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Educating Staff To Reduce Hospitalization Of Individuals Living In A Group Home, Caroline Aina Ibijemilusi Jan 2021

Educating Staff To Reduce Hospitalization Of Individuals Living In A Group Home, Caroline Aina Ibijemilusi

Walden Dissertations and Doctoral Studies

AbstractPersons with intellectual and developmental disabilities (IDD) have significant health disparity in terms of high numbers of hospitalizations compared to the general population. The purpose of the project was to improve staff ability to recognize and respond to the changes in the health status of intellectually and developmentally disabled individuals living in a group home. The project utilized Knowles’s theory of adult learning to develop a curriculum suitable for adult learners and the Kirkpatrick model to guide the assessment of the training. Pre- and post-perception of learning and satisfaction surveys were provided to the participants online. A paired t test …


Learning Experiences And Goal Setting Strategies From Successful Adult Basic Education Learners, Amanda Christine Sobremesana Jan 2021

Learning Experiences And Goal Setting Strategies From Successful Adult Basic Education Learners, Amanda Christine Sobremesana

Walden Dissertations and Doctoral Studies

Adults who are unsuccessful in completing their educational program will not receive the needed certification or diploma to be competitive in a global economy and job market. The completion percentage of adult basic education learners remains low at an adult basic education site in a Western state. The purpose of this study was to better understand the various experiences of the successful adult learner and the different ways they used goal setting strategies to complete their programs. This basic qualitative study was guided by Knowles’ theory of andragogy. The guiding research questions asked adult learners what learning experiences and goal …


Improving Staff Knowledge Of Cultural Competence, Sherry Denise Akins Jan 2021

Improving Staff Knowledge Of Cultural Competence, Sherry Denise Akins

Walden Dissertations and Doctoral Studies

Professional nurses must demonstrate sensitivity to and understanding of a variety of cultures within United States (US) healthcare systems. Such skillsets are needed for the provision of high-quality nursing care across the entire spectrum of healthcare. Nurses are challenged to provide holistic care that is congruent with each patient’s beliefs, practices, and culture. Guidelines from the constructs of pioneer Madeline Leininger’s Transcultural Theory was used as the conceptual framework for the proposal. The purpose of this project was to validate an evidence-based orientation module to educate nurses and nursing staff within an acute healthcare setting regarding cultural competence during hospital …


Data Modeling Of Cognitive Structure In Physiotherapy Students Learning Gross Anatomy, William Allan Besselink Jan 2021

Data Modeling Of Cognitive Structure In Physiotherapy Students Learning Gross Anatomy, William Allan Besselink

Walden Dissertations and Doctoral Studies

Cognitive structures that promote deep learning of gross anatomy are integral to musculoskeletal physiotherapy practice yet poorly understood. This quantitative, criterion-related validation study addressed two data modeling strategies (multidimensional scaling and Pathfinder networks) as a potential visual and quantitative representation of the cognitive structures of physiotherapy students learning gross anatomy. The study was grounded in the Adaptive Control of Thought-Rational theory of cognition. The research questions addressed the agreement (reliability, accuracy, and association) between student and expert cognitive structures and included the derived quantitative parameters as predictor variables in multiple regression to examine potential relationships with unit grades. An online …


Perceptions Of Midwestern Msn Nps Of The Dnp Degree, Margaret Gallagher Jan 2021

Perceptions Of Midwestern Msn Nps Of The Dnp Degree, Margaret Gallagher

Walden Dissertations and Doctoral Studies

Strong professional forces have emerged within healthcare with expectations for a Doctor of Nursing Practice (DNP) degree for nurse practitioner (NP) practice. While NP contribution to societal healthcare is evident, most of these frontline workers are still only masters’ prepared nurses (MSN). A problem exists in that their views of the DNP have been minimally studied. Hence, the purpose of this study was to investigate perceptions of Midwestern MSN NPs of the DNP. The study was supported by the self-determination theory (SDT) proposing that motivation for goal achievement was driven by perceptions of intrinsic and extrinsic rewards, which set priorities …


Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi Jan 2021

Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi

Walden Dissertations and Doctoral Studies

Osteoarthritis (OA) pain is a major social problem for older adults and has psychological and physical implications. In the clinic where the project was implemented, the family nurse practitioners (FNPs) are not addressing the OA pain of the older adult patients according to the evidence-based practice (EBP) guidelines. The purpose of this project was to educate FNPs on EBP guidelines regarding nonpharmacological intervention for chronic pain in OA patients. Knowles’ adult learning theory guided the development of the education program specific to the unique learning style of the FNPs. Fourteen FNPs who treat patients with OA in 3 clinic settings …


