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Articles 1 - 30 of 35
Full-Text Articles in Medicine and Health Sciences
Lack Of Leadership Roles And Advancement Opportunities For Black Female Nurses, Mikela Jerilynn Jones
Lack Of Leadership Roles And Advancement Opportunities For Black Female Nurses, Mikela Jerilynn Jones
Walden Dissertations and Doctoral Studies
Underrepresentation is a significant issue for Black female nurses to secure nurse leadership positions in healthcare facilities. Leadership by Black female nurses is needed to provide culturally appropriate quality of care, to have a more diverse workplace, and to ensure that the needs of diverse patient populations are met. The purpose of this quantitative study was to explore the barriers and challenges faced by Black female nurses who failed to achieve their advancement goals into leadership roles.Using the National Sample Survey of Registered Nurses (NSSRN) database, the independent variables used were interpersonal differences with colleagues or supervisors, lack of good …
Improving Staff Knowledge Of The Value Of Hourly Rounding, Dr. Melissa Gagliano, Dnp, Nea-Bc
Improving Staff Knowledge Of The Value Of Hourly Rounding, Dr. Melissa Gagliano, Dnp, Nea-Bc
Walden Dissertations and Doctoral Studies
Research has shown that consistent hourly rounds improve patient satisfaction and quality of care. Successful implementation and maintenance of this patient-centered practice hinges on nursing knowledge and proper training in the processes and procedures that support timely, purposeful, and effective hourly rounds. The purpose of this doctoral project was to implement a staff education project to improve staff perception of the value of hourly rounding on an inpatient orthopaedic unit. Project materials supplemented the hourly rounding program already in place at the facility. Following an in-depth literature search, pre-intervention multiple-choice knowledge assessment questionnaires were distributed to staff who volunteered to …
Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai
Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai
Walden Dissertations and Doctoral Studies
AbstractAs part of investigating staff nurses’ reluctance to have serious illness conversations (SIC) at a local hospital, an educational deficit was noted. Nurses articulated they felt uneducated about how to have a SIC with a patient in need and questioned if the practice of conducting SICs was part of the nurses’ scope of practice in the New England State where they were employed. The purpose of this project was to create an educational tool and have it validated by a multidisciplinary group of experts. Once validated, the goal will be to educate nurses, raise awareness on the topic of SICs, …
Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai
Educating Nurses To Implement Serious Illness Conversations, Colleen Patricia Desai
Walden Dissertations and Doctoral Studies
AbstractAs part of investigating staff nurses’ reluctance to have serious illness conversations (SIC) at a local hospital, an educational deficit was noted. Nurses articulated they felt uneducated about how to have a SIC with a patient in need and questioned if the practice of conducting SICs was part of the nurses’ scope of practice in the New England State where they were employed. The purpose of this project was to create an educational tool and have it validated by a multidisciplinary group of experts. Once validated, the goal will be to educate nurses, raise awareness on the topic of SICs, …
Improving Staff Knowledge Of The Value Of Hourly Rounding, Dr. Melissa Gagliano, Dnp, Nea-Bc
Improving Staff Knowledge Of The Value Of Hourly Rounding, Dr. Melissa Gagliano, Dnp, Nea-Bc
Walden Dissertations and Doctoral Studies
Research has shown that consistent hourly rounds improve patient satisfaction and quality of care. Successful implementation and maintenance of this patient-centered practice hinges on nursing knowledge and proper training in the processes and procedures that support timely, purposeful, and effective hourly rounds. The purpose of this doctoral project was to implement a staff education project to improve staff perception of the value of hourly rounding on an inpatient orthopaedic unit. Project materials supplemented the hourly rounding program already in place at the facility. Following an in-depth literature search, pre-intervention multiple-choice knowledge assessment questionnaires were distributed to staff who volunteered to …
Improving Nurse Retention: Experiences Of 1st-Year Nurses With A Residency Program, James Uchenna Akwarandu
Improving Nurse Retention: Experiences Of 1st-Year Nurses With A Residency Program, James Uchenna Akwarandu
Walden Dissertations and Doctoral Studies
Nurse residency programs have been identified as a strategy for supporting new nurses as they transition to clinical and professional practice but the impact has not been adequately explored. Exploring the transition experiences of new nurses in residency programs supports healthcare administrators’ understanding and may provide enhancements. Guided by Bridges’s transition theory, this research gave nurses who had recently graduated from a residency program, the opportunity to express their unique transition experience. Using snowball sampling and semi structured telephone interviews, participants responded to the guiding question of how new nurses describe their transition experiences in a nurse residency program. Interviews …
