Implementation of a Helicobacter Pylori Test and Treat Program in Rural Nepal Facilitated by a Nurse Practitioner Doctor of Nursing Practice Comprehensive Project Report

<p>There are 30 million people in Nepal, 85% live in rural areas and have access to 15% of health care resources. This deficit in health care resources is supplemented by services provided by non-governmental organizations who organize short-term medical missions. At a rural Nepalese health post 45% of the patients complained of abdominal discomfort. As the prevalence of helicobacter pylori is 50-90% in Southeast Asia, the patients believed that they had helicobacter pylori.</p> <p>In resource-poor communities, there is a gap between best practices and the care delivered. To decrease the gap in one rural Nepalese health post, a Nurse Practitioner implemented a Helicobacter pylori <em>test and treat</em> program at a health clinic. This project was designed to identify the causes of abdominal discomfort and provide disease-specific treatment. Among those tested 25% were Helicobacter pylori positive and received antibiotics. The other 75% were treated using evidence-based protocols according to the characteristics of their symptoms, lifestyle, and diet.</p> <p>The aim of this project was to improve health care quality by decreasing the prevalence of abdominal complaints at a Nepalese health post. This paper delineates a process to implement a quality improvement program in short-term medical missions. The role of the Nurse Practitioner employing the Doctor Nursing Practice core measures facilitates improvement in health care processes to close the quality chasm in resource-poor communities.</p>

Name thesis:degree_name

Doctor of Nursing Practice (DNP)

Level thesis:degree_level

Project

Discipline thesis:degree_discipline

Nursing

Year dc:date.available

2014

Author dc:creator

• Bloom, Shelley

Contributors dc:contributor

• Timothy S. Godfrey SJ, DNP, RN, PHCNS-BC
• Barbara Sattler, RN, DrPH, FAAN
• William J. Bosl, PhD

• Doctor of Nursing Practice
• Helicobacter pylori
• Medical mission
• Gastroenterology
• Medicine and Health Sciences

Repository record dc:identifier

https://repository.usfca.edu/dnp/46

OAI identifier oai:identifier

oai:repository.usfca.edu:dnp-1055