Medication Reconciliation In Primary Care Setting,
2018
Walden University
Medication Reconciliation In Primary Care Setting, Lawrence James-Osondu
Walden Dissertations and Doctoral Studies
Polypharmacy entails the use of multiple drugs taken at the same time to manage the various comorbidities common among elderly patients. Polypharmacy is associated with increased health care spending due to drug duplication, adverse drug events, and medication noncompliance. Medication reconciliation has been shown to reduce the problems seen with polypharmacy. The purpose of this project was to review published evidence to develop a staff education program on medication reconciliation in a primary care setting and determine the efficacy of the program in relation to staff confidence and knowledge levels concerning medication reconciliation. The project was guided by Nola Pender's …
Time Banks As Aging-In-Place Initiatives,
2018
Walden University
Time Banks As Aging-In-Place Initiatives, Calli Sajnani
Walden Dissertations and Doctoral Studies
There has been growing concern over how state and federal governments can support the increasing population of aging Americans and their need for long-term care. Current insurance funding models cover acute hospitalization and skilled care only, leaving unskilled care needs and homemaker services at the full expense of those in need. Time banking allows individuals to exchange or barter time for goods or services without monetary payment. There is insufficient evidence to determine if members believe time banks to be a viable alternative to support aging-in-place care needs. This phenomenological study explored time banking as a potential vehicle for nonskilled …
Challenges Of Aging With The Hiv Virus And Comorbidities,
2018
Walden University
Challenges Of Aging With The Hiv Virus And Comorbidities, Rommie Navylia Abele
Walden Dissertations and Doctoral Studies
Since the introduction of antiretroviral therapy, the survival rate of infected HIV patients has been on the rise with a predicted increase by 2030. The longer a person lives with the virus, the more prone to HIV-associated chronic diseases he or she becomes, but it is not clear whether these diseases are solely from aging with the virus or from long-term use of antiretroviral therapy. Scientists demonstrated that the introduction of antiretroviral therapy led to an increased life expectancy yet early onset of comorbidities; however, they failed to address the challenges that people 50 years old or older face, as …
The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents,
2018
Walden University
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 the theoretical …
Parents Perceptions Of Social Inclusion Of Adults With Intellectual Disabilities,
2018
Walden University
Parents Perceptions Of Social Inclusion Of Adults With Intellectual Disabilities, Jacqueline Green
Walden Dissertations and Doctoral Studies
Researchers have shown that the voices of parents of adults with intellectual disabilities can help build supports in the community. Research regarding the perceptions and lived experiences of these parents regarding social inclusion of adults with intellectual disabilities is limited. Guided by positive psychology, the purpose of this interpretive phenomenological study was to examine parents' lived experiences of social inclusion of adults with intellectual disabilities. Research questions were framed to understand and describe the meaning of how parents experience social inclusion with their adult children with intellectual disabilities. Data were elicited through 6 individual interviews with parents of adults with …
Optimizing Implementation Of Universal Hiv Treatment Coverage For People Living With Hiv In Senegal,
2018
Population Council
Optimizing Implementation Of Universal Hiv Treatment Coverage For People Living With Hiv In Senegal, Project Soar
HIV and AIDS
Senegal plans a rapid scale up of HIV treatment for all people living with HIV (PLHIV), regardless of CD4 count or viral suppression. However, limited data exist on how to achieve sustained viral suppression among PLHIV in real world contexts where significant barriers to effective antiretroviral therapy (ART) delivery, uptake, and adherence persist. This brief describes a universal coverage ART intervention Project SOAR is conducting among PLHIV who are not virally suppressed. The findings from this study will inform the rollout of Senegal’s national test and treat strategy.
