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Mental Health, Chronic Disease, And Substance Use: Findings From Rural Texas, Subi Gandhi, Ryan Glaman, Elizabeth Wachira, Muna Bashir, Sushma Sharma, Chelsea Mowles, Jasmine Luttrell Jul 2022

Mental Health, Chronic Disease, And Substance Use: Findings From Rural Texas, Subi Gandhi, Ryan Glaman, Elizabeth Wachira, Muna Bashir, Sushma Sharma, Chelsea Mowles, Jasmine Luttrell

Journal of Social, Behavioral, and Health Sciences

There are vital links among mental health conditions, chronic diseases, and substance use disorders. Simultaneous examination of the relationship among these three conditions is essential for providing well-integrated care to rural residents who have limited resources and for representing medically underserved areas. We aimed to assess the burden of behavioral health conditions and chronic diseases from a rural Texas community to garner context-specific insights and inform effective health promotion strategies in similar communities. We conducted a cross-sectional study among 181 residents from various zip codes in a rural Texas county. A self-administered, 18-item health-needs questionnaire was used to collect data …

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Importance Of Developing Financially Literate Families And Communities: Opportunities For Fcs Educators, Stephen Molchan May 2022

Importance Of Developing Financially Literate Families And Communities: Opportunities For Fcs Educators, Stephen Molchan

Journal of Educational Research and Practice

Financial literacy has been an issue for decades in the United States; however, the COVID-19 pandemic put financial illiteracy in the spotlight. Family and Consumer Sciences (FCS) educators have the ability to influence the financial literacy rates among individuals, families, and communities. Despite Hogarth’s 2002 call to action for FCS educators to promote fiscal education, this has not happened. FCS educators must now respond to this call. This manuscript addresses the financial illiteracy problem in the United States, the importance of financial literacy, financial literacy in the FCS National Standards, and the actions FCS educators can take to improve financial …

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Relationship Between Single Motherhood Status And Stunting Among Children Under 5 In Kgatleng, Botswana, Mulume Sf Mwamba, Shirley Gerrior, Reginald Taylor Apr 2022

Relationship Between Single Motherhood Status And Stunting Among Children Under 5 In Kgatleng, Botswana, Mulume Sf Mwamba, Shirley Gerrior, Reginald Taylor

Journal of Social, Behavioral, and Health Sciences

Undernutrition affects sub-Saharan African countries with increased stunting among children under 5 years old. The short- and long-term effects of this stunting include the potential for slow growth in early life, impaired health, and educational and economic disadvantages in adolescent and adult years. In this quantitative cross-sectional study, we analyzed the relationship between single-mother families and the occurrence of stunting among children under 5 years old in the Kgatleng District of Botswana. We collected primary data from 196 mothers and their children who visited selected clinics in Kgatleng. The results of the binary logistic regression analysis were significant: χ2 (1, …

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Sources Of Information About Covid-19 Among Older Adults In Ghana, 2019-2021, Samuel Adu-Gyamfi, Emmanuel Akwasi Asante Jan 2022

Sources Of Information About Covid-19 Among Older Adults In Ghana, 2019-2021, Samuel Adu-Gyamfi, Emmanuel Akwasi Asante

Journal of Social, Behavioral, and Health Sciences

The COVID-19 pandemic sparked a worldwide search for information. Information about COVID-19 is crucial and it could be the first step toward designing practical disease-control strategies. Misinformation amid the widespread information about COVID-19 has undoubtedly caused psychological distress, especially among older adults. We present an empirical and descriptive study of the sources of information among older adults and how they perceived the COVID-19 pandemic. A total of 58 participants were recruited and interviewed using an in-depth semi-structured interview and structured questionnaire for our study. The study participants were recruited using purposive and convenience sampling in their respective homes from Mallam, …

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Health Expectations, Risk Tolerance, And Walking In Peripheral Artery Disease-Related Claudication, Sherene Sharath, Panos Kougias, Neal Barshes Jan 2022

Health Expectations, Risk Tolerance, And Walking In Peripheral Artery Disease-Related Claudication, Sherene Sharath, Panos Kougias, Neal Barshes

Journal of Social, Behavioral, and Health Sciences

We examined the association between health expectations, baseline physical activity, and self-reported symptom severity among patients with claudication: calf pain that occurs during walking and is relieved at rest. Beliefs and attitudes toward exercise influence the behavior. When walking is prescribed as an alternative to surgical intervention with the intention of decreasing symptom severity, as is the case with claudication, it is important to assess patient perceptions, beliefs, and expectations. Through a phone survey, participants described the severity of their symptoms via the Walking Impairment Questionnaire. Data were collected on (1) health expectations and attitudes, assessments of value placed on …

