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Transforming Nursing Clinical Education: The Power Of Environment, Student Motivation, And Clinical Instructors, Lia Mulyati, Nur Wulan, Abdal Rohim

Jurnal Keperawatan Indonesia

Clinical learning is an important component in the formation of nursing students’ professional competence. The clinical environment, student motivation, and the role of clinical instructors are factors that influence the achievement of learning outcomes in nursing clinical practice. However, the relationship between these factors is still not fully understood. This study aims to examine the relationship between the clinical environment, student motivation, and the role of clinical instructors, and to determine how these three factors contribute to learning outcomes in nursing clinical practice. A quantitative design with a cross-sectional survey approach was used. The sample consisted of 117 nursing students, …

The Predictive Ability Of Child Characteristics And Parenting Factors On Four Developmental Domains In Toddlers, Melly Latifah, Dwi Hastuti, Neti Hernawati, Reisi Nurdiani, Raihan Ainun Hasanah

Jurnal Keperawatan Indonesia

Stunting is a chronic condition that has a significant impact on child development. This phenomenon is primarily caused by prolonged nutritional deficiency, especially during the first 1,000 days of life. In addition, as family factors also play a crucial role in children’s development, this study aims to analyze the influence of child and family characteristics, mother–child attachment, parenting practices, and the nutritional status of children (stunted/non-stunted) on children’s gross motor, fine motor, language, and personal–social skills. This study used a quantitative design with an explanatory approach involving 202 mother–child pairs with children aged 12–36 months. The findings show that healthcare …

Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi

Walden Dissertations and Doctoral Studies

Despite rising evidence supporting the efficacy of mobile health (mHealth) applications to enhance medication adherence among individuals with mental health conditions, there is little utilization of these applications within mental health facilities. This project aimed to address the issue of implementing an interactive education program to enhance the knowledge of mental health staff and skills in the application of mHealth apps to enhance medication adherence. The main objective of this project was to fill the gap between conducting research and implementing its outcomes by providing staff with the knowledge and skills to incorporate mHealth applications into their daily practice. The …

A Systematic Review Of Implementing Iot Healthcare Systems: Technological, Organizational, And Ethical Barriers In Rural Settings, Mudzramer A. Hayudini, Angela Joy A. Jimpoy, Jonel T. Alibasa, Aisha A. Carolino, Jenden M. Julkamri, Nagdir B. Muhadja, Al Rajab H. Aming, Hamdoni K. Pangandaman, John Ed Augustus A. Escorial

Jurnal Keperawatan Indonesia

The implementation of Internet of Things (IoT) technologies holds transformative potential for healthcare delivery in rural and underserved regions. This systematic review focuses on technological, organizational, and ethical barriers. A comprehensive literature search across six major academic databases yielded eleven empirical studies published between 2015 and 2025. The review adhered to PRISMA protocols, with data synthesized using the Synthesis Without Meta- Analysis (SWiM) guidelines. Findings revealed that technological challenges—such as unreliable internet connectivity, lack of device interoperability, and power supply issues—are widespread across rural implementations. Organizational limitations included inadequate training, resistance to workflow changes, and financial constraints. Ethical concerns primarily …

Factors Affecting Older Adult Adjustment At A Health Promoting Hospital In Nakhon Phanom, Thailand, Onuma Kaewkerd, Yuttachai Chaiyasit, Phensiri Dumrongpakapakorn, Nuttiya Prommasaka Na Sakonnakhon

Jurnal Keperawatan Indonesia

Elderly adjustment influences quality of life and well-being and informs appropriate health promotion, holistic care, and health services. This study aimed to investigate the factors influencing the adaptation of older adults by focusing on a study conducted at Dong Kwang Health Promoting Hospital in Nakhon Phanom Province, Thailand. A cross-sectional design was used for the study. The sample consisted of 100 older adults and were selected for data collection from March 22, 2023, to April 20, 2023. The research instruments consisted of questionnaires assessing personal information, spiritual well-being, stress, perceived self-care abilities of older adults, quality of life, and older …

Association Of Central Obesity And Hypertension In An Urban Area, Chandrayani Simanjorang, Diva Anita Churiana Sudrajat, Ulya Qoulan Karima

