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Articles 1921 - 1950 of 6102

Full-Text Articles in Medicine and Health Sciences

Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery Jan 2022

Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery

Walden Dissertations and Doctoral Studies

Mental health professionals (MHPs) are at considerable risk for stress and burnout because of the nature of their work. Management and prevention of stress and burnout (e.g., through restorative yoga) may enable MHPs to avoid feelings of anxiety, depression, and apathy; lack of energy; and the development of unhealthy coping skills, such as substance and drug use. The purpose of this project was to create a staff education to assist MHPs in managing stress and burnout through yoga practice and mindfulness. The theoretical framework for the staff education was Kapp’s adult learning theory. An evidence-based PowerPoint presentation containing the staff …

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The Influence Of Race And Ethnicity On The Prevalence Of Social Stigma For People With Type 1 Diabetes Mellitus, Donielle Hyde Jan 2022

The Influence Of Race And Ethnicity On The Prevalence Of Social Stigma For People With Type 1 Diabetes Mellitus, Donielle Hyde

Walden Dissertations and Doctoral Studies

Various studies attempting to evaluate the prevalence of health-related social stigma in people with type 1 diabetes mellitus (T1DM) identified themes that coincide with increased prevalence including anxiety, low self-esteem, depression, fear of judgement, anger, and feeling ashamed. This phenomenon is believed to be due to the lack of knowledge and understanding about the differences between the diagnosis, treatment, and prevention strategies for T1DM and type 2 diabetes mellitus (T2DM). The Resilient, Empowered, Active Living intervention dataset (n=115) was utilized to further examine this phenomenon by determining whether race and ethnicity influence the prevalence of the following health-related social stigma …

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Staff Education In Caring For Children With Type 1 Diabetes, Freda Ansah-Larbi Jan 2022

Staff Education In Caring For Children With Type 1 Diabetes, Freda Ansah-Larbi

Walden Dissertations and Doctoral Studies

AbstractType1 diabetes affects over 1.6 million people living in the United States of which about 200,000 are children under the age of 20, with an increase of 1.9% per year between 2002–2015. The large number of children with type 1 diabetes was observed in the project’s practice setting. In addition to the physical health impact on children, this disease also has major personal, economic, and social impacts on children and their families. Therefore, effective management is essential in reducing the risk of complications and achieving an overall improvement in the quality of life of patients. The purpose of the project …

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Increasing Nurses’ Knowledge Of Richmond-Agitation Sedation Score Assessment And Documentation Through Education, Kara Jeanne Beaulieu Jan 2022

Increasing Nurses’ Knowledge Of Richmond-Agitation Sedation Score Assessment And Documentation Through Education, Kara Jeanne Beaulieu

Walden Dissertations and Doctoral Studies

Patients in the intensive care unit (ICU) are critically ill and faced with numerous physical and psychological stressors that often require a multidisciplinary approach to improve outcomes and relieve suffering. Patients are given sedation to tolerate invasive treatments and procedures. Using the Richmond-Agitation Sedation Score (RASS), nurses assess objective findings and the level of sedation a patient is experiencing, and titrate sedation according to an ordered RASS score. Ineffective and inaccurate use of the RASS score leads to patients being oversedated and demonstrates a lack of understanding of how to appropriately use the RASS score assessment tool. The purpose of …

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Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss Jan 2022

Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss

Walden Dissertations and Doctoral Studies

In the United States, more than 200,000 adult patients die annually from inpatient cardiac arrest with survival rates stagnated at 22%–25% nationally. Recently, the adoption of fully automated life support training modalities by health care organizations has become widespread with limited literature available showing the effects on inpatient, cardiac arrest survival. The purpose of this quantitative study was to investigate the effects of fully automated life support training on inpatient, cardiac arrest survival. Applying Bloom’s mastery learning theory, the impact of the Resuscitation Quality Improvement (RQI) quarterly training and hospital unit compliance on inpatient cardiac arrest return of spontaneous circulation …

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The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman Jan 2022

The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman

Walden Dissertations and Doctoral Studies

The practice problem addressed in this Doctor of Nursing Practice project was safe medication administration in the emergency department (ED). Paper-based delivery of medication administration is prone to errors and multiple points of failure affecting patients’ safety. The gap in nursing practice was the lack of analysis regarding the efficacy of the barcoded medication administration (BCMA) process in the ED. The practice-focused question for this project addressed whether the implementation of BCMA in the ED effectively reduced medication administration errors as compared to the previously used paper-based, non-BCMA process. The aim of this doctoral project was to review the efficacy …

