Doctor of Nursing Practice (DNP) Projects

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Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-No Derivative Works 3.0 License.

Embargo Period

4-30-2017

Degree Program

Doctor of Nursing Practice

Degree Track

Post Master's DNP Completion

Year Degree Awarded

2016

Month Degree Awarded

May

Advisor Name

Mary

Advisor Last Name

Paterno

Capstone Chair First Name

Mary

Capstone Chair Last Name

Paterno

Capstone Member Name

Emma

Dundon

Capstone Outside Member Name

Wendy

Sergeant

Abstract

Purpose: Childhood obesity in the United States has become a healthcare crisis. Evidence suggests that obesity is often not detected by healthcare providers (HCPs) due to inadequate screening at well-child visits. The purpose of this quality improvement project was to provide HCPs with improved pediatric obesity screening and counseling techniques using screening tools, diet, and physical activity education resources to enhance HCP compliance with current screening guidelines. Method: A pre/post-test design was utilized to measure HCP (n=6) knowledge acquisition after delivery of a customized educational in-service session. The in-service included education on (a) up-to-date BMI screening guidelines; (b) the Family Nutrition and Physical Activity (FNPA) screening tool; (c) the Healthy Eating Activity Together (HEAT) educational tool; (d) motivational interviewing techniques; and (e) BMI screening links accessible on electronic health record (EHR) systems. After the educational in-service, the EHR system used by the HCPs was updated to include a Centers for Disease Control and Prevention-approved BMI calculator and a link to the FNPA screening tool. Post-test results and follow-up interviews with HCPs were utilized to assess project effectiveness and areas of needed improvement at a one month follow-up. Results: The outcomes included knowledge gain in areas of BMI screening, National Guidelines Clearinghouse (NGC) screening guidelines, and Motivational Interviewing (MI) behavioral management techniques. Descriptive statistics were completed to determine effectiveness. Findings suggest positive changes among HCPs in relation to guideline use, BMI screening awareness, and MI techniques.

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