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2020

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Registered Nurse Engagement And Patient Falls In The Acute Care Setting, Jenna Zaliauskas Jan 2020

Registered Nurse Engagement And Patient Falls In The Acute Care Setting, Jenna Zaliauskas

Walden Dissertations and Doctoral Studies

Falls are a critical problem for inpatient medical-surgical adult patients. Past research has indicated a link between nurse disengagement and unsafe care. The purpose of this study was to improve the understanding of the relationship between nurse engagement and patient falls with injury on medical surgical units in health care facilities in the United States using the National Database of Nursing Quality Indicators. Retrospective data were reviewed from 13 U.S. hospitals in the Midwest covering Q1 (2018) and Q2 (2018) on medical-surgical units related to nurse engagement and patient falls. A correlational and MANOVA design was used to determine the …

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Human Resources' Capacity To Drive Organizational Change In Ghana, Harriet Bani Jan 2020

Human Resources' Capacity To Drive Organizational Change In Ghana, Harriet Bani

Walden Dissertations and Doctoral Studies

Human Resource Management Departments (HRMDs) drive organizational change by implementing effective and efficient policies. This study explored staff perceptions in Ghana's Nursing and Midwifery Council (N&MC), a public-service institution, regarding the extent to which their HRMD could stimulate change by implementing the Human Resource Management Policy Framework and Manual (HRMPF&M). May and Finch's theory of normalization propelled this qualitative case study, which consisted of interviewing 23 purposively selected participants and examining secondary data from the N&MC, the Public Services Commission, HRMPF&M, other relevant legal documents, as well as relevant literature on the subject. The data analysis generated themes which were …

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Evaluating Expert Opinions For Reducing Voluntary Employee Absenteeism In Trinidad And Tobago, Brian Anthony Brown Jan 2020

Evaluating Expert Opinions For Reducing Voluntary Employee Absenteeism In Trinidad And Tobago, Brian Anthony Brown

Walden Dissertations and Doctoral Studies

Organizational leaders in Trinidad and Tobago are ill prepared to manage voluntary employee absenteeism due to the ineffectiveness of traditional approaches to curtailing voluntary employee absenteeism. The lack of consensus on desirable, feasible, and important strategies for minimizing voluntary employee absenteeism in Trinidad and Tobago created a scholarly gap. The purpose of this qualitative modified Delphi study was to determine how a panel of 17 Caribbean and global human resources experts view the desirability, feasibility, and importance of 50 forward-looking strategies in 6 overarching elements for minimizing voluntary employee absenteeism in Trinidad and Tobago. The research questions addressed this purpose. …

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Quantitative Analysis Of Public Perceptions Of Female Sex Offenders, Michael Buckley Jan 2020

Quantitative Analysis Of Public Perceptions Of Female Sex Offenders, Michael Buckley

Walden Dissertations and Doctoral Studies

Public perception may have formed a consensus belief regarding sex offending. Males have considerably outweighed females with offenses, which may have created a bias against males. This study was a quantitative examination and review of the public's perceptions of female sex offenders (FSOs) as it related to their crimes and differences in sentencing when compared to male sex offenders (MSOs). There may be many reasons why females sexually offend, but there is a lack of understanding of these reasons and how FSOs are viewed by the public and the sentencing by the judicial system. The theoretical framework for the study …

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Enhancing Leadership Strategies To Reduce Stress On Employees For Organizational Success, Reginald Wayne Butler Jan 2020

Enhancing Leadership Strategies To Reduce Stress On Employees For Organizational Success, Reginald Wayne Butler

Walden Dissertations and Doctoral Studies

Organizational leaders' inability to effectively manage complexity and implement leadership development strategies during intense situations creates work-related stress among employees. Stress contributes to emotional disorders, decreased job performance, high staff turnover that place the organization's health in jeopardy. Grounded in the expectancy theory of motivation, the purpose of this qualitative single case study was to explore key leadership strategies to reduce stress in the workplace. The face-to-face, semistructured interviews were conducted with 3 senior leaders from a financial institution in the southern United States who had successfully implemented strategies that reduced stress on employees and improved their job performance. Their …

