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Articles 991 - 1020 of 2390
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Risk Factors Associated With Childhood Vaccination Coverage In Afghanistan, Iqbal Mawani
Risk Factors Associated With Childhood Vaccination Coverage In Afghanistan, Iqbal Mawani
Walden Dissertations and Doctoral Studies
Globally, vaccination is among the most successful and cost-effective public health practices in the prevention of infectious diseases. The purpose of this study was to examine the child, parental, and geographical risk factors that influence childhood vaccination coverage in Afghanistan. The health belief model and socio-ecological model was used in this study as the theoretical framework to examine the effects of these risk factors on vaccination coverage among children in Afghanistan. Univariate, bivariate, and multivariate tests were conducted within the secondary data analysis of the 2015 Afghanistan national Demographic and Health Survey dataset. Of the 32,420 children aged 0 to …
Health Care Provider Program On The Management Of Obesity, Erlinda P. Bhat
Health Care Provider Program On The Management Of Obesity, Erlinda P. Bhat
Walden Dissertations and Doctoral Studies
Research has shown that educational programs have led to developing the professional skills and behaviors of front-line health care providers who care for overweight or at-risk obese patients. The purpose of this project was to provide an educational program on best practices for weight management to health care providers at a large military clinic. The project question was developed to assess whether the educational program increased the knowledge and confidence of health care providers in the management of obesity. Utilizing Pender's health promotion model, a quasi-experimental study was conducted in which 15 health care providers, including licensed and unlicensed personnel …
Investigating The Needs Of Homeless Individuals Living In Transitional Housing, Tonya Hambrick-Mcclain
Investigating The Needs Of Homeless Individuals Living In Transitional Housing, Tonya Hambrick-Mcclain
Walden Dissertations and Doctoral Studies
Homeless individuals are a disadvantaged and vulnerable population. Some of the issues contributing to homelessness are mental illness, medical problems, substance abuse, domestic violence, and lack of education and affordable housing. Homelessness continues to be a major social issue in the United States, and it profoundly affects individuals ages 25–35 years old. There is limited research identifying the needs of homeless individuals between the ages of 25 and 35 who live in transitional housing in the Chicago area. The purpose of this generic qualitative research study was to explore how homeless individuals ages 25-35 years old describe their lived experiences …
Human Immunodeficiency Virus And Homelessness Among U.S.-Born And Foreign-Born Tuberculosis Cases In Georgia, Semra Ramosevac
Human Immunodeficiency Virus And Homelessness Among U.S.-Born And Foreign-Born Tuberculosis Cases In Georgia, Semra Ramosevac
Walden Dissertations and Doctoral Studies
According to the Centers for Disease Control and Prevention, tuberculosis (TB) is an infectious disease caused by bacteria and can easily spread in the U.S. and worldwide. TB infections in the U.S. have been much lower compared to other countries around the world in the last 40 years, but with the recent increase in an immigrant foreign-born population, there is a serious risk of the spread of TB. The goal of the study was to look into U.S.-born vs. foreign-born populations among TB/HIV/homeless cases in the state of GA from 2014 to 2018. The quantitative study was performed using secondary …
Evaluation Of A Cardiac Surgery Nurse Navigator Quality Improvement Program, Eileen Joy Watkins
Evaluation Of A Cardiac Surgery Nurse Navigator Quality Improvement Program, Eileen Joy Watkins
Walden Dissertations and Doctoral Studies
AbstractPatients who have had cardiac surgery may experience longer hospital stays and increased readmission rates when there is poor care coordination between patients, families, and the healthcare team. Poor care coordination leads to unclear expectations of each phase of care, decreased compliance with postoperative care regimen resulting in increased length of stay, patient and family dissatisfaction, and increased rates of readmission. This project evaluated a Cardiac Surgery Nurse Navigator (CSNN) Quality Improvement program to address care coordination and improve length of stay and readmission rates for cardiac surgery patients. The goal was to determine whether the CSNN program was effective …
Gender Equality And Equity Narratives Amongst Women In Nongovernmental Organizations, Barbara Etta Austin-Lucas
Gender Equality And Equity Narratives Amongst Women In Nongovernmental Organizations, Barbara Etta Austin-Lucas
Walden Dissertations and Doctoral Studies
Gender equality and equity narratives of women members of registered nongovernmental organizations (NGOs) have been largely unexamined relative to their lived experiences in healthcare, education, socioeconomic status, and political participation. The purpose of this study was to explore the narratives of women members of registered NGOs located in the Northeastern United States. The gender equality and equity narratives of women in registered NGOs related to their experiences with healthcare, education, socioeconomic status, and political participation were explored. For this qualitative narrative research, the conceptual framework was the narrative policy framework theory, which explores how narratives influence public opinion, policy dialogue, …
