Improving Health Literacy And Self-Management In Adults With Heart Failure: A Nurse-Led Virtual Intervention In Outpatient Support Groups, Vivian Efosa Osunde

Doctoral Projects

Heart failure is a leading cause of morbidity and hospital readmissions, with limited health literacy contributing to poor self‑management and adherence challenges. The purpose of this Doctor of Nursing Practice project was to evaluate the feasibility and preliminary outcomes of a nurse‑led, virtual education-intervention designed to improve health literacy, self‑care behaviors, and medication adherence among adults with chronic heart failure who participate in an outpatient support group. A quality improvement design was used. Convenience sampling yielded nine adult participants with a documented diagnosis of chronic heart failure who attended at least one virtual support group session. The intervention consisted of …

Whiny Women: How Medical Gaslighting Becomes Medical Trauma, Neena Marcus

Honors Projects

Background: The idea of “medical gaslighting” has been present since 1969, but it has increased in popularity in the recent century. Women in particular are at increased risk of being dismissed by their healthcare providers, as throughout history they have been deemed “hysterical” or untrustworthy when recounting their symptoms.

Methods: Articles were compiled from CINAHL Complete, Google Scholar, and the University of Washington library. A total of 33 articles were chosen and reviewed.

Results: Medical gaslighting results in lasting medical trauma, a decreased quality of life and detachment from standard healthcare. Six themes were recurrent in the papers utilized: sexism, …

“There Was Nothing Left To Give”: Experiences Of Compassion Fatigue Among Former In-Patient Psychiatric Clinicians, Katie Ladner

Counseling and Psychology Dissertations

Compassion Fatigue (CF) is a state of emotional and physical exhaustion resulting from prolonged exposure to stressful or traumatic experiences, specifically among healthcare workers, and it negatively impacts their ability to provide care to their patients and perform their jobs effectively (Singh et al., 2020). The purpose of this qualitative study is to explore the lived experiences of compassion fatigue in mental health clinicians who previously worked in in-patient psychiatric hospitals and their subsequent resignations. This phenomenological research explored participants' understanding and descriptions of their CF experiences in their roles within psychiatric hospitals and how CF contributed to their leaving …

Weighted Blankets: Implementation Of A Quality Improvement Pilot Project In The Neurosciences Intensive Care Unit, Anita Musafar

Doctoral Projects

The weighted blanket quality improvement pilot project was implemented at Stanford Healthcare (SHC) to address the limited number of nonpharmacological interventions available for agitation management in the critical care setting. Patients within the Neurosciences ICU (NSICU) at SHC are clinically complex and uniquely vulnerable to experiencing agitation. The objectives of this initiative were to understand nurses' perceptions surrounding weighted blanket use in the critical care setting and assess whether there was a decrease in Richmond Agitation-Sedation Scale (RASS) scores with this intervention. From September 2025 to December 2025, the nurses within the NSICU implemented the use of weighted blankets for …

Pain Management In Opioid Users, Dawn Starbinski

Seton Hall University Dissertations and Theses (ETDs)

ABSTRACT

Chronic pain remains a significant public health concern in the United States, contributing to disability, reduced quality of life, and over-reliance on traditional opioids. Amid the opioid epidemic, healthcare systems are increasingly seeking safer alternatives to conventional opioid prescribing. (NIDA, 2023).This Doctor of Nursing Practice (DNP) project aimed to evaluate nursing knowledge on the implementation of buprenorphine/naloxone (Suboxone) as a pain management strategy in adult patients with chronic opioid use. The project was conducted in an inner-city Subacute Nursing facility with a population of adult patients experiencing long-term pain who were either opioid-tolerant or at high risk for opioid-related …

A Quality Improvement Project: The Implementation Of A Nurse Driven Morbidity And Mortality Review In An Emergency Department Setting, Abby Beutel

Seton Hall University Dissertations and Theses (ETDs)

Abstract

Background: Morbidity and mortality reviews/conferences (MMR) are a mandatory curriculum requirement for medical residency programs throughout the United States to identify and reduce medical errors. Only within the past few decades have hospital organizations expanded MMRs to multidisciplinary teams to include medical professionals who are rendering care at the bedside more than medical providers.

Purpose: This quality improvement (QI) project focuses on the application of a nurse drive MMR amongst emergency department (ED) nurses in a community hospital in Northern Bergen County, New Jersey. This ED nurse driven MMR measured the ED nurse’s knowledge and confidence levels as it …

The Moderating Role Of Psychological Power Distance On The Relationship Between Moral Disengagement And Submissiveness To Authority In Senior Healthcare Executives, Carl Kirton

Seton Hall University Dissertations and Theses (ETDs)

Background: Understanding how senior healthcare executives respond to authority is critical in complex health systems where ethical decision-making, hierarchy, and organizational culture intersect. This study explored the relationships among moral disengagement, submissiveness to authority, and psychological power distance (PPD) in U.S. healthcare executives, as well as the influence of selected demographic and professional covariates.

