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Association Between Health Insurance, Antiretroviral Treatment, And Hiv Preexposure Prophylaxis In Men Aged 20–85 In Virginia, Lauren Elizabeth Maxwell Jun 2025

Association Between Health Insurance, Antiretroviral Treatment, And Hiv Preexposure Prophylaxis In Men Aged 20–85 In Virginia, Lauren Elizabeth Maxwell

Walden Dissertations and Doctoral Studies

HIV prevention and treatment disparities persist among men in Virginia, particularly in racial and ethnic minority groups. This study examined how insurance type and demographic factors influence prescriptions for antiretroviral treatment (ART) and preexposure prophylaxis (PrEP). Addressing these disparities is critical to advancing public health equity and reducing HIV rates. The purpose was to assess whether age, race, ethnicity, region, and insurance type are associated with the type of oral HIV medication prescribed. Guided by the HIV prevention and care cascade frameworks, the study focused on access and adherence. Using a cross-sectional quantitative design, the study analyzed secondary data from …

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Social-Emotional Learning (Sel) Support Through Social Work Case Management In K-12 Schools, Dina Michelle Garrett-Parker Jun 2025

Social-Emotional Learning (Sel) Support Through Social Work Case Management In K-12 Schools, Dina Michelle Garrett-Parker

Walden Dissertations and Doctoral Studies

Existing research revealed that K-12, school-based social work clinicians were utilized in various ways to support students' social-emotional learning (SEL) needs in public K-12 schools in the United States. However, there was a gap in knowledge about the unique approaches K-12 school-based social work clinicians employed to address the SEL needs of non-at-risk students. This basic qualitative study explored how K-12 school-based social work clinicians used empowerment case management practices to address the SEL needs of non-at-risk students. The theoretical framework grounding this study was empowerment theory. Using purposive sampling, semistructured interviews were conducted with five K-12 school-based social work …

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K-8, Private, Midwestern School Principals And Their Experiences Of Work Demand, Emily Madden Roth Jun 2025

K-8, Private, Midwestern School Principals And Their Experiences Of Work Demand, Emily Madden Roth

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study is increasing job demands and insufficient job resources plaguing K-8 principals across the nation. The purpose of this basic qualitative study was to investigate K-8 principals’ perceptions of increased work demands and their influence on excessive stress, burnout, and turnover in a private, Midwestern school district. Bakker and Demerouti’s job demands-resources theory served as the theoretical foundation for this study. Data were collected from semistructured interviews with 10 principals from the same district. Participant responses were analyzed through several rounds of coding, which led to the emergence of the following six themes: …

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Teacher Perceptions On The Low Enrollment Of Students Of Color In High School Computer Science, Wiley J. Cruse, Jr. Jun 2025

Teacher Perceptions On The Low Enrollment Of Students Of Color In High School Computer Science, Wiley J. Cruse, Jr.

Walden Dissertations and Doctoral Studies

The rapid evolution of computer science (CS) as an integral part of K-12 public education in the United States has highlighted significant equity and diversity issues. Guided by critical race theory and community cultural wealth, this basic qualitative study explored high school CS teachers’ perceptions of the challenges and opportunities related to recruiting, retaining, and ensuring the success of students of color. Thematic analysis of data collected using semistructured interviews with 12 high school CS teachers revealed key challenges, including curriculum rigidity, funding inequities, and lack of administrative support. Participants reported that systemic barriers limit access to CS education for …

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Staff Education To Improve Nurses’ Knowledge On Medication Administration Error Prevention, Francoise Tabe Jun 2025

Staff Education To Improve Nurses’ Knowledge On Medication Administration Error Prevention, Francoise Tabe

Walden Dissertations and Doctoral Studies

This staff education project aimed to enhance nurses’ knowledge on medication administration error prevention through targeted education interventions. Medication administration errors are a significant concern in health care, leading to patient harm and reduced quality of care. This project addressed the gap in nursing knowledge regarding strategies to prevent these errors, with the goal of improving patient safety and outcomes. The practice-focused question explored in this project was the following: How does implementing an education program affect nurses’ knowledge and practices related to medication error prevention? The purpose of this doctoral project was to educate nurses on best practices for …

