New Knowledge, Innovation and Improvements

Bacterial infections and neutropenia with fever can be life-threatening in sickle cell and cancer patients arriving to the Emergency Department (ED). Administering IV antibiotics within 60 minutes is a national quality indicator that improves survival and patient outcomes.

A nurse team leader recruited several clinical nurse colleagues to lead a task force to remove barriers to achieve the national best practice standard.

A large team worked collaboratively, including charge nurses, physicians, pharmacists, technicians and paramedics to identify opportunities to improve the nursing workflow. In just six months’ time, administration of antibiotics within 60 minutes improved by 200%. The nurse-led task force’s improvements included: 

• Providing additional training for ED nurses to improve their comfort with and knowledge of using ports for quick antibiotic delivery
• Identifying specialized infusion rooms
• Moving patients straight from registration into an exam room for immediate triage and care, saving valuable minutes

“We arranged for ED nurses to practice accessing ports by using mannequins in the oncology clinic to speed antibiotic administration. Preventing sepsis produces better outcomes, shorter hospital stays and, most important, it saves lives.”

Building Research Expertise to Enhance Minimal Stimulation Guidelines

Two team leaders on the pediatric/trauma intensive care unit (ICU) are working to improve patient care through the development and launch of a research project. Novice researchers when they started, the two quickly became advocates in a rarely studied but crucial area of intensive care for pediatric brain injury. Their work with neurologically fragile patients will benefit patients at Children’s Health, as well as patients and nursing practice everywhere.

These nurses are experienced in pediatric trauma, so they understood that decreasing stimulation by dimming lights or reducing noise helped certain patients. They knew patients with traumatic brain injuries, strokes and brain tumors who undergo invasive treatment and monitoring are neurologically fragile. Too much stimulation can lead to further tissue damage and seizures. 

These clinical nurses set out to standardize guidelines for minimal stimulation, starting with a definition for the common but undefined phrase. Researching the literature, they did not find true delineations. Together, they identified Children’s Health intensive care nurses who had used minimal stimulation methods and gathered input from 13 peers via questionnaires, interviews and focus groups.

“The nurses who volunteered are great representatives of our ICU. Some have special expertise, are veteran nurses, have master’s degrees and serve on house-wide committees enhancing nursing practice.”

Then, the nurses analyzed data applying qualitative research methods to identify recurring themes. Their data revealed a definition of minimal stimulation that advances nursing practice and standardizes care provided in the ICU.

Both nurses credit the evidence-based practice team at Children’s Health with helping them become adept researchers.

“One of our greatest benefits is our department leadership. They continue to advocate and encourage us as we grow our skills in evidence-based practice by providing us with time and resources.”

Creating Calm: Decreasing Perceived Stress with Respite Rooms

Stress is an unavoidable part of the health care profession, and the pediatric pulmonary unit at Children’s Health is no exception. Research showed staff reported higher stress levels due to the chronic, high-acuity patients in their care and an inability to decompress. ­Evidence shows that unrelenting stress leads to compassion fatigue, burnout, job dissatisfaction and medical errors. However, restorative areas help renew staff members’ focus and circumvent burnout.

“Our nurses felt like they never had a moment to themselves and didn’t ever have a way to disconnect. The literature guided us to respite rooms like this one.”

To test the value of respite rooms, one empowered nurse found an unused consult room on the floor and had it painted a calming sea blue. New furnishings included a recliner for quick naps, gentle lighting, yoga and meditation posters, a yoga mat, a sound machine and a desk stocked with coloring pages, colors and origami paper. A sign on the door lets others know when the room is in use.

Staff were encouraged to use the room as needed in 15-minute increments through an email and a single mention in a department meeting. A confidential, two-question survey asked users to rate their levels of perceived stress before and after using the room. In the first three weeks, 44 nurses and technicians self-reported stress levels dropped from a mean of 6.55 before using the room to 2.7 after the break.