An Educational Intervention To Reduce Central Venous Catheter Infection Rates, Bolanle Olajuyigbe
An Educational Intervention To Reduce Central Venous Catheter Infection Rates, Bolanle Olajuyigbe
Walden Dissertations and Doctoral Studies
AbstractCentral venous catheters (CVC) are essential in both critical and noncritical care settings. Despite benefits such as the administration of medications, blood products, and parenteral nutrition, CVCs are also associated with infections known as central–line associated blood stream infections (CLABSI). Linked to knowledge deficit and noncompliance in following evidence-based care bundles by nurses, it is important that nurses are empowered through education to provide quality care to reduce CLABSI rates. Thus, a staff education program was developed to answer the practice-focus question: if an organized education program increases the knowledge of medical-surgical nurses on central line care and management procedures …
Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland
Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland
Walden Dissertations and Doctoral Studies
The United States has a significant diabetes problem. This chronic disease affects the body physically and mentally. One of the emotional effects of diabetes is depression. Depression is often present in individuals with diabetes, chiefly in those with type 2 diabetes mellitus (T2DM). While depression is common in T2DM and can interfere with treatment adherence, clinician screening for depression in T2DM patients is low. The purpose of this study was to examine clinicians' attitudes, behaviors, and perceptions concerning screening patients with T2DM for depression. Through a qualitative case study approach centered on reasoned action theory, 3 physicians and 5 nurse …
Effects Of Trained Providers And Naloxone Distribution On Prescription Opioid Use Disorder, Samuel Sarpong
Effects Of Trained Providers And Naloxone Distribution On Prescription Opioid Use Disorder, Samuel Sarpong
Walden Dissertations and Doctoral Studies
AbstractOpioid abuse and overdose are associated with substantial morbidity and mortality rates, as well as social and economic costs. The purpose of this study was to evaluate the independent and interactive effects of state-sponsored prescription drug monitoring program (PDMP) trained healthcare providers and community-based naloxone distribution program related factors in the states of Florida and Georgia for the prevention and reduction of prescription opioid use disorder, overdose, and deaths. The research theory adopted was the socio-ecological model with an emphasis on risk factors such as age. The study used secondary data from 2014 to 2018 from the Florida and Georgia …
Social Determinants Of Health And Type 2 Diabetes Among Enrollees Of California Children’S Services Program In Fresno County, California, Daniela Marie Aghadjanian
Social Determinants Of Health And Type 2 Diabetes Among Enrollees Of California Children’S Services Program In Fresno County, California, Daniela Marie Aghadjanian
Walden Dissertations and Doctoral Studies
Despite extensive study in adults, Type 2 diabetes (T2D) has been the subject of little research concerning young adults or children. Doctors believed T2D to develop only in a person’s later years until health care providers found younger individuals developing this disease. The purpose of this cross-sectional quantitative analysis was to determine correlations between T2D and social determinants of health in Fresno County, California, based on children and adolescents. The 2017-19 data came from the Fresno County Department of Public Health. The theoretical foundation for the study was the socio-ecological framework focusing on individuals’ traits having a bidirectional impact on …
Understanding How Religious Practices Influence Self-Care In Black Churchgoers Diagnosed With Hypertension, Taquina C. Davis
Understanding How Religious Practices Influence Self-Care In Black Churchgoers Diagnosed With Hypertension, Taquina C. Davis
Walden Dissertations and Doctoral Studies
Religion plays an essential role in managing health; however, there is limited research on religious practices among Black churchgoers diagnosed with hypertension. This research aims to understand how religious practices influence self-care in Black churchgoers diagnosed with hypertension. The sample consisted of 21 Black men and women, ages 29 to 70 years, with a clinical diagnosis of hypertension. Participants were recruited from two local, predominately Black churches in South Carolina and administered semistructured interviews to participants. A grounded theory design was used, and the data analysis consisted of constant comparison. Two core concepts were identified. One core concept identified was …
Elementary Stakeholder Perceptions Of Data Team Discussions Influence On Instructional Adjustments, Michelle Shay
Elementary Stakeholder Perceptions Of Data Team Discussions Influence On Instructional Adjustments, Michelle Shay
Walden Dissertations and Doctoral Studies
Federal law requires schools to conduct formative, summative, and diagnostic assessments to inform instructional strategies. However, the collection of student accountability compliance data has not always resulted in improved student academic achievement. The research problem addressed in this study is that little is understood about how data team discussions influence elementary teachers’ instructional adjustments. The purpose of this basic qualitative study is to gain an in-depth understanding of elementary teacher and leader perceptions of how data team discussions influence teachers’ data-driven decision making (DDDM) instructional adjustments. The conceptual framework for this study is based on the theory of planned behavior, …
