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Housing Discrimination, Social Isolation Or Exclusion Among Gypsies In Romania, Simina Moldovan Jan 2022

Housing Discrimination, Social Isolation Or Exclusion Among Gypsies In Romania, Simina Moldovan

Walden Dissertations and Doctoral Studies

Housing discrimination against Gypsies is a problem that has received little attention in the research literature. The purpose of this ethnographic case study was to explore and document the extent to which Gypsies in one location in Romania experience housing discrimination because of local policies and if any cultural factors are influencing the way Gypsies are perceived or treated by the local government and police. The conceptual framework for this study was based on the narrative policy framework and self-categorization theory in the context of a diverse cultural environment and a developing democracy. The study was guided by three research …

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Cognition, Neurocognitive Disorder, Psychotropic Group Of Medication, And Fall Among Canadians Aged 65+ Years, Victoria Elaki Momoh Jan 2022

Cognition, Neurocognitive Disorder, Psychotropic Group Of Medication, And Fall Among Canadians Aged 65+ Years, Victoria Elaki Momoh

Walden Dissertations and Doctoral Studies

Despite the high incidence of fall among the elderly in residential care, this problem has been minimally explored and reported. This study examined the association between (cognitive performance, dementia, four groups of psychotropic medication-hypnotics, antidepressants, antianxiety medication, and antipsychotics) and fall among Canadian elderly in residential care. A multi–variate logistic regression was used for the analysis. The Social Cognitive Theory was used to interpret the findings of an analysis on 180,231 Canadian residents from 2018–2019. Cognitive performance at intact level (OR=1.114, p<0.001), cognitive performance at moderate level (OR=1.192, p<0.001), dementia diagnosis (OR=1.075, p<0.001), antipsychotics (OR=2.571, p<0.001), antidepressants (OR =1.486, p<0.001) and antianxiety prescription (OR=3.284, p<0.001) increased the odds ratio of fall. However, cognitive performance at severe level (OR=0.898, p<0.001), no dementia diagnosis (OR=0.001, p<0.001) and hypnotics prescription (OR=0.389, p<0.001) decreased the odds ratio of fall. Findings indicate that cognitive performance at the intact and moderate levels, antianxiety, antipsychotic and antidepressant medications and dementia were strong predictors of fall among the elderly in residential care in Canada. A limitation of the study was that the dataset used captured data from 7 out of 13 Canadian provinces and territories therefore, limiting external validity. The potential positive social change impact of this study is that it would guide caregivers, enhance fall prevention practices and decrease fall occurrence in this population.

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Secondary Teachers’ Perspectives On Social Media Use With Students During The Covid-19 Pandemic, Janene Medina Mondragon Jan 2022

Secondary Teachers’ Perspectives On Social Media Use With Students During The Covid-19 Pandemic, Janene Medina Mondragon

Walden Dissertations and Doctoral Studies

AbstractThis study addressed the problem that teachers used social media inconsistently with their students during the COVID-19 pandemic. During the COVID-19 pandemic, the research state’s public education department suggested utilizing social media to communicate with students through remote learning. Traditionally, teachers have struggled with using social media with students. The purpose of this basic qualitative study was to explore secondary teachers’ perspectives on using social media with their students in the research state during the COVID-19 pandemic. Vygotsky’s theory of sociocultural learning and Jenkin’s convergence culture theory made up the conceptual framework of this study. The research questions addressed secondary …

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The Factors Urban African American Men Perceive As Preventing Early Prostate Cancer Screening, Joel Mongo Jan 2022

The Factors Urban African American Men Perceive As Preventing Early Prostate Cancer Screening, Joel Mongo

Walden Dissertations and Doctoral Studies

Prostatic carcinoma, or prostate cancer, is the leading cause of death among adult males in the United States. The highest rate of prostate cancer is found in males of African American ethnicity, as males within this cohort are 50% more likely to develop prostate cancer than other ethnicities. African Americans men are 1.6 times more likely to develop prostate cancer and 2.4 times more likely to die from it than Caucasians. The purpose of this qualitative study was to examine the perceptions of urban African American men about factors that prevent them from seeking and receiving prostate cancer screening, and …

