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2026

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Articles 1261 - 1290 of 1775

Full-Text Articles in Nursing

Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore Feb 2026

Staff Education To Improve Provider Knowledge In Addressing Sdoh-Related Barriers Affecting Medication Adherence, Andrea Latimore

Walden Dissertations and Doctoral Studies

This Doctoral of Nursing Practice (DNP) project focused on improving provider knowledge in addressing social determinants of health (SDOH) that contribute to medication nonadherence. There is a gap in provider knowledge in addressing SDOH-related barriers that contributes to poor health outcomes. Increasing provider awareness of SDOH improves patient outcomes. The practice-focused question guiding this doctoral project asked whether an educational module on SDOH improved provider knowledge in addressing SDOH-related barriers to medication adherence among adult patients with chronic illnesses. The program consisted of a pretest, an educational module delivered via a PowerPoint presentation, and a posttest. A total of 20 …

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Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay Feb 2026

Post-Operative Hernia Site Infections, Agatha Francesca Inga Gittens-Stay

Walden Dissertations and Doctoral Studies

This doctoral project was a clinical practice guideline (CPG) focused on the development of a perioperative guideline for patients undergoing various types of hernia repairs. Hernia repair is a common surgical procedure to address various types of hernias.. To assure continued compliance with nationally set benchmarks and minimize the rate of postoperative hernia infections, a systematic review of evidence-based practices (EBP) to foster infection prevention was initiated at a hospital in England. The practice-focused question used was: For patients who underwent hernia repair surgery, what evidence informs CPG recommendations on the type of material, surgical interventions, and nursing interventions to …

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Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke Feb 2026

Staff Education Project Staff Education On Medication Adherence, Blessing Nwoke

Walden Dissertations and Doctoral Studies

Medication adherence is a critical component of effective psychiatric treatment, yet staff understanding and consistent reinforcement of adherence strategies are often limited in outpatient behavioral health settings. This Doctor of Nursing Practice (DNP) project implemented a staff education initiative to improve knowledge and awareness of medication adherence using the ESPACOMP Medication Adherence Reporting Guideline (EMERGE) as the foundational framework. The program was conducted in an outpatient psychiatric facility and aimed to align staff knowledge with evidence-based standards for monitoring and supporting adherence. Educational sessions were delivered to clinical staff, incorporating key components of EMERGE to clarify terminology, enhance consistency in …

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Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu Feb 2026

Staff Education To Prevent Falls Among Older Adults In Primary Care, Chioma Nwosu

Walden Dissertations and Doctoral Studies

Falls are a significant health concern for the elderly population and a major cause of injury and functional decline among older adults, yet fall prevention practices are inconsistently applied in primary care. The purpose of this project is to evaluate the impact of staff education on fall risk screening and prevention for adults aged 65 years and older using the CDC’s Stopping Elderly Accidents, Deaths, and Injuries (STEADI) framework. This project employs a pre–post quality improvement design in a primary care clinic. Clinical staff received education on STEADI-based fall risk assessment, documentation, and evidence-based interventions. Data were collected through chart …

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Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson Feb 2026

Integrating Early Palliative Care For Patients With Heart Failure, Leigh Barnhill Hinson

Walden Dissertations and Doctoral Studies

Heart failure (HF) is a leading cause of hospital readmissions. At the project site, early palliative care was inconsistently integrated despite strong evidence of benefit, suggesting that limited staff knowledge, lack of standardized referral processes, and uncertainty regarding referral timing contributed to this practice gap. The guiding practice-focused question was, “Does educating staff on early palliative care integration for HF patients improve knowledge as measured by pre- and post-education surveys? The Johns Hopkins evidence-based practice (JHEBP) model and the ADDIE instructional design model guided project development and implementation. A comprehensive literature search was conducted using MEDLINE/PubMed, CINAHL Complete, ProQuest, and …

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Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade Feb 2026

Enhancing Patient Safety Through An Educational Intervention On Purposeful Rounding To Reduce Inpatient Falls In A Neuro - Medical Unit, Idiat Oyefunke Falade