Jurnal Keperawatan Indonesia

Hypertension is one of the non-communicable diseases in Indonesia that is closely related to obesity. Therefore, this study aimed to determine the association between central obesity and hypertension in a cohort study group in Bogor City, West Java from 2011 to 2021. A retrospective cohort study design was employed, with multivariate Cox regression analysis performed using secondary data from the Risk Factors for Non-Communicable Diseases (FRPTM) Cohort Study. Among 3,586 samples, 879 incident cases of hypertension were observed by the end of follow-up, accounting for 24.5% of the at-risk population. The incidence rate of hypertension was 28 cases per 1000 …

Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton

Walden Dissertations and Doctoral Studies

Pain is one of the most common reasons that patients seek medical care, and chronic pain is a major health problem. The goal of this project was to address a lack of current, evidence-based knowledge of nurses regarding pain reassessment. The context for this project was a medical-surgical area in a rural hospital. The Doctor of Nursing Practice project attempted to answer the practice focus question on whether education improved knowledge related to improving pain reassessment. The project framework utilized in the doctoral project was the analysis, design, development, implementation, and evaluation model. An education program was designed with the …

Ventilator Weaning Through Spontaneous Breathing Trials In Children With Tetralogy Of Fallot In The Picu: A Case Report, Megah Fitrian, Kadek Ayu Erika, Muhammad Yunus

Jurnal Keperawatan Indonesia

Tetralogy of Fallot (TOF) is a congenital heart defect that causes chronic low oxygen levels, increased right ventricular workload, and a higher risk of complications. Weaning mechanical ventilation in patients with TOF is particularly challenging due to right ventricular dysfunction, muscle weakness, and the risk of heart failure. This study evaluates the use of a spontaneous breathing trial (SBT) strategy with pressure support ventilation (PSV) mode for mechanical ventilation weaning in pediatric patients with TOF. An observational study was conducted on a six-year-old pediatric patient with TOF and a cerebral abscess who underwent mechanical ventilation weaning using the SBT technique …

The Role Of Health Workers In Interprofessional Collaboration For Cancer Patient Navigators: A Scoping Review, Agung Subakti Nuzulullail, Aulia Diah Rahayu, Rury Nindya Taluphyta, Ika Arif Lidiyana, Mohamad Rusdiyansyah, Petrus Paris Rumsori, Riyati Riyati, Suci Wahyu Hariyanto, Wa Ode Umi Kalsum, Sri Hartini

Jurnal Keperawatan Indonesia

Cancer remains a leading cause of death worldwide. The complexity of cancer care demands strong interprofessional collaboration (IPC), particularly within cancer patient navigator (CPN) programmes. However, research examining IPC in the context of CPN implementation is still limited. This scoping review aims to explore the various roles of healthcare workers in the IPC process within cancer navigator programme interventions. The review was conducted using four databases: PubMed, Clinical Key, EBSCOhost, and ScienceDirect. The Arksey and O'Malley framework was used to address the research question: “What is the role of health workers in interprofessional collaboration within cancer patient navigation?” Study selection …

Prevalence Of Fall Among Elderly In Rural Sabah And Its Associated Factors, Khalid Mokti, Mohd. Yusof Ibrahim, Syed Sharizman Abd Rahim, Mohammad Saffree Jeffree, Mazlinda Musa, Mohd. Rohaizat Hassan, Yugo Shobugawa, Muhammad Aklil Abd Rahim, Ahmad Faizal Roslan, Mervynn Koon Kar-Wai

Jurnal Keperawatan Indonesia

Falls are a leading cause of injury among older adults, often resulting in significant physical, psychological, and social consequences. This study aims to determine the factors that contribute significantly to fall risks among the older adults in rural Sabah. A cross-sectional community study was conducted in the Kudat Division, Sabah, Malaysia from January to June 2021. Using multistage random sampling, 700 adults aged ≥60 years were recruited, excluding those with severe disability, mental illness, or institutionalized. Data were collected through face-to-face interviews with a structured questionnaire adapted from the validated Japanese Gerontological Evaluation Study (JAGES) tool, and anthropometric measures were …

