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Walden Dissertations and Doctoral Studies

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Executive Summary: Development Of An Evidence-Based Prevention Bundle To Reduce Falls On An Inpatient Psychiatric Detoxification Unit, Ramatu Dougrey Jalloh May 2025

Executive Summary: Development Of An Evidence-Based Prevention Bundle To Reduce Falls On An Inpatient Psychiatric Detoxification Unit, Ramatu Dougrey Jalloh

Walden Dissertations and Doctoral Studies

Following a 16% increase in patient falls from 2023 to 2024 in an inpatient psychiatric detoxification unit, a quality improvement education project was implemented to assess the impact of an evidence-based fall prevention bundle on fall rates and nursing compliance. Nurses received education through a PowerPoint presentation to enhance understanding and implementation of the bundle, which included Edmonson reassessments after high-risk medication administration, ISHAPED bedside shift handoffs, care plan updates, and SWIFT daily safety huddles. Posttests identified that the objective score of 80% knowledge for nurses was met. During the 10-week implementation, the goal was 100% compliance with all bundle …


Staff Education For Infection Control Prevention, Beatrice I. Cesar May 2025

Staff Education For Infection Control Prevention, Beatrice I. Cesar

Walden Dissertations and Doctoral Studies

This project was a quality improvement staff education program to address the increase in hospital-acquired infections in the project facility. The hospital administrator identified that staff were overwhelmed and may not be consistently implementing appropriate infection control practices. If infection control practices are not addressed in hospitals system, there would be a much higher rate of hospital-acquired diseases among hospitalized patients and the staff. A staff education program about evidence-based strategies relating to infection control prevention was implemented to increase the nurses’ knowledge about strategies to decrease the spread of infection in the project facility. Eleven registered nurses participated in …


Staff Education To Enhance The Diagnosis Of Depression In Older Adults, Abiola Oyenwen Izekor May 2025

Staff Education To Enhance The Diagnosis Of Depression In Older Adults, Abiola Oyenwen Izekor

Walden Dissertations and Doctoral Studies

The aim of this staff education project was to improve provider knowledge on using the Geriatric Depression Scale (GDS) for screening depression in older adults. Geriatric depression is often underdiagnosed due to atypical symptoms and reliance on generalized tools such as the Patient Health Questionnaire-9 (PHQ-9), leading to delays in treatment and increased health care costs. To address this gap, I collaborated with a librarian to conduct a literature search, initially identifying 149 articles and refining them to 20 for review. I followed the analysis, design, development, implementation, and evaluation (ADDIE) model to structure the educational intervention. The training included …


Staff Education To Improve Staff Knowledge And Attitudes Regarding Aggressive Patient Behaviors, Roya Khoshbakht May 2025

Staff Education To Improve Staff Knowledge And Attitudes Regarding Aggressive Patient Behaviors, Roya Khoshbakht

Walden Dissertations and Doctoral Studies

Aggressive behavior among psychiatric patients threatens safety and quality in healthcare, causing physical and psychological harm to staff and contributing to burnout and high turnover rates. This Doctor of Nursing Practice (DNP) project addressed gaps in staff knowledge and attitudes, particularly among nurses, regarding aggression management and de-escalation techniques through a comprehensive education program on the causes of aggression, warning signs, and effective strategies. The evidence-based practice (EBP) question was, Will staff education on evidence-based strategies for preventing and managing aggressive behavior improve staff knowledge and attitude? Project team members used the Johns Hopkins Evidence-Based Practice (JHEBP) model to develop …


Staff Education On The Use Of The Teach-Back Method To Decrease Nonadherence To Psychotropic Medications Among Inmates, Moradeke Okunoye Apr 2025

Staff Education On The Use Of The Teach-Back Method To Decrease Nonadherence To Psychotropic Medications Among Inmates, Moradeke Okunoye