The pulmonary respite room remains in use with continued success, and other departments are adapting this model to add respite rooms across the hospital.

Relieving Family Financial Burdens Where Possible with Free Parking

Unanimous feedback from our Family Advisory Board told us parking was too expensive and a significant financial burden, especially for families with long-term stays. Some families told us they often skip meals while in the hospital to afford parking or missed clinic appointments due to parking expenses. Family advisors strongly recommended Children’s Health find a way to reduce this one area of stress to relieve a significant burden and improve their patient experience.

While nurse leaders across the hospital initially led the effort, a change of this magnitude required interprofessional discussions with patient experience, security and marketing teams. Thanks to the involvement of several key departments, parking amenities became a reality in September 2022.

Families now self-park and bring their parking ticket inside to be validated. In addition, electric vehicle charging is free, and valet parking is affordable.

“Our family advisors set out a goal for our organization, and we took their feedback seriously. Our families in need helped us rally across many departments to drive meaningful change that makes life better for our community.”

Achievements

Organizational and Department Recognition

• Named a 2022 Valued Partner Award by West Coast University for supporting the education of future health care professionals
• The Children’s Health Nurse Residency Program earned a Commission on Collegiate Nursing Education (CCNE) accreditation for six years
• Children’s Medical Center Dallas was verified as a Level I Trauma Center for four years by the Texas Department of State Health Services
• Children’s Medical Center Plano was verified as a Level IV Trauma Center for four years by the Texas Department of State Health Services
• Children's Medical Center Dallas ranked in 10 out of 10 specialties in the U.S. News & World Report 2022-2023 Best Children's Hospitals survey for the 12th year
• Voted Best 150 Places to Work in Healthcare by Becker’s Hospital Review for 10 consecutive years
• Named among the best places to work in Dallas-Fort Worth by The Dallas Morning News and Dallas Business Journal

Individual Recognition

• Lori Batchelor, MHA, Ph.D., RN, CPN, NEA-BC, Texas Woman’s University (Internal) Grant Award for Innovation in Education: Application of a Generalizable Joint Competency-Based Education in Nursing and Healthcare Administration
• Deborah Echtenkamp, MSN, APRN, CPON, FAPHON: Fellow of the Association of Pediatric Hematology Oncology Nurses (FAPHON)
• Ruth Anne Herring, MSN, APRN, CPNP-AC/PC: The Dr. Nancy E. Kline Mentoring Award, APHON
• Lindsey Patton, MSN, APRN, PCNS-BC: Appointed to the IRB board at UT Southwestern
• Chelsea Reynolds, MSN, RN, CPN, NE-BC: Top-nine EBP Poster, second place overall EBP Poster and Abstract Bronze third place, TCU Evidence-Based Practice Fellowship 2021-22
• Zara Sajwani-Merchant, Ph.D., MSN, BSN, RN, AS: Co-Chair of Research in Clinical Setting Group of Southern Nursing Research Society
• Susan Webber, MSN, RN, CPN, CEN, CPEN, TCRN: Carol Rutenberg Telephone Triage Research/EBP Project Award from the American Academy of Ambulatory Care Nursing

TCU EBP Fellowship 2022 Graduates

• Chelsea Reynolds, MSN, RN, CPN, NE-BC
• Chelsea Sproul, BSN, RN
• Amy Wilson, BSN, RN, LP, CPEN

Awards

2022 DFW Great 100 Nurses

DFW Great 100 Nurses celebrates nurses who are nominated by their peers for being role models, leaders, community servants and compassionate caregivers.

• Brennan Lewis, DNP, APRN, PCNS-BC, NEA-BC

2022 D Magazine Excellence in Nursing Award

The D Magazine annual Excellence in Nursing Award recognizes nurses who have bettered patients’ and family’s lives, their community or profession through skill and spirit.

