Medicine and Health Sciences Commons^™

Nursing Education On Pressure Ulcer Prevention In Acute Care, Leasa Elizabeth Jones

Walden Dissertations and Doctoral Studies

No abstract provided.

Supporting Novice Nurse Transition To Practice Through Mentorship, Jesssica M. Cox

Walden Dissertations and Doctoral Studies

No abstract provided.

Critical Education In Community Health Literacy For Brazilian Nurses: A Course Evaluation, Margareth S. Zanchetta, Walterlânia S. Santos, Onislene A. E. De Almeida, Katarinne Lima Moraes, Maria Wanderleya L. Coriolano-Marinus

Journal of Educational Research and Practice

This article presents an immediate evaluation of a professional development course in community health literacy for Brazilian nurses. An evaluation based on an applied thematic analysis of the accounts of 63 attendees in three Brazilian cities (January 2020) was guided by the following themes: (a) expansion of understanding about community health literacy as a pillar for planning and providing health care; (b) encouragement of innovation in research and/or practice; and (c) plans to incorporate the information shared in the course into professional projects. The evaluation disclosed the complexity of social contexts for health literacy, which is intertwined with ethnocultural diversity …

Intervention For Treating Sarcopenia Among Older Residents In A Skilled Nursing Facility, David A. Hernandez, Susan E. Hueck, Donna-Marie Phyllis Lanton

Journal of Social, Behavioral, and Health Sciences

The incidence of sarcopenia, a geriatric syndrome characterized by the progressive and generalized loss of muscle quantity or quality, increases with age and is associated with adverse health and quality of life outcomes. A 12-week strength training intervention program (STIP) was designed to improve measures of muscle mass, muscle strength, physical performance, and quality of life in elderly patients with sarcopenia. Data were collected on these measures at 4-week intervals over 12 weeks. Results showed that the STIP was an effective intervention for reducing the characteristics associated with sarcopenia. Significant gains were made in muscle mass, grip strength, balance, gait …

Relationship Between Treatment Comorbidities And Hiv Viral Suppression Among People Who Live With Aids In Johannesburg., Nwogo Immaculata Ekeji, Tolulope A. Osoba, Hebatullah Tawfik, Mehdi Agha

Journal of Social, Behavioral, and Health Sciences

HIV has globally infected over 37.9 million people, of which 28.2 million (73%) are on antiretroviral treatment, and 66% of those on treatment are virally suppressed. In South Africa, however, low rate of viral suppression (47%) among people living with HIV is a major health problem that has continued to fuel HIV prevalence. A cross-sectional quantitative research design was used to investigate the relationship between treatment comorbidities and viral suppression among HIV-infected adults aged 18–49 who were diabetic, had cancer, or tuberculosis in Johannesburg. HIV Care Continuum formed the theoretical framework for this research. An existing HIV-infected patient de-identifiable dataset …

Thirty-Second Mindful Body Scan Meditation For Bedside Nurses, Shruti Balwalli-Udyawer

Walden Dissertations and Doctoral Studies

Compassion fatigue, or secondary traumatic stress, is a state of physical and mental exhaustion caused by an inability to cope with the everyday environment that reduces the ability of the nurse to provide high-quality health care to a patient. The purpose of this staff education project, guided by Selye’s general adaption syndrome , was a 6-week, 30-second mindfulness exercise program to promote stress reduction for cardiac step-down and medical-surgical nurses. In this quantitative, pre- and posttest study, the Perceived Stress Scale was completed by a sample of 24 nurses who met the inclusion criteria. The practice focused whether educating nurses …

Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange

Walden Dissertations and Doctoral Studies

Patient falls in health care settings are a widespread and severe problem, and they often happen as a result of a complex set of causes. In the United States, between 3.3 and 11.5 falls occur per 1,000 patient days. Reducing the incidence of falls in a health care setting would bring significant positive change and decrease the incidence of harm to patients in the hospital setting. This staff education project’s purpose is based on addressing falls, a safety concern and a health issue that continues to put patients at an increased risk. Theories used to inform the project include the …

Staff Education On Workplace Violence And Prevention Measures, Fatu Koroma

Walden Dissertations and Doctoral Studies

Forensic nurses are essential in helping forensic mental health patients at an inpatient/outpatient forensic psychiatric health care facility. The practice gap that the forensic psychiatric health care facility experienced was a deficit in knowledge among forensic nurses on the importance of workplace violence and prevention. The practice-focused question guiding the project was to determine if education on the American Nurses Association’s workplace violence and prevention measures would increase forensic nurses’ and staff’s education scores. The purpose of the project was to close the gap by educating nurses and staff on measures to increase a safer environment. The instructional design was …

