Education Commons^™

Fall Safety Bundle, Baili Denise Campbell

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services (CMS) report thousands of falls in hospitals each year. The CMS does not reimburse hospitals for fall related injuries, costing the hospital system organization for which this DNP project was designed millions of dollars each year. Framed within the Iowa model of evidence-based practice and using a team approach, the purpose of this project was to develop an evidence-based (EB) fall safety bundle for use by nursing staff and a curriculum to educate staff on prevention strategies. The components of the EB fall bundle kit were approved by the stakeholder committee. Evaluation of …

Perceptions Of Emergency Preparedness Among Immigrant Hispanics Living In Oklahoma City, Oklahoma, Rebekah Doyle

Walden Dissertations and Doctoral Studies

Tornadoes are occurring with increased frequency in Oklahoma. Emergency preparedness planning is essential to decreasing individuals' risks of injury or death from a tornado. Research on immigrant Hispanics' knowledge and perceptions of emergency preparedness is limited. The purpose of this study was to explore the perceptions and lived experiences of immigrant Hispanics who had experienced a tornado or other crisis weather conditions in Oklahoma during spring of 2013. The research questions explored their perceived risk for injury and knowledge of tornado preparedness planning. The health belief model provided the theoretical underpinnings for this qualitative phenomenological study. Semi structured interviews were …

Student Perceptions Of Factors Affecting Retention In A Rural Associate Degree Nursing Program, Jodi Garcia

Walden Dissertations and Doctoral Studies

High nursing student attrition rates at a community college in a southwestern state were noted as a significant problem by nursing faculty and college administration because of a nursing shortage and subsequent health care issues in the surrounding community. The purpose of this project study was to explore the perceptions of nursing graduates regarding the influences that led to or impeded their success in completion of the associate degree nursing program. Additionally, perspectives of the usefulness of remediation sessions provided for students failing a course were investigated. This qualitative case study, guided by transformative learning theory, included a sample of …

Compassion Fatigue In Emergency Department Nurses, Dionne Hutson Hendy

Walden Dissertations and Doctoral Studies

Compassion fatigue (CF) is a problem seen within healthcare institutions worldwide, especially critical care units and emergency departments (EDs). The problem identified in this quality improvement (QI) project was CF, experienced by nurses in the ED. The effects of CF cross nurse-patient boundaries and negatively impact a patient's expectations of having a quality care experience. The Iowa model's evidence-based team approach was used to guide the development of the education initiative for nurses on recognizing, preventing, and identifying methods of coping with CF in the ED. The outcome products for the project included an extensive review of the literature, a …

Education Program For Nurses Working In An Immigration Detention Facility, Dr. Tiney Elizabeth Ray

Walden Dissertations and Doctoral Studies

Nursing response to medical emergencies has been an ongoing issue in immigration detention centers. Lack of teamwork and poor communication with medical and security staff have resulted in detainees sustaining injuries during medical emergencies. This project was developed to persuade Immigration and Customs Enforcement Health Service Corps (IHSC) leaders to consider piloting the TeamSTEPPS emergency response curriculum for nurses working in the immigration detention center. Tuckman and Jensen's model of group development will provide guidance to IHSC leaders in understanding the transformational stages of forming a successful team. TeamSTEPPS will address gaps in emergency health care competency by improving collaboration, …

Awareness Of Clinical Laboratory Sciences And Shortage Of Clinical Laboratory Scientists In The 21st Century, Cynthia Funnye Doby

Walden Dissertations and Doctoral Studies

Retiring baby boomers and the lack of interest and awareness among college students to enroll in an accredited Clinical Laboratory Science (CLS) program have created a shortage of CLS professionals in the 21st century. The U.S. Bureau of Labor Statistics predicts 18,000 CLS vacancies by 2018. However, only about 5,000 students graduate from accredited CLS programs each year. The purpose of this study was to explore students' perceptions of allied health professions and factors that influenced students and CLS professionals to select CLS as a profession. Bandura's social cognitive career theory served as the theoretical framework for this phenomenological study. …

Self-Efficacy And Select Characteristics In Nurses Who Respond To A Pediatric Emergency, Nancy Mcneill

