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Articles 2131 - 2160 of 2212
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Nonattendance Rates And Barriers To Health Care In Outpatient Clinic Settings, Susan Louise Geiger
Nonattendance Rates And Barriers To Health Care In Outpatient Clinic Settings, Susan Louise Geiger
Walden Dissertations and Doctoral Studies
Lower socioeconomic status, ethnicity, and race are associated with reduced health care use in the United States. Patients who continually miss their appointments suffer significant negative results, including a disruption in continuity of care, complications with their chronic illnesses, and an increase in hospital readmissions. The health belief model was used as the theoretical support for this project that investigated the underlying causes of no-shows at an urban hospital-based outpatient clinic in the United States. It used a quantitative, descriptive design and examined a minority, underserved, and underinsured population that was receiving care at the research site and had a …
Employee Wellness Model For Obesity, Barbara Siebold
Employee Wellness Model For Obesity, Barbara Siebold
Walden Dissertations and Doctoral Studies
Obesity, a condition of having a body mass index (BMI) greater than 30, is a universal epidemic with the greatest prevalence in the United States. The greatest concern with this epidemic health problem is that it presents with many comorbidities and is a risk factor for other chronic diseases. Employee wellness programs (EWP) have been in place for years and incorporate programs on weight management, nutritional education, and smoking cessation to reduce risk factors associated with chronic diseases. These programs utilize the concept of empowerment, often guided by Pender's self-management theory, to encourage employees to take onus for their health …
Primary Factors Affecting Breastfeeding In African American Communities, Lowest Jefferson
Primary Factors Affecting Breastfeeding In African American Communities, Lowest Jefferson
Walden Dissertations and Doctoral Studies
Prior research has shown that African Americans are less likely than are Hispanics and Whites to breastfeed their children. Compounding this problem is the scarcity of research that examines African American's culture, perceptions, and beliefs about breastfeeding. This study was conducted to gain a greater understanding of the phenomenon of breastfeeding through the perspectives of African American mothers. Guided by the theories of reasoned action and planned behavior, this ethnographic study elicited African American mothers' perspectives on breastfeeding by examining what influenced their decision to breastfeed or not. This study took place in Washington State. Ten women recruited through purposeful …
Resilience Among Immigrant Adult Learners: Experiences In Postsecondary Education--A Mixed-Methods Study, Sandra Lee Samuels
Resilience Among Immigrant Adult Learners: Experiences In Postsecondary Education--A Mixed-Methods Study, Sandra Lee Samuels
Walden Dissertations and Doctoral Studies
A human being's resilience refers to his or her abilities to combine internal and/or external resources effectively in response to significant contextual challenges in order to best succeed in a given environment. As such, this concept is vital across the lifespan and has been widely researched. However, few researchers to date have studied resilience as it relates to adult learners, and, significantly, those with immigrant status. Immigrant adult learners are facing compounded risks, which create challenges in various societies to identify this group's unique needs and/or to fully understand their experiences in diverse contexts, such as the Cayman Islands. Informed …
Type 2 Diabetes Prevention Program In The Medical Office Clinic, Jovita Chibuzo Ezirim
Type 2 Diabetes Prevention Program In The Medical Office Clinic, Jovita Chibuzo Ezirim
Walden Dissertations and Doctoral Studies
The challenge of diabetes prevention is to reduce the financial and human costs of diabetes by preventing new cases and enacting social change. African Americans and Hispanics Americans have a high incidence of Type 2 diabetes because of factors that place them at risk for prediabetes. The purpose of this project was to plan the implementation and evaluation of a Type 2 diabetes prevention program in a medical office clinical setting. The clinic of interest was located in the downtown area of the city and provided care mostly to African American population. The Iowa model of evidence-based practice formed the …
Predictors Of Obesity Among Nigerian Immigrants In The United States, Olawunmi Obisesan