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Strategies To Reduce Flight Attendant Voluntary Turnover, Jorge Tobar Jan 2022

Strategies To Reduce Flight Attendant Voluntary Turnover, Jorge Tobar

Walden Dissertations and Doctoral Studies

Flight attendant voluntary turnover can lead to staffing shortages that can cause severe disruptions to flight schedules, damage the airlines’ reputations, and negatively affect revenues, which are significant challenges for airline leaders. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies airline leaders use to reduce flight attendant voluntary turnover. Data were collected from four leaders from four U.S. airlines in the southwestern United States using semistructured interviews and reviews of organizational documents. Five themes emerged from thematic analysis: improving compensation and benefits packages, implementing rewards and recognition programs, increasing supervisory support, expanding …

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Guidelines For Managing Dysautonomia Dysfunction, Angela Coleman Webb Jan 2022

Guidelines For Managing Dysautonomia Dysfunction, Angela Coleman Webb

Walden Dissertations and Doctoral Studies

Dysautonomia dysfunction (DD) is a disorder of the autonomic nervous system. Over 70 million people suffer from some type of DD, and the average length of time from symptoms to diagnosis is 6 years. Most facilities and providers choose not to treat DD due to the number of symptoms and the difficulty of being able to diagnose correctly. The purpose of this project study was to create guidelines for the diagnosis, treatment, and management of DD. The research question addressed the effectiveness of these guidelines to help nurses and providers caring for patients with DD provide better care. Watson’s theory …

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Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer Jan 2022

Social Capital And Food Insecurity In Two Counties In Wisconsin, Yvonne Denise Greer

Walden Dissertations and Doctoral Studies

Hunger and food insecurity are public health issues with 38 million people in the US struggling with food hardship. This study examined if there was a relationship between four types of social capital (SC) (bonding, bridging, community structural-formal, and community structural-informal), income, and food insecurity risk (FIR), in two counties in Wisconsin. A quantitative descriptive correlational study design involving multiple linear regression analysis and the integral model framework was conducted with cross-sectional secondary data from the 2014-2016 Survey of the Health of Wisconsin. Participants were from Milwaukee (n = 335) and Dane County (n = 235). Results revealed that in …

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Family Childcare Providers’ Perspectives On Participating In Quality Improvement Using National Association For Family Child Care Accreditation, Mary Muhs Jan 2022

Family Childcare Providers’ Perspectives On Participating In Quality Improvement Using National Association For Family Child Care Accreditation, Mary Muhs

Walden Dissertations and Doctoral Studies

Few family child care providers attain accreditation in the research state and little research existed as to why family childcare providers make the decision to participate or not in National Association for Family Child Care Accreditation (NAFCC). The purpose of this qualitative study was to explore perspectives and experiences of family childcare providers, in the research state, regarding the decision-making process related to their participation in NAFCC Accreditation. The conceptual framework consisted of both andragogy and growth mindset; guiding the research questions to explore providers’ perspectives and experiences about the decision-making process related to participating in quality improvement initiatives and …

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Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings Jan 2022

Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings

Walden Dissertations and Doctoral Studies

Central line associated blood stream infections (CLABSIs) are the most acquired hospital infection in the United States. CLABSI is caused by bacteria that enter the bloodstream through a central line. In the United States, CLABSI has a mortality rate of 18%, and every year 250,000 people are infected. Of these, 30,000 patients die due to CLABSI infections, hospital stays are prolonged, and hospital costs are increased. Patients in an intensive care unit (ICU) are more exposed to CLABSI because of procedures that break tissues and skin, such as the insertion of a central line. A gap in practice was identified …

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How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns Jan 2022

How Teachers Support Students' Nutrition And Healthy Choices To Reduce Childhood Obesity, Angela Munns

Walden Dissertations and Doctoral Studies

Obesity is an issue that negatively effects the health and wellbeing of children across theU.S. The problem addressed by this study was the increasing percentage of obesity among elementary students in a southeastern school district. Guided by Bandura’s social learning theory, the purpose of this basic qualitative study was to explore the perceptions of elementary teachers about increasing student obesity and the challenges they faced in teaching students about health issues in the local school setting. Ten elementary teachers who had knowledge of nutrition and awareness of the student obesity and overweight issues at the study site participated in semistructured …

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Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh Jan 2022

Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh

Walden Dissertations and Doctoral Studies

AbstractThe United States has a higher rate of fetal death compared to other industrialized nations. Although many studies on the factors that contribute to fetal death have been conducted among women in general, little of this phenomenon is known among women who have had a previous Cesarean section (C-section). The purpose of this study was to explore the factors of fetal death among women with a previous C-section(s) and offer suggestions for interventions. The social determinants of health theory was used with other social constructs to provide a theoretical and conceptual framework for the study. As part of the cross-sectional …

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Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques Jan 2022

Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques

Walden Dissertations and Doctoral Studies

AbstractZika virus is an infectious disease caused by the bite of an infected mosquito that has been linked to increased rates of microcephaly and other devastating birth defects. The existing body of knowledge has focused on the individual-level factors that influence a person’s decisions about prevention activities and risk perceptions related to Zika virus. The purpose of this study was to determine the relationship between state-level plans for prevention and education and individual-level risk perceptions. Rosenstock’s health belief model lays a foundation for why individuals make the health decisions they do and helps explain how these can be influenced for …

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Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King Jan 2022

Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King

Walden Dissertations and Doctoral Studies

Title I middle schools face challenges delivering effective inquiry-based science instruction within the framework of Title I requirements. The purpose of this basic qualitative study was to explore Title I middle school teacher and principal perspectives on and experiences with the challenges of delivering inquiry-based science instruction within the framework of Title I requirements. Dewey’s theories of experiential learning and Vygotsky’s theory of sociocultural constructivism provided the conceptual framework for this study. The research questions focused on teacher and principal experiences with inquiry-based science instruction and the impact Title I school policies and practices had on the delivery of inquiry-based …

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Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd Jan 2022

Developing Resiliency Knowledge In New Graduate Nurses Through Self-Care Education, Keera Byrd

Walden Dissertations and Doctoral Studies

During the transition to practice, new graduate nurses (NGNs) face conflict and uncertainty influenced by lack of resiliency and self-care knowledge. In a rural hospital, NGNs had minimal standardized guidance during the transition to practice. Without a proper understanding of resiliency and self-care knowledge, NGNs could not adapt to change and risked leaving the profession or harming patients. A self-care staff education project was developed to improve knowledge of resiliency in a group of NGNs. Self-care deficit theory provided the framework for the project. Sources of evidence published between 2017 and 2022 were used as well as previously analyzed data …

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Enterprise Resource Planning Implementation Strategies In Small- And Medium-Sized Manufacturing Enterprises, Tatianna Gilliam Jan 2022

Enterprise Resource Planning Implementation Strategies In Small- And Medium-Sized Manufacturing Enterprises, Tatianna Gilliam

Walden Dissertations and Doctoral Studies

The difficulty SME leaders of manufacturing firms experience in the executing of enterprise resource planning (ERP) systems threatens the longevity of innovative change within firms seeking to adopt ERP systems. Grounded in the diffusion of innovation theory, the purpose of this multiple case study was to examine critical success factors used to successfully implement ERP systems. The participants were four ERP business leaders of small to medium size manufacturing firms based on the east and west coasts of the United States. Data were collected using semistructured online interviews and a review of company documents. Through thematic analysis, five themes were …

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Staff Education For Implementation Of A Mobile Phone App For Diabetes Self-Management, Iheoma Christiana Madubuike Jan 2022

Staff Education For Implementation Of A Mobile Phone App For Diabetes Self-Management, Iheoma Christiana Madubuike

Walden Dissertations and Doctoral Studies

AbstractDiabetes is a global public health problem responsible for increased healthcare costs, altered quality of life, and significant morbidity and mortality. Mobile applications have become an effective lifestyle modification tool for ongoing individual diabetes monitoring and management; however, the project site had not been using this technology with their diabetes patients. Guided by the chronic care model, this staff education project explored the likelihood that clinicians in a family practice group in the Southeast region of the United States would implement a mobile application for their patients following an evidence-based education session. The staff education project was developed using evidence …

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Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin Jan 2022

Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin

Walden Dissertations and Doctoral Studies

Blood-borne pathogens (BBPs) are an occupational risk confronted by many health care workers. Nurses are routinely exposed to Hepatitis B, Hepatitis C, and human immunodeficiency virus. A literature review, which included retrieval of peer-reviewed quantitative articles, systematic reviews, and mixed-methods studies published between 2014 and 2021 supported the need for nurses to be knowledgeable about prevention of BBP exposures and the processes to follow after an incident. The project aimed to educate staff nurses on the best practices for preventing the risk for and transmission of BBPs. A pretest–education–posttest format was used to assess knowledge before and after the presentation …

