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Federally Qualified Health Center Access To Maternity Care For Incarcerated Pregnant Women, Pamela Baldwin
Federally Qualified Health Center Access To Maternity Care For Incarcerated Pregnant Women, Pamela Baldwin
Walden Dissertations and Doctoral Studies
Background: There has been an increase in pregnant incarcerated women, which is a growing concern for this high-risk and special population. This specialty group indicates a need for attention to ensure access to timely and proper medical care. Incarcerated pregnant women are a noted vulnerable group and do not have access to standardized clinical guidelines. Imprisonment imposes unique restrictions regarding access to care. A Federally Qualified Health Center (FQHC) in Pennsylvania has been providing ambulatory/obstetrics and gynecology (OBGYN) care to incarcerated pregnant women. Purpose: This research aimed to investigate strategies FQHC leadership can use to improve access to care for …
Exploring Body Composition And Sexual Behavior In South Texas College Students, Soyoung Kwon, Shannon Shen
Exploring Body Composition And Sexual Behavior In South Texas College Students, Soyoung Kwon, Shannon Shen
Journal of Social, Behavioral, and Health Sciences
In this exploratory study, we examined the understudied relationship between body composition and sexual behavior among freshmen college students, addressing a gap in empirical research. Our sample consisted of 217 nonclinical college students recruited from a university in the southwestern United States; a majority of the students were Hispanic (70%) and freshmen (95%). Using multivariate logistic regression, we explored associations of body mass index, body fat percentage, and fat mass index with sexual behaviors. More than half of the participants were either overweight (22.5%) or obese (30.4%), and nearly 70% fell outside the healthy range of body fat. Results showed …
Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis
Executive Summary: Clinical Practice Guideline Obstetrics Diabetes Management, Carole N. Louis
Walden Dissertations and Doctoral Studies
Summary A clinical practice guideline (CPG) was developed because the perinatal department lacked standardized management of pregestational and gestational diabetes. The practice issue is relevant since managing maternal glucose ranges during pregnancy mitigates adverse maternal and neonatal outcomes. The practice-focused question asks, “What are the best practices to manage diabetes in the intrapartum and postpartum settings?” The project was designed to develop an evidence-based protocol to provide standardized management for nurses and providers. Most studies in the literature search were quantitative sources with either A or B overall quality ratings. Based on the evidence, the intrapartum target maternal glucose range …
Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano
Relationship Between Depression And Stress On Accessing Recovery Capital Among Individuals With Opioid Use Disorder, Deana Luciano
Walden Dissertations and Doctoral Studies
This study addresses the critical need to understand how mental health challenges and external stressors affect long-term recovery from an Opioid Use Disorder (OUD). Grounded in the Recovery Capital Framework, this study analyzed the relationship between depression, stressful life events, and recovery capital (RC) among individuals in recovery from severe OUD. Utilizing a quantitative nonexperimental survey design, data were collected from a purposive sample of 107 adults aged 18 and older who had been in recovery for at least 2 years. Participants completed surveys assessing depression, life stressors, and their RC through established instruments including the Zung Self-Rating Depression Scale, …
Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant
Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant
Walden Dissertations and Doctoral Studies
Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …
Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant
Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant
Walden Dissertations and Doctoral Studies
Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …
Impact Of Drinking Water And Sanitation Facilities On Child Mortality In Sierra Leone, Christie Ben-Carew
Impact Of Drinking Water And Sanitation Facilities On Child Mortality In Sierra Leone, Christie Ben-Carew
Walden Dissertations and Doctoral Studies
Water, sanitation, and hygiene (WASH) are viewed as key contributors to the high rates of under-5 child deaths in sub-Saharan Africa. In one of the countries in the region, Sierra Leone, there was an absence of studies on the potential impacts of WASH on child mortality. The purpose of this quantitative study was to examine how variables related to access to toilet facilities and safe drinking water in rural and urban areas of Sierra Leone impact child mortality. Secondary data from the United Nations Children's Fund 2017 Multiple Indicator Cluster Survey (N = 18,006) were analyzed as part of this …
Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant
Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant
Walden Dissertations and Doctoral Studies
Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …
Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus
Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus
Walden Dissertations and Doctoral Studies
Education on Agency for Healthcare Research and Quality IDEAL for Health Ministry by Francesse Charles-Cherelus MS, Walden University, 2020 BS, Clayton State University, 2018 Project in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 The problem addressed in this project was lack of access to community resources for care of patients with behavioral or mental health conditions. Without adequate resources, patients are at risk for rehospitalization. The purpose of the doctoral project was to develop a staff education program for health ministry staff and evaluate effectiveness to increase staff confidence in …
Grades 2–4 Teachers’ Experiences Remediating Learning Loss In Reading, Lauren Suzanne Marrocco
Grades 2–4 Teachers’ Experiences Remediating Learning Loss In Reading, Lauren Suzanne Marrocco
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that Grades 2–4 teachers in a New England urban elementary school district are challenged to remediate student learning loss in reading achievement. In the district, there was documented low reading proficiency for Grades 2-4 over the past 5 years, including before, during, and after the COVID-19 pandemic. The purpose of this basic qualitative study was to explore the experiences of Grade 2–4 teachers remediating learning loss. The connected learning model, developed by Houghton Mifflin Harcourt, was the conceptual framework for this study. The research question focused on the experiences of Grades 2-4 reading …
Primary Care Providers’ Experiences Working With Diabetic Patients Who Develop Chronic Kidney Disease, Loriann Leonard Mallory
Primary Care Providers’ Experiences Working With Diabetic Patients Who Develop Chronic Kidney Disease, Loriann Leonard Mallory
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD) is an increasingly prevalent global health threat, with diabetes mellitus (DM) being one of the risk factors for developing CKD. Preventive interventions for DM and CKD have been shown to reduce health care utilization, lower health care costs, and improve the quality of life for individuals with CKD. Patients with DM who do not have early identification of CKD end up requiring renal replacement therapy. The purpose of this general qualitative study was to examine primary care providers’ (PCPs’) experience working with diabetic patients who develop CKD. The research questions addressed how PCPs assess their patients …
Crime Against The Homeless Population: Barriers And Strategies From Washington, Dc Housing Services Case Managers, Stephanie Strianse
Crime Against The Homeless Population: Barriers And Strategies From Washington, Dc Housing Services Case Managers, Stephanie Strianse
Walden Dissertations and Doctoral Studies
Homelessness is a widespread concern across the United States, especially in Washington, DC. The homeless population experiences victimization at alarming rates compared to their housed counterparts; however, these instances of crime against this population are often unreported. The purpose of this generic qualitative study was to explore the barriers to reporting crime against the homeless population and the strategies to reduce those barriers from the perspective of housing services case managers in Washington, DC. Lenoir’s social exclusion theory was the theoretical framework for this study. Data were collected from semi-structured interviews with 11 housing services case managers who work with …
Absent Fathers And The Propensity Of Criminal Behaviors Among Children Later In Life, India Kewanna Holmes
Absent Fathers And The Propensity Of Criminal Behaviors Among Children Later In Life, India Kewanna Holmes
Walden Dissertations and Doctoral Studies
The purpose of the qualitative phenomenological research was to investigate the experiences of young adults raised by one caregiver and how the lack of fathers in the household impacted their decision-making processes concerning engaging in criminal behaviors. The following inquiry guided the research: What are the effects of fatherlessness on decision-making in young adults, and how is it related to criminal behavior? Semi-structured interviews of 15 participants, aged 18 to 26, were used as the primary data collection method. The interview instrument consisted of ten items, and responses were analyzed using coding and thematic analysis. The study's findings revealed several …
Factors Affecting The Quality Of Reporting Dispensing Errors Among Pharmacists, Kelley Latrece Lavallais
Factors Affecting The Quality Of Reporting Dispensing Errors Among Pharmacists, Kelley Latrece Lavallais
Walden Dissertations and Doctoral Studies
