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Articles 31 - 60 of 281
Full-Text Articles in Education
Evaluation Of An Orientation Program For Graduate Nurses Transitioning Into Professional Practice, Kristy Patrick-Lewis
Evaluation Of An Orientation Program For Graduate Nurses Transitioning Into Professional Practice, Kristy Patrick-Lewis
Walden Dissertations and Doctoral Studies
The transition from student nurse to practicing professional is extremely challenging. The local organization experienced increases in turnover among new graduate hires and determined that adjustments to their orientation program to better meet the needs of new graduates were warranted. The problem that this doctoral project addressed is the lack of evaluation of the effectiveness of the new orientation program. The practice-focused question examined the effectiveness of the new orientation program at reducing turnover and improving satisfaction with the quality of the orientation program among new graduate nurses. The framework used to guide this study was Patricia Benner’s novice to …
Effect Of Covid-19 On Comprehensive Predictor Exam Scores And Nursing Program Scores And First Generation College Students, Heather Marie Austin
Effect Of Covid-19 On Comprehensive Predictor Exam Scores And Nursing Program Scores And First Generation College Students, Heather Marie Austin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic forced nursing education programs to change traditional face-to-face teaching to virtual education and simulated experiences. Therefore, research is needed to determine how this change affected nursing students’ academic performance and their performance on standardized exams. The purpose of this three-part study, guided by Knowles’s adult learning theory, was to determine if there was a difference in Associate of Science in Nursing (ASN) students’ performance on: (a) Assessment Technology Institute (ATI) Comprehensive Predictor (CP) scores, (b) end of program scores, and for (c) CP scores for first generation students before the COVID-19 pandemic compared with nursing students’ scores …
Compassion Fatigue And Resilience In Long-Term Care Nurses, Dierdre C. De Gravina
Compassion Fatigue And Resilience In Long-Term Care Nurses, Dierdre C. De Gravina
Walden Dissertations and Doctoral Studies
The purpose of this study was to investigate the association between CF and resilience in LTC nurses. Watson’s caring theory was the theoretical foundation for the study. A survey containing demographic questions and items from the Professional Quality of Life Measure and the Connor-Davidson Resilience Scale survey was administered online to 111 LTC nurses from 10 states across the Eastern Seaboard. A simple linear regression analysis was performed to identify if there was an association between CF and resilience. The results indicated that the model was significant (p<.001). Results revealed an inverse relationship that with higher resilience scores, CF scores were lower and when CF was high, resilience was lower. The study may promote positive social change by highlighting the need for LTC facility managers to identify strategies that foster increased LTC nurse resilience such as improving work environments and developing programs that promote mental and emotional health of LTC nurses. Implementation of these strategies may reduce CF and promote nurse job retention and ultimately improve patient care. Recommendations for future research include quantitative studies to consider the effect of age, length of time in practice, and education level on resiliency and CF and qualitative studies on strategies for increasing resiliency among nurses in LTC facilities.
End-Of-Life Education For Long-Term Care Nurses, Naquita Altidor Jacques
End-Of-Life Education For Long-Term Care Nurses, Naquita Altidor Jacques
Walden Dissertations and Doctoral Studies
Long-term care (LTC) nurses play a crucial role in preserving the quality of life of terminally ill patients. However, many identify deficits in skills, education, and training for end-of-life (EOL) care. The objective of this project was to educate LTC nurses caring for individuals reaching the end of their lives on EOL care. The practice-oriented question concerned whether an evidence-based educational program improved nurses’ knowledge related to EOL care and confidence in caring for EOL patients and families. The End-of-Life Nursing Education Consortium's evidence-based educational module was used to provide the content. Rosswurm and Larrabee’s model for change to evidence-based …
Transition Of Expert Clinical Nurse To Novice Nursing Professional Development Practitioner, Lisa Marie Langdale
Transition Of Expert Clinical Nurse To Novice Nursing Professional Development Practitioner, Lisa Marie Langdale
Walden Dissertations and Doctoral Studies
Nursing professional development (NPD) is an evolving nursing specialty role that combines expertise in clinical nursing with ongoing education in acute care settings. A novice NPD practitioner may not understand the complexities, demands, and stressors that accompany a work role transition. This qualitative case study used thematic analysis and revealed four themes associated with the successful work role transition of an expert clinical nurse to the novice NPD practitioner. The conceptual framework guiding this study was Nicholson’s work role transitions theory. The first research question sought to determine the professional experiences of expert clinical nurses as they transition into the …
Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek
Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek
Walden Dissertations and Doctoral Studies
AbstractIn the initial postpartum period, exclusive breastfeeding (EBF) improves women's and children's health status and outcomes. Gaps in nursing practice that decrease the rate of EBF during hospitalization at this site were identified by the lactation consultant using a standard chart audit during the last two years. The purpose of this Doctor of Nursing Practice education project was to provide a comprehensive education program that included the purpose, philosophy, nursing practice, and evaluation tools for increasing the EBF rates to meet the Joint Commission’s standard of improvement for perinatal care core measures. A formal educational program that included didactic and …
Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes
Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes
Walden Dissertations and Doctoral Studies
Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the confidence level among nurses by providing an educational program. The practice-focused question focused on whether knowledge, skills, and confidence would increase among nurses after receiving education on the clinical monitoring system. The model to facilitate organizing and analyzing this project …
Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana
Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana
Walden Dissertations and Doctoral Studies
Although instructional strategies to enhance student learning is a critical component of the faculty role, nursing education has been slow to incorporate games and gaming into the learning environment. The primary purpose for this qualitative phenomenological research study was to explore the lived experiences of nursing faculty of associate degree programs, specifically regarding the use of games and gaming as interactive, experiential teaching and learning strategies. This study was designed to answer the question, “What are the lived experiences of faculty who use games and gaming as instructional approaches in associate degree nursing (ADN) education.” Through one-on-one interviews via Zoom …
Reducing Sepsis Rates Through Nursing Staff Education, Joshua J. Wilkinson
Reducing Sepsis Rates Through Nursing Staff Education, Joshua J. Wilkinson
Walden Dissertations and Doctoral Studies
Many hospitals fail to comply with sepsis treatment core measures. The purpose of this project was to educate nursing staff in a small rural emergency department in the Midwest United States about core measures that included 1-hour bundles for sepsis treatment. The project attempted to answer the practice-focused question: Does educating emergency department nursing staff in a small rural emergency department on the 1-hour sepsis bundle increase knowledge? Lewin’s Change Theory and Kirkpatrick’s Four-Level Training Evaluation Model served as the framework for the project. A 1-hour in-person education was developed using the Analyze, Design, Develop, Implement, and Evaluate model with …
Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels
Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels
Walden Dissertations and Doctoral Studies
Registered nurses entering the workforce with baccalaureate of science degrees in nursing (BSN) are expected to be knowledgeable and skilled in planning and caring for multicultural patients, but there is little information on what experiences new nurses have in implementing culturally competent care. The purpose of this descriptive phenomenological study, guided by the Campinha-Bacote process of cultural competence in the delivery of health care services model, was to understand the lived experiences of BSN graduates with one year or less experience in implementing cultural competence in planning care for their multicultural patients. The research question directly addressed this purpose. Ten …
Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen
Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen
Walden Dissertations and Doctoral Studies
Advancement in mechanical circulatory support (MCS) device therapy has led to increased use in heart failure therapy and relies on optimized patient education for successful support. The purpose of this 3-manuscript study, guided by the Husserlian transcendental phenomenological method, was to explore the lived experiences of (a) patients with primary mechanical circulatory support education (PMCSE), (b) patients who undergo unplanned MCS implantation with PMCSE, and (c) patients who undergo planned MCS implantation with PMCSE. Eleven participants were recruited (eight planned, three unplanned) from MCS targeted social media sites and interviewed using a semistructured open-ended question format. Data were analyzed using …
Nurse Educator Perspectives On Undergraduate Nursing Curriculum And Moral Courage Development, April Ciesielski
Nurse Educator Perspectives On Undergraduate Nursing Curriculum And Moral Courage Development, April Ciesielski
Walden Dissertations and Doctoral Studies
