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Staff Education To Improve Psychiatric Nurses’ Use Of Evidence-Based Strategies For Supporting Medication Adherence In Outpatient Settings, Lilian Ndifon
Walden Dissertations and Doctoral Studies
Psychiatric medication nonadherence remains a persistent barrier to effective outpatient mental health care and contributes to relapse, rehospitalization, and disrupted continuity of care. In outpatient psychiatric settings, nurses are often responsible for patient education and follow-up, yet many lack formal training in evidence-based strategies to support medication adherence. This staff education project was implemented at an outpatient psychiatric facility to address this practice gap. The practice-focused question asked whether a structured staff education intervention would improve outpatient psychiatric nurses’ knowledge of evidence-based medication adherence strategies. Twelve outpatient psychiatric nurses participated in a one-hour educational session focused on motivational interviewing, psychoeducation, …
Management Of Alcohol Withdrawal Syndrome In The Emergency Department, Janet Fuller
Management Of Alcohol Withdrawal Syndrome In The Emergency Department, Janet Fuller
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project involved development and approval of a clinical practice guideline (CPG) for management of alcohol withdrawal syndrome (AWS) in the emergency department (ED) of a large community trauma center in the southeastern United States. AWS is a common, potentially life-threatening condition requiring timely assessment and intervention to prevent. Variability in ED screening and treatment contributes to delayed intervention, increased rapid response activations, and intensive care transfers. The project purpose was to develop and obtain expert approval of an evidence-based CPG using the Clinical Institute Withdrawal Assessment for Alcohol–Revised (CIWA-Ar) tool to support standardized screening, symptom-triggered …
Staff Education To Improve Knowledge Of Nurse-Led Telemonitoring For Suicide Prevention, Finny Ngozi Rogers
Staff Education To Improve Knowledge Of Nurse-Led Telemonitoring For Suicide Prevention, Finny Ngozi Rogers
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a staff education initiative addressing a critical practice gap: clinical staff at a mental health facility lacked the practical knowledge to implement evidence-based telemonitoring protocols for suicide prevention, despite strong supporting research. High rates of suicide attempts and readmissions underscored the urgency for this intervention. The practice-focused question was: “Will a staff education program designed to educate healthcare providers on nurse-led telemonitoring protocols increase staff knowledge?” The purpose of this project was to develop, implement, and evaluate an educational program for providers to increase their knowledge on how a telemonitoring protocol can reduce …
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
An Exploration Of The Site Supervision During Internship Experience For Clinical Mental Health Counseling Students, William Thomas Zaffiro
Walden Dissertations and Doctoral Studies
The purpose of this interpretive phenomenological analysis (IPA) study was to understand how CMHC students experience and create meaning of site supervision during internship under the new CACREP (2024) Standards. The bulk of the literature on this topic comes from allied social sciences and little research is available in the clinical mental health discipline. As such, there is a need to better understand this experience from the perspective of CMHC students. The study was grounded in interpretive phenomenology and used the rigorous IPA process to explore students’ lived experiences of supervision. I conducted a study using semi-structured interviews with eight …
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Walden Dissertations and Doctoral Studies
This doctoral project was a clinical practice guideline (CPG) focused on the development of a perioperative guideline for patients undergoing various types of hernia repairs. Hernia repair is a common surgical procedure to address various types of hernias.. To assure continued compliance with nationally set benchmarks and minimize the rate of postoperative hernia infections, a systematic review of evidence-based practices (EBP) to foster infection prevention was initiated at a hospital in England. The practice-focused question used was: For patients who underwent hernia repair surgery, what evidence informs CPG recommendations on the type of material, surgical interventions, and nursing interventions to …
Perceptions Of Former Inmates’ Mental Health And Substance Abuse Treatment Received During Incarceration, Garla Kathleen Snapp-Hart
Perceptions Of Former Inmates’ Mental Health And Substance Abuse Treatment Received During Incarceration, Garla Kathleen Snapp-Hart
Walden Dissertations and Doctoral Studies
Access to effective behavioral treatment is critical for the imprisoned population and newly released individuals to reduce reentry into the penitentiary system. Social workers within correctional facilities can determine the need for treatment, how often treatment is required, what specific treatment is necessary, and what resources will be needed to provide those treatments. A qualitative exploratory design was used in this study. I explored the quality of behavioral health treatment provided to the incarcerated population. Systems theory was used as the theoretical framework this study. There were 17 participants in this study who had been incarcerated in a Kentucky prison …
Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson
Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson
Walden Dissertations and Doctoral Studies