Predictors Of Obesity Among Nigerian Immigrants In The United States, Olawunmi Obisesan
Walden Dissertations and Doctoral Studies
Obesity has been identified as a significant risk factor for chronic diseases, contributing to health disparities in minority and vulnerable populations. Though research has identified an increased risk for obesity in the Hispanic immigrant population, there is little or no research on the heterogeneity of obesity predictors in specific immigrant populations in the United States. This study examined the predictors of obesity in the Nigerian immigrant population in the United States. Guided by the social ecological model and the segmented assimilation theory, this cross-sectional study collected primary data from 205 Nigerian immigrants in the United States using the CDC's Behavioral …
A Qualitative Analysis Of Migrant Women Farmworkers' A Qualit Ative Analysis Of Migrant Women Farmworkers’ Perceptions Of Maternal Care Management, Stacey A. Pilling
A Qualitative Analysis Of Migrant Women Farmworkers' A Qualit Ative Analysis Of Migrant Women Farmworkers’ Perceptions Of Maternal Care Management, Stacey A. Pilling
Walden Dissertations and Doctoral Studies
The purpose of this phenomenological study was to examine migrant women farmworkers' views of perinatal care management while working in the fields. Like men, women migrant farmworkers are exposed to many physical, chemical, and biological hazards that pose human health risks. However, women of childbearing age are at an increased risk of having reproductive health difficulties and adverse pregnancy outcomes, and the infant mortality rate among migrant farmworkers is estimated to be twice the national average. Perinatal care is a critical factor in reducing adverse outcomes for perinatal and newborn mortality. Face-to-face interviews were conducted with 15 migrant women farmworkers …
Nclex-Rn Predictor Test Scores And Nclex-Rn Success, Annie Ruth Grant
Nclex-Rn Predictor Test Scores And Nclex-Rn Success, Annie Ruth Grant
Walden Dissertations and Doctoral Studies
Health care professionals and nurse educators are concerned about increasing percentage of first time test takers failing the NCLEX-RN exam. The purpose of this retrospective study was to examine predictive accuracy of the Assessment Technologies Institute (ATI) RN Comprehensive Predictor for passing or failing the NCLEX-RN exam in a cohort of nursing students (N = 195). South Eastern Technical College in South Carolina is in jeopardy of losing accreditation for their nursing program because of the low percentage of first time test takers failing. The college's pass rate on the NCLEX-RN exam has been below the national and state averages …
Race/Ethnicity, Diet, And Physical Activity Behavior Among College Students, Ronda Herbert
Race/Ethnicity, Diet, And Physical Activity Behavior Among College Students, Ronda Herbert
Walden Dissertations and Doctoral Studies
Scarce knowledge exists about the lifestyle of college students from heterogeneous racial/ethnic backgrounds and how race/ethnicity may influence their diet and physical activity behaviors. College students, especially those who are members of minority groups, are at risk for unhealthy lifestyles resulting in negative health outcomes. The purpose of this quantitative study was to examine the role of racial diversity on dietary and physical activity habits. The study was guided by social cognitive theory, and the research questions examined the relationship between race/ethnicity on diet and physical activity in a multiracial ethnic population. The study research design was a quantitative cross-sectional …
Effect Of A Lifetime Health And Fitness Class On College Students, Tiffany Tara Young Klockziem
Effect Of A Lifetime Health And Fitness Class On College Students, Tiffany Tara Young Klockziem
Walden Dissertations and Doctoral Studies
Physical inactivity and obesity, both of which are modifiable cardiovascular disease (CVD) risk factors, increase substantially during the transition from adolescence to young adulthood. CVD is the 5th leading cause of death in people ages 18 to 29. This disease has enormous social and financial repercussions; however, many college age students do not see chronic disease as a personal threat. Few researchers have examined chronic disease risk in young adults or used a consistent, objective measurement of physical activity. A pre-post, quasi-experimental study was conducted to evaluate the association between a health and fitness class, physical education 215 (PHED 215) …
Association Of Bisphenol A And C-Reactive Protein Concentrations With Cardiovascular Diseases, Hassan Salim Naji
