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The Influence Of Culture On Hiv Disclosure Among Gay Asian Males, David C. Doan Jan 2017

The Influence Of Culture On Hiv Disclosure Among Gay Asian Males, David C. Doan

Walden Dissertations and Doctoral Studies

HIV-positive, Asian Pacific Islander (API) men who have sex with men (MSM) experience triple minority stigma including HIV, sexual orientation, and minority ethnicity. To date, there is no research that examines the influence of cultural factors, level of acculturation, social determinants of health, and other confounding variables (e.g., age, education, level of income, and length of time since diagnosis) on HIV-positive disclosure behaviors, attitudes, and intentions to casual sexual partners for API MSM. The theoretical framework for this study was based on Hofstede's original cultural values and Triandis's cultural dimensions. In this 2-phase, mixed methods, sequential explanatory study, 24 API …

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Effects Of Lifestyle Changes On The Health Of African Americans With Type 2 Diabetes, Charles Duro Jan 2017

Effects Of Lifestyle Changes On The Health Of African Americans With Type 2 Diabetes, Charles Duro

Walden Dissertations and Doctoral Studies

African Americans are adversely affected by Type 2 diabetes at a greater rate than their European American counterparts; however, research on the effects of Type 2 diabetes on African Americans is limited. Lifestyle modifications that include the incorporation of physical activity and dietary changes can help patients with Type 2 diabetes better manage their disease and improve their overall quality of health. The purpose of this phenomenological study was to explore the experiences of African Americans with Type 2 diabetes who incorporated these self-management behaviors, discerning if they had improved health and quality of life. The self-efficacy framework was applied …

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Strategies Microbusiness Owners In Ghana Use For Managing Microloans, Stephen Ekow Edusah Jan 2017

Strategies Microbusiness Owners In Ghana Use For Managing Microloans, Stephen Ekow Edusah

Walden Dissertations and Doctoral Studies

High interest rates, many mortgage defaults, and availability of capital are challenges for microbusiness owners. The purpose of this phenomenological study was to explore the strategies used by Ghana's microbusiness owners to manage microloans for sustainable businesses in Cape Coast, Ghana. Putnam's social capital theory was the conceptual framework for the study. A purposive and snowball sample of 10 participants completed semistructured interviews and described their perceptions and experiences of the phenomena. Data were analyzed using Moustakas' modified van Kaam method to catalog, group, and code information into themes. The study findings indicated there are high-interest rates and many mortgage …

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Development Of A Guideline For Hospice Staff, Patients, And Families On Appropriate Opioid Use, Trenika Alexander-Goreá Jan 2017

Development Of A Guideline For Hospice Staff, Patients, And Families On Appropriate Opioid Use, Trenika Alexander-Goreá

Walden Dissertations and Doctoral Studies

There is an identified problem with patients receiving suboptimal pain management at a hospice agency in the northwestern United States. At this agency, undertreatment of pain is prevalent. Evidence indicates that this may be a result of a lack of guidelines, education, and knowledge of appropriate prescribing. Known barriers to the correct prescription and administration of potent opioids in the hospice setting include prevailing beliefs, knowledge, skills, and attitudes, all of which can impact care negatively. Contextually, hospice principles mandate patient comfort and caregiver involvement in continuous quality improvement, which includes adequate and informed pain management. Moreover, hospice metrics demand …

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Night Shift Work And Weight Gain Among Female Filipino Nurses, Raymundo Mintac Apellido Jan 2017

Night Shift Work And Weight Gain Among Female Filipino Nurses, Raymundo Mintac Apellido

Walden Dissertations and Doctoral Studies

The research problem is the increasing numbers of overweight and obese nurses working the night shift. Study on overweight and obesity among female Filipino nurses has not been conducted. It was important to conduct a research study among female Filipino nurses to find out if there are statistically significant associations between night shift work and weight gain. The purpose of this correlational and cross-sectional study was to determine if there are statistically significant associations between insufficient sleep, abnormal eating patterns, working 12-hour shifts, years of working night shift, age, stress, marital status, nursing units, decreased physical activity, and level of …

