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Articles 361 - 390 of 922
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Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh
Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh
Walden Dissertations and Doctoral Studies
Hepatitis C virus (HCV) is found worldwide, but the burden is much higher in correctional settings compared to general populations. In a detention centered located in Washington, the nurses at booking do not know who are at risk for Hepatitis C. This Doctor of Nursing (DNP) project attempted to answer the question of if educating nursing staff at the detention facility in Washington increase their knowledge of the importance of screening inmates for hepatitis C.The purpose of this project was to educate nursing staff about the risk factors for HCV so that proper screening can be done. Knowles’s adult learning …
Assessment Of Multidrug Resistance Among Tuberculosis Patients In Lesotho, Jerry Yakubu Yahaya
Assessment Of Multidrug Resistance Among Tuberculosis Patients In Lesotho, Jerry Yakubu Yahaya
Walden Dissertations and Doctoral Studies
The emergence of multidrug-resistant tuberculosis (MDR-TB) jeopardizes the tremendous efforts in the fight against tuberculosis in Lesotho. To understand the occurrence of MDR-TB, it is important to identify the associated risk factors and how to address them. There is a literature gap on the sociodemographic risk factors associated with MDR-TB in Lesotho. This study assessed whether there is any significant association between age, employment, income, sex, education, place of residence and MDR-TB. The association between HIV and MDR-TB was also evaluated. Guided by the health belief model and social cognitive theory, a retrospective case-control study design and a proportionate stratified …
Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings
Nursing Education For Central Line-Associated Bloodstream Infections In Intensive Care Units, Carren Sandra Mullings
Walden Dissertations and Doctoral Studies
Central line associated blood stream infections (CLABSIs) are the most acquired hospital infection in the United States. CLABSI is caused by bacteria that enter the bloodstream through a central line. In the United States, CLABSI has a mortality rate of 18%, and every year 250,000 people are infected. Of these, 30,000 patients die due to CLABSI infections, hospital stays are prolonged, and hospital costs are increased. Patients in an intensive care unit (ICU) are more exposed to CLABSI because of procedures that break tissues and skin, such as the insertion of a central line. A gap in practice was identified …
Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques
Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques
Walden Dissertations and Doctoral Studies
AbstractZika virus is an infectious disease caused by the bite of an infected mosquito that has been linked to increased rates of microcephaly and other devastating birth defects. The existing body of knowledge has focused on the individual-level factors that influence a person’s decisions about prevention activities and risk perceptions related to Zika virus. The purpose of this study was to determine the relationship between state-level plans for prevention and education and individual-level risk perceptions. Rosenstock’s health belief model lays a foundation for why individuals make the health decisions they do and helps explain how these can be influenced for …
Oral Health Behaviors, Attitudes, And Dental Diseases In Native American/Alaskan Native School-Age Children, Tawanda Martin
Oral Health Behaviors, Attitudes, And Dental Diseases In Native American/Alaskan Native School-Age Children, Tawanda Martin
Walden Dissertations and Doctoral Studies
Dental disease is a highly preventable pediatric disease, and 70% of Native American/Alaskan Native (NA/AN) preschool children have a history of dental caries, which is 3.5 times higher than in the general population. This study aimed to conduct a meta-analysis examining the impact of oral health behaviors and attitudes of NA/AN parents and guardians on dental disease in NA/AN school-age children. The impact of frequency of flossing and brushing, consumption of sugary foods, dental visits, dental attendance reason, sealants, fluoride treatment, and oral health education by NA/AN parents and guardians on children’s caries and periodontal diseases status was explored. Additionally, …
Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin
Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin
Walden Dissertations and Doctoral Studies
Blood-borne pathogens (BBPs) are an occupational risk confronted by many health care workers. Nurses are routinely exposed to Hepatitis B, Hepatitis C, and human immunodeficiency virus. A literature review, which included retrieval of peer-reviewed quantitative articles, systematic reviews, and mixed-methods studies published between 2014 and 2021 supported the need for nurses to be knowledgeable about prevention of BBP exposures and the processes to follow after an incident. The project aimed to educate staff nurses on the best practices for preventing the risk for and transmission of BBPs. A pretest–education–posttest format was used to assess knowledge before and after the presentation …
Comprehensive Sex Education, Religious Affiliated Organizations, And Std Knowledge Among Young Adults, Leslie Marie Shaffer
Comprehensive Sex Education, Religious Affiliated Organizations, And Std Knowledge Among Young Adults, Leslie Marie Shaffer
