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Aging, Agency, And Self-Efficacy: A Phenomenological Case Study Of An Older Couple, David A. Hernandez Nov 2021

Aging, Agency, And Self-Efficacy: A Phenomenological Case Study Of An Older Couple, David A. Hernandez

Journal of Social, Behavioral, and Health Sciences

Researchers have found that the majority of older individuals want to remain in their own home as they age. However, respecting the right of older individuals to exert control over their life while ensuring their safety can be a difficult undertaking to achieve. The aim of this research was to understand the lived experiences of an older couple who are in cognitive decline but are trying to maintain personal agency. The issue was studied using Bandura’s agency and self-efficacy theories as the theoretical framework. A phenomenological case study methodology was used. Participants were selected using a purposeful sampling strategy, and …

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Better To Forgive Or To Forget? Marital Transgressions And Forgiveness In Older Couples, Jakob Jensen, Amy Rauer, Amanda Johnson Nov 2021

Better To Forgive Or To Forget? Marital Transgressions And Forgiveness In Older Couples, Jakob Jensen, Amy Rauer, Amanda Johnson

Journal of Social, Behavioral, and Health Sciences

Navigating romantic transgressions in older adulthood is imperative for both relationship quality and longevity, making forgiveness a critical process. The current study examined marital transgressions and forgiveness among 64 older (age range = 56–89), higher-functioning, primarily White, married couples studied at two time points spaced 16.4 months apart. More than half the spouses did not report a transgression in the past year, and not doing so was associated with better marital functioning at both time points. Of the transgressions reported, thematic analyses revealed they fell into six categories (e.g., spouse behaving badly, financial issues), but were overall relatively minor in …

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Prevention Of Falls In Dickinson County, Iowa, Tamera Frederick Nov 2021

Prevention Of Falls In Dickinson County, Iowa, Tamera Frederick

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Falls are the leading cause of unintentional death to older adults over 65 years of age. A fall can negatively impact an older adult through injuries, loss of independence, and other negative consequences. The impact of ageism can negatively affect the implementation of programming for the older adult. This is seen in the individual and community bias through attitudes, stereotypes, and beliefs. Fit, and Strong (Center for Healthy Aging, 2020) and Healthy Steps in Motion (Center for Healthy Aging, 2021) are recommended programs to implement for fall prevention in the community. Increasing awareness and strategies to prevent ageism are also …

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Predicting Students' Spiritual And Religious Competence Based On Supervisor Practices And Institutional Attendance, Andrew P. Secor, Corinne W. Bridges Oct 2021

Predicting Students' Spiritual And Religious Competence Based On Supervisor Practices And Institutional Attendance, Andrew P. Secor, Corinne W. Bridges

Journal of Social, Behavioral, and Health Sciences

Counseling students report a lack of competence in spiritual and religious integration (SRI). As such, counselor educators and supervisors (CES) and students want to understand how to develop SRI competence. Although past research highlights SRI dialogue in training, there exists no clear understanding about the role of faculty supervisor SRI on perceived student competence. The supervision models used to inform the study included (a) the integrated developmental model, (b) the discrimination model, and (c) the spirituality in supervision model (SACRED). The purpose of this study is to determine if master’s-level graduate counseling student perceptions of faculty supervisor SRI practices predicts …

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Bed And Breakfast: The Role Of Sleep In Breakfast Intake, Ashley R. Macpherson, Natalie D. Dautovich Apr 2021

Bed And Breakfast: The Role Of Sleep In Breakfast Intake, Ashley R. Macpherson, Natalie D. Dautovich

Journal of Social, Behavioral, and Health Sciences

Breakfast intake is associated with numerous positive physical and mental health outcomes, yet skipping breakfast remains common in adults. Sleep behaviors show potential as predictors of breakfast intake; the existing literature, however, has methodological limitations. The current investigation explored the association of means and intraindividual variability of a variety of sleep behaviors (bedtime, midsleep, sleep duration) as predictors of the frequency of eating breakfast and frequency of high-protein breakfast intake. Hierarchical regressions were conducted to assess direct associations between sleep behaviors and breakfast intake frequency. Variability in bedtime was a significant predictor of the frequency of breakfast intake, with greater …

