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Closing The Black And Hispanic High School Graduation Gap In A Central Florida School District, Terra Ewing Jan 2022

Closing The Black And Hispanic High School Graduation Gap In A Central Florida School District, Terra Ewing

Walden Dissertations and Doctoral Studies

To resolve the graduation gap among Black and Hispanic students in Central Florida, the development of equity-centered practices to improve high school graduation rates is essential. The purpose of this study was to determine the impact of incorporating methods such as the self achievement theory, self-determination methodology, and equity educational policies in all eight of the Central Florida School District schools to improve the graduation rates of the Black and Hispanic students in the Central Florida School District as well as to develop recommendations for implementation and training across the district. All data gathered was secondary and gathered from the …

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Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze Jan 2022

Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze

Walden Dissertations and Doctoral Studies

AbstractObesity is one of the Healthy People 2020 high-priority public health issue. Obesity is of importance due to the troubling higher prevalence in women because of the close link that exists between body weight and reproductive health in females from menarche to menopause and beyond. The identification of guidelines to improve or manage the care of female patients can alleviate the burden and complications from being overweight or obese. This project guided by the ADDIE (analyze, design, develop, implement, and evaluate) model was conducted in a family primary care clinic to address a gap in practice, the lack of knowledge …

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Coherence-Based Resilience Effects On Antenatal Autonomic Nervous System Stress Markers Controlled, Patrice Fortune Jan 2022

Coherence-Based Resilience Effects On Antenatal Autonomic Nervous System Stress Markers Controlled, Patrice Fortune

Walden Dissertations and Doctoral Studies

AbstractAntenatal stress disrupts autonomic nervous system (ANS) equilibrium within the neuro-cardio-utero-placental (NCUP) structure perpetuating treatable conditions of depressive-based gestational hypertension disorders. The present ANS-based study of the NCUP system investigated the effect of coherence-based stress resilience (CBSR) post-4-week intervention. This quasi-experimental research design involved experimental (n = 8) and waitlist control (n = 3) conditions. Controlling for pretest values, quantitative pre-post methodology was used to assess the effect of CBSR to evaluate change in variables. Resultant of small sample size, significant findings are considered tentatively. Heart rate variability (p = 0.044), dehydroepiandrosterone/ dehydroepiandrosterone sulfate (p = 0.142), Pregnancy Experience Scale …

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Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander Jan 2022

Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander

Walden Dissertations and Doctoral Studies

As decriminalization of cannabis in the United States increases, understanding how cannabis use may alter physical and mental health is important. The Appalachian Mountain region is an area with poor support systems, stigma against mental health, and historic drug use problems, resulting in residents being more vulnerable to societal change. The theoretical framework for this research is psychoneuroimmunology (PNI), which is the study of the interconnections between psychology, neurology, and immunology as a holistic approach to health. Via SurveyMonkey, 160 participants completed the study, and data were based on self-reporting of cannabis use patterns in relation to anxiety, depression, immunity, …

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Clinical Practice Guideline For Post Discharge Primary Care Follow-Up Program For Copd, Stephanie Frimpong-Badu Jan 2022

Clinical Practice Guideline For Post Discharge Primary Care Follow-Up Program For Copd, Stephanie Frimpong-Badu

Walden Dissertations and Doctoral Studies

AbstractApproximately 15.7 million individuals throughout the United States have been diagnosed with chronic obstructive lung disease (COPD), with 700,000 individuals hospitalized annually in the United States. An estimated one in five patients are readmitted within 30 days, raising the costs above $15 billion annually. The gap in practice was a lack of adequate clinical practice guidelines associated with discharge to primary care in this acute care facility. The purpose of this project was to use the expertise of the multidisciplinary team of pulmonologists, acute care nurse practitioners, respiratory therapists, and pharmacists to develop a clinical practice guideline using evidence-based literature …

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Strategies For Achieving Sustainability Of Home Healthcare Agencies, Robert J. Gagnon Jan 2022

