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Articles 1141 - 1170 of 2607
Full-Text Articles in Nursing
Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott
Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott
Walden Dissertations and Doctoral Studies
AbstractThe increasing prevalence and incidence of chronic kidney disease (CKD) is a major healthcare burden in developed and developing countries. A gap in nursing practice was identified in a teaching and referral hospital located in Jamaica. Nurses in the organization lacked requisite knowledge and current evidence-based practice guidelines on CKD and therefore could not teach patients diagnosed with CKD. The purpose of this project was to educate nurses regarding the progression of CKD, with the aim of slowing the disease process. This Doctor of Nursing Practice project explored whether educating nurses on the progression of CKD would increase their knowledge …
Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado
Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado
Walden Dissertations and Doctoral Studies
For the nursing profession, critical thinking is essential to provide safe and effectivepatient care. While the development of critical thinking skills is a desired outcome for newly graduated baccalaureate nurses, many lack the ability to make critical decisions. The absence of critical thinking among newly graduated nurses may be related to a lack of exposure to the clinical environment during their academic experience. This study explored how critical thinking processes can be affected by different approaches to baccalaureate clinical nursing education in Puerto Rico. A descriptive qualitative approach was used to understand the perceptions of newly graduated baccalaureate nurses regarding …
The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman
The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman
Walden Dissertations and Doctoral Studies
The practice problem addressed in this Doctor of Nursing Practice project was safe medication administration in the emergency department (ED). Paper-based delivery of medication administration is prone to errors and multiple points of failure affecting patients’ safety. The gap in nursing practice was the lack of analysis regarding the efficacy of the barcoded medication administration (BCMA) process in the ED. The practice-focused question for this project addressed whether the implementation of BCMA in the ED effectively reduced medication administration errors as compared to the previously used paper-based, non-BCMA process. The aim of this doctoral project was to review the efficacy …
Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff
Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff
Walden Dissertations and Doctoral Studies
Evolving changes in healthcare have caused increased levels of pressure on registered nurses (RNs) which increases compassion fatigue (CF), secondary traumatic stress (STS) and burnout (BO) and negatively affect compassion satisfaction (CS) which may affect a nurse’s abilities and skills to provide quality care for patients and cause the RN to leave the profession. The mindfulness technique is one method which may help reduce CF, STS and BO in RNs. The purpose of this quasi-experimental study, guided by the compassion satisfaction and compassion fatigue model (CS-CF), was to determine what effect a mindfulness-based intervention (MBI) has on CF, BO and …
Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity
Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity
Walden Dissertations and Doctoral Studies
For health care practitioners to effectively manage hypertension (HTN) patients and their related long- and short-term consequences, they must first identify the underlying cause of the disease. When patient interventions are not regularly implemented by clinicians, the likelihood of complications from HTN increases. A gap in staff knowledge on managing patients with HTN was identified in an outpatient clinic in the midwestern United States. A staff education program for health care providers to close the knowledge gap was developed based on the most recent Veterans Affairs/Department of Defense Clinical Practice Guidelines for the management of HTN. The aim of this …
Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer
Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer
Walden Dissertations and Doctoral Studies
Hospitalized, adult, oncology patients experience intractable pain that does not always respond to pharmacological therapies. Reiki is a complementary and alternative method used to reduce pain and increase the effectiveness of pharmacological treatments, but nurses may not possess knowledge about Reiki or have the self-efficacy to educate patients about Reiki. The purpose of this study, guided by Bandura’s social cognitive theory, was to identify the relationship between nurses’ knowledge, level of self-efficacy in educating their patients, beliefs about Reiki’s effectiveness, years practicing as a nurse, and willingness to recommend Reiki for their oncology patients’ pain. The Knowledge of Nurses’ Questionnaire …
Improving Colonoscopy Bowel Preparation In Adults Undergoing Screening Through Health Literacy Education, Kimmarie James-Ross
Improving Colonoscopy Bowel Preparation In Adults Undergoing Screening Through Health Literacy Education, Kimmarie James-Ross
