Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Nursing (18277)
- Public Health (11661)
- Social and Behavioral Sciences (8027)
- Medical Sciences (6036)
- Life Sciences (5999)
-
- Rehabilitation and Therapy (5653)
- Mental and Social Health (5411)
- Medical Specialties (5269)
- Psychology (3624)
- Diseases (3316)
- Public Health Education and Promotion (3214)
- Education (3055)
- Dentistry (2879)
- Communication Sciences and Disorders (2785)
- Occupational Therapy (2785)
- Psychiatry and Psychology (2489)
- Pharmacy and Pharmaceutical Sciences (2442)
- Physical Sciences and Mathematics (2123)
- Health and Medical Administration (2064)
- Physical Therapy (1895)
- Sports Sciences (1862)
- Arts and Humanities (1728)
- Epidemiology (1681)
- Psychiatric and Mental Health (1605)
- Sociology (1443)
- Other Nursing (1360)
- Analytical, Diagnostic and Therapeutic Techniques and Equipment (1349)
- Speech Pathology and Audiology (1340)
- Chemicals and Drugs (1335)
- Institution
-
- Walden University (5861)
- Chulalongkorn University (3086)
- University of Alabama at Birmingham (2578)
- University of Kentucky (2347)
- University of North Dakota (2233)
-
- Virginia Commonwealth University (1960)
- Loma Linda University (1868)
- The University of San Francisco (1468)
- The Texas Medical Center Library (1426)
- Western Michigan University (1287)
- University of South Florida (1199)
- Yale University (1183)
- University of Nevada, Las Vegas (1102)
- Loyola University Chicago (1079)
- University of Arkansas, Fayetteville (1051)
- University of Central Florida (1041)
- University of Nebraska Medical Center (1036)
- University of South Carolina (1006)
- Old Dominion University (981)
- Grand Valley State University (927)
- City University of New York (CUNY) (857)
- Philadelphia College of Osteopathic Medicine (844)
- Otterbein University (816)
- University of Louisville (777)
- Portland State University (768)
- University of San Diego (717)
- Edith Cowan University (692)
- East Tennessee State University (688)
- University of Tennessee Health Science Center (672)
- University of Mississippi (660)
- Keyword
-
- Nursing (1405)
- Doctor of Philosophy (PhD) Heersink School of Medicine (961)
- Education (956)
- Mental health (812)
- Depression (779)
-
- Obesity (688)
- Cancer (611)
- Diabetes (594)
- Occupational therapy (554)
- Anxiety (517)
- Stress (515)
- Health and environmental sciences (499)
- COVID-19 (475)
- Children (474)
- Exercise (427)
- Quality improvement (425)
- Health (421)
- Healthcare (416)
- Adolescents (380)
- Nutrition (379)
- Doctor of Science in Nursing (DSN) School of Nursing (378)
- Women (368)
- Nurse (353)
- Public health (348)
- Burnout (344)
- Communication (333)
- Pregnancy (324)
- Primary care (313)
- Mental Health (312)
- Physical activity (309)
- Publication Year
- Publication
-
- Walden Dissertations and Doctoral Studies (5856)
- Theses and Dissertations (4194)
- Chulalongkorn University Theses and Dissertations (Chula ETD) (3086)
- All ETDs from UAB (2525)
- Electronic Theses and Dissertations (2235)
-
- Dissertations (1899)
- Loma Linda University Electronic Theses, Dissertations & Projects (1807)
- Masters Theses (1476)
- Dissertations and Theses (Open Access) (1411)
- Doctor of Nursing Practice Projects (1324)
- USF Tampa Graduate Theses and Dissertations (1199)
- UNLV Theses, Dissertations, Professional Papers, and Capstones (1096)
- Master's Theses (1051)
- Honors Theses (1049)
- Master's Projects and Capstones (941)
- Physical Therapy Scholarly Projects (808)
- Dissertations and Theses (799)
- Yale Medicine Thesis Digital Library (785)
- Occupational Therapy Capstones (705)
- PCOM Physician Assistant Studies Student Scholarship (675)
- DNP Projects (670)
- Theses and Dissertations (ETD) (658)
- Theses & Dissertations (656)
- Doctoral Projects (607)
- Honors Undergraduate Theses (574)
- Theses (573)
- Nursing Student Class Projects (Formerly MSN) (522)
- Dissertations, Theses, and Capstone Projects (504)
- Theses and Dissertations--Public Health (M.P.H. & Dr.P.H.) (487)
- Graduate Theses and Dissertations (470)
- File Type
Articles 1651 - 1680 of 70714
Full-Text Articles in Medicine and Health Sciences
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 …
The Impact Of Simulation-Based Education On Novice Nurses’ Knowledge Of Pressure Injury Prevention, Michelle "Mikki" Cantu
The Impact Of Simulation-Based Education On Novice Nurses’ Knowledge Of Pressure Injury Prevention, Michelle "Mikki" Cantu
Doctor of Nursing Practice Projects