Association Of Bisphenol A And C-Reactive Protein Concentrations With Cardiovascular Diseases, Hassan Salim Naji
Walden Dissertations and Doctoral Studies
Bisphenol A (BPA), a widely used chemical in plastic, has drawn wide attention due to its presence in many consumer products and the environment. The purpose of this study was to examine the association between urinary BPA and the reporting of cardiovascular diseases (CVD), and then to examine the effect of C-reactive protein (CRP) as a moderating variable. The data used in this research were extracted from the National Health and Nutrition Examination Survey collected in 2009-2010. Guided by the advanced epidemiological triangle, analysis involved 2 stepwise binary logistic regressions. The first step suggested that the controls were significant in …
Can Nurse-Facilitated Support Groups Foster Self-Awareness?, Althea Lenore Phillips
Can Nurse-Facilitated Support Groups Foster Self-Awareness?, Althea Lenore Phillips
Walden Dissertations and Doctoral Studies
Students with learning disabilities (LDs) represent 9% of students attending college, and college administrators must comply with a large number of federal requirements outlining the provision of educational services for students with LDs, including offering support groups. Nurse-facilitated support groups, held within the university setting, could provide effective social support, increasing likelihood of college success among students with LDs. The purpose of this project was to develop a plan for implementing nurse-facilitated support groups for students with LDs within the student health services (SHS) department at a university designed to improve their coping skills on personal, social, and academic levels. …
The Effect Of Breastfeeding Self-Efficacy On Breastfeeding Initiation, Exclusivity, And Duration, Adria Vincent
The Effect Of Breastfeeding Self-Efficacy On Breastfeeding Initiation, Exclusivity, And Duration, Adria Vincent
Walden Dissertations and Doctoral Studies
Breastfeeding self-efficacy is considered one of the key components of a successful breastfeeding experience. The benefits of breastfeeding are well established in the literature and have been widely communicated to the public, resulting in an increasing trend of breastfeeding initiation. However, the United States still falls short of Healthy People 2020 breastfeeding goals. The purpose of this project was to examine the effects of a standardized hospital-based prenatal breastfeeding class on breastfeeding self-efficacy. Dennis's breastfeeding self-efficacy theory was the foundation for the breastfeeding self-efficacy tool used in this project. A quasi-experimental design used a convenience sample of 30 breastfeeding class …
Strategies To Decrease Health-Related Employee Absenteeism, Devin Warnsley
Strategies To Decrease Health-Related Employee Absenteeism, Devin Warnsley
Walden Dissertations and Doctoral Studies
Health-related absenteeism could significantly affect organizational productivity because of the additional resources needed to compensate for the missing worker's absence. Work productivity is critical for business sustainability as companies continue to create a lean workforce and decrease operating cost. The purpose of this single case study was to explore strategies that organizational leaders at a university in the southeastern United States used to successfully decrease occurrences of health-related employee absenteeism. The conceptual framework for this study was the theory of planned behavior. A purposive sample of 10 management, 5 faculty, and 5 staff members participated in structured interviews. Secondary data …
Screening For Peripheral Artery Disease, Cheryl Gordon
Screening For Peripheral Artery Disease, Cheryl Gordon
Walden Dissertations and Doctoral Studies
Peripheral artery disease (PAD) affects 8 to 10 million Americans, and the incidence of PAD is expected to increase as the population ages. A high percentage of the PAD is undiagnosed prior to the onset of a serious cardiovascular event; therefore, the inability to screen and diagnose for PAD in the early stages could hinder efforts to decrease adverse consequences of cardiovascular disease. Individuals with PAD have a 3 to 5 times increased risk of cardiovascular disease (CVD) mortality when compared to people without PAD. Guided by the Stetler model, the purpose of this project was to evaluate the relationship …
The Effect Of Healing Touch Therapy For Youth Diagnosed With Reactive Attachment Disorder, Kelli Stiles
The Effect Of Healing Touch Therapy For Youth Diagnosed With Reactive Attachment Disorder, Kelli Stiles
