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Exploring The Influences Of Culture On Hand-Hygiene Beliefs Of Foreign-Born Healthcare Workers, Sheila Blanche Davis Jan 2021

Exploring The Influences Of Culture On Hand-Hygiene Beliefs Of Foreign-Born Healthcare Workers, Sheila Blanche Davis

Walden Dissertations and Doctoral Studies

AbstractThe hand-hygiene practices of nonadherent health care workers (HCWs) are a major threat to patient safety and thus continue to be a concern for healthcare leaders and administrators worldwide. Healthcare-associated infections (HAIs), which are linked to HCWs' unclean hands, are prevalent throughout global healthcare settings. Global migration in the nursing profession and intercontinental travel among direct patient care providers make it challenging for healthcare leaders to sustain HCWs' adherence to hand-hygiene practices. The purpose of this grounded study was to explore the influence of the cultural beliefs about hand-hygiene practices of foreign-born HCWs. The theory of planned behavior was used …

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Factors And Pre-/Post Bariatric Surgery Alcohol Behaviors And Attitudes, Tyrease T. Hammond Jan 2021

Factors And Pre-/Post Bariatric Surgery Alcohol Behaviors And Attitudes, Tyrease T. Hammond

Walden Dissertations and Doctoral Studies

AbstractBariatric surgery is the only long-term effective treatment for severe obesity and as the use of bariatric surgery has increased there has been an increase in cases of onset and transfer addictions to alcohol. The purpose of this quantitative, correlational study was to examine the relationship between demographics and pre and post bariatric surgery alcohol use consumption behavior. The Alcohol Use Disorder Test (AUDIT) and Alcohol Self-Regulated Questionnaire were used to measure pre and post-surgery alcohol use behaviors and attitudes respectively. The health belief model and theory of planned behavior provided the theoretical framework for this study. Purposeful convenience and …

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Grandparents In Parental Roles With Grandchildren And Social Work Practice, Anetrice Nicole Rogers Jan 2021

Grandparents In Parental Roles With Grandchildren And Social Work Practice, Anetrice Nicole Rogers

Walden Dissertations and Doctoral Studies

AbstractOver the last 30 years, there has been an increase of grandparents who are raising grandchildren. Grandparents often need social services such as case management, legal services, counseling, adoption, and custody services. Although grandparents feel it is rewarding to raise their grandchildren, there are also challenges. Participatory action research was used as the method of study. Bronfenbrenner's ecological theory was used to guide the participatory action research. Participants included social workers and social service workers from various social service agencies in Atlanta, Georgia. This study aimed to understand grandparents' needs and how prepared social workers and social service workers are …

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Pharmacological Management Of The Diabetic Patient: A Staff Education Project, Wilantha Silva Jan 2021

Pharmacological Management Of The Diabetic Patient: A Staff Education Project, Wilantha Silva

Walden Dissertations and Doctoral Studies

Poorly controlled diabetes can lead to health complications that impact quality of life, increase healthcare costs, and create a negative impact on communities. Pharmacological management of diabetes was identified by stakeholders as a gap in practice at a clinic in the southeastern United States. The purpose of this project was to develop staff education based on American Diabetes Association (ADA) and American Association of Clinical Endocrinologists (AACE) standards of care, deliver education to primary care nurse practitioners (NPs), and evaluate their learning and confidence levels. The primary framework for this project was the chronic care model. An expert panel, including …

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Perceptions Of The Reggio Emilia Approach To Early Childhood Education, Brandon Harris Gantt Jan 2021

Perceptions Of The Reggio Emilia Approach To Early Childhood Education, Brandon Harris Gantt

Walden Dissertations and Doctoral Studies

Preschools provide a method of early intervention to prepare children for school. Reggio Emilia (RE) curricular approach widely used for early childhood education that has not consistently shown a positive influence on cognitive, social, and emotional development of young children. It is also unknown whether those who participate in the RE curricular approach perceive it to foster cognitive, social, and emotional development in early childhood. The purpose of this qualitative, exploratory case study was to investigate participant-perceived benefits of RE as a curricular approach. The conceptual grounding of the study was social constructivism because the RE curricular approach emphasizes the …

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Staff Education Module On Beers Criteria For Geriatric Patients, Eyvonne Denise Hinton Jan 2021

Staff Education Module On Beers Criteria For Geriatric Patients, Eyvonne Denise Hinton

