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Emergency Room Utilization Of Participants With Mental Health Conditions Enrolled In Health Home Services, Amanda Duff Jan 2016

Emergency Room Utilization Of Participants With Mental Health Conditions Enrolled In Health Home Services, Amanda Duff

Walden Dissertations and Doctoral Studies

Large numbers of individuals utilize the ER each year for mental health reasons. The health home agency in this study was designed under the Affordable Care Act with the intention of increasing patient self-management thus decreasing high-cost service utilization. The effectiveness of health homes in reducing mental health-related ER visits has remained unexplored. In this study, the relationship between participation in this program and ER utilization was examined, using the theoretical framework of the Health Belief Model. The sample of 128 health home participants with documented mental health conditions was selected using systematic random sampling. A one-way, repeated-measures t-test and …

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The Development And Content Validation Of An Adult Obesity Educational Program, Abel Okuma Jan 2016

The Development And Content Validation Of An Adult Obesity Educational Program, Abel Okuma

Walden Dissertations and Doctoral Studies

Overweight and obesity in patients with intellectual and developmental disabilities (IDD) are at epidemic levels in the United States. The problem identified for this DNP project is the incidence of overweight and obesity in IDD. The framework used involved the quality model for improvement. For this DNP project a new program called the Daily-Enhanced Physical Activities Program (DEPA) was developed to promote weight loss, reduce sedentary activities, and optimal body mass index (BMI) for IDD patients. Local experts consisting of two registered nurses, two physical therapists, and one direct support personnel working with IDD patients were recruited. Each expert reviewed …

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A Curriculum On Culturally Competent Practices To Prevent Retraumatization In Diverse Survivors, Luana Rodriguez Jan 2016

A Curriculum On Culturally Competent Practices To Prevent Retraumatization In Diverse Survivors, Luana Rodriguez

Walden Dissertations and Doctoral Studies

This DNP project addresses the healthcare issue of intimate partner, domestic, and sexual violence (IPDSV), its impact on survivors, and reducing the potential for retraumatization by those who care for them in the clinical, behavioral, and social settings. Trauma-informed care interventions are designed to address the sequelae of trauma, promote recovery, and support resilience. Since IPDSV is a global health issue, supporting cultural needs of all clients is an essential aspect of trauma-informed care. This project was guided by a central research question that examined if trauma-informed, culturally competent curriculum be viewed by community stakeholders as an appropriate intervention for …

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Fostering An Environment Of Magnet Recognition By Using Internet Technology, Shyneka Montgomery Jan 2016

Fostering An Environment Of Magnet Recognition By Using Internet Technology, Shyneka Montgomery

Walden Dissertations and Doctoral Studies

Magnet Recognition, a nurse-driven certification, is an acknowledgement of nursing excellence within a hospital. Magnetic Recognition supports the highest quality of patient outcomes and is the standard for nursing care and professionalism in nursing practice. The site for this project has engaged in the process of seeking Magnet Recognition but lacked a method of communicating their progress to staff, prompting the need for the institutional intranet Magnet webpage. Guided by Roger's diffusion of innovation theory and Lewin's change management model, the purpose of this quality improvement project was to develop an evaluation plan for this webpage on the institutional intranet. …

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Labor Relations At A Major Airline: Exploring Employee Performance Strategies, Christian Popp Jan 2016

Labor Relations At A Major Airline: Exploring Employee Performance Strategies, Christian Popp

Walden Dissertations and Doctoral Studies

Globally, the aviation industry supports 58.1 million jobs in related industries and U.S. airlines alone generated 11.8 million jobs. Airline performance, productivity, and profitability depend on employees. The purpose of this single case study was to explore the strategies that U.S. airline leaders use to improve employee performance. The study was grounded with the Harvard model of human resource management. A stratified purposeful sample of 14 managers and 10 frontline staff from a Florida airline participated in semistructured individual interviews and a focus group, respectively. The data from these interviews were analyzed using Moustakas's modified van Kaam method. The themes …

