Casey Powers

DNP, PNP cohort :)

[Casey Powers @CaseyPo32174979]

Wk15: Boston Children's Hospital and Apple created "CareKit". This technology uses the cloud to connect members of the healthcare team to facilitate the sharing of information in a secure location fostering interprofessional development, education, and collaboration #NURS646FA20

[Casey Powers @CaseyPo32174979]

Wk13: I'm excited how we can use smart devices to advance and streamline assessments, in pediatrics this tool (D-eye, PEEK phone technology) makes the fundoscopic eye exam easier in children who have trouble sitting still! #NURS646FA20

[Casey Powers @CaseyPo32174979]

Wk10: in pediatric primary care, CDS immunization support can notify the provider when vaccinations are due with dosage, intervals, contraindications, and vaccine information sheets in a central location in the EHR to improve rates and adherence to vaccine schedules #NURS646FA20

[Casey Powers @CaseyPo32174979]

Wk 8: as a PNP I'm concerned with rising rates of pediatric obesity! The app "FitnessKids" animates 25 exercises from crab-walks to dance-offs which can be done alone or with peers. The app makes physical activity fun for kids and rewards children for participation #NURS646FA20

[Casey Powers @CaseyPo32174979]

Wk6: I think deployment would be challenging as this is when implementation of IT occurs and unexpected problems may arise that were not anticipated during testing. Additional considerations to make include stakeholder education and how new IT will replace the old #NURS646FA20

[Casey Powers @CaseyPo32174979]

Wk3: Although expensive to implement, HIT reduces errors and eliminates associated costs. A systematic review by Ehteshami et al. found HIT can reduce total medication errors by 83% which cost the US $20 billion/year and 100,000 lives #NURS646FA20
https://t.co/IhzCfz4DtO.

[Casey Powers @CaseyPo32174979]

@nicdrestrada @dualdocnurse 1st tweet for #NURS646FA20, sharing my handle for group 21! For those who haven't met me, my name is Casey Powers, and I can't wait to work with and get to know everyone more throughout the next semester!

[Casey Powers @CaseyPo32174979]

M11: PBE focuses on societal & cultural factors that can affect the adaptation of EBP. In a society with an ever-growing use of screens, healthy media use in children can be supported by realistic teaching tools, for instance, teaching parents active vs passive media #NURS751

[Casey Powers @CaseyPo32174979]

M10: CDSs in EHR could alert clinicians to provide annual healthy media education during the well-child visit if not already documented. mHealth could be utilized by teaching caregivers about smart device apps that can be used to monitor and track media consumption #NURS751

[Casey Powers @CaseyPo32174979]

M9: My CPG addressing pediatric healthy media use is strong because it meets steps 1, 2, 5, 6, 7, & 8. Steps 3 & 4 regarding alternative activities and substantiating research are not mentioned to replace media use in the child’s schedule to facilitate habit change. #NURS751

[Casey Powers @CaseyPo32174979]

M8: The AAP has an easily accessible and free online tool for parents and families to help integrate clinician teaching regarding healthy media use in their home and habits to promote healthy electronic use in children: https://t.co/Vlco7bCa8i #NURS751

[Casey Powers @CaseyPo32174979]

M7: the biggest challenge to incorporate AAP guidelines of healthy media use education is limited time during the well-child visit. A strategy to help provide information more effectively could include paper education materials and tools for parents #NURS751

[Casey Powers @CaseyPo32174979]

M6: I will use the Ottawa Model developed by Dr. Jo Logan and Dr. Ian Graham (no twitter handles) to address the CPG of pediatric electronic media use. I will apply this guideline to a practice change in a pediatric primary care setting. #NURS751

[Casey Powers @CaseyPo32174979]

M5: CPGs are excellent tools- in pediatrics age and developmentally specific guidelines are crucial to ensure the best care, generalized CPGs are great, but we must always remember patient-centered and dependent care, allowing room for adaptation! #NURS751

[Casey Powers @CaseyPo32174979]

M4: Carter et al. 2016 is a S.R. and M.A. examining the association between screen-time at bedtime and sleep outcomes in the pediatric population. Strong associations between nocturnal screen use and poor sleep outcomes were found, suggesting education by primary care #NURS751

[Casey Powers @CaseyPo32174979]

M#3: I can't say one is better; both encompass 2 totally different areas of interest. If I'm looking at benefits of an intervention, I would select a quantitative study. If I was studying human phenomena or behaviors, a qualitative study would be more appropriate #NURS751 .

[Casey Powers @CaseyPo32174979]

M#2: the evidence presented was primarily categorized as level D and E, based on lower-level tiers of evidence. I would not implement this into practice without further citations from higher levels of evidence, level A and B in the AACN levels of evidence description #NURS751

[Casey Powers @CaseyPo32174979]

Mission 1: I hope to learn how to incorporate evidence-based practice into the advanced practice role and gain some insight to help develop a DNP quality improvement project. I cannot wait to get to know more of you throughout the semester! #NURS751