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Articles 1471 - 1500 of 2607
Full-Text Articles in Nursing
Nursing Faculties’ Perceptions Of Teaching Students Who Speak English As Second Language, Natalia S. Ruiz Muniz
Nursing Faculties’ Perceptions Of Teaching Students Who Speak English As Second Language, Natalia S. Ruiz Muniz
Walden Dissertations and Doctoral Studies
Nursing students who speak English as a second language (ESL) often struggle due to language barriers, the complexity of the medical vocabulary, and the knowledge base that they must develop in a short time. These struggles may be due in part to the preparation of nursing educators to meet the specific needs of the ESL student population. The purpose of this qualitative research study was to develop a greater understanding of nurse educators' perceptions when teaching ESL nursing students. The conceptual framework used was Cummins' framework for the development of language proficiency. Four research questions guided this basic qualitative research …
Relationship Between Burnout And Academic Teaching Level Among Nursing Faculty, Erica Lynn Sciarra
Relationship Between Burnout And Academic Teaching Level Among Nursing Faculty, Erica Lynn Sciarra
Walden Dissertations and Doctoral Studies
Nursing faculty function as healthcare providers, educators, mentors, advisors, and researchers, which contributes to the development of emotional exhaustion or burnout due to role overload. Symptoms of burnout may vary among nursing faculty depending on academic teaching level, tenure status, and educational preparation and may influence the physical and psychological health of nursing faculty, potentially affecting work productivity, career longevity, and the number of future nurses educated. The purposes of this study, guided by Maslach’s multidimensional burnout theory and the job demands resources model, were to determine (a) if there was a difference in level of burnout between graduate and …
Associate Degree Nursing Graduates’ Experiences Of The Transition From Student To Nurse, Katherine Margaret Slusser
Associate Degree Nursing Graduates’ Experiences Of The Transition From Student To Nurse, Katherine Margaret Slusser
Walden Dissertations and Doctoral Studies
Attrition among newly graduated nurses remains a top concern among nursing leaders in the United States. Many published studies about new graduate nurses focus on bachelors-prepared nurses or on mixed populations of nurses that include both associate and baccalaureate degree graduates. No published studies were located that focused specifically on the Associate Degree Nursing (ADN) graduate. The purpose of this qualitative, interpretive phenomenological study was to understand the experiences of transition after graduation and into professional nursing of newly employed nurses who graduated from an ADN program. The theoretical basis for this study was Meleis’s transition theory. The research question …
Newly Licensed Registered Nurse Generation Cohorts And Retention In First Registered Nurse Positions, Elizabeth S. Gizenski
Newly Licensed Registered Nurse Generation Cohorts And Retention In First Registered Nurse Positions, Elizabeth S. Gizenski
Walden Dissertations and Doctoral Studies
The purpose of this quantitative study was to evaluate the association between newly licensed registered nurses (NLRN) generational cohorts and NLRN who plan to leave or have left their first nursing position. The research problem focused on the generational cohorts of NLRN and retention. The research questions addressed different generations of NLRN, their intent to stay in their first job, and whether poor orientation was a factor for those who already left their first nursing position. The theoretical foundation was Strauss–Howe’s generational theory explaining how each generation views the world based on what they experienced in their lifetime. Data retrieved …
Relationship Of Complementary Modes Of Agency In The Self-Management Of Diabetes, Andrew Romo
Relationship Of Complementary Modes Of Agency In The Self-Management Of Diabetes, Andrew Romo
Walden Dissertations and Doctoral Studies
Effective control of type-2 diabetes mellitus (DM2) is essential for minimizing the likelihood of developing comorbidities that result from poor glycemic control. Extensive self-management considerations are required of people with DM because they must actively participate in their own care and engage with other socially-based sources of self-management support. The purposes of this quantitative study were to determine if there is an association between (a) the extent that the individual mode of human agency is employed and quality of diabetes control among adults who have been diagnosed with DM2 for at least one year and (b) the extent that the …
Improving The Patient Experience With Communication, Pauline Adora Salmon
Improving The Patient Experience With Communication, Pauline Adora Salmon
Walden Dissertations and Doctoral Studies
A quality patient experience is one of the highest priorities for hospitals as patients and families are looking to healthcare providers to meet their demands for quality service. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures the extent to which providers effectively communicate pertinent information such as communication about medications. On a 20-bed intermediate care unit, the HCAHPS item scores relating to nurse communication and communication about medicine were inconsistent and, on most occasions, were below the comparison benchmark of the 50th percentile when compared to other like hospitals. The purpose of this quality improvement project …
