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Full-Text Articles in Medicine and Health Sciences

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 Apr 2021

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.


Developing Innovative Practices Through Third-Space Partnerships: Reflections On Project Dare (Dementia Knowledge, Art, Research And Education), Corinne A. Green, Michelle J. Eady Dr, Pippa Burns, Jessica Baker, Jennine Primmer, Penelope Harris, Carinya Barkley, Victoria Traynor Mar 2021

Developing Innovative Practices Through Third-Space Partnerships: Reflections On Project Dare (Dementia Knowledge, Art, Research And Education), Corinne A. Green, Michelle J. Eady Dr, Pippa Burns, Jessica Baker, Jennine Primmer, Penelope Harris, Carinya Barkley, Victoria Traynor

Journal of Educational Research and Practice

Partnerships between schools, universities, and community organizations have mutual benefits for all involved. These partnerships value the contributions of all participants and capitalize on the expertise and knowledge that each brings. This reflective paper details a collaborative third-space partnership between a university, a primary school, and a community organization. The partnership facilitated the design, development, and implementation of a unique program called Project DARE (Dementia knowledge, Art, Research, and Education). A research-based evaluation of the Project DARE feasibility study can be found elsewhere (Burns et al., 2020). The aim of this paper is to reflect upon the formation of the ...


Family-Based Caregiving: Does Lumping Asian Americans Together Do More Harm Than Good?, Suryadewi E. Nugraheni, Julia F. Hastings Mar 2021

Family-Based Caregiving: Does Lumping Asian Americans Together Do More Harm Than Good?, Suryadewi E. Nugraheni, Julia F. Hastings

Journal of Social, Behavioral, and Health Sciences

Asian American family caregivers have gained increased attention due to the need to provide life-sustaining aid at home given the rising numbers of older adults. This article reflects upon caregiving-related research studies that have overlooked the circumstances Asian American caregivers bring to the home-care context. Policies written to address community needs tend to omit the social circumstances many Asian American caregivers must face when trying to take advantage of programs and services. For example, the eligibility requirements fail to recognize distinctive cultural values embedded within the caregiving processes. Further, most Asian American data is aggregated. Aggregating data by ethnicity limits ...


Drinking Behavior Among College Students: Interventions To Increase Mindfulness And Social Capital, Jenna C. Anderson, Antonio J. Gardner, Barry Hunt Feb 2021

Drinking Behavior Among College Students: Interventions To Increase Mindfulness And Social Capital, Jenna C. Anderson, Antonio J. Gardner, Barry Hunt

Journal of Social, Behavioral, and Health Sciences

The impacts of drinking behaviors are far-reaching, with college student drinking contributing to over 1,500 deaths and an estimated 696,000 assaults on college campuses each year (National Institute on Alcohol Abuse and Alcoholism [NIAAA], 2019). There are a variety of explanations to explain why college students engage in risky drinking behaviors. However, there is evidence to suggest that drinking and other substance use may be a result of complex psychological origins, including adverse childhood experiences (ACEs). This paper reviews the literature available on ACEs among college students, how these experiences impact alcohol use among this population, and potential ...


Content Analysis Of Hospital Reviews From Differing Sources: Does Review Source Matter?, Sayeedul Islam, Sara Mir, Caroline Defina, Carolina Silva Feb 2021

Content Analysis Of Hospital Reviews From Differing Sources: Does Review Source Matter?, Sayeedul Islam, Sara Mir, Caroline Defina, Carolina Silva

Journal of Excellence in Nursing and Healthcare Practice

Social media has had an impact on how patients find and evaluate medical professionals and their experiences of modern healthcare. Qualitative research in healthcare has increased its focus on social media. The present study examined 497 reviews of hospitals in the Pittsburgh area across three websites: Google, Yelp, and Healthgrades. Using computerized content analysis tools (CATA), we analyzed positive and negative comments to identify key themes. Key themes and words included “doctor,” “hospital,” “staff,” and “time.” These findings highlight the importance of medical staff to patient experience. Results indicated that Yelp had the lowest average rating. CATA also revealed that ...


Food Insecurity Experiences Of Idaho Head Start Families, Sherry Deiter, Yitza A. Arcelay-Rojas Jan 2021

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 ...


