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Articles 361 - 390 of 6102
Full-Text Articles in Medicine and Health Sciences
Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch
Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch
Walden Dissertations and Doctoral Studies
Exploring nursing faculty job satisfaction is important for retaining faculty in undergraduate nursing programs because they are vital to training future bedside nurses. There is a nursing faculty shortage in the United States, and retaining faculty is critical to addressing it. The purpose of this study, guided by Herzberg’s motivation-hygiene theory, was to (a) understand the relationship between workload, work-life balance, and nursing faculty job satisfaction and (b) the relationship between student incivility and nursing faculty job satisfaction in undergraduate nursing programs. Undergraduate nursing faculty in Ohio and Florida with at least 2 years of teaching experience were recruited via …
Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari
Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari
Walden Dissertations and Doctoral Studies
Depression is a serious public health concern affecting over 280 million people globally and leading to significant morbidity and mortality if left undetected and untreated. At the local organization, leadership identified inconsistent depression screening as a practice problem among nursing staff. Thus, the purpose of this doctor in nursing practice (DNP) project was to determine if an educational intervention focused on depression, the importance of depression screening, and the use of the Patient Health Questionnaire-9 (PHQ-9) increased knowledge and confidence among nursing staff working in a local organization. Fifteen participants volunteered to participate in the project. The average age was …
Staff Education To Improve Nurse Confidence In Managing Co-Occurring Conditions, Gloria Johnston
Staff Education To Improve Nurse Confidence In Managing Co-Occurring Conditions, Gloria Johnston
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project addressed a lack of confidence and training for nursing staff who care for patients with co-occurring substance use and mental health disorders. The practice problem identified at the local project site was the inconsistent care of this patient population. Addressing this gap was essential because inadequate training can reduce care quality among patients with co-occurring conditions. The practice-focused question for this project was: In nursing staff caring for patients with co-occurring mental health and substance use disorders, how does an evidence-based staff education program on integrated treatment approaches compare to standard …
Staff Education To Optimize Pain Management In Home Health Care, Marie Natacha Francis
Staff Education To Optimize Pain Management In Home Health Care, Marie Natacha Francis
Walden Dissertations and Doctoral Studies
This DNP project is a nurse-led quality improvement initiative that responds to the age-old issue of ineffective pain management in the home healthcare setting. The issue is the absence of standardization in staff education regarding pain assessment and intervention, leading to unfavorable patient outcomes and a reduced quality of life. The purpose of the project is to assess the efficacy of educational interventions delivered by nurses to enhance staff knowledge, confidence, and consistency in the management of pain procedures. The project question is: How effective are nurse-led educational interventions in improving staff knowledge and practices in pain assessment and management, …
Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa
Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa
Walden Dissertations and Doctoral Studies
Nearly 50% of patients in substance abuse treatment settings exhibit aggressive behaviors, placing staff and other patients at risk. In the absence of structured de-escalation training, clinicians frequently rely on physical restraints or pharmacologic interventions, which contribute to staff burnout, injury, and ethical concerns. The project implemented an evidence-based staff education program to improve nurses’ knowledge, confidence, and competence in managing aggression using nonviolent de-escalation strategies. The project question guiding this initiative was: Can education improve nurses’ de-escalation skills in a substance abuse treatment setting? Using an evidence-based practice (EBP) approach and the PICO framework, the project evaluated the impact …
Quality Of Prenatal Care, Provider Preference, And Preeclampsia Among African American Women In Georgia, Lyteasha Bass
Quality Of Prenatal Care, Provider Preference, And Preeclampsia Among African American Women In Georgia, Lyteasha Bass
Walden Dissertations and Doctoral Studies
African American women experience disproportionately high rates of preeclampsia in the United States; however, the contributions of prenatal care provider type, health care access, and quality of care to this disparity were insufficiently defined. Guided by the quality health outcomes model, this quantitative case-control study used primary data to examine associations between these factors and the occurrence of preeclampsia among African American women age 18–40 who had given birth within the previous 5 years in Georgia. Descriptive statistics and binary and multinomial logistic regression analyses were conducted. Prenatal care quality was measured using the Quality of Prenatal Care Questionnaire (QPCQ), …
