Improving lipid screening and management in pediatric primary care through a provider education and reminder program

dc.contributor.advisorPeck, Jessica
dc.contributor.authorPatel, Stephanie Lyne
dc.contributor.committeeMemberGarcia, Theresa
dc.contributor.committeeMemberKeys, Yolanda
dc.date.accessioned2020-05-10T03:35:10Z
dc.date.available2020-05-10T03:35:10Z
dc.date.issued2019-08
dc.description.abstractThe National Heart Lung and Blood Institute (NHLBI) recommends universal lipid screening (ULS) for 9-11-year-old children. Limited available data suggest less than 50% of primary practice providers are using ULS guidelines (ULSG) appropriately. Insufficient implementation of ULS completion contributes to a failure to identify children aged 9-11 with dyslipidemia and can contribute to early cardiovascular disease. This Quality Improvement (QI) project implemented a provider-focused education intervention and retrospective chart review to increase completion of ULS in children aged 9-11 years old and to improve provider management in a pediatric primary care clinic in Central Texas. A one-group pre-test/post-test design was used. Participants included five physicians, 20 nurse practitioners (NPs), and five physician assistants (PAs). Chart review was conducted on all children aged 9-11 years who presented for well-child checks both three months prior to the intervention (n=911) and three months post-intervention (n=1045). A pre-and post-intervention provider survey was used to measure changes in lipid screening provider knowledge and practices. Providers’ knowledge of and completion of lipid screening increased from 70% to 89%. Utilization of educational sessions increased provider knowledge of ULSG and increased the number of 9-11 year-old children screened for dyslipidemia in this clinic.en_US
dc.description.collegeCollege of Nursing and Health Sciencesen_US
dc.description.departmentNursing Practiceen_US
dc.format.extent43 pagesen_US
dc.identifier.urihttps://hdl.handle.net/1969.6/87868
dc.language.isoen_USen_US
dc.rightsThis material is made available for use in research, teaching, and private study, pursuant to U.S. Copyright law. The user assumes full responsibility for any use of the materials, including but not limited to, infringement of copyright and publication rights of reproduced materials. Any materials used should be fully credited with its source. All rights are reserved and retained regardless of current or future development or laws that may apply to fair use standards. Permission for publication of this material, in part or in full, must be secured with the author and/or publisher.en_US
dc.subjectDyslipidemiaen_US
dc.subjectprovider educationen_US
dc.subjectuniversal lipid screeningen_US
dc.titleImproving lipid screening and management in pediatric primary care through a provider education and reminder programen_US
dc.typeTexten_US
dc.type.genreDissertationen_US
dcterms.typeText
dcterms.typeText
thesis.degree.disciplineNursing Practice DNPen_US
thesis.degree.grantorTexas A & M University--Corpus Christien_US
thesis.degree.levelDoctoralen_US
thesis.degree.nameDoctor of Nursing Practiceen_US

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