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Patients And Nurses Attitudes To Hysterectomy And Postoperative Pain Management, Blessing Agu
Patients And Nurses Attitudes To Hysterectomy And Postoperative Pain Management, Blessing Agu
Walden Dissertations and Doctoral Studies
Over 500,000 hysterectomies are performed yearly in the United States, and they often result in a moderate to severe amount of pain. Nurses play a significant role in postoperative pain management. However, studies have shown that despite technological advances and nurses' theoretical knowledge of pain, postoperative pain management remains a challenge among healthcare providers. The purpose of this study was to examine how nurses' and patients' attitude towards abdominal hysterectomy can impact postoperative pain management and hospital length of stay after a hysterectomy. Informed by the theory of reasoned action, the study examined the differences in the nurses' and patients' …
Resilience Or Recovery: A Phenomenological Investigation Into Parental Bereavement, Anita Elderkin
Resilience Or Recovery: A Phenomenological Investigation Into Parental Bereavement, Anita Elderkin
Walden Dissertations and Doctoral Studies
Facing the death of a loved one is often a traumatic experience; when the deceased is one's own child, the loss may be the most stressful event of one's life. There has been very little research into the phenomenon of being a bereaved parent. This study is a phenomenological investigation into the lived experience of being a bereaved parent and whether resilience or recovery plays a role in how parents move through and eventually past such a loss to continue with their own lives. Previous research has indicated that adjustment to traumatic experiences can take multiple pathways or trajectories, depending …
Social Workers' Perceptions Of A Rural Emergency Mental Health Trauma Service, William L. Getz
Social Workers' Perceptions Of A Rural Emergency Mental Health Trauma Service, William L. Getz
Walden Dissertations and Doctoral Studies
Studies have shown that emergency mental health trauma (EMHT) services can significantly reduce the long-term effects of trauma after a disaster. However, rural municipalities may find they do not have the capacity to create such a service, or may not realize that their disaster planning includes no provision for emergency mental health care. Such was the case in a rural island community in the state of Washington, where, in 2014, several residents initiated a discussion that helped to identify the community's lack of EMHT services. This project, framed by action research and based on collaboration theory, sought to advance the …
Assessing Teachers' Confidence In Implementing Food Allergy Emergency Plans, Keturah Elizabeth Hawkins
Assessing Teachers' Confidence In Implementing Food Allergy Emergency Plans, Keturah Elizabeth Hawkins
Walden Dissertations and Doctoral Studies
Food allergies are an increasing health concern in the United States, affecting nearly 6 million children under the age of 18 years. Research has suggested that 18% of school-age children will have their first allergic reactions at school. Life-threatening allergic reactions experienced by children in the school setting are on the rise; however, little is known about how schools implement policies and practices in response to this issue. The purpose of this quantitative cross-sectional study was to narrow the knowledge gap by examining teachers' knowledge, ability, and confidence level caring for students with food allergies. Bandura's social cognitive theory, which …
The Chance Of Complications From Type 2 Diabetes As Perceived By Some Black Seventh-Day Adventists Who Follow A Plant-Based Diet., Charles Misori
The Chance Of Complications From Type 2 Diabetes As Perceived By Some Black Seventh-Day Adventists Who Follow A Plant-Based Diet., Charles Misori
Walden Dissertations and Doctoral Studies
Type 2 diabetes has more than doubled in the past decade among Black Americans. Researchers have suggested that Black Seventh-day Adventists, who follow a plant-based diet, are concerned about preventing the complications from this disease. The purpose of this qualitative ethnographic study was to explore the chance and perceptions of complications from type 2 diabetes among 10 purposefully sampled Black Seventh-day Adventists. The health belief model (HBM) served as the conceptual framework. Two constructs, education and income, were chosen for this study. Education was chosen to increase understanding about the chronic nature of the disease, and income was chosen because …
Stakeholder Influence In Promoting Environmental Sustainability In The Zambian Mining Industry, Helen Mbewe
Stakeholder Influence In Promoting Environmental Sustainability In The Zambian Mining Industry, Helen Mbewe
Walden Dissertations and Doctoral Studies
Mining operations often cause environmental and social problems for communities. Efforts by major stakeholders in most developing countries to create and enforce an ethical framework for mining industry operations have been inconsistent. The purpose of this qualitative multiple case study, which was based on stakeholder theory, was to explore stakeholders' perspectives on the implementation of environmental policies and mining operations in Zambia. Data collection involved semistructured interviews with a purposeful sample of 24 research participants from a copper mining company operating in the Copperbelt Province of Zambia, the government ministry for mining, energy, and water development, the environmental protection agency, …
