2021 DNP PROJECTS - Nursing.vanderbilt.edu

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2021 DNP PROJECTS

WE’RE ALWAYS HERE FOR YOUWith every class that graduates, yourVanderbilt degree gets stronger andstronger. With that in mind, we in theAlumni Office are ready to connect youwith other Vanderbilt graduates whocan assist you as you journey throughyour career and beyond. We hope you’llshare your accomplishments with usso we can brag about you and informthe world about what it means tobe a Vanderbilt University Schoolof Nursing alumnus.You can ensure we have your latestcontact information by emailing:vusn-alumninursing@vanderbilt.edu,calling 615-322-4836 or visiting:http://vanderbi.lt/pik98

2021DOCTOR OF NURSING PRACTICE PROJECTS

FOREWORDCongratulations Doctor of Nursing Practice graduates!You have met the rigorous standards of this program and achievedindividual scholarly accomplishments showcased in this booklet.You chose the Vanderbilt University School of Nursing to learn,transform and apply knowledge in new ways and you have certainlyreached those goals. The Institute of Medicine’s landmarkFuture of Nursing report calls for significantly more doctorallyeducated nurses to advance health care and you are preparedto implement that recommendation. You are now well equippedto make meaningful contributions within your own community,your interest area and throughout the world of health care.We are proud of you, and look forward to the difference you will make.Sincerely,LINDA NORMAN,DSN, RN, FAANValere Potter Menefee Professor of NursingDean, Vanderbilt University School of Nursing2

FROM THE DIRECTORThe future of nursing is now as our 2021 DNPgraduates lead interprofessional teams tocreate meaningful innovations that influenceadvanced nursing practice and healthcare.The DNP projects of the 2021 graduatescross geographical and discipline boundariesto bridge gaps in evidence and practice.Self-described change experts, their impacton quality outcomes for patient-centrichealthcare will be recognized across a myriadof organizations and settings nationallyand globally.TERRI ALLISON,DNP, RN, ACNP-BC, FAANPProfessor of NursingAssistant Dean for Academics, Doctoral Nursing Practice3

FACULT Y & PROGR AM DIREC T ORSSUSIE ADAMSK. MICHELLE ARDISSONKAREN C. D’APOLITOPhD, APRN, PMHNP, FAANP, FAANProfessor of NursingFaculty Scholar for Community EngagedBehavioral HealthDNP, RN, ACNP-BCAssistant Professor of NursingPhD, APRN, NNP-BC, FAANProfessor of NursingDirector, Neonatal Nurse PractitionerSpecialtyDEBRA ARNOWDNP, MS, RN-BC, FHIMSSLecturerDNP, RN, NE-BCAssociate Professor of NursingDirector, Nursing and Healthcare LeadershipSpecialtySHEREE ALLENSHARON E. BRYANTKELLY ALDRICHDNP, APN, CPNP-AC/PCInstructor of NursingDirector, Pediatric Nurse PractitionerAcute Care SpecialtyMELANIE ALLISONDNP, RN, ACNP-BCAssistant Professor of NursingTERRI ALLISONDNP, RN, ACNP-BC, FAANPProfessor of NursingAssistant Dean for Academics,Doctoral Nursing PracticeANGEL ANTHAMATTENDNP, ADM, FNP-BCAssistant Professor of NursingDNP, RN, ACNP-BCAssistant Professor of NursingRAMEELA RAMANMA, PHDAssociate Professor of BiostatisticsTOM CHRISTENBERYPhD, RN, CNEProfessor of NursingDirector of Program EvaluationsMELISSA DAVISMSN, CNM, FNPAssistant Professor of NursingJANELLE M. DELLEDNP, ACNP-BCAssistant Professor of NursingSTEPHANIE DEVANE-JOHNSONPhD, CNMAssociate Professor of NursingMISTY EVANSDNP, APRN, CPNP-ACAssistant Professor of NursingSARAH FOLLIARDLAURIE CONNORSDNP, APNG, FNP-BC, AGN-BC, FAANPAssociate Professor of NursingDNP, APRN, AGACNP-BCInstructor of NursingCOURTNEY J. COOKMARK E FRISSEDNP, ACNP-BCAssistant Professor of Nursing4MD, MS, MBAProfessor of Medicine

