MaineHealth MaineHealth

MaineHealth Knowledge Connection MaineHealth Knowledge Connection

Annual Reports Institutional History and Archives

2020

The Center for Nursing Research and Quality Outcomes The Center for Nursing Research and Quality Outcomes

Jennifer LaFlamme Maine Medical Center

Kristiina Hyrkas Maine Medical Center

Follow this and additional works at: https://knowledgeconnection.mainehealth.org/annualreports

Part of the Nursing Commons, and the Translational Medical Research Commons

Recommended Citation Recommended Citation LaFlamme, Jennifer and Hyrkas, Kristiina, "The Center for Nursing Research and Quality Outcomes" (2020). Annual Reports. 12. https://knowledgeconnection.mainehealth.org/annualreports/12

This Book is brought to you for free and open access by the Institutional History and Archives at MaineHealth Knowledge Connection. It has been accepted for inclusion in Annual Reports by an authorized administrator of MaineHealth Knowledge Connection. For more information, please contact mckeld1@mmc.org.

The Center for Nursing Research and Quality Outcomes

10 Year Anniversary Book of Research, Magnet Conference and

Quality Improvement Project Abstracts

2010 – 2020

Edited:

Jennifer Laflamme, MSN, RN-BC, CHFN Kristiina Hyrkas, PhD, LicNSc, MNSc, RN

II| P a g e

Contents Foreward Marge Wiggins, DNP, MBA, RN, FAAN, NEA-BC………………………………………1 Introduction Jennifer Laflamme MSN, RN-BC, CHFN & Kristiina Hyrkas PhD, MNSc, RN…………2

Part I: Research Project Abstracts (IRB Approved)

Patients’ and Families’ Perceptions of an Inpatient Journal and a Question Prompt Sheet to Improve Communication with the Healthcare Team

Marguerite (Peggy) Anderson, BSN, RN……………………………………………………..4-5 A comparison in Nitroglycerin Ointment application methods to enhance vasodilation: applicator paper versus plastic wrap

Rhonda Babine NS, RN, ACNS-BC, Renee Fortin-Shoemaker, BNS, RN, and Cindy Honess, MNS, RN, CCRN, ACNS-BC…………………………………………………………6-8

Multifactorial Interventions to Reduce Falls in the Acute Care Setting with a Focus on Interprofessional Delirium Education

Rhonda Babine, MS, APRN, ACNS-BC, Kristiina E. Hyrkäs, PhD, LicNSc, MNSc, RN, Sarah Hallen, MD, Deborah A. Bachand, BSN, RN, NE-BC, Joanne L. Chapman, MSN, M.Ed., RN, NE-BC, Valerie J. Fuller, DNP, APRN, AGACNP-BC, FNP-BC, Heidi Wierman, MD……………………………………………………………………………...……9-10

Diarrhea in Critically Ill Patients: A Retrospective Descriptive and Observational Study Paul Blakeslee RD, LD, CNSC, Joan Black BS, BA, MI, Erin Corica PharmD, BCNSP, John Dziodzio BA, Eira Kristiina Hyrkas PhD, LicNSc, MNSc, RN, Sonja Orff RN, MS, CNL, Nicole Shaffer RN, BSN, CWON, Kathryn Smith PharmD, BCPS, Shawn Taylor RN, BSN, and Elizabeth Turner MD……………………………………………………….11-12

Methodological and Data Analysis Challenges in Extracting Rigorous Data to Improve and Enhance Bowel Management Practice in Critically Ill Patients

Paul Blakeslee RD, LD, CNSC, John Dziodzio BA, Joan Black BS, BA, MI, Erin Corica PharmD., BCNSP, Kristiina Hyrkas PhD, LicNSc, MNSc, RN, Sonja Orff MS, RN, CNL, Nicole Shaffer BSN, RN, CWON, Kathryn Smith PharmD., BCPS, Shawn Taylor BS, RN, Alana Trottier BS, RN, CCRN & Elizabeth Turner MD…………………………………13-14

Moral Distress and Professional Quality of Life Richard Boisselle, MSN, RN………………………………………………………………...15-16

Providing Educational Interventions to Low Income Obstetrical Patients in Great Portland to Improve Breastfeeding

Pam Brennan, BSN, RN………………………………………………………………………17-18

Bedside Pediatric Early Warning System Kathryn Caiazzo, MSN, RN, CNL………………………………………………………………19

III| P a g e

Education and Simulation Training of the Open Heart Surgery Population for the Pediatric Intensive Care Unit (PICU) RN: Our Approach

Jacqueline M. Campbell, MS, RN…………………………………………………………..20-21 Relationship between Delirium and Falls in the Hospitalized Patient

Joanne Chapman, MSN, MEd, RN, NE-BC and Deborah Bachand, BSN, RN, NE-BC..22

Prevention and Early Identification of Delirium to Decrease Falls in Hospitalized Patients Joanne Chapman, MSN, M.Ed., RN, NE-BC; Deborah Bachand, BSN, RN, NE-BC; and Rhonda Babine MS, RN, ACNS-BC…………………………………………………….…..23-24

Linking Evidence to Practice: The Delirium and Fall Connection

Joanne Chapman, MSN, M.Ed., RN, NE-BC; Deborah Bachand, BSN, RN, NE-BC; Rhonda Babine MS, RN, ACNS-BC; and Cynthia Honess, MS, RN, ACNS-BC………….25

Monitoring and Observation for Post-Circumcision Bleeding

Patricia J. Crosby, RN and Julie V. Fortier, RN………………………………………….26-27

A Chart Review of Post-Circumcision Bleeding to Support Evidence-based Practice in Mother-Baby Care: Preliminary Results

Patricia J. Crosby, RN and Julie V. Fortier, RN……………………………………………..28

Bleeding after Circumcision: A Retrospective Chart Review to Build Evidence-Based Practice in Newborn Care

Patricia J. Crosby, RN and Julie V. Fortier, RN………………………………....………29-30

Pedometer-Assessed Physical Activity and Health Status of Inpatient Nursing Staff Karen A. Croteau, FACSM, Laurie J. Mitchell, Nicole H. Cooley, BS, Leah J. Hebert,, and Elizabeth L. Winship, PTIII………………………………………………………………31

Perceived Levels of Stress and Depression in Fathers of Infants Admitted to the Neonatal Intensive Care Unit (NICU) and Changes over Time

Helen Cyr-Aleves,BSN, RN, CCRC………………………………………………………..32-33 Fathers’ Stress and Symptoms of Depression: From Their Newborns’ NICU Stay through Two Months at Home.

