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Determining Perceived Barriers Affecting Physicians' Readiness To Disclose Major Medical Errors, Jean-Pierre K. Folligah Jan 2018

Determining Perceived Barriers Affecting Physicians' Readiness To Disclose Major Medical Errors, Jean-Pierre K. Folligah

Walden Dissertations and Doctoral Studies

Medical errors have been detrimental in the field of medicine. They have impacted both patients and doctors. While physicians recognized that error disclosure was an ethical and professional obligation, most remained silent when mistakes happened for different reasons. Guided by the theory of planned behavior and Kant's deontological theory, the purpose of this quantitative study was to investigate the perceived barriers affecting physicians' willingness to report major medical errors. An association was tested between the independent variables physician fear of disclosure of errors, organizational culture toward patient safety, physician apology, professional ethics and transparency, physician education, and the dependent variable …

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Leisure Time Physical Activities Of Older Adults In Senior Housing, Tamiera S. Harris Jan 2018

Leisure Time Physical Activities Of Older Adults In Senior Housing, Tamiera S. Harris

Walden Dissertations and Doctoral Studies

Increasing physical activity levels of older adults is a public health priority given the associated risks with sedentary lifestyles. Exercise such as walking may positively affect older adults as they age decreasing the risk of heart disease, stroke, or death. The purpose of this study was to examine physical activities of older adults in senior housing and to determine if age correlates with the amount of physical activity. Physical activity studies on older adults are limited due to time and resources. The health belief model and transtheoretical model frames this study theorizing that older adults will take positive steps towards …

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The Predictive Nature Of Vicarious Trauma In School Counselors, Connie J. Honsinger Jan 2018

The Predictive Nature Of Vicarious Trauma In School Counselors, Connie J. Honsinger

Walden Dissertations and Doctoral Studies

In the past decade, the counseling profession has begun to recognize the impact of vicarious trauma on counselors who provide services to individuals who have experienced trauma. The constructivist self-development theory asserts that interpersonal frameworks can determine healthy versus unhealthy coping styles and impact a counselor's susceptibility to vicarious trauma. Researchers have explored vicarious trauma in a number of professions such as mental health counseling and social work however they have not examined potential risk factors specific to school counseling. The purpose of this correlational study was to investigate variables associated with vicarious trauma in school counselors. The research focused …

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At-Risk Boys' Engagement In The Iengage Model, Deborah Lee Houston Jan 2018

At-Risk Boys' Engagement In The Iengage Model, Deborah Lee Houston

Walden Dissertations and Doctoral Studies

There is a growing problem with male under-achievement in public education. Boys who are unsuccessful in elementary and middle school are likely to drop out in high school. Engaging at-risk boys could alleviate school dropouts and the resulting consequences. The purpose of this study was to explore at-risk boys' engagement in a middle school model employing collaborative learning, problem-based learning, and technology. The study was framed on the self-determination theory and the idea that competence, autonomy, and relatedness are vital for engagement. A qualitative case study approach was used to explore teachers' views of at-risk boys' engagement. Eleven teachers who …

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Assessment Of Evidence-Based Practice Readiness And Plan For Implementation Of Clinical Practice Guidelines In A Tertiary Hospital, Linda Keller Jan 2018

Assessment Of Evidence-Based Practice Readiness And Plan For Implementation Of Clinical Practice Guidelines In A Tertiary Hospital, Linda Keller

Walden Dissertations and Doctoral Studies

Using evidence-based practice (EBP) to deliver patient care in a hospital setting improves patients' care and their outcomes. The use of clinical practice guidelines (CPG) enables nurses and other healthcare professionals to translate current evidence into bedside care. However, there continue to be barriers for hospitals in adopting and implementing evidence-based care using CPGs, including a lack of understanding about EBP by nursing staff. The purpose of this project was to explore readiness of registered nurses in a tertiary hospital to use EBP and provide recommendations for a plan to implement CPGs successfully. Melnyk's research identified EBP as an approach …