Strategies For Achieving Sustainability Of Home Healthcare Agencies, Robert J. Gagnon

Walden Dissertations and Doctoral Studies

AbstractSome organizational leaders of home healthcare agencies (HHA) experience financial pressures to sustain within the changing regulatory landscape. Organization healthcare leaders who develop sustainability strategies remain competitive and employ the community. Grounded in the balanced scorecard framework, the purpose of this descriptive, qualitative multiple case study was to identify strategies home healthcare agency (HHA) leaders used to maintain sustainability. The participants were five organizational leaders of three HHA and two home health industry consultants in the Northeast United States who implemented sustainability. Data collected came from semistructured interviews, archival records, and organizational documentation. Three themes emerged from the thematic analysis: …

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Examination Of Strategies To Implementing Chip-And-Personal Identification Number Credit Card Authentication Infrastructures, Neville Arthur Gallimore Jan 2022

Examination Of Strategies To Implementing Chip-And-Personal Identification Number Credit Card Authentication Infrastructures, Neville Arthur Gallimore

Walden Dissertations and Doctoral Studies

Chip-and-Personal Identification Number (PIN) technology is seen as a game changer in many e-commerce industries and a transformational technology in the 21st century. However, security concerns have made chip-and-PIN adoption relatively slow. Massive unauthorized card payment transactions in the United States (U.S.) cost victims an estimate totaling billions of dollars. Information Technology (IT) managers are concerned with credit card fraud's financial loss and liability cost. Grounded in Rogers’s diffusion of innovation theory, the purpose of this qualitative pragmatic study was to explore strategies used by IT managers to transition their e-commerce organizations to chip-and-PIN credit card authentication infrastructures. The participants …

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Development Of Staff Education On Improved Compliance Adherence In Sleep Apnea, Mayla F. Garcia Jan 2022

Development Of Staff Education On Improved Compliance Adherence In Sleep Apnea, Mayla F. Garcia

Walden Dissertations and Doctoral Studies

The increasing prevalence of sleep disorders such as obstructive sleep apnea (OSA) affects approximately 25% of adults in the United States and an estimated 34% of men and 17% of women in the primary care population. In the clinical project site, the practice problem involved the increasing clinicians’ knowledge about OSA and being able to implement screening tools for further treatment and evaluation. The purpose of this project was to develop an educational training and intervention for staff to increase their knowledge of OSA conditions and have it validated by a panel of experts before dispersing it to the intended …

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Staff Education To Improve Safe Use Of Antipsychotic Medication In An Outpatient Clinic, Marinette Nyangono Garrison Jan 2022

Staff Education To Improve Safe Use Of Antipsychotic Medication In An Outpatient Clinic, Marinette Nyangono Garrison

Walden Dissertations and Doctoral Studies

AbstractThe use of antipsychotic medications is growing in an outpatient clinic despite the increased risk of mortality and morbidity such as falls, fractures, stroke in adults, neurological adverse effects, weight gain, and cardio-metabolic abnormalities in pediatric populations. The purpose of this project was to develop an educational program to enhance clinic staff knowledge about pharmacologic and nonpharmacologic means to manage patients’ care and improve outcomes. The conceptual framework for the project was Knowles’s adult learning theory supported by the Kirkpatrick model of training evaluation. The practice-focused question asked whether an educational program would increase staff knowledge related to the safe …

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Perceived College Retention Factors Affecting Postsecondary Students With Emotional Behavioral Disorders With Internalizing Behaviors, Kathleen Geddes Jay Jan 2022

Perceived College Retention Factors Affecting Postsecondary Students With Emotional Behavioral Disorders With Internalizing Behaviors, Kathleen Geddes Jay

Walden Dissertations and Doctoral Studies

College persistence rates for students with emotional behavioral disorders (EBD) are lower than same age peers. College students with EBD manifesting internalizing behaviors who graduated from one independent northeastern therapeutic high school (INTHS) had low first-year college retention rates despite high college admission rates. The purpose of this basic qualitative study was to explore the perceived factors that may affect first-year college retention rates for the students from one INTHS who have EBD with internalizing behaviors. The theories that grounded this study were Tinto’s model of institutional departure, with Braxton et al.’s later modifications, and Forber-Pratt and Zape’s disability identity …

