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Articles 31 - 60 of 203
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Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu
Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu
Walden Dissertations and Doctoral Studies
Hospital-acquired pneumonia (HAP) remains the most common hospital-acquired infection in the United States, with nonventilated adult patients particularly at risk. This doctoral project focused on improving oral care practices among night shift nursing staff on a medical-surgical unit to reduce the risk of HAP. The practice gap identified was the inconsistent and inadequate delivery of oral hygiene during night shifts, primarily due to staff knowledge deficits, time constraints, and a lack of standardized procedures. The project was guided by the Johns Hopkins Evidence-Based Practice model and addressed the following question: In adult patients on a medical-surgical unit, will staff education …
Staff Education Project To Reduce Falls In Assisted Living Through Improved Caregiver Knowledge, Attitude, And Skill, Crystal Morrow
Staff Education Project To Reduce Falls In Assisted Living Through Improved Caregiver Knowledge, Attitude, And Skill, Crystal Morrow
Walden Dissertations and Doctoral Studies
Wisconsin has the highest death rates from falls in the nation. In a brief, the Wisconsin Aging Advocacy Network indicated that most falls among individuals over 65 occur in residential settings. Further, a significant number of elderly people will fall each year, resulting in hospitalizations or fatalities. The purpose of this project was to provide staff education in one Wisconsin assisted living facility to effectively improve knowledge, attitude, and skill among frontline staff for fall prevention management. A formal Fall Education Day was provided to improve knowledge and shape positive attitudes among staff. A pretest-posttest design was used to measure …
Impact Of Primary Care Providers’ Beliefs On Intentions To Conduct Brief Cognitive Assessments, Debra Antista-Bianchi
Impact Of Primary Care Providers’ Beliefs On Intentions To Conduct Brief Cognitive Assessments, Debra Antista-Bianchi
Walden Dissertations and Doctoral Studies
The 2011 Patient Protection and Affordable Care Act (PPACA) mandated that Primary Care Providers (PCPs) offer brief cognitive assessments during the Medicare Annual Wellness Visit (AWV), but this practice was inconsistent at best. This study investigated factors that influenced PCPs intentions to routinely assess cognition during the AWV. The theory of planned behavior (TPB) was used to assess the relationship between PCPs' behavior beliefs, subjective norm beliefs, perceived behavioral control (PBC) beliefs, and external control factors and their intentions to conduct brief cognitive assessments during the AWV. Using a quantitative correlational design, a cross-sectional online survey was administered to 86 …
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 …
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 …
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 …
Staff Education Program For Fall Prevention, Priya Sebastian Vadakkan
Staff Education Program For Fall Prevention, Priya Sebastian Vadakkan
Walden Dissertations and Doctoral Studies
Falls are the most common adverse events leading to increased injury, length of hospital stay, and costs among hospitalized patients. I developed a staff education project to address the identified practice problem of increased fall rates on the cardiac floor of the project site. The practice-focused question guiding this Doctor of Nursing Practice (DNP) project was whether a comprehensive staff education program on evidence-based fall prevention strategies could improve the nurses’ knowledge when compared to standard fall prevention practices. The purpose of this DNP project was to provide staff education to increase nurses’ knowledge about the early identification of fall …
Staff Education To Improve Fall Prevention Practices In The Home Health Setting, Chinemelum Okoye
Staff Education To Improve Fall Prevention Practices In The Home Health Setting, Chinemelum Okoye
Walden Dissertations and Doctoral Studies
Falls among adults aged 65 and older represent a significant public health concern, as they are the leading cause of injury and hospitalization within this demographic. According to the Centers for Disease Control and Prevention (CDC), nearly one in four older adults experiences a fall annually, leading to over 3 million emergency department visits. In home health settings, the risk of falls is heightened due to uncontrolled environments and insufficient staff training. This quality improvement project assessed the effectiveness of an educational intervention aimed at fall prevention strategies for home health staff, including registered nurses (RNs) and certified nursing assistants …
Lgbt Young Adults’ Experience Of Exiting Foster Care, Shaylon Joseph
Lgbt Young Adults’ Experience Of Exiting Foster Care, Shaylon Joseph
Walden Dissertations and Doctoral Studies