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Applying Utaut To Determine Intent To Use Cloud Computing In K-12 Classrooms, Dorothy Cortez Kropf Jan 2018

Applying Utaut To Determine Intent To Use Cloud Computing In K-12 Classrooms, Dorothy Cortez Kropf

Walden Dissertations and Doctoral Studies

Although school districts provide collaborative cloud computing tools such as OneDrive and Google Drive for students and teachers, the use of these tools for grading and feedback purposes remains largely unexplored. Therefore, it is difficult for school districts to make informed decisions on the use of cloud applications for collaboration. This quantitative, nonexperimental study utilized Venkatesh et al.'s unified theory of acceptance and use of technology (UTAUT) to determine teachers' intent to use collaborative cloud computing tools. Online surveys with questions pertaining to UTAUT's predictor variables of performance expectancy (PE), effort expectancy (EE), social influence (SI), facilitating conditions (FC) and …

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Impact Of Increased Learning Time On Economically Disadvantaged Students At An Urban Elementary School, Scott M. Larkin Jan 2018

Impact Of Increased Learning Time On Economically Disadvantaged Students At An Urban Elementary School, Scott M. Larkin

Walden Dissertations and Doctoral Studies

At an urban school district, administrators were concerned about the English language arts (ELA) achievement gap between economically disadvantaged (ED) students and non-economically disadvantaged (NED). To address this gap in performance, district administrators instituted an extended day program (EDP) for ED students that included additional learning time and individualized strategies in ELA. The purpose of the study was to determine the extent of the impact that the EDP had on ED students in ELA achievement. The quasi-experimental quantitative design was guided by Carroll's model of school learning and explored the difference in ELA Partnership for Assessment of Readiness for College …

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Effects Of Cancer Staging On Maternal Coping And Mother-Child Communication Patterns Among Breast Cancer Survivors, Kevin Michael Lycke Jan 2018

Effects Of Cancer Staging On Maternal Coping And Mother-Child Communication Patterns Among Breast Cancer Survivors, Kevin Michael Lycke

Walden Dissertations and Doctoral Studies

Few researchers have examined the relationship between earlier stages of breast cancer and its effect on staging of the disease process and the co-occurring coping and communication patterns between mothers and their children. The purposes of this qualitative study with a multiple case study design were to examine (a) coping mechanisms that mothers used to manage the uncertainty of their breast cancer status and (b) the impact of early-stage breast cancer on communication patterns between mothers and their children. The Lazarus and Folkman theory of psychological coping and the McMaster family systems communication theory informed the conceptual framework for the …

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The Relationship Of Parental Involvement And Reading Achievement Of Ninth-Grade Students, Florence Ann Mayhall-Andrews Jan 2018

The Relationship Of Parental Involvement And Reading Achievement Of Ninth-Grade Students, Florence Ann Mayhall-Andrews

Walden Dissertations and Doctoral Studies

The local high school and school district have failed to achieve adequate yearly progress in reading due to the poor performance of 9th-grade and special education students on the annual state reading assessment. There may be numerous factors leading to the low scores, but researchers have suggested that students whose parents are engaged in their education have more academic success than students whose parents have minimal participation. An explanatory survey design was used in this quantitative study to identify the involvement activities of parents of 9th-grade students and determine if there was a relationship between their involvement and their child's …

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An Elementary Perspective Of The Value-Added Model, Pat Mccoy Jan 2018

An Elementary Perspective Of The Value-Added Model, Pat Mccoy

Walden Dissertations and Doctoral Studies

In a small, rural school district in the southeastern United States, elementary school teachers were receiving positive evaluation ratings while student proficiency on state assessments was below the state average. Due to changes in federal and state laws, school personnel evaluate methods have undergone significant reform. The purpose of this study was to answer the guiding research questions of teachers and administrators perceptions toward the value-added model (VAM) of evaluation and how those perceptions affect teacher performance. Taylor's scientific management theory, which suggests examining human productivity through the lens of applied science served as the conceptual framework. Data were collected …

