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Articles 271 - 300 of 2390
Full-Text Articles in Entire DC Network
Effective Strategies For Improving Hospital Safety And Profitability Through Reducing Hospital-Acquired Conditions, Quennise Giles
Effective Strategies For Improving Hospital Safety And Profitability Through Reducing Hospital-Acquired Conditions, Quennise Giles
Walden Dissertations and Doctoral Studies
The incidence of hospital acquired conditions (HACs) has been a persistent problem in the United States that has negatively affected patient safety, care outcomes, and hospital costs and profitability. Effective strategies to reduce HACs and improve compliance with Hospital-Acquired Condition Reduction Program (HACRP) requirements are important for hospital leaders. Grounded in the total quality management conceptual framework, the purpose of this qualitative pragmatic inquiry was to explore how six hospital leaders in the Southeast United States successfully reduced HACs and improved HACRP compliance. Data were collected through personal interviews and publicly available documents. Yin’s 5-step process was used for data …
Effective Strategies For Developing And Implementing Metrics For Successful Social Marketing Campaign Performance, Annette M. Wolf
Effective Strategies For Developing And Implementing Metrics For Successful Social Marketing Campaign Performance, Annette M. Wolf
Walden Dissertations and Doctoral Studies
Ineffective use of marketing metrics by social marketers poses a risk of inconsistent and subjective interpretations of campaign success. Social marketing managers and stakeholders are concerned because unreliable metrics hinder their ability to evaluate performance, justify funding, and replicate effective strategies. The purpose of this qualitative pragmatic inquiry, grounded in general systems theory and foundational social marketing literature, was to explore effective strategies that social marketing campaign managers use to implement metrics sufficient to measure successful campaigns. The participants were ten experienced members of the Social Marketing Association of North America, with effective strategies to implement marketing metrics to measure …
Staff Education To Improve Knowledge Of Wound Documentation Skills Among Inpatient Nurses, Rouine Kay Patron Litorja
Staff Education To Improve Knowledge Of Wound Documentation Skills Among Inpatient Nurses, Rouine Kay Patron Litorja
Walden Dissertations and Doctoral Studies
While many healthcare organizations have established wound documentation protocols, maintaining consistent, high-quality documentation remains a widespread challenge in clinical practice. In this staff education project, I addressed the implementation of a staff education program to increase nurses' knowledge about evidence-based practices regarding wound documentation. The staff education initiative was conducted in a medical telemetry unit, with 17 nurses participating. A pretest-posttest design was employed to evaluate the impact of the education. The aggregate pretest and posttest scores were analyzed using the Normalized Learning Gain (NLG) formula. The NLG gain of 0.37, equated to a 37% improvement in knowledge a moderate …
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 …
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. …
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 …
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 …
Staff Education On Documentation For Hospice Registered Nurses, Sharon Spencer Cunningham
Staff Education On Documentation For Hospice Registered Nurses, Sharon Spencer Cunningham
Walden Dissertations and Doctoral Studies
Summary Documentation is a part of a daily task that all nurses undertake. Its purpose is to provide validation of care rendered to patients. In the hospice setting, nurses’ documentation is crucial, as it supports whether a patient qualifies to receive hospice services. If proper documentation is not recorded, patients can lose services and organizations can face a loss of revenue and potential fines. At a hospice organization in the Southeast United States, there was little emphasis of the importance of documentation that adheres to guidelines set by Centers for Medicare and Medicaid Services (CMS). Therefore, nurses’ documentation lacked the …
Staff Education To Improve Patient Outcomes And Treatment Compliance Through Use Of Motivational Interviewing In The Mental Health Setting, Rachel Nardi
Walden Dissertations and Doctoral Studies
Summary: Treatment noncompliance is a significant problem within the realm of mental health care. Recurrent noncompliance increases symptom severity, the likelihood of a crisis, and the burden placed on mental health care resources. Motivational interviewing (MI) is an evidence-based practice (EBP) demonstrated through extensive research to positively affect patient outcomes. Teaching MI to mental health care providers is one option organizational leaders can choose to address treatment noncompliance. In order for MI to become standard nursing practice, a method of education must be developed and implemented. This necessitates the identification of effective education delivery methods. A staff education project was …
