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Black Educated Women's Experience With Relationship Formation After Intimate Partner Violence, Jeannette Aris Thompson-Beckford
Black Educated Women's Experience With Relationship Formation After Intimate Partner Violence, Jeannette Aris Thompson-Beckford
Walden Dissertations and Doctoral Studies
Black women experience intimate partner violence (IPV) at disproportionately high rates, yet most research has focused on those from lower socioeconomic backgrounds, overlooking how educated Black women navigate relationships after IPV. While extensive studies have examined the health consequences of IPV among Black women, less attention has been given to their experiences with intimacy, trust, and partner selection post-IPV. Additionally, existing research on relationship formation after IPV has largely centered on other racial groups, leaving the unique challenges faced by Black educated women underexplored. The purpose of this phenomenological study was to explore how Black, educated women describe their experiences …
Postdischarge Pediatric Mortality In Nigeria For Children Under 5 Years Of Age, Philomina Nwaugo Chukwudike
Postdischarge Pediatric Mortality In Nigeria For Children Under 5 Years Of Age, Philomina Nwaugo Chukwudike
Walden Dissertations and Doctoral Studies
Child mortality has remained a public health issue that is prevalent among families living in Nigeria and low- and middle-income countries. Factors associated with post-discharge pediatric mortality among children under 5 have not been explored. The study involved examining associations between timely individual follow-up visits, availability of healthcare facilities for follow-up care, and likelihood of post-discharge mortality among children under 5 while adjusting for household income, geographical location, mothers’ age, and mothers’ education. The theoretical framework was the social ecological model. Data were generated from the 2018 Demographic and Health Survey. A sample size of N=21,671 was used to determine …
National Survey Of Physical Therapists’ Participation As Health Educators In Physical Activity Promotion Among Older Adults, Casey Nicole Mokres
National Survey Of Physical Therapists’ Participation As Health Educators In Physical Activity Promotion Among Older Adults, Casey Nicole Mokres
Walden Dissertations and Doctoral Studies
Physical inactivity among older adults remains a major national and global public health concern linked to preventable morbidity, mortality, and rising healthcare costs. Physical therapists are uniquely positioned to promote physical activity (PA) through health education, yet their engagement in this role is not well defined. This quantitative cross-sectional study examined associations between clinical practice factors—years of experience, board certification status, and practice setting—and three domains of the theoretical domains framework (knowledge, skills, and behavioral regulation) related to PA promotion among older adults. The framework guided identification of behavioral and contextual factors influencing therapists’ delivery of PA promotion interventions. Data …
Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee
Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee
Walden Dissertations and Doctoral Studies
Grief is an emotional reaction to the loss of a loved one through death. Although grief is a universal human experience, its perspective is unique, and research has often ignored the varied experiences of racial/ethnic and cultural groups, particularly men of color in the United States. The purpose of this quantitative study was to measure the level of grief experienced by men whose female partner died and to determine whether ethnicity, having a prior mental health diagnosis, social support, and traumatic or anticipated loss significantly impacted their level of grief. The study was guided by the social-ecological model to explain …
Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar
Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar
Walden Dissertations and Doctoral Studies
The oral health status of Syrian refugees has been impacted by war and displacement since the 2011 civil war. To date, limited in-depth knowledge is available on oral health experiences of resettled Syrian refugees in the United States. The purpose of this qualitative study was to explore lived oral health experiences of resettled Syrian refugees before, during, and after the 2011 Syrian civil war. The health belief model (HBM) and theory of planned behavior (TPB) were theoretical frameworks for this phenomenological inquiry. The study was guided by semi-structured phone interviews with a purposeful sample of 11 Syrian refugees over the …
