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Articles 1261 - 1290 of 2607
Full-Text Articles in Nursing
Behavioral Health Audit Tool Implementation And Health Care Documentation, Stephanie Lou Weatherly
Behavioral Health Audit Tool Implementation And Health Care Documentation, Stephanie Lou Weatherly
Walden Dissertations and Doctoral Studies
Quality documentation is a foundational element in healthcare. This QI project was conducted to examine the extent to which the implementation of a standardized behavioral health audit tool influenced compliance with required documentation elements. The context, input, process, product evaluation model was used to support the need for documentation compliance in behavioral health. A new audit tool was developed and implemented. Retrospective audit data were gathered from 86 locations over a period of 3 years, reflecting quarterly corporate audits and monthly program self-audit results. The first five quarters exhibited the widest variation in scoring; 28 locations required action plans for …
Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua
Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua
Walden Dissertations and Doctoral Studies
Suicide is the second leading cause of death among youth in Canada. Though school-aged youth are surrounded by teachers, mentors, and school mental health nurses (SMHN), little is known about what teachers want to know regarding suicide and whether the teachers have the knowledge to recognize youth at risk. The purpose of this generic exploratory qualitative study, guided by the health belief model, was to explore the perceived learning needs of high school teachers in northwestern Ontario (NWO) regarding suicide prevention. The data collection process involved semistructured virtual interviews with 14 high school teachers in NWO recruited via social media. …
Nurse Executives’ Intuitive Decision Making And Leadership Personality Styles During Organizational Change, Chaudron Carter Carter Short
Nurse Executives’ Intuitive Decision Making And Leadership Personality Styles During Organizational Change, Chaudron Carter Carter Short
Walden Dissertations and Doctoral Studies
Within the complex and multifaceted health care environment, nurse executives are challenged to effectively make decisions and lead organizations through change. How nurse executives make those decisions is determined in a variety of ways, one being through intuitive decision making. The purpose of this quantitative correlational study, guided by the dual process theory, was to examine nurse executives’ intuitive decision making and leadership personality styles during organizational change. The Agor Intuitive Management Survey and the Multifactorial Leadership Questionnaire were administered to 70 nurse executives recruited by direct email obtained from public hospital organizations’ websites and social media platforms. Regression analysis …
Educating Pediatric Emergency Department Nurses On Autism Spectrum Disorder, Melanie Lynn Cardona
Educating Pediatric Emergency Department Nurses On Autism Spectrum Disorder, Melanie Lynn Cardona
Walden Dissertations and Doctoral Studies
Caring for patients with autism spectrum disorder (ASD) that present to a pediatric emergency department (ED) poses many challenges for nurses. The multifaceted characteristics and needs exhibited by a child with ASD presenting to an ED has the potential to lead to poor patient outcomes. The purpose of this doctoral project was to increase registered nurses’ knowledge and confidence level for caring for patients with ASD in a pediatric ED. The practice-focused question for this doctoral project explored whether the implementation of an ASD educational intervention increase registered nurses’ knowledge and confidence level for caring for patients with ASD in …
Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton
Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton
Walden Dissertations and Doctoral Studies
Falls among hospitalized, geriatric patients are a leading cause of injury. Geriatric patients with psychiatric illnesses are at an even greater risk of falls. The project site was experiencing an increase in the number of patient falls and identified a need for staff education on fall risk assessment and implementation of interventions specific to the hospitalized, geriatric, psychiatric patient. Thus, the practice-focused question for this project was whether an educational program on evidence-based assessment and fall prevention strategies would improve nurses’ knowledge and skills to assess risk for falls and implement appropriate interventions for inpatient, geriatric, psychiatric patients. Knowles’s adult …
Clinical Practice Guideline For Early Identification Of Sepsis In The Emergency, Delta Williams
Clinical Practice Guideline For Early Identification Of Sepsis In The Emergency, Delta Williams
Walden Dissertations and Doctoral Studies
Sepsis, a life-threatening condition caused by infection, is a leading cause of mortality and morbidity globally. Researchers suggest that early identification of sepsis upon admission to the emergency department (ED) can help mitigate the consequences of sepsis. The emergency department of a hospital in a large urban U.S. city has participated in the Centers for Medicare & Medicaid Services’ sepsis reporting system (SEP-1) since 2015; however, recent reports indicated below benchmark scores. As more than half of patients diagnosed with sepsis were admitted or readmitted through the ED, the purpose of this project was to develop a clinical practice guideline, …