Walden Dissertations and Doctoral Studies

One of the main problems affecting geriatric patients over the age of 65 is the heightened risks of severe complications and mortality from adverse drug events (ADEs). Beers Criteria is a suitable framework for identifying potentially inappropriate medications (PIMs) for such at-risk population. The purpose of this project was to develop an evidence-based educational intervention for use by health practitioners to increase their knowledge and confidence regarding the 2012 American Geriatrics Society (AGS) Beers Criteria for PIMs. Lewin’s change theory provided the conceptual framework for the project. The method to evaluate the scores used involved a descriptive analysis of scores …

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The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier Jan 2021

The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating respiratory condition that leads to significant medial and financial burdens. For many patients with COPD, multiple socioeconomic factors contribute to health disparities, including income, education, employment status, and race/ethnicity. The purpose of this study was to examine the impact of SES and race/ethnicity on COPD patients. For this cross-sectional study, using secondary data analysis, the Social-Ecological Model (SEM), which discusses five levels of influence, was utilized. Data from over 3,222 participants aged 18 and over, living in Nevada were obtained from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) study. …

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Parent And Administrator Perspectives Regarding Transportation Availability And Student Enrollment At Charter Schools, Amy Summers Jan 2021

Parent And Administrator Perspectives Regarding Transportation Availability And Student Enrollment At Charter Schools, Amy Summers

Walden Dissertations and Doctoral Studies

The demand for charter schools has increased during last two decades. Scholarly literature lacked deeper understanding of the perspectives of administrators and parents on transportation availability with respect to equal access to charter schools and how transportation is perceived to affect parental capability or willingness to enroll children in charter schools. This basic qualitative study, with the theory of school choice as the framework, used interviews with 8 parents of students enrolled in charter schools and traditional public schools and 4 administrators of charter schools. Two research questions focused on administrator and parent perspectives about transportation availability with respect to …

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Effects Of Hepatitis On Human Immunodeficiency Virus Viral Suppression, Andrenita Checoby West Jan 2021

Effects Of Hepatitis On Human Immunodeficiency Virus Viral Suppression, Andrenita Checoby West

Walden Dissertations and Doctoral Studies

Coinfection with human immunodeficiency virus (HIV) and viral hepatitis leads to unfavorable health outcomes, making treatment of HIV difficult and increasing the odds of HIV transmission. The purpose of this study is to assess whether viral hepatitis (B and C) hinders HIV viral suppression and impacts the white blood cell count (CD4) when a person is concurrently infected with both viruses. The syndemics theory guided this study. Two research questions tested whether there was an association between coinfection with viral hepatitis and HIV viral load suppression. The research design was quantitative case-control with secondary data from 65,626 reports of HIV, …

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Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag Jan 2021

Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag

Walden Dissertations and Doctoral Studies

Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …

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Staff Education On Diabetes Self-Management For Patients, Gloria Eberechukwu Okoye Jan 2021

Staff Education On Diabetes Self-Management For Patients, Gloria Eberechukwu Okoye

Walden Dissertations and Doctoral Studies

Abstract Staff Education on Diabetes Self-Management for Patients by Gloria Okoye MSN, Walden University, 2016 BSN, Walden University, 2015 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2021 Abstract Diabetes mellitus is a chronic disease that poses health and financial burdens to patients, families, and society. An outpatient clinic in the Southeastern United States noted a gap in staff knowledge on diabetes self-management education for high-risk, diabetic patients. The purpose of the project was to educate clinical staff on lifestyle modification practices so that they could better educate diabetic …

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Association Between Learning Methods And Analgesic Opioid Abuse, Nicole Marie Blanchard Jan 2021

Association Between Learning Methods And Analgesic Opioid Abuse, Nicole Marie Blanchard

Walden Dissertations and Doctoral Studies

Opioids are an extremely addictive class of medication used to treat pain; overprescribing practices and chronic misuse has led to an epidemic that continues to grow. The opioid epidemic not only has the potential to cause injury or even death but also has a large impact on the U.S. economy. Research regarding determinants of abuse are needed to improve safeguards for opioid abuse prevention. The purpose of this quantitative study was to determine if learning capabilities and/or learning medium preference are correlated with analgesic opioid abuse. The social-ecological model was used to evaluate the social levels of influence for abuse …

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Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah Jan 2021

Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is marked by excruciating chronic pain, commonly known as pain crisis. SCD healthcare practitioners (HCPs) have been employing palliative care as a mainstream treatment option to manage SCD pain crises using mainly opioid analgesics for years. Due to the current opioid crisis, however, it has become imperative to explore alternative regimens to manage the pain and associated comorbidities of SCD. Thus, the goals of this study included exploring alternative treatment options for SCD pain crisis management with the intent of decreasing SCD patients’ dependency on opioid-based or related analgesics while reducing the frequency of pain crises …

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Teachers Perceptions Of Using Persuasive Technologies To Prevent And Reduce The Incidence Of Childhood Obesity, John E. Stephens Jan 2021

Teachers Perceptions Of Using Persuasive Technologies To Prevent And Reduce The Incidence Of Childhood Obesity, John E. Stephens

Walden Dissertations and Doctoral Studies

Research of middle school health/physical education teachers’ perceptions regarding using technology in educational settings to help prevent and reduce the incidence of childhood overweight and obesity is lacking. The purpose of this study was to gain insight into those perceptions because that insight could be used to encourage teacher promotion of technology-based childhood obesity prevention initiatives in educational settings. Ajzen and Fishbein’s theory of planned behavior was used to support the conceptual framework. The research questions for this study were focused on teachers’ perceptions regarding using technology in educational settings to help prevent and reduce the incidence of childhood overweight …

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Staff Education Regarding Breastfeeding For Perinatal Nurses, Shannon Nicole Long Jan 2021

Staff Education Regarding Breastfeeding For Perinatal Nurses, Shannon Nicole Long

Walden Dissertations and Doctoral Studies

AbstractExclusive breastfeeding in the U.S. is the optimal form of nutrition up to the age of 1 year; however, the current U.S. rate of 49% and Kentucky rate of 39% fall below the Healthy People 2020 goal of 60.6%. Researchers have shown that perinatal nurses often lack knowledge to ensure mothers begin and maintain this optimal form of human nourishment. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to present a continuing education program on breastfeeding for 10 staff nurses at the target hospital. The program presented was the …

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Understanding Parent/Child Experiences Affecting Obesogenic Behavior In Children, Jean Gaffney Jan 2021

Understanding Parent/Child Experiences Affecting Obesogenic Behavior In Children, Jean Gaffney

Walden Dissertations and Doctoral Studies

Families living in an inequitable food environment are impacted by limited access to healthier foods inventory. Habitual consumption of foods lacking adequate nutritional value increasingly contributes to the heightened prevalence of obesity and premature death from non-communicable chronic diseases such as diabetes and heart disease. This basic qualitative analysis examined factors that impact parental decisions in food choices among obese and overweight children. The study explores the level of understanding held by low-income parents/caregivers as it relates to basic nutritional knowledge. Bandura’s Social Cognitive Theory framed the study. A purposeful sample of eight parents/caregiver between the age of 18-50, parenting …

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New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou Jan 2021

New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou

Walden Dissertations and Doctoral Studies

Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …

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Diabetic Education For Nurses To Enhance Patient Outcomes, Jacklyn Obeng Jan 2021

Diabetic Education For Nurses To Enhance Patient Outcomes, Jacklyn Obeng

Walden Dissertations and Doctoral Studies

AbstractDiabetes mellitus is metabolic disease that causes elevated blood glucose levels resulting in long-term health complications and medical costs. This project was aimed at addressing the lack of confidence and knowledge staff had when teaching patients diabetes self-management interventions. The purpose of this project was to develop an evidence-based educational program for staff working in an outpatient clinic in the northeastern United States. The analysis, design, development, implementation, and evaluation model and Watson’s theory of human caring provided frameworks for the project development and implementation. A diabetic nurse educator, a family nurse practitioner, and the chief medical officer served as …

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The Relationship Between Cross-Cultural Psychological Capital And Organizational Commitment, Steven Andrew Snell Jan 2021

The Relationship Between Cross-Cultural Psychological Capital And Organizational Commitment, Steven Andrew Snell

Walden Dissertations and Doctoral Studies

For many organizations, the cultural demographics of the workforce reflect the growing diversity of the global workforce. Effective intercultural interactions require individuals to have several personal psychological resources, including cross-cultural psychological capital (PsyCap). Without such resources, employees may not have the ability to effectively work with individuals from other cultures, making working in these environments stressful. These stressful situations may negatively impact employee commitment levels, potentially increasing turnover rates. The purpose of this study was to explore the influence that employees’ cross-cultural PsyCap has on their organizational commitment (OC) as indicated by the three-component model of OC. To date, researchers …

