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Articles 511 - 540 of 5875
Full-Text Articles in Medicine and Health Sciences
Perceptions Of Lumbee Tribe Members On Participating In Diabetes Type Ii Prevention Practices, Jeremy Wesley Lowery
Perceptions Of Lumbee Tribe Members On Participating In Diabetes Type Ii Prevention Practices, Jeremy Wesley Lowery
Walden Dissertations and Doctoral Studies
Type II diabetes (DB2) is one of the leading causes of death in the United States, whether directly or as a comorbidity. This is especially alarming for Native Americans, who have the highest DB2 prevalence and death rates when compared to their non-Native American peers. This qualitative phenomenological study explored the lived experiences of Lumbee Tribe members in Robeson County regarding DB2. The health belief model was used as a lens through which to understand and interpret findings. In-person semi-structured audio-recorded interviews were conducted with 12 participants recruited through social media. Data were coded and analyzed using deductive thematic analysis. …
Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish
Development Of An Evidence-Based Educational Intervention To Increase Correctional Nurses’ Knowledge Of Mental Health Crisis Management, Jacqueline Parrish
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) educational intervention targeted correctional nurses and aimed to enhance their knowledge of mental health crisis management. Correctional environments often lack training for managing mental health emergencies, which can negatively impact safety. The goal was to increase correctional nurse knowledge of mental health emergency management. The guiding question was whether an educational intervention would increase correctional nurses’ knowledge of mental health crisis management by a minimum of 20% following a structured, evidence-based educational session. A pretest and posttest design was used in the project. A total of 20 participants completed a pretest, posttest and program …
Adapter Changes Of Central Line Patients On Total Parenteral Nutrition, Courtney Erin Schappell
Adapter Changes Of Central Line Patients On Total Parenteral Nutrition, Courtney Erin Schappell
Walden Dissertations and Doctoral Studies
Central line-associated bloodstream infections (CLABSIs) remain a significant and preventable patient safety issue, especially among hospitalized patients receiving total parenteral nutrition (TPN). Patients on TPN face a higher risk of infection due to the high glucose content of the solution and the frequent access required for central line therapy. The Centers for Disease Control and Prevention and the Agency for Healthcare Research and Quality have recognized CLABSI prevention as a national priority. In addition, there is emphasis on high-risk groups like patients receiving TPN. The Infusion Therapy Standards of Practice, an evidence-based guideline, recommends catheter care, including timely adapter (i.e., …
Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa
Implementing Sbar-Based Staff Education And A Diabetes-Specific Discharge Checklist To Reduce Patient Identification Errors During Handoffs, Maragarate Nesoa
Walden Dissertations and Doctoral Studies
This doctoral project was an organization change initiative using staff education to reduce patient identification errors during handoffs among older adults with Type 2 Diabetes (T2DM). Misidentification during transitions of care contributes to medication errors, unnecessary readmissions, and preventable adverse events
Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun
Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun
Walden Dissertations and Doctoral Studies
Health checkups and wellness visits are a vital pathway to early detection and diagnosis of disease. It is not known whether young adults, insured or not, are opting into preventive care services to optimize health status via health checkups/wellness visits at primary care academic health centers. The purpose of this quantitative study was to examine the relation of wellness visits to healthcare insurance and health status while adjusting for gender among young adults ages 18–35 years in the United States. A descriptive correlational design was used with the 2023 National Health Interview Survey data set (N = 6,544). The results …
Staff Education For Effective Patient Handoff, Kaylonn Amundson
Staff Education For Effective Patient Handoff, Kaylonn Amundson
Walden Dissertations and Doctoral Studies
