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Strategies For Reducing Medication Errors In An Outpatient Internal Medicine Clinic., Uche Gerard Obua 2019 Walden University

Strategies For Reducing Medication Errors In An Outpatient Internal Medicine Clinic., Uche Gerard Obua

Walden Dissertations and Doctoral Studies

Medication errors are among the most common causes of unintended harm to patients and have led to many deaths. Some categories of medication errors include; medications administered to the wrong person; medications administered at the wrong time, through the wrong route; administration of the wrong medication and/or dose; and the omission of medications. Guided by the logic model, the just culture model, and the Knowles theory of andragogy, the purpose of the project was to determine if providing information related to evidence-based strategies to reduce medication errors would result in safer medication administration practices and improved patient outcomes A ...


Impact Of Social Influence On Willingness To Participate In Clinical Trials Among African Americans, Chika Okere 2019 Walden University

Impact Of Social Influence On Willingness To Participate In Clinical Trials Among African Americans, Chika Okere

Walden Dissertations and Doctoral Studies

Global rate of participation in clinical trials is especially low among African Americans in the United States due to social factors identified by research, which adversely impact this group's willingness to participate in clinical trials. The purpose of this cross-sectional quantitative study was to evaluate the role of social influence in the decision-making patterns of African Americans as it relates to clinical trial participation. The theory of planned behavior was used as the theoretical framework to understand an individual's interaction with social factors and how it affects their willingness to participate in clinical trials. The participants in the ...


African American Women's Experiences And Understanding Of Secondary Infertility, Claudelle Parchment 2019 Walden University

African American Women's Experiences And Understanding Of Secondary Infertility, Claudelle Parchment

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological study was to describe the lived experiences of African American women with secondary infertility, defined as an inability to conceive or carry a baby to term after a previous conception. Research on secondary infertility has ignored the prevalence of the condition in African American women. The implications of secondary infertility in African American women have immediate and far-reaching health and psychosocial consequences. African American women rely on interconnectedness and social networks; therefore, social networks and social support served as the key concepts underwriting the study's conceptual framework. Social networks and social support underscore the ...


A Comparison Of The Safety And Efficacy Of Three Medical Abortion Protocols, Dhammika Perera 2019 Walden University

A Comparison Of The Safety And Efficacy Of Three Medical Abortion Protocols, Dhammika Perera

Walden Dissertations and Doctoral Studies

Unsafe abortions pose serious threats to women's health. Medical abortion provides safer abortion access to many. The lengthy interval between misoprostol and mifepristone creates multiple barriers for women and providers.

A paucity of research exists about medical abortion protocols that allow single day procedures. The efficacy and the safety of 3 medical abortion protocols of varying lengths were explored in this study.

A secondary data set of over 55,000 patients from the United Kingdom was retrospectively analyzed using binomial logistic regression. Efficacy results showed no significant difference between the conventional and the simultaneous protocols; when compared to those ...


Mexican Women And Postpartum Depression In Maricopa County, Arizona, Julio Presendieu 2019 Walden University

Mexican Women And Postpartum Depression In Maricopa County, Arizona, Julio Presendieu

Walden Dissertations and Doctoral Studies

Researchers have found that postpartum depression (PPD) affects 10 to 15% of new mothers in the U.S. and minority groups experience more depressive symptoms than most of the U.S. population. In Maricopa County, Arizona, research studies of PPD suggested that Mexican women had the highest PPD rate when compared to African-American, Cuban, and Puerto-Rican women. The purpose of this qualitative interpretive descriptive study was to explore what experiences Mexican women in Maricopa County had with PPD, their perceptions of factors such as low-income, cultural beliefs, intimate partner violence, social support, and healthcare services, and to explore barriers that ...