Educating Nurses How To Critique Research Reports, Jacqueline Carol Pinkowski
Educating Nurses How To Critique Research Reports, Jacqueline Carol Pinkowski
Walden Dissertations and Doctoral Studies
When bedside acute care nurses support their clinical practice with current best evidence, patient outcomes improve. Most bedside acute care nurses base their clinical decision-making on tradition and not the application of evidence based practice (EBP). The ability to appraise research is a critical component in the application of EBP and best care practices. The purpose of the DNP project was to obtain 5 content experts' evaluations of an education module for bedside nurses on how to analyze a research report, complete a literature review, and create a table of evidence (TOE). The theoretical framework guiding the project was the …
Role Of Midline Catheters In Patient Care, Tina K. Schlegel
Role Of Midline Catheters In Patient Care, Tina K. Schlegel
Walden Dissertations and Doctoral Studies
Central line-associated bloodstream infections (CLABSIs) are responsible for 100,000 patient deaths per year, creating a critical need for prevention of these deadly infections that occur with central venous lines (CVLs). Alternative forms of IV access such as midline catheters (MLCs) may offer lower rates of infection than those seen with CVLs. MLCs were implemented at the practice setting in 2016; however, no evaluation of their effectiveness had been conducted. The purpose of this project was to evaluate the effectiveness of MLCs using a retrospective, pre- post- comparison of CLABSI rates and device utilization rates (DUR) obtained from the practice setting …
Improving The Quality Of Electronic Documentation In Critical Care Nursing, Brent Alan Stevens
Improving The Quality Of Electronic Documentation In Critical Care Nursing, Brent Alan Stevens
Walden Dissertations and Doctoral Studies
Electronic nursing documentation systems can facilitate complete, accurate, timely documentation practices, but without effective policies and procedures in place, a gap in practice exists and quality of care may be impacted. This systematic review of literature examined current evidence regarding electronic nursing documentation quality. General systems theory and the Donabedian model of health care quality provided the framework for the project. Electronic databases PubMed and the Cumulative Index of Nursing and Allied Health were searched for articles addressing electronic nursing documentation practices. The Cochrane systematic review methodology was used to analyze the articles. Articles were excluded if published before 2001 …
Policies And Procedures To Address Respite Care, Hannah Washington Williams
Policies And Procedures To Address Respite Care, Hannah Washington Williams
Walden Dissertations and Doctoral Studies
Hospice services are utilized by more than 1.6 million people yearly, and there are a great number of caregivers who are tasked with caring for these individuals at home. Caregivers are at risk for fatigue, burnout, and decline in their own physical and mental health. While the Centers for Medicare and Medicaid Services (CMS) cover costs of temporary respite care for hospice patients, the caregivers' needs for respite care are often unrecognized and unaddressed. The purpose of this project was to plan a respite program within the hospice agency consisting of revised respite policy and procedures, the Caregiver Reaction Assessment …
The Effect Of Emotionally Validating And Invalidating Responses On Emotional Self-Efficacy, Gregory Witkowski
The Effect Of Emotionally Validating And Invalidating Responses On Emotional Self-Efficacy, Gregory Witkowski
Walden Dissertations and Doctoral Studies
The power of abuse, either in childhood or in adulthood, is clear in many cases. Yet certain types of abuse are harder to detect and understand. Emotional invalidation is one type of abuse that is characterized by an incongruence or minimization of another person's emotions. This experimental study explored effects of emotional invalidation and emotional validation on people's level of emotional self-efficacy. Participants (n = 230) were recruited through Quest Mindshare using a survey created through SurveyMonkey, and randomly placed into 3 groups. All participants were given a survey that asked them to choose how certain pictures made them feel. …
Maternal Health Literacy, Antenatal Care, And Pregnancy Outcomes In Lagos, Nigeria, Olubunmi Adanri
Maternal Health Literacy, Antenatal Care, And Pregnancy Outcomes In Lagos, Nigeria, Olubunmi Adanri
Walden Dissertations and Doctoral Studies
Maternal mortality, an example of poor maternal health outcomes, is widely accepted as an indicator of the overall health of a population. One of the Millennium Development Goals was reduction in maternal mortality by 3 quarters by 2015. These goals were not met in Nigeria and it is important to look at some of the reasons why. Education has been shown to have positive impact on pregnancy outcomes; however, the characteristics of pregnant women, their health literacy level, their usage of antenatal care services and how these impact pregnancy outcomes are yet to be analyzed in Lagos, Nigeria. Guided by …
Perceptions Of Homeless Shelter Staff Workers On Chronic Homeless Individuals, Jimmy L. Griffith
Perceptions Of Homeless Shelter Staff Workers On Chronic Homeless Individuals, Jimmy L. Griffith
Walden Dissertations and Doctoral Studies