Helen Cyr-Alves BSN RN, Lynn Macken PhD RN, & Kristiina Hyrkas PhD LicNSc MNSc RN…………………………………………………………………………………………….34-35

Is Personal Hardiness a Predictor for CNA Retention? Gail DiFiore, RN, MSN……………………………………………………………………36-37

The Role of an Admission/Discharge/Transfer Nurse (ADT) with Focus on Teach-back to Increase Patients Compliance, Decrease 30 Day Readmission Rates, Increase Patient and Nursing Satisfaction Scores, and Increase Unit Flow

Jennifer Dow, AD RN; Meredith Roy, BSN RN; and Jenny Gilmore, BSN RN……….38-39

IV| P a g e

HELP Prevent Falls: Applying HELP Principles to Reduce Falls in an Inpatient Setting Stacey Farrington, MS, RN-BC, Rhonda Babine, MS, ACNS-BC, Holly Bean, CTRS, Erica Levesque, CTRS, Sarah Hallen, MD, and Heidi Wierman, MD…………………40-42

Testing the reliability of a Fall Risk Screening Tool for an Elderly Population in an Ambulatory Clinic Setting

Susan J. Fielding, BSN, RN, CFNP……………………………………………………..….43-45 In patients having a robotic hysterectomy, how does the amount of IV fluids given post-operatively affect the patients' length of stay?

Heidi Fox, RN III, CAPA, ASU, MMC………………………………………………...…...46-47 Predictors for Discharge after Robotic Hysterectomy – A Retrospective Analysis

Heidi Fox, RN III, CAPA, ASU, MMC…………………………………………........…….48-50 Efficacy of Calendula versus Aquaphor® and Aloe Vera in Women with Breast Cancer Undergoing Radiotherapy: Preliminary Results

Susan Getz, RN, BSN, OCN®, James Kavanagh, RN, MSN, OCN®, Nellie Bergeron, RN, BSN, OCN®, Julie Wildes, RN, OCN® and Kristiina Hyrkas, RN, MNSc, PhD………...51

Open Label Randomized Clinical Study Comparing Calendula Versus Aquaphor and Aloe Vera Gel in Women with Breast Cancer Undergoing Radiotherapy.

Susan Getz, BSN, RN, OCN, Sheryl Search MSN, RN, OCN, James Kavanaugh, MSN, RN, OCN, Nellie Bergeron, BSN, RN, OCN, Julie Wildes, RN, OCN & Kristiina Hyrkas, PhD, LicNSc, MNSc, RN………………………………………………………………………..52

Open Label Randomized Clinical Study Comparing Calendula Versus Aquaphor and Aloe Vera: Self-reported Experiences Using Journals and Adherence to Skin Care in Women with Breast Cancer Undergoing Radiotherapy

Susan Getz, BSN, RN, OCN, James Kavanaugh, MSN, RN, OCN, Nellie Bergeron, BSN, RN, OCN, Julie Wildes, RN, OCN & Kristiina Hyrkas, PhD, LicNSc, MNSc, RN......53-54

Incidence, Severity, and Treatment of Headache after Subarachnoid Hemorrhage

Elizabeth K. Glisic, PharmD; Linda Gardiner, RN; Linda Josti, RN; Elizabeth Dermanelian, RN; Sandra Ridel, RN; John Dziodzio, Barbara McCrum, Ben Enos, Patricia Lerwick, Gilles Fraser, Paul Muscat, David B. Seder……………….………..55-56

Reducing Costs, Acuity, and Length of Stay by Using Pasteurized Donor Human Milk (PDHM)

Charlotte Goodson RN, IBCLC…………………………………….……………………….57-58

Family Perceptions of the eICU®: A Multi-Site Collaborative Study Susan Goran, MS, RN and Mary Jahrsdoerfer, MHA, RN……………………….......…59-60

Glucose Control Baseline Data for Vascular Surgery Patients

Margaret Hiler MS, RN, CNL……………………………………………………………….61-62

V| P a g e

Assessing the sensitivity, specificity and reliability of five pediatric falls risk assessment tools: Building a predictive analytic model

Kimberly Harvey BS, MPH, Debta Kramlich, MSN, RN, CCDR, Joanne Chapman, MNS, Med, CAN-BC, Jeanne Parker, ADN, RN, VPN, Elizabeth Blades, RN……………….63-65

Peripherally Infused Amiodarone: Determining the Incidence of Phlebitis Cynthia Honess, MSN, APRN-BC, Anne M. Andrle, MS, PharmD, Jennifer Laflamme, BSN, RN-BC, CN3, and Christine Lord, BSN, RN-BC, CN4…………………..………..66-67

Challenges of Conducting a Feasibility Water Protocol Study in Acute Care

Susan T. Horton, MS, CCC-SLP, BSC-S and Lynn Macken, PhD, RN……………...…68-70 Promoting Evidence-based Practice through a Collaborative Model of Evidence Translation

Kristiina Hyrkäs PhD, LicNSc, MNSc, RN………………………………………………...71-72

The Patient’s Experience with Motivational Interviewing (MI) during Medication Adherence Conversations by MI Trained Nurses

Kristiina Hyrkäs PhD, LicNSc, MNSc, RN………………………………………...………73-74 Skin Toxicity Assessment in Breast Cancer Patients: A Study on Interobserver Variability and Self-Reported Measures

Kristiina Hyrkas, RN, MNSc, LicNSc, PhD, Susan Getz, RN, BSN, OCN®……..…..75-78

Development and Validation of a Self-report Tool for Acute Hospital Patients Measuring Spiritual Aspects of Interpersonal Care Kristiina Hyrkas, PhD, LicNSc, MNSc, RN and Tia Jamir, PhD……………………….79-80 Academic and Practice Partnership: A Mixed Methods Study of the Experiences and Outcomes on Collaborative Baccalaureate Nursing Education

Kristiina Hyrkäs PhD, LicNSc, MNSc, RN; Carla Randall, PhD, RN, CNE; and Krista Meinersmann, PhD, RN……………………………………………………………..……….81-82

Building Bridges: Implementing Pedagogical changes within Nursing Education and Practice

Kristiina Hyrkas, PhD, LicNSc, MNSc, RN, Carla Randall, PhD, RN, CNE and Krista Meinersmann, PhD, RN………………………………………………………………………83-84

Baby Friendly Initiative

Jennifer Johnson, RN, BSN…………………………………………....…………………….85-86 Mothers’ Intentions to Breastfeed and Hospital Practices on Breastfeeding: A Longitudinal Study at 6 Months after Birth on Predictors of Breastfeeding in a Cohort of Mothers from a Large Northern New England Medical Center Kara Kaikini, MS, IBCLC……………………………………………………………...…….87-88

VI| P a g e

Differences Between Calendula versus Aquaphor® and Aloe Vera in Skin Reactions Due to Radiotherapy for Breast Cancer and Healing Two Weeks after Treatment: Results From A Randomized Open Label Trial

James Kavanagh RN, MSN, ANP, OCN® , Susan Getz BSN RN OCN Julie Wildes RN OCN Nellie Bergeron BSN RN OCN Sheryl Search MSN RN OCN Kristiina Hyrkas MNSc LicNSc PhD RN…………………………………………………………….…………89-90

The Validity and Reliability of the Critical Care Pain Observation Tool [CPOT]: A Pilot [Replication] Study

Kathleen Keane, MS, RN, CNL, CCRN & Gene Harkless, DNSc, ARNP………….….91-93 Older Adult Narrative of the Experience of Cardiac Surgery

Kathleen Keane, PhD, RN……………………………………………………………….......94-96 Improving Outcomes through Nursing Council Collaboration