The Lived Experience Of Black Women With Weight Loss And Counseling Post Bariatric Surgery, Cynthia Williams
The Lived Experience Of Black Women With Weight Loss And Counseling Post Bariatric Surgery, Cynthia Williams
Walden Dissertations and Doctoral Studies
AbstractStudies have shown that bariatric surgery can assist obese individuals to both lose a significant amount of weight rapidly and improve or resolve health comorbidities associated with obesity. This weight loss, however, can be considerably less for the obese Black woman. While reasons for this difference appears multifactorial entailing dietary, genetics, and environmental factors, limited research concerning the lived experiences of obese or formerly obese Black women with weight loss and post bariatric counseling have been conducted. The primary objective of this interpretative phenomenological study was to increase the understanding of the lived experiences of obese or formerly obese Black …
Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua
Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua
Walden Dissertations and Doctoral Studies
Suicide is the second leading cause of death among youth in Canada. Though school-aged youth are surrounded by teachers, mentors, and school mental health nurses (SMHN), little is known about what teachers want to know regarding suicide and whether the teachers have the knowledge to recognize youth at risk. The purpose of this generic exploratory qualitative study, guided by the health belief model, was to explore the perceived learning needs of high school teachers in northwestern Ontario (NWO) regarding suicide prevention. The data collection process involved semistructured virtual interviews with 14 high school teachers in NWO recruited via social media. …
African American Social Service Nonprofit Leaders’ Success Strategies, Orletta Ekpene Caldwell
African American Social Service Nonprofit Leaders’ Success Strategies, Orletta Ekpene Caldwell
Walden Dissertations and Doctoral Studies
This study sought to understand successful African American social service nonprofit leaders’ stories about building sustainable organizations. There was currently limited research on this topic. Therefore, the study used a basic qualitative methodology to understand their backgrounds and influences that impacted their ability to maintain a sustainable nonprofit organization despite the unique challenges these leaders face. The White racial frame and social cognitive theory theories identified the context and foundation of these challenges. Nine successful African American social services nonprofit organization leaders were interviewed. Qualitative thematic analysis was used to identify key themes from the interview data. The interviews helped …
Experiences Of Volunteer Staff In Eldercare Facilities During The Covid-19 Pandemic, Novelle S. Davis
Experiences Of Volunteer Staff In Eldercare Facilities During The Covid-19 Pandemic, Novelle S. Davis
Walden Dissertations and Doctoral Studies
The exploitation of unpaid healthcare staff led to a volunteer flight from long-term residential facilities during the COVID-19 pandemic. A literature gap existed on human resource policies to support volunteer eldercare workers who had remained at their posts and taken charge of work in long-term care facilities during the public health crisis. The purpose of this qualitative narrative inquiry study was to explore how volunteers in eldercare facilities viewed their daily experiences and interpreted their role in eldercare facilities during the COVID-19 pandemic. This study was framed by Garner and Garner’s theory of volunteer retention and Studer’s concept of volunteer …
Relationship Between Social Media Screen Time, Sedentariness, And Bmi Among Young Adults, Helen Golod
Relationship Between Social Media Screen Time, Sedentariness, And Bmi Among Young Adults, Helen Golod
Walden Dissertations and Doctoral Studies
Obesity has quickly become an epidemic that affects adults and youth not only in the United States, but also increasingly elsewhere in the global community. Research suggests that most children and adolescents spend a significant amount of time indulging in screen-based leisure, especially on social media. Such behavior may also be linked to sedentary lifestyle, which can impact an individual’s body mass index (BMI). There is a lack of understanding concerning how sedentary behavior moderates the relationship between screen time spent on different types of social media and BMI among young adults in the United States. To address this research …
Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton
Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton
Walden Dissertations and Doctoral Studies
Falls among hospitalized, geriatric patients are a leading cause of injury. Geriatric patients with psychiatric illnesses are at an even greater risk of falls. The project site was experiencing an increase in the number of patient falls and identified a need for staff education on fall risk assessment and implementation of interventions specific to the hospitalized, geriatric, psychiatric patient. Thus, the practice-focused question for this project was whether an educational program on evidence-based assessment and fall prevention strategies would improve nurses’ knowledge and skills to assess risk for falls and implement appropriate interventions for inpatient, geriatric, psychiatric patients. Knowles’s adult …
Educators' And Parents' Perceptions Of Family Engagement In A Head Start Program, Sondeania Marie Johnson
Educators' And Parents' Perceptions Of Family Engagement In A Head Start Program, Sondeania Marie Johnson
Walden Dissertations and Doctoral Studies
Family engagement benefits children’s development and contributes to student academic success. However, educators feel that they are unprepared to engage families in the educational process, although they are encouraged to do so. The purpose of this basic qualitative study with interviews was to explore educators’ and parents’ perceptions of family engagement. The conceptual framework for this study was supported by Epstein’s ecological framework. A basic qualitative study and purposeful sampling were used to conduct semistructured interviews with 10 educators who were currently employed as teachers and with five parents who had a child enrolled in the Head Start program who …
Secret Keeping And Subjective Well-Being In Nurses, Augustina Marie Frazier
Secret Keeping And Subjective Well-Being In Nurses, Augustina Marie Frazier
Walden Dissertations and Doctoral Studies
Studies suggest that “secret-keeping,” the act of maintaining confidences or personal information, is a problem in the nursing population. Secret keeping may cause depression and anxiety, which might bring about isolation and reduce the ability to provide patient care. The purpose of this study was to address the gap in the literature concerning the relationship between secret-keeping and subjective well-being among early- and late-career nurses. Nurses are those who primarily work at the bedside and who supply the nursing labor force in health cares. I used Seligman's well-being theory to focus on the nurses’ happiness based on positive psychology. The …
Perceived Health And Preventative Care In The Transgender Population, Gregory Page Carpenter
Perceived Health And Preventative Care In The Transgender Population, Gregory Page Carpenter
Walden Dissertations and Doctoral Studies
Historically, the transgender community has been treated and studied myopically, using the lens of psychological illness. As treatment and research efforts have expanded in the past decade, the transgender population is becoming better understood. The purpose of the study was to examine the relationship between perceived health and preventative care in the transgender community. The health belief model was the theoretical framework for this cross-sectional study, which included data from the 2014–2018 Behavioral Risk Factor Surveillance System Survey. Chi-square tests and binomial logistic regressions were performed to investigate associations between perceived health and preventative care in the transgender community. The …
The Supplemental Nutrition Assistance Program Work Policy And Its Influence On College Students’ Academic Success, Annetta Ann Clark
The Supplemental Nutrition Assistance Program Work Policy And Its Influence On College Students’ Academic Success, Annetta Ann Clark
Walden Dissertations and Doctoral Studies
The Supplemental Nutrition Assistance Program (SNAP) is a public food supplement assistance program offered by the U.S. federal government. Undergraduate students who apply for the program must work at least 20 hours per week while concurrently enrolled in six academic units or more. However, students who work more find less time to commit to their college studies, resulting in a negative impact on their academic performance. This phenomenography study’s purpose is to understand from an academic advisor’s perspective how SNAP’s work policy affects academics among first-generation undergraduate students. Maslow’s hierarchy of needs and Goldratt’s theory of constraints were the conceptual …
Kindergarten Teachers’ Implementation Methods For School Readiness Skills In A Rural School, Beverly Vashon Woods
Kindergarten Teachers’ Implementation Methods For School Readiness Skills In A Rural School, Beverly Vashon Woods
Walden Dissertations and Doctoral Studies
Kindergarten students in a Title 1 elementary school are lacking school readiness skills. When students enter kindergarten unprepared to learn, they may experience difficulties with approaches toward learning skills related to physical, language, social, emotional, and cognitive development, which are reliable predictors of subsequent academic and life success. The purpose of this qualitative bounded case study with a constructivist framework was to examine how kindergarten teachers implemented the five domains of school readiness at a Title 1 school to improve incoming kindergarten students’ learning. Convenience sampling was used within a bounded system of four kindergarten teachers in a Title 1 …
The Relationship Between Health Insurance And Dialysis Utilization For Chronic Kidney Disease Patients In Saint Lucia, Anita Lilian Sydney
The Relationship Between Health Insurance And Dialysis Utilization For Chronic Kidney Disease Patients In Saint Lucia, Anita Lilian Sydney
Walden Dissertations and Doctoral Studies
AbstractChronic kidney disease (CKD) is a significant cause of disability and death in Saint Lucia. The incidence of CKD is disproportionately higher among individuals who are socially and financially disadvantaged. New evidence suggests that in resource-poor countries, government subsidization programs for dialysis treatment aid in the delay of disease progression and its associated costs. The purpose of this study was to examine the relationship between health insurance, government subsidization, employment, and dialysis utilization for CKD patients and the efficacy of subsidization for dialysis in Saint Lucia. The study included a retrospective cohort of 979 moderate-to-severe CKD patients from secondary data …
