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Develop An Education Program Related To Evidence-Based Strategies Nurses Can Use To Decrease Medication Errors In A Nursing Home, Ann N. Akwaraonwu
Develop An Education Program Related To Evidence-Based Strategies Nurses Can Use To Decrease Medication Errors In A Nursing Home, Ann N. Akwaraonwu
Walden Dissertations and Doctoral Studies
These medication errors have posed an immense threat to patient safety, regulatory compliance, and staff confidence in healthcare. Therefore, the improved understanding of nursing staff and reduction in medication error rates required targeted education of nursing staff, thus the basis upon which this quality improvement project was implemented at a nursing home facility located in the Northeastern United States. This evidence-based intervention was developed from feedback that indicated a gap in knowledge on best practices related to the administration of medication among nursing staff. These were eight in number: registered nurses, licensed practical nurses, and certified nursing assistants, who had …
Educating Project Site Hospital Nurses On The Code Lavender, Jennifer Swendsen
Educating Project Site Hospital Nurses On The Code Lavender, Jennifer Swendsen
Walden Dissertations and Doctoral Studies
With this staff education project, I aimed to educate nurses at the project site hospital about the Code Lavender program, a mental health intervention designed to address nurse burnout. Nurse burnout has risen significantly post-COVID-19 pandemic, contributing to high turnover rates and compromising patient care. Nurses are experiencing increased levels of stress, depression, and suicidal ideation, which has led to feelings of being overwhelmed, overworked, and quitting the profession, exacerbating staffing shortages and patient care hazards. The central question of this project was whether staff education on the Code Lavender program would increase nurses’ knowledge, as evidenced by improved posttest …
Staff Education To Enhance Nurses’ Knowledge In Managing Alcohol Withdrawal, Nodeen Nicoal Glen
Staff Education To Enhance Nurses’ Knowledge In Managing Alcohol Withdrawal, Nodeen Nicoal Glen
Walden Dissertations and Doctoral Studies
Summary Summary This DNP clinical practice staff education was developed to address the lack of nursing knowledge, and skills needed to assess and manage alcohol withdrawal effectively in an observation unit. Ineffective assessment and management of patients’ withdrawal symptoms may result in deterioration of their condition and require further aggressive treatment. The project aimed to educate nurses on evidence-based strategies for assessing and managing alcohol withdrawal using an evidence-based assessment tool. Sixteen nurses participated in the program to increase their understanding of alcohol withdrawal and the use of the Richmond Agitation-Sedation Scale (RASS). They completed a pretest before participating in …
Human And Social Service Professionals’ Perceptions And Experiences Supporting Human Trafficking Victims And The Role Of Social Capital, Esmilyn Natalie Porter
Human And Social Service Professionals’ Perceptions And Experiences Supporting Human Trafficking Victims And The Role Of Social Capital, Esmilyn Natalie Porter
Walden Dissertations and Doctoral Studies
Human and Social Service Professionals’ Perceptions and Experiences Supporting Human Trafficking Victims and the Role of Social Capital by Esmilyn Natalie Porter (Johnson) MA, National Louis University, 2010 BS, University of Wisconsin-Madison, 1999 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Services Walden University November 2024
Lived Experiences Involving Family Decision-Making Processes For Placing Older Adults In Long-Term Care Facilities In Arkansas, Jennifer Elaine Carpenter
Lived Experiences Involving Family Decision-Making Processes For Placing Older Adults In Long-Term Care Facilities In Arkansas, Jennifer Elaine Carpenter
Walden Dissertations and Doctoral Studies
Although family members play an important role in decisions regarding their loved ones in long-term care facilities, their experiences have not been explored. Guided by Bowen’s family system and Simon’s decision-making theories, this qualitative study utilized phenomenology. The research question was: What are experiences involving the decision-making process for family members when placing family members in long-term care facilities in Arkansas? Purposive sampling resulted in face-to-face interviews with a sample of 11 such family members over 18 years of age. Data trustworthiness was established by using reflexivity and rich thick descriptions. Member checking was used with participants to verify transcripts …
Human And Social Service Professionals’ Perceptions And Experiences Supporting Human Trafficking Victims And The Role Of Social Capital, Esmilyn Natalie Porter
Human And Social Service Professionals’ Perceptions And Experiences Supporting Human Trafficking Victims And The Role Of Social Capital, Esmilyn Natalie Porter
Walden Dissertations and Doctoral Studies
Human and Social Service Professionals’ Perceptions and Experiences Supporting Human Trafficking Victims and the Role of Social Capital by Esmilyn Natalie Porter (Johnson) MA, National Louis University, 2010 BS, University of Wisconsin-Madison, 1999 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Services Walden University November 2024