Methods: A descriptive correlational design was used with a non-probability sample of senior healthcare executives (N = 98). Participants completed a demographic questionnaire and three validated instruments: the Submissiveness to Authority Scale (SOAS), the Moral Disengagement through Displacement of Responsibility Questionnaire (MDDR), and the Psychological Power …

Dnp Scholarly Project For Providing An Educational Offering To The Population Affected By Environmental Allergies, Jillian Otter

Doctor of Nursing Practice Scholarly Project

Environmental allergies are a problem that many people suffer from. The Centers for Disease Control and Prevention (2023) has reported that 25.7% of adults have experienced seasonal allergies annually. The concern has arisen that the general public has difficulty properly identifying environmental allergies. This has become evident in recent times with COVID. The rise of COVID has made people wary when it comes to certain symptoms, such as coughing. However, between COVID, cold, allergies, and flu several symptoms are shared and can be mistakenly diagnosed (News in Health, 2022). Improper identification can lead to poor management of any illness and …

Turnover In Nursing, Kylie J. Farris

Doctor of Nursing Practice Scholarly Project

A major challenge currently facing the United States healthcare system is a shortage of nurses. Nurses are essential to healthcare, yet in recent years, the rate of nursing turnover has increased rapidly, exacerbating the shortage. The aim of this project is to identify the factors contributing to nurses leaving their positions and to explore potential solutions to reduce the number of nurses exiting the profession. This will be accomplished by surveying clinical nurses across the United States through a multi-part survey. The survey will identify nurses who are considering leaving their current positions and explore potential interventions that could be …

Empowering Educators: Transforming Online Classrooms Through Interactive Training, Jodie Peterson

UNLV Theses, Dissertations, Professional Papers, and Capstones

Faculty teaching in online nursing programs must continually adapt to evolving educational technologies and pedagogical methods to ensure high-quality learning experiences. However, nursing faculty may lack the resources, knowledge, and skills needed to effectively implement technology-driven, learner-centered strategies that facilitate engagement in virtual classrooms. Supporting faculty development in available interactive technologies is essential to enhance instructional effectiveness and improve student engagement and learning outcomes. This Doctor of Nursing Practice project focuses on strengthening faculty knowledge and competence in using interactive, learner-centered strategies in online education. The project was implemented within a southern Nevada university’s school of nursing and provided an …

Building A Road To Mitigate Ambulance Patient Offload Time (Apot), William J. Manguil

Doctoral Projects

Emergency departments (EDs) worldwide are experiencing increased utilization resulting in care delays for patients seeking urgent treatment. Despite critical circumstances that warrant emergency medical services (EMS) response, patients arriving to the ED via ambulance remain vulnerable to delays in care due to prolonged ambulance patient offload times (APOTs). The amount of health care providers and treatment space necessary to initiate care are both limited and often strained resources which dictate the need for innovative interventions to prevent patient harm. The following project outlines the interventions implemented at the project site to improve APOT as a means to enhance patient safety …

Staff Education To Improve Mental Health Prescribers’ Knowledge On Polypharmacy And Deprescribing Strategies For Older Adults, Mercy Oluchi Eke

Walden Dissertations and Doctoral Studies

No abstract provided.

Reducing Catheter-Associated Urinary Tract Infections Through Staff Education In A Nursing Home Setting, Aderonke Abimbola Abatan

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Staff Knowledge And Confidence In Delivering Sleep Education And Administering Sleep Quality Assessment Tools, Beverly Britton

Walden Dissertations and Doctoral Studies

No abstract provided.

From Evidence To Practice: Improving Diabetic Patient Outcomes By Increasing Statin Utilization, Elizabeth Mcfalls

Evidence-Based Practice Project Reports

Cardiovascular disease (CVD) prevention in patients with diabetes is essential, as heart disease remains the leading cause of death within this population (American Diabetes Association, n.d.). The purpose of this evidence-based project is to improve patient outcomes by enhancing adherence to statin therapy. A thorough literature review yielded 246 pieces of moderate-to-high-quality evidence; of these, eight articles were appraised in detail and selected for project inclusion. The strongest evidence identified four meaningful interventions. Thus, a multimodal approach was indicated for this project. This included addressing barriers to therapy, creating practice nudges, implementing a shared decision-making (SDM) tool, and utilizing clinical …

Be Prepared For Your Nurse Practitioner Clinical Readiness Exam, Elizabeth Heavey, Renee Biedlingmaier, Colleen Burgoyne, Carnel C. Jackson

Milne Open Textbooks

This text contains case studies and review questions for nurse practitioner students; focusing on the 3Ps of nurse practitioner education (Pharmacology, Pathophysiology, and Physical (Health) Assessment) to help NP students prepare for their clinical courses and pass their clinical readiness exam.  It includes cases commonly seen in entry-level NP practice.  In addition to the three individual sections of the text that focus on cases applying content from each of the distinct courses (Pathophysiology, Pharmacology, and Physical Assessment), we included summative case studies at the end of the book that connect all three areas in a single case. Because these three …

Reducing Unnecessary Cancellations In Interventional Radiology Procedures, Rose Tarantino

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Enhance Telepsychiatry Use Among Nurses, Shaundelle Mitchell

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Enhance Home Care Staff Knowledge, Competence, And Confidence In End -Of-Life Communication, Pamela Rene Stubbs-Price

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Improve Psychiatric Nurses’ Knowledge On The Identification And Management Of Malignant Hyperthermia After Electroconvulsive Therapy, Grace Nwawuihe

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education To Enhance Sepsis Knowledge And Clinical Self-Efficacy Among Registered Nurses In An Adult Intensive Care Unit, Jessica Shantel Moses

Walden Dissertations and Doctoral Studies

No abstract provided.