Heart failure (HF) is a leading cause of hospital readmissions. At the project site, early palliative care was inconsistently integrated despite strong evidence of benefit, suggesting that limited staff knowledge, lack of standardized referral processes, and uncertainty regarding referral timing contributed to this practice gap. The guiding practice-focused question was, “Does educating staff on early palliative care integration for HF patients improve knowledge as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model and the ADDIE instructional design model guided project development and implementation. A comprehensive literature search was conducted using MEDLINE/PubMed, CINAHL Complete, ProQuest, and …
Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade
Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade
Walden Dissertations and Doctoral Studies
This doctoral staff education project focused on improving purposeful rounding practices among staff and patient outcomes on a neuro-medical unit. The practice problem stemmed from inconsistent rounding behaviors, gaps in staff knowledge of evidence-based fall-prevention strategies, and a persistent pattern of inpatient falls. Patients with neurological conditions face impaired mobility, cognitive changes, and clinical instability, making structured rounds essential to reduce risk. The practice-focused question asked whether an educational intervention targeting the principles and procedures of purposeful rounding could measurably improve staff knowledge, increase their skill, strengthen their commitment with the pain, potty, position, and possession components of rounding and …
Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori
Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori
Walden Dissertations and Doctoral Studies
Children with autism spectrum disorder (ASD) require consistent monitoring of communication skills, behavior patterns, sensory responses, and adaptive functioning to support timely intervention and improved developmental outcomes. Although telehealth has expanded access to care, many nurses have not received structured training in conducting virtual assessments for children with ASD. Variability in telehealth competency can affect documentation quality, workflow consistency, and provider confidence. The purpose of this Doctor of Nursing Practice (DNP) project was to develop and evaluate a structured staff-education program designed to strengthen pediatric nurses’ competencies in telehealth monitoring of children with ASD. A quantitative pretest–posttest design was used …
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a nurse-led, evidence-based staff education initiative designed to improve the prevention and detection of elder abuse in the home by caregivers within an outpatient primary care setting. Elder abuse places older adults at risk for physical harm, neglect, medication mismanagement, and violations of autonomy and patient rights. Elder abuse remains a pervasive and underrecognized problem in nursing practice, often resulting from limited staff education, inconsistent screening practices, and uncertainty regarding mandatory reporting requirements. The practice-focused question examined whether implementing a nurse-led targeted education program guided by the ADDIE instructional design model and …
Preferred Social Support Systems Of Black Women With Fibromyalgia Syndrome And Mood Disorders, Briana Beverly
Preferred Social Support Systems Of Black Women With Fibromyalgia Syndrome And Mood Disorders, Briana Beverly
Walden Dissertations and Doctoral Studies
Black women managing Fibromyalgia Syndrome (FMS) and mood disorders navigate complex health care experiences within systems that often fail to recognize their needs. Health care disparities, cultural expectations, and systemic barriers create distinct interpretive contexts for this population, who often encounter delayed diagnoses, inadequate treatment, and dismissal of their symptoms despite often reporting higher levels of pain severity. Using the biopsychosocial model as a conceptual framework, this qualitative study utilized interpretative phenomenological analysis to explore how Black women make sense of their experiences across physical, psychological, and social dimensions. Data were collected from semi-structured interviews with six participants. Key findings …
Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha
Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha
Walden Dissertations and Doctoral Studies
This quality improvement project was focused on enhancing quality of nursing assessments for suicide risk among adults with psychiatric illnesses at a behavioral healthcare hospital. Inconsistencies involving assessing risks for suicide in patients who were treated in the facility led to inadequate treatment plans and missed opportunities for timely intervention, as well as potential risks for self-harm. Factors that were identified as relating to the gap in practice included inadequate knowledge or understanding of use of evidence-based suicide assessment rating scales, insufficient time that is dedicated to conducting thorough assessments, lack of standardized protocols for reinforcement, and limited resources for …
Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning
Upper Elementary Teachers' Experiences In Teaching Narrative Writing In Title I Classrooms, Courteney O. Manning
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study is that third through fifth grade students continue to score below district expectations on the Georgia Milestones Assessment System in narrative writing. Guided by the Ofsted inspection framework, the purpose of this basic qualitative study was to understand the experiences of upper elementary teachers teaching writing in Title I classrooms. Data were collected through semistructured interviews with 10 participants who taught upper elementary grades. Through thematic coding, four themes emerged outlining (a) the instructional success teachers experienced teaching narrative writing, (b) the instructional challenges of teaching narrative writing, (c) teachers’ beliefs about …
