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Staff Education To Same Day Surgery Nurses, Katherine Lutman Aug 2025

Staff Education To Same Day Surgery Nurses, Katherine Lutman

Walden Dissertations and Doctoral Studies

The aim of this doctor of nursing practice staff education project was to provide a staff education program to the same day surgery staff at the practicum site on the Enhanced Recovery After Surgery (ERAS) evidence-based approach to surgical care to improve patient outcomes. ERAS includes multiple modalities designed to optimize a patient’s condition before, during, and after surgery. When implemented correctly, ERAS can reduce the need for narcotics, shorten recovery time, and improve surgical outcomes. The practice gap identified was that the only ERAS modality being actively implemented and tracked was nutrition in colorectal surgical patients and that the …


Postpartum Experiences Of Arab Women And The Educational Role Of The Mother, Diana Ikki Jul 2025

Postpartum Experiences Of Arab Women And The Educational Role Of The Mother, Diana Ikki

Walden Dissertations and Doctoral Studies

Women in the Arab world traditionally observe a 40-day postpartum rest period, during which they rest, follow specific rituals, and learn to care for their newborn under the guidance and care of a family matriarch, typically their mother. Despite the prevalence of this practice, there is limited empirical research exploring the educational role of Arab mothers during their daughters' postpartum period; this qualitative study addressed this gap. Foundational to this study’s theoretical framework was Ramona Mercer’s theory of maternal role attainment. The study addressed two research questions: how Arab women describe their postpartum experiences and the educational role their mothers …


Association Between Sociocultural Factors, Obesity, And Depression In The Hispanic/Latino Population, Maia Junco Jul 2025

Association Between Sociocultural Factors, Obesity, And Depression In The Hispanic/Latino Population, Maia Junco

Walden Dissertations and Doctoral Studies

The increasing prevalence of obesity and mental health disparities among Hispanic/Latino populations in the United States underscores the need to understand how sociocultural factors shape physical and psychological health. The purpose of this study was to examine how acculturation, diet quality, and fiber intake affect BMI and depressive symptoms over time. The study was guided by acculturation theory and the biopsychosocial model. The study used longitudinal secondary data from the Hispanic Community Health Study/Study of Latinos (HCHS/SOL) with a sample of N=8,816, including adults who completed examination visits, 1 (2008–2011) and 2 (2014–2017). Path analysis was conducted to assess direct …


Relationship Between Participation In Employee Wellness Programs And Health-Related Quality Of Life Among Health Care Workers, Ana Williams Jul 2025

Relationship Between Participation In Employee Wellness Programs And Health-Related Quality Of Life Among Health Care Workers, Ana Williams

Walden Dissertations and Doctoral Studies

Employee wellness programs are available in many health care organizations but remain underutilized by health care workers. Low employee participation in these wellness programs can negatively impact employees’ health-related quality of life (HRQoL), which, in turn, may adversely influence patient care and overall health outcomes. Despite this, little is known about which factors, such as perceived barriers and benefits, job category, or work shift, are associated with participation. This study addressed that gap by exploring how these variables relate to employee engagement in wellness programs and their potential impact on HRQoL. Guided by the health belief model, this study examined …


Factors Associated With Maternal Health Care Utilization In Liberia, West Africa, Isaac Nyumah Yah Jul 2025

Factors Associated With Maternal Health Care Utilization In Liberia, West Africa, Isaac Nyumah Yah

Walden Dissertations and Doctoral Studies

Extant literature reports increased uptake of maternal health care utilization in Liberia in the era following the 14-year civil war that ended in 2004. The purpose of this secondary quantitative data analysis study was to examine the relationship between women’s place of residence, women’s earnings spending autonomy, and maternal health care utilization of women ages 15–49 in Liberia. Maternal health care utilization in this study is measured by women’s visits to government hospitals for antenatal care. Maternal health care utilization indicates whether women who were pregnant within the 3 years before the 2019–20 Demographic Health Survey in Liberia attended any …


Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver Jul 2025

Association Between Homelessness And Maternal Health Outcomes Among Non-Hispanic Black Women In Georgia, Miranda Weaver