Quality Initiative To Reduce Falls In An Acute Care Setting, Janet Maxine Belcher
Quality Initiative To Reduce Falls In An Acute Care Setting, Janet Maxine Belcher
Walden Dissertations and Doctoral Studies
Falls are the most frequently reported incidents among hospitalized patients in the United States with at least 4 falls per 1,000 patient days occurring annually. Falls are related to high rates of mortality and morbidity and high hospital costs. The purpose of this project was to evaluate a fall prevention quality initiative to reduce falls in an acute care facility by educating staff on an evidence-based fall prevention protocol. The project sought to explore whether implementation of an evidence-based fall prevention initiative in educating nurses would affect the nurses’ professional knowledge and the number of patient fall incidences in the …
Adolescent Substance Abuse Screening, Wesley W. Lynch
Adolescent Substance Abuse Screening, Wesley W. Lynch
Walden Dissertations and Doctoral Studies
Adolescent substance use is a key public health problem in rural Ohio. Primary care nurses lack substance use screening knowledge and skills. Early screening and detection of possible substance use issues aids in directing patients to appropriate health services. This project involved the implementation of an educational intervention on the CRAFFT screening tool for primary care nurses in rural Ohio. Guided by Kurt Lewin's 3-step model to emphasize prevalence of substance use and need for screening among adolescents, the purpose of this project was to provide training on the CRAFFT screening approach and share guidelines to implement routine substance abuse …
Systematic Literature Review On Fall Prevention In An Acute Care Hospital Setting, Sonia A. Hudson
Systematic Literature Review On Fall Prevention In An Acute Care Hospital Setting, Sonia A. Hudson
Walden Dissertations and Doctoral Studies
Falls, with and without injury, in acute care hospitals are quite common but can be prevented if appropriate interventions are in place to address this issue. It is imperative that nurses assess fall risks of all patients admitted to the hospital and advocate for appropriate interventions to prevent falls in those who are found to be at risk. The purpose of this project was to recommend changes to the current fall prevention protocol in the project facility, an acute care hospital, based on best practices identified in a systematic review of the literature. At the time of the project, the …
Impact Of Nursing Education On Dysphagia Screening Knowledge, Jeanette Doreen Brumm
Impact Of Nursing Education On Dysphagia Screening Knowledge, Jeanette Doreen Brumm
Walden Dissertations and Doctoral Studies
Dysphagia is a common, life-threatening complication potentially experienced by patients with acute stroke. Complications related to dysphagia can lead to aspiration pneumonia, morbidity, and mortality. Thus, early identification of dysphagia is necessary for improving patient outcomes and avoiding adverse health consequences. Nurses have the unique opportunity to impact patient care by increasing knowledge of evidenced-based treatment of dysphagia in acute ischemic stroke patients. Therefore, the project question asked whether Registered Nurse (RN) dysphagia education could improve nursing knowledge of dysphagia screening. The purpose of this project was to increase RN knowledge regarding dysphagia screening using the Yale Swallow Protocol (YSP). …
Improving Nursing Knowledge Of Heart Failure Discharge Self-Care Instructions, Maria Patricia Picar Deza
Improving Nursing Knowledge Of Heart Failure Discharge Self-Care Instructions, Maria Patricia Picar Deza
Walden Dissertations and Doctoral Studies
Patients with heart failure (HF) have recurrent symptoms that lead to frequent hospital readmissions. Moreover, HF is one of the leading causes of 30-day hospital readmissions. Evidence shows that patients with a high level of HF self-care have decreased readmissions. HF self-care education is commonly delivered by the nurse at hospital discharge, and the patient’s transition to self-care is a critical point in the continuum of care. However, nurses must be knowledgeable of patient self-care in HF to effectively convey this information to the patient upon discharge. Therefore, this staff education project question asked whether nursing knowledge of HF patient …
The Effects Of A Clinical Coaching Education On Clinical Faculty’S Coaching Behaviors, Kara L. Kaldawi
The Effects Of A Clinical Coaching Education On Clinical Faculty’S Coaching Behaviors, Kara L. Kaldawi
Walden Dissertations and Doctoral Studies
New graduates’ readiness to provide safe nursing care is a goal of nursing programs and employers. However, new graduate nurses do not always have the skills to make decisions in the clinical setting during a patient situation, which can result in poor patient outcomes. But clinical coaching is a faculty teaching framework that promotes the development of clinical reasoning through the deliberate practice of questioning and feedback after a patient situation. Thus, the purpose of this study was to determine whether participation in a clinical coaching education program improved the coaching behaviors of clinical nurse educators. Knowles’ theory of adult …
