2017 Induction Ceremony
Sigma Theta Tau International Delta Alpha At-Large Chapter congratulates all inductees for the 2016 Induction Ceremony! Welcome!
University of Texas Health Science Center at San Antonio
Saturday, April 22, 2016, 3-5 pm
Abstracts of the 2017 Induction Ceremony Poster Presentation
DECREASING INCIDENCE OF CLOSTRIDIUM DIFFICILE ON MEDICAL AND MEDICAL-SURGICAL INTENSIVE CARE UNITS
Holly P. Lauret, Karen Diorio, Wesley Richardson, Clarice Golightly-Jenkins,
School of Nursing, UT Health San Antonio
Background: Decreasing Clostridium difficile incidence (CDI) is significant as the epidemiology of Clostridium difficile is evolving in healthcare environments and the community. In 2016, there were 109 incidences of hospital-associated Clostridium difficile infections (HA-CDI) at a parent healthcare organization; 13 identified in the medical and medical-surgical intensive care units (ICU).
Objective(s): The aim of this project was to decrease incidence of HA-CDI. Completion of the MRSA rescreening note may yield early identification, isolation, and testing for CDI.
Methods: The PDSA Cycle guided the project. A needs assessment via staff survey identified a need for education on the CDI screening protocol. Education included sharing the problem, project aims and staff expectations on using the hospital-wide protocol for CDI screening. A data collection tool was created to identify patients at risk for and diagnosed with CDI. Audits were completed on all admissions to establish adherence to the protocol.
Results: Preliminary results indicate a 40% increase in compliance with the screening note, and an 8% reduction in HA-CDI incidences.
Implications: With a national estimate of $11,285 per CDI, the units have generated approximately $22,570 in savings this quarter (Zimlichman et al., 2013). Staff awareness in identifying patients at risk for CDI has increased.
VA HEALTH ACCESS ISSUES AMONG OLDER SOUTH TEXAS VETERANS: PRELIMINARY FINDINGS
Bryan Ralloma, Yvette Rodriguez, Nicolas Garza, Priscilla Williams, Kendall Cantor, and M. Danet Lapiz-Bluhm
School of Nursing, UT Health San Antonio
Background: Underutilization of Veteran Health Administration (VHA) services is a prevalent problem among veterans, especially among older veterans. 15.6 million veterans in 2013 qualified for VHA programs, however, seven million did not enroll. Underutilization of these services can affect the health of our veteran communities.
Objective(s): The study aims to determine perceived barriers to access and utilization of VHA services among older veterans in South Texas.
Methods: Quantitative and qualitative approaches were used to survey participants. The participants (N=9) completed a health literacy test and survey on demographics, military service, and experiences with VHA services. Participants received a $10 gift card for their participation. Data was analyzed for descriptive statistics and emerging themes.
Results: All participants were male (89% Hispanic) and most served in the Vietnam War (78%). 89% (N=8) were eligible for VA disability services (Mean=57%; range=10-100%). Only one veteran appeared to have low health literacy. More than 50% had mental health issues and some reported not accessing the VHA services due to poor infrastructure and long waiting times for appointments.
Implications: Informative and supportive infrastructure may promote: (1) improvement in health among older veterans, and (2) utilization and access of VHA services (e.g. mental health services) among veterans.
2017 Induction Ceremony Poster Presentation
EXTRACURRICULAR COMMUNITY SERVICE AMONG UNDERGRADUATE NURSING STUDENTS: MOTIVATIONS AND BENEFITS
Ma. Kathrina Claudine Calilung, Bryan Ralloma, Merbee Pedrosa, Kenneth Borgie Rivera, and M. Danet Lapiz-Bluhm
Background: Community service learning (CSL) experiences have been used in nursing programs as graded course activities. Extracurricular activities may include experiences for students to do CSL.
Objective(s): This project determines the motivating factors and perceived effects of participation of nursing students in an extracurricular CSL activity at an Asian Festival.
Methods: Students (N=12) who volunteered at the International Nursing Students Association (INSA) 2017 Asian Festival health screening were surveyed to identify motivators for CSL participation; completed a Likert scale survey for health screening skills (i.e., health history and assessment, blood pressure, and blood glucose) and transcultural competencies (i.e., knowledge, understanding, communication and proficiency) before and after the event; and wrote a 6-word reflection. Data were analyzed for descriptive statistics and themes.
Results: The motivation for participation of the predominantly (83%) female minority student volunteers were personal improvement (50%), commitment to the community (33%), and professional improvement (16%). Student volunteers reported improvement in clinical skills and transcultural competencies. Reflection themes were congruent with improvement of clinical skills, community health promotion and culture, as well as overall positive experience.
Implications: Extracurricular CSL activities are beneficial for nursing students, not only to improve skills and transcultural competencies but also have fun!
DEVELOPMENT OF CAR SEAT CHALLENGE GUIDELINE FOR A PEDIATRIC CARDIAC UNIT: AN EVIDENCE-BASED QUALITY IMPROVEMENT PROJECT
Rhiannon Rasmussen, Cathy Woodward,Shannon Friesenhahn, Wesley Richardson, Clarice Golightly-Jenkins
Background: The American Academy of Pediatrics (AAP) recommends car seat challenge (CSC) test on infants with congenital cardiac disease, have undergone cardiac surgery, and have medical diagnoses placing them at high risk for apnea. There was an absence of a unit policy providing a standardized approach on performance of the CSC test.
Objective(s): The aim of this project was to develop a CSC policy, have 100% of staff educated, and 90% completion on parent education and documentation on the CSC test.
Methods: A unit-level CSC testing policy was developed, reviewed, and approved. Education of staff and simulation on CSC occurred over two months. Chart and observation audits for compliance were performed.
Results: All unit staff (100%) were educated on the CSC policy and 100% attended simulation training. There was 100% compliance with the CSC guideline, education of families, and completeness of documentation.
Implications: The estimated readmission cost of a healthy newborn is $2,222. The costs for infants with congenital cardiac disease would be more. Wrongful death damages related to premature discharge due to unstandardized CSC testing in Texas could range from $200,000 to $750,000. Having a policy standardizes CSC testing minimizes readmissions and adverse events, and enhances quality and safety.