Special thanks to Dr. Eaton, who is the BNURS360-460 Coordinator and has worked very hard since the beginning of the autumn to recruit, we have 5 community partners (with 6 topics) for you to work with!
You will continue working with the same community partner and the same team members in BNURS360 & BNURS460
BNURS360: Critical Reading and Information Literacy in Nursing
Learn how to search sources of evidence and critically appraise them
BNURS460: Translating Scholarly Knowledge to Nursing Practice
Learn how to synthesize the evidence, write a paper, and present the findings to the community partner through oral presentation
Your professor in BNURS460 in Spring 2022 Quarter is Dr. Linda Eaton
1. Pregnancy & Postpartum Hypertension (Team JMB)
Name, Job Title, Workplace
Kat Wright, MN, RNC-OB, C-EFM, C-ONQS
Workplace Information
Academic Medical Center outpatient clinic specializing in Obstetrics (High-Risk OB, General OB and Nurse Midwifery practices)
Clinical Problem Description
Can remote patient monitoring for pregnant and postpartum patients with hypertension, result in decreasing incidents of severe hypertensive events (defined as >160/110) compared with in person clinic visits for blood pressure monitoring?
Zoom Meeting Time and Date
10 am - 11 am on Friday 01/21/2022
Zoom Link
https://washington.zoom.us/j/2333220865
Meeting ID: 233 322 0865
If you are dialing, call 206-337-9723 (Seattle), press the Meeting ID # (233 322 0865), then press #
Team Members
Bethany Butay (Student Liaison)
Justine Monje
Morgan Mindt
2. Postpartum Care for Marginalized Communities (Team Postpartum)
Name, Job Title, Workplace
Jodilyn Owen
Workplace Information
RVCC is a community-based non-profit, collaborative care setting with a focus on the perinatal year and maternal child health systems. We innovate programs and raise funds that deliver the same high quality programs and services that typically only the affluent can afford, to every patient in our care. We grew out of a desire to bring evidence-based practice to the community on a platform of kindness and belief in the wholeness of family structures as they exist in different cultures. We take care not to ask families to flatten their strengths in order to fit into the healthcare system but to join with them and build on their strengths in order to achieve the health goals for the person in our care.
We value students and the work you do. We offer opportunities for engagement that are meaningful and will be used by our organization and the communities we serve. Your voice, insight, perspectives, and ideas all matter deeply and are welcome here. Thank you for choosing us to share your skills, talents and time!
Clinical Problem Description
The PICOT problem we have identified for Group 1 is:
There are barriers for typically marginalized communities accessing behavioral health evaluation, diagnosis, and treatment between 6 months and 5 years of age (prior to the school identifying the need when all opportunities for early intervention have been lost). Study why and show us where and what the gaps are, how this impacts school readiness for immigrant and BIPOC communities, and offer potential solutions with particular focus on maternal health provider education (can this be addressed during prenatal care? The postpartum year? Year 2-3? By who if we are not relying on uber-specialists who are impossible to book an appt with?) and the role of community-based, culturally concordant peer mentors. What role can nurses play?
Tools we have that can lend to your proposed solution:
--relationship based care for each pregnant patient that includes a team: midwife, doula, lactation education and consultant, social worker, ARNP (CNM or Family Practice).
--unique program for first year of life where baby and parent are seen by continuity providers in dyad (peds and ob provider together in each visit assessing physical and mental health) and dyad participates in cohort-based group care for well visits facilitated by an early childhood educator and an ARNP
--post diagnosis, we can assign a culturally concordant peer mentor who has walked this path with their own children.
--partnership with the City of Seattle Department of Education and Early Learning for funding opportunities that innovate solutions (so do not think within the typical billable structure—think broad and without walls, and we will raise funds to get to the solution)
Zoom Meeting Time and Date
3:30 pm to 4:30 pm on Monday 01/24/2022
Zoom Link
https://washington.zoom.us/j/2333220865
Meeting ID: 233 322 0865
If you are dialing, call 206-337-9723 (Seattle), press the Meeting ID # (233 322 0865), then press #
Team Members
Emma Reinsma (Student Liaison)
Miki Nagahashi
Dorsey Dael
Isatou Jaiteh
Chansotie "Chanse" Phok
3. Hyperemesis Gravidarum (Team Zofran)
Name, Job Title, Workplace
Jodilyn Owen
Workplace Information
RVCC is a community-based non-profit, collaborative care setting with a focus on the perinatal year and maternal child health systems. We innovate programs and raise funds that deliver the same high quality programs and services that typically only the affluent can afford, to every patient in our care. We grew out of a desire to bring evidence-based practice to the community on a platform of kindness and belief in the wholeness of family structures as they exist in different cultures. We take care not to ask families to flatten their strengths in order to fit into the healthcare system but to join with them and build on their strengths in order to achieve the health goals for the person in our care.
We value students and the work you do. We offer opportunities for engagement that are meaningful and will be used by our organization and the communities we serve. Your voice, insight, perspectives, and ideas all matter deeply and are welcome here. Thank you for choosing us to share your skills, talents and time!
Clinical Problem Description
The PICOT problem we have identified for Group 2 is:
Hyperemesis gravidarum (HEG), associated with pregnancy, is a severe form of nausea and vomiting that deeply impacts the physical and mental health of the pregnant person and can impact the health of the fetus.
--Successful treatment requires ongoing vigilance and participation by a provider yet the normal course of care includes multiple stops at an OB office, waiting for extended periods of time to be seen and referred for IV fluids to another setting, or going to multiple trips to the ER over the course of pregnancy.