The Effectiveness Of Psychoeducation And Mind Mapping In Preventing Early Marriages In Central Java, Indonesia, Eviyati Aini Muriana, Mardiyono Mardiyono, Lanny Sunarjo, Melyana Nurul Widyawati

Jurnal Keperawatan Indonesia

During the COVID-19 pandemic, the number of early marriages increased. Early marriage causes biological and psychological problems in the mother and her baby. The combination of psychoeducation and mind mapping emerged as a preventive effort against early marriage. The aim of this study was to analyze the effectiveness of this combination in preventing early marriage in Central Java, Indonesia by influencing adolescents’ knowledge and intentions. This study was conducted using a convergent mixed-methods design. For the quantitative phase, the pre-test – post-test control group experimental design was used, while in the qualitative phase, a thematic analysis was performed using focus …

Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill

Walden Dissertations and Doctoral Studies

Health misinformation on social media is a global public health concern. Research has shown that health misinformation causes significant harm in communities, especially for vulnerable populations with existing health disparities. Nurses have been urged to play a more significant role in combating health misinformation. Existing research has shown that nurses are hesitant to correct health misinformation on social media, but attitudes among current nursing students have not been examined. The purpose of this qualitative descriptive study was to explore nursing students' attitudes about correcting health misinformation on social media. Guided by Ajzen’s theory of planned behavior and Paterson and Zderad’s …

Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson

Walden Dissertations and Doctoral Studies

This doctoral project was conducted at a family practice clinic to assess the impact of staff education on the clinic staff knowledge of the use of situation, background, assessment, recommendation (SBAR) as a communication tool. Miscommunication among healthcare staff is a practice problem at the clinic caused by unstructured sharing of information, which often results in delay in patient care, occurrence of medical errors, and decrease in patient safety, thus the need to address this problem. The purpose of the project was to use staff education on SBAR to increase the clinic staff knowledge on the use of SBAR as …

Falls In Inpatient Hospital Settings, Merlina Constantine

Walden Dissertations and Doctoral Studies

Inpatient falls are a common and preventable problem that affects health care costs, patient safety, and clinical quality. Inpatient falls occur within hospitals, cause harm, extend hospitalization, and require additional healthcare funding. Falls harm a patient’s physical health and cause emotional trauma, decrease patient satisfaction, and undermine confidence in the hospital care systems. Falls are therefore a significant concern in the nursing practice environment because nurses form the first component of prevention, monitoring, and intervention. This doctoral project aimed to re-educate and reinforce staff understanding of clinical guidelines to prevent inpatient falls through evidence-based interventions targeting environmental, behavioral, and organizational …

Implementing An Acuity-Based Staffing Model To Improve Staffing Equity And Patient Safety In An Inpatient Mental Health Unit, Vivian Emuobe

Walden Dissertations and Doctoral Studies

Understaffing during the weekends has been related to issues in patient safety, delayed responses, and increased nurse fatigue and turnover in a majority of inpatient mental health units. This practice improvement Doctor of Nursing Practice (DNP) project aimed to address disparities in nurse staffing ratios between weekdays and weekends within inpatient mental health units. The purpose of the project was to design and test an evidence-based acuity-based staffing model, supported by structured staff education and compliance monitoring, to promote equitable workload distribution and improve patient and organizational outcomes. The guiding practice question asked: How does the implementation of an acuity-based …

Cervical Dilation Assessment Simulation For Development Of Student Nurse Competency, Ashley Romans

SACAD: Scholarly Activities

Assessment of cervical dilation is an important component in care for the pregnant and laboring patient. However, nursing students frequently encounter barriers to acquiring this assessment skill in the clinical setting. Through application of the ACE Star model, a simulation-based teaching trainer is utilized to promote achievement of student competence while respecting the limitations of the hospital clinical experience. Varied opportunities for purchasing or constructing these simulation tools allows for beneficial learning experiences at different price points, promoting the implementation of this important tool in the most appropriate method for an individual setting. Implementation of the cervical dilation simulator allows …

Adding Clinical Meaning To Hybrid Prelicensure Nursing Skills Education: Simulated Patients And Demo Medications To Reduce Modality-Based Learning Gaps, Amanda L. Rudman