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Professional Development For One-To-One Mobile Technology Programs, Leann Martin Morris Jan 2018

Professional Development For One-To-One Mobile Technology Programs, Leann Martin Morris

Walden Dissertations and Doctoral Studies

One-to-one mobile technology integration is the goal of increasing numbers of school districts each year, and many factors exist to consider when measuring success. The research problem for this qualitative study focused on one of the critical components for measuring success: the need for effective teacher professional development. The purpose of this study was to examine (a) principles and practices to facilitate the integration of one-to-one mobile technologies into professional learning experiences, and (b) the perceptions of technology instructional coaches regarding changes in teachers' practice and attitudes following professional development. The conceptual framework included Knowles's theory of andragogy and Koehler …

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Evaluating 30 Day Rehospitalization After Sbar Implementation In Rounding, Michell Mulberry Jan 2018

Evaluating 30 Day Rehospitalization After Sbar Implementation In Rounding, Michell Mulberry

Walden Dissertations and Doctoral Studies

Transferring from an acute care setting to a sub-acute rehabilitation (SAR) setting can be challenging for both patients and providers because communication errors may occur. The purpose of this project was to evaluate the effectiveness of a 2017 quality improvement (QI) initiative that was implemented to reduce 30-day rehospitalization in a SAR setting serving older patients. The project involved an evaluation of the implementation of the Situation, Background, Assessment, and Recommendation (SBAR) tool for patient rounding to decrease the incidence of 30-day re-hospitalizations. Aristotle's linear model of communication, which emphasizes the impact of message delivery on audience response, provided the …

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Exploring Satisfaction And Retention Strategies For Generation Y Customers, Edmund Ehichioya Otaigbe Jan 2018

Exploring Satisfaction And Retention Strategies For Generation Y Customers, Edmund Ehichioya Otaigbe

Walden Dissertations and Doctoral Studies

Firms in the service industry have experienced a 15-30% drop in customer satisfaction ratings and an estimated $10 billion annually due to the unpredictable tendencies of one of the most significant and fastest growing consumer segments in the marketplace, Generation Y customers. The distinctive behavior of this sizeable generational cohort may be reshaping the business landscape of the 21st century regarding how consumers will relate to service providers in the future. Using the theory of customer satisfaction management system, the purpose of this multiple case study was to explore the customer satisfaction strategies that business leaders in southern Nigeria use …

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Relationship Between English Proficiency And Academic Achievement Of Nigerian Secondary School Students, Goldlyn Ugonna Ozowuba Jan 2018

Relationship Between English Proficiency And Academic Achievement Of Nigerian Secondary School Students, Goldlyn Ugonna Ozowuba

Walden Dissertations and Doctoral Studies

Nigerian stakeholders are concerned with the continuous low scores of final-year senior secondary school students (FYSSS) in the West African Senior School Certificate Examination (WASSCE). Studies have shown that limited proficiency in English among FYSSS is the cause of low scores on the WASSCE. The purpose of this quantitative correlational study was to investigate the relationship between English proficiency and academic achievement among FYSSS as measured by the WASSCE. The theoretical framework for the study was Cummins's theory of second language acquisition to address the distinction between conversational language and academic language. Archival data from 225 FYSSS were collected from …

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A Qualitative Inquiry Into The Phenomenon Of Vicarious Resilience In Law Enforcement Officers, Janet M. Pair Jan 2018

A Qualitative Inquiry Into The Phenomenon Of Vicarious Resilience In Law Enforcement Officers, Janet M. Pair