Adapter Changes Of Central Line Patients On Total Parenteral Nutrition, Courtney Erin Schappell
Adapter Changes Of Central Line Patients On Total Parenteral Nutrition, Courtney Erin Schappell
Walden Dissertations and Doctoral Studies
Central line-associated bloodstream infections (CLABSIs) remain a significant and preventable patient safety issue, especially among hospitalized patients receiving total parenteral nutrition (TPN). Patients on TPN face a higher risk of infection due to the high glucose content of the solution and the frequent access required for central line therapy. The Centers for Disease Control and Prevention and the Agency for Healthcare Research and Quality have recognized CLABSI prevention as a national priority. In addition, there is emphasis on high-risk groups like patients receiving TPN. The Infusion Therapy Standards of Practice, an evidence-based guideline, recommends catheter care, including timely adapter (i.e., …
Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun
Correlational Study Of Health Checkups And Patient Wellness: Epidemiological Evaluation On Prophylaxis Pathways, Samantha H. Beaubrun
Walden Dissertations and Doctoral Studies
Health checkups and wellness visits are a vital pathway to early detection and diagnosis of disease. It is not known whether young adults, insured or not, are opting into preventive care services to optimize health status via health checkups/wellness visits at primary care academic health centers. The purpose of this quantitative study was to examine the relation of wellness visits to healthcare insurance and health status while adjusting for gender among young adults ages 18–35 years in the United States. A descriptive correlational design was used with the 2023 National Health Interview Survey data set (N = 6,544). The results …
Impact Of Staff Education To Clinical Documentation Integrity Team, Leyna Belcher
Impact Of Staff Education To Clinical Documentation Integrity Team, Leyna Belcher
Walden Dissertations and Doctoral Studies
The doctoral project investigates the impact of education on Clinical Documentation Integrity (CDI) nurses in enhancing the accuracy and quality of clinical documentation within healthcare organizations. Clinical documentation plays a crucial role in accurately reflecting patient care and is essential for capturing proper diagnoses, coding, and reimbursement. In contrast, inaccurate or incomplete documentation can lead to misdiagnoses, poor patient outcomes, and financial deficits. Due to frequent updates in clinical guidelines and coding standards, CDI professionals require continuous, specialized training to stay informed with ever-changing medical terminology, disease processes, and coding regulations. By enhancing the CDI education, the aim is to …
Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke
Psychological Capital Of Hospital Nurses In The United States During And After The Covid-19 Pandemic, Mary Jean Erschen-Cooke
Walden Dissertations and Doctoral Studies
This study was conducted to explore lived experiences, perceptions, and associated meanings reported by nurses during the COVID-19 pandemic to determine what protected their well-being. A plethora of research focused on the negative impact of exhaustion, compassion fatigue, moral distress, and burnout; however, there was a gap in information regarding supports for emotional, mental, spiritual, and physical health, particularly among U.S. nurses. The foundational theory of psychological capital (PsyCap), focusing on the positive psychological traits of hope, self-efficacy, resilience, and optimism, grounded this investigation. A basic qualitative research design yielded rich data from semistructured interviews with 16 nurses working full …
Assessing Health Literacy In Somali Women Living In The United States With Hypertension, Tawanna Morris
Assessing Health Literacy In Somali Women Living In The United States With Hypertension, Tawanna Morris
Walden Dissertations and Doctoral Studies
Health literacy (HL) remains a critical public health concern, particularly among immigrant populations. This qualitative study explored how low health literacy relates to hypertension (HTN) management among Somali immigrant women. Low HL and chronic conditions such as HTN continue to affect this group disproportionately, emphasizing the need for targeted interventions. Guided by the Health Belief Model, this research examined Somali immigrant women’s perceptions of HL, how literacy levels influence hypertension management, and the barriers they encounter when managing their condition. Five Somali immigrant women who met the criteria participated in semi-structured interviews. All spoke English, were at least 18 years …
Clinical Practice Guideline On Reducing Catheter -Associated Urinary Tract Infections (Cautis), Nkechi Christiana Udah