Walden Dissertations and Doctoral Studies
Colorectal cancer (CRC) is the third leading cause of cancer-related deaths among men and women in the United States. Colonoscopy is the gold standard for CRC screening; however, the diagnostic efficiency of a colonoscopy is highly dependent on bowel preparation (prep) quality. Up to 30% of colonoscopy patients present with poor bowel prep. Poor bowel prep is a significant clinical practice problem that can lead to missed lesions, increased risk for CRC, increased risks for procedure-related complications, ineffective use of resources, and increased health care costs. A huge barrier to effective colonoscopy is low health literacy. This quality improvement project …
Evidence-Based Approaches To Screening For Polypharmacy In Older Adults, Carmelo Maddy
Evidence-Based Approaches To Screening For Polypharmacy In Older Adults, Carmelo Maddy
Walden Dissertations and Doctoral Studies
AbstractPolypharmacy is the concomitant use of five or more medicines and is associated with a higher risk of being prescribed potentially inappropriate or interactive medications. Polypharmacy in adults over 60 years of age may correlate with adverse outcomes of multimorbidity such as functional impairment, low quality of life, high healthcare use, and increased costs. Health practitioners need to be aware of tools and methods to manage polypharmacy-related issues to optimize patient safety. The gap in practice is that a primary care practice did not have a comprehensive clinical guideline for a systematic and ongoing assessment of appropriateness of medication use …
Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes
Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes
Walden Dissertations and Doctoral Studies
Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the confidence level among nurses by providing an educational program. The practice-focused question focused on whether knowledge, skills, and confidence would increase among nurses after receiving education on the clinical monitoring system. The model to facilitate organizing and analyzing this project …
Staff Education Program On Postpartum Depression Screening, Pamela Barstow
Staff Education Program On Postpartum Depression Screening, Pamela Barstow
Walden Dissertations and Doctoral Studies
AbstractPostpartum depression (PPD) in the US is a serious health concern that negatively impacts an average of 11.5% of women, with 13.36% of women in Virginia in 2018 reporting PPD symptoms. Mothers experiencing PPD may have trouble bonding with their infants, which may negatively impact childhood growth and development. However, fewer than one-half of pediatricians screen mothers of infants for PPD. Literature supports staff education on PPD to promote the wellbeing of postpartum mothers and their infants. Using the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this Doctor of Nursing Practice project was to …
Nursing Staff Education Project To Improve Diabetic Patients' Glycemic Control, Valerie R. Gaston
Nursing Staff Education Project To Improve Diabetic Patients' Glycemic Control, Valerie R. Gaston
Walden Dissertations and Doctoral Studies
Diabetes is a chronic disease affecting more than 34.2 million people in the United States. The International Diabetes Federation predicted by the year 2045 an estimated 700 million people will have diabetes. In the clinic project site, the practice problem involved the increasing clinician’s knowledge about Type 2 diabetes mellitus (T2DM) with improved glycemic control through self-care management. The purpose of this project was to develop an educational training and intervention for staff to increase their knowledge of self-care management to improve glycemic control and have it validated by a panel of experts before dispersing it to the intended audience. …
Reducing Sepsis Rates Through Nursing Staff Education, Joshua J. Wilkinson
Reducing Sepsis Rates Through Nursing Staff Education, Joshua J. Wilkinson
Walden Dissertations and Doctoral Studies
Many hospitals fail to comply with sepsis treatment core measures. The purpose of this project was to educate nursing staff in a small rural emergency department in the Midwest United States about core measures that included 1-hour bundles for sepsis treatment. The project attempted to answer the practice-focused question: Does educating emergency department nursing staff in a small rural emergency department on the 1-hour sepsis bundle increase knowledge? Lewin’s Change Theory and Kirkpatrick’s Four-Level Training Evaluation Model served as the framework for the project. A 1-hour in-person education was developed using the Analyze, Design, Develop, Implement, and Evaluate model with …
Improving Nurses' Knowledge On The Assessment And Documentation Practices In The Pediatric Settings Of A Jamaican Hospital, Binol Rajesh Balachandar
Improving Nurses' Knowledge On The Assessment And Documentation Practices In The Pediatric Settings Of A Jamaican Hospital, Binol Rajesh Balachandar
Walden Dissertations and Doctoral Studies