An Evaluation Of A Maternal Health And Extreme Heat Exposure Training, Adelle Dora Monteblanco, Jennifer K. Vanos, Sarah Leroy, Patricia M. Juarez, Gregg M. Garfin Jan 2021

An Evaluation Of A Maternal Health And Extreme Heat Exposure Training, Adelle Dora Monteblanco, Jennifer K. Vanos, Sarah Leroy, Patricia M. Juarez, Gregg M. Garfin

Journal of Social, Behavioral, and Health Sciences

Growing empirical evidence documents the potential risk of extreme heat exposure to pregnant individuals. These risks include adverse birth outcomes, such as preterm birth and low birth weight. Climate change will exacerbate extreme heat exposures to a large portion of the global population, and pregnant individuals need to understand the risks and protective measures needed. Maternal health workers are a key mechanism for conveying this information to pregnant individuals. The authors assess a training of maternal health workers in El Paso, Texas, through two research instruments. First, eight maternal health workers completed an educational workshop and consented to participation; pre- ...


An Overview Of Virtual Communities Of Faculty Practice, Narjis Hyder, Amy Adcock, David Brown Jan 2021

An Overview Of Virtual Communities Of Faculty Practice, Narjis Hyder, Amy Adcock, David Brown

Journal of Educational Research and Practice

Virtual communities of faculty practice (CoP) provide support for and supplement the demanding doctoral curriculum with the purpose of assisting doctoral students through a holistic support system. This virtual community provides a positive private environment where faculty engage, share, and discuss current research questions or issues to encourage scholarship and collegiality. This scholarly essay presents an overview of faculty virtual CoPs in the context of mentoring online doctoral students. Attention is given to the definition of communities of practice, Wenger’s communities of practice model, producing and sustaining communities of practice, and incorporation of virtual CoPs at the doctoral level.


Fairness, Emotional Intelligence, And Ethical Decision-Making In Customer Evaluations Of Providers, Tameka Austin Jan 2021

Fairness, Emotional Intelligence, And Ethical Decision-Making In Customer Evaluations Of Providers, Tameka Austin

Walden Dissertations and Doctoral Studies

Customer satisfaction is a topic that organizations must focus on for the success and continued sustainability of their organizations. Emotional intelligence, fairness, and ethical decision-making are areas that businesses must address to identify how their businesses are impacted by the choices that customers make when working with corporations. The gig economy (short- or long-term project in which a contract worker is hired to perform a specific task or long-term consultant assignment) is an area that has not been addressed to a great extent by psychology researchers. The purpose of this study was to examine the relationships between emotional intelligence, ethical ...


Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag Jan 2021

Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag

Walden Dissertations and Doctoral Studies

Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with ...


The Relationship Between Leadership Style, Job Satisfaction, Nurse Retention, And Patient Care Outcomes: A Systematic Review, Richard Lazarus Nwaorgu Jan 2021

The Relationship Between Leadership Style, Job Satisfaction, Nurse Retention, And Patient Care Outcomes: A Systematic Review, Richard Lazarus Nwaorgu

Walden Dissertations and Doctoral Studies

Poor nurse retention, job dissatisfaction, and reduced patient health outcomes are pervasive issues at the healthcare institution of this project. Institutional data reflects a continual decline in retention and job satisfaction rates, which in 2018 showed a 20% drop in retention and a 25% drop in job satisfaction. The institution’s annual survey identified perceptions about leadership styles that gave rise to negative nursing behaviors and the negative impact on patient care outcomes. The purpose of this systematic review project (SRP) was to identify the relationship between nursing leadership styles, job satisfaction, nurse retention, and patient care outcomes within a ...


Program Evaluation Of A Hospital Patient Transportation Service, James Dion Washington Jan 2021

Program Evaluation Of A Hospital Patient Transportation Service, James Dion Washington

Walden Dissertations and Doctoral Studies

A hospital inpatient transportation process may decrease the time it takes patients to receive care and improve hospital quality and safety outcomes by providing timely and efficient patient handling. Grounded in agency theory, the purpose of this program evaluation was to evaluate the efficacy of the request for transport to measure against hospital objectives. Two specific program goals were to achieve an average 19-minute transport request-to-completion time and a 10-minute response from the time transport request is received when the transporter arrives. Data were collected from a survey, semistructured interviews, focus groups, and archival data analysis. The one sample t-test ...


Impact Of Social Barrier Removal On Primary Care Use By Managed Care Enrollees, Pamme Lyons-Taylor Jan 2021

Impact Of Social Barrier Removal On Primary Care Use By Managed Care Enrollees, Pamme Lyons-Taylor

Walden Dissertations and Doctoral Studies

Personal health represents a complex relationship among social, physical, and emotional factors that can be influenced by health-seeking behaviors. Prior research indicates that greater use of preventive services leads to longer life and lower healthcare costs. For some populations, evidence suggests that social barriers hinder access to preventive services. To better understand the relationship between social factors and the other personal-health factors, de-identified healthcare claims and social service encounter data for 4,480 low-income individuals enrolled in Medicare Advantage or Managed Medicaid at one national health insurance were examined using a retrospective, quasi-experimental design for services rendered between October 1 ...