SACAD: Scholarly Activities

Hybrid nursing students often practice psychomotor skills in home environments that lack an authentic clinical context. This may contribute to gaps in clinical reasoning and application when compared with students who practice in on-campus settings. This difference may limit students’ ability to connect their skills to patient care situations and safely apply their knowledge in practice. The purpose of this evidence-based curriculum project is to reduce these learning gaps by using diagnosis-based simulated patient scenarios, medication administration records (MARs), and specific intravenous (IV) medications in hybrid nursing skills education. This project follows the ACE Star Model of Knowledge Transformation, which …

Implementing A Student Standardized Patient Elective To Improve Communication And Confidence In Undergraduate Nursing Simulation, Katie J. Mcqueen

SACAD: Scholarly Activities

Abstract

Simulation plays an important role in preparing undergraduate nursing students for clinical practice by fostering communication skills and building confidence. Currently, simulation experiences often depend on faculty and staff to play the roles of patients or family members. Research shows that nursing students can be effectively trained to serve as standardized patients, creating opportunities for peer-supported learning and improving simulation experiences. This evidence-based practice proposal recommends the implementation of a 1-credit-hour Student Standardized Patient (SSP) elective in the undergraduate nursing curriculum for senior level nursing students. The elective would provide structured training in role portrayal, safety practices, and case …

Adn Transition Program; Curriculum Changes To Promote Non-Traditional Student Retention, Sayde K. Fitzgerald

SACAD: Scholarly Activities

ADN transition program; curriculum changes to promote non-traditional student retention

Sayde Fitzgerald, BSN RN

Department of Nursing, Fort Hays State University

NURS 868: Nursing Education: Curriculum Planning

Dr. Chrstine Hober

March 29, 2026

Abstract

Barton nursing instructors have recognized retention challenges among non-traditional students entering the ADN program, a situation further complicated by a nursing shortage and high attrition rates ranging from 10% to 30% (Sheikoleslami et al., 2025). These factors significantly impede workforce development. Non-traditional students encounter distinctive difficulties in adapting to the demanding curriculum, often facing a lack of support and the need to balance personal responsibilities (Mazzotta …

Early Sepsis-Recognition Simulation Training: An Evidence-Based Initiative, Blanca A. Zavala

SACAD: Scholarly Activities

Sepsis is a life-threatening condition that requires rapid recognition and intervention to prevent poor patient outcomes. Delays in identification remain a significant concern for patient safety, particularly among nurses and nursing students who may lack confidence and clinical judgment in early sepsis recognition (Marsack et al., 2022). This evidence-based practice project aimed to examine the existing evidence on sepsis education and evaluate the effectiveness of simulation-based learning in improving clinical judgment and sepsis recognition, with the goal of informing a potential sepsis training initiative for nursing students.

A literature review of six peer-reviewed studies (2022–2026) was conducted using the PubMed …

Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown

Walden Dissertations and Doctoral Studies

This is an educational intervention project targeted was developed to fill a knowledge gap in the treatment of hypertension in a rural primary care clinic. The project focused on enhancing staff education for Remote Blood Pressure Monitoring (RBPM) to enhance the desired patient outcomes regarding continuous monitoring and early interventional actions. The practice problem focuses on the lack of effective methods in managing hypertension that can facilitate the identification of hypertensive crisis and in rural areas. This project's primary research question is: "How can staff education on RBPM enhance knowledge and skills about hypertension management in rural clinics?" The project …

Shared Decision-Making For Patient Compliance, Lydia Vernon, Breanna Day

Scholars Week

This evidence-based project focuses on shared decision-making between the healthcare team and the patient. As well as how this implementation affects patient compliance. An issue of patient noncompliance was brought to attention, and this project will address how shared decision-making interventions can decrease patients’ feelings of overwhelmingness and underpreparedness, ultimately leading to better compliance after discharge. By focusing on these interventions, patient compliance increases, and as a result, patient outcomes benefit, and readmission rates decline.

The Standardization Of Protocols For Lines And Drips In Complex Cases, Allee A. Rudolph

Scholars Week

Medication errors occur far too often, yet many can be prevented through simple measures such as intravenous line labeling. Clear, highly visible labels enable quick identification reducing the response time in critical situations. The incorporation of color-coding and icons can only enhance the ability to distinguish between the lines with confidence.