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The Power Of Storytelling: Creatively Facilitating Conceptual Change In The Classroom, Mackenzie S. Rose, Marcus Johnson May 2025

The Power Of Storytelling: Creatively Facilitating Conceptual Change In The Classroom, Mackenzie S. Rose, Marcus Johnson

Journal of Educational Research and Practice

Conceptual knowledge encompasses understanding the interrelationships among multiple pieces of information. Misconceptions of these interrelationships illustrate the need for effective educational strategies to facilitate conceptual change, with the goal of facilitating changes in learner understanding to appropriate, accurate, and complete concepts. Strategies, such as refutation texts, have proven effective in addressing science misconceptions, yet there is a prominent gap in research on conceptual change in nonscience subjects and the use of storytelling to facilitate such change. Storytelling, presented in a range of educational subjects, invites learners to engage in social discourses and problem-solving exercises. Prompted by classroom storytelling practices, creativity, …

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Effective Strategies For Developing And Implementing Metrics For Successful Social Marketing Campaign Performance, Annette M. Wolf May 2025

Effective Strategies For Developing And Implementing Metrics For Successful Social Marketing Campaign Performance, Annette M. Wolf

Walden Dissertations and Doctoral Studies

Ineffective use of marketing metrics by social marketers poses a risk of inconsistent and subjective interpretations of campaign success. Social marketing managers and stakeholders are concerned because unreliable metrics hinder their ability to evaluate performance, justify funding, and replicate effective strategies. The purpose of this qualitative pragmatic inquiry, grounded in general systems theory and foundational social marketing literature, was to explore effective strategies that social marketing campaign managers use to implement metrics sufficient to measure successful campaigns. The participants were ten experienced members of the Social Marketing Association of North America, with effective strategies to implement marketing metrics to measure …

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Preschool Teachers’ Perspectives Regarding Independent Play As Part Of Their Daily Schedule, Christina L. Saunders May 2025

Preschool Teachers’ Perspectives Regarding Independent Play As Part Of Their Daily Schedule, Christina L. Saunders

Walden Dissertations and Doctoral Studies

Research shows that independent child-led play is essential to children’s cognitive and social development. The problem that was the focus of this study was that many preschool teachers do not include independent play in their daily schedules. Guided by Gray’s theory of play, the purpose of this qualitative study was to explore preschool teachers’ perspectives regarding independent play as part of their daily schedule and the challenges they encounter or anticipate in incorporating it. A basic qualitative design with interviews guided data collection with 10 lead preschool teachers who worked with children ages 3 to 5 in independently funded preschools …

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Educating Nurses On Healthy Coping Mechanism Following Workplace Violence Occurrences, Erin Jay May 2025

Educating Nurses On Healthy Coping Mechanism Following Workplace Violence Occurrences, Erin Jay

Walden Dissertations and Doctoral Studies

According to the American Nurses Association (ANA), healthcare workers are five times more likely to suffer a workplace violence (WPV) injury compared to workers in other industries. Given that nurses are the foundation of healthcare delivery, WPV is a cause for concern for most healthcare organizations. In the local organization, leadership has identified an increase in reported WPV occurrences among nurses. Given this, leadership agreed that an educational intervention focused on strategies to address WPV was warranted. Thus, the purpose of this doctor of nursing practice (DNP) project was to determine whether an educational intervention focused on healthy coping mechanisms …

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Staff Education To Improve Knowledge Of Wound Documentation Skills Among Inpatient Nurses, Rouine Kay Patron Litorja May 2025

Staff Education To Improve Knowledge Of Wound Documentation Skills Among Inpatient Nurses, Rouine Kay Patron Litorja

Walden Dissertations and Doctoral Studies

While many healthcare organizations have established wound documentation protocols, maintaining consistent, high-quality documentation remains a widespread challenge in clinical practice. In this staff education project, I addressed the implementation of a staff education program to increase nurses' knowledge about evidence-based practices regarding wound documentation. The staff education initiative was conducted in a medical telemetry unit, with 17 nurses participating. A pretest-posttest design was employed to evaluate the impact of the education. The aggregate pretest and posttest scores were analyzed using the Normalized Learning Gain (NLG) formula. The NLG gain of 0.37, equated to a 37% improvement in knowledge a moderate …