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Non Medical Prescription Drug Use In Rural Communities And Social Work, Izetta Mounice Briggs-Bolling Jan 2017

Non Medical Prescription Drug Use In Rural Communities And Social Work, Izetta Mounice Briggs-Bolling

Walden Dissertations and Doctoral Studies

This study explored the roles and responsibilities of social workers providing services to nonmedical prescription drug users (NMPDU). Researchers have indicated NMPDU disproportionately affects people living in rural communities. The overarching research question sought to explore the concerns of social workers when providing services to patients coping with NMPDU in the rural community of Ulster County, New York. The intention was to examine systemic challenges facing rural social workers when attempting to decrease morbidity risks and increase the health of Ulster County residents. A total of 7 social workers participated in 3 focus groups to explore their ideas for defining, …

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How Self-Awareness, Motivation, And Empathy Are Embedded And Modeled In Community College Preservice Early Educator Online Courses, Tracey Bennett Carter Jan 2017

How Self-Awareness, Motivation, And Empathy Are Embedded And Modeled In Community College Preservice Early Educator Online Courses, Tracey Bennett Carter

Walden Dissertations and Doctoral Studies

Researchers have determined that early childhood (EC) educators need to have personal and social skills and competencies to address the emotional demands of the EC profession. Research is lacking regarding how preservice programs help prepare students emotionally for the EC profession and on whether online courses are a suitable environment for future EC teachers to learn these skills. The purpose of this study was to explore if and how personal and social emotional intelligence (EI) competencies were being embedded and modeled in community college preservice EC educator online courses. This qualitative multiple case study design was employed using a conceptual …

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Alcohol Use Disorder And Withdrawal Syndrome In Correctional Facilities: An Evidence-Based Clinical Practice Guideline To Prevent Alcohol-Related Adverse Events, Wanda Wilma González-Méndez Jan 2017

Alcohol Use Disorder And Withdrawal Syndrome In Correctional Facilities: An Evidence-Based Clinical Practice Guideline To Prevent Alcohol-Related Adverse Events, Wanda Wilma González-Méndez

Walden Dissertations and Doctoral Studies

In the United States, one in every 100 adults is confined to a correctional facility. Approximately 60% of inmates have an alcohol use disorder (AUD). When compared to the general population, inmates are twice as likely to have AUD. As they are unable to readily access alcohol, inmates entering a correctional facility with AUD are at high risk for the lethal alcohol withdrawal syndrome (AWS). AWS is preventable and yet correctional nurses process new inmates without an evidence-based clinical practice guideline (CPG) to assess for AUD, the prerequisite for AWS. The purpose of this project was to develop an evidence-based …

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Factors Affecting Inadequate Growth During Early Childhood In Guyana, South America, Valescia Xenobia John Jan 2017

Factors Affecting Inadequate Growth During Early Childhood In Guyana, South America, Valescia Xenobia John

Walden Dissertations and Doctoral Studies

Children under 5 years of age in Guyana are at an increased risk for inadequate growth. According to the United Nations Development Programme, 1 out of 3 children of preschool age are undernourished globally. This is a major public health concern as undernourishment in children under 5 years can lead to lifelong health complications. The study assessed the relationship between inadequate growth and urban classification in children under 5 years in Guyana, South America, after controlling for the following variables: mother's level of education, mother's age at birth of the child, household size, wealth, and marital status. The study framework …

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Strategies To Support Survivors Of Corporate Downsizing, Joseph Linton Jan 2017

Strategies To Support Survivors Of Corporate Downsizing, Joseph Linton

Walden Dissertations and Doctoral Studies

Between 2003 and 2011, 1.2 million U.S. workers were laid off every year. Some organizational leaders of information technology/telecommunications organizations lack strategies to improve affective commitment to the organization after downsizing events. The strains of overwork, organizational changes, anxiety over job insecurity, and lack of choice often result in physical illness, emotional trauma, and extreme disengagement termed survivor syndrome. The purpose of this single case study was to explore strategies organizational leaders in the Midwest United States in information technology/telecommunications organizations used to improve affective commitment to the organization after downsizing. The conceptual framework was Herzberg's 2-factor theory. Data were …

