Staff Education On Early Cpi-Based De-Escalation Strategies And Unit-Based Resources,
2026
Walden University
Staff Education On Early Cpi-Based De-Escalation Strategies And Unit-Based Resources, Doris Onyenji Lerama
Walden Dissertations and Doctoral Studies
This doctoral project was a staff education evidence-based practice initiative implemented at a state-operated adult inpatient psychiatric facility in California. The practice gap was inconsistent nursing staff knowledge of early Crisis Prevention Intervention-based de-escalation strategies and available unit-based resources despite an established crisis-prevention framework. The practice-focused question asked whether a standardized staff education activity would increase staff knowledge, as measured by anonymous pre-education and immediate post-education scores. The purpose was to develop, implement, and evaluate the education using staff knowledge change as the sole measurable outcome. The Johns Hopkins Evidence-Based Practice Model guided appraisal and synthesis of 11 evidence sources …
Quality Improvement Project: The Impact Of Self-Assessed Quality Of Sleep On Illness Experience And Job Satisfaction Among Night Shift Nurses,
2026
Arkansas State University - Jonesboro
Quality Improvement Project: The Impact Of Self-Assessed Quality Of Sleep On Illness Experience And Job Satisfaction Among Night Shift Nurses, Eunice Ikpekpe
Doctor of Nursing Practice Projects
Compromised sleep quality, illness experience, and job satisfaction are important concerns among registered nurses working night shifts. The purpose of this quality-improvement project was to evaluate changes in self-assessed sleep quality, illness experience, and job satisfaction following participation in the six-week Sleep Hygiene and Recovery Program (SHRP) among night-shift registered nurses at a large, urban, Level I trauma academic teaching medical center. The project used a quantitative, quasi-experimental, single-group pretest–posttest design guided by the Plan-Do-Study-Act framework and Lewin’s Change Management Theory, with the Neuman Systems Model and Pender’s Health Promotion Model providing the theoretical foundation. SHRP was a structured, evidence-informed …
Staff Education To Improve 7-Day Post-Discharge Psychiatric Follow-Up,
2026
Walden University
Staff Education To Improve 7-Day Post-Discharge Psychiatric Follow-Up, Michael Curtis Kwashie
Walden Dissertations and Doctoral Studies
Too many psychiatric patients leave the hospital without a follow-up appointment, a gap that may cost lives. Research has consistently shown that the days immediately after discharge from psychiatric inpatient or emergency care are among the most dangerous in a patient’s trajectory, marked by elevated suicide risk, relapse, and avoidable readmission. Yet, across behavioral health settings, completion of outpatient follow-up within 7 days of discharge remains inconsistent; typically, standardized processes are often missing. This doctoral project in staff education was created to fill that gap and examined whether implementing a standardized discharge transition protocol, supported by targeted, interdisciplinary staff education, …
Staff Education To Improve Sleep Hygiene Knowledge And Competency Among Nursing Staff On An Inpatient Behavioral Health Unit,
2026
Walden University
Staff Education To Improve Sleep Hygiene Knowledge And Competency Among Nursing Staff On An Inpatient Behavioral Health Unit, Jennings Ubadi Mekoba
Walden Dissertations and Doctoral Studies
This staff education project addressed the gap in standardized knowledge and implementation of evidence-based sleep hygiene interventions among nursing staff on an inpatient behavioral health unit. Sleep disturbances affect 80%–90% of psychiatric patients and directly impact treatment outcomes and recovery. I developed the practice-focused question to consider whether an evidence-based sleep hygiene education program would enhance the awareness, knowledge, and practices of the nursing staff regarding sleep hygiene interventions. A thorough literature review of 23 high-quality sources formed the background for the development of a structured educational intervention that encompassed assessment methodologies, nonpharmacological interventions, environmental interventions, and patient education interventions. …
Implementation Of An Evidence-Based Multifactorial Fall-Prevention Staff Education Program In A Long-Term Care Facility.,
2026
Walden University
Implementation Of An Evidence-Based Multifactorial Fall-Prevention Staff Education Program In A Long-Term Care Facility., Peter Mufua Tumenta
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Peter Mufua Tumenta 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. Melanie Braswell, Committee Chairperson, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2026 Executive Summary Falls are a significant patient safety concern among older adults in long-term care (LTC) facilities. This Doctor of Nursing Practice quality improvement project implemented and evaluated a standardized, evidence-based multifactorial fall-prevention staff education program to improve …
Beneath The Surface: The Promotion Of Bedside Involvement In The Dissemination Of Wound Progression,
2026
Children's Health Medical Center Dallas
Beneath The Surface: The Promotion Of Bedside Involvement In The Dissemination Of Wound Progression, Jaiden Ware, Aline Ramirez, Emily Rayas
2025
No abstract provided.
