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Nursing Staff Education On Enhanced Recovery After Surgery Related To Nurse-Patient Pain Communication, Kathleen Ranne
Nursing Staff Education On Enhanced Recovery After Surgery Related To Nurse-Patient Pain Communication, Kathleen Ranne
Walden Dissertations and Doctoral Studies
Perioperative pain is a significant challenge in terms of care of surgical patients which requires effective communication by nurses to improve patient outcomes and satisfaction. The communication component of the Enhanced Recovery after Surgery protocol is a foundation for improved patient outcomes and pain management. The problem that was identified in this Doctor of Nursing Practice project was lack of staff education during the perioperative period related to nurse-patient communications regarding pain management. Using the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this DNP project was to plan, implement, and evaluate a staff education …
The Influence Of A Caregiver Support Program On Consumer Well-Being, Wallace Thomas Peake
The Influence Of A Caregiver Support Program On Consumer Well-Being, Wallace Thomas Peake
Walden Dissertations and Doctoral Studies
Caregiving has been shown to be a potential burden for the well-being of caregivers. The focus of this study was a caregiver support program whose managers lacked an understanding of the efficacy of the program in enhancing the well-being of the consumers of the program. The purpose of this quantitative study was to develop and administer a consumer satisfaction survey that evaluated the efficacy of caregiver support program services from the consumer perspective. This study was grounded by the positive emotion, engagement, relationships, meaning, and accomplishment model, which informed the development of the survey that was administered to the participants …
The Influence Of A Caregiver Support Program On Consumer Well-Being, Wallace Thomas Peake
The Influence Of A Caregiver Support Program On Consumer Well-Being, Wallace Thomas Peake
Walden Dissertations and Doctoral Studies
Caregiving has been shown to be a potential burden for the well-being of caregivers. The focus of this study was a caregiver support program whose managers lacked an understanding of the efficacy of the program in enhancing the well-being of the consumers of the program. The purpose of this quantitative study was to develop and administer a consumer satisfaction survey that evaluated the efficacy of caregiver support program services from the consumer perspective. This study was grounded by the positive emotion, engagement, relationships, meaning, and accomplishment model, which informed the development of the survey that was administered to the participants …
Adolescent Obesogenic Behaviors: The Influence Of Race/Ethnicity, Generation Status, Acculturation, And Tme Lived Outside The United States, Tien D. Vo, Alisha H. Redelfs, Mackay Graper, Lori A. Spruance
Adolescent Obesogenic Behaviors: The Influence Of Race/Ethnicity, Generation Status, Acculturation, And Tme Lived Outside The United States, Tien D. Vo, Alisha H. Redelfs, Mackay Graper, Lori A. Spruance
Journal of Social, Behavioral, and Health Sciences
Children living with obesity are at higher risk for chronic disease. Dietary behaviors, sedentary time, and physical activity contribute to the risk of developing obesity. The purpose of this research was to identify associations between acculturation and race/ethnicity influences on obesogenic behaviors in middle school students. A national convenience sample of diverse U.S. children (11–14) was recruited to participate in an online survey (N = 615). Dietary behaviors, including fruit and vegetable consumption (F/V) and sugar-sweetened beverage consumption (SSB), as well as screen time and physical activity, were quantified. Multivariable regression models (linear and logistic) were built. We analyzed …
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
Walden Dissertations and Doctoral Studies
Depression and fibromyalgia can often exacerbate each other and are known to be bidirectional disorders. Chronic pain from fibromyalgia often leads to depression, and depression can cause pain to become worse and affect the nervous system, causing pain. The purpose of this quantitative, binary logistic regression study is to determine if there is an association between mental health and fibromyalgia in African Americans while controlling for cardiovascular disease, chronic kidney disease, arthritis, education level (ie. Some high school, high school graduate, some college or higher), diet, poverty-income-ratio, PIR, diabetes, gender, and age. The socio-ecological model included in this cross-sectional study …
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
Walden Dissertations and Doctoral Studies
Depression and fibromyalgia can often exacerbate each other and are known to be bidirectional disorders. Chronic pain from fibromyalgia often leads to depression, and depression can cause pain to become worse and affect the nervous system, causing pain. The purpose of this quantitative, binary logistic regression study is to determine if there is an association between mental health and fibromyalgia in African Americans while controlling for cardiovascular disease, chronic kidney disease, arthritis, education level (ie. Some high school, high school graduate, some college or higher), diet, poverty-income-ratio, PIR, diabetes, gender, and age. The socio-ecological model included in this cross-sectional study …
Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin
Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic exacerbated many illnesses afflicting older adults in U.S. communities, including mental health wellness. Since 2020, at the inception of the pandemic, older adults living in residential settings, including assisted living and skilled nursing homes, experienced harsh limitations in their everyday lives. The conditions included prolonged periods of isolation and reduced interactions between caregivers and loved ones. Therefore, it is important to understand the experiences of older adults living in facilities and their ability to adapt to the environment. The research question addressed in this study gained insight into the effects of mandated isolation on older adults. Using …
State-Level Reimbursement Parity And Adoption Of Telehealth Services By Health Services Organizations, Sabrie Jalisa Satterwhite
State-Level Reimbursement Parity And Adoption Of Telehealth Services By Health Services Organizations, Sabrie Jalisa Satterwhite
Walden Dissertations and Doctoral Studies
This study was conducted to investigate payment parity as a significant barrier in telehealth adoption by health services organizations (HSOs) in the United States. Ambulatory services have been a preference for Medicaid and Medicare and private payers. However, telemedicine is a platform that presents massive potential in expanding access and quality of care, while boosting healthcare management by significant margins. This study was conducted to explore how reimbursement parity impacts HSO adoption of telehealth services. The micro-meso-macro analytical framework for understanding patient-reported outcomes was used as the theoretical foundation for the project. The research question sought to establish if there …
Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin
Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic exacerbated many illnesses afflicting older adults in U.S. communities, including mental health wellness. Since 2020, at the inception of the pandemic, older adults living in residential settings, including assisted living and skilled nursing homes, experienced harsh limitations in their everyday lives. The conditions included prolonged periods of isolation and reduced interactions between caregivers and loved ones. Therefore, it is important to understand the experiences of older adults living in facilities and their ability to adapt to the environment. The research question addressed in this study gained insight into the effects of mandated isolation on older adults. Using …
State-Level Reimbursement Parity And Adoption Of Telehealth Services By Health Services Organizations, Sabrie Jalisa Satterwhite
State-Level Reimbursement Parity And Adoption Of Telehealth Services By Health Services Organizations, Sabrie Jalisa Satterwhite
Walden Dissertations and Doctoral Studies
This study was conducted to investigate payment parity as a significant barrier in telehealth adoption by health services organizations (HSOs) in the United States. Ambulatory services have been a preference for Medicaid and Medicare and private payers. However, telemedicine is a platform that presents massive potential in expanding access and quality of care, while boosting healthcare management by significant margins. This study was conducted to explore how reimbursement parity impacts HSO adoption of telehealth services. The micro-meso-macro analytical framework for understanding patient-reported outcomes was used as the theoretical foundation for the project. The research question sought to establish if there …
School Counselor's Experiences In Providing Services To High School Students Enrolled In Accelerated Academic Programs, Pamela Denise Gardner
School Counselor's Experiences In Providing Services To High School Students Enrolled In Accelerated Academic Programs, Pamela Denise Gardner
Walden Dissertations and Doctoral Studies
Students enrolled in accelerated academic programs are not immune to mental health concerns that other students may face. Despite the increasing evidence that perfectionism is correlated with psychological distress among adolescents, there is a gap in the literature on how interventions developed for use in adolescent populations may affect this relationship. Knowledge of the influence, if any, of interventions may help school counselors to better understand these students’ experiences and counseling requirements. The purpose of this qualitative, phenomenological study was to learn more about counselors’ experiences with students in accelerated academic programs. The participants comprised eight counselors recruited from a …
Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor
Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor
Walden Dissertations and Doctoral Studies
The practice problem identified at the project site was the lack of nurses’ knowledge of how cultural preferences influence diabetes self-management practices among African Americans with diabetes mellitus. An educational program focused on the cultural preferences of Sierra Leoneans that influence diabetes self-management practices was provided for 48 nurses who worked in the agency. The doctoral project included concepts from nursing education and cultural competence theories to inform the approach. The project followed the ADDIE model process steps to develop and implement the educational program. The sources of evidence included pre- and posteducation surveys administered to participating nurses to assess …
Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor
Increasing Nurses’ Knowledge Of Cultural Preferences Influencing Diabetes Self-Management Among Sierra Leoneans, Winstina Aminata Taylor
Walden Dissertations and Doctoral Studies
The practice problem identified at the project site was the lack of nurses’ knowledge of how cultural preferences influence diabetes self-management practices among African Americans with diabetes mellitus. An educational program focused on the cultural preferences of Sierra Leoneans that influence diabetes self-management practices was provided for 48 nurses who worked in the agency. The doctoral project included concepts from nursing education and cultural competence theories to inform the approach. The project followed the ADDIE model process steps to develop and implement the educational program. The sources of evidence included pre- and posteducation surveys administered to participating nurses to assess …
School Counselor's Experiences In Providing Services To High School Students Enrolled In Accelerated Academic Programs, Pamela Denise Gardner
School Counselor's Experiences In Providing Services To High School Students Enrolled In Accelerated Academic Programs, Pamela Denise Gardner
Walden Dissertations and Doctoral Studies
Students enrolled in accelerated academic programs are not immune to mental health concerns that other students may face. Despite the increasing evidence that perfectionism is correlated with psychological distress among adolescents, there is a gap in the literature on how interventions developed for use in adolescent populations may affect this relationship. Knowledge of the influence, if any, of interventions may help school counselors to better understand these students’ experiences and counseling requirements. The purpose of this qualitative, phenomenological study was to learn more about counselors’ experiences with students in accelerated academic programs. The participants comprised eight counselors recruited from a …
Strategies For Human Capital Development In An Oil And Gas Organization, David Ebamije Akpieyi
Strategies For Human Capital Development In An Oil And Gas Organization, David Ebamije Akpieyi
Walden Dissertations and Doctoral Studies
Some oil and gas (O&G) leaders lack strategies to promote human capital development (HCD) training to increase employees’ productivity in their organizations, impacting their overall productivity. Therefore, O&G organizational leaders need to take deliberate steps to monitor and improve their human capital productivity continuously. Grounded in human capital theory, the purpose of this qualitative pragmatic inquiry was to explore strategies O&G leaders use to promote HCD training. The participants comprised six business leaders from O&G multinational organizations who successfully implemented strategies to promote HCD training to increase employees’ productivity. Data were collected using semistructured interviews and analyzed through thematic analysis. …
Strategies For Human Capital Development In An Oil And Gas Organization, David Ebamije Akpieyi
Strategies For Human Capital Development In An Oil And Gas Organization, David Ebamije Akpieyi
Walden Dissertations and Doctoral Studies
Some oil and gas (O&G) leaders lack strategies to promote human capital development (HCD) training to increase employees’ productivity in their organizations, impacting their overall productivity. Therefore, O&G organizational leaders need to take deliberate steps to monitor and improve their human capital productivity continuously. Grounded in human capital theory, the purpose of this qualitative pragmatic inquiry was to explore strategies O&G leaders use to promote HCD training. The participants comprised six business leaders from O&G multinational organizations who successfully implemented strategies to promote HCD training to increase employees’ productivity. Data were collected using semistructured interviews and analyzed through thematic analysis. …
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Walden Dissertations and Doctoral Studies
Childhood obesity (CHO) rates have increased significantly worldwide over the last decade. The magnitude of CHO extends beyond physical health to include economic stability, social connections, and access to daily living resources. CHO is complex and requires a multifaceted approach that may differ from traditional prevention approaches and treatment. Over the years, interventions have focused on maintaining a balance of healthy eating and active living to reduce weight and promote lifelong behavior change. Body mass index (BMI) surveillance studies have been conducted in Cherokee County, South Carolina since 2012 to assess and inform CHO interventions. However, the data have not …
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Walden Dissertations and Doctoral Studies
Childhood obesity (CHO) rates have increased significantly worldwide over the last decade. The magnitude of CHO extends beyond physical health to include economic stability, social connections, and access to daily living resources. CHO is complex and requires a multifaceted approach that may differ from traditional prevention approaches and treatment. Over the years, interventions have focused on maintaining a balance of healthy eating and active living to reduce weight and promote lifelong behavior change. Body mass index (BMI) surveillance studies have been conducted in Cherokee County, South Carolina since 2012 to assess and inform CHO interventions. However, the data have not …