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Quantitative Poverty: Relationship Between Poverty Level And Population Size, Gdp, And Gini Coefficient, Kelly Singleton Johnson Jan 2017

Quantitative Poverty: Relationship Between Poverty Level And Population Size, Gdp, And Gini Coefficient, Kelly Singleton Johnson

Walden Dissertations and Doctoral Studies

This research examines why poverty has been persistent in all regimes that have tried to use public policy to eradicate it with no success. This research begins to examine the economic, fiscal, and current Federal Reserve monetary policy for an understanding of why poverty persists. The purpose of this experimental, cross-sectional design is to test the relationship between poverty level, population size, gross domestic product and the Gini coefficient. The most important outcome of the research is to understand if poverty is an unintended consequence of economic activity and not individual circumstance. In the dissertation, 5 U.S. states are examined …

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Educational Intervention For Engaging Adolescents And Their Parents In Hpv Vaccination, Alvin Mena Cantero Jan 2017

Educational Intervention For Engaging Adolescents And Their Parents In Hpv Vaccination, Alvin Mena Cantero

Walden Dissertations and Doctoral Studies

In the United States, 79 million people are currently infected with Human Papilloma Virus (HPV) and it is estimated that an additional 14 to 20 million people will be infected with HPV every year. Infection with HPV increased to 52.7 % of preventable infections within the United States in 2012, and 39.6% of the infected population are adolescents engaged in sexual activities. The practice-focused question that this project addressed was: To what extent can an educational program influence the HPV vaccination rate in a small family practice clinic located in Texas? The main purpose of this project was to increase …

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Teacher Perceptions Of Head Start Preschool Programs In An Urban Public School, Salvador Perez Jan 2017

Teacher Perceptions Of Head Start Preschool Programs In An Urban Public School, Salvador Perez

Walden Dissertations and Doctoral Studies

An initiative to coordinate early learning programs across a major city in the Midwestern United States was undertaken in 2013. The opinions of teachers regarding effects on instruction and children were not included in the development and implementation of the program. This omission is important because multiple scholars have pointed to the benefits and need of including stakeholders' perspectives in program development. The purpose of this study was to explore preschool teachers' experiences and perspectives of this initiative using a qualitative bounded instrumental case study design. Fullan's theory of educational change served as the framework of this study. Nine preschool …

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Understanding Barriers African American Teenage Mothers Face In Pursuit Of Higher Education, Aldison Middleton-Hinton Jan 2017

Understanding Barriers African American Teenage Mothers Face In Pursuit Of Higher Education, Aldison Middleton-Hinton

Walden Dissertations and Doctoral Studies

Researchers have found that social workers have difficulty identifying their roles in responding to the barriers African American teenage mothers face in pursuit of higher education. This action research project explored the roles social workers play in responding to the barriers African American teenage mothers face in pursuit of a college education and how social workers responded. The ecological systems theory was used to help understand this phenomenon. An action research methodology was used to collect data from 6 licensed social workers who worked with African American teenage mothers. Three focus groups were facilitated to explore the social work practice …

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Educational Interventions To Improve Aggressive Behavior Recognition For An Acute Psychiatric Setting, Marie Elois Ortiz Jan 2017

Educational Interventions To Improve Aggressive Behavior Recognition For An Acute Psychiatric Setting, Marie Elois Ortiz

Walden Dissertations and Doctoral Studies

Nurses working in an acute psychiatric setting within a veterans' administration hospital must maintain a therapeutic milieu by recognizing and managing aggressive behaviors before violence ensues to reduce injuries to staff nurses and patients. The purpose of this project was to develop an evidence-based and theoretically grounded educational program that will help staff nurses manage escalating aggression, violence, and acting out behaviors to provide a safe environment for patients and staff through high risk identifier recognition and intervention training. During the data and information gathering stage, 23 articles were reviewed, rated, and graded to provide the most significant information used …

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Examining Parental Involvement In Impoverished Schools, Tara Lynn Broadus Jan 2017