This staff education project was initiated to address the lack of standardized handoff procedures which was found to have contributed to an adverse outcome for a hospitalized patient. The purpose of this project was to address the question: Will an interactive education program on a standardized handoff tool increase nursing staffs’ knowledge and self-confidence regarding its use? The project involved educating 20 inpatient nurses and care staff about the structure of the SIGNOUT? handoff tool using a PowerPoint presentation with a follow-up practice simulation. Handoff sheets and visuals were distributed to aid in the learning process. Pre- and post-education surveys …
Staff Education To Improve Patient Medication Adherence For Schizophrenia Using Long-Acting Injectables, Adela Ghogomu
Staff Education To Improve Patient Medication Adherence For Schizophrenia Using Long-Acting Injectables, Adela Ghogomu
Walden Dissertations and Doctoral Studies
This doctoral project was conducted as a staff education initiative based on a comprehensive literature review that emphasized the importance of staff education in improving healthcare outcomes. The practice problem identified was a lack of staff knowledge and education regarding long-acting injectables (LAIs) in clients with schizophrenia, which contributed to inconsistent support for client medication adherence. It was essential to address this issue because nurses play a crucial role in medication management, patient education, and adherence support. The practice-focused question explored was: Will staff education regarding the use of long-acting injectables in clients with schizophrenia to enhance medication adherence improve …
Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree
Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a quality improvement (QI) initiative. Nephrologists were inconsistent in ordering iron studies and sometimes delayed the initiation of erythropoiesis-stimulating agents (ESAs) on admission to the inpatient site. These delays often led to suboptimal outcomes. The practice-focused question guiding the project asked whether a nurse-driven iron protocol would improve adherence to anemia management guidelines. The project’s purpose was to evaluate the impact of the evidence-based nurse-driven protocol. I used descriptive and inferential statistics for data analysis. Findings demonstrated a statistically significant improvement in the timely completion of iron studies and in intravenous (IV) iron …
Staff Education To Improve Knowledge Of Probiotic Use And Benefits For Best Patient Outcomes, Rebecca M. Hoover
Staff Education To Improve Knowledge Of Probiotic Use And Benefits For Best Patient Outcomes, Rebecca M. Hoover
Walden Dissertations and Doctoral Studies
Abstract The staff education project to improve knowledge of probiotic use and benefits with antibiotic use, has shown to improve patient recovery and outcome. The post-implementation impact of the project is increased awareness of probiotic use and their benefits to prevent Antibiotic. Associated Diarrhea at the project site organization. I identified no limitations in the project. Staff education can be used worldwide to prevent digestive diseases with the use of probiotics supplements or probiotic food. Probiotics use is to improve patient outcomes by maintaining gut microbiome and digestive health. The evidence-based practice solution of a staff education on probiotic use …
Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu
Transition-To-Practice Program For Aprn Msn Graduates, Jennifer Nneoma Nwosu
Walden Dissertations and Doctoral Studies
The transition from graduate education to clinical practice marks a pivotal point in the professional journey of advanced practice registered nurses (APRNs). Despite rigorous preparation, many APRN MSN graduates struggle to adapt to the complex expectations of autonomous practice. The lack of structured mentorship, inconsistent orientation processes, and unclear performance expectations contribute to high stress, role confusion, and early turnover. This Doctor of Nursing Practice Executive Leadership project addressed this critical issue by evaluating whether an interprofessional team could achieve consensus on developing a best practice program to guide APRN MSN graduates’ transition to independent clinical practice. This initiative was …
A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss
A Clinical Practice Guideline For Screening For Insomnia In College Students, Ashly Bliss
Walden Dissertations and Doctoral Studies
Insomnia and sleep deprivation are highly prevalent issues among the U.S. college student population, contributing to a significant health care gap due to the inconsistent performance of routine clinical screening. This Doctor of Nursing Practice (DNP) project sought to determine the rigor and applicability of a Clinical Practice Guideline (CPG) designed for the early identification of insomnia in college students using a best-evidence screening tool within a rural health clinic. The primary practice-focused question was: In a rural health clinic, will a CPG for implementation of a screening tool based on best evidence for early identification of insomnia in college …
Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace
Early Depression Screening In Adults With Opioid Use Disorder, Ekaterina Versace
Walden Dissertations and Doctoral Studies
Abstract This Doctor of Nursing Practice project involved the development and quality appraisal of a clinical practice guideline (CPG) for early depression screening in adults with opioid use disorder (OUD), addressing the absence of standardized, evidence-based screening protocols in addiction treatment settings. Guided by the practice-focused question of whether existing evidence supports the development and evaluation of such a guideline using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, a systematic synthesis of 35 research articles was conducted, with 15 high-level studies informing guideline development. A multidisciplinary panel of four experts evaluated the CPG using the …
Impact Of Staff Education To Clinical Documentation Integrity Team, Leyna Belcher
Impact Of Staff Education To Clinical Documentation Integrity Team, Leyna Belcher
Walden Dissertations and Doctoral Studies
The doctoral project investigates the impact of education on Clinical Documentation Integrity (CDI) nurses in enhancing the accuracy and quality of clinical documentation within healthcare organizations. Clinical documentation plays a crucial role in accurately reflecting patient care and is essential for capturing proper diagnoses, coding, and reimbursement. In contrast, inaccurate or incomplete documentation can lead to misdiagnoses, poor patient outcomes, and financial deficits. Due to frequent updates in clinical guidelines and coding standards, CDI professionals require continuous, specialized training to stay informed with ever-changing medical terminology, disease processes, and coding regulations. By enhancing the CDI education, the aim is to …
Staff Education To Impact Staff Knowledge Of Depression Screening In Primary Care, Nkeiruka Chinwendu Unaegbu
Staff Education To Impact Staff Knowledge Of Depression Screening In Primary Care, Nkeiruka Chinwendu Unaegbu
Walden Dissertations and Doctoral Studies
Summary This doctoral project was a staff education program designed to improve depression screening among patients in an adult primary care setting. The practice problem addressed was the lack of standardized depression screening that led to inconsistent detection, delayed diagnosis, and fragmented mental health care. A move to address the issue is critical in nursing practice since nurses play a central role in early identification, patient advocacy, and integration of behavioral health into primary care. The practice-focused question guiding the project was, Will implementing a nursing staff education program impact their knowledge of Clinical Practice Guideline (CPG) for depression screening …
Factors Affecting School Readiness And Level Of Distraction Among Black Children During Virtual Learning In The United States, Imani Barnes
Factors Affecting School Readiness And Level Of Distraction Among Black Children During Virtual Learning In The United States, Imani Barnes
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic necessitated an shift to mandatory virtual learning (VL) for kindergarten through grade 12 students, disrupting educational systems globally and exposing systemic inequities. Although researchers had explored health and education disparities separately, they had not adequately examined the intersection of child health, specifically body mass index (BMI) and health-affected ability, with school readiness and level of distraction in VL environments. The purpose of this quantitative, cross-sectional study was to examine associations between BMI, health affected ability, school readiness, and distraction levels among U.S. Black children engaged in VL in the 2020 school year, controlling for gender, age, and …
Staff Education To Peri Operative Registered Nurses, Shahida P. Meghani
Staff Education To Peri Operative Registered Nurses, Shahida P. Meghani
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to enhance perioperative nursing adherence to evidence-based practices for preventing surgical site infections (SSIs). SSIs remain among the most prevalent healthcare-associated infections, affecting 2%–5% of surgical patients and contributing to extended hospital stays, higher costs, and preventable morbidity. The practice-focused question guiding this project was: In adult surgical patients, how does the implementation of a perioperative nursing education program on SSI prevention, compared to standard practice, affect SSI incidence rates over a 2- to 4-month period? The project applied the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) model to …
