Reviewer
Poster
Number
Author
Title
Synopsis
Evidence Based Practice
Dick
Redman &
Libby
Brough
1
Wood, W
Interdisciplinary Mobility Project
on an In-Patient Medicine Unit
Dick
Redman &
Libby
Brough
2
Mason, H
Dick
Redman &
Libby
Brough
3
McCullagh,
M
Retrospective evaluation of
improvement in treatment
compliance and reduction of
hospitalization in patients with
locally advanced squamous cell
carcinoma of the oropharynx
undergoing chemo-radiotherapy
utilizing a weekly nurse
practitioner clinic
Cost-Effective Strategies for
Preventing Lift-Related Injuries
among Health Care Workers
Cancelled
by Author
Dick
Redman &
Libby
Brough
4
5
Price, D
Fall Reduction Innovation: A
Brochure to Meet
Patient/Family Education Needs
On the 5B nursing unit, an interdisciplinary team
gathered and developed guidelines and interventions for
a unit mobility/activity program. The goal of the program
is to increase patient’s mobility/activity level regularly
and early during their hospital stay.
Oncology nurse practitioners developed a clinic to help
manage the symptoms patients were experiencing
during treatment. A retrospective study showed
statistical improvement in hospitalization rates, treatment
completion and a decrease in dose deviations.
UMHS staff and leadership used a continuous quality
improvement process to identify and develop methods of
reducing lifting-related injuries among health care
workers, thereby reducing costs to the institution, as well
as improving patient safety and promoting health among
nursing personnel.
Junior and Senior nursing students conducted a
literature review, analyzed evidence and found that
specific patient education and a multifactorial approach
are effective methods for the prevention of falls in
hospitalized patients. Traditional senior nursing students
subsequently developed a 4C Unit Patient and Family
brochure entitled: Fall Precautions and You! Further
testing of the brochure is planned for feasibility for use in
this patient population.
Reviewer
Poster
Number
Author
Title
Synopsis
Laurie
Hartman &
Lisa K. Low
6
Dickinson, S
Long-Term Impact of a
Multifaceted Prevention Program
on Ventilator-Associated
Pneumonia in two partner units:
SICU and TBICU
Laurie
Hartman &
Lisa K. Low
7
Gagnon, M
Memories of the Intensive Care:
How Diaries Can Improve the
Experience for Families
Laurie
Hartman &
Lisa K. Low
8
Stevens, K
Evidence-Based Strategies for
Reducing Pediatric Distress
During Vaccination
In an effort to reduce our VAP rates we initiated a
comprehensive Performance Improvement effort across
two of our units. Through the Partnership for
Excellence we have achieved remarkable progress in
significantly reducing our VAP rates in the SICU and
TB-ICU with nearly a 10-fold reduction in the SICU and
nearly a 6-fold reduction in the TB-ICU.
The aim of this evidence based project was to describe
family members’ satisfaction with the care provided in a
Surgical Intensive Care Unit (SICU) through the use of
journaling. The ICU diary can significantly improve the
physical and psychological well-being of families in a
critical care unit based on the results of the CCFSS.
From a review of the literature, we created a pair of
evidence-based informational handouts for parents,
children and staff about ways to reduce distress and
increase use of coping skills during vaccination.
Practical and effective interventions primarily include
age-appropriate distraction techniques.
Clinical Innovation
Laurie
Hartman &
Lisa K. Low
9
Maksym, M
6B's Journey to Very Good Care
In July 2007, 6B Acute Care Medicine Unit replicated a
behavioral shaping study that was conducted in 27
nursing units and 14 hospitals on a systematic nursing
protocol that resulted in a reduction in falls and pressure
ulcers and an increase in patient satisfaction and
improving overall nursing efficiencies. 6B’s journey to
very good care has been sustained for five years
demonstrating the individual staff member’s
commitment to patient safety and satisfaction by
incorporating specific nursing actions into hourly
rounding.
Reviewer
Poster
Number
Laurie
Hartman &
Lisa K.
