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Articles 2401 - 2430 of 16849
Full-Text Articles in Entire DC Network
Enhancing Staff Knowledge On Fall Prevention For Elderly Patients In Home Care Settings, Through Staff Education Initiatives, Anna Ngwafu
Walden Dissertations and Doctoral Studies
Summary Falls are one of the leading causes of injury for older patients in homecare settings, affecting patient safety and quality of care. Patient falls contribute to morbidity, mortality, and healthcare costs. A fall often results in injuries which can be fatal. Over 30% of individuals who are 65 years or older experience falls on an annual basis. In these older adults, the leading cause of death is unintentional falls. Although there are evidence-based strategies for preventing falls, there are still gaps in staff knowledge. The purpose of the DNP project was to develop, implement, and evaluate a staff education …
The Perception Of The Participants Of The Unemployment Relief Program On Employability: A Social Policy Initiative In Trinidad And Tobago, Marsha De Souze
The Perception Of The Participants Of The Unemployment Relief Program On Employability: A Social Policy Initiative In Trinidad And Tobago, Marsha De Souze
Walden Dissertations and Doctoral Studies
The Unemployment Relief Program (URP) has failed to contribute sufficiently to improve employability and reduce unemployment in Trinidad and Tobago. The URP is an active labor market program that aims to alleviate unemployment and stabilize the labor market. Although there have been studies on unemployment programs and policies in Trinidad and Tobago, the gap in the literature revealed a need for adequate labor market research on unemployment policies and programs and their contribution to employability and unemployment. The purpose of this qualitative case study was to explore the URP participants’ perceptions of the program on their employability and unemployment. The …
Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash
Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash
Walden Dissertations and Doctoral Studies
Primary general education teachers are critical stakeholders in the special education identification process (SEIP) when using the multilevel system of support (MLSS) and response to intervention (RTI) frameworks. Previous research has included primary general education teachers and other stakeholder perspectives on using the MLSS/RTI framework during SEIP; however, primary general education teachers’ perspectives on the topic have not been the sole focus of previous research. Guided by Goodson’s educational change theory, the purpose of this basic qualitative study was to explore primary general education teachers’ perspectives on the usefulness of the MLSS/RTI framework during the SEIP. Qualitative data were collected …
A Review Of Technology-Based Literacy Intervention: The Role Of Teachers, Lama Bergstrand Othman
A Review Of Technology-Based Literacy Intervention: The Role Of Teachers, Lama Bergstrand Othman
Journal of Educational Research and Practice
Research has established that the proper use of technology in the classroom can promote and improve students’ skill levels and knowledge base. Also, certain factors either enhance or impede the successful integration of technology in students’ learning environments. Examples of these are efficiency of use, subject area, and teacher knowledge of and experience with teaching the subject. The article is an umbrella review of meta-analyses on literacy intervention programs, specifically analyzing the effectiveness reports from the Institute of Educational Sciences’ What Works Clearinghouse during the past 10 years. I examined the nature of these intervention programs and classified them according …
Staff Education To Improve Nurses’ Knowledge To Prevent Hospital-Acquired Pressure Ulcers/Injuries, Aarinola Abosede Omisola
Staff Education To Improve Nurses’ Knowledge To Prevent Hospital-Acquired Pressure Ulcers/Injuries, Aarinola Abosede Omisola
Walden Dissertations and Doctoral Studies