Hospital-acquired pressure injuries remain a significant patient safety concern in acute care settings despite the availability of evidence-based prevention guidelines. Novice nurses, who often have limited clinical experience and exposure to wound care education, may be less prepared to consistently identify risk factors, accurately stage pressure injuries, and implement appropriate preventive strategies. Simulation-based education offers an experiential learning approach that supports the translation of evidence-based knowledge into clinical practice. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate the effectiveness of simulation-based education in improving novice nurses’ knowledge of pressure injury identification and prevention. The …
Quality Improvement Project: Enhancing Self-Efficacy Through Inacsl Standards Training, Amy Bortner
Quality Improvement Project: Enhancing Self-Efficacy Through Inacsl Standards Training, Amy Bortner
Doctor of Nursing Practice Projects
Simulation-based education (SBE) is a widely used instructional strategy in nursing curricula; however, formal training for faculty and staff who implement it may be inconsistent or limited. Current literature supports the need for structured, evidence-based training to ensure effective use of simulation-based education and promote best practices in teaching and learning. The Doctor of Nursing Practice (DNP) project aims to improve perceptions and self-efficacy regarding the use of the International Nursing Association of Clinical Simulation and Learning (INACSL) standards, which guide simulation education. Driven by Kurt Lewin’s change theory and Jeffries Simulation Theory, twelve volunteers completed the Faculty Attitude and …
Quality Improvement Project: Provider Knowledge Improvement For Care Of The Severely Hypertensive Obstetric Patient, Victoria Abramowitz
Quality Improvement Project: Provider Knowledge Improvement For Care Of The Severely Hypertensive Obstetric Patient, Victoria Abramowitz
Doctor of Nursing Practice Projects
Gaps in confidence among emergency department (ED) and maternal child health services (MCHS) staff negatively impacts effectiveness and timeliness of response to high acuity obstetric emergencies, such as severe obstetric hypertension. The purpose of this quality improvement project was to evaluate the impact on provider self-efficacy with the implementation of evidence-based education and standardized procedures for severe obstetric hypertension management, aimed at evaluating the degree of success of increasing provider confidence. The project was guided by Lewin’s change theory and Donabedian’s structure-process-outcome theoretical framework. With a quasi-experimental design and the PDSA implementation framework, 20 staff from both the ED and …
Quality Improvement Project: Impact Of National Culturally And Linguistically Appropriate Services (Clas) Standards Education On Behavioral Health Providers’ Self-Efficacy, Zita Anigbou
Doctor of Nursing Practice Projects
Health disparities among culturally and linguistically diverse populations continue to negatively affect access to and quality of behavioral health care. Limited provider education on the National Culturally and Linguistically Appropriate Services (CLAS) Standards contributes to communication barriers, reduced therapeutic engagement, and lower provider confidence. The purpose of this quality improvement project was to evaluate the impact of evidence-based CLAS Standards education on behavioral health providers’ self-efficacy in delivering culturally and linguistically appropriate care. Guided by Lewin’s Change Theory and the Health Equity Implementation Framework, a quantitative pre-test–post-test quasi-experimental design was used. A convenience sample of three behavioral health nurse practitioners …
Implementation Of A Standardized Suicide Risk Screening Protocol Using The Columbia-Suicide Severity Rating Scale (C-Ssrs) In An Outpatient Mental Health Clinic, Kemisola Ebietomiye
Implementation Of A Standardized Suicide Risk Screening Protocol Using The Columbia-Suicide Severity Rating Scale (C-Ssrs) In An Outpatient Mental Health Clinic, Kemisola Ebietomiye
Doctor of Nursing Practice Projects
The outpatient mental health clinics across the United States lack consistent suicide risk assessment methods. This project developed standardized procedures which used Columbia-Suicide Severity Rating Scale (C-SSRS) assessment together with provider education and electronic health record systems to evaluate how these elements impacted provider self-efficacy and their ability to record screening results. The project used a pre-post design to examine (n=24) psychiatric providers at an urban outpatient clinic through the combined methods of Lewin's Change Theory and the Plan-Do-Study-Act framework. The General Self-Efficacy Scale measured provider self-efficacy, and structured EHR audits tracked documentation rates pre- and post-implementation over six weeks. …
