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Articles 1 - 17 of 17
Full-Text Articles in Medicine and Health Sciences
Patient Safety Culture And High Reliability Organizations, Jared D. Padgett
Patient Safety Culture And High Reliability Organizations, Jared D. Padgett
Walden Dissertations and Doctoral Studies
A 1999 evaluation of case studies performed by staff from the Institute of Medicine found that between 40,000 and 98,000 patients died from preventable errors, while 43,598 individuals died in car accidents that year. A 2011 report increased that estimate nearly 10 times. Widespread preventable patient harm still occurs despite an increase in healthcare regulations. High-reliability organization theory has contributed to improved safety and may potentially reverse this trend. This explorative single case study explored how the perceptions and experiences of nursing and respiratory staff affected the successful transition of a healthcare organization into a reliability-seeking organization. Fourteen participants from …
The Innovation Of Simulation Laboratories And The Novice Nurses In The Clinical Setting, Brenda Washington Moore
The Innovation Of Simulation Laboratories And The Novice Nurses In The Clinical Setting, Brenda Washington Moore
Walden Dissertations and Doctoral Studies
The push to generate professional nurses has raised questions about the competency level of the novice nurses that are entering the workforce. Utilization of simulation laboratories is being viewed as an option for bridging the gap for the shortage of nurses, nurse educators, and clinical sites. The theory of goal attainment was used to guide this project, which aimed to develop and validate an ER simulation scenario that mimics a clinical setting as a tool for measuring nursing skills. An additional purpose, to be accomplished after graduation, will be to implement a pilot project to determine the impact of the …
Healthy Work Environment Orientation Training And Psychiatric Nurse Retention, Lawanda Rollins
Healthy Work Environment Orientation Training And Psychiatric Nurse Retention, Lawanda Rollins
Walden Dissertations and Doctoral Studies
According to recent research, more than 75% of newly employed nurses leave employment within 6 months. Changes in organizational training programs are needed in order to improve psychiatric nurse retention, nationally and globally. A healthy work environment (HWE) has been described as an environment that includes mentoring for good communication skills; it is also one that explores collaborative strategies for safe practice; professional advancement; and empowerment through research, education, and skill development. Examination of the impact of this HWE psychiatric nurse orientation training program on nurse retention was done using Rogers' theory of diffusion. Study variables included the length of …
Developing A Lifestyle Modification Toolkit To Prevent And Manage Hypertension Among African American Women, Julia Ugochi Ugorji
Developing A Lifestyle Modification Toolkit To Prevent And Manage Hypertension Among African American Women, Julia Ugochi Ugorji
Walden Dissertations and Doctoral Studies
Hypertension is a global public health issue affecting many people in the United States. African American women remain the highest in percentage by race and ethnicity for developing hypertension with poor risk awareness. Hypertension has costly implications for the health care system. Through lifestyle modifications in the form of a nutrition plan called Dietary Approach to Stop Hypertension and increased physical activity, hypertension could be prevented. Among African Americans, the incidence of hypertension increases in their late thirties. The purpose of the project was to develop a toolkit of resources for African American women between the ages of 20 to …
Advanced Nurses' Perspectives On The Drug Addiction Treatment Act, 13 Years Later, Dorothy L. Were
Advanced Nurses' Perspectives On The Drug Addiction Treatment Act, 13 Years Later, Dorothy L. Were
Walden Dissertations and Doctoral Studies
The United States experiences opioid addiction at epidemic levels. In 2012, the National Institute of Drug Abuse reported that 23.1 million Americans were in need of addiction treatment services, although only 2.5 million were enrolled in treatment. Following an amendment to the Drug Addiction Treatment Act of 2000 (Public Law 106-310), advanced practice nurses were qualified as providers who could bridge the healthcare gap in treatment access. The purpose of this project was to determine the interest of advanced practice nurses in (a) prescribing buprenorphine and (b) establishing guidelines that would allow them to do so. This quantitative project used …
A Developmental Disabilities Program: A Proposed Education Program For Direct Support Professionals, Yurlene Sales Dela Cruz
A Developmental Disabilities Program: A Proposed Education Program For Direct Support Professionals, Yurlene Sales Dela Cruz
Walden Dissertations and Doctoral Studies
