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Stress In Rural North Georgia Policing, Robert C. Mason Jan 2018

Stress In Rural North Georgia Policing, Robert C. Mason

Walden Dissertations and Doctoral Studies

There are many operational and organizational stressors in policing. This study was designed to gain a better understanding of what causes police officers in a rural southern state mental and physical stress and to determine how best to assist officers when they are dealing with stress. The purpose of this study was to determine whether organizational or operational issues cause more stress among police officers in a rural southern state. Qualitative research methods and the phenomenological approach to obtain data from participants who have experienced job-related stressors were used. The social construct theory, a theory of knowledge in sociology, was …

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Effects Of Transformational Learning On Student Nurses' Perceptions And Attitudes Of Caring For Dying Patients, Kristina Mccall Jan 2018

Effects Of Transformational Learning On Student Nurses' Perceptions And Attitudes Of Caring For Dying Patients, Kristina Mccall

Walden Dissertations and Doctoral Studies

Nurses spend more time with patients than members of any other discipline in the hospital setting, and most nurses will provide care for dying patients. However, nurses tend to feel uncomfortable providing care to dying patients, which may be due to a lack of education and knowledge about care for dying patients. The purpose of this quasiexperimental 1-group pretest-posttest study was to determine the effect education had on nursing students' attitudes and perceptions about the care they give to their patients at the end of life. The End of Life Nursing Education Consortium (ELNEC) education modules were used for quality …

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Strategies For Sustaining Small Businesses In The U.S. Health Care Sector, James Utobunwa Nwachukwu Jan 2018

Strategies For Sustaining Small Businesses In The U.S. Health Care Sector, James Utobunwa Nwachukwu

Walden Dissertations and Doctoral Studies

In the United States, many small businesses fail within the first 5 years due to poor implementation of sustainability strategies. Researchers and business practitioners have indicated that small business owners face challenges on how to maintain their businesses beyond 5 years due to lack of sustainability strategies. The purpose of this qualitative multiple case study was to explore the strategies that health care small business owners and managers in New York State use to maintain their businesses beyond 5 years. Sustainability development theory was used for the study's conceptual framework. Semistructured face-to-face interviews were conducted with 6 purposively-selected participants who …

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Investigating The Nigerian Leadership Capability And Its Impact In Development And Society, James E. Conable Nweke Jan 2018

Investigating The Nigerian Leadership Capability And Its Impact In Development And Society, James E. Conable Nweke

Walden Dissertations and Doctoral Studies

Despite Nigeria's abundance of human and natural resources, after 57 years of independence, most Nigerians live in absolute poverty. The purpose of this quantitative study was to determine the extent to which the Nigerian leadership exercised leadership capability. The primary research question investigated leadership actions that facilitated or undermined development and good governance objectives. This study adopted critical thinking leadership framework, as developed by the author. The primary data used in this study came from Afrobarometer surveys, round 4, 5, and combined data round 6, which is an updated version of independent surveys administered between 1999 and 2016. Also, data …

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Parent And Teacher Perspectives Of Children's Access To Violent Media, Sarah Michelle O'Neal Jan 2018

Parent And Teacher Perspectives Of Children's Access To Violent Media, Sarah Michelle O'Neal

Walden Dissertations and Doctoral Studies

Researchers indicate repeated participation in violent video games increases the likelihood of aggressive and hurtful behavior toward others. Media violence is one of the most studied phenomena affecting children over the age of 8. Media violence has become accessible for very young children through various sources. The purpose of this study was to explore perspectives of parents and teachers of children 5 to 8 years old regarding children's exposure to violent media, their definitions of violent media, and parental monitoring practices. Questionnaires were completed by 35 parents, and 6 agreed to participate in face-to-face or telephonic interviews. Four teachers from …

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A Global Perception On Contemporary Slavery In The Middle East North Africa Region, Kimberly Anne Pavlik Jan 2018

