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Obesity Among Women In Rural Kenya: Knowledge, Beliefs, And Perceptions., Ann Mugo Jan 2016

Obesity Among Women In Rural Kenya: Knowledge, Beliefs, And Perceptions., Ann Mugo

Walden Dissertations and Doctoral Studies

Obesity or being overweight is a prevalent health concern around the world. Despite the growing problem in developing countries such as Kenya, there is scant literature available on obesity or being overweight among women in rural Kenya. This research study provides information necessary for bridging the gap in understanding the perceptions, beliefs, and knowledge of obesity among women in rural Kenya. This study used the social cognitive theory (SCT) framework to assist in understanding the impact of obesity or being overweight among women living in rural Kenya. Participants were women aged 20 to 45 recruited from a local church in …

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Expatriate Retention: A Challenging Goal For Global Corporations, Lydia Eileen Nicks Jan 2016

Expatriate Retention: A Challenging Goal For Global Corporations, Lydia Eileen Nicks

Walden Dissertations and Doctoral Studies

Towers Watson Media stated that multinational organizations will grow by 45% in 2014 increasing expatriate assignments; however, global organizations lose billions of dollars yearly financing expatriate assignments due to unsuccessful retention efforts during the repatriation process. Fifty percent of expatriates consider leaving the organization within the first year of returning to their home country. The aim of this single descriptive case study was to explore the retention strategies organizational leaders need to retain expatriates employees during repatriation. Two managers from the compensation benefits department of a multinational organization in Tennessee participated in the study. Career self-management theory framed the study. …

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Barriers To Breast Cancer Prevention And Screening Among African American Women, Abosede Francisca Obikunle Jan 2016

Barriers To Breast Cancer Prevention And Screening Among African American Women, Abosede Francisca Obikunle

Walden Dissertations and Doctoral Studies

Breast cancer is a serious illness that often has fatal consequences. Adherence to the recommendations for breast cancer surveillance is poorly practiced among African American women. The purpose of this phenomenological study was to seek individual professed barriers to breast cancer screening among African American women to better understand why breast cancer continues to be one of the principal basis of mortality among African American women. The theoretical framework for this study was the behavioral model of health services use. Purposeful selection was used to invite 14 African American women to participate in the in-depth interview process. Interview data were …

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Factors Associated With Primary And Secondary Sexual Transmission Of Hiv In Concurrent Relationships In Kenya, Daphne Parker Jan 2016

Factors Associated With Primary And Secondary Sexual Transmission Of Hiv In Concurrent Relationships In Kenya, Daphne Parker

Walden Dissertations and Doctoral Studies

This phenomenological study was designed to understand the lived experiences of a purposive sample of 9 participants from local villages in Nairobi, Kenya, who had sexual behaviors that contributed to higher HIV risk exposure. Past studies have provided information about the increased rates of HIV infection; however, little has been done to identify the solutions for minimizing the negative impact of HIV among concurrent partnerships. The study investigated the role of high risk cultural practices among participants in married and cohabitating unions. The conceptual framework of the study was gender and power theory, which addresses the complex sexual relationships between …

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Teachers' Practice Of Mathematical Reform Techniques In The Classroom, Mark Turner Jan 2016

Teachers' Practice Of Mathematical Reform Techniques In The Classroom, Mark Turner

Walden Dissertations and Doctoral Studies

In 1989, the National Council of Teachers of Mathematics advocated for a reform mathematics approach to mathematics education. Teachers in a large suburban school district in the southeastern United States are expected to use strategies that are consistent with reform mathematics. It is not known whether faculty members of a large elementary school in that district have adopted reform mathematics teaching strategies. Reform mathematics is an endeavor to move away from the traditional, direct instruction approach of the teacher as the sole provider of information toward the teacher as a facilitator of knowledge. Reform mathematics allows students to construct their …

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Improving Health Literacy With Clear Communication, Carol Barbara Wilson Jan 2016

