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Symptom Presentation Frequency And Severity Associated With Adult Lyme Disease By Ross Scale Review, Vicki A. Stanavitch Jan 2016

Symptom Presentation Frequency And Severity Associated With Adult Lyme Disease By Ross Scale Review, Vicki A. Stanavitch

Walden Dissertations and Doctoral Studies

Although Lyme disease is the most frequently reported vector-borne illness in the United States, recent evidence from the CDC suggests that Lyme disease incidence in the United States may be much higher than reported. Lyme disease symptoms can be mistaken for a wide variety of diseases, which can complicate the diagnosis. To date, no diagnostic criteria analysis has been conducted examining the association between sociodemographic variables (sex and age) and seasonality of infection with the severity and symptomology found in Lyme disease cases. Using the CDC's outbreak investigation model, a primary case/control study was conducted using the ROSS Scale to …

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Strategies For Responding To Generational Differences In Workplace Engagement, Amanda Delane Crowe Jan 2016

Strategies For Responding To Generational Differences In Workplace Engagement, Amanda Delane Crowe

Walden Dissertations and Doctoral Studies

Small business managers are experiencing a 30% turnover of employees, costing U.S. businesses $41.3 million per year. The purpose of this case study was to explore the strategies that experienced business managers use in small accounting firms to respond effectively to generational differences in workplace engagement. Using a purposeful sampling technique, 5 managers possessing successful experience in issues related to generational differences in the workplace were recruited from small accounting firms located in Midwestern United States to participate in semi-structured interviews about engaging a multi-generational workforce. Methodological triangulation was used to analyze the data collected through semi-structured interviews and observations, …

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The Effectiveness Of Adult And Pediatric Code Blue Simulation-Based Team Trainings, Pamela Joy Corey Jan 2016

The Effectiveness Of Adult And Pediatric Code Blue Simulation-Based Team Trainings, Pamela Joy Corey

Walden Dissertations and Doctoral Studies

The adult and pediatric healthcare providers at a New England medical center attended simulation training for responding to cardiac arrests that incorporated the current American Heart Association (AHA) evidence-based standards. The purpose of this concurrent mixed method program evaluation was to compare the adult code blue and pediatric team training programs to the AHA's standards and identify if the staff learned the necessary skills to care for patients in cardiac arrest. The conceptual models used for the study were Crisis Resource Management and the transfer of learning model. The study sample was 660 adult and 269 pediatric healthcare providers who …

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Guideline Use In Asthma Management In Primary Care Setting: A Systematic Review, Nkiru Ezeani Ezeani Jan 2016

Guideline Use In Asthma Management In Primary Care Setting: A Systematic Review, Nkiru Ezeani Ezeani

Walden Dissertations and Doctoral Studies

Asthma is a chronic airway inflammatory disease that is characterized by reversible airway obstruction due to hyper-responsiveness of the tracheobronchial tree. The condition disproportionately affects male children, females, and the aged globally, and its prevalence keeps rising despite being a preventable condition in terms of relapse. Most asthmatic patients receive care in primary care settings. Various health agencies have developed asthma management guidelines to improve the quality of asthma care; however, in some cases, adherence to these guidelines is substandard. The overarching aim of this study was to determine whether primary care providers manage asthma in line with the available …

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Perceptions Of Homeless Individuals Regarding Public Housing Use, Shirley Elaine Hicks Jan 2016

Perceptions Of Homeless Individuals Regarding Public Housing Use, Shirley Elaine Hicks

Walden Dissertations and Doctoral Studies

Research on how homeless individuals perceive shelters, housing programs, and their agents has been limited, especially in relation to the reasons for engaging in or avoiding programs. This phenomenological study explored the perspectives of chronically homeless individuals in Wake County, North Carolina, regarding shelters and housing programs, examining their reasons for using or not using shelters or public housing. Using Glidden's structuration theory as the framework, the research questions for this study were based on exploring the perceptions of homeless individuals use of public resources related to housing and shelters to better understand why some use, and perhaps more importantly, …

