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Chronic Kidney Disease Awareness And Quality Of Care In Abuja Nigeria, Patience Eze Jan 2017

Chronic Kidney Disease Awareness And Quality Of Care In Abuja Nigeria, Patience Eze

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) is a non-communicable progressive disease that can lead to kidney failure or end-stage renal disease. In Nigeria, many people do not have access to health care due to extreme poverty, which means that those suffering from diabetes or high blood pressure, or both diseases, which have been identified as the 2 main risk factors, may not know their health status. The purpose of this phenomenological study was to explore the level of CKD awareness among Nigerians and if cultural beliefs affect individuals' health seeking behaviors because of the diverse nature of the Nigerian population. The protection …

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Balancing Career And Family: The Nigerian Woman's Experience, Ngozi Eze Jan 2017

Balancing Career And Family: The Nigerian Woman's Experience, Ngozi Eze

Walden Dissertations and Doctoral Studies

Nigerian women have become more integrated into the workforce, but this integration has led to conflicts between work and family responsibilities. The purpose of this phenomenological study was to explore the lived experiences of Nigerian women regarding challenges and strategies in management and leadership positions in relation to their domestic lives and responsibilities. Liberal and social feminist theory and gendered leadership theory were used as the conceptual framework of the study. The findings of this study came from data obtained from semistructured interviews with 15 Nigerian women in leadership and management positions regarding their perceptions and lived experiences of balancing …

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Management Contingencies Between Privately-Funded And Publically-Funded Broadcasting Organizations, Michael Godson-Amamoo Jan 2017

Management Contingencies Between Privately-Funded And Publically-Funded Broadcasting Organizations, Michael Godson-Amamoo

Walden Dissertations and Doctoral Studies

Organizations, for-profit or not-for-profit, continually assess demands from their internal and external stakeholders and adjust their operations and strategies for long term sustainability. Building on the classical contingency theory of organization, the purpose of this cross-sectional study was to identify the differences of operational values and principles between private and public broadcasting organizations; an additional goal was to examine how these organizations use their operating choices to adapt to their environment. In a comparative study design between for-profit and not-for-profit broadcasting organizations as independent variables, the focus of the study was to compare 3 groups of dependent variables regarding operational …

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How Same-Sex Spouses Of Female Enlisted Soldiers Perceive Support In Military Communities Post-Dadt/Doma Repeals, Cristina F. Gutman Jan 2017

How Same-Sex Spouses Of Female Enlisted Soldiers Perceive Support In Military Communities Post-Dadt/Doma Repeals, Cristina F. Gutman

Walden Dissertations and Doctoral Studies

The end of the Vietnam War heralded the beginning of the all-volunteer Army. In the interest of soldier retention, research focused on the military spouse, their challenges and needs. Four decades of research indicate that soldier deployments, separation from loved ones, and limited career options were among factors negatively impacting psychological and physiological well-being of this population. Support offered through military formal and informal support networks, however, provides some relief. The repeals of Don't Ask, Don't Tell and Defense of Marriage Act expanded the military family to include same-sex spouses yet a review of the literature revealed no research on …

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Combat Service And Posttraumatic Stress Disorder As A Violent Crimes Predictor In Oef/Oif Veterans, Rachel L. Ivory Jan 2017

Combat Service And Posttraumatic Stress Disorder As A Violent Crimes Predictor In Oef/Oif Veterans, Rachel L. Ivory

Walden Dissertations and Doctoral Studies

There is an established link between posttraumatic stress disorder (PTSD) and criminal activity. Of every 100 veterans who served during Operation Enduring Freedom (OEF)/Operation Iraqi Freedom (OIF), 11 to 20 percent are diagnosed with PTSD each year. Previous research has documented that veterans are incarcerated at higher percentages compared to nonveteran inmates, though little published research examines incidence of PTSD relative to violent crime. Using Agnew's general strain theory as the foundation, the purpose of this correlational study was to examine combat service, PTSD, and specific violent crimes as defined by the FBI as murder and nonnegligent manslaughter, forcible rape, …

