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Venous Thromboembolism Prevention Education For Practitioners In The Acute Care Setting, Eppie Ann Labiche
Venous Thromboembolism Prevention Education For Practitioners In The Acute Care Setting, Eppie Ann Labiche
Walden Dissertations and Doctoral Studies
During the last several decades, venous thromboembolism (VTE) has been identified as a preventable health condition. The gaps in clinical practice have led to an increased incidence of VTE. The lack of using existing evidence-based VTE prevention guidelines in practice has limited the implementation of VTE risk assessment stratifications and affected the appropriateness and timeliness of addressing pharmacologic and mechanical prophylaxis. The purpose of the scholarly project was to educate practitioners on existing VTE prevention practice guidelines. The practice-focused question explored whether an educational learning activity on evidence-based VTE prevention guidelines improved the awareness, knowledge, and compliance with existing evidence-based …
Cultivating Cultural Competence To Address Childhood Obesity In Ethnic Minority Youth, Tia Knight-Forbes
Cultivating Cultural Competence To Address Childhood Obesity In Ethnic Minority Youth, Tia Knight-Forbes
Walden Dissertations and Doctoral Studies
Obesity is an increasingly prevalent health issue, especially among children who live in high poverty, low income, and low education areas that lack needed resources and health care to promote quality of life. African American youth have a higher rate of obesity than other populations. The purpose of this project was to address an identified gap in practice by improving health care professionals' ability to provide culturally competent care to African American youth. An educational intervention framed by the Purnell model for cultural competence was developed to address the question, Will cultural competency staff education improve knowledge to prevent and …
The Lived Experiences Of Adult Male Trauma Survivors With Dance Movement Therapy, Jeanne Langston
The Lived Experiences Of Adult Male Trauma Survivors With Dance Movement Therapy, Jeanne Langston
Walden Dissertations and Doctoral Studies
In the United States, approximately 7.7 million individuals are affected by posttraumatic stress disorder (PTSD) at any given time. Though women are likelier to develop PTSD symptoms, men are exposed to more traumatic events in their lifetimes. Empirically- supported PTSD options exist, however clinical application of these treatments may not consistently culminate in beneficial outcomes. Dance Movement Therapy (DMT) has demonstrated positive treatment outcomes for a variety of mental and physical disorders. Nonetheless, there is a lack of robust research related to the treatment experiences of men who have participated in DMT for trauma-related symptoms. The purpose of this phenomenological …
Valuation Of Ex-Offender Motivation For Participation In A Restorative Justice Praxis, Kenneth Lang
Valuation Of Ex-Offender Motivation For Participation In A Restorative Justice Praxis, Kenneth Lang
Walden Dissertations and Doctoral Studies
Restorative justice (RJ) is an emerging concept of justice in the American penal system that seeks equality for all stakeholders involved. While RJ is vastly under researched--especially concerning RJ and violent offenses--current studies have only focused on determining victims' motivations for participating in RJ. Determining and evaluating offender motivations for participating in RJ remains unexplored. The purpose of this study was to explore the possible motivations of criminal offenders and their willingness to participate in RJ. The social construction framework and the narrative policy framework were employed to understand the social context. A mixed-method approach was used that began with …
The Meaning Of Instagram Use For Rheumatoid Arthritis Information, Deborah Lewis
The Meaning Of Instagram Use For Rheumatoid Arthritis Information, Deborah Lewis
Walden Dissertations and Doctoral Studies
Social media use related to chronic disease has become pervasive, yet few researchers have examined the influence of social media on health care message dissemination and health care outcomes. In this study, the use of Instagram, an image-rich social media platform, for sharing health information was examined. Nurses, as key providers of patient information, need to understand the relative effectiveness of different types of social media for health information, how social media is currently used by health care consumers, and how to best use various social media platforms to improve patient outcomes. The purpose of this study was to gain …