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An Exploration Of Gender And Sexual Identity Development Within The School Environment Among Gender Sexual Minority High School Graduates, Kendra Dawn Rogers May 2025

An Exploration Of Gender And Sexual Identity Development Within The School Environment Among Gender Sexual Minority High School Graduates, Kendra Dawn Rogers

Walden Dissertations and Doctoral Studies

Culturally responsive teaching in a global society is critical to students' success. Inclusion is an important part of the culturally responsive learning experience for all types of people. Because identity development takes place during the adolescent years, portrayals of various kinds of individuals throughout the environment and curriculum may support the confidence of students’ identity development. All students can experience improvements through inclusive teaching practices, but particularly students who identify as gender sexual minorities (GSM) can experience improved identity development with inclusive curricula in all areas of schooling. Grounded in identity process theory and sociocultural theory, the purpose of this …

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Schwartz Values Of Active-Duty U.S. Soldiers: A Confirmatory Factor Analysis Of Refined Values, Kelcey Sihanourath May 2025

Schwartz Values Of Active-Duty U.S. Soldiers: A Confirmatory Factor Analysis Of Refined Values, Kelcey Sihanourath

Walden Dissertations and Doctoral Studies

The U.S. Army is currently facing recruitment challenges due to a decrease in the number of qualified youths. When recruitment is low, reducing attrition becomes even more critical to maintaining force readiness. Research indicates attrition patterns may be influenced by interactions between personal characteristics and the unique culture of each military branch. One characteristic is personal values; however, the most widely used personal values framework, Schwartz’s values theory, has not been validated for the U.S. Army population. This study aimed to address this gap by empirically assessing Schwartz’s values using a nonexperimental cross-sectional quantitative design, collecting data from 273 active-duty …

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Is A Dog A Female Offender’S Best Friend? Prison-Based Dog Program Implications, Lavinia Smith May 2025

Is A Dog A Female Offender’S Best Friend? Prison-Based Dog Program Implications, Lavinia Smith

Walden Dissertations and Doctoral Studies

The existing literature on female offender prison-based dog program (PBDP) experiences and their effect and influence on female offender reentry, rehabilitation, and transition into society following incarceration is limited at best. Despite mixed evidence on prison-based animal programs, human–animal interaction research suggests positive psychological effects. With a 56% chance of reoffending a year after release, understanding the effects of PBDPs may aid reentry/transition support that lowers recidivism rates. Grounded by Broidy and Agnew’s gendered general strain theory, through basic qualitative inquiry, this research study aimed to understand female offender PBDP participants' reentry and transition experiences. Twenty-seven semistructured interviews were conducted …

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Hypertension Literacy For Healthcare Providers, Maninder Kaur Dhaliwal May 2025

Hypertension Literacy For Healthcare Providers, Maninder Kaur Dhaliwal

Walden Dissertations and Doctoral Studies

When medical staff lack sufficient training in hypertension literacy, it significantly impacts patient outcomes, expenses, and quality of life. Uncontrolled hypertension increases health care costs by causing frequent emergency room visits and hospital stays. After a thorough needs assessment, it was identified at the project site that nurse practitioners were not knowledgeable about the most recent recommendations for managing hypertension and patient education techniques. This practice gap was also contributed to by a lack of structured training and time for learning. The practice-focused question for this project was: Among health care staff, how does implementing a staff education initiative on …

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Enhancing Intimate Partner Violence Screening In Primary Care: A Staff Education And Quality Improvement Initiative, Izoduwa Asoro May 2025

Enhancing Intimate Partner Violence Screening In Primary Care: A Staff Education And Quality Improvement Initiative, Izoduwa Asoro

Walden Dissertations and Doctoral Studies

This project addresses the often-overlooked epidemic of intimate partner violence (IPV) in primary care settings through a novel staff education and quality improvement initiative focused on transforming screening practices. A significant challenge in detecting IPV is the inadequate training of healthcare providers and the absence of rigorous screening measures, which leads to unmet patient needs and exacerbated trauma. By enhancing the knowledge of primary care staff regarding IPV and training them to effectively use validated screening tools, the initiative aims to improve detection rates. Analytical strategies, including pre-and post-training questionnaires and role play, were employed to evaluate the effectiveness of …