Nurses can play integral role in collaborating with community leaders and identifying health promotion strategies, such as physical activity and nutrition classes, for people with developmental disabilities (DD). This study identified a role that nurses can establish among Direct Support Professionals (DSPs) who serve important functions in the daily supervision and care of clients with DD. The data reviews from the archival results from Association of Individual Development Health Matters Assessment Reports in August 2012 and September 2013 indicated DSPs' need for further training in their roles as health instructors. The Health Matters Assessment Report in 2012 indicated low scores …
Preoperative Education Needs In Ear, Nose, & Throat Clinic: A Patient Perspective, Jonathan Edmun Ramos
Preoperative Education Needs In Ear, Nose, & Throat Clinic: A Patient Perspective, Jonathan Edmun Ramos
Walden Dissertations and Doctoral Studies
A medical center specializing in ear, nose, and throat (ENT) services noted an increase in the number of postoperative ENT complications compared to the national average. The purpose of this mixed-methods project study was to examine ENT patients' preoperative patient education (PPE) needs regarding postoperative care. Grounded in Knowles's model of learning, core adult learning principles were applied as guidelines in facilitating patients' PPE learning. Data were collected from 58 ENT patients who were selected using a convenience sampling method and who responded to a PPE survey using a 5-point Likert scale and open-ended questions. Quantitative data were analyzed using …
Increasing Hpv Vaccination Rates Among Adolescent Males: A Toolkit For Parents, Lance Everette Hadley
Increasing Hpv Vaccination Rates Among Adolescent Males: A Toolkit For Parents, Lance Everette Hadley
Walden Dissertations and Doctoral Studies
According to the Centers for Disease Control and Prevention (CDC), there are approximately 14 million new cases of HPV diagnosed each year (men and women combined). The rate of vaccine administration among adolescent males is much less than it is among females. As a result, the CDC has urged health care providers to work with state and local health care providers to improve the utilization of the HPV vaccine. The purpose of this scholarly project was to develop an educational toolkit, one guided by Ajzen and Fishbein's theory of reasoned action, regarding the value of the HPV vaccine. The toolkit …
Understanding Causes Of Attrition Of 1st- And 2nd-Year Nursing Students, Catherine Mary Griswold
Understanding Causes Of Attrition Of 1st- And 2nd-Year Nursing Students, Catherine Mary Griswold
Walden Dissertations and Doctoral Studies
Attrition of nursing students has a negative impact on students, university nursing programs, and the heath care community. At a local university, the nursing program and its stakeholders aspire to increase retention of nursing students in order to mitigate the nursing shortage projected over the next decade. The purpose of this study was to examine issues related to high attrition of 1st- and 2nd-year nursing students at a university located in the mid-Atlantic area of the United States. Tinto's model of retention was used as the foundation to explore variables affecting 1st- and 2nd-year nursing students who remained in (n …
African American Race And Culture And Patients' Perceptions Of Diabetes Health Education, Linda Marie Keenan
African American Race And Culture And Patients' Perceptions Of Diabetes Health Education, Linda Marie Keenan
Walden Dissertations and Doctoral Studies
African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the preferred educational content, layout of material, and methods for educational delivery and caregiver support. A purposive sample of …
Consequences For Nursing Graduates Of Failing The National Council Licensure Examination (Nclex), Julius Atemafac
Consequences For Nursing Graduates Of Failing The National Council Licensure Examination (Nclex), Julius Atemafac
Walden Dissertations and Doctoral Studies
Little information is available regarding the consequences of new nursing graduates who fail the National Council Licensure Examination for Registered Nurses (NCLEX-RN). The purpose of this study was to understand how these graduates could successfully pass this examination in subsequent attempts. Guided by Fisher's personal change model, the key research questions addressed the consequences of failing the NCLEX-RN exam and the actions the new graduate took after failing it. A phenomenological design was employed with a purposive sample of 17 new nursing graduates in the metropolitan area who had failed the NCLEX-RN. An inductive approach using a constant comparison, content …
Enhancing Nurses' Perceptions Of Patient Safety Culture Through The Just Culture Model, Aida Solomon
Enhancing Nurses' Perceptions Of Patient Safety Culture Through The Just Culture Model, Aida Solomon
Walden Dissertations and Doctoral Studies
