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Articles 1111 - 1140 of 2607
Full-Text Articles in Nursing
Identification, Treatment, And Management Of Patients With Suicidal Ideation On The Medical-Surgical Unit For Nurses, Renea Crawford
Identification, Treatment, And Management Of Patients With Suicidal Ideation On The Medical-Surgical Unit For Nurses, Renea Crawford
Walden Dissertations and Doctoral Studies
Suicide and suicidal ideations are among the leading causes of death in the United States. The Joint Commission identifies inpatient suicide as a sentinel event that should never happen. Nurses working on the medical/surgical (M/S) unit in a hospital located in the midwestern region of the United States voiced their concern that they were not prepared to recognize the signs that may indicate an escalating emotional situation in patients with suicidal ideation; in addition, there were no guidelines in the hospital to use as a resource. The purpose of this project was to determine whether an evidence-based (EB) clinical practice …
Systematic Review Of Physiologic Assessment Measures For Mobility Readiness Of Adult Patients In Critical Care, Brenda Kepley Hardin-Wike
Systematic Review Of Physiologic Assessment Measures For Mobility Readiness Of Adult Patients In Critical Care, Brenda Kepley Hardin-Wike
Walden Dissertations and Doctoral Studies
Nurses play a significant role in mobility management, an essential element of care for critically ill adults. However, the current practice of mobility management comes from patient orders without the adoption of an evidence-based physiologic assessment guide to support safe patient mobility resulting in unreliable outcomes. Physiologic stability may change during mobility and unsafe patient mobilization can result in negative patient outcomes that increase patient recovery time. The purpose of this systematic review was to look at the current practice of physiologic assessment measures and then use the findings to influence safe patient mobility practices in intensive care units. The …
Increase Knowledge And Attitude In End-Of-Life For Long-Term Care Nurses, Lisa Mitchell
Increase Knowledge And Attitude In End-Of-Life For Long-Term Care Nurses, Lisa Mitchell
Walden Dissertations and Doctoral Studies
Nurses are key health professionals in long-term care facilities who have an essential role in providing compassionate care at the end-of-life. The customary education that nurses receive in end-of-life care is inadequate to meet the complex care of dying patients. The purpose of this scholarly project was to implement an evidence-based end-of-life educational program to improve the nursing staff knowledge, attitudes towards care of the dying, and standards in long-term care. The theoretical framework to guide this project is Bandura’s self-efficacy to support the confidence and attitude of nurses caring for the dying. The End-of-Life Nursing Education Consortium (ELNEC) Geriatric …
Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli
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 …
Age And Experience As Factors For Predicting Emotional Intelligence In Nurse Managers, Patricia Gursky
Age And Experience As Factors For Predicting Emotional Intelligence In Nurse Managers, Patricia Gursky
Walden Dissertations and Doctoral Studies
Emotional intelligence (EI) is defined as the capacity to recognize and manage emotions and feelings to guide behaviors which is an ability that is crucial for nurse mangers to possess. Understanding the key factors for predicting emotional intelligence in nurse managers may influence hiring practices and the appointment of managers who will influence job satisfaction, employee engagement, retention, and turnover. The purpose of this quantitative predictive correlational study, guided by King’s theory of goal attainment and Mayer and Salovey’s four-branch ability model of EI, was to determine whether age, years of experience as a nurse, and years of experience as …
Primary Care Provider Education On Behavioral Interventions For Management Of Adult, Rose Chinasa Kajuru
Primary Care Provider Education On Behavioral Interventions For Management Of Adult, Rose Chinasa Kajuru
Walden Dissertations and Doctoral Studies
The high prevalence of obesity continues to pose significant health challenges globally. According to the U.S. Preventive Service Task Force, obesity affects more than 35% of men and 40% of women in the United States. The national annual cost of medical care related to obesity is estimated at $147 to $210 billion. Intensive behavioral interventions in adults with obesity can lead to clinically sufficient improvements. The project aimed to determine if the current evidence-based clinical guideline of behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults would improve primary care providers’ knowledge of adult obesity management. The …
African American Or Black Nurses’ Perceptions Of Incivility In Nursing Education, Selena M. Murphy
African American Or Black Nurses’ Perceptions Of Incivility In Nursing Education, Selena M. Murphy
Walden Dissertations and Doctoral Studies
Incivility in nursing education can affect morale, adversely affect patient care, or cause nurses to leave the profession. Bullying, rude comments, and disruptive behaviors are all examples of incivility. These may be perceived as lower in schools like Historically black colleges and universities (HBCUs), where students share the same or similar racial or ethnic background. The purpose of this study was to determine if the perceived levels of incivility experienced in nursing school differ between African American or Black nurses who attended HBCUs and African American or Black nurses who attended non-HBCUs, where the population of nursing students may have …
Fall Prevention Education For Staff In A Long-Term Care Facility, Oluwatoyin Adedun Omola
Fall Prevention Education For Staff In A Long-Term Care Facility, Oluwatoyin Adedun Omola
Walden Dissertations and Doctoral Studies