Reduce Postpartum Complications By Improving Postpartum Care Appointment Attendance, Shayla Tennille Buckler
Reduce Postpartum Complications By Improving Postpartum Care Appointment Attendance, Shayla Tennille Buckler
Walden Dissertations and Doctoral Studies
This evidence-based project (EBP) was developed to increase postpartum appointment attendance to improve maternal outcomes for postpartum women. The practice problem was that the postpartum women who received prenatal care failed to return for postpartum care at a community clinic in north east Texas. The practice-focused question explored whether an educational intervention with the nursing staff would increase postpartum appointment attendance. The framework used was Pender’s Health Promotion Model. The preintervention data were retrieved from an electronic medical record (EMR) generated report that provided the number of postpartum appointments attended 30 days before the intervention. The nursing staff received a …
Methods To Increase The Rate Of Childhood Vaccinating, Mary Beth Tillman
Methods To Increase The Rate Of Childhood Vaccinating, Mary Beth Tillman
Walden Dissertations and Doctoral Studies
Vaccinations such as polio, diphtheria, varicella, and meningitis help to protect a child from life-threatening illnesses which have previously been contained by routine vaccinations. However, misinformation, negative press, and other contributing factors, have influenced caregivers to refuse to vaccinate their children placing the children at risk for contracting the disease. The Centers for Disease Control and Prevention recommends regular vaccinations for children beginning as newborns, yet the vaccination rate remains below acceptable levels. This project was developed to provide an educational program guided by Orem’s self-care theory and intended to increase nurses’ knowledge of vaccination and ultimately vaccination rates. A …
Reducing Congestive Heart Failure Hospital Readmission Through A Practice Guideline, Michelle Hamric
Reducing Congestive Heart Failure Hospital Readmission Through A Practice Guideline, Michelle Hamric
Walden Dissertations and Doctoral Studies
Patients with congestive heart failure (CHF) are at increased risk for hospital readmission within 30 days of discharge. The gap in practice involves the coordination of care for patients with CHF in the transition from hospital to home. Patients with CHF are at increased risk for hospital readmission due to barriers involving self-care, communication, and coordination of care. The purpose of this project was to implement a clinical practice guideline (CPG) that used a predictive tool and clinical pathway for coordination of care for CHF patients at increased risk for hospital readmission within 30 days. The DNP project involved using …
Preparing Clinical Faculty To Teach And Reinforce Hourly Rounding, Lisa Bailey
Preparing Clinical Faculty To Teach And Reinforce Hourly Rounding, Lisa Bailey
Walden Dissertations and Doctoral Studies
A gap exists in the knowledge of clinical faculty teaching prelicensure students about hourly rounding. The purpose of this project was to develop an educational program to prepare clinical faculty teaching student nurses to conduct hourly rounding. Hourly rounding trained faculty ensure safe practice by students and adherence to hospital policies. Hourly rounding includes the 4 Ps, which entails the assessment of “potty”, pain, position, and possession/periphery. Models and theories used to inform the project included the American Academy of Pediatrics’ 10-step process for developing training courses, Knowles’ theory of adult learning, Kirkpatrick's evaluation model, and the Accreditation Commission for …
Exploring Health Literacy In The Acute Care Setting In A Rural Border Region, Shiloh Williams
Exploring Health Literacy In The Acute Care Setting In A Rural Border Region, Shiloh Williams
Walden Dissertations and Doctoral Studies
Health literacy is important to ensuring patients have the necessary knowledge and skills needed to actively participate as a member of their own healthcare team. Patients with low health literacy are at increased risk for poor outcomes and limited participation in decisions affecting their health or treatment plan. Using the Social Ecological Model (SEM) as a framework, the purpose of this study was to determine the relationship between medical-surgical registered nurses, medical-surgical patients and the registered nurse’s (RN) assessment of their patient’s health literacy of those who live in a rural-border region. The study’s sample consisted of 84 pairs of …
Lived Experience Of Concept-Based Educated Novice Nurses Transition To Practice, Kim Hostetter
Lived Experience Of Concept-Based Educated Novice Nurses Transition To Practice, Kim Hostetter
Walden Dissertations and Doctoral Studies
Novice nurses often feel unprepared to transition to practice, which results in increased turnover, which is costly to healthcare organizations and can compromise patient care. Many schools have transitioned to a concept-based curriculum, to move away from traditional content-saturated nursing education. The purpose of this study was to explore the lived experiences of novice nurses educated in a concept-based curriculum as they transitioned to practice. Bennerâs novice-to-expert framework and Tannerâs clinical judgment model guided understanding of the behavior of the nurses during the transition period. This interpretative phenomenological study was used to understand new graduatesâ perception of their experiences as …