Walden Dissertations and Doctoral Studies

This doctoral staff education project focused on improving purposeful rounding practices among staff and patient outcomes on a neuro-medical unit. The practice problem stemmed from inconsistent rounding behaviors, gaps in staff knowledge of evidence-based fall-prevention strategies, and a persistent pattern of inpatient falls. Patients with neurological conditions face impaired mobility, cognitive changes, and clinical instability, making structured rounds essential to reduce risk. The practice-focused question asked whether an educational intervention targeting the principles and procedures of purposeful rounding could measurably improve staff knowledge, increase their skill, strengthen their commitment with the pain, potty, position, and possession components of rounding and …

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Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori Feb 2026

Staff Education On Telehealth Monitoring Of Children With Autism Spectrum Disorder, Dinnah Makori

Walden Dissertations and Doctoral Studies

Children with autism spectrum disorder (ASD) require consistent monitoring of communication skills, behavior patterns, sensory responses, and adaptive functioning to support timely intervention and improved developmental outcomes. Although telehealth has expanded access to care, many nurses have not received structured training in conducting virtual assessments for children with ASD. Variability in telehealth competency can affect documentation quality, workflow consistency, and provider confidence. The purpose of this Doctor of Nursing Practice (DNP) project was to develop and evaluate a structured staff-education program designed to strengthen pediatric nurses’ competencies in telehealth monitoring of children with ASD. A quantitative pretest–posttest design was used …

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A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters Feb 2026

A Nurse-Led Staff Education Program To Prevent And Detect Elder Abuse By Caregivers In The Home, Nicola Violet Brown-Walters

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a nurse-led, evidence-based staff education initiative designed to improve the prevention and detection of elder abuse in the home by caregivers within an outpatient primary care setting. Elder abuse places older adults at risk for physical harm, neglect, medication mismanagement, and violations of autonomy and patient rights. Elder abuse remains a pervasive and underrecognized problem in nursing practice, often resulting from limited staff education, inconsistent screening practices, and uncertainty regarding mandatory reporting requirements. The practice-focused question examined whether implementing a nurse-led targeted education program guided by the ADDIE instructional design model and …

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Patient Education Brochure On Diabetic Foot Care In A Primary Care Setting, Trinitas (Nitas) Duru Oha Feb 2026

Patient Education Brochure On Diabetic Foot Care In A Primary Care Setting, Trinitas (Nitas) Duru Oha

Walden Dissertations and Doctoral Studies

This Doctoral Nursing Practice (DNP) project was an evidence-based quality improvement (QI) initiative. The practice problem was the absence of expert-validated diabetic foot care education materials, insufficient and inconsistent patient education, and patients' limited knowledge of self-care for diabetic foot care, all of which led to the persistence of diabetic foot complications in primary care settings. Due to the organization’s identified lack of patient education materials, an evidence-based diabetic foot care brochure for diabetic self-foot care education was developed. The patient education materials assessment tool (PEMAT) was used to evaluate the brochure's efficacy. The practice question was designed to determine …

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Turn Teams, Ashley Johnson Feb 2026

Turn Teams, Ashley Johnson

Walden Dissertations and Doctoral Studies

Hospital-acquired pressure injuries (HAPIs) are recognized as a prominent cause of patient morbidity and mortality, affect lengths of stay, and are one of the most costly and chronic adverse events in healthcare. A structured Turn Teams program with enhancements was evaluated in a novel unit within a healthcare organization that had implemented the approach on another unit as the focus of this Doctor of Nursing Practice project. The guiding question was, Does implementing Turn Teams as a quality improvement measure improve pressure injury rates in patients with a Braden Score of 18 or lower and enhance staff compliance with the …

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Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha Feb 2026

Staff Education For Assessment Of Suicidal-Ideation In Patients Admitted With Mental-Illness, Sukhwinder Kaur Sangha

Walden Dissertations and Doctoral Studies

This quality improvement project was focused on enhancing quality of nursing assessments for suicide risk among adults with psychiatric illnesses at a behavioral healthcare hospital. Inconsistencies involving assessing risks for suicide in patients who were treated in the facility led to inadequate treatment plans and missed opportunities for timely intervention, as well as potential risks for self-harm. Factors that were identified as relating to the gap in practice included inadequate knowledge or understanding of use of evidence-based suicide assessment rating scales, insufficient time that is dedicated to conducting thorough assessments, lack of standardized protocols for reinforcement, and limited resources for …