The Experience Of Women With Opioid Use Disorder Accessing Methadone Treatment, Lizette Cristine Keenan Jan 2021

The Experience Of Women With Opioid Use Disorder Accessing Methadone Treatment, Lizette Cristine Keenan

Walden Dissertations and Doctoral Studies

The number of women experiencing opioid use disorder (OUD) in Canada has increased exponentially. In Canada, healthcare is socialized and free for all citizens and often medications like methadone are free as well, yet few individuals with OUD access treatment services. The purpose of this study was to describe the lived experiences of Canadian women with OUD who were receiving methadone treatment. Interpretive phenomenology was used to investigate the treatment experiences of seven women with OUD. The conceptual framework of self-care of chronic illness was used examine this phenomenon. Data was analyzed using a seven step process of interpretive phenomenological ...


Effect Of Insecticide-Treated Nets On Anemia In Nigerian Children, Adamu Onu Jan 2021

Effect Of Insecticide-Treated Nets On Anemia In Nigerian Children, Adamu Onu

Walden Dissertations and Doctoral Studies

Childhood anemia is a significant public health problem in Nigeria and frequently coexists with malaria. The mortality associated with malaria increases when anemia is present. Insecticide-treated nets (ITNs) are a cheap and effective malaria preventive measure that can provide a protective barrier from insects. There are conflicting results from several studies on the effect of ITNs on anemia in children, with fewer studies on the effect of ITNs on anemia in Nigerian children. This study aimed to measure the effect of ITN use on anemia among children aged 6–59 months in Nigeria. The social ecological model was used as ...


A Clinical Practice Guideline For Measuring Quality Of Life In Patients With Depression And Anxiety, Mary Fowaah Boateng Jan 2021

A Clinical Practice Guideline For Measuring Quality Of Life In Patients With Depression And Anxiety, Mary Fowaah Boateng

Walden Dissertations and Doctoral Studies

Mental health conditions affect various aspects of an individual’s quality of life (QOL). Patients with anxiety and depression have a greater risk of having a negative perception of QOL. The gap in practice was the lack of an assessment tool to measure QOL in patients with mental health disorders. The purpose of this Doctor of Nursing Practice project was to develop a clinical practice guideline (CPG) recommending the best evidence-based measurement tool for QOL in patients with anxiety and/or depression. The question that guided the CPG was: How should QOL be measured in patients with anxiety and/or ...


Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi Jan 2021

Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi

Walden Dissertations and Doctoral Studies

Osteoarthritis (OA) pain is a major social problem for older adults and has psychological and physical implications. In the clinic where the project was implemented, the family nurse practitioners (FNPs) are not addressing the OA pain of the older adult patients according to the evidence-based practice (EBP) guidelines. The purpose of this project was to educate FNPs on EBP guidelines regarding nonpharmacological intervention for chronic pain in OA patients. Knowles’ adult learning theory guided the development of the education program specific to the unique learning style of the FNPs. Fourteen FNPs who treat patients with OA in 3 clinic settings ...


Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna Jan 2021

Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna

Walden Dissertations and Doctoral Studies

More than half of the population of the Commonwealth of the Northern Mariana Islands had not visited their primary care provider for a year in 2016. The Chamorro people are less willing to seek or access care than other ethnic groups. This qualitative study aimed to understand the Chamorro people's access and utilization of Saipan's health care services to improve their access and, ultimately, their health. The theoretical frameworks included Penchansky and Thomas's theory of access to explore the Chamorro people of Saipan's lived experiences with availability, accessibility, accommodation, affordability, and acceptability of health care services ...


Developing A Presimulation Protocol For Prostate Cancer Patients Undergoing Radiotherapy, Jennifer Wieworka Jan 2021

Developing A Presimulation Protocol For Prostate Cancer Patients Undergoing Radiotherapy, Jennifer Wieworka

Walden Dissertations and Doctoral Studies

Inadequate preparation of prostate cancer patients undergoing radiation therapy (RT) can damage healthy tissue and cause long-term complications. Proper setup can reduce side effects. Currently, there are no standardized guidelines to help prepare patients for prostate radiation. Guidelines will help nurses coordinate care and manage symptoms for these patients. The purpose of this doctoral project was to address the gap in practice of the lack of a standardized process for implementing presimulation interventions for patients with prostate cancer undergoing RT by developing an evidence-based clinical practice guideline (CPG). The practice question for this project focused on the best practices contributing ...