Dental Hygiene Faculty Use Of Educational Technologies For Instruction, Natalie Michelle Delacruz Jan 2021

Dental Hygiene Faculty Use Of Educational Technologies For Instruction, Natalie Michelle Delacruz

Walden Dissertations and Doctoral Studies

Faculty hesitancy to implement educational technologies for instruction is problematic in dental hygiene education. Little or no scholarly research has been conducted on faculty use of educational technologies for instructional practices in the dental hygiene field. Grounded in the technology acceptance model, the purpose of this inquiry was to explore the perceptions of dental hygiene faculty regarding their attitudes toward use, usefulness, and ease of use of educational technologies for instruction. The research questions focused on dental hygiene faculty attitudes toward use of educational technologies for instruction, the usefulness of educational technologies for instruction, and the ease of use of …


Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich Jan 2021

Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich

Walden Dissertations and Doctoral Studies

When working with patients who have the potential to become physically aggressive, verbal de-escalation is an important technique that can defuse a dangerous situation. At the project site in the mental health emergency department (MHED), workplace violence was on the rise based on the reported use of physical interventions (rates of brief holds and physical restraint use). The purpose of this quality improvement evaluation project was to determine whether an educational training program on verbal de-escalation techniques would increase staff's confidence in the use of verbal de-escalation and decrease the rate of physical interventions used in the MHED. The change …


Lived Experiences Of Nurse Faculty Teaching Patient Safety Risks From Smartphone Distractions, Nicole Irene Helstowski Jan 2021

Lived Experiences Of Nurse Faculty Teaching Patient Safety Risks From Smartphone Distractions, Nicole Irene Helstowski

Walden Dissertations and Doctoral Studies

Smartphone distractions frequently occur in healthcare, disrupting nurses’ provision of patient care and threatening patient safety. To ensure safe care for patients, nurse faculty must prepare prelicensure nursing students with the knowledge, skills, and behaviors that they need to mitigate patient safety risks. A lack of research regarding how nurse faculty teach nursing students about patient safety risks from smartphone distractions was the concern for this study. The purpose of this qualitative, descriptive phenomenology study was to identify and report the lived experiences of undergraduate nurse faculty regarding teaching about patient safety risks from smartphone distractions in prelicensure nursing programs …


Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich Jan 2021

Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich

Walden Dissertations and Doctoral Studies

When working with patients who have the potential to become physically aggressive, verbal de-escalation is an important technique that can defuse a dangerous situation. At the project site in the mental health emergency department (MHED), workplace violence was on the rise based on the reported use of physical interventions (rates of brief holds and physical restraint use). The purpose of this quality improvement evaluation project was to determine whether an educational training program on verbal de-escalation techniques would increase staff’s confidence in the use of verbal de-escalation and decrease the rate of physical interventions used in the MHED. The change …


Parental Stress Coping And Middle-School Students’ Grades And Behavioral Conduct, Stephanie Buckner Jan 2021

Parental Stress Coping And Middle-School Students’ Grades And Behavioral Conduct, Stephanie Buckner

Walden Dissertations and Doctoral Studies

AbstractAccording to Bronfenbrenner’s ecological systems theory, factors such as parental stress influence family functioning and affect children’s adaptive development. This quantitative study was conducted to better understand the association of parental stress coping skills with two dependent measures: the grades and behavioral conduct of middle-school students. Sixty-six parent/guardians completed the Coping Skills Assessment 2nd Revision (COSA R2), an assessment of parental stress coping skills and a brief questionnaire to collect data on their middle-school-aged children’s grades and conduct, along with demographic variables of race/ethnicity, age, family income level, number of children in the household, and partner status. No significant difference …


Effects Of Education On Rural Emergency Department Preceptors’ Self-Efficacy And Knowledge, Katherine Marie Jasper Jan 2021

Effects Of Education On Rural Emergency Department Preceptors’ Self-Efficacy And Knowledge, Katherine Marie Jasper

Walden Dissertations and Doctoral Studies

The Emergency Nurses Association recommends nurse preceptorship programs for emergency departments (EDs) to give nurses the skills needed for precepting new nurses; however, many rural areas do not have nurse education for preceptorship, and no standardized training is available for preparing preceptors for their roles. Rural ED preceptors therefore lack knowledge and skills needed for precepting new nurses. The purpose of this study, guided by Benner’s skill acquisition and self-efficacy theory, was to determine if there were significant differences in 33 rural ED nurse preceptors’ knowledge and self-efficacy after they completed an online informational PowerPoint presentation. The PowerPoint education program …