• Michelle Alberty, BSN, RN
• Christa Combs, CPN, CCM, BSN, RN
• Hayden Dutton, MSN, RN, CPN
• Jeanne Gaines, MSN, RN, CPN, RNC-NIC
• Alexandra Gonzalez, BSN, RN
• Toni Haynes, BSN, RN
• Keri Hurst, BSN, RN
• Candice Johnson, BSN, MBA, RN, NE-BC
• Barb Madison, BSN, ACM RN, ACM
• Dale Martin, BSN, RN
• Kim McCarthy, MS, RN, NE-BC
• Susan McCollom, ND, RN, CPHON, BMT-CN
• Tiffany Montgomery, MSN, RN, NPD-BC
• Diana Montoya, NPD-BC, CPN
• Marshall Stephenson, BSN, MBA, RN, CPN, CCRN-K

May Smith Nursing Excellence

Named for our hospital founder, the May Smith Nursing Excellence Award honors those who exemplify nursing characteristics outlined in the Children’s Health Professional Practice Model.

• Blanca Cruz Escalante, BSN, RN, AE-C, Beyond the Bedside
• Sylvia Davis, CPN BSN, RN, CPN, Clinical Judgment
• Rose-Anne Dela Cruz, BSN, RN, CPN, Collaboration
• Shelby Eckles, MSN, RN, CPHON, BMT-CN, Transformational Nurse Leader
• Heaven Harvey, Patient Care Tech, True Collaboration (Non-Nursing Award)
• Claire Roberts, BSN, RN, CPN, Advocacy/Moral Agency
• Kristin Rollins, BSN, RN, CPEN, Systems Thinking
• Isamar Serrano, BSN, RN, CPEN, Caring Practices
• Ayehubirhan Shenkute, BSN, RN, CPN, CRRN, Facilitation of Learning
• Samantha Schryver, BSN, RN, CPN, Response to Diversity
• Kylie Thomas, BSN, RN, CCRN, Clinical Inquiry

The DAISY Award for Extraordinary Nurses

The DAISY Award honors those who provide extraordinary, compassionate patient care, clinical skill and leadership. In 2022, 620 nurses were nominated by patients, family members and other health care professionals, and 16 won for exemplary work in the Dallas-Fort Worth Metroplex.

• Christopher Angeletti, BSN, RN
• Luciano Ayala, BSN, RN
• Lakisha Bennett, BSN, RN
• Joseph Cantu, MSN, RN
• Connie Choudhury, BSN, RN, CPN
• Wendell Entia, BSN, RN
• Myesha Jones, BSN, RN
• Adrienne Land, BSN, RN
• Sandra McCullar, BSN, RN, CPN
• Kaitlyn McLaurin, BSN, RN
• Cornelius Metili, BSN, RN, PMH-BC
• Alaa Osman, BSN, RN
• Zachary Pollard, BSN, RN
• Christina Reyna, BSN, RN, CPN
• Suzanne Smith, BSN, RN
• Cristina Torres, BSN, RN, CPN

Publications

Alexandria Birely, MSN, APRN, ACCNS-P. HeartWatch: Implementing a Pediatric Heart Center Program to Prevent Cardiac Arrests Outside the ICU. Pediatr Qual Saf. 2022 Dec 7;7(6):e617. doi: 10.1097/pq9.0000000000000617. PMID: 36518152; PMCID: PMC9742107.

Diana Cardwell, MSN, APRN, PCNS-BC. Standardizing Care to Improve Outcomes in Pediatric End-stage Kidney Disease (SCOPE) Investigators. The cost of hospitalizations for treatment of hemodialysis catheter-associated bloodstream infections in children: a retrospective cohort study. Pediatr Nephrol. 2022 Nov 3. doi: 10.1007/s00467-022-05764-2. Epub ahead of print. PMID: 36329285.

Laura Hatton, BSN, RN, CCRN, JD. ELSO Guidelines for Adult and Pediatric Extracorporeal Membrane Oxygenation Circuits. ASAIO J. 2022 Feb 1;68(2):133-152. doi: 10.1097/MAT.0000000000001630.