Trudy Kent, BSN, RN………………………………………………………………..………..97-98 Pediatric Health Care Professionals’ Perceptions of Reportable Falls and Fall-Related Injury Risk Assessment

Debra Kramlich MSN, RN, CCRN………………………………………………………...99-100 Characterizing the Culture of a Graduate Medical Education Program

Jason A Lachance, MD, MSc, Lynn Macken, RN, PhD, Kristiina Hyrkäs, RN, PhD, Paul Han, MD, MA, MPH, and Kalli Varaklis, MD, MSEd………………………..………101-102

Peripherally infused amiodarone: Determining the incidence of phlebitis

Jennifer Laflamme BSN, RN-BC, CNIII, Christine Lord, BSN, RN-BC, CNIV and Anne Andrle, MS, PharmD………………………………………………………………………103-104

Collaboration and Its Role in Knowledge Translation at the Council Level in a Magnet Organization – A Qualitative Study to Better Understand and Describe the Collaboration Experience

Kelly Lancaster RN, MSN, CAPA, CNIII…………………………….…………………105-106 Family Centered Care: A Survey of Perceptions and Practices in the Perianesthesia Setting

Kelly Lancaster, RN, BSN, CAPA………………………………..……………………………107 Predicting Successful Implementation of Practice Initiatives in a Magnet Organization using the Organizational Readiness to Change Assessment

Kelly E. Lancaster, MSN, RN, CAPA; Kristiina Hyrkas, PhD, LicNSc, MNSc, RN; Gertrude Kent, BSN, RN; and Debbie Michaud, RN…………..……………………...108-109

VII| P a g e

The Relationship between Organizational Readiness to Change Assessment (ORCA) Scores and Implementation of Buffered Lidocaine as Local Anesthesia for IV Catheter Insertion in a Complex Hospital Organization

Kelly E. Lancaster, MSN, RN, CAPA, Kristiina Hyrkas, PhD, LicNSc, MNSc, RN; Gertrude Kent, BSN, RN, Debbie Michaud, RN and Brooke Coombs, RN……..….110-111

Improving Outcomes through Nursing Council Collaboration

Kelly Lancaster, BSN, RN, CAPA and Gertrude Kent, RN………………………...…112-113

Effectiveness and Safety of Mobilizing Older Adults Enrolled in the Hospital Elder Life Program: A Descriptive Study

Caitlin LaPorte, BS, RN…………………………………………………...……………...114-115 A Prospective Review on Hospital Collection of Patients’ Race and Ethnicity Data

Jessica Loney, MSN, RN, Mid Coast Hospital and Deborah Cobb, RN………..…..116-118

The Development and Content Analysis of the Pediatric Sedation Agitation Scale Catherine Lyden, RN, Debra Kramlich, MSN, RN, CCRN, Rachel Groves, RN, and Sandra Bagwell, MD……………………………………………………………….……...119-121

Depression Screening Using the Edinburgh Postnatal Depression Scale for U.S. Fathers of Critically Ill Infants

Lynn Macken PhD RN, Helen Cyr-Alves BSN RN, Kristiina Hyrkas PhD, RN…....122-125 Health-Related Quality of Life in Patients with Symptomatic Atrial Fibrillation: A Mixed Method Pilot Study in Cardiac Rehabilitation.

Lynn Macken, PhD, RN and Kristiina Hyrkas, PhD, LicNSc, MNSc, RN……….....126-127 A Comparison of Prilocaine/Lidocaine Cream to Tetracaine/Lidocaine as an Anesthetic for Pediatric Venipuncture

Theresa McClusky BSN, RN & Elizabeth Thompson BSN, RN…………………………....128 Effectiveness of the Collaborative Model of Evidence Translation (CoMET) on Practice Uptake, Sustainability, and Patient Satisfaction Outcomes

Debbie Michaud, RN, BSN, CMSRN, CNIII…………………………………………....129-130 Nurses Vascular Assessment of the Post -Surgical Infrainguinal Bypass Patient: Translation of New Knowledge into Practice

Carol Jo Morse, BSN, RN, CMSRN and Jill Knutson, BSN, RN……………….……131-132

A Pre-Post Intervention Study of Medical Inpatients Assessing If Adherence to a Sleep Hygiene Protocol Decreases Sleep Medication Usage, Increases Duration and Quality of Sleep, and Decreases Falls and the Incidence of Delirium

Stephanie Nichols, PharmD, BCPS; Ashley Landroche, RN, BSN; Amanda Palminteri, RN, BSN; and Rhonda Babine, MS, RN, ACNS-BC……….……….133

VIII| P a g e

The Burden of Diarrhea in the Intensive Care Unit: An Observational Study of the Cost and Impact of Diarrhea on Caregivers’ Workload

Sonja Orff MS, RN, CNL, Paul Blakeslee RD-PA, LD, CNSC, Joan Black BS, BA, MI, Erin Corica PharmD., BCNSP, John Dziodzio BA, Kathryn Smith PharmD., BCPS, Shawn Taylor BS, RN, and Elizabeth Turner MD………………………………….….134-135

Implementation and Efficacy of Novel MRSA Reduction Practices on Inpatient Medical Renal Care

Mark Parker, MD, Sheila Parker, RN, August Valenti, MD, Rosalie Blenkhorn, RN, Michelle Duval, RN, Curt Lindburg, DMan, MHA, Mark Munger, EdM, Peter Chingos, Kimberly Harvey, MPH, and Brad Doebbeling, MD, MSc…………………………..……136

Empowering Pediatric Patients and Families to Advocate for a High Standard of Central Line Care: An Evidenced-Based Practice Quality Improvement Initiative

Michael Payne, BSN, RN…………………………………………………….……………137-138 Physical Therapy Coaching of the Patient with Acute Myeloid Leukemia

Catherine Peabody, PT, DPT………………………………………………………….…139-140 Remaining Infection-Free: The Relationship between the Nurse as an Educator and the Long-Term Peritoneal Dialysis Patient

Nicole Radmore, RN, BSN, CMSRN……………………………………….…………….141-143 Teaching-Learning Partnership between Nurse and Peritoneal Dialysis Patient: A Qualitative Study

Nicole Radmore, BSN, RN, CMSRN, Kristiina Hyrkas, PhD, MNSc, RN…………..144-145 Effectiveness of regionalized systems for stroke and myocardial infarction

James P. Rhudy, Jr, Marie A. Bakitas, Kristiina Hyrkäs, Rita A. Jablonski‐Jaudon, Erica R. Pryor, Henry E. Wang, and Anne W. Alexandrov………………………………….146-147

Geographic Access to Interventional Cardiology Services in Maine

James P Rhudy Jr , Anne W Alexandrov, Kristiina Hyrkäs, Rita A Jablonski-Jaudon, Erica R Pryor , Henry E Wang, Marie A Bakitas…………………………....148-149

The Bedside Pediatric Early Warning System (BPEWS): Educating for Quality and Safe Patient Care at the Bedside

Christine Schreiber, BSN, RN, CPN and Sherry Anne St. Pierre, RN………………150-151 In patients enrolled in the Hospital Elder Life Program for delirium prevention, what are the delirium risk factors of those patients who become delirious during hospitalization?

