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Full-Text Articles in Entire DC Network
Breaking Barriers: The Political Journeys Of Elected Female Leaders, Erica Lynn Williams
Breaking Barriers: The Political Journeys Of Elected Female Leaders, Erica Lynn Williams
Walden Dissertations and Doctoral Studies
Despite increasing participation, women have remained significantly underrepresented in elected political office. Existing literature on women elected to political positions highlights persistent gender disparities in representation, access, and political influence. Scholars have examined the structural, cultural, and institutional barriers that women face when seeking and holding public office. While recent research has increasingly focused on intersectionality and the diverse experiences of women in politics, gaps remain in capturing their personal narratives and day-to-day realities. The purpose of this generic qualitative study was to examine the experiences of women currently serving in political positions to understand how prior career opportunities influenced …
Staff Education Project Building Proficiency In Debriefing And Empowering Healthcare Professionals With Confidence And Knowledge, Kristie Lynn Van Waus
Staff Education Project Building Proficiency In Debriefing And Empowering Healthcare Professionals With Confidence And Knowledge, Kristie Lynn Van Waus
Walden Dissertations and Doctoral Studies
Debriefing is a critical reflective practice in healthcare that facilitates team learning, promotes psychological safety, and supports quality improvement following clinical events. Despite its recognized value, healthcare professionals report limited training and a lack of confidence in participating in debriefing. I conducted this staff education project to increase staff knowledge and confidence related to effective debriefing practices by delivering targeted in-person education and measuring outcomes using a pre- and post-intervention knowledge and confidence assessment. The education focused on the essential elements of effective debriefing and use of a standardized data collection form. Participants completed a preintervention assessment measuring their knowledge …
Education Plan On Colonoscopy Preparation And Communication To Improve Colonoscopy Prep And Ensure Better Outcomes, Maryam Pourjalil
Education Plan On Colonoscopy Preparation And Communication To Improve Colonoscopy Prep And Ensure Better Outcomes, Maryam Pourjalil
Walden Dissertations and Doctoral Studies
This Doctor of Nursing practice (DNP) staff education project introduced a formalized staff education program to refine colonoscopy preparation quality at a community gastroenterology clinic. Suboptimal bowel preparation in 20%–30% of colonoscopies resulted in missed lesions, higher costs, and decreased satisfaction of the provided quality of care, which highlighted the need for enhanced staff education in nursing practice. The project question was: Does the education of staff on colonoscopy preparation procedures bridge the existing knowledge gap regarding modern colonoscopy techniques? My goal was to increase staff knowledge regarding standardize prep instructions. The project was designed using best practice evidence and …
Improving Fall Prevention Practices Through Nursing Staff Education In Psychiatric Hospitals, Fidelia Chukwuto
Improving Fall Prevention Practices Through Nursing Staff Education In Psychiatric Hospitals, Fidelia Chukwuto
Walden Dissertations and Doctoral Studies
Summary Falls are a significant patient safety concern in psychiatric units due to unique risk factors such as impaired cognition, medication side effects, and behavioral issues. This nursing staff education project focused on fall prevention practices among RNs and mental health technicians (MHTs) in a psychiatric hospital by enhancing staff knowledge through a targeted educational intervention. The practice problem addressed inconsistent fall prevention practices stemming from a lack of specialized training, which increased the risk of patient harm, longer hospital stays, and healthcare costs. The purpose of the project was to determine whether an evidence-based educational intervention could enhance nursing …
Implementing Strategies To Reduce Hospital Readmission Reduction Program Readmissions By Improving Discharge Planning In Nonprofit Hospitals, Joy Nwagboliwe Chukwu
Implementing Strategies To Reduce Hospital Readmission Reduction Program Readmissions By Improving Discharge Planning In Nonprofit Hospitals, Joy Nwagboliwe Chukwu
Walden Dissertations and Doctoral Studies
Non-profit healthcare administrators in United States hospitals face the challenge of hospital readmissions, especially due to the CMS Hospital Readmission Reduction Program (HRRP), which affects reimbursement. The purpose and review question for this integrative review was to research evidence-based strategies that could be implemented to improve the discharge planning process in non-profit hospitals and reduce readmissions for patients with HRRP diagnoses. A review of literature identified 126 articles for analysis, with 25 studies selected for quality assessment using the Johns Hopkins Nursing Evidence-Based Practice Model and the Research Evidence Appraisal form. The Donabedian framework provided a structured approach for evaluating …
