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Full-Text Articles in Social and Behavioral Sciences

Probate Attorneys’ Understanding Of The Inclusion Of The Lucid Interval In Testamentary Capacity Proceedings, Jeremy Cassius Jan 2020

Probate Attorneys’ Understanding Of The Inclusion Of The Lucid Interval In Testamentary Capacity Proceedings, Jeremy Cassius

Walden Dissertations and Doctoral Studies

This study focused on the experience of probate attorneys with the lucid interval in contested will cases. There is a gap in the research for understanding the lucid interval for people who live with dementia. Dementia can affect the testamentary capacity (TC) of a testator who is signing a will because the testator may not understand all the property that is in their possession. This causes difficulties and conflict for families when a loved one dies. It can also cause the testator to be susceptible to undue influence. The present study analyzed data from interviews with 6 probate attorneys about ...


Improving Effective Pain Assessment And Management In Elderly Patients, Omotola A. Adebayo Jan 2020

Improving Effective Pain Assessment And Management In Elderly Patients, Omotola A. Adebayo

Walden Dissertations and Doctoral Studies

Inadequate management of pain is common in the elderly, and the negative implications are often profound. Untreated pain has been associated with negative consequences such as depression, anxiety, sleep disruption, weight loss, and limitations in the performance of daily activities and functions. The purpose of this educational project was to improve the assessment and management of pain of elderly patients residing in long-term care facilities (LTCFs). The project question examined the effects of staff education on the nursing staff’s knowledge of pain assessment and management. Nonlicensed personnel are at the forefront of providing direct patient care in LTCFs. Knowles ...


Predictive Factors Of Determinants Of Health And Services Provided At Adult Day Service Centers, Nardia Anthonalla Aldridge Jan 2020

Predictive Factors Of Determinants Of Health And Services Provided At Adult Day Service Centers, Nardia Anthonalla Aldridge

Walden Dissertations and Doctoral Studies

The National Association of Adult Day Service Centers has suggested that adult day service centers can provide services to meet the complex needs of the older adult and delay nursing home placement. Researchers have yet been able to establish the predictive nature of determinants of health in Adult Day Care Centers (ADSCs). The purpose of this correlational study was to examine the relationship between the determinants of health and the presence of therapeutic services and nursing services at ADSCs. The open system theory guided this study. Data sets from the Centers for Disease Control and Prevention, 2016 Adult Day Services ...


Understanding The Increase In Military Couples Seeking Counseling Throughout The Military Lifecycle, Ellen F. Saccoia Jan 2020

Understanding The Increase In Military Couples Seeking Counseling Throughout The Military Lifecycle, Ellen F. Saccoia

Walden Dissertations and Doctoral Studies

Since the start of military operations following the terrorist attacks on September 11, 2001, the nation has experienced the longest sustained war in its history. Military couples are at an increased risk of experiencing relationship stressors due to supporting long-term global military operations. Most of the research literature identifying the difficulties experienced by active-duty military couples was conducted over the past two decades following September 11, 2001. Missing from the literature are present-day problems facing military couples seeking counseling following the drawdown of overseas military operations (see United States Government Accountability Office [U.S. GAO], 2016). The purpose of this ...


Systematic Review Of Falls Among Older Individuals In The Long- Term Care Settings, Nonyelum Patience Odenigbo Jan 2020

Systematic Review Of Falls Among Older Individuals In The Long- Term Care Settings, Nonyelum Patience Odenigbo

Walden Dissertations and Doctoral Studies

Falls are common in the older population and can result in disability, increased dependence, or mortality. Falls have received increased attention in the literature as the most common cause of injuries among older individuals. The incidence of falls in the older population has a positive correlation with adverse health issues necessitating major lifestyle adjustments. The problem is magnified for older patients in long-term care settings where they are 3 times more susceptible to falls. The purpose of this project study was to conduct a systematic review of the literature to understand the impact and incidence of fall rates among older ...