Medication dispensing errors, which are the inconsistency between the dispensing of medication to the patient against the prescribed medication, continue to be a public health challenge. Many studies have been conducted to examine their causes, including burnout, illegible handwriting, workload, and interruptions. There have also been studies on the types of medication dispensing errors. This study focused on the reporting of errors. The purpose of this quantitative study involving secondary data analysis was to examine the factors affecting the quality of reporting dispensing errors among pharmacists and the seriousness of the adverse events. The social-ecological model served as the theoretical …
Lived Experiences Of Certified Registered Nurse Anesthetists Regarding Anesthesia Provision: A Heuristic Inquiry, Michael Leo Nosbisch
Lived Experiences Of Certified Registered Nurse Anesthetists Regarding Anesthesia Provision: A Heuristic Inquiry, Michael Leo Nosbisch
Walden Dissertations and Doctoral Studies
Anesthesia provision combines dynamic medical decision-making with specialized clinical skill performance. The purpose of this study was to explore lived experiences of Certified Registered Nurse Anesthetists (CRNAs) regarding anesthesia provision. The lived experience of anesthesia provision (LEAP) involves what CRNAs experience while providing anesthesia as well as what they believe is most important in that phenomenon. Attitudes, understandings, and opinions (AUOs) held by CRNAs about anesthesia provision guide their intentional clinical behaviors. The Integrated Behavior Model (IBM) was the conceptual framework for this study. This behavioral model involves theoretical constructs that serve as determinants of behavioral intentions. The AUOs and …
Head Start Teachers’ And Administrators’ Perceptions Of Reasons For Elevated Teacher Turnover Rates, Amanda Renea Lankford
Head Start Teachers’ And Administrators’ Perceptions Of Reasons For Elevated Teacher Turnover Rates, Amanda Renea Lankford
Walden Dissertations and Doctoral Studies
Many Head Start programs have closed classrooms due to staff shortages, with up to 30% of teacher positions unfilled. Reducing the elevated teacher turnover rate in Head Start centers is critical to maintaining program effectiveness and controlling costs; however, a limiting factor may be differences in administrators’ and teachers’ perceptions of reasons Head Start teachers leave their positions. Guided by Herzberg’s two-factor theory, this qualitative study was conducted to explore perceptions of Head Start administrators, current teachers, and exiting teachers regarding reasons for the elevated teacher turnover rates in Head Start programs. Semistructured interviews with open-ended questions were conducted with …
Replacing Traditional Labs With Virtual Labs For First-Year Biology Nonmajors, Tyjuanna R. Strickland Labennett
Replacing Traditional Labs With Virtual Labs For First-Year Biology Nonmajors, Tyjuanna R. Strickland Labennett
Walden Dissertations and Doctoral Studies
The problem addressed through this study was the absence of a critical examination of laboratory exercises used with first-year nonbiology majors and the deployment of virtual laboratories in the biology department at the project site university without critical analyses associated with the efficacy of virtual labs. Grounded in Mayer’s cognitive theory of multimedia learning, this quantitative, correlational study was conducted to investigate the comparative effectiveness of virtual versus traditional face-to-face (F2F) laboratories for first-year nonbiology majors as measured by final course grade. A cohort of 184 students in an introductory biology course for non-majors formed the dataset, procured from the …
Executive Summary: Clinical Practice Guideline, Bona Eze
Executive Summary: Clinical Practice Guideline, Bona Eze
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a gap in practice in an outpatient clinic in the Northeastern United States. The gap in practice was a lack of standardized patient education on self-care management strategies for adult patients with diabetes, leading to increased rates of noncompliance, readmission, and poor health outcomes. The guiding question asked whether an expert panel could evaluate and validate a clinical practice (CPG) developed from current, evidence-based literature and recommendations from the American Association of Clinical Endocrinologists and the American Diabetes Association on self-care management strategies for the adult patient with diabetes. The project followed …
Stress, Obesity, Depression, And Codependency As Predictors Of Unmitigated Communion In African American Pastors, Troy Tyrone Johnson
Stress, Obesity, Depression, And Codependency As Predictors Of Unmitigated Communion In African American Pastors, Troy Tyrone Johnson
Walden Dissertations and Doctoral Studies
Many pastors spend significant time tending to their congregants’ needs while disregarding their own needs. They may not know how to ask for or receive help and may look to others for self-worth and value. Inappropriate self-sacrificing behaviors could result in pastors' compromised emotional and physical health. The purpose of this study was to determine whether stress, obesity, depression, and codependency, individually or in a linear combination, were adequate predictors of unmitigated (UC) among African American senior pastors who pastor congregationally led churches without the benefit of paid support staff. The social cognitive learning theory was the theoretical framework in …