Implementation Of Night Shift Rounding To Improve Nursing Communication And Reduce Days Of Intubation In The Intensive Care Setting, Lisa Wilkinson

Walden Dissertations and Doctoral Studies

Multidisciplinary rounds are the gathering of various health care providers who have a shared interest in a patient’s well-being to discuss the plan of care and the patient’s progress through their hospital stay. This multidisciplinary group of staff can be the providers, the nurse, charge nurse, social worker, pharmacist, dietician, respiratory, chaplaincy, and occupational and physical therapists. On night shift at the project site, this rounding process did not occur, leaving the staff feeling they were not involved in the plan of care. The purpose of this quality improvement evidenced-based project was to create a process change, introduced to the …

Nurse Practitioner Education On Caring For Patients Using Medical Marijuana, Zainab Kalokoh Mansaray

Walden Dissertations and Doctoral Studies

AbstractNurse practitioners are crucial components of community health care because they treat and manage individuals who use medical marijuana. Overuse of medical marijuana without proper examination and certification may result in undesirable patient outcomes, such as increased patient dependency and death, which may have a severe impact on society. The medical marijuana primary care clinic for which this Doctor of Nursing Practice project was developed lacked the information required to certify and evaluate qualifying conditions for medicinal marijuana users. The practice-focused questions investigated how nurse practitioners caring for patients using medical marijuana education based on the National Council of State …

Experiences Of New Graduate Nurses Who Transitioned To Practice Using Virtual Conferencing Software, Sara Moran

Walden Dissertations and Doctoral Studies

Orientation is a pivotal moment for new graduate nurses as they transition into the acute care setting. The COVID-19 pandemic changed in-person orientation to virtual orientation, but little is known about the experiences of new graduate nurses who attended the virtual orientation process. The purpose of this qualitative interpretive descriptive study, guided by Duchscher’s theory and the technology adaptation model 2, was to understand the experiences of new graduate nurses who transitioned to practice utilizing video-based conference software for nursing orientation. Twelve new graduate nurses were interviewed using virtual conferencing software. Data were analyzed using interpretive description and then were …

Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …

Relationship Between Nurse Managers’ Cultural Humility Practices And Nurse Retention, Jessica Scharfenberg

Walden Dissertations and Doctoral Studies

Some hospital administrators experience yearly loss of human capital, resulting in economic and noneconomic consequences that require resource reallocation to sustain operations. Grounded in the cultural humility theory, the purpose of this quantitative correlational study was to examine the relationship between nurses’ perceptions of their nurse managers’ (a) openness, (b) self-awareness, (c) egolessness, (d) self-reflection and critique, (e) supportive interaction, and nurse turnover intention. Participants included 142 registered nurses working in the Midwest United States. Data were collected using Foronda’s Cultural Humility Scale and the Michigan Organizational Assessment Questionnaire. Results of multiple regression analysis indicated the model could significantly predict …

Maternal-Early-Warning-System Education To Improve Registered Nurse Knowledge Of And Appropriate Responses To Triggers, Dawn Marie Moore

Walden Dissertations and Doctoral Studies

The maternal early warning system (MEWS) is the single most reliable response tool to improve maternal outcomes in obstetrics. Recognition and response by nurses to the MEWS triggers was worrisome at the project site as the MEWS trigger to detect changes in the clinical conditions in obstetric patients was not applied consistently at the bedside. This project was developed to evaluate whether providing an education program on the application of MEWS to nurses in obstetrics at the practicum site would improve registered nurses’ knowledge of and appropriate responses to the MEWS trigger alarms. A literature search targeting the key words …

Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen

Walden Dissertations and Doctoral Studies

One of the most important factors affecting the quality of diabetes care is the association between a patient’s knowledge and their practices. The practice gap in this primary care clinic was a lack of standardized diabetic foot care. The purpose of this DNP project was to provide nursing staff with an evidence- based, culturally congruent diabetic footcare curriculum that could help decrease inconsistencies in care. The practice-focused question for this project addressed whether an educational program for nursing staff on diabetic footcare would increase their knowledge and translate this knowledge into practice to prevent diabetic foot infections and its complications. …

Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa

Walden Dissertations and Doctoral Studies

AbstractMany patients whose primary or secondary chronic condition is hypertension present to their first follow-up appointment in a primary care facility in the north of Puerto Rico with uncontrolled high blood pressure. Nurses’ knowledge of hypertension is vital to addressing a gap in practice for this patient population and patient quality of life and the prevention of cardiovascular diseases. The practice-focused question guiding this project focused on a nurse educational session for increasing hypertension management knowledge as well as a follow-up phone call protocol that aimed to improve patient care. The theoretical framework guiding this project was Pender’s health promotion …