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Resources Needed By Transitional Participants For Independent Living, Odell Jonathan Cole Jan 2020

Resources Needed By Transitional Participants For Independent Living, Odell Jonathan Cole

Walden Dissertations and Doctoral Studies

A lack of resources for youth making the transition from foster care into independent living is a significant issue in the United States. However, this lack of resources may be overcome through successful career pathway programs. The purpose of this case study was to explore which career pathway strategies are useful for an organization attempting to help young people make a transition into independence. During the developmental planning stage of the program, plans were put in place for a program to help young people find guidance in a career field as they learn to live on their own and become …

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Instructor Beliefs Related To Technology Use After Professional Development, Bethany Ann Croton Jan 2020

Instructor Beliefs Related To Technology Use After Professional Development, Bethany Ann Croton

Walden Dissertations and Doctoral Studies

Faculty in higher education often see themselves as researchers and identify less as instructors. The problem is that nearly every profession has embraced technology in new ways, except in the world of education and students need 21st-century skills to be competitive in the workforce. The purpose of this qualitative phenomenological study was to explore instructors' lived experiences and beliefs regarding teaching and technology integration before, during, and after completion of a professional development program at a Midwestern Tier 1 research institute. The study was framed by Rogers's diffusion of innovation theory and the sustainability education academic development framework. The research …

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The Relationship Between Spiritual Intelligence And Organizational Identification: A Correlational Research Study, Paschal L. Dawson Jan 2020

The Relationship Between Spiritual Intelligence And Organizational Identification: A Correlational Research Study, Paschal L. Dawson

Walden Dissertations and Doctoral Studies

Employees who have lower levels of organizational identification (OID) can exhibit negative perceptions of leaders and managers within the organization. Lower levels of OID can lead to adverse employee attitudes and behaviors. Grounded in the social identity theory and spiritual intelligence (SQ) construct, the research questions for this quantitative correlation study were to investigate the relationship between SQ and OID. A simple random probability sampling design was used to sample midlevel supervisors and frontline managers using online self-report surveys. A total of 74 midlevel supervisors and 76 frontline managers completed the Spiritual Intelligence Self-Report Inventory and Mael and Ashforth's OID …

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A Health Care Management Organization's Internal Controls Strategy For Managed Care, Elizabeth E. David Jan 2020

A Health Care Management Organization's Internal Controls Strategy For Managed Care, Elizabeth E. David

Walden Dissertations and Doctoral Studies

A lack of effective operational internal controls among health management organization (HMO) leaders could lead to poor operational practices, mismanagement of the government's health care funds, increased health care spending, and a negative impact on patient health outcomes. Grounded in transformational leadership theory, the purpose of this qualitative, single case study was to explore successful internal control strategies used by leaders at a southeastern Pennsylvania HMO. Data were collected from semistructured interviews with 5 participants who held positions of director or above within the organization for at least 3 years, had institutional knowledge, and had responsibility for overseeing the organization's …

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Stability Vs. Change In Catholic Schools, Susan Theresa Diverio Jan 2020

Stability Vs. Change In Catholic Schools, Susan Theresa Diverio

Walden Dissertations and Doctoral Studies

This study was an investigation of innovative practices based upon organizational learning and the life cycle in Catholic elementary and high schools. Limited research exists in the role that these factors play in Catholic school sustainability. The purpose of this study was to examine the relationship of organizational learning, as measured by the Organizational Learning Scale, and life cycle, as measured by Organizational Life Cycle 5-Scale on organizational innovation, as measured by the Organizational Innovation Scale. Organizational design framework, life cycle theory, and transtheoretical model of behavior provided the theoretical framework to investigate the relationship between organizational learning, life cycle …

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Perceptions Of Stress And Coping In The First Year Of Police Work, Scott David Eaton Jan 2020