Reducing Falls Through Innovative Assessment Scales, Emily Oliver, Alisa Helt

Scholars Week

Fall occurrences remain an important issue in hospital settings that contribute to longer hospital stays, higher healthcare costs, and increased health risks for patients. This evidence based practice project evaluates current research that addresses how to reduce the amount of falls that occur in hospitals, specifically through innovative fall risk assessments. Key findings from the studies include the use of the Activity Measure for Post-Acute Care (AM-PAC) and the Modified Dionne’s Egress Test as a means to evaluate patients mobility function, and therefore gain a better understanding of how at risk a patient is for falls.

Implementing Labor Plans To Increase Labor Satisfaction, Allyson G. Johnson, Emma G. Hancock, Kinley Edwards

Scholars Week

This scholarly presentation examines the implementation of a standardized birth plan tool within a healthcare facility to improve maternal birth satisfaction. The project focuses on enhancing patient-provider communication, supporting shared decision-making, and ensuring that patient preferences are clearly documented and respected throughout labor and delivery. Findings suggest that integrating a structured birth plan tool may increase maternal satisfaction and promote more patient-centered obstetric care.

Reducing 30-Day Readmissions: Simplifying Discharge, Olivia Hibbs

Scholars Week

Hospital readmissions within 30 days remain a major challenge for healthcare systems and are often linked to ineffective discharge communication and low patient health literacy. Improving discharge planning through simplified instructions, early education, and the teach-back method can help ensure patients understand their medications, follow-up care, and warning signs after leaving the hospital. Strengthening communication and care coordination during the transition from hospital to home may improve patient outcomes and reduce preventable readmissions.

Implementing A Health Literacy Assessment To Reduce Readmissions, Saiylor M. Beecham, Jewel Render, Bethany Pruitt

Scholars Week

This presentation examines the impact of limited health literacy on patient outcomes, highlighting its role in medication errors and hospital readmissions. Grounded in Dorothea Orem’s Self-Care Deficit Theory, it emphasizes the importance of implementing standardized, non-stigmatizing health literacy assessments to improve nurse-patient communication and patient understanding. Evidence-based strategies such as teach-back methods and plain language education are recommended to enhance patient safety and reduce preventable readmissions.

Utilizing Proactive Rounding With Nursing Leadership To Improve Patient Satisfaction Scores In An Adult Medical-Surgical Unit, Lily A. Bogyah

Student Scholarly Projects

Practice Problem: Patient satisfaction is a key quality indicator that reflects patients’ perceptions of care and the healthcare system’s performance. Patient satisfaction scores at the project site were significantly lower than the national benchmark, particularly on the adult medical-surgical unit.

PICOT: The PICOT question that guided this project was: In patients on an adult medical-surgical unit (P), how does the use of proactive patient rounding conducted by nurse leaders (I) versus current practices alone without such rounding (C) affect patient satisfaction scores over an eight-week period (T)?

Evidence: A literature review of multiple studies found that implementing daily nurse leader …

Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan

Walden Dissertations and Doctoral Studies

This doctoral project was conducted as a quality improvement organizational change initiative aimed at reducing social isolation among elderly hospice patients through structured social interventions. Social isolation is a significant psychosocial concern in hospice populations and is associated with increased emotional distress, depression, and decreased quality of life. Despite hospice care’s holistic philosophy, structured and standardized social engagement interventions are inconsistently implemented across settings, creating a gap in practice. The practice-focused question guiding this project was: In elderly hospice patients experiencing social isolation, how do structured social interventions (regular visits, group activities, and emotional support systems), compared to standard hospice …

Assessing Type 2 Diabetes Mellitus, Christine A. Mccaulay

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice capstone project presents the development and evaluation of a clinical practice guideline (CPG) for the assessment and management of Type 2 Diabetes Mellitus in adults. The project addresses the ongoing challenge of diabetes-related complications and hospitalizations, highlighting the critical role of personalized patient education and the integration of smartphone technology for home monitoring. Central to this initiative was the question of whether an expert panel would endorse an evidence-based guideline for diabetes monitoring using innovative technology, as evaluated by the AGREE II tool. A robust review of the literature supported the guideline’s development, with high-quality …