Christin Scott, RN, Geriatrics…………………………………………….………………152-153 Topical Treatment for Radiodermatitis in Women with Breast Cancer: A literature Review

Sheryl Search, RN, BS, BSN, MSN, OCN……………………………………………....154-155

IX| P a g e

Opportunities to Raise the Standard of Central Venous Catheter Care Using a Multi-Modal Education Approach for Nursing Staff

Bobbi Shirley, MSN, RN, CNL…………………………………………………………………156 A Descriptive Study of the Effects of Afternoon and Evening Recreational Therapy Activities on the Behavior, Mood and Level of Function of Geriatric Psychiatry Patients on P6

Elizabeth Sterling RNC………………………………………………………………....…157-159 Evaluation of the Clinical Nurse Leader Role by Unit Staff

Nina Swan, MSN, RN, CMSRN, CNL……………………………...………………………….160 An Empirical Study Using Range of Motion and Pain Score as Determinants for Continuous Passive Motion: Outcomes Following Total Knee Replacement Surgery in an Adult Population

Danielle Tabor, MS, CNL, CNRN and David Smith, DPT………………….………..161-162 Blood Glucose Measurement during Therapeutic Hypothermia After Cardiac Arrest

Shawn Taylor, BSN, RN, David Seder, M.D., Susan Brown, Christine Lord, BSN, RN, Kimberly Harvey, MPH, Richard Riker, M.D…………………………………...……..163-164

Tackling Newborn Hypoglycemia in the Delivery Room: Utilizing Colostrum, Skin to Skin, and State of the Art Policies

Pam Tozier RN, BSN, IBCLC, CCE…………………………………………..…………165-166 Developing and Evaluating Bowel Management Guidelines for an Intensive Care Unit

Alana Trottier BS, RN, CCRN……………………………………………………………167-168 Bowel Management Guidelines in Adult Intensive Care Unit: Development, Implementation, and Patient Outcomes

Alana Trottier, BSN, RN, CCRN and Kristiina Hyrkas PhD, MNSc, RN…………..169-170 Horizontal Violence

Jennifer Verstreken, RN, BSN, MSN………………………………………………….……….171 The burden of diarrhea: A survey of the caregivers’ opinions and perceptions of workload in the intensive care unit.

Martha Weatherhead RN, Alana Trottier BS, RN, CCRN, Paul Blakeslee RD-AP, LD, CNSC, Erin Corica PharmD, BCNSP, John Dziodzio BA, Kristiina Hyrkas PhD, LicNSc, MNSc, RN, Sonja Orff MS, RN, CNL, CSCT, Shawn Taylor BS, RN, & Elizabeth Turner, MD……………………………………………………………………………...……………172-173

Evaluation of a Quality Improvement Project to Improve Medication Adherence

Marjorie Wiggins, MBA, DNP, RN, NEA-BC…………………………………….……174-175

X| P a g e

Physicians’ Perceptions of Hope and How Hope Informs Interactions With Patients: A Qualitative, Exploratory Study

Airin Wolf, BS, Catherine F. Garlid, MDiv, BCC, ACPE , and Kristiina Hyrkas, PhD, LicNSC, MNSC, RN………………………………………………………………………..176-177

Part II: Magnet Conference Abstracts

Show Me the Money!

Deborah Bachand, BSN, RN, NE-BC, Joanne Chapman, MSN, RN, NE-BC……...179-180 Sustaining Magnet Culture: Staff Empowered Peer Evaluation

Joanne Chapman, RN, MSN, MEd, NE-BC, Katrina Melvin, ASN, and Carol Maynard, RN-MSCRN……………………………………………………………...………………….181-182

When Does 1 = 7? Going Big with Evidence-Based Sepsis Guidelines

Susan Goran, MSN, RN…………………………………………………..……………….183-184 Enhancing ICU Workplace Safety in a World of Aggression: Focusing on Patients and Visitors Susan Goran, MSN, RN……………………………………………………….…………..185-186 Being Bold: Development of a Medication Safe Hour

Bettyanne Grant, BSN, CNRN, CN4, Janet L. Russell-Duggan, BSN, CNSRN, CN3, and Marcy Bethel, RN……………………………………………………………..……………187-188

Clinical Microsystems: A New Framework for Improvements in Patient Care and Service Strategies

Margaret Hiler, MS, CNL and Danielle Tabor, MS, CNL………………..………….189-190 Promoting Evidence-Based Practice and Improving Outcomes through Council Collaboration Using a Model of Evidence Translation

Kelly Lancaster, MSN, RN, CAPA, CN4, Kristiina Hyrkäs PhD, LicNSc, MNSc, RN, Gertrude Kent, BSN, RN-BC, and Debbie Michaud, BSN, RN, CMSRN…….……..191-192

Making Change Stick: Strategies to Implement and Sustain Change in Today's Healthcare Landscape

Debra McPherson, MS, RN-BC, Jana Drake, BSN, CMSRN, and Jenny Gilmore, BSN, CMSRN………………………………………………………………………………..…….193-194

The Value of Value: Relentless Stewardship of Precious Resources

Marjorie Wiggins, DNP, MBA, RN, NEA-BC and Sonja Orff, MS, RN, CNL….….195-196

Part III: Quality Improvement Project Abstracts

Prions to Pathways: Safeguarding Against Creutzfeldt-Jakob Disease in the Operating Room Jessica Mary Adams Atkinson, BSN, RN and Sonja Carol Orff, MS, RN, CNL……198-199

XI| P a g e

Respiratory Failure in Pregnancy: A Case Study Sarah Austin, MSN, CNL, RN, C-EFM, Tracey McMillan, BSN, RN, RNC-OB…..200-201

Barriers and Limitations to Implementing Intermittent Auscultation in a Tertiary Setting

Sarah Austin, BSN, RN, C-EFM and Karen Norton, RNC-OB, C-EFM, CN3……..202-203

Post-Operative Urinary Retention (POUR) in Male Total Hip Replacement Patients: Evaluation of the International Prostate Symptom Score (I-PSS) and PreventativeMeasures Relative to Risk Factor

Al Axelsen, RN…………………………………………………………………...…………204-205

Maintaining Normothermia during Hip and Knee Arthroplasty Deborah L. Aylward, BSN, RN, CNOR, Philip M. Carlton, Surgical Services Specialist, Brian J. McGrory, MD, and Sonja C. Orff, RN, MS…………………………………..206-207

Nurse’s Perceptions on Purposeful Rounding Donna Ayres, RN, PCCN, CNIII; Elaina Branco, RN, BSN, PCCN, CNIII & Eloise Labbe, RN, BSN………………………………………...………………………….208-209

A Companion Request Process for Patients at Risk of Harm: Developing a Tool to Prioritize Need and Implement Nursing Interventions

Rhonda Babine, MS, RN, ACNS-BC……………………………………………………..210-211 The Hospital Elder Life Program (HELP), Delirium and Falls: From a One Unit Pilot to a Hospital Wide Practice Change.

