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Articles 751 - 780 of 2632
Full-Text Articles in Nursing
Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila
Staff Education To Improve Phq-9 Depression Screening In Primary Care, Adella Kweyila
Walden Dissertations and Doctoral Studies
The staff education project aimed to address the gap in practice regarding the use of the PHQ-9 depression screening tool in a primary care setting. The providers at the setting demonstrated variations in screening practices leading to potential missed opportunities for early depression identification and treatment. This Doctor of Nursing Practice project explored the question: “What is the effect of implementing a staff education program to improve staff knowledge to effectively implement changes that affect the use of the PHQ-9 screening tool to improve depression identification and treatment of adult patients in a primary care clinic?” This project aimed to …
Staff Education: Antihypertensive Medication Adherence In The Primary Care Clinic, Shannon Leigh Hilling
Staff Education: Antihypertensive Medication Adherence In The Primary Care Clinic, Shannon Leigh Hilling
Walden Dissertations and Doctoral Studies
I completed a staff education project in a primary care clinic focused on increasing staff knowledge of antihypertensive medication adherence. More than 1 in 3 adults in West Virginia (or 41% of the adult population in the state) has hypertension, which is equal to about 602,000 adults. The project question was developed to investigate the extent to which education on hypertensive medications will enhance staff knowledge and their ability to educate patients in the primary care clinic. The staff education project was implemented via PowerPoint, pre-/post education testing, and measurements using an online percentage gain calculator. Findings revealed an overall …
Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh
Promoting Consistency In Phq-9 Depression Screening For Young Adults In An Outpatient Mental Health Clinic., Abena V. Prempeh
Walden Dissertations and Doctoral Studies
This project aimed to improve the consistency of PHQ-9 depression screenings for young adults in an outpatient mental health clinic. Through the implementation of standardized protocols and staff training, the goal was to reduce variability in screening outcomes. The evaluation method of the project involved staff interviews, surveys, and comparing pretest and post-test results to measure staff knowledge and confidence improvements. The results showed that there were significant improvements in staff knowledge and confidence. This project highlights the importance of standardized procedures in improving mental health care for young adults.
Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike
Improving The Consistency And Accuracy Of Depression Screening Using The Phq-9 In A Behavioral Health Facility, Adaku Anike
Walden Dissertations and Doctoral Studies
Depression is one of the most common psychiatric illnesses and one of the main causes of disability globally. Currently, at behavioral care facility patients are not consistently screened during the initial and follow-up visits due to limited staff knowledge in using the Patient Health Questionnaire-9 (PHQ-9) screening tool. Evidence-based literature recommends depression screening be done at every initial and follow-up visit. The PHQ-9 tool is valid and reliable for identifying, diagnosing, and monitoring depression treatment outcomes. Inadequate use of the PHQ-9 tool can lead to several negative patient outcomes. The project practice-focused question was: Does comprehensive education increase the knowledge …
Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha
Enhancing Staff Impact On Medication Adherence In A Mental Health Outpatient Clinic, Uzoamaka Lynda Mbadugha
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project addressed the critical issue of medication nonadherence among mental health patients by implementing a staff education program at an outpatient clinic in the Mid-Atlantic region USA. The program focused on enhancing staff knowledge and confidence through training in psychoeducation, motivational interviewing, and multidisciplinary collaboration. Nonadherence often leads to relapse, hospitalization, and poor outcomes, compounded by a lack of structured interventions at the project site. Sixteen clinic staff members participated in biweekly training sessions over a one-month period. Pre- and post-training assessments revealed a 44.79% increase in staff knowledge and a 50% improvement in confidence …
An Educational Intervention Focused On The Care Of Older Adults, Michele Orzehoski
An Educational Intervention Focused On The Care Of Older Adults, Michele Orzehoski
Walden Dissertations and Doctoral Studies
It is estimated that by 2050, individuals ages 65 and older will comprise 20% of the U.S. population. Further, research has demonstrated that among these aging adults, 80% have one chronic condition with 77% having at least two chronic conditions. Given this, the Institute for Healthcare Improvement (IHI) developed the Age-Friendly Health System framework for the care of older adults centering on what matters, medication, mentation, and mobility, or the 4Ms. In the local organization, leadership determined there was a need for an older adult-centered care model given their population includes aging individuals. Thus, the purpose of this doctor of …
Awareness Of Sleep Health In A Military Treatment Facility, Cristina Brock De Jesus
Awareness Of Sleep Health In A Military Treatment Facility, Cristina Brock De Jesus
Walden Dissertations and Doctoral Studies
Sleep disturbances are reported in almost one-third of military personnel deployed in support of Overseas Contingency Operations (OCO), resulting in approximately 600,000 military personnel and veterans with clinically relevant sleep conditions (Mysliwiec et al., 2013). This study assesses how implementing staff education will increase awareness and impact patients' sleep health in an overseas treatment facility. The project demonstrated after implementing several staff education courses for the nursing personnel (n=22), knowledge and confidence improved by 33%. The initiative shows an enhanced staff understanding of sleep health, which impacts the recognition of sleep members with sleep-related concerns.