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Hospital-Acquired Condition Ranking Score Among Types Of Safety-Net Hospitals, Jude C. Iruka Jan 2021

Hospital-Acquired Condition Ranking Score Among Types Of Safety-Net Hospitals, Jude C. Iruka

Walden Dissertations and Doctoral Studies

Abstract The Center for Medicare and Medicaid Services has been shifting from paying hospitals for the volume of services they delivered to paying them for the quality of those services, known as pay-for-performance, to incentivize hospitals to offer improved care at a lower cost. When a patient goes to the hospital to receive care for one condition and develops another condition during that hospital stay, the second condition is referred to as a hospital-acquired condition. It is anticipated that 1.7 million infections are acquired at some point in-hospital stay in the United States annually, resulting in nearly 100,000 deaths in …

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The Impact Of Periodontal Disease On The Health-Related Quality Of Life Of The Chronic Kidney Disease Patient, Marlene M. Roberts Jan 2021

The Impact Of Periodontal Disease On The Health-Related Quality Of Life Of The Chronic Kidney Disease Patient, Marlene M. Roberts

Walden Dissertations and Doctoral Studies

AbstractChronic kidney disease (CKD) and Periodontal disease (PD) have been identified as public health issues by both the Centers for Disease Control and Prevention and the World Health Organization. The impact of PD on the health-related quality of life (HRQoL) of the CKD patient is an area where there has been little research. Previous research has not established a connection between PD and CKD although both diseases share common inflammatory markers. The focus of this cross-sectional, quantitative study was the possible impact of PD on the HRQoL of the CKD patient and the extent to which a less than optimal …

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Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti Jan 2021

Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti

Walden Dissertations and Doctoral Studies

Early childhood maltreatment (CM) is a risk factor for later psychopathology specifically Borderline Personality Disorder (BPD). CM has been found to negatively affect social, emotional, and psychological development as well as the ability to foster and sustain interpersonal relationships throughout all stages of life. There are evidence-based interventions for different kinds of CM including Trauma-Focused Cognitive-Behavior Therapy (TF-CBT), Alternatives for Families - Cognitive Behavioral Therapy (AF-CBT), relaxation training, and social skills training. The current study is a meta-analysis of published research into CM as it contributes to BPD in adults and is designed to examine the effect size of childhood …

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The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur Jan 2021

The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur

Walden Dissertations and Doctoral Studies

The quality of life (QOL) of older adults in rural Ghana is of growing concern, locally and throughout the country. In Ghana, it is the tradition for family members to take care of older adults without any government support, but research has shown that changing economic and social structures make this tradition less optimal, so older adults suffer physically and emotionally. The purpose of this phenomenological study was to explore the lived experience of QOL for older adults in rural Ghana. The ecological systems theory was used to explore the integral role of family support and QOL in the microsystem, …

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Lived Experiences Of Diabetic Patients And Access To Care Information In Nigeria, Ngozi Scholar Nwaokoro Jan 2021

Lived Experiences Of Diabetic Patients And Access To Care Information In Nigeria, Ngozi Scholar Nwaokoro

Walden Dissertations and Doctoral Studies

AbstractStudies have shown that chronic diabetes can be managed throughout a lifetime, despite the numerous health, social and economic consequences of the disease. Nevertheless, researchers have yet to establish the efficacy of access to diabetic information on care and family needs in relation to living with diabetes in a developing country like Nigeria. The purpose of this study was to explore the lived experiences, including both barriers and needs regarding access to information and care, of diabetic patients in Abuja Municipal Area Council, Nigeria. The study used the Social-Ecological Model as a framework for analysis. Adopting the phenomenological research method, …

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Parent And Teacher Perceptions Of Adolescent Use Of Mobile Technology For Diabetes Care In Kenya, Francis Kanyugi Jan 2021

Parent And Teacher Perceptions Of Adolescent Use Of Mobile Technology For Diabetes Care In Kenya, Francis Kanyugi