Walden Dissertations and Doctoral Studies

Self-Efficacy and Select Characteristics in Nurses Who Respond to a Pediatric Emergency

by

Nancy McNeill

MA, New York University, 1996

BS, New York University, 1987

Doctoral Project Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

June 2016

Nurses at a suburban northeastern U.S. community hospital reported that they felt unprepared to effectively respond to a pediatric emergency. Empirical data were not available to identify if this local problem was due to a lack of the nurses' self-confidence or if other factors were involved. The purpose of this study was to determine …

Diabetes Mellitus Type 2: A Quality Improvement And Patient Safety Initiative, Remeliza Navarrete Tukay

Walden Dissertations and Doctoral Studies

The purpose of the quality improvement (QI) project was to examine the relationship between amended nursing education concerning diabetes mellitus (DM) Type 2 self-care management incorporating Tune in, Explore, Assist, Communicate, and Honor (TEACH) and Motivational Interviewing (MI) strategies and techniques and the Glycosylated hemoglobin (HgbA1C) of veteran patients with uncontrolled diabetes. The target sample included the 2 licensed practical nurses and 2 registered nurses assigned to 2 primary care teams, and the 10 purposively sampled patients with uncontrolled DM Type 2 from each team. The nurses' competencies were measured through descriptive comparison before and after nursing education implementation using …

Options Counseling And Abortion Education In Undergraduate Nursing School Curricula, Abigail S. Foster

Graduate College Dissertations and Theses

Background: Over one half of all pregnancies in the United States are unintended. Nurses are on the frontlines of the health care work force and often encounter women with unintended pregnancies in the clinical setting. They may find themselves responsible for options counseling and helping these women to explore their options of pregnancy, adoption and abortion. Discussing these three options in a non-judgmental, well-informed manner allows the woman to consider all possibilities. Leading this type of conversation requires specific skills and knowledge as well as the ability to deliver this information in a therapeutic, nonbiased manner.

Purpose: The intent of …

A Debriefing Technique In High-Fidelity Patient Simulation And Competent Decision-Making Abilities Among Nursing Students, Trena Seago

Theses and Dissertations--Curriculum and Instruction

Nursing faculty are utilizing high-fidelity patient simulation (HPS) with debriefing to help engage nursing students in making competent clinical decisions. This quasi-experimental study examined the use of HPS with debriefing and students’ ability to make nursing care decisions using standardized exams. The experimental group received debriefing after HPS and the control group did not receive debriefing after HPS. The pre- and post-test assessed participants’ ability to make clinical care decisions. The analysis of the pre-test and post-test HESI scores showed that there was no significant difference between the two groups.

Examination Of The Relationship Between Caesarean Section Births And Attention Deficit Hyperactivity Disorder, Breea M. Rosas

All Master's Theses

Attention Deficit/Hyperactivity Disorder, a neurological disorder characterized by inattentive and hyperactive behaviors, has become increasingly more prevalent (CDC, 2010). Recent research has found associations between this disorder and Caesarean section births (Amiri et al., 2012; Juarez et al., 2008). The current study examined the relationship between C-section birth and self-reported symptoms of ADHD by college students on the Internal Restlessness Scale (Weyandt et al., 2003). Results of the study indicate a significant difference in mean ratings of ADHD symptoms between C-section and vaginally born participants (t = 3.683, p < .000). The current study supports previous findings of a relationship between C-sections and ADHD.

How One Life Coach Attempts To Inspire Mindful Music: The Morality Of The Soul, Jared M. Ford

Graduate College Dissertations and Theses

The purpose of this thesis will be to examine one student's personal struggle in life and how those events have helped him to find his purpose and reason for being. This examination will be done by using a Scholarly Personal Narrative (SPN) approach to explain how music has been at the forefront of all moral and ethical decisions ever made in his life in order to find his true calling or vocation. This thesis will be broken down into 3 main chapters with several sub chapters taking the reader though the life of Jared M. Ford. This thesis will then …

Evaluating The Use Of Second LifeTm For Virtual Team-Based Learning In An Online Undergraduate Anatomy Course, Christena Gazave