The scholarly community understands little about the experiences of lesbian, gay, bisexual, and transgender (LGBT) young adults as they transition out of the foster care system. This study explored the lived experiences and difficulties encountered by LGBT young adults after exiting foster care. Grounded in Erikson’s theory of psychosocial development, this qualitative dissertation employed a phenomenological design to interpret how participants made sense of their transitions. Recruitment was conducted through a flyer posted on Facebook and the Department of Children and Family Services; 10 LGBT young adults participated in 60-minute interviews. Using interpretative phenomenological analysis, the study revealed six overarching …
Factors Associated With Falls Among Nursing Home Residents, Dorsenia Hendrix
Factors Associated With Falls Among Nursing Home Residents, Dorsenia Hendrix
Walden Dissertations and Doctoral Studies
Falls in nursing home facilities are prevalent, and numbers continue to rise as residents grow older and antipsychotic (AP) medications are prescribed more frequently. The purpose of this quantitative study was to investigate whether frequency of falls was related to the use of AP medications. Data (N=100) were collected from 2020 incident reports, investigation sheets, and patient charts generated by the State Department of Public Health regarding resident falls and the use of AP medications in a nursing home Facility located in the Southern United States. Social Cognitive Theory (SCT) was used to understand specific behavior patterns such as personal, …
Staff Education Program On Care Transitions For The Elderly, Emmanoela Mugha
Staff Education Program On Care Transitions For The Elderly, Emmanoela Mugha
Walden Dissertations and Doctoral Studies
This project was developed as a staff education program using the analyze, design, develop, implement, and evaluate (ADDIE) model with a focus on discharge planning in a medical clinic in northern Maryland. There is a gap in discharge planning for older adults due to shortage of providers and inadequate education related to care transitions among the elderly. The care transition process can be improved through education. The practice focused question was: “Does an educational project for nurses on care transitions for the elderly increase knowledge as compared pre-to post education?” The Johns Hopkins evidence-based practice model (Appendix A) was the …
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 …
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 …
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 To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda
Staff Education To Improve Quality Of Life For Patients With Dementia, Vanessa Ann Soda
Walden Dissertations and Doctoral Studies
Dementia is a chronic neurodegenerative disease that is incurable and unpredictable. Patients with dementia experience a decline in functional abilities, communication, and social skills. Fifty-five million people worldwide live with dementia with over 6.9 million people over 65 years of age diagnosed in the United States. The practice problem identified by a 25-bed assisted living facility in the north-central United States was staff’s lack of knowledge of dementia diagnosis, person-centered care approaches, and optimal care strategies supporting a positive quality of life for patients with dementia. The practice-focused question addressed whether an education program consisting of evidence-based practices using the …
The Impact Of Functional Disabilities On The Quality Of Life Of Older U.S. Adults, Bernadette Lavender
The Impact Of Functional Disabilities On The Quality Of Life Of Older U.S. Adults, Bernadette Lavender
Walden Dissertations and Doctoral Studies
Among older U.S. adults, functional disabilities are critical determinants of quality of life (QoL), influencing mobility, social engagement, and independence. Despite growing evidence of these impacts, limited research examines how healthcare access, social support, and socioeconomic factors moderate this relationship. This quantitative study explored the effects of functional disabilities on QoL, operationalized through self-reported health, while examining the moderating roles of key social determinants. Using a cross-sectional design, secondary data from the Health and Retirement Study (HRS) were analyzed. The sample included 42,405 participants aged 60 years and above from all 50 states. Multiple regression analyses and ANOVA were employed …
The Lived Experiences Of Registered Behavior Technicians Using Applied Behavior Analysis With Children With Autism Spectrum Disorder, Rebecca Rene Wyble
The Lived Experiences Of Registered Behavior Technicians Using Applied Behavior Analysis With Children With Autism Spectrum Disorder, Rebecca Rene Wyble
Walden Dissertations and Doctoral Studies
The prevalence of autism spectrum disorder (ASD) has increased dramatically over the past 20 years; the Centers for Disease Control describe ASD as an epidemic of need. Individuals with ASD need proper treatment and support services. One of the most significant needs is for applied behavior analysis (ABA), which is considered the most effective treatment for ASD, yet several barriers impede caregivers’ ability to access ABA, such as the shortage of ABA practitioners, including registered behavior technicians (RBTs). This qualitative phenomenological study explored the lived experiences of RBTs working with children with ASD in ABA settings in the United States. …