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Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen Jan 2022

Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen

Walden Dissertations and Doctoral Studies

The prevalence of obesity among children and adolescents has markedly increased in several developed countries in recent years. Researchers have examined different factors that contribute to overweight and obesity in children and adolescents but have not fully explored the psychological impact of obesity on this population. The effectiveness of nutrition education programs in addressing the effects of obesity is also understudied. The primary purpose of this evaluative case study was to examine the impact of the Harvest of the Month nutritional educational program, which was adopted by San Diego County public schools in 2005, on the nutritional habits and psychosocial …

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Educators' Perspectives On Coordination Of Transition Programming For Early Childhood Students With Asd In Inclusive Settings, Lashundra Dees Jan 2022

Educators' Perspectives On Coordination Of Transition Programming For Early Childhood Students With Asd In Inclusive Settings, Lashundra Dees

Walden Dissertations and Doctoral Studies

Coordination of special education prekindergarten (PK) to kindergarten (K) transition programming for children with autism spectrum disorder (ASD) represents significant changes for students within inclusive school environments. The problem addressed by this basic qualitative study involved barriers, challenges, supports, and successes in the coordination of transition programming from PK to K for students with ASD. This study addressed a gap in the literature on educators' perspectives on the coordination of transition programming. Bronfenbrenner’s ecological systems theory framed this study that explored the perspectives of 11 educators. Data were collected from semistructured digitally audio recorded interviews conducted with six PK and …

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The Impact Of Electronic Cigarettes Use On Traditional Cigarette Uses Among U.S. Adolescents, Ismail Mensah Dwumfour-Poku Jan 2022

The Impact Of Electronic Cigarettes Use On Traditional Cigarette Uses Among U.S. Adolescents, Ismail Mensah Dwumfour-Poku

Walden Dissertations and Doctoral Studies

The increased usage of e-cigarettes among adolescents in the United States (U.S.) is a major public health concern. According to the Centers for Disease Control and Prevention (CDC), nicotine, an active ingredient in e-cigarettes, is the most addictive drug in use today. The purpose of the current study was to explore the relationship between smoking of e- cigarettes and the risk of smoking traditional cigarettes among middle and high school students in Grades 6 through 12 in the U.S., and to determine if demographic factors contribute to this predisposition. This, quantitative cross-sectional study used the social ecological model as the …

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Relationship Between Early Years’ Activities Of Daily Living And Alzheimer’S Disease Onset, Linyi Fan Jan 2022

Relationship Between Early Years’ Activities Of Daily Living And Alzheimer’S Disease Onset, Linyi Fan

Walden Dissertations and Doctoral Studies

A few promising studies have indicated that activities of daily life (ADL) may be a useful way of predicting Alzheimer’s Disease (AD). However, the existing cross-sectional studies fail to show how ADLs in early years predict AD, and how social factors influence health either in addition to or in interaction with individual risk factors. Using a social epidemiology framework, this study examined the relationship between early years’ ADL and the development of AD in later years. This quantitative study included 4,526 participants derived from the Health and Retirement Study (HRS) dataset. The dependent variable was whether the participant has been …

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Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel Jan 2022

Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel

Walden Dissertations and Doctoral Studies

The growing population of postpartum African-born immigrant women has contributed significantly to the high burden of obesity and poor maternal health outcomes in the state of Texas; however, there is little research on this population. The purpose of this transcendental phenomenological study was to explore the lived experiences of weight management among postpartum African-born immigrant women in Texas based on the concepts of the health belief model. Semistructured interviews sparked the life experience of postpartum weight management of African-born immigrant women ages 18–45 who had a baby within the last year and suffered postpartum overweight or obesity. Interviews were audio-recorded …

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Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander Jan 2022

Anxiety, Depression, Immunity, Quality Of Life, And Cannabis In Appalachia, Matthew Ian Frazier Ostrander

Walden Dissertations and Doctoral Studies

As decriminalization of cannabis in the United States increases, understanding how cannabis use may alter physical and mental health is important. The Appalachian Mountain region is an area with poor support systems, stigma against mental health, and historic drug use problems, resulting in residents being more vulnerable to societal change. The theoretical framework for this research is psychoneuroimmunology (PNI), which is the study of the interconnections between psychology, neurology, and immunology as a holistic approach to health. Via SurveyMonkey, 160 participants completed the study, and data were based on self-reporting of cannabis use patterns in relation to anxiety, depression, immunity, …

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Association Of Myplate Diet And Exercise With Diabetes In African American Women, Brandi Jones Jan 2022