Clinical Practice Guideline On Reducing Catheter -Associated Urinary Tract Infections (Cautis), Nkechi Christiana Udah
Walden Dissertations and Doctoral Studies
The project was a clinical practice guideline (CPG) for early catheter removal to prevent catheter-associated urinary tract infections (CAUTIs). At the project site, the practice gap was the surgical nurses’ nonadherence to clinical guidelines for reducing CAUTIs. This gap resulted in inconsistent catheter care practices and delays in catheter removal. The purpose of this CPG was to enhance surgical nurses’ knowledge and adherence to clinical guidelines for reducing CAUTI rates. The following practice-focused question guided the project: In hospitalized patients in acute care settings, does early removal of the urinary catheter compared to leaving the catheter until discharge reduce the …
Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski
Access To Care Barriers To Sacral Neuromodulation Implantation In Adults With Overactive Bladder From Georgia, Tamara Lynn Wojciechowski
Walden Dissertations and Doctoral Studies
Sacral neuromodulation (SNM) is a safe and physically well-tolerated third-line treatment using an implantable device for the management of overactive bladder syndrome (OAB). Other first- and second-line treatments for OAB are frequently ineffective and often poorly tolerated. SNM implantation appears to be underutilized compared to other third-line treatments even though SNM has been rated more effective in OAB symptom mitigation with fewer side effects. Thus, the purpose of this quantitative correlational cross-sectional study was to explore whether health services factors are barriers to utilizing SNM implantation as the third-line treatment for OAB in adults. Andersen’s behavioral model of health services …
Experiences Of First-Generation College Students Engaging In Online Learning Amid A Global Pandemic, Anthony Capers Jr
Experiences Of First-Generation College Students Engaging In Online Learning Amid A Global Pandemic, Anthony Capers Jr
Walden Dissertations and Doctoral Studies
The global pandemic, COVID-19, had an impact on the academic experiences of all college students. First-generation college students who often experience special challenges in adjusting to academia may have faced additional challenges given the transition to online learning. However, there has been little research focused on the impact of COVID on their adjustment to college. The purpose of this study was to explore the experiences of an unanticipated learning transition among first-generation college students pursuing higher education at a 4-year school, during a global pandemic. The theoretical framework for this study was based on an interactionalist theory focused on the …
Enhancing Antitrafficking Initiatives Through An Interagency Collaboration Framework, Robert Louis Baxter
Enhancing Antitrafficking Initiatives Through An Interagency Collaboration Framework, Robert Louis Baxter
Walden Dissertations and Doctoral Studies
The challenges individual agencies face in addressing the complex issue of human trafficking and how interagency collaboration can strengthen survivor-centered support are largely unknown. Organizations often lack formal alliances that combine expertise and resources to deliver more comprehensive care. The absence of such partnerships represents a missed opportunity to provide the essential services necessary for survivors’ recovery, empowerment, and social reintegration. The purpose of the study was to use interagency collaboration to address the question: How can education, law enforcement, public health, and community-based organizations assess the barriers and benefits of interagency collaboration to create a more seamless support network …
Staff Education To Reduce The Incidence Of Central Line Infections In The Pediatric Intensive Care Unit, Khldon Hassan Al-Omari
Staff Education To Reduce The Incidence Of Central Line Infections In The Pediatric Intensive Care Unit, Khldon Hassan Al-Omari
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project aimed to reduce the incidence of central line-associated bloodstream infections (CLABSI) in the Pediatric Intensive Care Unit (PICU) by educating clinical staff on the importance of hand hygiene and bundle compliance. Despite established guidelines, CLABSI remains a significant issue in healthcare, particularly in PICUs, where patients are at higher risk for infections. The practice-focused question guiding the project was: How does staff education on hand hygiene and CLABSI bundle compliance impact the prevention of CLABSI in the PICU? Twenty-five PICU nurses participated in the educational sessions. Analytical strategies included pretests and …