Reducing 30-Day Readmission Rates In Chronic Obstructive Pulmonary Disease Patients, Stacey Jerrick Machado
Reducing 30-Day Readmission Rates In Chronic Obstructive Pulmonary Disease Patients, Stacey Jerrick Machado
Walden Dissertations and Doctoral Studies
Early avoidable 30-day post discharge readmission among patients diagnosed with chronic obstructive pulmonary disease (COPD) is associated with poor transition care processes. The purpose of this project was to analyze organizational system processes for admission and discharge transition care of patients diagnosed with COPD to identify key intervention strategies that could decrease the rate of 30-day post-discharge readmission by 1%. The project used the transitional care model as the framework to target specific care transition needs and create patient-centered, supportive, evidence-based relationships among the patient, the providers, the community, and the health care system to identify key intervention strategies for …
Perspectives Of Patients With Comorbidity On The Use Of Ehealth Technology For Self-Management At Kenyatta National Hospital, Dorcas Waithira Maina
Perspectives Of Patients With Comorbidity On The Use Of Ehealth Technology For Self-Management At Kenyatta National Hospital, Dorcas Waithira Maina
Walden Dissertations and Doctoral Studies
Health care systems still focus on single disease management and ignore the complexities of multiple conditions management. Though self-management is the focus of chronic disease management, patients with comorbidities face challenges in meeting their self-management goals. The purpose of this study was to explore the perspectives of patients with comorbid conditions on the use of eHealth technology to promote self-management. The research was grounded on the technology acceptance model. I sought to explore the participants' understanding of self-management, the challenges to self-management and their perspectives on the use of eHealth for self-management. In this phenomenological study, 10 interviews were conducted …
Understanding Parents' Disease-Managing Strategies For Children With Sickle Cell Disease, Michelle Noble Mackey
Understanding Parents' Disease-Managing Strategies For Children With Sickle Cell Disease, Michelle Noble Mackey
Walden Dissertations and Doctoral Studies
Sickle cell disease (SCD) is one of the most difficult and stressful chronic diseases for parents of afflicted children to manage. Managing SCD can be traumatic for parents particularly if they have no specific coping strategies for managing the disease or ensuring the child visits the doctor as scheduled. The use of certain coping strategies may affect the parents' and patients' perceptions of the illness and influence their decisions regarding treatment, which can have a lasting impact on their lives. Effective parental strategies such as positive thinking can aid in disease management, but there is limited research on the coping …
Analyzing Small Businesses' Adoption Of Big Data Security Analytics, Henry Mathias
Analyzing Small Businesses' Adoption Of Big Data Security Analytics, Henry Mathias
Walden Dissertations and Doctoral Studies
Despite the increased cost of data breaches due to advanced, persistent threats from malicious sources, the adoption of big data security analytics among U.S. small businesses has been slow. Anchored in a diffusion of innovation theory, the purpose of this correlational study was to examine ways to increase the adoption of big data security analytics among small businesses in the United States by examining the relationship between small business leaders' perceptions of big data security analytics and their adoption. The research questions were developed to determine how to increase the adoption of big data security analytics, which can be measured …
Health And Nitrate-Contaminated Drinking Water In The Lower Yakima River Valley, Michael David Mcnickle
Health And Nitrate-Contaminated Drinking Water In The Lower Yakima River Valley, Michael David Mcnickle
Walden Dissertations and Doctoral Studies
In the United States, many private wells are used as the only source of potable water. These wells, under current federal and state regulations, are neither monitored nor checked for water purity. The purpose of qualitative case study was to gain an understanding about how the documented nitrate contamination problem in the Lower Yakima Valley River Valley is perceived by members of the community and to measure their willingness to engage in collective action for social change. Purposive samples of 6 participants were interviewed using 10 questions derived from the drinking water disparities framework by Balazs and Ray. Additional historical …
