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Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland Jan 2023

Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland

Walden Dissertations and Doctoral Studies

Mental illnesses in correctional facilities have been an issue for decades and have increased over time. According to recent studies, correctional facilities have become known as mental health institutions without access to treatment. It is unclear why correctional facilities have limited resources, but research indicates that offenders are not receiving the appropriate treatment. This qualitative phenomenological study aimed to explore how five prison-based counselors perceive the quality and quantity of mental health services provided to inmates. The data were analyzed and coded using the Interpretative Phenomenological Analysis (IPA). The current study’s findings further added to the base of knowledge that …

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Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson Jan 2023

Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson

Walden Dissertations and Doctoral Studies

Parents are a key influence on their adolescent children's sexual health care decisions. Few researchers have considered the impact of religious environments and parental expectations on adolescents’ use of sexual health services, and research on religious parents’ awareness of adolescents’ use of sexual health services in Christian environments is scarce. The purpose of this basic qualitative study was to explore religious parents' awareness of and attitudes toward their adolescents’ use of sexual health services. The social ecological theory provided the conceptual lens for this study. Eight Christian parents participated in in-depth virtual interviews to discuss their encouragement or discouragement of …

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Parents’ Perceptions Of Hardships Associated With Transitioning Their Child With Disabilities From Early Intervention To The Local Education Agency, Chelsea Theria Taylor Jan 2023

Parents’ Perceptions Of Hardships Associated With Transitioning Their Child With Disabilities From Early Intervention To The Local Education Agency, Chelsea Theria Taylor

Walden Dissertations and Doctoral Studies

Children with disabilities require services that are covered under the Individuals with Disabilities Education Act to be successful in school. Early intervention, which is made available to all who qualify, provides services with a team that works directly with the family. However, when the child turns three years of age, the family is transitioned to their local education agency (LEA). The level of support at this point lessens as the school takes over services for the child. The purpose of this qualitative study was to explore the experiences of parents with children with disabilities during the transition from early intervention …

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Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc Jan 2023

Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc

Walden Dissertations and Doctoral Studies

AbstractHypertension (HTN) is a frequent diagnosis in primary care settings and is disproportionately higher among African Americans. Observed in the clinic were frequent office visits by patients with uncontrolled blood pressure and nonadherence to medication in an outpatient cardiology clinic in Northeast New Jersey. Also, a knowledge gap was noticed among clinical staff on current HTN guidelines. An awareness of evidence-based guidelines was necessary to combat poorly controlled BP in the clinic. The purpose of this Doctor of Nursing Practice project was to create an education program on current HTN guidelines to bridge the knowledge gap among clinic staff. The …

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Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang Jan 2023

Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang

Walden Dissertations and Doctoral Studies

The absence of adequate knowledge, skills, and competencies in screening for suicide risk in adolescent and young adult patients is a significant problem facing nurses in outpatient settings. An evaluation of the project site facility’s main performance metrics revealed shortcomings in locating patients who pose a serious risk of self-harm and suicide. Staff dealing with the patients may, as a result, overlook preemptive measures that could stop a suicide event. The project aimed to create a training program to introduce the ask suicide-screening questions (ASQ) tool kit, an evidence-based suicide screening tool, to ambulatory nurses. The goal of the project …

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Andragogical Methods And Teaching Strategies Used In Community College Composition Courses, Octavia Thorns-Jackson Jan 2023

Andragogical Methods And Teaching Strategies Used In Community College Composition Courses, Octavia Thorns-Jackson

Walden Dissertations and Doctoral Studies

A midwestern community college utilized a corequisite model to accelerate students’ developmental education that allows adult learners to take developmental writing and English composition simultaneously. First-year composition instructors had no formal training at the college on andragogical methods and teaching strategies to foster successful completion in developmental and first-year composition courses. The purpose of this basic qualitative study was to explore the andragogical methods and teaching strategies of six successful full-time and adjunct developmental writing and first-year composition instructors as well as what these instructors need to improve their approaches with these students. The study was grounded in a conceptual …

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An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry Jan 2023