Walden Dissertations and Doctoral Studies

Maternal health disparities among homeless non-Hispanic Black women in Georgia represent a critical public health concern, driven by inequitable access to care and elevated risks of adverse pregnancy outcomes. This study examined how homelessness influences perinatal care utilization (timing and frequency of prenatal visits and postpartum checkups) and pregnancy complications (gestational diabetes, hypertension, and depression), and whether these associations differ by geographic context (urban versus rural). Grounded in the Social Determinants of Health framework, the study used a quantitative cross-sectional design, analyzing secondary data (n = 1,540; weighted ≈ 203,571) from Phase 8 (2017–2021) of the Pregnancy Risk Assessment Monitoring …


The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu Jul 2025

The Covid-19 Lockdown And Diabetes Self-Management In Esan Northeast Area Of Edo State, Esther Ehivbaun Rapu

Walden Dissertations and Doctoral Studies

The COVID-19 lockdown impacted chronic diseases care globally, but there is limited research on how individuals in rural Nigerian communities managed diabetes during this period. This qualitative phenomenological study explored the lived experiences of self-management with diabetes during the COVID-19 lockdown among adults in Esan Northeast. The socioecological model (SEM) served as the guiding conceptual framework, allowing for the exploration of the impact of individual, interpersonal, community, and institutional factors on self-care behaviors. The research explored how cultural, social and economic factors impacted how adults with diabetes in Esan Northeast managed their condition during the COVID-19 lockdown. Semi-structured interviews via …


Predicting Dietary Behavior In Obese Adult Diabetics Using Social Cognitive Theory, Precious Mueller Jul 2025

Predicting Dietary Behavior In Obese Adult Diabetics Using Social Cognitive Theory, Precious Mueller

Walden Dissertations and Doctoral Studies

Predicting Dietary Behavior in Obese Adult Diabetics Using Social Cognitive Theory by Precious Mueller MA, University of Phoenix, 2009 BS, University of Iowa, 2006 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health Walden University November 2024 “ Diabetes mellitus Type II is a prevalent and serious condition affecting millions globally, particularly among obese adults. The association between dietary behaviors and diabetes management is critical, as it directly impacts health outcomes and quality of life for affected individuals. This study aims to identify the determinants of dietary behaviors that influence Type II …


Exploring Reciprocal Determinism, Behavior Capability, Observational Learning, And Self-Efficacy On Protective Behaviors For African American Millennial Women With Cardiovascular Disease And Depression, Ja’Sent Angelic Brown Jul 2025

Exploring Reciprocal Determinism, Behavior Capability, Observational Learning, And Self-Efficacy On Protective Behaviors For African American Millennial Women With Cardiovascular Disease And Depression, Ja’Sent Angelic Brown

Walden Dissertations and Doctoral Studies

Cardiovascular disease plays a significant role in the number of death and disabilities around the world. While there have been marginal gains in positive health outcomes for women who suffer from cardiovascular disease, African American women continue to fall behind compared to their White counterparts. There is a comorbidity of cardiovascular disease and depression in older African American women. The purpose of this qualitative study was to gain an in-depth understanding of how the comorbidity of cardiovascular disease and depression uniquely present in young African American women, how these two diseases influence cardiovascular health protective factors, and how components of …


Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe Jul 2025

Perspectives Of Childcare Center Directors Regarding Barriers To Naeyc Accreditation, Jessica Baffoe

Walden Dissertations and Doctoral Studies

NAEYC accreditation is a hallmark of quality in early learning and lack of accreditation suggested a gap in practice. The problem that was the focus of this research is that only 12% of early childhood center-based programs in the United States are accredited by the National Association for the Education of Young Children (NAEYC). The purpose of the study was to explore perspectives of childcare center directors regarding NAEYC accreditation. Knowles’s adult learning provided the conceptual framework for this study and guided 3 research questions about directors’ perspectives of barriers, benefits, and the necessary support they associated with NAEYC accreditation. …


Tailoring Hiv/Aids Communication To The Cultural Contexts Of The Borana Pastoral Community In Ethiopia, Dano Olana, Sabihah Moola Jul 2025

Tailoring Hiv/Aids Communication To The Cultural Contexts Of The Borana Pastoral Community In Ethiopia, Dano Olana, Sabihah Moola