Walden Dissertations and Doctoral Studies
Reactive attachment disorder (RAD), a disorder marked by a severe disruption in developmental attachment, is most often diagnosed in youth who have received substandard or negligent care from their primary caregiver. Such youth have increased risk of behavioral and emotional issues as well as future relationship problems; they generally do not respond to traditional evidence-based practices of therapy. The present study examined the use of the biofield energy practice of Healing Touch (HT) as a viable therapeutic option for improved quality of life for youth diagnosed with RAD. A quantitative, quasi-experimental research study using secondary data was conducted. Eligible participants …
The Association Between Dietary Patterns And Diabetes Status Among U.S. Adults, Latonia Richardson
The Association Between Dietary Patterns And Diabetes Status Among U.S. Adults, Latonia Richardson
Walden Dissertations and Doctoral Studies
Type 2 diabetes mellitus, or T2DM, is a leading cause of preventable death in the United States. Multiple studies have found that certain dietary patterns can significantly influence the risk of T2DM. The purpose of this study was to understand the dietary patterns associated with diabetes by comparing the relative adherence to these dietary patterns by individuals in 5 stages of diabetes: no diabetes, undiagnosed prediabetes, diagnosed prediabetes, undiagnosed diabetes, and diagnosed diabetes. Using the health belief model as the theoretical foundation, the primary research question examined whether adherence to specific dietary patterns significantly differed between individuals in different stages …
Chronic Care Model Staff Education And Adherence With End-Stage Renal Disease Patients, Emilia K. Addo
Chronic Care Model Staff Education And Adherence With End-Stage Renal Disease Patients, Emilia K. Addo
Walden Dissertations and Doctoral Studies
The management and treatment of chronic diseases, such as end-stage renal disease, is often unproductive because of patients' poor adherence to treatment. The chronic care model toolkit is an Agency for Healthcare Research and Quality supported framework, associated with improved outcomes in patients living with chronic disease. The purpose of this project was to develop and plan an educational program using the chronic care model toolkit for the interdisciplinary clinical staff of a renal hemodialysis center. The goal of this project was to adapt team building between patients and their clinicians through the use of the chronic care model in …
Social Determinants Of Health Inequality And Life Expectancy Among Women Of Edo State, Nigeria, Daniel Aromeh Odekina
Social Determinants Of Health Inequality And Life Expectancy Among Women Of Edo State, Nigeria, Daniel Aromeh Odekina
Walden Dissertations and Doctoral Studies
Health inequality conflates a huge number of economic, social, and political issues. These issues, together described as social determinants, determine a population's health through influencing health status and life expectancy. The research purpose of this study was to examine how social determinants affected the life expectancy of the women of Edo State, based on secondary data from Nigeria's 2008 demographic and health survey (NDHS). The theories that guided the study were self-efficacy beliefs of the social cognitive theory and physical self-concept of the health belief model. This quantitative cross-sectional study examined the associations between socioeconomic status, nutritional status, literacy/educational attainment, …
Pregnant Obese Women And Factors Which Impact Their Social And Physiological Well-Being, Stephanie Denise Morgan Frye
Pregnant Obese Women And Factors Which Impact Their Social And Physiological Well-Being, Stephanie Denise Morgan Frye
Walden Dissertations and Doctoral Studies
For more than 50 years, researchers have recognized complications associated with obesity and pregnancy as a problem for mothers and their unborn children. Despite this recognition, the rates of obesity and mortality in pregnant women have continued to rise. Using the health belief model, the transtheoretical model of behavior change, and the social cognitive theory as the theoretical frameworks, this phenomenological study examined barriers that might hinder the health of obese pregnant women and their unborn children. Semi-structured interviews were conducted with 12 women who had a body mass index of 30 to 50, were between the ages of 18-55, …
Increasing Student Interest In Poultry Science Careers Through 4-H, Peggy Lynn Armstrong
