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Revitalizing Public Health Policy And Legislation For Effective Management Of Sickle Cell Disease, Elvelyna B. Beaubrun Mar 2024

Revitalizing Public Health Policy And Legislation For Effective Management Of Sickle Cell Disease, Elvelyna B. Beaubrun

Walden Dissertations and Doctoral Studies

The transition of care from childhood to adulthood can impact young adults with chronic conditions. U.S. public health policy and legislation can mitigate the challenges with the transition of care through education and policy guidelines. There was a lack of information on the public policies that evaluate continuing care practices, education, and the competence of young African American (AA) adults with sickle cell disease (SCD) living in Pennsylvania. The purpose of this generic qualitative study was to explore the experiences of 10 AA adults ages 18–25 with SCD to understand what education was necessary for policymakers to reform legislation and …


Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke Jan 2022

Examining Clinical Behaviors That Demonstrate Intersectionality And Cultural Humility In Mental Health Treatment, Loretta Kosi Okeke

Walden Dissertations and Doctoral Studies

AbstractCultural humility is an ethical standard within the social work profession. As the United States becomes more diverse, there are increasing rates of failure to implement cultural humility in social work practice in mental health settings. The purpose of this generic qualitative study was to examine how clinical social workers demonstrate cultural humility and intersectionality in mental health settings. The theoretical basis on which the research was conducted includes the person-centered theory and the feminist theories, which provided a strong framework for understanding the influences of cultural dynamics and intersectionality on the quality of patient outcomes in mental health care. …


The Relationship Between Cultural Competency And Hospital Quality Measure Outcomes, Linda Nguyen Quach Jan 2021

The Relationship Between Cultural Competency And Hospital Quality Measure Outcomes, Linda Nguyen Quach

Walden Dissertations and Doctoral Studies

Healthcare organizations have little evidence concerning how cultural competency impacts hospital quality outcomes of care transition and patients’ overall experience with care. Identifying if cultural competency translates into quality measures is important for healthcare administrators and could contribute to optimizing patient care. The purpose of this quantitative study was to explore the relationship between hospital cultural competency and hospital quality measures and compare California and other states’ acute care hospital cultural competency scores. Donabedian’s lasting framework for health care quality and Campinha-Bacote’s model of cultural competence in health care were used to frame this research. Hospital Consumer Assessment of Healthcare …


Cultivating Cultural Competence To Address Childhood Obesity In Ethnic Minority Youth, Tia Knight-Forbes Jan 2019

Cultivating Cultural Competence To Address Childhood Obesity In Ethnic Minority Youth, Tia Knight-Forbes

Walden Dissertations and Doctoral Studies

Obesity is an increasingly prevalent health issue, especially among children who live in high poverty, low income, and low education areas that lack needed resources and health care to promote quality of life. African American youth have a higher rate of obesity than other populations. The purpose of this project was to address an identified gap in practice by improving health care professionals' ability to provide culturally competent care to African American youth. An educational intervention framed by the Purnell model for cultural competence was developed to address the question, Will cultural competency staff education improve knowledge to prevent and …


Cultural Competence Of Public Health Nurses Who Care For Diverse Populations, Althea Michelle Otuata Jan 2019

Cultural Competence Of Public Health Nurses Who Care For Diverse Populations, Althea Michelle Otuata

Walden Dissertations and Doctoral Studies

Despite advances in health, science, and technology, U.S. healthcare lags in providing access to care and quality care to racial and ethnic minorities. Cultural competence has been noted as a strategy to improve access and quality. The purpose of this project was to assess public health nurses' cultural competence before and after participating in cultural competence informational modules. Two conceptual models were used in this project for theoretical guidance: Leininger's cultural care diversity and universality theory and Campinha-Bacote's process of cultural competence. To assess the nurses' cultural competence, the Cultural Competence Self-Assessment Checklist questionnaire was e-mailed to 57 public health …


Empowering Cultural Competency In Healthcare Providers, Betty Antoinette Dement Jan 2018

