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Articles 1081 - 1110 of 2632

Full-Text Articles in Nursing

An Educational Program For Nurses To Incorporate Spiritual Care Into Clinical Practice, Alicia J. Thomas Jan 2022

An Educational Program For Nurses To Incorporate Spiritual Care Into Clinical Practice, Alicia J. Thomas

Walden Dissertations and Doctoral Studies

Spiritual well-being is associated with several positive outcomes, including a greater tolerance of the emotional and physical demands of illness. Spiritual care is a basic element of holistic nursing, yet nurses generally lack spiritual care knowledge and abilities and are often unable to satisfy patients’ spiritual care needs. Therefore, nurses are in urgent need of relevant training to enhance their abilities to provide patients with spiritual care. Evidence-based education was lacking at the project site, a privately owned long-term care facility. Primary care attention was focused on the patients’ physical care; however, insufficient attention was being paid to spiritual care, …

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Systematic Literature Review Of Residency Program For Transition To Intensive Care, Sonja Marguerite Thornton Jan 2022

Systematic Literature Review Of Residency Program For Transition To Intensive Care, Sonja Marguerite Thornton

Walden Dissertations and Doctoral Studies

The purpose of the systematic literature review project is to present the benefits of a nurse residency program (NRP) to assist new graduate nurses (NGNs) in transition to intensive care nursing. A theory-to-practice gap in knowledge and experience results in the need to support these nurses during their transition to professional practice. This project focused on compiling a systematic review of existing literature to provide evidence and insights into the optimal structure and process of transitioning new graduate nurses to intensive care nursing practice. The American Associations of Critical Care Nurses synergy conceptual model and Patricia Benner's novice to expert …

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Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh Jan 2022

Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh

Walden Dissertations and Doctoral Studies

Hepatitis C virus (HCV) is found worldwide, but the burden is much higher in correctional settings compared to general populations. In a detention centered located in Washington, the nurses at booking do not know who are at risk for Hepatitis C. This Doctor of Nursing (DNP) project attempted to answer the question of if educating nursing staff at the detention facility in Washington increase their knowledge of the importance of screening inmates for hepatitis C.The purpose of this project was to educate nursing staff about the risk factors for HCV so that proper screening can be done. Knowles’s adult learning …

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Guidelines For Managing Dysautonomia Dysfunction, Angela Coleman Webb Jan 2022

Guidelines For Managing Dysautonomia Dysfunction, Angela Coleman Webb

Walden Dissertations and Doctoral Studies

Dysautonomia dysfunction (DD) is a disorder of the autonomic nervous system. Over 70 million people suffer from some type of DD, and the average length of time from symptoms to diagnosis is 6 years. Most facilities and providers choose not to treat DD due to the number of symptoms and the difficulty of being able to diagnose correctly. The purpose of this project study was to create guidelines for the diagnosis, treatment, and management of DD. The research question addressed the effectiveness of these guidelines to help nurses and providers caring for patients with DD provide better care. Watson’s theory …

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Novice Nurses’ Perceptions And Expectations Of What Constitutes Nursing Practice, Mcfrances Catherine George Jan 2022

Novice Nurses’ Perceptions And Expectations Of What Constitutes Nursing Practice, Mcfrances Catherine George

Walden Dissertations and Doctoral Studies

AbstractAfter completing preceptorship programs, novice nurses work independently to provide patient care at the bedside. Novice nurses may leave bedside nursing with a minimum of 1 year of experience, resulting in vacant bedside nurse positions. These vacant positions are a problem because this could lead to low patient satisfaction, higher patient mortality rates, and failure to rescue in emergent cases. The purpose of this study was to explore the perceptions and expectations of nursing practice related to performance, demands, and requirements from novice nurses. Afaf Meleis's 1960 transition theory guided the understanding of novice nurses' perceptions and expectations of nursing …

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A Quality Improvement Project On Increasing Hepatitis B Vaccination For Diabetic Patients, Ellen Musakwa Jan 2022

A Quality Improvement Project On Increasing Hepatitis B Vaccination For Diabetic Patients, Ellen Musakwa

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is characterized by high blood glucose levels (hyperglycemia) resulting in susceptibility to viral infections such as hepatitis B viral infections. The purpose of this doctoral quality improvement (QI) project was to train primary care providers (PCPs) and their medical assistants at the project site’s clinic on implementing the recommended Centers for Disease Control and Prevention (CDC) guidelines for hepatitis B vaccination with the aim of improving vaccination rates for diabetic patients 18 years and older. The first practice-focused question addressed the evidence-base supporting the QI training of PCPs to improve awareness on implementing the recommended CDC guidelines. The …