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The Relationship Between Community College Academic Advising And Time To Degree Completion, Brenda Wepfer Pongracz Jan 2016

The Relationship Between Community College Academic Advising And Time To Degree Completion, Brenda Wepfer Pongracz

Walden Dissertations and Doctoral Studies

Increasing student on-time completion is a challenge for many higher education institutions. In the community college chosen for this study, only 5.2% of its first-time-in-college, full-time students graduated within 3 years with a 2-year degree. The purpose of this study was to explore the relationship between participation in the college's academic advising program and students' time-to-degree completion, based on the pre- and post-entry attributes outlined in Tinto's institutional departure theory. A non-experimental, correlational, quantitative research method with multiple regression analysis was applied, using a convenience sample of 190 graduating students from the institution's 2011 Integrated Postsecondary Education Data System (IPEDS) …

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The Dimensions Of Customer Satisfaction In The Jamaican Financial Service Industry, Dr. Lydia Smith Jan 2016

The Dimensions Of Customer Satisfaction In The Jamaican Financial Service Industry, Dr. Lydia Smith

Walden Dissertations and Doctoral Studies

Bank leaders spend an average of $727 to acquire a new customer and $287 to retain current customers. Grounded in customer relationship management and adaptation level theories, the purpose of this correlational study was to examine the relationship between service quality and customers' intention to switch banking service. An online survey was administered to 203 Jamaican banking customers. The target population was selected to identify if the Jamaican banks' customer service adhered to the customer satisfaction principles developed by Parasuraman. The independent variables were the 10 dimensions of service quality. Competence, courtesy, credibility, and access were removed because of multicollinearity …

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African American Women Stem Majors' Lived Experiences In Community College, Loretta D. Westry Jan 2016

African American Women Stem Majors' Lived Experiences In Community College, Loretta D. Westry

Walden Dissertations and Doctoral Studies

The United States economy has an accelerating demand for science, technology, engineering, and mathematics (STEM)-related degrees and programs that makes it essential for members of minority populations to achieve degrees in these fields. African American women are underrepresented in STEM fields, suggesting a need to better understand their development and needs while attending community college. This hermeneutical, phenomenological research study investigated the lived experiences and perspectives of African American women enrolled in STEM majors at community colleges. The conceptual framework used to interpret data for this study was derived from Maslow, Erikson, and Rogers's humanist theories of social learning, and …

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Drinking Water And Autism: Using Spatial Cluster Detection To Explore Patterns Of Autism Cases In Lane County, Oregon, Sherry Sandreth Jan 2016

Drinking Water And Autism: Using Spatial Cluster Detection To Explore Patterns Of Autism Cases In Lane County, Oregon, Sherry Sandreth

Walden Dissertations and Doctoral Studies

Autism Spectrum Disorders (ASD) are a complex array of neurological disorders with a diverse presentation, multiple etiologies, and long-term ramifications. Prevalence of ASD in the United States is about 1 in 50 children as of 2013, making it a significant public health problem. The etiology is not understood, and it is widely accepted that it is multicausal, with genetic and environmental influences. Prior research suggests an association between water source and ASD. Contaminants such as lead, arsenic, mercury, pharmaceuticals and pesticides found in water are associated with developmental disorders suggesting that a systematic review focused on water source was warranted. …

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Exploring Leadership In A Multicultural School, Sonia Amarisse Matthew Jan 2016

Exploring Leadership In A Multicultural School, Sonia Amarisse Matthew

Walden Dissertations and Doctoral Studies

The educational problem addressed in this study was the lack of empirical research of the effects of how principal leadership characteristics and style influence the culture of multicultural schools. This qualitative case study identified and explored the leadership strategies used by a reputedly successful principal of a multicultural school. A successful principal was the case being studied. The conceptual framework was anchored in Burns' transformational leadership theory. Three research questions focused on the principal's leadership characteristics, the participants' perceptions of how the principal applied the leadership style, and the influence of the principal's leadership style on school culture. A principal, …

