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Full-Text Articles in Nursing

Implementing Motivational Interviewing And Psycho-Education To Improve Medication Adherence Among Patients With Schizophrenia, Francis Ihejirika Nov 2024

Implementing Motivational Interviewing And Psycho-Education To Improve Medication Adherence Among Patients With Schizophrenia, Francis Ihejirika

Walden Dissertations and Doctoral Studies

This quality improvement staff education Doctor of Nursing practice (DNP) project was implemented to address the quality issue related to medication nonadherence in patients with schizophrenia. Medication nonadherence is a major health issue facing psychiatric patients, with studies showing high rates of nonadherence among patients with schizophrenia. Nonadherence to treatment heightens the risk of relapse, rehospitalization, suicide, and early death. This staff education project focused on increasing the knowledge and attitudes of healthcare professionals about evidence-based strategies to improve medication adherence in patients with schizophrenia. Five nurses participated in the education program. The participants completed the pretest prior to participating …


Evaluation Of The Effectiveness Of The Implementation Of A New Workflow Process On The Incidence Of High Blood Culture Contamination (Bcc) Rates In The Emergency Department, Angelita Rodgers Nov 2024

Evaluation Of The Effectiveness Of The Implementation Of A New Workflow Process On The Incidence Of High Blood Culture Contamination (Bcc) Rates In The Emergency Department, Angelita Rodgers

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing Practice Project was to evaluate the effectiveness of a quality improvement (QI) initiative to reduce blood culture contamination (BCC) rates in the emergency department (ED) of a large healthcare organization in the southeastern United States. Evidence-base sources indicated that high blood culture contamination (BCC) rates compromised diagnostic accuracy, leading to unnecessary treatments, increased hospital stays, and elevated healthcare costs. The project was guided by the evidence-based practice question: “How does the implementation of a new workflow process influence the incidence of high blood culture contamination (BCC) rates in the emergency department?” To address …


Developing An Educational Program To Educate Nurses About Sickle Cell Disease And Vaso-Occlusive Episodic Pain, Margaret Sih Buo-Frundi Nov 2024

Developing An Educational Program To Educate Nurses About Sickle Cell Disease And Vaso-Occlusive Episodic Pain, Margaret Sih Buo-Frundi

Walden Dissertations and Doctoral Studies

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Improving Care For Dementia Patients: Music Therapy As An Alternative To Medication, Kristy Haschke Nov 2024

Improving Care For Dementia Patients: Music Therapy As An Alternative To Medication, Kristy Haschke

Walden Dissertations and Doctoral Studies

The incidence of dementia in long-term care facilities has been increasing due to early identification and screening. This staff education topic was brought to further attention due to a trend in requests for chemical restraints in the dementia/cognitive impaired patient population by staff had increased. This staff education project was presented to the rehab center based on evidence-based practice to offer training on music therapy as an alternative therapy to medication in dementia patients. The practice-focused question identified was, “Will a staff education module on an evidence-based alternative treatment, music therapy, for dementia patients versus chemical or physical restraints increase …


Focused Education On The Roles And Responsibilities Of The New Nurse During A Patient Emergency, Jeanette Canderozzi Nov 2024

Focused Education On The Roles And Responsibilities Of The New Nurse During A Patient Emergency, Jeanette Canderozzi

Walden Dissertations and Doctoral Studies

Staff Education Project aimed to measure the knowledge and self-efficacy gained from a comprehensive telemetry educational program as part of the onboarding process for nurses. Purpose of this project was to evaluate the effectiveness of the focused training for the novice nurse as it relates to their knowledge and confidence of their roles and responsibilities in a clinical emergency by using the pre-and postsurvey.