Implementation And Sustainability Of Emergency Department Wait Time Management Strategies, Arnold F. Resto Del Valle
Implementation And Sustainability Of Emergency Department Wait Time Management Strategies, Arnold F. Resto Del Valle
Walden Dissertations and Doctoral Studies
The problem of excessive wait time in the Emergency Department (ED) is a barrier to receiving access to assessment and treatment for patients seeking care in the United States. This project sought to understand the success factors that help implement and sustain wait time management strategies (WTMS) and ensure reduction of wait times in hospital Emergency Departments. This study addresses the gap in practice of few documented success factors that are proven methods in clinical practice for reducing patient wait time or sustainability. Retrospective studies, randomized controlled trials, and prospective observational studies were included in this project. An exhaustive comprehensive …
Effectiveness Of End Of Shift Bedside Report, Glory Abuajah
Effectiveness Of End Of Shift Bedside Report, Glory Abuajah
Walden Dissertations and Doctoral Studies
AbstractNursing shift reports are the primary communication mechanism for outgoing nurses to transfer information about a patient to oncoming nurses. Nurse shift reports and nurse handovers are two of the most critical patient care processes that can support patient safety and reduce medical errors. But many nurses do not recognize the evidence supporting the practice of bedside reporting (BSR). In response to this practice problem, this project involved education on the importance of BSR on a telemetry unit in line with the best available evidence. The goal of the staff education project was to educate the staff on the value …
Exploring A Nursing Faculty’S Perceived Level Of Engagement With High-Fidelity Simulation Experiences, Filipina Hernandez
Exploring A Nursing Faculty’S Perceived Level Of Engagement With High-Fidelity Simulation Experiences, Filipina Hernandez
Walden Dissertations and Doctoral Studies
AbstractResearchers from several disciplines concluded that deep engagement in an organization is critical to its success. However, little is known about a nursing faculty’s engagement experiences with high-fidelity simulation (HFS), which could establish the critical link between deep engagement and HFS’ successful integration in nursing programs. Grounded in the alternative model of engagement in learning, bridging this knowledge gap was the purpose of this study. The research question of this phenomenological study explored the nursing faculty’s perceived level of engagement with their HFS experiences. A purposeful sampling of 10 nursing faculty were interviewed using semistructured interview process. Van Kaam’s interpretative, …
Impact Of Medical Device Integration On Real-Time Visibility Of Electronic Medical Records, Justin Fuller
Impact Of Medical Device Integration On Real-Time Visibility Of Electronic Medical Records, Justin Fuller
Walden Dissertations and Doctoral Studies
Health care leaders are expected to make sound decisions regarding the equipment they purchase for use by personnel. One topic of consideration is the ability of the equipment to integrate with an organization’s electronic medical record, known as medical device integration (MDI). One aspect of MDI is the ability for information gathered at the patient bedside to be viewable in real time, or as close to it as possible. The real-time visibility (RTV) of information refers to the time it takes for information gathered by one individual to be visible to another. The purpose of this systematic review of the …
Getting The End Of Life Care Conversation Started, Lisa Ann Mccabe-Evans
Getting The End Of Life Care Conversation Started, Lisa Ann Mccabe-Evans
Walden Dissertations and Doctoral Studies
AbstractEducation is needed among the health care collaborative team to address the lack of end of life conversation, the underutilization of hospice leading to patients’ end of life wishes not being met, the increased depression among bereaved loved ones, and the increased health care costs at the end of life. Nurses reduce the patient’s physical and emotional stress by helping guide conversations and answer questions to meet the needs of patients and their loved ones. This project addressed the practice-focused question to determine if nursing knowledge and expressed intentions about end of life care increase as shown via the difference …
Chronic Care Model For Management Of Diabetes Mellitus, Junecia White
Chronic Care Model For Management Of Diabetes Mellitus, Junecia White
Walden Dissertations and Doctoral Studies
Diabetes mellitus is a serious chronic disease affecting individuals at various stages of life. More than 114 million Americans are at risk of developing complications of diabetes. It is the leading cause of kidney failure, nontraumatic lower-limb amputations, heart disease, stroke, and new cases of blindness among adults in the United States. This quality improvement project sought to understand if important clinical indicators of diabetes mellitus such as HbA1c, blood pressure, serum cholesterol, high-density lipoprotein, low-density lipoprotein, serum creatinine; and estimated glomerular filtration rate would improve after implementation of a team-based guideline-informed approach to diabetes care management. The chronic care …