Social Work Practice With Older Adults,
2018
Walden University
Social Work Practice With Older Adults, Carley Yvonne Vailu'u
Walden Dissertations and Doctoral Studies
Social workers working for adult protective services (APS) face many clinical challenges to ensure the safety and well-being of older adult clients. APS social workers often interact with older adults who engage in self-neglecting behaviors that compromise their ability to function in a healthy and independent manner. The purpose of this research study was to explore challenges in direct social work practice to identify how APS services can be improved when working with the older adult population, particularly individuals who engage in hoarding behaviors. Using action research methodology, 2 focus groups were conducted to explore the experiences and knowledge of …
Antibiotic Overuse In The Geriatric Population,
2018
Walden University
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,
2018
Walden University
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 five step approach …
Social Inclusion Outcomes For An Organization's Adolescent Parent Intervention,
2018
Walden University
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 inclusion …
Adults Aged 65+ And The Societal Pressure To Exercise,
2018
Walden University
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 …
Family Reunification Among Women In Recovery From Substance Abuse And Complex Trauma,
2018
Walden University
Family Reunification Among Women In Recovery From Substance Abuse And Complex Trauma, Cesha Tiffany Reese
Walden Dissertations and Doctoral Studies
For women in recovery from complex trauma and substance abuse, the lack of posttreatment family reunification services such as family engagement, service delivery, and aftercare planning increase the likelihood of parental relapse and children reentering foster care. A primary caregiver's continued relapse can lead to longer out of home placement for minor children and a loss of parental rights, with a negative impact on both children and parents. The purpose of this qualitative phenomenological study was to examine the lived experiences of women in recovery, their sobriety practices, and how they reunified their families. The theoretical framework was Herman's trauma …
Fgm/C Decision-Making Process And The Role Of Gender Power Relations In Sudan,
2018
Population Council
Fgm/C Decision-Making Process And The Role Of Gender Power Relations In Sudan, Ahmed Gamal Eldin, Suad Babiker, Majdi Sabahelzain, Muna Eltayeb
Reproductive Health
This study by the Population Council, Nairobi and partners aimed to contribute to a better understanding of female genital mutilation/cutting (FGM/C) in Sudan and the way different families perceive the practice and make FGM/C-related decisions. The ultimate goal was to inform interventions aimed at accelerating the pace of positive behavioral and social norm change and eventually promote the abandonment of all forms of FGM/C in Sudan. The findings indicate that although parents often make the final decision to cut or not cut their daughters, they do not act in isolation but are influenced by dominant social norms and by other …
Peer Support For Youth And Young Adults Who Experience Serious Mental Health Conditions: State Of The Science,
2018
Portland State University
Peer Support For Youth And Young Adults Who Experience Serious Mental Health Conditions: State Of The Science, Janet S. Walker, Caitlin Baird, Mary Beth Welch
School of Social Work Faculty Publications and Presentations
Peer support for youth and young adults who experience serious mental health conditions (SMHCs) is rapidly growing in popularity as an addition to the mental health service array in communities around the United States. Research focusing on various aspects of the youth/young adult peer support role has been accruing in recent years; however, many questions remain regarding how the role is defined and supported, and what sort of outcomes can and should be expected once peer support is implemented as a service. This brief reviews the research literature that bears on these topics, describes how current work at Pathways RTC …
Social Network Enhancement Strategies To Address Limited Support Networks In Young Adulthood: State Of The Science,
2018
Portland State University
Social Network Enhancement Strategies To Address Limited Support Networks In Young Adulthood: State Of The Science, Jennifer E. Blakeslee
School of Social Work Faculty Publications and Presentations
This review focuses on populations where systems involvement is presumed to impact the size, strength, and supportiveness of social networks, including young people who have experienced out-of-home placement in foster care, juvenile justice, or residential treatment.