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Factors Related To Prescription Drug Abuse Among Young Adults In Florida, Mabel Gonzalez Gonzalez Jan 2016

Factors Related To Prescription Drug Abuse Among Young Adults In Florida, Mabel Gonzalez Gonzalez

Walden Dissertations and Doctoral Studies

A lack of available data exists regarding environmental factors related to prescription drug abuse (PDA), which could explain the ineffectiveness of efforts to reduce PDA in Florida. Prescription drug abuse among adults older than age 18 varies with the level of education achieved, and these metrics potentially reflect socioeconomic differences. The purpose of this quantitative study was to examine the connections between contextual aspects of prescription opioid abuse among Florida's middle and high school students to understand youth PDA in relation to their environments. This study consisted of a secondary analysis of existing PDA data (dependent variable) in relation to …

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Servant Leaders' Use Of High Performance Work Practices And Corporate Social Performance, Michelle Kathleen Fitzgerald Preiksaitis Jan 2016

Servant Leaders' Use Of High Performance Work Practices And Corporate Social Performance, Michelle Kathleen Fitzgerald Preiksaitis

Walden Dissertations and Doctoral Studies

Business researchers have shown that servant leaders empower, provide long-term vision, and serve their workers and followers better than do nonservant leaders. High performance work practices (HPWPs) and corporate social performance (CSP) can enhance employee and firm productivity. However, when overused or poorly managed, HPWPs and CSP can lead to the business problems of employee disengagement, overload, or anxiety. Scholars noted a gap in human resource management research regarding whether leadership styles affect HPWPs and CSP use. This study examined the relationship between leadership style and the use of HPWPs and CSP, by using a quantitative, nonexperimental design. U.S. business …

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Adventist Affiliation And Type 2 Diabetes Pre- And Post-Complete Health Improvement Program (Chip), Janie Unruh Jan 2016

Adventist Affiliation And Type 2 Diabetes Pre- And Post-Complete Health Improvement Program (Chip), Janie Unruh

Walden Dissertations and Doctoral Studies

Adventists following a plant-based diet have half the prevalence and incidence of type 2 diabetes than nonvegetarian Adventists. This study used a quantitative, correlational study design to assess if there was a significant difference in type 2 diabetes prevalence rate between Adventists and non-Adventists preprogram, and if there were significant differences in biometrics between Adventists and non-Adventists with diabetes pre- and post-Complete Health Improvement Program (CHIP). This study incorporated the social ecological model for its conceptual framework and examined pre- and postprogram changes among Adventists (n=210; 20.1%) and non-Adventists (n=836; 79.9%) with type 2 diabetes. It used secondary data from …

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Transitional Planning And Homelessness Of Youths Emancipated From Foster Care, Sharon Patricia Sutherland Jan 2016

Transitional Planning And Homelessness Of Youths Emancipated From Foster Care, Sharon Patricia Sutherland

Walden Dissertations and Doctoral Studies

Previous research has indicated that approximately 25% of the 30,000 youths emancipated from foster care each year experience negative outcomes including poor education attainment, limited employment opportunities, homelessness, lack of access to healthcare, and poor social networks. Despite the existence of federal legislation that requires foster care agencies to assist foster youths to make the transition to independent living, research has revealed that the current transitional planning process is not effective. There is a gap in the current literature regarding qualitative research on youths' shared experiences of the transitional planning process as they transit out of foster care. This study …

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Examining Alignment Between Canadian Municipal Police Performance Evaluation Policies And Officer Perceptions, Birdella Wilson Jan 2016

Examining Alignment Between Canadian Municipal Police Performance Evaluation Policies And Officer Perceptions, Birdella Wilson

Walden Dissertations and Doctoral Studies

A lack of alignment between police performance evaluation policy purposes and officer performance evaluation perceptions has implications for the organizations' resource management, officer morale, and public safety. A literature review points towards a gap existing between policy purpose statements and employee perceptions. The purpose of this study was to investigate the relationship between the policy purposes of police performance evaluations and the officers' perceptions of those evaluation experiences in 4 Ontario municipal police services. DiMaggio and Powell's (1983) Institutional theory was the foundation for this study. Data for this study were collected from 4 police services in Ontario, Canada. The …