Walden Dissertations and Doctoral Studies

Law enforcement officers (LEOs) often bear witness to trauma in others, leaving them vulnerable to vicarious traumatization. Vicarious resilience can counterbalance the negative effects of trauma work and help individuals avoid vicarious traumatization. This study investigated the phenomenon of vicarious resilience in 10 LEOs. The research questions focused on how the LEOs experienced witnessing victims demonstrate resilience during adversity and how they themselves were impacted by that experience. A phenomenological methodology and semi-structured interviews were used to explore the participants' experiences. Constructivist self-development theory and vicarious resilience were the conceptual frameworks used to explain how LEOs experience vicarious trauma and …

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A Staff Education Project And Screening Tool To Identify Calciphylaxis, Janice Pennington Jan 2018

A Staff Education Project And Screening Tool To Identify Calciphylaxis, Janice Pennington

Walden Dissertations and Doctoral Studies

Calciphylaxis is a deadly disease seen primarily in patients with end stage renal disease. Literature indicated that improved patient outcomes are seen with routine screenings. Many dialysis providers lack fundamental knowledge that would enable early identification of calciphylaxis in patients with renal disease. The purpose of this project was to design a screening instrument and develop a staff education program that would transform calciphylaxis management by promoting early identification and treatment of the disease. Knowles's theory of andragogy was used as the theoretic framework for the project. Dialysis center staff (n = 26) participated in the education. The number of …

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Profitability Strategies For Small And Medium Entrepreneurs In Michigan, Dritan Pepaj Jan 2018

Profitability Strategies For Small And Medium Entrepreneurs In Michigan, Dritan Pepaj

Walden Dissertations and Doctoral Studies

Small businesses create 50% of all jobs in the United States, but at least 50% of all newly founded small businesses have failed since 2006, and only 1/3 have survived beyond 10 years. Small businesses have a high chance of failure in the first 5 years due to a lack of sustainable strategies. The purpose of this multiple case study was to explore the strategies small business owners need to sustain their business beyond 5 years in a purposefully chosen county in Michigan. A conceptual framework was constructed based on the stakeholder theory and its derived theories to provide a …

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Perspectives Of Racism Among Offenders Post Incarceration, Anna Phillips Jan 2018

Perspectives Of Racism Among Offenders Post Incarceration, Anna Phillips

Walden Dissertations and Doctoral Studies

Racial segregation in California prisons is a primary means of maintaining control and safety for inmates and correctional staff, yet little is understood about how racial segregation in prison impacts reentry of offenders into the community. The research question examined in this study focused on how living in the racial segregation of a California State prison, for 2 years or more might influence African-American, White, and Latino men's ability to interact with other races in a culturally diverse community upon release. Using Donald Clemmer's theory of prisonization as the foundation, the purpose of this phenomenological study was to understand the …

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The Sexual Identity Development Of Gay Men In China, Stephen Pijanowski Jan 2018

The Sexual Identity Development Of Gay Men In China, Stephen Pijanowski

Walden Dissertations and Doctoral Studies

Limited research describes the impact of ethnic groups and mores, especially those of Asian ethnicities, on the development of a global queering theory of sexual-identity development. The purpose of this grounded-theory study was to investigate the sexual-identity development of homosexuals in a non-Western collectivist culture and the extent of influence Western gay expatriates have on Chinese gay males' sexual-identity development. Five identity-development models served as the theoretical foundations of this study: Cass, Troiden, McCarn and Fassinger, D'Augelli, Gock, and the conceptual theory of global queering. NVivo aided in data organization, while coding and analysis were applied to the data. Individual, …

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The Hostage/Crisis Negotiation Team Member's Perception Of The Mental Health Professional, Timothy Quigley Jan 2018

The Hostage/Crisis Negotiation Team Member's Perception Of The Mental Health Professional, Timothy Quigley

Walden Dissertations and Doctoral Studies

Hostage/crisis negotiation has been described as a complex verbal dance between the negotiator and the subject. While one of law enforcement's most effective tools and most significant developments in law enforcement and police psychology over the past several decades, the acceptance of mental health professionals (MHP) on a hostage/crisis negotiation team is ambiguous. This study examined how mental health professionals working with hostage/crisis negotiation teams are perceived, if there is positive small group socialization within teams, whether the outcome of incidents is affected by designation of the MHP as a team member versus a consultant, and whether prior law enforcement …