Walden Dissertations and Doctoral Studies
AbstractEvery year there are approximately 20 million new cases of sexually transmitted diseases (STDs) in the United States, and half of these are among young adults. Stark County, Ohio recently experienced an increase in chlamydia, gonorrhea, and syphilis cases among 18- to 24-year-old individuals. Public health practitioners have since called for research regarding factors that affect STD knowledge and perceptions in this population. This cross-sectional study was guided by the social-ecological model and assessed the association between attendance at a religious-affiliated institution, access to comprehensive sex education, and STD knowledge. One hundred thirty-eight (n=138) participants, aged 18 to 24 years, …
Former Female Sex Workers’ Perceptions Of Spirituality In Exiting Sex Work, Lisa Diane Hall
Former Female Sex Workers’ Perceptions Of Spirituality In Exiting Sex Work, Lisa Diane Hall
Walden Dissertations and Doctoral Studies
Exiting sex work is extremely difficult. Women trying to exit sex work experience cycles of exit and reentry until they finally succeed. Spirituality has been identified as one of the factors that contribute to the exiting process or that help in the decision of not returning to sex work. The purpose of this interpretative phenomenological analysis was to explore former female sex workers’ perceptions of spirituality during the process of exiting sex work. The integrated model for exiting sex work constituted the theoretical basis for this study. Data were collected from semistructured interviews with 15 adult former female sex workers …
The Risk Factors For Hiv In African American Transgender Women In Connecticut, Oliver Kunda
The Risk Factors For Hiv In African American Transgender Women In Connecticut, Oliver Kunda
Walden Dissertations and Doctoral Studies
AbstractThe human immunodeficiency virus (HIV) incidence rate is 70 times higher for African American transgender women than in the general population. Despite decades of outreach and intervention effort to reduce HIV incidence in the transgender community by the lesbian, gay, bi-sexual, transexual, queer, plus (LGBTQ+) community and public health organizations, the HIV prevalence rate for transgender women remains high at 38%. The purpose of this qualitative exploratory case study was to gain insights into how attitude, subjective social norms, and perceived behavioral control influence HIV risk behaviors of African American transgender women in Connecticut. Ajzen’s theory of planned behavior provided …
Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson
Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson
Walden Dissertations and Doctoral Studies
African American female offenders on parole under community supervision reenter communities as convicted felons and face the challenges of intersectionality and collateral consequences. The purpose of this descriptive phenomenological qualitative study was to explore the experiences of African American female offenders active on parole and under community supervision. General strain theory was used to explore the experiences of African American female offenders on parole and under community supervision. Data were collected through semi-structured telephone interviews with a purposive sample of 10 African American female offenders, ages 18 and above who were on parole and under community supervision. Colaizzi’s seven-step method …
Experiences Of Nurses Who Provide Advance Care Planning In The Dialysis Setting, Sheree Mullen
Experiences Of Nurses Who Provide Advance Care Planning In The Dialysis Setting, Sheree Mullen
Walden Dissertations and Doctoral Studies
AbstractPatients diagnosed with end-stage renal disease (ESRD) receiving dialysis experience increased symptom burden and multiple hospitalizations as the disease progresses. Dialysis nurses are charged with involving ESRD patients in decisions regarding their care and advance care planning for end-of- life; however, discussions about end-of-life care do not consistently occur. Providing advance care planning is important to involve the patient in their end-of-life care needs. The purpose of this qualitative descriptive study guided by the theory of planned behavior was to explore the experiences of nurses who provide advance care planning to patients receiving dialysis therapy. Eight participants volunteered to participate …
Spirituality, Hiv And Black/African American Women, Shawanna D. Brun
Spirituality, Hiv And Black/African American Women, Shawanna D. Brun
Walden Dissertations and Doctoral Studies
Despite the surmounting prevalence of human immunodeficiency virus (HIV) among Black women, few studies have been conducted to examine culturally appropriate prevention methods to reduce the occurrence of the disease. The purpose of this cross-sectional study was to explore how religion/spirituality affects the attitudes, beliefs, and self-perceptions of HIV/AIDS among 151 Black/African women, ages 25-44, in Florida, and to investigate the impact of HIV-related stigma on the attitudes, beliefs, and self-perceptions of HIV/AIDS within this population. Social cognitive theory was the framework of the study. Multiple linear regression and hierarchical regression were used to analyze the survey data. Results revealed …
Impact Of The Covid-19 Pandemic On The Emotional Health Of Military Police, Murat M. Elahi
Impact Of The Covid-19 Pandemic On The Emotional Health Of Military Police, Murat M. Elahi