Executive Summary: Staff Education Project, Jacquelynn Hays Nov 2024

Executive Summary: Staff Education Project, Jacquelynn Hays

Walden Dissertations and Doctoral Studies

Ineffective communication in health care can lead to negative outcomes for patients, including medication errors; delayed or missed treatments; delayed or missed testing; poorer health outcomes, including death; and poor patient satisfaction. The project site, a hospital-based outpatient oncology clinic located in the Midwest, had an identified practice gap in the staff’s current perceptions of effective intradisciplinary communication. The purpose of this project was to develop, implement, and evaluate an education program on effective communication. The practice-focused question centered on whether health care staff demonstrated a change in their perceptions of effective intradisciplinary communication. Twelve registered nurses on staff voluntarily …


Mitigating Compassion Fatigue, Sylvia Lee Christian-James Nov 2024

Mitigating Compassion Fatigue, Sylvia Lee Christian-James

Walden Dissertations and Doctoral Studies

Compassion fatigue is the physical, emotional, and spiritual result of chronic self-sacrifice and/or prolonged exposure to difficult situations that renders a person unable to love, nurture, care for, or empathize with another’s suffering. The attributes that led nursing leadership to believe compassion fatigue (CF) was an issue for registered nurses (RN) at the project site facility included increased RN turnover, vacancy rates, absenteeism, and dissatisfaction. The project was to develop a clinical practice guideline (CPG) for the RN staff of an inpatient psychiatric hospital. The practice question was as follows: Does the evidence support usability of a standardized practice guideline …


Teaching Motivational Interviewing To Staff In A Mental Health Clinic To Improve Retention Rates Among The Homeless, Barry Godwin, Chinemerem Uzoechi Nov 2024

Teaching Motivational Interviewing To Staff In A Mental Health Clinic To Improve Retention Rates Among The Homeless, Barry Godwin, Chinemerem Uzoechi

Walden Dissertations and Doctoral Studies

Summary Poor treatment retention rates are significant problems in mental health, with adverse outcomes being more profound for vulnerable populations, such as individuals experiencing homelessness. The current project was vital because the lack of engaging strategies in working with individuals experiencing homelessness contributes to high rates of treatment dropout. The purpose of the project was to equip mental health clinical staff with knowledge and skills in motivational interviewing (MI) to use MI in clinical settings to improve treatment retention for homeless populations. The practice-focused question that guided the project was: For staff in a mental health clinic, will training on …


Clinical Practice Guidelines For Fall Prevention In The Neurology Unit, Jorge Martin Fernandez Nov 2024

Clinical Practice Guidelines For Fall Prevention In The Neurology Unit, Jorge Martin Fernandez

Walden Dissertations and Doctoral Studies

This clinical practice guideline (CPG) initiative addressed the rising patient fall rates at an inpatient general care neurology unit (GCNU) in North Carolina. Falls are a leading cause of preventable injury, yet the facility lacked evidence-based (EB) fall prevention practices. This doctoral project developed a CPG for GCNU fall prevention, which was evaluated by an expert panel using the AGREE II instrument. A literature review identified 20 studies assessed via the Johns Hopkins model, which informed the CPG. Expert review scored the CPG at 100% in all domains, leading to its approval for clinical use. Key recommendations include CPG expansion, …


Teaching Sbirt To Nurses In A Mental Health Setting For Improved Assessment And Management Of Patients With Substance Use Disorders, Kifle Gashie Jikamo Nov 2024

Teaching Sbirt To Nurses In A Mental Health Setting For Improved Assessment And Management Of Patients With Substance Use Disorders, Kifle Gashie Jikamo

Walden Dissertations and Doctoral Studies

Addressing the knowledge gap is essential in nursing practice, as RNs are the first point of contact for patients in mental health settings where substance use significantly influences overall health and recovery. This Doctor of Nursing Practice project focused on the need for staff education in an inpatient mental health unit regarding the assessment and triage of patients with substance use disorders (SUDs). The guiding question for this project was: “In nurses working within an inpatient mental health setting, does the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) training improve knowledge in assessing, managing, and providing care …


Interactive Educational Program For Purposeful Leader Rounding, Gina Lupi Nov 2024