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Perceptions Of Associate Degree Nursing Faculty Of A Primary End-Of-Life Care Course Within Prelicensure Nursing Curricula, Katherine Zaharchuk Jan 2022

Perceptions Of Associate Degree Nursing Faculty Of A Primary End-Of-Life Care Course Within Prelicensure Nursing Curricula, Katherine Zaharchuk

Walden Dissertations and Doctoral Studies

AbstractThe responsibility for educating U.S. nursing students on end-of-life (EOL) care concepts lies with prelicensure nursing programs; however, the majority of all prelicensure nursing programs offer only a few lectures, and only a small percentage offer EOL and palliative care courses. The lack of education on EOL care results in greater stress for nurses, poor symptom management for patients, and reduced support for family caregivers. There is limited knowledge on why primary EOL education has not yet been adopted by many Associate Degree in Nursing (ADN) programs. The purpose of this qualitative study was to explore the perceptions of ADN …

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Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd Jan 2022

Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd

Walden Dissertations and Doctoral Studies

During the transition to practice, new graduate nurses (NGNs) face conflict and uncertainty influenced by lack of resiliency and self-care knowledge. In a rural hospital, NGNs had minimal standardized guidance during the transition to practice. Without a proper understanding of resiliency and self-care knowledge, NGNs could not adapt to change and risked leaving the profession or harming patients. A self-care staff education project was developed to improve knowledge of resiliency in a group of NGNs. Self-care deficit theory provided the framework for the project. Sources of evidence published between 2017 and 2022 were used as well as previously analyzed data …

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Staff Education For Implementation Of A Mobile Phone App For Diabetes Self-Management, Iheoma Christiana Madubuike Jan 2022

Staff Education For Implementation Of A Mobile Phone App For Diabetes Self-Management, Iheoma Christiana Madubuike

Walden Dissertations and Doctoral Studies

AbstractDiabetes is a global public health problem responsible for increased healthcare costs, altered quality of life, and significant morbidity and mortality. Mobile applications have become an effective lifestyle modification tool for ongoing individual diabetes monitoring and management; however, the project site had not been using this technology with their diabetes patients. Guided by the chronic care model, this staff education project explored the likelihood that clinicians in a family practice group in the Southeast region of the United States would implement a mobile application for their patients following an evidence-based education session. The staff education project was developed using evidence …

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Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin Jan 2022

Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin

Walden Dissertations and Doctoral Studies

Blood-borne pathogens (BBPs) are an occupational risk confronted by many health care workers. Nurses are routinely exposed to Hepatitis B, Hepatitis C, and human immunodeficiency virus. A literature review, which included retrieval of peer-reviewed quantitative articles, systematic reviews, and mixed-methods studies published between 2014 and 2021 supported the need for nurses to be knowledgeable about prevention of BBP exposures and the processes to follow after an incident. The project aimed to educate staff nurses on the best practices for preventing the risk for and transmission of BBPs. A pretest–education–posttest format was used to assess knowledge before and after the presentation …

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Therapeutic Music Effectiveness In Managing Anxiety And Depression Feelings In Cancer Patients, Aida L. Ramos Jan 2022

Therapeutic Music Effectiveness In Managing Anxiety And Depression Feelings In Cancer Patients, Aida L. Ramos

Walden Dissertations and Doctoral Studies

AbstractWith the emergence of advances in health care technology, increased life expectancy has exacerbated the manifestation of chronic disease states such as cancer. The side effects of cancer treatments can lead to feelings of depression and anxiety, which can be as devastating as disease process. Many studies have provided evidence supporting the practice problem, therapeutic music effectiveness in managing anxiety and depression feelings in cancer patients. Available pharmacological treatments may result in additional side effects that may outweigh the benefits of their use. Current systematic reviews of literature demonstrating the effectiveness of therapeutic music use as a non-pharmacological thera-peutic adjunct …

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End-Of-Life Care For African Americans: A Staff Education Project, Oneika Natasha Rigby-Britton Jan 2022

End-Of-Life Care For African Americans: A Staff Education Project, Oneika Natasha Rigby-Britton