FACULT Y & PROGR AM DIREC T ORSSARAH GASTQUEEN HENRY-OKAFORPAM JONESDNP, APRN, AG-ACNP-BCAssistant Professor of NursingPhD, APRN, FNP-BCMARY JO GILMERJOELLEN HOLTDNP, RN, NEA-BCAssociate Professor of NursingSenior Associate Dean for Clinical andCommunity PartnershipsPhD, MBA, RN-BC, FAANProfessor of NursingProfessor of Pediatrics, Monroe Carell JrChildren’s Hospital at VanderbiltCo-Director, Pediatric Palliative CareResearch TeamAssistant Professor of NursingDNP, APRN, CCNS, CEN, CSSBBAssistant Professor of NursingLESLIE HOPKINSDNP, APRN-BC, FNP-BC, ANP-CAssociate Professor of NursingAPRIL N. KAPUDNP, RN, ACNP-BC, FAANP, FCCMAssociate Chief Nursing Officerfor Advanced Practice NursingProfessor of NursingMELISSA GLASSFORDDirector, AGPCNP SpecialtyDNP, FNP-CAssistant Professor of NursingSHARON KARPMARSHAY JAMESPhD, RN, CPNPProfessor of NursingMICHAEL D. GOOCHInstructor of NursingDNP, ACNP-BC, FNP-BC, ENP-CAssistant Professor of NursingKAREN HANDEDNP, ANP-BC, CNE, FAANPAssociate Professor of NursingAssistant Director, DNP ProgramDNP, PMC, CPNP-AC, CNEBECKY KECKInstructor of NursingDNP, RN, NEA-BCSenior Associate Dean,Administration & OperationsChief Administrative OfficerROLANDA JOHNSONBETSY B. KENNEDYJASON JEANDNP, RN, APRN, FNP-BCPhD, MSN, RNK. MELISSA SMITH HAYESProfessor of NursingDNP, ANP-BC, CHFNAssistant Professor of NursingAssistant Dean for Diversity and InclusionAssistant Dean for Academics5PhD, RN, CNEProfessor of NursingAssociate Dean for Non-Tenure Track FacultyAffairs and Advancement

FACULT Y & PROGR AM DIREC T ORSCHRISTIAN KETELJANA LAUDERDALEDONNA MCARTHURDNP, RN-BCAssistant Professor of NursingPhD, RNAssociate Professor of NursingJENNIFER KIMSUSIE LEMING-LEEPhD, FNP-BC, FAANPProfessor of NursingDNP Program Director, 2008-2012DNP, GNP-BC, FNAP, FAANPProfessor of NursingCo-Director, Vanderbilt Hartford Center forGerontological Nursing ExcellenceJOAN KINGPhD, RNC, ACNP, ANPProfessor of NursingRUTH KLEINPELLPhD, RN, FAAN, FAANP, FCCMProfessor of NursingAssociate Dean for Clinical ScholarshipIndependence Foundation Professorof Nursing EducationBRENDA KULHANEKDNP, MSN, RN, CPHQAssociate Professor of NursingDirector of Organizational PerformanceImprovementKANAH MAY LEWALLENDNP, RN, CPNPAssociate Professor of NursingELIZABETH R. MOOREDNP, RN, AGPCNP-BCAssistant Professor of NursingPhD, RN, IBCLCAssociate Professor of NursingMICHELE MARTENSGINNY MOOREDNP, RN, PMHCNS-BCInstructor of NursingJANET MYERSDNP, FNP/GNP-BC, CDE, BC-ADM, NE-BCAssistant Professor of NursingMELANIE LUTENBACHERPhD, MSN, MS, RN-BC, NPD-BC, NE-BCAssociate Professor of NursingPhD, MSN, FAANAssociate Professor of Nursing and Medicine(General Pediatrics)MARY LAMBERTMATTHEW MARTINDNP, RN, FAANAssociate Professor of NursingNATASHA MCCLUREDNP, RN, NEA-BC, NHDP-BCInstructor of Nursing6DNP, WHNP-BCAssociate Professor of NursingDirector, Women’s Health Nurse PractitionerSpecialtyCOLLEEN REILLY MOSSDNP, APRN, NNP-BCInstructor of NursingBRITTANY NELSONDNP, RN, CPNPAssistant Professor of NursingDirector, Pediatric Nurse PractitionerPrimary Care Specialty

