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Intensive Care Unit Nurses’ Perceptions Of Communication With Unconscious Patients, Afnan Suleiman Suleiman
Intensive Care Unit Nurses’ Perceptions Of Communication With Unconscious Patients, Afnan Suleiman Suleiman
Walden Dissertations and Doctoral Studies
Unconscious patients in critical care units are compromised in their ability to communicate. It is vital that intensive care unit (ICU) nurses’ communication with unconscious patients be as effective as possible to address patients’ needs and help them in their suffering. Improving communication deepens the dignity and humanity of unconscious patients, supports families, and contributes to more ethical and holistic ICU care. The purpose of this basic qualitative study, guided by Watson’s human caring theory, was to explore the perceptions and experiences of ICU nurses of patient-centered communication with unconscious patients. Twelve ICU nurses who worked in a large metropolitan …
Strategies To Eliminate Counterfeit Medications In The Pharmaceutical Supply Chain, Clarence Edward Mosby
Strategies To Eliminate Counterfeit Medications In The Pharmaceutical Supply Chain, Clarence Edward Mosby
Walden Dissertations and Doctoral Studies
Counterfeiting and drug diversion in the U.S. supply chain is a business problem that results in medication shortages for many ill patients. Successful strategies to augment the distribution of pedigree pharmaceuticals and reduce supply chain medication shortages are important to community pharmacists. Grounded in the theory of constraints as the conceptual framework, the purpose of this qualitative pragmatic inquiry study was to explore the strategies that pharmacists use to detect and reduce the dispensing of counterfeit medicines. The participants were 6 pharmacists in the Northeastern United States. Data were collected using semistructured interviews and publicly available documents. Through thematic analysis, …
Staff Education Program On Strategies To Manage Disruptive Patient Behavior, Lazare Ngah Shadzeka
Staff Education Program On Strategies To Manage Disruptive Patient Behavior, Lazare Ngah Shadzeka
Walden Dissertations and Doctoral Studies
The practice concern was the absence of a consistent method of providing structured training on the management of disruptive patient behaviors to staff in a mental health ambulatory care clinic. This clinical gap is important because it heightens the risk of workplace violence, staff burnout, and suboptimal patient care outcomes. The doctoral project practice-focused question was, How does a focused staff education program on dealing with disruptive patient behavior impact nursing staff abilities and confidence in an outpatient clinic setting? Thus, the purpose of this doctoral nursing project was to develop and implement a staff education program aimed at enhancing …
The Experience Of Mental Health Care Access Of Immigrants From Cameroon Residing In The United States, Geraldine Gike
The Experience Of Mental Health Care Access Of Immigrants From Cameroon Residing In The United States, Geraldine Gike
Walden Dissertations and Doctoral Studies
Immigrants from Cameroon residing in the United States are at risk of mental and psychological distress; however, very few of these immigrants seek appropriate treatment for their existing mental health conditions. Limited research exists on this population’s experiences of mental health care access in the United States. This qualitative study aimed to improve understanding of the mental health care access experience of immigrants from Cameroon residing in the United States. The theoretical and conceptual frameworks underpinning this research were Douglas’ cultural theory and Andersen’s health services model. The research question for this qualitative descriptive inquiry asked how Cameroon immigrants describe …
Staff Education To Improve Nurses’ Knowledge To Prevent Hospital-Acquired Pressure Ulcers/Injuries, Aarinola Abosede Omisola
Staff Education To Improve Nurses’ Knowledge To Prevent Hospital-Acquired Pressure Ulcers/Injuries, Aarinola Abosede Omisola
Walden Dissertations and Doctoral Studies
The quality improvement education project aimed to address a significant increase in hospital-acquired pressure injuries (HAPIs) at a veteran medical center in Indiana, where statistics showed a 40% increase in Stage 2 pressure ulcers and a 60% increase in deep tissue injuries in Quarter 3 in 2023. Recognizing the serious complications associated with pressure injuries, along with their significant financial burden, the project aimed to answer the question: Will a staff education program focusing on an evidence-based, comprehensive approach to preventing pressure injuries increase nurses’ knowledge about implementing strategies to prevent them? The objective was to enhance adherence to the …
Strategies To Reduce The Turnover Rate Of Clinical Research Coordinators In Academic Research Institutions, Ellen Malone
Strategies To Reduce The Turnover Rate Of Clinical Research Coordinators In Academic Research Institutions, Ellen Malone
Walden Dissertations and Doctoral Studies
Clinical research institutions have dealt with the high turnover of their clinical research personnel, and academic medical centers have struggled to retain clinical research coordinators (CRCs). The purpose and review question for this integrative review was to search for programs, solutions, and techniques that will improve the retention of CRCs. This review used the Situational Leadership Theory Model II (SLT II), which focused on the developmental levels of the CRCs and how much support is needed from leadership. In a search of empirical and nonempirical literature for publication years of 2020–2025, 28 articles were determined to be most relevant to …
Improving Medication Adherence In Patients With Schizophrenia Through Staff Education, Ibrahim Sheriff
Improving Medication Adherence In Patients With Schizophrenia Through Staff Education, Ibrahim Sheriff
Walden Dissertations and Doctoral Studies
No abstract provided.