Walden Dissertations and Doctoral Studies

This staff education project focused on improving nurses’ and mental health clinicians’ knowledge about the teach-back method (TBM) to improve psychotropic medication adherence. The practice problem was psychotropic nonadherence among inmates in a county jail in the Southeast region of the United States. The practice project question for this project was the following: For nursing staff and mental health clinicians in the jail, will training on the use of the TBM increase knowledge toward the goal of decreasing nonadherence to psychotropic medications among inmates? Psychotropic nonadherence is a significant issue in the jail that can lead to serious consequences including …


Staff Education On Evidenced-Based Approaches To Lifestyle Modification Teaching For Diabetic Patients, Chinenye Acho Apr 2025

Staff Education On Evidenced-Based Approaches To Lifestyle Modification Teaching For Diabetic Patients, Chinenye Acho

Walden Dissertations and Doctoral Studies

A notable gap existed in the healthcare staff's knowledge of evidence-based lifestyle modifications for patients with diabetes within outpatient internal medicine (OP IM) settings. The increasing prevalence of Type 2 diabetes emphasizes the urgent necessity for a structured educational framework to enhance staff understanding. In this project, I evaluated the efficacy of organized staff education in enhancing healthcare providers' confidence related to diabetes management. I conducted a thorough literature analysis and identified 18 peer-reviewed studies classified according to the Johns Hopkins Evidence-Based Practice Model. The findings reveal that Diabetes Self-Management Education and Support (DSMES) programs are associated with significant reductions …


Baccalaureate Nursing Students’ Beliefs About Peer Feedback In The Nursing Skill Lab: Value, Quality, And Importance, Danielle Elizabeth Fleming Apr 2025

Baccalaureate Nursing Students’ Beliefs About Peer Feedback In The Nursing Skill Lab: Value, Quality, And Importance, Danielle Elizabeth Fleming

Walden Dissertations and Doctoral Studies

Peer feedback is an instructional method used in nursing education to support student success in the nursing program and professional practice. While a large body of evidence supports the merits of peer feedback as an instructional method, there is limited research on its use in nursing students, especially within the skill lab. The purpose of this study, guided by the feedback intervention theory, was to examine nursing students’ beliefs about peer feedback in the nursing skill lab and how those beliefs change over time. Archival data from the Beliefs About Peer Feedback Questionnaire (BPFQ) from a public midwestern university was …


Unlicensed Assistive Personnel’S Attitudes, Knowledge, And Perceptions Of Alternatives To The Application Of Physical Restraints, Gale Marie Knight Apr 2025

Unlicensed Assistive Personnel’S Attitudes, Knowledge, And Perceptions Of Alternatives To The Application Of Physical Restraints, Gale Marie Knight

Walden Dissertations and Doctoral Studies

The use of physical restraints in mental health care settings is a common practice, yet it poses significant risks to patients’ physical and psychological well-being. The issue of excessive restraint use was addressed through this doctoral project by designing an educational program aimed at promoting alternative strategies. The practice-focused question was: How can an educational program for unlicensed assistive personnel (UAP) impact their knowledge and attitudes towards alternatives to physical restraints? The purpose of the project was to develop and evaluate an education program to improve UAP knowledge and attitudes to reduce reliance on physical restraints. The project was informed …


An Educational Intervention Focused On The Importance Of Nurse Leader Rounds, Shantelle Mobley Apr 2025

An Educational Intervention Focused On The Importance Of Nurse Leader Rounds, Shantelle Mobley

Walden Dissertations and Doctoral Studies

Nurse leader rounding (NLR) is essential in most healthcare organizations as NLR has been associated with improved nurse recruitment and retention, increased patient satisfaction, and increased quality of care. In the local organization, leadership identified that there was a lack of knowledge and awareness of NLR among nurse managers and charge nurses. Thus, the purpose of this Doctor of Nursing Practice (DNP) project was to determine if an education intervention focused on structured NLR increased knowledge and awareness among charge nurses and nurse managers. Thirty-seven individuals were invited to participate in the educational intervention. With the support of leadership, 34 …