A Global Perception On Contemporary Slavery In The Middle East North Africa Region, Kimberly Anne Pavlik

Walden Dissertations and Doctoral Studies

Although human trafficking continues to be a growing problem around the world, there are scarce quantitative methodologies for evidence-based research because it is hard to gather reliable and comparable data on human trafficking. It is also difficult to track patterns in human trafficking on a regional or global scale because the victims are a vulnerable population. Using Datta and Bales conceptualization of modern slavery as the theoretical foundation, the primary purpose of this study was to establish a baseline measurement of trafficking predictors in the Middle East North Africa (MENA) as well as understand the statistical relationship between measurements of …

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Evaluation Of A Difficult Urinary Catheter Team In An Academic Medical Center, David Price Jan 2018

Evaluation Of A Difficult Urinary Catheter Team In An Academic Medical Center, David Price

Walden Dissertations and Doctoral Studies

The placement of an indwelling urinary catheter (IUC) is a commonly performed clinical procedure which may become challenging for the clinician and painful for the patient. In response to urologic complications attributed to repeated failed IUC insertion attempts by nurses, a difficult urinary catheter (DUC) team program was launched in October 2012. The purpose of the doctoral project was to conduct a quality improvement evaluation of the effectiveness of the DUC team program using retrospective data from May 1, 2013 through May 31, 2017. Benner's novice to expert model was chosen as the theoretical framework to guide the additional training, …

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Strategies For Developing And Implementing Information Technology Systems For Ehrs, Priscilla Riddley Jan 2018

Strategies For Developing And Implementing Information Technology Systems For Ehrs, Priscilla Riddley

Walden Dissertations and Doctoral Studies

Some hospital leaders lack the technical expertise to implement electronic health records (EHRs) even though the healthcare industry has a government mandate. The purpose of this single case study was to explore strategies healthcare executives use to develop and implement information technology systems for processing EHRs. The target population consisted of healthcare leaders and managers successful in implementing EHR systems in a healthcare organization. Lewin's 3-step change theory was used as the conceptual framework for this study with data collected from observations (5), semistructured interviews (5), and organizational documents. Descriptive coding was used to identify 3 themes that emerged from …

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Strategies For Improving Healthcare Efficiency While Reducing Costs, Jean Calvin Tchatchoua Jan 2018

Strategies For Improving Healthcare Efficiency While Reducing Costs, Jean Calvin Tchatchoua

Walden Dissertations and Doctoral Studies

In comparison to the European healthcare system, the U.S. healthcare system has lower quality care, higher costs, and covers a smaller percentage of the population. Despite the high costs, the U.S. healthcare system remains dysfunctional. The purpose of this exploratory single case study was to identify the strategies that some healthcare managers in a hospital setting in the midwestern region of the United States use to improve efficiency while decreasing healthcare costs. Complex adaptive systems theory was used to frame this study that included face-to-face interviews with 6 highly experienced healthcare managers. Data were collected from audio recorded interviews and …

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Using Ecommerce To Improve Product Marketing And Profitability In Nigeria, Olayinka Thomas-Ogboja Jan 2018

Using Ecommerce To Improve Product Marketing And Profitability In Nigeria, Olayinka Thomas-Ogboja

Walden Dissertations and Doctoral Studies

Small and medium enterprises in Nigeria rarely use eCommerce, which has led to lagging market shares and profitability compared to firms in other countries that use eCommerce. Approximately 90% of boutique fashion businesses shut down their businesses due to the inability to operate outside their business location. The social exchange theory was used in this multiple case study to explore how some small business owners in the boutique fashion industry use eCommerce to improve product marketing and profitability in Nigeria. The target population for this study was 5 fashion boutique owners based in Lagos State, Nigeria with a significant record …

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Evidence-Based Practice For Influenza And Pneumococcal Nurse-Driven Protocol, Melissa Tunc Jan 2018

Evidence-Based Practice For Influenza And Pneumococcal Nurse-Driven Protocol, Melissa Tunc