Teacher Challenges In Ela Instruction For Low-Achieving Elementary Students In Urban Title I Schools, Keshiea Tamika Chandler
Teacher Challenges In Ela Instruction For Low-Achieving Elementary Students In Urban Title I Schools, Keshiea Tamika Chandler
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that approximately 80% of upper elementary students do not reach proficiency in English Language Arts (ELA) at an urban Title I school district in Georgia, despite implementing intervention and literacy programs. Guided by Senge’s organizational learning theory and Vygotsky’s sociocultural theory, the purpose of this qualitative study was to investigate the challenges that elementary teachers face when providing ELA instruction to low-achieving students in a local Title I school district in Georgia. For this basic qualitative design, semistructured interviews were conducted with 12 ELA teachers across Grades 3-5. Data were analyzed …
Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro
Non-Traditional Student Experiences With Using An Asynchronous Video Writing Tutorial, Michele Sweeting-Decaro
Walden Dissertations and Doctoral Studies
The problem investigated in this study was that low-level writing skills among postsecondary, non-traditional students contributed to poor essay grades, a lack of persistence, and low test scores, resulting in increased drop-out rates. A college writing center in a large city in the Northeastern United States developed an innovative, asynchronous tutorial to improve students' writing skills. The purpose of this basic qualitative study was to explore the experiences of non-traditional students at a four-year college regarding an on-demand asynchronous writing tutorial offered by the college writing center. The technology acceptance model was used to frame the study because it has …
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Demographic And Clinical Predictors Of Metabolic Dysfunction-Associated Steatotic Liver Disease And Advanced Fibrosis In The United States, Gail Fernandes
Walden Dissertations and Doctoral Studies
Metabolic dysfunction-associated steatotic liver disease (MASLD; formerly nonalcoholic fatty liver disease-related liver fibrosis) is a growing public health problem in the United States. The purpose of this study was to assess the prevalence of MASLD-related advanced fibrosis in the United States and assess whether type 2 diabetes mellitus (T2DM) and cardiovascular disease (CVD) were independent risk factors for MASLD-related advanced fibrosis. This study was a quantitative cross-sectional analysis of the National Health and Nutrition Examination Survey data from 2011 to 2020, grounded in the social ecological theory. Participants (N = 21,829) were included if they were ≥18 years, excluded if …
Staff Education To Promote Medication Adherence In Hypertension, Amie Sankoh
Staff Education To Promote Medication Adherence In Hypertension, Amie Sankoh
Walden Dissertations and Doctoral Studies
A primary care medical clinic experienced an increase in hospital readmission for hypertensive patients, as evidenced by a consistent lack of standardized patient education on medication adherence and a notable increase in readmission rates for uncontrolled hypertension. Hypertension is a significant public health problem associated with an elevated risk of heart disease, stroke, and kidney disease. The gap in practice identified was a lack of knowledge among the medical staff in teaching patients about hypertension medication adherence. The practice-focused question was: Does educating primary care medical staff on the importance of medication adherence in hypertension improve knowledge, as evidenced by …
Sbar: Handoff Communication Technique For Nurses, Carrie Jane Barnett
Sbar: Handoff Communication Technique For Nurses, Carrie Jane Barnett
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project aimed to address inconsistent and ineffective handoff communication among healthcare staff in a 44-bed observation unit. The project focused on implementing an education program centered on the SBAR (Situation-Background-Assessment-Recommendation) communication technique to improve staff knowledge and communication practices. Using a pretest/posttest design, the program demonstrated significant knowledge gains among participants, with a cohort-normalized gain of 0.85 and statistically significant improvements in test scores (p < .05). The intervention highlighted the importance of structured communication in enhancing patient safety, reducing errors, and fostering interdisciplinary collaboration. Despite limitations such as a small sample size and time constraints, the project highlighted the value of SBAR as a reliable tool for enhancing communication and improving patient outcomes. Recommendations include ongoing SBAR training, integration into onboarding programs, and expansion to other departments to sustain long-term improvements in communication and care quality.