AbstractThere have been anecdotal reports from the on-site Quality Assurance team, administrators, and educators that a theory-practice gap exists in pediatric nursing practice settings relating to the specific assessment and documentation. A deidentified chart review confirmed the reported practice gaps in 80% of the patient records. Therefore, in collaboration with the in-service unit, this staff education project and the educational interventions were implemented, and the knowledge improvement was appraised using a pre and posteducation survey. Mozirow’s reflective learning theory formed the basis for staff education, utilizing adult learning principles. Twenty-five consenting nurses completed the preeducation survey (N = 25); however, …
An Educational Program For Standardization Of Care For The Acute Opioid Withdrawal, Jessica Ann Larson
An Educational Program For Standardization Of Care For The Acute Opioid Withdrawal, Jessica Ann Larson
Walden Dissertations and Doctoral Studies
Opioid addiction is a widespread chronic disease affecting millions of Americans each year, resulting in medical, social, financial, and societal detriments. Patients experiencing opioid withdrawal benefit from a standardized and evidence-based approach to care. The purpose of this doctoral nursing project was to provide inpatient nursing education for a standardized clinical practice approach to optimize patient outcomes. The research question examined the impact of an educational program for nurses presenting a new standardized opioid withdrawal clinical practice guideline inclusive of assessment, nursing interventions, a symptom triggered order set, and follow up plan of care in terms of knowledge gained and …
Exploring Moral Distress, Ethical Climate, And Psychological Empowerment Among New Registered Nurses, Luz Bruel Mauro
Exploring Moral Distress, Ethical Climate, And Psychological Empowerment Among New Registered Nurses, Luz Bruel Mauro
Walden Dissertations and Doctoral Studies
Moral distress in nursing has been an issue for decades and has consequences on nurses’ physical, emotional, and psychological well-being. Nurses in different settings experience a high intensity and frequency of moral distress particularly in intensive care units (ICU), but few studies have examined the moral distress of non-ICU nurses. The purpose of this 3-manuscript dissertation was to assess the frequency and level of moral distress, ethical climate, and psychological empowerment among new registered nurses (NRNs) who work in non-ICU settings. The conceptual framework of Jameson's moral distress guided this study. Twenty-three NRNs with fewer than 3 years of experience …
Mentorship And The Transition From Registered Nurse To Advanced Nurse Practitioner, Arcelia Kiss
Mentorship And The Transition From Registered Nurse To Advanced Nurse Practitioner, Arcelia Kiss
Walden Dissertations and Doctoral Studies
The transition from registered nurse to nurse practitioner (NP) can be challenging and stressful. This problem is particularly true for the novice NP who must adapt to a new scope of practice coupled with increased demands. Recognizing that mentorship can contribute to competency development, employee satisfaction, higher retention rates, and improved patient care outcomes, the goal of this project was to develop a staff education program and manual on mentorship. Knowles’ adult learning theory; Benner’s novice-to-expert framework; and the analysis, design, development, implementation, and evaluation model guided development of the staff education program and mentorship manual. Practice-focused questions guiding the …
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
Walden Dissertations and Doctoral Studies
AbstractThe problem identified by this staff education project was the providers’ lack of knowledge on integrated treatment for individuals with co-occurring disorders (CODs). Integrated treatment is the gold standard for working with individuals with CODs. Providers knowledge gap and barriers were addressed by educating them on integrated treatments. This project used the analysis, design, development, implementation, and evaluation (ADDIE) model in planning, implementation, and evaluation. The participants were 20 providers in a residential addiction treatment facility which include one physician, three nurse practitioners, eight counselors, one registered nurse, and seven licensed practical nurses. This project used a pretest to determine …
The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman
The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman
Walden Dissertations and Doctoral Studies
The practice problem addressed in this Doctor of Nursing Practice project was safe medication administration in the emergency department (ED). Paper-based delivery of medication administration is prone to errors and multiple points of failure affecting patients’ safety. The gap in nursing practice was the lack of analysis regarding the efficacy of the barcoded medication administration (BCMA) process in the ED. The practice-focused question for this project addressed whether the implementation of BCMA in the ED effectively reduced medication administration errors as compared to the previously used paper-based, non-BCMA process. The aim of this doctoral project was to review the efficacy …
Improving Advance Care Planning Among Native Americans, Jasjit Kaur Pataria
Improving Advance Care Planning Among Native Americans, Jasjit Kaur Pataria
Walden Dissertations and Doctoral Studies