Older individuals living in long-term care facilities (LTCFs) are more prone to falling compared to those living in the community outside of such facilities. The consequences of falls, including severe injuries, impact not only the patients but also their families and health care costs. The primary purpose of this project was to address the need to reduce and prevent falls in LTCFs. The practice gap was the lack of a comprehensive fall prevention program and education for facility staff about this subject. This staff education project was focused on determining if educating RNs and LPNs about fall risk and prevention …
The Psychological Impact Of Covid-19, Medina Marie Hudson-Odoi
The Psychological Impact Of Covid-19, Medina Marie Hudson-Odoi
Walden Dissertations and Doctoral Studies
AbstractEmployees from a large government agency were abruptly switched to telework for an extended period of time. There was no plan to address potential psychological stressors associated with the disruption of work-family-life balance that emerged as a result of COVID-19. A knowledge gap in how to support employees was apparent from discussions during team and administrative meetings. The project question explored whether the use of stress first-aid (SFA), an educational program, would enable employees to learn self-care strategies to address stressors in a less protected environment. The purpose of this DNP project was to provide a staff education awareness program …
Increasing Nurse Leader Knowledge And Awareness Of Information And Communication Technologies, Cory Stephens
Increasing Nurse Leader Knowledge And Awareness Of Information And Communication Technologies, Cory Stephens
Walden Dissertations and Doctoral Studies
Due to the recent coronavirus disease (COVID-19) pandemic, rapid technological innovation and nursing practice transformation exposed a deepening divide in the knowledge and awareness of information and communication technologies (ICT) among nurses. This technological skills gap undermines the benefits of ICT to nursing practice such as increased nurse satisfaction, improved care quality, and reduced costs. Nurse leaders are positioned to promote the use of ICT among nurses but may suffer from the same knowledge deficit of ICT as their followers. Guided by Locsin’s technological competencies as caring in nursing theory, Staggers and Parks’ nurse-computer interaction framework, and Covell’s nursing intellectual …
Opioid Naloxone Education Clinical Practice Guideline, Tat'yana Sahleem Alethia Worthy
Opioid Naloxone Education Clinical Practice Guideline, Tat'yana Sahleem Alethia Worthy
Walden Dissertations and Doctoral Studies
As a result of an institution-wide campaign to train providers on the administration of opioid reversal agents within a large medical center in the northeastern United States, the practice problem emerged that there was no patient/family education document for healthcare providers to use as a guide to educate patients on opioid risk and proper administration of naloxone to prevent opioid overdose in the outpatient setting. This scholarly project used an interprofessional team to develop comprehensive opioid naloxone education guidelines to close the gap in clinical practice. The purpose of this project was to develop a patient education clinical practice guideline …
Generational Differences In Nursing Turnover, Adam Bennett
Generational Differences In Nursing Turnover, Adam Bennett
Walden Dissertations and Doctoral Studies
Nursing is currently the largest job category in U.S. health care requiring proper recruitment and retention of nurses. As the current generation of nurses ages out of the workforce due to retirement, new nurses will need to cover the gaps in the workforce. The purpose of this quantitative correlational study was to examine the relationship between voluntary turnover, involuntary turnover, and career change among nurses who were born between 1980 and 1995 (Millennials) and those born between 1965 and 1979 (Generation X). The theoretical framework was Mannheim’s theory of generations. Secondary data were collected from exit interviews with 811 respondents …
Nurses' Experiences Caring For Patients With Opioid Use Disorder, Pamella Maureen Campbell
Nurses' Experiences Caring For Patients With Opioid Use Disorder, Pamella Maureen Campbell
Walden Dissertations and Doctoral Studies
Over the past 2 decades, opioid use in the United States has taken thousands of lives, reached the level of epidemic in 2017, and has been an area of study among scholars. The problem is health care professionals, including nurses, lack training on how to care for people with opioid use disorder (OUD). Nurses are at the frontline of patient care and understanding the nurses’ experiences in the care of patients with OUD may help to improve the patients’ quality of care. The purpose of this qualitative descriptive study was to develop an understanding of the experiences of nurses with …
Staff Nurse Education To Improve Adherence To Hypertension Management, Veronica Ositadinma Dike
Staff Nurse Education To Improve Adherence To Hypertension Management, Veronica Ositadinma Dike
Walden Dissertations and Doctoral Studies
AbstractAdherence to hypertension management medication(s) and lifestyle modification improve outcomes for patients diagnosed with hypertension. In this project, an educational program was developed to reduce the knowledge gap among staff nurses regarding addressing patients’ nonadherence to hypertension management in an outpatient clinic in the southern United States. Guided by andragogy and the health belief model, the staff nurse educational program was developed from evidence-based clinical practice guidelines and best practices from literature to evaluate the impact of education on improving staff nurses’ knowledge related to addressing patients’ nonadherence to hypertension management with the goal of reducing the associated medical costs, …
Staff Education To Improve Knowledge About Suicide Screening, Cidia Alysia Awyie
Staff Education To Improve Knowledge About Suicide Screening, Cidia Alysia Awyie
Walden Dissertations and Doctoral Studies
AbstractHealthcare workers play an essential role in healthcare facilities to help patients with mental health challenges and those at risk of committing suicide. The practice gap that the healthcare facility was experiencing was a knowledge deficit among healthcare staff on the importance of suicide screening. The importance of equipping staff with suicide screening knowledge is to help decrease suicide attempts, suicide thoughts, and completed suicide in patients. The practice-focused question for this staff education project asked if staff education for nursing staff and psychiatrists would increase their knowledge about suicide prevention methods and suicide screening techniques. The purpose of the …
