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Nursing Education Workflows In Ehr Training, Liezel Granada Jan 2019

Nursing Education Workflows In Ehr Training, Liezel Granada

Walden Dissertations and Doctoral Studies

A need for improvement in nursing education regarding inpatient workflows and informatics skills was identified at this project site. Upon hire, nurses were required to complete a 4-hour basic class on the electronic health record (EHR) system, but this class did not include inpatient-nursing workflows needed to provide and facilitate care for patients. This project addressed the lack of EHR education on inpatient nursing workflows. The focus of this staff education project was an education class on inpatient nursing workflow provided to a nurse residency class. Sources of evidence were obtained through a literature search and pretest/post test data analysis. …

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Tobacco Treatment Education Module For Nurses Working In The Inpatient Psychiatric Setting, Marchell Rene Spielmann Jan 2019

Tobacco Treatment Education Module For Nurses Working In The Inpatient Psychiatric Setting, Marchell Rene Spielmann

Walden Dissertations and Doctoral Studies

Tobacco use among people with mental illness remain a significant problem in the western United States. At the project site, there is widespread tobacco use among patients with mental illness and lack of training for nurses to address the issue. The purpose of this project was to educate nurses working in the acute psychiatric setting about evidence-based tobacco treatment interventions. The practice-focused question addressed whether a tobacco education program would increase nurses' knowledge, confidence, and skills to provide tobacco treatment interventions to patients with a mental illness. Self-determination theory and the transtheoretical model of change provided the theoretical framework for …

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Influence Of Implicit-Bias Training On The Cultural Competency Of Police Officers, Marvin Whitfield Jan 2019

Influence Of Implicit-Bias Training On The Cultural Competency Of Police Officers, Marvin Whitfield

Walden Dissertations and Doctoral Studies

Highly publicized media events involving African American men and the use of deadly force by police officers have occurred between 2013 and 2014. These events have emphasized the need to examine the influence of implicit bias training on police officers' decision-making processes. During the past two decades, Community Oriented Policing Services has invested several billion dollars in training programs designed to eliminate racial bias within the law enforcement community. The purpose of this qualitative study was to examine how implicit-bias training influences the decision-making processes of police officers. More specifically, this study examined the perceptions of police officers regarding the …

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Increasing Daily Exercise Adherence In Women By Examining Motivational Factors, Victoria Wozniak Jan 2019

Increasing Daily Exercise Adherence In Women By Examining Motivational Factors, Victoria Wozniak

Walden Dissertations and Doctoral Studies

Women ages 20–39 years old have seen the most dramatic increase in obesity levels in the United States over the last 2 decades. Researchers have indicated the need for studies to increase motivation in women to promote daily exercise. There is a gap in the literature about what motivational factors are most effective with increasing exercise in daily life. Using the transtheoretical model of change (TM) as the grounding theory, this study measured daily exercise adherence. A selective sampling of women ages 20–39 years old in the United States were recruited to complete an online survey. The online survey included …

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The Effect Of Veteran Student Support Services On Veteran Students' Academic Achievement, Justin Michael Zickar Jan 2019

The Effect Of Veteran Student Support Services On Veteran Students' Academic Achievement, Justin Michael Zickar

Walden Dissertations and Doctoral Studies

Since the introduction of the Post-9/11 G.I. Bill, veteran student support services have expanded in higher education in response to the growing veteran student population and to improve the academic achievement of veteran students. The problem addressed in this study was a lack of knowledge regarding the effect of veteran students' participation in veteran student support services on veterans' academic achievement at selected colleges in Maryland. Using a theoretical foundation of Pascarella and Terenzini's within-college framework, the research question examined the effects of veteran students' participation in veteran student support services on their academic achievement as measured by their grade …

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Increasing The Efficacy Of Virtual Reality Exposure Therapy For Fear-Of-Flying, Chad Macmillan Jan 2019

Increasing The Efficacy Of Virtual Reality Exposure Therapy For Fear-Of-Flying, Chad Macmillan