The quality improvement education project aimed to address a significant increase in hospital-acquired pressure injuries (HAPIs) at a veteran medical center in Indiana, where statistics showed a 40% increase in Stage 2 pressure ulcers and a 60% increase in deep tissue injuries in Quarter 3 in 2023. Recognizing the serious complications associated with pressure injuries, along with their significant financial burden, the project aimed to answer the question: Will a staff education program focusing on an evidence-based, comprehensive approach to preventing pressure injuries increase nurses’ knowledge about implementing strategies to prevent them? The objective was to enhance adherence to the …
Strategies To Reduce The Turnover Rate Of Clinical Research Coordinators In Academic Research Institutions, Ellen Malone
Strategies To Reduce The Turnover Rate Of Clinical Research Coordinators In Academic Research Institutions, Ellen Malone
Walden Dissertations and Doctoral Studies
Clinical research institutions have dealt with the high turnover of their clinical research personnel, and academic medical centers have struggled to retain clinical research coordinators (CRCs). The purpose and review question for this integrative review was to search for programs, solutions, and techniques that will improve the retention of CRCs. This review used the Situational Leadership Theory Model II (SLT II), which focused on the developmental levels of the CRCs and how much support is needed from leadership. In a search of empirical and nonempirical literature for publication years of 2020–2025, 28 articles were determined to be most relevant to …
Perceptions And Experiences Of Kenyan Immigrants On Culturally Appropriate Cancer Health Education In Washington State: A Qualitative Study, Rael Odengo, Patricia Talbert, Joy Anderson
Perceptions And Experiences Of Kenyan Immigrants On Culturally Appropriate Cancer Health Education In Washington State: A Qualitative Study, Rael Odengo, Patricia Talbert, Joy Anderson
Journal of Social, Behavioral, and Health Sciences
Access to culturally appropriate cancer health education (CACHE), such as cancer information in languages other than English, that considers a group’s cultural beliefs, traditions, values, and practices, is increasingly recognized as a global health communication priority. CACHE is essential for reducing healthcare disparities and improving service accessibility among African immigrants, a rapidly growing demographic in the United States. This study explored the perceptions and experiences of Kenyan immigrants in Washington State regarding CACHE. We used a qualitative descriptive design, with a purposive sample of ten participants from the Kenyan immigrant community in Washington State. The Andersen Behavioral Model of Healthcare …
Prevalence And Determinants Of Poor Glycemic Control In Adult Diabetic Patients In A Nigerian Tertiary Hospital, Jideuma Ikenna Egwim, Hope Igbonagwam, Adanna Vivian Egwim, Hadi Danawi, Ifeoma Ogugua
Prevalence And Determinants Of Poor Glycemic Control In Adult Diabetic Patients In A Nigerian Tertiary Hospital, Jideuma Ikenna Egwim, Hope Igbonagwam, Adanna Vivian Egwim, Hadi Danawi, Ifeoma Ogugua
Journal of Social, Behavioral, and Health Sciences
Diabetes mellitus (DM) is a significant public health concern globally and in Owerri, southeast Nigeria. The deleterious effects of diabetes have been linked to poor glycemic control. According to the International Diabetes Federation, poor glycemic control is reflected in glycosylated hemoglobin (HbA1c) levels > 7.0%, which are associated with substantial morbidity and mortality. Studies have shown a dramatic rise in diabetic complications in Nigeria, particularly in Owerri. However, evidence is lacking regarding the specific risk factors associated with poor glycemic control among DM patients in Owerri. This study assessed the predictors of poor glycemic control in a hospital setting in Owerri. …
Improving Medication Adherence In Patients With Schizophrenia Through Staff Education, Ibrahim Sheriff
Improving Medication Adherence In Patients With Schizophrenia Through Staff Education, Ibrahim Sheriff
Walden Dissertations and Doctoral Studies
No abstract provided.