Nurse Educators’ Experiences With Medical Cannabis Education, Rachel Ann Parmelee
Nurse Educators’ Experiences With Medical Cannabis Education, Rachel Ann Parmelee
Walden Dissertations and Doctoral Studies
Medical cannabis is legal in more than half of the United States, and the National Council of State Boards of Nursing has provided guidelines indicating that nurses need to know about medical cannabis. However, most nurses report a lack of knowledge and education but believe that cannabis has therapeutic potential. The problem addressed in this study was the limited research on nurse educators’ experiences with medical cannabis education and its meaning for nursing education. The purpose of this hermeneutic phenomenological qualitative study, supported by an emergent framework, patterns of knowing, was to explore nurse educators’ experiences with medical cannabis education …
Impact Of Patient Psychoeducation On Medication Adherence In Bipolar Depression, Mary Nse Wellington
Impact Of Patient Psychoeducation On Medication Adherence In Bipolar Depression, Mary Nse Wellington
Walden Dissertations and Doctoral Studies
The quality improvement (QI) project targeted patients with bipolar depression, aged 20–50 years, in an outpatient mental health setting who had the problem of nonadherence to medication. Medication nonadherence is a major concern in nursing practice that impacts clinical effectiveness, overall treatment outcomes, and healthcare cost implications. The project evaluated whether the outcome, timely refill rates of prescription medication, was impacted by the psychoeducation that was conducted outside the scope of the project. The project question was, “What is the impact of patient psychoeducation to improve timely refill rates among patients with bipolar depression aged 20–50 years in an outpatient …
Educating Staff To Use The Teach-Back Method Towards Improving Adherence To Antipsychotic Medication, Elizabeth Adebayo
Educating Staff To Use The Teach-Back Method Towards Improving Adherence To Antipsychotic Medication, Elizabeth Adebayo
Walden Dissertations and Doctoral Studies
My goal for this staff education doctoral project was to improve adherence to antipsychotic medication among patients in a mental health facility through an education initiative for psychiatric intensive care unit staff focused on the teach-back method. The facility had reported a 20% increase in medication noncompliance among post-discharge patients within the past year, primarily attributed to nurses’ lack of adequate patient teaching strategies. I addressed the issue of effective patient education using the teach-back method in improving medication adherence in an inpatient mental health setting. Teaching objectives, content, and test questions were developed based on a substantial body of …
Simulation Education To Improve Confidence Levels In Using Alternative Methods Of Restraint With Children On An Inpatient Psychiatric Unit, Roshni Patel
Walden Dissertations and Doctoral Studies
Summary Seclusion and restraints, while sometimes necessary for patient and staff safety, can result in negative outcomes, including physical and psychological harm to patients. This doctoral project addressed the critical issue of improving inpatient nurses’ confidence in applying alternative methods to seclusion and restraints. These alternatives are essential in psychiatric and acute care settings to promote patient safety, reduce the use of coercive interventions, and support a more humane approach to patient care. The practice problem identified was a notable lack of confidence and knowledge among inpatient nurses regarding using these alternative methods, which led to overreliance on seclusion and …
An Educational Intervention To Increase Nurse Practitioners’ Knowledge And Awareness Of Polypharmacy, Kiana Piedrahita
An Educational Intervention To Increase Nurse Practitioners’ Knowledge And Awareness Of Polypharmacy, Kiana Piedrahita
Walden Dissertations and Doctoral Studies
The presence of multiple health problems can contribute to the simultaneous use of multiple medications by an individual, also known as polypharmacy. While polypharmacy can be necessary, it has the potential risk of adverse drug reactions and possible hospitalization. In the local organization, leadership noted that 47% of patients seen are elderly individuals who have multiple comorbidities, indicating the probable use of multiple medications. Thus, purpose of this Doctor of Nursing Practice project was to determine if an educational intervention focused on polypharmacy and the use of the electronic medical record to manage polypharmacy increased knowledge and awareness among nurse …
Neuroprotective Care And Painful Procedures, Jelda Frank
Neuroprotective Care And Painful Procedures, Jelda Frank
Walden Dissertations and Doctoral Studies
An inconsistent application of neuroprotective care provided by clinical staff, based on my observations, to minimize the negative effects of painful procedures that can negatively impact the neurodevelopment of neonates in the neonatal intensive care unit (NICU), was the identified practice problem for my Doctor of Nursing Practice (DNP) staff education project. Implementation of evidence-based neuroprotective and neuropromotive strategies aim to optimize outcomes for premature infants and minimize risk of potential negative effects to the neonate’s short and long term neurodevelopment. The DNP project practice-focused question addressed whether a presentation of an evidence-based educational program for NICU clinical staff would …
