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Stigma Toward People With Opioid Use Disorder In Southwest Michigan, Kathy A. Carruthers Jan 2022

Stigma Toward People With Opioid Use Disorder In Southwest Michigan, Kathy A. Carruthers

Walden Dissertations and Doctoral Studies

The opioid epidemic is one of the largest health problems in America. In one Southwest Michigan county, opioid overdose deaths increased from 36 deaths in 2008 to 104 deaths in 2017. In the same county, stigma was identified as the highest-ranked reason people do not seek opioid use disorder (OUD) treatment. The purpose of this study was to examine knowledge that social work practitioners have regarding stigma toward people who inject drugs with OUD in Southwest Michigan. The purpose aligned with social work values as people with OUD are marginalized and cannot advocate for themselves. The theoretical framework that guided …

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Single Parent And Caregiver Perspectives On The Effects Of Caregiver Stress And Iep Meeting Eligibility, Kevin Mark Carter Jan 2022

Single Parent And Caregiver Perspectives On The Effects Of Caregiver Stress And Iep Meeting Eligibility, Kevin Mark Carter

Walden Dissertations and Doctoral Studies

The problem examined in this phenomenological study is how single African American parents and caregivers perceive the impact of caregiver stress on communications, trust, and intent to negotiate with school personnel after participation in their child’s annual IEP eligibility determination meeting. This research is important because parents’ and caregivers’ perceptions of their IEP meeting engagement may identify and reduce impediments to the formation of successful alliances with school personnel. Attribution and self-determination theories were used to analyze, interpret, and codify the experiences of study participants. Purposive sampling was used to select 18 single, African American parents and caregivers for participation. …

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Lgbtq Patient Funding And Satisfaction On Patient Volume And Hospital Revenue, Kourtney Denise Carter Jan 2022

Lgbtq Patient Funding And Satisfaction On Patient Volume And Hospital Revenue, Kourtney Denise Carter

Walden Dissertations and Doctoral Studies

AbstractHistorically, the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community has reported low patient satisfaction for health care. The purpose of this quantitative study was to examine the statistical relationship between patient satisfaction among LGBTQ patients (independent variable) and patient volume and hospital revenue (dependent variables) in the U.S. state of Georgia. The study was grounded on Andersen's model of healthcare utilization. Two research questions guided this study related to the statistical relationship between hospital revenue and patient satisfaction within health systems and the statistical relationship between patient satisfaction and patient volume. The study included 567 members of the LGBTQ …

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Strategies For Using Crowdsourcing As A Product Development Tool To Increase Innovation, Beryl Jessamyn Castillo Jan 2022

Strategies For Using Crowdsourcing As A Product Development Tool To Increase Innovation, Beryl Jessamyn Castillo

Walden Dissertations and Doctoral Studies

AbstractFailure to increase innovation and revenue can harm business operations. Small business owners must explore strategies to increase innovation and revenue to remain competitive. Grounded in the diffusion of innovation theory, the purpose of this qualitative multiple case study was to explore strategies small business leaders use to successfully integrate crowdsourcing into business operations to increase innovation and revenue. The participants were five small business leaders in northern Utah who engaged in collaboration initiatives to increase innovation and revenue. Data were collected from semistructured face-to-face interviews, member checking, field notes, a review of company documents, and artifacts. Data were analyzed …

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Challenges In Adoption Of Knowledge Sharing Within Logistics In The U.S. Army, Johnny Felix Charles Jan 2022

Challenges In Adoption Of Knowledge Sharing Within Logistics In The U.S. Army, Johnny Felix Charles

Walden Dissertations and Doctoral Studies

U.S. Army leadership published doctrinal directives regarding knowledge management and knowledge sharing principles for organizational implementation. Despite implications for the national security mission of the Army, the logistic community has not uniformly executed these principles. The purpose of this study was to determine why Army logisticians have not uniformly adopted knowledge sharing. The conceptual framework for this explanatory case study consisted of the Baconian method of research-then-theory using abductive reasoning. The research question was used to examine the possible challenges facing logisticians in the adoption and implementation of knowledge sharing. The conceptual lens for this framework comprised recording adequate engagement …

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Strategies Physicians Apply To Value-Based Patient Care For Quality Reimbursement, Sadia Chaudhry-Zutshi Jan 2022

Strategies Physicians Apply To Value-Based Patient Care For Quality Reimbursement, Sadia Chaudhry-Zutshi