Walden Dissertations and Doctoral Studies
In recent years, reports of police stress during the COVID-19 pandemic have proliferated across the United States. The extent and nature of the pandemic on the morale and emotional health of law enforcement and the communities they serve have received significant attention from scholars and researchers. In addition, a growing body of literature examining the impact on work performance and overall mental health of first responders serving selflessly during the height of the COVID-19 pandemic also exists. However, there was gap in the research of the impacts on the emotional health of military police members that have worked during the …
Barriers To Blood Availability Within The New Orleans Area, Tishawn Michelle Francis
Barriers To Blood Availability Within The New Orleans Area, Tishawn Michelle Francis
Walden Dissertations and Doctoral Studies
An adequate and reliable supply of blood and blood components is becoming an increasing public health concern. Over the past decade, researchers have indicated a continued decline in the collection of blood products. An insufficient blood supply may present a risk to both patients and reserves for emergencies and disasters. The purpose of this quantitative, cross-sectional study was to determine whether gender, age group, ethnicity, year, serological tests, and discard factors were associated with the availability of the donated blood supply throughout the New Orleans region. The donated blood supply chain model guided this study. Secondary data were retrieved from …
Help-Seeking Behaviors For Depression Among Native Hawaiian Women In The Western Region Of The United States Mainland, Marlana Glover
Help-Seeking Behaviors For Depression Among Native Hawaiian Women In The Western Region Of The United States Mainland, Marlana Glover
Walden Dissertations and Doctoral Studies
Help-seeking for depression, as with other mental illnesses is contingent upon stigmas that one perceives. Although causes for depression differ among indigenous populations, native Hawaiians suffer from the Western acculturation and colonization of their homeland. With lack of trust in the U.S. healthcare system, many native Hawaiians are reluctant to seek help for depression. Furthermore, research has shown that most studies on native Hawaiians are conducted in their native environment when many Hawaiians relocate to the U.S. mainland. Because of the current depression crisis, it is critical to explore depression among native Hawaiians, particularly women on the mainland to see …
The Role Of Health And Diet In The Development Of Metabolic Syndrome Stratified By Race, Sex, And Age, Michael D. Harada
The Role Of Health And Diet In The Development Of Metabolic Syndrome Stratified By Race, Sex, And Age, Michael D. Harada
Walden Dissertations and Doctoral Studies
Obesity is now recognized as a disease in need of treatment by the medical profession and is associated with other chronic diseases including hypertension, hyperglycemia, hypertriglyceridemia, insulin-resistance, and reduced levels of high density lipoproteins. Metabolic syndrome (MetS) occurs when a combination of at least three of these chronic conditions are comorbid with each other. The purpose of this quantitative cross-sectional study was to find significant health and nutritional predictors of MetS status across race, sex, and age. The evolutionary mismatch hypothesis and health belief model provided the framework for this study. Data were collected from 2,303 participants from the 2015-2016 …
Factors That Determine Utilization Of The Canadian School-Based Human Papilloma Virus Vaccine Programs, Diane Gloria Brown
Factors That Determine Utilization Of The Canadian School-Based Human Papilloma Virus Vaccine Programs, Diane Gloria Brown
Walden Dissertations and Doctoral Studies
Human Papilloma Virus (HPV) is the most common sexually transmitted infection in the world and is the known causative agent of many HPV-associated cancers in both males and females. HPV vaccination rates in Canada are significantly lower than other developed countries and this finding is poorly understood as Canadian adolescents have access to free-of-charge HPV vaccines through school-based vaccination programs. This quantitative descriptive study used an online survey to collect data from 992 eligible respondents. This study identified predisposing, enabling, and need factors characterized by the Andersen behavioral model of health services use which facilitate or impede the use of …
Stigma Toward People With Opioid Use Disorder In Southwest Michigan, Kathy A. Carruthers
Stigma Toward People With Opioid Use Disorder In Southwest Michigan, Kathy A. Carruthers
Walden Dissertations and Doctoral Studies
The opioid epidemic is one of the largest health problems in America. In one Southwest Michigan county, opioid overdose deaths increased from 36 deaths in 2008 to 104 deaths in 2017. In the same county, stigma was identified as the highest-ranked reason people do not seek opioid use disorder (OUD) treatment. The purpose of this study was to examine knowledge that social work practitioners have regarding stigma toward people who inject drugs with OUD in Southwest Michigan. The purpose aligned with social work values as people with OUD are marginalized and cannot advocate for themselves. The theoretical framework that guided …
Human Services Caseworkers’ Experiences Working Remotely During Covid-19, Sandra Lachelle Brown