Clinical Practice Guideline For Patient Education On Indwelling Catheters In The Home, Lyndsy Bolstad Apr 2025

Clinical Practice Guideline For Patient Education On Indwelling Catheters In The Home, Lyndsy Bolstad

Walden Dissertations and Doctoral Studies

Home healthcare agencies transition patients from the hospital to the home where caregivers may assist in providing care for indwelling Foley catheters. About half of urinary tract infections are in the presence of an indwelling catheter. The agency for which this Doctor of Nursing Practice project was developed does not have an evidence-based clinical practice patient education guideline (CPPEG) for the care of the indwelling catheter to prevent infection. The practice-focused questions were: (a) What evidence-based literature supports the development of a CPPEG for patient education on the care of the Foley catheter in the home and (b) Will the …


Organization Change Process Initiative Recurrent Emergency Room Visits By Mental Health And Substance Use Patients, Julie Marie Tucker Apr 2025

Organization Change Process Initiative Recurrent Emergency Room Visits By Mental Health And Substance Use Patients, Julie Marie Tucker

Walden Dissertations and Doctoral Studies

The rising rates of patients diagnosed with mental health and substance use disorders (MHSUD) signify a critical national crisis, worsened by the COVID-19 pandemic, as reported by the United States Department of Health and Human Services. This increase has reduced access to essential resources and treatment options, resulting in overcrowded emergency rooms (ER) and extended wait times. Addressing these issues is vital for nursing practice, as they significantly influence patient care and health outcomes, especially for vulnerable populations. This doctoral project explores whether an organizational change designed to raise awareness of updated community resources impacts MHSUD patient visits to the …


Retroactive Quality Improvement By Utilization Of The Leaf, Preston Stigall Apr 2025

Retroactive Quality Improvement By Utilization Of The Leaf, Preston Stigall

Walden Dissertations and Doctoral Studies

Summary This project is a retroactive quality improvement initiative to evaluate the effectiveness of the LEAF wearable pressure sensor and reduce sacral hospital-acquired pressure injuries (HAPIs) in critically-ill adult patients. The practice problem addressed is the high incidence of pressure injuries in hospitalized patients, which can lead to increased mortality, prolonged hospital stays, and higher healthcare costs. The evidence-based practice question was: In critically ill adult patients at risk of pressure injuries, how does the use of the LEAF wearable pressure sensor compared to standard care without sensors impact the incidence of sacral HAPIs over the past year? The purpose …


Staff Education On The Management Of Diabetes Among Type 2 Diabetic Black American Patients, Ngozi Philomena Anonyuo Apr 2025

Staff Education On The Management Of Diabetes Among Type 2 Diabetic Black American Patients, Ngozi Philomena Anonyuo

Walden Dissertations and Doctoral Studies

The aim of this staff education project was to increase nurses’ knowledge and confidence in providing patient education for diabetes self-management. Insufficient nurse knowledge regarding diabetes care and management was the gap in The practice-focused question was: Among Black American patients, does increasing nurses’ knowledge regarding implementation of diabetes-self management education programs result in a measurable increase in knowledge about diabetes management, ultimately contributing to improved expected diabetic outcomes involving glycemic control and reduced complications? Analytical strategies included descriptive and comparative analysis of deidentified pre- and post-knowledge assessments to evaluate the program’s impact on learning outcomes. An anonymous satisfaction survey …


Executive Summary: Quality Improvement Initiative Retrospective Program Evaluation Of Sms Reminder System In Decreasing Outpatient Mental Health Clinic No-Show Rates, Jordan Rogers Apr 2025

Executive Summary: Quality Improvement Initiative Retrospective Program Evaluation Of Sms Reminder System In Decreasing Outpatient Mental Health Clinic No-Show Rates, Jordan Rogers