Education Of Staff On Promoting Yoga Activities In Women With Depression, Ahaoma Roselima Nnebedum
Education Of Staff On Promoting Yoga Activities In Women With Depression, Ahaoma Roselima Nnebedum
Walden Dissertations and Doctoral Studies
Major depression is a serious global health issue and one of the most common mental health problems women face in the United States. The problem in this DNP project, Education of Staff on Promoting Yoga Activities in Women with Depression, was the lack of staff knowledge in using yoga activity to treat women with depression resulting in suboptimal care of women with depression. The DNP project questions were addressed by collecting evidence-based information from the literature to develop the education and to explore if the DNP project would improve the staff knowledge of yoga allowing for the application of the …
Relationship Between Employee Satisfaction And Patient Satisfaction Within The Veterans Affairs Health Care System, Krista Penn
Relationship Between Employee Satisfaction And Patient Satisfaction Within The Veterans Affairs Health Care System, Krista Penn
Walden Dissertations and Doctoral Studies
Within health care organizations, the experience of care is a critical measure of the quality of a health care system and is an important measure of success. Over the past several years, the quality and experience of care have been criticized within the Veterans Health Administration. Veterans Health Administration hospitals suffer from low patient satisfaction scores and high nurse turnover rates. Research shows a correlation between patient satisfaction and employee satisfaction within other health care organizations, yet there has been limited research on whether this type of relationship exists within facilities across the Veterans Health Administration. Using Donabedian’s quality health …
A Clinical Practice Guideline: Hospice Care In The Emergency Room, Samer Saad
A Clinical Practice Guideline: Hospice Care In The Emergency Room, Samer Saad
Walden Dissertations and Doctoral Studies
Hospice patients use the emergency department (ED) for the management of symptoms, making it necessary for ED nurses to be equipped with the knowledge and skills to care for hospice patients. EDs should have staff specially trained to address end-of-life needs due to ED staff’s minimal knowledge of treating and managing hospice patients. When healthcare organizations fail to provide clinical practice guidelines (CPG) and collaborate with significant stakeholders adequately, gaps in care delivery can occur, and hospice care is often not delivered safely. Standardized guidelines on end-of-life care in the ED should provide adequate guidance for ED nurses in bridging …
Introduction Of Simulation To A Rural Health Care Facility, Jaime Lynn Duke
Introduction Of Simulation To A Rural Health Care Facility, Jaime Lynn Duke
Walden Dissertations and Doctoral Studies
AbstractDisparities exist between the quality and safety of care provided to patients seen in rural critical access hospitals and patients seen in metropolitan and suburban hospitals. These disparities result from lack of education opportunities and the infrequent exposure of staff to high-risk patient situations. The project addressed the lack of continuing education opportunities by introducing the hospital’s nurse leaders to simulation-based education to improve staff competence. The practice-focused questions asked if providing the nurse leaders of the hospital with information about the benefits of simulation-based staff education would lead to increased knowledge about and support for this type of education. …
Relationship Between Nursing And Nurse Practitioner Instructors’ Online Teaching Self-Efficacy And Their Students’ Online Academic Self-Efficacy, Pauline C. Stoltzner
Relationship Between Nursing And Nurse Practitioner Instructors’ Online Teaching Self-Efficacy And Their Students’ Online Academic Self-Efficacy, Pauline C. Stoltzner
Walden Dissertations and Doctoral Studies
AbstractTo meet the high demand for nurses and nurse practitioners (NPs) and address the national shortage of these professionals, nursing and NP schools are rapidly moving courses online. With this trend, and with the COVID-19 pandemic, many universities across the United States have been conducting classes in the online environment. The rapid transition from brick-and-mortar classes to online education has been a challenge for underprepared educators. The purpose of this correlational study was to investigate whether a relationship existed between potentially underprepared instructors’ online teaching self-efficacy and their students’ online academic self-efficacy. Bandura’s self-efficacy theory served as the theoretical framework. …
Barriers To Effective Personal Protective Equipment Use In Public Health Workers, Sheila Storr-Mathis
Barriers To Effective Personal Protective Equipment Use In Public Health Workers, Sheila Storr-Mathis