A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson
A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson
Walden Dissertations and Doctoral Studies
The practice problem this DNP project addressed was the lack of a of consensus for a brief cognitive screening (BCS) tool that can be most predictive of mild cognitive disorder (MCI) and dementia in a Veteran Affairs (VA) outpatient clinic. Addressing this gap in practice is important because the veteran population may be at increased risk of MCI and dementia due to age, a history of traumatic brain injury, and posttraumatic stress disorder. This DNP project was a systematic review of the literature. A population, exposure, outcome (PEO) framework and the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) theory guided …
Staff Education To Increase Knowledge And Education Of Urinary Tract Infection To Reduce Rehospitalization, Yia Lor
Walden Dissertations and Doctoral Studies
Urinary tract infections (UTIs) are considered the most common infections in healthcare, particularly in nursing homes. If appropriate preventive measures are taken, infection rates will be reduced. The DNP project aimed to enhance clinicians' knowledge to reduce and prevent UTIs in nursing homes. This knowledge expansion also significantly has potential to reduce the risk of unnecessary hospitalizations. A knowledge gap was identified that focused on the necessary preventive measures to impact patient outcomes positively. Addressing this in nursing is essential because it can help reduce mortality risks. The participants consisted of six registered nurses and six certified nurse assistants who …
Use And Interpretation Of Patient Health Questionnaire-9, Rufina Ewane
Use And Interpretation Of Patient Health Questionnaire-9, Rufina Ewane
Walden Dissertations and Doctoral Studies
This doctoral project is a staff education initiative designed to address the lack of knowledge on how to use and interpret the Patient Health Questionnaire (PHQ-9) tool. The practice problem highlights a knowledge gap, leading to the underutilization of the PHQ-9 tool for depression screening. This underutilization hinders timely diagnosis and effective management, presenting a significant challenge to achieving optimal patient outcomes. The project explores the question: Will implementing a staff education program on the use and interpretation of the PHQ-9 tool improve staff knowledge? The project was designed to enhance staff knowledge in utilizing and interpreting the PHQ-9 tool …
Relationship Between Length Of Stay And Unplanned Readmissions For Adolescent Medicaid Beneficiaries In Mental Health, Rhona Rebecca Waugh
Relationship Between Length Of Stay And Unplanned Readmissions For Adolescent Medicaid Beneficiaries In Mental Health, Rhona Rebecca Waugh
Walden Dissertations and Doctoral Studies
Using national cross-sectional data sets and explanatory variables from CMS, the purpose of this study was to analyze identified adolescents on Medicaid from 2019 to 2021, to determine the interaction of length of stay (LOS) on the frequency of unplanned 30-day readmissions. Students with mental disorders are the most susceptible population during enrollment in healthcare facilities, which is why LOS and readmissions represent one of the most critical points in supporting these learners. This study established the association between LOS and the increased proportion of 30-day readmissions among consumers under Medicaid with mental health conditions in the adolescence stage. To …
Staff Education To Prevent Falls In Long-Term Care Facilities, Shekinah Gleason
Staff Education To Prevent Falls In Long-Term Care Facilities, Shekinah Gleason
Walden Dissertations and Doctoral Studies
In this staff education initiative, I focused on fall prevention in long-term care facilities (LTCFs) by reinforcing the Morse Fall Scale fall risk assessment tool. Falls in LTCFs are a significant concern, leading to injuries, hospitalization, and declining residents' quality of life. The practice problem stems from insufficient staff training, contributing to inadequate patient care and an increased risk of falls. The practice-focused question was used to explore whether education about fall prevention measures and guidelines improves long-term care nurses’ knowledge and intent to follow these guidelines; a total of 23 participants were involved in this project. Pre- and post-education …
Staff Education On Medicaid And Medicare Programs, Angela R. Smith
Staff Education On Medicaid And Medicare Programs, Angela R. Smith
Walden Dissertations and Doctoral Studies