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Social Distance Compliance And Perceived Importance Of Online Youtube Diabetes Prevention Programs, Bettyann Rogers Jan 2022

Social Distance Compliance And Perceived Importance Of Online Youtube Diabetes Prevention Programs, Bettyann Rogers

Walden Dissertations and Doctoral Studies

This quantitative, nonexperimental survey was designed using a five-point Likert scale to measure the differences in the perceived importance scores for enrollment practices into nationally accredited YouTube diabetes prevention programs, or YouTube DPP, among online U.S. adult participants during the COVID-19 pandemic based on the social cognitive framework and was validated with Cronbach’s alpha. G* Power analysis for alpha level = 0.05, standard power = 0.08, and the effect size = 0.25 was calculated for a target population of over 100,000. Responses (i.e., N = 258) from the COVID-19 Blood Sugar Wellness Survey were uploaded from SurveyMonkey. The perceived important …

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Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff Jan 2022

Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff

Walden Dissertations and Doctoral Studies

Evolving changes in healthcare have caused increased levels of pressure on registered nurses (RNs) which increases compassion fatigue (CF), secondary traumatic stress (STS) and burnout (BO) and negatively affect compassion satisfaction (CS) which may affect a nurse’s abilities and skills to provide quality care for patients and cause the RN to leave the profession. The mindfulness technique is one method which may help reduce CF, STS and BO in RNs. The purpose of this quasi-experimental study, guided by the compassion satisfaction and compassion fatigue model (CS-CF), was to determine what effect a mindfulness-based intervention (MBI) has on CF, BO and …

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Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox Jan 2022

Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox

Walden Dissertations and Doctoral Studies

Opioid misuse is a rapidly evolving health epidemic in the United States, leading to opioid use disorders, overdose deaths, and disparities in treatment. The rural population may be more susceptible given socioeconomic status, less educational attainment, and lower income. The impact on specific populations is not well understood. The purpose of this study was to identify the association of nonmedical prescription opioid use (NPOU), prescription opioid misuse (POM), and treatment-seeking with race, age, sex, education, and insurance status among rural Americans. The social-ecological model (SEM) served as the theoretical framework. The SEM described the interplay between individual, relationship, community, and …

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Wholistic Healing: The Physician Perspective Of The Tibetan Medical Philosophy, Emma J. Brooks Jan 2022

Wholistic Healing: The Physician Perspective Of The Tibetan Medical Philosophy, Emma J. Brooks

Walden Dissertations and Doctoral Studies

In Western medicine, anatomy is divided into multiple disciplines with specialists focused on their specialization, thereby limiting the whole system medical approach within the diagnosis, practice, and treatment of illness. The purpose of this qualitative study with an emergent design was to explore how physicians of Tibetan medicine viewed treating the whole person through the lens of Sowa Rigpa. Inquiry and analytical thinking were viewed through the lens of Otto and Knight’s principles of wholistic healing, Wilber’s integral model, and the philosophy of Merleau-Ponty. Phase I consisted of key informant interviews with four participants that were recent graduates of Tibetan …

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Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity Jan 2022

Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity

Walden Dissertations and Doctoral Studies

For health care practitioners to effectively manage hypertension (HTN) patients and their related long- and short-term consequences, they must first identify the underlying cause of the disease. When patient interventions are not regularly implemented by clinicians, the likelihood of complications from HTN increases. A gap in staff knowledge on managing patients with HTN was identified in an outpatient clinic in the midwestern United States. A staff education program for health care providers to close the knowledge gap was developed based on the most recent Veterans Affairs/Department of Defense Clinical Practice Guidelines for the management of HTN. The aim of this …

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Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer Jan 2022

Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer

Walden Dissertations and Doctoral Studies

Hospitalized, adult, oncology patients experience intractable pain that does not always respond to pharmacological therapies. Reiki is a complementary and alternative method used to reduce pain and increase the effectiveness of pharmacological treatments, but nurses may not possess knowledge about Reiki or have the self-efficacy to educate patients about Reiki. The purpose of this study, guided by Bandura’s social cognitive theory, was to identify the relationship between nurses’ knowledge, level of self-efficacy in educating their patients, beliefs about Reiki’s effectiveness, years practicing as a nurse, and willingness to recommend Reiki for their oncology patients’ pain. The Knowledge of Nurses’ Questionnaire …

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Five-Year Cervical Cancer Survival Rates By Stage At Diagnosis, Race, And Place Of Residence In Georgia, Usa, Layal Mansour Jan 2022

Five-Year Cervical Cancer Survival Rates By Stage At Diagnosis, Race, And Place Of Residence In Georgia, Usa, Layal Mansour

