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Counselors’ Lived Experiences Supporting Emerging Adults With Psychiatric Disorders Secure Competitive Employment, Cheryl Lakisha Andrews

Walden Dissertations and Doctoral Studies

Transitioning from childhood to adulthood is a challenging life experience, further intensified for individuals with psychiatric disorders. While strong social support serves as a key resilience factor, emerging adults with psychiatric disorders face unique challenges in addition to those encountered by their peers. This population is at heightened risk for adverse outcomes, including difficulty securing employment, a critical milestone for adult independence. Counselors play a pivotal role in supporting these individuals but often report feelings of inadequacy and reluctance to engage with this complex developmental stage. This qualitative hermeneutic phenomenology study explores the lived experiences of counselors who assist emerging …

Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara

Walden Dissertations and Doctoral Studies

Suicide remains a public health issue, demanding proficient training of future counselors in suicide risk assessment (SRA). However, concerns persist regarding the competency of counselors-in-training (CITs) in this crucial area. This study explored the predictive relationship between theory of planned behavior (TPB) constructs and students’ perceived competency in SRA. Grounded in the TPB, the research addressed how attitudes (ATT), subjective norms (SN), and perceived behavioral control (PBC) influence intentions and subsequent behavior, using a nonexperimental survey design to collect data from students in Council for Accreditation of Counseling & Related Educational Programs (CACREP)–accredited master's counseling programs via a comprehensive questionnaire. …

Suicide Risk Assessment And Student Competency In Cacrep-Accredited Master's Counseling Programs, Meghan Kyle O'Meara

Walden Dissertations and Doctoral Studies

Suicide remains a public health issue, demanding proficient training of future counselors in suicide risk assessment (SRA). However, concerns persist regarding the competency of counselors-in-training (CITs) in this crucial area. This study explored the predictive relationship between theory of planned behavior (TPB) constructs and students’ perceived competency in SRA. Grounded in the TPB, the research addressed how attitudes (ATT), subjective norms (SN), and perceived behavioral control (PBC) influence intentions and subsequent behavior, using a nonexperimental survey design to collect data from students in Council for Accreditation of Counseling & Related Educational Programs (CACREP)–accredited master's counseling programs via a comprehensive questionnaire. …

Executive Summary: Quality Improvement Initiative Personalized Interdisciplinary Fall Prevention Plan And Fall Rates At An Inpatient Rehabilitation Hospital, Kayla Jackson

Walden Dissertations and Doctoral Studies

Despite ongoing fall prevention strategies, falls continue to be a concern across healthcare organizations. There has been an identified increase in the fall rate at an inpatient rehabilitation facility (IRF) in the southeastern United States. An interprofessional and collaborative approach to fall prevention has been found to lead to a decrease in falls with injury and an increase in the culture of safety. This doctor of nursing practice (DNP) project involved an evaluation of a quality improvement (QI) initiative of a personalized interdisciplinary fall prevention plan at a rehabilitation hospital located in the southeastern region of the United States. The …

Executive Summary: Quality Improvement Initiative Implementing Fixed Water Dispensers In An Inpatient Psychiatric Hospital, Elycia Victoria Hernandez

Walden Dissertations and Doctoral Studies

The current hydration system using water pitchers was outdated and inefficient, leading to potential risks of contamination, inconsistent hydration, and increased staff workload in this inpatient psychiatric facility. Psychiatric patients may struggle to access adequate hydration due to cognitive or behavioral limitations. Addressing this gap is essential for improving patient care, enhancing operational efficiency, and ensuring consistent access to clean water. This DNP scholarly project was an evaluation of an interprofessional team-based quality initiative to replace traditional water pitchers with fixed water dispensers in an acute inpatient psychiatric facility. The primary practice-focused question was: Will an interprofessional team reach consensus …

The Role Of Sociability In Mental Health In Mid To Late Life During Covid-19, Katherine L. Fiori, Amy Rauer, Christina M. Marini, Amna Khan, Christine So

Journal of Social, Behavioral, and Health Sciences

Some adults in mid and late life may have been particularly sensitive to the negative effects of social disruptions due to COVID-19 restrictions. The current study explored whether sociability moderated links between disrupted contact with friends and family and multiple indicators of mental health. We collected quantitative data via an online survey from a community sample of 136 adults in mid to late life (M age = 67.77, range 50–91; 69.3% females; 92.7% White). We conducted a series of hierarchical linear regressions to test for moderation. Controlling for age, gender, and marital status, sociability moderated the associations between disruptions …

Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu

Walden Dissertations and Doctoral Studies

In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …

Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu

Walden Dissertations and Doctoral Studies

In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …

Staff Education Project To Train Providers On The Use Of The Sbar Communication Tool To Improve Reimbursement Rates, Teona Natoya Eririogu