The Loving Story: Using A Documentary To Reconsider The Status Of An Iconic Interracial Married Couple,
2018
University of Pennsylvania Carey Law School
The Loving Story: Using A Documentary To Reconsider The Status Of An Iconic Interracial Married Couple, Regina Austin
All Faculty Scholarship
The Loving Story (Augusta Films 2011), directed by Nancy Buirski, tells the backstory of the groundbreaking U.S. Supreme Court case, Loving v. Virginia, that overturned state laws barring interracial marriage. The article looks to the documentary to explain why the Lovings should be considered icons of racial and ethnic civil rights, however much they might be associated with marriage equality today. The film shows the Lovings to be ordinary people who took their nearly decade long struggle against white supremacy to the nation’s highest court out of a genuine commitment to each other and a determination to live in …
Age Stereotypes And Attitudes Towards Welfare State Arrangements For The Old: A Multilevel Analysis Across Twenty-Nine Countries,
2018
Erasmus University of Rotterdam
Age Stereotypes And Attitudes Towards Welfare State Arrangements For The Old: A Multilevel Analysis Across Twenty-Nine Countries, Ferry Koster
The Journal of Sociology & Social Welfare
This study investigates whether and how support for welfare state arrangements for the old relate to the stereotypes of the young and the old within society. It is hypothesized that the social status that these groups have in society affect these attitudes through different mechanisms, relating to the deservingness criteria that citizens apply. An empirical analysis of Round 4 of the European Social Survey (including 50,009 individuals from 29 European countries) shows that: (1) the social esteem of people over 70 predicts support for welfare state arrangements for the old; and (2) the social esteem of people in their 20s …
Intensive Referral To Mutual-Help Groups: A Field Trial Of Adaptations For Rural Veterans,
2018
VA Nebraska-Western Iowa Health Care System
Intensive Referral To Mutual-Help Groups: A Field Trial Of Adaptations For Rural Veterans, Kathleen M. Grant, Lance Brendan Young, Kimberly A. Tyler, Jamie L. Simpson, R. Dario Pulido, Christine Timko
Department of Sociology: Faculty Publications
Objective: A multisite field trial testing whether improved outcomes associated with intensive referral to mutual help groups (MHGs) could be maintained after the intervention was adapted for the circumstances and needs of rural veterans in treatment for substance use disorder (SUD). Methods: In three Veterans Affairs treatment programs in the Midwest, patients (N = 195) received standard referral (SR) or rural-adapted intensive referral (RAIR) and were measured at baseline and 6-month follow-up. Results: Both groups reported significant improvement at 6 months but no significant differences between SR and RAIR groups in MHG participation, substance use, addiction severity, and posttraumatic stress …
Comparing Survey Ranking Question Formats In Mail Surveys,
2018
University of Nebraska-Lincoln
Comparing Survey Ranking Question Formats In Mail Surveys, Jolene Smyth, Kristen Olson, Allison Burke
Department of Sociology: Faculty Publications
Although questions that ask respondents to rank-order a list of items can be analytically valuable, responding to ranking questions typically requires a good deal of cognitive effort. This is especially true in mail questionnaires where the advantages of electronic response formats available in web surveys are inaccessible. In this article, we examine two alternative formats for ranking questions in mail surveys. Using a nationally representative mail survey of U.S. adults, this article experimentally compares ranking formats in which respondents write numbers in boxes versus selecting items for the most and second most important issues using a grid layout. Respondents to …
Public Support For The Death Penalty
In A Red State: The Distrustful,
The Angry, And The Unsure,
2018
University of Nebraska-Lincoln
Public Support For The Death Penalty In A Red State: The Distrustful, The Angry, And The Unsure, Lisa Kort-Butler, Colleen M. Ray
Department of Sociology: Faculty Publications
Set against the backdrop of Nebraska’s 2015 legislative repeal of the death penalty and the 2016 electoral reinstatement, we examined public support for capital punishment. Using two years of statewide survey data, we compared respondents who preferred the death penalty for murder, those who preferred other penalties, and those who were unsure, a respondent group often excluded from research. To understand what distinguishes among these groups, we examined media consumption, instrumental and expressive feelings about crime, and confidence and trust in the government regarding criminal justice. Results revealed that those who preferred the death penalty expressed more anger about crime …