Enhancing Parental Compliance In Managing Attention Deficit Hyperactivity Disorder, Claudia E. K-Ackah Jan 2021

Enhancing Parental Compliance In Managing Attention Deficit Hyperactivity Disorder, Claudia E. K-Ackah

Walden Dissertations and Doctoral Studies

Medication adherence in children is essential in ensuring that treatment approaches are successful and lead to positive health outcomes for the patient. However, with the young child largely dependent on the abilities and drive of parents and caregivers, adherence to the treatment regimen for children diagnosed with attention-deficit/hyperactivity disorder (ADHD) can be challenging. A systematic literature review using the preferred reporting items for systematic reviews and meta-analysis (PRISMA) model was used to locate, analyze, and synthesize sources to identify current evidence-based strategies used by health care providers for enhancing parental compliance in managing the child with ADHD. Reported in ...


Faculty Perceptions Of Preparing Bachelor Of Science In Nursing-Registered Nurse Students For Primary Health Care, Gloria J. Hopkinson Jan 2021

Faculty Perceptions Of Preparing Bachelor Of Science In Nursing-Registered Nurse Students For Primary Health Care, Gloria J. Hopkinson

Walden Dissertations and Doctoral Studies

Healthcare systems rely on nurses to provide essential healthcare services in primary healthcare settings. However, few nursing school graduates seek careers in primary healthcare (PHC). The purposes of this exploratory, qualitative study guided by the patient-centeredness theory were to explore the beliefs and attitudes of nursing faculty who teach Bachelor of Science in nursing level PHC courses, how they incorporate PHC into the nursing curriculum, and what strategies they use to promote student interest in PHC. Participants of this study included seven faculty who teach PHC courses at two universities in the Midwest. The interviews were audio recorded, transcribed, and ...


Assessing The Risk Of Developing Liver Cancer Among Adults In The United States, Magbor Oben Jan 2021

Assessing The Risk Of Developing Liver Cancer Among Adults In The United States, Magbor Oben

Walden Dissertations and Doctoral Studies

The risk of developing liver cancer among adults in the United States remains asignificant threat due to an increasing prevalence of the disease. Despite the identification of some biological, environmental, and socioeconomic risk factors, uncertainty exists as to the role of sociodemographic factors. In this study, participants (N=27,804), age 18 and over, were assessed for liver cancer outcome specific to three factors liver disease, insurance coverage, and access to healthcare. With the person-centered care model as the framework, data from the 2016 National Health and Interview Surveys were subjected to the selection criteria and quantitatively analyzed using binary ...


Evidence-Informed Health Care Transition Policy In California’S Title V Programs For Medical Complexity, Anthony Pallitto Jan 2021

Evidence-Informed Health Care Transition Policy In California’S Title V Programs For Medical Complexity, Anthony Pallitto

Walden Dissertations and Doctoral Studies

Inadequate health care transition policy continues to cause interruptions or setbacks in the continuity of medical care and lapses in health insurance coverage for adolescents in California's Title V programs for individuals with medically complex cases. Yet, there is a paucity of empirical health care transition research to develop an effective health care transition policy for children with medical complexity who are enrolled in California’s Title V program. The purpose of this explanatory case study was to explore the potentiality of translating evidence from a quasi-experimental health care transition primary research project into evidence-informed health care transition policy ...


Preventable Error Reduction Leadership Strategies Of Nurse Managers In A Hospital Setting, Sedrick Diego Bedolla Jan 2021

Preventable Error Reduction Leadership Strategies Of Nurse Managers In A Hospital Setting, Sedrick Diego Bedolla

Walden Dissertations and Doctoral Studies

AbstractPreventable medical errors in the healthcare industry account for hundreds of thousands of patient deaths annually. Nurse managers strive to develop strategies to reduce incidences of preventable medical error and increase patient safety in their organization to improve performance and reduce harm in the healthcare industry. Grounded in the complex adaptive systems theory, the purpose of this qualitative single case study was to explore strategies nurse managers use to reduce the rate of preventable medical errors among employees. The participants comprised 6 nurse managers who successfully used strategies to lower the rate of preventable errors in a healthcare facility in ...


