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2022

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Full-Text Articles in Nursing

Improving Nurses Knowledge Of Hypertension & Self-Care In Va Telehealth Patients, Rochelle Windley Jan 2022

Improving Nurses Knowledge Of Hypertension & Self-Care In Va Telehealth Patients, Rochelle Windley

Walden Dissertations and Doctoral Studies

AbstractManagement of hypertension (HTN) is essential to nursing practice. Clinical care home telehealth (CCHT) nurses should be assertive and competent to help patients self-manage high blood pressure in the comfort of their homes. Locally, it was noted that there was a gap in knowledge and skills of the CCHT nurses to deliver evidenced-based and consistent patient education to home telehealth patients. To address the gap, an online training program was developed to increase staff knowledge and skills in hypertension management to improve their ability to coach patients in self-care strategies. The online training program was based on the Eighth Joint …

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The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy Jan 2022

The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy

Walden Dissertations and Doctoral Studies

Adult patients receiving cosmetic injections frequently experience needle fear symptoms which results in patient discomfort, suffering, and poor injection outcomes. The needle fear experience contributes to a decreased quality of life and possible avoidance behaviors involving other medical treatments requiring needles. Researchers have conducted quantitative studies which explored interventions on pain reduction but there are no qualitative studies from the perspectives of adults experiencing needle fear. The purpose of this research study was to explore the perceptions of needle fear in adult patients receiving cosmetic injections in a medical office setting. The interpretative phenomenological approach was used to provide an …

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Exploring Nurse Leader Self-Efficacy, Burnout, And Intent To Leave, Donna Donova Johnson Jan 2022

Exploring Nurse Leader Self-Efficacy, Burnout, And Intent To Leave, Donna Donova Johnson

Walden Dissertations and Doctoral Studies

Nurse leader turnover is an emerging issue in healthcare services. Considerable research has been done over the last decade revealing that nurse leaders are experiencing an increased rate of burnout with an intent to leave their jobs. Less research has been done to understand how to mitigate the rate of nurse leader burnout and retain nurse leaders in the workforce. Higher levels of self-efficacy have mediated the effects of work stress on job burnout in other service related fields. The purpose of this quantitative, non-experimental, cross-sectional study was to explore the possible mediating effect of leader self-efficacy between burnout and …

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Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana Jan 2022

Nursing Faculty Experiences With Interactive Games And Gaming And Student Preparedness, Laura S. Dana

Walden Dissertations and Doctoral Studies

Although instructional strategies to enhance student learning is a critical component of the faculty role, nursing education has been slow to incorporate games and gaming into the learning environment. The primary purpose for this qualitative phenomenological research study was to explore the lived experiences of nursing faculty of associate degree programs, specifically regarding the use of games and gaming as interactive, experiential teaching and learning strategies. This study was designed to answer the question, “What are the lived experiences of faculty who use games and gaming as instructional approaches in associate degree nursing (ADN) education.” Through one-on-one interviews via Zoom …

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Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji Jan 2022

Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji

Walden Dissertations and Doctoral Studies

AbstractThe problem identified by this staff education project was the providers’ lack of knowledge on integrated treatment for individuals with co-occurring disorders (CODs). Integrated treatment is the gold standard for working with individuals with CODs. Providers knowledge gap and barriers were addressed by educating them on integrated treatments. This project used the analysis, design, development, implementation, and evaluation (ADDIE) model in planning, implementation, and evaluation. The participants were 20 providers in a residential addiction treatment facility which include one physician, three nurse practitioners, eight counselors, one registered nurse, and seven licensed practical nurses. This project used a pretest to determine …

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A Self-Guided Educational Program Based On Informatics Competency Self-Assessment, Brenda J. Kulhanek Jan 2022

A Self-Guided Educational Program Based On Informatics Competency Self-Assessment, Brenda J. Kulhanek

Walden Dissertations and Doctoral Studies

The informatics competency gap for nurses has existed since the first use of technology in healthcare. Although numerous informatics competencies for nurses have been identified over the past 20 years, there is a lack of standardized educational content to help address the informatics competency gap. In a digital healthcare environment, the ability for nurses to understand and use informatics competencies is essential and the lack of informatics competency has a far-reaching impact. Based on the identified gaps, an informatics competency self-assessment tool with associated microeducation was developed to provide a standardized learning approach that would be supported by stakeholders in …

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Hand Hygiene Education For Nursing Homes, David La Rosa-Presume Jan 2022

