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Articles 511 - 522 of 522
Full-Text Articles in Medicine and Health Sciences
Non-Nursing Courses' Impact On Nclex-Rn Pass-Rates In Associate Degree Nursing Programs, Nicole A. Garner
Non-Nursing Courses' Impact On Nclex-Rn Pass-Rates In Associate Degree Nursing Programs, Nicole A. Garner
Walden Dissertations and Doctoral Studies
Nurse educators make decisions regarding the inclusion or exclusion of non-nursing courses in a curriculum. The current literature lacks research regarding which courses have the most impact on first-time nursing licensing examination pass-rates. The purpose of this quasi-experimental study was to investigate if there is a specific combination of courses that enhance first-time licensing examination pass-rates, using 161 randomly selected accredited associate degree nursing programs. General systems theory applied to nursing education was the framework for the study. ANOVA and independent t-tests were used to address the questions of non-nursing courses or discipline-specific set of non-nursing courses' impact on first-time …
Improving Advanced Practice Nurses' Knowledge Of Cerebral Hemorrhage Assessment And Management, Kimberly Marie Lombardo
Improving Advanced Practice Nurses' Knowledge Of Cerebral Hemorrhage Assessment And Management, Kimberly Marie Lombardo
Walden Dissertations and Doctoral Studies
Cerebral hemorrhages are a type of stroke causing bleeding in the brain from a ruptured brain vessel or an aneurysm. In the emergency department (ED), advanced practice nurses (APNs') play a pivotal role in identifying cerebral hemorrhages. Many APNs' lack the skills necessary to assess, diagnose, and manage this type of stroke. A delay in diagnosis of cerebral hemorrhages carries a high risk of morbidity and mortality and can lead to lifelong disability or death. The framework of this project is the Patricia Benner theory of novice-to-expert, which is a 5-step approach designed to strengthen nursing skills with the goal …
Fall Reduction Among The Geriatric Population In Assisted Living Facilities, Marylyn A. Hagerty
Fall Reduction Among The Geriatric Population In Assisted Living Facilities, Marylyn A. Hagerty
Walden Dissertations and Doctoral Studies
Incidents of falls among the elderly increase with age. About $31 million is spent annually in the United States on medical costs related to fall injuries in the elderly. This project evaluated the outcomes of a fall reduction program implemented in an assisted living facility (ALF). The Stop Elderly Accidents, Death & Injury program developed by the Centers for Disease Control and Prevention was implemented by the ALF for 60 days prior to the outcome evaluation project. The program included a convenience sample of 62 residents and involved medication evaluation, exercises, assistive devices, environmental risk reduction, and evaluation of blood …
Scenario-Based Communication Simulation Curriculum And Plan, Sandra Imperial
Scenario-Based Communication Simulation Curriculum And Plan, Sandra Imperial
Walden Dissertations and Doctoral Studies
The Joint Commission reported that communication failures in United States hospitals contribute to 30% of all malpractice claims, and in 2008, The Joint Commission listed the improvement of effective communication among healthcare providers as a National Patient Safety Goal. The purpose of this practice-focused project was to develop a scenario-based communication simulation for implementation approval by a panel of experts. The approved curriculum was designed to integrate a communication-based simulation scenario into the nurse residency program of a large, urban medical center to improve new graduate nurse communication skills, increase nurse communication competency and self-efficacy, and decrease communication errors. Kolb's …
Socioeconomic Status And Cancer Risks In Employer-Insured Cancer Survivors, Christine Clinton
Socioeconomic Status And Cancer Risks In Employer-Insured Cancer Survivors, Christine Clinton
Walden Dissertations and Doctoral Studies
Chronic illnesses such as cancer continue to be among the costliest for employers who provide health insurance to their employees. Despite efforts to incorporate health improvement programs in the workplace, there are concerns about the effectiveness of these programs that do not always deliver a positive return on investment. Little is known about the specific socioeconomic status of employees for whom these workplace health improvement programs are designed for. Guided by the social-ecological model, this study sought to understand the relationship between cancer health risks about socioeconomic factors among cancer survivors in the employer-insured population. Data were extracted from the …
Human Immunodeficiency Virus Disparity In Black Men Who Have Sex With Men, Valencia L. Beckley Hildreth
Human Immunodeficiency Virus Disparity In Black Men Who Have Sex With Men, Valencia L. Beckley Hildreth
Walden Dissertations and Doctoral Studies
The HIV/AIDS epidemic continues to be a challenge in the men who have sex with men (MSM) population. Initiatives to decrease rates of new HIV infections have proven less than optimal. Despite evidence-based interventions to curtail the prevalence and incidence rates of HIV infection, Black MSM have been most impacted with increased HIV incidence. The purpose of this quantitative correlational study was to explore the relationship, if any, between age, online and physical venues attended by participants within the last thirty days, neighborhood's perceived social environment, and HIV incidence in the non-Hispanic Black MSM population in a metropolitan statistical area …