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School Lunch Timing And Student Body Mass Index, Megan Monteith Jan 2022

School Lunch Timing And Student Body Mass Index, Megan Monteith

Walden Dissertations and Doctoral Studies

Obesity continues to be a leading public health issue in the United States. Many chronic diseases are associated with obesity, including hypertension, diabetes, and several forms of cancer. There are multiple known contributing factors to obesity; however, historically, there has been little research focusing on time of day eating as a possible risk factor for obesity, especially childhood obesity. Childhood obesity is a significant risk factor for adult obesity. Obese children and adolescents are five times more likely to be obese in adulthood. The theoretical foundation for this study was the social ecological model. In this secondary correlational analysis using …

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Educating Nurse Practitioners On Factors Associated With Compassion Fatigue, Alicia Moonesar Jan 2022

Educating Nurse Practitioners On Factors Associated With Compassion Fatigue, Alicia Moonesar

Walden Dissertations and Doctoral Studies

Nurse Practitioners (NPs) across Canada continue to endure the escalating demands of increasing patient workloads, the deficiency of inadequate resources, and the paucity of leadership support. The ongoing exposure to these and other challenges often contributes to a complex work environment that may result in compassion fatigue (CF). CF can be operationally defined as a state of exhaustion and dysfunction because of prolonged exposure to compassion stress and all that it evokes. The need for education and prevention of CF is critical as the prevalence of CF is on the rise. Guided by Watson’s Theory of Human Caring and Benner’s …

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Optimal Domotic Systems Based On Archival Data Trend Analysis, Bettina Yvette Moore Jan 2022

Optimal Domotic Systems Based On Archival Data Trend Analysis, Bettina Yvette Moore

Walden Dissertations and Doctoral Studies

Domotics is the integration of technology into building systems. Due to the rapid growth in the use of domotic systems in recent years, the industry is struggling to establish consistency and standardization. The purpose of this archival-based qualitative case study was to identify current trends and patterns in scholarly domotic research to create an instrument to evaluate domotic systems and domotic interrelationships using bibliometric searches. The facilities management and modeling system provided the framework for the study. Archival research data were examined to identify trends and patterns in domotic research and provide visualization of domotic relationships through technology trajectory mapping …

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Veteran Defendant Reasons For Opting Out Of Veterans' Treatment Court, Delilah A. Moore Jan 2022

Veteran Defendant Reasons For Opting Out Of Veterans' Treatment Court, Delilah A. Moore

Walden Dissertations and Doctoral Studies

Veterans’ treatment courts (VTCs) are problem-solving courts created to address the specific treatment needs of veteran defendants. Consistent with general strain theory, the stressors of military service can lead to negative emotions that have been linked to criminality. Despite the favorable results of studies on the efficacy of VTCs to reduce recidivism, participation is voluntary, and not all eligible candidates elect to participate. The purpose of this study was to discover why defendants choose to opt out. Understanding the barriers to participation is critical for VTC actors charged with providing treatment to as many veterans as possible. A qualitative study …

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Financial Recordkeeping Strategies For Small Businesses, Dominique Latrice Moore Jan 2022

Financial Recordkeeping Strategies For Small Businesses, Dominique Latrice Moore

Walden Dissertations and Doctoral Studies

Small retail business owners with inadequate record-keeping strategies struggle with the success of their businesses. Business owners who do not have the requisite financial knowledge may not have the skills required to manage the financial affairs of their business. Grounded in the theory of planned behavior, the purpose of this qualitative multiple case study was to investigate strategies small retail business owners use to adopt financial record-keeping strategies to sustain a small retail business beyond 5 years. Data were collected from a review of organizational artifacts and semistructured interviews with three retail small business owners who successfully adopted financial record-keeping …