Improving Health Literacy With Clear Communication, Carol Barbara Wilson

Walden Dissertations and Doctoral Studies

Health literacy is demonstrated when individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions. Veteran health literacy is believed to be lower than the general population due to the aging and culturally diverse population. Veterans require adequate health literacy to manage their diverse high acuity physical injuries, psychological conditions, and chronic diseases. Clear communication between the clinician and veteran patient is essential to provide high quality health services. The objective of this quality-improvement project was to evaluate the ability of nurses in the ambulatory environment to identify low health literacy patients and …

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Attitudes Of Males About Teaching Grades K-12 In A Public School District, Jonathan Matthew Bracewell Jan 2016

Attitudes Of Males About Teaching Grades K-12 In A Public School District, Jonathan Matthew Bracewell

Walden Dissertations and Doctoral Studies

According to the National Education Association, the number of teachers in the United States has decreased over the last 100 years and only 25% are currently male. Finding effective ways to increase the number of male teachers has remained challenging at the local level. This study compared the perceptions of male teachers and non-teachers regarding their motivation for entering their current professions and their perceptions of gender equivalence in the workplace. Popper's post positivism and Schutz's social constructivism were used as the theoretical frameworks. The study instrument was first piloted at a liberal arts university where a sample of 187 …

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Early Childhood Educator Experiences Building Relationships With Families In Military-Connected Schools, Yolanda Seabrooks Brown Jan 2016

Early Childhood Educator Experiences Building Relationships With Families In Military-Connected Schools, Yolanda Seabrooks Brown

Walden Dissertations and Doctoral Studies

Early childhood educators working to establish and maintain productive parent-teacher relationships are essential to the success of school-community partnerships in military- connected schools. The purpose of this study was to seek understanding of what early childhood educators had experienced while working with military families. Epstein's model of school, family, and community partnerships provided the conceptual framework for this study. The questions that guided this case study were designed to explore how early childhood educators established and maintained relationships with military families. Data collection consisted of semi-structured interviews with 8 early childhood educators in military-connected schools. Inductive data analysis was used …

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The Relationship Between Physical Fitness And School Performance In Middle School Girls, Jamie Anne Donnelly Jan 2016

The Relationship Between Physical Fitness And School Performance In Middle School Girls, Jamie Anne Donnelly

Walden Dissertations and Doctoral Studies

Past research has indicated a significant relationship between physical fitness and standardized test scores; however, the relationship between physical fitness and other aspects of school performance has yet to be empirically examined in a population specifically composed of middle school girls. This study examined several factors that contribute to school success, such as classroom behavior, attendance, and grades, in relation to physical fitness among a group of adolescent girls. It was specifically designed to examine the statistical relationship between physical fitness, as measured by the Fitnessgram, and quantitative data on school performance including grades, standardized test scores, school behavior, and …

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The Impact Of Social Determinants On Tuberculosis Incidence Trends In New Jersey, Thomas Larry Brown Jan 2016

The Impact Of Social Determinants On Tuberculosis Incidence Trends In New Jersey, Thomas Larry Brown

Walden Dissertations and Doctoral Studies

Social determinants have impacted disease states. The purpose of this study was to determine the influence of social determinants on the incidence of tuberculosis over a 20-year period for the state of New Jersey to determine interventions that can be developed for the state. The epidemiological triad (host-agent-environment) served as the theoretical foundation for this study. A quantitative series of cross sectional analyses were performed using secondary data from a New Jersey Department of Health database on population tuberculosis incidence for the state. Categorical data analyses were used to describe the data. According to study results, certain social determinants; such …

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Issues Affecting Sexual Decisions Among Black Women In The Era Of Hiv/Aids, Saecilia Jackson Jan 2016

Issues Affecting Sexual Decisions Among Black Women In The Era Of Hiv/Aids, Saecilia Jackson