Policy Outcomes Of Culturally Integrated Health Care For African Americans, Victoria Aderin
Policy Outcomes Of Culturally Integrated Health Care For African Americans, Victoria Aderin
Walden Dissertations and Doctoral Studies
Despite advancements in integrated care, persistent health care disparities and systemic barriers continue to contribute to poor health outcomes among African Americans. The purpose of this qualitative study was to explore the implementation of culturally integrated behavioral health care within the context of African American experiences, focusing on health care access and quality through a public policy lens. The study was informed by Ostrom's institutional analysis and development framework, health equity framework developed by the nonprofit organization Education Training & Research, and Hankivisky's intersectionality-based policy analysis. To gather data, semistructured interviews were conducted with 20 African American adults who receive …
Human And Social Service Professionals’ Perceptions And Experiences Supporting Human Trafficking Victims And The Role Of Social Capital, Esmilyn Natalie Porter
Human And Social Service Professionals’ Perceptions And Experiences Supporting Human Trafficking Victims And The Role Of Social Capital, Esmilyn Natalie Porter
Walden Dissertations and Doctoral Studies
Human and Social Service Professionals’ Perceptions and Experiences Supporting Human Trafficking Victims and the Role of Social Capital by Esmilyn Natalie Porter (Johnson) MA, National Louis University, 2010 BS, University of Wisconsin-Madison, 1999 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Services Walden University November 2024
Seventh-Day Adventist Clergy’S Perceptions Of Dealing With Parishioners’ Mental And Emotional Health Challenges, Allens Gilles
Seventh-Day Adventist Clergy’S Perceptions Of Dealing With Parishioners’ Mental And Emotional Health Challenges, Allens Gilles
Walden Dissertations and Doctoral Studies
The issue of how Seventh-day Adventist (SDA) clergy perceive and address parishioners’ mental health challenges is critical. Clergy perceptions are significant because they can greatly influence parishioners’ quality of life and choices regarding mental health care. However, there is limited literature on SDA clergy’s perspectives on these matters. Thus, the purpose of this qualitative phenomenological study was to explore the perceptions of SDA clergy regarding how to assist parishioners with emotional and mental health challenges. The theoretical framework was the mental health literacy theory, developed in the mid-1990s. Data were collected from semistructured interviews with 10 clergy of African American …
Collaboration Of Social Workers And Other Support Professionals Working With Individuals Diagnosed With Autism, Brooke Ashley Humphrey
Collaboration Of Social Workers And Other Support Professionals Working With Individuals Diagnosed With Autism, Brooke Ashley Humphrey
Walden Dissertations and Doctoral Studies
Autism is occurring at an increasing incidence in the United States, and it does not discriminate based on race, ethnicity, or socioeconomic status; therefore, the need for collaborative care across multiple support systems is increasing as well. There are few studies that described collaborative approaches across systems for individuals diagnosed with autism. The purpose of this generic qualitative study was to better understand how social workers and other support professionals use interprofessional collaboration when working with individuals diagnosed with autism. The concepts that grounded this study included Sundet et al.’s collaborative, dialogue-based clinical practice (CDCP) model. Data were collected through …
Strategies Some Female Musician Entrepreneurs Use To Increase Profitability And Sustain Success Without An Additional Source Of Income, Kascie Amanda Page
Strategies Some Female Musician Entrepreneurs Use To Increase Profitability And Sustain Success Without An Additional Source Of Income, Kascie Amanda Page
Walden Dissertations and Doctoral Studies
Without a solid understanding of marketing, booking, and branding strategies, female musician entrepreneurs may struggle to achieve profitability. Developing these strategies is crucial to mitigate risks that could jeopardize the sustainability and success of their independent businesses. Grounded in the theory of constraints the purpose of this pragmatic inquiry was to explore the strategies some female musician entrepreneurs used to become profitable without an additional source of income. The participants were five independent artists within the Southeast region of the United States who performed and published original music during the last 5 years. Data was collected from interviews. Three themes …
Strategies Some Female Musician Entrepreneurs Use To Increase Profitability And Sustain Success Without An Additional Source Of Income, Kascie Amanda Page
Strategies Some Female Musician Entrepreneurs Use To Increase Profitability And Sustain Success Without An Additional Source Of Income, Kascie Amanda Page
Walden Dissertations and Doctoral Studies
