Digital Commons Network^™

The Lived Experiences Of Urhobo Women From The Niger Delta Region Of Nigeria During The Menopausal Transition, Omemiyere Sheila Uwayzor

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study offered an in-depth exploration of the menopausal experiences of seven Urhobo women, ages 45–65 years old, representing diverse occupational backgrounds and communities from the Niger Delta region of Nigeria, who shed light on the multifaceted dimensions of menopausal experiences. Grounded in the Meleis transitions theory, the research presented thematic insights from semi-structured interviews, capturing the participants’ physiological, emotional, cultural, and healthcare-related experiences. Interviews were conducted with seven Urhobo women aged between 45 and 65 years old. These menopausal women responded to the research question regarding their lived experiences of Urhobo women during the menopausal transition. Using …

Child Health Nurses’ Perceptions Of The Family Community-Based Assistance Resourcing And Education Program In Contemporary Practice: A Qualitative Study, Nicole Latham, Jeanine Young, Josephine Wilson, Michelle Gray, Kendall George

Research outputs 2022 to 2026

Background. The Family Community-based Assistance Resourcing and Education Program (FCP) is a nurse home visiting program that was introduced in Queensland two decades ago to redress health inequalities for infants from families experiencing specific social stressors. Locally adapted versions of this home visiting program are still in use, but have not been evaluated. This study examined child health nurse perceptions of the adapted FCP in one regional Queensland health service. Methods. A qualitative descriptive exploratory study using two focus groups (conducted May 2019) with Child Health Nurses who delivered the FCP was conducted. Transcripts of digital recordings were analysed using …

Education To Dialysis Clinical Staff About The Role Of Advanced Practice Registered Nurses In Home Dialysis, Bilinda Dawkins-Francis

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) and end-stage renal disease (ESRD) have become substantial issues in the United States. There is a call to action from scholars for nurses, especially advanced practice registered nurses (APRNs), to cultivate APRN-led renal discipline teams and gauge directed health results. Nurse practitioners encounter and are responsible for identifying and managing patients in the home dialysis setting. It is essential to increase knowledge, teaching, and treatment options to nurse practitioners and clinical staff regarding the role of APRNs in home dialysis. The purpose of this project was to answer the practice-focused question addressing whether staff education about …

Implementing Motivational Interviewing To Improve Medication Adherence: A Staff Education Project, Marlon Medina

Walden Dissertations and Doctoral Studies

Medication nonadherence is a major health issue among psychiatric patients as studies show a significantly high rate of medication nonadherence among psychiatric patients. This impacts the health outcomes of patients taking psychotropic medications. Psychiatric nurses have a major role to play in implementing strategies to improve medication adherence among patients. This project proposes the implementation of psychoeducation based on motivational interviewing to improve medication adherence among psychiatric patients. An educational workshop was provided to four nurses over 4 weeks to improve the knowledge, skills, and attitudes of staff members at an outpatient care clinic, ultimately, to improve the patients’ medication …

Referral Patterns Of Neonatal Healthcare Professionals For Cleft Lip And Palate Patients, Alyssa Morrow

Annual Research Symposium

Cleft Lip and Palate patients are some of the most vulnerable and complex orthodontic patients. They face a myriad of health challenges including psychological, nutritional, auditory, speech, airway, skeletal, and dental. Ideal comprehensive treatment for CLP patients is provided via multidisciplinary teams of healthcare providers. However, there is currently limited access to proper multidisciplinary care for CLP patients in the US, partly due to lack of education regarding available resources. For the most effective treatment and optimal outcomes, it is essential that coordinated care starts at birth and that parental education begins as soon as CLP is detected in utero. …

Empowering Nurses Through Education To Reduce Patient Falls In An Acute Care Setting, Ericka Ophelia Evans Thompson

Walden Dissertations and Doctoral Studies

Patient falls are a significant concern in acute health care institutions, leading to increased morbidity, mortality, and health care costs. Nurses play a vital role in patient safety and empowering them with the necessary knowledge and skills is crucial to mitigate the risk of falls. The aim of this Doctor of Nursing Practice (DNP) project was to develop and implement an evidence-based staff education program that would improve nurses’ knowledge of fall prevention strategies. To obtain evidence for the project, a comprehensive review of the literature on patient falls, educational interventions, and best practices and guidelines for fall prevention programs …