Walden Dissertations and Doctoral Studies

Virtual reality exposure therapy (VRET) is a treatment often used to treat fear-of-flying (FOF), which research shows is effective for treating this phobia. Researchers have identified that the realism of the virtual environment is an important component in the efficacy of VRET and increased realism is likely to increase the efficacy of VRET. Guided by cognitive theory, emotional processing theory, and behaviorism, the purpose of this quantitative study was to demonstrate if a new generational technique called true reality-virtual reality exposure therapy (TR-VRET) is at least as efficacious as traditional VRET for treating the fear and anxiety associated with FOF. …

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Preinfection Risk Perceptions Of Human Immunodeficiency Virus Positive Homosexual And Bisexual Men, Benjamin Singer Jan 2019

Preinfection Risk Perceptions Of Human Immunodeficiency Virus Positive Homosexual And Bisexual Men, Benjamin Singer

Walden Dissertations and Doctoral Studies

In 2017, there were 4,949 persons diagnosed with human immunodeficiency virus (HIV), 116,944 persons living with HIV, and 2,044 acquired immunodeficiency syndrome (AIDS) cases in Florida. Of the 4,972 new HIV diagnoses in Florida, 60% were related to male-to-male sexual contact, 4% from intravenous drug use, 2% from male-to-male sexual contact and intravenous drug use, 33% from heterosexual sexual contact, and 1% from other sources. Guided by the health belief model (HBM), this qualitative study sought to understand the lived experiences of HIV positive adult men who have sex with men (MSM) living in Florida, regarding their preinfection perceptions of …

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Characteristics Of Cause Of Death, Victim, Crime, Offender, And Familial Relationship, William J. Reilly Jan 2019

Characteristics Of Cause Of Death, Victim, Crime, Offender, And Familial Relationship, William J. Reilly

Walden Dissertations and Doctoral Studies

Broad personality or global traits are unlikely to assist in solving capital crimes, so forensic psychologists have begun to focus on characteristics of the crime to create differentiating profiles. The purpose of this study was to determine if offender and victim characteristics and method of murder could provide cluster profiles differentiating familial relationship between offender and victim. Guided by classical conditioning theory and social learning theory, an archival database of 147 capital offenders responsible for 506 victims was analyzed. Cluster analysis yielded 3 distinct profiles. Compared to other clusters, Cluster 1 offenders tended to be Black and unfamiliar with their …

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Access And Use Of E-Government Public Services Amongst Older Adults, Ryshell Flowers-Henderson Jan 2019

Access And Use Of E-Government Public Services Amongst Older Adults, Ryshell Flowers-Henderson

Walden Dissertations and Doctoral Studies

Lack of trust in technology, personal preference, and perceived inability to use online services are possible reasons for lagged adaptation to electronic government (e-government) among older adults in the United States. Although e-government policies promote, or require, that many public services be provided electronically, it is unclear whether older adults are able, or willing, to access such services. The purpose of this qualitative, exploratory study was to gain insight from older adults (e.g., "individuals who are 65 years or older") about their ability and willingness to access e-government services in a mid-Atlantic County. The framework for this research was Roger's …

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The Urban Parents' Learning Experiences In An Online Training Program, Shamanie Atkinson Jan 2019

The Urban Parents' Learning Experiences In An Online Training Program, Shamanie Atkinson

Walden Dissertations and Doctoral Studies

Research has shown a link between urban students' success in U.S. schools and the level of parental involvement. However, urban parents have historically low levels of engagement in their children's education. Increased involvement of urban parents in their children's education can increase student success in urban schools. The purpose of this generic qualitative research study was to understand the experiences of urban parents of children diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) who have participated in an online training program to learn about their children's learning disability. Self-efficacy, andragogy, experiential learning, and sociocultural theory were used as conceptual foundations to guide the …

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School-Based Child Sexual Abuse Prevention: Implications For Professional School Counselors, Rebecca G. Cowan, Rebekah F. Cole, Laurie Craigen Jan 2019

School-Based Child Sexual Abuse Prevention: Implications For Professional School Counselors, Rebecca G. Cowan, Rebekah F. Cole, Laurie Craigen

