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2019

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Understanding Parents' Disease-Managing Strategies For Children With Sickle Cell Disease, Michelle Noble Mackey Jan 2019

Understanding Parents' Disease-Managing Strategies For Children With Sickle Cell Disease, Michelle Noble Mackey

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is one of the most difficult and stressful chronic diseases for parents of afflicted children to manage. Managing SCD can be traumatic for parents particularly if they have no specific coping strategies for managing the disease or ensuring the child visits the doctor as scheduled. The use of certain coping strategies may affect the parents' and patients' perceptions of the illness and influence their decisions regarding treatment, which can have a lasting impact on their lives. Effective parental strategies such as positive thinking can aid in disease management, but there is limited research on the coping …

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Perspectives Of Patients With Comorbidity On The Use Of Ehealth Technology For Self-Management At Kenyatta National Hospital, Dorcas Waithira Maina Jan 2019

Perspectives Of Patients With Comorbidity On The Use Of Ehealth Technology For Self-Management At Kenyatta National Hospital, Dorcas Waithira Maina

Walden Dissertations and Doctoral Studies

Health care systems still focus on single disease management and ignore the complexities of multiple conditions management. Though self-management is the focus of chronic disease management, patients with comorbidities face challenges in meeting their self-management goals. The purpose of this study was to explore the perspectives of patients with comorbid conditions on the use of eHealth technology to promote self-management. The research was grounded on the technology acceptance model. I sought to explore the participants' understanding of self-management, the challenges to self-management and their perspectives on the use of eHealth for self-management. In this phenomenological study, 10 interviews were conducted …

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Analyzing Small Businesses' Adoption Of Big Data Security Analytics, Henry Mathias Jan 2019

Analyzing Small Businesses' Adoption Of Big Data Security Analytics, Henry Mathias

Walden Dissertations and Doctoral Studies

Despite the increased cost of data breaches due to advanced, persistent threats from malicious sources, the adoption of big data security analytics among U.S. small businesses has been slow. Anchored in a diffusion of innovation theory, the purpose of this correlational study was to examine ways to increase the adoption of big data security analytics among small businesses in the United States by examining the relationship between small business leaders' perceptions of big data security analytics and their adoption. The research questions were developed to determine how to increase the adoption of big data security analytics, which can be measured …

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Educational Technology Use In Neurodiagnostic Clinical Skills Training, Margaret Ann Marsh-Nation Jan 2019

Educational Technology Use In Neurodiagnostic Clinical Skills Training, Margaret Ann Marsh-Nation

Walden Dissertations and Doctoral Studies

The current shortage of clinical sites for neurodiagnostic technology (NDT) students is limiting enrollments and subsequently limiting graduates from NDT schools in the U.S. A lack of knowledge or consensus concerning the use of educational technology in NDT clinical skills training prompted this investigation. The purpose of this study was to explore the use of educational technology in providing NDT clinical skill training. This qualitative Delphi study was guided by experiential learning theory and cognitive constructionist epistemology. Thirty expert panelists were recruited to rate the effectiveness of educational technology methods in addressing neurodiagnostic competencies for electroencephalography. Twenty-four completed round one, …

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Perceptions Of Barriers To Oral Care Among African American Families In Durham, North Carolina, Samuel Motto Jan 2019

Perceptions Of Barriers To Oral Care Among African American Families In Durham, North Carolina, Samuel Motto

Walden Dissertations and Doctoral Studies

Dental caries is one of the biggest issues of concern for healthcare providers in Durham, North Carolina due to the high prevalence of dental caries in African Americans. Many researchers have identified socio-economic, low income, poor education, psychological behavior, awareness, allied diseases, environment, unhealthy diet, obesity, type II diabetes, and inadequate health facilities as the possible reasons for its high prevalence, yet literature lacks information regarding how African Americans perceive the problem of oral health. Knowledge of the perceived factors may help to identify the actual cause of dental caries through the eyes of African Americans. The purpose of this …