Comparing The Causal Effects Of Observational Versus Active Roles In High-Fidelity Simulation: A Quantitative Study, Bethany D. Rose

Doctoral Dissertations and Projects

Among many of the innovative changes in nursing education, high-fidelity simulation is expanding roles and providing students with new perspectives. The purpose of this quantitative, causal-comparative, posttest only, nonexperimental, between-groups research design study was to determine whether students in active supervisor (observer) roles had an effect on associate degree nursing (ADN) students’ self-perceived knowledge, skills, and attitudes in comparison to students in active participant roles. A convenience sample of second-semester nursing students and third-semester nursing students enrolled in an ADN program in the 2023 academic year was utilized for this study. Participants completed a demographic survey and the Self-Evaluation Scale …

Diabetic Management With Glp1-Ra Ozempic And Diabetic Education, Katrina Sivo-Souza

Doctoral Dissertations and Projects

A condition with observed poor management by most who possess a diagnosis, diabetes mellitus remains the seventh leading cause of death within the country. This diagnosis can and often does lead to severe complications, creating implications for not only the patient but also families, caregivers, and the community. Most diabetic patients possess a diagnosis of type 2 diabetes mellitus. The healthcare industry continues to implement improvement with diabetic management and complications resulting from diabetes. Research suggests that the standard of care for patients with diabetes begins with lifestyle modification to improve glycemic control. New medications, such as Ozempic (semaglutide), have …

Support Systems: The Effect They Have On Domestic Violence Victims, Kimberly Diann Burton

Doctoral Dissertations and Projects

In the last five years, domestic violence has escalated in the number of episodes reported and in the severity of violence. Researchers attribute this increased frequency and severity to the COVID-19 pandemic. During the lockdown time of the pandemic, victims and their abusers could not escape from arguments, which resulted in tensions rising. This study brings attention to the fact that domestic violence is still a pervasive problem. It gives information to help the abused stay out of violent relationships and/or escape. There was conflicting research on whether support systems help victims of these violent relationships escape or stay in …

A Global Perspective On Intersecting Social And Systemic Barriers Experienced By Grandparent-Caregivers: A Qualitative Systematic Review, Schola N. Matovu, Deborah M. Whitley, Heather M. Young

GrandFamilies: The Contemporary Journal of Research, Practice and Policy

Globally, many grandparents are taking on the caregiving role for their grandchildren without public or government interjection of support, particularly financial assistance for basic needs such as housing, health care and living expenses. This paper aimed to broaden understanding of social and systemic barriers experienced by grandparent-caregivers across the globe. Of the 2,828 relevant grandparent caregiving studies identified in the literature, 34 representing eight countries met our inclusion criteria to answer the research question and the focus of this paper: What are the social and systemic barriers experienced by grandparent-caregivers across the globe? We utilized Noblit’s and Hare’s (1988) meta-ethnography …

Full-Time Nursing Faculty’S Perceptions Of Extrinsic Workload Factors, Diana Melanson

Walden Dissertations and Doctoral Studies

No abstract provided.

Baby Doll Therapy For Older Adults With Dementia, Ashley Holmes Rn Bsn, Naimo Ukash Rn Bsn

Nurse Residency

PICOT Question: In patients older than 65 with dementia, (P), how does doll therapy (I) as compared to pharmaceutical interventions (C) affect caregiver burden (O)?

The Impact Of Brief Electronic Guided Mindfulness Meditation On Anxiety Scores, Sierra King

Doctor of Nursing Practice Scholarly Projects

In the United States, anxiety rates are on the rise for the general population (Goodwin et al., 2020a). Prolonged and frequent anxiety can become unprompted and problematic (American Psychiatric Association, 2021). Management of anxiety is crucial for overall wellbeing. Access to treatment and resources for anxiety may be limited in rural geographical locations (Morales et al., n.d.). This DNP project sought to determine whether a brief intervention of electronic guided mindfulness meditation (MM) by Insight Timer is effective in decreasing anxiety in a rural populous. Convenience sampling recruited a final total of 11 rural participants who participated in seven sessions …

Striking Your Inner Warrior Pose: How Yoga Affects Coping Skills In Hem/Onc Patients, Caroline Anderson, Megan Dale, Megan Keasler, Sofia Marquez, Vershundra Mcwilliams, Ritu Thapa, Tori Vanover

2023

No abstract provided.