A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson
A Systematic Review Of Brief Cognitive Test Used Among The Veteran Population, Joel Mcpherson
Walden Dissertations and Doctoral Studies
The practice problem this DNP project addressed was the lack of a of consensus for a brief cognitive screening (BCS) tool that can be most predictive of mild cognitive disorder (MCI) and dementia in a Veteran Affairs (VA) outpatient clinic. Addressing this gap in practice is important because the veteran population may be at increased risk of MCI and dementia due to age, a history of traumatic brain injury, and posttraumatic stress disorder. This DNP project was a systematic review of the literature. A population, exposure, outcome (PEO) framework and the reach, effectiveness, adoption, implementation, and maintenance (RE-AIM) theory guided …
Examining How Self-Advocacy Skills Are Taught To Students With Exceptionalities, Pamela Kay Choate
Examining How Self-Advocacy Skills Are Taught To Students With Exceptionalities, Pamela Kay Choate
Walden Dissertations and Doctoral Studies
Students with mild to moderate exceptionalities often do not receive adequate instruction in self-advocacy skills during their elementary or middle school years. The specific problem addressed in this study was that many teachers at the research setting are not teaching the four component skills of self-advocacy to students with mild to moderate exceptionalities. Grounded by the theory of self-advocacy, the purpose of this basic qualitative study was to explore the strategies used and the barriers faced by teachers who are not teaching the four component skills of self-advocacy to students with mild to moderate exceptionalities. Four elementary and five middle …
Staff Education To Increase Knowledge And Education Of Urinary Tract Infection To Reduce Rehospitalization, Yia Lor
Walden Dissertations and Doctoral Studies
Urinary tract infections (UTIs) are considered the most common infections in healthcare, particularly in nursing homes. If appropriate preventive measures are taken, infection rates will be reduced. The DNP project aimed to enhance clinicians' knowledge to reduce and prevent UTIs in nursing homes. This knowledge expansion also significantly has potential to reduce the risk of unnecessary hospitalizations. A knowledge gap was identified that focused on the necessary preventive measures to impact patient outcomes positively. Addressing this in nursing is essential because it can help reduce mortality risks. The participants consisted of six registered nurses and six certified nurse assistants who …
Relationship Between Length Of Stay And Unplanned Readmissions For Adolescent Medicaid Beneficiaries In Mental Health, Rhona Rebecca Waugh
Relationship Between Length Of Stay And Unplanned Readmissions For Adolescent Medicaid Beneficiaries In Mental Health, Rhona Rebecca Waugh
Walden Dissertations and Doctoral Studies
Using national cross-sectional data sets and explanatory variables from CMS, the purpose of this study was to analyze identified adolescents on Medicaid from 2019 to 2021, to determine the interaction of length of stay (LOS) on the frequency of unplanned 30-day readmissions. Students with mental disorders are the most susceptible population during enrollment in healthcare facilities, which is why LOS and readmissions represent one of the most critical points in supporting these learners. This study established the association between LOS and the increased proportion of 30-day readmissions among consumers under Medicaid with mental health conditions in the adolescence stage. To …
Staff Education To Prevent Falls In Long-Term Care Facilities, Shekinah Gleason
Staff Education To Prevent Falls In Long-Term Care Facilities, Shekinah Gleason
Walden Dissertations and Doctoral Studies
In this staff education initiative, I focused on fall prevention in long-term care facilities (LTCFs) by reinforcing the Morse Fall Scale fall risk assessment tool. Falls in LTCFs are a significant concern, leading to injuries, hospitalization, and declining residents' quality of life. The practice problem stems from insufficient staff training, contributing to inadequate patient care and an increased risk of falls. The practice-focused question was used to explore whether education about fall prevention measures and guidelines improves long-term care nurses’ knowledge and intent to follow these guidelines; a total of 23 participants were involved in this project. Pre- and post-education …
Staff Education On Medicaid And Medicare Programs, Angela R. Smith
Staff Education On Medicaid And Medicare Programs, Angela R. Smith
Walden Dissertations and Doctoral Studies