While researchers have identified the Housing First model of putting homeless persons into permanent housing as the best means of improving the quality of life for chronically homeless individuals, few studies have examined the perceptions of shelter staff workers on the barriers the homeless face in obtaining and maintaining long-term housing. This case study of 2 homeless shelters in New Jersey examined the relationship that fair and just democratic processes play in supporting or undermining Housing First. Data came from New Jersey's annual Point in Time counts of the number of homeless individuals and families and the causes and service …
Program Evaluation Of Patient Safety And Risk Mitigation Educational Interventions For Medical Errors In Primary Care Settings By Patricia Rose Gould, Patricia Rose Gould
Program Evaluation Of Patient Safety And Risk Mitigation Educational Interventions For Medical Errors In Primary Care Settings By Patricia Rose Gould, Patricia Rose Gould
Walden Dissertations and Doctoral Studies
The Institute of Medicine reported in 2016 that medical errors are the 3rd leading cause of death in the United States. In the primary care setting, frequency and severity are unknown. Medical error research is limited related to evaluation of interventions conducted by medical professional liability (MPL) companies of risk mitigation strategies. The purpose of this program evaluation was to determine the impact of multifaceted patient safety and risk mitigation educational interventions conducted in primary care settings on patient safety, reporting, and liability. The program evaluation employed a retrospective secondary analysis of actuarial data from a MPL carrier's educational interventions …
Promoting Policy Advocacy In Nursing Via Education, Carolyn Sue Jurns
Promoting Policy Advocacy In Nursing Via Education, Carolyn Sue Jurns
Walden Dissertations and Doctoral Studies
Nurses have a professional, ethical, and social responsibility to advocate for optimal healthcare and an optimal professional environment. However, nurses often default on that responsibility. Leadership at a national nursing organization's state affiliate (SNO) perceived a need to optimize its members' policy advocacy. To meet that need, the Policy Advocacy Toolkit for Nurses (PATN) was developed for this doctoral project. The evidence-based PATN relied on established theories and frameworks, notably Knowles' adult education theory and Kingdon's multiple streams approach; research specific to this project; evidence from other researchers, healthcare organizations, and government websites; and input from a statistician, nursing education …
Alleviating Discharge Confusion For Older Patients Using The Teach-Back Method, Tracey Marie Haire
Alleviating Discharge Confusion For Older Patients Using The Teach-Back Method, Tracey Marie Haire
Walden Dissertations and Doctoral Studies
Discharge instructions and medication directions can be overwhelming for older adults, which can lead to potential medication errors, noncompliance, readmissions, and patient safety concerns. At a specialty lung clinic, the goal is to improve patient safety and to decrease the chance of errors by standardizing the discharge process via a Teach-Back education policy and protocol. Without consistency, there is a potential for mistakes and misunderstandings. The Agency for Healthcare Research and Quality (AHRQ) and the Institute for Healthcare Improvement (IHI) considers the Teach-Back discharge method as best practice and should be considered universal practice among health care workers. Using the …
Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley
Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley
Walden Dissertations and Doctoral Studies
The Centers for Disease Control and Prevention reported that African American women had the lowest recorded number of suicide completions among all ethnic and gender groups in the United States. In addition, the number of suicides among African American women continued to soar without a clear reason or understanding of their lowest completion rates. Further research in the area of spirituality among African American women may be critical in understanding why African American women's rates of completed suicides are statistically lower than other ethnic groups and how to prevent future rate increases. A phenomenological framework was used to examine the …
Leadership Attributes And Behaviors As Predictors Of Organizational Resilience In Academic Health Care Systems, Patti Lynn Besuner
Leadership Attributes And Behaviors As Predictors Of Organizational Resilience In Academic Health Care Systems, Patti Lynn Besuner
Walden Dissertations and Doctoral Studies
Research intentionally addressing how leadership attributes and behaviors collectively contributed to the socioecological perspective of organizational resilience were not found. This is a problem for organizations who must hire without benefit of how a collective leadership effect might influence their psychological capital. The purpose of this study was to explore whether or not self-efficacy, psychological empowerment, personal resilience, and leadership style were associated with or predicted organizational resilience among clinical managers in an academic medical center setting. Metatheory of resilience and resiliency was used to frame the study. A quantitative correlational design was used. Self-reported data was collected via the …