Development Of A Clinical Practice Guideline For The Prevention Of Catheter-Associated Urinary Tract Infections (Cautis) In A Skilled Nursing Facility, Marford Okoye
Walden Dissertations and Doctoral Studies
Abstract (as displayed in your dissertation/thesis): This Doctor of Nursing Practice (DNP) project focused on developing a clinical practice guideline (CPG) and accompanying checklist to prevent catheter-associated urinary tract infections (CAUTIs) in adult inpatients within a skilled nursing facility. CAUTIs represent the most prevalent healthcare-associated infections in both acute and long-term care environments, contributing to increased patient morbidity, prolonged hospitalization, and elevated healthcare costs. A key issue identified was inconsistent adherence to evidence-based practices related to catheter insertion, maintenance, and timely removal—posing a significant threat to patient safety. The guiding practice question for this project was: Will a clinical practice …
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Critical Food Safety Violations In Food Facilities By Regions Across Calgary Communities From 2022 Versus 2023, Kamorudeen Olayinka Bakare
Walden Dissertations and Doctoral Studies
Critical food safety violations in food facilities are severe infractions that may affect the quality and safety of foods as well as the health and wellbeing of consumers in Canada. In 2023, Alberta Health Services heightened scrutiny on these violations in Calgary. However, no investigation has been undertaken to document its potential effects on types and trend (from the previous year) of food safety violations in food facilities across Calgary regions. The purpose of this quantitative study was to examine the associations between Calgary regions of Canada, Year (2022 versus 2023), and the number of types of critical food safety …
Exploring Public Health Nurses’ Perceptions Of Syringe Services Programs In Southern Rural Areas, Joel Lowery
Exploring Public Health Nurses’ Perceptions Of Syringe Services Programs In Southern Rural Areas, Joel Lowery
Walden Dissertations and Doctoral Studies
Public health nurses are potentially key stakeholders in syringe services program (SSP) implementation in rural areas, where they can act as liaisons between public health, private healthcare, and the community. However, little research reflects an in-depth understanding of how public health nurses perceive SSPs in rural areas. The purpose of this qualitative study was to explore the perceptions of syringe services programs held by public health nurses practicing in rural areas with no existing SSPs in southern states and ascertain their potential roles in facilitating harm reduction for people who inject drugs. This study was guided by a conceptual framework …
Utilizing An Evidence-Based Educational Intervention To Assess Health Care Provider Knowledge And Confidence Of Weight Management Strategies In A Primary Care Setting, Fanny Ngwa Shu
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project aimed to address a clinical gap in primary care by enhancing provider and staff knowledge and confidence in delivering weight management counseling. Despite the high prevalence of overweight and obesity, many healthcare providers feel inadequately prepared to initiate weight-related discussions due to factors such as limited training, cultural barriers, and a lack of understanding of social determinants of health (SDOH) that influence patient behaviors. This gap in care can hinder the effective management of chronic conditions like diabetes, hypertension, and cardiovascular disease. The practice-focused question guiding this project was: Can an educational session …
Association Between Diabetes Mellitus, Hypertension, Obesity, And Diagnosis Of Covid-19 In Puerto Rico, Julian Rene Rivera Rodriguez
Association Between Diabetes Mellitus, Hypertension, Obesity, And Diagnosis Of Covid-19 In Puerto Rico, Julian Rene Rivera Rodriguez
Walden Dissertations and Doctoral Studies
The population of Puerto Rico has been heavily affected by chronic diseases; however, data remains limited on the influence of diabetes mellitus (DM), hypertension, and obesity on the probability of COVID-19 diagnosis. The purpose of this quantitative study was to evaluate the association between non-communicable diseases that included DM, obesity, hypertension, and COVID-19 diagnosis, controlling for age and sex and person exposure in Puerto Rico. The sample consisted of 1,463 participants who underwent a polymerase chain reaction (PCR) test for COVID-19 from April 1, 2020, to March 31, 2021. Results from adjusted multivariable logistic regression analyses established that obesity OR …
A Quantitative Analysis Of Postmarketing Safety Events Of Breakthrough Medicines, Richard Judson Davis