A Dyadic Analysis Of Financial Toxicity And Health-Related Quality Of Life Among Bone Marrow Transplant Patients And Their Caregivers., Jean S Edward, Mary Kay Rayens, Laurie E. Mclouth, Lori P Eisele, Joan Scales, Lovoria B. Williams, Gerhard C. Hildebrandt

Nursing Faculty Publications

OBJECTIVE: Relatively few dyad-based studies have evaluated the shared psychosocial and financial toxicity (FT) experiences of hematologic patients and their caregivers, especially those undergoing bone marrow transplantations (BMTs). This study evaluated the association of FT with health-related quality of life (QOL) among BMT patient-caregiver dyads.

METHODS: Survey and electronic health record data were collected between April 2021 and January 2022 from BMT patients and their caregivers pre- (T1) and post-intervention (T2). Thirty-four patient-caregiver dyads completed surveys; all dyads included a patient experiencing elevated T1 FT. The effect of the total FT score (i.e., the combination of psychological response, coping behaviors, …

Knowing The Patient As A Person: Social Media Listening And Gadamerian Analysis Of Nurses’ Expressions Shared During The Covid-19 Global Health Pandemic, Janusz A. Kaleta

Dissertations, Theses, and Capstone Projects

Background: COVID-19 has dramatically changed human-to-human interactions from in-person to the nonhuman domain of virtual space. In January 2021, every 28 seconds one person died of COVID-19 in the United States. An average of 3,100 Americans died each day during the deadliest month of the pandemic. As of January 2023, the number of COVID-19 deaths in the USA surpassed 1.000.000 people. In hospitals, human-to-human interactions were often limited to seeing one’s eyes behind the face shields, and respirator masks, and hearing a muffled voice, or sounds of the ventilators. In New York State 452 nurses died during the pandemic.

Research …

Ethnic Minorities And Family Health History: An Autoethnography Of Guyanese Americans And Kidney Disease, Dhaneesha R. Bahadur

Dissertations, Theses, and Capstone Projects

Exploring family health histories (FHHs) has emerged in recent years as an inexpensive genomic tool in public health. Families and clinicians can also use them to uncover family histories and experiences, which could inform better lifestyle choices to prevent or delay the onset of diseases. Exploring family health histories focuses on an individual’s genetic makeup and considers differences in lifestyle and environment. Despite national campaigns, it is an underutilized tool that could lead to engagement in effective strategies and better health outcomes. One important and serious condition that families should be more aware of is chronic kidney disease (CKD). One …

Life After The Pandemic: Use Of An Educational Coping Strategy Tool Kit For Healthcare Professionals, Christine Thorpe-Gilpin

Electronic Theses and Dissertations

Research has proven that acute care healthcare professionals (i.e., nurses, certified nursing assistants, and respiratory therapists have been experiencing ongoing challenges and ineffective coping mechanisms. The Toolkit for Emotional Coping for Healthcare Staff (TECHS) educational toolkit has introduced practical coping skills that could benefit healthcare workers. Using the TECHS has effectively inspired the development and usage of practical coping skills among healthcare workers. There were three tools included in the TECHS educational material to understand and manage adversity, which can be repeated for new or recurring stressful situations in a personal or team-based approach. These tools were based on cognitive-behavioral …

Effectiveness Of Antibiotic Stewardship For Healthcare Providers At Urgent Care Clinics, Helen T. Adewole

Electronic Theses and Dissertations

Antibiotics have revolutionized modern medicine; however, the overuse in urgent care and primary care significantly contributes to the global burden of infections resistant to available antimicrobial medicines. Approximately 30% of the antimicrobials prescribed in acute care settings are unnecessary. Patient demand for antibiotics has seemingly skyrocketed following the recent COVID-19 pandemic. Practitioners must be knowledgeable about antibiotic stewardship initiatives, such as the wait-and-see approach, to reduce antibiotic overuse and improve the trajectory of antibiotic resistance and patient health outcomes. The gap in practice was the limited awareness of scientific evidence-based tools to partner with patients and improve antibiotic prescription patterns. …