Walden Dissertations and Doctoral Studies

At the project site in New Jersey, eligible patients were leaving the hospital without receiving the influenza or pneumococcal vaccine. The field site has an established, evidence-based, nurse-driven protocol. The purpose of this project was to increase adherence to the current influenza and pneumococcal nurse-driven protocol on one medical-surgical unit. This unit had experienced low adherence rates to the nurse-driven protocol for vaccines, not reaching the New Jersey state target of 96% administration prior to discharge. The practice-focused question was: Will increasing awareness of evidence-based practice increase adherence to the influenza and pneumococcal vaccine protocol? A quality improvement plan was …

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Strategies For Hiring Managers In Science, Technology, Engineering, And Mathematics Fields, Elizabeth Williams Jan 2018

Strategies For Hiring Managers In Science, Technology, Engineering, And Mathematics Fields, Elizabeth Williams

Walden Dissertations and Doctoral Studies

One-third of science, technology, engineering, and mathematics (STEM) jobs are unfilled, resulting in less revenue for companies. The purpose of this qualitative single case study, grounded in the human capital theory, was to explore strategies that 2 hiring managers used to recruit STEM professionals in an organization in central Virginia. Data were collected from semistructured interviews, member checking, and company documents on STEM recruitment. The 4 themes that emerged from the data, analyzed using Yin's 5-step process, were as follows: partnerships with state government and local colleges, leadership and employee development programs used as recruitment incentives, competitive compensation package and …

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International Students' Use Of English Language-Learning Strategies At A Private High School, Bobetta Young Jan 2018

International Students' Use Of English Language-Learning Strategies At A Private High School, Bobetta Young

Walden Dissertations and Doctoral Studies

International students in the United States enroll in private and public high schools with a goal to graduate and attend an American university. This goal is often difficult to achieve because these students are not acquiring the academic English necessary to be successful in a post-secondary setting. The purpose of this qualitative case study was to investigate what language-learning strategies (LLS) a group of East Asian international students at a private American high school had self-regulated and what strategies their content area teachers had taught them to use to become proficient in academic English. The conceptual framework was Oxford's findings …

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Using Diabetes Self-Management Education To Enhance Adolescent Transition, Jessica Adkins Jan 2018

Using Diabetes Self-Management Education To Enhance Adolescent Transition, Jessica Adkins

Walden Dissertations and Doctoral Studies

Type 1 diabetes is a long-term diagnosis, the prognosis of which is directly related to the patient's ability to self-manage the disorder. Adolescents are not currently taught how to manage diabetes; instead, parents and educators expect self-management to be more of a learned behavior from their parents. The purpose of this project was to create a quality improvement plan which the regional pediatric diabetes center study site could implement to improve adolescent glycemic control. Orem's self-care theory was used as theoretical framework for the design and evaluation of the project. The practice-focused question for this doctoral project was: Can a …

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Addressing Spiritual Care Needs In Primary Care, Olayinka Akerele-Olufidipe Jan 2018

Addressing Spiritual Care Needs In Primary Care, Olayinka Akerele-Olufidipe

Walden Dissertations and Doctoral Studies

This DNP project focused on the spiritual aspects of care that are often neglected in the outpatient setting. Most patients value their spiritual health and believe that it is just as important as their mental and physical health. The purpose of this project was to improve the overall spiritual care provided to patients, their families, and/or caregivers in times when they were experiencing spiritual distress. This quality improvement (QI) project was designed to determine whether embedding a chaplain in an outpatient clinic instead of providing a pamphlet about chaplain services increases patient satisfaction. Secondary analysis of the data in this …

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Impact Of Social Support On Malaria Management By Burundian Community Health Workers, Bonaventure Bazirutwabo Jan 2018

Impact Of Social Support On Malaria Management By Burundian Community Health Workers, Bonaventure Bazirutwabo