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Teachers' Knowledge Of Dominie Reading And Writing Assessment Portfolio Word-Level Reading, Maxine Y. Kershaw Jan 2017

Teachers' Knowledge Of Dominie Reading And Writing Assessment Portfolio Word-Level Reading, Maxine Y. Kershaw

Walden Dissertations and Doctoral Studies

There is confusion among teachers in a school district in a southeastern state about the instructional use of the state-mandated Dominie assessment for word-level reading and phonemic awareness skills for kindergarten and first-grade students. Recent assessment data indicated that 20% of students tested in kindergarten and first grade needed remediation. The purpose of this qualitative, bounded case study of a primary school was to understand teachers' perceptions about using the Dominie assessment for instruction, and how these perceptions contribute to the decline in reading scores. Using constructivism as a conceptual framework, the research questions focused on the trends in students' …

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Small Business Participation In Federal Set-Aside Contracting, Steven R. King Jan 2017

Small Business Participation In Federal Set-Aside Contracting, Steven R. King

Walden Dissertations and Doctoral Studies

In the United States, 99.9% of small businesses, which account for two-thirds of new jobs annually, do not participate in the federal set-aside program. Half of all small businesses will not survive their first 5 years. The purpose of this multiple case study was to explore strategies that U.S. small business leaders operating within the greater Colorado Springs metro area used to participate successfully in the federal contracting set-aside program. Von Bertalanffy's systems theory grounded the study. Data collection included semistructured interviews with an intensity purposeful sampling of 3 small business leaders participating successfully in the federal contracting set-aside program …

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Snack Food Reinforcement During Work And Non-Work Hours Among U.S. Office Workers, Sherise Larks Jan 2017

Snack Food Reinforcement During Work And Non-Work Hours Among U.S. Office Workers, Sherise Larks

Walden Dissertations and Doctoral Studies

The current epidemic of overweight and obesity has been partly credited to a growing trend for snacking and sedentary work behaviors. The purpose of this quantitative, cross-sectional survey was to investigate whether the difference between snack food reinforcement during work and non-work hours and work food motives predicted BMI among U. S. office workers. This study was based on the theoretical framework of the individual differences theory, in the context of the behavioral choice theory and reinforcement theory. The independent variables were food reinforcement and food motives; the dependent variable was BMI. Descriptive, correlational, and exploratory analyses were used. The …

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Lived Experiences Of Secondary Victims During The Parole Process: A Phenomenological Approach, Jessica Millimen Jan 2017

Lived Experiences Of Secondary Victims During The Parole Process: A Phenomenological Approach, Jessica Millimen

Walden Dissertations and Doctoral Studies

Secondary victims of traumatic violent crimes are subject to continuing the process of fighting for the loved ones they have lost. Once the offender is incarcerated, such victims may still have to face the process of parole if the offender has been granted a possibility of parole after years served. There is a gap in the literature and a need for research in the area of lived experiences for secondary victims as they progress through the parole process. For this study, a phenomenological study was utilized with 10 secondary victim participants. Participants were interviewed questions via telephone and the data …

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Spiritual Well-Being, Intelligence, And Job Satisfaction Among U.S. Federal Employees, Jesse Earl Moore Jan 2017

Spiritual Well-Being, Intelligence, And Job Satisfaction Among U.S. Federal Employees, Jesse Earl Moore

Walden Dissertations and Doctoral Studies

Until a slight 1% increase in FY2015, job satisfaction within the United States federal government had decreased between 2010 and 2014. However, even with the slight increase, the job satisfaction level was low which presents a cause for concern for federal government agencies. A growing body of research has indicated that employees are looking for ways to express their spiritual essence in the workplace. Research in this area has suggested that when organizations allow their employees to exercise their spiritual essence in the workplace it not only increases job satisfaction for the employee but also increases job performance. This study …

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E-Commerce Adoption By Small And Medium Enterprises In Nigeria, Anthony Obioma Nwosu Jan 2017

