Digital Commons Network^™

American Indian Cooking Self-Efficacy And Health Perceptions Of Obesity, Kristina L. Babbitt

Walden University Research Conference

American Indian obesity rates exceed other ethnicities. This cross-sectional study examined cooking techniques and meal preparation self-efficacy (CTMP), negative cooking attitude, eating and cooking with fruits and vegetables self-efficacy, health value, and perceived severity, susceptibility, barriers, and benefits on body mass index (BMI) for 90 Arizona American Indians. Participants self-reported height and weight and completed the Cooking with a Chef Evaluation Instrument and Health Belief Model Scale in Obesity. Multiple regression revealed a significant large effect of all predictors and small effect of health value and CTMP on BMI. The findings indicate self-efficacy and health perceptions impact BMI and health …

Impact Of Food Assistance Programs On Food Insecurity, Diet Quality And Obesity, Jessica E. Hill

Walden University Research Conference

Food insecurity and participation in food assistance programs may place families at risk for obesity. Secondary data analyses of the 2013-2014 National Health and Nutrition Examination Survey (NHANES) was conducted. Logistic regression analysis results indicated marginal food security was associated with obesity among SNAP (OR = 1.28) and NON-SNAP participants (OR = 1.54). Full food security was associated with obesity among NON-SNAP participants (OR = 1.65). Among both groups, the greater the diet quality the greater the odds of obesity. Policies and programs to improve the nutritional impact of SNAP and targeted interventions to address food security in low-income adults …

Predictors Of Hiv Testing Among African American Men Who Have Sex With Men, Jeanette M. Higgins

Walden University Research Conference

African Americans (AA) men who have sex with men (MSM) are disproportionately affected with HIV. This study used a sampling of 344 AA MSM from the 2000-2016 NHANES Surveys who had reported HIV test results. Age, income, and educational status were predictive of an HIV test result among AA MSM. The results of this study could be used to train patient navigators on coping strategies using Lazarus and Folkman’s theory of stress, appraisal, and coping for reducing stigma among AA MSM, encouraging them to seek HIV testing to decrease the incidence and prevalence of HIV among AA MSM.

Recommended Citation …

Developing A Clinical Practice Guideline For Surgical Diabetic Patients, Barbie Harbaugh, Diane Whitehead

Journal of Excellence in Nursing and Healthcare Practice

Diabetes is a recognized risk factor for postoperative infection, acute renal failure, ileus, and a lengthy hospital stay. Optimal screening, management, and scheduling of elective surgery for diabetic patients have been shown to improve quality care, decrease complications, increase the efficiency, and lower the costs of preoperative patient care. However, surgery cancellations are common due to inadequate preoperative glycemic control and poor intraoperative glycemic control, which are recognized risk factors for perioperative or postoperative complications. There were no clinical practice guidelines or optimization protocols for elective surgery patients at a small rural hospital in the northeast United States. The purpose …

The Relational Assessment Of Neglected Youth (Rany): Probing The Need For An Assessment Tool, Corrine Dale

Journal of Social, Behavioral, and Health Sciences

While child neglect is the most substantiated form of child maltreatment, there is a lack of assessment tools leading to effective treatment, particularly among older victims of neglect. To date, the research has focused on younger victims and the subsequent disruption in the attachment relationship. Although development of child neglect assessment tools has been pioneered by an ecological model, the relational nature of this type of maltreatment also necessitates an assessment of relational factors that are highly correlated to child neglect. Because neglect occurs within the caregiver relationship, assessment of interpersonal impairments among older youth can best be guided by …

Homeless Canadians’ Perspectives On Homelessness In Calgary, Edith N. Ahajumobi, Peter B. Anderson

Journal of Social, Behavioral, and Health Sciences

Since the 1990s, homelessness has increased in Canada, but the strategies of the government and public health service providers to manage the situation have had limited success. Researchers have also noted the lack of inclusion of those experiencing homelessness in homelessness research to better understand and develop a solution to the issue. In the present study, this is addressed through inclusion of homeless participants from diverse backgrounds. The purpose of this phenomenological study, framed by social cognitive theory, reciprocal determinism, and symbolic interaction, was to understand homelessness from the perspectives of people who do not have homes. Data were collected …