Hand Hygiene Education For Nursing Homes, David La Rosa-Presume

Walden Dissertations and Doctoral Studies

In the health care sector, hand hygiene has been identified as one of the most appropriate approaches to preventing health-associated infections or nosocomial infections. A nursing home in the western United States had repeated survey findings showed that their hand hygiene compliance rates did not meet the expectations of the Long-Term Care Institute. This project was aimed to develop and implement an education program to improve hand hygiene compliance in a nursing home setting. The project practice question asked whether an education program would increase staff’s knowledge of hand hygiene methods within a skilled nursing facility. The Joint Commission’s Targeted …

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Lived Experiences Of Nurse Leaders, Catherine Jeannette Mohammed Jan 2022

Lived Experiences Of Nurse Leaders, Catherine Jeannette Mohammed

Walden Dissertations and Doctoral Studies

AbstractThe National Academy of Medicine (NAM) has called for more leadership, more accountability, and increased education and training of health care leaders. The NAM has demanded that nurses participate in health care policy making, increase their knowledge of research and data collection, advise leaders across the business world, train and educate seamlessly, and practice to the full extent of their licensure. The purpose of this qualitative phenomenological study was to explore the lived experiences of 12 influential nurse leaders from the state of Arizona. Transformational leadership theory provided the framework for the study. Semi-structured interview data were transcribed, coded, and …

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Job Satisfaction Among Nurse Practitioners Who Work At Retail Health Care Centers, Karen Morrissey Jan 2022

Job Satisfaction Among Nurse Practitioners Who Work At Retail Health Care Centers, Karen Morrissey

Walden Dissertations and Doctoral Studies

Retail health care clinics (RHCCs) were designed to ease the shortage of access to primary care by having nurse practitioners (NPs) provide quality care to patients on a walk-in approach. RHCCs can be stressful work environments and when NPs become dissatisfied, they may leave RHCCs which creates a shortage of primary care access. The purpose of this descriptive study, guided by Herzberg’s dual-factor theory, was to determine if there was a relationship between: (a) challenge/autonomy, and professional growth and job satisfaction among NPs who work at RHCCs and (b) intrapractice partnership/collegiality, professional, social and community interaction, time and benefits and …

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Relationship Between Information System Success Model Dimensions And Electronic Health Records Use, Gloria Oshegbo Jan 2022

Relationship Between Information System Success Model Dimensions And Electronic Health Records Use, Gloria Oshegbo

Walden Dissertations and Doctoral Studies

The rise in the use of electronic health records (EHRs) in health care facilities necessitates a standardized tool for evaluating their effectiveness. Delone and McLean’s information system success model (ISSM) was the theoretical foundation, which consists of seven dimensions namely system, information, service qualities, user satisfaction, use, system usefulness, and net benefits. The purpose of this study was to examine EHRs’ efficiency and identify ISSM dimensions that influenced net benefits, the dependent variable. The research questions examined the relationship between dimensions of ISSM and the dimensions that affect net benefits. Participants were recruited using purposeful sampling via social media and …

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Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek Jan 2022

Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek

Walden Dissertations and Doctoral Studies

AbstractIn the initial postpartum period, exclusive breastfeeding (EBF) improves women's and children's health status and outcomes. Gaps in nursing practice that decrease the rate of EBF during hospitalization at this site were identified by the lactation consultant using a standard chart audit during the last two years. The purpose of this Doctor of Nursing Practice education project was to provide a comprehensive education program that included the purpose, philosophy, nursing practice, and evaluation tools for increasing the EBF rates to meet the Joint Commission’s standard of improvement for perinatal care core measures. A formal educational program that included didactic and …

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Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos Jan 2022

Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos

Walden Dissertations and Doctoral Studies

AbstractCommunication failures, especially inadequate hand-off communication, in U.S. hospitals has accounted for 30% of malpractice claims, resulting in 1,744 deaths over 5 years. This prompted the Joint Commission to recommend utilizing standardized communication tools to reduce the number of medical errors related to miscommunication. The Situation-Background-Assessment-Recommendation (SBAR) Communication Tool has been used to improve the effectiveness of communication among health care providers. The partner organization noted failures to communicate patient-care-related information between psychiatric mental health nurses (PMHN) during hand-off, given the absence of standardized communication. This project aimed to develop a program to educate PMHNs on the SBAR Communication Tool. …

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Improving Pediatric Nurses Knowledge About Palliative Care Services, Marilia M. Rivera Camacho Jan 2022