Enhancing Staff Education On Antidepressant Side Effects For Adolescents At Discharge, Mingdi Gao
Enhancing Staff Education On Antidepressant Side Effects For Adolescents At Discharge, Mingdi Gao
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) evidence-based staff education project aimed to improve the quality and consistency of discharge medication education for adolescents prescribed antidepressants. Adolescents are at increased risk for antidepressant-related adverse effects, including suicidal ideation, particularly during the early stages of treatment. The identified practice problem was the lack of consistent, developmentally appropriate, and culturally sensitive discharge teaching for adolescents and their families. This gap in practice contributes to poor adherence, preventable readmissions, and diminished safety outcomes. The project was guided by the PICO question: For adolescents discharged from inpatient or outpatient behavioral health care, how does a …
Communication Challenges Experienced By Telephone Triage Registered Nurses Providing Assessment Of Health Symptoms, Stacy Huddleston
Communication Challenges Experienced By Telephone Triage Registered Nurses Providing Assessment Of Health Symptoms, Stacy Huddleston
Walden Dissertations and Doctoral Studies
Telephone triage nurses routinely assess symptoms and make clinical decisions without visual contact, which introduces complex communication challenges. Language differences, emotional distress, cultural misunderstandings, and the absence of visual cues may influence how symptoms are described, interpreted, and acted upon during telephone encounters. The purpose of this qualitative interpretive description study, guided by Peplau’s theory of interpersonal relations, was to explore how RNs experience and manage communication barriers in telephone triage practice. Six RNs with recent experience in telephone triage participated in semistructured interviews, and the data were analyzed using interpretive description and thematic analysis. Findings indicated that participants relied …
Health Histories, Tiffanie Walton
Health Histories, Tiffanie Walton
Walden Dissertations and Doctoral Studies
No abstract provided.
Staff Education On Attention-Deficit/Hyperactivity Disorder Identification And Referral Using The Vanderbilt Assessment Scale, Edith Nkeze
Walden Dissertations and Doctoral Studies
Staff Education on Attention-Deficit/Hyperactivity Disorder Identification and Referral Using the Vanderbilt Assessment Scale
Staff Education For Prevention And Management Of Obesity In Adolescents From Underserved Communities, Doris Mtarubukwa
Staff Education For Prevention And Management Of Obesity In Adolescents From Underserved Communities, Doris Mtarubukwa
Walden Dissertations and Doctoral Studies
This DNP project implemented a targeted staff education intervention designed to bridge the practice gap in obesity management among adolescents in underserved communities. A comprehensive chart review of 45 patients revealed that only 3% of encounters adequately addressed obesity using evidence-based practice (EBP) guidelines, establishing the urgent need for healthcare provider education and competency development. Adolescents in underserved communities face complex barriers to health and wellness, with obesity representing a critical public health concern. The literature demonstrated that childhood and adolescent obesity serves as a significant risk factor for multiple chronic conditions in adulthood, including Type 2 diabetes, hypertension, coronary …
Pressure Injury Prevention In Intensive Care Units, Michael Loya
Pressure Injury Prevention In Intensive Care Units, Michael Loya
Walden Dissertations and Doctoral Studies
This project addressed the critical practice problem of formation of Stage III/IV pressure injuries in adult patients admitted to the long-term acute care (LTAC) intensive care unit (ICU) department, which has been linked to increased lengths of stay, mortality rates, and treatment costs for the facility. Thus, development of a clinical practice guideline (CPG) focused on a nurse-driven protocol to identify patients in the ICU department at high risk of developing a Stage III/IV pressure injury and initiating prevention measures formed the primary purpose of the Doctor of Nursing Practice (DNP) project. The practice focused question addressed whether an evidence-based …
Staff Education On Phq-9 To Improve Depression Screening And Patient Outcomes, Ahmad Ghandour
Staff Education On Phq-9 To Improve Depression Screening And Patient Outcomes, Ahmad Ghandour
Walden Dissertations and Doctoral Studies