Association Of Myplate Diet And Exercise With Diabetes In African American Women, Brandi Jones

Walden Dissertations and Doctoral Studies

Lifestyle choices such as diet and physical activity have been described as significant predictors of preventable disease, such as Type 2 diabetes mellitus. African American women disproportionately develop Type 2 diabetes and are at greater risk, compared to Caucasian/European Americans. The purpose of this study was to examine the association of physical activity and adherence to the MyPlate diet plan with the occurrence of Type 2 diabetes among African American women. The health belief model was the theoretical foundation for this study. Research questions were designed to examine the extent to which diet and physical activity predict Type 2 diabetes. …

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Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson Jan 2022

Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson

Walden Dissertations and Doctoral Studies

African American female offenders on parole under community supervision reenter communities as convicted felons and face the challenges of intersectionality and collateral consequences. The purpose of this descriptive phenomenological qualitative study was to explore the experiences of African American female offenders active on parole and under community supervision. General strain theory was used to explore the experiences of African American female offenders on parole and under community supervision. Data were collected through semi-structured telephone interviews with a purposive sample of 10 African American female offenders, ages 18 and above who were on parole and under community supervision. Colaizzi’s seven-step method …

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Creating A Clinical Practice Guideline For Patients With Uncontrolled Hypertension, Nar'cissa Mcdonald Jan 2022

Creating A Clinical Practice Guideline For Patients With Uncontrolled Hypertension, Nar'cissa Mcdonald

Walden Dissertations and Doctoral Studies

Cardiovascular disease is the leading cause of death globally, with hypertension (HTN)the primary causal factor. The nursing professions' role as a critical agent in facilitating the management of patients should be based on best practices. No specific standard exists in the United States for nurses despite the publication of Clinical Practice Guidelines (CPGs) on HTN for adults. A gap in practice was identified in an outpatient primary care clinic located on the Gulf Coast of Mississippi, as there is no comprehensive CPG for nurses to provide patients with complete HTN diagnosis and management care. A literature review revealed that clinical …

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Use Of The Hester Davis Falls Risk Assessment Scale In Medical-Surgical Patients, Gideon M. Nyakundi Jan 2022

Use Of The Hester Davis Falls Risk Assessment Scale In Medical-Surgical Patients, Gideon M. Nyakundi

Walden Dissertations and Doctoral Studies

AbstractIdentifying and containing patient falls before they happen, reporting fall occurrence, and analyzing fall causes could increase patient safety to achieve the triple aim of improved quality, reduced cost, and accessibility in healthcare. Patient falls within the medical-surgical population continue to present challenges to patients, families, hospitals, and society, despite the use of fall-related predictive analysis tools. The purpose of this quantitative study was to determine the extent to which the overall score on the Hester Davis Falls Risk Assessment Scale (HDS), comprised of patient-related factors such as medications, volume/electrolyte status, age, last known fall date, mobility, toileting needs, communication/sensory …

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Food Insecurity In Oncology Patients: An Educational Intervention For Nurses, Chinelo Pernilla Onwuazombe Jan 2022

Food Insecurity In Oncology Patients: An Educational Intervention For Nurses, Chinelo Pernilla Onwuazombe

Walden Dissertations and Doctoral Studies

AbstractFood insecurity is not having enough food or resources or not being able to procure nutritious foods. An observation that nurses in one oncology clinic rarely assessed their patients for food insecurity as part of their regular assessment led to the development and testing of an educational intervention for nurses which was to create awareness on the importance of assessing food insecurity among oncology patients and to learn to use the Household Food Insecurity Assess Scale (HFIAS) in assessing patients. Summative evaluation was done using a pre/and posttest. The Maslow’s hierarchy of needs and the Virginia Henderson nursing need theories …

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The Nutrition Labeling Act And The Weight Loss Experiences Of African American Women, Richardeanea Theodore Jan 2022

The Nutrition Labeling Act And The Weight Loss Experiences Of African American Women, Richardeanea Theodore

Walden Dissertations and Doctoral Studies

Obesity has reached epidemic proportions in the United States with four out of five African American women, aged 20 and older, being overweight or obese, resulting in excessive morbidity and mortality. Policy interventions have been developed to address the issue, but without much success in this population. The purpose of this Husserl-inspired phenomenological study was to better understand how nutrition labeling influences eating behaviors of overweight and obese African American women in their weight loss efforts. The Socio-Ecological Model for Food and Physical Activity Decisions (SEMFPAD) was the theoretical framework for this study. Purposeful sampling and snowballing were used to …

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