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Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Walden Dissertations and Doctoral Studies
Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …
Neonatal Nurses’ Intention To Stay In The Nicu, Carolyn Penn-Griffin
Neonatal Nurses’ Intention To Stay In The Nicu, Carolyn Penn-Griffin
Walden Dissertations and Doctoral Studies
Neonatal nursing leaders and national health care organizations within the United States are concerned about the recent shortage of skilled and experienced neonatal intensive care unit (NICU) nurses that may reduce the quality of care delivered to NICU patients. NICU nurses are passionate about caring for premature and ill full-term infants and providing educational and emotional support for their parents, some NICU nurses remain in the NICU long-term, yet others contemplate leaving the specialty. The purpose of this qualitative interpretative phenomenological research guided by Martin Fishbein and Ajezen’s theory of reasoned action was to explore the lived experiences of NICU …
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
Walden Dissertations and Doctoral Studies
In nursing education, both preregistration and continuing professional development, there is an absence of information about the specific needs of transgender people. The practicum site observed that education on the needs of the transgender community was lacking, discussing a discrepancy in the information offered and the scant attention paid to the unique requirements of transgender individuals. The goal of this project was to create a program that would raise staff members’ understanding of the exceptional health care requirements of the transgender population by providing them with an evidence-based assessment screening tool and training on transgender health care for nurses. The …
Foster Parents Assisting Transitioning Foster Care Youth In Maintaining Stable Housing, Cecilann Morrison
Foster Parents Assisting Transitioning Foster Care Youth In Maintaining Stable Housing, Cecilann Morrison
Walden Dissertations and Doctoral Studies
Foster Parents Assisting Transitioning Foster Care Youth in Maintaining Stable Housing by Cecilann Morrison MA, National University, 2013 BS, Fresno Pacific University, 2011 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Service Walden University June 2024
Relationship Between Health Education Systems Incorporated Admission Assessment Scores And Student Completion Of A Baccalaureate Nursing Program, Colleen Peace
Walden Dissertations and Doctoral Studies
Math, reading, and vocabulary comprehension are important skills needed to ensure nursing students have a solid foundation on which to develop critical thinking skills to complete a nursing program. One of the common preadmission standardized tests is the Health Education Systems Incorporated Admission Assessment (HESI A2), but little research had been conducted to determine whether there is a correlation between the score on the HESI A2 and readiness to master nursing courses at the bachelor of science in nursing (BSN) level and completion of the BSN program. The purposes of this quantitative retrospective study, guided by Jeffreys’s nursing undergraduate retention …
Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor
Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor
Walden Dissertations and Doctoral Studies
The practice problem identified at the project site was the lack of nurses’ knowledge of how cultural preferences influence diabetes self-management practices among African Americans with diabetes mellitus. An educational program focused on the cultural preferences of Sierra Leoneans that influence diabetes self-management practices was provided for 48 nurses who worked in the agency. The doctoral project included concepts from nursing education and cultural competence theories to inform the approach. The project followed the ADDIE model process steps to develop and implement the educational program. The sources of evidence included pre- and posteducation surveys administered to participating nurses to assess …
Factors Associated With Digestive System Cancer Screening In Texas., Stella Green
Factors Associated With Digestive System Cancer Screening In Texas., Stella Green
Walden Dissertations and Doctoral Studies
Walden University College of Health Sciences and Public Policy This is to certify that the doctoral study by Stella Green 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. Shanna Barnett, Committee Chairperson, Public Health Faculty Dr. Simone Salandy, Committee Member, Public Health Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The specific research problem in this study was that despite the high prevalence of digestive system cancer, screening for digestive system cancer has not been optimized, …
Predictors Of Complementary Alternative Medicine Usage Among Diabetic Adults In The United States, Erlina Kearse-Lewis
Predictors Of Complementary Alternative Medicine Usage Among Diabetic Adults In The United States, Erlina Kearse-Lewis
Walden Dissertations and Doctoral Studies