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Predictive Nature Of Teacher Traits On Academic Achievement Of African-American Students, Lacoñia Rayelle Nelson Jan 2019

Predictive Nature Of Teacher Traits On Academic Achievement Of African-American Students, Lacoñia Rayelle Nelson

Walden Dissertations and Doctoral Studies

Historically, biases, a lack of cultural diversity in teacher and administrative staff and misunderstanding about methods for teaching low socioeconomic students have related to the underperformance of African-American students when compared with their European American peers. Therefore, this quantitative, cross-sectional study was conducted to explore the impact of teachers' ethnicity, years of experience, and motives of hope and fear on the academic success of African-American students in reading and math. Data were collected from 55 7th- and 8th-grade teachers from a charter school system (25 reading teachers and 30 math teachers) using a survey and the Multi Motive Grid. Forward …

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Human Trafficking Crime Awareness Among Remote Communities In Central Vietnam, Ngoc Tb Nguyen Jan 2019

Human Trafficking Crime Awareness Among Remote Communities In Central Vietnam, Ngoc Tb Nguyen

Walden Dissertations and Doctoral Studies

Human trafficking crime is rising globally at an alarming rate, and Vietnam is one of the nations with the highest prevalence of trafficking female victims for forced sex services and forced marriages. This study explored human trafficking awareness in remote communities of central Vietnam and the factors for young girls dropping out of school for work at an early age. The study also investigated the link between gender inequality and the child labor problem in these communities. There is no extant empirical research pertaining to human trafficking awareness in the remote communities of central Vietnam. This research fills this gap …

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Strategies For Nursing Staff Working In A Correctional Facility., Ima James Jan 2019

Strategies For Nursing Staff Working In A Correctional Facility., Ima James

Walden Dissertations and Doctoral Studies

As primary care providers in correctional facilities, correctional nurses are expected to balance inmates' healthcare needs with the security demands of the facility. This project explored whether an evidence-based education program could provide strategies for promoting health, a healthy work environment, and a sense of well-being to improve the knowledge, coping skills, and well-being of nurses working in a correctional occupational setting. Twenty nurses participated in an educational intervention project that was guided by the transactional theory of stress. Using a pretest/posttest design, data were collected over a 2-week period and calculated using means and percentages. The descriptive statistics using …

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Male Perspectives Of Lateral Violence In Nursing, Benita Kinard Jan 2019

Male Perspectives Of Lateral Violence In Nursing, Benita Kinard

Walden Dissertations and Doctoral Studies

Lateral violence is an intentional and harmful behavior in the workplace by one employee against another. In nursing lateral violence has impacted the performance of nurses as well as patient care. Research suggests that lateral violence behaviors are still prevalent in the nursing workplace and that there have been few interventions to change these behaviors or address the power dynamics that cause them. Though most of the research on lateral violence has been conducted on female nurses, the population of male nurses is growing. Thus, the purpose of the study was to explore lateral violence in the workplace from the …

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Person Factors Affecting Student Persistence In College Reading And Writing Remediation, Loretta J. Morris Barr Jan 2019

Person Factors Affecting Student Persistence In College Reading And Writing Remediation, Loretta J. Morris Barr

Walden Dissertations and Doctoral Studies

The United States has the highest college attrition rate among industrialized nations. Community college students face a much higher risk, particularly those who lack requisite reading/writing skills. Using the theory of planned behavior and self-determination theory, this study explored the relationship between persistence in college for students in traditional or corequisite remediation. Person factors under study were frustration discomfort, academic motivation, and self-reported symptoms of adult attention-deficit hyperactivity disorder (ADHD). After 7 semesters, 72 adult student volunteers from the 2 remediation programs were recruited from 2 community colleges. They completed an online survey, which included a demographics questionnaire, the Frustration …

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Coteachers' Perceptions About Collaborating To Implement Instructional Strategies For Students With Disabilities, Claudia B. Morris Jan 2019