School Administrators’ Perspective On Juvenile Delinquency, Ebonee Thomas
School Administrators’ Perspective On Juvenile Delinquency, Ebonee Thomas
Walden Dissertations and Doctoral Studies
This qualitative study explored the lived experiences of school administrators in Maryland public schools regarding the implementation of discipline policies and their impact on juvenile delinquency. Prompted by rising concerns about delinquent behavior and inconsistent consequences for students, the research investigated how administrators perceive and navigate the challenges of enforcing discipline and the strategies they employ to foster safe, positive school environments. Grounded in defiance theory and social learning theory, the study used open-ended surveys to gather insights from 16 retired and current principals and assistant principals in Maryland public school systems. The findings reveal that while discipline policies provide …
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Walden Dissertations and Doctoral Studies
Medication adherence is a critical component of effective psychiatric treatment, yet staff understanding and consistent reinforcement of adherence strategies are often limited in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve knowledge and awareness of medication adherence using the ESPACOMP Medication Adherence Reporting Guideline (EMERGE) as the foundational framework. The program was conducted in an outpatient psychiatric facility and aimed to align staff knowledge with evidence-based standards for monitoring and supporting adherence. Educational sessions were delivered to clinical staff, incorporating key components of EMERGE to clarify terminology, enhance consistency in …
Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga
Improving Clinical Staff Competence In Depression Screening Using Phq Tools: A Staff Education Initiative, Mwandu Chisanga
Walden Dissertations and Doctoral Studies
This Doctoral Project was an educational project designed to improve standardized depression screening processes among the clinical staff of a behavioral health agency. This project addressed the gap of irregular implementation of the Patient Health Questionnaire-2 (PHQ-2) and PHQ-9 at this facility. The clinical practice issue being addressed by this project was, "Among clinical workers conducting depression screening, how does having a staff education program influence knowledge, confidence, and screening accuracy of the PHQ-2 and PHQ-9. Instructional intervention was developed based on the (Analyze, Design, Develop, Implement, Evaluate (ADDIE) model of instructional design. The program was delivered through standardized in-person …
Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal
Leadership Styles And Safety Climate In An Integrated Healthcare System In Northern California, Darshan Kaur Grewal
Walden Dissertations and Doctoral Studies
Preventable medical errors continue to challenge healthcare systems and highlight the critical role of leadership in shaping organizational safety climates. Healthcare leaders need to understand this dynamic as a primary indicator affecting patient outcomes. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between transformational, transactional, and laissez-faire leadership styles and the safety climate within an integrated healthcare system in Northern California. Avolio and Bass’s full range leadership model and Neal and Griffin’s organizational safety climate theory grounded this study. The participants comprised 2,352 clinical and nonclinical staff who completed the safety attitudes questionnaire and the …
The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker
The Effectiveness Of Rehabilitative Activities In Social Reintegration Of Ex-Parolees Into Guyanese Society, La-Toya Lucrisha Arthur-Tucker
Walden Dissertations and Doctoral Studies
Many parolees struggle with successful reintegration into society. Further research was needed to assess the benefits of parole for both parolees and former parolees in Guyana, the only English-speaking country in South America. The insights of ex-parolees may make the country’s parole process more meaningful to offenders’ rehabilitative experience and overall social reintegration. The purpose of this qualitative study was to understand the effectiveness of rehabilitative activities in the social reintegration of ex-parolees into Guyanese society. The risk–need–responsivity model, general strain theory, and social support theories provided a framework for the investigation. The focus was on ex-parolees who had been …
Improving Medication Adherence Of Long-Acting Injectable Antipsychotics In Schizophrenia Through Staff Education, Rosemary Eboka
Improving Medication Adherence Of Long-Acting Injectable Antipsychotics In Schizophrenia Through Staff Education, Rosemary Eboka
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was developed as a staff education, evidence-based quality improvement project to enhance psychiatric nursing staff’s knowledge of long-acting injectable (LAI) antipsychotics. The project addressed variability in medication adherence among individuals with schizophrenia, despite evidence that use of LAIs reduces relapses and hospitalization. Nurses play a critical role in medication administration, patient education, and adherence monitoring, underscoring the importance of addressing knowledge gaps. The project question was: Does staff education on LAIs for outpatient psychiatric nursing staff improve nursing knowledge compared to pre- to post-education? The purpose of the project was to assess the …
Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas
Impact Of Suicide Literacy In Hispanic/Latinx Communities, Denisse Centeno Lamas
Walden Dissertations and Doctoral Studies
No abstract provided.