Walden Dissertations and Doctoral Studies
Exposure to infections continues to be a significant concern for nursing practice and for other health care professionals. Personal protective equipment (PPE) minimizes occupational exposure; however, their use is subject to variability. This quality improvement project addressed the impact of an educational intervention on attitudes and barriers to proper use of PPE for public health workers at the study site. The health belief model and the literature review provided theoretical support for the project and evidence of current trends in PPE use. There were 44 employees who completed the preintervention survey and 22 who completed the postintervention survey to gauge …
Clinical Guideline To Support Diabetes Education For Adult Nursing Home Residents, Adediwura Ajadi
Clinical Guideline To Support Diabetes Education For Adult Nursing Home Residents, Adediwura Ajadi
Walden Dissertations and Doctoral Studies
AbstractDiabetes is a major cause of increased disease burden and cost of care for patients in long-term care (LTC) settings. Of common diabetes-related complications, hypoglycemia has the most catastrophic implications for this population. Poor understanding, reporting, and management of hypoglycemia by LTC staff can cause increased diabetes-related hospitalizations, disability, deaths, and financial burden for LTC patients and nursing homes. This DNP project focuses on developing a clinical guideline to address the recognition and management of hypoglycemia in LTC settings. It will advance the skills and knowledge of LTC staff regarding hypoglycemia management. The project is grounded in nursing theoretical models …
Development Of A Clinical Guideline For An Emergency Department Fast Track Protocol, Cyrus C-Max Doe
Development Of A Clinical Guideline For An Emergency Department Fast Track Protocol, Cyrus C-Max Doe
Walden Dissertations and Doctoral Studies
AbstractDue to the large influx of patients, emergency departments (ED) across the United States strive to efficiently manage and improve workflow to increase the quality of care and reduce wait times for patients who present at the ED for care. Well-organized workflow is critical to providing efficient and time-sensitive care, beginning with the Fast Track (FT) area. The FT is a designated area of the ED where lower acuity or noncritical patients are seen and treated. Improving workflow in the FT area of the ED can help lessen wait times and overall length of patient visit and improve the delivery …
Increasing Provider Awareness About The Use Of Cbt In Treating Insomnia In Adults, Ayorinde Oluwagbemiga Oyeneyin
Increasing Provider Awareness About The Use Of Cbt In Treating Insomnia In Adults, Ayorinde Oluwagbemiga Oyeneyin
Walden Dissertations and Doctoral Studies
AbstractThis doctoral project addressed the issue of prescribing cognitive-behavioral therapy (CBT) as the first-line treatment for insomnia. Despite being less efficacious, medications are the most preferred form of treatment for insomnia among most psychiatric clinicians. Providers at the clinical site where the project took place were foregoing CBT in preference to medications. Providers preferred the pharmacotherapeutic approach due to its ease of prescription compared to the psychotherapeutic intervention. An educational program was provided for the providers regarding the advantages of prescribing CBT over medications, for the treatment of insomnia. The program was in the form of a PowerPoint presentation, which …
Increasing Staff Knowledge Regarding The Use Of Nonpharmacological Interventions With Long-Term Care Residents Diagnosed With Dementia, Larissa Latrice Anderson
Increasing Staff Knowledge Regarding The Use Of Nonpharmacological Interventions With Long-Term Care Residents Diagnosed With Dementia, Larissa Latrice Anderson
Walden Dissertations and Doctoral Studies
Dementia is an umbrella term that describes a clinical syndrome of progressive cognitive decline. The prevalence of a dementia diagnosis increases with age, making it a common occurrence within the older population. In long-term care facilities, where 5% of the older population reside, antipsychotic medications are the first line of defense and the choice of treatment among patients diagnosed with dementia. Recently, the Center for Medicare and Medicaid Services (CMS) announced a new goal of decreasing antipsychotic medication usage by 15% by the end of 2019. Guided by Watson’s Theory of Caring, this project was conducted to determine if an …
Perceptions Of Midwestern Msn Nps Of The Dnp Degree, Margaret Gallagher
Perceptions Of Midwestern Msn Nps Of The Dnp Degree, Margaret Gallagher
Walden Dissertations and Doctoral Studies
Strong professional forces have emerged within healthcare with expectations for a Doctor of Nursing Practice (DNP) degree for nurse practitioner (NP) practice. While NP contribution to societal healthcare is evident, most of these frontline workers are still only masters’ prepared nurses (MSN). A problem exists in that their views of the DNP have been minimally studied. Hence, the purpose of this study was to investigate perceptions of Midwestern MSN NPs of the DNP. The study was supported by the self-determination theory (SDT) proposing that motivation for goal achievement was driven by perceptions of intrinsic and extrinsic rewards, which set priorities …