Without a solid understanding of marketing, booking, and branding strategies, female musician entrepreneurs may struggle to achieve profitability. Developing these strategies is crucial to mitigate risks that could jeopardize the sustainability and success of their independent businesses. Grounded in the theory of constraints the purpose of this pragmatic inquiry was to explore the strategies some female musician entrepreneurs used to become profitable without an additional source of income. The participants were five independent artists within the Southeast region of the United States who performed and published original music during the last 5 years. Data was collected from interviews. Three themes …
Support Services From Prison To Home: Reentry Programs In A Midwestern State, Naima I. Lusane
Support Services From Prison To Home: Reentry Programs In A Midwestern State, Naima I. Lusane
Walden Dissertations and Doctoral Studies
The problem addressed in this study was a gap in understanding the impact of Ohio-based reentry programs and support services for previously incarcerated offenders. Providing reentry services to ex-offenders before and after release from prison is vital in reducing the likelihood of recidivism. This study was essential because its outcomes provided valuable insights to reentry service agencies and prisons into the impact of support services on successful reentry and reducing recidivism in Ohio. The purpose of this qualitative ethnographic study was to explore how reentry programs addressed the employment, education, and housing needs of ex-offenders transiting back into society. The …
Strategies Some Female Musician Entrepreneurs Use To Increase Profitability And Sustain Success Without An Additional Source Of Income, Kascie Amanda Page
Strategies Some Female Musician Entrepreneurs Use To Increase Profitability And Sustain Success Without An Additional Source Of Income, Kascie Amanda Page
Walden Dissertations and Doctoral Studies
Without a solid understanding of marketing, booking, and branding strategies, female musician entrepreneurs may struggle to achieve profitability. Developing these strategies is crucial to mitigate risks that could jeopardize the sustainability and success of their independent businesses. Grounded in the theory of constraints the purpose of this pragmatic inquiry was to explore the strategies some female musician entrepreneurs used to become profitable without an additional source of income. The participants were five independent artists within the Southeast region of the United States who performed and published original music during the last 5 years. Data was collected from interviews. Three themes …
Restoring And Improving Senior Citizens' Trust In Water Safety In Flint, Michigan, Jessica Nichole Burt
Restoring And Improving Senior Citizens' Trust In Water Safety In Flint, Michigan, Jessica Nichole Burt
Walden Dissertations and Doctoral Studies
Trust can be defined as a belief in truth, hope, or simply the idea that a person or group has the best interest or ability of the next party. During the Flint, Michigan, water crisis, trust significantly impacted how a person or group perceived the person deemed dependable when decisions made impacted their life. The purpose of this study was to explore senior citizens' experiences and perceptions and make recommendations for restoring the public's confidence in water safety in Flint, Michigan, which has been fragmented within the minority senior community. A qualitative case study was designed by using interviews to …
Understanding The Demographic And Health Factors Associated With The Incidence Of Stroke In Jamaica, Zandy Elliott
Understanding The Demographic And Health Factors Associated With The Incidence Of Stroke In Jamaica, Zandy Elliott
Walden Dissertations and Doctoral Studies
Stroke, the leading cause of death and disability worldwide, is a significant public health issue in Jamaica, affecting individuals, families, and the healthcare system. This study identified demographic and health factors associated with stroke, enabling medical professionals to better understand high-risk factors and implement preventative care strategies in Jamaica—filling a significant gap in public health knowledge. The quantitative cross-sectional study examined Jamaican demographics, health, and stroke rates. Secondary data from the Office of the Consultant Neurologist (OCN) from 2000-2023 was integrated into the Social Ecological Model (SEM). The study included 291 stroke patients aged 18 and older, excluding those under …
Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu
Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu
Walden Dissertations and Doctoral Studies
In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …
Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu
Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu
Walden Dissertations and Doctoral Studies
In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …
Strategies To Adopt Devops Model-Driven Engineering For Automating Enterprise Networks, Benjamin Schuster
Strategies To Adopt Devops Model-Driven Engineering For Automating Enterprise Networks, Benjamin Schuster
Walden Dissertations and Doctoral Studies