Interactive Educational Program For Purposeful Leader Rounding, Gina Lupi

Walden Dissertations and Doctoral Studies

This education project was to introduce nurse managers to the evidence-based practice of daily purposeful leader rounding on all staff in this acute care facility. The need for practice change was evidenced by low all employee survey and the Survey of Healthcare Experience of Patients (SHEP) results; low retention rates throughout the inpatients units; and an increase of patient safety events in fiscal year 2023. Leadership rounding is an evidence-based practice that increases staff retention by supporting and engaging staff. The purpose of the interactive education was to increase the knowledge and self-confidence of the participants to assist in hardwiring …


Executive Summary: Staff Education Project Staff Education On Early Screening For Diabetes Among Young Black Adults, Frantz Jacob Nov 2024

Executive Summary: Staff Education Project Staff Education On Early Screening For Diabetes Among Young Black Adults, Frantz Jacob

Walden Dissertations and Doctoral Studies

There are healthcare disparities associated with Type 2 diabetes management in youths, and the condition disproportionately affects racial/ethnic minorities. The gap in practice at the practice site was inconsistent integration of diabetes screening and prevention strategies. The purpose of this project was to develop, implement, and evaluate a staff education program on early screening and prevention of Type 2 diabetes in the young Black community. The practice-focused question centered on whether healthcare staff demonstrated increased knowledge about early screening and prevention for Type 2 diabetes in the young black community. The project occurred at a large family practice clinic in …


Clinical Practice Guideline For Evidence-Based Patient Appointment Reminders, Rohan Matthews Nov 2024

Clinical Practice Guideline For Evidence-Based Patient Appointment Reminders, Rohan Matthews

Walden Dissertations and Doctoral Studies

Clinical practice guidelines (CPGs) are health care interventions used for best care outcomes. With this CPG project, I addressed a practice gap regarding the lack of a systematic approach to patient appointment reminders that resulted in disruption to patient health maintenance in an outpatient community clinic setting. Community and population health are improved with preventative care, wellness, and appropriate health maintenance measures. The practice-focused question central to this CPG was: Will a guideline on patient reminders designed to reduce the frequency of missed appointments in a clinic setting, be approved by a panel of clinical experts for future implementation? The …


Decreasing The No-Show Rate In A Mental Health Clinic., Aina Oyibo Nov 2024

Decreasing The No-Show Rate In A Mental Health Clinic., Aina Oyibo

Walden Dissertations and Doctoral Studies

The identified practice problem of high no-show rates within a mental health clinic setting creates immense challenges to patient care continuity and clinic efficiency. This issue, in the context of nursing practice, needs resolution for improved patient outcomes and the best possible utilization of clinic resources. The practice-focused question to guide this doctoral project is: Will staff education on the importance of consistent appointment reminders improve knowledge? This project's intervention in staff education concerning the importance of consistent appointment reminders focuses on telephone reminders. A literature search used CINAHL, MEDLINE, PubMed, Google Scholar, and textbooks. All the articles were peer-reviewed …


Staff Education On Service Recovery For New Nurse Leaders, Cara Conley Nov 2024

Staff Education On Service Recovery For New Nurse Leaders, Cara Conley

Walden Dissertations and Doctoral Studies

The goal of this staff education project is to improve nurse leaders’ ability to execute service recovery strategies in a hospital setting. The identified practice problem was the lack of structured education for nurse leaders on service recovery, which impacts their effectiveness in managing patient dissatisfaction, potentially leading to compromised patient safety and organizational performance. The practice-focused question was: In nurse leaders, does the implementation of a service recovery education course significantly improve their knowledge on how to perform service recovery? The purpose of the project was to create and implement a structured education course for nurse leaders with 0–5 …


Streamlining The Discharge Process On The Telemetry Units To Improve Overall Hospital Throughput, Michelle Corder Nov 2024

Streamlining The Discharge Process On The Telemetry Units To Improve Overall Hospital Throughput, Michelle Corder

