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Intersectional Approach To Understand Condom Use Behavior Between Black And Latinos Msm And Transgender Women, Vanessa J. Mejia
Intersectional Approach To Understand Condom Use Behavior Between Black And Latinos Msm And Transgender Women, Vanessa J. Mejia
Walden Dissertations and Doctoral Studies
Men who have sex with men (MSM) and transgender women has been a focus of scholars since the early 1990s. Researchers have demonstrated that individuals in these communities are at greater risk for adverse health outcomes such as sexually transmitted infections (STIs) and Human Immunodeficiency Virus (HIV). This study examined the relationship between macrosocial structural factors (i.e., housing stability) and the acceptance of risky sexual behavior (RSB) (i.e., condom use) between Black and Latino MSM, and transgender women guided by the health belief model and intersectionality theory. Using a quantitative approach, primary data were collected from MSM and transgender women …
Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones
Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones
Walden Dissertations and Doctoral Studies
Obesity is a public health epidemic and is as relevant in the pediatric population as it is in adults. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would use existing evidence to support the development of body mass index (BMI) screening in primary schools for the early detection of childhood obesity. Globally, more than 41 million children were obese or overweight by 2018. Due to incidence rates, developing an effective strategy to address childhood obesity is critical. The practice-focused question asked whether the evidence supported the development of a CPG for implementing BMI …
Effect Of Covid-19 On Comprehensive Predictor Exam Scores And Nursing Program Scores And First Generation College Students, Heather Marie Austin
Effect Of Covid-19 On Comprehensive Predictor Exam Scores And Nursing Program Scores And First Generation College Students, Heather Marie Austin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic forced nursing education programs to change traditional face-to-face teaching to virtual education and simulated experiences. Therefore, research is needed to determine how this change affected nursing students’ academic performance and their performance on standardized exams. The purpose of this three-part study, guided by Knowles’s adult learning theory, was to determine if there was a difference in Associate of Science in Nursing (ASN) students’ performance on: (a) Assessment Technology Institute (ATI) Comprehensive Predictor (CP) scores, (b) end of program scores, and for (c) CP scores for first generation students before the COVID-19 pandemic compared with nursing students’ scores …
Exploring Vaccination Hesitancy Among Nonmandated Nurses And Health Care Workers, Germaine Lazett Nelson
Exploring Vaccination Hesitancy Among Nonmandated Nurses And Health Care Workers, Germaine Lazett Nelson
Walden Dissertations and Doctoral Studies
COVID-19 vaccinations have been mandated for most healthcare professionals providing direct patient care, but there are a group of nonmandated healthcare professionals who have been hesitant to receive the vaccine. Given prolonged hesitancy among key health professionals charged with providing direct patient care, it is crucial to understand why they are hesitant; their apprehension may impact the pool of professionals available to provide direct patient care. This is a cross-sectional quantitative study that included an online survey. The health belief model served as the theoretical framework. The research questions addressed whether there is an association between type of patient care …
Perspectives Of Social Barriers To Accessing Health Care Insurance Among The Homeless Population, Abedalhakeem Damin Abukhalil
Perspectives Of Social Barriers To Accessing Health Care Insurance Among The Homeless Population, Abedalhakeem Damin Abukhalil
Walden Dissertations and Doctoral Studies
Access to healthcare services and healthcare insurance has been considered problematic for many populations in the United States. Despite many efforts to solve these issues, there is a significant gap in research related to the perceptions of the population experiencing homelessness associated with the social barriers they face with access to health insurance and health care. The behavioral-ecological framework best suited this study. In this qualitative descriptive study the perceptions of a sample of 10 individuals experiencing homelessness, who accepted to sit for 60-minute interviews, were investigated. Purposeful sampling was used to identify these individuals, whose age 18-60 years old, …
Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr
Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr
Walden Dissertations and Doctoral Studies
The increasing number of hepatitis B-related deaths in the Armed Forces of Liberia was due to the lack of understanding of the associated risks with the disease. Gender, substance use, and condom use have been researched as related risk factors for hepatitis B virus infection (HBV). The goal of this study was to determine if gender (male or female) and risk factors (substance use, alcohol abuse, and condom use) predicted hepatitis B infections after adjusting for age, marital status, education, and military rank among Liberia military population. The theory that grounded this study was Bronfenbrenner’s socio-ecological model (SEM) which posits …
Relationship Of Mindfulness To Worldview Defense When Mortality Is Salient, Blake Ausmus