Gretchen Hirschey, RN, BSN, CPHON. My Most Memorable Case: A Journey with One of My Own. APHON Quarterly National Newsletter: APHON Counts Writing Award. https://aphon.org/membership/awards/aphon-counts-awards.

Ann Johnson, Ph.D., APRN, CPNP-PC; Bonita Conley, MS, APRN, PNP-PC; Sharon Koruthu, MSN, APRN, PNP-AC/PC; Ashley Smith, MSN, APRN, FNP-C. Pediatric Pre-anesthesia Anxiety and Factors of Family Satisfaction. J Perianesth Nurs. 2022 Dec 15:S1089-9472(22)00255-6. doi: 10.1016/j.jopan.2022.06.006. Epub ahead of print. PMID: 36528451.

Ellen Swartwout, Ph.D., RN, NEA-BC, FAAN, FNAP, Edward Hass, Ph.D., Patricia Deyo, MSN, RN, Ashley El-Zein, MPH, BSN, RN, Brennan Lewis, DNP, APRN, PCNS-BC, NEA-BC, Suma Rao-Gupta, MPH, MBA. The Design and Testing of the Psychometric Properties of the Adolescent Capacity to Engage Index Instrument to Measure an Adolescent's Capacity to Engage in Healthcare. J Nurs Meas. 2022 Oct 3:JNM-2021-0065.R1. doi: 10.1891/JNM-2021-0065. Epub ahead of print. PMID: 36192123.

Tiffany Montgomery, MSN, RN, NPD-BC; Tammy Webb, Ph.D.(c), MSN, RN, NE-BC; Erika Grimes, MSN, RN, NPD-BC; Allan Akinradewo, MBA, PHR; Lindsey Patton, MSN, APRN, PCNS-BC. Diversity Practices for Hiring the New Graduate Nurse. J Nurs Adm. 2022 Apr 1;52(4):228-233. doi: 10.1097/NNA.0000000000001136. PMID: 35348488.

Lindsey Patton, MSN, APRN, PCNS-BC; Mayra Garcia, DNP, APRN, PCNS-BC, EBP-C; Ginger Young, MSN, APRN, PCNS-BC; Casey Bradfield, MSN, RN, NEA-BC; Ann Gosdin, MS, APRN, CNS, CPNP-BC; Peng Chen, MPH, CPH, BS; Tammy Webb, Ph.D.(c), MSN, RN, NE-BC; Jerithea Tidwell, Ph.D., APRN, PNP-BC, PCNS-BC. Exploring nurse beliefs and perceived readiness for system wide integration of evidence-based practice in a large pediatric health care system. J Pediatr Nurs. 2022 Mar-Apr;63:46-51. doi: 10.1016/j.pedn.2021.12.018. Epub 2021 Dec 31. PMID: 34979382.

Diana Singer, MSN, RN, CCRN-K, CNE, C-TAGME; Carol Howe, Ph.D., RN, CDCES, FAAN; Brennan Lewis, DNP, APRN, PCNS-BC, NEA-BC; Teresa Wagner, DrPH, CPH, RDN/LD, CHWI; Danielle Walker, Ph.D., RN, CNE. A Psychometric Analysis of the Health-Literate Health Care Organization-10 Item Questionnaire. Health Lit Res Pract. 2022 Apr;6(2):e137-e141. doi: 10.3928/24748307-20220518-01. Epub 2022 Jun 6. PMID: 35680124; PMCID: PMC9179038.

Rebecca Brooks, MSN, APRN, RNC-NIC, PCNS-B; Candice Bailey, BSN, RN. Accidental Tracheostomy Decannulations in Children-A Prospective Cohort Study of Inpatients. Laryngoscope. 2023 Apr;133(4):963-969. doi: 10.1002/lary.30250. Epub 2022 Jun 17. PMID: 35712851.