Examining Parental Involvement In Impoverished Schools, Tara Lynn Broadus

Walden Dissertations and Doctoral Studies

A decline in parent participation in one impoverished Pre-K through Grade 5 school in Texas over recent years has been an ongoing concern for school administrators. The purpose of this instrumental case study was to investigate parent perceptions of the school's efforts to involve parents in the school. Research questions focused on identifying factors that inhibited parental involvement concentrating on parent perceptions of school efforts. Constructivist theory and the advocacy/liberatory framework formed the conceptual framework for this study. A triangulation method for data collection included parent interviews, teacher questionnaires, and observations of parental involvement activities over 12 weeks. Participants were …

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Relationship Between Corporate Social Responsibility And Corporate Financial Performance, Christopher Lim Jan 2017

Relationship Between Corporate Social Responsibility And Corporate Financial Performance, Christopher Lim

Walden Dissertations and Doctoral Studies

Consumers are demanding that corporations become more socially responsible. Executives are challenged to maximize shareholders' returns with achieving a favorable corporate citizen status. The research problem was a gap in knowledge and understanding of the impact of corporate social responsibility on financial performance. This study used multiple linear regression to assess the relationship between key indicators of corporate social responsibility and financial performance from 372 corporations in the S&P500 in 2014. The theoretical foundation was Freeman's stakeholder theory. Environment, community, human rights, diversity, employee relations, product quality, and corporate governance were measures of social performance. Return on assets was used …

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Evidence-Based Practice Project Proposal: Reducing Chfrr Through The Get Well Networks Chf Prevention Education Materials, Susan Kay Richmond Jan 2017

Evidence-Based Practice Project Proposal: Reducing Chfrr Through The Get Well Networks Chf Prevention Education Materials, Susan Kay Richmond

Walden Dissertations and Doctoral Studies

In the United States, congestive heart failure (CHF) impacts 6.5 million adults and costs about $39 billion year with a projected incidence increasing by 25% by 2030. CHF can be addressed by advancing patient self-care knowledge through interactive patient education. For this project, the Health Beliefs Model guided a strategy to stimulate behavior modification based on perceived benefits of self-care. The purpose of this quality improvement project was to implement an interactive patient education video system, called the Get Well Network, to encourage patient self-care to reduce CHF readmission rates at a veteran's administration hospital. Four evidence-based CHF video order …

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Relationship Between Educational Leisure Motivation And Recovery From Mental Illness Among Members Of Clubhouse International, Dianna Rene Pearce Jan 2017

Relationship Between Educational Leisure Motivation And Recovery From Mental Illness Among Members Of Clubhouse International, Dianna Rene Pearce

Walden Dissertations and Doctoral Studies

Individuals with serious mental illness (SMI) exhibit low motivation to participate in educational leisure activities at Clubhouses accredited by Clubhouse International (CI). This correlational study examined the relationship between each of 4 motives, intellectual, social, competence-mastery, and stimulus-avoidance, to engage in leisure activities, and the perception of recovery from SMI. Knowles's theory of andragogy supported the concept of informal self-directed learning, which occurs with leisure activities. Literature indicates that participating in leisure activities such as those offered at Clubhouses aids in the recovery from SMI. Quantitative data were collected from a convenience sample of 75 individuals at 4 CI clubhouses …

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Discrimination, Coming-Out, And Self-Esteem As Predictors Of Depression And Anxiety In The Lesbian Community, Adrien Purvis Jan 2017

Discrimination, Coming-Out, And Self-Esteem As Predictors Of Depression And Anxiety In The Lesbian Community, Adrien Purvis

Walden Dissertations and Doctoral Studies

Mixed findings in the research on mental health issues in the lesbian community have resulted in conflicting conclusions as to whether the prevalence rate of generalized anxiety disorders and depression in the lesbian population differs from that of non-lesbians. The variability of findings may be due to factors such as discrimination, coming-out, and self-esteem. Using the minority stress model a framework, the purpose of this quantitative survey study was to examine whether perceptions of discrimination, coming-out, and self-esteem levels predict lesbians' anxiety and depression. Participants anonymously completed online measures of the Outness Inventory, the Schedule of Sexually Discriminatory Events, the …