Low
10
Chris
Friese &
Donna
Marvisin
Author
Title
Synopsis
James, K
Simulated Skills Lab: Enhancing
Chemotherapy Knowledge of
New Nurses
11
Caylor, S
Integrated Learning Through
Student Goal Development
Chris
Friese &
Donna
Marvisin
12
Wagner, E
Utilizing a kinesthetic learning
strategy to engage nursing
students thinking, enhance
retention and improve critical
thinking
Chris
Friese &
Donna
Marvisin
13
Myres, C
Charging across the street! A
Journey in remaking the charge
nurse role for PCTU in the New
Mott Hospital
Chris
Friese &
Donna
Marvisin
14
Dammeyer, J
Non-Violent Restraints: There's
an alternative
Chemotherapy administration is the single most anxiety
causing skill in our specialty and because of that we
added chemotherapy skills lab which now accompanies
the APHON core curriculum and the one on one
preceptor orientation. This has enhanced our
orientation program by adding more diversity to the
learning strategies and incorporating the “hands on”
opportunity available with this simulation lab.
Nursing educators seek to promote contextual and
integrative student learning in the clinical setting.
University of Michigan School of Nursing Faculty
implemented a student weekly goals initiative to
enhance student directed clinical learning, promote
student communication with nurses and faculty, and
facilitate preparation to practice professional nursing.
A major challenge in nursing education is how to
prepare students to think critically and problem solve
within the complex health care system. Using more
kinesthetic learning activities with students may help
improve their critical thinking, understanding of
concepts and overall satisfaction with teaching
methods.
It is difficult enough to be a charge nurse on a 15 bed
pediatric cardio-thoracic ICU unit, but what if you had to
plan on taking charge of a 30 bed unit overnight? This
is the overall goal our core change nurse group was
tasked with. Our objectives were to 1) streamline
report, 2) incorporate multiple new technologies into the
role, and 3) create a paradigm change for
interdepartmental communication in light of a totally
new work environment.
The CCMU staff identified the need to decrease
restraint use and increase compliance with obtaining
orders and documentation. This project demonstrates
the use of multiple interventions for staff to increase
compliance and change the culture of restraint use.
Reviewer
Poster
Number
Author
Title
Synopsis
An evaluation of current evidence based practice and
research related to the early recognition and treatment
of pressure injury in hospitalized patients with darkly
pigmented skin types. This meta-analysis study
demonstrated the population acquired a greater amount
of pressure injury than light skinned populations, and
the pressure injuries were more severe, had increased
mortality rates and significantly longer hospital stays.
A group of RN’s and PCT’s on 7A identified there was
no official report of delegated tasks from nurses to
patient care technicians (PCT) on the unit. The staff
utilized the LEAN principles in their project to improve
communication between RNs and PCTs.
The goal of this project was to increase staff
satisfaction, communication and teamwork by changing
the culture. The unit implemented strategies that
changed unit culture and resulted in an overall increase
in this unit’s “Employee Engagement Survey” results.
Our goal in implementing this educational program was
to create an atmosphere that made nurses part of the
planning and organizing of our new unit and to provide
them with a variety of fun activities that would facilitate
learning in the new space. In preparation of the move to
our new Bone Marrow Transplant Unit, nurses were
educated using a multimodal approach that included
navigating the new floor plan, learning to function in the
clinical space and understanding the new resources
and technology available to patients, families and staff.
Chris
Friese &
Donna
Marvisin
15
Steven, M
Recognizing Deep Tissue
Trauma in the Darkly Pigmented
Skin Type
Terri
VoepelLewis &
Jennifer
Dammeyer
Terri
VoepelLewis &
Jennifer
Dammeyer
Terri
VoepelLewis &
Jennifer
Dammeyer
16
Marjorie
McCullagh
Improving RN/Tech
Communication on 7A1 Utilizing
LEAN Principles
17
Wood, W
Improving Staff Satisfaction
18
Harden, K
Scenario-Based Learning Used
for Orientation to a New Adult
Blood and Marrow Transplant
Unit
Reviewer
Poster
Number
Terri
VoepelLewis &
Jennifer
Dammeyer
19
Terri
VoepelLewis &
Jennifer
Dammeyer
Author
Title
Synopsis
Harden, K
Initiation of Cardiac Monitoring
on a Blood and Marrow
Transplant Unit: An Educational
Plan to Provide Continuity of
Care for Patients
20
Price, D
Student Learning about PFCC:
Participation in an Amputation
Support Group
Marjorie
McCullagh
& Kathy
Lewis
21
Brant, A
Venous Thromboembolism
Education: Does it Increase
Patient Compliance with
Preventive Measures?