Ginger Young, MSN, APRN, PCNS-BC. Pain Reduction Emergency Protocol: A Prospective Study Evaluating Impact of a Nurse-Initiated Protocol on Pain Management and Parental Satisfaction. Pediatric Emergency Care 38(1):p e157-e164, January 2022. doi: 10.1097/PEC.0000000000002193.

National Presentations and Posters

Lori Batchelor, Ph.D., MHA, RN, CPN, NEA-BC. Presentation, Texas Nurses Association District 4 at Clements University Hospital: Who is the New Nurse? Part I: Graduate Nurse Transition to Practice.

Elaine Beardsley, MSN, ACCNS-P, CPEN. Presentation, Dallas Independent School District, Back to School Conference: Self-Care Promotion in School Nurses.

Janna Beg, BSN, RN, CPN; Jill Hanks, BSN, RN, CPN; Tera Holland, BSN, RN, CPN. Poster, Society of Pediatric Nurses 32nd Annual Conference: The Safety Wizard: Implementing an Innovative Protection Program for High-Risk Suicidal Patients.

Lakisha Bennett, BSN, RN. Poster, Foundation for Sickle Cell Disease Research Symposium: Transcranial Doppler Screening in Children with Sickle Cell Anemia: Review of Best Practice.

Rebecca Brooks, MSN, APRN, RNC-NIC, PCNS-BC; Candice Bailey, BSN, RN; Ashley Sewell, BSN, RN. Presentation, National Association of Neonatal Nursing 38th Annual Conference: Keep Calm....It’s Just a Trach in the NICU-A Comprehensive Tracheostomy Program.

Jen Brown, MS, BSN, RN. Presentation, CareFlight ECU Conference: Engaging Pediatric Patients in Crisis.

Diana Cardwell, MSN, APRN, PCNS-BC; Tami Turrubiarte, MSN, RN, CPN. Poster, Annual Dialysis Conference. Hotel Hemodialysis: A Review of an Inclement Weather Disaster Plan During Winter Storm Uri.

Diana Cardwell, MSN, APRN, PCNS-BC. Presentation, Children’s Hospital Association Conference: Standardizing Care to Improve Outcomes in Pediatric ESKD (SCOPE).

Michelle Creech, MA, BSN, RN, NOD-BC. Presentation, Elevate AMTC Conference: Resiliency in the Transport Environment - Connecting to Resilience Factors in the Pediatric Critical Care Transport Environment.

Michelle Creech, MA, BSN, RN, NOD-BC; Elaine Beardsley, MN ACCNS-P, CPEN; Jessalynn Colbert, RN. Presentation, AMTC 2022 Elevated Conference: Stop the Chaos - Improving Team Dynamics and Regulatory Requirements Through Innovative Program Design.

Kristin Cummins, DNP, RN, CPHQ. Presentation, IHI National Patient Safety Congress: Quality Improvement Dyad Led Harm Huddles: Equipping Leaders to Decrease Harm.

Kristin Cummins, DNP, RN, CPHQ. Presentation, Configo Health Pediatric Benchmarking Summit: Succeeding in Analytics by Changing Culture Quickly.

Misty Daugherty, BSN, RN, CPHQ. Presentation, Society of Pediatric Nurses 32nd Annual Conference: Supporting a Culture of Clinical Inquiry through Shared Governance.

Mayra Garcia, DNP, APRN, PCNS-BC, EBP-C. Presentation, National Association of Hispanic Nurses Conference: A Chat with Evidence Based Practice & Research Committee.

Jill Hanks, BSN, RN, CPN. Presentation, Behavioral Health Summit: A Population in Crisis: Implementing an Innovative Protection Program for High-Risk Suicidal Patients.