Relationship Of Mindfulness To Worldview Defense When Mortality Is Salient, Blake Ausmus
Walden Dissertations and Doctoral Studies
Humans value self-preservation, and therefore that which is perceived to threaten survival should cause stress. However, humans have also developed the understanding of their own mortality, meaning that they cognitively understand that death is inevitable. The conflict arising from these opposing constructs holds the potential to cause anxiety. Interestingly, this anxiety is not easily observed in most. Terror management theory posits that there are buffer systems in place that help to keep death anxiety at bay so that humans are able to continue to function in their daily lives. These buffers include becoming more stringent to one’s worldviews and less …
Strategies Physicians Apply To Value-Based Patient Care For Quality Reimbursement, Sadia Chaudhry-Zutshi
Strategies Physicians Apply To Value-Based Patient Care For Quality Reimbursement, Sadia Chaudhry-Zutshi
Walden Dissertations and Doctoral Studies
Low-quality value-based patient care negatively impacts physicians’ ability to maintain private solo practices. Physicians who lack strategies to apply value-based patient care may lose their ability to stay in a private solo practice. Grounded in the complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies used by private solo physicians that provided value-based patient care. Participants were four physicians in solo private practice who successfully applied value-based patient care to maintain their private solo practice. Data were collected from semistructured interviews and organizational documents and analyzed using thematic analysis. Three themes emerged: (a) …
Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti
Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti
Walden Dissertations and Doctoral Studies
Herpes simplex virus type 2 (HSV-2), the main cause of genital herpes, is an incurable sexually transmitted infection responsible in 2018 for 18.6 million infections in the United States. HSV-2 is twice as frequent in women than in men. Women who have sex with women (WSW) have a higher prevalence of depression and drug use than women who have sex exclusively with men (WSM), which are each related to HSV-2 as they increase the likelihood of engaging in risky sexual behaviors. The purpose of this study was to assess the predictive relationship between depression status, nonprescription drug use status, and …
The Relationship Between Allied Health Therapy Leaders In Hospitals And Patient Satisfaction, Dickson Rodriguez
The Relationship Between Allied Health Therapy Leaders In Hospitals And Patient Satisfaction, Dickson Rodriguez
Walden Dissertations and Doctoral Studies
AbstractAlthough allied health professions account for 60% of the health care workforce, funding to support training and leadership in the allied health fields remains nominal. The purpose of this quantitative study was to investigate whether there is a relationship between allied health therapy leaders in hospitals and patient satisfaction. The Donabedian model was used as the theoretical framework, as it made it possible to conceptualize the underlying parts and processes that may contribute to poor quality of care for patients receiving healthcare. A quantitative methodology with a cross-sectional design was used to provide quantifiable information to ascertain whether the results …
Health Belief Effects On Preventive Health Among Hispanic Migrant And Seasonal Farmworkers, Angela M. Trawick
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 …
Challenges For Hospital Leadership In Obtaining Urology And Otolaryngology Community Preceptors, Donna Orsatti
Challenges For Hospital Leadership In Obtaining Urology And Otolaryngology Community Preceptors, Donna Orsatti
Walden Dissertations and Doctoral Studies
Healthcare organizations are becoming more complex and medical education is constantly evolving in response to healthcare needs. These changes have an impact on community preceptors that supervise and train medical residents. Physicians willing to engage in community-based precepting are decreasing, thereby making it difficult for students to complete medical specializations. The purpose of this qualitative study was to understand the challenges healthcare leaders face when attempting to secure practicums or residencies in urology and otolaryngology. This case study used the Baldrige Excellence Framework as a lens to understand the organization’s functioning within the educational healthcare sector. In-depth, semi-structured interviews were …
Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer
Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer
Walden Dissertations and Doctoral Studies
The rising cost of Medicare is a growing concern for recipients. Beneficiaries are often forced to implement a host of strategies to meet rising out-of-pocket expenses. This qualitative study was conducted to address a research gap in methods used by senior citizens to manage rising Medicare coverage costs. Garmezy’s resilience theory was used to contextualize the rising costs of Medicare premiums and copays and strategies used to manage healthcare needs. The purposive sample of 12 socioeconomically diverse respondents included eight women and four men ranging in age between 65 and 77, for an average age of 70.2 years. Participants completed …
Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen
Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen
Walden Dissertations and Doctoral Studies