Depression is a prevalent mental health condition that significantly affects patient quality of life and healthcare utilization. Clinical guidelines recommend routine depression screening in adults when appropriate systems for follow-up and treatment are in place. The Patient Health Questionnaire-9 (PHQ-9) is a validated instrument used to identify depressive symptoms and assess severity in outpatient settings. Despite national recommendations supporting routine depression screening using the PHQ-9, a significant practice gap remains in the consistent administration, accurate scoring, and proper documentation of the tool in outpatient. Research indicated that variability in screening practices is frequently associated with inadequate staff training and lack …
A Nurse-Led Clinical Practice Guideline To Improve Medication Adherence Among Psychiatric Home-Health Patients, Amber Murillo - Alonzo
A Nurse-Led Clinical Practice Guideline To Improve Medication Adherence Among Psychiatric Home-Health Patients, Amber Murillo - Alonzo
Walden Dissertations and Doctoral Studies
Medication nonadherence among psychiatric patients receiving home-health services contributes to symptom relapse, preventable hospitalizations, and decreased quality of life. Inconsistent medication education and adherence monitoring within home-health settings may further exacerbate this problem. The purpose of this Doctor of Nursing Practice project was to develop and evaluate a nurse-led clinical practice guideline (CPG) designed to improve medication adherence among psychiatric home-health patients. The practice-focused question asked: What evidence, based on content expert review using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, supports the quality and usability of a CPG to improve medication adherence in a …
Staff Education To Improve Psychiatric Nurses’ Use Of Evidence-Based Strategies For Supporting Medication Adherence In Outpatient Settings, Lilian Ndifon
Walden Dissertations and Doctoral Studies
Psychiatric medication nonadherence remains a persistent barrier to effective outpatient mental health care and contributes to relapse, rehospitalization, and disrupted continuity of care. In outpatient psychiatric settings, nurses are often responsible for patient education and follow-up, yet many lack formal training in evidence-based strategies to support medication adherence. This staff education project was implemented at an outpatient psychiatric facility to address this practice gap. The practice-focused question asked whether a structured staff education intervention would improve outpatient psychiatric nurses’ knowledge of evidence-based medication adherence strategies. Twelve outpatient psychiatric nurses participated in a one-hour educational session focused on motivational interviewing, psychoeducation, …
Staff Education For Hypertension Diagnosis, Management, And Treatment, Philomena Ifeyinwa Chinemelu
Staff Education For Hypertension Diagnosis, Management, And Treatment, Philomena Ifeyinwa Chinemelu
Walden Dissertations and Doctoral Studies
Hypertension (HTN) is a significant public health concern, and educating nursing staff is crucial to improving patient outcomes and supporting public health initiatives. This staff education project focused on improving the quality of hypertension management by empowering nurses to provide evidence-based, patient-centered care. The practice-focused question is as follows: Will HTN education improve staff knowledge of HTN diagnosis, treatment, and management? I employed a quantitative pre-test/post-test design to measure changes in staff (n = 10) knowledge before and after training. Descriptive statistics measure knowledge gain and the effectiveness of educational strategies. The pre-test percentage of correct answers improved from 79% …
Staff Education To Reduce Compassion Fatigue In Acute Care Staff Nurses, Kamala C. Mcgee
Staff Education To Reduce Compassion Fatigue In Acute Care Staff Nurses, Kamala C. Mcgee
Walden Dissertations and Doctoral Studies
Compassion fatigue (CF), burnout, and moral distress are common in high-acuity nursing environments, yet nurses are rarely taught how to recognize or manage these challenges. The guiding question for this staff education project was about whether education focused on CF and mindfulness-based coping strategies would improve nurses’ knowledge and attitudes in an acute care VA medical center. Posteducation results (n = 20) showed meaningful, statistically significant improvements. Familiarity with CF increased from baseline (M = 2.35; SD = 1.04) to post implementation (M = 3.75; SD = .91), t(19) = −5.085, p < .001. Confidence in recognizing CF in oneself improved from baseline (M = 2.6; SD = .875) to post implementation (M = 3.60; SD = .821), p = .004. Confidence in recognizing CF in colleagues increased from baseline (M = 2.40; SD = .821) to postimplementation (M = 3.15; SD = .671), p = .012. Agreement that seeking help is a sign of weakness decreased from baseline (M = 2.00; SD = .503) to postimplementation (M = 1.40; SD = .951), p = .024. Although perceptions of organizational support did not change, nurses reported greater use of mindfulness, peer support, and boundary setting, supporting nurse wellbeing and psychological safety. Several recommendations emerge from this project. CF education should be integrated into routine staff development, annual competencies, and onboarding for new nurses. By reducing stigma around seeking help and promoting peer awareness, this work supports fostering a workplace culture where all nurses feel safe, supported, and valued, a positive social change.