Set Up For Success: The Lived Experiences And Perceptions Of Nonviolent Offenders And Their Challenges Of Successfully Reentering Society, Ciera Lee'nette Day
Set Up For Success: The Lived Experiences And Perceptions Of Nonviolent Offenders And Their Challenges Of Successfully Reentering Society, Ciera Lee'nette Day
Walden Dissertations and Doctoral Studies
This dissertation firmly highlighted the critical necessity for effective diversion plans tailored to nonviolent offenders, presenting a compelling qualitative analysis of the lived experiences of 12 former nonviolent offenders and their views on diversion centers. The research employed in-depth interviews as the primary data collection method, engaging participants aged 18 and older who had committed nonviolent offenses, had no pending legal cases, and had been released from incarceration or probation within the past six months. To analyze the data, NVivo 15 and MAXQDA software were utilized, ensuring a rigorous and systematic approach to organizing and interpreting unstructured data, developing robust …
Educating Primary Care Professionals On The Management And Treatment Of Dementia Patients, Rosemarie Ashmeade
Educating Primary Care Professionals On The Management And Treatment Of Dementia Patients, Rosemarie Ashmeade
Walden Dissertations and Doctoral Studies
This quality improvement staff education program addressed the delayed treatment of patients with dementia at the outpatient project facility. Patients with depression were treated according to protocol; however, the practitioners were not recognizing that some of these patients with depression had dementia and required a different plan of treatment. This knowledge gap had the potential to result in delayed diagnosis, inadequate patient support, and less favorable patient outcomes. This evidence-based education program was developed to increase healthcare practitioners’ competency in recognizing dementia and providing early referral and treatment. I determined the effectiveness of the educational intervention by analyzing the data …
Effectiveness Of An Educational Program To Enhance Medication Adherence Knowledge For Licensed Vocational Nurses In An Outpatient Psychiatric Clinic, Imelda Okoli
Walden Dissertations and Doctoral Studies
This staff education project focused on the practice problem of a knowledge deficit of licensed vocational nurses (LVNs) related to evidence-based medication adherence strategies for psychiatric patients. The practice-focused question addressed how effective an education would be for improving medication adherence knowledge, confidence, and practice readiness among LVNs in an outpatient psychiatric clinic. It is important to address this practice gap because insufficient knowledge of medication adherence could limit LVNs’ ability to engage patients and foster higher medication adherence. Participants were nine LVNs working in an outpatient psychiatric facility who attended face-to-face education sessions. LVNs completed a pretest, followed by …
Staff Education On Blood Glucose Monitoring Protocols For Assisted Living Facility Staff, Musa Ahmed Mugenyi
Staff Education On Blood Glucose Monitoring Protocols For Assisted Living Facility Staff, Musa Ahmed Mugenyi
Walden Dissertations and Doctoral Studies
At the practice site, older residents face inconsistent and untimely blood sugar assessments, contributing to avoidable complications such as hypoglycemia, hyperglycemia, and hospitalizations. Many caregivers lack standardized training in blood glucose monitoring, which poses a significant risk to residents with diabetes or prediabetes. To address this practice problem, a staff education program on blood glucose monitoring protocols was initiated. The practice-focused question was the following: Will staff knowledge and confidence increase after participating in an education program on monitoring blood glucose levels? As part of the education program, staff received evidence-based instruction on proper techniques for blood glucose testing, recognizing …
Prisoner Re-Entry Into Society And Criminal Justice Social Work Practice, Aleeyah S. Norvell
Prisoner Re-Entry Into Society And Criminal Justice Social Work Practice, Aleeyah S. Norvell
Walden Dissertations and Doctoral Studies
This study explores the challenges faced by social workers in supporting the successful reintegration of formerly incarcerated individuals. Social workers play a critical role in the U.S. criminal justice system, yet they often encounter systemic barriers that limit their ability to meet clients’ basic needs, such as housing, employment, and healthcare. Using a generic qualitative research design, the study was conducted using semi-structured interviews with a sample of eight licensed social workers, using open-ended questions to gather rich, detailed accounts of their experiences. Guided by social learning theory and using thematic analysis, the findings reveal significant obstacles in adapting to …