FACULT Y & PROGR AM DIREC T ORSKEN NELSON IIICOURTNEY J. PITTSMAVIS N. SCHORNDNP, RN, NE-BC, CPHQDNP, MPH, FNP-BCAssociate Professor of NursingDirector, Family Nurse Practitioner SpecialtyPhD, CNM, FACNMProfessor of NursingSenior Associate Dean for AcademicsGERI C. REEVESMATT SCHROERInstructor of NursingLINDA NORMANDSN, RN, FAANValere Potter Menefee Professor of NursingDeanABBY PARISHDNP, AGPCNP-BC, GNP-BC, FNAPAssociate Professor of NursingDirector of Education InnovationMARY LAUREN PFIEFFERAPRN, PHD, FNP-BCAssociate Professor of NursingANNA RICHMONDDNP, FNP-CAssistant Professor of NursingJENNIFER RIDGWAYDNP, APRN, CPNPInstructor of NursingDNP, FNP-BC, CPNSHELZA RIVASAssistant Professor of NursingDNP, WHNP-BC, AGPCNP-BCInstructor in NursingJULIA PHILLIPPIPhD, CNM, FACNMAssistant Professor of NursingDirector, Nurse-Midwifery SpecialtyBONNIE PILONDSN, RN, BC, FAANProfessor EmeritaSUSANNA RUDYDNP, MSN, MFS, AG-ACNP, FNP-BC,ENP, CCRNInstructor of NursingMICHELLE RUSLAVAGEDNP, MSN, RN, NE-BC, CPEInstructor of Nursing7DNP, PMHNP-BCInstructor of NursingPATTI SCOTTDNP, APN, NNP-BC, C-NPTAssistant Professor of NursingPATRICIA P. SENGSTACKDNP, RN-BC, CPHIMS, FAANSenior Associate Dean for InformaticsDirector, Nursing Informatics SpecialtyNursing Informatics Executive,Vanderbilt University Medical CenterMEGAN SHIFRINDNP, RN, ACNP-BCAssistant Professor of NursingMEGAN SIMMONSDNP, RN, PMHNP-BCAssistant Professor of Nursing

FACULT Y & PROGR AM DIREC T ORSKIM STEANSONRICK WATTERSDNP, APRN, CPNP-PC/ACAssistant Professor of NursingPhD, RNAssociate Professor of NursingDNP, NP-C, MS, RDProfessor of NursingJULIA STEEDPAMELA WAYNICK-ROGERSMARCI ZSAMBOKYPhD, RN, FNP-BCAssistant Professor of NursingCLARE THOMSON-SMITHMSN, RN, JD, FAANPAssistant Professor of NursingDAWN VANDERHOEFPhD, DNP, PMHNP/CS-BCAssociate Professor of NursingJESSICA VAN METERDNP, MSN, RN, APN-BC, CCRN, A-EMTAssistant Professor of NursingROSE VICKPhD, PMHNP-BCAssistant Professor of NursingCAROL ZIEGLERDNP, APRN-BCAssistant Professor NursingBRIAN WIDMARPhD, RN, ACNP-BC, ACNPC, CCRN, FAANPAssociate Professor of NursingAssistant Dean, Advanced Nursing PracticeDirector, Adult-Gero Acute Care NursePractitioner SpecialtyJENNIFER WILBECKDNP, APRN-BC, CEN, FAAN, FAANPProfessor of NursingDirector,Emergency Nurse Practitioner SpecialtyCHRISTOPHER TY WILLIAMSDNP, RN, ACNP-BC, FNP-BCAssistant Professor of NursingJESSICA WALKERSTEFANI YUDASZDNP, APRN, PMHNP-BCAssistant Professor of NursingDNP, WHNP-BCInstructor of Nursing8DNP, PMHNP/CNS-BC, CNEAssistant Professor of NursingDirector, Psychiatric Mental Health NursePractitioner Specialty

DNP GRADUATES!