Walden Dissertations and Doctoral Studies

Malaria is the main cause of mortality for children under the age of 5 in Burundi. The access to malaria diagnostics and treatment is hampered not only because of logistical issues, but also due to the lack of qualified human resources and their inequitable distribution across the country. To mitigate the lack of human resources for health, the government of Burundi, along with its partners, shifted some tasks to community health workers (CHWs) to cover unmet healthcare needs for selected diseases such as malaria, diarrhea, and pneumonia. The purpose of this study was to determine whether the social support provided …

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Strategies To Reduce Voluntary Employee Turnover In Business Organizations, Kevin Lance Bernard Jan 2018

Strategies To Reduce Voluntary Employee Turnover In Business Organizations, Kevin Lance Bernard

Walden Dissertations and Doctoral Studies

Industry leaders in the United States have spent $11 billion annually in advertising, hiring, and training expenditures associated with voluntary employee turnover. Using employee turnover theory as the conceptual framework, the purpose of this multicase study was to explore strategies leaders of marketing and consulting firms used to reduce voluntary employee turnover. Participants were purposefully selected based on evidence of their successful experiences in reducing voluntary employee turnover in their organizations. Data were collected by conducting semistructured interviews with 6 leaders in 3 marketing and consulting firms located in the southeastern United States and by reviewing organizational documents related to …

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Chronic Disease And Injury Prevention Programming For Canada's Indigenous Population, Nicole Blackman Jan 2018

Chronic Disease And Injury Prevention Programming For Canada's Indigenous Population, Nicole Blackman

Walden Dissertations and Doctoral Studies

Local public health units in the province of Ontario, Canada, are often the primary source of health promotion and health education resources, but many do not provide programming specific to the Indigenous population. As of January 2018, modernization of the Ontario Public Health Standards requires public health units to work with the Indigenous population in providing culturally appropriate programs and services. The practice question guiding the capstone project was to determine what chronic disease and injury prevention programs exist that are culturally appropriate for the Indigenous population. The purpose of this project was to do an environmental scan and compile …

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Influence Of School Principals On Teachers' Perceptions Of School Culture, Evelyn M. Britton Jan 2018

Influence Of School Principals On Teachers' Perceptions Of School Culture, Evelyn M. Britton

Walden Dissertations and Doctoral Studies

Teachers' perceptions of leadership are often based on the leaders' behavior, and what leaders model daily. The problem in this case study was that teachers' perceptions of school leadership were not well enough understood to leverage as a tool for school improvement. The purpose of this study was to explore how teachers' perceptions of school principal's leadership style, and behavior affect school culture. The conceptual framework was based on literature of 3 key dynamics: leadership styles, and approaches, school culture, and influences of leadership on teachers' perceptions of school culture. The primary research question explored how teachers' perceptions of school …

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Low-Income Uninsured Perceptions, Beliefs, And Level Of Knowledge Concerning Primary Care Services, Pamela Ann Brown Jan 2018

Low-Income Uninsured Perceptions, Beliefs, And Level Of Knowledge Concerning Primary Care Services, Pamela Ann Brown

Walden Dissertations and Doctoral Studies

In the United States, there is an issue with low-income uninsured patients using emergency services for nonurgent conditions instead of using primary care services. Primary care services are more beneficial than emergency services for such patients, in that they can receive continual or follow-up care through primary care and thus achieve better health outcomes over the long term. Though information is available concerning factors in (or the rationale for) low-income uninsured patients choosing the emergency department (ED) instead of primary services for nonurgent conditions, research focusing on low-income uninsured patients' perspectives, beliefs, and level of knowledge about this matter is …

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Perceptions Of First-Time Antiguan And Barbudan Mothers Towards Breastfeeding And Weaning, Janelle Dion Charles-Williams Jan 2018

Perceptions Of First-Time Antiguan And Barbudan Mothers Towards Breastfeeding And Weaning, Janelle Dion Charles-Williams