Case managers at the practice site are responsible for helping older and disabled clients receive services from Medicare and Medicaid. The gap in practice was that case managers were failing to recognize the benefit and eligibility differences between these federal and state-run programs. Case managers must be well-informed regarding these programs to effectively manage their clients’ care. The goal of this project was to plan, implement, and evaluate a staff education program on Medicare and Medicaid services. The practice-focused question centered on whether participants demonstrated increased knowledge about Medicare and Medicaid services available to Waiver Program clients. The theoretical framework …
The Impact Of Specific Foster Care Placement Factors On Attachment-Related Anxiety And Avoidance In The Adult Intimate Relationships Of Foster Care Alumni, Latasha Macklin
Walden Dissertations and Doctoral Studies
Children who have a history of maltreatment, like those placed in foster care, are at a significantly higher risk for developing an insecure attachment style, which may be correlated with various problems in adulthood, including adverse relationship outcomes, poor job satisfaction, low self-esteem, mood, and personality disorders. Prior research suggests a correlation between the attachment style of a foster child and specific foster care factors, including the type of placement, reason for placement, number of placements, age of the child at placement, and gender of the child. However, no research exists to examine how these factors might significantly impact the …
Perspectives On Compassion Fatigue And Self-Regulation Among Social Workers In Patient Care During Covid-19, Roberta Johnson Wright
Perspectives On Compassion Fatigue And Self-Regulation Among Social Workers In Patient Care During Covid-19, Roberta Johnson Wright
Walden Dissertations and Doctoral Studies
Since the onset of the COVID-19 pandemic, social workers in patient care have faced significant emotional and psychological challenges, including compassion fatigue, vicarious trauma, and burnout. This study explores the perceptions of social workers working in patient care during the pandemic, specifically examining how compassion fatigue and vicarious trauma contribute to burnout. By focusing on their experiences, the research emphasizes the vulnerabilities social workers encounter as they support populations during these challenging times. The study is grounded in job demands-resources theory to help explain how the demands of social work roles impact mental health and well-being. To gather in-depth data, …
Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo
Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo
Walden Dissertations and Doctoral Studies
Intimate relationships with individuals who have committed sex offenses significantly stigmatize and traumatize partners. Partners also face barriers to effective treatment, negatively impacting both themselves and their children affected by these offenses. The purpose of this generic qualitative study was to gain an understanding of partners’ experiences with support groups in coping with trauma symptoms and stigma, thus addressing a gap in the literature. Grounded in theoretical concepts of trauma, mutual aid, and stigma, how social support dynamics facilitate healing by investigating coping strategies and support group stages to understand participants’ healing journeys were examined. Data were collected from 10 …
Enhancing Nurse Retention In Acute Care Hospitals By Creating An Environment Supportive Of Evidence-Based Practice, Vanessa Roxana Funes
Enhancing Nurse Retention In Acute Care Hospitals By Creating An Environment Supportive Of Evidence-Based Practice, Vanessa Roxana Funes
Walden Dissertations and Doctoral Studies
High nurse turnover rates in acute care hospitals negatively impact operations, increase turnover-related costs, and worsen organizational performance. Developing solutions for healthcare administrators to create environments supportive of evidence-based practice (EBP) can yield positive nurse outcomes, including reducing nurse turnover and increasing retention. This integrative review includes strategies to execute a system-wide environment supportive of EBP as an efficient strategy to reduce nurse turnover and increase retention in acute care hospitals. Using the advancing research and clinical practice through close collaboration (ARCC) model as a guiding framework and the Johns Hopkins evidence-based model as a tool to evaluate evidence, empirical …
Staff Education To Increase Staff Knowledge Of Deep Breathing Techniques To Teach Patients For Effective Use, Modinat Oluwatoyin Fagbenro
Staff Education To Increase Staff Knowledge Of Deep Breathing Techniques To Teach Patients For Effective Use, Modinat Oluwatoyin Fagbenro
Walden Dissertations and Doctoral Studies
This doctoral project was a staff education project aimed at addressing the lack of structured stress management training in behavioral health settings. The project focused on enhancing clinical staff knowledge of deep breathing techniques, a cost-effective, evidence-based intervention to reduce stress and anxiety in patients. The practice problem was significant, as indicated by an internal review of 50 patient charts at the clinical site, which revealed that only 12% of patients used clinician-guided deep breathing. This highlighted the urgent need for structured staff education to improve patient care outcomes. The project question was the following: Will a staff education program …