The Relationship Between Social Determinants And Primary Care Utilization Among Medicaid Recipients In A Managed Care Community Health Worker Program, Rachel Elaine Rosensteel
The Relationship Between Social Determinants And Primary Care Utilization Among Medicaid Recipients In A Managed Care Community Health Worker Program, Rachel Elaine Rosensteel
Walden Dissertations and Doctoral Studies
Community health worker (CHW) programs are an increasingly important strategy for addressing social determinants of health (SDOH) within Medicaid systems. However, evidence on how specific SDOH impact healthcare utilization remains limited. In this quantitative, correlational study, the relationship between SDOH factors like housing instability, food insecurity, and transportation barriers, and primary care utilization among adult Medicaid recipients aged 18–65 who participated in a Medicaid managed care organization’s CHW program in Clark County, Nevada, during 2023 were examined. Retrospective administrative data from 441 participants were analyzed using negative binomial regression to assess associations between SDOH factors and postintervention primary care visits …
Financial Stability Success Strategies For Nursing Homes, Jennifer Helene Garrison
Financial Stability Success Strategies For Nursing Homes, Jennifer Helene Garrison
Walden Dissertations and Doctoral Studies
Ineffective regulatory strategies can lead to reduced financial stability. Nursing home leaders who wrestle to improve regulatory practices may find their business facing reduced financial sustainability. Grounded in management by objectives theory, the purpose of this qualitative pragmatic inquiry research project was to identify and explore the effective strategies nursing home leaders used to implement regulatory compliance practices that increase financial sustainability. The participants were nine nursing home leaders who had successfully implemented regulatory compliance strategies within their organizations. Data was collected through semistructured interviews, public websites, and current and archival public documents. Through thematic analysis, three themes were identified: …
Enhancing Training For Law Enforcement In Mental Health Responses In The Community, Tiffany Raines
Enhancing Training For Law Enforcement In Mental Health Responses In The Community, Tiffany Raines
Walden Dissertations and Doctoral Studies
A significant issue in human services practice in Macon, Georgia, is law enforcement officers’ responding to individuals experiencing a mental health crisis in public. Many police officers are not equipped to handle situations involving individuals experiencing mental health events, leading to possible adverse outcomes such as injury, incarceration, or even fatalities. There are increasing rates of mental illness disorders, and therefore, the need for compassionate, informed approaches for human service professionals to respond to those in crisis. More training to improve responses can lead to better outcomes for individuals in crisis, foster community trust in law enforcement, and enhance overall …
Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh
Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) quality improvement project addressed the ongoing issue of workplace violence (WPV) among medical-surgical nurses in an acute care setting. WPV poses significant risks to staff safety, psychological well-being, and the overall care environment. Guided by current evidence and professional guidelines, the project implemented a structured educational intervention focused on the Workplace Violence Reduction Bundle, incorporating the Broset Violence Checklist (BVC) and evidence-based de-escalation strategies. Medical-surgical nursing staff participated in tailored educational sessions; knowledge was assessed through pre- and post-intervention surveys, and program acceptability was evaluated through staff feedback. Data analysis revealed modest improvements in …
Impact Of Workplace Ostracism, Moderated By Personality Traits On Psychological Safety, Aniko Rastovac
Impact Of Workplace Ostracism, Moderated By Personality Traits On Psychological Safety, Aniko Rastovac
Walden Dissertations and Doctoral Studies
Psychological safety, an essential element for fostering collaboration, trust, and innovation, can be undermined by negative interactions in the workplace. Most importantly, a lack of psychological safety is a barrier to individual and organizational growth, development, and innovation, which is necessary for gaining a competitive organizational advantage. The present study examines the concept of workplace ostracism as a negative interaction in the workplace that affects psychological safety. Using the big five personality traits framework, Edmondson’s (1999) concept of psychological safety, and Tett et al.’s (2021) trait activation theory, this quantitative study examined how individual differences moderate the impact of workplace …