Walden Dissertations and Doctoral Studies

Increased knowledge is needed among long-term care facility staff members regarding end-of-life care services. There is a gap in staff knowledge regarding how to initiate education about these care services with patients and family members and how these services impact patient care and health outcomes, especially among the African American residents in long-term care facilities. The practice-focused question addressed in this project was whether staff education increased the staff members’ knowledge about end-of-life care and how to initiate conversations with African American patients and families on available services. The development of this staff education project used Roger’s diffusion of innovation …

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Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli Jan 2022

Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli

Walden Dissertations and Doctoral Studies

AbstractNurses who work in the critical care unit are more likely to experience work-related stress, fatigue, understaffing, undesirable performance outcomes, and compromised workplace safety than general care nurses. Nurse managers in these units possess insights into nurses' stress-inducing challenges, in addition to managerial and administrative perspectives. Yet there is a lack of available knowledge about the experiences of critical care nurse managers in addressing nurses' work-related stress. The purpose of this study was to explore critical care nurse managers’ experiences of potential strategies to effectively address work-related stress among nurses. The job-demand resource model was the theoretical framework for the …

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Nursing Staff Education On Depression And Screening In The Perinatal Period, Lenora Dianne Woolary Jan 2022

Nursing Staff Education On Depression And Screening In The Perinatal Period, Lenora Dianne Woolary

Walden Dissertations and Doctoral Studies

AbstractPerinatal depression is among the most common of mental illnesses a woman experiences during pregnancy and postpartum. Currently, in the Federally Qualified Health Center, patients are only screened at the postpartum visit while the evidence-based literature recommends screening in the prenatal period as well thus creating a gap in practice. The purpose of this project was to address this gap through the planning, implementation, and evaluation of a staff education project on perinatal depression and screening. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the project was guided by two questions: (a) What evidence in …

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Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates Jan 2022

Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates

Walden Dissertations and Doctoral Studies

The lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) population is at increased risk for depression, poor mental health outcomes, and higher instances of suicidality and reluctance to seek care for mental health issues in comparison to their non-LGBTQ+ peers. The identified gap in practice was the need for an evidence-based clinical practice guideline (CPG) for managing mild to moderate depressive disorder in the LGBTQ+ patient at a primary care clinic located in the southeastern United States. The purpose of this project was to develop a CPG to aid primary care providers in screening for, identifying, and managing mild to moderate …

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Teach-Back Program To Improve The Quality Of Patient Medication Education, Dawn Africa Jan 2022

Teach-Back Program To Improve The Quality Of Patient Medication Education, Dawn Africa

Walden Dissertations and Doctoral Studies

AbstractInstitutions are invested in improving healthcare providers’ ability to enhance the quality of patient teaching. The teach-back method provides tools and strategies for promoting patient-focused learning and has the potential to increase nurses’ conviction and confidence in teaching patients about their medications. Nurses are not routinely taught how to teach patients, and they usually lack confidence in teaching about medications. This project was developed using the Donabedian model of structure, process, and outcomes. Studies and journal articles were searched through a variety of libraries and online sources, including the internet, using various teach-back and patient literacy combinations of search terms, …

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Critical Care Nurses’ Experiences Of Compassion Satisfaction During A Pandemic, Michael W. Bailey Jan 2022

Critical Care Nurses’ Experiences Of Compassion Satisfaction During A Pandemic, Michael W. Bailey

Walden Dissertations and Doctoral Studies

Nursing shortages caused by burnout (BO) and compassion fatigue (CF) are a concern for nursing leaders in the United States. Researchers have discussed the mediating effect compassion satisfaction (CS) has on BO and CF in current studies; however, no qualitative studies have analyzed the experiences of nurses with CS. A combination of the compassion fatigue resilience model and Roy’s adaptation model were used to guide this study that examined critical care nurses’ lived experiences with CS during the COVID-19 pandemic. Convenience sampling was used to recruit the critical care nurses who participated in semistructured interviews. Data saturation was met after …

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Improving Medication Adherence For African American Patients With Hypertension, Kimberly Fitzgerald Jan 2022

Improving Medication Adherence For African American Patients With Hypertension, Kimberly Fitzgerald

Walden Dissertations and Doctoral Studies

Adherence to antihypertensive medications is essential for positive outcomes in treating hypertension (HTN). But the rate of nonadherence to antihypertensive medications among African Americans (AA) is low. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would assist in improving hypertensive medication adherence in the AA patient population as well as assess whether the CPG would be recommended by a team of content experts for use in their practice. The Hypertension Medication Adherence CPG incorporated the medication adherence model and the transtheoretical model to generate evidence-based interventions. Grading of Recommendations Assessment, Development, and Evaluation …

