Nursing Commons^™

Correlates Of Sexual Health Service Use Amongst Unmarried Young Adults In Kathmandu, Nepal, Joshua Jayasinghe, Connie M. Ulrich, Anju Shrestha, Mamata Sherpa Awasthi, Jesse Chittams, Bridgette M. Rice, Prakash Shrestha, Anne M. Teitelman

College of Nursing Faculty Papers & Presentations

BACKGROUND: In Nepal, sexual relationships outside of the traditional arranged marital system are increasingly common. Despite the availability of modern sexual health care, research on how to effectively deliver sexual health services to unmarried young adults in Nepal is limited.

OBJECTIVE: This study examined key theoretical correlates between Andersen's Behavioral Model of Health Service Use and actual sexual health service use among unmarried young adults (aged 18 to 25) in Kathmandu, Nepal.

METHODS: Unmarried young adults between 18 and 25 were recruited from colleges and universities in the Kathmandu area. A total of 110 women and 93 men completed the …

Guided By Culture, Fueled By Goals: Evaluating The Patnubay Sa Pagtatagumpay Mentorship Journey, Priscilla L. Sagar, Mary Dioise Ramos, Mizpah Amados, Gloria Lamela Beriones, Warly Remegio, Marlon Garzo Saria, Lorraine Evangelista

School of Nursing Faculty Publications

Effective mentorship is fundamental to professional development in nursing; however, there are limited initiatives that cater to the unique cultural and contextual needs of Filipino American nurses. To bridge this gap, the Philippine Nurses Association of America launched its Patnubay sa Pagtatagumpay Program (P3). This innovative initiative offers a culturally tailored approach to mentorship, incorporating features such as mentor-mentee pairings, structured goal setting, and year-long cohort support. This paper evaluates the effectiveness of the P3 program, with initial outcomes indicating high overall satisfaction from both participants. By demonstrating that culturally focused mentorship can effectively meet the specific needs of a …

Assessing The Efficacy Of The Cam-Icu Scale In Reducing Length Of Stay In The Icu: A Scoping Review, James Ray Davis Mph, Bsn, Rn, Donna Lynch-Smith Dnp, Aprn, Acnp-Bc, Ne-Bc, Cnl

Doctor of Nursing Practice Projects

No abstract provided.

Enhancing Medication Adherence In Primary Care Settings Through Staff Education, Sabita Bhusal

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice project was an evidence-based staff education initiative addressing medication nonadherence in hypertension, a critical issue that contributes to poor health outcomes, uncontrolled blood pressure, preventable hospitalizations, and increased healthcare costs. The identified gap in practice was defined by limited staff knowledge, lack of structured training, and inconsistent application of evidence-based adherence counseling strategies. The practice-focused question was: In a primary care clinic, will an evidence-based staff education program on medication adherence increase staff knowledge? A structured training intervention was implemented and then evaluated for its effectiveness. Descriptive statistics and a paired t test comparing pre- …

Nurse Residency Program: Improving Staff Awareness Through Education, Cynthia Kay Butterman

Walden Dissertations and Doctoral Studies

Across the health care continuum, organizations face persistent nursing shortages and the challenge of integrating novice nurses into clinical practice, often with limited skills and underdeveloped critical thinking abilities. Nurse residency programs have been integrated by many facilities to provide support for new novice nurses in transitioning from academia to the professional nursing role. This quantitative, quasi-experimental research project was conducted at a community-based hospital with an existing 8- to 10-week nurse residency program that had very limited stakeholder involvement. The purpose of the project was to create an educational training module for key stakeholders to strengthen awareness of why …

Perspectives Of Nursing Faculty On The Barriers, Opportunities, And Teaching Strategies For Developing Peer Feedback Skills Among Entry-Level Nursing Students, Anna Kornienko

Walden Dissertations and Doctoral Studies

Peer feedback benefits nursing education and practice by fostering collegial relationships and promoting the quality of care, yet students often lack training to engage effectively. While existing research has examined student perspectives, the experiences and strategies employed by nursing faculty remain underexplored. The purpose of this qualitative study, guided by the student feedback literacy framework, was to explore the perspectives of nursing faculty on the barriers, opportunities, and strategies for developing peer feedback skills among undergraduate nursing students. Seventeen Canadian nursing faculty participated in semi-structured virtual interviews. Analysis revealed five themes that aligned with the study’s three foci: strategies (a) …

Staff Education To Enhance Therapeutic Communication In Community Clinic Settings, Marian Allen

Walden Dissertations and Doctoral Studies

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A Clinical Practice Guideline For Managing Gastrointestinal Toxicities Related To Glp-1ra And Gip/Glp-1ra Medications, Lindsay Williamson