Rhonda L. Babine, MS, APRN, ACNS-BC…………………………………..………….212-213 Determining the Need for Ultrasound Guided IV Placement in the ICU: A Way to Help Decrease Treatment Time and Improve Patient Satisfaction

Laura Barra BSN, RNIII, CCRN & Nadine Kern MSN, RNII, CNL, CMSRN…..…214-215 Behavior Response Team for Patient, Family and Staff Safety

Jeanne Benger BSN, RN, CCRN and Shawn Taylor BSN, RN………….……………216-217

Improving Workplace Safety Jeanne Benger BSN, RN, CCRN and Shawn Taylor BSN, RN…………………………….218 Evaluating the Use of a Topical Vapocoolant during IV Insertions: The Patients’ and Nurses’ Experiences (Trial 2: Nov. 2014 – Mar. 2014)

Stephanie Berryman, RN-BC and Jennifer Bisson, BSN, RN………………...………219-220 Do Premature Babies who are fed Thickened Liquids, versus those fed standard feeds, transition more quickly to full oral feeds? A Review of Current Research and Evidence Based Practice

Donna J. Bisbee, MA CCC-SLP, Speech Language Pathologist, MMC…………....221-222

XII| P a g e

Development of a Traumatic Brain Injury (TBI) Order Set at Maine Medical Center Sarah Bockian, RN, SCRN, Emily Esslinger, RN & Martha Weatherhead, RN...…223-224

Barriers to employment for drug dependent postpartum women Kelley Bowden, MS, RN & Daisy Goodman DNP, CNM……………………………..225-226

Reducing Catheter Associated Urinary Tract Infections (CAUTI) in the intensive care unit

Colleen Boyle RN CCRN CNRN…………………………………………………………227-228 Implementing Donor Milk in the NICU

Linda K. Brady, BSN, RNC…………………………………….…………………………229-230 Reducing Central Line Blood Stream Infections in the Neonatal Intensive Care Unit

Linda K. Brady, BSN, RNC and Elisabeth Pecor, BSN, RN…………………….……231-232 Preventing Falls in the Perinatal Population: The Search for a Comprehensive and Relevant Fall Risk Tool

Deborah Brewer, RN, BSN, RNC-OB……………………………………….…………..233-234 Reviewing the evidence: Does use of a human milk-based human milk fortifier (HMF) improve outcomes in very low birth weight infants compared to a bovine-based HMF?

Moira Burke, MS, RD, LD……………………………………………………..…………235-236 OR RN Onboarding. A Quality Improvement Project

Victoria Burkhart, BSN, RN & Eroica Hunter, BSN, RN, CNOR……………………237-238

In the pediatric oncology population, how does a secluded quiet space to review chemotherapy protocols and calculate medications improve nurses' perception in decreasing interruptions?

Shannon M. Cappen, RN, BSN, CPON, CNIV & Rebekah L.S. Cheney, RN, BSN, CPN, CNIV………………………………………………………………………………...……….239-240

Nurse/Provider Communication

Kimberly Caron RN, BSN, CNII & Jamie Johnson, RN, BSN, CMSRN, CNIII……241-242

Mindfulness in Cardiovascular MDs and its Effect on Empathy Joan Carr Myers, MA, BCC………………………………………………………………243-244

What Are the Barriers and Facilitators to Nurses’ Utilization of a Nurse Driven Protocol (NDP) for Indwelling Urinary Catheter (IUC) Removal?

Brenda Clark, BSN, RN, CMSRN……………………………………...………………...245-246 Nurses’ Perception of the Hand-Off Process for Patient Transfer from CTICU to R1

Diana Coonradt, RN……………………………………………………………………….247-248

XIII| P a g e

Does Providing Education on the Importance of Hand Hygiene Versus Providing No Education Increase Compliance of Patients’ Practicing Hand Hygiene in the Pediatric Outpatient Clinic?

Kelley Coyne, RN…………………………………………………………………………..249-250 Survey of Neonatal Intensive Care Unit Nurse Attitudes Toward Therapeutic Hypothermia Treatment

Alexa Craig, MD, Christine James, DO, Janelle Bainter, MSW, Francis L Lucas, PhD, Scott Evans RN & John Glazer, MD……………………………………...……………..251-252

Collaboration between Dietitians and Vascular Access Nurses to Decrease Unnecessary Central Line Insertions

Michele Creech, RD, LD, CNSC, Jessica Dreves, BSN, RN, VA-BC, Carrie Strick, MS, RN, CNL, CMSRN, Sharon Tate, MS, RD, LD, Beth Thivierge, BSN, RN, VA-BC..253-254

Cardiac Rehabilitation: Impact on Acute Myocardial Infarction (AMI) 30-Day Readmission Rates

Gail Crocker, BS, RN…………………………………………………….……………………..255 Innovative Interprofessional Improvement Project Increases Adherence to Vitamin D Supplementation after Newborn Discharge

Patricia Crosby, BSN, RN and Kathleen Cyr, RN…………………………….……….256-257 Good Grief Rounds: a Pilot study to Improve Care Team Well-Being by Reducing Compassion Fatigue and Increasing Compassion Satisfaction in Health Care Providers.

Abby d’Ambruoso, Chaplain………………………….………………………………….258-259 Improving Vitamin D Management in an Adult CF Program Stefanie DiLoreto, PharD, Alicia Murry, RN, Tegan Swift, RD, Lauren Tate, RD...260-261 Literature Review Regarding the Prevalence of PTSD in ED Nurses

Patty Dobriko, BSN, RN………………………………………………………..…………262-263 Is trucking along enough? An exploration of mid-career nurses’ satisfaction

Heather Docherty RN, BSN, BA, MA, CMRSN…………………………………..………….264 Medication Reconciliation in the Outpatient Setting

Angela Doughty, RN and Heather Forbes, BSN, RN, CEN, CSHA, HACP………..265-266 Development of an Evidence-Based Enteral Feeding Protocol in Neonates Weighing Less Than 1800g at Birth

Rebecca Edwards, MS, RD, LD……………………………………...…………………..267-268 Outcomes of Implementation of an Evidence-Based Enteral Feeding Protocol in Neonates Weighing Less Than 1800G at Birth.

Rebecca Edwards, MS, RD, LD………………………...………………………………..269-270

XIV| P a g e

A Comprehensive Evaluation of PACU’s Visitation Guidelines: Are We Meeting the Family’s/Significant Other’s Needs During Their Waiting Period?