Periodic Skills Education To Improve Competency In New Nurses, Karen Broomes-James
Periodic Skills Education To Improve Competency In New Nurses, Karen Broomes-James
Walden Dissertations and Doctoral Studies
On entry into the nursing profession, new graduate nurses (NGNs) possess some knowledge and skills competency but self-report learning gaps in various areas. Experienced nurses have reported that new nurses do not always have knowledge and competency in essential nursing skills. Undergraduate nursing programs and organization orientation programs provide valuable foundational knowledge but are sometimes limited in providing multiple exposures to content. Lagging skills acquisition contributes to self-doubt, lack of confidence and high attrition among NGNs. There is little data in the literature about the provision of supplemental education to new nurses immediately after orientation, and this doctor of nursing …
Perceptions Of Newly Licensed Registered Nurses About Homecare As A Practice Area, Tamara M. Kelley Frazier
Perceptions Of Newly Licensed Registered Nurses About Homecare As A Practice Area, Tamara M. Kelley Frazier
Walden Dissertations and Doctoral Studies
The demand for competent nurses working in a home care setting continues to grow because of decreased length of stay in hospitals and population needs for chronic care management when homebound. Nursing educational programs introduce students to community health and home care nursing, which could influence a student nurse's choice of home health care as an initial practice setting. This qualitative study examined the perceptions of newly licensed registered nurses (NLRNs) about home care as an initial practice area. Ten NLRNs not working in home health care areas responded to 16 open-ended interview questions that were based on the career …
Eating Disorders And The Gap Of Education, Sara Jane Camden
Eating Disorders And The Gap Of Education, Sara Jane Camden
Walden Dissertations and Doctoral Studies
Eating disorders are described as excessive dieting, limiting food intake, and withholding of food. Over 30 million people suffer from eating disorders. Some people may also have preconceived notions that this disease is easily fixable and that eating more and stopping dieting will solve the problem. Registered nurses struggle with having preconceived ideas, a lack of confidence in their assessment skills, and fear of using the eating disorder diagnosis. Barriers that have surrounded the eating disorder mental health disease need to be addressed. The staff development project was based on the question if nursing knowledge would improve on eating disorders …
Integrating Technology In Improving Communication To Reduce Discharge Cycle Time, Julieta Fajardo
Integrating Technology In Improving Communication To Reduce Discharge Cycle Time, Julieta Fajardo
Walden Dissertations and Doctoral Studies
One of the most important milestones during a patient’s transition to care is discharge from hospital. Consequently, delays in the discharge process can lead to patient dissatisfaction and affect outcomes in intensive care and emergency rooms. The purpose of the project was to evaluate the tools built into the electronic system to improve communication and reduce the discharge cycle time. The focus of the project is to enter the expected date of discharge (EDD) and identify discharge barriers within 24-48 hours of admission to reduce this time. Evidence was from the project site’s discharge initiative dashboard. Analysis of the problem …
Minority Pregnant Women Perspective On Health Disparities And Health-Related Outcomes, Lorna Robinson
Minority Pregnant Women Perspective On Health Disparities And Health-Related Outcomes, Lorna Robinson
Walden Dissertations and Doctoral Studies
Health agencies have recognized persistent health care disparities as the primary causes of mortality among minority populations. The emphasis of published studies on the health of minority women in the United States has revealed a knowledge gap in prioritizing prenatal care (PNC). The purpose of this narrative descriptive study was to explore access disparities in PNC and the effect the overall experience had on first-time pregnant minority women in receipt of PNC. The health services utilization framework provided the theoretical lens to analyze and interpret the findings of this study. The key research questions explored how the self-reported experiences of …
Use Of Spanish Audio Podcast To Educate Visually Challenged Hispanics With Diabetes, Baiju Issac
Use Of Spanish Audio Podcast To Educate Visually Challenged Hispanics With Diabetes, Baiju Issac
Walden Dissertations and Doctoral Studies
Diabetes is the leading cause of death among the Hispanic population, requiring solutions at the individual, community, and population levels. Self-management helps to manage diabetes and prevent complications, but it is a challenge in nursing practice. Health care providers use printed information to teach patients about self-management of diabetes. However, patients with visual impairment are not able to use these resources. Limited English proficiency, low health literacy, and visual challenges result in the underutilization of health care services within Hispanic communities. Therefore, the purpose of this study was to develop a Spanish audio podcast and lesson plan as teaching tools …