An organizational culture of safety affects employees' attitudes, beliefs, perceptions, and values related to safe practice as well as their behaviors and level of engagement. The purpose of this project was to determine the influence of introducing the just culture model through staff engagement in an interactive workshop. A convenience sample of acute care staff were recruited for this 1-sample pretest and posttest project design. The Agency for Healthcare Research and Quality Hospital Survey on Patient Safety Culture instrument was used to measure safety culture perceptions on 7 dimensions pre and post intervention. For the theoretical framework, Ajzen's theory of …
Diminishing Incontinence In Long-Term Care Using Electronic Health Records, Catherine Rodgers
Diminishing Incontinence In Long-Term Care Using Electronic Health Records, Catherine Rodgers
Walden Dissertations and Doctoral Studies
Urinary incontinence affects up to 70% of residents living in a long-term care facility and can affect their quality of life. Specifically, urinary incontinence has a direct impact on older adults in regards to self-esteem, pressure ulcer development, falls, urinary tract infections, and psychosocial wellbeing. The goal of this quality improvement pilot project was to determine if an electronic health record (EHR) assessment tool could help older adults remain continent longer and assist in maintaining an independent lifestyle. Orem's self-care deficit theory and social cognitive theory were used to determine how the electronic health record incontinence template could be used …
The Effects Of Holistic Coping Strategies On Perceived Stress And Absenteeism In Hospital Nurses, Mary Alice Ayon
The Effects Of Holistic Coping Strategies On Perceived Stress And Absenteeism In Hospital Nurses, Mary Alice Ayon
Walden Dissertations and Doctoral Studies
The demanding work environments of professional nurses often contribute to high levels of stress that impact their professional practice and well-being. Although there is a significant amount of research regarding stress and absenteeism, a gap in the literature exists about the effects of holistic coping strategies on nurses' perceived stress and absenteeism. Based on the biopsychosocial model, the purpose of this quantitative study was to investigate effects of holistic coping strategies on perceived stress and absenteeism in 128 hospital nurses. An online cross-sectional survey design used the Perceived Stress Scale-10 to measure nurses' perceptions of stress. The independent grouping variable …
Decreasing Central Line Complications With A Dedicated Team Approach, Donna Degennaro
Decreasing Central Line Complications With A Dedicated Team Approach, Donna Degennaro
Walden Dissertations and Doctoral Studies
Central-line catheters save lives, but they can also bring about complications, such as hospital-acquired infections. The Institute of Healthcare Improvement has collected data indicating that using proper insertion techniques and maintenance care, known as "the bundle," can prevent bloodstream infections associated with central lines. Progress has been made toward that end: The bundle has been used in intensive care units in a variety of hospitals and reportable central-line infections have decreased by 38%. However, because infections continue to occur inside and outside intensive care units, more needs to be done to protect all patients from these deadly infections. The purpose …
Integration Of Technology Into A Nursing Curriculum Using A Mixed Method Approach, Susan Ramnarine-Singh
Integration Of Technology Into A Nursing Curriculum Using A Mixed Method Approach, Susan Ramnarine-Singh
Walden Dissertations and Doctoral Studies
In 2011, the Institute of Medicine and 2010 Affordable Care Act addressed the need to use technology in nursing programs. The purpose of this study was to understand faculty perceptions of technology use and integration into the nursing curriculum at a college located in Texas. Lewin’s change theory acted as the theoretical framework to explore organizational dynamics involved in effective strategies. The guiding research questions explored faculty perceptions of technology use, types of technology used, and correlation to teaching experience using a convergent mixed-method approach. Thirty faculty members completed the Teacher’s Intention to Use Technology survey and 15 faculty members …
Employing Provider Mentoring/Coaching To Improve Preventive Quality Ordering, Julie Knox-Woodward
Employing Provider Mentoring/Coaching To Improve Preventive Quality Ordering, Julie Knox-Woodward
Walden Dissertations and Doctoral Studies
Preventive quality ordering is a provider intervention aimed at disease prevention through the ordering of industry-recommended health maintenance tests. This pilot study evaluated the effectiveness of provider mentoring/coaching to improve preventive quality ordering using the 2014 Agency for Healthcare Research and Quality best practice preventive clinical services guidelines. Literature indicates provider inconsistency in preventive and quality ordering as the primary cause of disparate health outcomes. Guided by theories of modeling and role-modeling, as well as the theory of cognitive continuum, this pilot study offered provider mentoring/coaching to encourage timely preventative quality ordering. Routinely monitored historic provider practice patterns in a …