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Full-Text Articles in Medicine and Health Sciences
Clinical Practice Guideline On Suicide Prevention Among Adolescents, Beltta Gangwab Tachi
Clinical Practice Guideline On Suicide Prevention Among Adolescents, Beltta Gangwab Tachi
Walden Dissertations and Doctoral Studies
AbstractIncreasing rates of suicide among adolescents in the United States is an unsettling problem whereby suicide is the second leading cause of mortality among adolescents. Although interventions exist to address this problem, there is a lack of clinical practice guidelines (CPGs) to assist healthcare providers to identify and prevent adolescent suicide. Guided by the zero-suicide model, the purpose of this project was to develop a CPG to address this gap in practice. A literature review on adolescent suicide prevention resulted in 24 peer-reviewed articles published in the past 5 years that were graded and arranged in a literature matrix. These …
Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery
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 …
Increasing Fall Awareness Through Nursing Staff Education, Evelyn Ahiante Dennis
Increasing Fall Awareness Through Nursing Staff Education, Evelyn Ahiante Dennis
Walden Dissertations and Doctoral Studies
Patient falls are a significant healthcare concern, with the highest risk being among older adults aged 65 and older. A lack of nursing knowledge can contribute to patient falls. This DNP project was conducted in the medical-surgical trauma unit of a 137-bed local rehabilitation center in Northern Georgia. The intention of the project was to understand if a nursing staff education program would increase knowledge regarding falls prevention. Kurt Lewin’s change theory provided the framework for the project. The project participants were nine medical surgical nurses. Using the analysis, design, development, implementation (ADDIE) model, a falls prevention education program was …
Stroke Prevention Through Education, Laura Lee Ballance
Stroke Prevention Through Education, Laura Lee Ballance
Walden Dissertations and Doctoral Studies
AbstractThis project focused on two concepts: a need for a stroke prevention program and what should be included. The problem with early identification of stroke is not formally addressed at the project site, physician’s office. A physician’s office can play a beginning key role in minimizing the risk of stroke. The purpose of this project was to explore the evidence to support the need for and to determine ideal content for a stroke prevention education program. This program focused on early detection and identification of risk factors to prevent stroke occurrence. The theoretical framework of Pender’s health promotion model aligns …
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 …
Nursing Knowledge On Pressure Injury Prevention In The Intensive Care Unit, Yanick Jacob
Nursing Knowledge On Pressure Injury Prevention In The Intensive Care Unit, Yanick Jacob
Walden Dissertations and Doctoral Studies
Over 60,000 hospital patients die each year from complications associated with hospital-acquired pressure injuries (HAPIs). Pressure-injury rates have increased by 2% within the past decade as life expectancy has also increased due to high cost in Medicare. Evidence shows that the incidence of pressure injuries (PIs) in healthcare facilities is increasing, with high rates of occurrence in intensive care units (ICUs). At the clinical site for which this project was developed, multiple in-services had been provided to staff regarding PIs, but uncertainty persisted about how knowledgeable the nurses were. This project, using the Academic Center for Evidence Star Model of …
Reducing Falls In The Vulnerable Elderly: Implementing An Inpatient Fall Prevention Program, Bibi Farida Khan
Reducing Falls In The Vulnerable Elderly: Implementing An Inpatient Fall Prevention Program, Bibi Farida Khan
Walden Dissertations and Doctoral Studies
Inpatient falls are a leading cause of fatal and serious injuries among hospitalized elderly patients, often with devastating consequences. This quality improvement project was conducted on a geriatric unit in a large southeastern U. S. hospital, following recognition of an increase in the number of falls with several sustained injuries. After an analysis of the previous fall prevention strategies, a panel of stakeholders who formed a falls prevention committee determined that implementing an evidence-based fall risk assessment tool to help identify risk factors, as well as implementing interventions to address those risk factors, would make fall prevention more patient specific …
Prevention And Management Of Aggression And Violence In Mental Health Settings, Margaret Arotimi
Prevention And Management Of Aggression And Violence In Mental Health Settings, Margaret Arotimi
Walden Dissertations and Doctoral Studies
Aggression and violence in healthcare settings can lead to severe psychological, physical, and economic consequences for the victims, institutions, and society in general. Empirical evidence indicated that patient-initiated physical and verbal aggression is a longstanding problem affecting nurses working in psychiatric hospital settings. At the project site, approximately 88% of the staff members reported having been assaulted by mental health patients in the admission units at some point in the provision of care between 2015 and 2017. The purpose of this project was to develop an educational program for nurses at the site to use as preventive strategies in managing …