Staff Education To Improving Patient Safety Outcomes Through Structured Staff Education, Imuetinyan Phillipa Ehondor
Staff Education To Improving Patient Safety Outcomes Through Structured Staff Education, Imuetinyan Phillipa Ehondor
Walden Dissertations and Doctoral Studies
This staff education doctoral project was implemented to address inconsistent staff knowledge of patient safety principles, disproportionate adherence to safety practices, and underutilization of standardized educational resources in an acute care clinic setting. It was important to address this issue in the context of nursing practice because patient safety is foundational to high-quality health care, directly influencing patient outcomes, regulatory compliance, organizational performance, and workforce morale. The practice-focused question was the following: In an acute care clinic, how does the implementation of a standardized safety protocol education program, compared to existing practices, impact staff knowledge regarding a culture of safety? …
Staff Education To Decrease Polypharmacy And Improve Medication Adherence In Older Adults In Primary Healthcare Settings, Nadine Pean Noel
Staff Education To Decrease Polypharmacy And Improve Medication Adherence In Older Adults In Primary Healthcare Settings, Nadine Pean Noel
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a staff education initiative to address polypharmacy and increase medication adherence among older adults in a primary care setting. Polypharmacy is a prevalent and significant safety concern in older adults, increasing the risk for adverse drug events, medication nonadherence, hospitalizations, and decreased quality of life. The purpose of the project was to implement and evaluate a structured staff education focused on evidence-based strategies for medication review, deprescribing, and the integration of smartphone-based adherence tools. The practice-focused question guiding this project was as follows: Will an evidence-based staff education program focused on polypharmacy …
Strategies To Engage Physicians In Reforming Healthcare Administrative Policies And Processes, Sara Hunt
Strategies To Engage Physicians In Reforming Healthcare Administrative Policies And Processes, Sara Hunt
Walden Dissertations and Doctoral Studies
A lack of physician engagement in healthcare reform initiatives is a persistent problem that can negatively affect hospital performance and patient care outcomes. Hospital leaders and healthcare administrators are concerned with low levels of physician engagement because of its association with reduced organizational effectiveness and quality of care. Grounded in the distributed leadership framework, the purpose of this qualitative single case study was to explore strategies hospital leaders used to engage physicians in reforming administrative policies and processes to improve patient service delivery. Semistructured interviews were conducted with five hospital leaders from one hospital in the southeastern United States who …
Optimizing Workforce Planning To Reduce Outsourcing Of Clinical Roles In Physician Practices, Heidi Sontag
Optimizing Workforce Planning To Reduce Outsourcing Of Clinical Roles In Physician Practices, Heidi Sontag
Walden Dissertations and Doctoral Studies
The increasing reliance on outsourcing of clinical roles in physician practices has raised concerns regarding continuity of care, staff morale, and organizational control over service quality. While outsourcing may offer temporary financial relief, outsourcing often introduces inefficiencies and declines in patient satisfaction. In this integrative review, I identified workforce planning strategies that reduce outsourcing reliance while enhancing organizational efficiency and patient care outcomes. Using the Johns Hopkins evidence appraisal tools, I analyzed sources published between 2022 and 2025 grounded in resource dependency and Herzberg’s two-factor theories. Five thematic areas emerged: organizational efficiency, patient satisfaction, cost management, staff morale and engagement, …
Teachers And Administrators' Perceptions Of School Resource Officers, Shameka J. Duncan
Teachers And Administrators' Perceptions Of School Resource Officers, Shameka J. Duncan
Walden Dissertations and Doctoral Studies
School Resource Officers (SROs) play a significant role in middle and high schools in Metro Atlanta; however little research has included the perceptions of school administrators and teachers about their roles. The purpose of this descriptive qualitative study was to explore the perceptions of teachers and administrators regarding the roles of SROs and their perspectives on the practices that could enhance collaboration among these stakeholders in ensuring school safety. Informed by Gregory’s theory of perception, the study investigated how educators and administrators described their interactions with SROs. Data was gathered via semi-structured interviews with three teachers and three administrators and …