Staff Education On Evidence-Based Educational Content For Patient Fall Prevention Measures, Ogochukwu Vera Nnakwe
Staff Education On Evidence-Based Educational Content For Patient Fall Prevention Measures, Ogochukwu Vera Nnakwe
Walden Dissertations and Doctoral Studies
Patient falls continue to be a challenge due to the injury associated with them. They can be disabling, costly, and most often lead to increased morbidity and mortality. Falls at home lead to hospitalization of the patient and complication of other health issues and/or aggravation of preexisting health problems. The practice problem was that the clinic did not have patient education content in place for fall prevention measures to discuss with patient at discharge. The practice-focused question was, Will a staff education on evidence-based falls prevention measures result in an increase in staff knowledge on fall prevention? The purpose of …
Executive Summary: Clinical Practice Guideline Primary Care Management Of Overweight/Obesity In Adult Women, Getrude Tate Nguatem
Executive Summary: Clinical Practice Guideline Primary Care Management Of Overweight/Obesity In Adult Women, Getrude Tate Nguatem
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a clinical practice guideline project focused on overweight and obesity management of adult women in primary care. The practice problem identified was the lack of an evidence-based clinical practice guideline to manage overweight/obesity in adult women. It was important to address this problem because overweight and obesity were significant health concerns at this clinical site in the United States and the world. The practice-focused question was the following: “Does the evidence support the development and Appraisal of Guideline for Research and Evaluation (AGREE) II instrument quality scoring of a clinical practice guideline on …
An Educational Intervention Focused On The Care Of Older Adults, Michele Orzehoski
An Educational Intervention Focused On The Care Of Older Adults, Michele Orzehoski
Walden Dissertations and Doctoral Studies
It is estimated that by 2050, individuals ages 65 and older will comprise 20% of the U.S. population. Further, research has demonstrated that among these aging adults, 80% have one chronic condition with 77% having at least two chronic conditions. Given this, the Institute for Healthcare Improvement (IHI) developed the Age-Friendly Health System framework for the care of older adults centering on what matters, medication, mentation, and mobility, or the 4Ms. In the local organization, leadership determined there was a need for an older adult-centered care model given their population includes aging individuals. Thus, the purpose of this doctor of …
Virtual Reality Simulation In Nursing Program: A Staff Education Initiative, Nekpen Isibor
Virtual Reality Simulation In Nursing Program: A Staff Education Initiative, Nekpen Isibor
Walden Dissertations and Doctoral Studies
Summary This executive summary highlights critical aspects of a Doctor of Nursing Practice staff education initiative. The doctoral project aimed to measure faculty members’ knowledge and confidence in using virtual reality (VR) simulation to address nursing students limited clinical opportunities. The initiative sought to align faculty practices with the National Council of State Boards of Nursing (NCSBN) recommendation of 25% clinical training through simulation. The guiding practice-focused question was, “Among nursing department faculty members, would staff education enhance simulation knowledge and confidence?” Sources of evidence were peer-reviewed literature and pre/post-test surveys administered to assess faculty knowledge and confidence changes. The …
Virtual Reality Simulation In Nursing Program: A Staff Education Initiative, Nekpen Isibor
Virtual Reality Simulation In Nursing Program: A Staff Education Initiative, Nekpen Isibor
Walden Dissertations and Doctoral Studies
Summary This executive summary highlights critical aspects of a Doctor of Nursing Practice staff education initiative. The doctoral project aimed to measure faculty members’ knowledge and confidence in using virtual reality (VR) simulation to address nursing students limited clinical opportunities. The initiative sought to align faculty practices with the National Council of State Boards of Nursing (NCSBN) recommendation of 25% clinical training through simulation. The guiding practice-focused question was, “Among nursing department faculty members, would staff education enhance simulation knowledge and confidence?” Sources of evidence were peer-reviewed literature and pre/post-test surveys administered to assess faculty knowledge and confidence changes. The …
Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews
Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews
Walden Dissertations and Doctoral Studies