The prevalence of obesity among children and adolescents has markedly increased in several developed countries in recent years. Researchers have examined different factors that contribute to overweight and obesity in children and adolescents but have not fully explored the psychological impact of obesity on this population. The effectiveness of nutrition education programs in addressing the effects of obesity is also understudied. The primary purpose of this evaluative case study was to examine the impact of the Harvest of the Month nutritional educational program, which was adopted by San Diego County public schools in 2005, on the nutritional habits and psychosocial …
Continuity Of Care In Crisis Stabilization Centers, Brian West-Pearson
Continuity Of Care In Crisis Stabilization Centers, Brian West-Pearson
Walden Dissertations and Doctoral Studies
AbstractCrisis stabilization centers (CSCs) were designed to provide individuals with substance use disorders (SUDs), the treatment they needed to get well, manage their addiction, and prevent future abuse of their substance of choice. Realizing these objectives requires proper patient referrals and assessment of the patient’s condition. The Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) assessment screening tool helps to provide critical health information about the patients that can help enhance continuity of care. The TAPS assessment tool included age, gender, substance use history, housing status, legal concerns, family support, employment status, education level, and medical and psychiatric status. …
Relationship Between Telemedicine Use And Hpsa Scores In Rural California Areas, Ziad Gerges
Relationship Between Telemedicine Use And Hpsa Scores In Rural California Areas, Ziad Gerges
Walden Dissertations and Doctoral Studies
It is the purpose of this quantitative study to determine whether telemedicine has improved healthcare coverage in rural California as measured by HPSA scores, and especially for intensive care units (ICUs). This study examined the relationship between ICU length of stay, telemedicine use among ICU providers, and HPSA scores in rural California areas. This study explored whether there is a significant relationship between HPSA score of hospitals in rural California areas and ICU length of stay and if there is a significant relationship between HPSA score of hospitals in rural California areas and ICU telemedicine use. This study was guided …
Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen
Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen
Walden Dissertations and Doctoral Studies
AbstractThe 21st century has brought about an increase in the popularity of social media networking usage on a global level, especially among college students. Social connectivity has become a vital part of the daily lives of college students, providing connections with their educational, personal, and social lives. The purpose of this qualitative study was to explore the actual experiences and self-reported perceptions of health/safety risks in college students using social media networking sites and to assess whether critical thinking skills were employed. The sample size of the targeted population was 23 volunteer college students, recruited from the Walden University Participant …
Adverse Childhood Events And Protective Health Behaviors Among Adults With Diabetes Or Diabetes With Comorbid Heart Disease, Ciara Michelle Rukse
Adverse Childhood Events And Protective Health Behaviors Among Adults With Diabetes Or Diabetes With Comorbid Heart Disease, Ciara Michelle Rukse
Walden Dissertations and Doctoral Studies
Diabetes is a prevalent and costly chronic condition that can lead to other comorbid conditions such as heart disease. Disease management is essential but can be stressful and complicated, especially for individuals who have developed maladaptive behaviors in response to exposure to adverse childhood events (ACEs), which are chronic stressors that impact physiological and psychological development. There is limited research on the potential relationship between childhood adversity and engagement in protective health behaviors among U.S. populations with diabetes or diabetes with comorbid heart disease. The ACEs pyramid was the theoretical framework of this quantitative cross-sectional study concerning morbidity and early …
Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer
Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer
Walden Dissertations and Doctoral Studies
Hunger and food insecurity are public health issues with 38 million people in the US struggling with food hardship. This study examined if there was a relationship between four types of social capital (SC) (bonding, bridging, community structural-formal, and community structural-informal), income, and food insecurity risk (FIR), in two counties in Wisconsin. A quantitative descriptive correlational study design involving multiple linear regression analysis and the integral model framework was conducted with cross-sectional secondary data from the 2014-2016 Survey of the Health of Wisconsin. Participants were from Milwaukee (n = 335) and Dane County (n = 235). Results revealed that in …
Prediabetes, Implementation Of Ada Practice Guidelines And Provider Perspective, Kimberlee May Manguiat-Lang
Prediabetes, Implementation Of Ada Practice Guidelines And Provider Perspective, Kimberlee May Manguiat-Lang
Walden Dissertations and Doctoral Studies