A Quantitative Analysis Of Postmarketing Safety Events Of Breakthrough Medicines, Richard Judson Davis
Walden Dissertations and Doctoral Studies
Adverse events to medicines pose a risk to the public health of patients. Breakthrough therapy medicines are designed to address unmet medical needs and are often approved on an expedited timeline; however they are also criticized for lacking an adequate understanding of their risk profile at the time of approval. This study examined the relationship between the number of concomitant medicines, as well as the approved therapeutic indication, and the outcomes of reported adverse events associated with medicines approved under the breakthrough therapy designation. The conceptual framework applied in this retrospective, cross-sectional, quantitative study is the process of pharmacovigilance, which …
Educating Correctional Nurses On The Use Of A Mindfulness Program To Reduce Work Stress, Victoria Ngozi Emelogu
Educating Correctional Nurses On The Use Of A Mindfulness Program To Reduce Work Stress, Victoria Ngozi Emelogu
Walden Dissertations and Doctoral Studies
Correctional nurses deliver care in environments marked by violent incidents, chronic understaffing, and moral distress. These conditions heighten occupational stress, jeopardize patient safety, and accelerate staff turnover, yet few U.S. jails provide evidence-based training in rapid self-regulation strategies. The purpose of this staff education project was to evaluate whether a 2-week curriculum could increase correctional nurses’ knowledge, attitudes, and self-reported skills (KAS) for on-shift mindfulness use. Pender’s health promotion model framed the intervention, Bloom’s taxonomy and Kirkpatrick’s evaluation model informed learning objectives and outcome levels. Five correctional nurses at a large urban jail completed an anonymous 10‑item KAS survey before …
Native Hawaiian Culturally Appropriate Substance Use Disorders Formative Program Evaluation, Kelly J. Penn
Native Hawaiian Culturally Appropriate Substance Use Disorders Formative Program Evaluation, Kelly J. Penn
Walden Dissertations and Doctoral Studies
Substance use disorders (SUDs) disproportionately affects Native Hawaiians, yet conventional treatments often overlook the cultural, spiritual, and relational foundations of well-being for Native Hawaiians. This gap represents a human services problem, as it perpetuates health disparities, limits recovery, and slows social change within Native Hawaiian communities. The purpose of this qualitative single case study was to identify culturally relevant components for an SUD treatment program tailored to Native Hawaiians. The research question guiding this study was, what are culturally appropriate components for a SUD program for Native Hawaiians. The Nā Pou Kihi framework grounded the exploration of Indigenous approaches to …
Blood Culture Contamination Rates, Jackqueline R. Easley
Blood Culture Contamination Rates, Jackqueline R. Easley
Walden Dissertations and Doctoral Studies
The timely and accurate collection of blood culture specimens is essential for improving patient outcomes and minimizing complications. Contaminated specimens can lead to unnecessary antibiotic use, prolonged hospital stays, and delays in appropriate treatment. At one eastern healthcare facility, monthly blood culture contamination rates reached an average of 4.5%, prompting the need for a targeted intervention. The objective of this project was to determine whether a structured process and trained team could reduce contamination rates to below 1%. De-identified data were reviewed using descriptive statistics to observe contamination trends over time, by department, and by month. Using the t-test, contamination …
The Relationship Of Organizational Health Safety Efforts Specific To Covid-19 And Perceived Organizational Support On Affective Organizational Commitment, Suzzee Meusel
Walden Dissertations and Doctoral Studies
When health safety efforts for COVID-19 are perceived negatively, the implementation of health safety efforts by employers may not be effective and are therefore likely to fail in protecting employee health, such as in the agriculture industry. Guided by social exchange theory, organizational support theory, and the theory of organizational commitment, this quantitative correlational study involved examining relationships between organizational health safety efforts specific to COVID-19 (OHSE-C19), perceived organizational support (POS), and affective organizational commitment (AOC) among poultry hatchery employees. The study entailed analyzing survey and opinion poll data from 90 participants from two poultry hatcheries in Iowa and Pennsylvania, …
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
The Association Of Smoking, Education, And Income Level With Cancer In Mexican Migrants At The U.S./Mexico Border, Carlo Opont