Walden Dissertations and Doctoral Studies

Low-quality value-based patient care negatively impacts physicians’ ability to maintain private solo practices. Physicians who lack strategies to apply value-based patient care may lose their ability to stay in a private solo practice. Grounded in the complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies used by private solo physicians that provided value-based patient care. Participants were four physicians in solo private practice who successfully applied value-based patient care to maintain their private solo practice. Data were collected from semistructured interviews and organizational documents and analyzed using thematic analysis. Three themes emerged: (a) …

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Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka Jan 2022

Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka

Walden Dissertations and Doctoral Studies

AbstractHypertension (HTN) is one of the most significant risk factors for morbidity and mortality worldwide and is responsible for the annual deaths of approximately 9 million people globally. A major problem with HTN self-management (SM) is low health literacy (HL), which is associated with poor health outcomes and self-care. The purpose of this explanatory sequential, mixed method study, guided by Pender’s health promotion model, was to explore the perceptions of adults with HTN and low HL about the SM of their HTN. A total of 32 adults with HTN were screened using the Newest Vital Sign health literacy screening tool. …

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Financial Aid Knowledge And Resources Among First-Generation College Students, Carmelitia J. Coleman Jan 2022

Financial Aid Knowledge And Resources Among First-Generation College Students, Carmelitia J. Coleman

Walden Dissertations and Doctoral Studies

AbstractFirst-generation, freshmen students struggle to complete the financial aid process at a 4-year private university in Louisiana, impacting their financial and academic well-being. The purpose of this basic qualitative study was to explore first-generation, freshmen student perceptions of how they construct knowledge about the financial aid process and resources needed to help them complete the process. The conceptual framework of the study was comprised of Piaget’s theory of constructivism, which is grounded in the idea of learners constructing their own knowledge based on experience. The first research question addressed how first-generation, freshmen students constructed knowledge about the financial aid process. …

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Residents’ Perceptions Of Healthcare Disparities In Rural Sierra Leone, Joseph Gbanabom Conteh Jan 2022

Residents’ Perceptions Of Healthcare Disparities In Rural Sierra Leone, Joseph Gbanabom Conteh

Walden Dissertations and Doctoral Studies

Limited or lack of access to essential healthcare services affects the social and economic wellbeing of residents in most remote, neglected, and underserved rural communities of Sierra Leone. The ability of residents to embark on productive activities is directly connected to poor health conditions resulting in high mortality rates, increasing levels of poverty, and prevalence of disease and illness. The lived experience was explored of lack of access to essential healthcare services and resources for residents in the Bombali Sebora chiefdom of Sierra Leone. The theoretical framework guiding the research was the Levesque conceptual framework and model for healthcare access. …

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Influence Of Spirituality On University Students’ Emotional Intelligence, Perceived Stress, And Life Quality, Janette Cooke Jan 2022

Influence Of Spirituality On University Students’ Emotional Intelligence, Perceived Stress, And Life Quality, Janette Cooke

Walden Dissertations and Doctoral Studies

AbstractFirst-year university students are at risk for mental and physical health ailments due to maladaptive stress coping mechanisms. A gap in research remains as to whether there are health benefits for minority religious groups or students who have a spiritual (nonreligious) belief system. The purpose of this study was to explore the relationship between student spirituality and the level of emotional intelligence (EI), perceived stress (PS), and life quality (LQ), as moderated by different campus types (secular or religious). The theory of spirituality and the theory of individual psychology were used as frameworks to explain the psychological, emotional, and physical …

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Nonpharmacological Pain Control Following Hip And Knee Replacements In Older Adults, Adraine Cox Jan 2022

Nonpharmacological Pain Control Following Hip And Knee Replacements In Older Adults, Adraine Cox

Walden Dissertations and Doctoral Studies

Abstract Over prescribing opioids after hip and knee replacements in older adults is closely linked to the opioid epidemic. Despite being a public health concern associated with increased mortality rates, opioids are the most frequently used method for controlling postoperative pain. Therefore is important to know whether nonpharmacological pain control methods may effectively reduce the burden of opioid addiction, thus reducing the risk of opioid-related fatalities. The purpose of this study was to determine whether a systematic review of the literature provided evidence supporting nonpharmacological methods of pain control following hip and knee replacements in older adults compared to use …

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Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox Jan 2022

Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox

Walden Dissertations and Doctoral Studies

Opioid misuse is a rapidly evolving health epidemic in the United States, leading to opioid use disorders, overdose deaths, and disparities in treatment. The rural population may be more susceptible given socioeconomic status, less educational attainment, and lower income. The impact on specific populations is not well understood. The purpose of this study was to identify the association of nonmedical prescription opioid use (NPOU), prescription opioid misuse (POM), and treatment-seeking with race, age, sex, education, and insurance status among rural Americans. The social-ecological model (SEM) served as the theoretical framework. The SEM described the interplay between individual, relationship, community, and …