Quality Improvement Project: Empowering Nurses And Medical Assistants To Improve Medication Adherence: A Screening-Based Quality Improvement Initiative, Maria Garcia
Doctor of Nursing Practice Projects
Medication nonadherence is a persistent challenge in clinical settings that negatively influences patient outcomes and is often driven by cost, access, and patient-related barriers, as widely documented in the literature. Nurses and medical assistants play a critical role in identifying these barriers; however, inconsistent screening and limited staff confidence may hinder intervention. The purpose of this quality improvement project was to evaluate the impact of implementing the Brief Medication Questionnaire (BMQ) on staff confidence in addressing medication adherence and to assess clinic-wide utilization of the tool. The project was guided by the Iowa Model of Evidence-Based Practice and Lewin’s Change …
Quality Improvement Project Standardizing Simulation In Nursing Education: A Faculty Training Initiative, Andrea Reyes
Quality Improvement Project Standardizing Simulation In Nursing Education: A Faculty Training Initiative, Andrea Reyes
Doctor of Nursing Practice Projects
Simulation-based education is essential in nursing programs as clinical placement opportunities decline. However, inconsistent faculty preparation can compromise the quality of simulation delivery. The purpose of this quality improvement project was to implement and evaluate a standardized simulation faculty training initiative to determine its impact on nursing faculty's confidence in simulation facilitation. Guided by the Jeffries Simulation Framework and Lewin’s Change Theory, a quasi-experimental pre-post design was used to examine changes in faculty confidence following participation in a training program aligned with national standards and guidelines. Faculty confidence was measured using the Simulation Educator Needs Assessment Tool (SENAT) administered pre- …
Improving Diabetes Care: Staff Training On Updated Ada Guidelines, Jeffrey Wilson
Improving Diabetes Care: Staff Training On Updated Ada Guidelines, Jeffrey Wilson
Doctor of Nursing Practice Projects
The incidence of diabetes is rising, requiring clinical staff to stay current with the American Diabetes Association (ADA) Standards of Care. A lack of knowledge and outdated practices were revealed during the needs assessment at the project site. This quality improvement (QI) project sought to determine whether ADA‑centered educational training could impact staff members' knowledge of diabetes. Orem’s Self‑Care Deficit Nursing Theory and Lewin’s Change Theory served as the theoretical frameworks to promote provider competence and adherence to evidence‑based diabetes treatment. Quasi‑experimental pre–post design was used with a convenience sample of four clinical staff at a rural outpatient clinic. Study …
Quality Improvement Project: Protecting Young Kidneys: Optimizing Albuminuria Management In Youth With Diabetes, Mili Vakharia
Quality Improvement Project: Protecting Young Kidneys: Optimizing Albuminuria Management In Youth With Diabetes, Mili Vakharia
Doctor of Nursing Practice Projects
Diabetic nephropathy is a major microvascular complication and the leading cause of chronic kidney disease (CKD) among individuals with diabetes. Children and adolescents with type 1 and type 2 diabetes face a higher risk of developing CKD earlier in life due to longer disease duration, poor glycemic control, and delayed CKD diagnosis. Guidelines emphasize timely detection and intervention to slow disease progression. Albuminuria is an early marker of glomerular injury and signals the need to initiate CKD treatment. Despite evidence supporting early detection and treatment, standardized management of albuminuria in pediatric diabetes care remains inconsistent. This Doctor of Nursing Practice …
Quality Improvement Project: Use Of The Behavioral Risk Assessment Tool To Enhance The Utilization Of The Behavioral Emergency Response Team, Joseph Sindhu
Doctor of Nursing Practice Projects