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Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan Jan 2022

Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan

Walden Dissertations and Doctoral Studies

Heart failure (HF), the leading hospital admission diagnosis for military veteran patients discharged from a Department of Veterans Affairs (VA) hospital, is more common in patients residing in rural than urban areas. Primary care managers prioritize reducing readmissions for HF as up to 80% of health care costs for HF, projected to increase to $69.7 billion annually by 2030, incur during hospitalizations. Underpinned in Andersen’s behavioral model of health services use, the purpose of this quantitative ex post facto correlational study was to examine the relationship between residence rurality, home telehealth enrollment, and bed days of care for military veteran …

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Effects Of Posttraumatic Stress Disorder For U.S. Women Veterans, Bobbi N. L. Mount, Phd Jan 2022

Effects Of Posttraumatic Stress Disorder For U.S. Women Veterans, Bobbi N. L. Mount, Phd

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to explore the lived postdeployment experiences of U.S. women veterans with posttraumatic stress disorder (PTSD) and their perception of the impact their diagnosis had on their immediate families. The theoretical framework was Heider’s causal attribution theory. The first two research questions directly addressed the purpose of the study, and the third research question addressed each participant’s experience with accessing mental healthcare services. NVivo was used to transcribe, code, and analyze data derived from semistructured interviews with six U.S. women veterans who were diagnosed with PTSD by a licensed mental health professional postdeployment. …

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Exploring Challenges School Social Workers Face When Advocating Services For Childhood Trauma And Abandonment, Danielle Mozie Jan 2022

Exploring Challenges School Social Workers Face When Advocating Services For Childhood Trauma And Abandonment, Danielle Mozie

Walden Dissertations and Doctoral Studies

School social workers focus on the growth and development of school-age youth by connecting students with resources in the school and community. One population that school social workers provide services for is youth with childhood traumatic backgrounds. This population may have increased behavioral problems, absenteeism, and lower academic achievement. The purpose of this generic qualitative study was to better understand what challenges school social workers face when advocating services for school-aged youth experiencing trauma due to neglect from being abandoned. Bronfenbrenner’s ecological system theory was the conceptual framework. Ten licensed master social workers employed as school social workers in the …

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Perceptions Of Hiv Testing Among African-Born Immigrants In Washington State, Phoebe Kirigo Mugo Jan 2022

Perceptions Of Hiv Testing Among African-Born Immigrants In Washington State, Phoebe Kirigo Mugo

Walden Dissertations and Doctoral Studies

African born immigrants (ABIs) face challenges associated with HIV testing. As a result, many ABIs are not tested for HIV, and this population is among some of the most diagnosed at late stages of HIV/AIDS. The purpose of this qualitative phenomenological study was to explore and seek to understand the lived experiences of ABI adults ages 25 to 49 living in Washington State. I gathered data to gain their perceptions of HIV testing through in-depth interviews. The study was informed by the health belief model, which helped to understand the complex nature of healthcare-seeking behaviors among this population and how …

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A Quality Improvement Project On Increasing Hepatitis B Vaccination For Diabetic Patients, Ellen Musakwa Jan 2022

A Quality Improvement Project On Increasing Hepatitis B Vaccination For Diabetic Patients, Ellen Musakwa

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is characterized by high blood glucose levels (hyperglycemia) resulting in susceptibility to viral infections such as hepatitis B viral infections. The purpose of this doctoral quality improvement (QI) project was to train primary care providers (PCPs) and their medical assistants at the project site’s clinic on implementing the recommended Centers for Disease Control and Prevention (CDC) guidelines for hepatitis B vaccination with the aim of improving vaccination rates for diabetic patients 18 years and older. The first practice-focused question addressed the evidence-base supporting the QI training of PCPs to improve awareness on implementing the recommended CDC guidelines. The …

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Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi Jan 2022

Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi

Walden Dissertations and Doctoral Studies

Failure of most rural-based nongovernmental organizations (NGOs) in Tanzania to accomplish their mission objectives effectively is a challenge that impacts most of the rural population. Researchers have yet been able to establish what resource development strategies could help rural-based NGOs accomplish their mission objectives. The purpose of this study was to examine resource development measures and management activities currently implemented by local NGOs in a rural district of Tanzania for mission achievement. The resource dependence perspective was applied to frame the research questions on what resource development measures and management activities support the local rural-based NGOs to achieve their mission …

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Predictors Of Perceived Anxiety Disorder Stigma In Adults With Anxiety Disorders, Dr. Shawn Nabors Jan 2022

Predictors Of Perceived Anxiety Disorder Stigma In Adults With Anxiety Disorders, Dr. Shawn Nabors

Walden Dissertations and Doctoral Studies

Licensed professional counselors strive to eliminate systemic barriers to mental health treatment. Perceived anxiety disorder stigma may be a barrier to mental health treatment for those who are affected by this type of stigma. This quantitative correlational study examined whether factors such as age, gender, and level of education predict perceived anxiety disorder stigma in a population of adults in the U.S. who had been diagnosed with anxiety disorders as measured by the Generalized Anxiety Stigma Scale (GASS). Goffman's theory of social stigma served as the theoretical framework for this study. An existing data set of 82 adults diagnosed with …

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Competency-Based E-Learning Module For Nurses In A Multi-Service-Line Surgical Unit, Exequiel P. Naculangan Jan 2022

Competency-Based E-Learning Module For Nurses In A Multi-Service-Line Surgical Unit, Exequiel P. Naculangan

Walden Dissertations and Doctoral Studies

Negative patient outcomes have been attributed to surgery-related complications. A gap was identified in an acute care unit in southern Texas because postoperative surgical complications were above acceptable rates. The purpose of this Doctor of Nursing Practice project was to educate staff nurses on the provision of evidence-based postsurgical care. This doctoral project was conducted to determine whether completion of a learning module would increase nurses’ level of knowledge in acute postoperative care. The project was grounded on Knowles’s adult learning theory and the Dreyfus model of skill acquisition. Learning material using competency-based education was developed using the analyze, design, …

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Self-Efficacy And Perceived Susceptibility As Predictors Of Condom Use Among African American Males, Karla Nash Jan 2022

Self-Efficacy And Perceived Susceptibility As Predictors Of Condom Use Among African American Males, Karla Nash

Walden Dissertations and Doctoral Studies

AbstractHuman immunodeficiency virus (HIV/AIDS) is a disease that claims lives on a global scale, and correct condom use reduces the likelihood of infection by 10 to 20 times. African-American males are at increased risk for contracting HIV/AIDS compared to the general population. The purpose of this quantitative study was to determine the relationship between self-efficacy, susceptibility, and condom use in Californian African-American men using the health belief model as a theoretical guide. One hundred and five African American men between the ages of 18 and 35 years were recruited through local barber shops, sports and recreation centers, churches, and social …

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Strategies For Differentiating The Curricula For Online Gifted Students: A Delphi Study, Joy Nehr Jan 2022

Strategies For Differentiating The Curricula For Online Gifted Students: A Delphi Study, Joy Nehr

Walden Dissertations and Doctoral Studies

Educators must meet the needs of the growing online gifted learner population to ensure these students are being appropriately challenged and are receiving the education they deserve. Current gifted education literature does not address the strategies for differentiating the curriculum for online gifted students. The study participants were teachers with at least 5 years’ experience working online or working with gifted students. The purpose of this qualitative study was to determine the best strategies for teachers to use to differentiate the curricula for this population. The theoretical frameworks used were Ward’s differential education and Tomlinson’s differentiated instruction methods. Both theories …

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Alzheimer's Disease: Risk And Protective Factors To Improve Detection And Prevention, Darryl Clay Nevels Jan 2022

Alzheimer's Disease: Risk And Protective Factors To Improve Detection And Prevention, Darryl Clay Nevels

