DNP-DPI Project

Abstract

The firsts sentence or two outlines the problem, why is this being addressed? Do not make statements that require a citation as there are no citations in an abstract! (Smoking is an independent risk factor for patients with type two diabetes (DMT2) making it essential for providers to address smoking cessation consistently. At the project site there is no tobacco cessation protocol in use). The next sentence outlines the purpose of the project. Use this full template for best success: The purpose of this quantitative quasi-experimental project was to determine if or to what degree the implementation of _________________ (intervention) would impact ______________(what) when compared to _______________________ among ___________(population) in a ________ (setting ie: primary care clinic, ER, OR) in ________ (state) over four-weeks. (The purpose of this quantitative, quasi-experimental quality improvement (QI) project was to evaluate if or to what degree the implementation of a tobacco cessation protocol using the Five A’s model would impact the patient’s motivation, nicotine dependence, and healthcare provider compliance with assessing tobacco use in adult diabetic smokers in a podiatry clinic for four weeks in the northeastern United States). Next is theoretical model! State the model or theory using the author and how it applies to the project ONE SENTENCE! (The transtheoretical model (TTM) was utilized to evaluate patient motivation to quit smoking and determine appropriate cessation interventions). Data analysis and sample size is next - DO NOT SAY p> 0.05 or p<0.05 Must say p= VALUE (Data on the motivation to quit was measured by TTM and nicotine dependence was measured by the Fagerstrom Test for Nicotine Dependence (FTND) questionnaire in diabetic adult smokers aged 18 years and older, ( n=16) were compared at baseline, two weeks, and four weeks post-implementation of the Five A's model. A paired t-test showed that there was a statistically significant improvement in patient's motivation to quit smoking (M=-2.86; SD=1.29; p=0.003), a substantial decrease in nicotine dependence (M= -1.86; SD=1.41; p=0.001), and 100% of the healthcare providers (n=6) were compliant in assessing tobacco use p=0.000). WRAP IT UP – Now you want to state how the results impacted the practice at the site and recommendations for what should be done in the future based on the project findings (Based on the results, the Five A's model may result in increased patient motivation to quit smoking as well as a decrease in nicotine dependence. Recommendations include continuation of the program and possible repetition of the project at another clinical site over an extended monitoring period as well as with a larger sample size.) or maybe if there was no significance (Even though statistical significance was not found STATS, the INTERVENTION provided needed areas for reinforcement measurement and enhanced nursing staff awareness. Therefore, the findings suggest that continuous utilization of INTERVENTION may DO WHAT to IMPROVE WHAT. Replication of the project is needed in larger settings and over a longer period of time.) Comment by Katherine Fetter: Make sure you take this statement and replace it throughout the manuscript to ensure it matches everywhere you discuss the purpose :) From this statement you will need to make certain that the problem statement and clinical questions match (align) with this statement as well. Comment by Katherine Fetter: Use what you implement. If you used the American Heart Association’s education, whoever it comes from, you need to state this:) Comment by Katherine Fetter: Can use urban or rural and State. Do NOT NAME city and state, keep general. Comment by Katherine Fetter: Models and theories are not captialized! Comment by Katherine Fetter: If you have anon-equivelant group that did not receive the intervention, please use comparison group versus an intervention group and make sure it is in the paper under terms used,sample, data collection, and a analysis!

Keywords: Five A’s model, Brief Counseling, Health Promotion, Motivational counseling, transtheoretical model (TTM), and Type 2 Diabetes (DMT2). Comment by Katherine Fetter: The whole abstract needs to fit on one page:)

Abstract Example

Smoking is an independent risk factor for DMT2 making it essential for providers to address smoking cessation consistently. The purpose of this quantitative, quasi-experimental quality improvement (QI) project was to evaluate if or to what degree the implementation of a tobacco cessation protocol using the Five A’s model would impact the patient’s motivation, nicotine dependence, and provider compliance with assessing tobacco use in adult diabetic smokers in a podiatry clinic for four weeks in the northeastern United States. The transtheoretical model (TTM) was utilized to evaluate patient motivation to quit smoking and determine appropriate cessation interventions. Data on the motivation to quit was measured by TTM and nicotine dependence was measured by the Fagerstrom Test for Nicotine Dependence (FTND) questionnaire in diabetic adult smokers aged 18 years and older, (n=16) were compared at baseline, two weeks, and four weeks post-implementation of the Five A's model. A paired t-test showed that there was a statistically significant improvement in patient's motivation to quit smoking (M=-2.86; SD=1.29; p=0.003), a substantial decrease in nicotine dependence (M= -1.86; SD=1.41; p=0.001), and 100% of the providers (n=6) were compliant in assessing tobacco use p=0.00. Based on the results, the Five A's model may result in increased patient motivation to quit smoking as well as a decrease in nicotine dependence. Recommendations include continuation of the program and possible repetition of the project at another clinical site over an extended monitoring period as well as with a larger sample size.

Keywords: Five A’s model, Brief Counseling, Health Promotion, Motivational counseling, transtheoretical model (TTM), and Type 2 Diabetes (DMT2).

Abstract

Aspiration pneumonia among institutionalized older adults is a serious public health issue. In skilled nursing facilities (SNFs), standard practices do not exist for oral hygiene, so oral care is inconsistent. The purpose of this quantitative, quasi-experimental project was to determine if or to what degree the implementation of Sutter’s oral hygiene protocol would impact aspiration pneumonia rates and look at compliance rates of the protocol used by nursing compared to current practices among adults age 65 and up residing in a SNF in urban New Jersey over six weeks. The theoretical foundation of the project utilized Kathrine Kolcaba’s comfort theory. The total sample size was 112, n=55 in the comparative group and n= 57 in the implementation group. Data was extrapolated from the facility’s electronic health record (EHR). To analyze the comparison and implementation group data, A Chi-squared test was used, and results showed that X2 (1, N = 112) = 0.007, p =. 932. The p-value of .932 showed no statistically significant difference between the rate of aspiration pneumonia for the comparative versus implementation groups. The independent t-test was run to analyze the compliance rates of the nurses use of the protocol. Results revealed t (110) = -17.101, p =.0001, meaning there was a statistically significant improvement regarding compliance of the protocol. Despite the lack of statistical significance in a reducing rates aspiration pneumonia, there is clinical significance in the nurses adherence to the protocol which is a clinically significant change in improving daily oral care. Therefore, it is recommended that the project is sustained at the project site and further analysis conducted to show statistical significance over a longer period of time.

Keywords: Sutter’s oral hygiene, aspiration pneumonia prevention, skilled nursing facilities, older adults