Respiratory Treatments In Post-Covid Patients To Improve Physical Activity, Pamela Gordon Tarver

Walden Dissertations and Doctoral Studies

November 2022Abstract A significant number of individuals affected by the coronavirus (COVID) developed severe acute respiratory syndrome (SARS), causing respiratory dysfunction which led to decreased functional capacity. This project aimed to evaluate the project site’s archival data for post-COVID patients to determine whether respiratory treatments improved physical activity, as evidenced by the results of the pre and post 6-minute walk test (6MWT) and oxygen saturation (SpO2) levels. The Donabedian quality model was utilized to evaluate the resources, the interventions, and the outcomes of post-COVID patients. Sources of evidence used were peer-reviewed articles retrieved from the Walden Library and CINAHL databases …

Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang

Walden Dissertations and Doctoral Studies

The absence of adequate knowledge, skills, and competencies in screening for suicide risk in adolescent and young adult patients is a significant problem facing nurses in outpatient settings. An evaluation of the project site facility’s main performance metrics revealed shortcomings in locating patients who pose a serious risk of self-harm and suicide. Staff dealing with the patients may, as a result, overlook preemptive measures that could stop a suicide event. The project aimed to create a training program to introduce the ask suicide-screening questions (ASQ) tool kit, an evidence-based suicide screening tool, to ambulatory nurses. The goal of the project …

Staff Education Project: The Emergency Severity Index, Jo Crabtree

Walden Dissertations and Doctoral Studies

AbstractThe triage process is an important precursor to ensuring expeditious and appropriate medical care in the Emergency Department (ED). There is a positive correlation between proper triage technique and improved patient outcomes, making triage an essential issue for nursing practice. The purpose of this project addressed the results of a staff education program directed at teaching the Emergency Severity Index (ESI) Triage System to 42 triage nurses working in an ED in a critical access facility in the rural Midwest. The practice-focused problem for this project was as follows: Will a staff educational program improve understanding of the ESI triage …

The Perceived Effectiveness And Evolution Of First-Semester Nursing Students’ Studying Methods, Elizabeth Brown

Walden Dissertations and Doctoral Studies

Little research has been done to identify the study strategies used by nursing students during their first nursing classes despite studies indicating they have poor study skills, making the nursing program challenging and causing many of the students to decide to leave after their first semester. The purpose of this qualitative study was to improve the understanding of registered nursing students’ study strategies during their first semester of nursing classes. Winne and Hadwin’s self-regulated learning model was used as the conceptual framework to answer the research questions about students’ study strategies during their first semester of nursing classes, how they …

Local Anesthetic Systemic Toxicity Education For Perianesthesia Nurses, Rachelle Lynn Dix

Walden Dissertations and Doctoral Studies

Local anesthetic systemic toxicity (LAST) is a potentially life-threatening event following a local anesthetic bolus into the circulatory system. Because LAST is a low-volume, high-risk event, clinical exposure is lacking, creating a knowledge gap among perianesthesia nurses. A knowledge gap regarding LAST among perianesthesia nurses was identified at the project site, an ambulatory surgery center in south Mississippi. The practice-focused question was: Whether a web-based education intervention would increase perianesthesia nurses’ knowledge about LAST. The doctoral project aimed to provide perianesthesia nurses with the clinical knowledge essential for early detection of LAST symptoms. A LAST education module was developed using …

The Role Of Mistrust In African American Organ Donation, Gina M. Williams

Walden Dissertations and Doctoral Studies

AbstractAfrican Americans (AAs) who suffer from life-threatening organ failure often need an organ transplant to sustain or to improve their quality of life. The shortage of donor organs, and AAs willing to become organ donors, limits the number of organs available for transplant. The purpose of this study was to understand the lived experience of AAs regarding the role of mistrust and to understand its influence on their organ donation decision-making. Social cognitive theory guided this qualitative descriptive phenomenological study designed to gain an understanding of the lived experiences of the AAs related to the role of mistrust in their …

Improving The Care Of Neonates With Hyperbilirubinemia, Kellie Busse Kainer

Walden Dissertations and Doctoral Studies

AbstractProviders at a community-based pediatric hospital in the southern region of the United States have traditionally transferred otherwise healthy neonates with hyperbilirubinemia requiring inpatient treatment to a tertiary care facility. The question addressed was whether the implementation of an evidence-based, organizational protocol increases the quality and decreases the cost of caring for neonates with hyperbilirubinemia in the community-based, pediatric acute care hospital. The main goal of the organization’s quality improvement (QI) project was to facilitate the provision of high-quality, cost-effective care to neonates with hyperbilirubinemia using an evidence-based approach as evidenced by a reduction in the number of neonates with …

