Use of an RN-Initiated Protocol for Recognition, Management, and Documentation of Intradialytic Hypotension in Patients with End Stage Kidney Disease on In-Center Hemodialysis: A Quality Improvement Project.

Although intradialytic hypotension (IDH) is the most frequent complication of hemodialysis (HD), there is currently no standardized definition or uniform practice recommendations for response. A quality improvement project included nine registered nurses (RNs) and 96 adult patients receiving HD at a 30-station Midwest urban dialysis clinic. The project focused on development of an evidence-based RN-initiated protocol, RN education, and implementation of the RN-initiated protocol to recognize, treat, and document IDH.

Addressing Nursing Personnel Burnout in Long-Term Care: Implementation of a Gratitude Journal.

Burnout affects health care providers and leads to adverse consequences. A 21-day gratitude journaling activity implemented in a Midwest long-term care setting was a personal, low-cost, and low-tech intervention requiring minimal time commitment to address burnout. The Maslach Burnout Inventory was utilized to assess burnout pre- and post-intervention of a gratitude journal.

Development and Assessment of an Interprofessional Education Simulation to Promote Collaborative Learning and Practice.

Background: We designed an interprofessional education (IPE) clinical simulation that paired nurse practitioner and pharmacy students. The objective was to evaluate the effect on attitudes of interprofessional collaborative learning and practice.

Method: Perceptions were assessed using the Student Perceptions of Interprofessional Clinical Education-Revised instrument and reflection questions that assessed the simulation's effectiveness in requiring team knowledge and experience from each profession whether the experience improved individual student clinical performance, and how this team approach influenced patient outcomes.

CHIP: Facilitating Interprofessional and Culturally Competent Patient Care Through Experiential Learning in China.

Health care professionals have advocated for educating culturally competent practitioners. Immersion in international experiences has an impact on student cultural competency and interprofessional development. The China Honors Interprofessional Program (CHIP) at a university in the Midwest is designed to increase students' cultural competency and interprofessional development.