Case managers at the practice site are responsible for helping older and disabled clients receive services from Medicare and Medicaid. The gap in practice was that case managers were failing to recognize the benefit and eligibility differences between these federal and state-run programs. Case managers must be well-informed regarding these programs to effectively manage their clients’ care. The goal of this project was to plan, implement, and evaluate a staff education program on Medicare and Medicaid services. The practice-focused question centered on whether participants demonstrated increased knowledge about Medicare and Medicaid services available to Waiver Program clients. The theoretical framework …
Staff Education On The Use Of Suicide Screening Tools, Nadine Carole Missiet Fogoum
Staff Education On The Use Of Suicide Screening Tools, Nadine Carole Missiet Fogoum
Walden Dissertations and Doctoral Studies
The goal of the project was to improve nursing competency in assessing suicide risk using a structured staff education intervention. The specific problem identified was the inconsistent use of validated suicide screening tools, limiting clinical efficiency and the ability to detect and intervene for at-risk patients. The project question was as follows: For nursing staff working in a mental health clinic, will staff knowledge increase following a staff education program on the use of suicide screening tools? This practice-focused question concerns itself with the ability to enhance nurse proficiency, confidence, and consistency in utilizing screening instruments, thus positively impacting the …
Exploring The Underutilization Of Ai In Courtroom Decision-Making Processes, Dominique Lashaun Hilliard
Exploring The Underutilization Of Ai In Courtroom Decision-Making Processes, Dominique Lashaun Hilliard
Walden Dissertations and Doctoral Studies
The underutilization of AI in Texas state courtrooms challenges judicial efficiency, fairness, and transparency. Despite AI’s potential to enhance evidence management and decision-making, its adoption remains limited. Legal professionals and information technology (IT) managers stress the need for strategies to address these barriers and promote equitable justice. The purpose of this qualitative multiple-case study, which was grounded in the technology acceptance model, diffusion of innovation theory, and unified theory of acceptance and use of technology, was to explore strategies IT managers use to implement AI in criminal justice information systems. Semi-structured interviews and organizational documents provided data for thematic analysis, …
Pain Management Educational Module For Nursing Staff, Kathyrina Lucy Pham
Pain Management Educational Module For Nursing Staff, Kathyrina Lucy Pham
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a practice gap in pain management among nursing staff in the rehabilitation unit. Frequent pain-related patient calls contributed to inconsistent clinical practices. This project aimed to evaluate whether a brief, evidence-based educational intervention could enhance nurses’ knowledge of pain management. 47 registered nurses participated in an educational module delivered during both day and night shifts. Pre- and post-test scores were collected and analyzed to assess knowledge acquisition. T-test results indicated a statistically significant improvement in nurses’ pain management knowledge. The findings support the effectiveness of brief, targeted education in promoting clinical outcomes …
Evaluating The Impact Of Anti-Vaccine Online Search Trends During The Covid-19 Pandemic On Adolescent Pertussis-Containing Vaccine Completion, Deborah L. Fisher
Evaluating The Impact Of Anti-Vaccine Online Search Trends During The Covid-19 Pandemic On Adolescent Pertussis-Containing Vaccine Completion, Deborah L. Fisher
Walden Dissertations and Doctoral Studies
Adolescent completion of pertussis-containing vaccines is a public health concern, especially with rising online anti-vaccine misinformation. Incomplete vaccination increases risk for preventable diseases and impacts community health. A gap in the literature on the relationship between online anti-vaccine search trends during the COVID-19 pandemic and adolescent pertussis vaccine completion was addressed in this quantitative, repeated cross-sectional study. Andersen’s behavioral model of health services use guided the study. Secondary data from the 2019 and 2022 National Immunization Survey-Teen (NIS-Teen) compared adolescents aged 13–17 in the five U.S. states with the highest (n=5,464) versus the five with the lowest (n=3.031) population-adjusted anti-vaccine …
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 …
Assessing The Influence Of Core Transformational Leadership Style On Job Satisfaction And Organizational Citizenship Behavior In A Rural Healthcare Facility, Bruce Daryl Mitchell