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Assessing Violence And Mental Health With The 2019 Nevada Youth Risk Behavioral Survey, Samantha Graham Jan 2022

Assessing Violence And Mental Health With The 2019 Nevada Youth Risk Behavioral Survey, Samantha Graham

Walden Dissertations and Doctoral Studies

The effects from childhood trauma can interfere in all aspects of a child’s life, including their education. School delivery systems need to be trained to identify these risks and how to reduce further risks of re-traumatization by applying trauma-informed practices. This study addressed the impact of adverse childhood experiences (ACEs) on mental health and behavioral issues. The study was guided by Bandura’s social cognitive theory and the socioecological model. The correlation between ACEs and mental health as well as ACEs and physical violence were examined based on data from the 2019 Nevada Youth Risk Behavioral Survey, which was a high …

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Mental Health In The Military, Amy Jean Grasse Jan 2022

Mental Health In The Military, Amy Jean Grasse

Walden Dissertations and Doctoral Studies

The current qualitative research project explored the lived experiences of senior leaders who have worked with service members known to seek mental health treatment. Despite a large amount of research on the effects mental health has on military members, the scholarly community does not know the experiences individuals face when employing active-duty personnel with known psychological limitations. This phenomenological study aimed to identify senior leadership’s lived experiences to identify the barriers and facilitators they faced when employing service members known to have sought mental health treatment. The attribution theory and modified labeling theory were the theoretical frameworks chosen for this …

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Nursing Health Care Leadership Strategies To Reduce Homeless Patient 30-Day Readmission Rates, Shavonda L. Greene Jan 2022

Nursing Health Care Leadership Strategies To Reduce Homeless Patient 30-Day Readmission Rates, Shavonda L. Greene

Walden Dissertations and Doctoral Studies

AbstractAdult homeless patient 30-day readmission is a concern for nursing healthcare leaders who still have problems in providing effective strategies for revisit reduction in various acute care settings across the United States. The purpose of this quantitative comparative study was to examine the association between nursing healthcare leadership strategies, 30-day homeless patient readmission rates, and hospital discharge rates at hospitals in California. The theoretical foundation for the research study was Pender’s health promotion model theory, which identifies preventative health measures and describes the critical function of nurses in helping patients to prevent illness by self-care and bold alternatives. Research questions …

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Teachers’ Perceptions Of Their Roles And Challenges With Inclusion, Nini Asheki Greenidge Jan 2022

Teachers’ Perceptions Of Their Roles And Challenges With Inclusion, Nini Asheki Greenidge

Walden Dissertations and Doctoral Studies

AbstractMany schools have employed inclusion practices as an instructional framework, meaning general and special educators are expected to coteach students with disabilities in the general education classroom. The research problem at the local study district was that inclusion as an instructional framework challenged the roles of general and special education coteachers as well as the students they were intended to benefit. The conceptual framework for this project study was the social constructivist theory. The purpose of this basic qualitative study was to gain an understanding about inclusion as an instructional framework. The research questions addressed how the experiences of the …

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Hysterectomy And Self-Esteem Among African American Women, Gibson T. Green Jan 2022

Hysterectomy And Self-Esteem Among African American Women, Gibson T. Green

Walden Dissertations and Doctoral Studies

AbstractOver 600,000 hysterectomies are performed each year in the United States. Studies have shown that African American women are disproportionately impacted by hysterectomy and that most African American women treated with hysterectomy are young and of childbearing age. As a result, some African American women’s spouses have negative perceptions about the surgery. The purpose of this study was to examine the impact of hysterectomy on self-esteem or satisfaction among African American women and feelings of partner rejection after a hysterectomy. Sociometer theory (the study of self-esteem) was used to examine an association between hysterectomy and self-esteem or satisfaction. The study …