Clinical Vaccination Education Guideline For The African American Community, Margaret Chinedum Nwoji

Walden Dissertations and Doctoral Studies

AbstractVaccination hesitancy is high among African Americans and other people of color. The practice gap addressed in this project was the lack of a culturally sensitive clinical guideline for vaccination education relevant to the African American community. The practice-focused question was answered by developing an evidence-based Clinical Vaccination Education Guideline for the African American Community (CVEGAAC) that was validated by a group of four content experts using the Appraisal of Guidelines, Research, and Evaluation tool. The content experts scored each of the domains above 90%, implying that the CVEGAAC is of high quality and ready for implementation. The end users …

Impact Of Pulmonary Embolism Response Teams On Patient Quality Ratings, Sabrina Renee' Simpkins-Morris

Walden Dissertations and Doctoral Studies

AbstractLeaders of health care organizations have limited evidence of the impact of pulmonary embolism response teams (PERTs) on quality outcomes for patients with an intermediate and high-risk pulmonary embolism (PE). The purpose of this quantitative study was to determine whether there was any significant difference in patient HCAHPS linear mean scores for instructions given about medication and overall care between acute care hospitals with and without PERT teams. Donabedian’s framework for assessing health care quality was used as the theoretical foundation for this research. Survey data collected by the Centers for Medicare and Medicaid, as part of its Hospital Consumer …

Improving Student Nurse Clinical Reasoning, Critical Thinking, And Clinical Judgment Through Simulation Debriefing, Deborah Brester

Walden Dissertations and Doctoral Studies

Simulation is an educational strategy in nursing education that incorporates structured activities that depict real-life situations to develop and enhance the knowledge, skills, and attitudes of nursing students by allowing them to analyze and initiate interventions for realistic situations in a simulated environment. Debriefing is a reflective process and is a key component in the simulation education process, but there is a lack of evidence on debriefing methods that enhance learning outcomes in nursing education. This study, which was guided by the National League for Nursing Jeffries simulation theory, was to determine the effect simulation debriefing, as assessed using the …

Nursing Knowledge And Breastfeeding Education, Mary Aguirre

Walden Dissertations and Doctoral Studies

According to the Centers for Disease Control and Prevention, the Healthy People 2020 breastfeeding goal immediately after birth of 81.9% was surpassed in 2016, with approximately 83.8% of babies breastfed shortly after delivery. However, by seven days post birth, this number decreased to 82.9%, reduced even more for infants who were exclusively breastfed to 64.7%. Local research has shown that breastfeeding decreases at one week after discharge, which may be due, in part, to the lack of nurses' knowledge related to breastfeeding. This lack of knowledge related to breastfeeding by the nurses, in turn, may negatively impact the support staff …

Integrating Palliative Care In The Cardiac Surgery Icu, Katherine Rodman

Walden Dissertations and Doctoral Studies

Over the last decade, patients who remain critically ill but in the chronic stage have become a subset of patients who often remain in the cardiac intensive care unit (CICU) for many months. Palliative care in the ICU has an important role and is well recognized by various studies to alleviate physical symptoms due to invasive treatments, to set patient-centered goals of care, and to provide end-of-life care. This acute care facility does not have guidelines for clinicians to use when introducing and managing palliative care for terminal heart failure patients during long term stays in the ICU. The clinical …

An Educational Intervention For Perioperative Nurses On Venous Thromboembolism Prophylaxis, Joann Mcghee-Evans

Walden Dissertations and Doctoral Studies

AbstractResearch has demonstrated that enhancing a nurse’s knowledge and awareness may result in positive patient, provider, and organizational outcomes. In a local organization, there had been a 25% increase of postoperative venous thromboembolisms (VTEs) within the last 12 months. The purpose of this doctor of nursing practice (DNP) project was to determine whether an educational intervention focused on VTE and the standards of care for VTE prevention increased knowledge and awareness among perioperative nurses working in the local organization. Benner’s novice to expert theory and King’s goal attainment theory provided the framework for the DNP project. Thirty-eight nurses were invited …

Self Care Education For Nurses Following An Assault, Barbara Lynn Schwarz

Walden Dissertations and Doctoral Studies

AbstractSelf-Care Education for Nurses Following an Assault by Barbara Lynn Schwarz MS, Nebraska Wesleyan University, 2008 BS, Nebraska Wesleyan University, 2004

Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice

Walden University August 2023 Abstract Every day, 1 in 4 nurses experience physical and/or verbal assault, surpassing the rates among police officers and prison guards. This issue is particularly widespread among nurses working in mental health settings. The local practice problem for this project was the absence of self-care education for nurses following workplace assaults. The literature revealed that such assaults have traumatic …