Walden Dissertations and Doctoral Studies
Cancer is a major public health problem in the United States and around the world. The condition is reported to be among the leading causes of death and has a significant impact on quality of life. The purpose of this study was to explore the association of smoking, education, and income level with cancer in the Mexican migrant population at U.S./Mexico border while controlling for age and gender. This quantitative, retrospective, cross-sectional study with a sample size of 988 used secondary data from the Mexican Migrant Project to explore the potential association between smoking, education and income level with cancer …
Parents’ Perceptions Of The Influence Of Interpersonal Trauma On Children’S Academic Achievement In Low Socioeconomic Families During The Covid-19 Pandemic, Brandi Walker
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic intensified the challenges faced by families from low socioeconomic (SES) backgrounds regarding their children’s academic development. Students during this time experienced disruptions in their academic development, further hindering their educational progress. The purpose of this qualitative phenomenological study was to explore parents’ perceptions of how interpersonal trauma and SES challenges impacted their elementary-age children’s academic achievement during the pandemic. Bronfenbrenner’s ecological systems theory served as the theoretical foundation, offering a framework to understand how environmental factors shaped children’s experiences and academic development. Data were gathered through semistructured interviews with eight parents from low-SES backgrounds. Content analysis of …
Predicting Utilization Of Mental Health Services Among Undergraduate Nursing Students On College Campuses In The Mississippi Delta, Deidra Michelle Byas
Predicting Utilization Of Mental Health Services Among Undergraduate Nursing Students On College Campuses In The Mississippi Delta, Deidra Michelle Byas
Walden Dissertations and Doctoral Studies
Over recent years, concerns about the mental health of nursing students in the Mississippi Delta have increased. However, research indicated that many nursing students do not utilize mental health services. This population has received little research attention, creating a gap in the literature and leaving counselor educators and supervisors ill-equipped to prepare counselors to meet the needs of nursing students. This quantitative study examined whether attitudes toward mental health services, social and cultural stigmas, and demographic characteristics explained the variance in nursing students’ willingness to seek help. Guided by the Theory of Planned Behavior, the study focused on three areas: …
Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams
Reconciling Harm Reduction Philosophy And Approaches Among Abstinence-Only Substance Abuse Treatment Professionals, Amy Rose Ashton-Williams
Walden Dissertations and Doctoral Studies
Historically, substance use disorder (SUD) treatment in the United States has been firmly grounded in abstinence-only treatment approaches. Harm reduction as a treatment model has gained additional traction. With increased rates of opioid use, overdoses, and advancements in medications for SUDs, harm reduction treatment approaches are becoming more important to improve lives of people who use drugs. Little is known about how counselors who have been educated, trained, and deliver abstinence-based SUD treatment reconcile use of harm reduction into their practice. To address this gap in literature, a generic qualitative study was conducted using the social constructivism theory. A purposive …
The Lived Experience Of In-Home Social Distancing And Other Preventative Measures Among Covid-19-Positive Individuals And Other Household Members, Jimmette Naytwain Brooks
The Lived Experience Of In-Home Social Distancing And Other Preventative Measures Among Covid-19-Positive Individuals And Other Household Members, Jimmette Naytwain Brooks
Walden Dissertations and Doctoral Studies
The novel Coronavirus Disease 2019 (COVID-19), first detected in Wuhan, China, is caused by a new virus strain: severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). On March 11, 2020, COVID-19 was classified as “the second pandemic of the 21st century” by the World Health Organization. To better control the spread of the virus, governments and communities adopted several established public health protocols to quell the spread of the disease and decrease the resulting morbidity and mortality. Specific measures included masking, hand hygiene, social distancing and disinfection. Though these are proven measures, not much was known about adherence in the home …