Available data for the last two decades have shown that the use of complementary and alternative medicine (CAM) is increasing, with users including adult diabetics around the world. There is not a strong consensus concerning the influence of socioeconomic factors on the use of CAM by adult diabetics. The purpose of this retrospective cross-sectional study was to examine the use of CAM among U.S. adults 21 years and older diagnosed with diabetes and whether income influences the use of CAM among adult diabetics after adjusting for age, gender, and location. Cross-sectional data from the 2017 National Health Interview Survey represented …
Factors Affecting African Americans’ Participation In Alzheimer’S Disease Clinical Trials, Morounsayo Abimbola Awosika-Olumo
Factors Affecting African Americans’ Participation In Alzheimer’S Disease Clinical Trials, Morounsayo Abimbola Awosika-Olumo
Walden Dissertations and Doctoral Studies
Racial minority U.S. populations are underrepresented in clinical trials. Ensuring people from diverse backgrounds join clinical trials is key to advancing health equity. Participants in clinical trials should represent the patients’ population. The purpose of this quantitative study was to assess the association of individual-level factors (age, sex, marital status, family history of Alzheimer’s disease, living arrangement), health-related factors (smoking and alcohol), and socioeconomic status (years of education, employment status, health insurance status) and the interest in clinical trial participation among African Americans (AAs). The theoretical foundation that grounded this study was the health belief model. Secondary data from 214 …
Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan
Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan
Walden Dissertations and Doctoral Studies
The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …
Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White
Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White
Walden Dissertations and Doctoral Studies
Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …
Impact Of Telehealth On Type 2 Diabetes Self-Management During The Covid-19 Pandemic, Nancy Olivo Marshall
Impact Of Telehealth On Type 2 Diabetes Self-Management During The Covid-19 Pandemic, Nancy Olivo Marshall
Walden Dissertations and Doctoral Studies
The incidence of Type 2 diabetes mellitus (T2DM) is on the rise, particularly among adults aged 18 years and older. Glycosylated hemoglobin (HbA1c) levels are commonly used by healthcare professionals to assess glucose variability; fluctuations are associated with an increased risk of adverse effects. The COVID-19 pandemic highlighted the importance of self-directed management of HbA1c levels through telehealth. The purpose of this retrospective quantitative study was to investigate the effectiveness of self-directed management of HbA1c levels using telehealth among T2DM diagnosed adults at a community health service organization in the northeastern U.S. from December 2018 to 2022. Using multivariate regression …
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Walden Dissertations and Doctoral Studies
Childhood obesity (CHO) rates have increased significantly worldwide over the last decade. The magnitude of CHO extends beyond physical health to include economic stability, social connections, and access to daily living resources. CHO is complex and requires a multifaceted approach that may differ from traditional prevention approaches and treatment. Over the years, interventions have focused on maintaining a balance of healthy eating and active living to reduce weight and promote lifelong behavior change. Body mass index (BMI) surveillance studies have been conducted in Cherokee County, South Carolina since 2012 to assess and inform CHO interventions. However, the data have not …
Perception Of Pre-Existing Dm2 Management Among Pregnant Asian Indian Immigrants During Covid-19, Sanya Bedi Grewal
Perception Of Pre-Existing Dm2 Management Among Pregnant Asian Indian Immigrants During Covid-19, Sanya Bedi Grewal
Walden Dissertations and Doctoral Studies
Type 2 diabetes is a chronic disease that exerts a significant burden among communities by increasing healthcare costs, reducing productivity, higher rates for premature mortality, and tangible socioeconomic burden, which overall reduces the quality of life. The purpose of the study was to explore the perception of pregnant Asian Indian immigrants regarding diabetes self-management strategies during the COVID-19 pandemic. Five women were recruited via purposive sampling from Facebook groups. Data were collected via individual interviews using Facebook groups. The health belief model was used to help understand and interpret the findings. Clarke and Braun’s thematic analysis method was used to …
Examining The Association Of Type 2 Diabetes Mellitus Risk Factors Between African Immigrants Living In The United States And African Americans Born In The United States, Philip Effiong
Walden Dissertations and Doctoral Studies