An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry

Walden Dissertations and Doctoral Studies

The death of a loved one can be an extremely painful process that can have detrimental consequences on the emotional well-being of individuals if they don’t receive grief intervention support. When it specifically comes to the emotional eudaemonia of children and teens experiencing the death of a loved one, research is limited on empirical-based bereavement intervention support to enhance their coping skills. Utilizing the theoretical framework of resilience theory, the purpose of this quantitative secondary research study was to evaluate the Sutter Sacramento Children’s Bereavement Art Group (CBAG) ten- week intervention for children and teens ages 5-12. The first question …

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A Sociotechnical Systems View Of Computer Self-Efficacy And Usability Determinants Of Technical Readiness, Stefani L. Tucker Jan 2023

A Sociotechnical Systems View Of Computer Self-Efficacy And Usability Determinants Of Technical Readiness, Stefani L. Tucker

Walden Dissertations and Doctoral Studies

The specific research problem was that it is unknown whether computer self-efficacy and usability determine technical readiness in hourly and exempt information technology support employees in the United States. The purpose of this correlational study was to examine the relationship between computer self-efficacy and technical readiness, usability and technical readiness, and computer self-efficacy, usability, and technical readiness in hourly and exempt information technology support employees in the United States. Sociotechnical system theory suggests that every transaction has a human and technical aspect; thus, the theoretical framework. The convenience sample included 136 information technology support employees aged 18-70. The regression results …

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Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas Jan 2023

Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas

Walden Dissertations and Doctoral Studies

Abstract There are gaps in the literature regarding how patient-physician racially concordant relationships affect African American women’s health. This quantitative study evaluated the effects of non-minority physician influence on the perceptions of medical mistrust, racial discrimination, and healthcare-specific racial discrimination on African American women. The behavioral model for vulnerable populations guided the study. Two research questions involved understanding the relationship between trust in the physician scale and medical mistrust and the association between racial discrimination and perceived healthcare-specific racial discrimination among African American women living in a Southern U.S. state. A stratified random sampling strategy was used to obtain a …

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Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish Jan 2023

Educating Oncology Nurses On Identifying And Managing Cancer-Related Distress, Rosemary Vivella Irish

Walden Dissertations and Doctoral Studies

AbstractUp to 50% of patients diagnosed with cancer will experience significant levels of distress. Cancer is related to psychological distress and can negatively impact recovery from surgery, increase treatment side effects, and decrease overall quality of life. The National Comprehensive Cancer Network recommended screening for distress as part of comprehensive cancer care. In the practice setting, there was a need for better assessment of distress in cancer patients. The purpose of this staff education project was to address a gap in practice regarding the lack of knowledge of screening for distress by providing education to oncology nurses on how to …

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Exploring Dual Roles In Law Enforcement Officers Who Administer Naloxone, Regina Sullivan Wachenheim Jan 2023

Exploring Dual Roles In Law Enforcement Officers Who Administer Naloxone, Regina Sullivan Wachenheim

Walden Dissertations and Doctoral Studies

With the introduction of law enforcement-administered naloxone, officers are assuming the dual role of law enforcer and caregiver with opioid users. This study used cognitive role theory and Thorne’s interpretive approach to explore the dual roles experienced by officers. The purpose of this study was to understand (1) how officers who administer naloxone describe their experience of the dual role, and (2) how the officers describe the role expectations of law enforcer and caregiver. Seven officers completed semi-structured, one-on-one, telephone interviews. The eight themes that emerged were related to the officers’ views of (1) saving and changing opioid users’ lives; …

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Faculty Perceptions Of Student Retention Strategies At A Career-Based University, Sheila Annette Williamson-Branch Jan 2023

Faculty Perceptions Of Student Retention Strategies At A Career-Based University, Sheila Annette Williamson-Branch