E-Commerce Adoption By Small And Medium Enterprises In Nigeria, Anthony Obioma Nwosu

Walden Dissertations and Doctoral Studies

The future survival of small and medium enterprises (SMEs) is inextricably linked to their implementation of e-commerce systems. The lack of e-commerce strategies among SME business owners has contributed to a low level of e-commerce adoption by SMEs. The purpose of this multiple case study was to explore the strategies that Nigerian SME business owners used to implement e-commerce systems. The population consisted of retail SMEs in Lagos, Nigeria, that have functional e-commerce systems. The conceptual framework supporting the study was dynamic capabilities framework. Data for the study were derived from semistructured interviews of 4 SME business owners/managers and documentation …

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U.S. Young Adults Stds, Risk Perception, Risk Behaviors, And Health Information Seeking, Amanda Robison-Chadwell Jan 2017

U.S. Young Adults Stds, Risk Perception, Risk Behaviors, And Health Information Seeking, Amanda Robison-Chadwell

Walden Dissertations and Doctoral Studies

Sexually transmitted diseases (STD) are preventable conditions for which treatment failure (specifically in gonorrhea) is becoming problematic. U.S. young adults (20-29 years) have high rates of STD incidence and prevention of these diseases, but reaching them to provide primary prevention educations is challenging due to low perceived susceptibility to infection and lack of knowledge about how young adults seek health information. The purpose of this quantitative survey study was to assess the association between perceived susceptibility to STDs, sexual risk behavior, and the acquisition of health information as it pertains to sexual health topics in young adults. The Health Belief …

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Predictors Of Compliance With The Food Safety And Inspection Service's Listeria Rule, 2012-2015, Amadou Samb Jan 2017

Predictors Of Compliance With The Food Safety And Inspection Service's Listeria Rule, 2012-2015, Amadou Samb

Walden Dissertations and Doctoral Studies

Since 1987, the Food Safety and Inspection Service (FSIS) has implemented a zero-tolerance policy for Listeria monocytogenes (Lm) in ready-to-eat (RTE) meat and poultry products, which culminated with the implementation of the Listeria rule in 2003. While researchers have extensively examined human listeriosis and its causative agent, Lm, there remained a significant gap in the current literature regarding how, singly or in combination, establishment size, RTE product type, Listeria alternative used, and FSIS district of production predict compliance with the Listeria rule. Therefore, the purpose of this quantitative study was to investigate the relationship between establishment size, RTE product type, …

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Understanding Self-Management Decision Making In Heart Failure, Constance Louise Schumacher Jan 2017

Understanding Self-Management Decision Making In Heart Failure, Constance Louise Schumacher

Walden Dissertations and Doctoral Studies

Heart failure patients are responsible for managing fluctuations in symptoms between exacerbations by employing treatment adherence, active monitoring, and management strategies based on expert guidelines. Despite education, delayed help seeking persists among those in the need of acute medical intervention, as evidenced by high hospital admission and readmission rates. The purpose of this qualitative grounded theory study was to explore the decision making processes undertaken by heart failure, community-dwelling individuals as they experience symptom changes. Eighteen face-to-face interviews were conducted with participants who had heart failure and received self-management education from a home care agency in Southern Ontario, Canada. Data …

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U.S Marine Corps Veterans' Perceptions Of Screening For Posttraumatic Stress Disorder, Tiffany Lawing Schweitzer Jan 2017

U.S Marine Corps Veterans' Perceptions Of Screening For Posttraumatic Stress Disorder, Tiffany Lawing Schweitzer

Walden Dissertations and Doctoral Studies

Posttraumatic stress disorder (PTSD) is a serious issue for post-deployment United States Marine Corps (USMC) veterans, especially because PTSD can increase the risk of suicide. Marines are screened post-deployment, yet little is known about Marine veterans' perceptions of the PTSD screening process. The purpose of this phenomenological study was to explore USMC male veterans' perceptions of the Post- Deployment Health Reassessment (PDHRA). The social cognitive theory constructs of a triadic relationship among person, environment, and behavior were the framework for understanding this population's perceptions of the PDHRA and potential stigma. Two research questions focused on how people, culture, and behavior …