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American Urologists’ Concerns With Nonclinical Activities Moderating Burnout, Nichele Lynn Greer Jan 2022

American Urologists’ Concerns With Nonclinical Activities Moderating Burnout, Nichele Lynn Greer

Walden Dissertations and Doctoral Studies

As burnout continues to increase in the healthcare field and specifically in the specialty of urology, gaining knowledge of certain risk factors associated with burnout can potentially help prevent further increases. Intervention programs may also be developed as a result of understanding these relationships. The purpose of this quantitative correlational analysis was to determine whether hours worked on nonclinical activities moderated the relationship between age and burnout as well as gender and burnout in American urologists. The theoretical foundations utilized in this research were the jobs demands resources model, which suggested that burnout occurs as a result of job demands …

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Effects Of Foster Care Trauma On Foster Care Alumni’S Mental Health In Adulthood, Adrian W. Green Jan 2022

Effects Of Foster Care Trauma On Foster Care Alumni’S Mental Health In Adulthood, Adrian W. Green

Walden Dissertations and Doctoral Studies

Child welfare system involvement leads to foster care more for racial minority children than White children, and after exiting foster care racial minority alumni face disparate outcomes. The purpose of this generic qualitative study was to explore the effects of trauma experienced in foster care on racial minority foster care alumni’s mental health in adulthood. Trauma theory and information processing theory provided the frameworks for the study. Data were collected from semistructured interviews with eight racial minority foster care alumni age 18 and older. Findings from coding analysis indicated three themes and two subthemes. The adult mental health effects of …

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Health-Related Quality Of Life For Veterans Transitioned Into Civilian Life, Vicki Ann Guerra Jan 2022

Health-Related Quality Of Life For Veterans Transitioned Into Civilian Life, Vicki Ann Guerra

Walden Dissertations and Doctoral Studies

Texas veterans transitioning to civilian life have experienced health issues after discharge. There are processes to follow before seeking treatment or diagnosis for any health issue prior to military discharge. Given the gaps in the literature on veteran health, quality of life and transition to civilian life, scholars lack understanding of the transitional events that take place. Veteran health issues are impacted by medical appointment wait-times, day to day life events, and this can lead to decreased quality of life. The purpose of this mixed-methods study (N=36) was to evaluate veterans’ health related quality of life who had transitioned from …

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Age And Experience As Factors For Predicting Emotional Intelligence In Nurse Managers, Patricia Gursky Jan 2022

Age And Experience As Factors For Predicting Emotional Intelligence In Nurse Managers, Patricia Gursky

Walden Dissertations and Doctoral Studies

Emotional intelligence (EI) is defined as the capacity to recognize and manage emotions and feelings to guide behaviors which is an ability that is crucial for nurse mangers to possess. Understanding the key factors for predicting emotional intelligence in nurse managers may influence hiring practices and the appointment of managers who will influence job satisfaction, employee engagement, retention, and turnover. The purpose of this quantitative predictive correlational study, guided by King’s theory of goal attainment and Mayer and Salovey’s four-branch ability model of EI, was to determine whether age, years of experience as a nurse, and years of experience as …

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Challenges Of Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, And Asexual (Lgbtqia) Students In Higher Education, Caitlin Kay Jan 2022

Challenges Of Lesbian, Gay, Bisexual, Transgender, Queer, Intersex, And Asexual (Lgbtqia) Students In Higher Education, Caitlin Kay

Walden Dissertations and Doctoral Studies

The challenges of lesbian, gay, bisexual, transgender, queer, intersex, and asexual (LGBTQIA) students in higher education are present in all aspects of the student experience including academic, residential, and social structures. For LGBTQIA students to have a successful and fulfilled educational journey, they often must endure restrictive policies, unsupportive staff, gender and orientation bias, and bullying. These factors can be detrimental to LGBTQIA students, both personally and academically, to include long-term effects on their mental health, and failure to succeed academically. The purpose of this basic qualitative study was to determine the academic, residential, and social challenges LGBTQIA students face …