Parental Knowledge And Perception Of Obesity And Effect On Feeding Behavior And Child's Weight Status, Fidelia Senayah
Parental Knowledge And Perception Of Obesity And Effect On Feeding Behavior And Child's Weight Status, Fidelia Senayah
Walden Dissertations and Doctoral Studies
Childhood obesity is a significant public health problem that leads to poor health outcomes in affected children, including the potential for developing chronic diseases in adulthood if not addressed at an early stage. While there are several studies on childhood obesity, data on parental obesity knowledge and risk perception as it relates to feeding behavior and child weight outcome is inadequate. No data were found on the topic in Ohio, which has a high rate of childhood obesity and overweight. This study examined how parental obesity risk knowledge and risk perception influenced parental feeding behavior and children’s weight status in …
The Relative Strength Of Emotion Regulation, Distress Tolerance, And Self-Care In Predicting Resilience Among First Responders, Corey Norton
The Relative Strength Of Emotion Regulation, Distress Tolerance, And Self-Care In Predicting Resilience Among First Responders, Corey Norton
Walden Dissertations and Doctoral Studies
Given the situations confronted daily by first responders, many experience symptoms of posttraumatic stress disorder. Anxiety, depression, and substance abuse, often triggered by exposure to traumatic events, can be so debilitating that the first responder can no longer travel, spend time with family, or enjoy hobbies, a self-isolating state of affairs that diminishes quality of life. Therefore, the purpose of this quantitative study was to determine the relative strength of emotion regulation, distress tolerance, and self-care in predicting resilience among first responders. Emotion regulation theory described how individuals experience, express, and control their emotional reactions when faced with life and …
Demographic Characteristics As Moderators For The Association Between Cigarette Smoking And Type 2 Diabetes Mellitus, Aregash Tewoldeberhan Kidane
Demographic Characteristics As Moderators For The Association Between Cigarette Smoking And Type 2 Diabetes Mellitus, Aregash Tewoldeberhan Kidane
Walden Dissertations and Doctoral Studies
Diabetes mellitus is a major public health problem and is associated with increased morbidity, mortality, and healthcare expenditure in the United States. Several studies have been conducted that showed cigarette smoking is associated with an increased incidence and prevalence of diabetes mellitus (DM); however, there is no published information in the literature on the moderating effects of gender/sex and race/ethnicity on this association. The purpose of this quantitative, cross-sectional study was to address this gap in the literature and examine the association between cigarette smoking and DM and the moderating effect of sex and race/ethnicity on the association between cigarette …
Adoption Of Mobile Money Services In Sub-Saharan Africa/Ethiopia, Amare Tesfaye Alemu
Adoption Of Mobile Money Services In Sub-Saharan Africa/Ethiopia, Amare Tesfaye Alemu
Walden Dissertations and Doctoral Studies
In Sub-Saharan Africa/Ethiopia, information and communication technology (ICT) managers need to understand the correlates of mobile money systems (MMS) to improve economic conditions for low-income families. ICT managers are concerned about the community's economic development and need to understand these correlates because failure to adopt MMS could stunt economic growth in Sub-Saharan Africa. Grounded in the technology acceptance model (TAM), the purpose of this quantitative correlation study was to examine the relationship between perceived ease of use, perceived use, and the behavioral intention to adopt MMS. The participants were 55 ICT managers from Addis Ababa who filled out a survey …
Teachers’ Perspectives On Creating Secondary Attachments With Infants And Toddlers Experiencing Toxic Stress, Cheryl A. Hovey
Teachers’ Perspectives On Creating Secondary Attachments With Infants And Toddlers Experiencing Toxic Stress, Cheryl A. Hovey
Walden Dissertations and Doctoral Studies
The number of infants and toddlers experiencing toxic stress in the United States has increased significantly. Toxic stress, characterized by prolonged exposure to adverse experiences, has significant implications for the development of infants and toddlers. The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives on the successes and challenges to create secondary attachments with infants and toddlers exposed to toxic stress. The conceptual framework was Bowlby’s attachment theory. Two research questions addressed the perspectives of early childhood teachers’ successes and challenges to create secondary attachments with infants and toddlers experiencing toxic stress and what they …
Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott
Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott
Walden Dissertations and Doctoral Studies