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Staff Education To Improve Knowledge Of Nurse-Led Telemonitoring For Suicide Prevention, Finny Ngozi Rogers Feb 2026

Staff Education To Improve Knowledge Of Nurse-Led Telemonitoring For Suicide Prevention, Finny Ngozi Rogers

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was a staff education initiative addressing a critical practice gap: clinical staff at a mental health facility lacked the practical knowledge to implement evidence-based telemonitoring protocols for suicide prevention, despite strong supporting research. High rates of suicide attempts and readmissions underscored the urgency for this intervention. The practice-focused question was: “Will a staff education program designed to educate healthcare providers on nurse-led telemonitoring protocols increase staff knowledge?” The purpose of this project was to develop, implement, and evaluate an educational program for providers to increase their knowledge on how a telemonitoring protocol can reduce …

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Improving Medication Adherence Of Long-Acting Injectable Antipsychotics In Schizophrenia Through Staff Education, Rosemary Eboka Feb 2026

Improving Medication Adherence Of Long-Acting Injectable Antipsychotics In Schizophrenia Through Staff Education, Rosemary Eboka

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was developed as a staff education, evidence-based quality improvement project to enhance psychiatric nursing staff’s knowledge of long-acting injectable (LAI) antipsychotics. The project addressed variability in medication adherence among individuals with schizophrenia, despite evidence that use of LAIs reduces relapses and hospitalization. Nurses play a critical role in medication administration, patient education, and adherence monitoring, underscoring the importance of addressing knowledge gaps. The project question was: Does staff education on LAIs for outpatient psychiatric nursing staff improve nursing knowledge compared to pre- to post-education? The purpose of the project was to assess the …

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A Project Proposal For Discharge Strategies For Unhoused Patients, Heidi Moore Feb 2026

A Project Proposal For Discharge Strategies For Unhoused Patients, Heidi Moore

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project is a practice-focused executive leadership proposal addressing inconsistent discharge planning for unhoused surgical patients in an acute care hospital. Unhoused patients experience disproportionately poor outcomes, including prolonged length of stay, elevated 30-day readmission rates, and fragmented transitions of care. The practice-focused question guiding this project asks whether development of a standardized, housing-informed discharge planning program could improve transitions of care and reduce length of stay and readmissions when compared with current nonstandardized practices. Analytical strategies included synthesis of peer-reviewed literature, review of internal quality and utilization data, assessment of community-level housing instability trends, and …

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Telepsychiatry Follow-Up To Reduce Emergency Department Visits In Adults With Bipolar Disorder, Obianuju Tobechukwu Ibe Feb 2026

Telepsychiatry Follow-Up To Reduce Emergency Department Visits In Adults With Bipolar Disorder, Obianuju Tobechukwu Ibe

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project involved the development of a clinical practice guideline (CPG) for implementing structured telepsychiatry follow-up visits to reduce relapse rates and emergency department (ED) use among adults with bipolar disorder. The project addressed the growing need for accessible, evidence-based psychiatric follow-up care, particularly for patients facing barriers to consistent in-person visits. The practice-focused question guiding this project was: In adults with bipolar disorder, how do structured telepsychiatry follow-up visits, compared with in-person visits, affect relapse rates and Ed utilization? A systematic review and critical appraisal of current evidence were conducted using the Johns Hopkins …

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Quality Improvement Project: Enhancing Nurse Communication, Courtesy, And Respect At The Bedside, Rachel Kemp Feb 2026

Quality Improvement Project: Enhancing Nurse Communication, Courtesy, And Respect At The Bedside, Rachel Kemp

Doctor of Nursing Practice Projects

Effective communication is key to the nurse-to-patient relationship, patient outcomes, and patient satisfaction. The literature widely shows that barriers such as increased workplace violence and fear and biases within patient interactions hinder communication. This quality improvement project aimed to enhance nurse-to-patient communication, using an evidence-based tool, and leveraged Foli’s Theory of Nurses’ Psychological Trauma to explain and predict barriers. Success is measured by improvement of patient experience in the three nursing domains; courtesy and respect, listen to you, and explain in a way you understand. Lewin’s Change Theory and the plan, do, study, act (PDSA) framework was used to promote …

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Quality Improvement Project: Building Competence And Confidence: Updating Nursing Faculty Knowledge Of The Flipped Classroom Model, Jamie Newman Feb 2026