School Administrators’ Perceptions On Teaching Foster Children, Tisha Marie Hess
School Administrators’ Perceptions On Teaching Foster Children, Tisha Marie Hess
Walden Dissertations and Doctoral Studies
Children in foster care face multiple barriers compared to their nonfoster peers, especially as it pertains to their educational success. The problem was school administrators, such as principals and assistant principals, face greater challenges in meeting the educational needs of foster children in addition to balancing the extraneous issues foster children face. Using Bronfenbrenner’s ecological theory, the purpose of this qualitative case study was to explore the experiences, perceptions, and challenges of elementary school administrators who work with foster youth in one school district in Illinois. The specific focus was on administrators’ role in curriculum design, support services, and ability …
Clinical Guideline To Support Diabetes Education For Adult Nursing Home Residents, Adediwura Ajadi
Clinical Guideline To Support Diabetes Education For Adult Nursing Home Residents, Adediwura Ajadi
Walden Dissertations and Doctoral Studies
AbstractDiabetes is a major cause of increased disease burden and cost of care for patients in long-term care (LTC) settings. Of common diabetes-related complications, hypoglycemia has the most catastrophic implications for this population. Poor understanding, reporting, and management of hypoglycemia by LTC staff can cause increased diabetes-related hospitalizations, disability, deaths, and financial burden for LTC patients and nursing homes. This DNP project focuses on developing a clinical guideline to address the recognition and management of hypoglycemia in LTC settings. It will advance the skills and knowledge of LTC staff regarding hypoglycemia management. The project is grounded in nursing theoretical models …
Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark
Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark
Walden Dissertations and Doctoral Studies
The increased number of older adults living longer parallels with the growth of public health concerns regarding the impact of sociodemographic and psychosocial factors (e.g., loneliness and social isolation) on older adults' wellbeing. The purpose of this quantitative study was to examine the association between loneliness, social isolation, the combined model of loneliness, and social isolation on wellbeing among older adults when accounting for age, gender, ethnicity, and social support. The socioecological model (SEM) was used to evaluate the multiple levels of environmental determinants for loneliness, social isolation, and wellbeing. The target population included older adults 65 years and older …
How Prekindergarten And Kindergarten Teachers Supported Students' School Readiness Skill Development During The Covid-19 Pandemic, Eileen Manoukian
How Prekindergarten And Kindergarten Teachers Supported Students' School Readiness Skill Development During The Covid-19 Pandemic, Eileen Manoukian
Walden Dissertations and Doctoral Studies
Scholarly literature lacks studies on how prekindergarten and kindergarten (PK-K) teachers supported students’ school readiness skill development and successful transitions to formal schooling during the COVID-19 pandemic. Framed by school readiness theory and social development theory, this qualitative study explored perspectives of 16 PK-K teachers to answer two research questions about how teachers support students’ school readiness skill development foster students’ successful transitions to formal schooling during the COVID-19 pandemic in a metropolitan area in the southwest region of the United States. Data were collected through one on one, semistructured interviews, and analyzed by following an inductive process using Saldaña’s …
Strategic Planning In Small Nonprofit Behavioral Health Organizations, Amanda Machamer Becker
Strategic Planning In Small Nonprofit Behavioral Health Organizations, Amanda Machamer Becker
Walden Dissertations and Doctoral Studies
Rural communities in the United States depend on small community-based nonprofits to provide access to food, nutrition, transportation, and other social determinants of health. Despite this essential role, some leaders of small nonprofits forgo participating in strategic planning because they believe that the process can be time consuming and expensive. Strategic planning may help organizations of any size to be organized, mission focused, outcome based, and successful. The strategic planning process helps to identify which outcomes demonstrate effectiveness and increase program sustainability. The purpose of this study was to explore the ways that strategic planning may assist small rural community-based …
Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu
Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu
Walden Dissertations and Doctoral Studies
AbstractAfrican American men have not been sufficiently at the center of research studies, especially when it comes to health. Most researchers have explored African Americans as a whole, and few have looked at African American men specifically, especially when it comes to their perceptions and ability to trust sources of health information. The purpose of this quantitative cross-sectional study was to examine the relationship between race and trust in health information sources, including the relationship between prostate cancer health outreach done through the internet and the acceptance of such information outreach among African American men. The theory of planned behavior …