Workplace violence is a global challenge, and nurses often encounter patient aggression. The purpose of this quality improvement project was to enhance the use of a behavioral assessment tool derived from the Brøset Violence Checklist and the Behavioral Emergency Response Team (BERT) to de-escalate workplace violence. This project aimed to improve behavioral assessment documentation and BERT use in a critical care unit by 30% within 5 weeks. Guided by the Donabedian Model theoretical framework and Lewin's Change Theory, the project employed a quasi-experimental, pretest-posttest design in an advanced heart failure unit with full-time nurses as participants. The Plan-Do-Study-Act (PDSA) framework …
Standardizing Patient-Centered And Trauma-Informed Communication Practices Among Staff In A Behavioral Health Setting, Jayla Brown
Standardizing Patient-Centered And Trauma-Informed Communication Practices Among Staff In A Behavioral Health Setting, Jayla Brown
Doctor of Nursing Practice Projects
The purpose of this quality improvement project was to evaluate the effect of an evidence-based educational intervention on staff attitudes toward trauma-informed and patient-centered communication in an outpatient behavioral health clinic. Guided by Lewin’s Change Theory and Jean Watson’s Theory of Human Caring, the project aimed to improve staff knowledge, attitudes, and confidence in applying trauma-informed communication strategies across all clinic roles. An eight-week educational intervention based on the SAMHSA Trauma-Informed Care Toolkit was implemented for clinical and administrative staff. A quantitative pretest–posttest quasi-experimental design was used, with outcomes measured using an adapted Attitudes Related to Trauma-Informed Care scale. All …
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 …
Quality Improvement Project: Impact Of Mindfulness-Based Stress Reduction On Nurse Burnout In Skilled Nursing Facilities, Chinenye Okafor
Quality Improvement Project: Impact Of Mindfulness-Based Stress Reduction On Nurse Burnout In Skilled Nursing Facilities, Chinenye Okafor
Doctor of Nursing Practice Projects
Burnout is a persistent and critical problem in skilled nursing facilities, contributing to reduced job satisfaction, increased turnover, and compromised quality of care. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate the impact of a Mindfulness-Based Stress Reduction program on burnout among registered nurses in a skilled nursing facility. Guided by the Job Demands–Resources framework and Lewin’s Change Theory, a quantitative pretest–posttest design was implemented using the Plan–Do–Study–Act. Ten nurses consented to participate in an eight-week intervention, and four completed both pre- and post-intervention measures. Burnout was measured using the Maslach Burnout Inventory–Human Services …
Quality Improvement Project: Improving Pneumococcal Vaccination Rates Through Provider Education In Primary Care, Leikasha Allen
Quality Improvement Project: Improving Pneumococcal Vaccination Rates Through Provider Education In Primary Care, Leikasha Allen
Doctor of Nursing Practice Projects
Pneumococcal disease remains a major cause of illness and mortality among adults aged 65 years and older, leading to severe pneumonia, bacteremia, and meningitis, particularly in vulnerable populations. Although effective vaccines and clear Centers for Disease Control (CDC) and Advisory Committee Immunization Practice (ACIP) guidelines, vaccination in this age group remains inadequate. This Doctor of Nursing Practice (DNP) quality improvement project aimed to determine the impact of pneumococcal vaccination compliance through evaluating provider knowledge, confidence, and adherence to evidence-based guidelines through targeted education. Guided by Rogers’ Diffusion of Innovation Theory and the Health Belief Model, a 20-minute evidence‑based educational session …
Implementation Of A Mentoring Toolkit: A Quality Improvement Project, Joshlyn Neu
Implementation Of A Mentoring Toolkit: A Quality Improvement Project, Joshlyn Neu
Doctor of Nursing Practice Projects
Nursing faculty mentorship is an essential component of professional development, job satisfaction and faculty retention. However, many schools lack a structured approach to preparing their faculty members to act as mentors. This quality improvement project set out to determine whether the implementation of a formal mentoring toolkit would improve nursing faculty members perceived competency to act as mentors. Guided by Bandura’s Social Cognitive Theory (SCT), Lewin’s Change Theory, and the latest evidence-based research, this project sought to answer the following question: In full-time nursing faculty members teaching in a BSN program at a small, private college (P), how does the …
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.