Increasing Nurse Manager Knowledge Of Authentic Leadership, Patricia Ann Stone Jan 2021

Increasing Nurse Manager Knowledge Of Authentic Leadership, Patricia Ann Stone

Walden Dissertations and Doctoral Studies

AbstractResearch has demonstrated a positive correlation between authentic leadership and positive patient and organizational outcomes. Given that nurses can be educated in authentic leadership, providing nurse leaders with training opportunities will help them develop authentic leadership skills which will benefit patients and the organization. At the project site, there is little opportunity for leadership development among nurse leaders. Thus, the purpose of this DNP project was to determine if an educational intervention focused on authentic leadership increase knowledge and awareness among nurse managers. Authentic leadership theory grounded the DNP project. Twenty-three nurse managers were invited to participate in an educational …


Staff Education And Depression Screening In Pulmonology And Sleep Medicine, Christina Boyle Jan 2021

Staff Education And Depression Screening In Pulmonology And Sleep Medicine, Christina Boyle

Walden Dissertations and Doctoral Studies

AbstractDespite recommendations that all adults be screened for depression, providers at the project site struggled to consistently assess for depression. Identification of depression is an essential step in depression management, which is a concern for patients with sleep disorders and other pulmonary disease served at the site. The purpose of this project was to develop an education training program for clinicians regarding depression screening. The theory of cognitive development using the Iowa model of evidence-based practice (EBP) guided the project, which sought to determine if an EBP education program regarding depression screening would be an effective means for staff education, …


Nursing Majors’ Attitudes Toward Suicide And Mental Health Training, Beverly Arleen Burton Jan 2021

Nursing Majors’ Attitudes Toward Suicide And Mental Health Training, Beverly Arleen Burton

Walden Dissertations and Doctoral Studies

AbstractThe mental health training of nursing majors may play a role in their levels of confidence in attending to suicide patients as working professionals. The purpose of this quantitative study was to explore what impact, if any, attitudes toward suicide had on nursing majors’ levels of confidence in their mental health training. Pender’s health promotion theory was the theoretical framework. A descriptive correlational survey was used to explore individuals majoring in nursing confidence and perceived skills in mental health training. The 4 research questions asked the relationship between the level of confidence in helping someone with a mental health problem …


Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor Jan 2021

Lived Experiences Of Lassa Fever Survivors In Southsouth Nigeria, Albert Oamen Oyeribhor

Walden Dissertations and Doctoral Studies

AbstractLassa fever, a viral disease, was first isolated in the late 1960s and affects 300,000 to 500,000 people, causing 5,000 to 10,000 fatalities annually across West Africa. Although there are studies on the causes and prevalence of Lassa fever, there is a paucity of studies regarding the quality of life (QoL) and lived experiences of survivors. The purpose of this qualitative study, guided by Leininger’s culture care theory, was to describe the QoL and meanings of the lived experiences of Lassa fever survivors in the Southsouth region of Nigeria. Fifteen survivors of Lassa disease were interviewed. Data were analyzed using …


Professional Values Of Corporate Nurses, Kasey Jeanne Sands Jan 2021

Professional Values Of Corporate Nurses, Kasey Jeanne Sands

Walden Dissertations and Doctoral Studies

Healthcare is comprised of providers, who offer patient services, and payors, who manage the financial reimbursement of providers. Not much is known about registered nurses (RNs) in the corporate payor industry due to a lack of research. Strong professional values (PVs) are expected of all RNs, but research has shown this to vary across the field, meaning that RNs may require support in this area. As little is known about RNs in the payor industry, how these nurses sustain their PVs within the industry has not been evaluated, recognized, or supported. Therefore, the aims of this quantitative, descriptive, and correlational …


Nursing Faculty Experiences With Mobile Technology Use In The Classroom, Sue Ellen Clark Jan 2021

Nursing Faculty Experiences With Mobile Technology Use In The Classroom, Sue Ellen Clark

Walden Dissertations and Doctoral Studies

Research to date on faculty use of technology in the classroom has largely focused on student perceptions of technology, technology use in higher education, and benefits of technology use in teaching and learning. A critical factor in integrating technology relates to nursing faculty members’ mobile technology (MT) experience. The aim of this descriptive phenomenological study was to explore the experiences of nursing faculty when integrating MT in the face-to-face classroom. More precisely, this study was designed to explore the reasons for inconsistencies among faculty in the integration of MT in the face-to-face classroom in baccalaureate nursing education programs. Experiences of …


