Doctor of Nursing Practice Projects
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The DNP is a practice doctorate in nursing which prepares graduates to function at the highest level of nursing practice. The DNP curriculum includes development of a clinical practice project. This “DNP project” is designed to synthesize scholarship in an advanced nursing practice specialty or an area of health care leadership. Practice immersion experiences provide the context within which the project is completed. Students develop the project under the direction of a team, including program faculty, the student, the clinical advisor, the faculty advisor, and alumni mentors.
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Browsing Doctor of Nursing Practice Projects by Author "Andrabi, Mudasir"
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Item Effectiveness of Dietary Guidelines and Physical Activity Interventions to Address Obesity in Caucasian Women over 60 in Rural AlabamaKilgo, Aimee; Andrabi, Mudasir; Perry, William B.Introduction: Obesity is a common health issue among older Caucasian females, especially those living in rural Alabama. The lack of accessible preventive health services is a crucial factor associated with obesity among these populations. Therefore, we planned to deliver an evidence-based program (EBP) to test its feasibility among older Caucasian females living in rural Alabama who have obesity with a body mass index of more than 30. Our goals were to recruit 100% of the participants (N=10) in a month and retain at least 80% ( n=8) of these participants in our study and have a data completion rate of 80% ( n=8) for all data collection time points. Methods: This study examined the of implementation of an evidence-based intervention with a pre-test and post-test design. We recruited (N=11) Caucasian females 65 and older, with a BMI more than 30 who are living in Cherokee County, Alabama. Data was collected using: i) a demographic questionnaire, ii) the Paffenbarger physical activity (PA) questionnaire to assess participants’ leisure-time PA, iii) the nutritional knowledge questionnaire to assess the knowledge related to a healthy diet, iv) the standard weighing scale and measuring tape for assessing weight and height. Intervention: A six-week evidence-based intervention with an educational component and a PA component was delivered to the participants twice a week through group sessions. A 15-minute educational session was delivered weekly with focus on heart disease risk factors including healthy diet, physical activity, stress, alcohol consumption and smoking. Participants were also involved in a 30-minute group walk twice weekly. Participants were encouraged to walk for 30 minutes independently thrice weekly at their convenience. Descriptive statistics were computedusing SPSS version 29.0. Results: Our study showed 100% recruitment rates in a month. We had a 100% retention rate and 100% data completion rates at both pre-test and post-test time points. There was a significant increase in participants’ nutritional knowledge from the pre-test (mean = 58.6, SD =14.7) to the post-test ( mean = 67, S.D. = 10.6) phase. Participants’ BMI decreased from the pre-test (mean =40.90, S.D.= 8.53) to the post-test (mean =38.53, S.D.= 6.66) phase, and their weekly walking time increased from a mean of 8.1 minutes (SD = 11.3) to a mean of 14.2 minutes (SD = 14).Discussion: Our feasibility study showed success in recruitment rate, retention rate, and data completion rates. Our evidence-based intervention showed improvements in participants’ nutritional knowledge, BMI, and walk duration. Although the improvements in these outcomeswere clinically significant, however, a pilot study with a control group design is needed to see the statistical significance of the effectiveness of the intervention on these outcomes.Item Motivational Educational Training to Address COVID-19 Vaccine Hesitancy Among Health Care WorkersObiefuna, Lilian I.; Andrabi, Mudasir; Peterson, James; University of Alabama TuscaloosaIntroduction/Purpose: COVID-19 is a preventable disease with vaccines like other infectious diseases. There are high rates of Vaccine Hesitancy (VH) among Health Care Workers (HCWs) (Finney Rutten, et al, 2021). VH is characterized by complacency about vaccination, lack of confidence in the vaccine, refusal, or disbelief despite the free availability of the vaccination (Finney Rutten, et al, 2021). The purpose of this project is to determine the effect of using an evidence-based intervention of motivational educational training strategy (METS) on HCWs' VH and their negative beliefs related to the COVID-19 vaccination. The goal of this project is to decrease the COVID-19 VH and negative beliefs among these HCWs. Methods: This study was performed using a pre-test and post-test study design. The study was conducted in a tertiary care hospital. We recruited the nurses from this tertiary care setting using a convenient sampling method. The participants filled out online pre-intervention and post-intervention surveys. VH was measured using the Oxford Survey for VH. Also, Oxford’s COVID-19 Vaccine Confidence & Complacency Scale survey was used to measure the beliefs related to COVID-19 Vaccination. Our intervention is based on the Health Belief Model. An online evidence-based educational program was delivered to the participants. Descriptive statistics and unpaired t-tests were used to analyze the data using SPSS version 23.0. Results: The final study comprised of 20 participants. HCWs showed a significant decrease in VH and negative beliefs related to COVID-19 vaccination after receiving the intervention. The mean (SD) VH scores related to the COVID-19 vaccine decreased from the pre-intervention phase of 58.1(7.67) to the post-intervention phase score of 50.85 (6.43). Also, the score for negative beliefs decreased from a pre-intervention score of 37.7 ( 14.7) to a post-intervention score of 32.35 (9.6). Discussion: VH has been the limiting step in the global efforts to control the current COVID-19 pandemic (Sallam., 2021). There are improved negative beliefs and decreased VH among HCWs after receiving our educational program, thereby, influencing their decisions related to the uptake of the COVID-19 vaccine. The findings of this study have implications for HCWs working in different settings. Therefore, our intervention could be used to address the VH among other HCWs, prevent this high-risk population from this deadly disease, and decrease the burden of COVID-19 on the US economy.Item Nurse Perspectives about Screening Patients with Opioid Use Disorder, an Educational InterventionMazzocco, Lisa; Andrabi, Mudasir; Myers, Leonece; Velazquez, DeniseIntroduction/Purpose: The consequences of drug overdoses are devastating, with opioids being a major contributor to preventable deaths. Those with cardiovascular disease are particularly vulnerable to the effects of opioid use, making the need for effective Opioid Use Disorder (OUD) screening even more pronounced. This scholarly project aims to assess the impact of an educational intervention on nurses’ confidence and perceived benefits of opioid use disorder screening among cardiovascular patients. Methods: Staff nurses completed an anonymous, online Qualtrics pre-survey consisting of questions pertaining to nurse’s attitudes, perceptions, and preparedness regarding screening for OUD. Following the pre-survey, education regarding OUD screening and risks associated with OUD and cardiovascular disease was completed. Within two weeks of completing the education, staff nurses then completed the identical post-education survey. Results: The percentage of nurses who answered “strongly agree” (seventeen percent, n=4) and “agree” (forty-two percent, n=10) to the statement “I feel prepared to screen my patients for OUD/opioid use” decreased on the post-survey after they participated in the educational intervention. On the post-survey, twelve percent (n=3) answered “strongly agree” and thirty-two percent (n=8) answered “agree”. Discussion: The educational intervention in this project did not educate participants on any specific OUD screening tool, numerous nurses expressed interest in learning more about how to implement a specific tool at the bedside. This may have been represented by a decrease in the percentage of nurses who felt prepared to screen their patients for OUD/opioid use on the postsurvey. This unit would benefit from further OUD screening tool education.