Walden Dissertations and Doctoral Studies

Mobile technology use provides an opportunity for the self-management of health among adolescents, serving as a lifestyle intervention tool to promote well-being and attenuate chronic conditions. However, little is known about how parents and teachers perceive how adolescents with chronic illness use mobile technology. This basic qualitative study aimed to explore teachers’ and parents’ perceptions regarding the use of mobile technology by adolescents who have diabetes in Kenya. This study’s conceptual framework was the unified theory of acceptance and use of technology. Data were collected from semistructured interviews with six teachers and eight parents from two counties in Kenya. The …

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Narratives On The Academic Resilience Of Former Homeless Students, Alia Aboulhosn Jan 2021

Narratives On The Academic Resilience Of Former Homeless Students, Alia Aboulhosn

Walden Dissertations and Doctoral Studies

The number of homeless students in U.S public schools continues to rise. Although many homeless students drop out due to challenges they face, lacking is research on how some homeless students overcome challenges and graduate high school, referred to as academically resilient. The purpose of this qualitative narrative study was to gain a deeper understanding of the experiences that promoted former students who were homeless during their senior year of high school to graduate despite adversity, using Resiliency Theory as the theoretical framework. Semi-structured interviews with five participants provided insight into the broader sociopolitical and personal contexts in their stories, …

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Structured Training Programs For Direct Support Professionals On Behavior Intervention Support Plans, Melody Lane Barnes-Meisenhelder Jan 2021

Structured Training Programs For Direct Support Professionals On Behavior Intervention Support Plans, Melody Lane Barnes-Meisenhelder

Walden Dissertations and Doctoral Studies

Direct support professionals work with developmentally disabled individuals and are responsible for implementing behavior intervention support plans (BISPs). Little is known about the efficacy of supplemental BISP training in these professionals. The purpose of this quantitative experimental study was to investigate the efficacy of BISP training to improve knowledge and applied understanding of BISPs in direct support professionals. Social validation, treatment fidelity, and change theories served as the foundations of the study. Seventy-three newly hired direct support professionals were randomized into an experimental group with a 2-day workshop training or a standard training group. BISP knowledge was assessed before and …

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Strategies Used To Retain United States Veterans, Lucy Rene Moore Jan 2021

Strategies Used To Retain United States Veterans, Lucy Rene Moore

Walden Dissertations and Doctoral Studies

AbstractThe United States has a 20% average overall turnover rate, requiring employers to absorb the additional costs related to employee turnover, which can exceed 300% of each departed employee’s annual salary. Human resource leaders who lack strategies to retain veterans as employees experience increased turnover and replacement costs. Grounded in person organization fit theory and human capital theory, the purpose of this qualitative multiple case study was to explore the strategies leaders in human resource departments use to retain United States veterans. The participants included three human resources leaders in Washington who developed successful retention strategies for veterans. Data were …

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Addressing Work-Induced Stress And Depressive Symptoms In Police Officers, Demetrius Markey Latham Jr Jan 2021

Addressing Work-Induced Stress And Depressive Symptoms In Police Officers, Demetrius Markey Latham Jr

Walden Dissertations and Doctoral Studies

Police officers across the nation face a significant issue as it relates to work-induced stress and depressive symptoms. Specifically, the problem is the lack of preventative mental health services available to officers. This study aims to explore the perceived presence of work-induced stress and depressive symptoms in patrol officers employed by the Field Police Department (Pseudonym; FPD). To gather these data, the potential research participants were offered the ability to take an online anonymous survey. The results indicated that many of the survey participants were suffering from work-related stress and depressive symptoms. The research results further displayed many of the …

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Clinical Practice Guidelines For Community-Based Resources For Substance Abuse Patients In An Emergency Department, Julie Ann Thompson Jan 2021

Clinical Practice Guidelines For Community-Based Resources For Substance Abuse Patients In An Emergency Department, Julie Ann Thompson

Walden Dissertations and Doctoral Studies

Substance use disorder (SUD) has plagued the United States for decades and has been an ongoing issue in a Midwest hospital emergency department where SUD patients were provided discharge information that did not include SUD specific recovery and rehabilitation resources available in the community. The purpose of this project was to develop a clinical practice guideline (CPG) for nurses to use when discharging a SUD patient with an accompanying evidence-based recovery and referral resource list including Narcan, medication-assisted treatment, crisis hotlines, needle exchange programs, and treatment options. The Johns Hopkins Nursing Evidence-Based Practice framework was used to grade the levels …

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