Veterans' Perceptions Of Behavioral Health Services For Posttraumatic Stress, Larence Kirby Jan 2020

Veterans' Perceptions Of Behavioral Health Services For Posttraumatic Stress, Larence Kirby

Walden Dissertations and Doctoral Studies

Behavioral health services exist for Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF) veterans diagnosed with posttraumatic stress disorder (PTSD); yet, untreated diagnoses may lead to the risk of compromised behavioral health. The purpose of this hermeneutic phenomenological study was to understand the lived experiences of OEF/OIF veterans regarding their decision to seek and retain behavioral health services for addressing PTSD. The research focus and questions were employed through the theoretical concepts of Heidegger’s hermeneutic phenomenological theory, Heider’s attribution theory, and Beck’s cognitive behavioral theory. In-person interviews were conducted to collect data from 8 OEF/OIF ...


Cancer Treatment Decision Making In Aging Minorities, Patrice Kemp Jan 2019

Cancer Treatment Decision Making In Aging Minorities, Patrice Kemp

Walden Dissertations and Doctoral Studies

Cancer incidence is high for aging minority and underserved populations, yet research is limited about patient-provider communications with aging racial and ethnic minority populations. Achieving high-quality cancer care is crucial to reducing health disparities for this population. However, potential shortages in professional health personnel, the cost to treat cancer, a strained health care system, and large aging populations contribute to the problem. The purpose of this qualitative study was to understand the personal experiences of aging minorities during cancer treatment decision making when communicating with their cancer care providers. Purposive sampling methods were used to recruit 10 minority women and ...


Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders Jan 2019

Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders

Walden Dissertations and Doctoral Studies

Due to projected growth of the 65-and-older population and concerns of an impending care gap, reliance on informal caregivers is expected to increase. Improving support for informal caregivers is viewed as a national priority, yet research related to the unmet support needs of informal caregivers is limited. The purpose of this cross-sectional correlational study was to examine predictive relationships between contextual factors (caregiving relationship and type of illness) and environmental factors (rurality) and the unmet support needs (classes, service access, support groups, counseling, and respite) of informal caregivers of older adults. The theoretical framework was Bronfenbrenner's ecological systems theory ...


Reintegration Process Of Previously Incarcerated African American Women Older Than 50 Years, Eva Carol Brent Jan 2019

Reintegration Process Of Previously Incarcerated African American Women Older Than 50 Years, Eva Carol Brent

Walden Dissertations and Doctoral Studies

Successful reintegration of ex-offenders is difficult for most, evidenced by high recidivism rates. Ex-offenders face a broad range of obstacles once released from prison, including personal, social, and employment barriers. This study was an examination of the issues that contributed to a successful or unsuccessful reintegration as reported by ex-offenders. Participants included 10 ex-offenders who participated in interviews regarding the conditions that they believed were necessary for successful community reintegration. The conceptual framework for this study came from the ecological perspective, also known as the person-in-environment theory. Data collection involved one-on-one interviews with the participants. Data analysis was conducted through ...


Reducing Antipsychotic Medication Use In Long-Term Care Settings, Martha Ofeibea Agbeli Jan 2019

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 ...


Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook Jan 2019

Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook

Walden Dissertations and Doctoral Studies

Military cultural competence has gained attention due to the past 15 years of military conflict and ongoing deployment of troops around the globe. Returning veterans, particularly those who go on to experience homelessness, have reported negative experiences and adverse treatment from programs that were designed to support them. Those experiences have resulted in perceived barriers to access or use of such services. Researchers have established the need for increased levels of military cultural competence to develop rapport with veterans and their families when delivering community-based social and healthcare services. Bandura's self-efficacy theory was the theoretical framework of this study ...


Exploring Social Worker Knowledge, Conceptualization, And Use Of Cultural Humility In Hospice, Shelby L. Schiller Jan 2019

Exploring Social Worker Knowledge, Conceptualization, And Use Of Cultural Humility In Hospice, Shelby L. Schiller

Walden Dissertations and Doctoral Studies

This capstone project examined social workers’ knowledge, values, and beliefs as related to the concept of cultural humility to determine how hospice care professionals treat patients’ cultural preferences and traditions with respect and sensitivity at the end of life; as such practices have the ability to improve the hospice experience. Research questions addressed in the study (a) how social workers in Nevada define cultural humility in the context of hospice social work practice, (b) the values or principles hospice social workers in Nevada consider most important in providing culturally appropriate care to hospice patients, and (c) the ways hospice social ...