Linda Fenton, BA, BSN, RN……………………………………………...……………….271-272 Deep Tissue Pressure Injury (DTPI): Predictors and Risk Factors During Hospitalization. A Literature Review

Tricia Foley, RN, BSN, CWOCN, MMC…………….………………………………….273-274 Deep Tissue Pressure Injury (DTPI) Prevention Utilizing Risk Factor Consideration, Wound Nurse Consult and Four-Eyed Skin Inspection

Tricia Foley, RN, BSN,CWOCN………………………………………………………….275-276 Post-operative craniotomies: Safe, effective utilization of resources

Terilee Gerry, MS, RN, CNL…………………………………………………………………....277 Entering Medications Using Both the Generic and Brand Name

Margo E. Geyer-Tomuschat, BSN, RN, CMSRN, CN III………..……………………278-279 Barcoded Medication Administration (BCMA) at Maine Medical Center

Nancy Glover, RN, BSN, MS………………………………….………………………….280-281 Nursing Competency When care is ‘Hands-Off”

Susan Goran, MS, RN………………………………………………………..…………………282 Implementation of the ICU Customer Service Representative: A New Nursing Partner

Susan Goran, MSN, RN…………………………………………...……………………………283 Utilizing the CNL Role to Address the Need for More Intermediate Care Beds

Brandi Gordon MS, CMSRN, CNL……………………………………………...…………….284 A demonstration project: Providing Colon Cancer Screening to Homeless people–Capitalizing Community Partnerships

Donna Green, BSN, RN, OCN, Maine Medical Center, Leslie Foreman RN,BSN,OCN, Beverly Thorpe MSW, Casco Bay Surgery, M. Parker Roberts, MD, Preble Street, Bill Burns, Homeless Health Partners, Malia Haddock………………….….…………….285-286

The Development and Implementation of an Obstetrical Triage Tool to Prioritize Patients and Track Process Times by Risk Categories

Devdra Griffin, MSN, RNC, WHNP, Kristiina Hyrkäs PhD, MNSc, RN…………...287-288 Endoscopy: In adult patients with recurrent c. difficile infection, is FMT delivered by oral capsule as effective as FMT delivered by colonoscopy?

Christina Harris, BSN, RN………………………………………………………………..289-290 Triple Training in Infant Safety

Jennifer Hayman MD, FAAP & Kelley Bowden MS, RN………………….………….291-292

XV| P a g e

Evidence-Based Education for Perianesthesia RNs to Enhance Knowledge and Attitudes of Electroconvulsive Therapy

Lois M. Hayworth, MSN RN and Elizabeth Perry, BSN RN…………………….…...293-294 Chronic Disease Management of Hypertension in an Uninsured Population with Nurse practitioners as Primary Care Provider

Leslie Henry, DNP, FNP and Byron Marshall, MS, APRN, NP-C………………….295-296 The Knowledge Bank: An Electronic Database and Depository for Internal Publishing and Dissemination of Projects

Kristiina Hyrkäs PhD, LicNSc, MNSc, RN; Scott Farmer, RN,BS; Deb Gregoire, BSN, RN, CCRN, CPAN; Jennifer Johnson, BSN, RNC, CLC; Elizabeth Sterling RNC, BSN, MSEd; and Lynn Macken, RN, PhD……………………………………………………..297-298

Using Patient Surveys to Reduce Noise and Improve Adult Patients’ Perception of Quietness on a Telemetry Unit

Cecelia Inman, BSN, RN-BC……………………………………………………………..299-300 Evaluating the Use of a Topical Vapocoolant to Reduce Pain during Intravenous Insertions: The Patients' and Nurses' Perspectives (Trial 1: March – September 2014)

Cecilia Inman, BSN RN-BC and Jen Bisson, BSN, RN-BC…………………………..301-302

An Innovative Approach to Manage Cardiac Rhythm Alarms and a Basis for Clinical Alarm Management Policy Reassessment Cecilia Inman, BSN, RN-BC and Cynthia Honess, MSN, APRN-BC RN…………..………..303-304 Improving and Transforming the Nursing Care in Patients Undergoing a Radial Access Technique and Procedure

Cecilia Inman, BSN RN-BC and Katherine Skroski, BSN, RN-BC…………...……..305-306 Improving Nursing Care of Inpatients with Diabetes

Jana Jacobs, RN, BSN, CMSRN………………………….………………………………307-308 Nurse-Driven Protocol to Discharge Patients Out of an Intermediate Care Unit (IMC): A Literature Review

Jana Jacobs, RN, BSN, CMSRN, CN4, Carrie Strick, MS, RN, CNL, CMSRN……309-310 The Use of Donor Milk to Improve Exclusive Breast Milk Feeding Rates for Newborns on the Mother Baby Unit.

Jennifer Johnson BSN, RNC, CLC, CNIII and Sharon Craig Economides CPM, LM, MMiD, IBCLC……………………………………………………………………...………311-312

Nurses’ Perceptions of Rooming-In: Findings from Focus Groups in an Inpatient Postpartum Setting

Jennifer Johnson, BSN, RNC, CLC, CN3, Kristiina Hyrkäs PhD, MNSc, RN….….313-314

XVI| P a g e

Improving Interprofessional Collaboration: Best Practice Guidelines for Transfer from Planned Homebirth to Hospital Care

Lisa Kane Low, PhD, CNM, FACNM and Kelley A. Bowden, MS, RN………..……315-316 Epilepsy Monitoring Unit

Lynne Keller, BSN, RN, CNRN, CNE. Team Members: Deborah Bachand, Lauri Wilson, Rachel Caiola, Lynne Keller, Megan Selvitelli, Mary Jo Farley, Jenn O’Neill, Sara Schrock, Hannah Plummer, Sally Prokey………………….………………….………..317-318

Nurses Role in an Inter-Professional Practice Change: Same Day Discharge after Percutaneous Coronary Intervention

Gertrude Kent, BSN, RN-BC………………………………….………………………….319-320 Role in an Inter-Professional Practice Change: Same Day Discharge after Percutaneous Coronary Intervention

Gertrude Kent, BSN, RN-BC……………………………………………………………..321-322 Developing and Testing of a Tool to Evaluate Readiness to Wean Neonates in the Neonatal Intensive Care Unit (NICU) from Bubble Continuous Airway Pressure (BCPAP)

Kimberly Kingsley, MA, RRT-NPS, Faythe Henry, BS, RRT-NPS & Deborah Igo, BS, RRT-NPS……………………………………………………………….……………………323-324

Expedited Inhaled Nitric Oxide (iNO) Weaning Study in Neonates with Pulmonary Hypertension

David M. Kissin, Respiratory Care Prac IV……………………………………..……..325-326 A Quality Improvement Program: Improving pre-operative (pre-op) patient safety, patient preparation, and nursing satisfaction in the pre-op Holding Room

Leslie J Knight, BSN, RN, CMSRN………………………………………..…………….327-328

A Collaborative Approach: Improving Patient Safety and Nursing Satisfaction in the Pre-Operative Holding Room

Leslie Knight, BSN, RN, CMSRN, CNIII………………………………………………..329-330 Pressure Injury Prevention: Developing Yearly Competency for Support Staff

Kristan Kramlich BSN ,RN, CNIII, CMSRN…………………………………………………331 The Role of Occupational Therapy in Cognitive Outcomes after Coronary Artery Bypass Graft

Emily M. Krams, MSOT, OTR/L………………………………………………………....332-334 New Graduate Orientation Evaluation: Are There Any Best Practices Out There? A Scoping Review

Jennifer Laflamme MSN, RN-BC, CHFN………………….…………………………...335-336

The Development of a Cycled Lighting Policy in the NICU Population Marissa LaForest, OTR/L…………………………………………….…………………..337-338