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Consistency In Clinical Preceptor Field Training For Sonography Students, Cathy Herring Daniels Jan 2016

Consistency In Clinical Preceptor Field Training For Sonography Students, Cathy Herring Daniels

Walden Dissertations and Doctoral Studies

Consistency in clinical preceptor training for sonography students is important in assuring equity in sonography student evaluation. Review of a local community college sonography program revealed a gap between expected roles and responsibilities of clinical preceptorship and what was actually done in the clinical setting. The purpose of this project study was to explore perceptions of graduates and preceptors regarding what constituted best practices in the evaluation of sonography students in the clinical setting. Knowles's theory of active learning provided a framework for understanding the student-preceptor relationship in the evaluation process. Research questions focused on sonography graduates' and clinical preceptors' …

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Teachers' Perceptions Of Elementary School Principals' Leadership Attributes And Their Relationship To School Effectiveness, Dyana Ontai-Machado Ontai-Machado Jan 2016

Teachers' Perceptions Of Elementary School Principals' Leadership Attributes And Their Relationship To School Effectiveness, Dyana Ontai-Machado Ontai-Machado

Walden Dissertations and Doctoral Studies

Schools in Hawaii are continuing to struggle with low student performance on their state's mandated test. Principal leadership has been found to have a direct impact on school effectiveness and researchers have indicated that school effectiveness can also be predicted by teachers' perceptions of principal leadership. This quantitative study was an examination of the relationships between teachers' perceptions of their principals' leadership attributes and school effectiveness as measured by the Strive HI Index in the state of Hawaii. The theoretical framework was grounded in Leithwood's core effective principal practices. A 41-item questionnaire from Colorado Education Initiative with a Cronbach's alpha …

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Absenteeism In An International Custom Software Engineering Company, Jennifer M. Mudek Jan 2016

Absenteeism In An International Custom Software Engineering Company, Jennifer M. Mudek

Walden Dissertations and Doctoral Studies

Absenteeism has a negative impact on organizational output in the form of lost productivity and profit reduction for software engineering companies. The purpose of this qualitative descriptive case study was to explore the strategies that software engineering managers utilize for reducing absenteeism. The theory of planned behavior formed the conceptual framework for this study. Data were collected through semistructured interviews from a purposeful sample of 11 managers at an international custom software engineering company. Data collection also included organizational data on employee absences for the past 5 years (2011-2015), e-mail memos, newsletters, employee handbook, and employee performance reviews. Based on …

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Relationship Between Hospital Performance Measures And 30-Day Readmission Rates, Henry M. Carter Jan 2016

Relationship Between Hospital Performance Measures And 30-Day Readmission Rates, Henry M. Carter

Walden Dissertations and Doctoral Studies

Medical errors occur at the prescription step due to lack adequate knowledge of medications by the physician, failure to adhere to policies and procedures, memory lapses, confusion in nomenclature, and illegible handwriting. Unfortunately, these errors can lead to patient readmission within 30 days of dismissal. Hospital leaders lose 0.25% to 1% of Medicare’s annual reimbursement for a patient readmitted within 30 days for the same illness. United States, lawmakers posited the use of health information technology, such as computerized physician order entry scores systems (CPOES), reduced hospital readmission, improved the quality of service, and reduced the cost of healthcare. Grounded …

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Young Adults Adherence To Cancer Treatment As Compared To Older Adults, Laurie Ann Cox Jan 2016

Young Adults Adherence To Cancer Treatment As Compared To Older Adults, Laurie Ann Cox

