Title: "Use of Manometry in the OR for Guiding Endotracheal Tube Cuff Inflation"
Purpose: A systematic literature review of the utility of manometry-guided endotracheal tube cuff inflation with dissemination to stakeholders and sustainment via policy.
Impact: Evidence supports use of manometry in the operating room. Findings disseminated to Portsmouth NMC Anesthesia Department. Procedural and purchase information to implement and sustain manometry use made available to Department Chairperson.
- Explored usefulness of manometry-guided endotracheal tube (ET) cuff inflation.
- Manometry most effective way to assess and maintain ideal ET Cuff inflation pressure between 20-30 mmhg.
#1 Title: "Awareness and Utilization of Military Community Health Promotion Resources"
Purpose: Conduct a gap analysis to assess provider and beneficiary awareness of resources available to support family centered weight loss.
Impact: Improve accessibility for families to learn healthy behavioral modification.
#2 Title: "Parturient Education for Neuraxial Analgesia: A Video Tool"
Purpose: To develop and assess the impact of a video about labor analgesia on parturient knowledge and satisfaction.
Impact: Viewing the video was associated with improvements in subjective and objective knowledge about labor analgesia, and thus improved informed consent, but did not significantly impact maternal satisfaction at NMCP.
#1 Title: "Obesity Management: Standardizing the Process within Primary Care"
Purpose: A standardized process using evidence-based practices and stakeholder input to ensure implementation of the VA/DoD CPG for Screening and Management of Overweight and Obesity within the primary care setting.
Impact: A standardized process optimizing he use of VA/DoD CPG through early surveillance, accurate identification, and resource referrals for obese patients supports the priorities of the MHSs Quadruple Aim.
#2 Title: "Behaviors and Barriers to Sexual Violence Screening by Healthcare Providers at Naval Medical Center Portsmouth"
Purpose: Survey to complete a needs assessment of healthcare providers sexual violence screening behaviors and potential barriers.
Impact: Routine screening for sexual violence can lead to early recognition and early intervention to provide better, safer care at a decreased cost while improving readiness.
#3 Title: "Barriers to Remifentanil Use for Labor Analgesia: A Process Improvement Initiative"
Purpose: Purpose of this project was to remove barriers to the appropriate use of patient-controlled intravenous administration remifentanil in laboring patients at Naval Medical Center Portsmouth.
Impact: When utilized properly, PCIAR is a safe and effective alternative for labor pain in women who are ineligible for neuraxial analgesia. In our facility, an evidence-based revision of the SOP combined with staff education and collaboration with key stakeholders was effective in improving staff knowledge about PCIAR and in decreasing barriers to its appropriate use.
#1 Title: "Implementation of Video-Based Weight Loss Education in Primary Care"
Purpose: Develop and implement a video-based educational offering in Primary Care to increase awareness of weight loss programs that is sensitive to known time constraints and facilitates provider-patient dialogue.
Impact: Video-based education was well-received in the Primary Care setting and aligns with VA/DOD Clinical Practice Guideline recommendations for obesity management.
#2 Title: "An Evaluation of the Caregiver Occupational Stress Control Program at Naval Medical Center Portsmouth"
Purpose: The primary purpose of this DNP project was to determine the impact and effectiveness of the CgOSC program at Naval Medical Center Portsmouth.
Impact: Results from this project can strengthen local and regional leadership’s efforts in promoting systematic measurements for the impact and effectiveness of the CgOSC program.
#3 Title: "Residual Neuromuscular Blockade (RNMB) Educational Project for Post Anesthesia Care unit (PACU) Nurses"
Purpose: Increase the knowledge and confidence of PACU staff in their ability to recognize and manage RNMB.
Impact: Implementation of this training video to PACU staff across the MTFs can lead to decreased costs, enhanced patient outcomes, and improved customer satisfaction.