Perceptions Of Police Executives Of Threat Assessment Practices In Municipal Level Policing, Robin Renee Griffin-Kitzerow
Perceptions Of Police Executives Of Threat Assessment Practices In Municipal Level Policing, Robin Renee Griffin-Kitzerow
Walden Dissertations and Doctoral Studies
While there is no single solution to responding to active threats and targeted acts of violence, strategies such as awareness, preparedness through threat assessment practices, and education are the keys to prevention. Threat assessment practices and mandates are widely used in university and K-12 educational environments and have successfully prevented these acts. However, research up until this point seemed to indicate that local municipal police departments were slow to adopt these practices. As a result, communities suffer through targeted acts of violence, senseless tragedies, and untimely deaths of innocent victims. The purpose of this qualitative study was to explore how …
Staff Education On Physical Activity As A Therapeutic Option For Anxiety And Depression, Suja Paul
Staff Education On Physical Activity As A Therapeutic Option For Anxiety And Depression, Suja Paul
Walden Dissertations and Doctoral Studies
This project’s aim was to educate staff on physical activity (PA) as a therapeutic option for anxiety and depression to relieve psychotic symptoms, enhancing patients’ quality of life. PA enhances cognitive functioning, reduces anxiety and depression, and decreases the risk of cardiovascular conditions and early death. Patients with severe mental illnesses face barriers to PA and exercise, so providers and policymakers must create an environment that encourages participation. A knowledge gap for staff exists in promoting PA in mental health patients. Healthcare professionals should recommend the right amount of PA for each patient. This initiative aims to increase staff confidence …
Staff Education On The Use Of Suicide Screening Tools, Nadine Carole Missiet Fogoum
Staff Education On The Use Of Suicide Screening Tools, Nadine Carole Missiet Fogoum
Walden Dissertations and Doctoral Studies
The goal of the project was to improve nursing competency in assessing suicide risk using a structured staff education intervention. The specific problem identified was the inconsistent use of validated suicide screening tools, limiting clinical efficiency and the ability to detect and intervene for at-risk patients. The project question was as follows: For nursing staff working in a mental health clinic, will staff knowledge increase following a staff education program on the use of suicide screening tools? This practice-focused question concerns itself with the ability to enhance nurse proficiency, confidence, and consistency in utilizing screening instruments, thus positively impacting the …
Pain Management Educational Module For Nursing Staff, Kathyrina Lucy Pham
Pain Management Educational Module For Nursing Staff, Kathyrina Lucy Pham
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a practice gap in pain management among nursing staff in the rehabilitation unit. Frequent pain-related patient calls contributed to inconsistent clinical practices. This project aimed to evaluate whether a brief, evidence-based educational intervention could enhance nurses’ knowledge of pain management. 47 registered nurses participated in an educational module delivered during both day and night shifts. Pre- and post-test scores were collected and analyzed to assess knowledge acquisition. T-test results indicated a statistically significant improvement in nurses’ pain management knowledge. The findings support the effectiveness of brief, targeted education in promoting clinical outcomes …
Staff Education To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda
Staff Education To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda
Walden Dissertations and Doctoral Studies
Dementia is a chronic neurodegenerative disease that is incurable and unpredictable. Patients with dementia experience a decline in functional abilities, communication, and social skills. Fifty-five million people worldwide live with dementia with over 6.9 million people over 65 years of age diagnosed in the United States. The practice problem identified by a 25-bed assisted living facility in the north-central United States was staff’s lack of knowledge of dementia diagnosis, person-centered care approaches, and optimal care strategies supporting a positive quality of life for patients with dementia. The practice-focused question addressed whether an education program consisting of evidence-based practices using the …