DNP PROJECTSCLASS OF 2021NELLY AGHILIEMILY BRIGNOLANational APRN Practice and Pandemic Survey: California Results. 15Implementing Lifestyle Changes in Patientswith Vestibular Migraine. 21PRISCILLA EYRAM AKUETEYBREANNA BUCCOAntimalarial Stewardship Program for Adult Outpatient Providersin Ghana.16Evaluating the Talk with Me Baby Programin the Home Visitation Setting.22NINA ARMSTRONGABIGAIL BURKETT VETTERIncreasing Awareness of Long Acting Reversible Contraceptivesin Maya Adolescents of Belize. 23Perceived Usefulness of an Educational Intervention RegardingGender-Affirming Hormone Treatment in an OutpatientMental Health Clinic. 17HILARY BUTELLASTACEY O. BACHMANUtilization of Pharmacogenomic Testing to Improve Clinical Outcomesin Major Depressive Disorder and Major Depressive Episodes.24Effect of Expanded APN Privileges on Pediatric HospitalALESSANDRA CATIZONELength of Stay.18Digital Video Education to Increase Initiation Ratesof the HPV Vaccine in Adolescents. 25SARA M. BECKERImplementation of an Indwelling Urinary CatheterEILEEN M. CZERWINSKINursing Care Bundle.19Early Integration of Palliative Care in Frail Patientswith Hip Fracture.26ANNE BRENNEMANTIFFANY DARLINGEvaluation of a Pediatric Crisis StabilizationShared Decision-Making and Treatment Adherencein the Oncology Patient. 27Mobile Response Program.2010

CLASS OF 2021DNP PROJECTSPATRICIA DONLEYASHLEY HURTThe Effect of Social Determinantson Chronic Disease Management.28Perceived Barriers to Pre-Exposure Prophylaxis InitiationLAUREN FLAGGDEBORAH S. JENKSin Men who have Sex with Men.35Implementing a Delirium Screening Programin a Combined PICU and PCICU.29Implementing Continuous Performance Testingto Improve Patient Satisfaction in ADHD Evaluation.36NICOLE L. FROSTLAURA KOELNursing Knowledge and Confidence in the Deliveryof Palliative Care: A Quality Improvement Project.30Smartphone Reference Application: Emergency Ultrasoundfor Emergency Nurse Practitioner Students. 37FRANCES M. GAUDIER-SCHMIDTKOMI KOKOU-ABIProgram Development for Effective Patient-Provider Partnerships. 31The Effects of Provider Education on DeprescribingMONALIZA ALONZO GAWin a Psychiatric Hospital.38Implementing Institute for Healthcare Improvement's Joy in Work:A Quality Improvement Project. 32VICTORIA KUCINSKINurse Manager Shared Governance EducationMELINA M. HANDLEYReducing Redundant Genetic Testing for 22q11.2 Deletion Syndrome:A Process Improvement Project.33and Unit Practice Council Functionality.39SUSAN HERNANDEZAssessing Provider Knowledge and Confidence in the DisclosureRetention of a Millennial Nursing Workforce.34of Abnormal Newborn Screening Results. 40CHELSEA J. LAUDERDALE11

CLASS OF 2021DNP PROJECTSJULIE DIANE METCALFCLAUDIA PERRYFamily-Integrated Quality Improvement in the NICUEvaluation of Unit-Based Care Team Implementationto Improve Discharge Developmental Follow-up.41and Effect on Length of Stay.48PAMELA ANNE NELSONDAKOTA RHODESImpact of Psychiatric Consultation Services on BoardingDevelopment of a Critical Care Ultrasound Competency Coursein the Emergency Department.42for ICU Nurse Practitioners.49DEBORAH O'BRIANTREBECCA SILVERSVolunteer Musicians’ Perceptions of Therapeutic MusicCapacity Building in Northern Laos: An Evaluation of the Pediatricin ICU Project.43Nursing Training Program at Lao Friends Hospital for Children.50AMY E. OLSONJENNY MORRIS SLAYTONImpact of Observation Unit Admission Criteria on Quality Metrics.44Comfort and Competency in Healthcare Teams Caring for PatientsRADWA CLARISSA OMAR-ALLENwith Substance Use Disorder at Risk for Hospital Misuse. 51Under-immunized Children of Appalachia:Parental Beliefs at an Eastern Kentucky Rural Health Clinic.45ISABELL STOLTZPATRICIA OZUNAImpact of LEAP! Mentorship Program on APPs at VUMC. 52Reducing Registered Nurse Burnout in the CVICU.46ALEXANDRA TAYLORMELISSA PEARSONIdentifying Barriers and Potential Solutions to ObtainingMusic in the Intensive Care Unit: Registered Nurses’ Perceptions. 47a MAT Waiver for Primary Care Providers.5312