African American Sibling Relationships When Caring For An Alzheimer’S Parent, Cynthia M. Smith Jan 2019

African American Sibling Relationships When Caring For An Alzheimer’S Parent, Cynthia M. Smith

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is the most commonly occurring form of dementia that affects African Americans at 2 to 3 times higher rate than other ethnic or racial groups in the United States. As the number of older African Americans with AD grows rapidly so will the need for daily supports; therefore, informal caregivers, such as an adult offspring, often assume the role of filial caregiver. Focusing on the unique patterns of caregiving among African Americans, this generic qualitative study may help explain the adult offspring’s perspective on sibling relationships as they function in the role of primary filial ...


Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond Jan 2019

Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond

Walden Dissertations and Doctoral Studies

This study explored the separation of twins in foster care and examined how their lived experiences relate to their interpersonal relationships as adults. Many researchers have studied the long-term impact of nontwin sibling separation in foster care, but little is known about the separation of twins, leaving a significant gap in existing literature. The purpose of this study was to examine the lived experiences twins who were separated in foster care as relates to their interpersonal relationships during adulthood. A qualitative, narrative approach was used to gather the lived experiences of one set of twins. The research questions examined how ...


The Nurse And Certified Nursing Assistant Perception Of Person-Centered Care, Latonya Dickerson Hughes Jan 2019

The Nurse And Certified Nursing Assistant Perception Of Person-Centered Care, Latonya Dickerson Hughes

Walden Dissertations and Doctoral Studies

Over the last decade, long-term care facilities have transitioned from institutional care models that focus on person-centered care, in which the resident is the center of the care. The purpose of this study is to explore the nurse and certified nursing assistant perception of the person-centered care services they deliver. Jean Watson's theory of human caring is the theoretical framework that guided this study. The theory focusing on the human caring experiences and person-centered care is being characterized as a caring feeling. The carative factors of Watson's theory, the fundamental concept of caring, has been associated with improved ...


Staff Education Intervention To Enhance Care Planning For Older Adults, Mozhgan Peiravi Jan 2019

Staff Education Intervention To Enhance Care Planning For Older Adults, Mozhgan Peiravi

Walden Dissertations and Doctoral Studies

The increased prevalence of cognitive deterioration has increased the challenges of caring for older adults. This study's project site offers a psychiatric program for older adults with customized care for complex geriatric mental health patients. Clinical assessment and care management are often overlooked in geriatric mental health patients diagnosed with behavioral and psychological symptoms of dementia (BPSD). The purpose of this project was to deliver an education program developed from the Staff Training in Assisted Living Residences-Veterans Administration, P.I.E.C.E.S model and the Castle framework to 42 nursing and allied health staff of the project ...


Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali Jan 2019

Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali

Walden Dissertations and Doctoral Studies

Low-income immigrants in the United States experience declining health with increasing length of stay in the country. Their declining health over time has been associated with increased smoking, obesity prevalence, and higher risk for developing diabetes and heart disease. How immigrants perceive their body weight and size, influenced by social interaction, culture, gender, and acculturation is also significant to healthy weight maintenance. Not knowing one's healthy weight could result in body weight misperception and resistance to attaining a healthy weight. The aim of this qualitative study, based on the social constructivist framework, was to understand Nigerian women immigrants' (NWI ...