Experiences Of Nurses Who Provide Advance Care Planning In The Dialysis Setting, Sheree Mullen
Experiences Of Nurses Who Provide Advance Care Planning In The Dialysis Setting, Sheree Mullen
Walden Dissertations and Doctoral Studies
AbstractPatients diagnosed with end-stage renal disease (ESRD) receiving dialysis experience increased symptom burden and multiple hospitalizations as the disease progresses. Dialysis nurses are charged with involving ESRD patients in decisions regarding their care and advance care planning for end-of- life; however, discussions about end-of-life care do not consistently occur. Providing advance care planning is important to involve the patient in their end-of-life care needs. The purpose of this qualitative descriptive study guided by the theory of planned behavior was to explore the experiences of nurses who provide advance care planning to patients receiving dialysis therapy. Eight participants volunteered to participate …
Influencing Factors On A Nurse's Decision To Remain A Bedside Nurse, Diane Marie Hulsey
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 Impact Of Telehealth Services Offered By Home Care Agencies On Patient Safety, Moyna Temple
The Impact Of Telehealth Services Offered By Home Care Agencies On Patient Safety, Moyna Temple
Walden Dissertations and Doctoral Studies
There is little available research about how home care agencies attempt to address patient safety during the nurse virtual healthcare visit. The purpose of this quantitative correlational study was to determine, during the delivery of telehealth care by a home care agency, to what extent the level of education of the registered nurse, the level of education of the director of the home care agency, and the clinical decision support system (CDSS) impact patient safety. The framework for the study was the complex sociotechnological systems model. Data from the 2007 National Home and Hospice Care Survey were analyzed using logistic …
Emotional Intelligence And Compassion Fatigue In Emergency Nurses, Kylie Yearwood
Emotional Intelligence And Compassion Fatigue In Emergency Nurses, Kylie Yearwood
Walden Dissertations and Doctoral Studies
Compassion fatigue (CF) is mental and emotional exhaustion that occurs over time in nurses who provide care to traumatized individuals and includes both secondary traumatic stress syndrome (STS) as well as burnout (BO), which results from being overwhelmed in the workplace. Emotional intelligence (EI) has shown to be helpful in nurses who work in a fast-paced, high-stakes environment, such as the emergency department. The purpose of this quantitative, cross-sectional, descriptive study, guided by Orem’s self-care deficit nursing theory, was to determine whether there were relationships (a) between EI and CF in emergency nurses, (b) between EI and STS in emergency …
Job Satisfaction And Turnover Among Millennial Nurses In Public Hospitals, Gwen Mancuso
Job Satisfaction And Turnover Among Millennial Nurses In Public Hospitals, Gwen Mancuso
Walden Dissertations and Doctoral Studies
This study addressed turnover of millennial generation behavioral health nurses (MGBHNs). Because retention strategies mitigate the consequences of turnover, the purpose of this quantitative, correlational study was to examine job satisfaction (JS) and anticipated turnover (AT) intention among MGBHNs employed in U.S. public hospitals. Research questions were focused on determining what, if any, correlation exists between AT and JS. The theoretical frameworks were Herzberg’s theory and person in environment theory. A multiple linear regression and 5 Spearman’s rho correlation analyses were used to analyze data from a convenience sample of 65 MGBHNs to understand the relationship between the independent variables …
Increasing Compliance With Sequential Compression Devices To Reduce Venous Thromboembolism, Randy Mcclain
Increasing Compliance With Sequential Compression Devices To Reduce Venous Thromboembolism, Randy Mcclain
Walden Dissertations and Doctoral Studies
Venous Thromboembolism (VTE) is a life-threatening complication. Approximately 900,000 people in the United States are affected by VTE with a mortality of 300,000 cases per year. Although potentially preventable, VTE remains the leading cause of hospital deaths in the U.S. The practice problem addressed in the Doctor of Nursing Practice (DNP) project was evidence of an increased incident of VTE events on a trauma surgical unit. The practice-focused question evaluated the extent to which a nurse-driven protocol for VTE prophylaxis could improve adherence to mechanical prophylaxis with sequential compression devices and compliance with nursing documentation. The purpose for the doctoral …
Professional Development For Nurse Educators, Samdaye Ramdial
Professional Development For Nurse Educators, Samdaye Ramdial
Walden Dissertations and Doctoral Studies