Quality Improvement Project: Building Competence And Confidence: Updating Nursing Faculty Knowledge Of The Flipped Classroom Model, Jamie Newman

Doctor of Nursing Practice Projects

The increasing complexity of healthcare requires undergraduate nursing education to move beyond traditional lecture-based instruction toward teaching strategies that promote clinical judgment. Although the flipped classroom model is shown to support these outcomes, faculty at the project site reported uncertainty and inconsistency in flipped classroom implementation. The purpose of this quality improvement project was to evaluate the impact of a structured, evidence-based faculty development intervention on undergraduate nursing faculty confidence, readiness, and competence to implement the flipped classroom model. Guided by Lewin’s Change Theory and the Stetler Model of Evidence-Based Practice, this quality improvement project used a quantitative, pre-experimental one-group …

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Quality Improvement Project: Implementation Of The Surgical Safety Checklist To Improve Adherence To Time-Out At In-Office Procedure, Funke Osaremwinda Feb 2026

Quality Improvement Project: Implementation Of The Surgical Safety Checklist To Improve Adherence To Time-Out At In-Office Procedure, Funke Osaremwinda

Doctor of Nursing Practice Projects

Surgical errors in ambulatory and in-office procedural settings continue to rise despite well-established safety standards, such as the time-out (TO) protocol. Literature consistently links non-adherence to the TO protocol to preventable events such as wrong patient, wrong site, or wrong surgery. At the cardiovascular ambulatory clinic where the quality improvement (QI) project was implemented, the baseline needs assessment indicated inconsistent TO practices and the absence of a standardized tool to support TO. The purpose of this project was to improve adherence to the TO safety protocol through staff education and implementation of the evidence-based World Health Organization (WHO) Surgical Safety …

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Quality Improvement Project: The Impact Of Hypertension Management Education In Primary Care, Toyin K. Aliu Feb 2026

Quality Improvement Project: The Impact Of Hypertension Management Education In Primary Care, Toyin K. Aliu

Doctor of Nursing Practice Projects

Hypertension (HTN) is one of the leading causes of clinic visits and prescription medication use in primary care settings. Despite the availability of evidence-based guidelines to improve HTN management, adherence in clinical practice is often lacking. At the project site, 30% of patients have uncontrolled HTN. This is attributed to providers’ inadequate knowledge of the JNC-8 HTN management guidelines and inconsistent adherence to them. This project aimed to improve hypertension management in a primary care setting by educating providers on the JNC-8 guidelines to enhance adherence to evidence-based practices over six weeks. The purpose was to align medical providers with …

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Improving Benzodiazepine Refill Workflow And Communication Via Telehealth Using A Standardized Sbar Protocol, Hendricks Agwu Feb 2026

Improving Benzodiazepine Refill Workflow And Communication Via Telehealth Using A Standardized Sbar Protocol, Hendricks Agwu

Doctor of Nursing Practice Projects

The development in telehealth operations in outpatient mental health care has enhanced access to care at the expense of creating challenges in communication and workflow, especially when it comes to dealing with high-risk substances like benzodiazepines. The role ambiguity, inaccurate refill timeline, documentation lapses and high chances of medication errors are caused by inconsistent communication during the process of telehealth refills. This quality improvement project was aimed at assessing the effects of applying a standardized Situation, Background, Assessment, Recommendation (SBAR) communication and documentation protocol to workflow efficiency, interprofessional communication, and medication safety when making benzodiazepine refills in a telehealth outpatient …

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Quality Improvement Project: The Influence Of Education On Provider Self-Efficacy And Utilization Of The Columbia Suicide Severity Rating Scale (C-Ssrs), Doreen Nwaogwugwu Feb 2026

Quality Improvement Project: The Influence Of Education On Provider Self-Efficacy And Utilization Of The Columbia Suicide Severity Rating Scale (C-Ssrs), Doreen Nwaogwugwu