Antibullying Definition, Policy, Surveillance, Education, And Training In The Healthcare Field, Adlene Jones Mcelroy
Antibullying Definition, Policy, Surveillance, Education, And Training In The Healthcare Field, Adlene Jones Mcelroy
Walden Dissertations and Doctoral Studies
Workplace bullying in the healthcare field has contributed to decreasing productivity, decreasing employee morale, increasing workplace lawsuits, overall dissatisfaction in the workplace, and potentially compromising care to patients. Little, however, is known about how public policies related to workplace bullying impact the experiences of healthcare workers. Using Cornell and Limber's conceptualization of bullying, the purpose of this general qualitative study was to better understand the experiences of healthcare leaders and workers related to workplace bullying of a single health care facility. Data were principally collected from 9 participants representing three organizational leaders, three nurses, and three ancillary members staff. These …
Successful Billing Strategies In The Hospital Industry, Samirah Merritt
Successful Billing Strategies In The Hospital Industry, Samirah Merritt
Walden Dissertations and Doctoral Studies
Failure to collect reimbursement because of changing regulations negatively impacts hospital profitability. A multiple case study approach was used to explore the successful strategies billing managers employed to collect reimbursement for all legitimate Medicare claims. The target population for this study included 5 hospital billing managers from 3 organizations in the Northern New Jersey region. The complexity theory was used as a framework for assessing changing Medicare regulations and how the managers adapted to them. The data collection process for this study involved gathering data from participant interviews, documentation from the organizations of the participants, and government documented regulations and …
Strategies To Reduce High Employee Turnover In Retail Grocery Store, Olasunkanmi Sola Mustapha
Strategies To Reduce High Employee Turnover In Retail Grocery Store, Olasunkanmi Sola Mustapha
Walden Dissertations and Doctoral Studies
Employee turnover costs an employer 21% of the employee's salary for replacement at all levels except for executives and physicians. The purpose of this single case study was to explore strategies to reduce high employee turnover in the retail grocery store, with the use of Maslow's motivational theory as the conceptual framework. Participants were selected based on their demonstrated use of successful strategies to reduce high employee turnover. Data were collected using semistructured interview with 3 managers in a retail grocery store chain in the south-central region of the United States. Observations were conducted company's documents such as policy handbooks, …
Psychological Characteristics Of Sex Offenders, Patrick Mcmunn
Psychological Characteristics Of Sex Offenders, Patrick Mcmunn
Walden Dissertations and Doctoral Studies
Current therapeutic treatment methods are ineffective in identifying at-risk sex offenders and reducing recidivism of known offenders, likely due to inadequate identification of specific traits of sex offenders. Previous research and prominent theories in the area of sex offender treatment, in terms of the biological foundation of substance abuse, behaviors of sex offenders, and the presence of aggression, helped to guide this research. Data about sex offenders were collected, as reported by mental health professionals who treat them and focused on three characteristics: maladaptive interpersonal behaviors, impulsivity, and antisocial behaviors, on which the research questions were formed to detect commonality. …
Community Engagement And Diverse Representation In Planning For An Immigrant Neighborhood In A U. S. Pacific Northwest City, Christopher Amba Ndifon
Community Engagement And Diverse Representation In Planning For An Immigrant Neighborhood In A U. S. Pacific Northwest City, Christopher Amba Ndifon
Walden Dissertations and Doctoral Studies
Traditional avenues of influencing planning decisions are not intuitive for diverse, historically underrepresented community residents in many neighborhoods and many immigrant residents come from societies where engaging in public discourse is discouraged or dangerous. The focus of this study, the Planning Outreach and Engagement Liaison (POEL) program, was designed to address these discrepancies, yet whether the program was successful is unknown. Using participatory democracy as the theoretical framework, the purpose of this case study was to explore whether the POEL program brought diverse residents together to participate in the neighborhood planning process. Data were collected through semi structured interviews with …