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Nonprofit Leaders' Strategies In Capturing The Attention Of Committed, Large Donors, Aneatra Holland Jan 2017

Nonprofit Leaders' Strategies In Capturing The Attention Of Committed, Large Donors, Aneatra Holland

Walden Dissertations and Doctoral Studies

Few U.S. nonprofit organizations meet annual operational costs. Facing government funding cuts, U.S. nonprofit leaders have had to seek other revenue streams to remain operable and ensure that the clients they serve continue to receive support. Leaders often seek out large donors but lack strategies for successfully doing so. The purpose of this multiple case study was to explore the strategies successful nonprofit leaders have used to capture the attention of committed, large donors in Southern California. Government failure theory and independence theory constituted the conceptual framework. The purposeful sampling method consisted of 3 nonprofit agency managers who had operated …

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Ask A Busy Person? A Reexamination Of Cognitive Performance Under Load, Graham Watson Jan 2017

Ask A Busy Person? A Reexamination Of Cognitive Performance Under Load, Graham Watson

Walden Dissertations and Doctoral Studies

A longstanding folk belief suggests that 'busy' people possess the ability to get more done than others. Busyness, defined as the demands of everyday life, has been shown to generate cognitive load, which has been called 'cognitive busyness.' Although most cognitive theory would deny the possibility that cognitive load may enhance performance, some recent research may support the possibility. Cowan's 1988 information-processing model was used to study how measures of everyday busyness correlated with performance on cognitive tasks. The research question addressed whether any combination of such measures, in combination with working memory, could predict performance on such tasks. 92 …

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Young Adult Narratives Of Sibling Loss And Bereavement During Adolescence, Kelly Lynn Collins-Colosi Jan 2017

Young Adult Narratives Of Sibling Loss And Bereavement During Adolescence, Kelly Lynn Collins-Colosi

Walden Dissertations and Doctoral Studies

Up to 90% of adolescents in the U.S. experience a loss of a family member or friend. However, prior research on loss of a family member has focused predominantly on the adult experience (e.g., loss of a spouse), parental bereavement (loss of a child), or grief counseling as an intervention for dealing with loss. Little is known about the sibling loss experience, particularly from the point of view of the surviving sibling who suffered the loss when they were young. Thus, the purpose of this qualitative study was to explore the narratives of young adults who experienced the loss of …

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Impact Of Interactive Homework On Reading Achievement, Amanda Leigh Hunnell Jan 2017

Impact Of Interactive Homework On Reading Achievement, Amanda Leigh Hunnell

Walden Dissertations and Doctoral Studies

Many elementary students read below grade level, resulting in an inability to meet expectations on state testing. Epstein and other researchers theorized 3 influential factors that work together to help students achieve higher levels of attainment-home, school, and community. Studies have demonstrated the effectiveness of Epstein's Teachers Involve Parents in Schoolwork interactive homework (IH) to promote parent-child communication during learning interactions at home for students in language arts in Grades 6-8; however, there is little information on the effects of IH on reading achievement for elementary students. The purpose of this quasi-experimental study was to examine the effect IH has …

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Polyfidelity And The Dynamics Of Group Romantic Relationships, Jeff R. Peterson Jan 2017

Polyfidelity And The Dynamics Of Group Romantic Relationships, Jeff R. Peterson

Walden Dissertations and Doctoral Studies

Monogamy is considered the romantic norm for establishing family and kinship. Alternative relationships such as polyfidelity, that is, a group romantic relationship, often face prejudice and social stigma resulting in a greater need for mental health counseling services compared to those who are not stigmatized. Yet counselors and counselor educators lack both understanding and cultural competency for serving this population. The purpose of this study was to better understand the dynamics of a polyfidelity relationship, as well as how a counselor might better serve the needs of individuals engaged in this type of relationship. In this study, 14 participants described …

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Caregiver Burden And Emergency Room Utilization For Enhanced Recovery Surgery Cancer Patients, Mindy Sovel Jan 2017

