DNP, Otterbein University, 2023, Nursing

Congestive Heart failure patients have the highest readmission rate within 30 days of discharge placing a significant burden on healthcare costs and quality of life for the patient and families. Community Emergency Medical Services are the first to respond to moderate to severe exacerbation of Congestive Heart Failure (CHF) patients' calls. Involving Emergency Medical Services in a preventive approach rather than just responding to exacerbation calls has proven to be effective in pilot studies to prevent heart failure readmissions. The purpose of this Scholarly project was to develop evidence-based recommendations for community Emergency Medical Services' involvement in the management of congestive heart failure patients to reduce the readmission rate. The John Hopkins Evidence-Based Practice Model (JHEBP) was utilized to fulfill the project aim. Utilizing the model following steps and goals were established 1) Review and analyze the evidence on the current practice of community Emergency Medical Services' involvement and treatment of congestive heart failure patients. 2) Develop evidence-based recommendations to reduce CHF readmission in the prehospital setting, and 3) Develop a plan to monitor the effectiveness of recommendations. This project was significant because it helped to create evidence-based recommendations for the reduction of CHF readmission in prehospital settings. Although the recommendations could not be implemented due to the limited time frame of the academic timeline, this study can be considered as a starting point for further implementation and study purposes. Keywords: Congestive heart failure, emergency medical services, Emergency Medical Services, prehospital, community, protocol, guideline procedures.

Committee: Dr. Kirk Hummer (Advisor); Dr. Chai Sribanditmongkol (Committee Member); Dr. Joy Shoemaker (Other) Subjects: Nursing

Master of Science (MS), Ohio University, 2016, Child and Family Studies (Health Sciences and Professions)

Research on the impact of hospitalization on individuals with Asperger Syndrome and Autism Spectrum Disorder is beginning to grow. Asperger Syndrome is starting to get recognition but limited research has examined the effects and the impact of medical procedures. This research project utilized a questionnaire for individuals with Asperger Syndrome who had previous medical experiences to evaluate effective and noneffective ways certified Child Life Specialists were helpful or not helpful during the experiences. Common themes and considerations for effective practice and support for individuals with Asperger Syndrome are discussed.

Committee: Jenny Chabot (Advisor); Joan Jurich (Committee Member) Subjects: Health Care