Walden Dissertations and Doctoral Studies

Antigua and Barbuda, in the eastern Caribbean, is one of several countries with exclusive low breastfeeding rates and premature weaning. Researchers have demonstrated that babies exclusively breastfed for the first 6 months of life are better protected from childhood diseases and experience a better quality of life into adulthood, while early weaning is associated with morbidity and mortality. However, at 6 weeks postpartum, only 30% of Antiguan and Barbudan mothers are exclusively breastfeeding. Researchers have explained why mothers in general cease exclusive breastfeeding prematurely: insufficiency of breast milk, returning to paid employment, lack of social support; but an explanation specific …

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Strategies For Residential Real Estate Professionals To Mitigate Declining Sales, Raven Cornelius Jan 2018

Strategies For Residential Real Estate Professionals To Mitigate Declining Sales, Raven Cornelius

Walden Dissertations and Doctoral Studies

Real estate sales significantly declined during and after the 2008 mortgage crisis. In the United States, real estate sales dropped 35% after the mortgage crisis. Guided by the attention, interest, desire, and action (AIDA) model, the purpose of this multiple case study was to explore the strategies successful residential real estate organization managers use to mitigate sales decline in a postrecession environment. Three residential real estate organization managers in Southern Maryland and Northern Virginia participated in semistructured interviews. These participants are currently selling homes, worked in the real estate market before the 2008 mortgage crisis, and developed successful strategies to …

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Obstacles To Economic Growth And Business Attraction In Georgia, Vanessa Cox Jan 2018

Obstacles To Economic Growth And Business Attraction In Georgia, Vanessa Cox

Walden Dissertations and Doctoral Studies

The problem addressed in the study was that Georgia's economic development leadership faced obstacles that challenged the state's growth in attracting new business and developing existing business. The purpose of this case study was to explore the obstacles encountered by a specific agency to attract businesses to generate economic growth. Accessing obstacles that hinder leaders to promote the state of Georgia growth is pertinent, including exploring where the system may be constrained. The theory of constraints guided this study to investigate what obstacles state leaders face in economic development. An embedded case study was conducted using purposeful sampling to select …

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Improving Recruitment And Retention Of Volunteer Firefighters, Jason Decremer Jan 2018

Improving Recruitment And Retention Of Volunteer Firefighters, Jason Decremer

Walden Dissertations and Doctoral Studies

The number of active volunteer firefighters has been steadily dropping in the state of Connecticut for several years. At the same time, the number of public service calls for fire departments has been on the rise. This problem impacts fire protection and municipalities that rely on volunteer fire departments. The purpose of this narrative study was to explore why volunteer firefighter numbers have been declining, the extent to which recruitment and retention programs are used in volunteer fire departments, and how these programs contribute to a fire department's ability to recruit members. Perry's public service motivation model provided the theoretical …

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Use Of Antipsychotic Medications In Individuals With Alzheimer's Disease In Nursing Facilities, Michelle M. Dionne-Vahalik Jan 2018

Use Of Antipsychotic Medications In Individuals With Alzheimer's Disease In Nursing Facilities, Michelle M. Dionne-Vahalik

Walden Dissertations and Doctoral Studies

Patients with Alzheimer's disease or other types of dementia often require long-term care in nursing facilities (NF) where they may display out-of-character behaviors complicating their care. While antipsychotic medications are sometimes prescribed for NF residents, their use is considered inappropriate for the control of dementia behaviors. The Centers for Medicare and Medicaid Services have rated Texas the worst state in the country for the inappropriate use of antipsychotic medications for NF residents with dementia. This project was guided by the star model of knowledge transformation with the goal to reduce inappropriate use of antipsychotic medications through NF staff education. The …

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Factors Contributing To Substance Abuse Treatment Completion Among Alaska Natives, Courtney Kay Donovan Jan 2018

Factors Contributing To Substance Abuse Treatment Completion Among Alaska Natives, Courtney Kay Donovan