Walden Dissertations and Doctoral Studies

As compared to pediatric and older adult cancer patients, young adults are the only oncology group that has not demonstrated an increase in survival rates. Low treatment adherence rates have been one explanation for this discrepancy, although this hypothesis has not been explored specifically. Guided by the biopsychosocial model of health and wellness, this study compared the treatment adherence rates of 46 young adult cancer patients (ages 18-39 years) to 46 older adult cancer patients (ages 40 years and older). Adherence was measured by a dichotomized variable, as yes/no, adhering to radiation treatment and follow-up appointments recommended by the physician, …

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Diabetes Management Regimens And Cardiovascular Disease Risk In African American Men, Joseph Garilus Jan 2016

Diabetes Management Regimens And Cardiovascular Disease Risk In African American Men, Joseph Garilus

Walden Dissertations and Doctoral Studies

One of the most common health complications related to diabetes is the development of cardiovascular disease (CVD). Studies addressing the association between adherence to diabetes management regimens and the risk of CVD among minority populations are limited. This cross-sectional study was conducted to examine the association between diabetes management regimens and risk of CVD among African American men. The health belief model was used to frame the study. Data were collected from the Behavioral Risk Factor Surveillance System database for the states of Missouri and Ohio. Multiple logistic regression analysis was used to assess the association between adherence to diabetes …

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A Phenomenological Study Of Millennial Mothers' Decisions Regarding Childcare Choices, April Lynn Fatato Grundman Jan 2016

A Phenomenological Study Of Millennial Mothers' Decisions Regarding Childcare Choices, April Lynn Fatato Grundman

Walden Dissertations and Doctoral Studies

In the United States, over 10 million children under the age of 5, including half the infants and toddlers, spend time in the care of someone other than their parents. Changes in family roles and the need for dual-earner households make childcare decisions important for middle class millennial mothers. Research addressing middle class millennial mothers' experiences in choosing childcare for their infants and toddlers and their adjustment to family changes is limited. The purpose of this phenomenological study was to discover the lived experiences and decision-making processes of these mothers concerning childcare. The conceptual framework was informed by the theories …

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An Exploration Of The Effectiveness Of Problem-Based Learning In Nursing Education, Yvette Marie Jackson Jan 2016

An Exploration Of The Effectiveness Of Problem-Based Learning In Nursing Education, Yvette Marie Jackson

Walden Dissertations and Doctoral Studies

Critical-thinking is an essential skill that graduate nurses need to make sound clinical decisions. While traditional lecturing is the method most commonly used in nursing education, incorporating problem-based learning (PBL) into nursing curricula has been suggested as a better option for students' learning of theory and practice. The purpose of this study was to explore the difference in critical-thinking and problem-solving skills between nursing students taught using PBL versus those taught with traditional classroom lectures. A quasi-experimental approach, with cognitive learning theory as the foundation, was used to compare the results of an Assessment Technologies Institute (ATI) Comprehensive Predictor posttest …

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Teachers' Perceptions Of Digital Citizenship Development In Middle School Students Using Social Media And Global Collaborative Projects, Shane Snyder Jan 2016

Teachers' Perceptions Of Digital Citizenship Development In Middle School Students Using Social Media And Global Collaborative Projects, Shane Snyder

Walden Dissertations and Doctoral Studies

Middle school students misuse social media without understanding the negative influence on their global digital footprint and lives. Research does not provide insight into how students develop digital citizenship skills for positive digital footprints and appropriate social media use. The purpose of this qualitative case study was to explore students' growth as digital citizens while participating in one digital citizenship project using global collaboration and social media. The conceptual framework included Ribble's theory of digital citizenship and Siemens's theory of connectivism. Research questions asked how students' digital citizenship developed when they were engaged in social media and global collaborative projects. …

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Experiences Managing Type 1 Diabetes Mellitus Among Parents Of African-American Youth, Sonya T. Strider Jan 2016

Experiences Managing Type 1 Diabetes Mellitus Among Parents Of African-American Youth, Sonya T. Strider

