The Research/EBP Council, the Division of Nursing Research, and Psychosocial Services are excited to host the Nursing Research and Psychosocial Services Symposium: “Building the Future of Patient Care.” The symposium provides an opportunity to highlight clinical scholarship and showcase the impact on patient care outcomes.
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7:45 - 8:30 am
Registration and light breakfast
Atrium
8:30-9:40 am
9:40-10:00 a.m.
Break and poster viewing
10:00-10:45 a.m.
Sickle Cell Disease and Social Determinants of Health – A Scoping Review *
Through this presentation, the attendees will be able to recognize the importance of assessing SDoH when designing clinical trials and considering SDoH factors when interpreting research findings to improve SCD treatment and health outcomes.
Food Deserts are Associated with Acute Care Utilization among Pre-School Children with Sickle Cell Disease *
Through this presentation, the audience will understand the value of considering social determinants of health, such as food deserts, while designing research studies and treatment plans, and their effects on the health-related quality of life of patients with sickle cell disease.
GEC Auditorium
Hamda Khan is a medical anthropologist and a qualitative researcher working to improve local and global health by using a more systematic and culturally appropriate approach to better understand humanity as a whole and address the health dilemmas facing people in the greatest need.
10:45-11:00 a.m.
Break and poster viewing
11:00 am-12:00 p.m.
What is Improvement Science and Why Should I Care?
GEC Auditorium
At the end of the presentation, the audience will be able to define improvement science and recognize its relevance to their daily work, recognize and interpret tools commonly used in improvement projects
Kristy Dallas Alley holds a Master of Science in Instruction and Curriculum Leadership and is the Program Manager of Quality and Safety Education at St. Jude. After more than two decades in the Memphis public school system, she came here to help design and build the Safe & Sound Academy curriculum and immediately fell in love with improvement science.
Jonathan Burlison holds a doctorate in Organizational Psychology and is the Director of Improvement Science in the Office of Quality and Patient Safety. Jonathan has been at St. Jude for a decade and is currently championing institutional efforts to expand our capability and capacity for using improvement science to work safer and smarter throughout the hospital.
12:00-1:00 p.m.
Lunch
Board Room
1:00-1:50 p.m.
Book a Nook: Finding Respite during the Hospital Day *
GEC Auditorium
At the end of the presentation, learners will be able to: Define respite, Appreciate the need for rest to support the emotional wellbeing of our patients, Understand how parent and patient feedback drove the design of the Resting Nooks.
Catie Maley is a pediatric nurse that currently works as a Project and Admin Manager in the Patient and Family Experience Office. During her 9 years at St. Jude, Catie has worked as a nurse in all the outpatient clinics and Infusion Center and as a nurse educator.
1:50-2:00 p.m.
Poster Awards
GEC Auditorium
2:00-3:00 p.m.
“I Didn’t Know What to Say”: Addressing Microaggressions within the Healthcare Setting * ‡
GEC Auditorium
Participants will be able to define implicit bias and microaggressions; describe intervention strategies supportive for reducing the effects of microaggressions within healthcare; and provide recommendations to address implicit bias and microaggressions.
Dr. Ayanna Johnson is a clinical research fellow in pediatric psychology at St. Jude Children's Research Hospital. Dr. Johnson's research focuses on exploring health behaviors of pediatric cancer survivors and utilization of mental health services among patients and families impacted by sickle cell disease. Currently, she is conducting a quality improvement project focused on examining stigma related attitudes around psychososical services among patients and families impacted by sickle cell disease. Furthermore, Dr. Johnson has expertise in providing culturally responsive patient care and research among diverse patients and families and has provided lectures specifically focused on disrupting microaggressions within healthcare settings. More recently, she was accepted into the inagural cohort program Centering Anti-Racism and Equity through The Social Justice academy.
3:15-4:15 p.m.