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The Relationship Between The Apex Program For Instruction And High School Student Academic Success, David Gordon Krosner Jan 2016

The Relationship Between The Apex Program For Instruction And High School Student Academic Success, David Gordon Krosner

Walden Dissertations and Doctoral Studies

An alternative high school campus in the State of Georgia introduced a new program to support academic growth and engagement among at-risk students. This program, the APEX program, merges technology with content to provide students with self-paced learning facilitated by teachers with the objective of improving test scores, course completion, and graduation. The purpose of this goals-based evaluation was to examine the relationship between APEX program usage and the academic success measures of EOCT scores, course credit accrual, and graduation; it was grounded in the behavior objectives approach. The study followed a cohort of students who were enrolled in Grade …

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High School Seniors' Knowledge About College And The Acquisition Of College-Readiness Skills, Karen Franklin Mcsherry Jan 2016

High School Seniors' Knowledge About College And The Acquisition Of College-Readiness Skills, Karen Franklin Mcsherry

Walden Dissertations and Doctoral Studies

Lack of college readiness, which affects persistence in college, is a problem for many students at a high school in New Jersey. Only 1 in 5 students in this school persist from first to second year in New Jersey public colleges and universities, and as many as 50% do not graduate in 4 years. This problem is important to study because low persistence may engender personal failure, familial debt, social stigma, and wasted public funds. Guided by Bandura's social learning theory, this qualitative case study addressed the lack of college readiness by exploring what high school students know about going …

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Board Member Perceptions Of Small Nonprofit Organization Effectiveness, Laura L. Maurer Jan 2016

Board Member Perceptions Of Small Nonprofit Organization Effectiveness, Laura L. Maurer

Journal of Social, Behavioral, and Health Sciences

In contemporary American society, the nonprofit board is accountable for ensuring that an organization has sufficient resources to carry out its mission. Filling the gap between demands for services and the resources to meet them is often a struggle for small nonprofit organizations, a problem of nonprofit organization effectiveness. I conducted a hermeneutic phenomenological study that examined how board members of small local nonprofits in the focal community perceived nonprofit organization effectiveness. A review of the literature revealed that nonprofit organization effectiveness involved the action of contributing to the organization and the motivation behind the action, both of which were …

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Why Culture Matters In Business Research, Gene E. Fusch Ph.D., Christina J. Fusch, Janet M. Booker Dr., Patricia I. Fusch Ph.D. Jan 2016

Why Culture Matters In Business Research, Gene E. Fusch Ph.D., Christina J. Fusch, Janet M. Booker Dr., Patricia I. Fusch Ph.D.

Journal of Sustainable Social Impact

Organizations today are changing rapidly due to technology, globalization, and cutting-edge production, subsequently morphing into new structures and workflow processes. Organizations are becoming more diverse in terms of gender, age, race, ethnicity, and sexual orientation. The business workplace is not the melting pot that many were taught about, but that of the ethnic salad, blended yet distinct. The core of organizational composition worldwide still remains within the human resource realm for a shared and cohesive culture is behind the success of every company. The study of workplace culture is important for business research to ascertain the construct of the successful …

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Life, Liberty, And The Pursuit Of Happiness: Measuring What Matters, Laura Musikanski, Carl Polley Jan 2016

Life, Liberty, And The Pursuit Of Happiness: Measuring What Matters, Laura Musikanski, Carl Polley

Journal of Sustainable Social Impact

This essay focuses on ways in which the governments of Bhutan and the United Kingdom are measuring subjective well-being as well as on how other governments including Norway, Spain, China, Canada, and New Zealand, are exploring the development of subjective well-being indicators. It concludes with recommended actions to aid in the formation of a consistent and comparable subjective well-being indicator for use by governments globally. The third in a series for which the purpose is to provide information to grassroots activists to foster the happiness movement for a new economic paradigm, this essay builds on the previous essays, Happiness in …

