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Articles 31 - 40 of 40
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Reducing Antipsychotic Medication Use In Long-Term Care Settings, Martha Ofeibea Agbeli
Reducing Antipsychotic Medication Use In Long-Term Care Settings, Martha Ofeibea Agbeli
Walden Dissertations and Doctoral Studies
The prescription rate of antipsychotics in patients with dementia varies between 20% and 50% for the common and troubling neuropsychiatric symptoms experienced by patients with dementia. The use of these antipsychotic medications has been linked with increased risk of morbidity and mortality due to associated Parkinsonism, over sedation, gait disturbances, cognitive decline, and cardiovascular adverse events. The purpose of this project was to assess whether development of an evidence-based clinical practice guideline (CPG) for a long-term care facility would increase awareness about issues that govern the safe use of antipsychotic medications. The conceptual framework for the project was Watson's model …
Suicide Attempts And Their Contributing Factors Among African American Veterans, Gervline Blaise
Suicide Attempts And Their Contributing Factors Among African American Veterans, Gervline Blaise
Walden Dissertations and Doctoral Studies
Suicide is one of the leading causes of death in the United States. The rate of suicide attempts among veterans in the United States has increased tremendously since 2001, which has left the Department of Veterans Affairs deeply concerned. The purpose of this study was to examine if there is an association between suicide attempts among African American/Black veterans and mental health support, income level, marital status, education level, and unemployment status. This quantitative study used the socio-ecological model to explain the association of the contributing factors to suicide attempts. Descriptive statistics, chi-square, and logistic regression were used to analyze …
Caregivers' Challenges In Accessing Services For Children With Autism, Anita Payne Jones
Caregivers' Challenges In Accessing Services For Children With Autism, Anita Payne Jones
Walden Dissertations and Doctoral Studies
The perspective of the caregiver is vital to understanding the experiences of raising a child with autism, including the challenges faced in accessing services. The purpose of this qualitative, transcendental phenomenological study was to examine the lived experiences of primary caregivers raising a school-age child with autism and to bring about an understanding of the challenges faced in accessing services. Resiliency theory provided the conceptual framework for the study. Semi-structured, in-depth interviews were conducted with 11 participants raising a child with autism in the Washington, DC metropolitan area. Data were analyzed using Moustakas's descriptive approach. Results yielded 5 themes: overall …
Military Sexual Trauma Survivors' Experiences And Perceptions Of Cognitive Processing Therapy, Sally A. Mead
Military Sexual Trauma Survivors' Experiences And Perceptions Of Cognitive Processing Therapy, Sally A. Mead
Walden Dissertations and Doctoral Studies
Military sexual trauma (MST) has been associated with poor emotional and psychological well-being, less overall life satisfaction, and poorer health in general as well as higher rates of posttraumatic stress disorder (PTSD). The Department of Veterans Affairs provides treatment for veterans who experienced MST and recommends cognitive processing therapy (CPT) as a preferred treatment modality. Quantitative studies have shown that CPT can decrease symptoms of PTSD; however, a neglected area of study concerns the experiences of veterans who receive CPT for MST-related PTSD. In this generic qualitative study, the perceptions and experiences of female veterans who were survivors of MST …
Emergency Responders' Perceptions Of Mental Health Patients While Providing Care In Rural Areas, Cindy Perkinson Costilla
Emergency Responders' Perceptions Of Mental Health Patients While Providing Care In Rural Areas, Cindy Perkinson Costilla
Walden Dissertations and Doctoral Studies
Prior research has shown a correlation between public stigma and emergency responders' perceptions of mental health patients while providing care. However, research examining public stigma and emergency responders' perceptions of mental health patients is limited in rural areas. The purpose of this study was to explore possible relationships between the dependent variable, public stigma, and the independent variables: social distance, blameworthiness, and fear of unpredictable behavior. Link's modified labeling theory was the theoretical framework for this study. A sample of 92 emergency responders obtained from Facebook completed a questionnaire that consisted of three Likert scales. A multiple regression showed little …