Management Of Alcohol Withdrawal Syndrome In The Emergency Department, Janet Fuller
Management Of Alcohol Withdrawal Syndrome In The Emergency Department, Janet Fuller
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project involved development and approval of a clinical practice guideline (CPG) for management of alcohol withdrawal syndrome (AWS) in the emergency department (ED) of a large community trauma center in the southeastern United States. AWS is a common, potentially life-threatening condition requiring timely assessment and intervention to prevent. Variability in ED screening and treatment contributes to delayed intervention, increased rapid response activations, and intensive care transfers. The project purpose was to develop and obtain expert approval of an evidence-based CPG using the Clinical Institute Withdrawal Assessment for Alcohol–Revised (CIWA-Ar) tool to support standardized screening, symptom-triggered …
Staff Education On Evidence-Based Interventions To Improve Patient Engagement In An Outpatient Mental Health Clinic, Gloria Egeh
Staff Education On Evidence-Based Interventions To Improve Patient Engagement In An Outpatient Mental Health Clinic, Gloria Egeh
Walden Dissertations and Doctoral Studies
In this project, I implemented a staff education initiative at an outpatient psychiatric facility in Michigan to address gaps in clinicians’ and office managers’ knowledge of evidence-based patient engagement strategies. Limited understanding had hindered patient participation in treatment planning, symptom self-management, and shared decision-making, key components of recovery-oriented care. The education initiative was aimed at enhancing staff competencies to strengthen therapeutic alliances, improve treatment adherence, and support positive mental health outcomes. Guided by a practice-focused question, in the project I examined whether an evidence-based staff education program would improve patient engagement among adults receiving outpatient mental health services. A pre-/postintervention …
Differences And Changes In Cross-Cultural Sensitivity Of German And Japanese Students Before And After Short-Term Exchange Programs, Kazumasa Nakagawa, Yuko Takahashi, Melanie Zwiorek
Differences And Changes In Cross-Cultural Sensitivity Of German And Japanese Students Before And After Short-Term Exchange Programs, Kazumasa Nakagawa, Yuko Takahashi, Melanie Zwiorek
Journal of Educational Research and Practice
Since 2012, a Japanese and a German university have conducted exchange programs. This study examined the effects of a short-term exchange program in 2023, focusing on intercultural sensitivity. Nine Japanese students and nine German students completed a 24-item Intercultural Sensitivity Scale before and after the program using a 5-point Likert scale. We performed cross-tabulations and analyzed differences between countries and pre- and post-program changes using chi-square or Fisher’s exact tests. The results suggest that even a short-term exchange enhanced Japanese students’ confidence in intercultural interactions and encouraged German students to reflect on their own culture. However, Japanese students showed lower …
Executive Leadership System Improvement Program Proposal For Capturing At-Risk Patients In A Primary Care Setting, Winter Wilson
Executive Leadership System Improvement Program Proposal For Capturing At-Risk Patients In A Primary Care Setting, Winter Wilson
Walden Dissertations and Doctoral Studies
Unmet social determinants of health (SDOH) contribute significantly to poor health outcomes, increased healthcare utilization, and persistent inequities in access to care. In a primary care organization, the inconsistent identification and management of patients’ social needs resulted in variable documentation, limited referrals to social work services, and avoidable emergency department (ED) utilization. The purpose of this Doctor of Nursing Practice (DNP) project was to develop an executive leadership systems implementation proposal to standardize the identification and referral of at-risk patients through the integration of a validated social needs screening tool into the electronic health record (EHR). The guiding practice-focused question …
Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore
Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore
Walden Dissertations and Doctoral Studies
This Doctoral of Nursing Practice (DNP) project focused on improving provider knowledge in addressing social determinants of health (SDOH) that contribute to medication nonadherence. There is a gap in provider knowledge in addressing SDOH-related barriers that contributes to poor health outcomes. Increasing provider awareness of SDOH improves patient outcomes. The practice-focused question guiding this doctoral project asked whether an educational module on SDOH improved provider knowledge in addressing SDOH-related barriers to medication adherence among adult patients with chronic illnesses. The program consisted of a pretest, an educational module delivered via a PowerPoint presentation, and a posttest. A total of 20 …
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay
Walden Dissertations and Doctoral Studies
This doctoral project was a clinical practice guideline (CPG) focused on the development of a perioperative guideline for patients undergoing various types of hernia repairs. Hernia repair is a common surgical procedure to address various types of hernias.. To assure continued compliance with nationally set benchmarks and minimize the rate of postoperative hernia infections, a systematic review of evidence-based practices (EBP) to foster infection prevention was initiated at a hospital in England. The practice-focused question used was: For patients who underwent hernia repair surgery, what evidence informs CPG recommendations on the type of material, surgical interventions, and nursing interventions to …
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke
Walden Dissertations and Doctoral Studies