Developing A Clinical Practice Guideline For Improving Communication During Transitions Of Care, Darla P. Hardy
Developing A Clinical Practice Guideline For Improving Communication During Transitions Of Care, Darla P. Hardy
Walden Dissertations and Doctoral Studies
Transition of care refers to the movement of patients between health care settings; it occurs each time patients move between providers within the same setting or between settings based on the patient's acute or chronic health care needs. Care transition includes the efficient and accurate exchange of information needed to provide high-quality continuity of care. A rural community hospital in in the northeastern region of the United States has a skilled nursing facility and an acute care hospital on one campus. This project focused on the development of a clinical practice guideline (CPG) for the hospital to improve communication during …
Assessing Perceptions Of Posttraumatic Stress Disorder Among A Cohort Of Noncontracted Rotc Cadets, Stephen P. Gontz
Assessing Perceptions Of Posttraumatic Stress Disorder Among A Cohort Of Noncontracted Rotc Cadets, Stephen P. Gontz
Walden Dissertations and Doctoral Studies
Stigmatization has shown to negatively impact service members with Posttraumatic Stress Disorder (PTSD). Published research has shown stigma to significantly affect service members through increased suicide, homicide, unemployment, homelessness, and criminal justice system interaction rates. Additionally, stigma also affects overall readiness and cohesion of the military organization. However, little research has focused on the perceptions of Reserve Officer Training Corps (ROTC) cadets about service members with a combat-related stress disorder in which they will eventually be charged with leading. The purpose of this quantitative study was to measure a cohort of ROTC cadets and determine their perceptions about service members …
Mentoring Relationship Preferences Of Early, Middle, And Late Career Stage Registered Nurses, Tonya M. Harewood-Lawrence
Mentoring Relationship Preferences Of Early, Middle, And Late Career Stage Registered Nurses, Tonya M. Harewood-Lawrence
Walden Dissertations and Doctoral Studies
Registered nurses perceive the healthcare work environment as stressful. Stress can have a negative effect on patient care and nurses' attrition and health. In the literature, mentors have been identified as having a positive influence on nurses. This qualitative study was an examination of nurses in mentoring relationships in the early, middle, and late career stage and working in a hospital setting. Two research questions addressed mentoring relationship preferences and mentors' influence on perceived stress. Fourteen nurses were interviewed in the study. The conceptual framework was based on the career and psychosocial mentoring theory, the mentoring the adult learner theory, …
Reducing Recidivism In Gang Affiliated Offenders: An Interpretative Phenomenological Approach, Cassandra Pacheco
Reducing Recidivism In Gang Affiliated Offenders: An Interpretative Phenomenological Approach, Cassandra Pacheco
Walden Dissertations and Doctoral Studies
Recidivism is a major social problem, as is gang membership. Gang membership has been shown to increase the risk of recidivism; however, there is a gap in the literature as to how gang-membership influences reentry experiences. Therefore, the purpose of this study was to explore the experiences of gang affiliated reentry individuals with reentry service providers. This study examined how a gang affiliated identity shape reentry individuals' interactions with reentry organizations. An interpretative phenomenological analysis design was employed in this study. In-person, semistructured interviews were conducted with 5 participants who met inclusion criteria to facilitate an understanding of this population's …
Transitioning From Student To Nurse Practitioner Using The One-Minute-Preceptor Model, Yetrevias Seymour
Transitioning From Student To Nurse Practitioner Using The One-Minute-Preceptor Model, Yetrevias Seymour
Walden Dissertations and Doctoral Studies
Nurse practitioners (NPs) are significant members of the health care team. Variation and lack of standardization in the practicum preparation of the NP has been identified as problematic. There is a need to improve NPs preparation to efficiently and independently impact health care. This project presented the 1-minute-preceptor (OMP) model as a standard tool in the practicum preparation of the NP through a preceptor-focused continuing education session. The aim of the OMP is to help ensure that students are exposed to the level of critical thinking and problem solving needed in the role of an independent, efficient NP. Knowles's adult …