Journal of Social, Behavioral, and Health Sciences

The HIV/AIDS health communication approach in sub-Saharan Africa has often overlooked sociocultural specificities. The current approach follows a generalist notion that does not consider the specific contextual domains accordingly. Similarly, the cultural appropriateness of HIV/AIDS health communication among the Borana pastoral community in Ethiopia is not clear. In this study, we aimed to explore whether HIV/AIDS communication among the Borana pastoral community was tailored to the cultural contexts of the community. A qualitative case study was used to unpack the cultural communication contexts for HIV/AIDS. We collected data using three methods, namely, in-depth interviews, focus group discussions, and document analysis …


The Impact Of The Covid-19 Pandemic And Race On Access To Maternal Healthcare Services For Patients Based On Insurance Status, Trishana Monlyn Jul 2025

The Impact Of The Covid-19 Pandemic And Race On Access To Maternal Healthcare Services For Patients Based On Insurance Status, Trishana Monlyn

Walden Dissertations and Doctoral Studies

Due to insurance status, COVID-19 has restricted how and when patients can access healthcare providers. In the health services community, examining obstetric care services during the coronavirus outbreak was important because it increased awareness about how changes to maternal healthcare access affect the health of the mother and unborn child during a pandemic. The theories and/or concepts that grounded this study include the intersectionality theory, which examined the connections between social groups and systems as individuals try to access health services based on health insurance reform, depending on their race. The purpose of this study was to determine if there …


Intersectionality Gaps Among Multiple Social Determinants In U.S. Infant And Maternal Mortality Rates, Mary D. Kirkley Jul 2025

Intersectionality Gaps Among Multiple Social Determinants In U.S. Infant And Maternal Mortality Rates, Mary D. Kirkley

Walden Dissertations and Doctoral Studies

The purpose of this quantitative, cross-sectional study was to examine whether social determinants interactively influence U.S. maternal and infant mortality rates. Grounded in the Social Ecological Model, this study analyzed secondary data from the Centers for Disease Control and Prevention’s National Vital Statistics System were analyzed using multivariable logistic regression. The final sample included 110,402 maternal deaths and 55,839 infant deaths, with inclusion criteria requiring complete data on race, education, age, marital status, gender (for infants), residency, and year of death. Exclusion criteria included non-U.S. resident deaths or missing demographic data. Results revealed statistically significant interaction effects: race/ethnicity with education …


The Association Between Dietary Behavior Change And The Health Of Adult African Immigrants In The United States, Seyoum Abebe Jul 2025

The Association Between Dietary Behavior Change And The Health Of Adult African Immigrants In The United States, Seyoum Abebe

Walden Dissertations and Doctoral Studies

African immigrants represent one of the fastest-growing immigrant populations in the United States; yet, their health outcomes related to Type II diabetes remain understudied compared to other racial and ethnic groups. Grounded in the theoretical framework of the Health Belief Model, the purpose of this quantitative non-experimental study was to examine the relationship between dietary behavior changes and the diagnosis of Type 2 diabetes among African immigrants aged 20–80 residing in the United States. The research questions examined the association between getting meals prepared away from home and awareness of MyPlate nutritional guidelines, recommended by the U.S. Department of Agriculture, …


Jamaican Blue Mountain Coffee Farmers’ Effective Strategies For Achieving Profitability, Norman Washington Grant Jul 2025

Jamaican Blue Mountain Coffee Farmers’ Effective Strategies For Achieving Profitability, Norman Washington Grant

Walden Dissertations and Doctoral Studies

Jamaican Blue Mountain (JBM) coffee farmers often fail to improve production, which has the potential for adverse business outcomes. Farmers and business owners are concerned about the sustainability of their farm operations, which is essential for achieving profitability. Grounded in Hawley’s risk theory of profit, the purpose of this qualitative multiple case study was to identify and explore effective strategies that JBM coffee farmers used to achieve profitability. The participants were six JBM coffee farm owners in the Jamaican coffee industry who used effective strategies to achieve profitability. Data were collected using semistructured interviews and a review of organizational marketing …