Effects Of Compassion Fatigue On Surgical Staff Productivity, Marcy I. Harris

Electronic Theses and Dissertations

Compassion fatigue is a psychological phenomenon affecting many healthcare professionals; however, many professionals are unaware of compassion fatigue or its signs and symptoms. Individuals suffering from compassion fatigue may experience mental and physical side effects and a decline in their work productivity. This quality improvement project was aimed at determining if implementing Vintapatr’s compassion fatigue education and management program would improve perceived levels of compassion fatigue and reduce operating room turnover time. The researcher utilized a descriptive correlational design to identify the relationship between compassion fatigue levels and operating room turnover times. This quality improvement project was implemented at a …

The Association Of Hiv-Related Stigma And Psychosocial Factors And Hiv Treatment Outcomes Among People Living With Hiv In The Volta Region Of Ghana: A Mixed-Methods Study, Jerry John Nutor, Akua O. Gyamerah, Henry Ofori Duah, David Ayangba Asakitogum, Rachel G.A. Thompson, Robert Kaba Alhassan, Alison Hamilton

College of Nursing Faculty Research and Publications

Stigma and discrimination have been identified as significant barriers to HIV treatment among people living with HIV (PLWH). HIV stigma affects decision to seek HIV testing and early treatment. Evidence shows that HIV stigma undermines antiretroviral therapy (ART) adherence by affecting the psychological process such as adjusting and coping with social support. In Ghana, stigma toward PLWH occurs in many ways including rejection by their communities and family members, ostracism, and refusal to engage in social interactions such as eating, sharing a bed, or shaking hands. Therefore. we examined PLWH’s experiences with different forms of HIV-related stigma and the impact …

Application Of The Adverse Childhood Experiences Framework To The Nicu, Kathryn J. Malin, Dorothy Vittner, Darilek Umber, Kelly Mcglothen-Bell, Allison Crawford, Rebecca Koerner, Britt Frisk Pados, Diana Cartegena, Jacqueline M. Mcgrath, Ashlee J. Vance

College of Nursing Faculty Research and Publications

Background:

Infants and families requiring neonatal intensive care unit (NICU) care often experience significant stress and trauma during the earliest period of the infant's life, leading to increased risks for poorer infant and family outcomes. There is a need for frameworks to guide clinical care and research that account for the complex interactions of generational stress, pain, toxic stress, parental separation, and lifelong health and developmental outcomes for infants and families.

Purpose:

Apply the Adverse Childhood Experiences (ACEs) framework in the context of the NICU as a usable structure to guide clinical practice and research focused on infant neurodevelopment outcomes …

Validity And Reliability Of The Indonesian Version Of Expanded Nursing Stress Scale (Enss) As A Job-Stress Assessment Tool For Nurses, Hasto Harsono, Herqutanto Herqutanto, Suryo Wibowo, Aria Kekalih, Astrid Sulistomo

Occupational and Environmental Medicine Journal of Indonesia

ABSTRACT

Background: Job stress is a serious health problem in the 21st century because of its high incidence and impact. Nurses are known as a profession that has high risks of stress, has distinctive characteristics, and hence requires a work stress assessment instrument that suits its peculiarities. The Expanded Nursing Stress Scale (ENSS) is a nurse-specific stress assessment instrument that has high validity and reliability (Cronbach's alpha = 0.96) and is widely used in many countries but is not yet available in Indonesian. This study aims to obtain the Indonesian version of ENSS and evaluate its reliability and validity.

Method: …

Exploring The Relationships Between Health Literacy And Hba1c In A Rural Border Region, Stephen Jaime

Dissertations

Aims/Objectives: The purpose of this study was to describe the relationships between select sociodemographic and clinical characteristics, individual health literacy levels, and hemoglobin A1c (HbA1c) levels among Hispanic patients with diabetes living in a rural border region.