Walden Dissertations and Doctoral Studies

This doctor of nursing practice (DNP) project presents an organizational quality improvement initiative implementing a text message reminder system to decrease appointment no-show rates in the outpatient mental health clinic. The project was developed based on the high rate of appointment no-shows at the DNP project site. Appointment no-shows are costly to both clinics and patients. Clinics experience decreased revenue and efficiency, and patient outcomes can be compromised. The project evaluated whether text message reminders sent 24 hours before a scheduled appointment time decreased no-show rates by at least 10%. Preimplementation data were collected for months October, November, and December, …


Enhancing Provider Knowledge With Phq-9 Education, Laurette Abunaw Apr 2025

Enhancing Provider Knowledge With Phq-9 Education, Laurette Abunaw

Walden Dissertations and Doctoral Studies

Depression represents a significant public health concern that often remains undiagnosed or untreated, primarily due to insufficient systematic screening in primary care settings. The lack of standardized screening tools such as the Patient Health Questionnaire-9 (PHQ-9) elevates patient risks, increasing symptom severity, increasing suicide rates, and delaying interventions. Research studies show that a significant number of individuals with depression go untreated for long durations, with primary care settings recognizing only a small percentage of cases. The PHQ-9 is an effective tool for assessing and monitoring depression in a primary care setting, leading to early detection of symptom severity. Clinical practice …


Nursing Educators’ Perceptions Of Using Virtual Simulated Games In Nursing Education, Ruhee Waheeda Mir Apr 2025

Nursing Educators’ Perceptions Of Using Virtual Simulated Games In Nursing Education, Ruhee Waheeda Mir

Walden Dissertations and Doctoral Studies

Nursing educators of Trinidad and Tobago have limited experience with virtual simulated games (VSGs) as a part of their teaching methodology. This lack of experience was highlighted during the COVID-19 pandemic as educators had to use virtual approaches in their classrooms and struggled with unfamiliar technologies. The purpose of this qualitative descriptive study, guided by the extended technology acceptance model, was to explore the perceptions of Trinidadian and Tobagonian nursing educators regarding the use of a VSG as a teaching tool. The sample consisted of eight nursing educators from an educational institute in Trinidad who met the criteria of being …


Clinical Practice Guideline Workflow For Medication Prescription, Patience Morikang Apr 2025

Clinical Practice Guideline Workflow For Medication Prescription, Patience Morikang

Walden Dissertations and Doctoral Studies

The type of project was a clinical practice guideline (CPG) workflow for medication prescriptions. The practice problem was the lack of an evidence-based approach regarding medication prescriptions, resulting in increased errors. It is essential to address this problem to promote safe prescribing, increase team knowledge, and encourage patient safety in the organization and within nursing practice. The practice focused question was the following: Will a clinical practice guideline for medication prescription workflow be approved by experts for use in an outpatient mental health clinic to promote the reduction of errors? The project aimed to seek expert approval of a CPG …


Staff Education To Structured Bedside Handoff, Kevin Omwanghe Apr 2025

Staff Education To Structured Bedside Handoff, Kevin Omwanghe

Walden Dissertations and Doctoral Studies

Nursing bedside handover (NBH) strategies as a nursing practice is often implemented at the patient’s bedside to improve communication safety during the shift change. This practice is vulnerable due to inconsistent application among nurses. This staff education Doctor of Nursing Education project consisted of interviews with staff to explore the barriers to successfully implementing a bedside nurse handoff approach in an intermediate care unit and introducing a staff education program to increase staff knowledge of NBH. Ten registered nurses participated in this project. Results of the pre-education program survey revealed that 100% of the participants had participated in interviews related …


Staff Update On Type 2 Diabetes Education, Toochukwu Endaline Mba Apr 2025

Staff Update On Type 2 Diabetes Education, Toochukwu Endaline Mba

Walden Dissertations and Doctoral Studies

The current rise in Type 2 diabetes among middle-aged individuals poses significant risks of health complications such as kidney damage, heart disease, stroke, nerve damage, vision loss, and skin problems. Research has shown that proper education on the causes and risk factors of Type 2 diabetes would increase people’s knowledge about the medical problem, helping promote positive health outcomes. This project was a staff education program using didactic and interactive case studies.