Evaluating Nutrition, Exercise, And Education, On Mental Health And Quality Of Life In Menopause, Jill R. Stone Jul 2025

Evaluating Nutrition, Exercise, And Education, On Mental Health And Quality Of Life In Menopause, Jill R. Stone

Walden Dissertations and Doctoral Studies

Physical inactivity, poor nutrition, and a lack of understanding of menopause adversely affect mental health and quality of life in women entering menopause. Metabolic changes during this period can lead to an increase in visceral fat, loss of muscle mass, depression, and anxiety. These metabolic changes are linked to a higher risk for cardiovascular disease, type two diabetes, and metabolic syndrome. This cross-sectional quantitative study, guided by the health belief model, explored the contribution of adopting specific nutrition strategies, exercise, and education in women during menopause transition to help manage mental health (as measured by depression and tension), and quality …


Understanding Georgia Child Welfare Case Manager’S Perspective, Practicum Experience, And Retention, Takierra Dawson Jul 2025

Understanding Georgia Child Welfare Case Manager’S Perspective, Practicum Experience, And Retention, Takierra Dawson

Walden Dissertations and Doctoral Studies

Child welfare workers have high turnover rates and low retention rates. While there is well-documented research on reasons for turnover, no research was found on how a case manager's practicum experience impacts turnover rates. The purpose of this qualitative study was to explore child welfare case managers' perspectives on retention and to understand how their practicum and internship experiences influence retention. The theories that ground this research include systems theory by Bertalanffy and social constructivism by Vygotsky. The two research questions for this generic qualitative study were: What are the experiences of child welfare case managers during their internship and …


The Lived Mental Health Experiences Of African American/Black Mothers With An Infant In The Neonatal Intensive Care Unit During Covid-19, Dr. Shewonyui S. Lurker Jun 2025

The Lived Mental Health Experiences Of African American/Black Mothers With An Infant In The Neonatal Intensive Care Unit During Covid-19, Dr. Shewonyui S. Lurker

Walden Dissertations and Doctoral Studies

African American/Black (AA/B) women are more likely than other women in the United States to give birth prematurely. Experiencing premature birth and infant hospitalization in the neonatal intensive care unit (NICU) during the COVID-19 pandemic may have negatively affected AA/B mothers’ mental health and led them to experience elevated rates of increased posttraumatic stress disorders, depression, anxiety, and postpartum depression. The purpose of this study was to understand the lived mental health experiences of AA/B mothers of infants in the NICU during COVID-19. Feminist theory provided a lens for understanding intersectionality in the experiences of AA/B mothers. Semistructured interviews were …


Havana To Port-Au-Prince: Cuba’S Medical Internationalism Aid To Haiti, Wilner Saint Cyr Jun 2025

Havana To Port-Au-Prince: Cuba’S Medical Internationalism Aid To Haiti, Wilner Saint Cyr

Walden Dissertations and Doctoral Studies

Haiti ranks among the lowest in healthcare quality in the Americas, according to the health indicators used by the World Health Organization. Despite national and international efforts to improve health service delivery, access to primary medical care and preventive services is limited, especially in rural areas. In response to a request from the Haitian government following the devastating Hurricane Georges, the arrival of the first Cuban doctors to support ongoing public health needs commenced in December 1998. Recognizing an opportunity for international cooperation, the Haitian president sought assistance from Cuba by signing a bilateral cooperation agreement for initial and ongoing …


Novice Early Childcare Educators’ Experiences Applying Pre-Service Education Knowledge And Theories In Practice At Childcare Centers, Jodi Mcbride Jun 2025

Novice Early Childcare Educators’ Experiences Applying Pre-Service Education Knowledge And Theories In Practice At Childcare Centers, Jodi Mcbride

Walden Dissertations and Doctoral Studies

Some novice early childhood educators (ECEs) experience barriers to applying knowledge gained during their pre-service education in practice and experimenting with their roles at childcare centers. The purpose of this basic qualitative study was to explore novice ECEs’ experiences of barriers to applying knowledge gained during their pre-service education in practice at childcare centers. Mezirow’s transformative learning theory grounded this study by describing adult learners’ personal transformation from obtaining and understanding new knowledge to applying it in practice. For this study, eight adult learners who completed an early childhood education program, had up to 5 years’ experience, held a current …