Caregiver Burden And Emergency Room Utilization For Enhanced Recovery Surgery Cancer Patients, Mindy Sovel

Walden Dissertations and Doctoral Studies

Advances in surgical technique and medical management have led to fundamental changes in surgical care allowing for a paradigm shift from inpatient to outpatient surgery. Enhanced recovery pathways have moved surgical recovery from inpatient to outpatient settings requiring informal caregiver support. The purpose of this study was to determine the prevalence of caregiver burden in this patient population and to explore whether caregiver burden contributes to preventable use of emergency room services. The conceptual framework supporting this retrospective cross-sectional study was Andersen's behavioral model of health services utilization. Data collected from 28 urologic patient/caregiver pairs were analyzed using descriptive statistics …

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Coping Strategies Of Alternatively Certified Teachers In An Urban U.S. School District, Paula Stanton Stanton Jan 2017

Coping Strategies Of Alternatively Certified Teachers In An Urban U.S. School District, Paula Stanton Stanton

Walden Dissertations and Doctoral Studies

Teacher attrition has continued to be problem across the United States, especially in urban, high-need districts. The purpose of this qualitative multiple case study was to identify the coping strategies of alternatively certified teachers in urban, high-need schools in order to understand how teachers overcome factors contributing to attrition. Research questions centered on the perceived challenges and stressors of alternatively certified teachers as well as the coping strategies that support their retention. The conceptual framework was based on Bronfenbrenner's theory of ecological development. Criterion sampling was used to identify experienced alternatively prepared teachers who had persisted for at least 4 …

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Implementation And Evaluation Of Code Stroke In Emergency Department For Maternity Patients, Linda Catherine Castillo Jan 2017

Implementation And Evaluation Of Code Stroke In Emergency Department For Maternity Patients, Linda Catherine Castillo

Walden Dissertations and Doctoral Studies

Strokes are a significant source of morbidity and mortality in pregnant women, influenced by the physiologic changes in pregnancy and the trend of older and sicker women becoming pregnant. Despite the role of stroke in pregnant women, emergency departments in specialized maternity hospitals may not be as experienced in stroke recognition and care as are typical emergency departments. The purpose of this project was to create a protocol to facilitate rapid assessment and treatment of pregnant and postpartum women with symptoms of stroke in a maternity emergency department. The IOWA model of evidence-based practice to promote quality care guided a …

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Relationship Between Quality Of Life For Patients With Neuroendocrine Tumors And Novel Biomarkers, Stephanie L. Ford-Scheimer Jan 2017

Relationship Between Quality Of Life For Patients With Neuroendocrine Tumors And Novel Biomarkers, Stephanie L. Ford-Scheimer

Walden Dissertations and Doctoral Studies

Research in the field of neuroendocrine tumors (NETs) has increased over the last decade, including studies focused on biochemical markers (biomarkers) of the disease. There is also growing interest in how NETs impact patients' quality of life (QOL). Consequently, there is a paucity of information about whether the expression of the specific disease biomarkers affects QOL as well as whether the primary tumor site impacts QOL. Using the explanatory model of health promotion and quality of life in chronic disabling conditions as the theoretical framework and data collected with the Norfolk QOL-NET instrument, this study's purpose was to fill that …

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Demographic Factors Associated With Consistent Hand Hygiene Adherence Among Icu Nurses, Sharon Lea Kurtz Jan 2017

Demographic Factors Associated With Consistent Hand Hygiene Adherence Among Icu Nurses, Sharon Lea Kurtz

Walden Dissertations and Doctoral Studies

Healthcare associated infections cause 75,000 to 80,000 deaths a year. Many are preventable with proper hand hygiene adherence (HHA). Worldwide, HHA range is between 40-60%, far below the 100% recommended. The purpose of this quantitative, cross-sectional, prospective study was to investigate any association between 15 demographic variables and HHA of ICU nurses. A convenience sample of 613 hand hygiene opportunities was collected by direct observation at each of 5ICUs (4 hospitals) in Texas for 8 consecutive hours each day for 3-5 days. The theoretical foundation guiding this study was the healthcare environment theory. The Statistical Package for Social Sciences software …

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