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Intra-Racial Bullying Among African American Female Students In Middle School, Lashaunda Cunningham Jan 2022

Intra-Racial Bullying Among African American Female Students In Middle School, Lashaunda Cunningham

Walden Dissertations and Doctoral Studies

AbstractIntra-racial bullying is increasing within the African American population, especially middle school. This specific form of bullying can be difficult for administrators to investigate as it is unlike the typical forms of bullying that school officials observe or witness daily. There was a gap in the literature regarding limited research that has examined intra-racial bullying from the perspectives of teachers, administrators, and hallway monitors. The purpose of this qualitative study was to explore the patterns, trends, characteristics, and reasons that result in intra-racial bullying among African American female students in middle school from the perspectives of adults who work in …

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How Social Workers In Long Term Care Facilities In The State Of Florida Assist Lgbt Aging Adults To Acclimate To Each Other And The Facility, Katherine Louise Curci-Degaro Jan 2022

How Social Workers In Long Term Care Facilities In The State Of Florida Assist Lgbt Aging Adults To Acclimate To Each Other And The Facility, Katherine Louise Curci-Degaro

Walden Dissertations and Doctoral Studies

The elderly LGBT community is growing in the State of Florida, and some members of this group face inequalities when accessing long-term care services. Social workers play an important role in assisting residents to acclimate to their settings, and without their involvement, LGBT older adults may be forced back into secrecy regarding their sexual orientation. For social workers in long term care facilities, understanding how discrimination, oppression, and stigma interacted in the lives of these LGBT older adults is important in understanding these adults and their experiences in long-term care facilities. This doctoral project used a qualitative research design. Fifteen …

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Gender Differences In The Mediation Between Childhood Abuse/Neglect And Trauma, Marc Samuel Cutler Jan 2022

Gender Differences In The Mediation Between Childhood Abuse/Neglect And Trauma, Marc Samuel Cutler

Walden Dissertations and Doctoral Studies

Childhood abuse/neglect is a consistent concern in the United States and is related to future physical and mental health concerns. Studies have shown that childhood abuse/neglect can result in negative trauma appraisal, difficulties in emotion regulation, and lower levels of self-compassion. However, less is known about how gender impacts the relationship between negative trauma appraisal, difficulties in emotion regulation, and self-compassion with trauma symptoms in those with a history of childhood abuse/neglect. The purpose of this quantitative cross-sectional correlational study was to measure the impact of gender on the mediating variables (negative trauma appraisal, difficulties in emotion regulation, and self-compassion) …

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Effects Of Intervention And Prevention Programs On Youth Risk-Taking Behavior In Monroe County, Audrey D. Davis Jan 2022

Effects Of Intervention And Prevention Programs On Youth Risk-Taking Behavior In Monroe County, Audrey D. Davis

Walden Dissertations and Doctoral Studies

Crime committed by adolescents between the ages of 13 and 16 is a recurring issue in the United States. Research showed a number of contributing factors associated with youth risk-taking behaviors and juvenile delinquency. The purpose of this qualitative case study was to improve the understanding of the relationship between intervention and prevention programs and curbing risk-taking and delinquency among adolescents between the ages of 13 and 16 in Monroe County, New York. This study addressed the connection between modern theories of deviance and programs of juvenile delinquency intervention as conceptualized by Chapman as the theoretical framework. Using intrinsic case …

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Elementary Principal Leadership Practices To Enhance Academic Achievement Of English Language Learners, Toi Okema Davis Jan 2022

Elementary Principal Leadership Practices To Enhance Academic Achievement Of English Language Learners, Toi Okema Davis

Walden Dissertations and Doctoral Studies

English Language Learners (ELLs) struggle in many schools in the United States. Instructional leaders and their communities need greater understanding of the leadership practices of principals that can enhance the achievement of ELLs. The purpose of this qualitative exploratory case study was to examine the leadership practices that elementary principals used to increase the achievement of ELLs in their schools. The conceptual framework that grounded this study was culturally responsive school leadership. The two research questions were designed to explore the leadership practices employed by principals to increase the achievement of the ELL population at their schools. Eight elementary principals …

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Influence Of Cyberbullying On Suicidal Behaviors, David Dellerman Jan 2022