Assessing The Influence Of Core Transformational Leadership Style On Job Satisfaction And Organizational Citizenship Behavior In A Rural Healthcare Facility, Bruce Daryl Mitchell
Walden Dissertations and Doctoral Studies
The successful application of core transformational leadership (CTL) in healthcare may enhance the quality of patient care and foster a positive and optimistic workforce. As such, CTL may be linked with job satisfaction (JS) and organizational citizenship behavior (OCB). There was a knowledge gap in understanding CTL’s relation to JS and OCB. In this quantitative study, the influence of the predictor variable CTL on the dependent variables JS and OCB was examined. Maslow’s hierarchy of needs provided a theoretical lens for the investigation. The secondary data set included data from 221 participants: 37 physicians, 111 nurses, and 73 other workforce …
The Relationship Between Adverse Childhood Experiences And Posttraumatic Symptomology In Rio Grande Valley Hispanic Adults, Timothy Hollinger
The Relationship Between Adverse Childhood Experiences And Posttraumatic Symptomology In Rio Grande Valley Hispanic Adults, Timothy Hollinger
Walden Dissertations and Doctoral Studies
Childhood adversity is a known predictor of poor psychological outcomes in adulthood, yet little is known about this relationship among Hispanic adults in South Texas. This study examined whether adverse childhood experiences (ACEs) are associated with posttraumatic stress disorder (PTSD) symptoms and whether gender, marital status, or educational attainment moderate this relationship. The central research questions were: (1) What is the relationship between ACEs and PTSD symptoms among Hispanic adults in South Texas? and (2) Do gender, marital status, or education moderate this relationship? Guided by Bronfenbrenner’s ecological systems theory, this quantitative archival study used a non-experimental, correlational design. Linear …
Impact Of Nursing Home Staff Hours And Administrator Turnover On Quality Of Care Post-Covid-19 Pandemic In Texas, Kendra King
Impact Of Nursing Home Staff Hours And Administrator Turnover On Quality Of Care Post-Covid-19 Pandemic In Texas, Kendra King
Walden Dissertations and Doctoral Studies
Nursing facilities experienced heightened unfavorable outcomes related to quality of care and staffing patterns during the COVID-19 pandemic. The purpose of this quantitative, quasi-experimental, retrospective study was to determine if there was a relationship between nursing home administrator turnover, total nurse staffing (i.e., LPN, RN, and nurse aides) hours per resident per day, and the quality of care as measured by the Long Stay Quality Measure (LSQM) rating in Texas after the COVID-19 pandemic in 2023. The Donabedian model, using the elements of structure, process, and outcomes, served as the theoretical framework for this study. Structure was represented by the …
Leadership Strategies To Decrease Resistance To Structural Changes Within A Healthcare Organization, Alicia J. Myers
Leadership Strategies To Decrease Resistance To Structural Changes Within A Healthcare Organization, Alicia J. Myers
Walden Dissertations and Doctoral Studies
This single case study is an exploration of the necessary leadership skills to reduce resistance to organizational changes. Behavioral health leaders (BHLs) frequently implement changes, and poor execution can result in employee burnout, increased turnover, and decreased productivity. The participant population in this study included five BHLs in the Pacific Northwest of the United States. The study included the use of the Baldrige excellence framework as an evidenced-based model to evaluate organizational systems. Data were collected primarily through semistructured interviews and were supplemented by information collected in organizational documents. When the data were analyzed, the emerging themes were communication gaps, …
Staff Education On Importance Of Medication Adherence For Patients Living With Schizophrenia, Sonia Obehi Okojie
Staff Education On Importance Of Medication Adherence For Patients Living With Schizophrenia, Sonia Obehi Okojie
Walden Dissertations and Doctoral Studies
This DNP project aimed to address the lack of staff knowledge regarding medication adherence in patients with schizophrenia to better support these patients and to address a critical organizational knowledge gap. Schizophrenia is a chronic illness that impacts quality of life and medication noncompliance, often causing relapses and hospitalization. Evidence has shown that medication compliance improves symptoms, reduces hospital visits, and leads to better overall disease outcomes. A review on the project site indicated a wide knowledge deficit for the staff on interventions to enhance compliance to medication regimens by schizophrenia patients. It is an important issue to address in …