Clinical Practice Guideline: Shared Decision Making For Patients With Mental Health Disorders, Karen Rose Grant-Simmons
Clinical Practice Guideline: Shared Decision Making For Patients With Mental Health Disorders, Karen Rose Grant-Simmons
Walden Dissertations and Doctoral Studies
Summary This project was a clinical practice guideline (CPG) for practitioners who deliver healthcare services to patients living with mental health disorders. The practice problem addressed by this CPG was lack of mental health patient inclusion in terms of determining treatment plans of care. In back-to-back patient satisfaction surveys, patients indicated they would like to have more say in their treatment plans. The practice problem was important to increase patient input in clinical decision-making practices of practitioners. The project question was: Does evidence support development of a CPG for mental health patient-centered input regarding treatment plans of care that was …
Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub
Staff Education To Improve Antipsychotic Medication Adherence, Muhammad J. Matlub
Walden Dissertations and Doctoral Studies
This staff educational project addressed a gap in practice involving minimal nursing intervention to support antipsychotic medication adherence. Antipsychotic medication nonadherence results in undermanaged schizophrenia, which is associated with relapse psychotic episodes, suicidality, and violence. Therefore, the project’s purpose was to educate the providers on long-acting injectable (LAI) antipsychotic medication to facilitate the use of the medications to address antipsychotic medication nonadherence. Eight providers were involved in the educational intervention and were educated on the LAI antipsychotic treatment intervention through an interactive educational session. Knowledge surveys were administered before and after the educational intervention. The collected data were analyzed using …
Increasing Nursing Staff Knowledge On Medication Nonadherence Among Mental Health Patients, Princess Ndidi Amadi
Increasing Nursing Staff Knowledge On Medication Nonadherence Among Mental Health Patients, Princess Ndidi Amadi
Walden Dissertations and Doctoral Studies
Medication nonadherence is a challenge among patients with severe mental health disorders, increasing the patients’ risk for exacerbations of psychosis and relapse, which may result in hospital emergency room visits and hospital admissions. In patients with schizophrenia, major depressive disorders, and bipolar disorders, the mean medication nonadherence is 49%. While no single strategy works, a combination of behavioral and educational strategies has been shown to improve patient adherence to their medication regimen. The purpose of the Doctor of Nursing Practice project was to increase healthcare professionals’ knowledge of behavioral and educational strategies to improve medication adherence among patients with severe …
Educating Providers On Effective Prescribing Of Benzodiazepine, Juliana Nwakamma
Educating Providers On Effective Prescribing Of Benzodiazepine, Juliana Nwakamma
Walden Dissertations and Doctoral Studies
The goal of this initiative is to increase provider confidence, improve patient outcomes, and foster constructive societal change by teaching healthcare professionals how to prescribe benzodiazepines safely and effectively. Many doctors prescribe benzodiazepines to treat anxiety, sleeplessness, and seizures, but using them comes with serious hazards, such as dependence, withdrawal, and overdosing, particularly when taken with other drugs like opioids. Taking these concerns into consideration, my study intends to close gaps in prescribing practices by creating an evidence-based education program specifically designed for healthcare professionals. The course emphasizes effective prescribing techniques, methods for weaning chronic users, and benzodiazepine substitutes such …
Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede
Staff Education On The Rapid Mood Screener In An Outpatient Psychiatric Setting: Enhance Screening Practices, Yetunde Fakinlede
Walden Dissertations and Doctoral Studies
Summary The persistent misdiagnosis of bipolar disorder in this psychiatric practice was thought to be due to the provider's lack of knowledge and confidence in using assessment tools. Rapid Mood Screener (RMS) is a validated brief screening tool that differentiates between bipolar disorder and unipolar depression. In this project, I educated outpatient psychiatric nurse practitioners and staff in using RMS. The project practice-focused question was: Will an educational intervention improve the knowledge and self-efficacy of the outpatient mental health providers and staff regarding using Rapid Mood Screener? I followed the ADDIE framework and incorporated Knowles' adult learning theory for the …
Staff Education To Increase Knowledge And Awareness Of Hand Hygiene, Karamjeet Kaur
Staff Education To Increase Knowledge And Awareness Of Hand Hygiene, Karamjeet Kaur
Walden Dissertations and Doctoral Studies