Developing Superusers To Improve Piv And Phlebotomy Competency In The Ccbd Patient Population,
2026
Children's Health Medical Center Dallas
Developing Superusers To Improve Piv And Phlebotomy Competency In The Ccbd Patient Population, Grace Grief, Karen Pedro, Toni Lieberman, Maddie Mccombs, Sophia Figueroa
2025
No abstract provided.
Cultivating A Culture Of Feedback: Strengthening Picu Nurses Through Peer-To-Peer Feedback,
2026
Children's Health Medical Center Dallas
Cultivating A Culture Of Feedback: Strengthening Picu Nurses Through Peer-To-Peer Feedback, Alex Ramirez, Reese Reddick, Sydney Usselman
2025
No abstract provided.
Extra Hands, Better Care? Evaluating The Impact Of A Resource Nurse,
2026
Children's Health Medical Center Dallas
Extra Hands, Better Care? Evaluating The Impact Of A Resource Nurse, Cy Love, Ivana Ye, Mackenzie Hodge, Melanie Pescina
2025
No abstract provided.
More Than Words: Enhancing Caregiver Confidence Through Health-Literacy-Informed Discharge Teaching,
2026
Children's Health Medical Center Dallas
More Than Words: Enhancing Caregiver Confidence Through Health-Literacy-Informed Discharge Teaching, Madelyn Biad, Rachel Jones, Temi Kalejaiye, Aylana Lindsey, Jennifer Nguyen, Jenny Nguyen, Samantha Wigder
2025
No abstract provided.
Patching The Practice Gap: Standardizing Pediatric Transdermal Medication Administration,
2026
Children's Health Medical Center Dallas
Patching The Practice Gap: Standardizing Pediatric Transdermal Medication Administration, Grace Mcreynolds, Jennifer Diaz-Miranda, Raven Davis, Cierra Berry, Womietu Arise, Samantha Onyekwere, Jennifer Lugo, Hasina Barlett
2025
No abstract provided.
Fueling Tiny Hearts: Optimizing Enteral Mct Oil Utilization In Patients With Congenital Heart Disease,
2026
Children's Health Medical Center Dallas
Fueling Tiny Hearts: Optimizing Enteral Mct Oil Utilization In Patients With Congenital Heart Disease, Paige Baxter, Bailey Beard, Ashton Mudd, Isabelle Stallings
2025
No abstract provided.
Raising The Bar: Post-Operative Pneumonia In The Pediatric Pectus Patient Population,
2026
Children's Health Medical Center Dallas
Raising The Bar: Post-Operative Pneumonia In The Pediatric Pectus Patient Population, William Anoka, Ishana Banerjee, Taylor Emond, Inala Gant, Policia Travis
2025
No abstract provided.
Quality Improvement Project: Improving Nursing Knowledge And Confidence Of Dysglycemia In Pediatric Oncology Patients,
2026
Arkansas State University - Jonesboro
Quality Improvement Project: Improving Nursing Knowledge And Confidence Of Dysglycemia In Pediatric Oncology Patients, Lindley Abrams
Doctor of Nursing Practice Projects
Treatment-induced dysglycemia is a frequently underrecognized complication of pediatric cancer therapy. Pediatric oncology nurses play a critical role in recognizing and managing dysglycemia; however, limited exposure to specialized dysglycemia education may contribute to gaps in knowledge and confidence. A site needs assessment found that 53% of nurses reported discomfort with glycemia-related concepts, supporting the need for targeted education. The purpose of the project was to evaluate changes in pediatric oncology nurses’ knowledge and confidence in recognizing and responding to treatment-induced dysglycemia. The project aimed to provide a structured educational intervention and measure pre- and post-intervention changes. Newman’s Health as Expanding …
Quality Improvement Project: Electronic Consent's Influence On Consent Error Rates,
2026
Arkansas State University - Jonesboro
Quality Improvement Project: Electronic Consent's Influence On Consent Error Rates, Alexis Fogle
Doctor of Nursing Practice Projects
Surgical consent errors increase the risk of inaccurate documentation, compromise patient safety, and disrupt procedure times. Evidence indicates that adopting electronic consent can optimize workflow, support accurate and complete documentation, improve readability, and enhance record reliability. This project evaluated whether initiating electronic consent, compared with handwriting surgical consent forms, reduced the number of improper surgical consent forms completed over six weeks. Roy’s Adaptation Model guided the change process, and the Theory of the Person as an Adaptation System provided the theoretical basis. The Plan-Do-Study-Act model supported evidence-based implementation of the electronic consent intervention. The quality improvement project was conducted on …
Implementing An Evidence-Based Practice Training Program To Impact Nursing Skills Competency And Self-Efficacy In A Long-Term Care Facility,
2026
Arkansas State University - Jonesboro
Implementing An Evidence-Based Practice Training Program To Impact Nursing Skills Competency And Self-Efficacy In A Long-Term Care Facility, Angela Mcknight
Doctor of Nursing Practice Projects
