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Articles 271 - 300 of 2607
Full-Text Articles in Nursing
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Dementia De-Escalation Staff Education Program, Gretchan Edwards
Walden Dissertations and Doctoral Studies
Behavioral and psychological symptoms of dementia (BPSD), including agitation and aggression, present significant challenges in acute care settings and contribute to increased staff injury risk and inconsistent patient care. The purpose of this Doctor of Nursing Practice (DNP) project was to evaluate the impact of a structured dementia de-escalation education program on staff knowledge, confidence, and perceived ability to manage dementia-related behaviors. The guiding PICOT question asked: In acute care staff, how does participation in a structured de-escalation training program that incorporates environmental modifications and organizational support, compared with no formal de-escalation training, affect staff knowledge, confidence, and perceived impact …
Staff Education To Improve Nursing Knowledge Of Catheter-Associated Urinary Tract Infection Prevention Practices, Maylin Fernandez
Staff Education To Improve Nursing Knowledge Of Catheter-Associated Urinary Tract Infection Prevention Practices, Maylin Fernandez
Walden Dissertations and Doctoral Studies
In this Doctor of Nursing Practice quality improvement project, I used a staff education intervention to address nursing knowledge gaps related to catheter-associated urinary tract infection (CAUTI) prevention in a large outpatient urology clinic in the southeastern United States. Registered nurses (N = 28) participated in a single, 45-minute, in-person education session comprising PowerPoint slides, facilitated discussion, and printed job aids based on national guidelines. I used a single-group pre-/posttest design to evaluate the effect of the intervention. The primary outcome was staff knowledge measured using a paper-based, 17-item knowledge test administered immediately before and after the session. The secondary …
Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed
Perioperative Pressure Injury Prevention Education Program, Stephanie M. Reed
Walden Dissertations and Doctoral Studies
Pressure injuries (PIs) are localized injury to the skin and/or underlying tissue, usually over a bony prominence, resulting from sustained pressure including pressure associated from shear. Surgical patients are estimated to represent 42% of hospital acquired PIs. PIs result in poor patient outcomes, increase length of stay, add billions to heath care costs are no longer reimbursed by Centers for Medicare/Medicaid Services. Prevention of PI is different in the perioperative setting due to the complexities of surgery. This project focused on developing, delivering, and evaluating a robust education program for perioperative staff on PI prevention in the perioperative setting. The …
Staff Education To Improve Nursing Knowledge Of Follow-Up Adherence Support Strategies In A Large Outpatient Urology Clinic, Ivette Dieguez
Staff Education To Improve Nursing Knowledge Of Follow-Up Adherence Support Strategies In A Large Outpatient Urology Clinic, Ivette Dieguez
Walden Dissertations and Doctoral Studies
Site monitoring identified inconsistent adherence to scheduled follow-up care as an operational concern, underscoring the need for standardized nursing strategies to enhance follow-up communication. This staff education project aimed to determine whether a focused educational intervention could improve nursing knowledge of adherence support strategies, with confidence measured as a secondary outcome. Guided by the ADDIE instructional design model and the Johns Hopkins evidence-based practice model, the project was implemented in a large outpatient urology clinic with 18 participating registered nurses. Participants completed anonymous paper-based pretests and posttests surrounding a single 45-minute, live group education session. Educational content covered common barriers …
Developing Nursing Education On The Assessment Of Asthma Patients With Symptoms Of Shortness Of Breath In Urgent Care, Abigail Akorfa Adase
Developing Nursing Education On The Assessment Of Asthma Patients With Symptoms Of Shortness Of Breath In Urgent Care, Abigail Akorfa Adase
Walden Dissertations and Doctoral Studies
This quality improvement project aimed to enhance the assessment of dyspnea in patients presenting with shortness of breath, particularly those with asthma, through a staff education program. At the practice site, staff primarily relied on SpO₂ readings to evaluate dyspnea, which often led to misassessment and delays in care. The project addressed this gap by providing urgent care staff with training on comprehensive assessment techniques, including evaluation of respiratory rate, work of breathing, ability to speak, patient history, and use of validated tools such as Borg’s scale and peak flow meters. Twenty triage staff members participated, including licensed practical nurses, …
Improving Medication And Lifestyle Adherence Through A Standardized Clinical Practice Guideline, Chazemba Shamaila
Improving Medication And Lifestyle Adherence Through A Standardized Clinical Practice Guideline, Chazemba Shamaila
Walden Dissertations and Doctoral Studies