A staff education project was created in a tribal health system of primary care clinics to improve advance care planning (ACP) conversations between care providers and Native American tribal patients. ACP conversations and advance directive documentation occurrences were found to be low or negligible in the project site despite primary care clinics being an ideal place to start these conversations. The purpose of the staff education project was to improve the knowledge and attitudes of providers toward initiating ACP conversations in a rural underserved community of Native Americans. The knowledge-to-action model was used to frame the project. Pretests and posttests …
Staff Education On Self-Care Management For Bipolar Patients To Prevent Readmission, Dorthy Igbonagwam
Staff Education On Self-Care Management For Bipolar Patients To Prevent Readmission, Dorthy Igbonagwam
Walden Dissertations and Doctoral Studies
Bipolar disorder is a chronic mental disorder that can negatively affect an individual’sreadmission to bipolar patients. The purpose of the doctor of nursing practice project was to develop a staff education program to empower the staff to educate the patients by increasing the staff’s knowledge about evidence-based, self-care management strategies. The focus of the educational content was on the approaches to improving patients’ adherence to their medications, promote follow-up care and prevent suicide. The theory that informed this project was Knowles’s theory of adult learning. One source of evidence generated during the project was the evaluation conducted by four content …
Perceptions Of Instructor Caring Behaviors Between English As A Second Language And Non-English As A Second Language Nursing Students, John Chukwuemeka Dike
Perceptions Of Instructor Caring Behaviors Between English As A Second Language And Non-English As A Second Language Nursing Students, John Chukwuemeka Dike
Walden Dissertations and Doctoral Studies
AbstractEnglish as a second language (ESL) nursing students have a significantly higher attrition rate and lower National Council Licensure Examination (NCLEX) pass rate than their non-ESL counterparts. Instructor caring behaviors (ICBs) are the ways nursing instructors treat students with respect, taking care to avoid prejudices, stereotyping, and judgments in the teaching-learning process which present prelicensure faculty to grapple with the challenge of effectively meeting the learning needs of both ESL and non-ESL students. The purpose of this cross-sectional, comparative study, guided by Watson’s theory of human caring, was to explore the differences in perceptions of ICBs between ESL and non-ESL …
Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze
Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze
Walden Dissertations and Doctoral Studies
AbstractObesity is one of the Healthy People 2020 high-priority public health issue. Obesity is of importance due to the troubling higher prevalence in women because of the close link that exists between body weight and reproductive health in females from menarche to menopause and beyond. The identification of guidelines to improve or manage the care of female patients can alleviate the burden and complications from being overweight or obese. This project guided by the ADDIE (analyze, design, develop, implement, and evaluate) model was conducted in a family primary care clinic to address a gap in practice, the lack of knowledge …
Medication Reconciliation Education To Promote Patient Safety In A Family Practice Setting, Oghaleoghene Kolo
Medication Reconciliation Education To Promote Patient Safety In A Family Practice Setting, Oghaleoghene Kolo
Walden Dissertations and Doctoral Studies
AbstractMedication reconciliation is a process in which the medications a patient is taking (or should be taking) are compared with newly ordered medications to identify and resolve discrepancies. Morbidity and mortality associated with the use of medication have become a public health concern. It was identified in this family practice setting that medication reconciliation guidelines were not being followed. This prompted the practice focused question if educating providers about medication reconciliation will improve their knowledge and intent to use guidelines about medication reconciliation. Peplau’s theory of interpersonal relationships provided the framework for the study. Data were collected from nine participants …
Educating Nurse Leaders On The Application Of Watson’S Caring Science, Diane Lm Updyke
Educating Nurse Leaders On The Application Of Watson’S Caring Science, Diane Lm Updyke
Walden Dissertations and Doctoral Studies
Nurse leaders’ creation of a culture of caring for their nursing staff has been shown to improve nurses’ job satisfaction and retention, and ultimately patient outcomes. At the project site, there was a perceived gap in nursing leadership practice in integrating a culture of caring into leadership and management practices. Although staff and leadership identified similar caring behaviors, staff members did not perceive nursing leadership as caring, which affected the former’s job satisfaction. The purpose of this education project was to provide site leaders with information on specific caring behaviors and how to model these behaviors with staff using Watson’s …
Military Emergency And Critical Care Nurses’ Lived Experiences Of Resilience, Carla Ann Wiese
Military Emergency And Critical Care Nurses’ Lived Experiences Of Resilience, Carla Ann Wiese