Influence Of Cyberbullying On Suicidal Behaviors, David Dellerman

Walden Dissertations and Doctoral Studies

Secondary data was used to examine the prevalence of suicidal behaviors and the association between cyberbullying by high school-aged students (Grades 9–12) both heterosexual and sexual minority youth (SMY) and suicidal behaviors experienced by high school-aged students (Grades 9–12) in the United States using data from the 2017 CDC’s Youth Risk Behavior Surveillance System (YRBSS). The YRBSS used in this research was the newest and most comprehensive data. The YRBSS is a national school-based survey, that is used to monitor health-related behaviors including violence, sexual behaviors (heterosexual and SMY students), intentional and unintentional injuries that contribute to suicide behaviors. Results …

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Addressing Procedure Cancellation In Elective Surgeries, Vicky Marie Deuboue Jan 2022

Addressing Procedure Cancellation In Elective Surgeries, Vicky Marie Deuboue

Walden Dissertations and Doctoral Studies

When conducting elective surgeries, one of the challenges that healthcare providers experience is procedure cancellation. Across various healthcare settings, practitioners are employing relevant strategies to reduce the prevalence of procedure cancellations. The gap addressed in this project was the impact of calling patients to remind them to stay away from NSAIDs and blood thinners a few days prior to elective surgeries to avoid procedure cancellation. The administration of NSAIDs and blood thinners within that period may result in excessive bleeding in patients, which requires attention to improve elective surgery procedure outcomes. Erroneous administration of blood thinners too close to surgical …

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Perceptions Of Instructor Caring Behaviors Between English As A Second Language And Non-English As A Second Language Nursing Students, John Chukwuemeka Dike Jan 2022

Perceptions Of Instructor Caring Behaviors Between English As A Second Language And Non-English As A Second Language Nursing Students, John Chukwuemeka Dike

Walden Dissertations and Doctoral Studies

AbstractEnglish as a second language (ESL) nursing students have a significantly higher attrition rate and lower National Council Licensure Examination (NCLEX) pass rate than their non-ESL counterparts. Instructor caring behaviors (ICBs) are the ways nursing instructors treat students with respect, taking care to avoid prejudices, stereotyping, and judgments in the teaching-learning process which present prelicensure faculty to grapple with the challenge of effectively meeting the learning needs of both ESL and non-ESL students. The purpose of this cross-sectional, comparative study, guided by Watson’s theory of human caring, was to explore the differences in perceptions of ICBs between ESL and non-ESL …

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Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin Jan 2022

Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin

Walden Dissertations and Doctoral Studies

Perceived risks and side effects have left some with a lack of confidence in the safety and efficacy of vaccines. This may lead to not adhering to the recommended vaccination schedule and result in outbreaks that have the potential to harm those who are unable to get vaccinated due to age or infirmity. It is vital to seek and address the characteristics that may predict one’s confidence in vaccines. The aim of this study was to identify whether an individual’s alternative diet behavior may be able to predict their confidence in the measles, mumps, and rubella (MMR) vaccine. The theoretical …

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Attitudes And Perceptions Of Nursing Graduates Regarding Interest In Gerontological Nursing Practice, Sonia Millicent Donaldson Jan 2022

Attitudes And Perceptions Of Nursing Graduates Regarding Interest In Gerontological Nursing Practice, Sonia Millicent Donaldson

Walden Dissertations and Doctoral Studies

AbstractAn ongoing increase in the number of older adults means an increased need for specialized health care, creating, in turn, a need for an increase in nurses in the United States to meet the demand. However, there is a problem in that nursing graduates, from the time they are students, do not choose geriatric-gerontological nursing (GN) as is practiced in long-term care and some specialty areas or units. The purpose of this basic qualitative study was to explore nursing graduates’ perceptions of GN as a field for professional practice and to determine how interest in GN may be encouraged. The …

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The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer Jan 2022

The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer

Walden Dissertations and Doctoral Studies

AbstractIncidence of cardiovascular accident (CVA), also referred to as a stroke, has increased in Bermuda. Understanding key contributing factors is necessary to reduce incidences that are associated with this disease process. This dissertation examined the outcome of stroke education and management on CVA patients in Bermuda. The health belief model, incorporating a reflection of the public health framework, guided the analysis of a quantitative dataset obtained through Bermuda Hospitals Board’s Neurology Department. A cross-sectional study design was used to sample 253 stroke patients over a 2-year period (2019 -2021). The Wilcox test was employed to compare two groups – stroke …

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Staff Education On Effective Communication In Long-Term Care, Alexandra Cl Dzikowski Jan 2022

Staff Education On Effective Communication In Long-Term Care, Alexandra Cl Dzikowski

