College of Nursing and Health Science
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Browsing College of Nursing and Health Science by Author "Andelman, Dixie"
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Item Increasing colorectal cancer knowledge, awareness, and intent to screen in an underserved region(2023-8) Dahlgren, Kelli N.; Andelman, Dixie; McGarity, Tammy; Pollack, JenniferColorectal cancer (CRC) is a leading cause of cancer-related deaths in the United States that can be identified and prevented through early screening. Current screening rates do not meet existing recommendations, especially in medically underserved areas where there is reduced access to primary care services. A lack of CRC awareness and knowledge have been identified as two of the largest barriers to screening. An inflatable colon tour has been proven an effective intervention to address CRC knowledge and awareness deficits. This DNP project was designed as a community awareness initiative in an underserved area using a pre- and post-survey with the purpose of increasing colorectal cancer awareness, knowledge, and intent to discuss and complete CRC screening. This quasi-experimental study had a QI focus and used a convenience sample in a public setting who completed a pre-and post-survey assessing colorectal cancer awareness, knowledge, and intent to discuss and complete screening (n =185 persons screened with n =85 meeting inclusion criteria). Post-tour CRC awareness scores showed a statistically significant increase in mean scores at p <.001. Colorectal cancer knowledge scores showed a statistically significant increase in post-test scores at p <.001. Post-tour, there was an 82% increase in people who identified as "very likely" or "definitely" willing to discuss CRC screening with their healthcare provider and a 133% increase in people identifying as "very likely" or "definitely" likely to complete CRC screening in the next 6 months. This project is evidence that community events using inflatable models can successfully increase cancer awareness and knowledge in underserved populations.Item A quality improvement project to improve electrocardiogram competency and confidence in medical-surgical clinical staff(2022-08) Estrada, Amanda; McGarity, Tammy; Andelman, Dixie; Melrose, DonElectrocardiogram (ECG) monitoring is used for early detection and recognition of cardiac arrhythmias. There has been an increase in hospitalized patients requiring ECG monitoring which is now a responsibility for medical-surgical nursing staff. Medical-surgical clinical staff (MSCS) must be competent to interpret and recognize ECG arrhythmias. The lack of ECG knowledge from the MSCS has resulted in multiple in-hospital cardiac arrests. The purpose of this DNP project was to determine if just-in-time training could improve ECG competence and confidence for MSCS and reduce adverse patient safety events. Just-in-time training is a teaching methodology that supports workplace training. The project design was a pre- and post-test design measuring the degree of change over time. A convenience sampling method was used. There were forty-three participants. A 3-month just-in-time ECG education program was implemented which included ECG just-in-time education and in-services. Overall results did not reveal increases in ECG competence or ECG confidence, however results show improved competency and confidence for many staff members and there was a 60% decrease in patient safety events. Participants with a bachelor’s or master’s degree and 18-34 years of age self-reported improved ECG confidence. Registered nurses, medical technicians, and continuous telemetry monitor technicians all had a significant increase in ECG competence. Based on the findings, MSCS need additional ECG education and training. It is recommended that MSCS participate in regular formal ECG education and use of just-in-time training to reinforce learning.