Medication and lifestyle nonadherence remains a persistent and costly problem within healthcare systems and represents a critical gap in nursing practice. Approximately half of adults prescribed long-term medications do not adhere to recommended regimens, contributing to poor disease control, preventable hospitalizations, increased mortality risk, and substantial healthcare expenditures. These challenges are particularly pronounced in outpatient mental health settings, where symptom burden, cognitive impairment, treatment complexity, and social determinants of health further compromise adherence. Addressing medication and lifestyle nonadherence aligns with nursing priorities related to patient safety, quality improvement, and health equity. This Doctor of Nursing Practice (DNP) project focused on …
Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton
Educating Staff Nurses On Pain Reassessment, Katie Louise Pemberton
Walden Dissertations and Doctoral Studies
Pain is one of the most common reasons that patients seek medical care, and chronic pain is a major health problem. The goal of this project was to address a lack of current, evidence-based knowledge of nurses regarding pain reassessment. The context for this project was a medical-surgical area in a rural hospital. The Doctor of Nursing Practice project attempted to answer the practice focus question on whether education improved knowledge related to improving pain reassessment. The project framework utilized in the doctoral project was the analysis, design, development, implementation, and evaluation model. An education program was designed with the …
Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi
Staff Education To Improve Mental Health Staff Knowledge On Mobile Health Applications For Medication Adherence, Chipasha Chingwengwezi
Walden Dissertations and Doctoral Studies
Despite rising evidence supporting the efficacy of mobile health (mHealth) applications to enhance medication adherence among individuals with mental health conditions, there is little utilization of these applications within mental health facilities. This project aimed to address the issue of implementing an interactive education program to enhance the knowledge of mental health staff and skills in the application of mHealth apps to enhance medication adherence. The main objective of this project was to fill the gap between conducting research and implementing its outcomes by providing staff with the knowledge and skills to incorporate mHealth applications into their daily practice. The …
Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill
Nursing Students’ Attitudes About Correcting Health Misinformation On Social Media, Heather Ann Hill
Walden Dissertations and Doctoral Studies
Health misinformation on social media is a global public health concern. Research has shown that health misinformation causes significant harm in communities, especially for vulnerable populations with existing health disparities. Nurses have been urged to play a more significant role in combating health misinformation. Existing research has shown that nurses are hesitant to correct health misinformation on social media, but attitudes among current nursing students have not been examined. The purpose of this qualitative descriptive study was to explore nursing students' attitudes about correcting health misinformation on social media. Guided by Ajzen’s theory of planned behavior and Paterson and Zderad’s …
Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson
Education To Improve Knowledge On Effective Communication Among Health Care Staff, Afolake Olajumoke Benson
Walden Dissertations and Doctoral Studies
This doctoral project was conducted at a family practice clinic to assess the impact of staff education on the clinic staff knowledge of the use of situation, background, assessment, recommendation (SBAR) as a communication tool. Miscommunication among healthcare staff is a practice problem at the clinic caused by unstructured sharing of information, which often results in delay in patient care, occurrence of medical errors, and decrease in patient safety, thus the need to address this problem. The purpose of the project was to use staff education on SBAR to increase the clinic staff knowledge on the use of SBAR as …
Falls In Inpatient Hospital Settings, Merlina Constantine
Falls In Inpatient Hospital Settings, Merlina Constantine
Walden Dissertations and Doctoral Studies
Inpatient falls are a common and preventable problem that affects health care costs, patient safety, and clinical quality. Inpatient falls occur within hospitals, cause harm, extend hospitalization, and require additional healthcare funding. Falls harm a patient’s physical health and cause emotional trauma, decrease patient satisfaction, and undermine confidence in the hospital care systems. Falls are therefore a significant concern in the nursing practice environment because nurses form the first component of prevention, monitoring, and intervention. This doctoral project aimed to re-educate and reinforce staff understanding of clinical guidelines to prevent inpatient falls through evidence-based interventions targeting environmental, behavioral, and organizational …
Implementing An Acuity-Based Staffing Model To Improve Staffing Equity And Patient Safety In An Inpatient Mental Health Unit, Vivian Emuobe