Walden Dissertations and Doctoral Studies

In this doctoral project, I focused on educating healthcare staff on using the situation-background-assessment-recommendation (SBAR) communication tool to improve documentation practices and reimbursement rates from Medicare, Medicaid, and private insurance companies. My goal for the project was to determine if training on the SBAR tool would improve healthcare providers' knowledge of how to use it for documentation. The facility had experienced significant financial losses, exceeding $1 million in the last two quarters of 2023, due to inadequate documentation. Inaccurate or incomplete documentation, particularly in medical records, hinders the ability to bill appropriately for services rendered, impacting patient care and financial …

Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde

Walden Dissertations and Doctoral Studies

Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …

Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde

Walden Dissertations and Doctoral Studies

Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …

Strategies And Best Practices To Improve Job Satisfaction And Determine Optimum Workload For Nurses In Texas Long-Term Care Facilities, Oluwayomi Toyin Olatunde

Walden Dissertations and Doctoral Studies

Long-term care facilities have experienced a workforce crisis for years. This workforce primarily encompasses direct care workers that include registered nurses (RNs), licensed practical nurses (LPNs), and certified nursing assistants (CNAs). This integrative review searched empirical and non empirical literature within the past five years related to long-term care facilities nurses’ perceptions of the impact of workload on job satisfaction. The study employed the Job Demand-Control (JDC) framework to determine the demand and control measures influencing LTC nurse job satisfaction. The literature search revealed five main themes which included: reduced workload, improved workplace environment, organizational support, development opportunities, and CNA …

Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott

Walden Dissertations and Doctoral Studies

By 2050, 152 million people worldwide, primarily low-income populations, will have Alzheimer's disease (AD). African American (AA) women informal caregivers are primary caregivers in low-income neighborhoods, and they suffer from burnout and poor health, including physical and mental fatigue, despair, anxiety, hypertension, and stressors that can lead to heart attacks, strokes, or premature mortality. The Informal Caregiver Integrative Model (ICIM) theoretical framework was used to survey 120 participants using SurveyMonkey was administered to collect data for this cross-sectional quantitative study. The multiple hierarchical regression analyses revealed caregiving appraisal had no significant impact on burnout. A higher quality of the caregiver-care …

Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers

Walden Dissertations and Doctoral Studies

An argument can be made for the continued existence of Federally Qualified Health Centers (FQHCs) because of the level of importance of the service they provide to society. The problem addressed in this research is that despite the millions of people in need of affordable health care, the leaders of many FQHCs are fighting to keep facilities open amidst financial struggles. The purpose of this research was to identify leadership characteristics that promote FQHCs’ success by assessing effective leadership styles. This study applied a quantitative, descriptive non-experimental approach. Probability sampling was used to select the sample size and the Multifactor …

Aging As Online Faculty: Attitudes Toward Work And Retirement, Lee Stadtlander, Amy Sickel

Journal of Educational Research and Practice

Aging, an often-neglected aspect of diversity in universities, is an important issue, as the rate of people working who are 75 and older is growing faster than the rate for any other age group. The present sequential explanatory mixed-method study explored 129 older online faculty’s attitudes and opinions on work and retirement in an online survey and in 13 faculty interviews. Data were examined cross-sectionally to assess differences by decade: 50s, 60s, and 70s and above. The results indicated that while older faculty were collecting some form of retirement payment, money was not a primary motivator for working. These individuals …

Transformative Learning: Changing Nurses’ Perceptions About People In Poverty, Jacqueline Debrew

Journal of Social, Behavioral, and Health Sciences

Background: Meaningful learning experiences with clients in poverty may help nursing students change their perceptions towards those experiencing poverty and, thus, provide unbiased, nonjudgmental care when they become nurses.

Purpose: The purpose of this research was to understand what learning activities and experiences nursing students found meaningful and led to a change in prior perceptions of people in poverty.

Methods: Guided by Mezirow’s Theory of Transformative Learning, accelerated BSN students enrolled in a mental health nursing course (n = 14) were assigned reflective journals throughout the semester on their assigned clinical experiences, which were analyzed for emergent themes.

Results: …

A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins

Walden Dissertations and Doctoral Studies

In nursing education, both preregistration and continuing professional development, there is an absence of information about the specific needs of transgender people. The practicum site observed that education on the needs of the transgender community was lacking, discussing a discrepancy in the information offered and the scant attention paid to the unique requirements of transgender individuals. The goal of this project was to create a program that would raise staff members’ understanding of the exceptional health care requirements of the transgender population by providing them with an evidence-based assessment screening tool and training on transgender health care for nurses. The …

A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins

Walden Dissertations and Doctoral Studies

In nursing education, both preregistration and continuing professional development, there is an absence of information about the specific needs of transgender people. The practicum site observed that education on the needs of the transgender community was lacking, discussing a discrepancy in the information offered and the scant attention paid to the unique requirements of transgender individuals. The goal of this project was to create a program that would raise staff members’ understanding of the exceptional health care requirements of the transgender population by providing them with an evidence-based assessment screening tool and training on transgender health care for nurses. The …

Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic exacerbated many illnesses afflicting older adults in U.S. communities, including mental health wellness. Since 2020, at the inception of the pandemic, older adults living in residential settings, including assisted living and skilled nursing homes, experienced harsh limitations in their everyday lives. The conditions included prolonged periods of isolation and reduced interactions between caregivers and loved ones. Therefore, it is important to understand the experiences of older adults living in facilities and their ability to adapt to the environment. The research question addressed in this study gained insight into the effects of mandated isolation on older adults. Using …

Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic exacerbated many illnesses afflicting older adults in U.S. communities, including mental health wellness. Since 2020, at the inception of the pandemic, older adults living in residential settings, including assisted living and skilled nursing homes, experienced harsh limitations in their everyday lives. The conditions included prolonged periods of isolation and reduced interactions between caregivers and loved ones. Therefore, it is important to understand the experiences of older adults living in facilities and their ability to adapt to the environment. The research question addressed in this study gained insight into the effects of mandated isolation on older adults. Using …

Mental Health And Well-Being Of People Aged 60 And Older Due To Covid-19, Holly Grayson

Walden Dissertations and Doctoral Studies

Few studies have focused on the experiences of people aged 60 and older during the COVID-19 pandemic. The extent to which COVID-19 affects people 60 or older and their mental and physical health and overall well-being was the focus of this project. This project’s framework and research design was the theoretical framework of gerotranscendence developed by Tornstam and qualitative research methods with 20 open-ended interview questions. The questions focused on different aspects of life to determine the participants’ perceptions of the effect that the COVID-19 pandemic has on mental health and well-being. The interviews were recorded, transcribed, and coded to …

The Lived Spiritual Experience Of Aging Adults (≥65), Eddie Doron Soffer

Walden Dissertations and Doctoral Studies

This phenomenological study explored the lived spiritual experience of aging adults (≥65), filling a gap in the literature relating to aging people’s spirituality in a variety of circumstances. The once-American youth-oriented society is growing older at an unprecedented rate as 76 million individuals of the baby-boomer generation (born 1946–1964) face retirement age. This demographic shift highlights a social problem of millions of aging baby boomers requiring a far-reaching change in the structure of society. This qualitative study aimed to gain insights into the lived experience of the spirituality of a sample of nine adults aged 65 and above by asking …

Aging And Depression: Identifying Strategies To Prevent Suicide And Restore Integrity, Nekka A. Herbert

Walden Dissertations and Doctoral Studies

Researchers have documented a projected increase in the older adult population and a foreseeable increase in older adult suicides associated with shortcomings in the mental health field related to providing adequate mental health treatment to individuals 65 and older. Researchers have concluded that these shortcomings are due to ageism, lack of awareness, lack of knowledge in gerontology, and inadequate training for professionals entering the field. Studies have highlighted the growing number of older adult suicides but have lacked effective treatment strategies to reduce depressive symptoms and suicidal thoughts/behaviors, specifically in the older adult male population, which has the highest number …

Sustaining And Increasing Participation Of Rural Seniors In A Senior Center, Michelle L. Fontaine

Walden Dissertations and Doctoral Studies

This case study’s objective was to sustain and increase senior participation in senior center activities by examining the rural senior perception of environmental needs and support of a local senior center. Senior centers assist with aging in place well and aid seniors to be socially active within their communities. Much of the literature around senior centers has focused on urban environments and not on the specific needs of the rural senior. In this study, 24 individuals were interviewed. The questions examined the seniors’ perception about the functionality and accessibility of the senior center to meet their physical and social needs …

The Experiences Of Older Adult Learners In Higher Education Transitioning To Online Learning During The Pandemic, Naeemah Giovanni Hardison

Walden Dissertations and Doctoral Studies

No abstract provided.

Effect Of Formal Toileting Programs On Urinary Tract Infection Rates In Long Term Care, Deborah Jeanmarie

Walden Dissertations and Doctoral Studies

Urinary tract infection (UTI) accounts for up to 31% of sepsis diagnoses and is the fourth leading cause of infections in long-term care (LTC) facilities. Timed and prompted toileting programs are used by LTCs to reduce incontinence episodes, but there is a lack of information regarding the effectiveness of timed and prompted voiding incontinence management programs on the rate of UTIs. The purpose of this study, guided by Donabedian’s conceptual model of quality improvement, was to determine if there is a difference in the rate of UTIs in Georgia LTC facilities that have a timed and prompted voiding program and …

Perceptions Of Financial Exploitation Among Older African American Women In The Black Church, Patricia Jackson

Walden Dissertations and Doctoral Studies

Perceptions of Financial Exploitation Among Older African American Women in the Black Church by Patricia Jackson MS, Walden University, 2016 BA, Langston University, 1977 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Social and Behavioral Sciences, Family Studies and Intervention Walden University February 2024

Perceptions Of Competence Development In The Field Of Gerontology And Dementia, Janice Braxton

Walden Dissertations and Doctoral Studies

No abstract provided.

Food Insecurity And The Experiences Of Adults Aged 65 Years And Older, Yvonne Mannings

Walden Dissertations and Doctoral Studies

No abstract provided.

Supporting Novice Nurse Transition To Practice Through Mentorship, Jesssica M. Cox

Walden Dissertations and Doctoral Studies

No abstract provided.