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 …
Staff Educational Program On The Patient Health Questionnaire-9 Depression Screening Tool In A Psychiatric Outpatient Clinic, Chinwe Genevive Nwaigwe
Staff Educational Program On The Patient Health Questionnaire-9 Depression Screening Tool In A Psychiatric Outpatient Clinic, Chinwe Genevive Nwaigwe
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project focused on improving the knowledge and confidence of psychiatric outpatient clinic staff in administering and interpreting the Patient Health Questionnaire-9 (PHQ-9), a critical tool for depression screening. Given the high prevalence of depression and disparities in mental health care, inconsistent PHQ-9 use can lead to delayed diagnoses and unequal access to treatment. Addressing this gap is both a clinical priority and a matter of social justice. I delivered a 2-hour educational program for 17 staff members to improve screening practices. The session included a PowerPoint presentation, role playing, and an interactive …
Clinical Practice Guideline For Wound Care Management In Primary Healthcare Settings Across The British Virgin Islands To Minimize Clinical Practice Variations, Trorisia Shanika John
Clinical Practice Guideline For Wound Care Management In Primary Healthcare Settings Across The British Virgin Islands To Minimize Clinical Practice Variations, Trorisia Shanika John
Walden Dissertations and Doctoral Studies
This quality improvement (QI) initiative in a British Virgin Islands (BVI) primary healthcare setting involved the problem of inconsistent wound care management among registered nurses, which was a concern that was identified in a 2023 audit. The BVI Health Service Authority (HSA)’s diverse nursing staff, which is recruited across the Caribbean, contributed to varied wound care approaches, negatively impacting healthcare delivery and quality. These inconsistencies led to unequal resource access, increased infection and complication risks, and potential financial and legal liabilities. Furthermore, it could negatively affect staff and patient perceptions, potentially decreasing patient satisfaction, highlighting the urgent need for standardized …
Strategies For Migrating Data Warehouses To Data Lakehouses Using Public Cloud Computing, Danny Robert Hermanus
Strategies For Migrating Data Warehouses To Data Lakehouses Using Public Cloud Computing, Danny Robert Hermanus
Walden Dissertations and Doctoral Studies
The exponential growth of big data—characterized by high volume, velocity, and variety—has overwhelmed the capacity of traditional data warehouses, making it difficult to deliver timely and actionable insights. This problem is critical for IT professionals in large organizations, who face the absence of robust, evidence-based migration strategies and rely on efficient data infrastructure to maintain competitive performance and support strategic decision-making. Anchored in the technology-organization-environment (TOE) framework, the purpose of this qualitative pragmatic study was to explore strategies employed by large organizations to migrate data warehouses to data lakehouses. The study involved semistructured interviews with six IT professionals from California-based …
Staff Education To Improve Staff Knowledge Of Medication Adherence Strategies For Mood Disorders, Samnang Son Oeur
Staff Education To Improve Staff Knowledge Of Medication Adherence Strategies For Mood Disorders, Samnang Son Oeur
Walden Dissertations and Doctoral Studies
Executive Summary: Staff Education Project Staff Education to Improve Staff Knowledge of Medication Adherence Strategies for Mood Disorders by Samnang Oeur MS, University of California, San Francisco, 2019 BS, University of Massachusetts, Lowell, 2009 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University August 2025
Staff Education Program On Smoking Cessation Strategies, Justina Ugorji
Staff Education Program On Smoking Cessation Strategies, Justina Ugorji
Walden Dissertations and Doctoral Studies
This doctoral project implemented a staff education program to enhance smoking cessation knowledge in a mental-health care setting. Despite the well-documented risks, smoking cessation efforts remain insufficient, often due to providers’ limited knowledge and confidence in delivering effective interventions. The practice-focused question for this project was: Will implementing a staff education program improve health care providers’ knowledge of smoking cessation strategies as compared pre- to posteducation? The purpose was to equip providers with evidence-based techniques to enhance patient smoking cessation. A comprehensive literature review using the Johns Hopkins evidence-based practice model was performed, and 20 relevant articles were identified supporting …