Examining The Association Of Type 2 Diabetes Mellitus Risk Factors Between African Immigrants Living In The United States And African Americans Born In The United States, Philip Effiong
Walden Dissertations and Doctoral Studies
The purpose of the study was to investigate the risk factors for Type 2 diabetes mellitus (T2DM) among African immigrants and African Americans born in the United States to identify differences and similarities in their impact and prevalence. Variables considered as potential differentiators included alcohol consumption, income, educational levels, and smoking habits, age, and gender. The health belief model served as the theoretical framework. Utilizing data from the National Health and Nutrition Examination Survey 2015-2016, logistic regression analyses were used to test for significant factors affecting T2DM prevalence in these groups. Results indicated that country of origin did not predict …
Education Reform: Exploring Human Services Needed To Address Disparities In Urban, Antonio Williams
Education Reform: Exploring Human Services Needed To Address Disparities In Urban, Antonio Williams
Walden Dissertations and Doctoral Studies
This investigation sought to delve into the complex issues surrounding racial and institutional racism within urban educational frameworks, emphasizing the substantial role that systemic obstacles and prejudices play in perpetuating educational inequities. Amidst an expanding corpus of literature on this topic, the nuanced contributions of human service interventions to ameliorate these inequities have been somewhat overlooked. The objective of this research was to fill this knowledge void by examining the perspectives and experiences of a diverse range of professionals within the K-12 educational sector, from a human services standpoint. The study utilized qualitative research methodology, gathering data through interviews with …
Social Support, Caregiver Burden, And Anxiety/Depression Among Family Caregivers Of Stroke Patients, Rosalyn Moore
Social Support, Caregiver Burden, And Anxiety/Depression Among Family Caregivers Of Stroke Patients, Rosalyn Moore
Walden Dissertations and Doctoral Studies
Family caregivers encounter challenges when caring for relatives recovering from a stroke. Family caregivers often experience negative mental health outcomes including higher levels of anxiety, depression, and stress. The purpose of this study was to determine the extent to which years of caregiving experience, emotional and instrumental support, and caregiver burden predict anxiety and depression among family caregivers of stroke patients. The caregiving stress process model theoretical framework guided the research. This quantitative study used a non-experimental correlational research design. Participants were recruited using Survey Monkey and included a non-random convenience sample of 111 family caregivers of stroke patients who …
Knowledge, Health Beliefs, And Attitudes Toward Dementia Risk Reduction Among Rural Older Adults: A Qualitative Study, Jayanti Ray
Knowledge, Health Beliefs, And Attitudes Toward Dementia Risk Reduction Among Rural Older Adults: A Qualitative Study, Jayanti Ray
Walden Dissertations and Doctoral Studies
Dementia, characterized by compromised memory, reasoning, and problem-solving, is one of the major health concerns for older adults in rural areas. Literature has indicated that there are gaps in knowledge about what older adults in rural communities know about dementia and its risk factors. The purpose of this qualitative study was to explore the knowledge, health beliefs, and attitudes toward dementia and its risk factors among older adults in rural areas. This study aimed to determine gaps in older adults’ knowledge of dementia and its risk factors and to identify their understanding of lifestyle factors and strategies that were likely …
Parents’ Perspectives On Nutrition They Provide For Their Preschool Children, Jamari Chavon Fredenburg
Parents’ Perspectives On Nutrition They Provide For Their Preschool Children, Jamari Chavon Fredenburg
Walden Dissertations and Doctoral Studies
The problem that was the focus of this basic qualitative study is that some parents in the United States do not always provide their young children with the nutrition necessary to support their healthy growth and development and provide the energy to fulfill their potential in school. The purpose of this study was to explore the perspectives of parents of preschool children concerning the nutrition they provide for their preschool children, the challenges they face, and the support they receive from their children’s childcare center in providing the nutrition necessary to help their children achieve healthy growth and development and …
Previously Incacerated Women's Emotional Experince Of Giving Birth In A U.S. Prison, Brigit Ichard-Henderson
Previously Incacerated Women's Emotional Experince Of Giving Birth In A U.S. Prison, Brigit Ichard-Henderson
Walden Dissertations and Doctoral Studies
Previously Incarcerated Women’s Emotional Experience of Giving Birth in a U.S. Prison by Brigit Ichard-Henderson MA, Walden University, 2018 MA, Texas A&M University-Central Texas, 2014 BS, Excelsior University, 2009 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human Services Walden University May 2024 Women have been giving birth while incarcerated since the advent of confinement as a punishment for crime. There is a plethora of information on incarceration rates, pathways to incarceration, access to health care and education while incarcerated, and reasons for recidivism among women. However, little is known about women’s experiences …