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Airline Pilots In Recovery From Alcoholism: A Quantitative Study Of Cognitive Change, Heather Christina Hamilton Jan 2016

Airline Pilots In Recovery From Alcoholism: A Quantitative Study Of Cognitive Change, Heather Christina Hamilton

Walden Dissertations and Doctoral Studies

In order to perform their duties, airline pilots must have no clinical diagnosis of mental illness or any substance use disorder. However, provisions have been in place since the 1970s that provide for a return to work for airline pilots with alcohol problems. To date, over 5,000 airline pilots have undergone rehabilitation for Alcohol Use Disorder (AUD) and successfully returned to work. An important gap in the literature remains with regard to what extent improvements in cognitive performance may be experienced by airline pilots who complete treatment and to what extent age influences the amount of change. This study examined …

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Supervisory Working Alliance And Job Satisfaction In Community Mental Health Settings, Jennifer Weigelt Jan 2016

Supervisory Working Alliance And Job Satisfaction In Community Mental Health Settings, Jennifer Weigelt

Walden Dissertations and Doctoral Studies

Researchers have written extensively on many facets of supervision in the counseling profession, including the supervisee benefits associated with a strong supervisory working alliance. While the majority of studies have focused on the working alliance in academic settings with student trainees, there has been a lack of research exploring the role of the supervisory working alliance in workplace settings, where supervision can be different from supervision offered in a university clinic or counseling center. Employee job dissatisfaction has been a problem identified within the mental health workforce. Researchers have identified effective supervision as a mediating factor. The purpose of this …

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The Effect Of Personal Beliefs And Perceptions On Influenza Vaccination Uptake Among Older Adults, Rani Sujatha Athota Jan 2016

The Effect Of Personal Beliefs And Perceptions On Influenza Vaccination Uptake Among Older Adults, Rani Sujatha Athota

Walden Dissertations and Doctoral Studies

Despite a 90% fatality rate and high risk of complications from influenza infection, vaccination coverage remains lower among African American (AA) and Hispanic American (HA) older adults. Health care professionals, families, and older adults are concerned with improving vaccination uptake. The purpose of this study was to examine differences among older adult AA and HA compared to European Americans (EA) on how their personal beliefs and perceptions affect vaccination uptake. The health belief model guided this study. The study research design was a quantitative cross-sectional analysis of the 2009 National H1N1 Flu Survey. Weighed prevalence of vaccine uptake indicated all …

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Effect Of Healthy Food Demonstration On Minority Women's Dietary Habits In San Antonio, Texas, Staria Hudson Black Jan 2016

Effect Of Healthy Food Demonstration On Minority Women's Dietary Habits In San Antonio, Texas, Staria Hudson Black

Walden Dissertations and Doctoral Studies

Obesity has become a global epidemic. Healthcare cost continues to increase due to co-morbidities such as diabetes, hypertension, and coronary artery disease associated with obesity. The purpose of this project was to examine whether teaching nutritious food choices to obese African American and Hispanic females in healthy cooking demonstrations would have an effect on their dietary behavior. The holistic self-care model was used to develop healthy strategies for weight loss. The model guided the development of nutritional support, exercise, and spiritual strategies for weight reduction. African American and Hispanic females between the ages of 25 to 64 were solicited from …

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Return To Full Duty Work: Determining The Ideal Time To Refer Occupationally Isolated Acute Low Back Pain Patients To Physical Therapy, Aletha Mae Stephenson Jan 2016

Return To Full Duty Work: Determining The Ideal Time To Refer Occupationally Isolated Acute Low Back Pain Patients To Physical Therapy, Aletha Mae Stephenson

Walden Dissertations and Doctoral Studies

Employees who develop and report nontraumatic acute low back pain that occurs while performing work duties, or shortly thereafter, are classified as having occupational isolated acute low back pain (OIALBP). The purpose of this project was to identify and implement an evidence- based time frame to refer occupational isolated acute low back pain patients (OIALBPPs) to physical therapy (PT) that returns them to full duty work (FDW) more quickly. The diffusion of innovation theory aided the project leader and health care providers to develop strategies to overcome barriers in implementing the project's results into the practice. A total of 932 …