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Family-Based Caregiving: Does Lumping Asian Americans Together Do More Harm Than Good?, Suryadewi E. Nugraheni, Julia F. Hastings Mar 2021

Family-Based Caregiving: Does Lumping Asian Americans Together Do More Harm Than Good?, Suryadewi E. Nugraheni, Julia F. Hastings

Journal of Social, Behavioral, and Health Sciences

Asian American family caregivers have gained increased attention due to the need to provide life-sustaining aid at home given the rising numbers of older adults. This article reflects upon caregiving-related research studies that have overlooked the circumstances Asian American caregivers bring to the home-care context. Policies written to address community needs tend to omit the social circumstances many Asian American caregivers must face when trying to take advantage of programs and services. For example, the eligibility requirements fail to recognize distinctive cultural values embedded within the caregiving processes. Further, most Asian American data is aggregated. Aggregating data by ethnicity limits …

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Motivational Interviewing: A Strategy To Improve Health Professional's Communication, Lanita James Jan 2021

Motivational Interviewing: A Strategy To Improve Health Professional's Communication, Lanita James

Walden Dissertations and Doctoral Studies

Miscommunication between patients and healthcare professionals is common in U.S. hospitals and is considered one of the chief factors in reduced patient satisfaction with care. Collaboration with the nurse researcher who reviewed the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) data for a local hospital noted that negative ratings were directly related to the miscommunication between the patient and care providers. Further identified that the nursing staff was not knowledgeable about evidenced-based strategies needed to communicate effectively with the patients. The purpose of this DNP project was to develop an education program to increase nurses' knowledge about …

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Impact Of A Standardized Situation, Background, Assessment, And Recommendation Tool On Satisfaction And Communication In The Perioperative Area, Salomy Abraham Jan 2021

Impact Of A Standardized Situation, Background, Assessment, And Recommendation Tool On Satisfaction And Communication In The Perioperative Area, Salomy Abraham

Walden Dissertations and Doctoral Studies

AbstractEffective communication among health care providers is critical to maintain patient safety during the handoff of care. Communication breakdown during handoff can lead to medical errors and sentinel events. The perioperative area is a vulnerable area that is prone to communication errors due to the involvement of providers from various disciplines and the nature of the quick patient turnovers within the perioperative area. To ensure proper communication during the handoff in the perioperative area, a unit-specific handoff tool is required. The focus of the project was to implement a standardized situation, background, assessment, and recommendation (SBAR) communication tool in the …

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Experiences Of Volunteer Staff In Eldercare Facilities During The Covid-19 Pandemic, Novelle S. Davis Jan 2021

Experiences Of Volunteer Staff In Eldercare Facilities During The Covid-19 Pandemic, Novelle S. Davis

Walden Dissertations and Doctoral Studies

The exploitation of unpaid healthcare staff led to a volunteer flight from long-term residential facilities during the COVID-19 pandemic. A literature gap existed on human resource policies to support volunteer eldercare workers who had remained at their posts and taken charge of work in long-term care facilities during the public health crisis. The purpose of this qualitative narrative inquiry study was to explore how volunteers in eldercare facilities viewed their daily experiences and interpreted their role in eldercare facilities during the COVID-19 pandemic. This study was framed by Garner and Garner’s theory of volunteer retention and Studer’s concept of volunteer …

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Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton Jan 2021

Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton

Walden Dissertations and Doctoral Studies

Falls among hospitalized, geriatric patients are a leading cause of injury. Geriatric patients with psychiatric illnesses are at an even greater risk of falls. The project site was experiencing an increase in the number of patient falls and identified a need for staff education on fall risk assessment and implementation of interventions specific to the hospitalized, geriatric, psychiatric patient. Thus, the practice-focused question for this project was whether an educational program on evidence-based assessment and fall prevention strategies would improve nurses’ knowledge and skills to assess risk for falls and implement appropriate interventions for inpatient, geriatric, psychiatric patients. Knowles’s adult …

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A Clinical Practice Guideline: Hospice Care In The Emergency Room, Samer Saad Jan 2021

A Clinical Practice Guideline: Hospice Care In The Emergency Room, Samer Saad

Walden Dissertations and Doctoral Studies

Hospice patients use the emergency department (ED) for the management of symptoms, making it necessary for ED nurses to be equipped with the knowledge and skills to care for hospice patients. EDs should have staff specially trained to address end-of-life needs due to ED staff’s minimal knowledge of treating and managing hospice patients. When healthcare organizations fail to provide clinical practice guidelines (CPG) and collaborate with significant stakeholders adequately, gaps in care delivery can occur, and hospice care is often not delivered safely. Standardized guidelines on end-of-life care in the ED should provide adequate guidance for ED nurses in bridging …

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Relationship Between Wellness, Resilience, And Vicarious Trauma Among Clinical Mental Health Counselors Serving Interpersonal Violence Survivors, Elizabeth O'Neill Hunter Jan 2021

Relationship Between Wellness, Resilience, And Vicarious Trauma Among Clinical Mental Health Counselors Serving Interpersonal Violence Survivors, Elizabeth O'Neill Hunter

Walden Dissertations and Doctoral Studies

Interpersonal violence (IPV) can result in the traumatization of primary survivors, as well as the mental health professionals who support them, which is referred to as vicarious trauma (VT). VT is an occupational hazard that if unaddressed can lead to significant personal and professional disruption. Clinical mental health counselors (CMHCs) who provide counseling services to IPV survivors are at increased risk of integrating the traumatic session content into their worldview. VT can lead to psychological distress including symptoms of post-traumatic stress disorder and can threaten the quality and ethical nature of the counseling relationship. The purpose of this quantitative survey …

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An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden Jan 2021

An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden

Walden Dissertations and Doctoral Studies

Elderly nursing home patients’ high rates of hospitalization due to sepsis impact their morbidity and mortality and significantly cost the U.S. healthcare system. Skilled nursing facility (SNF) nurses who have the knowledge to assess older adults for signs and symptoms of sepsis and communicate findings to providers are instrumental in providing improved care for patients. The purpose of this doctoral project was to provide a group evidence-based educational intervention on sepsis care of older adults geared toward nurses working in SNFs. The practice-focused question asked whether an educational intervention focused on the signs and symptoms of sepsis in the elderly …

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The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur Jan 2021

The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur

Walden Dissertations and Doctoral Studies

The quality of life (QOL) of older adults in rural Ghana is of growing concern, locally and throughout the country. In Ghana, it is the tradition for family members to take care of older adults without any government support, but research has shown that changing economic and social structures make this tradition less optimal, so older adults suffer physically and emotionally. The purpose of this phenomenological study was to explore the lived experience of QOL for older adults in rural Ghana. The ecological systems theory was used to explore the integral role of family support and QOL in the microsystem, …

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Increasing Nurse Knowledge Of The Underutilization Of Hospice Services For African Americans, Vicki Schmidt Jan 2021

Increasing Nurse Knowledge Of The Underutilization Of Hospice Services For African Americans, Vicki Schmidt

Walden Dissertations and Doctoral Studies

The focus of this doctoral project was increasing knowledge of underutilization ofhospice services for African Americans (AAs) and the need to increase cultural competence among nurses regarding this issue. The identified gap in practice was nurses’ lack of cultural competence and knowledge regarding the underutilization of hospice specific to AAs. The practice-focused question focused on whether a staff educational intervention increased nurses’ knowledge of the cultural implications regarding the introduction of hospice services for AAs. The education was guided by the Purnell model for culturally competent health care, Healthy People 2030, and the National Hospice and Palliative Care Organizations AA …