Walden Dissertations and Doctoral Studies

Alaska Native populations have experienced significant struggles with addictions to alcohol and other substances. The Alaska Native population's access to treatment services is riddled with problems. This quantitative study served the purpose of identifying factors that lead to the prediction of successful treatment discharges among Alaska Native clients who received treatment for substance abuse at a treatment center in Alaska. Based on the theoretical framework of Marlatt's relapse prevention theory, using archival data, as well as a cross-sectional, quantitative research design, predictive variables of the efficacy of substance use treatment among outpatient clients (N = 278) were examined. Multiple regression …

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The Impact Of Lemongrass, Oregano, And Thyme Essential Oils On Candida Albicans' Virulence Factors, Jennifer Marie Eddins Jan 2018

The Impact Of Lemongrass, Oregano, And Thyme Essential Oils On Candida Albicans' Virulence Factors, Jennifer Marie Eddins

Walden Dissertations and Doctoral Studies

Increased systemic infections and growing resistance of Candida species in immunosuppressed people have prompted research for additional treatment options. The purpose of this quantitative study was to investigate the potential of lemongrass, oregano, and thyme essential oils tested individually, combined, and combined with the antifungal agents fluconazole and caspofungin to kill Candida albicans isolates in a controlled laboratory setting. This study was grounded on the theoretical concepts of the epidemiologic triangle model. The experimental data collected were used to investigate risk factors related to age, gender, race, and comorbidities. Kill rates of lemongrass, oregano, and thyme essential oils individually and …

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Factors Associated With Menthol Cigarettes Smoking Among Youths Ages 12 To 19, Eniye Emmanuel Eguae Jan 2018

Factors Associated With Menthol Cigarettes Smoking Among Youths Ages 12 To 19, Eniye Emmanuel Eguae

Walden Dissertations and Doctoral Studies

Menthol is added to cigarettes to make smoking more convenient. Menthol is considered a contributing factor that makes smoking appealing to youths and their continuous smoking initiation, which progresses to regular cigarette smoking and addiction, especially among youths ages 12 to 19. Menthol encourages approximately 4,000 youths to experiment with smoking daily in the United States, of which approximately 1,000 become active smokers. Not enough is known regarding the influence of menthol on youth smoking initiation/smoking behavior. A quantitative analysis of data from the 2014 National Youth Tobacco Survey (NYTS) was used to explore the association between age, race/ethnicity, gender, …

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Reintegration Among Combat Veterans Suffering From Psychological Conditions, Virginia Falck Jan 2018

Reintegration Among Combat Veterans Suffering From Psychological Conditions, Virginia Falck

Walden Dissertations and Doctoral Studies

Active duty personnel as well as combat veterans of the United States often engage in military operations during their service that require deployments to participate in missions, which may lead to extended periods away from home. When active duty men and women are appointed to combat zones, they may return with psychological burdens such as post traumatic stress disorder, which can complicate their reintegration into civilian life. This study explored the experiences of combat veterans who faced challenges when returning home from a war zone, along with the experiences of their family members. The study involved 26 combat veterans, spouses, …

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Clostridium Difficile Infection (Cdi): Use Of Preventive Bundle To Decrease Cdi Incidences, Lisa Feliciano Jan 2018

Clostridium Difficile Infection (Cdi): Use Of Preventive Bundle To Decrease Cdi Incidences, Lisa Feliciano

Walden Dissertations and Doctoral Studies

The challenge of combating Clostridium difficile infections (CDI) is a major problem within many health care organizations as CDI adds to the cost of care and is an uncomfortable and sometimes fatal complication of hospitalization for the patient. The practice-focused question for this doctoral project was targeted at patients in hospital settings on a medical surgical floor and asked if clostridium difficile preventive bundles reduce the incidence of CDI compared with nonstandardized preventative methods. Using the plan-do-study-act framework, the purpose of this DNP project was to use a clostridium difficile bundle approach to study the effects of clostridium difficile incidence …

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