College of Nursing and Health Science
Permanent URI for this communityhttps://hdl.handle.net/1969.6/12
Browse
Browsing College of Nursing and Health Science by Author "Acker, Katelijne"
Now showing 1 - 2 of 2
- Results Per Page
- Sort Options
Item Implementation of obstructive sleep apnea screening tools in hemodialysis centers for patients with end-stage renal disease(2021-08) Beal, Lisa A.; Keys, Yolanda; Garcia, Theresa; Acker, KatelijneBackground: Chronic Kidney Disease (CKD) is a devastating health crisis affecting approximately 37 million United States adults. Obstructive sleep apnea (OSA) is a commonly, undiagnosed comorbidity among CKD and End-Stage Renal Disease (ESRD) patients. The prevalence of OSA is reported to range from 45%-70% in ESRD patients, which is significantly higher than the general population at 3% -7%. Screening tools such as Epworth Sleepiness Scale (ESS) and the Berlin Questionnaire (BQ) may assist in identifying patients at risk for OSA. Purpose: The purpose of this quality improvement project was to initiate the implementation of OSA screening tools in a north Flordia hemodialysis center to identify patients with ESRD at risk for OSA. Methods: This was a quality improvement project that used a pretest-posttest design to evaluate case managers’ (CM) knowledge of OSA and the implementation of the Epworth Sleepiness Scale (ESS) and the Berlin Questionnaire (BQ) screening tools. A total of 15 CMs attended a brief OSA education session and completed a pre-post OSA knowledge survey prior to screening patients using the ESS and BQ screening tools. Results: The results (t = 11.75, p = 0.001) showed a statistically significant improvement in CM knowledge between the pre-post OSA education scores. The results also found that 47% of patients screened were at high risk for OSA, resulting in 8 patients referred for a sleep study. Implications: Providing education to the CM on OSA and establishing a protocol to screen patients can lead to early sleep study referrals and more timely treatment.Item Nursing graduates’ preparedness for practice: Substantiating the call for competency-evaluated nursing education(2023-07-04) McGarity, Tammy; Monahan, Laura; Acker, Katelijne; Pollock, WendiPractice readiness continues to be a challenge in healthcare. This was especially evident during the COVID-19 pandemic. This focused descriptive–correlational study examined nurses’ perceived preparedness for practice during the pandemic. One hundred and eighty-four registered nurses (RN) responded to Qualtrics survey questions addressing the competencies they perceived they had and the competencies they felt they needed that would have better prepared them to care for patients during the COVID-19 pandemic. The results demonstrated that although these nurses felt competent in certain areas, they perceived that they needed more education in those same areas to feel better prepared. Bivariate correlations and linear regression analysis indicated that institutional competency development, education, and work experience influenced perceived competency.