Incentive Size Alignment With Accountable Care Organization Performance, Kristie D. Racca 2019 Walden University

Incentive Size Alignment With Accountable Care Organization Performance, Kristie D. Racca

Walden Dissertations and Doctoral Studies

Changes to the country's health care political landscape in 2012 resulted in the development of federal programs aimed at containing costs and improving the quality of care delivered. Accountable Care Organizations (ACO) emerged linking performance to rewards. Guided by Conrad's value-based performance incentive theory as the theoretical foundation, the purpose of this quantitative study was to determine the relationship between financial incentive size and ACO performance measures. The research questions examined the predictive relationship of incentive size and acute care readmission rates, emergency department (ED) visits, and per capita spending of the ACO Medicare Shared Savings Program population ...


Rural Environmental Factors And Lesbian, Gay, Bisexual, And Transgender Mental Health Services Utilization, Terri Rorie 2019 Walden University

Rural Environmental Factors And Lesbian, Gay, Bisexual, And Transgender Mental Health Services Utilization, Terri Rorie

Walden Dissertations and Doctoral Studies

The rates of mental health issues in the lesbian, gay, bisexual, and transgender (LGBT) communities are twice that of individuals who identify as heterosexual. Research in urban communities show lower mental health services utilization rates for LGBT individuals compared to their heterosexual counterparts. The purpose of the study was to examine how rural environmental factors affect the use of mental health services by LGBT individuals and provide information to improve mental health outcomes. Andersen's healthcare utilization model and the minority stress theory were the foundations of this study. This study examined the association of mental health providers' availability/characteristics ...


Oral Health Literacy And Oral Hygiene Habits In A Kentucky Appalachian Community, Katie D. Schill 2019 Walden University

Oral Health Literacy And Oral Hygiene Habits In A Kentucky Appalachian Community, Katie D. Schill

Walden Dissertations and Doctoral Studies

This study sought to identify the level of oral health literacy held by people who live in transitional and distressed Kentucky Appalachian areas and if this effects how often they are using oral hygiene techniques. Data were also collected to describe the attitudes Kentucky Appalachian adults hold toward oral hygiene and oral health status. Current documentation shows that poor oral health remains a public health threat in this population despite efforts such as school-based sealant programs and increased dental insurance coverage. This study followed a quantitative design and 99 participants were polled using a survey specifically developed for this study ...


Perceptions Of Well-Being And Coping Mechanisms From Caregivers Of Individuals With Autism, Barbara Simmons 2019 Walden University

Perceptions Of Well-Being And Coping Mechanisms From Caregivers Of Individuals With Autism, Barbara Simmons

Walden Dissertations and Doctoral Studies

Caregivers of individuals with autism often report increased levels of stress and a lack of social support to help them cope with various stressors as they provide care. Without coping mechanisms or social support, as individuals with autism present various behavioral and emotional challenges, caregivers can experience a decline in well-being. Thus, the purpose of this qualitative study was to explore the processes that caregivers of individuals between the ages of 9-18 diagnosed with autism use to cope with stress and social support in Southeast Georgia. Grounded theory was used to describe the perceived thoughts caregivers have about stress and ...


Strategies To Reduce Employee Turnover In Clinical Logistics, Brenda Marc Simon 2019 Walden University

Strategies To Reduce Employee Turnover In Clinical Logistics, Brenda Marc Simon

Walden Dissertations and Doctoral Studies

Clinical supply chain managers who do not apply effective employee turnover strategies could negatively affect team performance, employee morale, employee well-being, patient outcomes, productivity, profitability, and the sustainability of organizational activities. The purpose of this multiple case study was to explore strategies that supply chain managers used to decrease employee turnover in clinical logistics organizations. The targeted population consisted of 6 clinical logistics supply chain managers working in 6 community hospitals located in Maryland who had experience implementing successful strategies to decrease employee turnover. The servant leadership theory served as the study's framework. Data collection included semistructured interviews and ...