Implementing An Acuity-Based Staffing Model To Improve Staffing Equity And Patient Safety In An Inpatient Mental Health Unit, Vivian Emuobe
Walden Dissertations and Doctoral Studies
Understaffing during the weekends has been related to issues in patient safety, delayed responses, and increased nurse fatigue and turnover in a majority of inpatient mental health units. This practice improvement Doctor of Nursing Practice (DNP) project aimed to address disparities in nurse staffing ratios between weekdays and weekends within inpatient mental health units. The purpose of the project was to design and test an evidence-based acuity-based staffing model, supported by structured staff education and compliance monitoring, to promote equitable workload distribution and improve patient and organizational outcomes. The guiding practice question asked: How does the implementation of an acuity-based …
Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown
Enhancing Staff Education For Remote Blood Pressure Monitoring In Rural Clinics, Judi Brown Brown
Walden Dissertations and Doctoral Studies
This is an educational intervention project targeted was developed to fill a knowledge gap in the treatment of hypertension in a rural primary care clinic. The project focused on enhancing staff education for Remote Blood Pressure Monitoring (RBPM) to enhance the desired patient outcomes regarding continuous monitoring and early interventional actions. The practice problem focuses on the lack of effective methods in managing hypertension that can facilitate the identification of hypertensive crisis and in rural areas. This project's primary research question is: "How can staff education on RBPM enhance knowledge and skills about hypertension management in rural clinics?" The project …
Assessing Type 2 Diabetes Mellitus, Christine A. Mccaulay
Assessing Type 2 Diabetes Mellitus, Christine A. Mccaulay
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice capstone project presents the development and evaluation of a clinical practice guideline (CPG) for the assessment and management of Type 2 Diabetes Mellitus in adults. The project addresses the ongoing challenge of diabetes-related complications and hospitalizations, highlighting the critical role of personalized patient education and the integration of smartphone technology for home monitoring. Central to this initiative was the question of whether an expert panel would endorse an evidence-based guideline for diabetes monitoring using innovative technology, as evaluated by the AGREE II tool. A robust review of the literature supported the guideline’s development, with high-quality …
Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan
Reducing Social Isolation In Elderly Hospice Patients Through Structured Social Interventions, Ashley Babayan
Walden Dissertations and Doctoral Studies
This doctoral project was conducted as a quality improvement organizational change initiative aimed at reducing social isolation among elderly hospice patients through structured social interventions. Social isolation is a significant psychosocial concern in hospice populations and is associated with increased emotional distress, depression, and decreased quality of life. Despite hospice care’s holistic philosophy, structured and standardized social engagement interventions are inconsistently implemented across settings, creating a gap in practice. The practice-focused question guiding this project was: In elderly hospice patients experiencing social isolation, how do structured social interventions (regular visits, group activities, and emotional support systems), compared to standard hospice …
Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones
Evaluation Of Nurses' Leadership Self-Efficacy In Belize, Ruth Rosalee Reina Jones
Walden Dissertations and Doctoral Studies
Nursing leadership in Belize is lacking but crucial to the well-being of patients, families, and the healthcare team. The purpose of this non-experimental, descriptive, comparative study was to a) determine the difference in leadership self-efficacy for current nurse leaders with three years or less of leadership experience compared to current nurse leaders with more than three years of leadership experience in Belize, and b) examine the differences in leadership self-efficacy between nurses in a leadership position and nurses not in a leadership position in Belize. The theories supporting the study were Burns’ transformational leadership theory and leadership self-efficacy, based on …
Anxiety, Cognitive Load, And Simulation Effectiveness In Pre-Licensure Bsn Students, Brittany Behrens
Anxiety, Cognitive Load, And Simulation Effectiveness In Pre-Licensure Bsn Students, Brittany Behrens
Walden Dissertations and Doctoral Studies
High-fidelity simulation experiences are an integral component of pre-licensure nursing curricula, providing students with realistic, controlled environments to develop clinical judgement skills. While these simulations enhance learning, they can increase anxiety and cognitive load, potentially impairing students’ ability to process information and derive meaningful outcomes. The purpose of this quantitative, correlational study was to examine the relationships among pre-simulation anxiety, cognitive load, and perceived simulation effectiveness in pre-licensure BSN students. Data were collected from 90 participants using the shortened Spielberger State-Trait Anxiety Inventory (STAI), the Cognitive Load Measurement–Naïve Rating Questionnaire, and the Simulation Effectiveness Tool–Modified (SET-M). Pearson correlation analyses indicated …