Marjorie
McCullagh
& Kathy
Lewis
22
Armstrong, J
Advanced Practice Nursing
Orientation: Tailoring orientation
to meet the needs of advanced
practice nurses at UMHS
This project was identified to provide patients with
increased continuity of care through initiation of cardiac
monitoring on a new inpatient Blood and Marrow
transplant inpatient unit. However, with no cardiac
patients or equipment on 8A, our biggest challenge was
how to educate nurses to take cardiac patients on day
one after our move. This poster describes the detailed
educational plan and the successful transition to cardiac
care for BMT patients.
This exploratory study used nursing students to
facilitate an outpatient amputation support group
utilizing the Patient-Family Centered Approach.
Students provided health education and wellness
screening, recipes and food samples. Mutually
expressed benefits were noted and further study is
warranted.
Patient compliance with Sequential Compression
Devises (SCDs) as a preventive measure for Venous
Thromboembolism (VTE) is sub-optimal. This quality
improvement project assessed the impact of
written/verbal patient education on the compliance rate
of SCDs as a preventive measure.
Based upon feedback from recently hired APRNs, the
director of advanced practice nursing along with Cancer
Center NP supervisor and senior Cancer Center NP
identified a gap in APRN orientation. The current
orientation was evaluated and a new eight hour day
APRN specific orientation was implemented.
Reviewer
Poster
Number
Author
Title
Marjorie
McCullagh
& Kathy
Lewis
23
Hadden, S
Pediatric Urology Perioperative
Process Improvement (PUPPI)
Project
Marjorie
McCullagh
& Kathy
Lewis
24
Conrad, C
MCRU Innovation in Clinical
Marjorie
McCullagh
& Kathy
Lewis
25
Seurynck, K
Comparison of Nurse Mentor
and Instructor Evaluation of
Clinical Performance
Sharon
Dickinson
& Denise
O’Brien
26
Taylor, S
Can the implementation of a
nurse driven fluid resuscitation
protocol for burn patients
improve outcomes?
Research Nursing Practice
Synopsis
Caregivers whose children undergo hypospadias repair
are required to learn complicated postoperative care in
a short period of time, often at the time of discharge or
when their child is recovering from anesthesia in the
post anesthesia care unit (PACU). The Pediatric
Urology Perioperative Process Improvement Project
was initiated to provide postoperative instructions to
parents in a simulation lab environment using a variety
of learning tools while the child is in surgery.
The Michigan Clinical Research Unit, a division of the
Michigan Institute for Clinical Health Research, has
undergone significant changes in the last several
months, involving nursing processes on the research
unit. This poster will present an overview outlining
identified changes impacting our research and how the
staff successfully adapted them into their practice.
Partnerships in hospitals and schools of nursing have
been on the rise and many schools are having bedside
nurse mentors take a greater role in educating and
evaluating students. The purpose of this study was to
compare the level of agreement between nursing
instructors and nurse mentors in the evaluation of
student clinical performance in a new model of clinical
education at the University of Michigan Health System
(UMHS).
In an effort to help reduce complications of our burn
patients and help to standardize our fluid resuscitation
protocol, a computer based calculation sheet was
developed. The results of the nurse driven fluid
resuscitation protocol have shown the following; a
reduction in mortality, a decrease in vasoactive drug
usage and a decrease in days on the ventilator. In
addition, nursing staff are empowered.
Reviewer
Poster
Number
Author
Title
Synopsis
Terri
VoepelLewis &
Jennifer
Dammeyer
Sharon
Dickinson
& Denise
O’Brien
27
Wismont, J
Clinical Evaluation Tool: Our
Herculean Strength or Our
Achilles Heel?