Transitioning from childhood to adulthood is a challenging life experience, further intensified for individuals with psychiatric disorders. While strong social support serves as a key resilience factor, emerging adults with psychiatric disorders face unique challenges in addition to those encountered by their peers. This population is at heightened risk for adverse outcomes, including difficulty securing employment, a critical milestone for adult independence. Counselors play a pivotal role in supporting these individuals but often report feelings of inadequacy and reluctance to engage with this complex developmental stage. This qualitative hermeneutic phenomenology study explores the lived experiences of counselors who assist emerging …
Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews
Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews
Walden Dissertations and Doctoral Studies
Transitioning from childhood to adulthood is a challenging life experience, further intensified for individuals with psychiatric disorders. While strong social support serves as a key resilience factor, emerging adults with psychiatric disorders face unique challenges in addition to those encountered by their peers. This population is at heightened risk for adverse outcomes, including difficulty securing employment, a critical milestone for adult independence. Counselors play a pivotal role in supporting these individuals but often report feelings of inadequacy and reluctance to engage with this complex developmental stage. This qualitative hermeneutic phenomenology study explores the lived experiences of counselors who assist emerging …
Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara
Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara
Walden Dissertations and Doctoral Studies
Suicide remains a public health issue, demanding proficient training of future counselors in suicide risk assessment (SRA). However, concerns persist regarding the competency of counselors-in-training (CITs) in this crucial area. This study explored the predictive relationship between theory of planned behavior (TPB) constructs and students’ perceived competency in SRA. Grounded in the TPB, the research addressed how attitudes (ATT), subjective norms (SN), and perceived behavioral control (PBC) influence intentions and subsequent behavior, using a nonexperimental survey design to collect data from students in Council for Accreditation of Counseling & Related Educational Programs (CACREP)–accredited master's counseling programs via a comprehensive questionnaire. …
Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara
Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara
Walden Dissertations and Doctoral Studies
Suicide remains a public health issue, demanding proficient training of future counselors in suicide risk assessment (SRA). However, concerns persist regarding the competency of counselors-in-training (CITs) in this crucial area. This study explored the predictive relationship between theory of planned behavior (TPB) constructs and students’ perceived competency in SRA. Grounded in the TPB, the research addressed how attitudes (ATT), subjective norms (SN), and perceived behavioral control (PBC) influence intentions and subsequent behavior, using a nonexperimental survey design to collect data from students in Council for Accreditation of Counseling & Related Educational Programs (CACREP)–accredited master's counseling programs via a comprehensive questionnaire. …
Executive Summary: Quality Improvement Initiative Personalized Interdisciplinary Fall Prevention Plan And Fall Rates At An Inpatient Rehabilitation Hospital, Kayla Jackson
Walden Dissertations and Doctoral Studies
Despite ongoing fall prevention strategies, falls continue to be a concern across healthcare organizations. There has been an identified increase in the fall rate at an inpatient rehabilitation facility (IRF) in the southeastern United States. An interprofessional and collaborative approach to fall prevention has been found to lead to a decrease in falls with injury and an increase in the culture of safety. This doctor of nursing practice (DNP) project involved an evaluation of a quality improvement (QI) initiative of a personalized interdisciplinary fall prevention plan at a rehabilitation hospital located in the southeastern region of the United States. The …
Executive Summary: Quality Improvement Initiative Implementing Fixed Water Dispensers In An Inpatient Psychiatric Hospital, Elycia Victoria Hernandez
Executive Summary: Quality Improvement Initiative Implementing Fixed Water Dispensers In An Inpatient Psychiatric Hospital, Elycia Victoria Hernandez
Walden Dissertations and Doctoral Studies
The current hydration system using water pitchers was outdated and inefficient, leading to potential risks of contamination, inconsistent hydration, and increased staff workload in this inpatient psychiatric facility. Psychiatric patients may struggle to access adequate hydration due to cognitive or behavioral limitations. Addressing this gap is essential for improving patient care, enhancing operational efficiency, and ensuring consistent access to clean water. This DNP scholarly project was an evaluation of an interprofessional team-based quality initiative to replace traditional water pitchers with fixed water dispensers in an acute inpatient psychiatric facility. The primary practice-focused question was: Will an interprofessional team reach consensus …
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 …