Walden Dissertations and Doctoral Studies

This evidence-based staff education project was implemented to address the problem of ineffective discharge processes and delayed discharges within the hospital setting that leads to poor patient flow impacting overall hospital throughput. There was an overall lack of knowledge by registered nurses (RNs) on effectively implementing changes that affect a standardized discharge process that could help improve patient flow and hospital throughput. This staff educational project aimed to improve the staff nurses’ knowledge of the standardized discharge process and its impact on hospital throughput. The practice-focused question that guided this project was as follows: “What is the impact of a …


Evaluating The Impact Of Semiglutide On Weight Loss In Overweight Adults, Justina 0. Umweni-Oyiboke Nov 2024

Evaluating The Impact Of Semiglutide On Weight Loss In Overweight Adults, Justina 0. Umweni-Oyiboke

Walden Dissertations and Doctoral Studies

Obesity is a pressing health issue. By 2030, it is estimated that nearly half of all adults in the United States will be obese. This trend has serious consequences for both physical and mental health. Obese individuals face an increased risk of conditions like cardiovascular disease, type 2 diabetes, fatty liver disease, osteoarthritis, and even depression. In this Doctor of Nursing Practice Project, I evaluated the effectiveness of a quality improvement (QI) initiative at the project site that addressed the practice problem of inadequate weight loss management caused by relying solely on diet and exercise as treatment strategies. The QI …


Staff Education To Improve Medical Adherence Among African American Males With Hypertension, Veronica Ebere Ani Nov 2024

Staff Education To Improve Medical Adherence Among African American Males With Hypertension, Veronica Ebere Ani

Walden Dissertations and Doctoral Studies

Hypertension (HTN) is the chief cause of cardiovascular disease in the United States. Due to the mortality and morbidity and the increased healthcare costs associated with HTN, nursing staff need to have knowledge to control and help patients manage the condition. HTN disproportionately affects African American men due to non-adherence to medication, lifestyle issues, and health disparities. Nurses can only support patients managing HTN if they have current evidence-based knowledge. Staff knowledge deficit was a significant issue affecting the clinic's management and control of HTN. Providers' knowledge gap was considered a leading factor in patient nonadherence to prescribed antihypertensive medications. …


Educating Project Site Hospital Nurses On The Code Lavender, Jennifer Swendsen Nov 2024

Educating Project Site Hospital Nurses On The Code Lavender, Jennifer Swendsen

Walden Dissertations and Doctoral Studies

With this staff education project, I aimed to educate nurses at the project site hospital about the Code Lavender program, a mental health intervention designed to address nurse burnout. Nurse burnout has risen significantly post-COVID-19 pandemic, contributing to high turnover rates and compromising patient care. Nurses are experiencing increased levels of stress, depression, and suicidal ideation, which has led to feelings of being overwhelmed, overworked, and quitting the profession, exacerbating staffing shortages and patient care hazards. The central question of this project was whether staff education on the Code Lavender program would increase nurses’ knowledge, as evidenced by improved posttest …


Staff Education To Increase Staff Awareness On How Personal Trauma Affects Responses During Restraints, Marygoretti Kibe Nov 2024

Staff Education To Increase Staff Awareness On How Personal Trauma Affects Responses During Restraints, Marygoretti Kibe

Walden Dissertations and Doctoral Studies

The emotional and or physical trauma that individuals sustained while growing up may continue to adversely affect their health as adults, leading to mental health issues, depression, substance use, anxiety and secondary trauma. The prevalence of this trauma widely unacknowledged among mental healthcare staff. Trauma prevention is crucial and can be achieved through educational interventions. In clinical settings, this can prevent staff high turnover, leaving the profession, disengagement, hypervigilance, and overinvolvement. In a mental health clinical setting, this trauma can lead to overuse or misuse of restraints as the trauma staff bring to these situations drives their reactions.