Comorbidities, Therapy And Health System Factors Associated With Treatment Interruption Among Males With Tuberculosis In Nairobi County, Kenya, Lorraine Nkirote Mugambi-Nyaboga
Comorbidities, Therapy And Health System Factors Associated With Treatment Interruption Among Males With Tuberculosis In Nairobi County, Kenya, Lorraine Nkirote Mugambi-Nyaboga
Walden Dissertations and Doctoral Studies
While males are recognized as key drivers of tuberculosis (TB) transmission, the association between comorbidities (i.e., diabetes and malnutrition), adverse drug reactions (ADRs), and health system factors (i.e., frequency of drug refills) with TB treatment interruption, remains unclear. I aimed to determine the association between these factors and TB treatment interruption among males diagnosed with TB in Nairobi County, Kenya controlling for age, sub-county of residence, alcohol use, HIV co-infection, type of TB and presence of treatment supporter. Guided by WHO’s framework on adherence to long-term therapies, a quantitative, case-control study was conducted using secondary analysis of Kenya’s TB surveillance …
The Association Between Neighborhood Environment, Social Relations, And The Prevalence Of Irritable Bowel Syndrome, Negin Iranfar
The Association Between Neighborhood Environment, Social Relations, And The Prevalence Of Irritable Bowel Syndrome, Negin Iranfar
Walden Dissertations and Doctoral Studies
Irritable bowel syndrome (IBS) is a disorder of gut-brain interaction influenced by biological, psychological, and social factors. Stress and socioeconomic influences on IBS have been studied, however few studies have explored the impact of neighborhood and social environments across racial and ethnic groups and sex at birth. The biopsychosocial framework was used to examine whether built environment and social context contribute to IBS prevalence. A cross-sectional analysis of 80,874 participants from the All of Us Research Program was conducted to assess the associations between IBS and six neighborhood and social factors: safety, structure, cohesion, supportive relationships, social relationships, and perceived …
Early Childhood Teachers’ Perspectives On The Challenges Of Closing The African American Achievement Gap, Cherie Mcelroy-Burch
Early Childhood Teachers’ Perspectives On The Challenges Of Closing The African American Achievement Gap, Cherie Mcelroy-Burch
Walden Dissertations and Doctoral Studies
There is a persistent academic achievement gap between African American students and their White peers in Grades 1–3. Federal and state governments have made numerous efforts, implemented policy changes, and allocated more resources to struggling school districts, yet the disparity in academic achievement persists. The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives on the challenges of closing the achievement gap between African American students and their White peers in Grades 1–3. The conceptual framework for this study was based on Coll and Lamberty’s model of developmental competencies in minority children. The research question for …
Middle-Income Housing Affordability: An Exploration Of The Residual Income Approach In Delaware, Alexis Bryan-Dorsey
Middle-Income Housing Affordability: An Exploration Of The Residual Income Approach In Delaware, Alexis Bryan-Dorsey
Walden Dissertations and Doctoral Studies
Families with children face challenges finding affordable housing. The research problem addressed through this quantitative group comparison design study was the need for alternative measures of determining housing affordability for families with children. Efforts to determine the best evaluation of housing affordability could help some families that may fall into the gap and lack a substantiated voice in the development of public policy. Researchers have demonstrated issues with housing affordability, such as the rising costs of housing and a shortage of affordable housing units but have not established the significance of using alternative measures to determine affordability and the implementation …
A Quality Improvement Initiative To Implement An Educational And Behavioral Intervention To Address Childhood Obesity And Depression, Hillary Oluwatosin Ayokunle
A Quality Improvement Initiative To Implement An Educational And Behavioral Intervention To Address Childhood Obesity And Depression, Hillary Oluwatosin Ayokunle
Walden Dissertations and Doctoral Studies
Summary The doctoral project was a quality improvement initiative aimed at addressing the co-occurrence of obesity and depression in children aged 9-18 years. The practice problem is critical within the context of nursing practice, as both childhood obesity and depression are significant public health concerns that impact physical and mental well-being. The practice-focused question guiding the project explored whether the implementation of an educational program centered on nutrition, physical activity, and mental health leads to improvements in body mass index (BMI) and reductions in depressive symptoms, as measured by the Patient Health Questionnaire-9 (PHQ-9). The purpose of the doctoral project …