Staff Education Project To Assess The Use Of Telehealth In The Care Of Adult Psychiatric Patients, Edith Nwosu

Walden Dissertations and Doctoral Studies

No abstract provided.

Evaluating Clinical Practice Guidelines For Managing Missed Appointments And Patient Re-Engagement In An Outpatient Mental Health Clinic, Agnes Limunga Jackai

Walden Dissertations and Doctoral Studies

No abstract provided.

Improving Medication Literacy In Older Adults With Chronic Kidney Disease Through Nurse-Led Education, Markesia R. Forward

Walden Dissertations and Doctoral Studies

No abstract provided.

Getting To The Heart Of The Problem: Blood Pressure Management Through Medication Adherence, Mallory G. Livengood

Evidence-Based Practice Project Reports

Clinical hypertension affects one in four adults globally, making it the most common chronic condition. Despite its widespread impact, hypertension can be prevented, as it represents the most modifiable risk factor in preventing cardiovascular disease. The primary purpose of this evidence-based project was to determine whether a one-month follow-up with a healthcare provider improved medication adherence through enhanced hypertension management. Twelve eligible participants were selected from a primary clinic located in Northwest Indiana, based on their newly initiated anti-hypertensive medications or who required a medication adjustment due to poor hypertension management. Each participant’s preferred method of communication was noted, and …

Breastfeeding Promotion For Infants With Neonatal Abstinence Syndrome (Nas), Olivia Czerwonka

Evidence-Based Practice Project Reports

Neonatal abstinence syndrome (NAS) is the exposure in utero to drugs with the incidence in the United States increasing from 4 to 6.3 per 1000 births (Wei et al., 2023). The purpose of this quality improvement project was to implement a breastfeeding support intervention to increase breastfeeding frequency and reduce hospital length of stay of newborns with NAS. A tailored multicomponent guideline based upon the current Ten Steps to Successful Breastfeeding as established by WHO and UNICEF (2017) was implemented. Mothers of infants diagnosed with NAS were recruited using convenience sampling from a Northwest Indiana Hospital. Key stakeholders within the …

Incorporating The Use Of Puppets And Puppetry-Based Approaches In Nutrition: A Scoping Review Of Interventions, Basil H. Aboul-Enein, Nada Benajiba, Majd Jan, Sarah Ali Alasmari, Patricia J. Kelly, Stephen F. Gambescia, Elizabeth Dodge

College of Nursing Faculty Papers & Presentations

Puppetry-based activities could serve as a low cost and manageable intervention in improving health-related outcomes. This review aims to identify the research to date and gaps in practice of the role and application of puppetry interventions in nutrition education. A scoping review was conducted using the PICOS framework and PRISMA-ScR guidelines, identifying studies across eight databases between January, 1980 and July, 2025.Twenty-five studies were identified, with the majority (n = 19) aimed at pre-school and school-aged children. Fifteen studies used quasi-experimental, pre-post designs. The use of hand and finger puppets was common, as well as videos and puppet theatre. …

Two-Year Retrospective Evaluation Of Frailty To Optimize Postoperative Spinal Fusion Outcomes In Adults Aged 65 And Older, Sheri Loo

Doctoral Projects

Many older adults over the age of 65 have both spinal stenosis requiring spinal fusion surgery and frailty. As life expectancy has increased, many older individuals will undergo elective spinal fusion surgery to decrease their chronic pain in pursuit of improved quality of life. There is currently an underutilization of frailty screening for risk stratification of postoperative complications. A retrospective chart review over a two-year period from July 2023 to June 2025of adults aged 65 and older who underwent posterior spinal fusion surgery, involving 126 participants, was completed. We assessed the correlation between frailty and postoperative outcomes, discharge disposition, and …

Evaluating The Impact Of A Standardized Intimate Partner Violence Screening Tool In A Clinical Setting, Dylan Bogucki

Evidence-Based Practice Project Reports

Intimate partner violence (IPV) is defined as any act of violence, including physical, sexual, stalking, or psychological aggression by an intimate partner, former or current. Despite being preventable, IPV remains a leading nonobstetric cause of morbidity and mortality among women, which highlights the need for systematic screening in clinical settings. The purpose of this quality improvement project is to identify women who have previously experienced or are currently experiencing IPV and to connect them with appropriate resources. Twenty-one studies were identified, all demonstrating moderate to high methodological quality and supporting the need for routine IPV screening in women’s health settings. …

Improving Psychopharmacologic Continuity Of Care In Home Health Psychiatric Patients Using The Ideal Protocol, Serah Angela Guilbe

Walden Dissertations and Doctoral Studies

No abstract provided.