Walden Dissertations and Doctoral Studies

In 2008, a career-focused university implemented a set of faculty-led retention strategies to address a steady decline in retention. Yet, despite the implementation of this program, retention continued to decline. The purpose of this study was to examine the perceptions of full-time faculty and part-time faculty regarding what aspects of the existing student retention program were falling short in the university’s efforts to identify strategies to improve student retention. The conceptual framework used for this study was Tinto’s student retention theory promoting momentum to support the examination of the perceptions of faculty to improve student retention. The research questions examined …

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Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman Jan 2023

Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman

Walden Dissertations and Doctoral Studies

Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …

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Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White Jan 2023

Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White

Walden Dissertations and Doctoral Studies

Although there has been much media focusing on child sexual abuse in the Catholic Church, in many cases Protestant church leaders who committed child sexual abuse were held to no level of accountability. The purpose of this qualitative phenomenological study was to explore the modus operandi of child sexual predators and their target selection criteria in Protestant churches. Hickey’s relational paraphilic attachment theory provided the framework for the study. Fifteen cases from the United States were analyzed using inductive coding to identify six themes: (a) Leaders from Protestant churches who were convicted of sexually abusing minors possessed gross psychological immaturity, …

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African American Mothers’ Perceptions Of Trust Of Law Enforcement, Caisha Wilkes Jan 2023

African American Mothers’ Perceptions Of Trust Of Law Enforcement, Caisha Wilkes

Walden Dissertations and Doctoral Studies

AbstractFor many years, African American mothers have endured negative experiences with law enforcement (LE) involving themselves, their children, or both. These personal experiences with LE contribute to the lack of trust African American mothers have in LE. The purpose of this study was to explore African American mothers’ perceptions of LE in terms of trust. Social conflict theory was used as the conceptual framework for this study. Eight African American mothers residing in the United States were recruited by means of snowball sampling to participate in semistructured interviews. The resulting interview transcripts were coded via the six-steps method, and the …

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Mental Health Outpatient Services And Hospital Readmissions Among Adolescent Patients In Louisiana, Whitney Walker Jan 2023

Mental Health Outpatient Services And Hospital Readmissions Among Adolescent Patients In Louisiana, Whitney Walker

Walden Dissertations and Doctoral Studies

Hospital admissions and readmissions among Medicaid patients significantly impact increased healthcare costs for the state of Louisiana and are associated with poor quality of care. The specific research problem under study was the relationships, if any, between mental health outpatient services in Louisiana, either individual therapy or home and community-based services post-hospital discharge, gender of the patient, and age of the adolescent patient with the number of hospital readmissions over 1 year. Secondary quantitative data analysis was performed using the Island Peer Review Organization Annual External Quality Review Technical Report and data from the managed care organization in Louisiana. No …

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Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield Jan 2023

Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield

Walden Dissertations and Doctoral Studies

The problem addressed in this research was the inappropriate treatment of multicultural individuals by their immediate supervisors and the need for a thorough examination of cultural humility in organizational settings. This quantitative study used linear regression and moderation analyses to examine the relationship between cultural humility and intention to leave moderated by authentic leadership to determine how the participants’ perception of cultural humility in their immediate supervisor predicted their intention to leave. Another purpose was to examine whether authentic leadership moderated the relationship with intention to leave. The theoretical framework for this study included cultural humility, authentic leadership, and intention …

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Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto Jan 2023

Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto

Walden Dissertations and Doctoral Studies

AbstractThe prevalence rates for end stage renal disease (ESRD) have continued to rise by approximately 20,000 cases per year, and the number of patients with kidney failure requiring dialysis in the United States had reached 554,038 at the end of 2018. Transition of care for patients between acute care facilities and other care facilities such as dialysis centers remains challenging for providers. Lack of clear communication between providers, poor patient understanding of post-hospital self-care, and gaps in healthcare scheduling contribute to a high rate of adverse events. This facility did not have a detailed clinical guideline for ESRD communication between …

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Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton Jan 2023

Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …

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Local Stakeholders' Involvement In Community Development Projects In Kenya, Charles Wanjue Jan 2023

Local Stakeholders' Involvement In Community Development Projects In Kenya, Charles Wanjue