Increasing Student Interest In Poultry Science Careers Through 4-H, Peggy Lynn Armstrong
Walden Dissertations and Doctoral Studies
The demand for poultry science graduates to fill available positions in the poultry industry continues to increase. At the same time, there are not enough graduates to fill the positions. The purpose of this study was to investigate the implementation of the poultry curriculum in the 4-H program and student recruitment through the 4-H program into the Poultry Science Department. The targeted populations were 4-H leaders who implement the poultry curriculum and university students who were currently studying poultry. Career development theories suggest that previous experiences during adolescence can be a major influence in future vocation choice. A mixed methods …
Third-Degree Family Health History And Perception Of Disease Risk, Liana Carrasco Romero
Third-Degree Family Health History And Perception Of Disease Risk, Liana Carrasco Romero
Walden Dissertations and Doctoral Studies
Chronic diseases are a significant cause of illness and mortality in the United States. Hereditary predisposition to chronic diseases is a useful indicator for identifying people at risk for disease development. An ideal tool for determining this predisposition is the CDC, NIH, and AAFP recommended third-degree family health history (FHH). The aim of this quantitative, cross-sectional study, based on the theoretical frameworks of social constructivism and the health belief model, was to assess the possible influence between the completed third-degree FHH and the participant's perception of disease risk. Two-hundred seventy-three participants were recruited from health care facilities and from the …
Women's Perspectives On Adequacy Of Screening And Treatment For Postpartum Depression, Gloria Marcia Watson
Women's Perspectives On Adequacy Of Screening And Treatment For Postpartum Depression, Gloria Marcia Watson
Walden Dissertations and Doctoral Studies
Postpartum depression affects some 10% to 20% of mothers. Its impact on the health and well-being of mothers and their infants is well documented. If not identified and addressed early, it can result in emotional burden, costly hospitalization and treatment, and, at worst, suicide and or infanticide. Empowerment theory was the conceptual framework for this hermeneutic phenomenological study. The purpose was to understand the lived experiences of the screening and treatment processes of 10 women from New York City experiencing postpartum depression and their perceived adequacy of the treatment received. In-depth interviews were used to investigate participants' lived experiences of …
Attitudes, Experiences, And Perceptions Of Rural Christian Counselors With Regard To Self-Care, Theresa Grant White
Attitudes, Experiences, And Perceptions Of Rural Christian Counselors With Regard To Self-Care, Theresa Grant White
Walden Dissertations and Doctoral Studies
Rural Christian counselors are a distinct group of individuals faced with unique personal and professional challenges. Researchers have indicated that rural counselors experience a higher burnout rate due to wide practice scope; client stigma against receiving help; and physical isolation, making supervision, consultation, and referral difficult. Studies also show that self-care is an effective defense against the symptoms of burnout. Self-care is defined as any legal activity that promotes wellness and brings physical, emotional, mental, or spiritual balance. The central research question of this hermeneutic phenomenology examined the attitudes, perceptions, and experiences of rural Christian counselors with regard to self-care. …
Weight-Loss Interventions Performed To Reduce The Risk Of Obesity-Related Complications, Victoria Stephanie Stewart
Weight-Loss Interventions Performed To Reduce The Risk Of Obesity-Related Complications, Victoria Stephanie Stewart
Walden Dissertations and Doctoral Studies
The management of obesity before a woman conceives is one of the most effective efforts a woman can take in decreasing her risk of obesity-related complications during pregnancy. Evidence supports the idea that maternal obesity influences maternal and fetal outcomes, leading to maternal and fetal morbidities. Physicians acknowledge the importance of screening women for obesity, but many do not refer patients for weight-loss therapy. In this study, the health belief model was used to explore the associations between participants' obesity risk of complications during pregnancy, the number of weight-loss interventions they attempted to implement prior to pregnancy, and how they …
