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Hypertension Literacy For Healthcare Providers, Maninder Kaur Dhaliwal
Hypertension Literacy For Healthcare Providers, Maninder Kaur Dhaliwal
Walden Dissertations and Doctoral Studies
When medical staff lack sufficient training in hypertension literacy, it significantly impacts patient outcomes, expenses, and quality of life. Uncontrolled hypertension increases health care costs by causing frequent emergency room visits and hospital stays. After a thorough needs assessment, it was identified at the project site that nurse practitioners were not knowledgeable about the most recent recommendations for managing hypertension and patient education techniques. This practice gap was also contributed to by a lack of structured training and time for learning. The practice-focused question for this project was: Among health care staff, how does implementing a staff education initiative on …
Staff Education To Improve Knowledge Of Wound Documentation Skills Among Inpatient Nurses, Rouine Kay Patron Litorja
Staff Education To Improve Knowledge Of Wound Documentation Skills Among Inpatient Nurses, Rouine Kay Patron Litorja
Walden Dissertations and Doctoral Studies
While many healthcare organizations have established wound documentation protocols, maintaining consistent, high-quality documentation remains a widespread challenge in clinical practice. In this staff education project, I addressed the implementation of a staff education program to increase nurses' knowledge about evidence-based practices regarding wound documentation. The staff education initiative was conducted in a medical telemetry unit, with 17 nurses participating. A pretest-posttest design was employed to evaluate the impact of the education. The aggregate pretest and posttest scores were analyzed using the Normalized Learning Gain (NLG) formula. The NLG gain of 0.37, equated to a 37% improvement in knowledge a moderate …
Is A Dog A Female Offender’S Best Friend? Prison-Based Dog Program Implications, Lavinia Smith
Is A Dog A Female Offender’S Best Friend? Prison-Based Dog Program Implications, Lavinia Smith
Walden Dissertations and Doctoral Studies
The existing literature on female offender prison-based dog program (PBDP) experiences and their effect and influence on female offender reentry, rehabilitation, and transition into society following incarceration is limited at best. Despite mixed evidence on prison-based animal programs, human–animal interaction research suggests positive psychological effects. With a 56% chance of reoffending a year after release, understanding the effects of PBDPs may aid reentry/transition support that lowers recidivism rates. Grounded by Broidy and Agnew’s gendered general strain theory, through basic qualitative inquiry, this research study aimed to understand female offender PBDP participants' reentry and transition experiences. Twenty-seven semistructured interviews were conducted …
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 …
Schwartz Values Of Active-Duty U.S. Soldiers: A Confirmatory Factor Analysis Of Refined Values, Kelcey Sihanourath
Schwartz Values Of Active-Duty U.S. Soldiers: A Confirmatory Factor Analysis Of Refined Values, Kelcey Sihanourath
Walden Dissertations and Doctoral Studies
The U.S. Army is currently facing recruitment challenges due to a decrease in the number of qualified youths. When recruitment is low, reducing attrition becomes even more critical to maintaining force readiness. Research indicates attrition patterns may be influenced by interactions between personal characteristics and the unique culture of each military branch. One characteristic is personal values; however, the most widely used personal values framework, Schwartz’s values theory, has not been validated for the U.S. Army population. This study aimed to address this gap by empirically assessing Schwartz’s values using a nonexperimental cross-sectional quantitative design, collecting data from 273 active-duty …
Mental Health Counselors’ Lived Experiences With The Legal System In Matters Concerning Their Clients, Kendria L. Brown
Mental Health Counselors’ Lived Experiences With The Legal System In Matters Concerning Their Clients, Kendria L. Brown
Walden Dissertations and Doctoral Studies
Mental health counselors frequently engage with the legal system in ways that significantly impact their clinical roles, ethical decision-making, and emotional well-being. Despite the high stakes of these encounters, little is known about how counselors experience and make meaning of such legal involvement. This study explored the central research question: What are the lived experiences of mental health counselors when they are involved with the legal system in matters concerning their clients? This transcendental phenomenological study, grounded in Husserl’s philosophy of exploring lived experience through the suspension of presuppositions, investigates the experiences of mental health counselors when they are involved …
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 …
Enhancing Staff Knowledge On Fall Prevention For Elderly Patients In Home Care Settings, Through Staff Education Initiatives, Anna Ngwafu
Walden Dissertations and Doctoral Studies