Improving Pediatric Nurses Knowledge About Palliative Care Services, Marilia M. Rivera Camacho

Walden Dissertations and Doctoral Studies

Palliative care knowledge is important for nursing staff caring for children with life-threatening and debilitating illness because it can provide comfort-based interventions to optimize their quality of life. Nurses in pediatric settings can support the patient and family by providing education and evaluate patients who can benefit from palliative care services. If nurses do not have the palliative care education to support this comfort care process, the quality of life for children with life-threatening and debilitating illness may be affected. The purpose of this DNP project was to educate pediatric nurses about pediatric palliative care standards. The educational program resulted …

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Health Belief Effects On Preventive Health Among Hispanic Migrant And Seasonal Farmworkers, Angela M. Trawick Jan 2022

Health Belief Effects On Preventive Health Among Hispanic Migrant And Seasonal Farmworkers, Angela M. Trawick

Walden Dissertations and Doctoral Studies

Migrant and seasonal farmworkers (MSFWs) are the unhealthiest workers in the United States and experience barriers to preventive healthcare. While faced with numerous health risks, many Hispanic MSFWs may not seek preventive health services or have access to them when they need them. The purpose of this study, guided by the rural nursing theory, was to understand the beliefs/health seeking behaviors of MSFWs and how they described usage of preventive health services. Fourteen Hispanic farmworkers volunteered to do telephone or in person interviews. The codes and categories were reviewed to identify patterns and make connections between the data using Saldana’s …

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Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese Jan 2022

Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese

Walden Dissertations and Doctoral Studies

In the United States, Type 2 diabetes mellitus (T2DM) is a public health concern and a primary cause of readmissions to hospitals. Many patient readmissions may be avoided if quality, evidence-based clinical practice guidelines (CPGs) are developed and followed using a comprehensive approach. The project site’s retrospective analysis of electronic health records indicated a lack of consistency in following best practice recommendations, as shown by higher readmission rates. The purpose of this project study was to create a current evidence-based CPG that nurses can use to educate T2DM patients before being discharged from the hospital. The practice-focused question addressed whether …

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Faculty Perception: Developing Critical Thinking In New Graduate Associate Degree Nurses, Joyet Belcher Jan 2022

Faculty Perception: Developing Critical Thinking In New Graduate Associate Degree Nurses, Joyet Belcher

Walden Dissertations and Doctoral Studies

Despite national nursing exams that assess critical thinking, new nurses do not fully develop the skills to think critically. The literature review revealed that the lack of critical thinking endangers patients' lives. This study's purpose was to investigate how students are supported by college faculty in their knowledge of critical thinking to ensure they are prepared to care for patients. Participants were a purposeful sample of full-time nursing educators with doctoral or master's degrees in nursing, familiar with critical thinking, who have taken nursing students to clinical settings. The study had a basic qualitative design with 8 semistructured interviews. The …

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Perceptions Of Human Interactions In Adult Patients After Using Digital Therapeutic Mobile Applications, Traci Brakefield Jan 2022

Perceptions Of Human Interactions In Adult Patients After Using Digital Therapeutic Mobile Applications, Traci Brakefield

Walden Dissertations and Doctoral Studies

AbstractWhile the use of technology in healthcare has been present for many years, the recent rise of digital therapeutics in healthcare has been understudied, specifically regarding the perceptions and experiences of patients using mobile applications. Traditional healthcare involves face-to-face human interactions, requiring scheduled check-ins and provides structured interventions. Conversely, Digital therapeutics is primarily comprised of human to machine interactions. Digital therapeutics allows the user to access intervention in their time of individual need. The decrease of human-to-human interaction and the rise of human-to-machine interaction was explored in this qualitative descriptive phenomenological study from the patient perspective. Watson’s theory of human …

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Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels Jan 2022

Experiences Of Bsn Graduates Integrating Cultural Competence When Caring For Multicultural Patients, Judith A. Daniels

Walden Dissertations and Doctoral Studies

Registered nurses entering the workforce with baccalaureate of science degrees in nursing (BSN) are expected to be knowledgeable and skilled in planning and caring for multicultural patients, but there is little information on what experiences new nurses have in implementing culturally competent care. The purpose of this descriptive phenomenological study, guided by the Campinha-Bacote process of cultural competence in the delivery of health care services model, was to understand the lived experiences of BSN graduates with one year or less experience in implementing cultural competence in planning care for their multicultural patients. The research question directly addressed this purpose. Ten …

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Developing A Tai Chi Education Module For Nurses, Edna Green Jan 2022