Perceptions Of Stress And Coping In The First Year Of Police Work, Scott David Eaton

Walden Dissertations and Doctoral Studies

The pressures associated with a career in law enforcement are considerable and often result in significant detriment to an officer's personality, behavior, and overall mental health, ultimately impacting job performance and work engagement. Although there is extensive research on the influence of stress encountered in police work, an understanding of those stressors and ways of coping in the first year of police work has yet to be fully explored. The purpose of this study was to describe the lived experiences of 5 police officers who have been subject to stress in their first year and to identify the coping skills, …

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Funding Impacts On Existing Social Workers Providing Services To African American Battered Women, Dalicia Victorica Watson Jan 2020

Funding Impacts On Existing Social Workers Providing Services To African American Battered Women, Dalicia Victorica Watson

Walden Dissertations and Doctoral Studies

Social workers who work in domestic violence shelters have many different impacts that can affect their ability to provide services to battered women. Research is lacking on how funding impacts the abilities of existing social workers to provide services to African American battered women who are at domestic violence shelters in Columbia, South Carolina. The purpose of this study was to examine how a lack of funding impacts the abilities of existing social workers who work at domestic violence shelters to provide services to African American battered women. Conflict theory was used to gain an understanding of how funding issues …

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Relationship Between Nurse Job Satisfaction Variables And Voluntary Turnover Intention, Mmayen Monday Nnah Jan 2020

Relationship Between Nurse Job Satisfaction Variables And Voluntary Turnover Intention, Mmayen Monday Nnah

Walden Dissertations and Doctoral Studies

Increased turnover among hospital nurses has adverse business outcomes. Hospital nurse managers are concerned with minimizing turnover to reduce hospital costs, lower risk to patients, and positively impact hospital performance. Grounded in motivation-hygiene theory, the purpose of this quantitative correlational study was to examine the relationship among nurses' views of the quality of work environments, level of management support, opportunities for promotion, and nurses' voluntary turnover intentions. Data were collected from nurses with registered nurse status or a bachelor of science in nursing degrees working in hospital settings in the United States (N = 82), who completed the Job Satisfaction …

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Strategies To Mitigate Negative Social Media Communications In Collegiate Athletics, Jennifer A. Parks Jan 2020

Strategies To Mitigate Negative Social Media Communications In Collegiate Athletics, Jennifer A. Parks

Walden Dissertations and Doctoral Studies

Harmful social media communications in collegiate athletics are challenging, compelling athletic administrators to implement strategies to mitigate costly damage to the university. Grounded in framing theory, the purpose of this qualitative multiple case study was to explore strategies some collegiate athletic administrators use to mitigate negative social media communications by their student-athletes and coaches that may cause problems resulting in reputational damage to the brand, negative publicity, financial loss, sanctions, and fines for the university or college. Participants were 4 collegiate athletic administrators located in the southeastern United States, who had a social media policy and strategies to successfully mitigate …

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An Educational Activity For Primary Care Providers Treating Older Veterans With Sexually Transmitted Infections, Beatrice Fannie Grant Jan 2020

An Educational Activity For Primary Care Providers Treating Older Veterans With Sexually Transmitted Infections, Beatrice Fannie Grant

Walden Dissertations and Doctoral Studies

AbstractComprehensive sex education is an effective method of promoting sexual health. Because primary care providers conduct the initial health need assessment of veterans, it is important that providers understand how to approach the subject of sexual health and the prevention of sexually transmitted infections. The purpose of this evidence-based project was to implement and evaluate an educational activity for primary care providers. The health belief model was used as theoretical framework. This project was introduced to a federal primary care clinic in the Mid-Atlantic United States. Twenty-five participants completed a pretest prior to the start of the educational activity that …

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Qualitative Evaluation Of A Hospital-Based Preceptor-Guided Clinical Orientation Program, Brian Eigelbach Martin Jan 2020

Qualitative Evaluation Of A Hospital-Based Preceptor-Guided Clinical Orientation Program, Brian Eigelbach Martin