Walden Dissertations and Doctoral Studies

The project is a Clinical Practice Guideline (CPG) for managing Gastrointestinal (GI) toxicities related to Glucagon-like Peptide-Receptor Agonist 1 (GLP-1RA) and Glucose-dependent insulinotropic polypeptide/Glucagon-like peptide-1Receptor Agonist (GIP/GLP-1RA) medications. Many patients are seeking weight loss with these agents, which cause GI toxicities that lead prescribers to have patients remain at lower doses that are sub-therapeutic or discontinue therapy. Advanced Practice Registered Nurses (APRNs) are prescribing these therapies for patients and lack an evidence-based CPG for properly managing the most common GI toxicities. APRNs can successfully monitor and manage GI symptoms to promote tolerability and treatment adherence. The project question focuses on …

Central Line-Associated Bloodstream Infection Prevention Staff Education For Medical- Surgical Nurses, Grace Ann Abustan Porciuncula

Walden Dissertations and Doctoral Studies

Background: CLABSIs remain a significant cause of morbidity, mortality, and increased healthcare costs, particularly in hospitalized patients requiring long-term vascular access. Despite established guidelines, inconsistent adherence to central line dressing change protocols persists within the DNP project organization, often due to insufficient staff knowledge and variability in practice. This practice gap increases the risk of catheter site contamination and leads to preventable CLABSI events, creating a clear need for intervention. Method: A designed educational program that integrated interactive lectures, case studies, and simulation-based activities. A pre- and post-intervention assessment to measure changes in participants’ knowledge and self-reported confidence in applying …

Psychoeducation For Community Support Workers To Decrease No Call And No-Show Rates In An Outpatient Mental Health Facility, Promise Lum Ngongwashi

Walden Dissertations and Doctoral Studies

Missed appointments remain a critical issue in health care, as they contribute to poorer patient health outcomes, treatment discontinuity, and increased system costs. Improving staff knowledge in this area is essential for ensuring timely, equitable, and effective patient care. This doctoral project was a staff education initiative designed to enhance community support workers (CSWs’) knowledge of methods for encouraging patient adherence to clinic appointments through psychoeducational training. The practice problem addressed was the inconsistency in staff use of evidence-based strategies to motivate and support patients in maintaining clinic attendance. The practice-focused question guiding the project was: Does psychoeducation improve CSWs’ …

Artificial Intelligence (Ai) Additions To Nursing Education: Accommodating The Complexity Of Today’S Populations And Assuring Evidence-Based Pathways Of Patient-Centered Care, Jamie Anne Marcus, Bonnette Villalba Webb, Abigail Pauline Batin Villarroya

FDLA Journal

Predicted demographic changes in the rising older than 65 populations with possible declining mental and physical health mandate adaptations to new professional nursing roles that will incorporate technology, and changing policy environments. Nursing experience, knowledge, and skills will transition to new cognitive pathways to think and process information. Nurses will be supported by artificial intelligence (AI) technologies and become information integrators, health coaches, and continue to be deliverers of human caring. New transition pathways in nursing education to meet the needs of these diverse populations, and patient complex presentations will transcend to synergizing and optimize digital-age healthcare environments and assure …

Staff Education On Antibiotic Stewardship For Urgent Care, Darla Michelle Taylor

Walden Dissertations and Doctoral Studies

This doctoral project focused on a staff education initiative designed to improve antibiotic stewardship among urgent care providers. It evaluated changes in provider knowledge and prescribing intent following an evidence-based educational intervention by asking, “Does staff education on antibiotic stewardship in an urgent care setting enhance knowledge when compared to pre- and post-education assessments?” The purpose was to increase provider knowledge, confidence, and adherence to stewardship principles while influencing prescribing intent. The project consisted of an educational presentation with pre- and post-education surveys. Data was collected using pre- and post-education surveys featuring Likert-scale items that measured provider confidence, knowledge, and …

Self-Management Experiences Of Heart Failure Patients Who Received Telehealth Services During The Covid-19 Pandemic, Christie Devine

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the utilization of telehealth in managing chronic conditions such as heart failure. Existing research has primarily focused on patient experiences with specific telehealth platforms or settings, limiting generalizability within the diverse United States healthcare system. The purpose of this qualitative study, guided by the health promotion model, was to describe patient experiences with self-management of heart failure while receiving medical care through any type of telehealth service (e.g., telephone, video calls, remote monitoring) in the United States. Twenty-two participants were interviewed who met the criteria of having a diagnosis of heart failure and using telehealth since …

Staff Education To Improve Knowledge Of Venous Leg Ulcer Prevention, Bini John

Walden Dissertations and Doctoral Studies

This Doctor of Nursing Practice (DNP) staff education project implemented a standardized program to strengthen knowledge, confidence, and adherence to venous stasis ulcer (VSU) prevention among staff in an outpatient vascular clinic. The practice problem was the lack of standardized staff education, leading to inconsistent patient teaching and recurrent ulceration. VSUs are a significant public health challenge, increasing morbidity, healthcare utilization, and reducing quality of life (He et al., 2024). The practice-focused question for this project was: In frontline medical staff at a vascular outpatient clinic, does a staff education program on a standardized approach to patient education for VSU …

Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu

Walden Dissertations and Doctoral Studies

Hospital-acquired pneumonia (HAP) remains the most common hospital-acquired infection in the United States, with nonventilated adult patients particularly at risk. This doctoral project focused on improving oral care practices among night shift nursing staff on a medical-surgical unit to reduce the risk of HAP. The practice gap identified was the inconsistent and inadequate delivery of oral hygiene during night shifts, primarily due to staff knowledge deficits, time constraints, and a lack of standardized procedures. The project was guided by the Johns Hopkins Evidence-Based Practice model and addressed the following question: In adult patients on a medical-surgical unit, will staff education …

Sociocultural Factors Influencing Excess Gestational Weight Gain In Pregnant Puerto Rican Women, Sonia O. Roselló Aponte

Walden Dissertations and Doctoral Studies

More than 50% of women experience excessive weight gain during pregnancy or are overweight at the start of pregnancy, increasing their risk of short and long-term maternal and fetal complications. The literature highlights the relationship between sociocultural factors and excessive gestational weight gain (EGWG) and the need to explore these factors in ethnic subgroups. The purpose of this descriptive qualitative study, guided by Nola Pender’s health promotion model, was to explore the sociocultural factors that influence EGWG for pregnant women living in Puerto Rico. Semi-structured interviews were conducted with seven participants recruited from public and private prenatal clinics in Puerto …

Palliative Care Conditions Managed At Home And Self-Reported Challenges Experienced By Informal Home-Based Caregivers In Rwanda: A Qualitative Study, Jean Claude Twahirwa, Madeleine Mukeshimana, Margaret Fitch, Godfrey Katende

School of Nursing & Midwifery, East Africa

Introduction: A greater dependency on informal home-based caregivers to assist patients in their homes stems from Rwanda’s rising palliative care needs and the burden of terminal illnesses. These caregivers play a critical role in addressing patients’ physical and emotional needs and assisting with daily activities. However, in low-resource settings like Rwanda, limited attention has been given to understanding their lived experiences and the challenges they face. This study primarily aimed to explore the lived experiences and caregiving challenges of informal home-based caregivers providing palliative care. A secondary aim was to describe the range of life-threatening conditions being managed at home …

Staff Education Project To Reduce Falls In Assisted Living Through Improved Caregiver Knowledge, Attitude, And Skill, Crystal Morrow

Walden Dissertations and Doctoral Studies

Wisconsin has the highest death rates from falls in the nation. In a brief, the Wisconsin Aging Advocacy Network indicated that most falls among individuals over 65 occur in residential settings. Further, a significant number of elderly people will fall each year, resulting in hospitalizations or fatalities. The purpose of this project was to provide staff education in one Wisconsin assisted living facility to effectively improve knowledge, attitude, and skill among frontline staff for fall prevention management. A formal Fall Education Day was provided to improve knowledge and shape positive attitudes among staff. A pretest-posttest design was used to measure …

A Quality Improvement Project To Standardize Sexual Dysfunction Screening In Primary Care, Ashley M. D’Anna

Electronic Theses and Dissertations

Sexual health is an essential aspect of overall well-being but is often overlooked in primary care due to provider discomfort, time constraints, and lack of standardized screening protocols. This quality improvement (QI) project aimed to implement a consistent approach to screening for sexual dysfunction using the Arizona Sexual Experiences Scale (ASEX), a validated five-item tool assessing sex drive, arousal, orgasm, and satisfaction. Guided by Swanson’s Theory of Caring and Pender’s Health Promotion Model, the project emphasized compassionate, patient-centered care and the promotion of health-enhancing behaviors.

Using the Plan-Do-Study-Act (PDSA) framework, the ASEX tool was incorporated into annual wellness visits following …

A Knowledge-Driven Deep Learning Framework For Organoid Morphological Segmentation And Characterization, Yiming Qin, Jiajia Li, Yin Heng, Zheyuan Wang, Dezhi Wu, Mahi Rahman, Pengwei Hu, Tobias Plötz, Alexander Hopp, Nicholas Kurniawan, Mathias Winkel, Philipp Harbach, Chunling Tang, Feng Tan

Publications

BACKGROUND: Organoids have great potential to revolutionize various aspects of biomedical research and healthcare. Researchers typically use the fluorescence-based approach to analyse their dynamics, which requires specialized equipment and may interfere with their growth. Therefore, it is an open challenge to develop a general framework to analyse organoid dynamics under non-invasive and low-resource settings.

RESULTS: In this paper, we present a knowledge-driven deep learning system named TransOrga-plus to automatically analyse organoid dynamics in a non-invasive manner. Given a bright-field microscopic image, TransOrga-plus detects organoids through a multi-modal transformer-based segmentation module. To provide customized and robust organoid analysis, a biological knowledge-driven …