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Articles 1 - 12 of 12
Full-Text Articles in Medicine and Health Sciences
Clinical Vaccination Education Guideline For The African American Community, Margaret Chinedum Nwoji
Clinical Vaccination Education Guideline For The African American Community, Margaret Chinedum Nwoji
Walden Dissertations and Doctoral Studies
AbstractVaccination hesitancy is high among African Americans and other people of color. The practice gap addressed in this project was the lack of a culturally sensitive clinical guideline for vaccination education relevant to the African American community. The practice-focused question was answered by developing an evidence-based Clinical Vaccination Education Guideline for the African American Community (CVEGAAC) that was validated by a group of four content experts using the Appraisal of Guidelines, Research, and Evaluation tool. The content experts scored each of the domains above 90%, implying that the CVEGAAC is of high quality and ready for implementation. The end users …
Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings
Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings
Walden Dissertations and Doctoral Studies
Central line associated blood stream infections (CLABSIs) are the most acquired hospital infection in the United States. CLABSI is caused by bacteria that enter the bloodstream through a central line. In the United States, CLABSI has a mortality rate of 18%, and every year 250,000 people are infected. Of these, 30,000 patients die due to CLABSI infections, hospital stays are prolonged, and hospital costs are increased. Patients in an intensive care unit (ICU) are more exposed to CLABSI because of procedures that break tissues and skin, such as the insertion of a central line. A gap in practice was identified …
Case Analysis Of Acute Care Guidelines For The Prevention Of Pressure Ulcers, Carle Ray
Case Analysis Of Acute Care Guidelines For The Prevention Of Pressure Ulcers, Carle Ray
Walden Dissertations and Doctoral Studies
Prevention of pressure ulcers (PUs) in acute care settings is an attempt to avoid adverse events (AE). Literature shows that wounds such as PUs are the most prevalent complication for spinal cord injury patients (SCI) including quadriplegic individuals (QI). SCI and QI bring important pressure ulcer (PU) prevention knowledge to the hospital which involves teamwork and participation by nurses, organizations, and patients. The purpose of this qualitative study was to examine the effectiveness of acute care guidelines for PUs by drawing insights from multiple sources including interviews with QI, healthcare clinicians, care providers, family members, and an online search of …
Influences On Ethical Decision-Making By Nurses Employed In Federal Health Care Facilities, Cecil Dean Blount
Influences On Ethical Decision-Making By Nurses Employed In Federal Health Care Facilities, Cecil Dean Blount
Walden Dissertations and Doctoral Studies
Healthcare professionals are tasked with making key decisions involving new and controversial approaches such as organ transplantation and life-prolonging technologies and treatments that raise various ethical issues. Suboptimal ethical choices by nurses can lead to negative patient outcomes and lower the quality of life in federal healthcare facilities. The purpose of this nonexperimental quantitative correlational study was to identify the factors that influence nurses’ ethical decision-making processes in U.S. federal healthcare facilities. The theoretical framework was based on Beauchamp and Childress’ ethical system of principlism. Three research questions addressed the nature and extent of the relationship between nurses’ Ethical Behavior …
Globalization Of Clinical Research And Assessment Of Global Access To Treatments Approved Between 2006-2015, Rafael Duncan Escandon
Globalization Of Clinical Research And Assessment Of Global Access To Treatments Approved Between 2006-2015, Rafael Duncan Escandon
Walden Dissertations and Doctoral Studies
Globalization in clinical research and development has increased since the 1990s. Products approved in the United States (U.S.) and European Union (EU) include increasing numbers of research participants from low- and middle-income countries. The purposes of this quantitative correlational study were to investigate the lag time, or drug lag, between U.S. approval and the approval of selected drugs in all countries that hosted their pivotal clinical trials. The study population was limited to products approved first in the U.S. between 2006 and 2015. The health capability model and research for health justice framework were the theoretical frameworks for the study. …
Florida Adult Trauma Scorecard Methodology And Scene Transportation Choice, Patricia Maher
Florida Adult Trauma Scorecard Methodology And Scene Transportation Choice, Patricia Maher
Walden Dissertations and Doctoral Studies
Prehospital management of patients who are traumatically injured within the state of Florida starts with the use of the Florida Adult Trauma Scorecard Methodology. The scorecard methodology may indicate that a patient is a Trauma Alert based on applied physiological and other judgment criteria. However, patients may be transported via Helicopter Emergency Medical Services (HEMS) without justified physiological needs. Rawls’ theory of justice posits that a fair and equal distribution of social resources is essential to public wellbeing. To evaluate this premise regarding prehospital trauma transports, archival 2015 data from the Florida Department of Health Trauma Registry was obtained. Using …