Medication adherence is a critical component of effective psychiatric treatment, yet staff understanding and consistent reinforcement of adherence strategies are often limited in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve knowledge and awareness of medication adherence using the ESPACOMP Medication Adherence Reporting Guideline (EMERGE) as the foundational framework. The program was conducted in an outpatient psychiatric facility and aimed to align staff knowledge with evidence-based standards for monitoring and supporting adherence. Educational sessions were delivered to clinical staff, incorporating key components of EMERGE to clarify terminology, enhance consistency in …
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu
Walden Dissertations and Doctoral Studies
Falls are a significant health concern for the elderly population and a major cause of injury and functional decline among older adults, yet fall prevention practices are inconsistently applied in primary care. The purpose of this project is to evaluate the impact of staff education on fall risk screening and prevention for adults aged 65 years and older using the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) framework. This project employs a pre–post quality improvement design in a primary care clinic. Clinical staff received education on STEADI-based fall risk assessment, documentation, and evidence-based interventions. Data were collected through chart …
Social, Political, And Economic Determinants For Hiv Prep Care Delivery Innovations, Joanne Senoga Brown
Social, Political, And Economic Determinants For Hiv Prep Care Delivery Innovations, Joanne Senoga Brown
Walden Dissertations and Doctoral Studies
Pre-exposure prophylactic care delivery innovations (PCDI) are critical to the Ending the HIV Epidemic (EHE) initiative. While individual studies have examined isolated factors such as patient awareness, provider willingness to prescribe, and cost-effectiveness, few have synthesized these findings into a unified framework explaining how structural social, political, and economic determinants jointly influence PCDI. Prior literature remains fragmented, emphasizing behavioral or programmatic variables rather than systemic structures. This meta-analysis was done to examine how structural determinants independently and collectively influence PCDI across the 47 U.S. EHE jurisdictions. Guided by the consolidated framework for implementation research and Rogers’s diffusion of innovations theory, …
Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson
Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson
Walden Dissertations and Doctoral Studies
Heart failure (HF) is a leading cause of hospital readmissions. At the project site, early palliative care was inconsistently integrated despite strong evidence of benefit, suggesting that limited staff knowledge, lack of standardized referral processes, and uncertainty regarding referral timing contributed to this practice gap. The guiding practice-focused question was, “Does educating staff on early palliative care integration for HF patients improve knowledge as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model and the ADDIE instructional design model guided project development and implementation. A comprehensive literature search was conducted using MEDLINE/PubMed, CINAHL Complete, ProQuest, and …
Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade
Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade
Walden Dissertations and Doctoral Studies
This doctoral staff education project focused on improving purposeful rounding practices among staff and patient outcomes on a neuro-medical unit. The practice problem stemmed from inconsistent rounding behaviors, gaps in staff knowledge of evidence-based fall-prevention strategies, and a persistent pattern of inpatient falls. Patients with neurological conditions face impaired mobility, cognitive changes, and clinical instability, making structured rounds essential to reduce risk. The practice-focused question asked whether an educational intervention targeting the principles and procedures of purposeful rounding could measurably improve staff knowledge, increase their skill, strengthen their commitment with the pain, potty, position, and possession components of rounding and …
Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori
Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori
Walden Dissertations and Doctoral Studies
Children with autism spectrum disorder (ASD) require consistent monitoring of communication skills, behavior patterns, sensory responses, and adaptive functioning to support timely intervention and improved developmental outcomes. Although telehealth has expanded access to care, many nurses have not received structured training in conducting virtual assessments for children with ASD. Variability in telehealth competency can affect documentation quality, workflow consistency, and provider confidence. The purpose of this Doctor of Nursing Practice (DNP) project was to develop and evaluate a structured staff-education program designed to strengthen pediatric nurses’ competencies in telehealth monitoring of children with ASD. A quantitative pretest–posttest design was used …
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was a nurse-led, evidence-based staff education initiative designed to improve the prevention and detection of elder abuse in the home by caregivers within an outpatient primary care setting. Elder abuse places older adults at risk for physical harm, neglect, medication mismanagement, and violations of autonomy and patient rights. Elder abuse remains a pervasive and underrecognized problem in nursing practice, often resulting from limited staff education, inconsistent screening practices, and uncertainty regarding mandatory reporting requirements. The practice-focused question examined whether implementing a nurse-led targeted education program guided by the ADDIE instructional design model and …