Developing A Tai Chi Education Module For Nurses, Edna Green

Walden Dissertations and Doctoral Studies

The U.S. population is living longer, which leads to challenges with chronic conditions that attack their health and well-being. Chronic diseases also cost $ 3.8 trillion dollars every year in the United States. According to the Centers for Disease Control, there are four behaviors that cause many of the chronic preventable diseases: lack of physical activity, excessive alcohol, smoking, and diet. Alternative strategies including physical activity like Tai Chi can improve health outcomes for older adults with chronic disease. The purpose of this Doctor of Nursing Practice project was to develop a Tai Chi education module for nurses who provide …

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Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike Jan 2022

Staff Education For Identifying, Assessing And Managing Pain In Patients With Dementia, Nadia S. Handspike

Walden Dissertations and Doctoral Studies

Pain is a common symptom in healthcare settings, especially among patients with Alzheimer's Disease (AD). AD patients have cognitive and communication impairment making it difficult or impossible for them to communicate their pain to their caregivers or healthcare practitioners. The purpose of this project was to implement a staff education program for healthcare professionals on evidence-based practices for assessing, recognizing, and managing pain in patients with AD. The practice-focused question explored if a staff education program on identification, assessment, and management of pain in patients with AD improves the staff's knowledge, skills, and attitude towards timely and effective pain assessment …

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The Difference In Compliance When Visual Education Is Present, Jamie Lenee Joseph Jan 2022

The Difference In Compliance When Visual Education Is Present, Jamie Lenee Joseph

Walden Dissertations and Doctoral Studies

Lack of patient compliance is a dangerous, widespread problem, often linked to a patient’s misunderstanding of their diagnosis or treatment plan. This project’s practice questions pertained to exploring the impact of a staff education update on visual presentation and patient evaluation with patients taking factor Xa inhibitors in oral anticoagulants and how the staff education increased patient compliance while taking these medications. A combination of the ADDIE model and Kirkpatrick model were used in the planning, development, and evaluation of this project. A pre and post evaluation survey was used to determine the efficacy of the changes made within the …

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Staff Education For Obesity And An Evidence- Based Checklist To Manage Obesity, Veronica B. Nelson Jan 2022

Staff Education For Obesity And An Evidence- Based Checklist To Manage Obesity, Veronica B. Nelson

Walden Dissertations and Doctoral Studies

AbstractObesity is a global problem that affects individuals of all ages. It results in a myriad of adverse health effects for children and adults. It is a preventable condition that can lead to a host of physical and psychological health conditions. Despite numerous attempts to decrease the incidence and prevalence of obesity, it continues to be a persistent problem. Efforts to decrease its incidence and prevalence are thus warranted within the nursing profession. Obesity management is inconsistent in clinical practice. This project aimed to deliver an education program to the staff of a pediatric clinic who serves many obese clients. …

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Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders Jan 2022

Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders

Walden Dissertations and Doctoral Studies

AbstractNoise levels can negatively affect a patient’s hospital experience. Increased noise levels in the hospital can trigger sleep disturbance and affect the length of recovery for patients; the increased noise levels can also cause increased anxiety and exhaustion for nursing staff members. Due to a gap in nursing practice related to nurses’ knowledge to safely reduce noise levels, this project addressed if nursing staff education on noise reduction could increase the knowledge among nursing staff members to use specific strategies to reduce noise levels in an intensive care unit (ICU) setting. The purpose of this project was to educate eight …

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Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth Jan 2022

Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth

Walden Dissertations and Doctoral Studies

In the United States, 34 million people have diabetes and 79 million have prediabetes. Currently, one in nine Americans are diagnosed with diabetes and it is projected that one in five will have diabetes by 2025 and one in three by 2050. The practice-focused question answered by this project addressed the question if implementing a staff education program improved staff’s knowledge about self-management education and intent for providers and staff to promote a formal diabetes self-management education (DSME) program in an overseas military treatment facility. The site has 47% of empaneled beneficiaries with diabetes mellitus Type II with an elevated …

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Let My People Go:Improving Nurses’ Knowledge To Decrease Physical Restraint Use, Trisha Marie Zehrung Jan 2022

Let My People Go:Improving Nurses’ Knowledge To Decrease Physical Restraint Use, Trisha Marie Zehrung