Rumination And Self-Medication Among Women With Posttraumatic Stress And Alcohol Use Disorders, Deeann Dawn Lizarraga
Rumination And Self-Medication Among Women With Posttraumatic Stress And Alcohol Use Disorders, Deeann Dawn Lizarraga
Walden Dissertations and Doctoral Studies
Women with posttraumatic stress disorder (PTSD) often develop alcohol use disorders (AUD) resulting from the use of alcohol to self-medicate from negative affect. Research supports the relationship between comorbid PTSD and AUD, and studies with women additionally identify the role of rumination, or excessive thinking about distress and its causes, as a precipitating aspect leading to self-medication. Female-based data is sparse, however, regarding specific thought patterns and factors which trigger the need to self-medicate with alcohol. Numerous researchers have studied the relationship between stress, anxiety, and alcohol use, although, there exists a need for qualitative studies providing thick, rich information. …
Perfecting Patient Bed Flow In The Emergency Department, Kim-Sun Moreira
Perfecting Patient Bed Flow In The Emergency Department, Kim-Sun Moreira
Walden Dissertations and Doctoral Studies
Emergency department (ED) crowding is a serious problem in the United States. Crowding in the ED can result in delays that may negatively affect patient outcomes and increase the cost of care. The purpose of this project was to understand strategies that can help to improve patient flow in the ED. The plan-to-do-study act model for process improvement influenced this project. Secondary data were collected for a 2-month period to determine the impact of workflow processes (patient boarding time in ED, surge capacity and workflow processes including the impact of ancillary departments) on the movement of admitted patients from the …
Hiv Prevalence Determinants Among Young People In Zimbabwe: Sexual Practices Analysis, Joyce Caroline Mphaya
Hiv Prevalence Determinants Among Young People In Zimbabwe: Sexual Practices Analysis, Joyce Caroline Mphaya
Walden Dissertations and Doctoral Studies
A decline in Human Immunodeficiency Virus (HIV) prevalence rates have been observed among females ages 15 to 19 years and 20 to 24 years in Zimbabwe between 2005 and 2010. However, for males 15 to 19 years, rising trends were observed, whereas for males ages 20 to 24 years, rates fluctuated between 2005 and 2011. The purpose of this cross-sectional study was to examine relationships between sexual behaviors and practices and HIV prevalence among young males and females ages 15 to 24 years in Zimbabwe. Guided by constructs of proximate determinants framework, extracted data from two National Demographic Health surveys …
Strategies For Managing The Shortages Of Registered Nurses, Jody-Kay Mcfarlane Peterson
Strategies For Managing The Shortages Of Registered Nurses, Jody-Kay Mcfarlane Peterson
Walden Dissertations and Doctoral Studies
The purpose of this multiple case study was to explore strategies that healthcare facility leaders in Central Minnesota use to recruit and retain qualified nurses. Participants were 6 healthcare facility leaders including 2 nursing directors, 2 human resource personnel, 1 nurse supervisor/administrator, and 1 nurse recruiter who had the knowledge and experience in recruitment and retention of Registered Nurses (RNs) in healthcare facilities in Central Minnesota. The Herzberg 2-factor theory was the conceptual framework. Semistructured interviews were used to collect data. Data were analyzed using Morse's 4 steps data analysis process. The major themes were recruitment strategies and retention incentives. …
Strategies To Reduce Stress In The Insurance Industry, Rhonda Gene Bell
Strategies To Reduce Stress In The Insurance Industry, Rhonda Gene Bell
Walden Dissertations and Doctoral Studies
Approximately 40% of American workers report their jobs are extremely stressful. Business leaders who fail to address workplace stress increase employee propensity for poor performance, resulting in diminished profits. Grounded in the person-environment fit framework, the purpose of this single case study was to explore strategies 9 insurance industry leaders in Franklin County, Ohio used to mitigate workplace stress. The 9 insurance leaders who participated in the study work closely with staff, have experience working in stressful work environments, and utilize various tools to reduce stress. Data collected from face-to-face interviews and reviews of organizational documentation were useful for the …
Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda
Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda
Walden Dissertations and Doctoral Studies
Despite the existence of breast cancer screening that could promote early diagnosis and survival of breast cancer, high mortality rates of breast cancer persist among Filipino women. The purpose of the qualitative study was to describe the perceptions, beliefs, and behaviors of Filipino women working as Overseas Filipino Workers (OFWs) in Saudi Arabia. Face-to-face interviews were conducted with 20 Filipino women between the ages of 40 to 60 years who were recruited voluntarily using purposeful sampling technique. Guided by the structures of health belief model (HBM), the study used an inductive coding technique to elicit common themes from the raw …
Willingness Of Nurses To Respond After An Alaskan Earthquake: Systematic Literature Review, Jane Marie Luscumb
Willingness Of Nurses To Respond After An Alaskan Earthquake: Systematic Literature Review, Jane Marie Luscumb