Coteachers' Perceptions About Collaborating To Implement Instructional Strategies For Students With Disabilities, Claudia B. Morris

Walden Dissertations and Doctoral Studies

During 2012-2016, students with disabilities (SWDs) in Grades 3-5 in an urban elementary school in New York City did not meet the New York State English Language Arts (ELA) standards. The scores had been consistently low for SWDs when compared to their nondisabled peers. SWDs are placed in the inclusion classrooms with an Individual Education Plan that consists of the necessary accommodations that each student requires to access the general education curriculum. The purpose of this case study was to determine if the low ELA test scores for SWDs relate to lack of collaborative practices between coteachers in the inclusion …

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Perceptions About The Asylum-Seeking Process In The United States After 9/11, Keith Nalumango Jan 2019

Perceptions About The Asylum-Seeking Process In The United States After 9/11, Keith Nalumango

Walden Dissertations and Doctoral Studies

Asylum seekers in the U.S. have faced a plethora of impediments leading to some of them abandoning their applications, which may deny them their rights under the United Nations convention on refugees. Despite the abundance of literature on the plight of these persons, no study has examined the lived experiences of asylum seekers in the U.S. from the time they apply for asylum to the time their applications are adjudicated. Using Benet's polarities of democracy as the theoretical framework, the purpose of this single participant narrative study was to explore these experiences in order to provide policy makers with a …

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The Chief Executive Officer Of Charter Management Organizations And Their Perspective On Instructional Leadership To Improve Student Achievement, Bryce Alan Geigle Jan 2019

The Chief Executive Officer Of Charter Management Organizations And Their Perspective On Instructional Leadership To Improve Student Achievement, Bryce Alan Geigle

University of the Pacific Theses and Dissertations

The purpose of the study is to investigate the relationship between academic emphasis and executive leadership from the perspective of a California charter management organization (CMO) chief executive officer (CEO). Executive leaders in California CMOs have a unique perspective that needs investigated. They experience educational leadership differently depending upon their individual backgrounds, educational experiences, and the families they serve. This study seeks to understand the experiences of a specific group of executive leaders and how they define academic emphasis in their CMO. The theoretical framework used to interpret the research findings was instructional leadership. The framework effectively built a lens …

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Evaluating Feedback During The Step It Up! Game To Increase Physical Activity Exhibited By Elementary School Students During Recess, Carla Burji Jan 2019

Evaluating Feedback During The Step It Up! Game To Increase Physical Activity Exhibited By Elementary School Students During Recess, Carla Burji

University of the Pacific Theses and Dissertations

Children who are physically inactive are more likely to suffer numerous health complications such as obesity, cardiovascular disease, and diabetes. The Good Behavior Game (GBG) has been identified as an effective method for decreasing inappropriate behaviors and increasing appropriate behaviors in a variety of settings; however, few studies have used the GBG to increase physical activity. Furthermore, no previous research has evaluated the effects of feedback while playing the GBG to increase physical activity. Some research suggests certain characteristics of feedback tend to produce consistent changes in behaviors such as providing feedback immediately and privately. The purpose of the current …

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Visual Arts: Teaching Creativity From Within, Del Camara Jan 2019

Visual Arts: Teaching Creativity From Within, Del Camara

University of the Pacific Theses and Dissertations

In the ever-changing world of visual arts education, there is a gap in the literature about the incorporation of creativity, risk-taking, and play in the curriculum. The purpose of this study was to understand how high school visual arts educators teach visual arts and creativity in the age of digital media, including the practices art teachers use to engage their students in their development of art-making and ways teachers encourage students to take risks in art-making practices. Utilizing an arts-based research method focusing on four case studies in the Central Valley of California, this inquiry examined the way visual arts …

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Development Of A New Class Of Ligand-Targeted Chemotherapeutics With Enhanced Safety And Efficacy Profile, Arindom Pal Jan 2019