Walden Dissertations and Doctoral Studies

HIV/AIDS became a significant concern in the United States (U.S.) during the 1980s and in recent years has increased the most among people living in underserved urban areas, particularly impacting Black women ages 24-35. Guided by the social learning theory, this phenomenological study explored the lived experiences and behaviors of Black women in the south in order to understand their sexual health decisions and how those decisions impact the spread of HIV/AIDS among this group. The central research question focused on understanding the sexual decision making of Black women in Georgia, from the perspective of the client and provider. Convenience …

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Teachers' Perceptions Of The Use Of Small-Group Tutorial, Karen Y. Johnson Jan 2016

Teachers' Perceptions Of The Use Of Small-Group Tutorial, Karen Y. Johnson

Walden Dissertations and Doctoral Studies

This study addressed the implementation of the tutorial program currently in use at an urban school district in Mississippi. Because successful completion of assessments is a graduation requirement, the study site implemented the tutorial program to help at-risk students improve their academic outcomes on state-mandated assessments in Biology I, United States History, English II, Algebra I. The purpose of this study, guided by Bloom's theory of mastery learning, was to examine the perceptions of the teachers who served as tutors in the program. Using the narrative inquiry method, the research focused on the implementation of the tutorial program, the perceived …

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Meaningfulness Of Work As Perceived By Women From Diverse Social Classes: A Grounded Theory Exploration, Jennifer L. Hutmire Jan 2016

Meaningfulness Of Work As Perceived By Women From Diverse Social Classes: A Grounded Theory Exploration, Jennifer L. Hutmire

Walden Dissertations and Doctoral Studies

Despite research connecting the meaningfulness of work with positive organizational outcomes, such as increased employee well-being, job satisfaction, engagement, and retention, there remains a lack of adequate, inclusive research explaining differences in women's perceptions of the meaningfulness of work. The purpose of this qualitative grounded theory study was to address this gap in the literature by developing a theory about the formation of perceptions of the meaningfulness of work and about the impact of those perceptions. Research questions explored perceptions that women from diverse social classes have of the meaningfulness of work, what influenced those perceptions, the impact of those …

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Experiences Of African American Young Women In Science, Technology, Engineering, And Mathematics (Stem) Education, Yovonda Ingram Kolo Jan 2016

Experiences Of African American Young Women In Science, Technology, Engineering, And Mathematics (Stem) Education, Yovonda Ingram Kolo

Walden Dissertations and Doctoral Studies

African American women are underrepresented in science, technology, engineering, and mathematics (STEM) fields throughout the United States. As the need for STEM professionals in the United States increases, it is important to ensure that African American women are among those professionals making valuable contributions to society. The purpose of this phenomenological study was to describe the experiences of African American young women in relation to STEM education. The research question for this study examined how experiences with STEM in K-10 education influenced African American young women's academic choices in their final years in high school. The theory of multicontextuality was …

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Healthy Weight Maintenance: Narrative Analysis Of Weight Cycling In The Formerly Obese, Cheri Renee Lewis Jan 2016

Healthy Weight Maintenance: Narrative Analysis Of Weight Cycling In The Formerly Obese, Cheri Renee Lewis

Walden Dissertations and Doctoral Studies

Medical and economic costs for obesity are estimated at $147 billion per year, yet less than 1/3 of overweight individuals successfully maintain weight loss. The literature is replete with descriptions of the problem and research on treatments, yet demonstrations of effective loss and maintenance are lacking. Missing is an understanding of the experiences of individuals who successfully maintained healthy weight loss, which could provide insights regarding effective psycho-social interventions. The purpose of this qualitative narrative study was to explore key events and experiences in the lives of former weight cyclers. The primary phenomena of interest included weight cycling and sustained …

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An Exploration Of A State Mandated Health Education Program, Patricia Lyons Jan 2016