Walden Dissertations and Doctoral Studies
Nurses may share a commonality of issues which can affect their willingness and ability to respond as post-disaster emergency care providers. Guided by expectancy, locus of control, and chaos theory, a systematic literature review was conducted to identify the barriers which affect nurses' willingness and ability to report to their unit after a disaster occurs. Briggs methodology guided this systematic review, and Fineout-Overholt's and Melnyk levels of evidence were used to evaluate the reliability of information and effectiveness of their interventions. Fifteen articles meeting the inclusion criteria (addressed nurses' willingness to report to their unit or to contact the incident …
Theory Of Planned Behavior Analysis And Organic Food Consumption Of American Consumers, Marie Elizabeth Donahue
Theory Of Planned Behavior Analysis And Organic Food Consumption Of American Consumers, Marie Elizabeth Donahue
Walden Dissertations and Doctoral Studies
The majority of organic foods consumed by Americans are sourced internationally, which has global-reaching implications on health, economics, and sustainability. Current research findings show that environmental devastation and negative health outcomes have resulted from unsustainable, nonorganic agricultural practices; including herbicides, pesticides, and overcultivation. However, there is a lack of quantitative research on factors that motivate Americans to consume organic food. Based on the theory of planned behavior, this quantitative study employed an online survey to examine the role of attitudes, subjective norms, descriptive norms, and perceived behavioral control on the intention and behavior of American consumers to consume organic foods. …
Minimizing Nepotistic Practices In Family Owned And Operated Businesses: The Private Sector, Darlene Thomas Thomas
Minimizing Nepotistic Practices In Family Owned And Operated Businesses: The Private Sector, Darlene Thomas Thomas
Walden Dissertations and Doctoral Studies
Owners of family businesses in the private sector must be cognizant of nepotism to reduce skilled employee turnover. Guided by Herzberg two-factor theory as the conceptual framework, the purpose of this multiple case study was to explore strategies used by family owned and operated business leaders to minimize nepotistic practices that reduce skilled nonfamily employees' voluntary turnover. The population for this study included 3 family owned and operated funeral establishments in the Midwest region of St. Louis, Missouri. These participants had sustained their family businesses longer than 5 years while minimizing skilled nonfamily employees' voluntary turnover. Data were collected from …
Perceived Barriers To Lifestyle Change In Obese, Low-Income Hispanic Women, Mariana Daniela Torchia
Perceived Barriers To Lifestyle Change In Obese, Low-Income Hispanic Women, Mariana Daniela Torchia
Walden Dissertations and Doctoral Studies
Low-income Hispanic women are the fastest growing minority population in the United States, and they have increased risks of obesity and secondary health issues, such as diabetes, related to their obesity. The purpose of this phenomenological study was to explore the barriers to lifestyle change among obese, low-income Hispanic women (OLHW). A health belief model lens was used. The study sample consisted of 15 OLHW who were clinic patients and ranged in age from 20-59. Recruitment occurred in a low-income, Southern California, outpatient clinic setting through volunteer participation from recruitment flyers. Fifteen women took part in 1-hour, in-depth interviews, which …
Integrating Public Affairs Information Strategy With Organizational Practices In Healthcare Delivery Organizations, Brian S. Vamstad
Integrating Public Affairs Information Strategy With Organizational Practices In Healthcare Delivery Organizations, Brian S. Vamstad
Walden Dissertations and Doctoral Studies
Public affairs professionals are responsible for monitoring the sociopolitical environment and using information strategies to respond to public policy proposals on behalf of firms and organizations. To develop, implement, and legitimize public policy, lawmakers and public administrators rely on the input from external experts and stakeholders. The purpose of this research was to explore how public affairs engage with healthcare intraorganizational stakeholders to leverage their knowledge for information strategies. Knowledge transfer served as a theoretical framework through a qualitative multiple case study of 3 healthcare delivery organizations in the upper Midwest of the United States. Primary data were collected using …
Succession Planning In Family-Owned Businesses, Daisy Chesley
Succession Planning In Family-Owned Businesses, Daisy Chesley
Walden Dissertations and Doctoral Studies
Many family-owned businesses lack strategies regarding succession planning. Succession planning is a company's way of embracing the future. The majority of U.S.-based family-owned businesses do not survive to the second generation, and only 3% of family-owned businesses make it past a third generation. This descriptive case study explored strategies that 4 leaders of a family-owned financial business in the Washington, DC area use to prepare future generations to assume leadership roles in their company. The theory of family systems and the theory of organizational and business development were the conceptual frameworks for this study. In-depth interviews with purposively selected members …