Carol Howe, Ph.D., RN, CDCES, FAAN; Brennan Lewis, DNP, APRN, PCNS-BC, NEA-BC; Emily Wikman, BSN, RN; Shelby Edmondson, MA. Poster, Health Literacy Annual Research Conference: Assessing Fidelity of Health Literacy CARE Practices using AHRQ Communication Observation, Self-Assessment, and Patient Feedback Forms.

Carol Howe, Ph.D., RN, CDCES, FAAN; Brennan Lewis, DNP, APRN, PCNS-BC, NEA-BC; Shelby Edmondson, MA. Poster, Institute for Healthcare Advancement Conference: Communicate to CARE: A mixed-methods study to implement health literacy practices in a pediatric ENT clinic.

Virginia Koepsell, MBA, MSN, NPD-BC, CPHON. Poster, Association of Pediatric Hematology Oncology Nurses Annual Conference: Multidisciplinary Efforts in Redesigning the Ongoing Competency Process of a Pediatric Health System.

Whitney Lewis, BSN, RN, CPN; Jerithea Tidwell, Ph.D., APRN, PNP-BC, PCNS-BC; Sushmita Yallapragada, MD, MSCI FAAP; Charmaine Shaw, BSN, RN, RNC-NIC; Rebecca Palmer, MSN, RN, CPHQ. Presentation, Children’s Hospital Neonatal Consortium Annual Symposium: Reach out and Touch Someone: Creating Communication Networks Within a Level IV NICU To Improve Patient Care Delivery.

Amy Linton, RN, BSN, CPON; Cindi Winkle, RN, BSN, CPON. Poster, Association of Pediatric Hematology Oncology Nurses Conference: A Process Improvement Project to Reduce Patient and Family Wait Times for Procedures Using Sedation or Anesthesia in an Outpatient Setting.

Tiffany Montgomery, MSN, RN, NPD-BC. Presentation, Vizient/AACN National Conference: Diversity Hiring Practices for New Graduate Nurses.

Tiffany Montgomery, MSN, RN, NPD-BC. Poster, Vizient/AACN National Conference: Decreasing Orientation Time and Cost with a Capstone Feeder Program into the Nurse Residency Program.

Tiffany Montgomery, MSN, RN, NPD-BC; Erika Grimes, MSN, RN, NPD-BC; Jenny Harshman, MSN, RN, NPD-BC, CPN, CCRN-K. Presentation, ANPD National Webinar: Impacting Nursing Workforce Diversity through an ADN Apprenticeship.

Rebecca Palmer, MSN, RN, CPHQ; Jerithea Tidwell, Ph.D., APRN, PNP-BC, PCNS-BC; Sushmita Yallapragada, MD MSCI FAAP; Kymeone Lanehart, MSN, RNC-NIIC; Deb Jensen, RN; Courtney Campbell, MSN, APRN, NNP-BC, C-NPT. Children’s Hospital Neonatal Consortium Annual Symposium: Managing Sepsis in a Level IV NICU: Collaborating and engaging multidisciplinary teamwork and discussion for early identification and Interventions.

Rebecca Palmer, MSN, RN, CPHQ; Kymeone Lanehart, MSN, RNC-NIIC; Jerithea Tidwell, Ph.D., APRN, PNP-BC, PCNS-BC. Presentation, Children’s Hospital Neonatal Consortium Annual Symposium 4: Improving the Peripheral IV Infiltrations and Extravasations (PIVIE) Rate Within a Level IV NICU: Interventions and Line Management for Early Identification.

Rebecca Palmer, MSN, RN, CPHQ; Jerithea Tidwell, Ph.D., APRN, PNP-BC; PCNS-BC, FCNSI; Jeanne Gaines, MSN, RN, CPN, RNC-NIC; Whitney Lewis, BSN, RN, CPN; Charmaine Shaw, BSN, RN, RNC-NIC; Sushmita Yallapragada, MD, MSCI FAAP; Courtney Campbell, MSN, APRN, NNP-BC, C-NPT; Lisa Mason, DNP, MHA, MBA, Rn, NEA-BC, FACHE. Presentation, Children’s Hospital Neonatal Consortium Annual Symposium: TRACE: A robust event review process aimed at addressing safety in a level IV NICU.