An Exploration Of A State Mandated Health Education Program, Patricia Lyons

Walden Dissertations and Doctoral Studies

Shaken baby syndrome (SBS) is one of the most violent forms of physical child abuse. In 2007, the State of Ohio enacted a health education mandate known as Claire's law. Claire's law requires all birthing hospitals to provide SBS education to mothers prior to their discharge. This law is the result of public demand and advocacy initiatives; however, it was not clear how the mandate was developed or whether or not the mandate and subsequent educational programs have had an impact on efforts to prevent SBS. The purpose of this qualitative case study was to explore the state of Ohio's …

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Evaluating Key Predictors Of Employee Response To Change In The Pharmaceutical Industry, Otis S. Johnson Jan 2016

Evaluating Key Predictors Of Employee Response To Change In The Pharmaceutical Industry, Otis S. Johnson

Walden Dissertations and Doctoral Studies

This study addressed the factors that predict employee response to large-scale change in the United States pharmaceutical industry. When poorly executed, major organizational changes such as mergers and acquisitions are often disruptive and costly to organizations and demoralizing to employees. Although employee responses to change have been studied in several industries, employee responses during change execution in the pharmaceutical industry have not been subject to study. The purpose of this correlational study was to reduce the knowledge gap related to organizational change in the pharmaceutical industry by evaluating key predictors of employee response to large-scale change. The theoretical framework consisted …

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How Social Media Affects The Annual Fund Revenues Of Nonprofit Organizations, Kelley Lynn Malcolm Jan 2016

How Social Media Affects The Annual Fund Revenues Of Nonprofit Organizations, Kelley Lynn Malcolm

Walden Dissertations and Doctoral Studies

Social media's impact on nonprofit organizations' annual fund revenues has not been widely studied. The purpose of this case study was to examine how one organization used Facebook and Twitter to build and maintain relationships with its constituents and how those relationships affected annual fund revenues. The organization selected was a national voluntary health nonprofit that conducts research on pediatric brain tumors causes and treatments and provides support to families facing a diagnosis. Hon and Grunig's measurements for long-term organization-public relationships and Kelly's theory of fundraising were the conceptual basis for this study. Data were collected through interviews with employees …

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Nurse Practitioners' Attitudes Toward Nonpharmacological Interventions For Individuals Diagnosed With Clinical Depression, Joseph Ocran Jan 2016

Nurse Practitioners' Attitudes Toward Nonpharmacological Interventions For Individuals Diagnosed With Clinical Depression, Joseph Ocran

Walden Dissertations and Doctoral Studies

Depression negatively impacts the American economy, and there is a shortage of physicians to provide treatment. Nurse practitioners are viable alternatives to provide high-quality treatment of depression. The project's purpose was to describe nurse practitioners' attitudes toward nonpharmacological interventions to treat clinical depression. Attitude theory provided the theoretical framework. The American Psychiatric Association's guidelines for treating major depression provided the conceptual framework. The project used a quantitative nonexperimental descriptive survey research design. A purposeful sample of 63 nurse practitioners was obtained from members of the American Association of Nurse Practitioners. Data were collected through an online survey that included questions …

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Affecting Teen Attitudes Through Positive Media Portrayals Of Teens With Autism Spectrum Disorder, Sheila Orta Jan 2016

Affecting Teen Attitudes Through Positive Media Portrayals Of Teens With Autism Spectrum Disorder, Sheila Orta

Walden Dissertations and Doctoral Studies

A lack of knowledge about individuals with autism spectrum disorder (ASD) can create stereotypes, which serve as barriers to interaction. Television is a component in the development of social attitudes in teenagers. Using social learning theory as a framework, the purpose of this quantitative 2-group, posttest only, experimental design was to determine whether observational learning could be effective in generating positive teen attitudes toward peers with ASD. Senior high school students (N = 130) completed the Attitude Toward Disabled Persons (ATDP) Survey to determine whether observing a video clip can positively affect the attitudes of teens about their peers with …

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Building And Maintaining Trust In Virtual Teams As A Competitive Strategy, Elizabeth Awajiigbanam Owonikoko Jan 2016