Walden Dissertations and Doctoral Studies

Despite extensive research revealing the dangers of physical restraint use, it remains a common practice in critical care settings across the globe. Nurses stand at the forefront of clinical decision-making regarding the use of physical restraints but are doing so with a lack of education and evidence-based practices. The project addresses whether an evidence-based educational program regarding the use of physical restraints and alternative measures is an acceptable method for intensive care unit (ICU) nurse education according to six local subject matter experts (SMEs). The project’s purpose was to create an educational program outlining physical restraint evidence and alternative measures …

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Increasing Nurse Managers’ Knowledge And Self-Confidence Levels In The Use Of Two Alternative Staffing Models, Latonia Yvette Cushingberry Jan 2022

Increasing Nurse Managers’ Knowledge And Self-Confidence Levels In The Use Of Two Alternative Staffing Models, Latonia Yvette Cushingberry

Walden Dissertations and Doctoral Studies

AbstractThe practice problem for this DNP project was the lack of confidence of eight nurse managers at the project site in implementing alternative staffing models to meet increased inpatient care demands during times of patient surges. The purpose of this DNP project was to provide an education module to nurse managers at the project site to enhance their self-confidence levels for alternative staffing during cases of patient surges. Framed by Knowle’s adult learning theory, the practice-focused question for this project addressed whether an educational program on two alternative staffing models increased acute care nurse managers’ self-reported knowledge and confidence levels …

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Bullying Experienced By Newly Graduated Registered Nurses In Long Term Care, Valeria Linetski Jan 2022

Bullying Experienced By Newly Graduated Registered Nurses In Long Term Care, Valeria Linetski

Walden Dissertations and Doctoral Studies

Bullying toward newly graduated registered nurses (NGRNs) is a global concern that impacts various health care settings. Long term care (LTC) setting received minimal attention related to bullying experienced by registered nurses. NGRN’s face difficulty integrating into practice due to bullying experiences which causes them to quit, change jobs and even leave the profession, which further contributes to the nursing shortage and high turnover rates. The purpose of this transcendental phenomenological study was to address the knowledge gap in the literature by exploring NGRNs lived experiences of bullying as they transition into practice in LTC. Exploring bullying experienced by NGRN’s …

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Relationship Between Emotional Intelligence, Mentorship, And Burnout In Nursing Faculty, Jasmine Louis Jan 2022

Relationship Between Emotional Intelligence, Mentorship, And Burnout In Nursing Faculty, Jasmine Louis

Walden Dissertations and Doctoral Studies

Nursing faculty early in their careers face challenges involving transitioning into new roles, high workloads, and lack of support, making them vulnerable to burnout. Burnout is a syndrome characterized by emotional exhaustion, depersonalization, and low personal accomplishment. The purposes of this study, guided by Maslach’s burnout theory, were to determine if there is a relationship between emotional intelligence and mentorship in terms of burnout among nursing faculty who are in their early careers, if there are differences in terms of burnout among these nursing faculty who have received mentorship compared to those who did not receive, and if there is …

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Lifestyle Modifications To Reduce Hypertension In Obese Patients: A Clinical Practice Guideline, Tiffany Lynn Oates Jan 2022

Lifestyle Modifications To Reduce Hypertension In Obese Patients: A Clinical Practice Guideline, Tiffany Lynn Oates

Walden Dissertations and Doctoral Studies

In the United States, obesity affects almost 50% of the population with estimates of 60–70% of hypertension in adults attributable to adiposity. The practice gap addressed in this project is a lack of standardized patient education on lifestyle modifications aimed at reducing hypertension in the obese patient, which is the recommended first line of treatment for these patients. The practice focused questions were answered when evidence from the literature supported the implementation of a clinical practice guideline developed from evidence-based literature focused on patient education about lifestyle modification as the initial treatment for the reduction of hypertension in the obese …

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Evaluation Of An Orientation Program For Graduate Nurses Transitioning Into Professional Practice, Kristy Patrick-Lewis Jan 2022

Evaluation Of An Orientation Program For Graduate Nurses Transitioning Into Professional Practice, Kristy Patrick-Lewis

Walden Dissertations and Doctoral Studies

The transition from student nurse to practicing professional is extremely challenging. The local organization experienced increases in turnover among new graduate hires and determined that adjustments to their orientation program to better meet the needs of new graduates were warranted. The problem that this doctoral project addressed is the lack of evaluation of the effectiveness of the new orientation program. The practice-focused question examined the effectiveness of the new orientation program at reducing turnover and improving satisfaction with the quality of the orientation program among new graduate nurses. The framework used to guide this study was Patricia Benner’s novice to …

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