The purpose of the study was to investigate the risk factors for Type 2 diabetes mellitus (T2DM) among African immigrants and African Americans born in the United States to identify differences and similarities in their impact and prevalence. Variables considered as potential differentiators included alcohol consumption, income, educational levels, and smoking habits, age, and gender. The health belief model served as the theoretical framework. Utilizing data from the National Health and Nutrition Examination Survey 2015-2016, logistic regression analyses were used to test for significant factors affecting T2DM prevalence in these groups. Results indicated that country of origin did not predict …
Lived Experiences Of Quality Of Life Among Makonde Immigrants In Kenya During And After The Covid-19 Pandemic, Shem Migosi Kenyanya
Lived Experiences Of Quality Of Life Among Makonde Immigrants In Kenya During And After The Covid-19 Pandemic, Shem Migosi Kenyanya
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic affected Makonde immigrants’ health and quality of life around the world more than any other previous event. This descriptive qualitative study aimed to contribute knowledge and understanding of the lived experiences of Makonde immigrants and their health and quality of life during and after the COVID-19 pandemic. Shye’s systematic quality of life model served as the theoretical basis for the study, along with Wilson and Cleary’s conceptual model of health quality of life. Semi-structured interviews were conducted with ten participants recruited through social media and flyers posted in Kilifi and Kwale counties. Subjects were interviewed face-to-face and …
Clinical Nurse Manager Fatigue And Its Personal And Professional Impacts, Carlene Galanopulo
Clinical Nurse Manager Fatigue And Its Personal And Professional Impacts, Carlene Galanopulo
Walden Dissertations and Doctoral Studies
Workplace fatigue has been empirically linked with errors, injuries, and chronic health issues that negatively impact the healthcare worker, patients, and staff with whom that person comes in contact, as well as the organization for which that person works. The experience of fatigue in clinical nurse managers (CNMs) has been understudied. The purpose of this study was to understand the individual experience of fatigue and its professional and personal impacts as more fully described by CNMs. The research question that guided this study involved the professional and personal impact of fatigue as described by CNMs. The occupational fatigue in nursing …
Knowledge, Health Beliefs, And Attitudes Toward Dementia Risk Reduction Among Rural Older Adults: A Qualitative Study, Jayanti Ray
Knowledge, Health Beliefs, And Attitudes Toward Dementia Risk Reduction Among Rural Older Adults: A Qualitative Study, Jayanti Ray
Walden Dissertations and Doctoral Studies
Dementia, characterized by compromised memory, reasoning, and problem-solving, is one of the major health concerns for older adults in rural areas. Literature has indicated that there are gaps in knowledge about what older adults in rural communities know about dementia and its risk factors. The purpose of this qualitative study was to explore the knowledge, health beliefs, and attitudes toward dementia and its risk factors among older adults in rural areas. This study aimed to determine gaps in older adults’ knowledge of dementia and its risk factors and to identify their understanding of lifestyle factors and strategies that were likely …
Influence Of Social Media On Mothers’ Decision-Making Regarding Vaccinations, Wendy Michele Patterson
Influence Of Social Media On Mothers’ Decision-Making Regarding Vaccinations, Wendy Michele Patterson
Walden Dissertations and Doctoral Studies
This study involved determining why mothers hesitate to vaccinate their children and where they get their information about vaccinations. This descriptive qualitative study guided by the health belief model explored the influence social media has on mothers’ perceived barriers to vaccinating their children. A descriptive qualitative approach was used, and one-on-one audio interviews were conducted via Zoom or in person with 19 participants. Participants were mothers 19 or older, had children between zero and 18, made medical decisions for their children who resided in their household, and sought information about vaccinations via healthcare providers, social media platforms, friends, or family. …
Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo
Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo
Walden Dissertations and Doctoral Studies
About 80% of active tuberculosis (TB) cases are caused by untreated latent tuberculosis infection (LTBI), with most being foreign-born United States residents. Despite the availability of preventive therapies, African immigrants living in the United States are hesitant to accept LTBI treatment. Although researchers have explored LTBI treatment hesitancy among foreign-born United States citizens, no study has explored the perspectives of African immigrants living in the United States. This generic qualitative study explored the perception of African immigrants living in the United States on LTBI treatment hesitancy. Participants’ inclusion criteria include those 18 years and older with a positive TB test, …