Burnout, Life Satisfaction, And Meaning-Focused Coping In Correctional Mental Health Providers, Danielle Janet Tsamouris
Burnout, Life Satisfaction, And Meaning-Focused Coping In Correctional Mental Health Providers, Danielle Janet Tsamouris
Walden Dissertations and Doctoral Studies
Studies have found that burnout among correctional mental health providers is related to unique stressors that impact their physical, psychological, and emotional health, including the perceived and actual threat of violence. Using the transactional theory of stress and coping, the purpose of this quantitative study was to examine the influence of burnout and meaning-focused coping strategies on life satisfaction in correctional mental health providers. Online survey data from 102 master’s-holding correctional mental health professionals were recruited by SurveyMonkey who also administered the survey. Results from a standard multiple regression analysis suggested that meaning-focused coping strategies significantly and positively influenced life …
Food Insecurity, Myplate Utilization, And Hba1c In United States Adults With Prediabetes, Lindley R. Sharp
Food Insecurity, Myplate Utilization, And Hba1c In United States Adults With Prediabetes, Lindley R. Sharp
Walden Dissertations and Doctoral Studies
The rising prevalence of prediabetes in the United States presents a significant public health challenge, particularly due to its progression into Type 2 diabetes. Despite national dietary guidelines, disparities in dietary adherence persist, especially among food-insecure adults. This quantitative study examined the impact of food insecurity and MyPlate utilization on HbA1C levels in prediabetic U.S. adults, while accounting for structural and intermediary determinants of health. Guided by the Commission on Social Determinants of Health framework, this cross-sectional study utilized secondary data from the 2015–March 2020 National Health and Nutrition Examination Survey including a sample size of 1,417 noninstitutionalized male and …
Staff Education On Psychoeducational Interventions For Older Patients With Mood Disorder, Vera Ngenwie Nkweti
Staff Education On Psychoeducational Interventions For Older Patients With Mood Disorder, Vera Ngenwie Nkweti
Walden Dissertations and Doctoral Studies
No included because we used the Walden University School Template
Staff Education Program On The Vanderbilt Adhd Diagnostic Rating Scale, Rabiatu Bangura
Staff Education Program On The Vanderbilt Adhd Diagnostic Rating Scale, Rabiatu Bangura
Walden Dissertations and Doctoral Studies
This DNP project evaluated the effectiveness of a structured staff education program designed to enhance healthcare professionals’ knowledge and utilization of the Vanderbilt ADHD Assessment Scale (VAS) in children aged ≥2 to ≤18 years. The practice problem addressed in this project was the inconsistent use and limited knowledge of the VAS among healthcare staff, which can lead to underdiagnosis or delayed diagnosis. The practice-focused question was: Will a staff education program specifically designed to instruct healthcare professionals on using the Vanderbilt ADHD Assessment Scale in children ≥2 years to ≤18 years increase their knowledge? Targeted educational sessions were implemented, and …
Continuity Of Novice Middle School Teachers In An Urban School District, Andrea Torres Williams
Continuity Of Novice Middle School Teachers In An Urban School District, Andrea Torres Williams
Walden Dissertations and Doctoral Studies
Extensive research suggests that effective and meaningful teacher preparation programs can help reduce novice teacher attrition. The problem addressed in this study was the high middle school teacher turnover in an urban school district (USD, a pseudonym) in Georgia, despite the implementation of coaching programs for novice teachers. Guided by Yerkes and Dodson’s challenge-hindrance model, the purpose of this basic qualitative study was to explore novice middle school teachers’ perceptions on the support received, the challenges encountered in their first year, and the usefulness of mentoring, professional development, and instructional coaching received at USD. Semistructured interviews were conducted with 12 …
The Extreme Poverty Alleviation Impact Of The Conditional Cash Transfer Program In Nigeria, Oluseun Omolara Olagunju
The Extreme Poverty Alleviation Impact Of The Conditional Cash Transfer Program In Nigeria, Oluseun Omolara Olagunju
Walden Dissertations and Doctoral Studies