Newly licensed nurses may enter the profession without the tools to cope with morally distressing events in the workplace. Experiences of moral distress at work negatively affect physical, emotional, and psychological wellbeing, and effects of moral distress on new nurses may result in job dissatisfaction, burnout, and abandonment of the profession. The specific problem is that undergraduate nursing students are entering the professional field experiencing moral distress. In this study, nurse educators’ perspectives regarding how undergraduate nursing curriculum addresses the topic of moral distress and strategies and skills that can enhance moral courage were explored. The conceptual framework comprised Kidder’s …
Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox
Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox
Walden Dissertations and Doctoral Studies
The population served by health care systems in the United States is widely diversified, which requires nurses to be culturally competent in their care practices. However, studies have shown that nurses do not consistently deliver culturally competent care. This basic qualitative study was designed to explore nurses’ perceptions of cultural competence at the bedside to understand what is needed to improve cultural competency practices. Campinha-Bacote’s conceptual framework for cultural competency was used to guide this study that included face-to-face, videoconference interviews using semi structured and open-ended questions from 13 voluntary, acute care bedside nurses. Interviews were audio recorded and uploaded …
Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana
Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana
Walden Dissertations and Doctoral Studies
Although instructional strategies to enhance student learning is a critical component of the faculty role, nursing education has been slow to incorporate games and gaming into the learning environment. The primary purpose for this qualitative phenomenological research study was to explore the lived experiences of nursing faculty of associate degree programs, specifically regarding the use of games and gaming as interactive, experiential teaching and learning strategies. This study was designed to answer the question, “What are the lived experiences of faculty who use games and gaming as instructional approaches in associate degree nursing (ADN) education.” Through one-on-one interviews via Zoom …
Blood Stream Infections Related To Hemodialysis Catheter Use, Patricia Goodman
Blood Stream Infections Related To Hemodialysis Catheter Use, Patricia Goodman
Walden Dissertations and Doctoral Studies
Abstract Hemodialysis is a life-sustaining procedure for patients diagnosed with end-stage renal failure. Most of these patients initiate hemodialysis with a tunneled central venous catheter, with some depending on its use for long-term treatment due to poor vascularity. Catheter-related bloodstream infections in hemodialysis patients are a complication of hemodialysis catheter use with a high morbidity and mortality rate. A quality improvement (QI) project was conducted to answer the practice-focused question of whether the use of chlorhexidine swabs and caps for central venous catheter dressing changes decreased the rate of hemodialysis catheter-related bloodstream infections. Resolution to this problem would benefit the …
An Educational Program To Enhance Knowledge And Communication For Nursing Staff Who Care For Dementia Patients, Behnaz Mohammadi
An Educational Program To Enhance Knowledge And Communication For Nursing Staff Who Care For Dementia Patients, Behnaz Mohammadi
Walden Dissertations and Doctoral Studies
AbstractDementia is a progressive chronic disease that requires skilled nursing care. Staff at a skilled nursing facility were not using best practices to prevent and manage the psychological and behavioral symptoms of dementia. The purpose of this DNP project was to implement a dementia care education to address this gap in knowledge. The question for the evidence-based educational project was whether the program increased knowledge, promoted positive attitudes, and increased confidence in dementia care staff. A 5-hour workshop was presented in person, twice in two weeks. The person-centered care model served as a framework for the project. Nursing staff (N …
Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado
Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado
Walden Dissertations and Doctoral Studies
For the nursing profession, critical thinking is essential to provide safe and effectivepatient care. While the development of critical thinking skills is a desired outcome for newly graduated baccalaureate nurses, many lack the ability to make critical decisions. The absence of critical thinking among newly graduated nurses may be related to a lack of exposure to the clinical environment during their academic experience. This study explored how critical thinking processes can be affected by different approaches to baccalaureate clinical nursing education in Puerto Rico. A descriptive qualitative approach was used to understand the perceptions of newly graduated baccalaureate nurses regarding …
Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones
Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones
Walden Dissertations and Doctoral Studies