The popularity of automation in on-premises and hybrid-cloud networking architectures has increased significantly in the last decade. However, some organizational leaders are reluctant to adopt network automation, despite the benefits of increased efficiencies in organizational processes and reduced operations and maintenance requirements. Grounded in the disruptive innovation theory, the purpose of this pragmatic qualitative inquiry study was to explore strategies used by information technology (IT) solution architects to adopt development operations (DevOps) model-driven engineered (MDE) solutions for implementing automated network architectures. The participants were six IT architects in the United States who had adopted DevOps MDE. Data were collected using …
Strategies To Reduce Diagnostic Laboratory Technologist Shortages In Veterans Health Administration Hospitals, Leke Abiodun Ayanbukola
Strategies To Reduce Diagnostic Laboratory Technologist Shortages In Veterans Health Administration Hospitals, Leke Abiodun Ayanbukola
Walden Dissertations and Doctoral Studies
The Veterans Health Administration (VHA) faces historically high turnover in diagnostic laboratory operations due to burnout resulting from the increases in testing and staffing issues. The purpose of this integrative review was to determine strategies to reduce laboratory technologists’ burnout, lessen the turnover effect, and increase the retention of VHA laboratory technologists. The review question focused on strategies related to actions that could be implemented to improve retention for laboratory technologists. A literature search of both empirical and non-empirical literature for the past five years yielded a total of 98 articles that qualified for the project. After further analysis, 25 …
Federally Qualified Health Center Access To Maternity Care For Incarcerated Pregnant Women, Pamela Baldwin
Federally Qualified Health Center Access To Maternity Care For Incarcerated Pregnant Women, Pamela Baldwin
Walden Dissertations and Doctoral Studies
Background: There has been an increase in pregnant incarcerated women, which is a growing concern for this high-risk and special population. This specialty group indicates a need for attention to ensure access to timely and proper medical care. Incarcerated pregnant women are a noted vulnerable group and do not have access to standardized clinical guidelines. Imprisonment imposes unique restrictions regarding access to care. A Federally Qualified Health Center (FQHC) in Pennsylvania has been providing ambulatory/obstetrics and gynecology (OBGYN) care to incarcerated pregnant women. Purpose: This research aimed to investigate strategies FQHC leadership can use to improve access to care for …
Cultural Responsivity And The Disproportionality Of African American Students In Special Education, Mia Hortman
Cultural Responsivity And The Disproportionality Of African American Students In Special Education, Mia Hortman
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study was a rural school district in southeastern Georgia was identified by the Georgia Department of Education as overidentifying African American students as having an intellectual disability (ID). The purpose of this study was to examine the perceptions of special education eligibility team members regarding this overidentification of African American students into the category of ID. This study was guided by Ladson-Billings’s (1995) theory of culturally responsive pedagogy. The research questions focused on the special education team members’ perceptions about the overidentification of African American students and their suggestions for a more culturally …
Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu
Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu
Walden Dissertations and Doctoral Studies
In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …
Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies
Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies
Walden Dissertations and Doctoral Studies
Each year, nearly 100,000 patients in the United States die as a result of medication errors. Medication errors are a concern to hospital leaders, resulting in increased expenses, extended hospital stays, and patient harm. Grounded in the Lean Six Sigma quality model, the purpose of this qualitative single case study was to explore the strategies three hospital managers in one hospital system in the eastern United States used to reduce medication errors. Data were collected through semistructered interviews, archival hospital documents, and analyzed using Yin's 5-step approach. The findings revealed key themes, including prioritizing staff training, building a safety culture, …
Barriers And Facilitators To Culturally Appropriate Cancer Health Education For Kenyan Immigrants In Washington State, Rael Kobe Odengo
Barriers And Facilitators To Culturally Appropriate Cancer Health Education For Kenyan Immigrants In Washington State, Rael Kobe Odengo
Walden Dissertations and Doctoral Studies