Walden Faculty and Staff Publications

The purpose of this qualitative collective case study was to explore the experiences of four key internal stakeholders who are involved with a school-based child sexual abuse prevention program in a southeastern state in the United States. In order to explore the experiences of participants, in-depth, semi-structured interviews were conducted. After the data were collected, transcribed, and coded by a qualified research team, three main themes emerged from this study. These themes highlighted the importance of school-based child sexual abuse prevention education, various program impacts resulting from child sexual abuse prevention and intervention within a school setting, and barriers to …

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Exploring Faculty Perceptions About Classroom Technology Integration And Acceptance: A Literature Review., Zhanat Alma Burch, Shereeza Mohammed Jan 2019

Exploring Faculty Perceptions About Classroom Technology Integration And Acceptance: A Literature Review., Zhanat Alma Burch, Shereeza Mohammed

Walden Faculty and Staff Publications

In examining the complexity of how higher education institutions integrate and adopt classroom technology, this study explores literature regarding classroom technology integration and acceptance that appears in research articles published from 2012 – 2018. The literature review of 148 articles was centered on a deeper understanding of faculty perceptions regarding classroom technology integration and acceptance. The evidence suggests that there is not a simple model when it comes to augmenting classrooms with classroom technology. Additionally, for the appropriate adoption of technology tools, it is important to understand how faculty perceive the integration of classroom technology tools.

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A Literature Review-Digital Citizenship And Elementary Education, Meghan Walters, Donna Gee, Shereeza Mohammed Jan 2019

A Literature Review-Digital Citizenship And Elementary Education, Meghan Walters, Donna Gee, Shereeza Mohammed

Walden Faculty and Staff Publications

This literature review was conducted as part of a dissertation research study. The review examines what scholars have studied in relationship to educators’ implementation of technology and instructional practices relating to digital citizenship. Additionally, the review examines the knowledge and beliefs of educators to include pre-service and current service teachers and students in K-12 education. Often research, as well as educational institutes, have emphasized the negative aspects technology or the misuse of technology by users. Alternatively, this review highlighted the knowledge, beliefs, and professional practices of educators in order to ascertain what gaps exist to understand what needs to be …

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Adoption Of Self-Service Technologies Among Banking Customers: A Revisit, Irbha Magotra, Jyoti Sharma, Supran Kumar Sharma Jan 2019

Adoption Of Self-Service Technologies Among Banking Customers: A Revisit, Irbha Magotra, Jyoti Sharma, Supran Kumar Sharma

International Journal of Applied Management and Technology

The introduction of self-service technologies (SSTs) in the banking industry has been emerging as one of the significant business drivers that facilitate customers in operating their bank accounts. Considering this, the present study has made an attempt to pierce the existing literature with reference to the adoption of SSTs among banking customers. Particularly, the intent of the present article is to explore various personal (e.g., optimism, socioeconomic characteristics) and technology characteristics (e.g., perceived usefulness, perceived ease of use) that affect the acceptance of SSTs among the banking customers. Based on a review of the literature, a conceptual model for SST …

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Perceived Child Regard, Parenting Stress, And Depressive Symptoms Of Nonresidential And Residential Stepmothers, Lenee Nicole Kehnt, Magy Martin, Don Martin Jan 2019

Perceived Child Regard, Parenting Stress, And Depressive Symptoms Of Nonresidential And Residential Stepmothers, Lenee Nicole Kehnt, Magy Martin, Don Martin

Walden Faculty and Staff Publications

An analysis of covariance was used to determine whether differences existed between nonresidential and residential stepmothers regarding parental stress, perceived parental regard, and depressive symptoms. The participants selected for the study were both nonresidential and residential stepmothers, 18 years and older. Participants completed a web-based survey that administered three different instruments: The Perceived Child Regard Questionnaire, the Parental Stress Scale, and the Center for Epidemiologic Studies Depression Scale-Revised. A total sample size of 94 nonresidential stepmothers and 79 residential stepmothers completed the survey. Results indicated no significant differences in parental stress and depressive symptoms due to custody status. However, there …