At a large university on the outskirts of Toronto, Canada, there was an influx of students entering the nursing program. Therefore, the need arose for an updated, restructured, and professional development training guideline with current knowledge for nurse educators to achieve high quality learning and critical thinking. The purpose of this study was to explore professional development leaders’ perceptions of quality training guidelines for nurse educators. The conceptual framework of this study was Knowles’s adult learning theory. The research questions were centered on what professional leaders perceive to be quality professional development. A qualitative case study design was used in …
Newly Licensed Registered Nurse Generation Cohorts And Retention In First Registered Nurse Positions, Elizabeth S. Gizenski
Newly Licensed Registered Nurse Generation Cohorts And Retention In First Registered Nurse Positions, Elizabeth S. Gizenski
Walden Dissertations and Doctoral Studies
The purpose of this quantitative study was to evaluate the association between newly licensed registered nurses (NLRN) generational cohorts and NLRN who plan to leave or have left their first nursing position. The research problem focused on the generational cohorts of NLRN and retention. The research questions addressed different generations of NLRN, their intent to stay in their first job, and whether poor orientation was a factor for those who already left their first nursing position. The theoretical foundation was Strauss–Howe’s generational theory explaining how each generation views the world based on what they experienced in their lifetime. Data retrieved …
Nurse Perception Of Pain And Innovative Approaches To Pain Management, Tracey-Ann Nichole Knight
Nurse Perception Of Pain And Innovative Approaches To Pain Management, Tracey-Ann Nichole Knight
Walden Dissertations and Doctoral Studies
AbstractInsufficient assessment and management of pain among the patient population during their hospital stay may result in ineffective delivery of care, increased length of stay, poor clinical outcomes, and decreased patient satisfaction. The quality report at a local facility showed compliance scores of 78% for administration of pain medication and 79% for reassessment of pain. These scores and the weekly patients’ satisfaction survey results suggested a substandard adherence to the facility’s pain management guidelines. One identified barrier to properly managing patients’ pain was nurses’ lack of knowledge and understanding of the theoretical foundation of pain management. The purpose of this …
Associate Degree Nursing Graduates’ Experiences Of The Transition From Student To Nurse, Katherine Margaret Slusser
Associate Degree Nursing Graduates’ Experiences Of The Transition From Student To Nurse, Katherine Margaret Slusser
Walden Dissertations and Doctoral Studies
Attrition among newly graduated nurses remains a top concern among nursing leaders in the United States. Many published studies about new graduate nurses focus on bachelors-prepared nurses or on mixed populations of nurses that include both associate and baccalaureate degree graduates. No published studies were located that focused specifically on the Associate Degree Nursing (ADN) graduate. The purpose of this qualitative, interpretive phenomenological study was to understand the experiences of transition after graduation and into professional nursing of newly employed nurses who graduated from an ADN program. The theoretical basis for this study was Meleis’s transition theory. The research question …
Nurse Practitioner Attitudes, Perceptions And Knowledge About Antimicrobial Stewardship, Evelyn C. Fabian
Nurse Practitioner Attitudes, Perceptions And Knowledge About Antimicrobial Stewardship, Evelyn C. Fabian
Walden Dissertations and Doctoral Studies
Resistance to antibiotics has increased dramatically in the United States, with serious associated medical, social, and economic consequences. The purpose of this project was to assess nurse practitioners' attitudes, perceptions, and knowledge about antimicrobial stewardship and knowledge in the management of anaerobic infections as well as resistant gram-negative bacteremia. Data were collected using a web-based survey in a hospital facility. The practice question explored whether nurse practitioners' attitudes, perceptions, and knowledge about antimicrobial stewardship significantly increased after an education program on antimicrobial stewardship. The project was framed by Knowles's adult learning theory. A 16-item survey was administered before and after …
Health Care Leaders' Strategies To Reduce Nursing Turnover, John Clayton Phelps
Health Care Leaders' Strategies To Reduce Nursing Turnover, John Clayton Phelps
Walden Dissertations and Doctoral Studies
Health care leaders who lack effective nurse turnover strategies can negatively affect patient quality of care, productivity, and profitability. The purpose of this single case study was to explore strategies health care leaders used to reduce nursing turnover in a health care organization. The conceptual framework for this study was Herzberg's 2-factor theory. Data were collected from semistructured interviews with 4 health care leaders in the West Texas region who had a history of reducing nurse turnover for a minimum of 5 years from the date of hire, and from review of organizational documents related to the strategies to reduce …
An Education Program For Improving Knowledge Of Experienced And Aspiring Mentors, Joy-Marie Quiambao Calunsag