Access to culturally linguistically appropriate services, such as cancer information in languages other than English that consider a group's cultural beliefs, traditions, values, and practices, is increasingly recognized as a global health communication priority. However, African immigrants face significant barriers to accessing these resources, making it difficult for them to make informed healthcare decisions. Grounded in the conceptual framework of the Andersen behavioral model of health care utilization and the social determinants of health, the purpose of this study was to explore the barriers and facilitators to accessing culturally appropriate cancer health education by Kenyan immigrants in Washington State. The …
Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis
Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis
Walden Dissertations and Doctoral Studies
Summary A clinical practice guideline (CPG) was developed because the perinatal department lacked standardized management of pregestational and gestational diabetes. The practice issue is relevant since managing maternal glucose ranges during pregnancy mitigates adverse maternal and neonatal outcomes. The practice-focused question asks, “What are the best practices to manage diabetes in the intrapartum and postpartum settings?” The project was designed to develop an evidence-based protocol to provide standardized management for nurses and providers. Most studies in the literature search were quantitative sources with either A or B overall quality ratings. Based on the evidence, the intrapartum target maternal glucose range …
Changes In Quality, Cost, Expenses Per Capita, And Beneficiaries Of The Medicare Shared Savings Program, Vanessa Lee Weaver
Changes In Quality, Cost, Expenses Per Capita, And Beneficiaries Of The Medicare Shared Savings Program, Vanessa Lee Weaver
Walden Dissertations and Doctoral Studies
Annual national health spending continues to increase, and evidence does not support the notion that the majority of reform programs, which have concentrated on quality-based payment schemes, have improved healthcare quality or health outcomes in a way that is necessary. Consequently, health care expenses are still linked to high expenditures despite the intended improvements in outcomes not occurring. Using the Donabedian model of structure-process-outcome as the conceptual framework, the relationship between the quality score and the generated total savings and generated total losses for Medicare Shared Savings Program (MSSP) Accountable Care Organization (ACO) Participants from 2019 through 2021 was investigated. …
Lived Experiences And Tuition Discounting Of Private Historically Black Colleges And Universities, Angelia Le Dawn Brooks
Lived Experiences And Tuition Discounting Of Private Historically Black Colleges And Universities, Angelia Le Dawn Brooks
Walden Dissertations and Doctoral Studies
There has been a decline in tuition revenue for some private historically Black colleges and universities (HBCUs); an above-average tuition discount rate may impede the financial performance of private HBCUs. The purpose of this qualitative phenomenological study was to explore the lived experiences of business officers and other employees of private HBCUs managing the tuition discount rate. The transcendental phenomenological framework guided the study. Individual semistructured interviews were conducted with seven participants who self-identified as managing the tuition discount rate of private HBCUs. Data were analyzed using Moustakas’s modified van Kaam method. Six themes emerged from the data analysis: (a) …
Effective Healthcare Administration Strategies That Increase Healthcare Employees’ Satisfaction And Reduce Related Turnover Costs, Candace F. Kelly
Effective Healthcare Administration Strategies That Increase Healthcare Employees’ Satisfaction And Reduce Related Turnover Costs, Candace F. Kelly
Walden Dissertations and Doctoral Studies
Ineffective leadership styles among healthcare administrators can negatively impact employee and patient satisfaction, ultimately reducing organizational revenue. Grounded in transactional, transformational, and servant leadership theories, the purpose of this qualitative pragmatic inquiry was to explore effective strategies employed by healthcare administrators to enhance employee and patient satisfaction. The study involved six healthcare administrators from three rural hospitals in Arkansas, with data gathered through semi-structured interviews and public records. Thematic analysis revealed four key themes: (a) communication, (b) employee engagement, (c) ethics, and (d) monitoring key performance indicators (KPIs). A key recommendation is for healthcare administrators to invest in leadership development …
Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo
Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo
Walden Dissertations and Doctoral Studies
Suicide/self-harm continues to be one of the most common sentinel events that could result in significant harm or death especially among mental health patients (Mills et al., 2020). Environmental hazards seem to be the primary contributing factor in patient suicide and self-harm cases. Thus, patient suicide remains a safety concern, especially in mental health facilities. It is important that nurses have the knowledge to prevent, identify, assess, and respond appropriately whenever they encounter patients at risk for suicide/self-harm. This Doctor of Nursing Practice (DNP) staff education project focused on educating staff on how to use the Mental Health Environmental Risk …