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Mental Health Counselors’ Lived Experiences With The Legal System In Matters Concerning Their Clients, Kendria L. Brown May 2025

Mental Health Counselors’ Lived Experiences With The Legal System In Matters Concerning Their Clients, Kendria L. Brown

Walden Dissertations and Doctoral Studies

Mental health counselors frequently engage with the legal system in ways that significantly impact their clinical roles, ethical decision-making, and emotional well-being. Despite the high stakes of these encounters, little is known about how counselors experience and make meaning of such legal involvement. This study explored the central research question: What are the lived experiences of mental health counselors when they are involved with the legal system in matters concerning their clients? This transcendental phenomenological study, grounded in Husserl’s philosophy of exploring lived experience through the suspension of presuppositions, investigates the experiences of mental health counselors when they are involved …

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Staff Education Program On Strategies To Manage Disruptive Patient Behavior, Lazare Ngah Shadzeka May 2025

Staff Education Program On Strategies To Manage Disruptive Patient Behavior, Lazare Ngah Shadzeka

Walden Dissertations and Doctoral Studies

The practice concern was the absence of a consistent method of providing structured training on the management of disruptive patient behaviors to staff in a mental health ambulatory care clinic. This clinical gap is important because it heightens the risk of workplace violence, staff burnout, and suboptimal patient care outcomes. The doctoral project practice-focused question was, How does a focused staff education program on dealing with disruptive patient behavior impact nursing staff abilities and confidence in an outpatient clinic setting? Thus, the purpose of this doctoral nursing project was to develop and implement a staff education program aimed at enhancing …

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Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash May 2025

Primary Teacher Perspectives Of Multileveled System Of Supports/Response To Intervention Framework, Alicia Wash

Walden Dissertations and Doctoral Studies

Primary general education teachers are critical stakeholders in the special education identification process (SEIP) when using the multilevel system of support (MLSS) and response to intervention (RTI) frameworks. Previous research has included primary general education teachers and other stakeholder perspectives on using the MLSS/RTI framework during SEIP; however, primary general education teachers’ perspectives on the topic have not been the sole focus of previous research. Guided by Goodson’s educational change theory, the purpose of this basic qualitative study was to explore primary general education teachers’ perspectives on the usefulness of the MLSS/RTI framework during the SEIP. Qualitative data were collected …

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The Perception Of The Participants Of The Unemployment Relief Program On Employability: A Social Policy Initiative In Trinidad And Tobago, Marsha De Souze May 2025

The Perception Of The Participants Of The Unemployment Relief Program On Employability: A Social Policy Initiative In Trinidad And Tobago, Marsha De Souze

Walden Dissertations and Doctoral Studies

The Unemployment Relief Program (URP) has failed to contribute sufficiently to improve employability and reduce unemployment in Trinidad and Tobago. The URP is an active labor market program that aims to alleviate unemployment and stabilize the labor market. Although there have been studies on unemployment programs and policies in Trinidad and Tobago, the gap in the literature revealed a need for adequate labor market research on unemployment policies and programs and their contribution to employability and unemployment. The purpose of this qualitative case study was to explore the URP participants’ perceptions of the program on their employability and unemployment. The …

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The Experience Of Mental Health Care Access Of Immigrants From Cameroon Residing In The United States, Geraldine Gike May 2025

The Experience Of Mental Health Care Access Of Immigrants From Cameroon Residing In The United States, Geraldine Gike

Walden Dissertations and Doctoral Studies

Immigrants from Cameroon residing in the United States are at risk of mental and psychological distress; however, very few of these immigrants seek appropriate treatment for their existing mental health conditions. Limited research exists on this population’s experiences of mental health care access in the United States. This qualitative study aimed to improve understanding of the mental health care access experience of immigrants from Cameroon residing in the United States. The theoretical and conceptual frameworks underpinning this research were Douglas’ cultural theory and Andersen’s health services model. The research question for this qualitative descriptive inquiry asked how Cameroon immigrants describe …