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is a growing epidemic and is the sixth-leading cause of death in the United States. Individuals with AD often have comorbidities due to the aging process. There is a lack of research on comorbidities as associated risk factors for AD. The leading hypothesis indicates that cardiovascular health issues, environmental exposure, social isolation, and amyloid-beta plaques influence cognitive health and are associated with AD. This study, guided by Finch and Kulminski’s AD exposome, is a caveat to explore a patient’s physical history of cardiovascular health, modifiable behavior, social isolation, and an AD diagnosis. Participants provided health information collected …

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Disparities In The Lanterman Developmental Disabilities Services Act, Helen Grace Neri Jan 2022

Disparities In The Lanterman Developmental Disabilities Services Act, Helen Grace Neri

Walden Dissertations and Doctoral Studies

Culturally and linguistically diverse populations in the developmental disability system suffer from socioeconomic and social services disparities. Efforts to address the disparities issue included enacting Welfare and Institutions Code 4519.5 § (e), (f), (g), and (h), also known as the Lanterman Developmental Disabilities Services Act or the disparities law. The law mandated monitoring of developmental disability system expenditures and allocated funding to the regional centers and community-based organizations to assist with implementing activities to address the disparity. Schneider and Ingram’s and Jun’s theories of social construction framed the inquiry as to how the law impacted considerations of the social construction …

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Impact Of Religion On Mental Health Care Use Among African Immigrants In The United States, Mary Nganga Jan 2022

Impact Of Religion On Mental Health Care Use Among African Immigrants In The United States, Mary Nganga

Walden Dissertations and Doctoral Studies

Mental health illnesses are the leading causes of disability worldwide with one in every five people suffering from mental illness in the United States. African Immigrants are the fastest growing immigrant group in the United States, yet their mental health care use remains relatively low. African immigrants face stressors that may lead them to be more prone to mental illness, yet they depend on religion and family support rather than formal mental health care. The purpose of this qualitative study was to understand the impact of religion on mental health care use among African immigrants in the United States. The …

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Educating Nursing Staff Regarding African Immigrants And Mental Health Stigma, Kelly Ngenge Jan 2022

Educating Nursing Staff Regarding African Immigrants And Mental Health Stigma, Kelly Ngenge

Walden Dissertations and Doctoral Studies

AbstractMental health stigma exists across multiple minority populations, especially among African immigrants in the United States. The purpose of this project was to increase staff knowledge at an outpatient mental health clinic by educating them on mental health stigma among African immigrants in the United States. The practice-focused question guiding this study was: Does nursing staff education on mental health stigmas among African immigrants increase knowledge? Two theories served as the theoretical framework for this doctoral project: social stigma theory and modified labeling theory. Seventeen staff members voluntarily participated in a 60-minute nursing staff education project based on the analysis, …

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Health Awareness Of Hypertension In The African American Community, Rosemond Nunge Nguiffo Jan 2022

Health Awareness Of Hypertension In The African American Community, Rosemond Nunge Nguiffo

Walden Dissertations and Doctoral Studies

The practice problem this doctoral project addressed is the lack of clinical staff knowledge on self-care management of hypertension (HTN). Addressing this health crisis with current evidence-based patient education guidance that clinical staff can use to teach patient has the potential to increase nursing knowledge and confidence in providing patient education on self-care management of HTN. The purpose of this project was to explore the known nursing practice gap and answer the practiced-focused question to determine if an evidence-based, standardized health literacy teaching guide for nurses would improve nursing knowledge and confidence in applying health literacy and teach-back methodology in …

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Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa Jan 2022

Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa

Walden Dissertations and Doctoral Studies

Abstract The United States faces numerous challenges associated with the ongoing opioid crisis. Although the opioid epidemic is complex, opioid overuse affects users’ health and has a far-reaching impact on socioeconomic well-being. This study employed a quantitative cross-sectional design using secondary data from a 2018 national survey of working-age individuals ages 18 to 45. Multivariate regression analysis was used to examine the associations between opioid overuse and socioeconomic status, health status, and perceived need for substance abuse treatment. The addiction career concept and chronic illness model theory were used to analyze these correlations. The findings indicated that people with higher …