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How Women Who Have Recidivated Describe Their Readiness For Employment After Release From Prison, Simba Kathleen Fox Jan 2021

How Women Who Have Recidivated Describe Their Readiness For Employment After Release From Prison, Simba Kathleen Fox

Walden Dissertations and Doctoral Studies

Since the 1980s, the population of women prisoners incarcerated in the state of California had significantly increased by 500% more than that of the male prisoners. The United States had more incarcerated women than any other country. Along with this alarming rise in female incarceration, recidivism rates were also higher among female inmates. This problem has negatively affected women in California; whereas 57% of the women released from prison were rearrested within three to seven years. The purpose of this qualitative phenomenological research study was to investigate how 18 women who had recidivated with the same or a different criminal …

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The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley Jan 2021

The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley

Walden Dissertations and Doctoral Studies

The United States is on a trajectory to reach 20% of citizens aged 65 and over by 2030. This hyper-aging population affects the costs of healthcare, but it is not adequately represented in current U.S. models. Studies indicate other hyper-aged nations have experienced this increase and implemented long-term care measures to counter the increase in aging populations and costs with system responsiveness. This study examined the role of Medicaid home -and community- based service (HCBS) contributions in states that have the fastest-aging populations. Using the established framework and data collected by the Centers for Medicare and Medicaid, the study looked …

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Psychosocial Factors And Physical Health In Chronic Obstructive Pulmonary Disease Patients, Olulana Bamiro Jan 2021

Psychosocial Factors And Physical Health In Chronic Obstructive Pulmonary Disease Patients, Olulana Bamiro

Walden Dissertations and Doctoral Studies

The research problem identified was poor physical health in older adults with chronic obstructive pulmonary disease (COPD). The problem is important because poor physical health yields unsuccessful aging. The current research aimed to identify psychosocial factors that improve self-evaluated physical health in the study population as a proxy to overall health; the research questions helped identify these factors. The first research question assessed the association between health locus of control and self-evaluated physical health. The second research question evaluated the association between family support and self-evaluated physical health. A final research question assessed the association between health locus of control, …

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Improving Fall Risk Knowledge Through Staff Education In An Assisted Living Facility, Assumpta Egowure Ike Jan 2021

Improving Fall Risk Knowledge Through Staff Education In An Assisted Living Facility, Assumpta Egowure Ike

Walden Dissertations and Doctoral Studies

AbstractPatient safety and fall prevention are crucial for nurses and healthcare workers especially in assisted living facilities considering the age and health status of the patients. Low staff knowledge of fall risk measures in an assisted living facility may have contributed to an increase in the number of falls recorded in the facility by 20% in the last 2 years. This project addressed the questions of whether an education project could increase staff’s level of knowledge on fall risk measures, and whether any improved knowledge would coincide with the number of falls per patient day in the assisted living facility? …

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Coping Strategies Of Dual-Role Informal Caregivers, Lorilee Maldonado Jan 2021

Coping Strategies Of Dual-Role Informal Caregivers, Lorilee Maldonado

Walden Dissertations and Doctoral Studies

There are nearly 43.5 million informal caregivers (ICGs) in the United States, and this number will nearly double by 2030. Trying to fulfill the needs of an aging family member and commitments to work, home, and other relationships create a constant state of stress that may result in either leaving the workforce or placing the care recipient in a facility. Finding strategies that support both roles is economically and socially critical. This study explored the strategies that some ICGs have acquired that enable them to cope with these pressures. Work-family conflict theory, focusing on the conflict between work and family …

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Social Workers' Perspectives Of Depression In Baby Boomers Born Between 1946 And 1955, Karen Cohen Jan 2021

Social Workers' Perspectives Of Depression In Baby Boomers Born Between 1946 And 1955, Karen Cohen