Improve Visit Rate for Pediatric and Adolescent Sub-Clinics within Hematology at St. Jude – Project HERO (HEmatology Reduce nOshow) *
GEC Lecture Hall
At the end of the presentation, the audience participant will be able to:
- Recognize Six-Sigma D-M-A-I-C (Define-Measure-Analyze-Improve-Control) methodology as systematic and comprehensive quality improvement approach to leverage for solving complex problems
- Appreciate the challenges in data collection for measurement of visit rate or no-shows and advocate for consistency in recording patient's attendance or absence
- How-to identify and leverage recent assessments (surveys, workgroup recommendations) and to collaborate with St. Jude Patient Family Advisory Council (PFAC) in connecting with parent advisors
Ragha Srinivasan, currently Senior Manager IT at Department of Clinical Hematology, holds Master of Public Health (MPH) from Johns Hopkins Bloomberg School of Public Health.. He is also a Certified as Project Management Professional (PMP), Agile Certified Practitioner (PMI-ACP), and Six Sigma Green Belt for Quality Improvement.
Ragha is responsible for Project Management of Clinical Analytics efforts in Department of Clinical Hematology, St. Jude Children’s Research Hospital, Memphis, TN. Ragha has unique combination of expertise of IT and Project Management in Health Insurance industry (20 years), Patient Experience and Health Promotion (3 years).
He is presently championing assessment to adopt OMOP CDM for Oncology (Observational Medical Outcomes Partnership - Common Data Model) to enhance collaborative research for Sickle Cell Clinical Research and Intervention Program (SCCRIP) research study.
With mentoring from Office of Quality and Patient Care at St. Jude, Ragha champions Quality Improvement initiatives within Clinical Hematology such as VTE Prevention, Covid-19 Vaccination campaign.
In March 2023, Ragha presented poster on "Optimizing COVID-19 (SARS-CoV-2) Vaccination in Pediatric and Adolescent Hematology Clinics: A Quality Improvement Initiative" at St. Jude PIDS Conference.
This six sigma green belt project on improving visit rate in Hematology Clinics has been sponsored by Dr. Cliff Takemoto, Chair, Clinical Hematology and mentored by Yvonne Carroll, Director Patient Services.
3:15-4:15 p.m.
The Impact of TeleHealth on Quality of Life and Clinical Practice in Hematology *
GEC Lecture Hall
After this presentation, the participant will be able to:
- Identify success factors for an in-home patient telehealth kit program;
- Describe the components of a physical exam that can be conducted at a distance; and
- Appreciate the burden of access to care on patients and families in a pediatric Hematology program.
Dr. Nina Antoniotti is Director of Interoperability and Patient Engagement at St. Jude Children’s Research Hospital, responsible for implementing global Telehealth programs. Dr. Antoniotti has 25+ years-experience in Telehealth and early in her career became a national expert on business planning for Telehealth, return-on-investment, technology innovation, legal/regulatory issues, credentialing/privileging, and reimbursement/payment. Dr. Antoniotti received OAT’s award for her efforts as a pioneer in Telehealth (2001), the ATA Individual Achievement award in Telehealth (2007), and was inducted into the ATA’s College of Fellows (2009). Dr. Antoniotti is recognized nationally and internationally (China and Iran) for her dedication to advancing Telehealth worldwide.
3:15-4:15 p.m.
Telling the Truth about Chaplains in Healthcare
GEC Meeting Room 2
At the end of the presentation, participants will be able to
- name common misconceptions about chaplains' roles in healthcare;
- describe the connection between correct understandings of chaplain roles and increased willingness to engage chaplain support.
Mark Brown is director of Spiritual Care Services at St. Jude Children's Research Hospital. He has been a chaplain here for 19 years.
Noah Quinton is a board certified chaplain and represents the Spiritual Care Services department as the primary chaplain for the Solid Tumor Clinic. Noah holds a Master of Divinity from Memphis Theological Seminary and has been at St. Jude since May 2022. Prior to his time at St. Jude, Noah worked as the chaplain for an adult outpatient cancer center and as the night-shift chaplain for a level 1 trauma center.
3:15-4:15 p.m.
Caregiver Psychological Functioning and Adolescents' Readiness to Transition off Cancer Therapy ‡
GEC Meeting Room 2
After this presentation attendees should understand how aspects of caregivers' psychosocial functioning may be related to aspects of adolescents' perceptions of their readiness to transition to adult care.
Evan Rooney is a third-year graduate student in the clinical psychology doctoral program at the University of Mississippi. He currently works as a graduate research assistant in Dr. Rachel Webster's lab in the Department of Psychology & Biobehavioral Sciences at St. Jude. His work focuses on the psychosocial adjustment of youth in response to cancer diagnosis and treatment.
3:15-4:15 p.m.