By 2050, 152 million people worldwide, primarily low-income populations, will have Alzheimer's disease (AD). African American (AA) women informal caregivers are primary caregivers in low-income neighborhoods, and they suffer from burnout and poor health, including physical and mental fatigue, despair, anxiety, hypertension, and stressors that can lead to heart attacks, strokes, or premature mortality. The Informal Caregiver Integrative Model (ICIM) theoretical framework was used to survey 120 participants using SurveyMonkey was administered to collect data for this cross-sectional quantitative study. The multiple hierarchical regression analyses revealed caregiving appraisal had no significant impact on burnout. A higher quality of the caregiver-care …
Mental Health During The Covid-19 Pandemic In Trinidad: An Analysis Of Depression, Anxiety, And Stress Among Essential Workers, Bernadette Marson, Gerard A. Hutchinson
Mental Health During The Covid-19 Pandemic In Trinidad: An Analysis Of Depression, Anxiety, And Stress Among Essential Workers, Bernadette Marson, Gerard A. Hutchinson
Journal of Social, Behavioral, and Health Sciences
Research shows that some essential workers, such as healthcare workers, social workers, and first responders (including police officers, paramedics, and firefighters), are at greater risk for developing both short- and long-term mental health problems (Berger et al., 2012; Canady, 2022; Grey et al., 2020; Haugen et al., 2012; Mohamed et al., 2022; Petrie et al., 2018). The most prevalent of these include anxiety, depression, and stress, as well as other social and cognitive problems—with stress causing harmful effects on mental health and potentially resulting in anxiety and depression, which may then disrupt an individual’s social relationships, family life, and work. …
The Association Between Race And Obesity After Controlling For Dietary Behaviors Among Adolescents, Jasmine Nicole Williams
The Association Between Race And Obesity After Controlling For Dietary Behaviors Among Adolescents, Jasmine Nicole Williams
Walden Dissertations and Doctoral Studies
Childhood obesity has become a critical global public health concern due to its significant, long-term impact on overall quality of life and physical health. Despite efforts, there is a lack of information that includes all races and ages to combat childhood obesity. This study addressed the association between race and obesity after controlling for dietary behaviors among adolescents in Georgia, using quantitative cross-sectional data from the 2021 Youth Risk Behavior Surveillance System (YRBSS). Guided by the social ecological model, the research investigated how demographic factors and dietary behaviors influence obesity rates. Specifically, the study explored the association between age, race, …
Impact Of The Covid-19 Pandemic On The Elderly, Jessica Odikpo
Impact Of The Covid-19 Pandemic On The Elderly, Jessica Odikpo
Walden Dissertations and Doctoral Studies
No abstract provided.
Perspectives Of Hypertensive Black Males Living In Rural Virginia With Sodium Intake, Monitoring, And Reduction, Barbara Chestnut-Adamson
Perspectives Of Hypertensive Black Males Living In Rural Virginia With Sodium Intake, Monitoring, And Reduction, Barbara Chestnut-Adamson
Walden Dissertations and Doctoral Studies
Sodium reduction therapies such as daily sodium monitoring, adhering to the American Heart Association (AHA) recommended sodium guidelines, and following the Dietary Approaches to Stop Hypertension (DASH) diet lowers blood pressure. Black males living in rural communities would benefit the most from sodium reduction therapies since they experience the highest rates of stroke and death from hypertension. However, Black males living in rural communities are underrepresented in studies, and little information exists on whether these sodium reduction therapies are known, believed, or practiced. This basic qualitative study researched sodium intake, monitoring, and reduction among eight clinically diagnosed hypertensive Black males …
Trauma-Informed Behavioral Health Leadership Strategies For Enhancing Mental Wellness Among Bereavement Midwives, Katherine Hyde Hensley
Trauma-Informed Behavioral Health Leadership Strategies For Enhancing Mental Wellness Among Bereavement Midwives, Katherine Hyde Hensley
Walden Dissertations and Doctoral Studies
The mental wellness of bereavement midwives is a crucial yet often overlooked aspect of health care. This study, grounded in organizational resilience theory, explored trauma-informed behavioral health leadership strategies aimed at enhancing mental wellness among these essential providers. The primary objective was to offer actionable insights for enhancing workplace mental wellness in bereavement midwives. Purposive sampling was used to enlist three participants from a multidisciplinary bereavement team with expertise in bereavement midwifery. Key behavioral themes and leadership strategies were identified through thematic analysis of qualitative interviews, supplemented by secondary data from organizational documents and reports. The Baldrige Framework and Authentic …