Walden Dissertations and Doctoral Studies

Type 1 diabetes mellitus (T1DM) is one of the most frequently diagnosed endocrine and metabolic conditions that occur during childhood. This research study utilized a phenomenological study design to examine how the lived experiences of 20 African American (AA) parents of children with T1DM recruited using social media affects their management and control of the disease among AA youth age 5-17 years old. The interview questions were outlined in categories that tested key constructs of the health belief model (HBM) to determine the perceived barriers, seriousness, and susceptibility to maintaining good glycemic control for their children. Data from each interview …

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Kindergarten Teachers' Perspective On Guided Reading, Mary Epperson Carrasco Jan 2016

Kindergarten Teachers' Perspective On Guided Reading, Mary Epperson Carrasco

Walden Dissertations and Doctoral Studies

Within a Southwestern school system, deficits in early literacy skills exist as is illustrated by kindergarten students not meeting the requirements on the Phonological Awareness and Phonics Inventory (PAPI). To address this deficit in early literacy skills, the school system instituted the use of the Guided Reading Approach (GR); however, it was unknown how the kindergarten teachers were implementing GR. The purpose of this study was to investigate the experiences and challenges of kindergarten teachers who implement GR. Vygotsky's sociocultural theory of learning and constructivist theory provided the conceptual framework. Research questions explored the thoughts, attitudes, and beliefs teachers hold …

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Positive And Negative Experiences Of Career Technical Secondary Students In Online Courses, David Harms Jan 2016

Positive And Negative Experiences Of Career Technical Secondary Students In Online Courses, David Harms

Walden Dissertations and Doctoral Studies

Research indicates that secondary students who are successful in online classes share common traits. However, many secondary career technical education (CTE) students taking online courses do not demonstrate the traits identified for success. CTE students may not benefit from online classes unless they are designed with their needs in mind. The purpose of this study was to investigate current CTE student experiences with online classes at a single career center. The research questions investigated CTE experiences with online classes, positive and negative online design features, and the hybrid classroom. The theoretical framework was constructivism. The purposive sample included 12 student …

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National Center For Healthcare Leadership Competency Model Use In A Midwestern Healthcare Organization, Jimly Hariss Jan 2016

National Center For Healthcare Leadership Competency Model Use In A Midwestern Healthcare Organization, Jimly Hariss

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore senior leaders integration of the National Center for Healthcare Leadership (NCHL) competency model within their employee evaluation system. This case study was conducted to explore how the NCHL leadership competency model is used within their organization's employee evaluation system. The NCHL leadership competency model guided this study. The research was an exploration of themes in leadership competencies used in the healthcare organization. Data collection included in-depth interviews with 10 healthcare junior leaders in a single healthcare organization in the Midwestern United States who had at least 1 year of experience as a …

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Perinatal Drug Abuse Intervention: Policy Development For Drug Screening, Joeanna Lee Larson Jan 2016

Perinatal Drug Abuse Intervention: Policy Development For Drug Screening, Joeanna Lee Larson

Walden Dissertations and Doctoral Studies

Perinatal drug abuse is becoming a profound issue facing the health and wellbeing of neonates. The community serviced by the project site, which lies within the boundaries of an Indian Reservation, suffers from perinatal drug abuse at a higher rate than state and federal averages. The purpose of this project was to provide the project site with a policy to consistently screen for perinatal drug abuse. Lave's theory of situational learning and the Sanford Way model for quality improvement framed this project. To guide policy development, data were compiled through a systematic review of current literature, national and state guidelines, …

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User Adoption Of Enterprise Resource Planning Systems In The Public Sector, Lionel O. Wright Jan 2016

User Adoption Of Enterprise Resource Planning Systems In The Public Sector, Lionel O. Wright

Walden Dissertations and Doctoral Studies

The importance of aligning information technology and business strategies to exploit capabilities and change business practices has increased as firms strive for competitive advantage in a diverse and changing marketplace. Nevertheless, over 50% of firms implementing enterprise resource planning (ERP) systems ranked expected process and value enhancements as inadequate, whereas only 13% indicated that implementations met their needs. The unified theory of acceptance and use of technology (UTAUT) model formed the conceptual framework of this single case study. The study comprised a purposeful sampling of 8 business managers in Southeast Alabama working in related job roles and based on established …