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Family Reunification Among Women In Recovery From Substance Abuse And Complex Trauma, Cesha Tiffany Reese Jan 2018

Family Reunification Among Women In Recovery From Substance Abuse And Complex Trauma, Cesha Tiffany Reese

Walden Dissertations and Doctoral Studies

For women in recovery from complex trauma and substance abuse, the lack of posttreatment family reunification services such as family engagement, service delivery, and aftercare planning increase the likelihood of parental relapse and children reentering foster care. A primary caregiver's continued relapse can lead to longer out of home placement for minor children and a loss of parental rights, with a negative impact on both children and parents. The purpose of this qualitative phenomenological study was to examine the lived experiences of women in recovery, their sobriety practices, and how they reunified their families. The theoretical framework was Herman's trauma …

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Effectiveness Of Continuous Subcutaneous Insulin Infusion Therapy Education In A Clinic Setting, Kimberly Rizzo Jan 2018

Effectiveness Of Continuous Subcutaneous Insulin Infusion Therapy Education In A Clinic Setting, Kimberly Rizzo

Walden Dissertations and Doctoral Studies

Diabetes affects an estimated 29.1 million Americans, with approximately another 1/3 of Americans not yet diagnosed. Complications associated with diabetes include heart disease, stroke, hypertension, blindness, kidney disease, neuropathy and death. All of these complications can be prevented with optimal control of blood glucose levels. Advances in technology provide people living with diabetes (PLWD) a multitude of treatment options such as continuous subcutaneous insulin infusion (CSII) therapy. Unfortunately, sustained improvement in glycated hemoglobin A1c (HgA1c) is not always achieved even with this advanced therapy. The purpose of this doctoral project was to educate nurses on CSII therapy and promote improved …

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Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan Jan 2018

Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan

Walden Dissertations and Doctoral Studies

Although health care transitions have received some attention in the literature, few researchers have emphasized family relational experiences and communication during major changes while living with a chronic illness. The purpose of this phenomenological study was to understand the lived experience of parents and their adult children while transitioning from pediatric to adult care of a chronic illness. The bio-psychosocial theory, family systems theory, and attachment theory established the context for this study. A criterion-based sampling technique and snowball sampling were used to recruit 7 parents and 6 of their adult children aged 18 to 30 years who were diagnosed …

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The Impact Of Diabetes And Obesity In The African American Population, Andrea Lynette Swails Jan 2018

The Impact Of Diabetes And Obesity In The African American Population, Andrea Lynette Swails

Walden Dissertations and Doctoral Studies

Within the 21st century, Type II diabetes has emerged as a public health crisis. African Americans and Hispanic Americans have the highest rates of Type II diabetes and obesity compared to European Americans. The purpose of this DNP project was to teach medical assistants (MA) to provide self-management of diabetes and obesity for the African American population in the local clinical setting. An educational tool kit for health providers was developed to guide the educational project. The chronic care model was used to guide the development of the educational toolkit. A pretest posttest design was incorporated into the educational program. …

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Parents' Perceptions Of Transition And Postsecondary Services For Their Children With Disabilities, Elizabeth Joyce Strong Jan 2018

Parents' Perceptions Of Transition And Postsecondary Services For Their Children With Disabilities, Elizabeth Joyce Strong

Walden Dissertations and Doctoral Studies

Students with intellectual and other disabilities who age out of transition programs or graduate from high school may experience marginalization as young adults. There exists scant literature on the perceptions of parents about access to employment and services for their adult children with disabilities. The purpose of this qualitative study was to explore how parents perceived educational services, financial burdens, social isolation, and lack of access to employment for their children with intellectual and other disabilities. Critical disability theory and transformational theory constituted the study's conceptual framework. The research questions concerned how parents perceived access to services related to financial …