DNP PROJECTSCLASS OF 2021BRENDAN G. TENNEFOSSAssessing Readiness to Change for Weight Lossin Women with Obesity.54DEMETRIA TENNEFOSSImproving Clinic Efficiency via Implementationof a Genitourinary Infection Treatment.55ERIN TICKLEA Sociotechnical Evaluation of anElectronic Healthcare Record Implementation.56JOSHUA WADDELLProgram Evaluation of Dispensing Buprenorphine/Naloxonein Medication Assisted Treatment. 57ASHLEY C. WALKEROrthopedic Training Modules for New Nurse PractitionersTransitioning into Practice.58CORY R. WILLIAMSImpact of COVID-19 on Illinois APRN Practice.59JANYE WILSONOutpatient Clinic Care Team Perceived Acceptanceand Use of the Patient Portal. 6013

Our best wishes to Vanderbilt UniversitySchool of Nursing Dean Linda D. Norman,DSN, FAAN, who steps down as dean onJune 30, 2021.Dean Norman has long been a championof the Doctor of Nursing Practice degree,and was instrumental in the establishmentof the program at Vanderbilt.As Senior Associate Dean for Academics,she worked with VUSN faculty and nationalDNP experts to develop and launch the DNPprogram in 2008. Since then, she has proudlywatched the program grow to its currentstature as the No. 6 DNP program in thecountry and has served as DNP curriculumconsultant for universities across the U.S.After her 30-year career at Vanderbilt,Dean Norman will take a year’s sabbaticalto travel and work on papers related to theSchool of Nursing’s role in the VanderbiltUniversity COVID-19 response.Thank you Dean Norman for your impacton Vanderbilt School of Nursing and itsDoctor of Nursing Practice graduates;we wish you the best now and always.

2021 DNP PROJECTSNational APRN Practice and Pandemic Survey: California ResultsPURPOSEThis project aimed to describe barriers to APRNfull practice authority in California and examinethe effects of lifting restrictions on APRN practicedue to the healthcare demands of the SARSCoV-2 (COVID-19) pandemic.and inpatient settings during the pandemic. Over60% of participants reported inpatient reductionin revenue. Qualitative analysis of open-endedquestions revealed that inpatient providers werefrequently reassigned to different services. Evenafter the removal of practice restrictions, 53%of APRNs reported no changes in their practiceauthority.METHODOLOGYThe National APRN Survey was designed toidentify and evaluate the impact of some states’decision to temporarily remove practice barriersto APRN full practice authority during thepandemic. Survey participants included APRNsfrom California who are willing to participate.Existing quantitative and qualitative data wereanalyzed.IMPLICATIONS FOR PRACTICELessons learned from survey responses duringthe pandemic should lead to significant changesthat improve organizational performance, removebarriers to full practice authority, address staffand patient safety and well-being, and thusincrease the level of preparedness for a futurecrisis. As health care leaders, APRNs have anessential role in affecting these changes andworking with policymakers and administrators toensure that the lessons learned from this crisis areput to good use.RESULTSOver forty-one percent of participants reporteda reduction in the outpatient visits, including newpatient, preventative, chronic, and acute carevisits. Over 53% of outpatient APRNs reported areduction in revenue as a result. The utilizationof telehealth in the outpatient setting duringthe pandemic reached 70.5%. Sixty-six APRNs(37.9%) identified difficulty in obtaining referrals/consultation and securing supplies in outpatient15N

Professor of Nursing Director of Program Evaluations LAURIE CONNORS DNP, APNG, FNP-BC, AGN-BC, FAANP Associate Professor of Nursing COURTNEY J. COOK DNP, ACNP-BC Assistant Professor of Nursing KAREN C. D’APOLITO PhD, APRN, NNP-BC, FAAN Professor of Nursing Director, Neonatal Nurse Practitioner Specialty MELISSA DAVIS MSN, CNM, FNP