Walden Dissertations and Doctoral Studies

Effective preceptor-guided clinical orientation programs (PGCOP) help new graduate nurses (NGNs) across the theory-practice gap to provide safe, effective, and efficient patient care. This constructivist-designed qualitative program evaluation study explored NGNs’ and preceptors’ perceptions of a local hospital’s PGCOP as an effective transition vehicle. The conceptual framework combined Knowles’ andragogical process model for learning with the new world Kirkpatrick model evaluation model. The sample included 7 NGNs who graduated in the past year and had no prior orientation experience and 5 preceptors employed by the study site for at least 1 year. A goal-free approach guided data collection with face-to-face …

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Impact Of Integrated Laboratory Data Transfer Portals On Patient Results And Reports, Charmane Latrece Richie Jan 2020

Impact Of Integrated Laboratory Data Transfer Portals On Patient Results And Reports, Charmane Latrece Richie

Walden Dissertations and Doctoral Studies

An operational problem exists in which some healthcare organizations cannot maintain a suitable supporting data transfer system, which impacts the integrated laboratory data transfer portals designed to receive and send secure patient laboratory results and reports. This quantitative study examined whether an association exists between patient reporting turnaround times and specific test code nomenclatures used when comparing an older referral laboratory interface (RLI) laboratory information system (LIS) to the newer electronic orders and resulting (EOR) system using the Covance expanded laboratory management services (ELMS) NexGEN database from 2016-2020. The Donabedian model served as the framework for this study. The sampling …

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The Lived Experience Of Work Stress And Coping In Eldercare Hospice Nurses, Yvette Abraham Jan 2020

The Lived Experience Of Work Stress And Coping In Eldercare Hospice Nurses, Yvette Abraham

Walden Dissertations and Doctoral Studies

The number of elderly people living with terminal diagnoses has increased, along with the need for hospice nurses with specialized training to provide high-quality personal care that addresses their unique, critical needs. Research on nurses and other professionals who function in a demanding environment has demonstrated the experience of work stress, and negative physical and psychological consequences. However, little is known about the unique work stress and challenges of hospice nurses who care for the dying elderly. This study explored the meaning of hospice nurses’ experience of work stress and coping. Giorgi’s empirical phenomenological approach guided the development of the …

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Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares Jan 2020

Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares

Walden Dissertations and Doctoral Studies

Obesity poses an escalating threat to public health in many countries. A better understanding of the psychological construct of obesity and alternative approaches for treating it are needed. The purpose of this study was to examine secondary data to measure the effects of a program using group play in sand on self-perceptions of obese Danish women. The framework was based on elements from the Bandura’s social learning theory and conception of self-efficacy integrated with the concept of body image perception. Participants (N = 34) were obese women in Copenhagen, Denmark, who used group play in sand as their therapy program. …

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Nursing Clinical Practice Guideline Development For The Care Of Sexual Assault Survivors, Elssy J. Bingham Jan 2020

Nursing Clinical Practice Guideline Development For The Care Of Sexual Assault Survivors, Elssy J. Bingham

Walden Dissertations and Doctoral Studies

Sexual assault, a form of sexual violence, is an egregious crime that continues to be a serious and significant public health problem which affects millions of people each year in the United States and globally. Sexual assault may have lasting and devastating negative physical and emotional consequences. Knowledgeable nurses can have a positive impact on a survivor’s safety and recovery. The purpose of this project was to develop a Clinical Practice Guideline (CPG) for nurses who provide the initial care when patients present in the emergency room following sexual assault. The conceptual framework used for this project included Knowle’s Theory …

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Strategies To Reduce Voluntary Employee Turnover, Ieshia Renee Bradley Jan 2020