Human Services Caseworkers’ Experiences Working Remotely During Covid-19, Sandra Lachelle Brown
Walden Dissertations and Doctoral Studies
Human services caseworkers have shifted from traditional means of providing services to their clients since the onset of COVID-19. Providing services and/or resources to clients from the home environment leads to work responsibilities and family demands that may affect work-life balance. Researchers have studied working remotely, but they have not explored human services caseworkers and their experiences of providing remote services during a pandemic. The purpose of this qualitative generic study was to explore human services caseworkers’ experiences with work-life balance while providing remote services versus face-to-face services to clients during a pandemic. Semistructured interviews were conducted with 12 human …
Nutrition And Physical Exercise Prevention Strategies To Reduce Obesity During The Covid-19 Pandemic, Carmesha Vajill Carter
Nutrition And Physical Exercise Prevention Strategies To Reduce Obesity During The Covid-19 Pandemic, Carmesha Vajill Carter
Walden Dissertations and Doctoral Studies
Obesity has reached an epidemic level of 75 million obese adults and 15 million obese children in the United States. The research problem addressed in this study is the lack of information on how obese people manage their weight-loss strategies to prevent or reduce obesity during shut-in place restrictions for the COVID-19 Pandemic. This study included the Prochaska and DiClemente Trans-Theoretical Model of Behavioral Change and the Stage of Change Theory. The phenomenon approach using phenomenology described participants' lived experiences of being obese. The researcher completed data collection and evaluation among sixteen participants using email questionnaires to analyze participant's responses …
Pharmacists’ Responses To Medication Management Following Disasters, Rellamichelle W. Tyree
Pharmacists’ Responses To Medication Management Following Disasters, Rellamichelle W. Tyree
Walden Dissertations and Doctoral Studies
Disasters, both natural and human made, can cause emerging health threats in the United States and the Caribbean. The disasters that pharmacists experienced and reported for this study included hurricanes, snowstorms, ice storms, flooding, and a pandemic. The purpose of this research was to investigate the challenges and outcomes associated with pharmacists’ medication management practices during and following disasters. This generic qualitative study focused on pharmacists’ experiences and their responses to disaster planning and medication management activities. The ecological model of disaster management was the conceptual framework used to investigate the pharmacists and their responses and actions used to address …
Exploring Infant Massage As Standard Nonpharmacological Treatment For Neonatal Opioid Withdrawal Syndrome, Christine Ann Perez
Exploring Infant Massage As Standard Nonpharmacological Treatment For Neonatal Opioid Withdrawal Syndrome, Christine Ann Perez
Walden Dissertations and Doctoral Studies
The opioid epidemic in the United States has increased opioid use in women of reproductive age, leading to in utero exposure causing withdrawal symptoms in newborns known as neonatal opioid withdrawal syndrome (NOWS). State perinatal quality collaboratives (SPQCs) have been used in hospitals with quality initiatives (QIs) to improve standardization for NOWS; however, there remains a gap in knowledge in interventions to support the mother-infant dyad such as infant massage. This general qualitative research study explored the process and experiences of implementing infant massage as a standard practice for NOWS to inform national, state, and local policy. Participants in the …
Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques
Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques
Walden Dissertations and Doctoral Studies
AbstractZika virus is an infectious disease caused by the bite of an infected mosquito that has been linked to increased rates of microcephaly and other devastating birth defects. The existing body of knowledge has focused on the individual-level factors that influence a person’s decisions about prevention activities and risk perceptions related to Zika virus. The purpose of this study was to determine the relationship between state-level plans for prevention and education and individual-level risk perceptions. Rosenstock’s health belief model lays a foundation for why individuals make the health decisions they do and helps explain how these can be influenced for …
Retention Strategies For The Current Nursing Workforce, Jennifer Higgins
Retention Strategies For The Current Nursing Workforce, Jennifer Higgins
Walden Dissertations and Doctoral Studies
Retaining a robust nursing workforce is essential to care delivery. As the generation gap in the nursing field widens, retention strategies that align with the current nursing workforce must be considered. Rapid turnover is a looming concern as baby boomers retire and millennials become the leading generation in the nursing workforce. Nurse leaders must identify and deploy strategies that will provide a meaningful work environment to retain nurses in this majority group. The purpose of this project was to address the gap in practice of rising turnover, low nurse engagement, and reliance on premium labor to deliver care. The sources …
Attitudes Of State Public Health Laboratory Directors Towards Iso/Iec 17025 Accreditation, Christine Kilonzo