A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott
A Toolkit For Treating Obesity In Children With Metabolic Syndrome, Karen Mayers-Scott
Walden Dissertations and Doctoral Studies
This doctoral project seeks to bridge the existing knowledge gap in using Metformin to manage childhood obesity in patients with metabolic syndrome. The primary goal was to develop a complete toolkit to educate healthcare providers on utilizing Metformin in obese children with metabolic syndrome. Metabolic syndrome, characterized by higher triglycerides, decreased high-density lipoprotein cholesterol, increased blood pressure, elevated fasting plasma glucose, and increased waist circumference, offers considerable health hazards for children. The practice-focused question is, Is the toolkit deemed useful to providers for treating obesity in children with metabolic syndrome using metformin?” The project employed the theory of planned behavior, …
Staff Education To Improve Knowledge Of Phq-9 Use, Grace Eluma
Staff Education To Improve Knowledge Of Phq-9 Use, Grace Eluma
Walden Dissertations and Doctoral Studies
The DNP project revolved around educating healthcare staff on using a depression screening tool known as the Patient Health Questionnaire (PHQ-9). Undiagnosed depression can affect people’s quality of life, their functional condition, and general health outcomes, making it a significant problem that needs to be addressed. The U.S Preventive Services Task Force (USPSTF) recommends using evidence-based screening tools such as the PHQ-9 to assess, diagnose, and monitor the condition’s severity. However, a few nurses use this tool despite being aware of it or misusing it, resulting in under-utilization, inappropriate assessment, and increased events. The project aimed to implement a staff …
Staff Education To Improve Stroke Management Knowledge Among Medical-Surgical Emergency Department Overflow Staff Nurses, Andrea Terri Branch
Staff Education To Improve Stroke Management Knowledge Among Medical-Surgical Emergency Department Overflow Staff Nurses, Andrea Terri Branch
Walden Dissertations and Doctoral Studies
Summary This quality improvement initiative aimed to enhance stroke knowledge through an evidence-based staff education program for medical-surgical emergency department (ED) overflow nurses. The impetus for the project stemmed from recognition of the need for enhancing prompt response and communication during acute stroke events. Variations in stroke knowledge among nursing staff contributed to delays in recognizing and responding to stroke symptoms. The practice-focused question guiding this Doctor of Nursing Practice (DNP) project addressed whether the implementation of an evidence-based stroke education program could improve nursing knowledge. The purpose of the project was to evaluate whether an evidence-based stroke education program …
Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion
Correctional Officers’ Perceptions Of Personal Safety Equipment Effectiveness, Tiffany Haigler-Sion
Walden Dissertations and Doctoral Studies
The United States has the largest correctional system and the highest incarceration rate in the world. Within this system, correctional officers (COs) serve as the primary point of contact with inmates. Existing literature suggests that the nature of inmates’ offenses often influences COs’ perceptions. Moreover, safety equipment plays a critical role in maintaining security within prison environments. Understanding COs’ experiences and perceptions regarding their safety equipment is therefore essential. The research problem is that little is known about COs’ lived experiences with and perceptions of the safety equipment they carry to keep safe from inmate severe assault. The purpose of …
The Experiences Of Physical Therapists Trained In Instrument Assisted Soft Tissue Mobilization For Self-Care, Edward Bezkor
The Experiences Of Physical Therapists Trained In Instrument Assisted Soft Tissue Mobilization For Self-Care, Edward Bezkor
Walden Dissertations and Doctoral Studies
Physical therapists and physical therapy students are susceptible to overuse and postural-related injuries related to computer work, lifting, and transferring patients. An effective technique for musculoskeletal dysfunction is instrument assisted soft tissue mobilization (IASTM) self-care. The purpose of this phenomenological qualitative study was to better understand the lived experiences of physical therapists and physical therapy students who are trained in IASTM self-care. The theoretical foundation for this study was the health belief model (HBM), which proposes that one’s beliefs strongly influence behavior change. In alignment with HBM, research questions related to the participants’ beliefs regarding the perceived threat of not …