Healthcare Access, Economic Stability, And Food Security And Inflammatory Bowel Disease In Hispanic Adults Living In The United States, Jennifer Rodriguez
Healthcare Access, Economic Stability, And Food Security And Inflammatory Bowel Disease In Hispanic Adults Living In The United States, Jennifer Rodriguez
Walden Dissertations and Doctoral Studies
Hispanic adults in the United States experience disparities in chronic disease detection and outcomes, including inflammatory bowel disease (IBD). Social determinants of health (SDoH), including economic stability, healthcare access, and food security, play a crucial role in shaping health risks and diagnostic opportunities in this population. The purpose of this quantitative cross-sectional study was to examine the relationship between selected SDoH factors and self-reported IBD diagnosis among U.S. Hispanic adults. This study utilized survey data from the 2023 National Health Interview Survey (n = 29,457). Weighted descriptive statistics and logistic regression were used to analyze the relationships between variables while …
Developing Nurse Knowledge And Confidence In Telehealth Delivery For Ptsd Care, Bisilola M. Yinusa
Developing Nurse Knowledge And Confidence In Telehealth Delivery For Ptsd Care, Bisilola M. Yinusa
Walden Dissertations and Doctoral Studies
With posttraumatic stress disorder (PTSD) prevalence increasing and telehealth becoming more integrated into mainstream healthcare practice, it is critical to ensure that nurses are adequately trained to deliver evidence-based, trauma-informed care through digital modalities. The identified practice problem centered on the limited telehealth competency among nurses, particularly in communication strategies, confidence, and clinical readiness for PTSD care via virtual platforms. This doctoral project was a staff education initiative designed to enhance the telehealth delivery of trauma-informed care for patients with PTSD. The purpose of this project was to evaluate whether the structured educational intervention improved nurses’ knowledge and confidence in …
Staff Education On Burnout For Mental Healthcare Staff Mitigation Strategies For Psychiatric Outpatient Staff, Kadine Foreman-Westly
Staff Education On Burnout For Mental Healthcare Staff Mitigation Strategies For Psychiatric Outpatient Staff, Kadine Foreman-Westly
Walden Dissertations and Doctoral Studies
The purpose of this project is to determine whether implementing a staff education program in a psychiatric clinical setting can improve healthcare staff knowledge of strategies to prevent burnout. The project addresses a critical practice problem: a lack of structured education programs specifically targeting burnout recognition and management among mental healthcare staff. Burnout not only negatively impacts staff well-being but also affects patient safety and the overall quality of care. This project was designed to fill this gap by providing an educational intervention, with effectiveness measured through pre- and post-intervention surveys assessing staff knowledge. This staff education project was strengthened …
Pregnancy Intention And Maternal Morbidity In Oklahoma And Mississippi: A Moderation Analysis Of Abortion Restriction Policies, Vicki Johnson
Pregnancy Intention And Maternal Morbidity In Oklahoma And Mississippi: A Moderation Analysis Of Abortion Restriction Policies, Vicki Johnson
Walden Dissertations and Doctoral Studies
More than half of all pregnancies are unintended (mistimed or unwanted), and women with unplanned pregnancies may face economic hardships for families and additional health consequences if they have pre-existing medical conditions. This quantitative study was conducted to examine the relationship between pregnancy intention levels and severe acute maternal morbidity, specifically chorioamnionitis, among women who gave birth in Oklahoma and Mississippi in 2022. Using secondary data (N=1939) from the Pregnancy Risk Assessment Monitoring System Automated Research Files and state-level abortion policy data from the Guttmacher Institute, this study employed Bronfenbrenner’s social ecological model framework to investigate the relationship between pregnancy …
Staff Education For Enhancing Providers’ Knowledge Of Long Acting Injectables (Lais) Antipsychotics In The Outpatient Mental Health Clinic, Belinda Okoruwa
Staff Education For Enhancing Providers’ Knowledge Of Long Acting Injectables (Lais) Antipsychotics In The Outpatient Mental Health Clinic, Belinda Okoruwa