Walden Dissertations and Doctoral Studies
Resilience has been studied across a myriad of populations. Many resilience studies have focused on military service members, including military healthcare personnel, specifically nurses. Although many quantitative resilience studies have been conducted, there have been few qualitative studies in this area. Qualitative studies have focused solely on spiritual resilience, although mixed methods studies have identified other resilience characteristics. The aim of this descriptive phenomenological study was to identify resilience characteristics through rich description within the situational and philosophical patterns of resilience and gain a better understanding of how emergency and critical care military nurses honed resilience in the face of …
Improving Medical-Surgical Nursing Knowledge Of Congestive Heart Failure, Sylvia Rene Cunningham
Improving Medical-Surgical Nursing Knowledge Of Congestive Heart Failure, Sylvia Rene Cunningham
Walden Dissertations and Doctoral Studies
The purpose of this Doctor of Nursing practice project was to address the nursing gap in knowledge about congestive heart failure (CHF) management. Lack of staff knowledge on this topic inhibits their ability to educate patients. Poor patient understanding can lead to frequent readmissions and poor patient outcomes. The project aim was to determine if educating medical-surgical nurses about CHF management increased their knowledge of topic. The ADDIE model was used to design staff education. Lewin’s change theory guided the project. Nine registered nurses attended a power point presentation. A pre-education questionnaire was distributed, and participants created unique identifiers. The …
Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana
Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana
Walden Dissertations and Doctoral Studies
Although instructional strategies to enhance student learning is a critical component of the faculty role, nursing education has been slow to incorporate games and gaming into the learning environment. The primary purpose for this qualitative phenomenological research study was to explore the lived experiences of nursing faculty of associate degree programs, specifically regarding the use of games and gaming as interactive, experiential teaching and learning strategies. This study was designed to answer the question, “What are the lived experiences of faculty who use games and gaming as instructional approaches in associate degree nursing (ADN) education.” Through one-on-one interviews via Zoom …
The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy
The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy
Walden Dissertations and Doctoral Studies
AbstractAdult patients receiving cosmetic injections frequently experience needle fear symptoms which results in patient discomfort, suffering, and poor injection outcomes. The needle fear experience contributes to a decreased quality of life and possible avoidance behaviors involving other medical treatments requiring needles. Researchers have conducted quantitative studies which explored interventions on pain reduction but there are no qualitative studies from the perspectives of adults experiencing needle fear. The purpose of this research study was to explore the perceptions of needle fear in adult patients receiving cosmetic injections in a medical office setting. The interpretative phenomenological approach was used to provide an …
Adherence To American Cancer Society Guidelines For Colorectal Cancer Screening Ages 40–49, Delores Mcleod
Adherence To American Cancer Society Guidelines For Colorectal Cancer Screening Ages 40–49, Delores Mcleod
Walden Dissertations and Doctoral Studies
AbstractThere is a problem with risk awareness for ages 40–49 for colorectal cancer based on the American Cancer Society’s (ACS’s) most recent guidelines. Because there has been an increase in mortality and morbidity from colorectal cancer between ages 40 to 49 in men and women, this DNP project addresses the meaningful gap-in-practice characterized by the lack of sufficient and efficient practice approaches among practitioners regarding recommended screenings for colorectal cancer (CRC) as per ACS’s recent guidelines. The practice-focused question that guided the current project is “Will the health care professionals and staff improve their knowledge concerning the risk awareness of …
An Educational Program To Enhance Knowledge And Communication For Nursing Staff Who Care For Dementia Patients, Behnaz Mohammadi
An Educational Program To Enhance Knowledge And Communication For Nursing Staff Who Care For Dementia Patients, Behnaz Mohammadi
Walden Dissertations and Doctoral Studies
AbstractDementia is a progressive chronic disease that requires skilled nursing care. Staff at a skilled nursing facility were not using best practices to prevent and manage the psychological and behavioral symptoms of dementia. The purpose of this DNP project was to implement a dementia care education to address this gap in knowledge. The question for the evidence-based educational project was whether the program increased knowledge, promoted positive attitudes, and increased confidence in dementia care staff. A 5-hour workshop was presented in person, twice in two weeks. The person-centered care model served as a framework for the project. Nursing staff (N …