AbstractPrediabetes occurs before the development of diabetes in some people. Practitioners who educate people about prediabetes are not consistently using the latest evidence-based practice guidelines. The purpose of this mixed-method study was to fill a gap in the literature by providing evidence of the provider practices, attitudes and barriers when implementing American Diabetes Association (ADA) practice guidelines for the prediabetic patient. The Theory of Planned Behavior applies to evidence-based practice and the implementation of evidence-based practice guidelines. Research questions for this study focused on determining rate of compliance with ADA clinical practice guidelines from health care professionals to include providers …
The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy
The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy
Walden Dissertations and Doctoral Studies
AbstractAdult 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 …
Lived Experience Of Albanian Migrants Who Became Obese After Moving To The United States, Briseida Xhelaj
Lived Experience Of Albanian Migrants Who Became Obese After Moving To The United States, Briseida Xhelaj
Walden Dissertations and Doctoral Studies
The problem of obesity is significant in the United States, and more information is needed about the factors that increase the risk for obesity among migrant populations like Albanian Americans. The purpose of this study was to discover the lived experience of Albanian migrants who became obese after moving to the United States. This study was guided by the social ecological model. The research questions were used to examine how individual, relationship, community, and societal level factors impacted lifestyle changes and obesity for Albanian American migrants after moving to the United States. This qualitative study involved the use of a …
Educating Nurses On Sbar Tool Implementation For End-Of-Shift Reporting, Doreen Rose-Park
Educating Nurses On Sbar Tool Implementation For End-Of-Shift Reporting, Doreen Rose-Park
Walden Dissertations and Doctoral Studies
Patient information transfer during nursing end-of-shift reporting remains a complicated process that lacks universal standardization. This lack of standardization was illustrated at the project site, a detention center in the northeastern United States. Deficiencies and gaps in the health care information of patients during end-of-shift reporting lacked consistence and congruency. This project was developed and implemented to educate the nursing staff at the project site on using the situation–background–assessment–recommendation (SBAR) tool during patient information transfer at cell-side in the facility infirmary. The practice-focused question that guided this project was whether a staff education on an SBAR communication tool designed to …
Attitudes And Perceptions Of Nursing Graduates Regarding Interest In Gerontological Nursing Practice, Sonia Millicent Donaldson
Attitudes And Perceptions Of Nursing Graduates Regarding Interest In Gerontological Nursing Practice, Sonia Millicent Donaldson
Walden Dissertations and Doctoral Studies
AbstractAn ongoing increase in the number of older adults means an increased need for specialized health care, creating, in turn, a need for an increase in nurses in the United States to meet the demand. However, there is a problem in that nursing graduates, from the time they are students, do not choose geriatric-gerontological nursing (GN) as is practiced in long-term care and some specialty areas or units. The purpose of this basic qualitative study was to explore nursing graduates’ perceptions of GN as a field for professional practice and to determine how interest in GN may be encouraged. The …
Childbirth Educators’ Role Regarding Pregnant Women And Cervical Cancer Prevention, Olufunmiso Oyetunde Asamu, Hadi Danawi
Childbirth Educators’ Role Regarding Pregnant Women And Cervical Cancer Prevention, Olufunmiso Oyetunde Asamu, Hadi Danawi
Journal of Excellence in Nursing and Healthcare Practice
Childbirth educators play an important role in educating pregnant women regarding their health. They bridge the gap between pregnant women and healthcare providers. A paucity of information exists on the benefits that pregnant women derive from interactions with childbirth educators regarding early cervical cancer detection. The purpose of our cross-sectional study was to investigate the association among education during early pregnancy offered by the childbirth educators, access to childbirth educators, availability of childbirth educators in the United States and survival from cervical cancer. Secondary data from the Surveillance, Epidemiology, and End Results (SEER) on 520,153 women were analyzed using logistic …
Protocol For Conducting Procedural Skills Training With Simulators: A Critical Proposal, Gleyvis Coro-Montanet, Julia Sánchez-Ituarte, Ana De La Hoz-Calvo, María Jesús Pardo-Monedero
Protocol For Conducting Procedural Skills Training With Simulators: A Critical Proposal, Gleyvis Coro-Montanet, Julia Sánchez-Ituarte, Ana De La Hoz-Calvo, María Jesús Pardo-Monedero
Higher Learning Research Communications
Task trainer simulators are often used in medical programs for bachelor’s degree students when teaching procedural skills. They provide the opportunity to practice dangerous maneuvers that students are not ready to perform on real patients yet. The rise of technology has vastly expanded the availability of these devices for use in teaching. To develop a protocol that would account for the complexities of psychomotor learning, based on student progress, and improve training quality, we designed a protocol for the bachelor’s degree program in dentistry. We justify the key elements of the proposal and explain the full working protocol.
