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Articles 211 - 224 of 224
Full-Text Articles in Medicine and Health Sciences
Staff Education: Prediabetes Lifestyle Modification Toolkit, Vivian Elege
Staff Education: Prediabetes Lifestyle Modification Toolkit, Vivian Elege
Walden Dissertations and Doctoral Studies
Prediabetes patients are at a high risk of developing Type 2 diabetes. The purpose of this project was to educate the medical staff of the project site clinic on lifestyle modifications that can help patients prevent prediabetes from progressing to Type 2 diabetes. The project took place at an outpatient clinic in the Southwestern United States. The clinic patient population is mostly African American, a population at risk for diabetes. The theoretical framework to support the project was the Iowa model of evidence-based practice. Staff education on patient diabetes prevention was the goal of the project. The project question focused …
Effect On Health Literacy On Medication Adherence In Older Latina Women With Type 2 Diabetes Mellitus, Cecilia S. Trinidad
Effect On Health Literacy On Medication Adherence In Older Latina Women With Type 2 Diabetes Mellitus, Cecilia S. Trinidad
Walden Dissertations and Doctoral Studies
The level of health literacy (HL) can have a significant impact on an individual's ability to understand how to care for themselves. Limited HL reduces access to healthcare having limited HL is associated with poor self-management of Type 2 Diabetes Mellitus (T2DM), which is common among vulnerable populations and further contributes to increased morbidity and mortality, especially in which is true in Latina/Hispanic adults who have T2DM. The purpose of the study, guided by the health belief model, was to determine what effect an educational intervention had on blood glucose levels, health literacy, and medication adherence in older Latina/Hispanic women …
Cannabis As A Safer Alternative To Opioid Management Of Chronic Pain, Loren Nedelman
Cannabis As A Safer Alternative To Opioid Management Of Chronic Pain, Loren Nedelman
Walden Dissertations and Doctoral Studies
Chronic pain affects approximately 100 million American adults and costs the United States upwards of $635 billion each year in medical treatments and lost productivity. Opioid prescription for pain has increased exponentially over the past several years, with the CDC estimating 20% of prescriptions lasting longer than 3 months for patients with noncancerous pain. Opioid addiction has become a national public health crisis with mortality surpassing 100,000 deaths annually due to overdose. As States have begun to deregulate the use of cannabis and cannabis derivatives for medical purposes; oversight and regulation by the federal government on its use as a …
An Educational Program For Providers On Asthma Management For Pediatric Clients, Ngozi Anyatonwu
An Educational Program For Providers On Asthma Management For Pediatric Clients, Ngozi Anyatonwu
Walden Dissertations and Doctoral Studies
Asthma, a chronic inflammatory respiratory disease, is the third-ranking cause of hospitalization among children under the age of 15. Of the 25 million Americans living with asthma, 6.2 million are children under the age of 18. In 2018, more than 11.4 million people with asthma, including more than 3 million children reported having one or more asthma exacerbations. The burden of pediatric asthma accounts for more than 13.8 million missed school days among children ages 5 to 17 years, $3 billion in losses due to missed work, $29 billion due to asthma-related mortality and $50.3 billion in medical costs. Asthma …
Development And Validation Of A Sepsis Course For Burn Intensive Care Unit Nurses, Colleen Melisa Reid
Development And Validation Of A Sepsis Course For Burn Intensive Care Unit Nurses, Colleen Melisa Reid
Walden Dissertations and Doctoral Studies
Sepsis is the most common cause of death in burn patients. Optimal recovery from sepsis requires early recognition and prompt treatment. When sepsis is suspected or detected, the 2016 Surviving Sepsis Campaign guidelines endorse immediate initiation of the Hour-1 Sepsis Bundle. Unfortunately, a random audit of hospital system compliance with the Centers for Medicare and Medicaid Services sepsis core measure was less than 50%. A 2019 performance improvement project uncovered delays in antibiotic administration, and a search of scientific and burn center literature did not elucidate a course that educated burn intensive care nurses about sepsis. The purpose of this …
Review Of A Remediation Program In An Associate Degree Nursing Program, Christopher Thomas Young
Review Of A Remediation Program In An Associate Degree Nursing Program, Christopher Thomas Young
Walden Dissertations and Doctoral Studies
New nurse graduates must pass the National Council Licensure Examination (NCLEX) in order to achieve nursing licensure. In Northern New Mexico associate degree nursing program with a large disadvantaged student population, the average pass rate for the licensure exam often falls below the state board of nursing mandated 80% pass rate. This study's purpose was to evaluate the effect of an NCLEX remediation program on students' ability to pass the NCLEX, using Knowles adult learning theory to guide this work. The research questions investigated the relation between the remedial instruction and the 2 dependent variables KAPLAN predictor scores and NCLEX …
Best Practices For Screening And Early Treatment For Hiv In The Hispanic Community, Juliana Deboviel
Best Practices For Screening And Early Treatment For Hiv In The Hispanic Community, Juliana Deboviel
Walden Dissertations and Doctoral Studies
The Hispanic community is among the ethnic minorities that are adversely affected by HIV/AIDS in the United States. HIV transmission rates and rates of death are high among Hispanic communities because of delays in HIV testing and late participation in HIV treatment, especially in the state where this study was conducted. However, advanced practices for screening and early treatment of HIV can improve patient outcomes and inform practice. Thus, this systematic review was conducted to identify the best available evidence for HIV screening and care in the Hispanic population in the Western United States that shares a border with Mexico. …