Staff Education For Nursing Staff, Tina Clarke Cherry Apr 2025

Staff Education For Nursing Staff, Tina Clarke Cherry

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project


Staff Education To Enhance Nurses' Knowledge Of Pressure Injury Prevention, Jacqueline Evette Foster Apr 2025

Staff Education To Enhance Nurses' Knowledge Of Pressure Injury Prevention, Jacqueline Evette Foster

Walden Dissertations and Doctoral Studies

Summary Hospital-acquired pressure injuries (HAPIs) have a significant negative impact on patient safety and the quality of care. This doctor of nursing practice (DNP) staff education project focused on improving staff nurses’ knowledge in preventing pressure injuries. Recognizing the high incidence of pressure injuries at the project site, this staff education project addressed the critical need to reduce pressure injuries for at-risk patients by providing ongoing education and training to enhance pressure injury management, reduce hospital costs and length of hospitalization, and improve patient care quality. The practice-focused question guiding this staff education project was the following: To what degree …


Development Of End-Of-Life Educational Module For Nurses, Kari Mcclain Apr 2025

Development Of End-Of-Life Educational Module For Nurses, Kari Mcclain

Walden Dissertations and Doctoral Studies

End-of-life (EOL) care is given to patients and their families near the end of the patient’s life or when a patient or family member chooses to stop any treatment they are receiving to either cure or control their disease process. Having discussions regarding end-of-life and dying has proven to be difficult and uncomfortable for most healthcare professionals, whether they are providers or nurses at the bedside. Part of the reason for the discomfort in having these discussions is twofold. First, healthcare professionals are trained to do what they can to save a person's life. Therefore, there is a lack of …


Staff Education To Increase Knowledge Of Safe And Effective Prescription Of Opioids For Pain Management For Patients With Illicit Drug Use, Kenny Adeshola Fagbamila Amanze Apr 2025

Staff Education To Increase Knowledge Of Safe And Effective Prescription Of Opioids For Pain Management For Patients With Illicit Drug Use, Kenny Adeshola Fagbamila Amanze

Walden Dissertations and Doctoral Studies

Opioid misuse and overdose continue to pose a significant public health crisis in the United States, particularly among patients with a history of substance use disorder (SUD). This Doctor of Nursing Practice (DNP) project aimed to improve healthcare staff knowledge regarding the safe and effective prescribing of opioids for pain management in patients with a history of illicit drug use. A staff education program was implemented at an outpatient clinic and evaluated using a pretest/posttest design with ten participants. The average knowledge score improved from 46% pre-intervention to 86% post-intervention, indicating a substantial increase in staff competence. The project supports …


Staff Education To Improve Hand Hygiene Among Inpatient Behavioral Health Staff., Folashade Abosede Fadairo Apr 2025

Staff Education To Improve Hand Hygiene Among Inpatient Behavioral Health Staff., Folashade Abosede Fadairo

Walden Dissertations and Doctoral Studies

In this staff education project, I addressed the critical need to improve hand hygiene compliance among healthcare workers in behavioral health settings. Poor adherence to hand hygiene protocols is directly linked to increased healthcare-associated infections (HAIs), patient morbidity, and higher healthcare costs in behavioral health environments. The practice-focused question was: How does a hand hygiene intervention program, grounded in the theoretical domains framework, impact hand hygiene compliance among behavioral healthcare workers in inpatient psychiatric units? The purpose of the project was to evaluate the effect of a hand hygiene intervention program on compliance rates among behavioral healthcare workers in inpatient …


Culturally Appropriate Mental Health Awareness To Reduce Mental Health Stigmatization And Improve Quality Of Life Among People Of African Descent., Nicoline Frinwie Apr 2025

Culturally Appropriate Mental Health Awareness To Reduce Mental Health Stigmatization And Improve Quality Of Life Among People Of African Descent., Nicoline Frinwie

Walden Dissertations and Doctoral Studies

No abstract provided.


Staff Education Program On Pressure Ulcer Prevention, Khadijah Y. Ndiaye Apr 2025

Staff Education Program On Pressure Ulcer Prevention, Khadijah Y. Ndiaye

Walden Dissertations and Doctoral Studies

This staff education program was aimed at improving pressure ulcer prevention practices in long-term care settings by increasing staff knowledge. Pressure ulcers remain a significant issue in long-term care facilities, leading to adverse patient outcomes and increased healthcare costs. Addressing this problem is critical within nursing practice to ensure patient safety, enhance quality care, and reduce preventable harm. The practice-focused question was: What is the effectiveness of a staff education program on pressure ulcer prevention in increasing staff knowledge in long-term care settings? The purpose of this doctoral project is to design and evaluate a comprehensive staff education intervention, incorporating …


Staff Education To Improve Medication Nonadherence In Behavioral Clinic, Evette Amundam Akam Apr 2025

Staff Education To Improve Medication Nonadherence In Behavioral Clinic, Evette Amundam Akam

Walden Dissertations and Doctoral Studies

The project is a staff education initiative to address medication nonadherence in a behavioral health outpatient clinic. The practice-focused question underpinning this project was, Will a staff education program with essential components improve staff knowledge, skill, and attitudes, ultimately improving medication adherence among behavioral health patients in outpatient clinics? I sought to design, implement, and evaluate an evidence-based educational program that equips healthcare providers with the knowledge and skills to identify, address, and overcome barriers to medication adherence. I used both quantitative and qualitative analytical methods. The results demonstrate improvements, with the average knowledge score increasing from 62.75% to 96% …


Use Of Telemetry In A Non-Critical Care Setting, Edna A. Howerton Mar 2025

Use Of Telemetry In A Non-Critical Care Setting, Edna A. Howerton

Walden Dissertations and Doctoral Studies

This clinical practice guideline (CPG) project was developed for best utilization of telemetry. In order to diagnose arrhythmias and ischemic changes in the heart, continuous cardiac monitoring or telemetry is crucial. The practice-focused question was, “Does the evidence support the development and quality scoring of a CPG using the Appraisal of Guidelines for Research and Evaluation II (AGREE II) instrument, that is also approved for use in the practice setting by end users?” The purpose of this doctoral project was to create a CPG to offer the best evidence for practice and optimal approaches to improve the effective utilization of …


Staff Education Program On Utilizing Non-Pharmacological Interventions To Manage Aggression Among Psychiatric Patients, Olivia Nguh Mar 2025

Staff Education Program On Utilizing Non-Pharmacological Interventions To Manage Aggression Among Psychiatric Patients, Olivia Nguh

Walden Dissertations and Doctoral Studies

The staff education project aimed to address the gap in practice regarding the management of aggression in psychiatric patients at a local mental health clinic. Approximately 40% of the clinic’s patient population exhibited aggressive behaviors, including verbal threats, and physical altercations. However, nurses primarily relied on pharmacological interventions and physical restraints to manage these behaviors, which failed to address underlying causes, such as psychiatric conditions and environmental stressors. A review of the literature demonstrated strong evidence supporting the effectiveness of non-pharmacological interventions, with studies highlighting how structured training programs significantly reduced aggression, and improved patient and staff outcomes. The project …


Clinical Practice Guideline For Delirium Screening, Raji George Mar 2025

Clinical Practice Guideline For Delirium Screening, Raji George

Walden Dissertations and Doctoral Studies

Summary This doctoral project developed a clinical practice guideline (CPG) to address the critical health issue of early identification of delirium among hospitalized high-risk patients. Hospital delirium is associated with prolonged hospital stay, increased nursing home or rehab use after hospitalization, and higher mortality. Evidence shows that systematic screening improves delirium identification among hospitalized high-risk adults. However, there was no clinical practice guideline for delirium screening at the project facility for high-risk, non-intensive care unit patients. Therefore, the practice-focused question for the project was, “Does the evidence support the development of a CPG for delirium screening in high-risk hospitalized patients …