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Knowledge Management Strategies In Support Of Succession Planning, Jared Kunath Jan 2022

Knowledge Management Strategies In Support Of Succession Planning, Jared Kunath

Walden Dissertations and Doctoral Studies

Leader succession is a persistent strategic concern for U.S. federal agencies. The resultant loss of institutional knowledge as members retire, are replaced or are promoted significantly impacts the organization’s performance. Grounded in knowledge management theory, the purpose of this qualitative single case study was to explore strategies federal leaders use to emplace effective knowledge management programs to support succession planning. The six participants were middle and senior-level leaders of a U.S. federal agency located in Texas who had at least 5 years of experience managing their organization’s knowledge systems during succession planning and succession events. Data were collected using semistructured …

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Prediabetes, Implementation Of Ada Practice Guidelines And Provider Perspective, Kimberlee May Manguiat-Lang Jan 2022

Prediabetes, Implementation Of Ada Practice Guidelines And Provider Perspective, Kimberlee May Manguiat-Lang

Walden Dissertations and Doctoral Studies

AbstractPrediabetes occurs before the development of diabetes in some people. Practitioners who educate people about prediabetes are not consistently using the latest evidence-based practice guidelines. The purpose of this mixed-method study was to fill a gap in the literature by providing evidence of the provider practices, attitudes and barriers when implementing American Diabetes Association (ADA) practice guidelines for the prediabetic patient. The Theory of Planned Behavior applies to evidence-based practice and the implementation of evidence-based practice guidelines. Research questions for this study focused on determining rate of compliance with ADA clinical practice guidelines from health care professionals to include providers …

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Resources, Demands, Engagement, And Resilience As Factors Limiting Human Resource Professional Burnout, Pamela A. Maurer Jan 2022

Resources, Demands, Engagement, And Resilience As Factors Limiting Human Resource Professional Burnout, Pamela A. Maurer

Walden Dissertations and Doctoral Studies

Imbalances where job demands exceed available resources have been determined to cause employee burnout in the workplace. The relationship between job demands and available resources on burnout among human resource (HR) professionals has not been fully researched. Further, the impact of increasing available resources to meet job demands on fostering work engagement and supporting employee resilience to reduce burnout has not been fully explored. The purpose of this quantitative study was to examine if job demands and available resources predict burnout among HR professionals. The framework was based on job demands-resources theory and conservation resources theory. The Job Demands-Resources Scale, …

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The Impact Of Canada–U.S. Safe Third Country Agreement On African Asylum Seekers In Canada, John Elijah Mccarthy Jan 2022

The Impact Of Canada–U.S. Safe Third Country Agreement On African Asylum Seekers In Canada, John Elijah Mccarthy

Walden Dissertations and Doctoral Studies

AbstractAs the world becomes more globalized, migration is emerging as a major policy issue to contemporary governments. Thus, states have adopted immigration policies that extend beyond their jurisdiction, making the review of state actions a challenge. One such policy is the Canada–U.S. Safe Third Country Agreement (STCA). This policy has generated a range of social issues. However, no study has been conducted to understand the impact of the STCA on African asylum seekers in Canada. This qualitative study was based on the social construction and policy design theory. The central research question sought to understand the impact of the STCA …

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Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu Jan 2022

Weight Change And Hyponatremia As Predictors Of Polydipsia Among Persons With Schizophrenia, Kingsley Okechukwu Nwachukwu

Walden Dissertations and Doctoral Studies

AbstractPolydipsia is found in 20% of inpatients with chronic severe mental disorders. Of this, 80% are diagnosed with chronic schizophrenia, hence polydipsia is strongly associated with chronic schizophrenia. Despite the prevalence and serious health complications of coexisting polydipsia in this population, its current method of detection is flawed. The purpose of this quantitative study was to accurately identify comorbid polydipsia in schizophrenia using periodic weight change and hyponatremia. The Wilson’s complexity theory and primary data were used to attempt to explain the relationship between weight change and hyponatremia and polydipsia, in a cross-sectional study design. The dependent variable was polydipsia, …