Reducing Child Maltreatment Through Prevention, Chantel Marie Eckert
Reducing Child Maltreatment Through Prevention, Chantel Marie Eckert
Walden Dissertations and Doctoral Studies
Child maltreatment is a public health problem directly linked to poor outcomes across the lifespan, including chronic health conditions and even death. The local population served by the agency in which the project took place experienced an increase in reports of child maltreatment. Agency leadership identified deficiencies in parental knowledge about positive parenting practices as a contributing factor to the problem. To address the problem, the agency implemented a quality improvement evidence-based home visiting pilot initiative. The evaluation of that initiative was the purpose of this project. Bandura's social cognitive learning theory provided the theoretical framework for the project, and …
Reducing Fall Recurrence In Institutionalized Elderly Residents On Narcotics, Paul Niyungeko
Reducing Fall Recurrence In Institutionalized Elderly Residents On Narcotics, Paul Niyungeko
Walden Dissertations and Doctoral Studies
Falls constitute a health care safety concern, specifically among the geriatric population institutionalized in health care facilities. From the pattern of observed falls at the project site, a discrepancy between fall prevention measures and expected outcomes was noted. Knowledge deficiency, inadequate practice skills, and insufficient organizational support were found to be the major obstacles to improving fall prevention. The purpose of this systematic literature review project was to identify evidence-based actions to reduce falls. The project was guided by Taylor's personality theory and Watson's theory of care. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses method was used to …
Improving The Care Of Patients With Urinary Catheters Through A Quality Improvement, Ashley Nicole Holmstrom
Improving The Care Of Patients With Urinary Catheters Through A Quality Improvement, Ashley Nicole Holmstrom
Walden Dissertations and Doctoral Studies
Catheter-associated urinary tract infections (CAUTI) significantly increases patient morbidity and mortality, length of stay, and organizational cost. In the 2 years prior to project implementation, the incidence of CAUTI increased by 15% in the local acute care, inpatient facility that served as the project site. Nursing leaders at the project site linked the increase in CAUTIs to a nursing knowledge deficit related to CAUTI prevention principles. The clinical question focused on the impact of CAUTI prevention staff training on the incidence of CAUTI, length of stay, and cost to the local acute care organization. After a review and critical appraisal …
Increasing The Value Of Medicare Annual Wellness Visits For Patients And Providers, Stephanie Hope Turner
Increasing The Value Of Medicare Annual Wellness Visits For Patients And Providers, Stephanie Hope Turner
Walden Dissertations and Doctoral Studies
The Medicare Annual Wellness Visit (AWV) has been available to Medicare beneficiaries since 2005; however, most eligible individuals have not taken advantage of this benefit. The literature supports that patients are willing to schedule and complete an AWV if urged to do so by their primary care provider; however, providers are reluctant to advise patients to pursue the AWV due to the lack of perceived value and overall health benefit. The integrative theory of health behavior change was used as the theoretical framework for the project. By increasing patient self-management skills through education, engagement, and support, the project was designed …
Fall Reduction Among The Geriatric Population In Assisted Living Facilities, Marylyn A. Hagerty
Fall Reduction Among The Geriatric Population In Assisted Living Facilities, Marylyn A. Hagerty
Walden Dissertations and Doctoral Studies
Incidents of falls among the elderly increase with age. About $31 million is spent annually in the United States on medical costs related to fall injuries in the elderly. This project evaluated the outcomes of a fall reduction program implemented in an assisted living facility (ALF). The Stop Elderly Accidents, Death & Injury program developed by the Centers for Disease Control and Prevention was implemented by the ALF for 60 days prior to the outcome evaluation project. The program included a convenience sample of 62 residents and involved medication evaluation, exercises, assistive devices, environmental risk reduction, and evaluation of blood …
A Nursing-Driven Pathway To Lung Cancer Screening; A Push For Prevention, Teresa Elizabeth Giamboy
A Nursing-Driven Pathway To Lung Cancer Screening; A Push For Prevention, Teresa Elizabeth Giamboy
Walden Dissertations and Doctoral Studies
Lung cancer affects many individuals each year and accounts for many deaths around the globe. Lung cancer screening is a preventative health measure that has the ability to detect lung cancer earlier. The purpose of this project was to focus on the education of nursing staff within a community health system, with subsequent implementation of an electronic health record clinical decision support system, to create a direct referral pathway to lung cancer screening, delivered through patient education. The concept of prevention was the framework for this project design, which was further organized around the plan-do-study -act model, while taking into …