Msw Degree Completion: Foster Care Alumni’S Perceptions Of Barriers, Resilience, And Success, Christa Martinez
Msw Degree Completion: Foster Care Alumni’S Perceptions Of Barriers, Resilience, And Success, Christa Martinez
Walden Dissertations and Doctoral Studies
This capstone research project involved examining foster care alumni who successfully graduated from Master of Social Work (MSW) programs as full-time students. The purpose of this study was to address resilience factors and this population’s perceptions of barriers, resilience, and success in terms of completing full-time MSW programs and career outcomes. The resiliency theory and a strength-based-perspective were frameworks for this research. This basic qualitative research study involved using purposive sampling, and 11 foster care alumni were interviewed who graduated from full-time MSW graduate programs in the United States. Through thematic analysis, themes emerged were lack of economic resources impacting …
Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint
Staff Education To Address Medication Noncompliance In Outpatient Behavioral Health Settings, Elmase Nicolas Toussaint
Walden Dissertations and Doctoral Studies
This quality improvement project is a staff education initiative designed to address psychotropic medication noncompliance in an outpatient behavioral health clinic setting. The project arose from the identification of a significant gap in staff knowledge and confidence related to medication adherence strategies. Medication noncompliance in psychiatric care is associated with symptom exacerbation, increased hospitalization, and poorer patient outcomes, making it a critical issue in nursing practice. The practice-focused question guiding the project was: In an outpatient behavioral health clinic setting, does implementing a structured staff education program improve staff knowledge and confidence in addressing medication noncompliance? Analytical strategies included a …
Staff Education To Increase Staff Knowledge On Pressure Injury Prevention, Sunita Khati
Staff Education To Increase Staff Knowledge On Pressure Injury Prevention, Sunita Khati
Walden Dissertations and Doctoral Studies
Pressure injuries (PIs) are unfortunate events that can impact all healthcare system stakeholders. In-patient nursing units such as medical surgical (med surg) units are facing challenges in nursing practice in initiating prevention measures and reducing the incidents of hospital-acquired pressure injuries (HAPIs). The nursing staff’s lack of knowledge can lead to nursing practice issues, poor patient outcomes, and be costly. The purpose of this Doctor of Nursing Practice (DNP) staff education project was to educate nursing staff in initiating pressure injury (PI) prevention measures to avoid HAPI events in the hospital. The practice-focused question examined if providing education to med …
Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker
Teachers’ Perceptions On Implementing Iready To Support Elementary Mathematics Instruction In Georgia, Cassandra Denise Walker
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that a significant number of 3rd to 5th grade students score below grade level on the mathematics portion of the Georgia Milestones assessment within a Georgia School District, despite the training and implementation of iReady. The purpose of this qualitative study was to explore 3rd to 5th grade teachers’ perceptions of their successes, challenges, and suggestions for implementing iReady in their mathematics instruction. The study was grounded in Chomsky’s concept of competency-based education, which asserts that as long as students can progress at their own pace, the majority of students will achieve competency …
Falls Risk And Prevention: Improving Staff Knowledge, Ashley Vargas Delarosa
Falls Risk And Prevention: Improving Staff Knowledge, Ashley Vargas Delarosa
Walden Dissertations and Doctoral Studies
Objective This project aimed to enhance nursing staff knowledge and engagement in evidence-based fall prevention strategies, addressing the practice problem of inconsistent staff education and the absence of a standardized fall prevention protocol, contributing to high patient fall rates in acute care settings. Design The project employed an educational session both in-person and online. A pre- and post-test education design, utilizing knowledge assessments (pre-test and post-test) and qualitative feedback to evaluate the impact of a structured education program on nursing staff knowledge related to fall prevention. The education module focused on risk assessment tools, including the Morse Fall Scale, and …