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Socioeconomic Status Mobility And Lifetime Exposure To Discrimination On Cardiovascular Disease Events, Nkenge H. Jones-Jack Jan 2016

Socioeconomic Status Mobility And Lifetime Exposure To Discrimination On Cardiovascular Disease Events, Nkenge H. Jones-Jack

Walden Dissertations and Doctoral Studies

Blacks in the United States have the highest rates of hypertension in the world, and their cardiovascular disease mortality rates are higher than for any other population group as a result of traditional risk factors such as obesity and stronger family history. However, additional underlying factors, such as social determinants of health (e.g., socioeconomic status [SES]) and macrosocial factors (e.g., racism), also correlate with adverse health outcomes. This study investigated whether the interaction between SES mobility over the lifecourse and lifetime racial discrimination influenced the extent to which hypertension contributed to the cardiovascular disease health disparities observed among Blacks in …

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Communicating Periodontal Disease Risk To American Indian Patients With Diabetes, Jennifer Jordan Jan 2016

Communicating Periodontal Disease Risk To American Indian Patients With Diabetes, Jennifer Jordan

Walden Dissertations and Doctoral Studies

Type 2 diabetes is epidemic in the American Indian population. One problem health care providers face when working with the American Indian population is communicating about secondary complications, such as periodontal disease. From a public health standpoint, periodontal disease prevention is important not only to prevent unnecessary oral pain and tooth loss, but also to prevent other more serious systemic problems from occurring such as cardiovascular disease, strokes, and bacterial pneumonia. The purpose of this qualitative study was to examine the communication efforts of health care providers and understand if and how they discuss periodontal disease with their American Indian …

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Gender And Self-Care Behaviors In The Burnout Of Mental Health Professionals, Kafy-Ann Martin-Johnson Jan 2016

Gender And Self-Care Behaviors In The Burnout Of Mental Health Professionals, Kafy-Ann Martin-Johnson

Walden Dissertations and Doctoral Studies

Difficulties experienced at work can cause feelings of burnout that become prolonged and intensified without acts of self-care. The intense nature of mental health workers' jobs may make them, more vulnerable to burnout than other professionals. Because mental health professionals' mental and emotional wellness can significantly affect their work, adequate self-care is critical to both their well-being and that of their clients. Previous researchers have investigated the self-care behaviors of mental health professionals, but little was known about how gender affected the use of these behaviors in burnout prevention among mental health professionals. The purpose of this quantitative study was …

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Preventive Health Education Media And Older Worker Health Literacy, Lori Michelle Williams-Johnson Jan 2016

Preventive Health Education Media And Older Worker Health Literacy, Lori Michelle Williams-Johnson

Walden Dissertations and Doctoral Studies

The United States has experienced an increase in older workers as individuals born between 1946 and 1964 have remained in the labor force. Preventive health screening education, such as an immunization flyer, is necessary to avert preventable illness among older workers. Based on previous research, there is a gap regarding age-specific methods for educating the older worker about preventive health. Therefore, the purpose of this study was to explore the relationship between various media providing preventive health screening information and the assessed health literacy of the older worker. Based on the health belief model, a quantitative, cross-sectional method was used. …

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Decreasing Surgical Site Infections In Vascular Surgery Patients, Charlene Knight Little Jan 2016

Decreasing Surgical Site Infections In Vascular Surgery Patients, Charlene Knight Little

Walden Dissertations and Doctoral Studies

Postoperative surgical site infections are common complications in the operating room. Infections prolong hospital stays, heighten costs, and increase morbidity and mortality. The purpose of this evidence-based quality improvement project was to develop policy, program, and practice guidelines to prevent surgical site infections in vascular surgery patients. Rosswurm and Larrabee's change model was used to develop materials using the best evidence for the recommended practice changes. The Plan, Do, Check, Act model was selected to guide quality improvement. The project goal was to decrease the surgical site infection rate to below the national average. Products of the project include policy, …

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