Attitudes Of State Public Health Laboratory Directors Towards Iso/Iec 17025 Accreditation, Christine Kilonzo
Walden Dissertations and Doctoral Studies
The impact of ISO/IEC 17025 accreditation in state public health laboratories (SPHLs) is understudied. There is a scarcity of research on SPHLs involving behavioral intent regarding ISO/IEC 17025 accreditation. The theory of planned behavior (TPB) was utilized to evaluate SPHL directors’ attitudes towards and intent to seek or maintain ISO/IEC 17025 accreditation. To test the questions of whether the three constructs of the TPB, attitude, subjective norms and perceived behavioral control are significant predictors of intent to seek or maintain ISO/IEC 17025 accreditation, and whether there are significant differences in these constructs towards the accreditation between SPHL directors based on …
Workplace Violence, Trauma, And The Lived Experience Of Corrections Officers: A Phenomenological Study, Amanda Smith
Workplace Violence, Trauma, And The Lived Experience Of Corrections Officers: A Phenomenological Study, Amanda Smith
Walden Dissertations and Doctoral Studies
Corrections officers are required to ensure compliance from inmates, and sometimes they have to use force, resulting in violent encounters. Such incidents can be traumatic for those directly and indirectly involved. Previous studies examined the working conditions of jail staff, but their focus was not primarily directed toward corrections officers. The purpose of this qualitative phenomenological study was to explore how everyday occurrences of violence associated with working in jails influence corrections officers’ physiological well-being. The theory of constructed emotions framed this study. Recruiting was conducted using a demographic and interest survey distributed through Facebook. Using purposive sampling, semi structured …
Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee
Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee
Walden Dissertations and Doctoral Studies
Haiti has a history of natural disasters that have played a part in the country’s weak infrastructure, poor quality health care, and short life expectancy. The purpose of this qualitative case study was to understand the experiences of health care professionals providing prenatal, perinatal, and postpartum health care services before and during the COVID-19 pandemic in Haiti to gain an understanding of the gaps in disaster response in reproductive health care. The theoretical bases for this study were community resilience theory and reproductive justice theory. Data were collected from interviews with 10 health care professionals working in Haiti providing reproductive …
Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa
Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa
Walden Dissertations and Doctoral Studies
Abstract The United States faces numerous challenges associated with the ongoing opioid crisis. Although the opioid epidemic is complex, opioid overuse affects users’ health and has a far-reaching impact on socioeconomic well-being. This study employed a quantitative cross-sectional design using secondary data from a 2018 national survey of working-age individuals ages 18 to 45. Multivariate regression analysis was used to examine the associations between opioid overuse and socioeconomic status, health status, and perceived need for substance abuse treatment. The addiction career concept and chronic illness model theory were used to analyze these correlations. The findings indicated that people with higher …
The Lived Experiences Of Black Women In Ces Doctoral Programs During The Covid-19 Pandemic, Cynthia D. Williams
The Lived Experiences Of Black Women In Ces Doctoral Programs During The Covid-19 Pandemic, Cynthia D. Williams
Walden Dissertations and Doctoral Studies
Black women in counselor education and supervision (CES) programs have historically been underrepresented in the scholarly literature, making it vital to understand how this group of women cope with the adverse effects of the COVID-19 pandemic. The purpose of this qualitative transcendental phenomenological study was to explore and understand Black women’s lived experiences in CES doctoral programs during the COVID-19 pandemic. Husserl’s phenomenological approach served as the conceptual framework for this research study. Semi structured interviews were conducted with nine Black women enrolled in CES doctoral programs having at least 6 months to 5 years of engagement in their program. …
Strategies For Reducing Occupational Stress On Cabin Crewmembers In The Airline Industry, Wendy N. Lindsey
Strategies For Reducing Occupational Stress On Cabin Crewmembers In The Airline Industry, Wendy N. Lindsey
Walden Dissertations and Doctoral Studies
Occupational stress threatens airline cabin crew and passengers’ health and safety. Airline leaders who lack strategies to address occupational stress may experience adverse impacts on cabin crew health, organizational efficiency, and overall aviation safety. Grounded in the job demands-resources theory, the purpose of this single case study was to explore strategies that upper-level airline leaders used to reduce occupational stress on cabin crewmembers. The participants were five upper-level airline leaders with more than 10 years of airline experience. Data were collected via semistructured interviews, organizational documents, and company records. Three themes emerged from Yin’s five-step approach: inflight training for generating …