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Quality Improvement Initiative About Patient Engagement With Clinicians In A Community Hospital, Cheryl Simpson Jan 2017

Quality Improvement Initiative About Patient Engagement With Clinicians In A Community Hospital, Cheryl Simpson

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) is a global health problem and efforts are needed to improve the care of individuals affected by the disease. A recent strategy for improving care within the healthcare system is patient engagement. Nurses and other health care clinicians can apply patient engagement into their clinical practice to improve the care they provide to their patients. Therefore, the purpose of this project was to increase the knowledge and awareness of patient engagement among clinicians who work with CKD patients. This quality improvement project used Lewin's force field analysis to analyze driving and restraining forces to help develop …

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An Analysis Of Teachers' Perceptions Of Bullying At The Elementary School Level, Tiffany Wilson Thomas Jan 2017

An Analysis Of Teachers' Perceptions Of Bullying At The Elementary School Level, Tiffany Wilson Thomas

Walden Dissertations and Doctoral Studies

Teachers in elementary schools are often faced with countless disruptive bullying behaviors, which cause them to lose valuable classroom instruction time. In addition, bullying victims have shown a decline in academic success as compared to students who are not bullied. The purpose of this qualitative bounded case study was to explore teachers' understanding and awareness of bullying behaviors and policies at the elementary school level, particularly in an elementary school in a southeastern state that has experienced large increases in student disruptive behavior over the past 2 school years. Bandura's social cognitive theory served as the conceptual framework. Semi-structured interview …

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The President Management Agenda: An Examination Of Federal Employees' Perceptions, Famane Brown Jan 2017

The President Management Agenda: An Examination Of Federal Employees' Perceptions, Famane Brown

Walden Dissertations and Doctoral Studies

Gauging the quality of the relationship between federal managers and employees and its impact on organizational performance excellence is a continuing problem for the federal Office of Personnel Management (OPM). President Barack Obama's President's Management Agenda mandated several actions- to respond to the problem. Part of the mandate was to use data from the Federal Employee Viewpoint Survey (FEVS) to gauge the relationship between management and employees and overall performance. The FEVS is a tool that measures employees' perceptions of whether, and to what extent, conditions that characterize successful organizations are present in their agencies. The research question for the …

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Leadership Strategies For Developing And Implementing Organizational Change, Hardy L. Delay Iv Jan 2017

Leadership Strategies For Developing And Implementing Organizational Change, Hardy L. Delay Iv

Walden Dissertations and Doctoral Studies

Leaders in some narcotics treatment programs struggle with change development and implementation. The objective of this single-case study was to explore strategies used by leaders in a narcotics treatment program to develop and implement organizational change initiatives successfully. Participants included 4 leaders who had developed and implemented successful change initiatives repeatedly for more than 10 years in a narcotics treatment program in the southeastern United States. Bertalanffy's general systems theory was the basis for the conceptual framework. Data collection included semistructured interviews of leaders of a narcotics treatment program and collection of archival data, such as reports relating to strategic …

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Marriage Dissolution In The Active Duty Air Force, Mark Edelstein Jan 2017

Marriage Dissolution In The Active Duty Air Force, Mark Edelstein

Walden Dissertations and Doctoral Studies

With the advent of the Global War on Terror in 2001, more than 2 million troops have deployed in support of contingency operations throughout the world. During this time, the divorce rates have increased throughout the military, hitting an all-time high in 2011, and dropping slightly thereafter. Enlisted members on active duty in the United States Air Force exhibited a higher rate of divorce than did their counterparts in any other branch of military service. At present, the reasons for the heightened Air Force divorce rates are still unknown. Perhaps more importantly, research has not identified which specific subgroups within …