Developing A Clinical Practice Guideline For Surgical Diabetic Patients, Barbie Denise Harbaugh, Diane Whitehead

Walden Faculty and Staff Publications

Diabetes is a recognized risk factor for postoperative infection, acute renal failure, ileus, and lengthy hospital stay. Optimal screening, management, and scheduling of elective surgery for diabetic patients has been shown to improve quality care, decrease complications, and increase the efficiency and lower the costs of preoperative patient care. However, surgery cancellations are common due to inadequate preoperative glycemic control and poor intraoperative glycemic control, which is a recognized risk factor for perioperative or postoperative complications. There were no clinical practice guidelines or optimization protocols for elective surgery patients at a small rural hospital in the Northeast United States. The …

Ways To Reduce Restaurant Industry Food Waste Costs, David Blum

International Journal of Applied Management and Technology

Food waste costs U.S. restaurant leaders billions of dollars per year. The purpose of this research was to provide restaurant leaders with processes and strategies to reduce food waste costs. The research method used was systematic literature review in addressing this research question: What processes and strategies are available to U.S. restaurant leaders to reduce food waste costs? This study addresses a gap in literature related to processes and strategies to reduce food waste costs. Six processes and seven strategies to reduce food waste costs were presented.

Health Behaviors In The Service Sector: Substance Use Among Restaurant Employees, Amanda Michiko Shigihara

Journal of Social, Behavioral, and Health Sciences

Restaurant workers in the United States exhibit high levels of alcohol and drug use. However, there is a scant amount of qualitative research uncovering how and why restaurant employees use and abuse legal and illegal substances. Examining restaurant workers’ self-reported risky health behaviors is important for improving employee and occupational quality of life. The purpose of this article is to investigate the health behaviors of restaurant workers and pathways to such outcomes. Specifically, this article explores the question of what social conditions and processes within restaurants relate to employee adverse health behaviors. Drawing on qualitative data collected between 2009 and …

Managing Uncertainty In Chronic Illness From Patient Perspectives, Amanda Brown, Susan Hayden, Karen Klingman, Leslie C. Hussey

Journal of Excellence in Nursing and Healthcare Practice

Chronic illness is an increasing concern in the United States as the Centers for Disease Control and Prevention reports that 50% of adults have at least one chronic illness. When individuals must adjust to chronic illness, they may experience uncertainty regarding the illness, prognosis, and symptoms. The purpose of this qualitative, phenomenological study was to explore the management strategies of uncertainty in chronic illness from patients’ perspectives. Merle Mishel’s uncertainty in illness theory was the framework used to explore the lives of individuals diagnosed and living with chronic illness. In-depth interviews were conducted with eight individuals who have chronic disease. …

Type 2 Diabetes Prevention And Management Educational Toolkit, Theresa O. Orjiakor

Walden Dissertations and Doctoral Studies

AbstractDiabetes is one of the chronic diseases that are challenging to prevent and manage. Approximately 8.3% of the United States' population has type 2 diabetes. One of the primary challenges in managing the disease entails reducing the associated financial and human costs by preventing new cases and enacting social change. Prevention and management education programs using enhanced toolkit may have positive effects on type 2 diabetes patients, who start enjoying a good quality of life, as well as positive social change in their communities and families. The purpose of this project was to develop and evaluate a type 2 diabetes …

Strategies For Recruiting Volunteers In The Nonprofit Sector, Marsha Delahaye

Walden Dissertations and Doctoral Studies

Many nonprofit organizations (NPO) leaders lack formal strategies to recruit volunteers. Nonprofit leaders without effective volunteer recruitment strategies may lack the workforce necessary to achieve the organization’s mission to support organization beneficiaries. Grounded in the strategic human resource management theory, the purpose of this qualitative, single case study was to explore strategies 3 leaders of a nonprofit organization located in the U.S. state of Colorado use to recruit volunteers. Data were collected from semistructured interviews, organizational documents, public and government data, and the organization’s website. The data were analyzed using Yin’s five-step thematic analysis process and the Baldrige Performance Excellence …