Quality Initiative To Reduce Falls In An Acute Care Setting, Janet Maxine Belcher
Quality Initiative To Reduce Falls In An Acute Care Setting, Janet Maxine Belcher
Walden Dissertations and Doctoral Studies
Falls are the most frequently reported incidents among hospitalized patients in the United States with at least 4 falls per 1,000 patient days occurring annually. Falls are related to high rates of mortality and morbidity and high hospital costs. The purpose of this project was to evaluate a fall prevention quality initiative to reduce falls in an acute care facility by educating staff on an evidence-based fall prevention protocol. The project sought to explore whether implementation of an evidence-based fall prevention initiative in educating nurses would affect the nurses’ professional knowledge and the number of patient fall incidences in the …
Improving The Patient Experience With Communication, Pauline Adora Salmon
Improving The Patient Experience With Communication, Pauline Adora Salmon
Walden Dissertations and Doctoral Studies
A quality patient experience is one of the highest priorities for hospitals as patients and families are looking to healthcare providers to meet their demands for quality service. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures the extent to which providers effectively communicate pertinent information such as communication about medications. On a 20-bed intermediate care unit, the HCAHPS item scores relating to nurse communication and communication about medicine were inconsistent and, on most occasions, were below the comparison benchmark of the 50th percentile when compared to other like hospitals. The purpose of this quality improvement project …
Systematic Literature Review On Fall Prevention In An Acute Care Hospital Setting, Sonia A. Hudson
Systematic Literature Review On Fall Prevention In An Acute Care Hospital Setting, Sonia A. Hudson
Walden Dissertations and Doctoral Studies
Falls, with and without injury, in acute care hospitals are quite common but can be prevented if appropriate interventions are in place to address this issue. It is imperative that nurses assess fall risks of all patients admitted to the hospital and advocate for appropriate interventions to prevent falls in those who are found to be at risk. The purpose of this project was to recommend changes to the current fall prevention protocol in the project facility, an acute care hospital, based on best practices identified in a systematic review of the literature. At the time of the project, the …
Adolescent Substance Abuse Screening, Wesley W. Lynch
Adolescent Substance Abuse Screening, Wesley W. Lynch
Walden Dissertations and Doctoral Studies
Adolescent substance use is a key public health problem in rural Ohio. Primary care nurses lack substance use screening knowledge and skills. Early screening and detection of possible substance use issues aids in directing patients to appropriate health services. This project involved the implementation of an educational intervention on the CRAFFT screening tool for primary care nurses in rural Ohio. Guided by Kurt Lewin's 3-step model to emphasize prevalence of substance use and need for screening among adolescents, the purpose of this project was to provide training on the CRAFFT screening approach and share guidelines to implement routine substance abuse …
Examining Icu Nurses' Knowledge Of Ventilator-Associated Events And Ventilator-Associated Pneumonia, Dorothy J. Sanders-Thompson
Examining Icu Nurses' Knowledge Of Ventilator-Associated Events And Ventilator-Associated Pneumonia, Dorothy J. Sanders-Thompson
Walden Dissertations and Doctoral Studies
Ventilator-associated events (VAEs) are patients' complications of respiratory conditions including ventilator-associated pneumonia (VAP). Research shows that VAP is the most common hospital-acquired infection among ventilated patients and a leading source of mortality. With greater risk for complications among ventilated- supported patients, nurses working in the ICU must keep abreast of new knowledge and update expertise to develop technical and clinical skills in daily practice. The purpose of this project was to assess whether an educational intervention would increase the ICU nurses' level of knowledge of the evidence-based intervention. Knowles' adult learning theory was chosen for this project. A paired-samples t-test …
Review Of A Remediation Program In An Associate Degree Nursing Program, Christopher Thomas Young
Review Of A Remediation Program In An Associate Degree Nursing Program, Christopher Thomas Young
Walden Dissertations and Doctoral Studies
New nurse graduates must pass the National Council Licensure Examination (NCLEX) in order to achieve nursing licensure. In Northern New Mexico associate degree nursing program with a large disadvantaged student population, the average pass rate for the licensure exam often falls below the state board of nursing mandated 80% pass rate. This study's purpose was to evaluate the effect of an NCLEX remediation program on students' ability to pass the NCLEX, using Knowles adult learning theory to guide this work. The research questions investigated the relation between the remedial instruction and the 2 dependent variables KAPLAN predictor scores and NCLEX …
Enhancing The Resilience Of Acute Care Psychiatric Nurses Through A Brief Gratitude Intervention, Patricia D. Sullivan
Enhancing The Resilience Of Acute Care Psychiatric Nurses Through A Brief Gratitude Intervention, Patricia D. Sullivan
Walden Dissertations and Doctoral Studies
Stressors affecting healthcare providers have accelerated in recent years, causing increasing rates of burnout and emotional exhaustion. Evidence suggests that improving general mental well-being of nurses could enhance their resilience and ability to cope in stressful situations. Psychiatric nurses are at risk by caring for involuntary and manipulative patients who can be violent and abusive. The purpose of this project was to improve psychiatric nurses' mental well-being through the implementation of a gratitude practice and examined the effect of this brief gratitude intervention on their mental well-being. Models informing this project were human caring theory, resilience theory, and positive psychology …