Impact Of Military-Related Moves On Spousal Perinatal Depression Screening And Mental Health Services, Chambraia Jones Jun 2025

Impact Of Military-Related Moves On Spousal Perinatal Depression Screening And Mental Health Services, Chambraia Jones

Walden Dissertations and Doctoral Studies

Maternal depression, including perinatal depression (PND), poses significant public health risks to women, infants, and families. Although routine PND screening is recommended, limited research has examined screening and referrals among military spouses, an underserved population affected by frequent relocations and deployments. This study examined how permanent change of station (PCS) frequency affects PND screening and referrals to mental health services. Grounded in Bronfenbrenner’s socioecological model and the CDC’s social ecological model of health, eight research questions explored associations between PCS frequency, PND screening, referrals, and the moderating roles of military branch and deployment status. A quantitative cross-sectional design was used …


Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best Jun 2025

Understanding The Perspectives Of African American Women Towards Initiating A Fitness Program, Clarissa Sheneka Davis Best

Walden Dissertations and Doctoral Studies

African American women residing in rural communities have seen substantial increases in preventable diseases resulting from obesity. The research problem addressed in this study surrounded the perspectives that African American women have towards initiating a fitness program. The purpose of this study was to explore those perspectives utilizing a sample population of African American women living in Salisbury, North Carolina. This study embraced the Theory of Reasoned Action (TRA) created by Prachaseree et al., (2021) and the Self-Determination Theory (Deci & Ryan, 1991) as the conceptual frameworks. Three research questions guiding this study were: What specific barriers do African American …


The Impact Of The 2017 Square Footage Requirement On New Jersey Supplemental Nutrition Program For Women, Infants, And Children (Wic) Vendors, Carmelo Rodriguez Jun 2025

The Impact Of The 2017 Square Footage Requirement On New Jersey Supplemental Nutrition Program For Women, Infants, And Children (Wic) Vendors, Carmelo Rodriguez

Walden Dissertations and Doctoral Studies

This study examined the impact of the 2017 New Jersey regulation requiring vendors to have 1,000 square feet of retail space in order to participate in the Supplemental Nutrition Program for Women, Infants, and Children (WIC) food program. Specifically, it examined vendors' role in developing the policy and their perspectives on its implementation. Previous research indicated improved policy outcomes by including policy targets in policy dialogue, but there was a lack of research exploring the experiences of vendors. Not known was how the policy affected WIC vendors, the essential frontline suppliers of nutritional foods to WIC participants. The purpose of …


Staff Education Program On Care Transitions For The Elderly, Emmanoela Mugha Jun 2025

Staff Education Program On Care Transitions For The Elderly, Emmanoela Mugha

Walden Dissertations and Doctoral Studies

This project was developed as a staff education program using the analyze, design, develop, implement, and evaluate (ADDIE) model with a focus on discharge planning in a medical clinic in northern Maryland. There is a gap in discharge planning for older adults due to shortage of providers and inadequate education related to care transitions among the elderly. The care transition process can be improved through education. The practice focused question was: “Does an educational project for nurses on care transitions for the elderly increase knowledge as compared pre-to post education?” The Johns Hopkins evidence-based practice model (Appendix A) was the …


Nafld Surveillance In The Alaska Native/American Indian Population, Wileina Saumara Rhodes Jun 2025

Nafld Surveillance In The Alaska Native/American Indian Population, Wileina Saumara Rhodes

Walden Dissertations and Doctoral Studies

In the United States, the prevalence of NAFLD is estimated at 24% of the population, and by 2030, the incidence of NAFLD will increase to 100.9 million cases. This study aimed to determine the prevalence and rate of non-alcoholic fatty liver disease (NAFLD) progression in the Alaska Native/ American Indian population (AN/AI) with and without elevated liver function tests. Two research questions guided the study: Do outcomes (abnormal/normal) of LFTs, A1C, lipids, BMI, and inflammatory markers predict or have a relationship with NAFLD progression? Does NAFLD surveillance have a relationship with the patient’s outcome as measured by the NAFLD Fibrosis …