An Education Program For Improving Knowledge Of Experienced And Aspiring Mentors, Joy-Marie Quiambao Calunsag
Walden Dissertations and Doctoral Studies
Using a staff development approach, this doctor of nursing practice project addressed the preparation of nurses who serve in the role of mentors. Developed and carried out in an American Nurses Credentialing Center Magnet-designated hospital, the primary aim of the project was to develop and implement a staff education program for mentors focusing on best-practice strategies for mentoring new nurses. The secondary purpose was to conduct a literature review on evidence-based practice strategies for mentoring new nurses. This project was guided by Knowles' adult learning theory and Benner's novice to expert model. A 2-hour education program was attended by 16 …
The Benefit Of Leadership Using First Choice For New Graduate Nurse Retention, Jodie Marie Lyons
The Benefit Of Leadership Using First Choice For New Graduate Nurse Retention, Jodie Marie Lyons
Walden Dissertations and Doctoral Studies
The United States has a nursing shortage that is projected to grow to over 500,000 by the year 2030. This is an issue for leaders because the nursing shortage affects health care organizations sustainability. The purpose of this qualitative descriptive phenomenological study was to identify and report the lived experiences of new graduate nurses (NGNs) in oncology and whether unit of first choice (UFC) effected their intention to remain after 2 years of practice. The research question considered the lived experiences of NGNs in oncology units who either had oncology as their UFC or were placed on an oncology unit …
Developing An Educational Program For Tracheostomy Care, Joy Onuoha
Developing An Educational Program For Tracheostomy Care, Joy Onuoha
Walden Dissertations and Doctoral Studies
Medical-surgical nurses at the project site demonstrated a knowledge deficit regarding the care of adult patients with a tracheostomy. Such knowledge deficits could expose patients to higher risks for infection, bedsores, prolonged hospital stays, increased costs, increased caregiver burden, and death. The purpose of this project was to develop an educational program to improve nurses' knowledge and confidence in the provision of evidence-based tracheostomy care to answer the question if the content of an evidence-based educational program developed to improve nurses' knowledge and confidence in managing adult patients with tracheostomy on a medical-surgical floor would meet the expectations of a …
Job Satisfaction And The Effects And Influences On Nurse Retention, Burke N. Kline
Job Satisfaction And The Effects And Influences On Nurse Retention, Burke N. Kline
Walden Dissertations and Doctoral Studies
Researchers have predicted that by 2020 the United States will experience a severe shortage of registered nurses. The purpose of this correlation study, using the National Sample Survey of Registered Nurses 2008, was to investigate the relationship between nurse job satisfaction and its effect on nurse retention nationwide. Secondary data sets from the 2008 National Sample Survey of Registered Nurses and examining relationships between the variable of nurse retention and job satisfaction. Bivariate (correlation coefficient, chi squares, and simple linear regression) and multivariate (logistic regression) analyses identified and connected associations and examined measurement levels between the dependent and independent variables, …
Tobacco Cessation Education For Primary Care Nurses And Advanced Practice Providers, Stephanie Scammell
Tobacco Cessation Education For Primary Care Nurses And Advanced Practice Providers, Stephanie Scammell
Walden Dissertations and Doctoral Studies
Tobacco use is the leading cause of premature and preventable death in the United States, yet millions of Americans continue to use tobacco. Nursing professionals comprise the largest health care provider group and can help improve tobacco cessation among their patients. The purpose of this doctoral project was to increase nursing staff and advanced practice providers knowledge, skills, and confidence related to tobacco cessation interventions. The project took place in a family medicine clinic in Central Texas. The nursing staff (which included 1 registered nurse and 3 licensed vocational nurses) and advanced practice providers (which included 3 nurse practitioners and …
Educating Nurse Managers To Create A Culture Of Nurse Retention, Stacey Trotman
Educating Nurse Managers To Create A Culture Of Nurse Retention, Stacey Trotman
Walden Dissertations and Doctoral Studies
Nurse managers are stakeholders in creating a culture of nurse retention. The purpose of this staff education project was to identify evidence-based best practices that promote nurse retention and to educate nurse managers about these strategies. Knowles's theory of adult learning was the theoretical framework for the project. The practice-focused question addressed whether an education program for nurse managers would increase their understanding of evidence-based strategies to create a culture of nurse retention. The education program centered on 4 themes: professional development, communication and relationships, culture and work environment, and organizational structures and support. The concepts of 5 domains-- status, …