XVII| P a g e

Building Capacity for Evidence-Based Practice in a Magnet Organization Kelly Lancaster, MSN, RN, CAPA…………………………………………….…………339-340

Preoperative Vitrectomy Pupil Dilation: A Prospective Comparison of Patient Administered Atropine with Nurse Administration of a Standard Regimen

Kelly Lancaster RN, MSN, CAPA, CNIII; Jacqueline Bourque RN, BSN, CNIV; Tina McGowan RN, CNIII; and Danielle Nelson RN, CAPA, CNII……………………….341-342

Evaluating the Essential Evidence-Based Practice Competencies in a Hospital-Based Clinical Scholar Program

Kelly Lancaster RN, MSN, CAPA, CNIII, Kristiina Hyrkäs PhD, MNSc, RN..……343-344 Promoting Evidence-Based Practice: A Study of Perceptions and Practices of Nursing Council Members in a Magnet® Organization

Kelly Lancaster, MSN, RN, CAPA, CN4, Kristiina Hyrkäs PhD, MNSc, RN, Gertrude Kent, BSN, RN-BC, and Debbie Michaud, BSN, RN, CMSRN…………….…………345-346

Evidence based estimation of energy and protein needs in adults with major burn injuries

Ashley Lazarz RD, LD and Samantha Waller MS, RD, LD………….……………….347-348 Can creating a Behavioral Task Force on the medical and surgical floor increase staff satisfaction rates?

Amy Lee, RN……………………………………………...………………………………………349 It’s so much more than an Equation: Innovation + Partnership= Mentoring

Christine Lord BSN, RN-BC and Marcia Bradford ADN RN-BC…………….……..350-351 Pediatric Patient-Centered Transitions from Hospital to Home: Improving Medication Adherence with Teach-back

Melanie Lord, RN, BSN……………………………………………………………………352-353 Pediatric Patient-Centered Transitions from Hospital to Home: Improving Medication Adherence

Leah A. Mallory, MD, Noah P. Diminick, MD, Jonathan P. Bourque, PharmD, Meredith R. Bryden, MD, Jessica L. Miller, PharmD, Nancy M. Nystrom, PhD, Melanie R. Lord, RN, Lorraine L. McElwain, MD………………………………………………………….354-355

Chasing Zero: Reducing CLABSI on a mixed Pediatric Inpatient unit

Nicole Manchester, MSN, RN, CNL……………………………………………...……...356-357 Advanced Cardiovascular Life Support (ACLS) and Obstetrical Critical Care (OB CC) education for high risk Labor and Delivery nurses in caring for growing population of high-risk patients

Tracey E. McMillan RNC, BSN, CN III, Labor and Delivery Unit Coordinator….358-359

XVIII| P a g e

Emergency Department Care Transition Program: Quality Improvement Pilot Joy Moody, MSN, RN, Elaine McMahon, Cindy Randall, MS, RN, Judy Sinclair, BSN, MEd, CPEN, CEN , Wendy Haskell, RN, CPEN, CEN, Kathy Ware, RN, CCM, Barry Worthing, BSN, CPEN, Andrea Varnum, BSN, CPEN, CEN, Pamela Jordan, BSN, CPEN, Richard Boisselle, MSN, CPEN, CEN, Kim Harvey, MPH…………………360-361

Staffing Activity Tool - One That Works!

Heidi E. Morin, BSN, FABC…………………………………………………..………….362-363 Implementing a Safe Patient Handling & Mobility (SPHM) Champion Program on an Inpatient medical Surgical Unit and Examining its Effects on Caregiver Injuries, SPHM Culture, and Champions’ Experiences

Kait Murphy, PT……………………………………………………………………………364-366 How Stress and Burnout Affect the Wellbeing of Nursing Staff

Maureen O’Brion-Snowden, RN…………………………………………………….…...367-368 Increasing Referrals to a Community Paramedicine Fall Prevention Program Through Implementation of a Daily Management System

Julianne B. Ontengco, MSN, ANP-C……………….……………………………………369-370 CNL Team Collaboration Improves Institutional Central Line Flush Practice and Financials

Sonja Orff RN, MS, CNL; Carrie Strick RN, MS, CNL; Brandi Gordon RN, MS, CNL; Darlene Rouleau RN, MS, CNL; Bobbi Shirley RN, MS, CNL; and Lauri Wilson RN, MS, CNL…………………………………………………………………………..………………371-372

Strategies for an Effective Data Collection Process for Nursing Sensitive Quality Indicators

Carole Parisien, MSN, RN and Kimberly Harvey, MPH………………………………..…373 Best Practice for Patient Safety: A Medication Distraction Initiative

Carrie E. Peoples BSN, RN and Jennifer Laflamme BSN, RN……………………….374-375 Cost Analysis of Curo’s at LincolnHealth

Brianna Perkins RN and Monique London BSN………………..……………………..376-377 Domestic Violence Increasing screening rates in the East Tower

Caren Priest, RN, BSN, RNC-OB, RNC-EFM………………………….………………378-379 The Acute-RYG Patient Classification Model to Reduce Disparities in Nursing Assignments

Lynne Proctor, RN, CNRN, CN4…………………………………………………….…..380-381 Advancing Care in the OR: Using Key Performance Indicators in a Level 1 Trauma Center

Katelynne Prosser, BSN, RN, CNOR……………...…………………………………….382-383

XIX| P a g e

Patient Throughput Time in the Emergency Department: Can Obtaining Blood Specimens in a Pre-hospital Setting Increase Timeliness?

Arielle Rancourt RN…………………………………………………………………………….384 Palliative Care Utilization in Chronic Illness Compared to Cancer: A Systematic Literature Review

Renate Repele-Bailey, BSN, RN, OCN, CMSRN, April Maguire, BS, RN……….....385-386 Nurse, Patient and Family Preferences Related to PACU Visitation - A Quality Improvement Study

Shelly Rinfret RN, BSN, CPAN, CN IV………………………………………………….387-388 Implementing an Integrated Nursing Practice Model in the Emergency Department

Mandy Rodney, RN, ADN……………………………………………………...………….389-390 AIM Transitions: Improving Transitions along the Continuum of Care

Darlene Rouleau, RN, CNL…………………………………………….………………………391 Improving Readmission Rates and Quality Outcomes for Acute Exacerbation of COPD: A CNL-led Initiative

Darlene J. Rouleau, MS, RN, CNL, CMSRN…………………………...………………392-393 Improvement of CHF patients’ fluid restriction education through self-efficacy

Johanna Ruckey RN and William Fyler BSN……………..……………………………394-395 Understanding white noise and its effects on inducing a rest full nights’ sleep in hospitalized patients

Alicia Russell, BSN, RN……………………………………………...……………………396-397 An Interdisciplinary Approach to Teach Care for Tracheostomies in Pediatric Patients

Christine Schreiber, BSN, RN, CPN………………………….………………………….398-399 Factors Associated with Increased Nurse Engagement and Participation in Debriefing Following Pediatric

Christine Schreiber, BSN, RN, CPN; Justin Michaud, BSN, RN, NE-BC; and Zachary Priest, BSN, RN, CPN………………………………..……………………………………400-401

Pediatric conscious sedation: for inpatient pediatric nurses, what training is needed in airway management, drug knowledge and arrhythmia recognition/intervention to maintain competencies in assisting with moderate – deep sedation on the pediatric inpatient unit?