Patient Education as a Universal Intervention: Increasing the Reach and Access to Services ‡
GEC Auditorium
After this presentation, participants should be able to:
- Explain two types of UI
- Identify existing UI at SJCRH
- Discuss benefits of UI
Emily Bernstein, MS is currently a doctoral intern in Pediatric Psychology at St. Jude. She is completing the Clinical Psychology Ph.D. program at the University of Central Florida in Orlando, Florida. Following degree completion in August 2023, Emily is excited to continue her training at St. Jude as a Clinical Pediatric Psychology Fellow providing psychological care (including patient education) to patients and their families. (Additional authors: N Jurbergs, A Jones, R James)
3:15-4:15 p.m.
A Quality Improvement Project to Increase Utilization of Pain-Reducing Agents and Reduce Distress during Needlestick Procedures
GEC Auditorium
The purpose of this presentation is:
- To describe goals and preliminary outcomes of quality improvement project to increase utilization of numbing agents during needle sticks.
- To raise awareness of benefits and outcomes related to reducing needle stick pain in the pediatric healthcare setting.
- To raise awareness of pharmacological and non-pharmacological pain management techniques available at St. Jude to reduce needle stick pain in our pediatric patients.
- To familiarize St. Jude staff about the CORE Promise initiative.
Rachel Schmelzer earned her Bachelor of Science degree in Neuroscience with a minor in Religious Studies from Rhodes College in Memphis, Tennessee in 2014. She continued her education at the University of Missouri, where she completed her Master of Arts in Human Development and Family Studies in 2016. Rachel has worked as a child life specialist since August, 2016, and joined the Child Life program at St. Jude Children’s Research Hospital in May, 2017. She currently works with leukemia, lymphoma, hematology, and bone marrow transplant patients in both the inpatient and outpatient settings, with special interests in reducing the impact of stress in the healthcare setting and promoting emotional safety in hospitalized children.
Julie Morganelli is a pediatric nurse and currently a Clinical Staff Leader in Pre Clinic Assessment. Julie has been at St. Jude for 21 years and has worked in various positions in the Outpatient Department. She holds a Masters degree in Nursing Leadership and is certified in both CPHON and CNM
4:15 pm
Symposium adjourns
4:30-6:30 pm
Wine and Cheese Reception
Inspiration4 Rooftop
* Indicates 1.0 Type I CE credit for psychologists is offered for the session
‡ Indicates CE credit for social workers is offered for the session
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Dedicated Solid Tumor/Neuro-Oncology Protocol Workgroup Improves Compliance with Dinutuximab Infusion Time Limits
Presenter(s): Adam J Funk RN, MSN, CPN, CPHON, PPCNP-BC; Tiffany Everett; Sara Ford; Ashley Gault; Martha Gibson
Learning outcome: The learner will be able to identify the impact of ST/NO protocol workgroup on 20-hour Dinutuximab infusion limits.
Developing A Hemoglobin Trait E-Learning Program
Presenter(s): Audrey R. Cole & Yvonne Carroll
Learning outcome: After viewing this poster the attendee will:
- Describe the components of sickle cell trait counseling;
- Understand the complications of sickle cell trait, and
- Discuss e-learning training models for rural county health department nurses.
Are We Doing Enough? An assessment of current pain management use during needlesticks in Pre-Clinic Assessment
Presenter(s): Audrey R. Cole & Yvonne Carroll
Learning outcome: Educate audience about the benefits of using adequate pain-management and explore barriers to increased utilization of these strategies at St. Jude via poster presentation
The Safety Nurse Role: Reducing Error and Promoting Patient Safety During Chemotherapy Administration
Presenter(s): Maegan Traynom
Learning outcome: This quality improvement (QI) project examined whether the safety nurse role at SJCRH lowers chemotherapy administration error rates.
Developing and Implementing a Novel Operating Room Nurse Residency
Presenter(s): Annabeth Pardue, MSN RN NPD-BC
Learning outcome: Poster viewers will be able to describe the process of developing and implementing a nurse residency program within the perioperative setting and understand the implications for practice.
Satisfaction of Patient and Caregiver Readiness for Discharge for Pediatric Oncology Patients with Severe Weakness
Presenter(s): Lucy Weathers, Jessica Mcnatt
Learning outcome: At the end of the presentation, the audience participants will be able to discuss caregiver or patient satisfaction with discharge between inpatient to outpatient setting.