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Enhancing Staff Knowledge On Fall Prevention For Elderly Patients In Home Care Settings, Through Staff Education Initiatives, Anna Ngwafu May 2025

Enhancing Staff Knowledge On Fall Prevention For Elderly Patients In Home Care Settings, Through Staff Education Initiatives, Anna Ngwafu

Walden Dissertations and Doctoral Studies

Summary Falls are one of the leading causes of injury for older patients in homecare settings, affecting patient safety and quality of care. Patient falls contribute to morbidity, mortality, and healthcare costs. A fall often results in injuries which can be fatal. Over 30% of individuals who are 65 years or older experience falls on an annual basis. In these older adults, the leading cause of death is unintentional falls. Although there are evidence-based strategies for preventing falls, there are still gaps in staff knowledge. The purpose of the DNP project was to develop, implement, and evaluate a staff education …

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Strategies To Eliminate Counterfeit Medications In The Pharmaceutical Supply Chain, Clarence Edward Mosby May 2025

Strategies To Eliminate Counterfeit Medications In The Pharmaceutical Supply Chain, Clarence Edward Mosby

Walden Dissertations and Doctoral Studies

Counterfeiting and drug diversion in the U.S. supply chain is a business problem that results in medication shortages for many ill patients. Successful strategies to augment the distribution of pedigree pharmaceuticals and reduce supply chain medication shortages are important to community pharmacists. Grounded in the theory of constraints as the conceptual framework, the purpose of this qualitative pragmatic inquiry study was to explore the strategies that pharmacists use to detect and reduce the dispensing of counterfeit medicines. The participants were 6 pharmacists in the Northeastern United States. Data were collected using semistructured interviews and publicly available documents. Through thematic analysis, …

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A Review Of Technology-Based Literacy Intervention: The Role Of Teachers, Lama Bergstrand Othman May 2025

A Review Of Technology-Based Literacy Intervention: The Role Of Teachers, Lama Bergstrand Othman

Journal of Educational Research and Practice

Research has established that the proper use of technology in the classroom can promote and improve students’ skill levels and knowledge base. Also, certain factors either enhance or impede the successful integration of technology in students’ learning environments. Examples of these are efficiency of use, subject area, and teacher knowledge of and experience with teaching the subject. The article is an umbrella review of meta-analyses on literacy intervention programs, specifically analyzing the effectiveness reports from the Institute of Educational Sciences’ What Works Clearinghouse during the past 10 years. I examined the nature of these intervention programs and classified them according …

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Improving Medication Adherence In Patients With Schizophrenia Through Staff Education, Ibrahim Sheriff May 2025

Improving Medication Adherence In Patients With Schizophrenia Through Staff Education, Ibrahim Sheriff

Walden Dissertations and Doctoral Studies

No abstract provided.

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Staff Education To Improve Nurses’ Knowledge To Prevent Hospital-Acquired Pressure Ulcers/Injuries, Aarinola Abosede Omisola May 2025

Staff Education To Improve Nurses’ Knowledge To Prevent Hospital-Acquired Pressure Ulcers/Injuries, Aarinola Abosede Omisola

Walden Dissertations and Doctoral Studies

The quality improvement education project aimed to address a significant increase in hospital-acquired pressure injuries (HAPIs) at a veteran medical center in Indiana, where statistics showed a 40% increase in Stage 2 pressure ulcers and a 60% increase in deep tissue injuries in Quarter 3 in 2023. Recognizing the serious complications associated with pressure injuries, along with their significant financial burden, the project aimed to answer the question: Will a staff education program focusing on an evidence-based, comprehensive approach to preventing pressure injuries increase nurses’ knowledge about implementing strategies to prevent them? The objective was to enhance adherence to the …

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Strategies To Reduce The Turnover Rate Of Clinical Research Coordinators In Academic Research Institutions, Ellen Malone May 2025

Strategies To Reduce The Turnover Rate Of Clinical Research Coordinators In Academic Research Institutions, Ellen Malone

