College of Nursing


Our 2020 DNP graduated class is compiled of bright and innovative individuals. Ponder DNP graduate project synopses below.

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Sarah Bennett, BSN, RN - DNP Project Photo

The Effect of a Multi-Modular Text Message Intervention on HPV Vaccinations

Student: Sarah Bennett, BSN, RN

Chair: Temeaka Gray El, PsyD, MBA, MSN, APRN-CNP

PICOT: In parents of children 9-14 years of age, what is the effect of an individualized theory-based educational reminder on HPV vaccination rates and parental perceptions of the HPV vaccine compared to no educational reminder within a six-week intervention period?

A six-week intervention guided by the Health Belief Model that included individualized theory-based education and reminder texts was implemented at two pediatric primary care sites. Participants completed a pre and post-survey that included the Parental Human Papillomavirus Vaccine Survey (PHPVS). Mean PHPVS scores showed clinically significant increases with improvement in the likelihood of HPV vaccination. HPV vaccination rates increased at one pediatric primary care office, but project participation proved to be a barrier. Future recommendations focus on incorporation of the PHPVS in the clinic setting and the utilization of a text message reminder system to increase HPV vaccine rate uptake and completion.

Cliff Fawcett, MSN, Med, APRN, FNP-BC - DNP Project Photo

Evidence Based Practice Improvement Project to Improve Influenza Vaccination Rate in Intercollegiate Athletes

Student: Cliff Fawcett, MSN, Med, APRN, FNP-BC

Chair: Susan Batten, PhD, APRN-CNS

PICOT: In intercollegiate athletes, how does implementation of a multicomponent intervention designed to increase influenza vaccination rate compare to the current influenza vaccination effort in regard to vaccination rate of the intercollegiate athlete population within the 2019 - 2020 influenza season?

The Advisory Committee on Immunization Practices recommends annual influenza vaccination for all individuals greater than six months who do not have contraindications. Strong evidence supports the safety and efficacy of the influenza vaccine, yet the uptake of the vaccine is low across many populations, especially college students. Healthy People 2020 influenza vaccination initiative goal is 70% vaccination rate. The American College Health Association influenza vaccination goal is 44%. In order to address the low influenza vaccination rate among intercollegiate athletes a multi-component evidence based practice improvement project was implemented at a private university in rural Ohio. As a result of the implementation of the flu vaccine initiative vaccination rate among intercollegiate athletes increased from 13.4% in 2018 -2019 to 25.6% in 2019-2020.

Kori Pfeiffer, BSN, RN - DNP Project Photo

Teach-Back Method and Brown Bag Review in the Psychiatric Population: An Evidence-Based Practice Project

Student: Kori Pfeiffer, BSN, RN

Chair: Linda Lewin, PhD, PMHCNS-BC

PICOT: In substance abuse patients at an inpatient detoxification facility, does implementation of the teach-back method and brown bag review from the Health Literacy Universal Precautions Toolkit, compared to pre-intervention data, improve Medication Adherence Rating Scale scores and decrease medication errors?

Between October 2019 and February 2020, participants from an inpatient detoxification unit were enrolled in this evidence-based practice project, which was conducted during two sessions using the Teach-Back Method and Brown Bag Review. The participants were evaluated by comparing their baseline and post-intervention medication errors and medication adherence scores. Participants’ health literacy levels were measured using the Single Item Literacy Screener (SILS). The difference between participants’ medication adherence rating scores at baseline and post-intervention was significant (p = .039) using the Wilcoxon Signed-Rank Test. The difference between baseline and post-intervention errors was clinically significant but not statistically significant (p = .059) using the Wilcoxon Signed-Rank Test.

Brandi Snyder, BSN, RN - DNP Project Photo

The Effect of The Rapid Assessment for Adolescent Preventive Services (RAAPS) in Improving the Style of the Exchange of Information and Balance of Power during a Health Care Visit in a Pediatric Primary Care Setting

Student: Brandi Snyder, BSN, RN

Chair: Robert Topp, PhD, RN

PICOT: Among adolescents, ages 13-18, in a pediatric primary care setting, does the implementation of the Rapid Assessment for Adolescent Preventive Services (RAAPS) in comparison to current standard of care result in improved style of the exchange of information and balance of power when addressing adolescent high-risk behaviors during an annual preventive (wellness) visit in primary care?

The RAAPS can support providers screening for adolescent high-risk behaviors through facilitating the exchange of information during an office visit. The Adolescent Patient-Provider Interaction Scale (APPIS) measures the style of exchange of information and balance of power during an office visit. Initially, fifteen adolescents completed the APPIS following their office visit. A second group of five adolescents completed the RAAPS during the check in process at the clinic and then completed the APPIS following their visit. Their responses on the RAAPS were reviewed by the provider prior to meeting with the adolescent patient. There were no differences (p<.05) between the two groups on the APPIS. This lack of effect of the RAAPS intervention may be attributable to the small sample size.

Last Updated: 4/27/20