Walden Dissertations and Doctoral Studies

Despite breakthroughs and improvement in cervical cancer (cercancer) management strategies over the years, racial and geographical disparities on 5-year relative survival rates (RSRs) persist. Studies showed black women have higher mortality rates than white women with the majority of deaths occurring among women above age 45. The aim of this cross-sectional study was to investigate the predicting abilities of race and residence on 5-year RSRs by stage at diagnosis and the potential effect on survival probability in the early stage of cercancer for women above 45 years living in Georgia. Anderson's behavioral model for inequalities in healthcare was the theoretical …

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Meaningful Work And Remote Employee Engagement During The Covid-19 Pandemic, Monique Foster Jan 2022

Meaningful Work And Remote Employee Engagement During The Covid-19 Pandemic, Monique Foster

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic accelerated the remote working trend, causing workplace leaders to be challenged and remote employees to feel meaninglessness and lose interest in their work. The subjective nature of meaningful work and enforced remote work is a relatively recent socioeconomic phenomenon, creating a gap in the literature regarding how middle managers foster meaningful work for employees in a remote work environment. The purpose of this qualitative narrative inquiry study was to understand how middle managers fostered meaningful work for employees in a remote work environment during the COVID-19 pandemic. Data were collected from semistructured interviews with 10 middle managers …

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Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes Jan 2022

Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes

Walden Dissertations and Doctoral Studies

Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the confidence level among nurses by providing an educational program. The practice-focused question focused on whether knowledge, skills, and confidence would increase among nurses after receiving education on the clinical monitoring system. The model to facilitate organizing and analyzing this project …

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Boost Tool Implementation And Sepsis Readmissions, Length Of Stay, And Patient Satisfaction, Jane Venus-Nocentelli Jan 2022

Boost Tool Implementation And Sepsis Readmissions, Length Of Stay, And Patient Satisfaction, Jane Venus-Nocentelli

Walden Dissertations and Doctoral Studies

Sepsis is a global concern because it contributes to high mortality rates, increased healthcare costs, and poor patient outcomes. Health care organizations have used risk stratification tools such as the Better Outcomes by Optimizing Safe Transitions (BOOST) tool to reduce unnecessary readmissions, decrease length of hospital stays, and improve patient health outcomes. But there is limited data on the use of the BOOST tool in the sepsis population and the impact on readmissions and length of stay. The purpose of this quantitative study was to investigate the relationship between BOOST tool implementation, readmissions, and length of stay in patients with …

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Staff Education Program On Postpartum Depression Screening, Pamela Barstow Jan 2022

Staff Education Program On Postpartum Depression Screening, Pamela Barstow

Walden Dissertations and Doctoral Studies

AbstractPostpartum depression (PPD) in the US is a serious health concern that negatively impacts an average of 11.5% of women, with 13.36% of women in Virginia in 2018 reporting PPD symptoms. Mothers experiencing PPD may have trouble bonding with their infants, which may negatively impact childhood growth and development. However, fewer than one-half of pediatricians screen mothers of infants for PPD. Literature supports staff education on PPD to promote the wellbeing of postpartum mothers and their infants. Using the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this Doctor of Nursing Practice project was to …

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Annual Financial Performance, Efficiency, And Quality Of Care In Accountable Care Organizations In Florida And Texas, Tony Lavance White Jan 2022

Annual Financial Performance, Efficiency, And Quality Of Care In Accountable Care Organizations In Florida And Texas, Tony Lavance White

Walden Dissertations and Doctoral Studies

The association between efficiency and quality of care among accountable care organizations is not fully understood. Therefore, the purpose of this quantitative study was to examine the relationships between ACO efficiency, ACO financial performance, and ACO quality scores in the states of Florida and Texas. Guided by structural contingency theory, the research questions explored whether there was a statistically significant relationship between ACO efficiency and financial performance, as well as ACO efficiency and the quality of care among ACOs in the states of Texas and Florida in 2018 using all ACOs located in those states. The results of the study …

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Childhood Anxiety And Roles Of Parents, Educators, And Pediatric Healthcare Providers In Addressing Protective Factors, Gabriela Zamora-Ahlstrom Jan 2022

Childhood Anxiety And Roles Of Parents, Educators, And Pediatric Healthcare Providers In Addressing Protective Factors, Gabriela Zamora-Ahlstrom