Geographically Distributed Employees' Perceptions Of Employee Assistance Program Access, Davina Smith 2019 Walden University

Geographically Distributed Employees' Perceptions Of Employee Assistance Program Access, Davina Smith

Walden Dissertations and Doctoral Studies

Many investigators have documented high levels of stress in the U.S. workplace and the underutilization of employee assistance programs (EAP). Researchers in other studies have concluded that an employee's perception of a service influences participation and service use. However, the perceptions of geographically distributed employees, who represent a growing population, have not been sufficiently examined. The purpose of this study was to investigate geographically distributed employees' perceptions regarding access to EAP stress management services to address the problem of EAP underutilization. Organizational justice theory served as the theoretical framework. The study design was generic qualitative. A purposeful sample ...


Home Health Aides' Performance And Home Health Clients' Quality Of Life, Ronny Terrell Smith 2019 Walden University

Home Health Aides' Performance And Home Health Clients' Quality Of Life, Ronny Terrell Smith

Walden Dissertations and Doctoral Studies

Home health aides' performance can help home health clients achieve quality of life. This quantitative, cross-sectional study examined which work-related factors of home health aides influence home health clients' quality of life. A socioecological perspective was used to understand influences on behaviors. Participants in this study were 400 home health clients who received services from home health agencies. A binary logistic model was used to determine the predictor variables of home health aides that contributed to home health clients' quality of life. Findings indicated that psychosocial skills were among the most predicted work-related performance of home health aides that lead ...


Predictors Of Nutritional Status Among U.S. Adults, Erum Syed 2019 Walden University

Predictors Of Nutritional Status Among U.S. Adults, Erum Syed

Walden Dissertations and Doctoral Studies

The purpose of this study was to more fully understand the reasons underlying poor nutritional status among adults in the United States (US) and to provide research findings that can be used to develop programs and policies to help improve nutritional status in the US. The National Health and Nutrition Examination Survey (NHANES) dataset and the correlational quantitative study design were used to explore the associations between food security, household smoking, and demographics and nutritional status. The social ecologic theory, specifically the social ecology of health as it relates to interventions, was used as the study's theoretical framework. The ...


Stress, Social Support, And Mindfulness In Parents Of Children With Neurodevelopmental Deficits: A Quantitative Analysis, Branden D. Syrotchen 2019 Walden University

Stress, Social Support, And Mindfulness In Parents Of Children With Neurodevelopmental Deficits: A Quantitative Analysis, Branden D. Syrotchen

Walden Dissertations and Doctoral Studies

Parenting children with neurodevelopmental deficits (NDDs) is very stressful, more so than the parenting of typically developing children. There is considerable research on the topic of chronic stress experienced by caregivers; however, less is understood of parental stress experienced when raising children with NDDs. The purpose of this study was to examine how parental traits and habits, in the forms of mindfulness and social support levels, affect this cohort's general stress levels. The study was guided by Self-Determination Theory, which explored how parental acts could be classified along a continuum of being intrinsically or extrinsically derived. A convenience sample ...


The Experiences Of Counseling Graduate Students Who Participated In Professional Legislative Advocacy Training, Nakpangi Thomas 2019 Walden University

The Experiences Of Counseling Graduate Students Who Participated In Professional Legislative Advocacy Training, Nakpangi Thomas

Walden Dissertations and Doctoral Studies

Legislative advocacy efforts are increasingly becoming part of a counselor's professional identity, yet scholarly literature lacks studies about experiences of counseling students involved in legislative advocacy for the counseling profession. The purpose of this study was to gain an understanding of the meaning counseling students ascribe to their involvement in legislative advocacy for the counseling profession. Astin's student involvement theory was the conceptual framework utilized to explore the lived experiences of counseling graduate students and recent graduates who participated in a 4-day long American Counseling Association Institute for Leadership Training on legislative advocacy and leadership or in professional ...