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Perceived Stress Of Grandparents Parenting Their Grandchildren, Beverly Gale Nicholas Jan 2022

Perceived Stress Of Grandparents Parenting Their Grandchildren, Beverly Gale Nicholas

Walden Dissertations and Doctoral Studies

Parenthood responsibilities are changing in the United States. The overall research problem for this study was that grandparents are parenting their grandchildren when their adult children are incarcerated for alcohol abuse or use. The importance of this problem is that as adults age, they are taking on the responsibilities of being parents rather than grandparents. In this new role, grandparents may not have the coping strategies or social support to ensure that they have life satisfaction during their senior years. The purpose of this study was to assess the independent variables, age and perceived stress (low, medium, and high), as …

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Small Business Strategies To Implement Product Diversification Effectively, Madeleine Solange Nouteya-Jackson Jan 2022

Small Business Strategies To Implement Product Diversification Effectively, Madeleine Solange Nouteya-Jackson

Walden Dissertations and Doctoral Studies

Business leaders who lack an understanding of the proper strategies to successfully implement product diversification risk decreasing competitive advantage, causing loss of economy constancy and organizational profitability. Grounded in Porter’s five forces of competitive advantage, the purpose of this qualitative multiple case study was to explore strategies small business leaders used to effectively diversify their products to achieve and sustain a competitive advantage. Participants included three retail business leaders who employed fewer than 15 employees and have successfully used product diversification strategies to sustain and maintain a competitive advantage in the District of Columbia, Maryland, and Virginia areas. Data were …

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The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa Jan 2022

The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa

Walden Dissertations and Doctoral Studies

Homeless veterans with substance use disorders are among the most vulnerable and inaccessible populations in Virginia, which is evident by the lack of state and local resources. This cross-sectional study was conducted to present a retrospective assessment of the Treatment Episode Data Set (TEDS) to develop an understanding of the impact of housing arrangements on admission to long-term drug treatment centers among veterans in Virginia. To guide the study, the socioecological model was selected as the theoretical framework to better examine and understand the relationship between housing/living arrangement and admission to drug treatment centers among Virginia veterans. The aim of …

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Effects Of The Hospital Readmissions Reduction Program On Copd Readmissions And Costs., Heather O'Connell Jan 2022

Effects Of The Hospital Readmissions Reduction Program On Copd Readmissions And Costs., Heather O'Connell

Walden Dissertations and Doctoral Studies

Readmissions for chronic obstructive pulmonary disease (COPD) are a major contributor to healthcare costs and patient outcomes. The Hospital Readmissions Reduction Program (HRRP) by the Centers of Medicare and Medicaid was implemented to decrease high rates of readmissions for serious medical problems, including COPD. The purpose of this study was to determine whether HRRP resulted in reductions in readmissions and costs for COPD patients. The Donabedian model was used as the theoretical framework to investigate three research questions concerning whether there are statistically significant differences in terms of readmission rates, total charges, and primary type of insurance payment before and …

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Second Victims In Nursing, Ofelia O'Donnell Jan 2022

Second Victims In Nursing, Ofelia O'Donnell

Walden Dissertations and Doctoral Studies

Nurses involved with an unexpected adverse patient event can experience guilt, depression, stress, and anxiety and relive the incident, known as the second victim phenomenon. Nurses would benefit from education on the topic of the second victim. The project holds significance for nursing practice as implementing second-victim education increased knowledge and awareness while promoting a just culture that fosters a psychologically safe environment focused on process and system improvement. Use of the analysis design development implementation evaluation (ADDIE) model and the Walden Manual for Education guided the project planning and implementation. The sources of evidence were obtained through a combination …

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