Developing A Lifestyle Modification Toolkit To Prevent And Manage Hypertension Among African American Women, Julia Ugochi Ugorji
Developing A Lifestyle Modification Toolkit To Prevent And Manage Hypertension Among African American Women, Julia Ugochi Ugorji
Walden Dissertations and Doctoral Studies
Hypertension is a global public health issue affecting many people in the United States. African American women remain the highest in percentage by race and ethnicity for developing hypertension with poor risk awareness. Hypertension has costly implications for the health care system. Through lifestyle modifications in the form of a nutrition plan called Dietary Approach to Stop Hypertension and increased physical activity, hypertension could be prevented. Among African Americans, the incidence of hypertension increases in their late thirties. The purpose of the project was to develop a toolkit of resources for African American women between the ages of 20 to …
Oral Health Literacy Of Parents And Dental Service Use For Children Enrolled In Medicaid, Angel Smith
Oral Health Literacy Of Parents And Dental Service Use For Children Enrolled In Medicaid, Angel Smith
Walden Dissertations and Doctoral Studies
Many people in the United States have untreated dental disease due to a lack of dental insurance, a lack of oral health knowledge, and a lack of priority placed on dental health. Despite an increase in dental service use by Medicaid recipients as a result of local programs, children enrolled in Medicaid often have low rates of use of dental services. Using the health literacy framework of the Paasche-Orlow and Wolf (POW) model, the purpose of this study was to explore to the relationship between oral health literacy of parents and dental service use for children enrolled in Medicaid and …
A Developmental Disabilities Program: A Proposed Education Program For Direct Support Professionals, Yurlene Sales Dela Cruz
A Developmental Disabilities Program: A Proposed Education Program For Direct Support Professionals, Yurlene Sales Dela Cruz
Walden Dissertations and Doctoral Studies
Nurses can play integral role in collaborating with community leaders and identifying health promotion strategies, such as physical activity and nutrition classes, for people with developmental disabilities (DD). This study identified a role that nurses can establish among Direct Support Professionals (DSPs) who serve important functions in the daily supervision and care of clients with DD. The data reviews from the archival results from Association of Individual Development Health Matters Assessment Reports in August 2012 and September 2013 indicated DSPs' need for further training in their roles as health instructors. The Health Matters Assessment Report in 2012 indicated low scores …
Preoperative Education Needs In Ear, Nose, & Throat Clinic: A Patient Perspective, Jonathan Edmun Ramos
Preoperative Education Needs In Ear, Nose, & Throat Clinic: A Patient Perspective, Jonathan Edmun Ramos
Walden Dissertations and Doctoral Studies
A medical center specializing in ear, nose, and throat (ENT) services noted an increase in the number of postoperative ENT complications compared to the national average. The purpose of this mixed-methods project study was to examine ENT patients' preoperative patient education (PPE) needs regarding postoperative care. Grounded in Knowles's model of learning, core adult learning principles were applied as guidelines in facilitating patients' PPE learning. Data were collected from 58 ENT patients who were selected using a convenience sampling method and who responded to a PPE survey using a 5-point Likert scale and open-ended questions. Quantitative data were analyzed using …
Physician Well Being And Patient Satisfaction Among Employed Physicians, Deanna Santana-Cebollero
Physician Well Being And Patient Satisfaction Among Employed Physicians, Deanna Santana-Cebollero
Walden Dissertations and Doctoral Studies
Understanding physician well-being may help prevent physician burnout, improve the quality of care they provide to their patients, reduce medical errors, and improve patient satisfaction. Using the biopsychosocial-spiritual theory as the conceptual framework, this quantitative study examined the relationship between: (a) physician well-being and patient satisfaction, (b) physician gender and physician well-being, (c) primary care providers' and specialists' well-being, (d) patient satisfaction based on physician specialty, and (e) the duration of practice and physician well-being. All of the 87 employed physicians in a Florida regional hospital were invited to respond to a physician well-being questionnaire; a response rate of 58.4% …