The Impact Of Socio-Emotional And Provider Support On Hiv Testing In Southern United States, Ijeoma Onyinyechi Nwazuruokeh
The Impact Of Socio-Emotional And Provider Support On Hiv Testing In Southern United States, Ijeoma Onyinyechi Nwazuruokeh
Walden Dissertations and Doctoral Studies
HIV was first diagnosed over 40 years ago in the United States; however, HIV remains an epidemic. An understanding of how socio-emotional support, social isolation, and support from an individual's provider influence HIV testing in the Southern United States can be a key to increasing testing rates and ultimately reducing the incidence and prevalence of HIV in the Southern United States. The purpose of this non-experimental quantitative study was to examine the relationship between HIV testing, socio-emotional support, and social isolation, and how these variables are further moderated by an individual having provider support in the Southern United States. The …
Improving Medication Adherence Among Patients With Anxiety, Abong Miyeh
Improving Medication Adherence Among Patients With Anxiety, Abong Miyeh
Walden Dissertations and Doctoral Studies
Addres+D14sing medication non-adherence among patients with anxiety disorders is crucial in nursing practice due to its significant impact on patient outcomes and healthcare costs. This doctoral project explores the effectiveness of staff education in enhancing nurses' skills in promoting medication adherence within this population. The practice-focused question for this project is "What evidence supports the effectiveness of a staff education program in increasing nursing staff knowledge about evidence-based strategies for improving medication adherence among patients with anxiety disorders?" The purpose of this doctoral project is to investigate the effectiveness of staff education interventions in improving medication adherence among individuals with …
Faculty And Administrators' Perspectives Of Generative Artificial Intelligence At An Online Higher Education Institution, Devon Edmund
Faculty And Administrators' Perspectives Of Generative Artificial Intelligence At An Online Higher Education Institution, Devon Edmund
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that faculty and administrators in higher education are not prepared to address the use of generative artificial intelligence (GAI) innovations in institutional policies and practices. The pace of advancement of GAI in higher education (HE) left institutions to determine policies and practices without industry best practices or guidelines established by accreditors or regulatory bodies. The purpose of this qualitative study was to explore the perspectives of faculty and administrators at an online HE institution on how to respond to the emergence of GAI through institutional policies and practices. The theory supporting the study …
Staff Education Program To Improve Nursing Knowledge On Fall Prevention Strategies, Chioma C. Achonye
Staff Education Program To Improve Nursing Knowledge On Fall Prevention Strategies, Chioma C. Achonye
Walden Dissertations and Doctoral Studies
In nursing practice, falls among adults aged 65 and above are a critical concern due to their potential to cause serious injuries and complications. As a result, fall prevention has become a top priority for healthcare providers striving to ensure patient safety and quality. The Doctor of Nursing Practice (DNP) project was designed to address the issue of falls in long-term care facilities by implementing a staff education program focused on patient fall risk assessment, identifying intrinsic and extrinsic factors influencing falls, and implementing evidence-based interventions. The DNP project practice-focused question was Does an education program on fall prevention strategies …
Enhancing Nursing Knowledge Of Sud Screening Tools In Va Primary Care, Marlene Joan Margerum
Enhancing Nursing Knowledge Of Sud Screening Tools In Va Primary Care, Marlene Joan Margerum
Walden Dissertations and Doctoral Studies
Substance use disorders (SUDs) are a persistent public health concern among veterans. A recognized knowledge gap exists among Veterans Affairs (VA) primary care nurses regarding validated SUD screening tools—the Alcohol Use Disorders Identification Test–Consumption (AUDIT-C), Drug Abuse Screening Test (DAST-10), and Alcohol, Smoking, and Substance Involvement Screening Test (ASSIST)—limiting opportunities for early identification and coordination of care. This Doctor of Nursing Practice (DNP) project evaluated if a structured staff education intervention improved primary care nurses’ knowledge, confidence, and preparedness to support interdisciplinary SUD screening practices. Guided by Patricia Benner’s novice to expert model and the analysis, design, development, implementation, and …