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Exploring Strategies Hospital Leaders Use To Reduce Costs Of Medication Administration Errors, Anthony Odili Jan 2022

Exploring Strategies Hospital Leaders Use To Reduce Costs Of Medication Administration Errors, Anthony Odili

Walden Dissertations and Doctoral Studies

Medication administration errors occur in hospitals resulting in adverse negative effects, including deaths. Hospital leaders are responsible for promoting patient safety and reducing harm and costs from medication administration errors. Grounded in complex adaptive systems theory with Six Sigma, the purpose of this qualitative multiple case study was to explore strategies hospital leaders adopted to reduce the costs of medication administration errors. The participants were five hospital leaders who successfully reduced the costs of medication administration errors. Data were collected through semistructured interviews and a review of the hospital’s financial records. Through thematic analysis, four themes emerged: education, communication, use …

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Exploring Perceptions Of Staff Preparedness For Emergency Response In Transitional Houses In Texas, Patrick Onuoha Jan 2022

Exploring Perceptions Of Staff Preparedness For Emergency Response In Transitional Houses In Texas, Patrick Onuoha

Walden Dissertations and Doctoral Studies

AbstractDisaster preparedness for emergency response within transitional houses is a problem that often fails to receive attention, a situation that can lead to injuries or death during disaster events. One of the factors responsible for this lapse is the contractual nature of most of the transitional houses, with inherent inadequacies in types and quality of services. Although research in this area is relatively scarce, a synthesis of literature reviewed suggested greater focus on disaster management in other areas and almost nothing with regards to transitional houses. The purpose of this qualitative study was to better understand staff emergency preparedness in …

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Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti Jan 2022

Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti

Walden Dissertations and Doctoral Studies

Herpes simplex virus type 2 (HSV-2), the main cause of genital herpes, is an incurable sexually transmitted infection responsible in 2018 for 18.6 million infections in the United States. HSV-2 is twice as frequent in women than in men. Women who have sex with women (WSW) have a higher prevalence of depression and drug use than women who have sex exclusively with men (WSM), which are each related to HSV-2 as they increase the likelihood of engaging in risky sexual behaviors. The purpose of this study was to assess the predictive relationship between depression status, nonprescription drug use status, and …

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Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail Jan 2022

Grief Experiences Of Mothers After A Child’S Death From A Drug Overdose, Shonetesha L. Quail

Walden Dissertations and Doctoral Studies

AbstractResearch on young adult deaths primarily focuses on other causes of death such as homicide, suicide, and accidents. There is very little research surrounding maternal bereavement when the cause of death is from a drug overdose. The purpose of this phenomenological study was to explore the perceptions, attitudes, and lived experiences of grieving mothers who had a biological, adopted, or stepchild die from a drug overdose when the decease’s age was between 18 and 25. Guided by Le Poi Devin’s multidimensional grief theory, the study sought a better understanding to assist mental health and other healthcare providers in developing individualized …

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Relationship Between Patients Of Low Socioeconomic Status With Multiple Sclerosis And Health Care Providers, Jennifer N. Rhoads Jan 2022

Relationship Between Patients Of Low Socioeconomic Status With Multiple Sclerosis And Health Care Providers, Jennifer N. Rhoads

Walden Dissertations and Doctoral Studies

Many health care initiatives seek to improve patient–provider experiences and relationships to support patient satisfaction rates and health outcomes. However, a small amount of published research has examined the perceptions of low socioeconomic status (SES) patients diagnosed with multiple sclerosis (MS) regarding their relationship with their health care provider and how these perceptions affect patient outcomes. Prioritizing communication and approachability between the health care provider and a patient can be instrumental in creating and fostering an authentic relationship. The research question for this study was designed to understand the relationship between participants of low SES who had been diagnosed with …

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