An exploratory study examined mentor and faculty
usage of an electronic student evaluation tool in a
maternity nursing clinical course (N352).
28
Myler, L
Mentor’s Perception of a New
Model of Clinical Care
Sharon
Dickinson
& Denise
O’Brien
29
Marsh, V
Operating Room Training
Center: A New Approach to
Training RN Interns
Marjorie
McCullagh
& Kathy
Lewis
41
Tschannen,
D
Evaluating the Root Cause
Analysis (RCA) Project: A
UMHS/SON Partnership to
Improve Patient Care Delivery
and Outcomes
Sharon
Dickinson
& Denise
O’Brien
42
Brough, E
Developing Senior Nursing
Student Autonomy Using Pagers
in a Clinical Immersion
Experience
The University of Michigan Health System and the
School of Nursing created an innovative partnership
and a new model of clinical education. This descriptive
study assessed the perception of nurse mentors related
to the model and identified related themes of
satisfaction, understanding, student preparedness,
feedback and evidence based practice.
This program is an RN intern program for nurses that
have never worked in the OR; they can be graduate
nurses or experienced nurses that want to work in the
UH, Mott or CVC ORs. The interns are oriented over 6
months in a classroom, Simulation lab, computer
training and hands on approach with different learning
methods. This study will compare the methods used
over 12 months with a comparison of the level of
competency and safety with different approaches to the
program.
The purpose of this project was to evaluate the impact
of student RCA projects on subsequent practice change
and outcomes at UMHS. Unit leads found the RCA
projects to be very useful (M=8.13 on 10 point scale)
and believed the projects have impacted practice
(M=7.64). The RCA project has provided students with
an excellent opportunity to learn the RCA process while
providing UMHS with recommendations for improving
nursing practice.
Nurse mentors wanted to help students learn complex
nursing skills such as setting priorities and developing
complex decision-making skills. This pilot project
implemented the use of individual pagers for nursing
students during a senior clinical immersion course.
Reviewer
Poster
Number
Author
Title
Synopsis
Sharon
Dickinson
& Denise
O’Brien
43
Maycock, S
Critical Care Orientation –
Recharged
Sharon
Dickinson
& Denise
O’Brien
44
Bruce, T
Wound Documentation: An
Innovative Approach to
Accuracy in Pressure Ulcer
Staging
The Professional Development and Education
Department evaluated existing Critical Care Orientation
and hosted a three day Wholescale Change Event
which included various stakeholders that lead to
development of an orientation program that would,
through the use of comprehensive methods of learning,
provide core knowledge, skills, and critical
integration/thinking as necessary for a critical care
orientee to safely care for a moderately complex patient
in the critical care setting by the end of the scheduled
orientation period.
Pressure ulcer identification and classification is highly
variable and lacks reliability among nurses, to the extent
that sometimes nurses have difficulty distinguishing
pressure ulcers from other types of wounds. A two-step
content validity study was done to validate a tool that
identifies would classification by wound characteristics.
Research
Bonnie
Haggerty
& Danna
Tschannen
30
Friese, C
Job Satisfaction among
Ambulatory Oncology Nurses:
The Importance of Favorable
Practice Environments
Bonnie
Haggerty
& Danna
Tschannen
31
Gosselin, A
A Comparison of patient care
units with high versus low levels
of missed nursing care
In a statewide sample of oncology nurses employed in
ambulatory oncology settings, job satisfaction was
associated with favorable practice environments.
Specific targets for improvement include assuring the
adequacy of staffing and resources and supportive
relationships with nurse managers.
Developing strategies for better teamwork includes the
examination of past behaviors and or shared
characteristics of similar groups. This study identified
the characteristics of units with the least amount of
missed nursing care which can be used for
consideration in developing more effective teamwork
intervention that would replicate the units with the least
amount of nursing care.