Building And Maintaining Trust In Virtual Teams As A Competitive Strategy, Elizabeth Awajiigbanam Owonikoko

Walden Dissertations and Doctoral Studies

Many virtual team leaders lack strategies to build and maintain trust among virtual team members, which affects performance and productivity. The purpose of this exploratory single case study was to provide organizational leaders with information about the strategies that virtual team leaders use to build and maintain trust among virtual team members to enhance job performance. Cognition-based and affect-based theories of interpersonal relationships were used as a conceptual framework. In-depth, semistructured electronic interviews were conducted with 10 virtual team leaders of a multinational global organization specializing in management consulting and technology services that has headquarters in Dublin, Ireland. Interview data …

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Falls And Related Injuries Based On Surveillance Data: U.S. Hospital Emergency Departments, George K. Quarranttey Jan 2016

Falls And Related Injuries Based On Surveillance Data: U.S. Hospital Emergency Departments, George K. Quarranttey

Walden Dissertations and Doctoral Studies

Falls can lead to unintentional injuries and possibly death, making falls an important public health problem in terms of related health care cost, incurred disabilities, and years of life lost. Approximately 1 in every 3 Americans ages 65 years and older is at risk of falling at least once every year. Children, young adults, and middle-aged adults are also vulnerable to falls. The purpose of this study was to examine the epidemiology of falls and fall-related injuries using surveillance data from nationally representative samples of hospital emergency departments in United States. The study was guided by a social-ecological model on …

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Communication Between Educators And Parents In Title I Elementary Schools, Jacqueline Marie Boney Taylor Jan 2016

Communication Between Educators And Parents In Title I Elementary Schools, Jacqueline Marie Boney Taylor

Walden Dissertations and Doctoral Studies

The lack of positive communication between parents and educators in the Texas district under study is a problem because it interferes with learners' academic success. The purpose of this mixed method study was to understand the communication gap between educators and parents in Title I elementary schools in that district. Bronfenbrenner's ecological systems and Epstein's parental involvement model formed the theoretical framework to address the importance of communication between educators and parents as related to student academic achievement. The quantitative portion of the study was carried out through descriptive survey research. The case study method was used for the qualitative …

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The Association Between Demographic Factors And Use Of California's Health Insurance, Chiquita Theresa Tuttle Jan 2016

The Association Between Demographic Factors And Use Of California's Health Insurance, Chiquita Theresa Tuttle

Walden Dissertations and Doctoral Studies

The Patient Protection and Affordability Act of 2010 (PPACA) addressed the access to healthcare in the United States. One of the problems of this healthcare access was rooted in disproportionally lower access among minority populations. The purpose of this quantitative study, guided by the consumer behavior theory, was to examine the association between race/ethnicity and enrollment within the Covered California-?¢ (CoveredCA) Insurance Exchange. A cross-sectional study design was used to investigate the association between race/ethnicity and the use of Covered CA health benefit exchange. Logistic regression analysis was used to examine the relationship between enrollment and race/ethnicity, having adjusted for …

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Perceptions Of Career And Technical Education Held By High School Career Counselors, Marlon Thornburg Jan 2016

Perceptions Of Career And Technical Education Held By High School Career Counselors, Marlon Thornburg

Walden Dissertations and Doctoral Studies

Current enrollment in Career and Technical Education (CTE) programs in the United States and in the state of Kansas is lagging behind the future demand for skilled workers. With millions of skilled labor positions unfilled and the pending retirement of the baby boomer generation, the United States is at a critical juncture to compete in the global marketplace. High school career counselors are the primary resource for CTE program recruitment. The purpose of this study was to examine whether high school career counselors' educational backgrounds, knowledge levels of CTE initiatives and programs in Kansas, and available counseling time were associated …

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Total Quality System Breakdowns In Outsourced Clinical Trials, Hemali Barrios Jan 2016

