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Full-Text Articles in Medicine and Health Sciences
Policies That Support Emergency Department Staff In Providing Behavioral Health Care, Lizabeth Lepp Hennig
Policies That Support Emergency Department Staff In Providing Behavioral Health Care, Lizabeth Lepp Hennig
Walden Dissertations and Doctoral Studies
A significant portion of individuals with a behavioral health (BH) condition return to emergency departments (ED) seeking care, resulting in reduced quality of care, and contributing to disproportionate healthcare costs. Care can be improved and return visits to the ED reduced where behavioral health care and follow-up care planning are provided as part of their treatment. However, policies expected to create declines in ED use for behavioral conditions are typically in short duration or are difficult to use given other funding and policy constraints. With little known about how policy is supporting the engagement of ED staff who are critical …
Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders
Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders
Walden Dissertations and Doctoral Studies
AbstractNoise levels can negatively affect a patient’s hospital experience. Increased noise levels in the hospital can trigger sleep disturbance and affect the length of recovery for patients; the increased noise levels can also cause increased anxiety and exhaustion for nursing staff members. Due to a gap in nursing practice related to nurses’ knowledge to safely reduce noise levels, this project addressed if nursing staff education on noise reduction could increase the knowledge among nursing staff members to use specific strategies to reduce noise levels in an intensive care unit (ICU) setting. The purpose of this project was to educate eight …
Registered Nurse Engagement And Patient Falls In The Acute Care Setting, Jenna Zaliauskas
Registered Nurse Engagement And Patient Falls In The Acute Care Setting, Jenna Zaliauskas
Walden Dissertations and Doctoral Studies
Falls are a critical problem for inpatient medical-surgical adult patients. Past research has indicated a link between nurse disengagement and unsafe care. The purpose of this study was to improve the understanding of the relationship between nurse engagement and patient falls with injury on medical surgical units in health care facilities in the United States using the National Database of Nursing Quality Indicators. Retrospective data were reviewed from 13 U.S. hospitals in the Midwest covering Q1 (2018) and Q2 (2018) on medical-surgical units related to nurse engagement and patient falls. A correlational and MANOVA design was used to determine the …
Quality Improvement Initiative About Patient Engagement With Clinicians In A Community Hospital, Cheryl Simpson
Quality Improvement Initiative About Patient Engagement With Clinicians In A Community Hospital, Cheryl Simpson
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD) is a global health problem and efforts are needed to improve the care of individuals affected by the disease. A recent strategy for improving care within the healthcare system is patient engagement. Nurses and other health care clinicians can apply patient engagement into their clinical practice to improve the care they provide to their patients. Therefore, the purpose of this project was to increase the knowledge and awareness of patient engagement among clinicians who work with CKD patients. This quality improvement project used Lewin's force field analysis to analyze driving and restraining forces to help develop …
Empowering Nurses Through Knowledge And Technology To Decrease Fall Rates, Ngozi Doreen Nwaise
Empowering Nurses Through Knowledge And Technology To Decrease Fall Rates, Ngozi Doreen Nwaise
Walden Dissertations and Doctoral Studies
Falls are nurse-sensitive outcome which reflect the quality of nursing care. Nurses, therefore, have a major role to play in efforts to decrease fall rates. The objective of this project is to increase nurses' knowledge on the proper use of the CVVM as an attempt to effectively decrease fall rates. Pretest, post test, and course evaluation data were collected from 30 nurses. A descriptive analysis of the data was performed. Overall, the pretest evaluation showed that nurses had an average score of 43% in the combined assessment of their knowledge on fall prevention strategies, their use of the CVVM, and …
Needs Assessment For A Lifestyle Intervention Weight Loss Program For Hospital Employees, Karen Baumann
Needs Assessment For A Lifestyle Intervention Weight Loss Program For Hospital Employees, Karen Baumann
Walden Dissertations and Doctoral Studies
The rate of obesity is increasing in the United States. In Florida, almost 60% of the population will be obese by 2030. This increase is expected to contribute to millions of cases of preventable chronic diseases costing the state an estimated $34 billion dollars. Employer-sponsored health programs can positively influence employees' lifestyle choices and support weight loss programs to reduce health-related costs to the employee and the employer. Guided by the transtheoretical model, the purpose of the project was to conduct an employee assessment to determine the need for, interest in, and readiness for a lifestyle intervention weight loss program. …
Improving Pain Management For Hospitalized Patients, Ronda Sweet
Improving Pain Management For Hospitalized Patients, Ronda Sweet
Walden Dissertations and Doctoral Studies
Uncontrolled pain has proven effects on both physiological and psychological responses of hospitalized patients. These incapacitating sequelae most often negatively impact patient outcomes resulting in unnecessary suffering and prolong hospitalizations. First line nurses often have preconceived notions about a patient's pain without developing an individualized patient context that considers appropriate pain management knowledge translated from best practice standards. Guided by Bandura's social learning theory and Lippitt's change theory, the purpose of this quality improvement project was to determine if use of the Curriculum Outline on Pain for Nursing from the International Association for the Study of Pain (IASP) improved nursing …
Employee Engagement In A Cardiac Catherization Lab, Rhonda J. Smith
Employee Engagement In A Cardiac Catherization Lab, Rhonda J. Smith
Walden Dissertations and Doctoral Studies
Employee Engagement in a Cardiac Catheterization Lab
by
Rhonda J. Smith
Project Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Nursing Practice
Walden University
February 2016
This study adds to the existing body of knowledge on employee engagement and workplace climate in the catheter laboratory setting. The study goals were to discover the current state of workplace satisfaction and then to share the results with the staff to determine what to improve and how to guide them through the Lean process. This study was guided by Kanter's structural empowerment theory, which holds that structural factors …