Organizational Culture As A Predictor Of Counselors’ Wellness, Ashley Nicole Davis

Walden Dissertations and Doctoral Studies

The foci of existing literature related to counselor wellness are on counselors as individuals, and researchers have failed to consider counselors as part of a larger system. Researchers have found that demanding work environments are more likely to lead to compassion fatigue and burnout for counselors which pose threats to the well-being of clients. The organizational culture also affects counselor self-efficacy, which influences the emotional state of the counselors. Limited research exists on institutional-level factors, such as the organizational culture, in counselor wellness which demonstrates the importance of this study. The purpose of this quantitative nonexperimental survey study was to …

Pressure Injury Prevention In An Urban Surgical Intensive Care Unit, Kayma P. Ricks

Walden Dissertations and Doctoral Studies

Hospital-acquired pressure injuries (HAPIs) affect approximately 2.5 million patients in the

United States, annually. Prevention requires surgical intensive care unit (SICU) nursing staff to

effectively use evidence-based risk assessment measures to appropriately identify patients at risk

for developing HAPIs and to prevent poor patient outcomes. The Braden Scale risk assessment

tool has demonstrated reliability and validity in the prediction and assessment of patients at risk

for the development of HAPIs. The purpose of this Doctor of Nursing Practice (DNP) project

was to improve nurses’ knowledge of the appropriate use of the Braden Scale risk assessment

tool in the SICU of …

Online Social Support And Biopsychosocial Implications For Bariatric Patients, Jamie Kathryn Schofell-Williams

Walden Dissertations and Doctoral Studies

Obesity has grown to epidemic proportions in the United States with approximately 40% of women and 30% of men having a body mass index greater than 35. Bariatric surgery is an effective form of weight loss. However, weight regain is a problem, with 50% of persons undergoing bariatric surgery experiencing a weight regain of 5% within 2 years of surgery and only 40% maintaining a loss of 30% or more long-term. Potential biological, psychological, and social issues can negatively impact the long-term success of weight management for many bariatric surgery patients. Research is significantly limited within this area and it …

Addressing Cardiovascular Disease Among Populations Disproportionately Impacted In The United States, Michael Leron Sells

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) causes the most deaths in the United States and is disproportionately impacting certain groups more than others. A gap in the research exists when focusing on national data for those who bear the highest burden of CVD amongst people with hypertension when cardiovascular morbidity and mortality are examined. There is also a need to investigate the relationships between key indicators for CVD health disparities in people with hypertension. The purpose of this quantitative study is to investigate the cumulative effect of key health disparities indicators such as race, age, gender, education, and income using national-level surveillance data …

Electronics And Computer Sales: Brick-And-Mortar Retail Strategies To Increase Revenue, Thomas Watson

Walden Dissertations and Doctoral Studies

The growth of online retailing threatens brick-and-mortar retail revenues. Brick-and-mortar retail leaders who fail to increase revenues risk insolvency. Grounded in the theory of change, the purpose of this qualitative multiple case study was to explore effective strategies electronics and computer brick-and-mortar retail leaders use to increase revenue in response to competition from online retailers. The participants comprised 6 electronics and computer brick-and-mortar electronics retail store leaders in San Diego, California, who effectively used strategies to increase revenues. Data were collected from semistructured interviews, company information, financial data, and web site documentation. Inductive thematic analysis was used to analyze the …

An Interpretive Qualitative Study Of Idaho Head Start Families Facing Food Insecurity, Sherry Deiter

Walden Dissertations and Doctoral Studies

The purpose of this basic interpretive qualitative study was to examine food insecurity among Idaho Head Start enrolled families, focusing on barriers and deterrents to accessing available nutrition assistance programs. The social-ecological model (SEM) was used as the theoretical foundation for this study. Based on this model, the research questions were designed to explore experiences of participants related to individual, interpersonal, community, organizational, policy, and educational factors that influenced food insecurity. Parents who had children enrolled in Idaho Head Start programs that met purposeful sampling criteria were recruited for the study. A total of 11 parents, all who had experiences …

Congestive Heart Failure And Strategies To Improve Quality Of Life, Esther Akunna Okorie