Development Of A New Class Of Ligand-Targeted Chemotherapeutics With Enhanced Safety And Efficacy Profile, Arindom Pal

University of the Pacific Theses and Dissertations

The hydrophobicity of many chemotherapeutic agents usually results in their nonselective passive distribution into healthy cells and organs causing collateral toxicity. Ligand-targeted drugs (LTDs) are a promising class of targeted anticancer agents. The hydrophilicity of the targeting ligands in LTDs limits its nonselective passive tissue distribution and toxicity to healthy cells. In addition, the small size of LTDs allows for better tumor penetration, especially in the case of solid tumors. However, the short circulation half-life of LTDs, due to their hydrophilicity and small size, remains a significant challenge for achieving their full therapeutic potential. Therefore, extending the circulation half-life of …

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Teachers' And Students' Perspectives About Patterns Of Interaction, Ena Smith Jan 2019

Teachers' And Students' Perspectives About Patterns Of Interaction, Ena Smith

Walden Dissertations and Doctoral Studies

Social interaction is key to students' learning in blending learning discussions. Although there is research on interactions in online courses and traditional classes, there is little on whether blended learning discussions are meeting students' social interaction and educational development needs. The purpose of this multicase study was to examine attitudes of first-year and final-year business and technology students and faculty members for patterns of interaction and knowledge construction. The study was conducted in the northeastern United States. Piaget's cognitive constructivism, Vygotsky's social constructivism, and Knowles's andragogy constituted the conceptual framework. Using maximum variation sampling, participants were 8 students and 4 …

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Detecting Obstructive Sleep Apnea In An Adult Primary Care Population, Tizita Gedeon Tessema Jan 2019

Detecting Obstructive Sleep Apnea In An Adult Primary Care Population, Tizita Gedeon Tessema

Walden Dissertations and Doctoral Studies

Obstructive sleep apnea (OSA) is a sleep-related disorder that pauses or decreases air flow during sleep as a result of an obstructed upper airway. About 25 million people in the United States are affected by OSA. OSA has low identification and referral rates, especially in primary care facilities as indicated by the lack of patients' sleep histories. Screening tools such as questionnaires ensure an effective detection of OSA. The practice-focused question examined whether implementing the Epworth sleepiness scale (ESS) in an outpatient primary care setting would increase the number of referrals of high-risk patients. The purpose of the project was …

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Hospital Admission From The Emergency Department For Patients Diagnosed With Heart Failure, Tammy Young Jan 2019

Hospital Admission From The Emergency Department For Patients Diagnosed With Heart Failure, Tammy Young

Walden Dissertations and Doctoral Studies

Approximately 25% of those hospitalized with congestive heart failure are readmitted within 30 days after discharge. Because researchers and policy makers consider hospital readmission within 30 days for patients with heart failure to be a quality of care issue, the Centers for Medicare and Medicaid Services has imposed financial penalties of up to 3% of a hospital's Medicare revenue for 1 year for excessive readmissions, potentially impacting the financial sustainability of some organizations. The purpose of the study was to address the research gap regarding the outcome quality measure of hospital admissions from the emergency department (ED) and 2 each …

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Marketing Strategies Of Successful Coffee Shop Owners, Abi Adeleke Jan 2019

Marketing Strategies Of Successful Coffee Shop Owners, Abi Adeleke

Walden Dissertations and Doctoral Studies

Failure is an issue with small businesses globally; some owners of small businesses lack the knowledge of business administration and marketing strategies necessary to help ensure success. The purpose of this multiple case study was to explore what marketing strategies some coffee shop owners use to sustain business operations during the first 5 years of operation. The targeted population consisted of 5 coffee shop owners in Arkansas who successfully implemented marketing strategies to sustain business operations during the first 5 years of operation. Goldsmith's 8Ps of marketing mix was the conceptual framework used in the study. Data were collected from …

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Understanding Social Workers' Roles Providing Case Management To Medicaid Managed Care Enrollees, Vontija Deeshawn Dean-El Jan 2019