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Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater Jan 2022

Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater

Walden Dissertations and Doctoral Studies

Rural healthcare leader deficiency in implementing successful strategies to retain nurses can deleteriously impact the quality of patient care and impede the organization's financial performance. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore successful nurse retention strategies used by rural healthcare leaders. Data were collected from semistructured interviews with eight pastoral healthcare leaders in the eastern region of the United States who improved nurse retention and a review of relevant supporting documentation from company websites. Coding was used for data analysis and theme determination. Three themes emerged: effective nurse retention incentives, meaningful relationships …

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Education Of Staff On Promoting Yoga Activities In Women With Depression, Ahaoma Roselima Nnebedum Jan 2022

Education Of Staff On Promoting Yoga Activities In Women With Depression, Ahaoma Roselima Nnebedum

Walden Dissertations and Doctoral Studies

AbstractMajor depression is a serious global health issue and one of the most common mental health problems women face in the United States. The problem in this DNP project, Education of Staff on Promoting Yoga Activities in Women with Depression, was the lack of staff knowledge in using yoga activity to treat women with depression resulting in suboptimal care of women with depression. The DNP project questions were addressed by collecting evidence-based information from the literature to develop the education and to explore if the DNP project would improve the staff knowledge of yoga allowing for the application of the …

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Continuity Of Care In Crisis Stabilization Centers, Brian West-Pearson Jan 2022

Continuity Of Care In Crisis Stabilization Centers, Brian West-Pearson

Walden Dissertations and Doctoral Studies

AbstractCrisis stabilization centers (CSCs) were designed to provide individuals with substance use disorders (SUDs), the treatment they needed to get well, manage their addiction, and prevent future abuse of their substance of choice. Realizing these objectives requires proper patient referrals and assessment of the patient’s condition. The Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) assessment screening tool helps to provide critical health information about the patients that can help enhance continuity of care. The TAPS assessment tool included age, gender, substance use history, housing status, legal concerns, family support, employment status, education level, and medical and psychiatric status. …

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Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater Jan 2022

Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater

Walden Dissertations and Doctoral Studies

Rural healthcare leader deficiency in implementing successful strategies to retain nurses can deleteriously impact the quality of patient care and impede the organization's financial performance. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore successful nurse retention strategies used by rural healthcare leaders. Data were collected from semistructured interviews with eight pastoral healthcare leaders in the eastern region of the United States who improved nurse retention and a review of relevant supporting documentation from company websites. Coding was used for data analysis and theme determination. Three themes emerged: effective nurse retention incentives, meaningful relationships …

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Role Of Intravenous Access Support In Novice Nurses’ Job Satisfaction And Intent To Stay, Shaji Kurian Jan 2022

Role Of Intravenous Access Support In Novice Nurses’ Job Satisfaction And Intent To Stay, Shaji Kurian

Walden Dissertations and Doctoral Studies

The nursing shortage is a growing concern across the country, especially due to the Covid-19 pandemic. Novice nurse retention is essential to solving this national problem. The purpose of this study was to examine whether intravenous (IV) access support influences job satisfaction and retention among novice nurses to improve their retention. Herzberg’s two-factor theory guided this research; IV access support acts as the hygiene factor. The absence of IV access support can result in dissatisfaction among novice nurses, contributing to higher turnover rates. This quantitative nonexperimental causal-comparative research design utilized a nurse work satisfaction questionnaire and intent to stay scale …

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Advanced Practice Registered Nurses Expanding Treatment For Opioid Use Disorder With Buprenorphine, Toni Deniese Mason Jan 2022

Advanced Practice Registered Nurses Expanding Treatment For Opioid Use Disorder With Buprenorphine, Toni Deniese Mason

Walden Dissertations and Doctoral Studies

The practice problem this doctoral project addressed was the misuse of opiates and the alarming number of intentional and unintentional overdose deaths that occur yearly as a result. The practice-focused question was the following: Providing education on the use of the medication-assisted treatment (MAT) protocol to advanced practice registered nurses (APRNs) in this practice setting will increase both knowledge and confidence in using the MAT protocol? The health belief model and The Johns Hopkins nursing evidence-based practice model were used as the framework for this project. The health belief model was used to explain and predict an individual’s behavior surrounding …

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Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox Jan 2022

Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox

Walden Dissertations and Doctoral Studies

The population served by health care systems in the United States is widely diversified, which requires nurses to be culturally competent in their care practices. However, studies have shown that nurses do not consistently deliver culturally competent care. This basic qualitative study was designed to explore nurses’ perceptions of cultural competence at the bedside to understand what is needed to improve cultural competency practices. Campinha-Bacote’s conceptual framework for cultural competency was used to guide this study that included face-to-face, videoconference interviews using semi structured and open-ended questions from 13 voluntary, acute care bedside nurses. Interviews were audio recorded and uploaded …

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A Clinical Practice Guideline To Promote Medication Adherence Among Adult African Americans With Hypertension, Beatrice Chisara Ekechukwu Jan 2022

A Clinical Practice Guideline To Promote Medication Adherence Among Adult African Americans With Hypertension, Beatrice Chisara Ekechukwu

Walden Dissertations and Doctoral Studies

Medication nonadherence represents one of the major barriers to achieving optimal health, particularly for African Americans (AAs). Poor adherence to medications is a significant problem that can lead to increased morbidity, mortality, and health care costs. Clinical practice guidelines (CPGs) provide current, evidence-based interventions for changing health behaviors to improve medication adherence (MA). The purpose of this project was to develop an evidence-based patient education CPG to address MA among AA patients with hypertension (HTN). The project site was a medium-sized health care clinic in the South Central United States with a high rate of uncontrolled HTN among AA patients. …

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Retention Strategies For The Current Nursing Workforce, Jennifer Higgins Jan 2022

Retention Strategies For The Current Nursing Workforce, Jennifer Higgins

Walden Dissertations and Doctoral Studies

Retaining a robust nursing workforce is essential to care delivery. As the generation gap in the nursing field widens, retention strategies that align with the current nursing workforce must be considered. Rapid turnover is a looming concern as baby boomers retire and millennials become the leading generation in the nursing workforce. Nurse leaders must identify and deploy strategies that will provide a meaningful work environment to retain nurses in this majority group. The purpose of this project was to address the gap in practice of rising turnover, low nurse engagement, and reliance on premium labor to deliver care. The sources …

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Development Of A Basic Nursing Education Course For Psychiatric Nurses, Tasha M. Jones Jan 2022

Development Of A Basic Nursing Education Course For Psychiatric Nurses, Tasha M. Jones

Walden Dissertations and Doctoral Studies

" Abstract" Development of a Basic Nursing Education Course for Psychiatric NursesThe integration of psychiatric and medical services for psychiatric patients has been problematic for psychiatric nurses. This care integration problem revealed the lack of clinician education and training needed to meet the diverse needs of psychiatric patients. The lack of clinician education and training resulted in poor patient outcomes that can also have negative implications for nurses, families, organizations, and communities. Proper education and training were necessary to effectively care for psychiatric patients with common physical health conditions such as cardiac diseases and diabetes at the inpatient facility where …

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Family Presence During Cardiopulmonary Resuscitation: Clinical Practice Guidelines, Poonam Kalkat Jan 2022

Family Presence During Cardiopulmonary Resuscitation: Clinical Practice Guidelines, Poonam Kalkat

Walden Dissertations and Doctoral Studies

Healthcare providers can be skeptical if not resistant to patient-family centered care if standards of care are not written in a policy or guideline. The 2009 Emergency Nurses Association position statement supports giving families the option to be present during resuscitative measures to meet their emotional needs. However, healthcare organizations are frequently not implementing this statement into their practice. Based on peer-reviewed articles retrieved through an in-depth literature search and using the Appraisal of Guidelines for Research and Evaluation (AGREE) II model, the gap in practice was addressed by creating a clinical practice guideline (CPG). The practice-focused questions addressed what …

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Transition Of Expert Clinical Nurse To Novice Nursing Professional Development Practitioner, Lisa Marie Langdale Jan 2022

Transition Of Expert Clinical Nurse To Novice Nursing Professional Development Practitioner, Lisa Marie Langdale

Walden Dissertations and Doctoral Studies

Nursing professional development (NPD) is an evolving nursing specialty role that combines expertise in clinical nursing with ongoing education in acute care settings. A novice NPD practitioner may not understand the complexities, demands, and stressors that accompany a work role transition. This qualitative case study used thematic analysis and revealed four themes associated with the successful work role transition of an expert clinical nurse to the novice NPD practitioner. The conceptual framework guiding this study was Nicholson’s work role transitions theory. The first research question sought to determine the professional experiences of expert clinical nurses as they transition into the …

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