Despite several social investment programmes (SIPs) to reduce poverty, Nigeria had a high poverty rate, particularly in remote rural areas. The SIPs included conditional cash transfers (CCTs) to eligible households under certain conditions, such as extreme poverty in remote rural areas without access to water, electricity, shelter, basic health care, and education. While a few studies conducted on the effectiveness of CCTs have shown that Nigeria invested significant resources in poverty alleviation without the desired results due to factors like poor implementation and corruption, none reflects the perspective of CCT beneficiaries. The purpose of this study was to fill this …
Staff Education To Improve Gestational Diabetes Knowledge In Family Practice Staff, Lawretta Udogadi Aghomon
Staff Education To Improve Gestational Diabetes Knowledge In Family Practice Staff, Lawretta Udogadi Aghomon
Walden Dissertations and Doctoral Studies
The project was a staff education program on gestational diabetes mellitus (GDM) that was carried out in an outpatient primary health facility to help improve staff knowledge of GDM. GDM is a pregnancy complication where women with no history of diabetes become hyperglycemic during their gestational period. According to the Centers for Disease Control and Prevention, the percentage of mothers giving birth who received a diagnosis of diabetes during pregnancy has increased in the last 10 years. Limited healthcare staff knowledge is a constraint in preventing the increase of GDM incidence. The practice-focused question was: Among healthcare staff at a …
The Experience Of Non-English Speaking Hispanic Patients During Kidney Transplant Evaluation, Ana Ivette Merced-Castro
The Experience Of Non-English Speaking Hispanic Patients During Kidney Transplant Evaluation, Ana Ivette Merced-Castro
Walden Dissertations and Doctoral Studies
There has been an increase in the incidence of Hispanics being diagnosed with end stage renal disease (ESRD), which has evolved from the rise in type 2 diabetes and hypertension. However, Hispanics and African American people are less likely to receive kidney transplants than non-Hispanic White individuals, and many Hispanics referred for transplants often do not complete the evaluation process due to its complexities. The purpose of this qualitative narrative descriptive study, guided by the socioeconomic model, was to explore the lived experiences of non-English-speaking Hispanic patients during the kidney transplant evaluation process. Six participants were recruited for the individual …
Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon
Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon
Walden Dissertations and Doctoral Studies
COVID-19 highlighted the longstanding systemic and structural racism that produced poor health outcomes in Black communities. Black minorities in the United States were disproportionately affected by the COVID-19 pandemic, with less access to health resources, low vaccine rates, and mistrust of healthcare providers and organizations. This interpretative phenomenological analysis (IPA) explored trust-related health beliefs with medical systems among Black Americans since COVID-19. The study explored the trust-related health beliefs through the six constructs of the health belief model—perceived susceptibility, perceived severity, perceived barriers, perceived benefits, cues to action, and self-efficacy. Data was collected through semi-structured interviews of six participants who …
Investigating The Association Between Metabolically Healthy And Metabolically Unhealthy Obesity With Disease, Colleen Marie Cohick
Investigating The Association Between Metabolically Healthy And Metabolically Unhealthy Obesity With Disease, Colleen Marie Cohick
Walden Dissertations and Doctoral Studies
Obesity is a global health concern, affecting individuals of all ages and ethnicities worldwide. A key factor in health concerns related to obesity is metabolic health: Obese individuals are either metabolically healthy obese or metabolically unhealthy obese, leading to different degrees of risk for cardiovascular disease and diabetes.. There is a lack of comprehensive research examining the association between metabolic health status among obese individuals and kidney, liver, and stomach diseases. This quantitative cross-sectional study was conducted to examine whether metabolic health status is a significant predictor of kidney, liver, and stomach diseases among obese individuals when lifestyle is a …
Staff Education To Facilitate Patient Medication Adherence Among Schizophrenia Patients, Fri Florence Fon
Staff Education To Facilitate Patient Medication Adherence Among Schizophrenia Patients, Fri Florence Fon
Walden Dissertations and Doctoral Studies
Over the years, mental health practice has been characterized by a lack of compliance by schizophrenic patients after receiving a prescription for medication when discharged from the hospital (Kim et al., 2020). This issue has adversely affected the quality of experience and treatment outcomes among schizophrenia patients in my organization, an outpatient mental health clinic a similar challenge exists. Many patients diagnosed with schizophrenia struggle with medication adherence postdischarge, leading to increased relapse rates and hospital readmissions. This recurring issue has highlighted the need for enhanced patient education to improve compliance. The identified practice problem was the need for a …