African American Masculinity And Its Influence On Hypertension-Related Behaviors, Tangee Denise Thomas 2019 Walden University

African American Masculinity And Its Influence On Hypertension-Related Behaviors, Tangee Denise Thomas

Walden Dissertations and Doctoral Studies

High blood pressure (hypertension) is known to be one of the leading factors that directly contributes to heart disease and stroke, which are the first and third leading causes of disabilities and death in the general U.S. population. The prevalence of high blood pressure among African American men in the United States ranks as one of the highest in the world. Research indicates the roots of this phenomenon are found in physiological, psychosocial, cultural, and socioeconomic factors differentially affecting the African American population. The purpose of this study was to examine the interaction between African American males' masculine perspective ...


Differences Between Nontraditional And Traditional College Students' Perceptions Of Transition Preparedness, Laila Erika Turner 2019 Walden University

Differences Between Nontraditional And Traditional College Students' Perceptions Of Transition Preparedness, Laila Erika Turner

Walden Dissertations and Doctoral Studies

While scholars have used Schlossberg's transition theory for more than 35 years to study college-to-work transition, researchers have yet to establish if there are meaningful differences in the perceptions of traditional and nontraditional college students regarding transition preparedness from college-to-work. Following the career transition model, this quantitative study was conducted to compare traditional and nontraditional college students' perceptions of transition preparedness, specifically the concepts of readiness, confidence, control, perceived support, and decision independence. The nontraditional students in this study were military veterans. The dependent variables were measured by the Career Transition Inventory (CTI) survey. Participants were selected via a ...


Psychological Effects Of Training In Martial Arts After Interpersonal Trauma, Alexandro Garcia Vargas 2019 Walden University

Psychological Effects Of Training In Martial Arts After Interpersonal Trauma, Alexandro Garcia Vargas

Walden Dissertations and Doctoral Studies

Individuals who experience a traumatic event may have an adverse emotional reaction that negatively impacts their quality of life. The purpose of this qualitative phenomenological study was to explore the influence of training in the martial arts as an intervention in the treatment of interpersonal trauma. The biopsychosocial model provided the framework for the study. The research questions addressed the effects of training in the martial arts and the biological, psychological, and social functioning of individuals who had sustained a form of interpersonal trauma. Data were collected from semistructured interviews with 9 participants. Data were analyzed using Moustakas's modified ...


The Shortage Of Licensed Social Workers In Central Florida, Helen M. Burrows 2019 Walden University

The Shortage Of Licensed Social Workers In Central Florida, Helen M. Burrows

Walden Dissertations and Doctoral Studies

For several decades, a national shortage of licensed clinical social workers has been growing in the United States. Licensed social workers provide counsel and advocacy for those affected by mental illness, addiction, abuse, and discrimination, among other economic difficulties, and are the largest group of providers of mental and behavioral health services. The research questions for this project addressed what challenges unlicensed social workers in central Florida identify as barriers to pursuing clinical licensure. This study also explored strategies that unlicensed social workers in central Florida reported to address these barriers and encourage the pursuit of clinical licensure. The purpose ...


Bacterial Contamination Study Of Loose-Fitting Power Air Purifying Respirators (Papr) Compared To N-95 Ffr And Surgical Mask, In A Simulated Sterile Environment, Tyler J. Church 2019 West Virginia University

Bacterial Contamination Study Of Loose-Fitting Power Air Purifying Respirators (Papr) Compared To N-95 Ffr And Surgical Mask, In A Simulated Sterile Environment, Tyler J. Church

Graduate Theses, Dissertations, and Problem Reports

Powered air purifying respirators (PAPRs) are commonly used in a health care setting, providing a higher level of protection than traditional surgical masks or N-95’s. However, little can be found in literature about their use in a sterile environment, such as an operating room. Thus, this study aims to compare bacterial contamination of three different models of PAPRs (3MTM VersafloTM TR-600-ECK, 3MTM Air-MateTM, and MAXAIR CAPR 710) to a N-95, surgical N-95 and surgical mask. The experiments were conducted in a small room with no ventilation, under two conditions, door open and door closed. Each ...


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