Continuity Of Care In Crisis Stabilization Centers, Brian West-Pearson
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. …
Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater
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 …
Role Of Intravenous Access Support In Novice Nurses’ Job Satisfaction And Intent To Stay, Shaji Kurian
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 …
Advanced Practice Registered Nurses Expanding Treatment For Opioid Use Disorder With Buprenorphine, Toni Deniese Mason
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 …
Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox
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 …
A Clinical Practice Guideline To Promote Medication Adherence Among Adult African Americans With Hypertension, Beatrice Chisara Ekechukwu
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. …
Retention Strategies For The Current Nursing Workforce, Jennifer Higgins
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 …
Development Of A Basic Nursing Education Course For Psychiatric Nurses, Tasha M. Jones
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 …
Family Presence During Cardiopulmonary Resuscitation: Clinical Practice Guidelines, Poonam Kalkat
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 …
Transition Of Expert Clinical Nurse To Novice Nursing Professional Development Practitioner, Lisa Marie Langdale
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 …
Evaluation Of Action Plan Management Strategy To Improve Survey Readiness And Decrease Negative Accreditation Findings, Carla Pierson
Evaluation Of Action Plan Management Strategy To Improve Survey Readiness And Decrease Negative Accreditation Findings, Carla Pierson
Walden Dissertations and Doctoral Studies
This project was an evaluation of a quality improvement (QI) initiative conducted in a large medical enterprise to address the problem of poor performance of their hospitals in accreditation surveys. The desired outcome was to evaluate whether an innovative plan of correction process was impactful in reducing the negative outcomes of regulatory and accreditation surveys. The practice-focused question guiding this project addressed the effect of the pre-accreditation evaluation and a plan of correction process in this QI initiative on reducing requirements for improvement (RFI) and condition-level deficiencies (CLD) cited in a recent The Joint Commission survey review. This project was …
Leadership Relationships And Advancement Opportunities Among African American Female Nurses, Kendra Pitts
Leadership Relationships And Advancement Opportunities Among African American Female Nurses, Kendra Pitts
Walden Dissertations and Doctoral Studies
A healthy work environment for nurses is critical to staff recruitment, retention, patient safety, and the financial sustainability and viability of a healthcare organization. The specific research problem under study was whether a lack of advancement opportunity or a lack of good leadership has an impact on African American female nurses leaving the nursing profession. Researchers have investigated the impact of leadership and advancement opportunity on the general population, but there is a dearth of research specific to African American female nurses and their reason for leaving the profession. Secondary quantitative data analysis was performed using survey data from the …
Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery
Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery
Walden Dissertations and Doctoral Studies
Mental health professionals (MHPs) are at considerable risk for stress and burnout because of the nature of their work. Management and prevention of stress and burnout (e.g., through restorative yoga) may enable MHPs to avoid feelings of anxiety, depression, and apathy; lack of energy; and the development of unhealthy coping skills, such as substance and drug use. The purpose of this project was to create a staff education to assist MHPs in managing stress and burnout through yoga practice and mindfulness. The theoretical framework for the staff education was Kapp’s adult learning theory. An evidence-based PowerPoint presentation containing the staff …
Staff Education In Caring For Children With Type 1 Diabetes, Freda Ansah-Larbi
Staff Education In Caring For Children With Type 1 Diabetes, Freda Ansah-Larbi
Walden Dissertations and Doctoral Studies
AbstractType1 diabetes affects over 1.6 million people living in the United States of which about 200,000 are children under the age of 20, with an increase of 1.9% per year between 2002–2015. The large number of children with type 1 diabetes was observed in the project’s practice setting. In addition to the physical health impact on children, this disease also has major personal, economic, and social impacts on children and their families. Therefore, effective management is essential in reducing the risk of complications and achieving an overall improvement in the quality of life of patients. The purpose of the project …
Increasing Nurses’ Knowledge Of Richmond-Agitation Sedation Score Assessment And Documentation Through Education, Kara Jeanne Beaulieu
Increasing Nurses’ Knowledge Of Richmond-Agitation Sedation Score Assessment And Documentation Through Education, Kara Jeanne Beaulieu
Walden Dissertations and Doctoral Studies
Patients in the intensive care unit (ICU) are critically ill and faced with numerous physical and psychological stressors that often require a multidisciplinary approach to improve outcomes and relieve suffering. Patients are given sedation to tolerate invasive treatments and procedures. Using the Richmond-Agitation Sedation Score (RASS), nurses assess objective findings and the level of sedation a patient is experiencing, and titrate sedation according to an ordered RASS score. Ineffective and inaccurate use of the RASS score leads to patients being oversedated and demonstrates a lack of understanding of how to appropriately use the RASS score assessment tool. The purpose of …