Obesity is a public health epidemic and is as relevant in the pediatric population as it is in adults. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would use existing evidence to support the development of body mass index (BMI) screening in primary schools for the early detection of childhood obesity. Globally, more than 41 million children were obese or overweight by 2018. Due to incidence rates, developing an effective strategy to address childhood obesity is critical. The practice-focused question asked whether the evidence supported the development of a CPG for implementing BMI …
Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh
Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh
Walden Dissertations and Doctoral Studies
Hepatitis C virus (HCV) is found worldwide, but the burden is much higher in correctional settings compared to general populations. In a detention centered located in Washington, the nurses at booking do not know who are at risk for Hepatitis C. This Doctor of Nursing (DNP) project attempted to answer the question of if educating nursing staff at the detention facility in Washington increase their knowledge of the importance of screening inmates for hepatitis C.The purpose of this project was to educate nursing staff about the risk factors for HCV so that proper screening can be done. Knowles’s adult learning …
An Educational Program For Standardization Of Care For The Acute Opioid Withdrawal, Jessica Ann Larson
An Educational Program For Standardization Of Care For The Acute Opioid Withdrawal, Jessica Ann Larson
Walden Dissertations and Doctoral Studies
Opioid addiction is a widespread chronic disease affecting millions of Americans each year, resulting in medical, social, financial, and societal detriments. Patients experiencing opioid withdrawal benefit from a standardized and evidence-based approach to care. The purpose of this doctoral nursing project was to provide inpatient nursing education for a standardized clinical practice approach to optimize patient outcomes. The research question examined the impact of an educational program for nurses presenting a new standardized opioid withdrawal clinical practice guideline inclusive of assessment, nursing interventions, a symptom triggered order set, and follow up plan of care in terms of knowledge gained and …
African American Or Black Nurses’ Perceptions Of Incivility In Nursing Education, Selena M. Murphy
African American Or Black Nurses’ Perceptions Of Incivility In Nursing Education, Selena M. Murphy
Walden Dissertations and Doctoral Studies
Incivility in nursing education can affect morale, adversely affect patient care, or cause nurses to leave the profession. Bullying, rude comments, and disruptive behaviors are all examples of incivility. These may be perceived as lower in schools like Historically black colleges and universities (HBCUs), where students share the same or similar racial or ethnic background. The purpose of this study was to determine if the perceived levels of incivility experienced in nursing school differ between African American or Black nurses who attended HBCUs and African American or Black nurses who attended non-HBCUs, where the population of nursing students may have …
Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi
Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi
Walden Dissertations and Doctoral Studies
Osteoarthritis (OA) pain is a major social problem for older adults and has psychological and physical implications. In the clinic where the project was implemented, the family nurse practitioners (FNPs) are not addressing the OA pain of the older adult patients according to the evidence-based practice (EBP) guidelines. The purpose of this project was to educate FNPs on EBP guidelines regarding nonpharmacological intervention for chronic pain in OA patients. Knowles’ adult learning theory guided the development of the education program specific to the unique learning style of the FNPs. Fourteen FNPs who treat patients with OA in 3 clinic settings …
Influencing Factors On A Nurse's Decision To Remain A Bedside Nurse, Diane Marie Hulsey
Influencing Factors On A Nurse's Decision To Remain A Bedside Nurse, Diane Marie Hulsey
Walden Dissertations and Doctoral Studies
Abstract The loss of the experienced bedside nurse is a current health care problem. New nurses are moving into other areas of nursing or leaving the profession within 6 months of graduation. During the current COVID-19 pandemic, nurses are vital at the bedside. Patients’ and families rely on the nurse to be their support and educational source. In this study, the possible implications of why a registered nurse remains at the bedside throughout their professional career although offered different positions and work environments was examined. The theoretical framework of Patton and McMahon identifies the holistic nature of career development through …
Educating Staff To Reduce Hospitalization Of Individuals Living In A Group Home, Caroline Aina Ibijemilusi
Educating Staff To Reduce Hospitalization Of Individuals Living In A Group Home, Caroline Aina Ibijemilusi
Walden Dissertations and Doctoral Studies
AbstractPersons with intellectual and developmental disabilities (IDD) have significant health disparity in terms of high numbers of hospitalizations compared to the general population. The purpose of the project was to improve staff ability to recognize and respond to the changes in the health status of intellectually and developmentally disabled individuals living in a group home. The project utilized Knowles’s theory of adult learning to develop a curriculum suitable for adult learners and the Kirkpatrick model to guide the assessment of the training. Pre- and post-perception of learning and satisfaction surveys were provided to the participants online. A paired t test …