Pharmacological Management Of The Diabetic Patient: A Staff Education Project, Wilantha Silva
Pharmacological Management Of The Diabetic Patient: A Staff Education Project, Wilantha Silva
Walden Dissertations and Doctoral Studies
Poorly controlled diabetes can lead to health complications that impact quality of life, increase healthcare costs, and create a negative impact on communities. Pharmacological management of diabetes was identified by stakeholders as a gap in practice at a clinic in the southeastern United States. The purpose of this project was to develop staff education based on American Diabetes Association (ADA) and American Association of Clinical Endocrinologists (AACE) standards of care, deliver education to primary care nurse practitioners (NPs), and evaluate their learning and confidence levels. The primary framework for this project was the chronic care model. An expert panel, including …
Staff Education Module On Beers Criteria For Geriatric Patients, Eyvonne Denise Hinton
Staff Education Module On Beers Criteria For Geriatric Patients, Eyvonne Denise Hinton
Walden Dissertations and Doctoral Studies
One of the main problems affecting geriatric patients over the age of 65 is the heightened risks of severe complications and mortality from adverse drug events (ADEs). Beers Criteria is a suitable framework for identifying potentially inappropriate medications (PIMs) for such at-risk population. The purpose of this project was to develop an evidence-based educational intervention for use by health practitioners to increase their knowledge and confidence regarding the 2012 American Geriatrics Society (AGS) Beers Criteria for PIMs. Lewin’s change theory provided the conceptual framework for the project. The method to evaluate the scores used involved a descriptive analysis of scores …
An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden
An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden
Walden Dissertations and Doctoral Studies
Elderly nursing home patients’ high rates of hospitalization due to sepsis impact their morbidity and mortality and significantly cost the U.S. healthcare system. Skilled nursing facility (SNF) nurses who have the knowledge to assess older adults for signs and symptoms of sepsis and communicate findings to providers are instrumental in providing improved care for patients. The purpose of this doctoral project was to provide a group evidence-based educational intervention on sepsis care of older adults geared toward nurses working in SNFs. The practice-focused question asked whether an educational intervention focused on the signs and symptoms of sepsis in the elderly …
Staff Education On Diabetes Self-Management For Patients, Gloria Eberechukwu Okoye
Staff Education On Diabetes Self-Management For Patients, Gloria Eberechukwu Okoye
Walden Dissertations and Doctoral Studies
Abstract Staff Education on Diabetes Self-Management for Patients by Gloria Okoye MSN, Walden University, 2016 BSN, Walden University, 2015 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2021 Abstract Diabetes mellitus is a chronic disease that poses health and financial burdens to patients, families, and society. An outpatient clinic in the Southeastern United States noted a gap in staff knowledge on diabetes self-management education for high-risk, diabetic patients. The purpose of the project was to educate clinical staff on lifestyle modification practices so that they could better educate diabetic …
A Clinical Practice Guideline For Measuring Quality Of Life In Patients With Depression And Anxiety, Mary Fowaah Boateng
A Clinical Practice Guideline For Measuring Quality Of Life In Patients With Depression And Anxiety, Mary Fowaah Boateng
Walden Dissertations and Doctoral Studies
Mental health conditions affect various aspects of an individual’s quality of life (QOL). Patients with anxiety and depression have a greater risk of having a negative perception of QOL. The gap in practice was the lack of an assessment tool to measure QOL in patients with mental health disorders. The purpose of this Doctor of Nursing Practice project was to develop a clinical practice guideline (CPG) recommending the best evidence-based measurement tool for QOL in patients with anxiety and/or depression. The question that guided the CPG was: How should QOL be measured in patients with anxiety and/or depression in the …
A Quality Improvement Evaluation Of An Emergency Department Response System For Psychiatric Patients, Kathryn J. Clagg
A Quality Improvement Evaluation Of An Emergency Department Response System For Psychiatric Patients, Kathryn J. Clagg
Walden Dissertations and Doctoral Studies
The DNP project was a quality improvement evaluation of an emergency department (ED) response system for psychiatric patients. The identified problem within the organization was a breakdown in care for psychiatric patients in the ED. The practice-focused question was twofold to address whether: (a) the development of a new ED response team would significantly reduce ED wait times, positively affect the left without being seen (LWBS) rates, and improve patient satisfaction for psychiatric patients and (b) the development of a new emergency room response team would improve the perceptions of ED staff on the process. The context, input, process, and …
Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich
Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich
Walden Dissertations and Doctoral Studies
When working with patients who have the potential to become physically aggressive, verbal de-escalation is an important technique that can defuse a dangerous situation. At the project site in the mental health emergency department (MHED), workplace violence was on the rise based on the reported use of physical interventions (rates of brief holds and physical restraint use). The purpose of this quality improvement evaluation project was to determine whether an educational training program on verbal de-escalation techniques would increase staff's confidence in the use of verbal de-escalation and decrease the rate of physical interventions used in the MHED. The change …
Generation X And Millennial Registered Nurse Job Satisfaction, Germika Brandon
Generation X And Millennial Registered Nurse Job Satisfaction, Germika Brandon
Walden Dissertations and Doctoral Studies
AbstractThe healthcare sector in the United States faces challenges in recruiting and retaining nurses, resulting in a shortage of professional nurses to provide care. Workplace job dissatisfaction among generations has been recognized as a contributor to the ongoing nursing shortage problem. The purpose of this quantitative comparative study, guided by Maslow’s and Herzberg’s theories, was to compare registered nurse (RN) job satisfaction by gender, generation, union and Magnet affiliations, and nurse turnover using secondary data obtained from the Robert Woods Johnson Foundation Newly Licensed Registered Nurses (NLRN) Work Study Project. The random sample of 220 cases was drawn from the …
Educating Staff Nurses On Opioid Use Disorder, Moses Ikejiofor
Educating Staff Nurses On Opioid Use Disorder, Moses Ikejiofor
Walden Dissertations and Doctoral Studies
Opioid use disorder (OUD) is a public health epidemic causing a rise in morbidity and mortality in the United States with disruption of victims and their families’ lives and a financial burden on the nation’s economy. The problem identified for this DNP project was nurses’ lack of knowledge of OUD and the impact on care and attitudes toward OUD patients. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose was to plan and evaluate a staff education program on OUD. The evidence from the literature to support the need for this project showed that …
Clinical Practice Client Education Guideline For Early Detection Of Thyroid Cancer, Marcia Miller
Clinical Practice Client Education Guideline For Early Detection Of Thyroid Cancer, Marcia Miller
Walden Dissertations and Doctoral Studies
AbstractThyroid cancer (TC) incidences over the last decade have increased significantly. The practice problem addressed in this project was nurses’ lack of knowledge on how to perform or teach clients how to perform self-exams of the neck region for early detection of TC. This lack of knowledge limits the nurses’ ability to properly educate their clients about TC and recognizing when to seek medical interventions. The purpose of this project was to develop of an evidence-based, clinical practice client education guideline (CPCEG), based on an in-depth literature review, to address the nurses’ lack of knowledge and enable clients to engage …
Development Of A Detox Clinical Practice Guideline For Pregnant Women Suffering From Opioid Addiction, Becca Ward
Development Of A Detox Clinical Practice Guideline For Pregnant Women Suffering From Opioid Addiction, Becca Ward
Walden Dissertations and Doctoral Studies
AbstractThe number of women suffering from opioid use disorder during pregnancy is a national epidemic. The gap in nursing practice is the lack of detoxification and medication-assisted treatment facilities that are equipped to care for this vulnerable population. The purpose of this project was to develop a clinical practice guideline (CPG) that is safe for both the fetus and the pregnant mother. Opioid dependence during pregnancy is on the rise with the nation’s current opioid epidemic. In this project, a meta-synthesis review was used to gather evidence from various sources and to develop a detox CPG that is safe for …
Staff Education Regarding Breastfeeding For Perinatal Nurses, Shannon Nicole Long
Staff Education Regarding Breastfeeding For Perinatal Nurses, Shannon Nicole Long
Walden Dissertations and Doctoral Studies
AbstractExclusive breastfeeding in the U.S. is the optimal form of nutrition up to the age of 1 year; however, the current U.S. rate of 49% and Kentucky rate of 39% fall below the Healthy People 2020 goal of 60.6%. Researchers have shown that perinatal nurses often lack knowledge to ensure mothers begin and maintain this optimal form of human nourishment. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to present a continuing education program on breastfeeding for 10 staff nurses at the target hospital. The program presented was the …
New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou
New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou
Walden Dissertations and Doctoral Studies
Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …