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Walden Dissertations and Doctoral Studies

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Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee Jodean Jacobson May 2024

Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee Jodean Jacobson

Walden Dissertations and Doctoral Studies

With the current nursing shortage, finding ways to increase nursing retention in graduate nurses can help ease the shortage. Self-efficacy is a factor that contributes to an individual’s well-being and can affect their professional accomplishments. The purpose of this study, guided by Bandura’s theory of self-efficacy, was to identify instructor characteristics that may impact student perceived self-efficacy in the clinical setting. Bandura identified self-efficacy as a factor that contributes to an individual’s well-being as a whole and can affect their professional accomplishments. A sample of 19 nursing students who were enrolled in a clinical course were recruited and completed the …


A Clinical Practice Guideline On Dyslipidemia Screening In Children, Nadine Touayem Mbou May 2024

A Clinical Practice Guideline On Dyslipidemia Screening In Children, Nadine Touayem Mbou

Walden Dissertations and Doctoral Studies

Walden University College of Nursing This is to certify that the doctoral study by Nadine Mbou has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Deborah Lewis, Committee Chairperson, Nursing Faculty Dr. Elizabeth Diener, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The burden of dyslipidemia among children has increased substantially, affecting approximately 7% of adolescents in the United States. Although pediatric dyslipidemia screening can promote early identification, a standardized clinical practice guideline (CPG) …


Improving Nurses’ Communication Skills Using The Situation-Background-Assessment-Recommendation Model, Leslie Gonzalez May 2024

Improving Nurses’ Communication Skills Using The Situation-Background-Assessment-Recommendation Model, Leslie Gonzalez

Walden Dissertations and Doctoral Studies

Lack of effective communication among health care providers results in negative health outcomes, low patient satisfaction, and compromised patient safety. An educational intervention to improve communication skills was implemented with staff including licensed practical nurses, registered nurses, and nurse practitioners. The project was implemented and evaluated for improved patient outcomes and satisfaction. The framework for the project was the situation-background-assessment-recommendation (SBAR) model. Pre- and postimplementation surveys were used to assess nurses’ knowledge of the effectiveness of SBAR on communication skills and patient satisfaction. Descriptive statistics and inferential analysis, including the Wilcoxon sign test, were employed to analyze pre- and postintervention …


The Experience Of Remediation For At-Risk, Pre-Licensure Baccalaureate Student Nurses, Nicole Jager May 2024

The Experience Of Remediation For At-Risk, Pre-Licensure Baccalaureate Student Nurses, Nicole Jager

Walden Dissertations and Doctoral Studies

At-risk students face academic challenges that can affect nursing program progression. Remediation strategies can increase student success. The research problem addressed through this study is a lack of information surrounding the students' remediation experience in an at-risk, pre-licensure baccalaureate student nurse population. Individualizing remediation to the student population can increase success; however, the student perspective is needed to correctly identify and tailor the remediation activities to fit the students’ needs. The purpose of this descriptive qualitative study was to explore the experience of remediation among at-risk, pre-licensure baccalaureate student nurses. Mezirow's transformative learning theory grounded this study. The research design …


Psychological Experiences Of Medical-Surgical Nurses Who Cared For Covid-19 Patients., Cecilia Dapilah May 2024

Psychological Experiences Of Medical-Surgical Nurses Who Cared For Covid-19 Patients., Cecilia Dapilah

Walden Dissertations and Doctoral Studies

: The outbreak of COVID-19 caused unparalleled pressure that brought healthcare facilities and healthcare staff to their knees across the globe, causing multiple deaths and economic despondency. Several studies have documented the effects of COVID-19 on healthcare workers and facilities, but none have addressed the problem from the psychological perspectives of medical-surgical nurses, especially in developing countries. This study explored the psychological experiences of medical-surgical nurses who cared for COVID-19 patients in developing countries. The theoretical foundation that informed this study was the Schachter-Singer’s theory of emotions. A descriptive qualitative design used purposeful sampling to interview 10 medical-surgical nurses. Their …


Using Nurse-Assisted Telemedicine To Reduce Healthcare System Utilization By Rural Congestive Heart Failure Patients, Melissa Diehl Weidner Apr 2024

Using Nurse-Assisted Telemedicine To Reduce Healthcare System Utilization By Rural Congestive Heart Failure Patients, Melissa Diehl Weidner

Walden Dissertations and Doctoral Studies

Congestive heart failure (CHF) is among the most common reasons for emergency room utilization and hospitalizations in those over age 65. With the rapidly aging population in the United States, the number of CHF patients is projected to continue to rise, disproportionately affecting rural communities. This research study evaluated an innovative nurse-led telemedicine program developed by one rural healthcare system to address the care and economic influence of rural CHF care. The purpose of this causal comparative analysis was to determine the impact a nurse-assisted telemedicine program had on the number of emergency room visits and hospital admissions for CHF …


Understanding Nurses' Experience Of The Covid-19 Pandemic Through The Lens Of Trauma, Grace Simmons Apr 2024

Understanding Nurses' Experience Of The Covid-19 Pandemic Through The Lens Of Trauma, Grace Simmons

Walden Dissertations and Doctoral Studies

The destructive effects of the trauma experienced by nurses during the COVID-19 pandemic left nurses with long-term psychological and physical effects that impaired their ability to effectively care for their patients, their families, and themselves. Although researchers have described the nurses’ experiences using generalized psychological and physiological trauma-related symptomatology, none have grounded their studies within the context of trauma theory. The purpose of this qualitative descriptive study was to explore the lived experience of nurses caring for critically ill COVID-19 patients during the pandemic through the lens of trauma theory. The constructivist self-development theory (CSDT) provided the framework for understanding …


The Investigation Of Collaboration Among First-Year Bachelor Of Science Nursing Students, Christie Marie Cavallo Apr 2024

The Investigation Of Collaboration Among First-Year Bachelor Of Science Nursing Students, Christie Marie Cavallo

Walden Dissertations and Doctoral Studies

Despite the benefits of collaboration, first-year nursing students prefer not to work together. It was important to find out why nursing students do not want to collaborate. The purpose of this study was to discover first-year nursing students’ and faculty’s perceptions of how instructor-created opportunities for collaboration contributed to first-year nursing students’ collaboration. Using Wenger’s communities of practice (CoPs) model as a lens, the data were explored using a qualitative explanatory case study approach. This study consisted of individual interviews of 12 first-year nursing students and nursing faculty. Inclusion criteria included students enrolled in or faculty teaching first year of …


Clinical Competence In Evaluating The Consistent Use Of The Criteria For Post-Acute Levels Of Care Guideline, Oluwademilade O. Evbuomwan Apr 2024

Clinical Competence In Evaluating The Consistent Use Of The Criteria For Post-Acute Levels Of Care Guideline, Oluwademilade O. Evbuomwan

Walden Dissertations and Doctoral Studies

No abstract provided.


Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt Apr 2024

Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt

Walden Dissertations and Doctoral Studies

No abstract provided.


Nurses’ Attitudes And Knowledge Differences Toward Pain In Patients With Sickle Cell Disease, Peggy Boyd Mar 2024

Nurses’ Attitudes And Knowledge Differences Toward Pain In Patients With Sickle Cell Disease, Peggy Boyd

Walden Dissertations and Doctoral Studies

No abstract provided.


Comparison By Race/Ethnicity And Social Determinants Of Health In Early Postpartum Maternal Morbidities, Cynthia Joy Garringer Mar 2024

Comparison By Race/Ethnicity And Social Determinants Of Health In Early Postpartum Maternal Morbidities, Cynthia Joy Garringer

Walden Dissertations and Doctoral Studies

Maternal mortality continues to increase in the United States, despite medical advances. Patients with negative social determinants of health (SDOH) and racial/ethnic minorities are at increased risk for maternal morbidities although most mortality and morbidities found in maternal health could have been prevented. The purpose of this study, guided by the SDOH conceptual mode, was to examine the relationship between the five components of SDOH and early postpartum morbidities among minority racial and ethnic groups. Secondary data (n = 1401) were obtained from a state health department in the Midwest for women who delivered in the year 2022 from one …


Increasing Nurses’ Knowledge Regarding Beers Criteria And Polypharmacy In Elderly, Non-Institutionalized Patients, Florence Chinwe Ukenye Feb 2024

Increasing Nurses’ Knowledge Regarding Beers Criteria And Polypharmacy In Elderly, Non-Institutionalized Patients, Florence Chinwe Ukenye

Walden Dissertations and Doctoral Studies

The elderly population, comprising individuals ages 65 years and above, accounts for 12% of the total population in the United States. Many elderly individuals residing in noninstitutionalized communities continue to experience the effects of polypharmacy despite efforts to employ evidence-based practices for medication reconciliation. Preventing polypharmacy among people ages 65 and older is crucial to avoid unintended drug abuse and subsequent adverse drug effects in this vulnerable patient group. One significant strategy to prevent drug-related problems and negative effects of medications is using the Beers criteria. The gap in practice in a post-acute care and rehabilitation facility addressed in this …


Effect Of Formal Toileting Programs On Urinary Tract Infection Rates In Long Term Care, Deborah Jeanmarie Feb 2024

Effect Of Formal Toileting Programs On Urinary Tract Infection Rates In Long Term Care, Deborah Jeanmarie

Walden Dissertations and Doctoral Studies

Urinary tract infection (UTI) accounts for up to 31% of sepsis diagnoses and is the fourth leading cause of infections in long-term care (LTC) facilities. Timed and prompted toileting programs are used by LTCs to reduce incontinence episodes, but there is a lack of information regarding the effectiveness of timed and prompted voiding incontinence management programs on the rate of UTIs. The purpose of this study, guided by Donabedian’s conceptual model of quality improvement, was to determine if there is a difference in the rate of UTIs in Georgia LTC facilities that have a timed and prompted voiding program and …


Social, Cognitive, And Teaching Presence As Predictors Of Online Student Engagement Among Msn Students, Mark Littler Feb 2024

Social, Cognitive, And Teaching Presence As Predictors Of Online Student Engagement Among Msn Students, Mark Littler

Walden Dissertations and Doctoral Studies

The dynamics of higher education have changed as a result of online learning. However, it can be challenging for teachers to effectively engage students online. Furthermore, limited research about the relationship between presence and online student engagement is a social problem that impacts the quality of online nursing education. The purpose of this nonexperimental quantitative research study was to examine the relationship between social presence, cognitive presence, teaching presence, and online student engagement among MSN students. The community of inquiry (CoI) framework was used to guide this study. The research question addressed the relationship between social presence, cognitive presence, teaching …


The Lived Experiences Of Urhobo Women From The Niger Delta Region Of Nigeria During The Menopausal Transition, Omemiyere Sheila Uwayzor Feb 2024

The Lived Experiences Of Urhobo Women From The Niger Delta Region Of Nigeria During The Menopausal Transition, Omemiyere Sheila Uwayzor

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study offered an in-depth exploration of the menopausal experiences of seven Urhobo women, ages 45–65 years old, representing diverse occupational backgrounds and communities from the Niger Delta region of Nigeria, who shed light on the multifaceted dimensions of menopausal experiences. Grounded in the Meleis transitions theory, the research presented thematic insights from semi-structured interviews, capturing the participants’ physiological, emotional, cultural, and healthcare-related experiences. Interviews were conducted with seven Urhobo women aged between 45 and 65 years old. These menopausal women responded to the research question regarding their lived experiences of Urhobo women during the menopausal transition. Using …


Education To Dialysis Clinical Staff About The Role Of Advanced Practice Registered Nurses In Home Dialysis, Bilinda Dawkins-Francis Feb 2024

Education To Dialysis Clinical Staff About The Role Of Advanced Practice Registered Nurses In Home Dialysis, Bilinda Dawkins-Francis

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) and end-stage renal disease (ESRD) have become substantial issues in the United States. There is a call to action from scholars for nurses, especially advanced practice registered nurses (APRNs), to cultivate APRN-led renal discipline teams and gauge directed health results. Nurse practitioners encounter and are responsible for identifying and managing patients in the home dialysis setting. It is essential to increase knowledge, teaching, and treatment options to nurse practitioners and clinical staff regarding the role of APRNs in home dialysis. The purpose of this project was to answer the practice-focused question addressing whether staff education about …


Implementing Motivational Interviewing To Improve Medication Adherence: A Staff Education Project, Marlon Medina Feb 2024

Implementing Motivational Interviewing To Improve Medication Adherence: A Staff Education Project, Marlon Medina

Walden Dissertations and Doctoral Studies

Medication nonadherence is a major health issue among psychiatric patients as studies show a significantly high rate of medication nonadherence among psychiatric patients. This impacts the health outcomes of patients taking psychotropic medications. Psychiatric nurses have a major role to play in implementing strategies to improve medication adherence among patients. This project proposes the implementation of psychoeducation based on motivational interviewing to improve medication adherence among psychiatric patients. An educational workshop was provided to four nurses over 4 weeks to improve the knowledge, skills, and attitudes of staff members at an outpatient care clinic, ultimately, to improve the patients’ medication …


Empowering Nurses Through Education To Reduce Patient Falls In An Acute Care Setting, Ericka Ophelia Evans Thompson Feb 2024

Empowering Nurses Through Education To Reduce Patient Falls In An Acute Care Setting, Ericka Ophelia Evans Thompson

Walden Dissertations and Doctoral Studies

Patient falls are a significant concern in acute health care institutions, leading to increased morbidity, mortality, and health care costs. Nurses play a vital role in patient safety and empowering them with the necessary knowledge and skills is crucial to mitigate the risk of falls. The aim of this Doctor of Nursing Practice (DNP) project was to develop and implement an evidence-based staff education program that would improve nurses’ knowledge of fall prevention strategies. To obtain evidence for the project, a comprehensive review of the literature on patient falls, educational interventions, and best practices and guidelines for fall prevention programs …


Experiences Of Undergraduate Nursing Faculty Adapting To The Changes Of The Next Generation Nclex, Marlene Kilpack Whiteside Feb 2024

Experiences Of Undergraduate Nursing Faculty Adapting To The Changes Of The Next Generation Nclex, Marlene Kilpack Whiteside

Walden Dissertations and Doctoral Studies

Undergraduate nursing faculty are responsible for preparing nursing students for patient care in a dynamic health care setting and are challenged with meeting the National Council Licensure Examination (NCLEX) change to the Next Generation NCLEX (NGN). The National Council of State Boards of Nursing recommended the incorporation of the Clinical Judgment Measurement Model (CJMM) and competency-based curriculum in preparation for NGN testing that began in 2023. Understanding how faculty experienced and adapted to changes in curriculum, patient-centered instruction, and NGN testing may help future nurse faculty in adapting. The purpose of this basic exploratory, qualitative study guided by the achievement …


Full-Time Nursing Faculty’S Perceptions Of Extrinsic Workload Factors, Diana Melanson Feb 2024

Full-Time Nursing Faculty’S Perceptions Of Extrinsic Workload Factors, Diana Melanson

Walden Dissertations and Doctoral Studies

No abstract provided.


Relationship Of Weekly Rest To Bsn Appraisal Of Stress And Hardiness, Everly Batuik Jan 2024

Relationship Of Weekly Rest To Bsn Appraisal Of Stress And Hardiness, Everly Batuik

Walden Dissertations and Doctoral Studies

No abstract provided.


Cameroonian Women's Experiences In Seeking Breast Cancer Screening And Preventive Services, Cynthia N. Moore Jan 2024

Cameroonian Women's Experiences In Seeking Breast Cancer Screening And Preventive Services, Cynthia N. Moore

Walden Dissertations and Doctoral Studies

No abstract provided.


Hypertension Health Literacy Education For Unlicensed Assistive Living Facility Staff, Rhonda Gary Jackson Jan 2024

Hypertension Health Literacy Education For Unlicensed Assistive Living Facility Staff, Rhonda Gary Jackson

Walden Dissertations and Doctoral Studies

No abstract provided.


Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow Jan 2024

Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow

Walden Dissertations and Doctoral Studies

There is a current shortage of approximately 45,000 nurses and nursing faculty to train student nurses, a number that is projected to grow. One proposed method to combat the shortage is to transition from traditional lecture-based classrooms to a learner-centered approach. Asking or requiring faculty to transition an entire nursing program from one teaching method to another without supporting data could be a waste of valuable time and resources. It could also prove detrimental to a program if students were unable to pass the NCLEX-RN exam, and a program was forced to close. The current study examined whether there was …


A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse Jan 2024

A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse

Walden Dissertations and Doctoral Studies

Patients with a cancer diagnosis are counseled at length about the standard of care treatment options, which may include surgery, radiation, anticancer medications, and chemo/immunotherapy through an informed consent process. Unfortunately, the potential economic burden and the accompanying psychological burden is seldom discussed up front. There is a significant need for routine screening and a multidisciplinary approach to the prevention of financial toxicity for the oncology patient. The purpose of this doctoral project was to lead an interprofessional team in the development of a clinical practice guideline for routine financial screening using the Comprehensive Score for Financial Toxicity (COST) tool …


Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow Jan 2024

Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow

Walden Dissertations and Doctoral Studies

There is a current shortage of approximately 45,000 nurses and nursing faculty to train student nurses, a number that is projected to grow. One proposed method to combat the shortage is to transition from traditional lecture-based classrooms to a learner-centered approach. Asking or requiring faculty to transition an entire nursing program from one teaching method to another without supporting data could be a waste of valuable time and resources. It could also prove detrimental to a program if students were unable to pass the NCLEX-RN exam, and a program was forced to close. The current study examined whether there was …


A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse Jan 2024

A Multidisciplinary Approach To Managing Financial Toxicity In Oncology Patients, Katelin Muse

Walden Dissertations and Doctoral Studies

Patients with a cancer diagnosis are counseled at length about the standard of care treatment options, which may include surgery, radiation, anticancer medications, and chemo/immunotherapy through an informed consent process. Unfortunately, the potential economic burden and the accompanying psychological burden is seldom discussed up front. There is a significant need for routine screening and a multidisciplinary approach to the prevention of financial toxicity for the oncology patient. The purpose of this doctoral project was to lead an interprofessional team in the development of a clinical practice guideline for routine financial screening using the Comprehensive Score for Financial Toxicity (COST) tool …


Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow Jan 2024

Impact Of Traditional Education And Learner-Centered Education On Standardized Tests, Courtney Marie Winslow

Walden Dissertations and Doctoral Studies

There is a current shortage of approximately 45,000 nurses and nursing faculty to train student nurses, a number that is projected to grow. One proposed method to combat the shortage is to transition from traditional lecture-based classrooms to a learner-centered approach. Asking or requiring faculty to transition an entire nursing program from one teaching method to another without supporting data could be a waste of valuable time and resources. It could also prove detrimental to a program if students were unable to pass the NCLEX-RN exam, and a program was forced to close. The current study examined whether there was …


Cognitive Test Anxiety, Course Grades, And Course Repetition In Associate Degree Nursing Students, Crystal Elaine Jones Dec 2023

Cognitive Test Anxiety, Course Grades, And Course Repetition In Associate Degree Nursing Students, Crystal Elaine Jones

Walden Dissertations and Doctoral Studies

No abstract provided.