Digital Commons Network^™

Is There An Association Between Non-Va Medical Care Coordination And Utilization Of Care?, Brenda Joyce Robisnon

Walden Dissertations and Doctoral Studies

The Non-Veteran Administration Care (NVC) is a program in which the Veterans Health Administration purchases health care when it cannot provide the health services needed for eligible Veterans. The rising cost of this program led to audits by the Office of the Inspector General and other entities. The scholarly problem for this DNP Project was the lack of oversight, accountability, and management, found throughout the audits of NVC, as well as a lack of evaluation of NVC. The purpose of this project was to ascertain if there was a relationship between the Non-VA Care Coordination program (NVCC) and utilization of …

Children Of Holocaust Survivors On Middle-Age: A Phenomenological Inquiry, Elizabeth Rosenberg

Walden Dissertations and Doctoral Studies

Children of Holocaust survivors are vulnerable to experiencing secondary trauma which typically manifests in emotional and psychological difficulties. Despite,their exposure to a traumatized family environment, many children of Holocaust survivors do not develop emotional or adaptive difficulties. Some demonstrate psychological resilience, reflected by their ability to adapt,to adversity and problems. The purpose of this study was to gain insight into how well-adjusted,middle aged children of Holocaust survivors developed and maintained resilience.In line with resilience theory,which explains how an individual bounces back from negative circumstances, the research questions for this study examined the factors that the participants used to develop and …

Utilization And Intensity Of Integrated Behavioral Health Services Within A Primary Care Setting, Joseph Aron Shafer

Walden Dissertations and Doctoral Studies

Integrated behavioral health care within primary care has become a popular style of health care delivery within the United States. However, individuals with a behavioral health concern face several barriers in using these services. The purpose of this quantitative study was to identify key factors accounting for individuals' utilization and intensity of behavioral health services. Andersen's behavioral model of health care use and the integrated theory of health behavior change served as the theoretical framework. It was hypothesized that gender, age, race, ethnicity, family size, payer type, poverty level, and certain preexisting medical conditions (obesity, diabetes, hypertension, and tobacco use) …

Self-Evaluative Salience And Motivational Salience As Predictors Of Depressive Affect And Appearance Based Rejection Sensitivity., Mandana Toosi

Walden Dissertations and Doctoral Studies

Although the psychological effects of appearance schemas have been studied in the general population, we know little about the relation of these schemas to appearance-based rejection sensitivity. This study examined the relations among predictive variables of appearance-invested self-schemas (self-evaluative salience [SES] and motivational salience [MS]), appearance-based rejection sensitivity, and depressive affect. Self-discrepancy theory was used to theorize that when individuals experience discrepancies with self, conflict arises in self-schemas, and that this conflict relates to an increase in depressive affect and appearance-based rejection sensitivity. The sample consisted of 131 adult female college students participating in a continuing education program. Multiple regression …

A Study Of Followers Under Transformational Leadership, Song X. Zhang

Walden Dissertations and Doctoral Studies

A gap exists in scholarship on how transformational leadership inspires healthcare workers in the eastern United States, which is important as healthcare costs are approximately 20% of the United States gross domestic product and rising. Improved healthcare performance may contribute to cost containment or even cost reductions. The purpose of this phenomenological study was to explore and describe the lived experiences of employees working for a transformational leader in a healthcare facility in the eastern United States. The conceptual framework was Bass's transformational leadership theory and von Bertalanffy's general systems theory. The overreaching research question asked how transformational leadership affected …

The Relationship Between Nutrient Intake And Social Emotional Functioning In Preschool Children, Tracy L. Daniel

Walden Dissertations and Doctoral Studies

Mental health disorders are rising in children and being referred to as an epidemic. Numerous studies have shown micronutrient deficiencies and poor diet quality are suspected of playing a contributory role in the escalation of certain disorders. However, there is no research in young children focusing specifically on social emotional disorders and possible links to nutrition. Conventional treatment for social emotional disorders in children typically involves medication. Parents are increasingly turning to complementary and alternative medicine to treat their children with a method that is individualized and holistic. The biopsychosocial model provided the theoretical framework for this correlational study that …

Electronic Health Record (Ehr) Reform, Ali Al Ukaby

School of Management Publications

Organizational Diagnosis

Electronic Health Record (EHR) Reform

Electronic Health Record (Ehr) Reform, Ali Al Ukaby

Walden Faculty and Staff Publications

Organizational Diagnosis

Electronic Health Record (EHR) Reform

The Extent And Nature Of Bullying In A Christian School, Brian Hazeltine, David A. Hernandez