Hospital-acquired infections (HAIs) are a significant concern in healthcare, contributing to increased morbidity, mortality, and healthcare costs. Despite the effectiveness of hand hygiene in preventing HAIs, compliance among healthcare providers remains suboptimal. This Doctor of Nursing Practice (DNP) project aimed to evaluate whether an educational intervention could improve healthcare professionals’ knowledge and awareness of hand hygiene practices in a clinical setting. A convenience sample of 11 participants attended a 10-day educational intervention. Participants completed pretests and posttests to measure knowledge and awareness. The mean pretest score for knowledge was 8.73 (SD = 1.19), while the mean posttest score was 10.00 …
Early Recognition And Management Of Aggressive Behaviors In Delirium, Melissa Dawn Martin
Early Recognition And Management Of Aggressive Behaviors In Delirium, Melissa Dawn Martin
Walden Dissertations and Doctoral Studies
Patients experiencing delirium are challenging for nurses, especially when aggressive behavior is also present. Nurses from all specialties have the potential to encounter patients who have or develop delirium during their hospitalization, particularly in the intensive care unit. Nurses may lack the experience needed to recognize impending aggression which often presents as subtle cognitive changes or do not know the proper way to manage these types of patients. This makes standardized guidelines crucial for the safety of both the nurse and the patient. This project addresses that practice gap through developing an evidence-based clinical practice guideline (CPG) that will help …
Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye
Staff Education Presentation: Addressing Polypharmacy As A Risk Factor For Falls Among Older Adults With Psychiatric Disorders, Yetunde E. Adegoroye
Walden Dissertations and Doctoral Studies
The focus of this doctoral project was to address the practice problem of polypharmacy and its association with falls among older adults with psychiatric conditions. The existing evidence shows that polypharmacy, which is defined as the concurrent use of five or more medications, increases the risk of falls, which leads to hospitalization, higher healthcare costs, and reduced quality of life (Varghese et al., 2024). Within the practice setting, it is Crucial to manage polypharmacy to enhance patient safety. The purpose of this project was to enhance medical staff knowledge regarding effective evidence-based strategies for reducing polypharmacy, through an educational presentation. …
Psychoeducation On Addiction For Healthcare Providers, Lovester Duncan
Psychoeducation On Addiction For Healthcare Providers, Lovester Duncan
Walden Dissertations and Doctoral Studies
Summary Walden University College of Nursing This is to certify that the doctoral study by Lovester Duncan has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Kristina Bohm, Committee Chairperson, Nursing Faculty Dr. Mary Martin, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The DNP project aimed to increase healthcare providers’ knowledge, awareness, and comfort with prescribing medication-Assisted Treatments (MATs). Inadequate treatment and higher overdose and death risks result from providers lacking experience with …
Staff Education: Improving Nursing Knowledge On Patient Medication Adherence Strategies Using Teach-Back, Janie Fleming
Staff Education: Improving Nursing Knowledge On Patient Medication Adherence Strategies Using Teach-Back, Janie Fleming
Walden Dissertations and Doctoral Studies
A staff education program was implemented for this Doctor of Nursing Practice project to improve nursing knowledge of the teach-back method. The identified practice problem was inadequate nurse-patient communication, which contributes to low patient comprehension, poor adherence to medication regimens, and suboptimal health outcomes. The practice-focused question guiding the project was, “Does an educational program on the teach-back method for patient medication adherence improve nursing knowledge as compared pre to post education?” The purpose of the project was to enhance nurses’ knowledge and skills regarding the teach-back method to improve patient communication, ultimately leading to better patient adherence and outcomes. …
Staff Education For Identifying And Screening Of Depression Using An Appropriate Tool In The Crisis Stabilization Unit, Esther Chiedu
Staff Education For Identifying And Screening Of Depression Using An Appropriate Tool In The Crisis Stabilization Unit, Esther Chiedu
Walden Dissertations and Doctoral Studies
Executive Summary: Staff Education Project Staff Education for Identifying and Screening of Depression Using an Appropriate Tool In the Crisis Stabilization Unit by Esther Chiedu MS, Walden University, 2023. BS, Madonna University, 2010. Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice. Walden University November 2024
Staff Education On Antihypertensive Medication Compliance Post-Stroke, Ernestina Serwaa Bonsu
Staff Education On Antihypertensive Medication Compliance Post-Stroke, Ernestina Serwaa Bonsu