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Development Of A Graduate Nurse Residency Program In Women's Services, Dinez Diamond Esmail Jan 2017

Development Of A Graduate Nurse Residency Program In Women's Services, Dinez Diamond Esmail

Walden Dissertations and Doctoral Studies

Graduate nurses' transition from school to the work place is challenging and often leads to burnout. There was no graduate nurse residency program in women's services at the practicum facility. As a result, this facility had been unable to recruit or hire graduate nurses in the women's services unit. The purpose of this project was to develop a nurse residency program in women's services to address the lack of formal orientation for new graduate nurses at this facility. A graduate nurse residency program will provide further training for nurses to care for a more complicated population of pregnant women. Theoretical …

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Mandated Continuing Education And The Competency Of Illinois Physical Therapists, Denise Lynn Hunter Ethington Jan 2017

Mandated Continuing Education And The Competency Of Illinois Physical Therapists, Denise Lynn Hunter Ethington

Walden Dissertations and Doctoral Studies

Continuing education (CE) mandate laws are passed by states because it is in the public interest. The intent behind the passage of Illinois's CE law for physical therapists is to protect public health and safety through ensuring the competency of providers. However, studies into the impact of mandated CE on competency have been mixed. The problem addressed by this study was whether Illinois's CE law was effective in improving the competency of physical therapists and its impact on patient care. The purpose of this study was to understand what role mandated CE played in developing the competency of physical therapists …

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Breaking The Silence: Postpartum Depression Among Reproductive-Aged Women In Akwa Ibom State, Nigeria, Atim Henshaw Jan 2017

Breaking The Silence: Postpartum Depression Among Reproductive-Aged Women In Akwa Ibom State, Nigeria, Atim Henshaw

Walden Dissertations and Doctoral Studies

Postpartum depression (PPD) is internationally recognized as one of the most prevalent and severe but neglected maternal mental health complications of childbirth. Previous studies have indicated that there is a high burden of disease associated with PPD in both developed and developing countries. However, there remain gaps in the current literature regarding the recognition and management of PPD in remote parts of the developing world. Therefore, the purpose of this study was to understand the perceptions, attitudes, and beliefs of health professionals towards PPD and examine the factors that either facilitated or hindered its recognition and management in a remote …

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Behavioral Impacts Of Father Absence On Middle School African American Boys, Ivy J. Johnson Jan 2017

Behavioral Impacts Of Father Absence On Middle School African American Boys, Ivy J. Johnson

Walden Dissertations and Doctoral Studies

Father absence is the experience of children who grow up in households without their biological father. The African American population experiences the highest level of father absence of all demographic groups in the United States. Research shows that father absence influences school behavior. There is a lack of literature evaluating the extent to which father absence affects children, particularly African American boys, at different stages of development. This quantitative study was used to evaluate how father absence affected school behavior of African American boys, ages 13-15, in the middle school setting, in Houston, TX. Guided by attachment theory, the research …

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Mitigating Underage Marriage Of Girls In Bo Town, Sierra Leone, Anne-Marie Kumba Kamanda Jan 2017

Mitigating Underage Marriage Of Girls In Bo Town, Sierra Leone, Anne-Marie Kumba Kamanda

Walden Dissertations and Doctoral Studies

The underage marriage of girls (UMG) practice by some parents continues to occur in Bo Town, Sierra Leone, and it is a problem. Regardless of the negative consequences, parents continue to marry off their young girls who become wives of rebels and participate in the civil war. The purpose of this qualitative case study was to explore the perceptions of adult women between 18 and 24 who experienced child marriage, parents who married off their young girls, and community leaders to understand why the UMG persisted in Bo Town. The theoretical frameworks used in this study were the social cognitive …

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Employee Job Satisfaction And Employees' Voluntary Turnover Intentions (Vtis), Bridgette Larkin-Perkins Jan 2017

Employee Job Satisfaction And Employees' Voluntary Turnover Intentions (Vtis), Bridgette Larkin-Perkins