Christine Schreiber BSN, RN, CPN, CNIV, Tina Schwarz BSN, RN, CPN, CNIII and Sherryann St. Pierre RN, CPN, CNIII…………………………………………………..402-403

The Evolving Paradigm of Individualized Postresuscitation Care After Cardiac Arrest.

David Seder MD, Christine Lord RN-BC, BSN, David Gagnon PharmD……….....404-405

XX| P a g e

Nurse Driven Bowel Protocol - Prevention of Inpatient Constipation Nicole Shaffer RN, CWOCN……………………………………..……………………….406-407

In Sync: Bringing Nursing and Child Life Together Using Lean Processes to Improve the Pediatric Experience

Elizabeth Shaughnessy, MS CCLS, Sherryann St. Pierre MSN RN CPN CNL, and Sarah F. Thompson MSN RN CPN………………………………………..…………………….408-409

Improving and Transforming the Nursing Care in Patients Undergoing a Radial Access Procedure

Katherine Skroski, BSN, RN-BC…………………………………………………..……..410-411 Ketamine Infusion on Post-Operative Cesarean Section in Opioid Dependent Patients: Overview of the Literature and A Call for A Pilot Study

Elizabeth Snow BSN, RNC-OB………………………………………...…………………412-413

Post-Operative Ketamine Infusion in the Narcotic Dependent Cesarean Section Patient Elizabeth Snow, BSN, RNC………………………………………………………………….…414

In Adult Post-Acute Care Residents, How Does a Multifactorial Approach Reduce Falls?

Leanna Stackhouse BSN, RN……………………………………………………………..415-416 Does Medication Safety and Diversion Education Improve Medication Securement Practices in SCU Compared to Current Practice?

Natasha Stankiewicz, MS, RN, NE-BC, CCRN-CMC……..………………………..…417-418 “Oral Chemo Starter Kits”: Promoting Safe Handling of Hazardous Drugs For Non-Oncology Units

Betsy St. Germain, MN, RN, AOCN……………………………………………………..419-420 A CNL's Journey with Lean Methodology in Reducing CLABSI: One Bath at a Time

Sherryann St. Pierre, MSN, RN, CPN, CNL……………..……………………………..421-422 Development of a Staff-Led, Evidence-Based Mentoring Program for Newly Hired Pediatric Nurses: A Response to Perceived Low Job Satisfaction and Retention Issues Within a Pediatric Inpatient Unit

Sherryann St. Pierre, MSN, RN, CNL and Erin Olmstead BSN, RN, CPN…………423-424 Developing a Culture of Kindness on a Pediatric Inpatient Unit: A Direct Response to Lateral Violence and Incivility in Nursing

Sherryann St. Pierre, MSN, RN, CNL and Christine Schreiber, BSN, RN, CPN…..425-426 Improving the Readmission Risk Assessment Tool for Surgical Patients

Carrie Strick, RN, MS, CNL, CMSRN……………..……………………………………427-428

XXI| P a g e

Improving Safe Handoffs and Transitions ED → R2 + P3CD: A Response to the AHRQO Hospital Patient Safety Culture Survey

Natalie Talbot, MSN, RN…………………………..……………………………………..429-430 Interdisciplinary Rounds to Fight Line Infections (FLI) facilitates collaboration between Dietitians and Vascular Access Nurses to decrease unnecessary central line insertions

Sharon Tate, MS RD LD, Michele Creech, RD LD CNSC, Jessica Perrault Dreves, BSN RN VA-BC, Beth Thivierge, BSN RN VA-BC, Carrie Strick, MS, RN, CNL…….….431-432

Successful Colorectal Cancer Screening Completion in Patients with Limited English Proficiency in the Outpatient Clinic

Karen Thompson RN, BSN, MSN, CNIII………………………………………………..……433 Awareness, initiation, and prevalence of Kangaroo Care (skin-to-skin) in the Neonatal Intensive Care Unit (NICU): Staff and parents’ perceptions of the barriers and benefits. What can be done for improvement?

Sarah Tozier, RNC-NIC, BSN, IBCLC……………..……………………………………434-435

Developing and Evaluating Bowel Management Guidelines for an Intensive Care Unit Alana Trottier BS, RN, CCRN…………………...……………………………………….436-437

Bowel Management Guidelines in Adult Intensive Care Unit: Development, Implementation, and Patient Outcomes

Alana Trottier BS, RN, CCRN, Kristiina Hyrkas, PhD, LicNSc, MNSc, RN, Paul Blakeslee RD-PA, LD, CNSC, Joan Black BS, BA, MI, Erin Corica PharmD., BCNSP, John Dziodzio BA, Sonja Orff MS, RN, CNL, Nicole Shaffer BSN, RN, CWON, Kathryn Smith PharmD., BCPS, Shawn Taylor BS, RN, and Elizabeth Turner MD…..…….438-439

Does the Method of Tray Delivery Impact Blood Glucose Testing and Insulin Administration?

Anh Thu Truong, MS, RD, LD……………………………..……………………………..440-441 Method of Meal Tray Delivery, Timing of Blood Glucose Testing and Insulin Administration. A Pilot Study

Anh Thu Truong, MS, RD, LD……………………………………………………………442-443 Hospital Acquired Urinary Track Infections in Elderly Trauma Patients

Sarah Vreeland, MS, RN, ONC……………………………………………………………..…444 Utilizing Occupational Therapists to Improve Medication Management Skills and Outcomes for Home Health Clients

Mary Wade, OTR/L, Occupational Therapist…………………………….……………445-446 Care of the Woman Experiencing a Miscarriage in the Emergency Department: A Quality Improvement Project

Jennifer L. Wagner BSN, RN, RNC, CPLC, Clinical Nurse IV………….…………..447-448

XXII| P a g e

Improving Intake and Output Documentation in the Acute Care Cardiac Setting Erica Weightman, MSN, RN-BC, CNL………………..………………………………………449

Statistical Forecasting Models Used to Predict Daily Patient Volumes in the Emergency Department: A Proposal for a Systematic Review

Jon White, MS, BSN, RN, CCRN………………….……………………………………..450-451 Identifying Pragmatic Aspects for Succession Planning Needs: Conversations with Nurse Managers and Nurse Directors

Tammy Whitney MSN, MHA, RN………………………………………...………………452-453 The Development and Implementation of a Resource Nurse in the Float Pool: A review of the Literature and a Pilot Study Plan

Crystal M Wiley, BSN, RN, CMSRN………………………...…………………………..454-455 Mixed Method Pilot Study to Assess Diabetes Self-management Knowledge, Skills, and Comfort Levels of Hospitalized Adult Patients with Cystic Fibrosis Related Diabetes (CFRD)

Cindy Young, RN, CDE…………………………………………………………..……….456-457

Index