A Comparison Of Motivational Differences Among Older Marathon Runners And Their Injury Status, Marsha Renee Kaufman Jan 2019

A Comparison Of Motivational Differences Among Older Marathon Runners And Their Injury Status, Marsha Renee Kaufman

Walden Dissertations and Doctoral Studies

Despite the high occurrence of running-related injuries, master level runners, those aged 40 years and older, account for 50% of all marathon finishers. What is not known is the common motive sustaining participation, especially among this age demographic. The self-determination theory was the theoretical framework to support how behavior is regulated by the individual. The purpose of this quantitative research was to identify a difference in the motives (psychological, physical, social, and achievement) and their subcategorical motives (health orientation, weight concern, affiliation, recognition, psychological coping, life meaning, self-esteem, competition, and personal goals) via the Motivations of Marathoners Scales by master ...


African American Aged Adults' Attitudes And Perceptions About Assisted Living Facilities, Delois Ann Wilson Jan 2019

African American Aged Adults' Attitudes And Perceptions About Assisted Living Facilities, Delois Ann Wilson

Walden Dissertations and Doctoral Studies

In comparison with the national U.S. population, African American aged adults are less likely to reside in assisted living facilities (ALFs). At present, little qualitative data exist concerning how African American aged adults perceive living at home as opposed to living in an ALF. Using a phenomenological approach, this study explored how African American aged adults who live at home feel about residing in ALFs. The research questions focused on aged adults' perceptions, beliefs, and attitudes about ALFs and the conditions that may prevent African American aged adults from living in ALFs. A conceptual framework based on the Purnell ...


Caregiver Review Of Nonpharmacological Interventions For Behavioral Symptoms Associated With Dementia, Karla Chaney Ballew Jan 2019

Caregiver Review Of Nonpharmacological Interventions For Behavioral Symptoms Associated With Dementia, Karla Chaney Ballew

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is the most common form of dementia and affects an individual’s overall cognitive function, including orientation, memory, and executive function. Most AD patients in the United States reside in residential care facilities or private homes under the care of individuals with little education on the challenges of the AD patient. Among the challenges faced by caregivers are behavioral and psychological symptoms related to dementia (BPSD). Education has been shown to improve caregivers’ treatment of BPSD in AD patients and to improve caregiver retention. The purpose of this project was to develop an evidence-based education module ...


Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond Jan 2019

Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond

Walden Dissertations and Doctoral Studies

This study explored the separation of twins in foster care and examined how their lived experiences relate to their interpersonal relationships as adults. Many researchers have studied the long-term impact of nontwin sibling separation in foster care, but little is known about the separation of twins, leaving a significant gap in existing literature. The purpose of this study was to examine the lived experiences twins who were separated in foster care as relates to their interpersonal relationships during adulthood. A qualitative, narrative approach was used to gather the lived experiences of one set of twins. The research questions examined how ...


Exploring The Challenges Non-Clinical Departments Encounter During Eden Alternative Implementation, Keith George Jan 2019

Exploring The Challenges Non-Clinical Departments Encounter During Eden Alternative Implementation, Keith George

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services recommends new guidelines that shift healthcare delivery in nursing homes and long-term care facilities from an institutional model to a person-centered care model. Although clinical outcomes are measured and tracked, there was limited literature about the challenges non-clinical departments face in a nursing facility during implementation of a person-centered model. The purpose of this qualitative study was to explore the challenges non-clinical staff experience while transitioning to an Eden Alternative philosophy, a person-centered care model. The theoretical foundation of this study relied upon Bressers' Contextual Interaction Theory. The research questions for this study ...


Intergenerational Caregiver Loss And Successful Aging Opportunity Disruption Of Bulgarian Elderly, Daniel Georg Habermann Jan 2019

Intergenerational Caregiver Loss And Successful Aging Opportunity Disruption Of Bulgarian Elderly, Daniel Georg Habermann

Walden Dissertations and Doctoral Studies

Identified by European research as an aging crisis, vulnerabilities in the rural Bulgarian elderly population such as intergenerational caregiver loss, are sociohistorical consequences and barriers to successful aging. This transcultural study investigated the aging crisis in rural Bulgaria to create a contextual definition of successful aging and to address successful aging and the identification of challenges and barriers faced by social workers and elders to support successful aging. Guided by continuity theory in aging and contextualized by overarching ecological systems theory, the research questions examined Bulgarian social workers' perceptions and expectations of successful aging and barriers to it. A collaborative ...