Professional Nurse Attitudes Of Poverty Before And After Participation In A Poverty Simulation, Beth Mueller Jan 2021

Professional Nurse Attitudes Of Poverty Before And After Participation In A Poverty Simulation, Beth Mueller

Walden Dissertations and Doctoral Studies

Implicit bias in healthcare toward those living in poverty may contribute to inequalities in care and increase the likelihood of patient noncompliance. The purpose of this study was to determine if participation in a poverty simulation had an impact on the attitudes of professional nurses toward those in poverty. Mezirow’s transformational theory was used to guide the study by allowing the learner to examine meaning and revise perspective after participation in an online module. This module included an online poverty simulation created by The United Way of Connecticut titled Making Tough Choices as well as a pre- and post-simulation survey …


Use Of Critical Thinking Strategies By Nurse Educators, Josephine Tundun Akintonde Jan 2021

Use Of Critical Thinking Strategies By Nurse Educators, Josephine Tundun Akintonde

Walden Dissertations and Doctoral Studies

AbstractNew graduate nurses often lack the clinical decision-making skills that are essential for developing clinical competency. Critical thinking abilities are essential for nursing excellence and professional competency. However, little is known about nurse educators' techniques and teaching practices for developing students’ critical thinking. The purpose of this phenomenological study, guided by constructivist learning theory, was to understand the lived experiences of nurse educators who used critical thinking teaching strategies in a baccalaureate nursing program to develop critical thinking skills in nursing students. Thirteen nurse educators from baccalaureate nursing programs were interviewed using open-ended questions. Interviews were transcribed and manually coded. …


Increasing Staff Knowledge Regarding The Use Of Nonpharmacological Interventions With Long-Term Care Residents Diagnosed With Dementia, Larissa Latrice Anderson Jan 2021

Increasing Staff Knowledge Regarding The Use Of Nonpharmacological Interventions With Long-Term Care Residents Diagnosed With Dementia, Larissa Latrice Anderson

Walden Dissertations and Doctoral Studies

Dementia is an umbrella term that describes a clinical syndrome of progressive cognitive decline. The prevalence of a dementia diagnosis increases with age, making it a common occurrence within the older population. In long-term care facilities, where 5% of the older population reside, antipsychotic medications are the first line of defense and the choice of treatment among patients diagnosed with dementia. Recently, the Center for Medicare and Medicaid Services (CMS) announced a new goal of decreasing antipsychotic medication usage by 15% by the end of 2019. Guided by Watson’s Theory of Caring, this project was conducted to determine if an …


Mentorship Education For Advanced Practice Registered Nurses, Eleanor Dunlap Jan 2021

Mentorship Education For Advanced Practice Registered Nurses, Eleanor Dunlap

Walden Dissertations and Doctoral Studies

Mentorship is vital part of the nursing profession. The evidence suggests that competent mentors aid in facilitating role transitions, improving job satisfaction, enhancing patient care, and decreasing nursing turnover. Advanced practice registered nurses (APRNs) have the skill and knowledge to provide safe, high-quality, patient-centered care; however, they may be lacking in mentorship abilities. Currently, there is no formal mentorship training in the organization, which may cause variability in the mentoring of new staff. The focus of this project was to create a staff educational intervention to improve the mentoring competency of surgical APRNs. The project practice focused question asked if …


An Integrated Approach To Hand Hygiene, Tarsha Renee Stewart Jan 2021

An Integrated Approach To Hand Hygiene, Tarsha Renee Stewart

Walden Dissertations and Doctoral Studies

AbstractHealthcare-associated infections (HCAIs) threaten the quality and safety of the services provided. HCAIs are infections that occur while a patient is receiving treatment for another condition in any type of healthcare. The Centers for Disease Control estimates that approximately one in every 20 inpatients will become infected with an HCAI during their hospital stay. Proper hand hygiene is the most significant intervention in preventing HCAIs. Despite hand hygiene's effectiveness, evidence suggests that only 50% of healthcare workers are compliant with proper hand hygiene techniques. The purpose of this project is to increase nurse’s knowledge the via education. Kotter's eight-step change …


Influencing Factors On A Nurse's Decision To Remain A Bedside Nurse, Diane Marie Hulsey Jan 2021

Influencing Factors On A Nurse's Decision To Remain A Bedside Nurse, Diane Marie Hulsey