Walden Dissertations and Doctoral Studies

Clinical research institutions have dealt with the high turnover of their clinical research personnel, and academic medical centers have struggled to retain clinical research coordinators (CRCs). The purpose and review question for this integrative review was to search for programs, solutions, and techniques that will improve the retention of CRCs. This review used the Situational Leadership Theory Model II (SLT II), which focused on the developmental levels of the CRCs and how much support is needed from leadership. In a search of empirical and nonempirical literature for publication years of 2020–2025, 28 articles were determined to be most relevant to …

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Perceptions And Experiences Of Kenyan Immigrants On Culturally Appropriate Cancer Health Education In Washington State: A Qualitative Study, Rael Odengo, Patricia Talbert, Joy Anderson May 2025

Perceptions And Experiences Of Kenyan Immigrants On Culturally Appropriate Cancer Health Education In Washington State: A Qualitative Study, Rael Odengo, Patricia Talbert, Joy Anderson

Journal of Social, Behavioral, and Health Sciences

Access to culturally appropriate cancer health education (CACHE), such as cancer information in languages other than English, that considers a group’s cultural beliefs, traditions, values, and practices, is increasingly recognized as a global health communication priority. CACHE is essential for reducing healthcare disparities and improving service accessibility among African immigrants, a rapidly growing demographic in the United States. This study explored the perceptions and experiences of Kenyan immigrants in Washington State regarding CACHE. We used a qualitative descriptive design, with a purposive sample of ten participants from the Kenyan immigrant community in Washington State. The Andersen Behavioral Model of Healthcare …

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Prevalence And Determinants Of Poor Glycemic Control In Adult Diabetic Patients In A Nigerian Tertiary Hospital, Jideuma Ikenna Egwim, Hope Igbonagwam, Adanna Vivian Egwim, Hadi Danawi, Ifeoma Ogugua May 2025

Prevalence And Determinants Of Poor Glycemic Control In Adult Diabetic Patients In A Nigerian Tertiary Hospital, Jideuma Ikenna Egwim, Hope Igbonagwam, Adanna Vivian Egwim, Hadi Danawi, Ifeoma Ogugua

Journal of Social, Behavioral, and Health Sciences

Diabetes mellitus (DM) is a significant public health concern globally and in Owerri, southeast Nigeria. The deleterious effects of diabetes have been linked to poor glycemic control. According to the International Diabetes Federation, poor glycemic control is reflected in glycosylated hemoglobin (HbA1c) levels > 7.0%, which are associated with substantial morbidity and mortality. Studies have shown a dramatic rise in diabetic complications in Nigeria, particularly in Owerri. However, evidence is lacking regarding the specific risk factors associated with poor glycemic control among DM patients in Owerri. This study assessed the predictors of poor glycemic control in a hospital setting in Owerri. …

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Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo May 2025

Experiences Of Group Support For Partners Of Sex Offenders, Monika Szabo

Walden Dissertations and Doctoral Studies

Intimate relationships with individuals who have committed sex offenses significantly stigmatize and traumatize partners. Partners also face barriers to effective treatment, negatively impacting both themselves and their children affected by these offenses. The purpose of this generic qualitative study was to gain an understanding of partners’ experiences with support groups in coping with trauma symptoms and stigma, thus addressing a gap in the literature. Grounded in theoretical concepts of trauma, mutual aid, and stigma, how social support dynamics facilitate healing by investigating coping strategies and support group stages to understand participants’ healing journeys were examined. Data were collected from 10 …

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Staff Education On Medicaid And Medicare Programs, Angela R. Smith May 2025

Staff Education On Medicaid And Medicare Programs, Angela R. Smith

Walden Dissertations and Doctoral Studies

Case managers at the practice site are responsible for helping older and disabled clients receive services from Medicare and Medicaid. The gap in practice was that case managers were failing to recognize the benefit and eligibility differences between these federal and state-run programs. Case managers must be well-informed regarding these programs to effectively manage their clients’ care. The goal of this project was to plan, implement, and evaluate a staff education program on Medicare and Medicaid services. The practice-focused question centered on whether participants demonstrated increased knowledge about Medicare and Medicaid services available to Waiver Program clients. The theoretical framework …

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