Executive Summary: Staff Education Improving Cultural Competence In Mental Health Providers, Mary Osagie Nov 2024

Executive Summary: Staff Education Improving Cultural Competence In Mental Health Providers, Mary Osagie

Walden Dissertations and Doctoral Studies

In the current healthcare environment, providers care for an increasingly diverse patient population and are challenged with the need for cultural competency skills. Evidence indicates that there are gaps related to cultural competency among healthcare providers across all specialties and settings. This paper describes a staff education project that addressed limited cultural competence skills among nurses and staff at an ambulatory mental health clinic on the East Coast. The purpose of the project was to develop, implement, and evaluate a staff education program on cultural competency. The goal was for participants to become more culturally aware and gain knowledge in …


Develop An Education Program Related To Evidence-Based Strategies Nurses Can Use To Decrease Medication Errors In A Nursing Home, Ann N. Akwaraonwu Nov 2024

Develop An Education Program Related To Evidence-Based Strategies Nurses Can Use To Decrease Medication Errors In A Nursing Home, Ann N. Akwaraonwu

Walden Dissertations and Doctoral Studies

These medication errors have posed an immense threat to patient safety, regulatory compliance, and staff confidence in healthcare. Therefore, the improved understanding of nursing staff and reduction in medication error rates required targeted education of nursing staff, thus the basis upon which this quality improvement project was implemented at a nursing home facility located in the Northeastern United States. This evidence-based intervention was developed from feedback that indicated a gap in knowledge on best practices related to the administration of medication among nursing staff. These were eight in number: registered nurses, licensed practical nurses, and certified nursing assistants, who had …


Executive Summary: Quality Improvement Initiative Personalized Interdisciplinary Fall Prevention Plan And Fall Rates At An Inpatient Rehabilitation Hospital, Kayla Jackson Nov 2024

Executive Summary: Quality Improvement Initiative Personalized Interdisciplinary Fall Prevention Plan And Fall Rates At An Inpatient Rehabilitation Hospital, Kayla Jackson

Walden Dissertations and Doctoral Studies

Despite ongoing fall prevention strategies, falls continue to be a concern across healthcare organizations. There has been an identified increase in the fall rate at an inpatient rehabilitation facility (IRF) in the southeastern United States. An interprofessional and collaborative approach to fall prevention has been found to lead to a decrease in falls with injury and an increase in the culture of safety. This doctor of nursing practice (DNP) project involved an evaluation of a quality improvement (QI) initiative of a personalized interdisciplinary fall prevention plan at a rehabilitation hospital located in the southeastern region of the United States. The …


Identification And Treatment Of Ipv/Nonfatal Strangulation By First Responders, Mary L. Turner Nov 2024

Identification And Treatment Of Ipv/Nonfatal Strangulation By First Responders, Mary L. Turner

Walden Dissertations and Doctoral Studies

Ineffective and inconsistent education focusing on domestic violence (DV)/intimate partner violence (IPV)/nonfatal strangulation identification and treatments results in first responders’ failure to move patients to a higher level of care, resulting in possible delayed complications. The purpose of the Doctor of Nursing practice (DNP) project was to determine if an educational program increased first responders’ knowledge and improved treatment of DV/IPV/nonfatal strangulation patients. Roger’s diffusion of innovation theory provided the framework throughout the educational process. The Physician Readiness to Manage Intimate Partner Violence Survey (PREMIS) tool was utilized to score the participants’ knowledge prior to and after the education. The …


Executive Summary: Quality Improvement Initiative Implementing Fixed Water Dispensers In An Inpatient Psychiatric Hospital, Elycia Victoria Hernandez Nov 2024

Executive Summary: Quality Improvement Initiative Implementing Fixed Water Dispensers In An Inpatient Psychiatric Hospital, Elycia Victoria Hernandez

Walden Dissertations and Doctoral Studies

The current hydration system using water pitchers was outdated and inefficient, leading to potential risks of contamination, inconsistent hydration, and increased staff workload in this inpatient psychiatric facility. Psychiatric patients may struggle to access adequate hydration due to cognitive or behavioral limitations. Addressing this gap is essential for improving patient care, enhancing operational efficiency, and ensuring consistent access to clean water. This DNP scholarly project was an evaluation of an interprofessional team-based quality initiative to replace traditional water pitchers with fixed water dispensers in an acute inpatient psychiatric facility. The primary practice-focused question was: Will an interprofessional team reach consensus …


