of culturally congruent...
Show morePurpose: This project was implemented to address and improve the need for management adherence among the Afro-Caribbean pediatric population with Type 1 and Type 2 Diabetes (T1D) and (T2D). Background and Problem: Over the past 5 years, there has been an increased number of children diagnosed with diabetes. Particularly, one of the problems being faced by Haitians and other Afro-Caribbean patients with chronic illnesses, is poor management adherence due to lack of culturally congruent education. Additionally, the lack of education seen in patients with diabetes is correlated with difficulties to adapt and manage the condition properly. Method: Each participant received education that was tailored to the Afro-Caribbean culture and in their preferred language. Summary of diabetes self-care Activities (SDSCA) score and time in range values were assessed pre intervention and post intervention. A paired sample t-test was conducted by this Doctor of Nursing Practice student to assess the changes from pretest to posttest. A p-value of less than 0.05 was required for statistical significance. Results: More than 75% of the participants were educated with culturally congruent teachings that were tailored to the Afro-Caribbean culture. Improvement in SDSCA scores and TIR was also demonstrated. SDSCA p<.001 and TIR p=0.008. In addition, more than 75% of the participants demonstrated improved adherence to blood glucose monitoring consistency which was statically significant. Conclusion: The effectiveness of this project was evaluated by the outcomes of the participants’ post intervention. Findings from this project demonstrated that providing culturally congruent education to patients was successful at improving diabetes home management.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000036
Format: Document (PDF)

Title: Evaluation of the Use of Community Mental Health Resources to Decrease Depression Scores in Adolescent Patients.
Creator: Youngblood, Brittany, Bulfin, Susan, Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: This paper described a quality improvement project with a goal of decreasing depression symptoms through the use of specified community mental health resources. The aim of this project was to decrease depression scores for pediatric patients by offering information on available community resources. This was achieved by providing an evidence-based pamphlet with community-based mental health resources to patients who scored high on the depression screening. This intervention addressed an...
Show moreThis paper described a quality improvement project with a goal of decreasing depression symptoms through the use of specified community mental health resources. The aim of this project was to decrease depression scores for pediatric patients by offering information on available community resources. This was achieved by providing an evidence-based pamphlet with community-based mental health resources to patients who scored high on the depression screening. This intervention addressed an identified gap at the site concerning mental health services for depressed adolescents. Objectives included providing patients who screen positive for depression the community resource list, obtaining decreased scores on the Patient Health Questionnaire-9 (PHQ-9) depression screening 6 weeks post intervention, and return visits for follow up appointments for re-assessment. All adolescents ages 12-18 who visited the pediatrician’s office from June 2, 2021, to July 7, 2021, for an annual well visit or mental health complaint were offered the PHQ-9 screening. Patients who scored 5 or higher were invited to participate in the project for a total of 20 participants. The 3 objectives for this project were not met. Providers demonstrated low participation and adequate follow-up was not provided resulting in lack of the PHQ-9 rescreening. Recommendations for future efforts to increase to decrease depression symptoms would be to determine barriers to providers recommending community resources and incorporating modifications to the project based on provider identified barriers. A longer period (such as 6 months) could also assist in increasing provider participation and patients’ use of community resources.
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Date Issued: 2021
PURL: http://purl.flvc.org/fau/fd/faudnp000035
Format: Document (PDF)

Title: Gaining Insight into the Experiences of Women with Premenstrual Dysphoric Disorder (PMDD) and Improving Outcomes.
Creator: Reyes, Margaret Mary, Hain, Debra, Bhatia, Padam, Florida Atlantic University, Christine E. Lynn College of Nursing
Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000102
Format: Document (PDF)

Title: Gaining Insight into the Experiences of Women with Premenstrual Dysphoric Disorder and Improving Outcomes.
Creator: Reyes, Margaret M., Florida Atlantic University, Christine E. Lynn College of Nursing
Abstract/Description: Premenstrual symptoms have the potential to impact all women of reproductive age. Roughly 70-90% of women experience some level of premenstrual discomfort, while 3-8% experience the most severe, complex form, PMDD (Mishra, Elliot, and Marwaha, 2022). PMDD symptomatology is complex, and therefore overlaps with other diagnoses, which has complicated the diagnostic process. There is a growing body of evidence to support that PMDD has been misdiagnosed or disregarded, and stigmatized by providers...
Show morePremenstrual symptoms have the potential to impact all women of reproductive age. Roughly 70-90% of women experience some level of premenstrual discomfort, while 3-8% experience the most severe, complex form, PMDD (Mishra, Elliot, and Marwaha, 2022). PMDD symptomatology is complex, and therefore overlaps with other diagnoses, which has complicated the diagnostic process. There is a growing body of evidence to support that PMDD has been misdiagnosed or disregarded, and stigmatized by providers, and improvements are needed in both the education about the diagnostic process, as well as the diagnostic process itself. The purpose of this quality improvement project was to improve the quality of the assessment, diagnosis, and management of PMDD, and gain insight into the lived experiences from those living with the disorder as well as insight into the management of the disorder from clinicians. The populations of interest were menstruating females, age 18-45, documented history of mood instability or mood changes, in addition to treating clinicians at an outpatient psychiatric clinic. Practice changes that were implemented were as follows: implementation of the premenstrual symptoms screening tool (Appendix A) within the medical record; creation and distribution of informative/educational pamphlet/PDF for clinicians about PMDD diagnosis, assessment and treatment (Appendix B); creation and distribution of likert and open ended survey to measure perception of patients regarding diagnostic process, treatment and care overall; creation and distribution of likert and open ended survey to measure perception of clinicians regarding the use of the tool and how it affected their clinical decision making. Outcomes focused on screening practices and results, documentation in the medical record, engagement, and patient perception. Data was analyzed using clinical record reviews, interviews, Likert-type scales, and coding. Descriptive statistics were used to describe the population, and pre/post intervention changes. Relevant insight was gained on the knowledge gap and under recognition of Women's Health disorders such as PMDD and on screening practices. The project was successful in improving knowledge base of PMDD in both patients and clinicians. The limitations focused on patients’ engagement in the survey on follow up, as well as clinician engagement in the project overall. To further improve the diagnostic process, increase education and reduce stigma, future research may focus on improving engagement of clinicians and patients, and/or assessing current screening practices or treatment regimens for PMDD.
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Date Issued: 2023
PURL: http://purl.flvc.org/fau/fd/faudnp000081
Format: Document (PDF)

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