Fall Prevention In A Neurological Care Unit, Claudeth Jeffrey
Fall Prevention In A Neurological Care Unit, Claudeth Jeffrey
Walden Dissertations and Doctoral Studies
Patient falls are an ongoing concern for health systems in the US and in the setting where this project took place. Inpatient falls affect consumers and health providers because falls often result in patient morbidity and mortality, legal risk, increased length of stay, and increased costs. The purpose of this project was to evaluate the existing fall prevention protocol at the site where this project took place and to make recommendations for an evidenced-based fall prevention protocol. The professional practice model was the conceptual model that guided the exploratory descriptive project. A review of the site's fall prevention policies and …
Caring For Patients With Delirium In The Intensive Care Unit, Susan Archer
Caring For Patients With Delirium In The Intensive Care Unit, Susan Archer
Walden Dissertations and Doctoral Studies
Patients in hospital intensive care units are at increased risk to develop delirium, a condition which is characterized by a disturbance of consciousness and a change in cognition. Critical care nurses must have the knowledge to assess, recognize, and manage delirium. The purpose of this project was to develop an evidence-based policy for the assessment of delirium and a comprehensive nursing education plan which included an analysis and synthesis of the literature, a curriculum plan, and a pretest/posttest. The Johns Hopkins Evidence-Based Practice Model framed the project, which used a multidisciplinary team approach. Two nursing leaders, each with a doctor …
Bone Health Education For Osteoporosis Risk Reduction In Premenopausal Women: A Quality Improvement Project, Gloria Nichols Nichols
Bone Health Education For Osteoporosis Risk Reduction In Premenopausal Women: A Quality Improvement Project, Gloria Nichols Nichols
Walden Dissertations and Doctoral Studies
In the United States, about 8.5 million women live with osteoporosis. Osteoporosis is a debilitating systemic skeletal disorder characterized by low bone mass and reduced bone mineral density that occurs with the loss of estrogen. The mortality rate for this group is about 3 to 4 times higher than other women and as many as 1 in 3 experience a fracture. Guided by the Health Belief Model, this project evaluated how a bone health fact sheet impacts knowledge about osteoporosis and self-efficacy for preventative behavioral change in premenopausal women (age 40-58 years). The project also evaluated if an electronic medical …
Effects Of Education On Pressure Ulcer Prevention In Developmentally Disabled Individuals, Jasneth M. James
Effects Of Education On Pressure Ulcer Prevention In Developmentally Disabled Individuals, Jasneth M. James
Walden Dissertations and Doctoral Studies
Pressure ulcers were a continuing concern among the nonverbal developmentally disabled population of a state institution. The lengthy use of wheelchairs, the inability to body shift, and physical and mental impairment were attributes of the target population that have been cited in the literature as contributing to pressure ulcer. The purpose of this quasi-experimental pretest/posttest project was to evaluate the effectiveness of an education intervention for direct care staff on the prevention treatment, and eradication of pressure ulcers among patients with developmental disabilities. Orem's self-care deficit theory, particularly the emphasis on the need for nursing staff to perform self-care activities …
Ventilator-Associated Pneumonia Prevention Bundle, Patricia Cal
Ventilator-Associated Pneumonia Prevention Bundle, Patricia Cal
Walden Dissertations and Doctoral Studies
Ventilator-associated pneumonia (VAP) is a serious complication in critically ill patients; it can prolong intubation, increase intensive care unit and hospital length of stay, and increase mortality to twice the level of patients who do not develop VAP. The purpose of this project was to determine the effect of an evidence-based educational program to prevent VAP on ICU nurses' actual and documented practices for preventing VAP. The research questions addressed whether an educational program focused on VAP prevention will affect critical care nurses' compliance with a VAP prevention bundle, and whether the education will result in maintenance of a rate …
Impact And Prevention Of Psychiatric Polypharmacy In The Elderly, Rose Cordelia E Onyekwe
Impact And Prevention Of Psychiatric Polypharmacy In The Elderly, Rose Cordelia E Onyekwe
Walden Dissertations and Doctoral Studies
Adequate medication management is a focus of effective care that is often overlooked in caring for adults with comorbid psychiatric and physical conditions, especially in patients who are treated by multiple care providers and have a variety of health issues at the same time. The purpose of this project was to develop evidence-based policies and practice guidelines to reduce polypharmacy in elderly patients in a rural outpatient psychiatric clinic. Bandura's self-efficacy theory was used to inform the project for its value in assessing motivation, capacity for self-regulation, and perceptions of individual ability. An interdisciplinary team of stakeholders explored best practices …