Staff Development Project For Fall Prevention In Long-Term Care, Afua Ofosuhene Jan 2021

Staff Development Project For Fall Prevention In Long-Term Care, Afua Ofosuhene

Walden Dissertations and Doctoral Studies

AbstractFalls pose major healthcare problems in long-term care (LTC) facilities. Falls significantly impede quality of life for the elderly and their caregivers. The purpose of the project was to determine if the fall prevention program Stopping Elderly Accidents Deaths & Injuries (STEADI) increased staff knowledge regarding fall prevention and reduced fall rates at the LTC setting. The project addressed whether educating LTC staff regarding a fall prevention program could increase their knowledge of fall prevention and decrease the rate of falls. The gap identified was that nurses lacked education regarding fall prevention strategies. The Plan-Do-Study-Act (PDSA) model was the evidence-based practice ...


A Quality Improvement Evaluation Of An Emergency Department Response System For Psychiatric Patients, Kathryn J. Clagg Jan 2021

A Quality Improvement Evaluation Of An Emergency Department Response System For Psychiatric Patients, Kathryn J. Clagg

Walden Dissertations and Doctoral Studies

The DNP project was a quality improvement evaluation of an emergency department (ED) response system for psychiatric patients. The identified problem within the organization was a breakdown in care for psychiatric patients in the ED. The practice-focused question was twofold to address whether: (a) the development of a new ED response team would significantly reduce ED wait times, positively affect the left without being seen (LWBS) rates, and improve patient satisfaction for psychiatric patients and (b) the development of a new emergency room response team would improve the perceptions of ED staff on the process. The context, input, process, and ...


The Effect Of Race, Provider-Location Type, And Region On Adolescent Hpv Vaccination, Erica Sade Hunter Jan 2021

The Effect Of Race, Provider-Location Type, And Region On Adolescent Hpv Vaccination, Erica Sade Hunter

Walden Dissertations and Doctoral Studies

Studies have been conducted on various factors and their effect on human papillomavirus (HPV) vaccination uptake amongst adolescents. However, these studies typically point to communication factors and provider recommendations as having a significant effect on HPV vaccination uptake, ultimately leading to the need for more information on other factors that may increase HPV vaccination amongst adolescents. The purpose of this quantitative cross-sectional study was to determine if race, provider-location type, and region of the United States have a statistically significant effect on HPV uptake amongst adolescents. The 2018 National Immunization Survey (NIS) was used, and 34,980 participants were included ...


A Qualitative, Formative Evaluation Of Cultural Competencies In A Baccalaureate Nursing Program, Lorraine J. Mercado Jan 2021

A Qualitative, Formative Evaluation Of Cultural Competencies In A Baccalaureate Nursing Program, Lorraine J. Mercado

Walden Dissertations and Doctoral Studies

Abstract Nurses are often the first healthcare professionals that patients encounter in a healthcare environment; however, members of the lesbian, gay, bisexual, or transgender (LGBT) community and other diverse populations fail to seek medical attention due to feelings of discrimination and an unwelcoming environment. The focus of this qualitative, formative, program evaluation was that the baccalaureate nursing students at a private 4-year college in the Northeastern United States indicated a lack of academic preparation in cultural competency to properly care for members of the LGBT community and other diverse populations after graduation. Leininger’s theory of cultural care was used ...


Empowerment, Personality, And Leader-Member Exchange Quality In Physicians, Tony S. Reed Jan 2021

Empowerment, Personality, And Leader-Member Exchange Quality In Physicians, Tony S. Reed

Walden Dissertations and Doctoral Studies

Nearly 100,000 people suffer injury or death each year due to errors in the United States healthcare system. Researchers have identified that empowerment by physicians can address this significant social issue. Despite this knowledge, qualifications to empowering behaviors in physicians have not been identified. A quantitative nonexperimental correlation approach was used to determine the role that personality type and high-quality leader-member exchange may play in the physician’s ability to create empowerment at academic medical centers in the United States. The theoretical framework of empowering leadership, Jung’s psychological types, and leader-member exchange quality informed the research design and ...


Staff Education To Promote Postpartum Depression Screening, Melony Stokes Jan 2021

Staff Education To Promote Postpartum Depression Screening, Melony Stokes

Walden Dissertations and Doctoral Studies

Postpartum depression (PPD) is the most frequent cause of maternal morbidity in the United States. PPD is far more prevalent than reported. The literature suggests that more than half of women experiencing PPD are untreated and unrecognized. PPD affects the health of mothers and their newborns and is associated with long-term psychological and socioeconomic implications. Varying factors may influence PPD, and it is often difficult for patients to recognize the symptoms making it critically important for health care staff to screen for PPD. The aim of this project was to determine whether an education program for nurses in an obstetrical ...