Optimizing Patient Adherence Through Improved Technology-Based Communication By Enhancing Staff Efficiency At An Opiate Treatment Program Clinic, Jennifer Parsons
Optimizing Patient Adherence Through Improved Technology-Based Communication By Enhancing Staff Efficiency At An Opiate Treatment Program Clinic, Jennifer Parsons
Doctor of Nursing Practice Projects
High rates of missed appointments and unreliable follow-up remain a problem in outpatient opioid treatment clinics. This project improved the communication workflow at a methadone maintenance clinic by strengthening reminder systems and staff coordination. A needs assessment found several problems: appointment reminders were inconsistent, tracking was unreliable, and staff communication often relied on manual handoffs. The project was to test a technology-based workflow designed to improve staff communication and reduce missed appointments. The Technology Acceptance Model and Lewin’s Change Theory guided the change. The clinic implemented automated reminders, secure messaging, and clearer documentation to support daily communication. A pre-post evaluation …
Addressing Faculty Gaps In The Psychiatric Mental Health Nurse Practitioner Program, Shea Brock
Addressing Faculty Gaps In The Psychiatric Mental Health Nurse Practitioner Program, Shea Brock
Doctor of Nursing Practice Projects
Graduate nursing programs increasingly rely on adjunct faculty to sustain enrollment growth; however, inconsistent onboarding processes may contribute to variability in faculty preparedness and job satisfaction. The purpose of this quality improvement project was to implement a standardized adjunct faculty education program and evaluate its impact on adjunct faculty knowledge and job satisfaction within an online Psychiatric–Mental Health Nurse Practitioner (PMHNP) program. A quantitative, quasi-experimental one-group pre–post design was utilized. Six adjunct faculty members (n = 6) completed a 10-item EXXAT Knowledge Survey and a 10-item Faculty Satisfaction Survey before and after participation in a structured one-hour education session focused …
Quality Improvement Project: Integrating Modified Early Warning Score (Mews) Criteria Into A Local Community College's Nursing Curriculum, Breanna C. Bell
Quality Improvement Project: Integrating Modified Early Warning Score (Mews) Criteria Into A Local Community College's Nursing Curriculum, Breanna C. Bell
Doctor of Nursing Practice Projects
There is an international priority for early recognition of patient deterioration with adequate responses to facilitate patient safety. The modified early warning score (MEWS) tool is commonly used to identify and respond to acute patient deterioration, so it is effective to educate nursing students on its use to influence their future practice. However, there is a lack of a curriculum to integrate MEWS criteria for associate degree in nursing (ADN) students at a local community college. This quality improvement project aimed to enhance ADN faculty’s self-efficacy and ability to integrate MEWS criteria into the didactic curriculum at a community college …
Quality Improvement Project: Leveling Pharmacology: A Faculty Development Initiative, Allison Berg
Quality Improvement Project: Leveling Pharmacology: A Faculty Development Initiative, Allison Berg
Doctor of Nursing Practice Projects
The purpose of this Doctor of Nursing Practice (DNP) quality improvement project was to address limited faculty self-efficacy in developing higher-level, competency-based pharmacology questions for clinical quizzes within an Associate Degree in Nursing (ADN) program. A faculty needs assessment identified an overreliance on recall-based pharmacology assessments, contributing to gaps in students’ clinical reasoning and medication competency. Guided by Bandura’s Theory of Self-Efficacy and Lewin’s Change Theory, a structured faculty development session was implemented to improve faculty confidence and skills in writing application-based pharmacology questions. A pre- post intervention design was used with ADN faculty participants (N = 5) at a …
Improving Lunch Break To Enhance Nurse Happiness And Job Satisfaction, Evelyn O. Dumkwu