Strategies Healthcare Managers Use To Reduce Hospital-Acquired Infections, Yohannes Debesai
Strategies Healthcare Managers Use To Reduce Hospital-Acquired Infections, Yohannes Debesai
Walden Dissertations and Doctoral Studies
Every year, 2 million patients in the United States suffer with at least 1 hospital-acquired infection resulting in an estimated 99,000 deaths annually. The purpose of this exploratory single case study was to explore strategies healthcare managers in U.S. hospitals used to reduce hospital-acquired infections. The study included face-to-face, semistructured interviews with 5 healthcare managers from a hospital in Maryland who were successful in reducing these infections. The conceptual framework was human capital theory. Field notes, hospital documents, and transcribed interviews were analyzed to identify themes regarding strategies used by healthcare managers. The data analysis and coding process resulted in …
Prescreening Recommendations For Patients On Medical Cannabis, Wen Chieh Hu
Prescreening Recommendations For Patients On Medical Cannabis, Wen Chieh Hu
Walden Dissertations and Doctoral Studies
Marijuana is the most frequently used illegal substance in the United States and is most widely used among young people aged 12 to 21 years. Accurate screening and monitored issuance of medical cannabis recommendations have been shown to decrease abuse rates of the substance, create fewer deaths from opiates, reduce crime rates, reduce marijuana use in youths, decrease car crash deaths, and lessen prevalence of suicide in young men. The purpose of this project was to explore whether multiple screening methods for depression and anxiety in patients who seek medical cannabis referrals for anxiety and depression would improve screening and …
Willingness Of Nurses To Respond After An Alaskan Earthquake: Systematic Literature Review, Jane Marie Luscumb
Willingness Of Nurses To Respond After An Alaskan Earthquake: Systematic Literature Review, Jane Marie Luscumb
Walden Dissertations and Doctoral Studies
Nurses may share a commonality of issues which can affect their willingness and ability to respond as post-disaster emergency care providers. Guided by expectancy, locus of control, and chaos theory, a systematic literature review was conducted to identify the barriers which affect nurses' willingness and ability to report to their unit after a disaster occurs. Briggs methodology guided this systematic review, and Fineout-Overholt's and Melnyk levels of evidence were used to evaluate the reliability of information and effectiveness of their interventions. Fifteen articles meeting the inclusion criteria (addressed nurses' willingness to report to their unit or to contact the incident …
The Need For Soft Skills In A Medical Assistant Program, Micheal L. Randolph
The Need For Soft Skills In A Medical Assistant Program, Micheal L. Randolph
Walden Dissertations and Doctoral Studies
There is a perceived soft skills problem within the medical assistant program (MAP) at a 2-year technical college in the Midwestern United States. Soft skills refer to relational skills such as practicing self-management, communicating with various groups, adapting to change, negotiating, and resolving conflict. The purposes of this intrinsic case study were to (a) understand the perspectives of faculty, staff, and leadership regarding students' soft skills ability within the study MAP and (b) identify important soft skills needed in the workplace. An integrative conceptual framework that drew upon vocational and organizational theories was used as a theoretical framework for the …
Medical Academia Conflict Of Interest Policy And Potential Impact On Research Funding, Michael Keith Maahs
Medical Academia Conflict Of Interest Policy And Potential Impact On Research Funding, Michael Keith Maahs
Walden Dissertations and Doctoral Studies
The partnership between medical academia and the pharmaceutical industry has been scrutinized for issues associated with research bias. As a result of this scrutiny, the Institute of Medicine (IOM) issued policy recommendations in 2009 directing academia to adopt comprehensive conflict of interest (COI) policies. During the same time, a slowdown of funded research into academia occurred, and it is not clear whether the IOM recommendations contributed to this problem. The purpose of this case study was to determine the extent to which compliance with the IOM policy resulted in a reduction in funded research. The Advocacy Coalition Framework (ACF) was …
Family, Faith/Religion, And African Americans' Decisions To Seek Lung Cancer Treatment, Carla Demetrius Williams
Family, Faith/Religion, And African Americans' Decisions To Seek Lung Cancer Treatment, Carla Demetrius Williams
Walden Dissertations and Doctoral Studies
Lung cancer is the leading cause of cancer mortality in the United States, especially among African Americans, who have the lowest survival rate from this disease among all racial/ethnic groups. The aim of this qualitative study was to investigate how family support and religion/faith influence patients' decisions about seeking treatment for lung cancer. This study was guided by the medical decision-making model and used a phenomenological approach. Data were collected from male and female lung cancer patients (n = 15) who were being treated in a thoracic and cardiovascular surgery clinic in Greensboro, North Carolina using semi-structured interviews. All participants …