Walden Dissertations and Doctoral Studies

Within the U.S. sales industry, organizational productivity has decreased due to employee job dissatisfaction and increased voluntary turnover intentions (VTIs). Some leaders in the industry lack knowledge about the relationship between intrinsic and extrinsic job satisfaction, and the negative effect on employees' VTIs. The purpose of this correlational study was to examine whether intrinsic and extrinsic job satisfaction significantly predicted retail sales employees' VTIs. The Minnesota Satisfaction Questionnaire (MSQ) and the Turnover Intentions Scale (TIS-6) were used to collect data from full- or part-time employees in the U.S. retail sales industry. The theoretical framework was based on Herzberg's motivation-hygiene theory. …

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Effect Of Intimate Partner Violence On Children Of Puerto Rican Women, Maria Natal-Gopin Jan 2017

Effect Of Intimate Partner Violence On Children Of Puerto Rican Women, Maria Natal-Gopin

Walden Dissertations and Doctoral Studies

Intimate partner violence [IPV] is a preventable and costly societal issue that has reached epidemic proportions. Women are often the victims of IPV, and millions of children are exposed to it annually. The purpose of this study was to explore experiences of Puerto Rican mothers and their perceptions of how IPV exposure may have impacted their children using resilience theory. Data were collected via audiotaped individual interviews with 9 Puerto Rican mothers who endured an array of escalating IPV, often exacerbated by the perpetrators use of alcohol or drugs, and had IPV-exposed children aged 6 -11 years. Data analysis integrated …

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Professional Development And Self-Efficacy Of Nurses Who Care For Patients Requiring Biocontainment, Denise Occhiuzzo Jan 2017

Professional Development And Self-Efficacy Of Nurses Who Care For Patients Requiring Biocontainment, Denise Occhiuzzo

Walden Dissertations and Doctoral Studies

Increasing global occurrences of highly infectious, easily transmissible diseases unfamiliar to nurses affect the learning environment and the required skill set for professional nurses. The global threat of Ebola Virus Disease and other high-risk diseases requiring biocontainment necessitates competency in the management of complex patient needs, while ensuring safety measures that prevent spread of the potentially fatal disease. Guided by Bandura's social cognitive theory, this quantitative correlational study addressed the relationships between nurses' professional characteristics and their perceived self-efficacy when providing care to highly infectious patients requiring biocontainment. A full census of 92 nurses was used to recruit participants from …

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Access To Care: Assessment Of Barriers In Two Rural Iowa Communities, Jean M. Osgood Jan 2017

Access To Care: Assessment Of Barriers In Two Rural Iowa Communities, Jean M. Osgood

Walden Dissertations and Doctoral Studies

The ability to access primary care services within the local community has a direct impact on the health and wellness of the community. Individuals living in rural settings face multiple challenges when attempting to access care. The purpose of this retrospective project was to identify barriers in 2 rural, underserved communities and make recommendations for process changes that could reduce these barriers. Data were gathered from 2 critical access hospitals and 2 rural health clinics located in rural, underserved areas in Iowa. Both hospitals identified access to health services as an issue within their communities. Administrative data were gathered on …

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Low Health Literacy And Preoperative Instruction Compliance Among Patients Undergoing Surgical Procedures, Mariefel Casino Paqueo Jan 2017

Low Health Literacy And Preoperative Instruction Compliance Among Patients Undergoing Surgical Procedures, Mariefel Casino Paqueo

Walden Dissertations and Doctoral Studies

In addition to cancelations and delays of needed surgical procedures, serious or fatal complications can occur when patients with low health literacy do not comply with preoperative instructions. The purpose of this quality improvement project was to provide more insight about ways to decrease on cancelled and delayed surgical procedures in low health literacy patients' due to noncompliance with preoperative fasting instructions. The project was informed by the reach, effectiveness, adoption, implementation, and maintenance model (King, D. K., Glasgow, R. E., and Leeman-Castillo, B. (2010). The project question centered on whether health literate preoperative fasting instructions could decrease cancellations and …

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