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project was staff education to address the practice problem of staff knowledge deficit related to hypertensive medications compliance for post-stroke patients. The practice question was: Will staff education on antihypertensive medication compliance enhance nursing staff knowledge? It is essential to address the practice problem and question within the context of nursing practice because studies have shown that targeted nursing education promotes patient adherence. Participants were 42 nurses from neurology units who were evaluated before and after face-to-face education sessions. Nurses completed a pre-education survey questionnaire first, followed by education sessions and a post-education survey …
Clinical Practice Guideline End Of Shift Handover Toolkit, Sasha Samaroo-Burgos
Clinical Practice Guideline End Of Shift Handover Toolkit, Sasha Samaroo-Burgos
Walden Dissertations and Doctoral Studies
The DNP project is a Clinical Practice Guideline (CPG) to guide nurses in performing end-of-shift reports at a Medical Center in the West Indies. The gap in practice identified is that nurses perform end-of-shift reporting without using a standardized document. This affects patient safety because the absence of a structured handover process disrupts the continuity of patient care and the transmission of vital patient data. The nurse administrator and general manager reported that many adverse events at the facility were related to miscommunication of information among nurses. The purpose of the project was to develop a CPG that nurses will …
Experiences Of Newly Graduated Registered Nurses’ Successful Transition Into Practice In Their First Year, Angelica Calvillo
Experiences Of Newly Graduated Registered Nurses’ Successful Transition Into Practice In Their First Year, Angelica Calvillo
Walden Dissertations and Doctoral Studies
The transition into nursing practice can be described as a phase that significantly impacts nurses’ professional development, quality of care, and attrition rates. Newly graduated registered nurses’ experiences during the transition into practice may be challenging and stressful, affect job satisfaction, attrition rates, and burnout. The purpose of this interpretive descriptive qualitative study, guided by Duchscher’s transition theory, was to describe the experiences of newly graduated registered nurses who report a successful transition into clinical practice in their first year postgraduation to identify what factors contribute to their success and retention. Nine newly graduated registered nurses, with 9-12 months of …
Perceptions Of Pre-Exposure Prophylaxis Among American Indians, William Joshua Johnson
Perceptions Of Pre-Exposure Prophylaxis Among American Indians, William Joshua Johnson
Walden Dissertations and Doctoral Studies
American Indians have seen a rise in the transmission of HIV infections compared to other racial and ethnic groups. Pre-exposure prophylaxis (PrEP), which is the use of antiviral medications to prevent HIV, there is insufficient literature to describe the acceptability, attitudes, or willingness to utilize PrEP by American Indians. The purpose of this descriptive qualitative study, guided by the health belief model, was to explore perceptions of PrEP among American Indians. Open-ended semi structured questions were used to interview eight participants to ascertain perceptions of PrEP to prevent HIV infections. Using coding and thematic analysis, four themes were identified: (a) …
Executive Summary: Staff Education Project Staff Education To Enhance Nursing Competency Through Simulation Technology, Mollie Mae Ellington
Executive Summary: Staff Education Project Staff Education To Enhance Nursing Competency Through Simulation Technology, Mollie Mae Ellington
Walden Dissertations and Doctoral Studies
Simulation-based training is a key component of nursing education, providing immersive, hands-on experiences that enhance clinical skills in a controlled environment. In the local organization, leadership determined there was an underutilization of advanced simulation equipment stemming from a lack of standardized training among staff. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine whether an educational intervention focused on simulation improved competency among nurses at a local health care organization. To measure competency, 15 items from the Nurse Professional Competence Scale were used. Fifty-eight individuals were invited to participate in the educational intervention, and a …
Executive Summary: Staff Education Project Staff Education Regarding Menopause Hormonal Use In A Women's Clinic, Patricia Leal
Executive Summary: Staff Education Project Staff Education Regarding Menopause Hormonal Use In A Women's Clinic, Patricia Leal
Walden Dissertations and Doctoral Studies
This DNP project entails staff education regarding menopause hormonal use in a women's clinic. The practice problem was the lack of staff confidence regarding hormone use in menopausal women. It is essential to address the practice problem within the context of nursing practice because it can potentially enhance positive social change by addressing the healthcare needs of an underserved demographic. The project aimed to develop and deliver an education program regarding the care of menopausal women for staff members in the women's clinic. The project question was whether staff education regarding menopause hormonal use could increase confidence among staff in …