Theses and Dissertations--Medical Sciences

Team-based learning (TBL) is one strategy for improving team-work and critical thinking skills. It has proven to be an engaging teaching pedagogy in face-to-face classes, however, to our knowledge, has never been implemented online in a 3-D virtual world. We implemented virtual TBLs in an online undergraduate anatomy course using Second Life^TM, and evaluated whether it engaged students. This study was conducted over 2 semesters with 39 total students. Surveys and content analysis of transcripts were used to evaluate student engagement. Our results indicate virtual TBLs were engaging for most students. The average engagement score was 7.8 out …

Examining Aided Input Intervention In A Classroom Setting For Children Labeled With Significant Disabilities, Jennifer L. Flores

Dissertations and Theses @ UNI

The purpose of this research was to examine aided input as an intervention strategy for teaching children language and communication skills through Augmentative and Alternative Communication. This study examined whether a coaching package is effective for enabling teachers to use aided input strategies and also examine the impact of the aided input strategies on children’s communication skills. Data was collected for six weeks using the AB alternating reversal design with the last two weeks being maintenance phases without coaching and support. There were three pieces of data collected; student pre and posttests of target words, daily observations of teacher instruction …

Caseload/Workload Study Of Speech Language Pathologists In Missouri Public Schools, Jinyu Du

Masters Theses

"A survey was distributed to speech-language pathologists (SLPs) in Missouri public schools to obtain statewide information regarding caseload number, workload related activities and SLPs' level job satisfaction on various aspects of their job. An online questionnaire was sent to school-based SLPs in Missouri to solicit factual information on average monthly caseload numbers, factors that impact caseload assignments and the percentage of time spent on various professional responsibilities and job satisfaction ratings. Results indicated that 24% of the respondents had caseloads that exceeded the maximum state regulated caseload number for SLPs. Respondents were also largely unaware of the maximum caseload regulation …

Assessing The Effectiveness Of Safety Training Provided To Corrections Personnel In Appalachia, Ali K. Al Yammahi

Online Theses and Dissertations

The context of the study was assessment of whether corrections officers in Appalachia are receiving adequate health and safety training who attended health and safety trainings sessions provided by the OSHA Training Institute and Education Center on the campus of Eastern Kentucky University. Participants included in the study were corrections officers who have been working in corrections for a minimum of two years. Participants were required to be working in Appalachian corrections during distribution of the questionnaire. Participants were selected by using convenience and snowball sampling procedures. The questionnaire was sent on 4 separate occasions, 10 of the expected 30 …

Graduating Associate Degree Nursing Students: Keeping Students On Track, Marisa Ellen Greer

Online Theses and Dissertations

The national job outlook for registered nurses, according to a News Release for Employment Projections 2012-2022 from the Bureau of Labor Statistics (2013), will continue to increase in job growth from 2012 to 2022 by 19.4%. This increase will result in an additional 526,800 registered nursing positions that will be available nationwide by 2022. This qualitative dissertation investigated associate degree nursing students and the strategies they employed to be successful and graduate from their respective nursing program. According to a report entitled The Registered Nurse Population by the US Department of Health and Human Services (2008), associate degree nursing programs …

Implementation And Strategies To Address Sensory Regulation Of Students With And Without Disabilities In Two Kindergarten Classrooms, Yvette Rosil Mere-Cook

Doctoral Dissertations

Results from previous research studies suggest that inclusive settings benefit all learners. However, general education teachers often do not have built in supports within the classroom to meet the needs of students with disabilities. Implementing a sensory diet curriculum (SDC) is one instructional practice that addresses needs of students with disabilities, such as autism spectrum disorder, and could be applied widely for students without disabilities. Sensory regulation is defined as the body’s physiological process of adapting arousal or alertness levels to cope with sensory events and situational demands that occur throughout the day. The purpose of this study was to …

The Role Of Simulation-Based Learning Environments In Preparing Undergraduate Health Students For Clinical Practice, Brennen Mills

Theses: Doctorates and Masters

Experiential learning (EL), whereby students are able to integrate theory with practice, is an essential component of learning for health professionals. Traditionally, EL in the health education context has been achieved through clinical placements (CPs) that see students ‘apprentice’ in real clinical settings. The literature suggests there are a number of factors that diminish a student’s ability to learn in such environments, including limited opportunities to practice, being confined primarily to observation roles as opposed to participate in tasks, being exposed to skills/procedures outside their level of learning/understanding, and institutional learning objectives being secondary to workplace goals. Simulation-based learning environments …