Performance Evaluations, Teacher Salary, And Teacher Retention In Online Alternative Learning Environments, April Renee' Siddique
Performance Evaluations, Teacher Salary, And Teacher Retention In Online Alternative Learning Environments, April Renee' Siddique
Walden Dissertations and Doctoral Studies
Teacher retention has long been an area of study, as schools struggle with high teacher turnover, adversely affecting students’ quality of education. Researchers have demonstrated that low scores on evaluations and low salary adversely affect general education teacher retention, but there is little literature on how these variables influence teachers in online alternative learning environments (ALEs). The problem addressed in this study was low teacher retention, leading to a shortage of teachers. Guided by Ryan and Deci’s self-determination theory, the purpose of this quantitative, correlational, nonexperimental study was to examine the relationship between teacher performance evaluation outcomes, salary, and retention …
Evaluating The Impact Of Anti-Vaccine Online Search Trends During The Covid-19 Pandemic On Adolescent Pertussis-Containing Vaccine Completion, Deborah L. Fisher
Evaluating The Impact Of Anti-Vaccine Online Search Trends During The Covid-19 Pandemic On Adolescent Pertussis-Containing Vaccine Completion, Deborah L. Fisher
Walden Dissertations and Doctoral Studies
Adolescent completion of pertussis-containing vaccines is a public health concern, especially with rising online anti-vaccine misinformation. Incomplete vaccination increases risk for preventable diseases and impacts community health. A gap in the literature on the relationship between online anti-vaccine search trends during the COVID-19 pandemic and adolescent pertussis vaccine completion was addressed in this quantitative, repeated cross-sectional study. Andersen’s behavioral model of health services use guided the study. Secondary data from the 2019 and 2022 National Immunization Survey-Teen (NIS-Teen) compared adolescents aged 13–17 in the five U.S. states with the highest (n=5,464) versus the five with the lowest (n=3.031) population-adjusted anti-vaccine …
Experiences Of Black Women School Counselors Coping With Student Suicide, Megan Patrice Ray
Experiences Of Black Women School Counselors Coping With Student Suicide, Megan Patrice Ray
Walden Dissertations and Doctoral Studies
Suicide represents a major public health and educational concern and presents profound emotional and professional challenges for school counselors. This transcendental phenomenological study explored the lived experiences of nine certified school counselors of color who had experienced the death of a student by suicide while employed in K–12 educational settings. With this research, I sought to answer the question: What are the lived experiences of school counselors of color who have had a student die by suicide? Guided by Moustakas’ transcendental phenomenological framework, this study employed bracketing to set aside researcher bias and uncover the essence of participants lived experiences …
Clinical Practice Patient Education Guideline For Patients With Substance Use Disorders, Josephine Nandzo
Clinical Practice Patient Education Guideline For Patients With Substance Use Disorders, Josephine Nandzo
Walden Dissertations and Doctoral Studies
The Veteran’s hospital for which this DNP clinical practice patient education guideline (CPPEG) was developed has made strides in addressing the needs of patients with substance use disorders (SUDs). However, the problem identified for this project was the need for veterans with SUDs to obtain information about resources available in the hospital, community, or state to manage their recovery. The project question was as follows: Will a CPPEG on resources for patients with SUDs meet the optimal threshold of 7 on the Appraisal of Guidelines for Research and Evaluation (AGREE) II Instrument? The purpose was to plan, implement, and evaluate …
Renal Patients’ Perception Of Self-Efficacy Through Rapport And Trust With Registered Dietitians, Michelle Denise Broussard
Renal Patients’ Perception Of Self-Efficacy Through Rapport And Trust With Registered Dietitians, Michelle Denise Broussard
Walden Dissertations and Doctoral Studies
End stage renal disease requires dietary education and behavior modifications to manage the condition. The purpose of this quantitative study was to investigate the role of rapport and trust between the patients and registered dietitians and its impact on self-efficacy. The study was implemented over 12 weeks in multi-site dialysis units in urban Georgia. The health belief model was used as the framework to explain the participants’ desire toward self-efficacy. Data were obtained for the 14-item Health Care Relationship Trust scale and the self-efficacy scales and analyzed using multiple linear regression. A convenience sample of 125 patients between the ages …