Assessing The Effectiveness Of Treatment Programs Among Veterans With Opioid Use Disorder In New York State, Olatoye Oluwaseyi Itaniyi
Assessing The Effectiveness Of Treatment Programs Among Veterans With Opioid Use Disorder In New York State, Olatoye Oluwaseyi Itaniyi
Walden Dissertations and Doctoral Studies
New York State (NYS) is home to millions of veterans and has the fifth-largest veteran population in the country. Veterans represent a vulnerable population and are at higher risk for mental and physical health struggles. The focus of this quantitative study was to assess if there is any significant difference between pre- and post-OUD 24-hour detoxification treatment services, residential/rehabilitation treatment services, ambulatory outpatient treatment services, frequency of opioid use at discharge, and mental disorder among veterans with opioid use disorder in NYS when controlling for age, gender, race, and marital status. The study utilized the harm reduction framework and the …
Type 2 Diabetes As A Risk Factor For The Development Of Cognitive Dysfunction In U.S. Adults, Bobbi Johnson
Type 2 Diabetes As A Risk Factor For The Development Of Cognitive Dysfunction In U.S. Adults, Bobbi Johnson
Walden Dissertations and Doctoral Studies
There is no consensus as to whether having type 2 diabetes increases an individual’s risk for developing cognitive dysfunction. Though cognitive dysfunction is considered a risk factor for type 2 diabetes, it is also classified as a newly formed diabetes-related complication. The purpose of the study was to evaluate if self-reported healthcare – diagnosed diabetes has any association in the risk of the development of cognitive dysfunction in individuals living with type 2 diabetes. Self-determination theory served as the theoretical framework. The research questions concerned whether (a) an association exists between diabetes and cognitive dysfunction, (b) ethnicity plays a vital …
Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee Jodean Jacobson
Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee Jodean Jacobson
Walden Dissertations and Doctoral Studies
With the current nursing shortage, finding ways to increase nursing retention in graduate nurses can help ease the shortage. Self-efficacy is a factor that contributes to an individual’s well-being and can affect their professional accomplishments. The purpose of this study, guided by Bandura’s theory of self-efficacy, was to identify instructor characteristics that may impact student perceived self-efficacy in the clinical setting. Bandura identified self-efficacy as a factor that contributes to an individual’s well-being as a whole and can affect their professional accomplishments. A sample of 19 nursing students who were enrolled in a clinical course were recruited and completed the …
The Relationship Between Social Risk Factors And Pre-Term Births In Hawai’I, Rina Therese Ramos Amposta
The Relationship Between Social Risk Factors And Pre-Term Births In Hawai’I, Rina Therese Ramos Amposta
Walden Dissertations and Doctoral Studies
Premature birth remains the leading cause of neonatal death and is associated with birth defects and long-term health morbidities. Hawai’i, with dominant Pacific Islander, Asian, and White populations, ranks 18th amongst the states with the highest rate of preterm birth. Guided by the social ecological model, the purpose of this quantitative, cross-sectional research study was to determine the extent of the association of social risk factors and preterm birth in the state of Hawai’i for the years 2012-2015 using the Hawai’i Pregnancy Risk Assessment and Monitoring Systems (PRAMS). Preterm birth in Hawai’i from 2012- 2015 was found to be 17% …
Impact Of Covid-19 On Opioid Misuse, Mental Health, And Substance Abuse Treatment Of Adults, David Stephen Reed
Impact Of Covid-19 On Opioid Misuse, Mental Health, And Substance Abuse Treatment Of Adults, David Stephen Reed
Walden Dissertations and Doctoral Studies
The purpose of this quantitative cross-year comparison of two cross-sectional studies was to examine whether there is an impact of the COVID-19 pandemic on opioid misusers seeking mental health and substance abuse treatment, taking into consideration the social, ecological, and economic factors of age, gender, poverty status, and county of residence metropolitan status. The theoretical foundations of this study are the social-ecological framework in terms of the geographic and economic impacts, and the structural and social determinants of health framework to examine the influences of economic and community on individual behaviors, to answer the research questions while controlling for the …
The Relationship Between Ultrarunning Status, Subjective Well-Being, And Life Satisfaction, Raquel Ramirez Hernandez
The Relationship Between Ultrarunning Status, Subjective Well-Being, And Life Satisfaction, Raquel Ramirez Hernandez