The Regulatory Transformation In Using Medicinal Cannabis To Treat Disease In The United States, Kevin Rubin
The Regulatory Transformation In Using Medicinal Cannabis To Treat Disease In The United States, Kevin Rubin
Walden Dissertations and Doctoral Studies
Therapeutic benefits of medicinal cannabis are well documented in the treatment of a variety of medical conditions. There is not, however, a nationally consistent delivery system, which has prevented many patients from realizing these benefits. Using policy feedback theory as the foundation, the purpose of this general qualitative study was to better understand how state-level regulatory efforts in medicinal cannabis may provide guidance on formulating national public policies that are beneficial to patients. This study compared 3 core tenets of NORML, an authority in the cannabis industry, against the policies of 3 states with exemplary state medical cannabis programs. The …
Financial Management Strategies Used To Market Investment Services To Retiring Military Personnel, Douglas Dwayne Scott
Financial Management Strategies Used To Market Investment Services To Retiring Military Personnel, Douglas Dwayne Scott
Walden Dissertations and Doctoral Studies
Marketing strategies relies on marketing campaigns that target a variety of clients based on demographics to increase profitability through financial planning services. The purpose of this qualitative multiple case study was to explore the marketing strategies financial managers of financial management branch offices used to market their investment services to retiring military personnel. The targeted population comprised 5 financial managers of financial management branch offices in the northeastern region of the United States and surrounding geographical areas who used successful strategies to market investment services to retiring military personnel. Blue ocean theory, which refers to untouched markets, provided the conceptual …
Do American Psychological Association (Apa) Or Council For Accreditation Of Counseling & Related Educational Programs (Cacrep) Accreditations Make A Difference? A Look At Glb Competency Among Faculty And Graduate Students, Veronica Castro
Walden Dissertations and Doctoral Studies
A lack of knowledge and training on the topic of gay, lesbian, and bisexual persons (GLB) in mental health graduate programs can lead to a culture of ignorance and ineffective treatment for a subset of the population. Multicultural competency is defined as having self-awareness of one's own values and biases, knowledge, and skills to work with a given population; and it is important in order to ensure appropriate mental healthcare. The purpose of the current study was to identify if there is a difference in GLB competency among graduate students and faculty (dependent variables) from mental health programs that are …
Adult Clients' Experience Of Walk-And-Talk Therapy, Denice Crowe Clark
Adult Clients' Experience Of Walk-And-Talk Therapy, Denice Crowe Clark
Walden Dissertations and Doctoral Studies
Standards of healthcare exist to promote beneficent treatment; however, treatment approaches are sometimes not supported by research, creating potential ethical issues for clinicians expected to use evidence-based practices. For example, walk-and-talk therapy, where therapy sessions incorporate physical activity in an outdoor setting, is being offered at increasing rates, but research regarding the practice is sparse and primarily reflects the therapists' experiences. Thus, the purpose of this interpretative phenomenological analytic study was to explore the clients' experience of the altered frame of walk-and-talk therapy through the conceptual lenses of therapeutic frame and the biopsychosocial model of well-being. Data were collected through …
Relationship Between Noncognitive Skills And Mathematics Achievement, Joseph Costello
Relationship Between Noncognitive Skills And Mathematics Achievement, Joseph Costello
Walden Dissertations and Doctoral Studies
Despite ongoing efforts to improve curriculum and instruction, students at an urban high school in New Jersey score low on the mathematics achievement components of the Partnership for Assessment of Readiness for College and Careers (PARCC) exam. Guided by Bandura's social cognitive theory, the purpose of this quantitative study was to investigate the relationship between students' noncognitive skills and their mathematics achievement. Students who were enrolled in the local high school in the 2017-18 school year and had completed the geometry component of the PARCC exam in 2016-17 were invited to participate in this study. In this cross-sectional survey design, …