Kaye Schmidt, MA, RN, NEA-BC, CPHON; Cecilia Gladbach, BSN, RN, CHTC CPON-APHON. Presentation, National Association of Pediatric Hematology-Oncology Nurses National Conference: Where Was that in Nursing School?

Martha Shaw, BSN, RN, CPN, NPD-BC; Jen Brown, MS, BSN, RN; Jenny Harshman, MSN, RN, NPD-BC, CPN, CCRN-K; Kim Schuettner, MS, BSN, RN, NPD-BC, CCRN-K; Lori Akins, MSN, RN, NPD-BC, CPN; Virginia Koepsell, MBA, MSN, NPD-BC, CPHON. Poster, National EBP Conference: Multidisciplinary Efforts in Redesigning the Ongoing Competency Process of a Pediatric Health System.

Christina Smith, RN, BSN, CPN, CPPS; Lindsey Patton, MSN, APRN, PCNS-BC; Peng Chen, MPH, CPH, BS; Chelsea Reynolds, MSN, RN, CPN, NE-BC; Martha Shaw, BSN, RN, CPN, NPD-BC; Megan Toler, BSN, RN, CPN, PED-BC. Presentation Society of Pediatric Nurses 32nd Annual Conference: Improving Patient Safety by Predicting Early Deterioration in the Pediatric Population.

Christina Smith, BSN, RN, CPN, CPPS; Peng Chen, MPH, CPH, BS. Poster, Society of Pediatric Nurses 32nd Annual Conference: Predicting Early Deterioration in the Pediatric Pulmonary Population-Where do Nursing Perceptions and Early Warning Tools Align? Awarded the best poster for the EBP track.

Christina Smith, BSN, RN, CPN, CPPS. Poster, IHI Patient Safety Congress: Predicating Early Deterioration in the Pediatric Pulmonary Population.

Jean Storey, MSN, RN, NEA-BC. Presentation, Pediatric Cardiac Intensive Care Society (PCICS): Administration’s Support to Retain Beside Nurses.

Krista Westbrook, MSN, RN, CPN. Poster, Society of Pediatric Nurses 32nd Annual Conference: A Whole New World: Precepting in the Pandemic Age of Reduced Clinical Preparation for New Graduate Nurses.

Children’s Health 2022 Evidence-Based Practice and Research Poster Fair Winners

Chelsea Reynolds, MSN, RN, CPN, NE-BC; Elaine Beardsley, MN, ACCNS-P, CPEN. Remain Calm: Decreasing Perceived Stress Levels through Implementation of a Quiet Room.

Mayra G. Garcia, DNP, APRN, PCNS-BC; Hayden Dutton, MSN, RN, CPN; Bailey Cochrum, MSN, RN, CPN; Jasmine Thomas, MSN, RN, CPN; Peng Chen, MPH, CPH, BS; Adam Craig Alder, MD. Probiotics and antibiotic-associated diarrhea in pediatric complicated appendicitis: Prospective Controlled-Comparison Trial.

Deniro Brown, BSN, RN, CCRN; Kimberly Schuettner, MS, BSN, RN, NPD-BC CCRN-K; Lindsey Daigle, BSN, RN, CCRN; Andrea Torzone, ARNP, CPNP, CNS; Joshua Wolovits, MD. Implementation of Predictive Analytic Software to Reduce Cardiac Arrest in the CICU.

Andrea Torzone, ARNP, CPNP, CNS; Deniro Brown, BSN, RN, CCRN; Krista Carey, BSN, RN, CCRN; Amy Hadley, BSN, RN, CCRN; Maddie Herrera, BSN, RN, CCRN; J. Michelle Moore, BSN, RN, C-NPT; Meredith Pearson, BSN, RN; Jean Storey, MSN, RN, NEA-BC. Clinical Coaching to Enhance Proactive Thinking and Advance Clinical Care in the Cardiac ICU.