Walden Dissertations and Doctoral Studies

AbstractAs the leading-edge baby boomer (L-E boomer) cohort continues to age, demands of mental health services in treating diagnosed depression in this cohort are increasing. Licensed clinical social workers (LCSWs) are the most likely social workers to provide services to L-E boomers diagnosed with depression. LCSWs were the chosen participants for this generic qualitative study to gain knowledge of their perspectives of working with L-E boomers diagnosed with depression. Grounded in generational theory, this study used a generic qualitative approach allowing for nonrestrictive measures for capturing the data. NVIVO assisted in coding the data and identification of common themes, words, …

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Adult Day Care Staff Education To Improve Communication And Behavioral Management Skills, Kathy Davis Jan 2021

Adult Day Care Staff Education To Improve Communication And Behavioral Management Skills, Kathy Davis

Walden Dissertations and Doctoral Studies

AbstractIneffective communication and behavioral management skills are quality and safety issues that were identified at a local adult day care facility in the Southwest United States. Administrators at the facility identified a knowledge gap in communication and behavior management techniques for patients with cognitive impairment. An educational program, with a PowerPoint presentation and verbal feedback as key components, was developed and used to address the identified gap in practice related to individuals with cognitive impairments at the facility. The adult learning theory and the plan-do-study-act model provided supportive frameworks for program development and staff education. The project question explored whether …

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Primary Care Physicians’ Attitudes, Beliefs, And Actions Toward Geriatric Treatment, Andrea Renee Holzner Jan 2021

Primary Care Physicians’ Attitudes, Beliefs, And Actions Toward Geriatric Treatment, Andrea Renee Holzner

Walden Dissertations and Doctoral Studies

AbstractIn the United States, an estimated 49.2 million older adults seek specialized geriatric medical treatment from a primary care physician (PCP). Due to a nationwide geriatrician deficit resulting from significant aging population growth, PCPs now manage specialized geriatric issues, such as Alzheimer’s disease, cognitive assessments, and physiological impairments, such as Parkinson’s, due to non-normative aging. Although PCPs may take geriatric courses, geriatric specialization is beyond a normative primary care medical practice. The purpose of this generic qualitative study was to explore primary care physician attitudes, beliefs, and actions, toward geriatrics and to expand the understanding of primary care physicians’ geriatric …

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Homeowners’ Lived Experience In Developing And Using Accessory Dwelling Units In Ireland, Geraldine Mary Hurley Jan 2021

Homeowners’ Lived Experience In Developing And Using Accessory Dwelling Units In Ireland, Geraldine Mary Hurley

Walden Dissertations and Doctoral Studies

Researchers have explored the role of accessory dwelling units (ADUs) as a form of housing since at least the 1970s. Such exploration has taken place across a number of different disciplines, including gerontology, housing affordability, and urban planning. The literature tends to focus on specific policies, however, rather than on the lived experience of the homeowners impacted by those policies. Ireland’s national and local governments have yet to acknowledge the potential use of ADUs as a contributing solution to ongoing problems with housing supply, housing affordability, and homelessness, despite a government-declared national housing crisis. Formal research on ADUs in the …

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Reducing Fall Rates At A Long-Term-Care Facility, Francis Ortego Jan 2021

Reducing Fall Rates At A Long-Term-Care Facility, Francis Ortego

Walden Dissertations and Doctoral Studies

In the United States, older adults often experience fall events that may result in physical, mental, and financial hardship. Since the project site was experiencing a significant number of patient falls, a fall-prevention quality improvement (QI) program was implemented. Guided by the diffusion of innovation theory and the plan-do-study-act (PDSA) model, the purpose of this doctoral project was to evaluate the effectiveness of that program to determine if the monthly fall rate in the facility would decrease during the next 6 months. The project site provided deidentified data in the form of monthly fall-rate totals as collected from the long-term-care …