Understanding Social Workers' Roles Providing Case Management To Medicaid Managed Care Enrollees, Vontija Deeshawn Dean-El

Walden Dissertations and Doctoral Studies

Social workers often take on the role of providing case management to Medicaid recipients; however, there is little clinical research on social workers' perceptions of their case management role. The purpose of this study was to develop an understanding of the social worker case management role by exploring social workers' perceptions of their roles when providing case management to Ohio Medicaid managed care enrollees. This action research study was grounded in organizational role theory. A semi structured focus group was facilitated using open-ended questions related to social workers' role perceptions, role conflict, role ambiguity, case management, and managed care. Qualitative …

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Perceptions Of Court Appointed Special Advocates On Volunteer Turnover, Salwa Mohamed El Habib Jan 2019

Perceptions Of Court Appointed Special Advocates On Volunteer Turnover, Salwa Mohamed El Habib

Walden Dissertations and Doctoral Studies

There is a high turnover rate among court-appointed special advocates (CASA) in the United States. The purpose of this qualitative case study was to explore the perception of the retention of CASA volunteers. Maslach'€™s burnout theory and Greene'€™s theory of resilience provided the framework for the study. A sample of9 active and 5 inactive CASA volunteers, one CASA volunteer recruiter, 3 program supervisors, and one administrator were interviewed. The data was organized and coded manually to facilitate auto-coding using qualitative data software. All responses to each question were compiled in one place allowing for thematic analysis based on the frequency …

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Advanced-Beginner Registered Nurses' Perceptions On Growth From Entry Level, Brenda Mason Jan 2019

Advanced-Beginner Registered Nurses' Perceptions On Growth From Entry Level, Brenda Mason

Walden Dissertations and Doctoral Studies

Many entry-level nurses are not prepared to handle medical emergencies. Although responsible for managing the care of individuals with complex medical conditions, many of these nurses compromise the safety of patients due to a lack of experience and an inability to apply clinical judgment. The purpose of this study was to explore the perceptions of registered nurses about their transition from entry-level to advanced beginner. Bandura's social cognitive theory, along with Colaizzi's descriptive method of data analysis, provided a basis for this phenomenological study. Research questions focused on challenges that entry-level nurses have experienced with problem-solving and complex patient care …

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Developing A Preceptor Training Program For Registered Nurses In A Teaching Hospital, Persephone Annis Munnings Jan 2019

Developing A Preceptor Training Program For Registered Nurses In A Teaching Hospital, Persephone Annis Munnings

Walden Dissertations and Doctoral Studies

In a report on the nursing shortage, the American Association of Colleges of Nursing cited insufficient preceptors as one of the factors influencing the decreased intake of nursing students to registered nurse (RN) programs, thus compounding the shortage issue. The site selected for this project was a teaching hospital that annually facilitates hundreds of nursing students for clinical practice. Graduate nurses rotating through the hospital are assigned to work with RNs within their assigned units. The purpose of this doctoral project was to develop a preceptor training program for RNs in a teaching hospital. The practice-focused question examined whether RNs …

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Noise Pollution/Reduction Education For Frontline Staff In The Acute Care Setting, Lopa Patel Jan 2019

Noise Pollution/Reduction Education For Frontline Staff In The Acute Care Setting, Lopa Patel

Walden Dissertations and Doctoral Studies

Noise levels in hospital settings have risen beyond the recommended range of 35-40 decibels, resulting in poor patient healing outcomes and other health conditions ranging from sleep deprivation, anxiety, agitation, delirium, depression, and high heart rate and blood pressure. These negative patient health experiences are evidenced by poor scores for the Hospital Consumer Assessment of Healthcare Providers and Systems, which are indicators of patients' perceptions of care. This project explored whether an educational activity for 48 direct care staff, who include registered nurses and nursing assistants, in a cardiac unit on the impact of noise pollution on patient healing would …