Walden Dissertations and Doctoral Studies

Congestive heart failure is a global, chronic, progressive, and debilitating disease affecting mostly older adults. The multiple complications associated with the health issue led to readmissions and markedly reduced ability of heart failure (HF) patients to perform the self-care management of the problem. Nurses are responsible for providing a standardized quality education for patients; however, nurses at the project site lacked adequate skills and knowledge to bridge the gap in HF self-care management education. The project was guided by health belief model and self-care deficit with the goal of boosting the staff knowledge and confidence with providing patient HF self-care …

African American Maternal Mortality In The United States: A Quantitative Analysis Of Chronic Disease And Maternal Deaths, Glory Inyang

Walden Dissertations and Doctoral Studies

African American women have higher rates of chronic disease including diabetes and cardiovascular related disease compared to White women and are 3 to 4 times more likely to die during childbirth, more than any other ethnic group in the United States. . When African American women become pregnant these conditions may influence their maternal health outcomes. This study aimed to determine difference in pregnancy related death associated with chronic conditions between African American women and White women. Based on secondary/archival data from the Center for Disease Control and Preventions' 2017 National Center for Health Statistics Mortality Multiple Cause Files a …

The Meaning Of Work And Self-Sufficiency For Rural Work- Eligible Adults, Janneice Mitcheam-Eatmon

Walden Dissertations and Doctoral Studies

Despite the implementation of government programs created to ensure access to job training and education assistance for rural residents, which encourage and support their efforts to change their life trajectory, many rural residents remain unemployed and unable to move beyond poverty. Most research on job training focuses on program effectiveness or epidemiological trends; however, the voices of rural residents' descriptions of their relationship to work and self-sufficiency are missing from the literature. This IPA study explored the meaning of work and self-sufficiency for rural, work-eligible adults using Bronfenbrenner's ecological systems theory (EST) as the theoretical framework. I used a combination …

Telehealth Efforts To Reduce Hospital Readmissions Of Congestive Heart Failure Patients, Sirfornia L. Deasfernandes

Walden Dissertations and Doctoral Studies

Congestive heart failure (CHF) is a chronic condition that affects millions of individuals in the United States. There is no cure for CHF, but medical interventions can help treat the symptoms and improve health outcomes. The purpose of this quantitative study was to determine if telehealth services help to reduce the readmission status of patients diagnosed with CHF. The theoretical framework used in this study was the individual and family self-management theory to help focus on self-management behaviors that contribute to improving the patients' health outcomes. The research questions were focused on addressing CHF patients receiving telehealth services and whether …

Prekindergarten Educators' Perspectives On Professional Development About Transgender And Gender-Nonconforming Children, Danita Marie Norris Mccray

Walden Dissertations and Doctoral Studies

Young children start to develop an understanding of gender and gender identity in prekindergarten. Early childhood educators require professional development in creating safe, supportive learning environments for transgender and gender nonconforming children. Limited research has focused on prekindergarten educators' knowledge, skills, and dispositions about supporting transgender and gender nonconforming children in their classrooms. Framed by Bronfenbrenner’s bioecological systems theory and Derman-Sparks antibias early childhood concepts, the purpose of this basic qualitative study with interviews was to explore prekindergarten educators' perspectives on professional development about transgender and gender nonconforming children. Data were collected using semistructured, in-depth interviews with 12 prekindergarten educators …

Association Of Social Support And Depressive Symptoms Among African Americans, Jacketta Renee Cobbs

Walden Dissertations and Doctoral Studies

Depression affects over 120 million individuals worldwide; in the United States, depression is a leading cause of disability for individuals’ ages 15-44 years. Social support can affect both physical and depressive symptoms; therefore, most patients with heart failure (HF) need support from family and/or friends to effectively manage their health condition. This indicates family and/or friends are expected to be the core support system for long term care of those with HF. The purpose of this study was to determine whether social support contributes to depressive symptoms among African Americans with HF. The research questions examined the experience of different …

Predictive Factors Of Risky Sexual Behaviors Of Emerging Adult Women, Corey Dabney