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A Study Of Followers Under Transformational Leadership, Song X. Zhang Jan 2016

A Study Of Followers Under Transformational Leadership, Song X. Zhang

Walden Dissertations and Doctoral Studies

A gap exists in scholarship on how transformational leadership inspires healthcare workers in the eastern United States, which is important as healthcare costs are approximately 20% of the United States gross domestic product and rising. Improved healthcare performance may contribute to cost containment or even cost reductions. The purpose of this phenomenological study was to explore and describe the lived experiences of employees working for a transformational leader in a healthcare facility in the eastern United States. The conceptual framework was Bass's transformational leadership theory and von Bertalanffy's general systems theory. The overreaching research question asked how transformational leadership affected …

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Exploring The Role Of Bookkeeping In Business Success, Mary-Jo Zimmerman Jan 2016

Exploring The Role Of Bookkeeping In Business Success, Mary-Jo Zimmerman

Walden Dissertations and Doctoral Studies

Small businesses support local economies by creating jobs and providing products and services, yet 50% of them fail within 5 years and only 30% of them survive for 10 years or more. The purpose of this qualitative explanatory case study was to explore how bookkeeping strategies helped 1 small business owner to sustain business growth over time. The sample was comprised of 1 small business owner who has been in business at least 5 years, experienced success, and achieved sustainability in Wake County, North Carolina. Systems theory served as the conceptual framework for this study. The data were collected through …

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The Relationship Between Nutrient Intake And Social Emotional Functioning In Preschool Children, Tracy L. Daniel Jan 2016

The Relationship Between Nutrient Intake And Social Emotional Functioning In Preschool Children, Tracy L. Daniel

Walden Dissertations and Doctoral Studies

Mental health disorders are rising in children and being referred to as an epidemic. Numerous studies have shown micronutrient deficiencies and poor diet quality are suspected of playing a contributory role in the escalation of certain disorders. However, there is no research in young children focusing specifically on social emotional disorders and possible links to nutrition. Conventional treatment for social emotional disorders in children typically involves medication. Parents are increasingly turning to complementary and alternative medicine to treat their children with a method that is individualized and holistic. The biopsychosocial model provided the theoretical framework for this correlational study that …

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Effects Of Early Childhood Education On Kindergarten Readiness Scores, Janis Monrose Modeste Jan 2016

Effects Of Early Childhood Education On Kindergarten Readiness Scores, Janis Monrose Modeste

Walden Dissertations and Doctoral Studies

The purpose of this correlational study, which took place in a Central Florida school district, was to investigate the relationship between the quality of the early childhood education (ECE) programs and students' kindergarten readiness scores. Vygotsky's sociocultural theory, which states that a child's environment, culture, and language are related to academic and social development, was the theoretical framework for this study. Many ECE centers have been rated using the Early Childhood Environment Rating Scale (ECERS). Additionally, some children in those centers have been rated for kindergarten readiness using the Florida Kindergarten Readiness Screener (FLKRS) developed by the Florida Department of …

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Exploring Bank Managers' Strategies For Developing Millennials For Leadership Roles In Commercial Banks, Kenneth Morton Jan 2016

Exploring Bank Managers' Strategies For Developing Millennials For Leadership Roles In Commercial Banks, Kenneth Morton

Walden Dissertations and Doctoral Studies

Understanding strategies to prepare Millennials for leadership roles in commercial banks is critical to ensure organizational stability and success and to avoid knowledge gaps and leadership deficiencies created by large numbers of retiring Baby Boomers. Guided by learning network theory and generational theory, the purpose of this multiple case study was to explore the strategies that 3 bank managers in North Carolina and South Carolina used to prepare Millennials for leadership. These 3 bank managers had a minimum of 2 years of experience leading teams of employees which included Millennials. The study included semistructured interviews to elicit detailed narratives from …