The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis Jun 2025

The Relationship Between Food Label Comprehension And Consumer Dietary Choices, Marline Denis

Walden Dissertations and Doctoral Studies

Poor dietary choices and limited understanding of nutritional information are ongoing public health concerns that contribute to the rise of chronic illnesses such as obesity, diabetes, and heart disease. This quantitative, cross-sectional, correlational study investigated the associations between health literacy and food label comprehension with consumer dietary choices and adherence to dietary guidelines among individuals aged 16 and older in the United States. Guided by the Nutrition Label Literacy (NLL) framework, this study explored whether components such as basic nutritional knowledge, numeracy skills, health motivation, and label usage predict healthier food choices. Age, education, and gender were included as covariates. …


Race, Resources, And American Adolescents’ Mental Health During The Covid-19 Pandemic, Chineze Nkemeh Jun 2025

Race, Resources, And American Adolescents’ Mental Health During The Covid-19 Pandemic, Chineze Nkemeh

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, African American adolescents experienced reduced access to needed resources and may have suffered poorer mental health outcomes as a result. The purpose of this quantitative study was to examine the association between race and the availability of mental health resources, food, medical health resources and mental health outcomes among African American adolescents in the United States during the COVID-19 pandemic compared to their White counterparts. The theoretical framework that grounded this study was the Socio Ecological Model. Secondary data from the Centers for Disease Control and Prevention’s Adolescent Behaviors and Experiences Survey database were analyzed. These …


Exploring Educator Psychological Capital Through Participation In A Coordinated School Violence Prevention Approach, Stephanie Lorraine Neff Jun 2025

Exploring Educator Psychological Capital Through Participation In A Coordinated School Violence Prevention Approach, Stephanie Lorraine Neff

Walden Dissertations and Doctoral Studies

This study is a description of how educators’ participation in a coordinated approach to violence prevention contributed to employee wellness and school climate. Using principles of psychological capital (PsyCap) theory, archival focus group and interview data were used to describe educator experiences during implementation of a 3-year coordinated approach to school violence in a mid-sized public school district. Findings of the analysis revealed consistent references to feelings of hope, efficacy, resilience, and optimism throughout the study, but with slight shifts in frequency each year based on both internal (i.e. skill development, relationship-building), and external (i.e. administrative support, policy directives, broader …


Managing Values-Based Purchasing In School Nutrition Programs, Laura Lee Benavidez Jun 2025

Managing Values-Based Purchasing In School Nutrition Programs, Laura Lee Benavidez

Walden Dissertations and Doctoral Studies

School nutrition managers face the challenge of balancing values-based purchasing (VBP) with maintaining student participation and budgetary stability. While VBP integrates sustainability, environmental impact, and animal safety, these priorities may sometimes compete with traditional goals, such as cost efficiency and meal accessibility. Grounded in program evaluation theory, the purpose of this mixed methods explanatory sequential study was to examine how school food service managers implement VPB, integrating procurement and nutrition transparency while managing participation and costs. The quantitative phase focused on participation trends, cost structures, and procurement metrics across diverse school districts to establish a foundation for understanding VBP’s measurable …


Walk A Mile: Exploring Cause-Based Charity Event Participation As A Catalyst For Increasing Physical Activity Behavior, Kimberly S. Fasczewski, Andrey A. Sanko Posada, Meg Hopkins Jun 2025

Walk A Mile: Exploring Cause-Based Charity Event Participation As A Catalyst For Increasing Physical Activity Behavior, Kimberly S. Fasczewski, Andrey A. Sanko Posada, Meg Hopkins

Journal of Social, Behavioral, and Health Sciences

Despite the known benefits of physical activity (PA), more than half of U.S. adults do not meet the American College of Sports Medicine’s PA recommendations for health, often resulting in negative health outcomes. Developing programming that increases motivation for PA participation is critical for healthcare professionals to combat physical inactivity. Previous research has demonstrated that framing disease-based PA charity fundraising events as “helping a cause” improved motivation for PA due to the individual’s emotional connection to the cause. There is currently no congruent research on motivation for participation in cause-based charity events. Behavioral economics theory posits that cognitive, emotional, and …