Journal of Educational Research and Practice

Bullying is a problem that has been studied in schools worldwide, but there is little research on bullying within Christian schools, a dearth which may stem from the assumption that Christian schools teach character traits that are inimical to bullying. Yet understanding the extent and nature of bullying in Christian schools may lead to a better understanding of ways to address the problem in all schools. Guided by social identity theory, which allowed for a focus on moral and character development, this study examined the extent and nature of bullying among 347 students in Grades 3 through 10 in a …

Diabetes Self-Management Education For Adults With Type 2 Diabetes Mellitus, Rondalyn Dennis-Bradshaw

Walden Dissertations and Doctoral Studies

Diabetes, a major public health challenge in St. Kitts, has been a focus of international public health community research. Although researchers have demonstrated that diabetes self-management education is a cost-effective strategy for the prevention of diabetes-related complications, they have yet to establish whether there is adequate education occurring in treatment settings with diabetic patients. The purpose of the study was to implement and evaluate the short-term effectiveness of a diabetes self-management education intervention on diabetes-related knowledge and accepted behavioral changes to decrease risk for complications. Based on a self-care approach, this education intervention was designed to improve diabetes-related knowledge and …

Challenging The Efficacy Of Different Dental Bleaching Protocols, A. Koniaris, Vasileios Margaritis

Walden Faculty and Staff Publications

No abstract provided.

The Adaptation Needs Of International Social Work Students: A Proposed Mentoring Approach, Hyun-A Song, Helen E. Petracchi

Journal of Social Work in the Global Community

Given the increasing numbers of international social work students in the United States, it is incumbent upon social work faculty to understand their needs for appropriate support as they adjust to life as foreign-born students. This paper has two main goals. First, we discuss contributions and challenges faced by international social work students. Second, as a form of support, we propose a mentoring approach pairing retired social work professionals with international social work students and argue that this may provide a mutually beneficial experience for both. That is, this study identifies adaptation needs specific to international social work students, describes …

Expert Clinician To Novice Nurse Educator. Learning From First-Hand Narratives, Jeanne Merkle Sorrell, Pamela Cangelosi

Walden Faculty and Staff Publications

The nurse educator role often looks deceptively simple. Compared to the complexity of bedside care for a patient with multiple comorbidities and hour-by-hour monitoring, watching over students to guide their learning may appear easy. Yet, when experienced nurse clinicians try out this new endeavor for the first time, they often describe themselves as frustrated and uncertain about how to best implement the role. Through years of experience as clinicians, nurses often arrive at a comfort zone where they know what to do for their patients in order to keep them safe and enhance their healing. When moving to the nurse …

Pregnancy Apps: A Closer Look At The Implications For Childbirth Educators, Christine Frazer, Leslie Hussey, Emily Bosch, Michelle Squire

Walden Faculty and Staff Publications

Most pregnant women download an average of three pregnancy apps during their gestational period. There are no set standards in place for what needs to be included in an app’s description leaving consumers to decide for themselves when it comes to selecting the right app to download. The childbirth educator must be knowledgeable about pregnancy apps, in-tune as to what apps their clientele download, and how to analyze them for credibility. This article presents characteristics associated with women of childbearing age (i.e. Millennial/Net generation); the reasons why pregnant women are turning to apps; the limitations of apps, and the childbirth …

A Rapid Assessment Of Post-Disclosure Experiences Of Urban Hiv-Positive And Hiv-Negative School-Aged Children In Kenya, Grace Gachanja

Walden Faculty and Staff Publications

There has been limited involvement of HIV-negative children in HIV disclosure studies; most studies conducted on the effects of disclosure on children have been with HIV-positive children and HIV-positive mother-child dyads. Seven HIV-positive and five HIV-negative children participated in a larger study conducted to understand the lived experiences of HIV-positive parents and their children during the disclosure process in Kenya. In this study, the experiences of these 12 children after receiving disclosure of their own and their parents’ illnesses respectively are presented. Each child underwent an in-depth qualitative semi-structured digitally recorded interview. The recorded interviews were transcribed and loaded into …

Social Media As Support For Partners Of Veterans With Posttraumatic Stress Disorder, Susan L. Ruiz, Lee Stadtlander