Improving Depression Screening For African American Adolescents Through Staff Education On The Phq-A, Yvonne Anutatu Nkeze
Improving Depression Screening For African American Adolescents Through Staff Education On The Phq-A, Yvonne Anutatu Nkeze
Walden Dissertations and Doctoral Studies
Improving Depression Screening for African American Adolescents Through Staff Education on the PHQ-A
Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke
Implementing Staff Education To Improve Depression Detection In Primary Care Using Patient Health Questionnaire (Phq-9), Ukamaka Okeke
Walden Dissertations and Doctoral Studies
This staff education project focuses on improving depression detection in a primary care settings using Patient Health Questionnaire (PHQ-9) screening tool. Depression is a leading cause of disability worldwide, requiring reliable and adaptable screening tools. The diagnosis of depression is one of the most common mental health disorders in primary care but is poorly identified and frequently missed. The lack of consistent screening for depression among patients often results in delayed identification of symptoms, which postpones early treatment, increasing the risk of complications associated with untreated depression. The practice site identified that depression screening was frequently missed during patient intake, …
Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch
Examining Undergraduate Nursing Faculty’S Job Satisfaction Related To Workload, Work-Life Balance, And Student Incivility, Melissa Walch
Walden Dissertations and Doctoral Studies
Exploring nursing faculty job satisfaction is important for retaining faculty in undergraduate nursing programs because they are vital to training future bedside nurses. There is a nursing faculty shortage in the United States, and retaining faculty is critical to addressing it. The purpose of this study, guided by Herzberg’s motivation-hygiene theory, was to (a) understand the relationship between workload, work-life balance, and nursing faculty job satisfaction and (b) the relationship between student incivility and nursing faculty job satisfaction in undergraduate nursing programs. Undergraduate nursing faculty in Ohio and Florida with at least 2 years of teaching experience were recruited via …
Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari
Enhancing Staff Knowledge And Confidence In Depression Screening Using The Patient Health Questionnaire-9, Melkamzer Chari
Walden Dissertations and Doctoral Studies
Depression is a serious public health concern affecting over 280 million people globally and leading to significant morbidity and mortality if left undetected and untreated. At the local organization, leadership identified inconsistent depression screening as a practice problem among nursing staff. Thus, the purpose of this doctor in nursing practice (DNP) project was to determine if an educational intervention focused on depression, the importance of depression screening, and the use of the Patient Health Questionnaire-9 (PHQ-9) increased knowledge and confidence among nursing staff working in a local organization. Fifteen participants volunteered to participate in the project. The average age was …
Enhancing Staff Education On Antidepressant Side Effects For Adolescents At Discharge, Mingdi Gao
Enhancing Staff Education On Antidepressant Side Effects For Adolescents At Discharge, Mingdi Gao
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) evidence-based staff education project aimed to improve the quality and consistency of discharge medication education for adolescents prescribed antidepressants. Adolescents are at increased risk for antidepressant-related adverse effects, including suicidal ideation, particularly during the early stages of treatment. The identified practice problem was the lack of consistent, developmentally appropriate, and culturally sensitive discharge teaching for adolescents and their families. This gap in practice contributes to poor adherence, preventable readmissions, and diminished safety outcomes. The project was guided by the PICO question: For adolescents discharged from inpatient or outpatient behavioral health care, how does a …
Staff Education To Improve Nurse Confidence In Managing Co-Occurring Conditions, Gloria Johnston
Staff Education To Improve Nurse Confidence In Managing Co-Occurring Conditions, Gloria Johnston
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project addressed a lack of confidence and training for nursing staff who care for patients with co-occurring substance use and mental health disorders. The practice problem identified at the local project site was the inconsistent care of this patient population. Addressing this gap was essential because inadequate training can reduce care quality among patients with co-occurring conditions. The practice-focused question for this project was: In nursing staff caring for patients with co-occurring mental health and substance use disorders, how does an evidence-based staff education program on integrated treatment approaches compare to standard …