Total Quality System Breakdowns In Outsourced Clinical Trials, Hemali Barrios

Walden Dissertations and Doctoral Studies

Numerous deaths, tragedies, and underreported drug side effects occur in outsourced clinical trials. Total quality system breakdowns occur even though quality agreement contracts and quality management systems are used by pharmaceutical organizations. The purpose of this single case study was to explore strategies clinical quality assurance managers use to avoid breakdowns in quality with outsourced clinical trials in Asia-Pacific countries. The study included a purposeful sample of 15 clinical quality assurance managers from 1 pharmaceutical organization located in the Northeast region of the United States. The conceptual framework was von Bertalanffy's general systems theory. Face-to-face semistructured interviews or e-mail questionnaires …

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Exploration Of The Relationship Between Ocd And Parenting Style Subtypes, Hilmar Von Strunck Jan 2016

Exploration Of The Relationship Between Ocd And Parenting Style Subtypes, Hilmar Von Strunck

Walden Dissertations and Doctoral Studies

Obsessive compulsive disorder (OCD) is an illness that significantly reduces the quality of life of those affected by the disorder. Current and past research has established a relationship between an authoritarian parenting style and the development of OCD. There is an absence of research regarding the influence of parenting styles on the development of different subtypes of OCD. This study examined the relationship of Baumrind's parenting styles (permissive, authoritarian, and restrictive) as gathered from participant answers on the Parenting Behavior Questionnaire and the OCD subtypes (contamination, harm, unwanted thoughts, and symmetry) as gathered from participant answers to the Dimensional Obsessive …

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A Case Study On Undergraduate Entrepreneurial Constructivist Learning In Morocco, Said Benamar Jan 2016

A Case Study On Undergraduate Entrepreneurial Constructivist Learning In Morocco, Said Benamar

Walden Dissertations and Doctoral Studies

Jobs are available for university graduates with entrepreneurship skills, but unemployment in Morocco persists because of the dissociation between university entrepreneurship graduate skills and professional market demand. While university graduates have achieved academic standards, they have lacked the entrepreneurial attributes to be employable. The purpose of this case study was to explore the use of entrepreneurship learning initiatives at Université Internationale de Casablanca (UIC), a private for-profit university, to promote students' employability. The constructivism and learning paradigm frameworks served as the theoretical foundations of this project study. The research questions addressed the effectiveness of entrepreneurship learning strategies in the promotion …

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Rural High School Mathematics Instructional Practices And Students' Academic College Readiness, Luajean Erna Bryan Jan 2016

Rural High School Mathematics Instructional Practices And Students' Academic College Readiness, Luajean Erna Bryan

Walden Dissertations and Doctoral Studies

Rural high school graduates in the United States lag behind in college math preparedness, therefore prompting researchers to identify instructional practices that would advance student math performance. This quantitative research study investigated specific teacher practices and their correlation with student gains in college math preparedness on the American College Test (ACT). Data were collected using a teacher questionnaire to quantify the level of reform practices among a sample of six math teachers and used ACT pre and posttests to assess 312 11th grade students' gains in college math readiness in a public rural high school in Southeast Tennessee. Correlation analysis …

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The Move From Recorded To Bedside Shift Report: Evaluating Barriers To Full Implementation, Elizabeth Jackson Cipra Jan 2016

The Move From Recorded To Bedside Shift Report: Evaluating Barriers To Full Implementation, Elizabeth Jackson Cipra

Walden Dissertations and Doctoral Studies

Many sentinel events in acute care centers can be attributed to miscommunication of patient information at shift change. A growing body of evidence supports the implementation of bedside shift report as the standardized approach to ensure effective communication by staff. The purpose of this study was to identify the barriers that impede nurses from fully participating in bedside shift report in order to create an educational initiative to develop the nursing staff's proficiency in performing bedside report. Lewin's change theory served as the framework for the project. Data for the staff development project were collected using a focus group approach …

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