Journal of Social, Behavioral, and Health Sciences

Researchers have established that partners of veterans who isolate socially because of posttraumatic stress disorder are also socially impacted. It is not known how partners cope with their own social isolation and the influence of social media on the isolation while maintaining commitment to their veteran partners. Weiss’ theory of the syndrome of loneliness was used as the basis for this phenomenological study investigating social experiences in 10 female participants drawn from social media groups. Although the study was open to male or female partners, only female partners of male veterans chose to participate. Qualitative email interviews established how the …

Predictors Of Latino English Learners’ Reading Comprehension Proficiency, Theresa A. Grasparil, David A. Hernandez

Journal of Educational Research and Practice

Poor literacy achievement among English learners has contributed significantly to their high dropout rates, poor job prospects, and high poverty rates. The National Literacy Panel on Language Minority Children and Youth has suggested that English learners benefit from the same direct, systematic instruction in the five essential components of reading shown effective for native-English-speaking students: phonemic awareness, phonics, oral reading fluency, vocabulary, and comprehension. Implementing effective reading instructional practices for English learners may reduce the literacy achievement gap between English learners and native English speakers. In this study, we used multiple regression to examine data for 1,376 third-grade Latino English …

Exploring Racial Disparity In St. Louis City Fetal-Infant Death, Hadi Danawi, Marie Peoples

Walden Faculty and Staff Publications

The perinatal periods of risk (PPOR) methodology was used to analyze resident fetal and infant deaths in St. Louis City, Missouri, for the years 1999 - 2008. The PPOR approach is mapped into four periods: Maternal Health/Prematurity (MHP), Maternal Care (MC), Newborn Care (NC), and Infant Health (IF). Both Blacks and Whites experienced excess fetal-infant death within the MHP periods. Recognizing specific periods of increased risk provides key information to transform data into action. Findings allow childbirth educators, community members, and policy-makers to further explore barriers limiting maternal care.

A Review Of Fatherhood Related Issues In The Country Of Lebanon, Hadi Danawi, Tala Hasbini

Walden Faculty and Staff Publications

Fatherhood issues in the country of Lebanon remain largely unexplored and undocumented. This review serves as a basis for fatherhood issues and presents a snapshot of the current situation with a background of some of the most related challenges affecting the issue of parenting in Lebanon. In addition, this review lays the background of how these challenges affect women of childbearing age who often end up raising their families on their own. Cultural and religious beliefs as well as factors relating to political influences in the Middle East region are discussed. The author concludes with a set of lessons learned.

The Role Of Ultrasound In The Lebanese Outreach Setting, Reem Abu-Rustum, Fouad M. Ziade, Hadi Danawi

Walden Faculty and Staff Publications

A cross-sectional study was carried out on 669 patients to assess the role of introducing ultrasound into obstetrical outreach in Lebanon. Data were collected, and descriptive statistics were performed. Sonographic findings were compared using Chi-square tests between underserved Lebanese and Syrian refugee mothers. Ultrasound plays a significant role in properly dating pregnancies in addition to identifying at-risk fetuses and detecting placental abnormalities. Medical providers need to make sonographic evaluation in the Lebanese outreach obstetrical setting more available and more systematic in order to secure a safe outcome for underserved Lebanese and Syrian refugee mothers and offspring.

Mindfulness: Being Present In The Moment, Stephanie Ann Stathas, Christine Frazer

Walden Faculty and Staff Publications

This article serves to enlighten childbirth educators’ knowledge about mindfulness and the mother-baby benefits associated with incorporating mindfulness- based interventions into practice. Jon Kabat-Zinn, who developed the Mindfulness Based Stress Reduction program, brought the concept of mindfulness into the world of healthcare and mainstream society. Mindfulness is the practice of bringing awareness to the here and now using a variety of methods. Nancy Bardacke has taken the practice of mindfulness further and developed a program for expecting mothers, known as Mindfulness Based Childbirth and Parenting. This program has been shown to reduce stress responses that may be harmful to a …

Are We There Yet? Data Saturation In Qualitative Research, Patricia I. Fusch Ph.D., Lawrence R. Ness