Walden Dissertations and Doctoral Studies

This study offered a predictive model to better understand the social dynamics of risky sexual behavior through examining how reproductive coercion, self-esteem, and peer relationships that present with risky sexual behaviors correlate to unintended pregnancy. The participants were 104 emerging adult women between the ages 18-25 who resided in the United States and were proficient in the English language. Using the theoretical lens of reciprocal determinism, direct logistic regression was performed to assess the likelihood that the variables reproductive coercion, peer relationships, and self-esteem would impact unintended pregnancy. The full model containing all predictors was statistically significant, indicating that the …

Clinical Practice Guideline Development To Diagnose And Treat Adolescents With Obesity, Barbara Hunter Hudgens

Walden Dissertations and Doctoral Studies

Adolescent obesity is a worldwide multifaceted epidemic. This disease affects the medical, physical, psychosocial, and family aspects of adolescent life. Identification, diagnosis, and referrals to providers that can initiate early interventions that improve weight status have been recommended as critical steps in curtailing childhood obesity. This evidence-based clinical practice guideline (CPG) was developed for the healthcare providers at a rural clinic in Southwest Arkansas to provide consistency in the identification, diagnosis, and referral of adolescents. The health belief model (HBM) and the trans-theoretical model (TTM) were used to consider adolescents’ individual characteristics and beliefs as well as their readiness to …

Examining Predictors Of Birth Outcomes: Implications For Early Childhood Development And Policy, Cissy Lee Mattingly

Walden Dissertations and Doctoral Studies

While the infant mortality rate has improved significantly in the United States in recent years, a Black-White disparity persists. The problem is the high infant mortality rate in the state of Texas. The purpose of this quantitative multiple logistic regression study was to examine disparities in birth outcomes in the state of Texas by race, ethnicity, and other significant predictors related to socioeconomic status. The Mosley-Chen theoretical framework bridges the gap between social science and biomedicine to identify key predictors of infant mortality including socioeconomic factors for studies in child development. The 2 research questions examined if race and ethnicity …

Effects Of Depression And Health Habits On Diabetes Outcomes, Yvonne Marie Chapa

Walden Dissertations and Doctoral Studies

Diabetes mellitus outcomes are intensified by the lack of screening and awareness for depressive symptoms, alcohol consumption, cigarette use, and gender difference. The purpose of this quantitative survey study, grounded in biopsychosocial theory, was to investigate the best predictor (alcohol consumption, cigarette use, and the exploratory variable gender) of diabetes outcome in a Mexican American population. Data were collected using the Patient Health Questionnaire-9 with 120 Mexican American patients from a diabetic clinic in Southern Texas. Results from a multiple regression analysis indicated that gender was the best predictor. A series of Pearson correlations revealed a significant positive relationship between …

Childhood Obesity: The Healthy, Hunger-Free Kids Act And School-Aged Children, Frankie Jean Alstin-Brooks

Walden Dissertations and Doctoral Studies

Obesity among children in America is at an all time high, 57.3% of the nation’s children will be obese by the age of 35. The purpose of this study was to examine the effectiveness of the Healthy, Hunger-Free Kids Act (HHFKA) policy. The HHFKA modified the nutritional and physical policies in order to reduce the obesity rates by changing their expenditures. Schools in all 50 states that are subject to federal, state and local nutrition regulations were researched. This was a quantitative, non-experimental, correlation study that measured state compliance with the USDA guidelines and tested for an association between compliance …

The Association Between Central Line Insertion Practices And Central Line-Associated Bloodstream Infections, Mona Elgowainy

Walden Dissertations and Doctoral Studies

Healthcare-associated infections, specifically central line-associated bloodstream infections (CLABSI), continue to remain a serious public health concern in the United States. Though CLABSI can often be prevented, healthcare professionals struggle to have a positive impact on CLABSI rates. The primary purpose of this study was to determine whether CLIP Bundle adherence has an impact on CLABSI standardized infection ratio (SIR) rates in various patient care areas in California. The research questions were focused on assessing whether there was an association between patient care areas, CLABSI rates, and CLIP Bundle adherence scores. A quantitative, cross-sectional study design utilizing secondary data was used …