Doctor of Nursing Practice Projects

Suicide remains one of the leading causes of death worldwide, underscoring the critical need for consistent, evidence-based suicide risk screening in mental health facilities. Despite being a validated, evidence-based tool, the use of the Columbia Suicide Severity Rating Scale (C-SSRS) is often hindered by inadequate provider training. The purpose of this Doctor of Nursing Practice quality improvement project was to evaluate the impact of provider education on self-efficacy and utilization of the C-SSRS in an outpatient mental health clinic. This quality improvement project used a quasi-experimental, one-group pretest-posttest design guided by the Health Belief Model, Lewin’s Change Theory, and the …

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Quality Improvement Project: Impact Of Evidence-Based Self-Care Practice On Burnout In Nursing Faculty, Lori Boyd Feb 2026

Quality Improvement Project: Impact Of Evidence-Based Self-Care Practice On Burnout In Nursing Faculty, Lori Boyd

Doctor of Nursing Practice Projects

Nursing faculty burnout is a national concern supported by literature, which compromises faculty well-being, creativity, retention, and sustainability of nursing programs. Burnout is characterized by the subscales of emotional exhaustion, depersonalization, and feelings of reduced personal accomplishment. At the project site, leaders reported that faculty often left their roles due to increased workload and being overwhelmed by the rigorous expectations of the role, underscoring the need for a process to support nursing faculty burnout. This quality improvement (QI) project aimed to evaluate the impact of evidence-based self-care practices on nursing faculty burnout using Maslach's Burnout Inventory Toolkit, a valid and …

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Clinical Practice Guideline For Universal Anxiety Screening For Advanced Practice Providers, Kelechi Blanton Feb 2026

Clinical Practice Guideline For Universal Anxiety Screening For Advanced Practice Providers, Kelechi Blanton

Walden Dissertations and Doctoral Studies

This project was a clinical practice guideline (CPG) focused on anxiety screening in a primary care setting using the Generalized Anxiety Disorder (GAD-7) screening tool. The practice problem addressed general anxiety disorder and the need for standardized assessments for risk, as recently been recommended by the U.S. Prevention Service Task Force (USPSTF). Anxiety disorder is common but frequently untreated, due in part to low rates of screening. Lack of an evidence-based guideline for anxiety screening may contribute to delayed diagnosis and inconsistencies. The practice-focused question was, Does the evidence support development of an evidence-based CPG for universal anxiety screening in …

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Staff Education To Decrease Polypharmacy And Improve Medication Adherence In Older Adults In Primary Healthcare Settings, Nadine Pean Noel Feb 2026

Staff Education To Decrease Polypharmacy And Improve Medication Adherence In Older Adults In Primary Healthcare Settings, Nadine Pean Noel

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) project was a staff education initiative to address polypharmacy and increase medication adherence among older adults in a primary care setting. Polypharmacy is a prevalent and significant safety concern in older adults, increasing the risk for adverse drug events, medication nonadherence, hospitalizations, and decreased quality of life. The purpose of the project was to implement and evaluate a structured staff education focused on evidence-based strategies for medication review, deprescribing, and the integration of smartphone-based adherence tools. The practice-focused question guiding this project was as follows: Will an evidence-based staff education program focused on polypharmacy …

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Psychiatric Nursing Staff Promoting The Use Of Long-Acting Injectables Antipsychotics, Yetunde Oloto Feb 2026

Psychiatric Nursing Staff Promoting The Use Of Long-Acting Injectables Antipsychotics, Yetunde Oloto

Walden Dissertations and Doctoral Studies

This project is a staff education aimed at improving psychiatric staff knowledge regarding the use of long-acting injectable (LAI) antipsychotics among patients with schizophrenia. The practice problem addressed was the limited use of LAIs among psychiatric nurses when treating schizophrenia patients, which contributes to medication non-adherence and subsequent relapse, hospitalization, increased healthcare costs, and diminished quality of life. In nursing practice, this problem is important because nurses are frontline practitioners who administer medications, provide education, and monitor patient adherence. The problem-focused question developed was “Among psychiatric nurses, does staff education on the use of long-acting injectable antipsychotics compared to oral …

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Staff Education To Nurses To Lmprove Routine Foot Examinations For Diabetic Patients, Sarah Abrefi Feb 2026

Staff Education To Nurses To Lmprove Routine Foot Examinations For Diabetic Patients, Sarah Abrefi