Walden Dissertations and Doctoral Studies

Local residents can provide valuable input on the design, implementation, review, and assessment of development projects, but many community development organizations do not involve these individuals in decision-making. There was inadequate knowledge about why community members are not engaged in community development projects in Kenya. With this study, I sought to improve the understanding of why community members are not fully involved in implementing and managing community development projects in Kenya. Stakeholder theory served as the theoretical foundation for this study. Data were collected through interviews with 13 management and program staff members working with an NGO in Kenya. The …

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Exploring Social Workers And Self-Care, Justyna Wawrzonek Jan 2023

Exploring Social Workers And Self-Care, Justyna Wawrzonek

Walden Dissertations and Doctoral Studies

First responder social workers are exposed to a stressful work environment, which puts them at risk for burnout. Burnout increases turnover rates, which negatively impacts both social workers and the clients they serve. The use of self-care practices mitigates the harmful effects of burnout. Because first responder social workers in southern California have an average turnover rate of 6 to 12 months after hire, this study explored southern California first responder social workers’ experiences with self-care practices. A basic qualitative design using semistructured interviews was applied through the purposeful sampling of eight first responder social workers. The study was grounded …

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Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West Jan 2023

Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West

Walden Dissertations and Doctoral Studies

AbstractAfrican American small food service business owners contribute to national and local economies; however, only 45% of them sustain their businesses beyond 5 years. African American small food service business owners are concerned with the lack of effective business strategy implementation, as it is the number one predictor of actual business failure. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies African American small food service business owners used to sustain their businesses beyond 5 years. The participants were seven African American small food service business owners in the southeastern United …

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Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker Jan 2023

Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker

Walden Dissertations and Doctoral Studies

The phenomenon of sexual violence against women in Liberia is a disturbing problem. Despite the significant number of individuals who have faced sexual assault in this country, little is known about the roots and long-term implications of this phenomenon within the context of Liberia, as well as the instruments that could be effective in remedying its effects. This study was conducted to understand how conflict-related sexual violence affects women in Liberia and suggest ways to help address it. The research questions addressed the effect of war-related sexual violence against women in Liberia and the strategies that are necessary to remedy …

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The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall Jan 2023

The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall

Walden Dissertations and Doctoral Studies

Hispanic immigrants are understudied and underserved; this is a population that continues to battle injustices and discriminatory actions due to immigration policy. The Hispanic population struggles with immigration stress and deportation, which contributes to difficulties such as psychological distress, physical health problems, acculturative stress, employment difficulties, and decreased access to support and services. In this study, a generic qualitative design was utilized to explore immigration stress and the experiences of documented Hispanic immigrants dealing with survivor’s guilt as it relates to the deportation of their loved ones. Relational cultural theory as used in the study to explore the Hispanic population, …

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Examining The U.S. Disaster Management Program: A Case Study Of The U.S. Virgin Islands Hurricanes Irma And Maria Evacuation, Victoria F. Vachon Jan 2023

Examining The U.S. Disaster Management Program: A Case Study Of The U.S. Virgin Islands Hurricanes Irma And Maria Evacuation, Victoria F. Vachon

Walden Dissertations and Doctoral Studies

AbstractWhether from natural or human causes, every global community is at risk for overwhelming, destabilizing incidents. Hurricanes Irma and Maria devastated the U.S. Virgin Islands in late August and early September 2017, necessitating the urgent evacuation of hemodialysis patients over 1000 miles to the U.S. mainland. Because the damage and response to the U.S. territory were unprecedented, the public health implications of the government’s strategies on the evacuated population subset were unexplored. However, available information suggested that some evacuees sustained avoidable harm while in the protracted care and custody of the government. This qualitative case study, conceptually framed by Bronfenbrenner’s …

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Impact Of Type 2 Diabetes And Hypertension On Allocation Of Grant Funds In Federally Qualified Health Centers, Rhonda Mullins Jan 2023

Impact Of Type 2 Diabetes And Hypertension On Allocation Of Grant Funds In Federally Qualified Health Centers, Rhonda Mullins