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The Leadership Experiences Of Immigrant Nigerian Women In New York City, Osinachi Muoka Jan 2016

The Leadership Experiences Of Immigrant Nigerian Women In New York City, Osinachi Muoka

Walden Dissertations and Doctoral Studies

Nigerian women face numerous cultural difficulties in their quest to attain leadership positions in Nigeria, a developing country. They are often overlooked in favor of men due to politics, religious beliefs, education, and bias in gender roles. When Nigerian women emigrate to a new country, the challenges are even greater. Although several United States policies impact the ability of a female immigrant to attain a leadership position 'the Equal Pay Act, Affirmative Action, and the Equal Employment Opportunity Act' little research has examined the challenges that affect their quest to attain leadership positions in the United States. This study explored …

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Perspectives Of Young Adults Toward Tobacco Use, Caroline Oluwatosin Omoalako-Adesanya Jan 2016

Perspectives Of Young Adults Toward Tobacco Use, Caroline Oluwatosin Omoalako-Adesanya

Walden Dissertations and Doctoral Studies

Conditions related to tobacco use constitute the single most preventable cause of death in the United States. Approximately 443,000 U.S. adults die each year from smoking-related illnesses. During young adulthood, social and behavioral changes occur; experimentation with tobacco products such as cigarettes is common and may lead to a habit of smoking. A gap was identified in the literature on the perceived impact of family communication on young adults' decisions regarding smoking. The purpose of this descriptive phenomenological study was to address this gap by gathering information on the perspectives of young adults toward tobacco use. Fifteen young adults aged …

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Teacher Perception Of Technology As A Conduit To Acquiring Critical Thinking Skills, Wanda Pearl Patrick Jan 2016

Teacher Perception Of Technology As A Conduit To Acquiring Critical Thinking Skills, Wanda Pearl Patrick

Walden Dissertations and Doctoral Studies

Seventh-grade and eighth-grade special education students struggle to learn higher-order thinking skills in pre-algebra and algebra that can be addressed by using technology. However, little is known about science, technology, engineering, and math (STEM) teachers' attitudes toward use of and their actual use of calculators and technology to access students' development of higher-order thinking skills. The purpose of this qualitative case study was to explore the perceptions of rural middle school Grade 7 and 8 STEM teachers in one Western state. This study used Gardner's multiple intelligences and Armstrong's neurodiversity theories as a framework. Participants were 10 Grade 7 and …

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Tacit Knowledge Capture And The Brain-Drain At Electrical Utilities, Nicholas Steven Perjanik Jan 2016

Tacit Knowledge Capture And The Brain-Drain At Electrical Utilities, Nicholas Steven Perjanik

Walden Dissertations and Doctoral Studies

As a consequence of an aging workforce, electric utilities are at risk of losing their most experienced and knowledgeable electrical engineers. In this research, the problem was a lack of understanding of what electric utilities were doing to capture the tacit knowledge or know-how of these engineers. The purpose of this qualitative research study was to explore the tacit knowledge capture strategies currently used in the industry by conducting a case study of 7 U.S. electrical utilities that have demonstrated an industry commitment to improving operational standards. The research question addressed the implemented strategies to capture the tacit knowledge of …

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Preceptor Progam For New Graduate Nurses, Althea Louise Webster Jan 2016

Preceptor Progam For New Graduate Nurses, Althea Louise Webster

Walden Dissertations and Doctoral Studies

The transition from student to new graduate nurse is a difficult conversion. The challenges of the new graduate are the demanding workload, lack of clinical skills, and incivility from staff nurses and unfamiliar institutional cultures. More than 40% of new graduate nurses report making medication errors and feel unprepared to recognize and intervene in life-threatening complications that keep the patient safe from harm. Preceptorship is a clinical instructive model in which a professional relationship provides new graduate nurses with access to a clinical expert and role model within a preset time frame. The goal of the program was to evaluate …

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