Staff Education And Depression Screening In Pulmonology And Sleep Medicine, Christina Boyle
Staff Education And Depression Screening In Pulmonology And Sleep Medicine, Christina Boyle
Walden Dissertations and Doctoral Studies
AbstractDespite recommendations that all adults be screened for depression, providers at the project site struggled to consistently assess for depression. Identification of depression is an essential step in depression management, which is a concern for patients with sleep disorders and other pulmonary disease served at the site. The purpose of this project was to develop an education training program for clinicians regarding depression screening. The theory of cognitive development using the Iowa model of evidence-based practice (EBP) guided the project, which sought to determine if an EBP education program regarding depression screening would be an effective means for staff education, …
Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek
Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek
Walden Dissertations and Doctoral Studies
In the initial postpartum period, exclusive breastfeeding (EBF) improves women's and children's health status and outcomes. Gaps in nursing practice that decrease the rate of EBF during hospitalization at this site were identified by the lactation consultant using a standard chart audit during the last two years. The purpose of this Doctor of Nursing Practice education project was to provide a comprehensive education program that included the purpose, philosophy, nursing practice, and evaluation tools for increasing the EBF rates to meet the Joint Commission’s standard of improvement for perinatal care core measures. A formal educational program that included didactic and …
Evidence-Based Hospice Care Education For Healthcare Clinicians, Nonie E. Weir
Evidence-Based Hospice Care Education For Healthcare Clinicians, Nonie E. Weir
Walden Dissertations and Doctoral Studies
Vulnerable populations with a terminal illness, who reside in a nursing home setting, continue to experience psychological, physical, and emotional effects that lead to end-of- life (EOL) suffering and discomfort. Globally, millions of individuals receive care from a hospice provider. By 2030, this figure will triple due to the increased lifespan of the geriatric population. The literature review has revealed that the practical problem is the lack of hospice care education received by healthcare clinicians. It is, therefore, important to prepare and educate healthcare clinicians about a peaceful death through an individualized plan-of-care (POC) from a holistic approach. The purpose …
Influence Of Questioning On Development Of Clinical Reasoning In Prelicensure Nursing, Teresa Maria Brown
Influence Of Questioning On Development Of Clinical Reasoning In Prelicensure Nursing, Teresa Maria Brown
Walden Dissertations and Doctoral Studies
Clinical reasoning is the basis for every clinical decision a nurse makes; however, only 23% of newly graduated nurses are safely able to recognize urgent clinical patient problems and demonstrate appropriate management of those problems. Furthermore, new nurses make 50% of medical errors. This leaves nurse educators looking for evidenced-based teaching/learning strategies to help their students develop clinical reasoning skills. The purpose of this study was to investigate the influence of questioning as a problem-based teaching/learning strategy on clinical reasoning in undergraduate nursing students. The theoretical framework used to guide this study was Tanner’s clinical judgment model. Using Lasater’s clinical …
Nursing Majors’ Attitudes Toward Suicide And Mental Health Training, Beverly Arleen Burton
Nursing Majors’ Attitudes Toward Suicide And Mental Health Training, Beverly Arleen Burton
Walden Dissertations and Doctoral Studies
AbstractThe mental health training of nursing majors may play a role in their levels of confidence in attending to suicide patients as working professionals. The purpose of this quantitative study was to explore what impact, if any, attitudes toward suicide had on nursing majors’ levels of confidence in their mental health training. Pender’s health promotion theory was the theoretical framework. A descriptive correlational survey was used to explore individuals majoring in nursing confidence and perceived skills in mental health training. The 4 research questions asked the relationship between the level of confidence in helping someone with a mental health problem …
Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor
Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor
Walden Dissertations and Doctoral Studies
AbstractLassa fever, a viral disease, was first isolated in the late 1960s and affects 300,000 to 500,000 people, causing 5,000 to 10,000 fatalities annually across West Africa. Although there are studies on the causes and prevalence of Lassa fever, there is a paucity of studies regarding the quality of life (QoL) and lived experiences of survivors. The purpose of this qualitative study, guided by Leininger’s culture care theory, was to describe the QoL and meanings of the lived experiences of Lassa fever survivors in the Southsouth region of Nigeria. Fifteen survivors of Lassa disease were interviewed. Data were analyzed using …