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Qualitative Case Study Of Teachers’ Morale In A Turnaround School, Louis Lane, Don Jones, Glenn Richard Penny Jan 2019

Qualitative Case Study Of Teachers’ Morale In A Turnaround School, Louis Lane, Don Jones, Glenn Richard Penny

Walden Faculty and Staff Publications

A small Southeastern high school that had undergone a turnaround or conservatorship process experienced a lower than average teacher retention rate. The authors conducted a qualitative case study to investigate teachers’ experiences and perceptions of how turnaround strategies may have influenced their morale and how that effect on morale may have affected the teachers’ retention. Bandura’s self-efficacy theory provided the conceptual framework for this study. The research questions addressed teachers’ perspectives of morale as well as their views and experiences with the conservatorship process. Semistructured interviews were conducted with 8 teachers who were actively employed at the school before the …

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Experiences Of Subtle Sexism Among Women Employees In The National Park Service, Audrey Marie Ashcraft Jan 2019

Experiences Of Subtle Sexism Among Women Employees In The National Park Service, Audrey Marie Ashcraft

Walden Dissertations and Doctoral Studies

Although blatant sexism persists in the workplace, there is a subtler type of sexism that is not often discussed. Some of the harmful outcomes that concern organization employees and leaders include decreased job satisfaction and morale, increased stress and turnover, damaged workplace relationships, barriers to career development for women, and decreased feelings of safety in law enforcement employees. Subtle sexism is often disguised as friendliness or chivalry, and therefore is difficult to detect, so it is often ignored or trivialized. The harms are cumulative and compound over time. The purpose of this qualitative, phenomenological study was to gather data about …

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Relationship Between Post-Resuscitation Debriefings And Perceptions Of Teamwork In Emergency Department Nurses, Kerri Lyman Jan 2019

Relationship Between Post-Resuscitation Debriefings And Perceptions Of Teamwork In Emergency Department Nurses, Kerri Lyman

Walden Dissertations and Doctoral Studies

Emergency department nurses are faced with traumatic patient events while functioning as members of multidisciplinary teams. Critical incident debriefing has been shown to benefit health care professionals and patient clinical outcomes. The purpose of this quantitative correlational study was to examine the relationship between the use of formal post-resuscitation debriefings and perceptions of teamwork in emergency department nurses. The study also addressed the type and timing of debriefing to determine whether these factors impacted perceptions of teamwork. The nurse as wounded healer theory served as the theoretical framework. Data from the Nursing Teamwork Survey were collected from 68 emergency department …

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Successful Strategies For Increased Dental Practice Competitiveness, William Eyster Jan 2019

Successful Strategies For Increased Dental Practice Competitiveness, William Eyster

Walden Dissertations and Doctoral Studies

The rapid expansion of dental service organizations (DSOs) continues to disrupt the traditional dental practice model and there was a 12.2% increase in DSOs between 2015 and 2016. Some solo and small group dental practice owners lack strategies to adapt their businesses to be successful in newly competitive markets including DSOs. Grounded in systems theory, the purpose of this qualitative multicase study was to explore strategies dental practice owners use to adapt their businesses to be successful in newly competitive markets. The participants included 3 solo and 2 small group dental practice owners in central Kentucky who demonstrated success in …

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Destination Arrival And Discharge Unit To Improve Patient Flow, Shelia Celeste Jeter Jan 2019

Destination Arrival And Discharge Unit To Improve Patient Flow, Shelia Celeste Jeter

Walden Dissertations and Doctoral Studies

The increase in patients presenting to the emergency department (ED) for primary care poses a serious safety issue in the care that can be provided. In a care area that is overcrowded, physicians, nurses, ancillary department staff, and other care team members may have a difficult time delivering care. Poorly managed flow in the ED leads to overcrowding, and patients with life-threatening illnesses are less likely to be transitioned to designated specialized areas in a safe and efficient manner. The practice-focused question was whether processes to improve the flow of patients entering the ED decreased the number of patients leaving …