Empowering Cultural Competency In Healthcare Providers, Betty Antoinette Dement

Walden Dissertations and Doctoral Studies

Racial and ethnic health disparities are highest in communities of color; providing culturally competent care could address these disparities. Culturally competent communication between the healthcare provider and the patient is an essential behavior that may improve health in racially and ethnically diverse women. A quality improvement project was completed with guidance from the 5 constructs of the Campinha-Bacote model as the conceptual framework, and the method used was the Consumer Assessment of Healthcare Providers and Systems survey. The perspective of 20 Mexican American and 20 African American women in El Paso, Texas between ages 45 and 72 with menopausal symptoms …


Culturally Competent Nutrition Counseling And Health Outcomes Of Patients On Emergency Dialysis, Edlyn Geraldine Bustamante Jan 2017

Culturally Competent Nutrition Counseling And Health Outcomes Of Patients On Emergency Dialysis, Edlyn Geraldine Bustamante

Walden Dissertations and Doctoral Studies

Undocumented end stage renal disease (ESRD) patients in the United States only have access to emergency dialysis. To compensate for the lack of regular dialysis these patients must follow strict renal dietary restrictions. However, nutrition counseling by a dietitian is not part of the renal management of patients on emergency dialysis. The purpose of this quantitative quasi-experimental treatment-control study was to assess how the application of nutritional counseling that is both culturally and linguistically competent affects dialysis frequency and biochemical lab values such as serum potassium, phosphorus, and vitamin D of patients in emergency dialysis. The study was grounded on …


A Quantitative Examination Of The Relationship Between Cultural Competence And Patient Satisfaction Scores, Kelley Ann Lovati Jan 2016

A Quantitative Examination Of The Relationship Between Cultural Competence And Patient Satisfaction Scores, Kelley Ann Lovati

Walden Dissertations and Doctoral Studies

As the U.S. population continues to diversify, hospitals need to understand and care for patients of diverse backgrounds and provide quality service for positive patient satisfaction scores. The purpose of this nonexperimental quantitative retrospective survey design was to determine what relationship exists between cultural competence initiatives (CCI) and patient satisfaction scores as reported by the Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) survey in U.S. hospitals. The theoretical framework for this study was based upon CCI and patient satisfaction through the lens of service quality. The research questions were created to understand the relationship between CCI and …


A Curriculum On Culturally Competent Practices To Prevent Retraumatization In Diverse Survivors, Luana Rodriguez Jan 2016

A Curriculum On Culturally Competent Practices To Prevent Retraumatization In Diverse Survivors, Luana Rodriguez

Walden Dissertations and Doctoral Studies

This DNP project addresses the healthcare issue of intimate partner, domestic, and sexual violence (IPDSV), its impact on survivors, and reducing the potential for retraumatization by those who care for them in the clinical, behavioral, and social settings. Trauma-informed care interventions are designed to address the sequelae of trauma, promote recovery, and support resilience. Since IPDSV is a global health issue, supporting cultural needs of all clients is an essential aspect of trauma-informed care. This project was guided by a central research question that examined if trauma-informed, culturally competent curriculum be viewed by community stakeholders as an appropriate intervention for …


Fear Of Fatherhood, Deborah Weatherspoon, Wendy Sponsler, Christopher Weatherspoon, Dorothy Campbell Jan 2015

Fear Of Fatherhood, Deborah Weatherspoon, Wendy Sponsler, Christopher Weatherspoon, Dorothy Campbell

Walden Faculty and Staff Publications

The fatherhood role is influenced by culture, religion, social factors, and economic norms. In Jamaica pregnancy is often treated as a female only event. Women are left to visit their clinics alone and have support from female family members. The man’s focus is providing financial support. In the past fathers were subjected to migrant labor and left their families for long periods. This tradition remained even when they were not working. Today, men are taking on more of the role of fatherhood, becoming involved and supportive and experiencing the privilege of pregnancy though of a secondary nature through their partner’s …