Walden Dissertations and Doctoral Studies

Diabetes-related foot complications remain a significant cause of morbidity, hospitalization, and lower-extremity amputation, despite strong evidence supporting routine preventive assessments. In many outpatient settings, variability in nursing knowledge, skill, and documentation practices contributes to inconsistent implementation of comprehensive diabetic foot examinations. The purpose of this practice-focused quality improvement project was to evaluate the effectiveness of a structured staff education program designed to improve nurses’ knowledge and competency in performing comprehensive diabetic foot assessments in an outpatient diabetes clinic.A pretest–posttest evaluative design was used to measure changes in knowledge following the educational intervention. Ten registered nurses participated in a structured educational …

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Improving Blood Pressure Control In Home Care Patients Through Implementation Of Acc/Aha Hypertension Guidelines And Structured Blood Pressure Monitoring, Farrah Lynn Yuille Feb 2026

Improving Blood Pressure Control In Home Care Patients Through Implementation Of Acc/Aha Hypertension Guidelines And Structured Blood Pressure Monitoring, Farrah Lynn Yuille

Walden Dissertations and Doctoral Studies

This clinical practice guideline addressed the practice problem of the lack of standardized and consistent hypertension management in the home setting. Addressing this practice problem is important within nursing practice, as uncontrolled blood pressure increased the risk of hospitalizations, emergency department visits, and long-term cardiovascular complications. The practice question focused on translating evidence-based hypertension guidelines into clinical practice and evaluating their impact on patient outcomes in the home care setting. The purpose of the project was to engage three voluntary participants in evaluating the clinical practice guideline per the American College of Cardiology and American Heart Association hypertension guidelines within …

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Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh Feb 2026

Staff Education Using A Workplace Violence Reduction Bundle, Julla Panneh

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) quality improvement project addressed the ongoing issue of workplace violence (WPV) among medical-surgical nurses in an acute care setting. WPV poses significant risks to staff safety, psychological well-being, and the overall care environment. Guided by current evidence and professional guidelines, the project implemented a structured educational intervention focused on the Workplace Violence Reduction Bundle, incorporating the Broset Violence Checklist (BVC) and evidence-based de-escalation strategies. Medical-surgical nursing staff participated in tailored educational sessions; knowledge was assessed through pre- and post-intervention surveys, and program acceptability was evaluated through staff feedback. Data analysis revealed modest improvements in …

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Prevalence And Factors Associated With Delayed Surgery Among Children With Wilms Tumor At Mulago Hospital: A Mixed-Method Study, Lule Daniel, Shamim Nabidda, Abraham Muhwezi, Ronald Naitala, Anne Akullo, Enid Kawala Kagoya, Ruth Namazzi, Nasser Kakembo, Joan N. Kalyango Feb 2026

Prevalence And Factors Associated With Delayed Surgery Among Children With Wilms Tumor At Mulago Hospital: A Mixed-Method Study, Lule Daniel, Shamim Nabidda, Abraham Muhwezi, Ronald Naitala, Anne Akullo, Enid Kawala Kagoya, Ruth Namazzi, Nasser Kakembo, Joan N. Kalyango

School of Nursing & Midwifery, East Africa

Introduction:  Wilms tumor (WT) is a highly treatable form of childhood cancer, with five-year survival rates greater than 90% in high-income countries. In low- and middle-income countries, survival is still low. Delayed surgery is one of the leading factors for poor survival, as it leads to tumor complications, making subsequent treatment more complex. However, there is a paucity of information in Uganda on the prevalence and factors associated with delayed surgery. This study aimed to determine the prevalence and factors associated with delayed surgery, and to explore the barriers and facilitators of timely surgery among children with WT at …

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Staff Education On Preventing Benzodiazepines Related Falls In Older Adults, Dafnee Gilles Feb 2026

Staff Education On Preventing Benzodiazepines Related Falls In Older Adults, Dafnee Gilles

Walden Dissertations and Doctoral Studies

In geriatric psychiatric setting, falls rates are higher than general wards and could reach up to 13-25 falls per 1000 hospital days. High use of benzodiazepines in older adults is a major cause of increased falls despite recommendations to avoid its prescription to the population. This DNP staff education project focused on training nurses working in an 80 bed capacity geriatric psychiatric facility on best evidence based practice of preventing falls associated with use of BZDs. The identified practice issue was knowledge deficit on evidence based best practices to prevent falls in older adults under BZDs medications. The project aims …

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