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic resulted in a rise in mental health challenges across the United States. Consequently, two important well-being measures for Healthy People 2030—subjective well-being and life satisfaction—were negatively impacted. A plethora of evidence exists about the benefits of running for physical and mental health. Yet, there is no available evidence that shows the benefits of ultrarunning, subjective well-being, and life satisfaction. This quantitative cross-sectional study examined the relationship between ultrarunning status, subjective well-being, and life satisfaction among adult runners in the United States. The advanced triangle of epidemiology served as the conceptual framework. A convenience sample included 369 adult …
The Relationships Among Economic Support And Hypertension And Diabetes Among The Adult Jamaican Population, Andrea Wolfe
The Relationships Among Economic Support And Hypertension And Diabetes Among The Adult Jamaican Population, Andrea Wolfe
Walden Dissertations and Doctoral Studies
A significant number of adult Jamaicans have been diagnosed with diabetes and hypertension, and individual socioeconomic status (SES) has been linked to these health outcomes. SES included income, education and employment. Income may directly influence health; however, some individual’s income may not be sufficient to cover all financial obligations and income support may be necessary. Local or overseas family members may significantly augment an individual’s income and financial situation that could affect health outcomes. This quantitative cross-sectional study was used to examine whether there were relationships between health outcomes (hypertension and diabetes) and economic support (governmental and familial). The Jamaica …
Risk Factors For Hepatitis A Hospitalizations And Mortality In Kentucky's 2018 Hepatitis A Outbreak, Tanya Campbell
Risk Factors For Hepatitis A Hospitalizations And Mortality In Kentucky's 2018 Hepatitis A Outbreak, Tanya Campbell
Walden Dissertations and Doctoral Studies
In 2018, the state of Kentucky faced an outbreak of Hepatitis A virus (HAV), which led to a significant increase in HAV cases, hospitalizations, and fatalities. The social-ecological model (SEM) was used in a cross-sectional design to identify the factors associated with this outbreak. This approach employed secondary data extracted from the National Notifiable Disease Surveillance System (NNDSS). Logistic regression was used to test hypotheses determining homelessness, drug use, and HAV vaccine status were related to HAV hospitalizations. There was a statistically significant association between the covariate age and HAV hospitalization (p = 0.004), and between homelessness and hospitalization (p < .001); however, associations between drug use and HAV vaccine status were not statistically. Intervention programs should target homeless populations; such targeting can lead to a reduction in HAV infections and HAV outbreaks. Implications for positive social change include motivation for policymakers and public health officials to assist in curtailing hospitalization and mortality rates caused by HAV in high-risk groups. Targeted prevention and intervention measures can mitigate the incidence of HAV in high-risk populations and enhance their health prospects.
Improving Nurses’ Communication Skills Using The Situation-Background-Assessment-Recommendation Model, Leslie Gonzalez
Improving Nurses’ Communication Skills Using The Situation-Background-Assessment-Recommendation Model, Leslie Gonzalez
Walden Dissertations and Doctoral Studies
Lack of effective communication among health care providers results in negative health outcomes, low patient satisfaction, and compromised patient safety. An educational intervention to improve communication skills was implemented with staff including licensed practical nurses, registered nurses, and nurse practitioners. The project was implemented and evaluated for improved patient outcomes and satisfaction. The framework for the project was the situation-background-assessment-recommendation (SBAR) model. Pre- and postimplementation surveys were used to assess nurses’ knowledge of the effectiveness of SBAR on communication skills and patient satisfaction. Descriptive statistics and inferential analysis, including the Wilcoxon sign test, were employed to analyze pre- and postintervention …
Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters
Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters
Walden Dissertations and Doctoral Studies
Factors such as geographical location/proximity and exposure to external environmental events, as well as poor regulatory processes, are known to increase the risk for cancers among affected populations. There is still a gap in the literature related to the incidence of cancers in specific regions with heavy industrialization and environmental health hazards. In West Virginia, chemical contamination events have occurred in or near water systems. The goal of this quantitative, retrospective study was to discover whether there were any differences in the incidence of disease or adverse health effects and cancers due to chemical contamination in four counties (Kanawha, Mingo, …