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Nursing Staff Education Fall Prevention Program At A Skilled Nursing Facility, Solomon Lomo Jan 2021

Nursing Staff Education Fall Prevention Program At A Skilled Nursing Facility, Solomon Lomo

Walden Dissertations and Doctoral Studies

Falls have negative effects on the confidence, function, and quality of life in older adults and are major cause of injury and death among this population. The quality assurance report in a long-term care facility identified an average of 10 falls per week in the last quarter of 2017. The facility has a person-centered policy, which creates fall prevention challenges when usual fall protective practices are prohibited. The purpose of this education program was to educate staff nurses working with patients in a long-term care facility on additional evidenced based practices to prevent falls and injuries without compromising the person-centered …

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The Systemic Experiences Of Social Workers In An Inpatient, State Psychiatric Hospital, Kesia Gwaltney Jan 2021

The Systemic Experiences Of Social Workers In An Inpatient, State Psychiatric Hospital, Kesia Gwaltney

Walden Dissertations and Doctoral Studies

The National Alliance on Mental Illness surmised that 1 in 25 (9.8 million) adults in the United States are diagnosed with a serious mental illness annually. Of the 9.8 million people diagnosed, approximately 63% of them are psychiatrically hospitalized with repeat hospitalizations within 1 year of discharge. Social workers play a vital role in the treatment modalities of the patients they serve in the psychiatric hospital; however, there is no research that examined the professional systemic experiences of social workers in state, inpatient psychiatric hospitals and how these experiences may affect treatment outcomes of patients as it relates to frequent …

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An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden Jan 2021

An Educational Program For Nursing Home Nurses On Sepsis In Older Adults, Wendy Belden

Walden Dissertations and Doctoral Studies

Elderly nursing home patients’ high rates of hospitalization due to sepsis impact their morbidity and mortality and significantly cost the U.S. healthcare system. Skilled nursing facility (SNF) nurses who have the knowledge to assess older adults for signs and symptoms of sepsis and communicate findings to providers are instrumental in providing improved care for patients. The purpose of this doctoral project was to provide a group evidence-based educational intervention on sepsis care of older adults geared toward nurses working in SNFs. The practice-focused question asked whether an educational intervention focused on the signs and symptoms of sepsis in the elderly …

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Staff Education On Medication Screening Tool For Nursing Home Residents, Jinkee Sarah Beltran Jan 2021

Staff Education On Medication Screening Tool For Nursing Home Residents, Jinkee Sarah Beltran

Walden Dissertations and Doctoral Studies

The prevalence of potentially inappropriate medications (PIMs) among nursing home residents continues to be high. Researchers have demonstrated that the use of a medication screening tool identifying PIMs can improve medication safety among older adults. Screening tools, such as the Beers criteria and the Screening Tool for Older Persons’ Prescriptions (STOPP), are evidence-based guidelines that use several validated criteria to identify PIMs in older adults’ medication regimens. While the use of these tools is standard in the acute care setting, limited studies have been conducted regarding their use in the nursing home setting. The purpose of this project was to …

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Content Analysis Of Ethics Curriculum Requirements In Undergraduate Social Work Programs, Debra Evonne Thrower Jan 2021

Content Analysis Of Ethics Curriculum Requirements In Undergraduate Social Work Programs, Debra Evonne Thrower

Walden Dissertations and Doctoral Studies

Due to recent mandates of the 2015 Council on Social Work Education (CSWE) Educational Policies and Accreditation Standards, social work ethics education has received considerable attention. These standards have increased the focus on ethical education requirements in bachelor’s and master’s curricula. However, research regarding approaches that undergraduate institutions use to implement the required content remains limited. The purpose of this qualitative study was to examine ethics education requirements in the syllabi from practice courses at CSWE-accredited undergraduate social work programs. Common morality theory and curriculum theory were theoretical frameworks that guided examination of the phenomenon. Data were collected from 51 …

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