Reviewer
Poster
Number
Author
Title
Bonnie
Haggerty
& Danna
Tschannen
32
McLaughlin,
M
The Use of Specialty Surgical
Service Teams: An Analysis
Bonnie
Haggerty
& Danna
Tschannen
Bonnie
Haggerty
& Danna
Tschannen
33
Benloucif, S
Caution: Crash Ahead Syncope
and Driving Laws in the State of
Michigan
34
Quallich, S
A Survey Evaluating the Current
Role of the Nurse Practitioner in
Urology
Maria
Katapodi &
Cynthia
ArslanianEngoren
35
Burke, C
A Retrospective Description of
Anesthetic Medication Dosing
for Underweight, Normal Weight
and Overweight/Obese Children
Synopsis
The use of specialty surgical service teams has
implications for nursing staff recruitment, education,
daily assignments and call rotation. Other potential
effects include interruptions and surgeon preference for
specialty teams. All of these factors may ultimately
impact patient safety in the OR. Future research
includes investigating reasons for implementing
specialty service teams and their costs, benefits and
relationship to outcomes.
To evaluate, whether or not, patients who experience
syncope are instructed by their care providers to abstain
for driving for 6 months per Michigan driving law.
This survey was designed to establish a basis for the
definition and role description of a “Urologic Nurse
Practitioner” in order to help define the components of
safe and effective practice. The survey uncovered the
fact that while many urologic NPs function in highly
specialized roles, many also work in a hybridized
NP/RN role, contrary to the definition of the NP role and
the IOM recommendations that nurses should function
at the level of their highest education.
Appropriate dosing of described perioperative
medications in children is confounded not simply by
body size but also by stages of organ maturation, fat to
lean muscle ratio and other physiological changed
across the age continuum. Overweight children and
drugs recommended to be dosed on ideal weight were
more likely to be overdosed, while underweight children
were more frequently overdosed with medications
recommended to be dosed on actual weight.
Reviewer
Poster
Number
Author
Title
Maria
Katapodi &
Cynthia
ArslanianEngoren
36
VoepelLewis, T
Surveillance, Staffing, and
Serious Adverse Events in a
Cohort of Children on General
Postoperative Care Units
Maria
Katapodi &
Cynthia
ArslanianEngoren
37
VoepelLewis, T
Maria
Katapodi &
Cynthia
ArslanianEngoren
38
Bay, E
Early Adjuvant use of Nonopioids Associated with
Reduced Odds of Serious
Postoperative Opioid Adverse
Events and Need for Rescue in
Children
Determinants of Subjective
Memory Complaints in
Community-dwelling Adults with
Traumatic Brain Injury
Maria
Katapodi &
Cynthia
ArslanianEngoren
39
Hallman, I
The Impact of Geriatric-Specific
Education on Caregiver
Attitudes Toward Treating Older
Adults in a General Adult
Psychiatry Inpatient Unit
Maria
Katapodi &
Cynthia
ArslanianEngoren
40
Jones, L
Risk Specific Fall Prevention
Practices
Synopsis
This study is the first to show how nurse staffing
moderates the relationship between patient risk factors
and surveillance in a pediatric postoperative setting,
showing that as staffing increased, surveillance
increased, particularly for children with comorbid
conditions. Furthermore, surveillance suppressed the
relationship between staffing and adverse events,
suggesting a prioritization and individualization of
surveillance activity for deteriorating patients, even
during lower staffing.
Findings from this study suggest that strategies such as
early use of adjuvant non-opioids may reduce risk for
opioid-ADEs postoperatively. Furthermore, children
who require supplemental oxygen early postoperatively
may be at heightened risk for later events.
Subjective memory complaints may occur in the chronic
phase of recovery from mild to moderate TBI. This
study provides evidence that clinical correlates of
perceived stress and somatic symptoms are likely to
contribute to this phenomenon; both are amenable to
intervention and could lead to improved memory
performance.
The importance of learning to work with the elderly
patient is mounting as the population ages. Perhaps an
educational intervention can alter the attitudes towards
the geriatric patient, with the potential for providing
improved quality of care for this population located on
general psychiatric units.
Funded by the Robert Wood Johnson Foundation,
Grant #68226 – This study evaluated level of adoption
of evidence-based fall prevention practices that are
linked to patient risk factors among staff nurses working
in hospitals.