Improving Lunch Break To Enhance Nurse Happiness And Job Satisfaction, Evelyn O. Dumkwu
Doctor of Nursing Practice Projects
Nurses frequently forgo scheduled lunch breaks due to high workload demands, inadequate staffing, and organizational cultures. Consistently skipping breaks has been associated with reduced happiness and lower job satisfaction, which may ultimately compromise the quality of patient care. This quality improvement (QI) project examined whether the structured observance of scheduled lunch breaks enhances nurses’ subjective happiness and job satisfaction. Guided by Lewin’s Change Theory and the Donabedian Theoretical Framework and implemented using the Plan–Do–Study–Act (PDSA) framework, the project employed a quasi-experimental pre–post design during a six-week implementation period. Ten full-time nurses participated in the project. Investigator-designed Subjective Happiness and Job …
Quality Improvement Project: Effectiveness Of Staff Education On Fall Prevention, Theresa Oahre Okoyomo
Quality Improvement Project: Effectiveness Of Staff Education On Fall Prevention, Theresa Oahre Okoyomo
Doctor of Nursing Practice Projects
Falls increase injury and mortality rates and decrease patients' quality of life. Hospital falls also incur enormous financial burdens on hospitals. In 2008, the Centers for Medicare & Medicaid Services (CMS) stopped reimbursing hospitals for fall-related injuries. The problem addressed in this quality improvement project was staff confidence in fall prevention and hospital fall rates. The purpose is to improve staff confidence and reduce fall rates by 95 % within six weeks. The 2025 CDC/STEADI Algorithm for Fall Risk Screening, Assessment, and Intervention was the program of choice because it aligns with the hospital's fall-prevention policy. This project design is …
From Waitlist To Activation: Exploring Patient Barriers And Team Interactions In Kidney Transplant Readiness, Judith I. Eguzoikpe
From Waitlist To Activation: Exploring Patient Barriers And Team Interactions In Kidney Transplant Readiness, Judith I. Eguzoikpe
Harrisburg University Dissertations and Theses
Kidney transplant candidates frequently experience prolonged inactive waitlist status due to incomplete readiness requirements, yet limited understanding exists regarding how patient barriers and team interactions intersect to influence activation timelines. This transcendental-phenomenological study explored how patient barriers and team dynamics contribute to delays in kidney transplant readiness, guided by Team Theory. Semi-structured interviews were conducted with 16 participants (8 patients, 8 healthcare professionals) between December 2025 and February 2026. Data were analyzed using systematic phenomenological methods to identify patterns that address patient barriers, team interaction effects, and the teamwork improvements needed for earlier activation. Five interconnected themes emerged: Navigating a …
Improving Stakeholder Communications Practices: A Quantitative Study On The Relational Communication Between Clinical Research Coordinators And Research, Oreofeoluwa F. Adeniji
Improving Stakeholder Communications Practices: A Quantitative Study On The Relational Communication Between Clinical Research Coordinators And Research, Oreofeoluwa F. Adeniji
Harrisburg University Dissertations and Theses
Communication plays an essential part in the responsibilities of the clinical research coordinator’s position. Challenges in communicating with stakeholders during clinical trials can disrupt the study timeline, its outcomes, and the success of the trial. Clinical research coordinators often experience these challenges when interacting with internal stakeholders, such as principal investigators, and external stakeholders, including sponsors. This quantitative correlational study will examine whether clinical research coordinators can utilize project management communication practices to improve their stakeholder interactions. Data from 32 clinical research coordinators will be collected using SurveyMonkey and analyzed. The study results will fill gaps in the literature on …