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Nurses' Perceptions Of Patient Encounters During Bariatric Weight Loss Surgery Education, Traci Edwynne Cullins-Clark Jan 2019

Nurses' Perceptions Of Patient Encounters During Bariatric Weight Loss Surgery Education, Traci Edwynne Cullins-Clark

Walden Dissertations and Doctoral Studies

Many researchers have suggested positive patient-health provider relationships can positively impact patient outcomes. A few focused explicitly on bariatric weight loss surgery (BWLS) professional-patient interactions. This study is significant because BWLS is a recommended tool to combat obesity. The purpose of this study was to analyze the perceptions of BWLS education nurses regarding their patient encounters. This mixed methods research study used an online survey combining quantitative Likert scale questions and open-ended qualitative questions, with social cognitive theory as the theoretical foundation. These explored viewpoints relate to their patient relations expressed by a health professional. Health professional beliefs incorporated into …

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Patient Satisfaction With Nursing Care Related To Hospital Magnet Designation, Sharon Haylett Jan 2019

Patient Satisfaction With Nursing Care Related To Hospital Magnet Designation, Sharon Haylett

Walden Dissertations and Doctoral Studies

Many U.S. hospitals have historically failed to recognize nursing as essential to quality of care. Given the relationship between the patients' experiences, measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and government reimbursement, stakeholders now value the role of nurses in the care experience. Some hospitals have pursued Magnet designation, which is a rigorous and costly process, in order to promote patient satisfaction through nurse autonomy and retention. The purpose of this study was to understand whether non-Magnet hospitals received similar HCAHPS scores. Expectancy disconfirmation theory provides a framework to understand the components of patient satisfaction …

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Examining The Relation Of Psychological Distress To Shift Work In Firefighters, Lindsey Marie Lilly Jan 2019

Examining The Relation Of Psychological Distress To Shift Work In Firefighters, Lindsey Marie Lilly

Walden Dissertations and Doctoral Studies

Firefighters experience stressful job demands. Many of them work in shifts that can extend to 96-hour rotations. Firefighters also tend to suffer from poor sleep quality and psychological distress; however, there are conflicting findings on how these factors may relate to each other. The purpose of this quantitative survey study was to examine the relation between symptoms of depression, anxiety, posttraumatic stress disorder (PTSD), and alcohol abuse to shift duration in firefighters who work 24-hour shifts compared to those who work 48-hour shifts, with sleep quality as a mediating variable. The repair and restoration theory of sleep was the theoretical …

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Federal Women, Incivility, Job Satisfaction, And Job Stress, Wanda Harris Pemberton Jan 2019

Federal Women, Incivility, Job Satisfaction, And Job Stress, Wanda Harris Pemberton

Walden Dissertations and Doctoral Studies

Incidents of incivility in the workplace have continued to increase in frequency. Workplace incivility impacts the health and well-being of those who experience or witness the behavior and impacts morale, levels of engagement, attendance, retention, and overall organizational health. Researchers have explored the damage caused by workplace incivility, but few have focused on the impact of incivility among federally employed women. The purpose of this quantitative, correlational study was to examine the relationship between incivility, job satisfaction, and job stress among women working in the federal sector. The affective events theory framed this study. Online surveys were used to capture …

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Assessment Of Cancer-Related Fatigue In Breast Cancer Survivors, Meagan Walker Jan 2019

Assessment Of Cancer-Related Fatigue In Breast Cancer Survivors, Meagan Walker

Walden Dissertations and Doctoral Studies

Cancer-related fatigue (CRF) is a persistent and debilitating problem for many breast cancer survivors. Although many CRF measurement tools are available, no consensus exists on the most appropriate tool to use for breast cancer survivors. The purpose of this project was to identify the best method of assessing CRF in breast cancer survivors. The practice-focused question inquired about the most appropriate way to assess fatigue in breast cancer survivors. The central concepts of the project were CRF and cancer survivorship. This project was informed by the theory of health as expanding consciousness and Mishel's theory of uncertainty in illness. The …

