Date of Award

2024

Document Type

Thesis

Degree Name

MA in Psychology

Department

Psychology

First Advisor

Elizabeth Brondolo

Second Advisor

Wilson McDermut

Abstract

Bilevel Positive Airway Pressure (BiPAP) is a form of noninvasive ventilation (NIV) typically employed as a bridging treatment in hospital settings. Research shows that prolonged BIPAP use can be associated with reduced patient satisfaction and adverse consequences. The purpose of this study was to reduce days spent on BiPAP to improve the quality of patient care. To address the issue of the length of time (LOT) patients spend on BiPAP at New York Presbyterian-Queens (NYP-Q), a Plan-Do-Study-Act (PDSA) intervention was implemented. The intervention involved repeated PDSA cycles with modifications from 2015 to 2019. The results of the intervention indicated that interprofessional empowerment interventions led to a notable decline in LOT on BiPAP from an average of 5.5 days to the goal of 3.54 days. Achieving the goals of 3.5 days or less on BiPAP required 4 different PDSA cycles: education-based intervention, adoption and dissemination of guidelines as policy, consultation, and interprofessional empowerment. Future research should evaluate the sustainability of the implementation of these interventions.

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