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Diffusion Of Innovations And Labor Market Challenges: A Multiple Case Study From Angola, Édney Marco Cardoso Dos Santos Jan 2019

Diffusion Of Innovations And Labor Market Challenges: A Multiple Case Study From Angola, Édney Marco Cardoso Dos Santos

Walden Dissertations and Doctoral Studies

A gap exists in the literature between general diffusion of technological innovations and socioeconomic development that results in an ambiguous connection between theory, academia, and professional practice. To inform governments in sub-Saharan Africa on how to achieve the diffusion of innovation for economic development through the voices of regional stakeholders, this qualitative multiple case study was conducted to gain deeper understanding on the views of stakeholders on rapid technology diffusion and its implication on labor market challenges within their regions of Angola. Information from semistructured interviews with 8 adult participants, male and female, born and residing in impoverished communities in …

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Teachers' And Principals' Perceptions Of Antibullying Programs In A U.S. Middle School, Nneka Uzoma Jan 2019

Teachers' And Principals' Perceptions Of Antibullying Programs In A U.S. Middle School, Nneka Uzoma

Walden Dissertations and Doctoral Studies

School bullying has become a serious issue in U.S. schools, with children being harassed, hurt, and even killed or driven to suicide or homicide as a result of being bullied. Bullying in schools has persisted despite the various intervention measures taken to curtail the phenomenon. The purpose of this phenomenological exploration was to explore how teachers and principals at a U.S. middle school perceive the school's existing bullying programs and elicit recommendations about how to improve the programs. The theoretical basis of this investigation was Bandura's social learning theory. Data were collected through interviews with 4 principles and 6 teachers. …

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High School Band Directors' Experiences Using Social Media In The Classroom, Heidi Welch Jan 2019

High School Band Directors' Experiences Using Social Media In The Classroom, Heidi Welch

Walden Dissertations and Doctoral Studies

While social media is becoming an innovative tool in education for teacher and student use, little is known about how social media is being used in the high school band room to communicate with students, increase student-connectedness, or improve classroom community. Using Vygotsky's theory of social constructivism, Siemens's theory of connectivism, and Wenger's community of practice theory as a framework, this study explored the phenomenon of social media as used in the high school band room for communication, student-connectedness, and classroom community. Participants included 10 high school band directors located throughout the United States who shared their experiences through 1-on-1 …

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Secondary School Educators' Perspectives On Strategies To Support Acculturation Of Haitian Students, Brian Clarke Jan 2019

Secondary School Educators' Perspectives On Strategies To Support Acculturation Of Haitian Students, Brian Clarke

Walden Dissertations and Doctoral Studies

Adjusting socially and emotionally to a new cultural environment can be challenging for immigrants. Yet, the academic and behavioral performance of immigrant children can be enhanced when acculturative strategies are implemented in schools to address their unique cultural differences and needs. However, a scarcity of information exists pertaining to educational strategies to support acculturation of Haitian students, particularly those with disabilities. A qualitative case study was conducted to explore strategies that support acculturation of Haitian students with disabilities and the link between the use of acculturation strategies and student achievement from the perspectives of 3 regular education educators, 2 special …

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Effectiveness Of Physiological Alarm Management Strategies To Prevent Alarm Fatigue, Amy Clemens Jan 2019

Effectiveness Of Physiological Alarm Management Strategies To Prevent Alarm Fatigue, Amy Clemens

Walden Dissertations and Doctoral Studies

There is limited clinical research on the effectiveness of alarm management strategies and nursing behaviors related to alarms in clinical settings. As many as 76% of physiological monitor alarms are overlooked as clinically insignificant by nursing staff. Excessive alarms may impact patient outcomes and cause cognitive overload for nurses that can result in medical errors and missed patient resuscitations. The purpose of this systematic review was to rate alarm management studies on level of evidence for interventions, nursing responses to alarms, and impact on alarm fatigue behavior. The nursing role effectiveness model guided this project. Twenty-seven studies were reviewed to …

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