Managing Obesity In Primary Care, Nkechi Okwara
Managing Obesity In Primary Care, Nkechi Okwara
Walden Dissertations and Doctoral Studies
Excess body weight has been shown to negatively impact morbidity and mortality in both developed and underdeveloped countries. Over two-thirds of U.S. adults are considered overweight or obese. Obesity and overweight present a pressing practice problem in primary care because many of these patients suffer from long-term consequences. Thus, the practice-focused question that guided this project was: Whether a clinical practice guideline (CPG) would be accepted for implementation in a primary care setting. The purpose of the Doctor of Nursing Practice (DNP) project was to develop a CPG for use in primary care and present the CPG to a panel …
Understanding How Cte Educators Perceive That Professional Development Supports Educational Practices And Retention, Neyla Rivera
Understanding How Cte Educators Perceive That Professional Development Supports Educational Practices And Retention, Neyla Rivera
Walden Dissertations and Doctoral Studies
Career and technical education (CTE) educators are inconsistently supported with professional development (PD). The inconsistent support may limit advancing teaching and learning, serving the students, and retaining CTE educators in the field. How supported CTE teachers feel with PD to implement instructional practices that serve students and encourage teachers to remain in the field was explored in this study. A basic qualitative approach was used along with the theoretical foundation of the social cognitive career theory, specifically, the interest and choice model. Semistructured interviews were conducted with ten CTE educators nationwide, and MAXQDA was used for data analysis. The data …
Type 2 Diabetes As A Risk Factor For The Development Of Cognitive Dysfunction In U.S. Adults, Bobbi Johnson
Type 2 Diabetes As A Risk Factor For The Development Of Cognitive Dysfunction In U.S. Adults, Bobbi Johnson
Walden Dissertations and Doctoral Studies
There is no consensus as to whether having type 2 diabetes increases an individual’s risk for developing cognitive dysfunction. Though cognitive dysfunction is considered a risk factor for type 2 diabetes, it is also classified as a newly formed diabetes-related complication. The purpose of the study was to evaluate if self-reported healthcare – diagnosed diabetes has any association in the risk of the development of cognitive dysfunction in individuals living with type 2 diabetes. Self-determination theory served as the theoretical framework. The research questions concerned whether (a) an association exists between diabetes and cognitive dysfunction, (b) ethnicity plays a vital …
Relationship Between Self-Concept And Self-Compassion Scores And Weight-Loss Surgery Outcomes In Women, Christine Curry-Tuthill
Relationship Between Self-Concept And Self-Compassion Scores And Weight-Loss Surgery Outcomes In Women, Christine Curry-Tuthill
Walden Dissertations and Doctoral Studies
Obesity is a global health concern associated with a multitude of psychosocial issues, including emotional dysregulation, depression, low self-esteem, social isolation, and economic issues related to bias. Weight loss surgery is generally considered to be an effective treatment; however, insufficient weight loss and weight regain are not uncommon. Because self-compassion and self-concept are psychological and social constructs that have been shown to influence obesity and health, the purpose of this study was to explore the relationship between weight loss surgery outcomes and these two concepts to obtain a deeper understanding of the mechanisms behind suboptimal weight loss. The theoretical framework …
Routine Care Visits, Quality Of Diet, And Type 2 Diabetes Risk Perception Among Older Adults, Abigail Chenoa Delich
Routine Care Visits, Quality Of Diet, And Type 2 Diabetes Risk Perception Among Older Adults, Abigail Chenoa Delich
Walden Dissertations and Doctoral Studies
The rate of Type 2 diabetes (T2D) among older adults is expected to double within the next decade. Severe complications and health care costs for older adults with T2D are anticipated. In many cases, older adults have a low perceived risk for developing diabetes. Health behaviors such as routine care and improved quality of diet can be opportunities to address perceived risk for developing T2D in older adults. The purpose of this quantitative cross-sectional study was to investigate whether a relationship exists between routine care visits, quality of diet, and T2D risk perception in adults age 65 years and older …
Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo
Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo
Walden Dissertations and Doctoral Studies
About 80% of active tuberculosis (TB) cases are caused by untreated latent tuberculosis infection (LTBI), with most being foreign-born United States residents. Despite the availability of preventive therapies, African immigrants living in the United States are hesitant to accept LTBI treatment. Although researchers have explored LTBI treatment hesitancy among foreign-born United States citizens, no study has explored the perspectives of African immigrants living in the United States. This generic qualitative study explored the perception of African immigrants living in the United States on LTBI treatment hesitancy. Participants’ inclusion criteria include those 18 years and older with a positive TB test, …