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Factors Influencing Use Of Pre-Exposure Prophylaxis Among Men Who Have Sex With Men, Justin B. Terry-Smith Jan 2018

Factors Influencing Use Of Pre-Exposure Prophylaxis Among Men Who Have Sex With Men, Justin B. Terry-Smith

Walden Dissertations and Doctoral Studies

Prevention is key to keeping men who have sex with men (MSM) protected from Human Immunodeficiency Virus (HIV). Despite new and innovative HIV prevention resources such as pre-exposure prophylaxis (PrEP), factors such as education level, employment status, number of sexual partners, and access to health resources may inhibit certain populations from using PrEP. The purpose of this cross-sectional study was to examine the association between education level, employment status, number of sexual partners, and access to health resources and the use of PrEP among MSM. The fundamental cause theory was used to examine how socioeconomic barriers are associated with the …

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The Role Of Distance In Army Family Use Of Military-Provided Supports, Jessica Louise Thompson Jan 2018

The Role Of Distance In Army Family Use Of Military-Provided Supports, Jessica Louise Thompson

Walden Dissertations and Doctoral Studies

As military troops continue to deploy post September 11, 2001, limited literature indicates it is important to study the effects of the deployment on the military personnel and their families. The purpose of this nonexperimental study was to examine whether the physical distance between home and military-provided supports plays a role in whether Army families use such supports, and whether the use of these supports effects their coping strategies during the deployment process. Hobfoll's conservation of resources theory served as the framework for this study. Three hundred and two Army spouses, 44% active duty spouses, 33.8% Army National Guard spouses, …

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Exploring The Implementation Of Cloud Security To Minimize Electronic Health Records Cyberattacks, Lamonte Bryant Tyler Jan 2018

Exploring The Implementation Of Cloud Security To Minimize Electronic Health Records Cyberattacks, Lamonte Bryant Tyler

Walden Dissertations and Doctoral Studies

Health care leaders lack the strategies to implement cloud security for electronic medical records to prevent a breach of patient data. The purpose of this qualitative case study was to explore strategies senior information technology leaders in the healthcare industry use to implement cloud security to minimize electronic health record cyberattacks. The theory supporting this study was routine activities theory. Routine activities theory is a theory of criminal events that can be applied to technology. The study's population consisted of senior information technology leaders from a medical facility in a large northeastern city. Data collection included semistructured interviews, phone interviews, …

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Predictors Of Incarceration For African American Males Aging Out Of Foster Care, Marlean.Wrotten Wrotten Jan 2018

Predictors Of Incarceration For African American Males Aging Out Of Foster Care, Marlean.Wrotten Wrotten

Walden Dissertations and Doctoral Studies

Past research has shown that many youths in the United States age out of foster care group homes unprepared for independent living. Lack of connections to adults, low educational attainment, and homelessness are negative outcomes that have been linked to incarceration for youth who age out of foster care. The purpose of this quantitative correlational study was to determine how well the independent variables of connection to adults, educational attainment, and homelessness predict the dependent variable of likelihood of incarceration for African American males (n = 504) within 3 years after aging out of foster care group homes. The Bridges …

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The Effects Of Hourly Rounding On Patient Safety And Satisfaction, Renee Allatzas Jan 2018

The Effects Of Hourly Rounding On Patient Safety And Satisfaction, Renee Allatzas

Walden Dissertations and Doctoral Studies

The clinical practice problems addressed by the DNP project were the low patient satisfaction scores and the high number of falls on a hospital neurological step-down unit. The purpose of this project was to improve the Hospital Consumer Assessment of Healthcare Providers and Systems score on one patient satisfaction question and decrease the number of patient falls by implementing hourly rounding, using a script related to patient comfort and toileting needs. The scripted questions were expected to increase the satisfaction of patients and decrease unassisted falls due to increased attention to patient pain and positioning and timely help with toileting …

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