Walden Dissertations and Doctoral Studies

AbstractChildhood anxiety affects over 32% of youth in the United States, and when left untreated, contributes to poor school performance, social difficulties, truancy, school dropout rates, juvenile delinquency, substance abuse, and family and community difficulties. Preventing childhood anxiety by implementing effective protective factors for children can eliminate many of these outcomes. Using the biopsychosocial theory and social work systems theories, this study involved exploring the beliefs and attitudes of parents, educators, and pediatric healthcare providers in an affluent suburban community of Detroit (Rochester/Rochester Hills, MI), regarding their roles in providing protective factors against childhood anxiety. A generic qualitative research design …

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Perceptions Of Contraceptive Practice Among Arab American Victims Of Intimate Partner Violence, Linda Humaidan-Zayed Jan 2022

Perceptions Of Contraceptive Practice Among Arab American Victims Of Intimate Partner Violence, Linda Humaidan-Zayed

Walden Dissertations and Doctoral Studies

There has been limited research on Arab Americans as they are an unidentified minority population. The specific research problem addressed through this study is that there is little research pertaining to the role of intimate partner violence (IPV) in poor contraceptive practice among Arab Americans, contributing to the larger problem of unwanted pregnancies, reproductive coercion, and other aspects of reproductive health. The problem with a high prevalence rate of IPV among Arab American women is that they are more susceptible to becoming pregnant and not accessing the reproductive health services that they may need. Thus, the purpose of this qualitative …

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Strategies For Improving Customer Retention For Medical Imaging Devices, Guillermo Sander Jan 2022

Strategies For Improving Customer Retention For Medical Imaging Devices, Guillermo Sander

Walden Dissertations and Doctoral Studies

Some sales managers of medical imaging devices lack strategies to improve long-term customer retention. Increasing retention can save these sales managers up to 50% of their customer acquisition costs. Grounded in the service profit chain theory, the purpose of this qualitative multiple case study was to explore strategies sales managers of medical imaging devices use to improve long-term customer retention. The participants comprised seven sales managers of medical imaging devices from three companies who successfully achieved long-term customer retention. Data were collected using semistructured interviews and public documents. Thematic analysis was used to analyze the data. Three themes emerged: value-added …

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Nursing Staff Education Project To Improve Diabetic Patients' Glycemic Control, Valerie R. Gaston Jan 2022

Nursing Staff Education Project To Improve Diabetic Patients' Glycemic Control, Valerie R. Gaston

Walden Dissertations and Doctoral Studies

Diabetes is a chronic disease affecting more than 34.2 million people in the United States. The International Diabetes Federation predicted by the year 2045 an estimated 700 million people will have diabetes. In the clinic project site, the practice problem involved the increasing clinician’s knowledge about Type 2 diabetes mellitus (T2DM) with improved glycemic control through self-care management. The purpose of this project was to develop an educational training and intervention for staff to increase their knowledge of self-care management to improve glycemic control and have it validated by a panel of experts before dispersing it to the intended audience. …

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Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan Jan 2022

Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan

Walden Dissertations and Doctoral Studies

Heart failure (HF), the leading hospital admission diagnosis for military veteran patients discharged from a Department of Veterans Affairs (VA) hospital, is more common in patients residing in rural than urban areas. Primary care managers prioritize reducing readmissions for HF as up to 80% of health care costs for HF, projected to increase to $69.7 billion annually by 2030, incur during hospitalizations. Underpinned in Andersen’s behavioral model of health services use, the purpose of this quantitative ex post facto correlational study was to examine the relationship between residence rurality, home telehealth enrollment, and bed days of care for military veteran …

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Reducing Sepsis Rates Through Nursing Staff Education, Joshua J. Wilkinson Jan 2022

Reducing Sepsis Rates Through Nursing Staff Education, Joshua J. Wilkinson

Walden Dissertations and Doctoral Studies

Many hospitals fail to comply with sepsis treatment core measures. The purpose of this project was to educate nursing staff in a small rural emergency department in the Midwest United States about core measures that included 1-hour bundles for sepsis treatment. The project attempted to answer the practice-focused question: Does educating emergency department nursing staff in a small rural emergency department on the 1-hour sepsis bundle increase knowledge? Lewin’s Change Theory and Kirkpatrick’s Four-Level Training Evaluation Model served as the framework for the project. A 1-hour in-person education was developed using the Analyze, Design, Develop, Implement, and Evaluate model with …

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Nurse Management Education To Improve Job Satisfaction And Nurse Retention, Motunrayo Omoloye Adegorusi Jan 2022

Nurse Management Education To Improve Job Satisfaction And Nurse Retention, Motunrayo Omoloye Adegorusi