Christian Church Leaders’ Perceptions Of Improving Their Congregations’ Self-Efficacy, Well-Being, And Membership, Joseph M. Williams
Christian Church Leaders’ Perceptions Of Improving Their Congregations’ Self-Efficacy, Well-Being, And Membership, Joseph M. Williams
Walden Dissertations and Doctoral Studies
Declining church membership has reduced congregational engagement, and challenges in fostering self-efficacy and well-being have created significant concerns for Christian church leaders in the United States. Understanding how church leaders perceive and address these challenges is crucial for sustaining faith-based organizations and their impact on communities. The purpose of this qualitative case study was to explore the Christian church leaders’ perceptions of improving their congregation’s self-efficacy, well-being, and membership in Westchester, New York. Bandura’s theory of self-efficacy and Seligman’s theory of well-being grounded this study. The participants comprised 10 Christian church leaders. Data were collected using semistructured interviews. Through Braun …
Impact Of Ohio Senate Bill 265 On Infant Mortality Rate In Ohio, Lauren Crawford
Impact Of Ohio Senate Bill 265 On Infant Mortality Rate In Ohio, Lauren Crawford
Walden Dissertations and Doctoral Studies
There is a problem with the infant mortality rate among Black women living in Ohio. Despite programs such as the Ohio Infant Mortality Reduction Initiative and Celebrate One, the infant mortality rate among Black women continues to persist, and a rate disparity between White women and Black women remains. The purpose of this generic qualitative inquiry was to explore retail pharmacists’ behavioral beliefs and attitudes toward providing prenatal care as a reimbursed service in Ohio. Currently, no studies exist that explore retail pharmacists' behavioral beliefs and attitudes toward expanding their services to include prenatal care. Using Ajzen’s theory of planned …
Healthcare Use: Impact Of Race And Insurance Status On Influenza In The Bronx, Miselie Charite
Healthcare Use: Impact Of Race And Insurance Status On Influenza In The Bronx, Miselie Charite
Walden Dissertations and Doctoral Studies
Underuse of healthcare services by Blacks, who receive fewer influenza vaccinations than Whites in New York, has resulted in elevated health complications and increased healthcare costs. The purpose of this quantitative correlational study was to determine if there is an association between race and insurance status with length of inpatient stay and total charges. Theoretical frameworks were the Quality, Cost, and Health Model and the Institute for Healthcare Improvement Triple Aim framework. Using a dataset from the New York State Planning and Research Cooperative System with a sample size of 3,137 cases, findings showed significant disparities during analysis. Regression analysis …
Experience Of Coparents/Partners Of African American Mothers Participating In Breastfeeding Education, Samantha Hickson
Experience Of Coparents/Partners Of African American Mothers Participating In Breastfeeding Education, Samantha Hickson
Walden Dissertations and Doctoral Studies
Coparents and partners of African American mothers are critical in the initiation and continuation of breastfeeding and influence a woman’s decision to breastfeed. The purpose of this qualitative study was to explore the experience of coparents/partners of African American mothers participating in breastfeeding education and its impact on the support they provide. Bandura’s social cognitive theory provided the theoretical foundation for this study. Data were collected via semi-structured interviews with 11 participants. Data analysis followed the traditional seven steps of interpretative phenomenological analysis. Findings showed that while coparents and partners of African American breastfeeding mothers found breastfeeding education to be …
Executive Summary: Development Of An Evidence-Based Prevention Bundle To Reduce Falls On An Inpatient Psychiatric Detoxification Unit, Ramatu Dougrey Jalloh
Executive Summary: Development Of An Evidence-Based Prevention Bundle To Reduce Falls On An Inpatient Psychiatric Detoxification Unit, Ramatu Dougrey Jalloh
Walden Dissertations and Doctoral Studies
Following a 16% increase in patient falls from 2023 to 2024 in an inpatient psychiatric detoxification unit, a quality improvement education project was implemented to assess the impact of an evidence-based fall prevention bundle on fall rates and nursing compliance. Nurses received education through a PowerPoint presentation to enhance understanding and implementation of the bundle, which included Edmonson reassessments after high-risk medication administration, ISHAPED bedside shift handoffs, care plan updates, and SWIFT daily safety huddles. Posttests identified that the objective score of 80% knowledge for nurses was met. During the 10-week implementation, the goal was 100% compliance with all bundle …