Walden Dissertations and Doctoral Studies
This doctoral study is a quality-improvement educational program in an outpatient mental health clinic designed to address the underutilization of long-acting injectable (LAI) antipsychotics due to gaps in providers’ knowledge. The project question centered on whether structured education on LAIs antipsychotics increases providers’ knowledge in an outpatient mental health setting. The purpose of this project is to increase LAI antipsychotic utilization by educating providers about the advantages, safety, and appropriate administration to promote consistent implementation. In this project, I used a single-group pre/post design including six participants, incorporating a 12-item questionnaire and 5-point Likert scale questions (Not at all/Somewhat/Very Much). …
Clinical Practice Guideline On Reducing Catheter -Associated Urinary Tract Infections (Cautis), Nkechi Christiana Udah
Clinical Practice Guideline On Reducing Catheter -Associated Urinary Tract Infections (Cautis), Nkechi Christiana Udah
Walden Dissertations and Doctoral Studies
The project was a clinical practice guideline (CPG) for early catheter removal to prevent catheter-associated urinary tract infections (CAUTIs). At the project site, the practice gap was the surgical nurses’ nonadherence to clinical guidelines for reducing CAUTIs. This gap resulted in inconsistent catheter care practices and delays in catheter removal. The purpose of this CPG was to enhance surgical nurses’ knowledge and adherence to clinical guidelines for reducing CAUTI rates. The following practice-focused question guided the project: In hospitalized patients in acute care settings, does early removal of the urinary catheter compared to leaving the catheter until discharge reduce the …
Social And Contextual Factors Influencing Hypertension Among Latino Men Living In California, Leslie Ivett Ortega
Social And Contextual Factors Influencing Hypertension Among Latino Men Living In California, Leslie Ivett Ortega
Walden Dissertations and Doctoral Studies
Hypertension remains a critical and often silent public health issue that disproportionately affects Latino men in California. This quantitative, retrospective cross-sectional study explored the social and contextual factors influencing hypertension among this vulnerable population. Using the 2019 Behavioral Risk Factor Surveillance System dataset, which included a sample size of 2,060 participants, the study examined the relationship between hypertension and key variables including primary care utilization, health insurance, smoking, physical activity, mental health, and marital status, while controlling for age, education, and income. Guided by the health belief model, binary logistic regression analyses found health insurance and primary care utilization significantly …
Examining The Association Between User Fee Exemptions And Maternal Healthcare Utilization In Northern Ghana, Martina Hilton-Ansah
Examining The Association Between User Fee Exemptions And Maternal Healthcare Utilization In Northern Ghana, Martina Hilton-Ansah
Walden Dissertations and Doctoral Studies
Abstract In Ghana, the user fee exemption policy, implemented in 2008, provides free maternal health services, which are a key component of the National Health Insurance Scheme (NHIS). Grounded in the Health Access Livelihood Framework, the purpose of this study was to determine the association between the user fee exemption policy and the utilization of antenatal care, facility-based delivery, and postnatal care in Northern Ghana, while controlling for sociodemographic factors. A quantitative approach was employed using secondary data from the Ghana Demographic and Health Surveys, encompassing women of reproductive age (15–49 years; N = 6,948). Logistic regression was used to …
Improving Patient Access To Providers By Optimizing Message Center Workflow, Serena Valino
Improving Patient Access To Providers By Optimizing Message Center Workflow, Serena Valino
Walden Dissertations and Doctoral Studies
This project was an evaluation of a quality improvement initiative that addressed the practice problem of having large volumes of unanswered messages within the patient portal. To increase patient access to the healthcare provider, a literature search was conducted using the practice-focused question: Can standardization of patient portals improve the message turnaround time? In January 2024, a scoping review of nursing message center pools determined 79 pools lacked standardized names and established workflows for 37 ambulatory clinics. Pool names were identified for each clinic and listed using an Excel spreadsheet. Clinic pool members were isolated, and it was determined by …
Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke
Metabolic Screening In Veterans On Antipsychotics Mood Stabilizer, Joy Nneka Eke
Walden Dissertations and Doctoral Studies
Summary This Doctor of Nursing Practice project was conducted to examine a quality improvement initiative that sought to address metabolic syndrome screening consistency for veterans on antipsychotic medications at a U.S. Department of Veterans Affairs health system located in the Midwest region of the United States. The project centered on whether the quality improvement program assessing compliance with the current metabolic syndrome screening process reflects increased early detection of metabolic syndrome to prevent cardiovascular complications. Data collection involved comprehensive chart reviews of 50 veterans’ records. The data collected were analyzed using a specially designed quality improvement initiative assessment form developed …
Executive Summary: Executive Leadership System Improvement Workplace Violence, Mercedes Ivette Tejada
Executive Summary: Executive Leadership System Improvement Workplace Violence, Mercedes Ivette Tejada
Walden Dissertations and Doctoral Studies
Introduction This Doctor of Nursing Practice (DNP) Executive Leadership Project is focused on the reduction of workplace violence in a critical access hospital using an organized prevention program. Workplace violence in nursing is increasing, exposing the health of staff, patient safety, and quality of care in critical access hospitals. The question of the DNP project is: In nurses (P) in small critical access hospitals, how does implementing a structured workplace violence prevention program (I) compared to having no formal violence prevention strategy (C) impact the occurrence of workplace aggression and perceptions of safety among staff (O)? This practicum project used …
Pet Ownership And Health-Related Quality Of Life Among Middle-Aged Adults, Kristi Martin
Pet Ownership And Health-Related Quality Of Life Among Middle-Aged Adults, Kristi Martin
Walden Dissertations and Doctoral Studies
Pet ownership continues to be part of modern society in the United States. Researchers have explored pet ownership’s impact on chronic diseases and aging populations, but research on health-related quality of life is limited. Grounded in the socioecological model, this quantitative study analyzed data from the 2005-2006 National Health and Nutrition Examination Survey (N = 10,348) to investigate the impact of pet ownership on health-related quality of life among low-income adults aged 30-50 years. Chi-square tests were performed to analyze the associations between age, income, gender, and race with three health-related quality of life metrics. Results showed no statistically significant …
Preventing Psychotropic Medication Duplication: Improving Communication Between Primary Care And Psychiatric Providers, Linda Nwachuku
Preventing Psychotropic Medication Duplication: Improving Communication Between Primary Care And Psychiatric Providers, Linda Nwachuku
Walden Dissertations and Doctoral Studies
This project is an education-based initiative designed to address the persistent problem of psychotropic medication duplication in integrated care settings. Duplication occurs when patients receive multiple prescriptions of the same or similar psychotropic drugs. The practice gap exposes patients to adverse drug events, complications of polypharmacy, and reduced adherence, and subjects the providers to liability. The practice-focused question guiding this project is: For primary care and psychiatric providers, will an education program on structured communication and medication reconciliation, compared to current usual practices, increase provider confidence and awareness of the risks of duplication, communication strategies, and increased the use of …
Staff Education To Improve Nursing Knowledge On Fall Prevention, Mary Del Riffe
Staff Education To Improve Nursing Knowledge On Fall Prevention, Mary Del Riffe
Walden Dissertations and Doctoral Studies
Summary Falls in health care facilities constitute the most prevalent incidents among all safety-related mishaps. If unaddressed, falls can result in severe consequences and perhaps fatal outcomes for patients. The Doctor of Nursing practice (DNP) project was developed to address the issue of patient falls in a long-term acute care hospital (LTACH). The practice-focused question was: Will implementation of an educational evidence-based staff fall prevention program improve nurses’ knowledge on fall prevention? The 1-hour staff education program was created based on review of recent evidence. Twelve nurses attended the staff education program. A pre- and posttest were used to evaluate …