Walden Dissertations and Doctoral Studies

The dynamic and ever changing world of health care depends on bedside nurses to exercise effective leadership skills, including communication, to provide safe quality care. At the long-term health care facility where this project took place, there was a lack of effective communication between team members, especially at change of shift. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose was to plan, implement, and evaluate a staff education program on handoff report communication using the TeamSTEPPS 2.0 for Long Term Care program. Sources of evidence included validation of the pre- and posttest items …

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Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel Jan 2022

Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel

Walden Dissertations and Doctoral Studies

The growing population of postpartum African-born immigrant women has contributed significantly to the high burden of obesity and poor maternal health outcomes in the state of Texas; however, there is little research on this population. The purpose of this transcendental phenomenological study was to explore the lived experiences of weight management among postpartum African-born immigrant women in Texas based on the concepts of the health belief model. Semistructured interviews sparked the life experience of postpartum weight management of African-born immigrant women ages 18–45 who had a baby within the last year and suffered postpartum overweight or obesity. Interviews were audio-recorded …

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Texas Metro Versus Nonmetro Variations In Cervical Cancer Preventative Measures, Amanda S. English Jan 2022

Texas Metro Versus Nonmetro Variations In Cervical Cancer Preventative Measures, Amanda S. English

Walden Dissertations and Doctoral Studies

Cervical cancer is a public health threat that can be eliminated with the use of preventative measures. Individuals who live in Texas’s nonmetro areas are more likely than individuals who live in metro areas of Texas to be diagnosed with cervical cancer. In this study, the individual- and county-level factors in metro and nonmetro areas that facilitate or inhibit the receipt of cervical cancer preventative measures at multiple levels of influence were examined. The ecological model was used as the theoretical framework. Using secondary data from a national population health survey (n=1,303), the goal of this cross-sectional, quantitative study was …

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Conceptions Of Service Provider Preparedness, Aaron Engstrom Jan 2022

Conceptions Of Service Provider Preparedness, Aaron Engstrom

Walden Dissertations and Doctoral Studies

Victims of human trafficking often need a variety of services to recover from their experiences. Service providers are organizations that aim to meet the personal and environmental needs of survivors by providing resources and guidance. However, the efficacy of services offered to survivors has not been robustly studied, which could leave unsuccessful survivor outcomes unnoticed. The purpose of this case study was to learn how service provider employees prepared to meet survivors’ needs. The combination of social cognitive theory and social constructionist theory served as the lens through which service provider employee conceptions of preparedness were explored. Four service provider …

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Workload, Work–Family Conflict, And Job Satisfaction For Women In Science, Elizabeth Ervin Jan 2022

Workload, Work–Family Conflict, And Job Satisfaction For Women In Science, Elizabeth Ervin

Walden Dissertations and Doctoral Studies

Job dissatisfaction among women working in science, technology, engineering, and mathematics (STEM) fields costs the United States up to $1.5 billion per year. Understanding work-life balance is important for pharmaceutical leaders to assist in enhancing job satisfaction for women in science. Grounded in the work-life balance theory, the purpose of this quantitative correlational study was to examine workload and work-family conflict in predicting job satisfaction for women in science. Survey data were collected from 76 women employed in the pharmaceutical industry who completed a combined Minnesota Satisfaction Questionnaire and Warr-Cook-Wall job satisfaction questionnaire. The multiple linear regression results were significant, …

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Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit Jan 2022

Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit

Walden Dissertations and Doctoral Studies

AbstractHomelessness is a major public health issue in the United States. Every night, thousands of people have no residence to call their own. Most homeless persons turn to homeless shelters for help. Despite the homeless shelters, the problem of homelessness persists. This study examined the concept that the length of time spent at a homeless shelter is related to the homeless persons mitigating their homelessness through home placement, jobs, and healthcare access. Homelessness was examined using the socioecological model with its attendant levels of influence. On the intrapersonal level, socioeconomic status, education, old age, veteran status, and disability were factors. …

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Focused Surrogate Decision-Maker Identification In The Traumatically Injured Adult, Kelly Ann Evans Jan 2022

Focused Surrogate Decision-Maker Identification In The Traumatically Injured Adult, Kelly Ann Evans

Walden Dissertations and Doctoral Studies

AbstractPatients in the trauma care setting are often dependent on their families and physicians to decide medical treatments when they cannot participate in the process.But in up to one-third of cases, the surrogate decision-maker (SDM)selected by the patient is not the emergency contact listed in the electronic medical record (EMR).SDM identification and documentation will ensure that the patient is best represented by someone who knows their values and goals if they become incapacitated.Nurses can facilitate identifying a patient’s SDM and document this choice in the EMR.The purpose of this study was a staff education program to improve intensive care unit …

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