The Impact Of Gamified Mobile Applications For Disease Management: Case Study Pre-Diabetic Adolescents, Obie Mcgowan

Dissertations, Master's Theses and Master's Reports

In 2014, diabetes was the seventh leading cause of death in the United States [1]. According to the Centers for Disease Control and Prevention (CDC), one third of all adults in the United State are pre-diabetic. Pre-diabetes is a condition in which blood glucose (sugar) is higher than normal, but not yet high enough to be diabetic. Persons who have an increased risk of developing pre-diabetes are: those who are not physically active, have a family history of diabetes, are within a minority group, are overweight/obese, and other factors. From 1999 to 2008, the occurrence of adolescents ages 12 to …

Exposing Second Year Medical Students To The Clinical Reasoning Process Prior To High Fidelity Simulation Learning, Phondie Simelane Simelane

Theses and Dissertations

Clinical reasoning is a highly complex process that is both difficult to impart and acquire (Bowen 2006, Custers 2005, Merriënboer 2010, Schmidt 2015). Second year medical learners appear to lack strategy to effectively step through the presented scenarios (Allen, personal communication, March 2, 2015). Though possessing a degree of background knowledge, immature clinical reasoning skills make data collection (focused history, focused review of systems and focused physical assessments) a challenge to efficiently navigate. As oppose to discriminating their line of questions, learners sweep through a wide range of information. Consequently, problem solving takes on a shot gun approach resulting in …

The Relationship Between Nursing Students' Perceptions Of Staff Nurses' Attitudes Towards Them And Self-Efficacy In Sophomore- And Senior- Level Nursing Students, Sarah A. Mueller, Raechel M. Naragon, Rachael R. Smith

Williams Honors College, Honors Research Projects

Clinical teaching gives nursing students practical experience, allowing them to practice skills and to apply theories of nursing alongside a staff nurse. The purpose of this study was to examine the relationship between nursing students’ perceptions of staff nurses’ attitudes towards them and self-efficacy in sophomore- and senior-level nursing students. According to scientist Albert Bandura’s Social Cognitive Theory, self-efficacy is defined as a person’s belief in his or her own abilities. Using non-experimental comparative design, convenience sampling, and Likert scale questionnaires, sophomore- and senior- level baccalaureate nursing students were asked to complete the survey using the Nursing Clinical Self-Efficacy …

Exploring Speech And Language Skills In Gifted Children: A Parent Perspective, Amanda Brewer

Williams Honors College, Honors Research Projects

The purpose of this research study was to examine the speech and language skills of gifted students, and to further look into gifted students who have previously had speech or language therapy. Information pertaining to gifted children, typical speech and language development, and gifted children who have a delay in speech was evaluated. The information was used to develop a survey instrument that asked parents about their gifted child’s speech and language. The overall results of this study confirmed many previously known characteristics of gifted students. It also showed that expressive language skills were less developed than receptive language skills. …

Professional Learning And Knowledge Transfer To Practice In Unregulated Care Provider Training In Resident-Centred Care, Sarah Pottier

Theses and Dissertations (Comprehensive)

Ongoing training for unregulated care providers (UCPs) in Ontario is required to meet the care needs of the aging population. Inconsistencies in standards and options for formal training for UCPs as well as the evolving complex needs of the aging population are factors contributing to needing training programs for UCPs in the workforce. This thesis examined the delivery and transfer of professional learning for UCP training in resident centred care. Increasing resident-centred care behaviours and knowledge were the primary aims of the training. One 128-bed long-term care home in southwestern Ontario volunteered to participate in this study while providing the …

Assessing Household Drinking Water Needs: Reaching Many One Water Filter At A Time In Los Robles, Nicaragua, Erinkate E. Springer

Graduate Student Theses, Dissertations, & Professional Papers

Water quality and water scarcity have dominated international health and environmental management initiatives for decades because of the devastating impacts poor water quality has on child mortality and general public well-being, particularly in developing countries. Non-profit organizations, private utilities, and government agencies have invested significant financial resources and time to increase access to improved water sources in low-income countries. However, the sustainability of water improvement project benefits have been disappointing due to a lack of community and household capacity to operate and maintain introduced water systems. This paper evaluates a community/household based water improvement project introduced by a small non-governmental …