How Relationship Quality Influences Male Condom Use In College Women, Nikki Hall
How Relationship Quality Influences Male Condom Use In College Women, Nikki Hall
Walden Dissertations and Doctoral Studies
Young adult women in their first and second year of college are a group more commonly impacted by health-related concerns associated with condom use. Due to lack of consistent condom use and the increase in sexual partners, STIs remain an epidemic. Various types of studies have been conducted to investigate condom use among women college students. One factor that may influence condom use is the partner relationship. The literature on safe sex practices shows a gap regarding relationship quality and its potential influence on condom use. Guided by the Fletcher et al. model and Sternberg's triangular theory of love, the …
Nurse Navigator Role Description And Processes For Best Outcomes Among At-Risk Patients, Judean Leroy
Nurse Navigator Role Description And Processes For Best Outcomes Among At-Risk Patients, Judean Leroy
Walden Dissertations and Doctoral Studies
The nurse navigator role developed in the 1990s to support African American female oncology patients' access to services. Successful in oncology, the role has expanded to support patients with diabetes, heart failure, and chronic obstructive pulmonary disease. A unique cost-effective opportunity exists for nurse navigators to fill the gap in transitional care, between the acute care setting and home, for chronically ill and other at-risk patients who are often readmitted within 30 days for treatment of the same disease. The purpose of the project was to refine the job description of the nurse navigators in a Midwestern acute care hospital. …
Program To Prevent Subsequent Fragility Fractures, Kathleen Jean Forti-Gallant
Program To Prevent Subsequent Fragility Fractures, Kathleen Jean Forti-Gallant
Walden Dissertations and Doctoral Studies
One out of 2 women and 1 out of 5 men over age 50 will sustain a fragility fracture (FF) in their lifetime. The risk of a 2nd FF increases dramatically after the 1st fracture and can lead to pain, disability, and mortality. Despite the evidence that secondary prevention programs are effective, the local facility did not have a formal mechanism to address this need. The purpose of this project was to design a program for secondary prevention of FFs and to address the need for a program for secondary FF prevention that was sustainable locally. The program was designed …
Special Educators' Perceptions On Effective Preparation And Practice For Student Success, Anne Brackney Liese
Special Educators' Perceptions On Effective Preparation And Practice For Student Success, Anne Brackney Liese
Walden Dissertations and Doctoral Studies
Alternative school settings are success prospects for students at risk of school failure. However, research on the daily experiences of the special educators in alternate school settings tasked with educating the at-risk population, is limited. The purpose of this phenomenological study was (a) to recognize the perceptions of special educators concerning their preparation to advance the success of SEN students who are at risk of school failure; (b) to determine how to improve special educator preparation programs in alternative school settings. Deci and Ryan's self-determination theory, focused on student success provided the study's framework. Twelve semistructured interviews were conducted to …
Successful Project Management, Tomomi M. Horning
Successful Project Management, Tomomi M. Horning
Walden Dissertations and Doctoral Studies
High project failure rates result in billions of wasted dollars each year. Project failure does not discriminate by type of project or the industry from which they originate. The purpose of this qualitative single case study was to explore strategies that leaders at a health care organization located in Pennsylvania use to manage projects successfully. This population was selected due to the health care organization's reputation for successful project completion. The conceptual framework for this study was Fiedler's contingency theory. Data were collected by conducting semistructured interviews with 9 project leaders and reviewing project documents provided by study participants. Interviews …
Baby's Skin, Deborah Weatherspoon, Debra Henline Sullivan
Baby's Skin, Deborah Weatherspoon, Debra Henline Sullivan
Walden Faculty and Staff Publications
A neonate's skin serves many important roles, is fragile, and requires special care. The childbirth educator may be called on to give sound, evidence based advice to caregivers who have concerns about their baby's skin. This article reviews the basics in newborn skin care with qualified recommendations on skin imperfections. Neonatal skin alterations are reviewed and include erythema toxicum neonatorum, milia, sebaceous glands, baby acne, and cradle cap. Babies are also affected by too much moisture which can result in drool rashes, heat rashes, and diaper rashes. These rashes are common and treatable with proficient guidance. Other skin concerns are …