Background: The frequency of complications from diabetes can increase as HbA1c levels rise, causing the person with diabetes to be at greater risk for blindness, amputation, or renal failure. Unfortunately, people of Hispanic background are at higher risk of developing diabetes compared to non-Hispanic Whites. Many people living in rural towns that border Mexico are of Hispanic background, increasing their risk of developing …

Verbal Abuse, Violence Prevention Climate, And Psychological Safety Among Pediatric Nurses, Donna Bigani

Dissertations

Purpose: The purpose of this study was to describe the relationships among demographic characteristics, verbal abuse, violence prevention climate, and team psychological safety.

Specific Aims: Specific aims were to describe: (1) demographic characteristics, verbal abuse, violence prevention climate, and the perception of team psychological safety by pediatric nurses; (2) relationships among select demographic characteristics, verbal abuse, violence prevention climate, and team psychological safety; and (3) the variance in team psychological safety accounted for by select demographic characteristics, verbal abuse, and violence prevention climate.

Background: Psychological safety is a key element for nursing practice and healthcare teams. Patient and employee safety …

Coping Strategies During The Covid-19 Pandemic Among The Undergraduate Nursing Students Attending Virtual Classes In Selected Nursing Institutions Of Udupi Taluk, Karnataka., Rohan Shettigar Mr, Karthik Gavalkar Mr, Jeeshpa Karkera Ms, Pooja P Ms, Swathi Shenoy Ms, Pratibha Kamath, Radhika R. R Pai Dr

Manipal Journal of Nursing and Health Sciences

Introduction

Psychological and sociocognitive behavior changes will occur during the Covid-19 pandemic, especially concerning students’ academic activities, which might impact one's health and well-being. As a result of this, it could result in dysfunctional behaviors and unhealthy lifestyles, which may indicate a shift in well-being that calls for quick attention and intervention.

Methods

A descriptive survey design was adopted for the present study to identify the coping strategies adopted by nursing students during COVID-19. The study was conducted among 60 fourth-year B.Sc. Nursing students using the purposive sampling technique. The data was collected using structured questionnaires on coping strategies adopted …

Relationship Of Weekly Rest To Bsn Appraisal Of Stress And Hardiness, Everly Batuik

Walden Dissertations and Doctoral Studies

No abstract provided.

Cameroonian Women's Experiences In Seeking Breast Cancer Screening And Preventive Services, Cynthia N. Moore

Walden Dissertations and Doctoral Studies

No abstract provided.

A Scoping Review Of Universal Design For Learning In United States Allied Health & Medical Education, Karolina Gawron, Madison Tomlinson, Nicole Mohan, Laura H. Vanpuymbrouck

The Open Journal of Occupational Therapy

Background: Universal design for learning (UDL) is considered best-practice for embracing inclusion for students with disabilities and there is growing evidence of its effectiveness in primary, secondary, and postsecondary education. However, little is known about if and how UDL is being implemented into United States graduate allied health and medical school curriculum as well as evidence of its benefits.

Method: We used Arksey and O’Malley’s (2005) methodological framework. Search engines were: PubMed, CINAHL Complete, ERIC, GoogleScholar, and Scopus. Data were analyzed by the research team using Covidence to organize articles, screen, and complete a full-text review. Data extraction …

Digital Phobia: An Inquiry For Mapping The Unseen Dimension Of New Digital Anxiety, The ‘Digiphobia’, Amarjit Kumar Singh ,Library Assistant, Md. Arshad Ali , Professional Assistant, Dr. Pankaj Mathur, Deputy Librarian,

Library Philosophy and Practice (e-journal)

Background: As technology continues to advance, individuals' interactions with digital platforms have become integral to daily life. Amidst this technological evolution, a novel concern emerges—Digital Phobia, hereafter referred to as “Digiphobia.” This phenomenon, although not previously explored in scholarly literature, necessitates an in-depth investigation due to its potential impact on individuals' well-being. Our research employs a two-step methodology to investigate its existence, implications, and manifestations.

Introduction: This research paper introduces and proposes the term "Digiphobia" as a comprehensive conceptualization of anxiety arising from interactions with digital spaces, applications, and environments. The proliferation of digital technologies has led to the emergence …