Long-term care facilities require nursing staff who can competently perform clinical skills; however, the project site relied primarily on written in-service education and attendance verification without direct validation of psychomotor performance. The purpose of this quality improvement project was to evaluate competency-based nursing education in a long-term care facility. The aim was to strengthen demonstrated urinary catheterization competency and evaluate changes in perceived professional nursing competence and general self-efficacy among licensed nurses. A quasi-experimental, one-group pretest-posttest design included 12 registered and licensed practical nurses. Plan-Do-Study-Act guided implementation, Lewin’s Change Theory guided organizational change, and Social Cognitive Theory supported the educational …
Quality Improvement Project: Implementing A Standardized Psychiatric Handoff Tool To Impact Nurse-To-Nurse Communication In An Acute Care Psychiatric Setting,
2026
Arkansas State University - Jonesboro
Quality Improvement Project: Implementing A Standardized Psychiatric Handoff Tool To Impact Nurse-To-Nurse Communication In An Acute Care Psychiatric Setting, Andrea Ranglin-Johnson
Doctor of Nursing Practice Projects
Evidence supports that inconsistent nurse-to-nurse handoff communication may contribute to omitted information, workflow inefficiencies, and patient safety concerns in acute psychiatric settings. The practice problem was the absence of a standardized psychiatric handoff process, which contributed to inconsistent shift report communication. This quality improvement project examined whether the PSYCH (Patient Profile, Situation, Your Clinical Assessment, Care Plan/ Critical Information, and Hindrance for Discharge) standardized handoff tool impacted nurses' perceptions of nurse-to-nurse communication over six weeks. Lewin's Change Theory guided implementation, while the Donabedian Structure-Process-Outcome Model provided the theoretical framework. The Plan-Do-Study-Act cycle supported implementation. A pre- and post-implementation design was …
Quality Improvement Project: Empowering Change: Evidence-Based Strategies To Improve Ai Use In Pedagogy,
2026
Arkansas State University - Jonesboro
Quality Improvement Project: Empowering Change: Evidence-Based Strategies To Improve Ai Use In Pedagogy, Amanda Boyle
Doctor of Nursing Practice Projects
Artificial intelligence (AI) continues to integrate into healthcare and higher education; however, Health Science faculty at the project site lacked formal training to operate or teach AI responsibly. This Doctor of Nursing Practice quality improvement project evaluated whether computer-based AI literacy education improved Health Science faculty members’ self-reported AI literacy. It was predicted that faculty AI literacy scores would improve after completing the intervention. Kotter’s change model and Benner’s novice-to-expert framework informed implementation of change and faculty professional development. The Plan–Do–Study–Act model supported evaluation. In a one-group, quasi-experimental preintervention–postintervention study design at a North Texas two-year college, 19 eligible Health …
A Quality Improvement Project: Impacting Communication Perceptions Among Nursing Staff And Providers Regarding Perioperative Medication Management Impacting Anesthesia Care,
2026
Arkansas State University - Jonesboro
A Quality Improvement Project: Impacting Communication Perceptions Among Nursing Staff And Providers Regarding Perioperative Medication Management Impacting Anesthesia Care, Demetria Jefferson
Doctor of Nursing Practice Projects
Medication-related surgical cancellations disrupt patient care, increase healthcare costs, and contribute to inefficient use of perioperative resources. Evidence supports standardized education and communication to improve perioperative medication safety. This quality improvement project aimed to improve staff self-efficacy in communicating medication instructions and reduce surgical cancellations associated with sodium-glucose cotransporter-2 (SGLT2) inhibitors, glucagon-like peptide-1 (GLP-1) receptor agonists, and phentermine. Bandura’s Social Cognitive Theory and Lewin’s Change Model guided the project. A quasi-experimental one-group pretest-posttest design included perioperative staff who provided medication instructions across two settings within an academic health sciences center. Using the Plan-Do-Study-Act framework, interventions included standardized staff education, patient …
Training Faculty For Skills Evaluation: A Quality Improvement Project,
2026
Arkansas State University - Jonesboro
Training Faculty For Skills Evaluation: A Quality Improvement Project, Shelley Leezer
Doctor of Nursing Practice Projects
There is an identified gap between nursing knowledge learned in academic settings and application of clinical skills in practice settings. Literature contributes this gap to poor knowledge retention, lack of constructive feedback, and inability to apply knowledge to clinical practice. The purpose of this project was to address skill mastery and retention in nursing students within a university. The project aim was to improve faculty feedback and evaluation to best support skill mastery in the skills laboratory. Lewin’s Change Management Model and Dr. Patricia Benner’s Novice-to-Expert Theory guided project design and progress. This pre- and post-intervention study followed a PDSA …