Hiv Prevalence And Donor Funding In Ethiopia, Walelign Meheretu Kassahun
Hiv Prevalence And Donor Funding In Ethiopia, Walelign Meheretu Kassahun
Walden Dissertations and Doctoral Studies
Many researchers have documented the trend of decreasing financial support from donors for human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) responses in Ethiopia. Less information is available regarding the correlation between trends of HIV prevalence and external funding and ways to address the impact that funding scarcity could cause. The purpose of this study was to examine the trend of HIV prevalence and donor funding levels, analyzing how the 2 are correlated, and opportunities to improve responses. Using the proximate determinant framework, the research questions examined the changes in HIV prevalence in Ethiopia during the past 10 years; the association …
Relationship Between Doctor-Patient Communication And Sexual Functioning Among Women With Spinal Cord Injury, Melissa Lafferty
Relationship Between Doctor-Patient Communication And Sexual Functioning Among Women With Spinal Cord Injury, Melissa Lafferty
Walden Dissertations and Doctoral Studies
After individuals sustain a spinal cord injury, all aspects of their lifestyle must change for them to manage their new life roles. One important area of recovery that is often not addressed during the rehabilitation process is sexual functioning. The purpose of this quantitative study was to examine how doctor communication about sexual health with women who have sustained spinal cord injuries predicts their levels of sexual functioning and sexual self-esteem. The theoretical framework was the sexual health model. Questionnaires were used to gather data from 45 women who had completed rehabilitation from spinal cord injuries. Level of current sexual …
Parental Alienation As A Predictor Of Adult Marital And Romantic Relationship Quality, Leslie Elizabeth Krill-Reiter
Parental Alienation As A Predictor Of Adult Marital And Romantic Relationship Quality, Leslie Elizabeth Krill-Reiter
Walden Dissertations and Doctoral Studies
Divorce rates have consistently risen over the past several decades along with the subsequent increase in parental alienation occurring after the breakup of the family. Parental alienation has long-term negative effects on children who have experienced it, including mental health issues, increased risk of substance abuse, lower levels of self-sufficiency, and decreased physical health. The purpose of this quantitative, nonexperimental study was to determine whether alienation from a parent during childhood impacts the quality of adult romantic and marital relationships of the children when they become adults. The Bowen family systems theory and theory of attachment were used as the …
Spousal Caregivers' Challenges When Caring For Their Loved Ones Battling Alzheimer's Disease, Patricia A. Light
Spousal Caregivers' Challenges When Caring For Their Loved Ones Battling Alzheimer's Disease, Patricia A. Light
Walden Dissertations and Doctoral Studies
In the United States, the occurrence of Alzheimer's dementia is growing. This chronic illness is highly prevalent in the elderly population. Studies have advised that the elderly population is primarily affected by this chronic illness as age progresses. Aging may lead to mental or physical deterioration. This chronic illness can be extremely challenging for the spousal caregivers involved and the challenging decisions that must be made. There remains a crucial gap in the literature concerning the challenges experienced by spousal caregivers and how they cope with these factors daily. Specifically, there are no studies exploring the perceptions of spousal caregivers …
Psychological And Contextual Antecedents To Student Engagement Profiles Of Ninth Grade Students, Wendy Ann Jones
Psychological And Contextual Antecedents To Student Engagement Profiles Of Ninth Grade Students, Wendy Ann Jones
Walden Dissertations and Doctoral Studies
Student engagement is a determinant for students' academic success, readiness for higher education, and social agency. The purpose of this qualitative, case study was to explore ninth grade students' perceptions of the contextual and psychological factors that influence the development of student engagement profiles. The ecological systems theory was used as the framework for the study. Through purposive sampling, 15 participants were selected, and 5 groups of 3 were formed based on participants' engagement profiles as identified by cooperating teachers' categorization and the results of the Student Engagement Instrument. Using semi structured interviews, data were gathered for the 4 research …