Mental Health Disparities Among Minority Populations, Arrey Irenee Eyongherok
Mental Health Disparities Among Minority Populations, Arrey Irenee Eyongherok
Walden Dissertations and Doctoral Studies
Despite the existence of effective treatments, mental health care disparities exist in the availability, accessibility, and quality of services for racial and ethnic minority groups. People living with serious mental complaints often resist engaging in treatments and experience high rates of dropout; poor engagement can lead to worse clinical outcomes. Addressing the complex mental health care needs of racial and ethnic minorities warrants considering evidence-based strategies to help reduce disparities. This systematic review sought to provide an analysis of published literature about the barriers and effective strategies in identifying and treating minority patients with mental health disorders. The practice-focused question …
Perceptions Of Lifestyle As Mental Health Protective Factors Among Midwestern Amish, Gregory Lantz
Perceptions Of Lifestyle As Mental Health Protective Factors Among Midwestern Amish, Gregory Lantz
Walden Dissertations and Doctoral Studies
The Amish are commonly known for horse-and-buggies, simple clothing, and refusal to use electricity. Less commonly known is their rate of mental illness, which is significantly lower than the non-Amish population. The literature that points to lower depression and anxiety among the Amish does not adequately explain what elements of their lifestyle contribute to this phenomenon. Depression and anxiety are a widespread problem in the United States, increasing the importance of understanding a lifestyle that can reduce these issues. The purpose of this study was to explore the Amish way of life through the words of its members. The three …
Predicting Spiritual And Religious Competence Based On Supervisor Practices And Institutional Attendance, Andrew Phillip Secor
Predicting Spiritual And Religious Competence Based On Supervisor Practices And Institutional Attendance, Andrew Phillip Secor
Walden Dissertations and Doctoral Studies
Counseling students report a lack of competence in spiritual and religious integration (SRI). As such, counselor educators and supervisors (CES) and students want to understand how to develop SRI competence. Although past research highlighted SRI dialogue in training, the problem is that no clear understanding exists about the role of faculty supervisor SRI on perceived student competence. The supervision models used to inform the study included the integrated developmental model, discrimination model, and spirituality in supervision model (SACRED). The purpose of this study was to determine if master’s-level graduate counseling students’ perception of their faculty supervisors’ SRI practices predicted students …
Clinical Practice Guideline: Posttraumatic Stress Disorder Screening Tool For Patients, Stephanie Lynn Smith
Clinical Practice Guideline: Posttraumatic Stress Disorder Screening Tool For Patients, Stephanie Lynn Smith
Walden Dissertations and Doctoral Studies
The National Institute of Health has estimated that over 1 million new cancer cases will occur yearly. Posttraumatic stress disorder (PTSD) is commonly associated with near death experiences or traumatic events, such as cancer diagnosis and treatment. There is a lack of knowledge and awareness by healthcare professionals in identifying PTSD in cancer patients. In this population, PTSD symptoms often contribute to anxiety, and there is no standardized protocol being used to screen these individuals for the trauma they are facing or have faced. The purpose of this project was to develop a clinical practice guideline for screening cancer patients …
Lived Experiences Of Caregivers For Individuals With Serious Mental Illness In Rural Communities, Jennifer Way
Lived Experiences Of Caregivers For Individuals With Serious Mental Illness In Rural Communities, Jennifer Way
Walden Dissertations and Doctoral Studies
More than ten million American adults live with a serious mental illness (SMI). Given the deinstitutionalization of psychiatric facilities, caregivers and family members are often needed to care for these individuals. Due to SMI individuals’ extensive needs, caregivers frequently face unique challenges and experiences. Although research has been conducted on caring for individuals with SMI, less information exists about the experiences of rural caregivers of SMI individuals. The purpose of this study was to fill this gap in research by exploring the lived experiences of caregivers of SMI individuals in rural areas with the intention of understanding this population’s unique …