Strategies To Reduce Voluntary Employee Turnover, Ieshia Renee Bradley

Walden Dissertations and Doctoral Studies

The cost of voluntary employee turnover is extremely high for organizations in the United States. In 2017, organizations lost over 114 million dollars in profits due to voluntary employee turnover. Business leaders who do not implement the retention strategies to prepare and maintain talent are at risk of losing employee productivity, translating into the organization's profitability. Grounded in Herzberg’s two-factor theory of motivation, the purpose of this qualitative multiple case study was to explore strategies 6 managers from Tallahassee, Florida used to reduce voluntary employee turnover. Data were collected using semistructured interviews and company archival documents. Data were analyzed using …

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Locus Of Control And Secondary Traumatic Stress As Predictors Of Burnout Of Working Mothers In School Counseling, Brandy Brady Jan 2020

Locus Of Control And Secondary Traumatic Stress As Predictors Of Burnout Of Working Mothers In School Counseling, Brandy Brady

Walden Dissertations and Doctoral Studies

School counselors are the epitome of social change agents and advocates for children. Working mothers, particularly those who serve as school counselors, have reported experiences of fatigue, burnout, anxiety, and stress. Researchers have established the need to address the distinctive juncture of motherhood and school counselor responsibilities, as well as the overlap in demands. Rotter’s social learning theory was used as the theoretical framework of this study. This quantitative cross-sectional study examined the relationship between secondary traumatic stress and locus of control as predictors of burnout among working mothers in the school counseling profession. Survey data were collected from 72 …

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Understanding Characteristics Of Chronic Obstructive Pulmonary Disease Readmissions In An Acute Care Hospital, Jordan Danyale Brautigam Jan 2020

Understanding Characteristics Of Chronic Obstructive Pulmonary Disease Readmissions In An Acute Care Hospital, Jordan Danyale Brautigam

Walden Dissertations and Doctoral Studies

Patients suffering from chronic obstructive pulmonary disease (COPD) not only face difficulties managing their disease but are also faced with a higher risk of being readmitted to a hospital after an initial visit for acute exacerbation of their condition. Despite hospitals’ many attempts to offset this burden, readmission reduction programs are not effective. The purpose of this quantitative study was to further research an organization’s specific population surrounding patient comorbidities, reasons for readmissions, and demographic characteristics that may lend insight into reasons for readmissions. The research design was a retrospective analysis of a health system’s electronic medical record with a …

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A Correlational Study Of Manager-Employee Relationship, Employee Rewards, And Employee Engagement, Hilda M. Concepcion Jan 2020

A Correlational Study Of Manager-Employee Relationship, Employee Rewards, And Employee Engagement, Hilda M. Concepcion

Walden Dissertations and Doctoral Studies

Organizational leaders are challenged with loss of productivity due to lack of employee engagement, making employee engagement a top priority for organizational executives worldwide. Grounded in Emerson’s social exchange theory, the purpose of this quantitative correlational study was to examine the relationship between manager-employee relationship and employee rewards and employee engagement. Employees (N = 31) of a U.S. organization completed the Intrinsic Work Rewards Survey, Extrinsic Rewards on Creativity Measure, and the Work and Well-being Survey. The results of the multiple linear regression indicated a statistically significant relationship, F(2, 28) = 32.875, p < .001, R2 = .701. Employee rewards was the only statistically significant predictor of employee engagement (t = 6.074, p < .001). A recommendation is for organizational leaders to establish reward programs that address employee needs for compensation, achievement, and development. This implications for positive social change include the potential for employees to benefit from financial stability and well-being. The organization may achieve higher performance and profitability, enabling the organization to invest in job creation and community economic development.