--We envision a program run by an ARNP or Licensed Midwife that offers schedule visit with no wait time in our clinic and deploys RNs to the home twice-three times weekly for IV fluids and aid in intake (there is usually a ten minute window when people can eat after fluids are on board but being in the hospital setting this is rarely accomplished) as well as a social forum where providers and patients can interact to receive and give support
Questions: What are current recommendations in the US? Are other countries making further strides (see Ireland) and what are they doing? If we could structure a program that eliminated ER visits as a routine solution and established a peer support network, what elements would that include? Can the design be nurse-led and in a continuity model so that nurses become relationship-based providers for a caseload of patients? What kind of training would we need to provide? What else should we be thinking about?
Zoom Meeting Time and Date
4:30 pm to 5:30 pm on Monday 01/24/2022
Zoom Link
https://washington.zoom.us/j/2333220865
Meeting ID: 233 322 0865
If you are dialing, call 206-337-9723 (Seattle), press the Meeting ID # (233 322 0865), then press #
Team Members
Michayla "Miki" Steiner (Student Liaison)
Christina Masters
Veronika Moore
4. Pressure Injuries (Team Friction and Shear)
Name, Job Title, Workplace
Marcos San Martin, MBA, MN, RN
Nurse Manager-Orthopedic/Neurosurgery Unit
University of Washington Medical Center, NW Campus | UW Medicine
Workplace Information
36-bed surgical unit at University of Washington Medical Center Northwest. Our population consists of a mix of Ortho/Neuro surgical patients and general medical patients.
This is a fast-paced unit, we mobilize about 10-12 admissions and 10-12 discharges daily (Mon-Friday mainly).
Our team consists of RNs, CNAs, PT/OTs, MDs/Surgeons/Residents/NPs. We staff our unit with an ADT RN (Admission, Discharge and Transfer Nurse) to help with patient flow.
Clinical Problem Description
One of the issues we are experiencing in our unit is the increased number of patients with community acquired pressure injuries, because at times this is not consistently managed well enough, this resulted either on new unit acquired PI and worsening of presenting PIs. Here are some of the implementations that we have worked on so far:
Do weekly audits on patients with a Braden score of 18 or less
RN has been assigned to this task
Some coaching with nurses but it is limited due to high acuity and being short staffed at times
What program or implementation has worked well in other institutions managing Pressure Injuries?
What is an evidence-based practice I could implement or change in my unit?
Zoom Meeting Time and Date
10 am - 11 am on Thursday 01/20/2022
Zoom Link
https://washington.zoom.us/j/2333220865
Meeting ID: 233 322 0865
If you are dialing, call 206-337-9723 (Seattle), press the Meeting ID # (233 322 0865), then press #
Team Members
Hannah Nguyen (Student Liaison)
Hamdi Ahmed
Yordanos "Yorda" Weldemariam
Elias Jiru
Maria Caba
5. Post Op Nausea (Team Ginger)
Name, Job Title, Workplace
Nancy Wiederhold, MN, RN, CMSRN
Nurse Manager
University of Washington Medical Center
Workplace Information
UWMC – ML Inpatient Acute Care - Complex Med-Surg unit. Majority of our patients are post-op, neuro-surg, oto, thoracic, abdominal surgery.
Clinical Problem Description
Interested in decreasing pharmacological medication use for nausea post op. We have heard that ginger or ice packs may provide relief. Are these effective or are there are other ideas that low cost?
Zoom Meeting Time and Date
1 pm to 2 pm on Friday 01/21/2022
Zoom Link
https://washington.zoom.us/j/2333220865
Meeting ID: 233 322 0865
If you are dialing, call 206-337-9723 (Seattle), press the Meeting ID # (233 322 0865), then press #
Team Members
Katya Gomez (Student Liaison)
Gaira "pa Gee" Dibba
Joon Hyuk Lee
Krystal Ortiz-Mendez
6. LGBTQIA+ Health Education Curriculum (Team Rainbow Rally Girls)
Name, Job Title, Workplace
Northshore School District Leadership for the Racial & Educational Justice
Avya Thomas
Ranna Harb
Workplace Information
I am an Assistant Teaching Professor in the School of Nursing & Health Studies, but also volunteer on the Northshore School District’s Racial and Educational Justice Committee. More specifically I serve on the Gender and Sexuality subcommittee, and this year we are focusing on 1) looking at already-existing humanities and health education and 2) brainstorming and identifying supports for non-binary and transgender students/staff.
Clinical Problem Description
We are curious about best-practices for LGBTQIA+ inclusive health education. To evaluate existing pedagogy and practices, we need to know what the literature says, the strength of those studies and data, and any recommendations students have for best practices.
Zoom Meeting Time and Date
11:30 am to 12:30 pm on Wednesday 01/19/2022
Zoom Link
https://washington.zoom.us/j/2333220865
Meeting ID: 233 322 0865
If you are dialing, call 206-337-9723 (Seattle), press the Meeting ID # (233 322 0865), then press #
Team Members
Emily Fulbright (Student Liaison)
Maggie Blogin
Jenny Todd
Becka Anne
Ellie Hendrickson
1. Pregnancy & Postpartum Hypertension (Team JMB) with Kat Wright
2. Postpartum Care for Marginalized Communities (Team Postpartum) with Jodilyn Owen
3. Hyperemesis Gravidarum (Team Zofran) with Jodilyn Owen
4. Pressure Injuries (Team Friction and Shear) with Marcos San Martin
5. Post Op Nausea (Team Ginger) with Nancy Wiederhold, MN, RN, CMSRN
6. LGBTQIA+ Health Education Curriculum (Team Rainbow Rally Girls) with Dr. Stefanie Iverson Cabral