Summary Falls are one of the leading causes of injury for older patients in homecare settings, affecting patient safety and quality of care. Patient falls contribute to morbidity, mortality, and healthcare costs. A fall often results in injuries which can be fatal. Over 30% of individuals who are 65 years or older experience falls on an annual basis. In these older adults, the leading cause of death is unintentional falls. Although there are evidence-based strategies for preventing falls, there are still gaps in staff knowledge. The purpose of the DNP project was to develop, implement, and evaluate a staff education …
The Perception Of The Participants Of The Unemployment Relief Program On Employability: A Social Policy Initiative In Trinidad And Tobago, Marsha De Souze
The Perception Of The Participants Of The Unemployment Relief Program On Employability: A Social Policy Initiative In Trinidad And Tobago, Marsha De Souze
Walden Dissertations and Doctoral Studies
The Unemployment Relief Program (URP) has failed to contribute sufficiently to improve employability and reduce unemployment in Trinidad and Tobago. The URP is an active labor market program that aims to alleviate unemployment and stabilize the labor market. Although there have been studies on unemployment programs and policies in Trinidad and Tobago, the gap in the literature revealed a need for adequate labor market research on unemployment policies and programs and their contribution to employability and unemployment. The purpose of this qualitative case study was to explore the URP participants’ perceptions of the program on their employability and unemployment. The …
Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash
Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash
Walden Dissertations and Doctoral Studies
Primary general education teachers are critical stakeholders in the special education identification process (SEIP) when using the multilevel system of support (MLSS) and response to intervention (RTI) frameworks. Previous research has included primary general education teachers and other stakeholder perspectives on using the MLSS/RTI framework during SEIP; however, primary general education teachers’ perspectives on the topic have not been the sole focus of previous research. Guided by Goodson’s educational change theory, the purpose of this basic qualitative study was to explore primary general education teachers’ perspectives on the usefulness of the MLSS/RTI framework during the SEIP. Qualitative data were collected …
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 …
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 …
Use And Interpretation Of Patient Health Questionnaire-9, Rufina Ewane
Use And Interpretation Of Patient Health Questionnaire-9, Rufina Ewane
Walden Dissertations and Doctoral Studies
This doctoral project is a staff education initiative designed to address the lack of knowledge on how to use and interpret the Patient Health Questionnaire (PHQ-9) tool. The practice problem highlights a knowledge gap, leading to the underutilization of the PHQ-9 tool for depression screening. This underutilization hinders timely diagnosis and effective management, presenting a significant challenge to achieving optimal patient outcomes. The project explores the question: Will implementing a staff education program on the use and interpretation of the PHQ-9 tool improve staff knowledge? The project was designed to enhance staff knowledge in utilizing and interpreting the PHQ-9 tool …
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 …
The Impact Of Specific Foster Care Placement Factors On Attachment-Related Anxiety And Avoidance In The Adult Intimate Relationships Of Foster Care Alumni, Latasha Macklin
Walden Dissertations and Doctoral Studies
Children who have a history of maltreatment, like those placed in foster care, are at a significantly higher risk for developing an insecure attachment style, which may be correlated with various problems in adulthood, including adverse relationship outcomes, poor job satisfaction, low self-esteem, mood, and personality disorders. Prior research suggests a correlation between the attachment style of a foster child and specific foster care factors, including the type of placement, reason for placement, number of placements, age of the child at placement, and gender of the child. However, no research exists to examine how these factors might significantly impact the …
Perspectives On Compassion Fatigue And Self-Regulation Among Social Workers In Patient Care During Covid-19, Roberta Johnson Wright
Perspectives On Compassion Fatigue And Self-Regulation Among Social Workers In Patient Care During Covid-19, Roberta Johnson Wright
Walden Dissertations and Doctoral Studies
Since the onset of the COVID-19 pandemic, social workers in patient care have faced significant emotional and psychological challenges, including compassion fatigue, vicarious trauma, and burnout. This study explores the perceptions of social workers working in patient care during the pandemic, specifically examining how compassion fatigue and vicarious trauma contribute to burnout. By focusing on their experiences, the research emphasizes the vulnerabilities social workers encounter as they support populations during these challenging times. The study is grounded in job demands-resources theory to help explain how the demands of social work roles impact mental health and well-being. To gather in-depth data, …
Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo
Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo
Walden Dissertations and Doctoral Studies
Intimate relationships with individuals who have committed sex offenses significantly stigmatize and traumatize partners. Partners also face barriers to effective treatment, negatively impacting both themselves and their children affected by these offenses. The purpose of this generic qualitative study was to gain an understanding of partners’ experiences with support groups in coping with trauma symptoms and stigma, thus addressing a gap in the literature. Grounded in theoretical concepts of trauma, mutual aid, and stigma, how social support dynamics facilitate healing by investigating coping strategies and support group stages to understand participants’ healing journeys were examined. Data were collected from 10 …
Enhancing Nurse Retention In Acute Care Hospitals By Creating An Environment Supportive Of Evidence-Based Practice, Vanessa Roxana Funes
Enhancing Nurse Retention In Acute Care Hospitals By Creating An Environment Supportive Of Evidence-Based Practice, Vanessa Roxana Funes
Walden Dissertations and Doctoral Studies
High nurse turnover rates in acute care hospitals negatively impact operations, increase turnover-related costs, and worsen organizational performance. Developing solutions for healthcare administrators to create environments supportive of evidence-based practice (EBP) can yield positive nurse outcomes, including reducing nurse turnover and increasing retention. This integrative review includes strategies to execute a system-wide environment supportive of EBP as an efficient strategy to reduce nurse turnover and increase retention in acute care hospitals. Using the advancing research and clinical practice through close collaboration (ARCC) model as a guiding framework and the Johns Hopkins evidence-based model as a tool to evaluate evidence, empirical …
Staff Education To Increase Staff Knowledge Of Deep Breathing Techniques To Teach Patients For Effective Use, Modinat Oluwatoyin Fagbenro
Staff Education To Increase Staff Knowledge Of Deep Breathing Techniques To Teach Patients For Effective Use, Modinat Oluwatoyin Fagbenro
Walden Dissertations and Doctoral Studies
This doctoral project was a staff education project aimed at addressing the lack of structured stress management training in behavioral health settings. The project focused on enhancing clinical staff knowledge of deep breathing techniques, a cost-effective, evidence-based intervention to reduce stress and anxiety in patients. The practice problem was significant, as indicated by an internal review of 50 patient charts at the clinical site, which revealed that only 12% of patients used clinician-guided deep breathing. This highlighted the urgent need for structured staff education to improve patient care outcomes. The project question was the following: Will a staff education program …
Perceptions Of Police Executives Of Threat Assessment Practices In Municipal Level Policing, Robin Renee Griffin-Kitzerow
Perceptions Of Police Executives Of Threat Assessment Practices In Municipal Level Policing, Robin Renee Griffin-Kitzerow
Walden Dissertations and Doctoral Studies
While there is no single solution to responding to active threats and targeted acts of violence, strategies such as awareness, preparedness through threat assessment practices, and education are the keys to prevention. Threat assessment practices and mandates are widely used in university and K-12 educational environments and have successfully prevented these acts. However, research up until this point seemed to indicate that local municipal police departments were slow to adopt these practices. As a result, communities suffer through targeted acts of violence, senseless tragedies, and untimely deaths of innocent victims. The purpose of this qualitative study was to explore how …
Staff Education On Physical Activity As A Therapeutic Option For Anxiety And Depression, Suja Paul
Staff Education On Physical Activity As A Therapeutic Option For Anxiety And Depression, Suja Paul
Walden Dissertations and Doctoral Studies
This project’s aim was to educate staff on physical activity (PA) as a therapeutic option for anxiety and depression to relieve psychotic symptoms, enhancing patients’ quality of life. PA enhances cognitive functioning, reduces anxiety and depression, and decreases the risk of cardiovascular conditions and early death. Patients with severe mental illnesses face barriers to PA and exercise, so providers and policymakers must create an environment that encourages participation. A knowledge gap for staff exists in promoting PA in mental health patients. Healthcare professionals should recommend the right amount of PA for each patient. This initiative aims to increase staff confidence …
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 …
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 …