Staff Education To Optimize Pain Management In Home Health Care, Marie Natacha Francis
Staff Education To Optimize Pain Management In Home Health Care, Marie Natacha Francis
Walden Dissertations and Doctoral Studies
This DNP project is a nurse-led quality improvement initiative that responds to the age-old issue of ineffective pain management in the home healthcare setting. The issue is the absence of standardization in staff education regarding pain assessment and intervention, leading to unfavorable patient outcomes and a reduced quality of life. The purpose of the project is to assess the efficacy of educational interventions delivered by nurses to enhance staff knowledge, confidence, and consistency in the management of pain procedures. The project question is: How effective are nurse-led educational interventions in improving staff knowledge and practices in pain assessment and management, …
Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa
Staff Education To Improve Nurses’ De-Escalation Skills In Substance Abuse Treatment Settings, Joy Atufunwa
Walden Dissertations and Doctoral Studies
Nearly 50% of patients in substance abuse treatment settings exhibit aggressive behaviors, placing staff and other patients at risk. In the absence of structured de-escalation training, clinicians frequently rely on physical restraints or pharmacologic interventions, which contribute to staff burnout, injury, and ethical concerns. The project implemented an evidence-based staff education program to improve nurses’ knowledge, confidence, and competence in managing aggression using nonviolent de-escalation strategies. The project question guiding this initiative was: Can education improve nurses’ de-escalation skills in a substance abuse treatment setting? Using an evidence-based practice (EBP) approach and the PICO framework, the project evaluated the impact …
Communication Challenges Experienced By Telephone Triage Registered Nurses Providing Assessment Of Health Symptoms, Stacy Huddleston
Communication Challenges Experienced By Telephone Triage Registered Nurses Providing Assessment Of Health Symptoms, Stacy Huddleston
Walden Dissertations and Doctoral Studies
Telephone triage nurses routinely assess symptoms and make clinical decisions without visual contact, which introduces complex communication challenges. Language differences, emotional distress, cultural misunderstandings, and the absence of visual cues may influence how symptoms are described, interpreted, and acted upon during telephone encounters. The purpose of this qualitative interpretive description study, guided by Peplau’s theory of interpersonal relations, was to explore how RNs experience and manage communication barriers in telephone triage practice. Six RNs with recent experience in telephone triage participated in semistructured interviews, and the data were analyzed using interpretive description and thematic analysis. Findings indicated that participants relied …
Health Histories, Tiffanie Walton
Health Histories, Tiffanie Walton
Walden Dissertations and Doctoral Studies
No abstract provided.
Staff Education For Prevention And Management Of Obesity In Adolescents From Underserved Communities, Doris Mtarubukwa
Staff Education For Prevention And Management Of Obesity In Adolescents From Underserved Communities, Doris Mtarubukwa
Walden Dissertations and Doctoral Studies
This DNP project implemented a targeted staff education intervention designed to bridge the practice gap in obesity management among adolescents in underserved communities. A comprehensive chart review of 45 patients revealed that only 3% of encounters adequately addressed obesity using evidence-based practice (EBP) guidelines, establishing the urgent need for healthcare provider education and competency development. Adolescents in underserved communities face complex barriers to health and wellness, with obesity representing a critical public health concern. The literature demonstrated that childhood and adolescent obesity serves as a significant risk factor for multiple chronic conditions in adulthood, including Type 2 diabetes, hypertension, coronary …
Pressure Injury Prevention In Intensive Care Units, Michael Loya
Pressure Injury Prevention In Intensive Care Units, Michael Loya
Walden Dissertations and Doctoral Studies
This project addressed the critical practice problem of formation of Stage III/IV pressure injuries in adult patients admitted to the long-term acute care (LTAC) intensive care unit (ICU) department, which has been linked to increased lengths of stay, mortality rates, and treatment costs for the facility. Thus, development of a clinical practice guideline (CPG) focused on a nurse-driven protocol to identify patients in the ICU department at high risk of developing a Stage III/IV pressure injury and initiating prevention measures formed the primary purpose of the Doctor of Nursing Practice (DNP) project. The practice focused question addressed whether an evidence-based …
Staff Education On Attention-Deficit/Hyperactivity Disorder Identification And Referral Using The Vanderbilt Assessment Scale, Edith Nkeze
Walden Dissertations and Doctoral Studies
Staff Education on Attention-Deficit/Hyperactivity Disorder Identification and Referral Using the Vanderbilt Assessment Scale