Walden Dissertations and Doctoral Studies

Abstract The loss of the experienced bedside nurse is a current health care problem. New nurses are moving into other areas of nursing or leaving the profession within 6 months of graduation. During the current COVID-19 pandemic, nurses are vital at the bedside. Patients’ and families rely on the nurse to be their support and educational source. In this study, the possible implications of why a registered nurse remains at the bedside throughout their professional career although offered different positions and work environments was examined. The theoretical framework of Patton and McMahon identifies the holistic nature of career development through …


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 …


Periodic Skills Education To Improve Competency In New Nurses, Karen Broomes-James Jan 2020

Periodic Skills Education To Improve Competency In New Nurses, Karen Broomes-James

Walden Dissertations and Doctoral Studies

On entry into the nursing profession, new graduate nurses (NGNs) possess some knowledge and skills competency but self-report learning gaps in various areas. Experienced nurses have reported that new nurses do not always have knowledge and competency in essential nursing skills. Undergraduate nursing programs and organization orientation programs provide valuable foundational knowledge but are sometimes limited in providing multiple exposures to content. Lagging skills acquisition contributes to self-doubt, lack of confidence and high attrition among NGNs. There is little data in the literature about the provision of supplemental education to new nurses immediately after orientation, and this doctor of nursing …


Examining The Efficacy Of A School-Based Mental Health Program In Iowa, Karen A. Rodriguez Jan 2020

Examining The Efficacy Of A School-Based Mental Health Program In Iowa, Karen A. Rodriguez

Walden Dissertations and Doctoral Studies

Evidence shows that treating mental health issues positively impacts academic and other life outcomes for students. However, there remains a gap in knowledge specific to academic outcomes and to rural school districts. It is important for mental health providers, educators, and third-party payers to gain an understanding of how treating mental health in the school setting affects student performance. The purpose of this quantitative study, which had contribution analysis as its theoretical framework, was to examine the academic and behavioral outcomes of participating in a school-based mental health (SBMH) program in rural school districts in Iowa. The specific focus was …


Exploring A Nursing Faculty’S Perceived Level Of Engagement With High-Fidelity Simulation Experiences, Filipina Hernandez Jan 2020

Exploring A Nursing Faculty’S Perceived Level Of Engagement With High-Fidelity Simulation Experiences, Filipina Hernandez

Walden Dissertations and Doctoral Studies

AbstractResearchers from several disciplines concluded that deep engagement in an organization is critical to its success. However, little is known about a nursing faculty’s engagement experiences with high-fidelity simulation (HFS), which could establish the critical link between deep engagement and HFS’ successful integration in nursing programs. Grounded in the alternative model of engagement in learning, bridging this knowledge gap was the purpose of this study. The research question of this phenomenological study explored the nursing faculty’s perceived level of engagement with their HFS experiences. A purposeful sampling of 10 nursing faculty were interviewed using semistructured interview process. Van Kaam’s interpretative, …


Nursing Faculties’ Perceptions Of Teaching Students Who Speak English As Second Language, Natalia S. Ruiz Muniz Jan 2020

Nursing Faculties’ Perceptions Of Teaching Students Who Speak English As Second Language, Natalia S. Ruiz Muniz

Walden Dissertations and Doctoral Studies

Nursing students who speak English as a second language (ESL) often struggle due to language barriers, the complexity of the medical vocabulary, and the knowledge base that they must develop in a short time. These struggles may be due in part to the preparation of nursing educators to meet the specific needs of the ESL student population. The purpose of this qualitative research study was to develop a greater understanding of nurse educators' perceptions when teaching ESL nursing students. The conceptual framework used was Cummins' framework for the development of language proficiency. Four research questions guided this basic qualitative research …


Effects Of A Blended Basic Telemetry Course On The Telemetry Reading Proficiency Of Newly Licensed Registered Nurses, Joan Yankalunas Jan 2020

Effects Of A Blended Basic Telemetry Course On The Telemetry Reading Proficiency Of Newly Licensed Registered Nurses, Joan Yankalunas

Walden Dissertations and Doctoral Studies

Telemetry interpretation is a common skill required by registered nurses (RNs) to take care of patients in an acute care setting. Telemetry education guidelines are needed because there are no established standards for the amount, type, or scope of education needed for RNs who take care of patients on continuous telemetry monitoring. The purpose of this retrospective analysis design study, guided by Benner’s skill acquisition model and Kirkpatrick’s learning outcomes measurement theory, was to (a) determine the effect of a blended telemetry course, which is a combination of eLearning and an instructor-led class, on the telemetry reading proficiency of RNs …