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Organizational Culture As A Predictor Of Counselors’ Wellness, Ashley Nicole Davis Jan 2020

Organizational Culture As A Predictor Of Counselors’ Wellness, Ashley Nicole Davis

Walden Dissertations and Doctoral Studies

The foci of existing literature related to counselor wellness are on counselors as individuals, and researchers have failed to consider counselors as part of a larger system. Researchers have found that demanding work environments are more likely to lead to compassion fatigue and burnout for counselors which pose threats to the well-being of clients. The organizational culture also affects counselor self-efficacy, which influences the emotional state of the counselors. Limited research exists on institutional-level factors, such as the organizational culture, in counselor wellness which demonstrates the importance of this study. The purpose of this quantitative nonexperimental survey study was to …

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Strategies For Recruiting Volunteers In The Nonprofit Sector, Marsha Delahaye Jan 2020

Strategies For Recruiting Volunteers In The Nonprofit Sector, Marsha Delahaye

Walden Dissertations and Doctoral Studies

Many nonprofit organizations (NPO) leaders lack formal strategies to recruit volunteers. Nonprofit leaders without effective volunteer recruitment strategies may lack the workforce necessary to achieve the organization’s mission to support organization beneficiaries. Grounded in the strategic human resource management theory, the purpose of this qualitative, single case study was to explore strategies 3 leaders of a nonprofit organization located in the U.S. state of Colorado use to recruit volunteers. Data were collected from semistructured interviews, organizational documents, public and government data, and the organization’s website. The data were analyzed using Yin’s five-step thematic analysis process and the Baldrige Performance Excellence …

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Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner Jan 2020

Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner

Walden Dissertations and Doctoral Studies

Eco-friendly healthcare delivery concepts are becoming more accepted as hospital leaders seek to control energy costs, mitigate contributions to climate change, and preserve scarce resources. Leadership in Energy and Environmental Design (LEED) offers healthcare leaders a framework for designing and constructing sustainable facilities that meet efficiency goals. The purpose of this quantitative cross-sectional study was to build an understanding of whether LEED certification influences Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings. Using complex systems theory as the framework, the research questions were focused on exploring if higher levels of LEED certification led to greater HCAHPS overall hospital …

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Family Functioning During Deployment And Reintegration Of Military Members, Heather Graham Jan 2020

Family Functioning During Deployment And Reintegration Of Military Members, Heather Graham

Walden Dissertations and Doctoral Studies

Military members and their families face unique stressors related to separation and reintegration. These life-changing events can lead to domestic violence, divorce, depression, suicide, and behavioral problems within the family. It was unknown whether the implementation of a nursing clinical practice guideline (CPG) would help nurses to identify family functioning concerns or psychosocial issues enabling earlier interventions. The purpose of this doctoral project was to create a CPG that can be used at military treatment facilities (MTFs) to screen military members and their families to identify family functioning concerns so that the provider can make referrals as needed. The circumplex …

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The Lived Experiences Of Clinical Nursing Faculty With Student Performance Anxiety, Heather Lapoint Jan 2020

The Lived Experiences Of Clinical Nursing Faculty With Student Performance Anxiety, Heather Lapoint

Walden Dissertations and Doctoral Studies

The nursing shortage in the United States has led to a call for nursing education reform. Current clinical educational methods precipitate nursing student performance anxiety (PA). PA can inhibit the clinical judgment, reasoning, critical thinking, and the adaptability required for advancing healthcare initiatives and reducing the nursing shortage. PA has not been defined nor addressed in undergraduate nursing education. The purpose of this descriptive phenomenological study was to explore the lived experiences of associate degree (AD) nursing program faculty in addressing student PA as it occurs in the clinical setting. Specifically, how faculty define PA and recognize, address, and assess …

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Clinical Practice Guideline: Early Screening For Dementia In Diabetes Mellitus, Angelyn Levell-Smith Jan 2020

Clinical Practice Guideline: Early Screening For Dementia In Diabetes Mellitus, Angelyn Levell-Smith

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus (DM) is a recognized cognitive impairment risk factor. Even with hyperglycemia being a modifiable risk factor in dementia, primary care is without an evidence-based screening tool to screen patients with diabetes for cognitive abilities. Current literature supports developing an evidence-based standardized guideline for early screening for cognitive impairment in elderly patients with DM. The purpose of this doctor of nursing practice (DNP) clinical practice guideline (CPG) project was to develop an evidence-based CPG for early screening of dementia in patients with DM, providing a means for early recognition of cognitive decline in these patients, making early intervention more …

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