Early Recognition And Treatment Of Acquired Pneumonia, Michael Lamorgese
Early Recognition And Treatment Of Acquired Pneumonia, Michael Lamorgese
Walden Dissertations and Doctoral Studies
Sepsis is a life-threatening organ dysfunction disease process that costs the healthcare system millions of dollars each year. By using existing assets, the number of patients admitted to the hospital suffering from sepsis secondary to community-acquired pneumonia can be reduced. The purpose of this project was to improve and expand the scope of practice of the registered nurse working in a private medical office to initiate treatment for suspected CAP using evidence-based practice. Data from the last quarter of 2017 and the first quarter of 2018 were compared. The purpose of comparing these data sets was to examine outcomes of …
Impact Of A Standardized Tool On Handoff Quality In Nurse Change-Of-Shift Reports, Wilma Lonzame Ayala
Impact Of A Standardized Tool On Handoff Quality In Nurse Change-Of-Shift Reports, Wilma Lonzame Ayala
Walden Dissertations and Doctoral Studies
Within the context of healthcare delivery, human lives are at risk when health care professionals fail to communicate effectively. Audits by The Joint Commission from 1995 to 2005 revealed that 65% of sentinel events occurred as a result of staff miscommunication, prompting the requirement that standardized handoff tools be deployed. Therefore, this project was completed to improve safety in the hospital through implementation of a standardized tool that could enhance the quality of nurse handoff communication. Mohorek & Webb's (2015) linear model of communication, which emphasizes the importance of encoding, transmission, and decoding in the communication process, provided the framework …
An Evidence-Based Mentorship Program For Experienced Nurses, Roma Allen
An Evidence-Based Mentorship Program For Experienced Nurses, Roma Allen
Walden Dissertations and Doctoral Studies
Turnover of experienced nurses is a component of the nursing shortage, which has created a lack of expert nurses administering bedside care. The project site is a Chicago suburban hospital with an average first year turnover of experienced nurses at 35%. This rate is above the 27% first year turnover reported by the Metropolitan Chicago Healthcare Council. This project focused on development and evaluation of an evidence-based mentorship program supported by theory that can contribute to an increase in experienced nurse retention. A detailed literature review references causative factors of turnover, such as an increasing workload, a multigenerational and aging …
Dimensions Of Nurse-Physician Communication, Rachel Malek Hamdan
Dimensions Of Nurse-Physician Communication, Rachel Malek Hamdan
Walden Dissertations and Doctoral Studies
Hospital leaders set quality and safety as high priorities in their strategic goals. Improving the quality and safety of patient care requires improving internal processes that have direct implications for patient care. Hospital leaders need to improve health care providers' communication as part of improving quality and safety. The problem addressed in this study was the lack of strategies health care administrators use to guide nurse-physician communication patterns in a university medical center in the Middle East. The purpose of this qualitative case study was to explore communication strategies that health care administrators use to guide nurse-physician communication. Relational coordination …
New Graduate Nurses: Evaluating An Innovative Mixed Method Orientation Program, Mary Josette Armendariz-Batiste
New Graduate Nurses: Evaluating An Innovative Mixed Method Orientation Program, Mary Josette Armendariz-Batiste
Walden Dissertations and Doctoral Studies
Institutions are recruiting new graduate nurses to fill their vacancies. The aim of this project was to create a new graduate nurse orientation program that consists of the Essentials of Critical Care Orientation (ECCO) program created by the American Association of Critical Care Nurses (2014), scenarios, and simulation that will result in an increase in nurses' sense of their ability to provide safe patient care, communicate effectively, perform skills, and increase their sense of institutional support. The theoretical framework for this mixed methods project was Benner's "From Novice to Expert." The convenience sample participants consisted of 17 baccalaureate-prepared new graduate …
Improving Pain Management For Hospitalized Patients, Ronda Sweet
Improving Pain Management For Hospitalized Patients, Ronda Sweet
Walden Dissertations and Doctoral Studies
Uncontrolled pain has proven effects on both physiological and psychological responses of hospitalized patients. These incapacitating sequelae most often negatively impact patient outcomes resulting in unnecessary suffering and prolong hospitalizations. First line nurses often have preconceived notions about a patient's pain without developing an individualized patient context that considers appropriate pain management knowledge translated from best practice standards. Guided by Bandura's social learning theory and Lippitt's change theory, the purpose of this quality improvement project was to determine if use of the Curriculum Outline on Pain for Nursing from the International Association for the Study of Pain (IASP) improved nursing …