Educating Mental Healthcare Staff On Using The Phq-9 In Telehealth, Anoopa M. Jacob Nov 2024

Educating Mental Healthcare Staff On Using The Phq-9 In Telehealth, Anoopa M. Jacob

Walden Dissertations and Doctoral Studies

I developed a quality improvement staff educational program aimed at addressing the inconsistent use of the Patient Health Questionnaire (PHQ-9) at the project facility, which could adversely affect the quality and continuity of patient care. The need for the program was prompted by the increasing use of telehealth services and the necessity for consistent mental health evaluation tools. I aimed to educate mental health staff about evidence-based practices using the PHQ-9 in telehealth to enhance the quality of care for patients with depression in remote settings. Analytical methods included administering pre- and postintervention tests to measure changes in staff knowledge …


Staff Education To Enhance Nurses’ Knowledge In Managing Alcohol Withdrawal, Nodeen Nicoal Glen Nov 2024

Staff Education To Enhance Nurses’ Knowledge In Managing Alcohol Withdrawal, Nodeen Nicoal Glen

Walden Dissertations and Doctoral Studies

Summary Summary This DNP clinical practice staff education was developed to address the lack of nursing knowledge, and skills needed to assess and manage alcohol withdrawal effectively in an observation unit. Ineffective assessment and management of patients’ withdrawal symptoms may result in deterioration of their condition and require further aggressive treatment. The project aimed to educate nurses on evidence-based strategies for assessing and managing alcohol withdrawal using an evidence-based assessment tool. Sixteen nurses participated in the program to increase their understanding of alcohol withdrawal and the use of the Richmond Agitation-Sedation Scale (RASS). They completed a pretest before participating in …


Failure To Rescue Black And Brown Maternity Patients, Dorothy Marie Glisson Nov 2024

Failure To Rescue Black And Brown Maternity Patients, Dorothy Marie Glisson

Walden Dissertations and Doctoral Studies

Reducing maternal mortality rates is one of the leading health indicators in the nation. Pregnant and postpartum Black mothers make up a disproportionate number of maternal deaths. Many result from failure to rescue (FTR), defined as the inability to prevent a death from a disease, illness, or complication. Over 700 women die daily from preventable causes related to pregnancy. Black patients are attributable to almost 40% of maternity mortality rates and represent over 50% of pregnancy-related deaths due to complications. Black women are more likely to die during pregnancy or after pregnancy, with heart disease causing almost half of pregnancy-related …


Staff Education To Nurses Of Five Departments Performing Point-Of-Use Treatment, Natalia G. Nunez Oct 2024

Staff Education To Nurses Of Five Departments Performing Point-Of-Use Treatment, Natalia G. Nunez

Walden Dissertations and Doctoral Studies

Staff Education to Nurses of Five Departments Performing Point-of-Use Treatment by Natalia G. Nunez MPH, Walden University, 2019 BS, Florida International University, 2011 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 Point-of-use treatment (POU) treatment is the first step of sterilization, and it is critical for staff performing this process to undergo proper education and training as noted by the Centers for Disease Control and Prevention (CDC). Performing proper POU treatment reduces the risk of infections in patients and extends the life of the instruments and devices. A …


Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies Oct 2024

Strategies To Reduce Meditation Errors Hospitals, Elizabeth Davies

Walden Dissertations and Doctoral Studies

Each year, nearly 100,000 patients in the United States die as a result of medication errors. Medication errors are a concern to hospital leaders, resulting in increased expenses, extended hospital stays, and patient harm. Grounded in the Lean Six Sigma quality model, the purpose of this qualitative single case study was to explore the strategies three hospital managers in one hospital system in the eastern United States used to reduce medication errors. Data were collected through semistructered interviews, archival hospital documents, and analyzed using Yin's 5-step approach. The findings revealed key themes, including prioritizing staff training, building a safety culture, …