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Interprofessional Intentional Empathy Centered Care (Ip-Iecc) In Healthcare Practice, Deepy Sur Jan 2019

Interprofessional Intentional Empathy Centered Care (Ip-Iecc) In Healthcare Practice, Deepy Sur

Walden Dissertations and Doctoral Studies

Training interprofessional healthcare teams continues to advance practice for patient-centered care. Empathy research is also advancing and has been explored in social work, psychology, and other healthcare areas. In the absence of understanding empathy in an interprofessional setting, educators are limited in preparing teams to develop empathy as part of core competencies This grounded theory study explored for a theory of how interprofessional healthcare teams conceptualize and operationalize empathy in their practice. Azjen's theory of planned behavior and Barrett-Lennard's cyclical model of empathy framed the study. Data were collected using 6 focus groups and 24 semistructured interviews of varied healthcare …

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Exploring Education Needs For Heart Failure Patients' Transition Of Care To Home, Michelle D. Williams Jan 2019

Exploring Education Needs For Heart Failure Patients' Transition Of Care To Home, Michelle D. Williams

Walden Dissertations and Doctoral Studies

Transitions of care is a model designed to ensure that patients have resources needed to assist them to care for themselves at home after hospital discharge, which helps to decrease preventable adverse events. For people with heart failure (HF) to transition home from the hospital successfully, specific education is needed that is individualized to the disease process, but most patients' educational needs after discharge are unmet. The purpose of this qualitative study, guided by the Meleis middle range theory of transition, was to explore the perspectives of people with HF about their educational needs in order to gather data that …

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Successful Strategies For Implementing Health Information Technology In Primary Care Practice, Samuel O. Otoo Jan 2019

Successful Strategies For Implementing Health Information Technology In Primary Care Practice, Samuel O. Otoo

Walden Dissertations and Doctoral Studies

Health information technology (HIT) owner-practitioners who adopt effective strategies for HIT implementation can improve primary facility care delivery and profitability. However, some HIT owner-practitioners have ineffective implementation strategies, so they have not realized the total revenue increases of more than 8%. Grounded in general systems theory, the purpose of this multiple case study was to explore successful strategies primary care practitioners (PCPs) use to implement HIT to improve primary facility care delivery and profitability. The participants included 6 owner-practitioners located in Queens County, NY, who successfully implemented HIT to improve facility care delivery and profitability. Data were collected through face-to-face …

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Affordable Care Act And Racial Inequity In Breast Cancer Survival Rates, Nadine Terry-Lawrence Jan 2019

Affordable Care Act And Racial Inequity In Breast Cancer Survival Rates, Nadine Terry-Lawrence

Walden Dissertations and Doctoral Studies

African American women are more likely than White women to be diagnosed with breast cancer after the disease has progressed to advanced stages. Further, African American women experience higher breast cancer mortality rates than White women at all stages of cancer diagnosis. The purpose of this quantitative comparative study was to examine differences between implementation of the Affordable Care Act (ACA) and 5-year breast cancer survival rates among African American and White women. The independent variable was African American women and White women who were survivors of breast cancer after the ACA implementation; the dependent variables were breast cancer survival …

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Civility Promotion Actions And Decisions Of Prelicensure Baccalaureate Nurse Faculty, Brooke Stelle Russo Jan 2019

Civility Promotion Actions And Decisions Of Prelicensure Baccalaureate Nurse Faculty, Brooke Stelle Russo

Walden Dissertations and Doctoral Studies

Acts of incivility in nursing education and practice settings are a growing concern. Previous research has indicated that uncivil behaviors, especially among nurses in the healthcare workplace, create toxic work environments and pose risks to patient safety. Uncivil behaviors among nurse educators and students were found to erode the learning environment and lead to poor program outcomes. Researchers provided evidence to show varied levels of incivility in academic and workplace environments and recommended solutions to improve civility, yet little evidence exists to show how nurse faculty approach civility promotion in their practices. This qualitative, descriptive study was designed to explore …

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