The Lived Experiences Of Counselors Who Work With Female Intimate Partner Violence Victims, Lekesha Levette Thomas-Davis Jan 2018

The Lived Experiences Of Counselors Who Work With Female Intimate Partner Violence Victims, Lekesha Levette Thomas-Davis

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a global health concern that affects victims, families, and the communities. Master's level counselors, who work in mental health settings, are in key positions to provide identification and intervention services to female victims of IPV with mental health issues. This study explored the lived experiences of master's level counselors who worked with female victims of IPV to gather a deeper meaning into the values, attitudes, and beliefs that master's level counselors hold in working with female victims of IPV. This study was conducted as a hermeneutic phenomenological study through a feminist poststructuralist ...


Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort Jan 2018

Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort

Walden Dissertations and Doctoral Studies

Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project ...


The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace Jan 2018

The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace

Walden Dissertations and Doctoral Studies

Researchers have linked dementia to common psychiatric symptoms such as agitation and aggression, known as behavioral and psychological symptoms of dementia (BPSD). To treat residents manifesting BPSD, nursing homes (NHs) use psychoactive medications. However, research is limited and inconsistent regarding the impact of Depakote treatment on agitation and short-term memory (STM) in NH residents who have dementia. The purpose of this nonexperimental quantitative study was to evaluate for 1 year the impact of Depakote treatment on agitation and STM in NH residents as measured by each resident's Minimum Data Set (MDS). Moncrieff and Cohen's drug-centered theory served as ...


Social Inclusion Outcomes For An Organization's Adolescent Parent Intervention, Anayra Ivette Tua Jan 2018

Social Inclusion Outcomes For An Organization's Adolescent Parent Intervention, Anayra Ivette Tua

Walden Dissertations and Doctoral Studies

The study institution is a non-profit organization with a model developed from the continuous implementation of needs assessments of the families of adolescent parents in Puerto Rico, with the purpose of increasing their social inclusion potential. Addressing social exclusion and stigmatization of adolescent parents is vital because it generates a dual benefit for social interactions and growth. The social inclusion concept used and further elaborated for adolescent mothers is described by researchers as the level of access to engaging with institutions and societal relationships. This program evaluation was developed to understand the outcomes and effectiveness of the organization's social ...


Adults Aged 65+ And The Societal Pressure To Exercise, Susan Murphy Jan 2018

Adults Aged 65+ And The Societal Pressure To Exercise, Susan Murphy

Walden Dissertations and Doctoral Studies

Globally, by 2050, the older adult population will be larger than other age segments of the population. Government programs and health care guidelines are being put in place to help encourage exercise. However, there is little information on how the societal pressure presented in these government programs makes people feel, especially those over the age of 65. The purpose of the present study was to understand what the societal pressure to exercise means to adults over the age of 65 using a qualitative, phenomenological approach and employing in-depth interviews using the health belief model as the guiding framework. The interview ...


Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly Jan 2018

Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid are requiring long-term care facilities (LTCFs) to implement antibiotic stewardship programs (ASPs) to alleviate overuse of antibiotics in the nursing home population. Current research shows that the benefits of ASPs include improved patient outcomes, reduced adverse events related to Clostridium difficile (C-diff) infection, improvement in rates of antibiotic susceptibilities, and optimized resource utilization. This project addressed the problem of antibiotic overuse and misuse in the geriatric population and whether the implementation of an ASP reduced the overuse of antibiotics, C-diff infection, and resistance rates in the LTCF. Application of the Johns Hopkins nursing model ...


The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley Jan 2018

The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley

Walden Dissertations and Doctoral Studies

The purpose of this qualitative case study was to examine the experiences and perceptions of African American women who reside in a nursing home and to understand African American women's decisions for admitting to the facility. Social Learning Theory was applied to answer the question of how African American women's experiences and perceptions toward long-term care influence healthcare decisions and admission to a nursing home. Eleven participants interviewed in the study were at least 60 years old, admitted into the facility within the past two years and who had not previously resided in a nursing home. Yin's ...