Walden Dissertations and Doctoral Studies

Abstract Nurses play a critical role as primary care providers in correctional facilities, as well as custodians of security. However, there is a significant disparity in the supply of nurses in correctional settings relative to other practice settings, which is a major gap in practice. The current problem arises from the inability to retain nurses in the correctional settings. Prisons have a harsh work environment characterized by a difficult patient population and stringent policies that govern operations. Additionally, a high level of bureaucracy impedes system reforms and transformations. The purpose of the DNP project was to find out if the …

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The Correlation Between Laura’S Law And The Incarceration Of The Mentally Ill In A Southwestern State, Aaron Alarcon-Bowen Jan 2022

The Correlation Between Laura’S Law And The Incarceration Of The Mentally Ill In A Southwestern State, Aaron Alarcon-Bowen

Walden Dissertations and Doctoral Studies

Assisted outpatient treatment and involuntary outpatient treatment laws refer to the power of the court system to order community-based treatment without hospitalization to individuals with a mental illness diagnosis. Studies have linked these laws to a decrease in the use of incarceration among this population. The effectiveness of the assisted outpatient treatment law in a Southwestern state, known as Laura’s Law, has not been studied. With a theoretical foundation based on the social contract and multiple streams analysis theories, a quantitative, casual, comparative study using an independent t test was centered on determining whether the mean numbers of incarcerated individuals …

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Relationship Of Mindfulness To Worldview Defense When Mortality Is Salient, Blake Ausmus Jan 2022

Relationship Of Mindfulness To Worldview Defense When Mortality Is Salient, Blake Ausmus

Walden Dissertations and Doctoral Studies

Humans value self-preservation, and therefore that which is perceived to threaten survival should cause stress. However, humans have also developed the understanding of their own mortality, meaning that they cognitively understand that death is inevitable. The conflict arising from these opposing constructs holds the potential to cause anxiety. Interestingly, this anxiety is not easily observed in most. Terror management theory posits that there are buffer systems in place that help to keep death anxiety at bay so that humans are able to continue to function in their daily lives. These buffers include becoming more stringent to one’s worldviews and less …

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Improving Nurses' Knowledge On The Assessment And Documentation Practices In The Pediatric Settings Of A Jamaican Hospital, Binol Rajesh Balachandar Jan 2022

Improving Nurses' Knowledge On The Assessment And Documentation Practices In The Pediatric Settings Of A Jamaican Hospital, Binol Rajesh Balachandar

Walden Dissertations and Doctoral Studies

AbstractThere have been anecdotal reports from the on-site Quality Assurance team, administrators, and educators that a theory-practice gap exists in pediatric nursing practice settings relating to the specific assessment and documentation. A deidentified chart review confirmed the reported practice gaps in 80% of the patient records. Therefore, in collaboration with the in-service unit, this staff education project and the educational interventions were implemented, and the knowledge improvement was appraised using a pre and posteducation survey. Mozirow’s reflective learning theory formed the basis for staff education, utilizing adult learning principles. Twenty-five consenting nurses completed the preeducation survey (N = 25); however, …

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Influence Of Cyberbullying On Suicidal Behaviors, David Dellerman Jan 2022

Influence Of Cyberbullying On Suicidal Behaviors, David Dellerman

Walden Dissertations and Doctoral Studies

Secondary data was used to examine the prevalence of suicidal behaviors and the association between cyberbullying by high school-aged students (Grades 9–12) both heterosexual and sexual minority youth (SMY) and suicidal behaviors experienced by high school-aged students (Grades 9–12) in the United States using data from the 2017 CDC’s Youth Risk Behavior Surveillance System (YRBSS). The YRBSS used in this research was the newest and most comprehensive data. The YRBSS is a national school-based survey, that is used to monitor health-related behaviors including violence, sexual behaviors (heterosexual and SMY students), intentional and unintentional injuries that contribute to suicide behaviors. Results …

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American Urologists’ Concerns With Nonclinical Activities Moderating Burnout, Nichele Lynn Greer Jan 2022

American Urologists’ Concerns With Nonclinical Activities Moderating Burnout, Nichele Lynn Greer

Walden Dissertations and Doctoral Studies

As burnout continues to increase in the healthcare field and specifically in the specialty of urology, gaining knowledge of certain risk factors associated with burnout can potentially help prevent further increases. Intervention programs may also be developed as a result of understanding these relationships. The purpose of this quantitative correlational analysis was to determine whether hours worked on nonclinical activities moderated the relationship between age and burnout as well as gender and burnout in American urologists. The theoretical foundations utilized in this research were the jobs demands resources model, which suggested that burnout occurs as a result of job demands …

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