Virginia Elizondo,BSN, RN; Nicole Bizzack, BSN, RN; Amber Dayton, BSN, RN; Angie Rodick, BSN, RN; Ashley Collins, BSN, RN; Georgina Hernandez, BSN, RN; Jordan Butterfield, BSN, RN; Amber Albiar, BSN, RN. Improving Antibiotic Administration Time in A-Risk Populations.

Nurse Investigator-Led Research Studies (Ongoing)

Co-investigator: Jennifer Watt, MSN, APRN, PCNS-BC: A Quantitative Assessment of the Pupillary Light Reflex in Pediatric Seizure Current status: Enrolling

Co-investigator: Tiffany Montgomery, MSN, RN, NPD-BC: Unit Interest Survey Instrument Development

Co-investigator: Brennan Lewis, DNP, APRN, PCNS-BC, NEA-BC: Communicate to CARE in the Pediatric Ambulatory Setting: An Implementation Science Framework Study to Drive Meaningful Practice Interventions

Co-investigator: Tammy Webb, Ph.D.(c), MSN, RN, NE-BC; Casey Bradfield, MSN, RN, NEA-BC: Shared Governance: Nurses’ Perceptions Regarding Influence over Professional Practice in a Large Pediatric Health Care System. Other nurse study team members: Misty Daugherty, BSN, RN, CPN

Co-investigators: Maria Leal, BSN, RN; Melissa Langford, BSN, RN: Exploration of Central Venous Catheter Protective Devices in the Pediatric Population: A Mixed Methods Clinical Trial. Other nurse study team members: Quineka Smith, BSN, RN, CPN; Lindsey Flores; BSN, RN, CPN, Zara Sajwani-Merchant, Ph.D., MSN, RN, AS

Co-investigators: Shelley Burcie, BSN, RN: Minimal Stimulation Study as a Nursing Practice: An Exploratory Descriptive Study. Co-investigators: Tiffany Montgomery, MSN, RN, NPD-BC

Co-investigator: Lindsey Patton, MSN, APRN, PCNS-BC: Adoption and Sustainment of Central Line-Associated Bloodstream Infection Bundle in a Pediatric Intensive Care Unit: An Implementation Science Formative Evaluation Other nurse study team members. Lori Batchelor, MHA, Ph.D., RN, CPN, NEA-BC, Ginger Young, MSN, APRN, PCNS-BC

Principal Investigator: Tiffany Montgomery, MSN, RN, NPD-BC: Nurse Hiring Practices Other nurse study team members: Zara Sajwani-Merchant; Ph.D., MSN, RN, AS, Karen Asante, BSN, RN

Principal Investigator: Ann Johnson, Ph.D., APRN, CPNP-PC: Child and Parent Pre-Anesthesia Anxiety and Effects on Post-Hospitalization Behavior Change. Other nurse study team members: Anu Cherian, MSN, APRN, CPNP-PC; Bonita Conley, MSN, APRN, PNP-PC; MacKenzie Ezzell, BSN, RN; Brenda Fields, MSN, APRN, CPNP-PC; Sharon Koruthu, MSN, APRN, PNP-AC/PC; Caitlyn Reaves, BSN, RN, CPN; Ashley Smith, MSN, APRN, FNP-C; Heather Sweeney, MSN, APRN, CPNP-PC.

Principal Investigator: Lori Batchelor, MHA, Ph.D., RN, CPN, NEA-BC: Chronic Sorrow

Principal investigator: Lindsey Patton, MSN, APRN, PCNS-BC. Nursing Leaders Influence on Clinical Nurses: Impact of an EBP Leadership Development Program

Principal investigator: Tammy Webb, Ph.D.(c), MSN, RN, NE-BC: Impact of nurse residency programs on patient quality and safety outcomes in children’s hospitals