Food Insecurity Experiences Of Idaho Head Start Families, Sherry Deiter, Yitza A. Arcelay-Rojas
Food Insecurity Experiences Of Idaho Head Start Families, Sherry Deiter, Yitza A. Arcelay-Rojas
Journal of Social, Behavioral, and Health Sciences
Using the social-ecological model, this basic interpretive qualitative study sought to examine the phenomenon of food insecurity among Idaho Head Start enrolled families, focusing on barriers and deterrents to accessing available nutrition assistance programs. A total of 11 interviews were conducted with parents who had children enrolled in five Idaho Head Start programs. The data were coded and analyzed and are reflective of how individual, interpersonal, community, and organizational levels factors are reflected in participants’ decisions to access available nutrition assistance programs. Participants reported feelings of stigma and shame and transportation concerns as individual barriers as well as the interpersonal …
Analysis Of Hba1c, Medication Compliance, Income Subsidies, And Comorbidity In Medicare Type 2 Diabetics, Robert E. Lazarchik
Analysis Of Hba1c, Medication Compliance, Income Subsidies, And Comorbidity In Medicare Type 2 Diabetics, Robert E. Lazarchik
Walden Dissertations and Doctoral Studies
Diabetes is one of America’s leading chronic diseases with comorbidities contributing to lower health statuses and increased health care costs. While it is known that lowering HbA1c reduces the deleterious effects of diabetes, the capability to identify people with diabetes at risk for uncontrolled HbA1c levels or developing comorbidities based on the compliance rates for different oral antihyperglycemic medication classes (OAMCs) and financial assistance programs does not yet exist. These quantitative longitudinal retrospective studies examined the association between medication compliance, using Proportion of Days Covered (PDC), by OAMC and Medicare financial aid programs, on predicting HbA1c levels and comorbidities in …
Examining Nursing Home Staff Turnover Rate In Long-Term Care Organizations In The United States, Dandrea Vanettra Kittles
Examining Nursing Home Staff Turnover Rate In Long-Term Care Organizations In The United States, Dandrea Vanettra Kittles
Walden Dissertations and Doctoral Studies
AbstractEvery year, many nursing assistants in the United States leave their positions. The high level of turnover can be disruptive to patient care and costly to organizations needing to replace workers; another consequence can be increased job dissatisfaction among remaining staff. Despite the high turnover in nursing facilities, there remains a research gap regarding the factors that promote employee retention. The purpose of this study was to examine nursing assistants’ beliefs about job satisfaction as an approach to prevent job turnover and retain high-achieving staff in nursing homes in the United States among the older adult population. Herzberg’s motivation-hygiene theory …
The Relationship Between Health Insurance And Dialysis Utilization For Chronic Kidney Disease Patients In Saint Lucia, Anita Lilian Sydney
The Relationship Between Health Insurance And Dialysis Utilization For Chronic Kidney Disease Patients In Saint Lucia, Anita Lilian Sydney
Walden Dissertations and Doctoral Studies
AbstractChronic kidney disease (CKD) is a significant cause of disability and death in Saint Lucia. The incidence of CKD is disproportionately higher among individuals who are socially and financially disadvantaged. New evidence suggests that in resource-poor countries, government subsidization programs for dialysis treatment aid in the delay of disease progression and its associated costs. The purpose of this study was to examine the relationship between health insurance, government subsidization, employment, and dialysis utilization for CKD patients and the efficacy of subsidization for dialysis in Saint Lucia. The study included a retrospective cohort of 979 moderate-to-severe CKD patients from secondary data …