Walden Dissertations and Doctoral Studies

Limited resources exist for managing the increasing cases of hypertension and type 2 diabetes, which underlines the need to continuously review reimbursement plans to ensure care affordability for chronic illness. The purpose of this quantitative study was to determine whether a correlation existed between the number of patients with type 2 diabetes, hypertension, and demographic characteristics (independent variables) seen at Federally Qualified Health Centers (FQHCs) and the allocation of grant funds from Health Resources and Service Administration (HRSA) (dependent variable) from 2016 – 2020 among adults 18 years old and older in the United States. Guided by the Transaction Cost …

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The Effect Of Employee Appreciation Methods On Job Satisfaction Of Higher Education Support Staff, Joanna Carter Jan 2023

The Effect Of Employee Appreciation Methods On Job Satisfaction Of Higher Education Support Staff, Joanna Carter

Walden Dissertations and Doctoral Studies

Almost 80% of U.S. companies have an employee recognition program. Although there is a great deal of research on the factors that affect employees' job satisfaction in general, little is known about the effect of employee appreciation methods on support staff's job satisfaction within higher education institutions. The purpose of this quantitative study was to determine the effect of seven employee appreciation methods on the job satisfaction of support staff within higher education institutions. The study's theoretical framework consisted of Abraham Maslow’s theory of motivation, Victor Vroom’s expectancy theory, Frederick Herzberg’s motivation-hygiene theory, and Arne Kallenberg’s theory of job satisfaction. …

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Effect Of Detention Facilities Toward Juvenile Delinquency And Exposure To Criminalization, Calvin Clark Jan 2023

Effect Of Detention Facilities Toward Juvenile Delinquency And Exposure To Criminalization, Calvin Clark

Walden Dissertations and Doctoral Studies

AbstractDetention facility settings present opportunities and risks in relation to violent extremism. Criminalization as the main concern would increase the crime rates in the United States while allowing the formation of terrorist groups on U.S. soil. The purpose of this quantitative cross-sectional study was to investigate the relationship between juveniles’ experiences in detention centers and their exposure to criminalization. The study was guided by social control theory, narrative theory, and differential opportunity theory. Data were collected using a survey of 15 juvenile detention officers. Results of correlation analyses indicated a significant relationship between detention experience and increased exposure to criminalization …

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Sexually Transmitted Disease Awareness Amongst Adolescents 13 To 18 Years Of Age, Ngwanma Nwokoro Jan 2023

Sexually Transmitted Disease Awareness Amongst Adolescents 13 To 18 Years Of Age, Ngwanma Nwokoro

Walden Dissertations and Doctoral Studies

Abstract Sexually transmitted infections or diseases (STIs/STDs) acquired through sexual activities lead to compromised sexual health. The adolescent population is at high risk of acquiring STIs/STDs due to their lack of knowledge. The gap in practice was that the nurse practitioners (NPs) were deficient in standard of care; adolescent patients lacked consistent evaluation, education, or documentation of the education in their medical records. The practice-focused question focused on the evaluation of the effectiveness of a quality improvement (QI) initiative that incorporated the use of the American Association for Pediatrics screening and Center for Disease Prevention and Control (CDC) treatment guidelines …

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Impact Of Race And Socioeconomic Factors On Infant Mortality Between Non-Hispanic Black And White Women, Chukuma Clifton Chijioke Jan 2023

Impact Of Race And Socioeconomic Factors On Infant Mortality Between Non-Hispanic Black And White Women, Chukuma Clifton Chijioke

Walden Dissertations and Doctoral Studies

Abstract This quantitative retrospective study with a correlational design examined the impact of race and socioeconomic factors on the high infant mortality (IM) among non-Hispanic Black women compared to non-Hispanic White women in one midwestern US state county. Though the IM in the U.S. has consistently decreased, a disparity exists between non-Hispanic Black and non-Hispanic White women. Non-Hispanic Black women are twice as likely to experience infant deaths as non-Hispanic White women. This study utilized secondary data derived from vital records maintained by the county public health department. The research was grounded in the ecological model. Logistic regression was used …

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