Building Starts With Blueprints: Mapping the Highs & Lows of Patient Experience
Presenter(s): Amanda Chandler
Learning outcome:
- Better understand the comprehensive journey Sickle Cell patients travel during their time at St. Jude , including transitioning to adult care.
- Recognize the “high lows” of the patient journey to celebrate those successes and communicate with other departments.
- Identify “low areas ” of the patient journey while receiving treatment for Sickle Cell diagnosis at St. Jude, to develop quality improvement action plans.
- Develop a stronger, more positive relationship between the clinical journey and the patient experience.
Optimizing COVID-19 (SARS-CoV-2) Vaccination in Pediatric and Adolescent Hematology Clinics: A Quality Improvement Initiative
Presenter(s): Katrina Pennington and Ragha Srinivasan
Learning outcome:
- The learner will recognize how to implement a vaccination campaign to increase Covid-19 vaccination rates.
- The learner will understand how to test interventions using a Plan-do-study-act (PDSA).
EAGeR (Empowering Adolescent Girls): a multidisciplinary approach to iron deficiency anemia secondary to Heavy Menstrual Bleeding
Presenter(s): Katrina Pennington and Vanessa Howard, Nidhi Bhatt, Ragha Srinavasan, Rohith Jesudas
Learning outcome:
- The learner will be able to explain the rationale for a standardized, multidisciplinary approach to treatment of adolescents with HMB.
- The learner will understand and apply the treatment algorithm for adolescents with HMB.
Building a Framework for Nursing Policy Management and Document Control: Maximize the Tools You Have Until You Have the Systems You Need
Presenter(s): Felecia Warner, RHIA, MHA, CPHQ, CHC, CSSBB
Learning outcome: The goal of this project was to develop a sustainable framework that would provide a systematic way to review and approve nursing policy giving the bedside nurse improved tools and resources with streamlined oversight.
I’m Trying to do the Right Thing! A Mixed Methods Investigation of Moral and Ethical Distress Among Pediatric Hematology/Oncology Nurses
Presenter(s): Jacklyn Boggs; Mary Caples
Learning outcome: The purpose of the mixed-methods quality improvement project was to measure moral and ethical distress among nurses.
Supporting Role Transition for Advanced Practice Providers: Implementation and Evaluation of a Formal Mentorship Program
Presenter(s): Tonya Ureda, Patti Pease, Suzette Stone
Learning outcome:
- The learner will demonstrate strategies for implementing a mentorship program for Advanced Practice Providers.
- The learner will recall the benefits of mentorship for Advanced Practice Provider role transition.
PRISM: Proton Radiation Induced Scent Mapping
Presenter(s): Heather Stebbeds
Learning outcome: The purpose of this project is to determine the prevalence of phantosmia in St. Jude non-sedated patients who receive proton cranial radiation and to describe and correlate phantosmia to radiation location.
Adapting and Establishing a Standardized After-Hours Phone Triage Process
Presenter(s): Sherry Johnson
Learning outcome: The learner will:
- Identify how to develop and implement a PT program for the hematology/oncology patient population.
- Discuss how to standardize PT hand-off communication between nurses and providers.
- Verbalize how to incorporate PT nurse standards and competencies into practice
Accreditation Statement
St. Jude Children’s Research Hospital is accredited as a provider of nursing continuing professional development by the American Nurses Credentialing Center’s Commission on Accreditation.
Credit is commensurate with your session attendance; you may claim credit for each session that you attend. To obtain credit for a session, you must arrive no later than 5 minutes after the start of the session, stay until the end, and complete an evaluation by May 24, 2023. You must claim your contact hour certificate by June 7, 2023.
St. Jude Children's Research Hospital is approved by the American Psychological Association to sponsor continuing education for psychologists. 1.0 hour of Type I CE credit for psychologists is offered for this seminar. St. Jude Children's Research Hospital maintains responsibility for this program and its content. For any questions related to this program, please contact Rachel Webster, (901) 595-7946.
All relevant relationships are disclosed below and have been mitigated; all other speakers, planners, or other individuals with control over content have disclosed that they have no relevant financial relationships with ineligible companies. Nursing contact hours and continuing education for psychologists and social workers are available for in-person attendance only.
Yvonne Carrol has served on the community advisory boards for Forma Therapeutics and Vertex Pharmaceuticals, and as a web consultant for Rarelife Solutions.