Walden Faculty and Staff Publications

Failure to reach data saturation has an impact on the quality of the research conducted and hampers content validity. The aim of a study should include what determines when data saturation is achieved, for a small study will reach saturation more rapidly than a larger study. Data saturation is reached when there is enough information to replicate the study when the ability to obtain additional new information has been attained, and when further coding is no longer feasible. The following article critiques two qualitative studies for data saturation: Wolcott (2004) and Landau and Drori (2008). Failure to reach data saturation …

Relationships Between Specific Health-­Related Fitness Components And Standardized Academic Achievement Tests, Tona Wilson

2010-2016 Archived Posters

Guided by self-­efficacy theory, this study assessed the impact of optimal versus minimal physical fitness on student academic achievement. Independent variables were optimal and minimal physical fitness based upon completing 6 or 5 FITNESSGRAM components, respectively. Optimally fit students scored significantly higher (p < 0.05) in math and ELA tests.

The Effects Of Certified Nurse Assistants’ Socialization, Onboarding, And Turnover, Dorothy Henry

2010-2016 Archived Posters

Drawing from social identity theory, this study investigated certified nurse assistant’s perceived belongingness, attachment to their organizations, and intentions to leave their jobs. Healthcare reform was the public policy guiding this study. Our findings indicated affective commitment to the organization partially mediated the relationship between organizational identification and turnover intentions.

The 1907 Bellingham Riot And Anti-Asian Hostilities In The Pacific Northwest, Paul Englesberg

Walden Faculty and Staff Publications

Introduction: Historians have emphasized various factors and aspects of the attacks depending on their perspectives and theoretical persuasions, including labor strife, racial supremacist ideology, fears due to socio-cultural differences, and reaction to nationalism and radicalism. More recently, historians have the paid particular attention to the legal and political implications and results on a national level on both sides of the US.-Canadian border.1 Through my study of Asian immigration in the Northwest region and Bellingham in particular, I have concluded that there was a concerted effort to harass the Punjabi Sikhs and arouse popular animosity that began a full year before …

Developing An Online Direct-Assessment Competency-Based Masters Of Healthcare Administration: Insights, Challenges, And Lessons Learned, Lisa Monica Mcintyre-Hite, Mountasser Kadrie Dr., Heather Pederson, Terry Hudgins

Walden Faculty and Staff Publications

In response to the increasing complexity in healthcare delivery environments, there is evidence from literature and the healthcare industry to indicate healthcare employers are seeking graduates in healthcare administration programs who have strong core competencies and proven problem solving skills. The purpose of this article is to describe the unique challenges and opportunities related to developing a direct-assessment, competency-based online Master’s in Healthcare Administration program. The United States Department of Education (2013) provided general guidelines for direct-assessment programs noting that, instead of measuring student learning via credit hours, learning is measured via direct assessment measures like “projects, papers, examinations, presentations, …

The Association Between Sleep Loss And Women’S Wellness Decisions, Gudeta D. Fufaa, Amber S. Linde

Walden Faculty and Staff Publications

Sleep loss is an important determinant of health status owing to its relationships with molecular, immune, and neural changes; these changes, in turn, are important etiological mechanisms for the development of cardiovascular, metabolic diseases and increased risk of accident related injuries. While the association between sleep loss and risk of weight gain is established, studies on the association between sleep loss and nutrition and physical activity are limited. The purpose of this research was to determine if there are significant associations between reported sleep variations and nutrition and physical activity level while recognizing the association between body mass index (BMI) …

A Blogging Primer For Childbirth Education Professionals, Leann Stadtlander

Walden Faculty and Staff Publications

Blogs are frequently updated websites where content (e.g., text, pictures, music) is posted on a regular basis and the information is displayed in chronological order. A blog provides a mechanism to establish an online presence as a childbirth education professional. The new blogger does need to learn new software and terminology; however, there are many resources available to help get a blog started. Keys to successful blogging include maintaining a regular schedule of posts, keeping the posts fun and interesting, and providing information that is useful to the audience.

“Ask The Experts” Panel, Kurt Schoch

Walden Faculty and Staff Publications

Individuals with extensive experience with Baldrige will field questions and have one-on-one discussions with participants.

Validation Of The Health Efficacy And Assertiveness Scale, Lee Stadtlander, Amy Sickel, Martha Giles

2010-2016 Archived Posters

Recently, health care has required the role of “patient" to change from a receptive role to an active one. Patients' responsibilities for discussing health with their physicians require greater health assertiveness and efficacy. There is not a validated survey examining patient assertiveness and self-efficacy. This study addresses this issue.