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Walden Dissertations and Doctoral Studies

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Pharmacists’ Responses To Medication Management Following Disasters, Rellamichelle W. Tyree Jan 2022

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 …


Primary Care Physicians’ Participation, Knowledge, And Views Of Nutrition Counseling For Weight Management, Carl Schlesser Jan 2022

Primary Care Physicians’ Participation, Knowledge, And Views Of Nutrition Counseling For Weight Management, Carl Schlesser

Walden Dissertations and Doctoral Studies

AbstractAn estimated 70% of the United States population is considered overweight or obese, which has led to an epidemic. Primary care physicians (PCPs) are considered the first line of defense to help fight obesity through weight management by providing nutrition care to patients. With little known about how PCPs engage with their patients on nutrition care combined with changing guidelines on treating obese patients, there is a gap in research on how PCPs help patients with weight management and what tools PCPs use to accomplish this. Guided by the health promotion model, the purpose of this qualitative study was to …


How Community-Based Solutions Affect Households Headed By Single Mothers In An Urban Food Desert, Christie Will Ross Jan 2022

How Community-Based Solutions Affect Households Headed By Single Mothers In An Urban Food Desert, Christie Will Ross

Walden Dissertations and Doctoral Studies

Limited access to affordable and nutritious foods is a growing problem in the United States, leading to a rise in obesity, diabetes, and heart disease as well as poor academic performance. With this has come the rise of urban food deserts, specific geographic areas with limited access to affordable, healthy, and nutritious foods within a 1-mile radius, which impacts low-income and minority communities at a greater rate than the rest of US society. Single mothers represent the largest demographic impacted by urban food deserts yet are the least represented in research. The purpose of this narrative study, using the human …


Lived Experience Of Albanian Migrants Who Became Obese After Moving To The United States, Briseida Xhelaj Jan 2022

Lived Experience Of Albanian Migrants Who Became Obese After Moving To The United States, Briseida Xhelaj

Walden Dissertations and Doctoral Studies

The problem of obesity is significant in the United States, and more information is needed about the factors that increase the risk for obesity among migrant populations like Albanian Americans. The purpose of this study was to discover the lived experience of Albanian migrants who became obese after moving to the United States. This study was guided by the social ecological model. The research questions were used to examine how individual, relationship, community, and societal level factors impacted lifestyle changes and obesity for Albanian American migrants after moving to the United States. This qualitative study involved the use of a …


Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques Jan 2022

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 …


Emerging Adults' Lived Prenatal Care Experiences As First-Time Mothers: An Interpretive Phenomenological Study, Linda Mcclerklin Jan 2022

Emerging Adults' Lived Prenatal Care Experiences As First-Time Mothers: An Interpretive Phenomenological Study, Linda Mcclerklin

Walden Dissertations and Doctoral Studies

AbstractPrenatal care is fundamental in the lives of expectant mothers. Studies have highlighted the prenatal care experiences of mothers ranging from adolescents to older women, which included the experiences of emerging adults. However, emerging adults bring particular social, emotional, and developmental concerns to pregnancy experiences that are distinct from those of their counterparts. This study explored these experiences to answer the question of what are emerging adults’ lived prenatal care experiences are as first-time mothers. Interpretive phenomenology and assumptions from critical race, feminist, communication, and intersectionality theories helped frame the study. Through purposive and snowball sampling, nine participants were selected …


Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery Jan 2022

Staff Education On Reducing Burnout In Mental Health Professionals Through Restorative Yoga Practice, Rina Buenaventura Vickery

Walden Dissertations and Doctoral Studies

Mental health professionals (MHPs) are at considerable risk for stress and burnout because of the nature of their work. Management and prevention of stress and burnout (e.g., through restorative yoga) may enable MHPs to avoid feelings of anxiety, depression, and apathy; lack of energy; and the development of unhealthy coping skills, such as substance and drug use. The purpose of this project was to create a staff education to assist MHPs in managing stress and burnout through yoga practice and mindfulness. The theoretical framework for the staff education was Kapp’s adult learning theory. An evidence-based PowerPoint presentation containing the staff …


Predictors Of Social And Psychological Functioning Among Participants In The Copdgene Cohort, Shandi Watts Jan 2022

Predictors Of Social And Psychological Functioning Among Participants In The Copdgene Cohort, Shandi Watts

Walden Dissertations and Doctoral Studies

This study addressed the relationship among longitudinal smoking status, depression, anxiety, health-related quality of life, and psychological and social functioning due to airflow limitations among adult patients with COPD who are enrolled in the COPDGene Cohort Study. The purpose of this research was to address the gap in the literature concerning the relationship among these variables at two time points, 5 years apart. A cognitive approach was used suggesting that as disease progresses and physical ability becomes more limited, then depression and anxiety will increase, and quality of life will decrease. This was a quantitative, longitudinal, nonexperimental study using archived …


The Influence Of Race And Ethnicity On The Prevalence Of Social Stigma For People With Type 1 Diabetes Mellitus, Donielle Hyde Jan 2022

The Influence Of Race And Ethnicity On The Prevalence Of Social Stigma For People With Type 1 Diabetes Mellitus, Donielle Hyde

Walden Dissertations and Doctoral Studies

Various studies attempting to evaluate the prevalence of health-related social stigma in people with type 1 diabetes mellitus (T1DM) identified themes that coincide with increased prevalence including anxiety, low self-esteem, depression, fear of judgement, anger, and feeling ashamed. This phenomenon is believed to be due to the lack of knowledge and understanding about the differences between the diagnosis, treatment, and prevention strategies for T1DM and type 2 diabetes mellitus (T2DM). The Resilient, Empowered, Active Living intervention dataset (n=115) was utilized to further examine this phenomenon by determining whether race and ethnicity influence the prevalence of the following health-related social stigma …


Risk Factors Of Infant Mortality Among Sub-Saharan Immigrants In The United States, Roland Lankah Jan 2022

Risk Factors Of Infant Mortality Among Sub-Saharan Immigrants In The United States, Roland Lankah

Walden Dissertations and Doctoral Studies

While prepregnancy body mass index (BMI), gestational weight gain (GWG), and birthplace have been suggested to play a key role in predicting infant mortality outcomes, they have not been thoroughly investigated across all races/ethnicities. The purpose of this study was to examine the associations between prepregnancy BMI, GWG, birthplace as independent variables, and infant mortality as the outcome variable within the United States Sub-Saharan African Immigrants (SSAI). A quantitative cross-sectional study design grounded in the biopsychosocial model was used. Data were extracted from the 2017-2018 natality-linked birth/infant death file from the Centers for Disease Control and Prevention Wonder Database. It …


Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott Jan 2022

Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott

Walden Dissertations and Doctoral Studies

AbstractThe increasing prevalence and incidence of chronic kidney disease (CKD) is a major healthcare burden in developed and developing countries. A gap in nursing practice was identified in a teaching and referral hospital located in Jamaica. Nurses in the organization lacked requisite knowledge and current evidence-based practice guidelines on CKD and therefore could not teach patients diagnosed with CKD. The purpose of this project was to educate nurses regarding the progression of CKD, with the aim of slowing the disease process. This Doctor of Nursing Practice project explored whether educating nurses on the progression of CKD would increase their knowledge …


Barriers To The Implementation Of Effective Sustainable Development Plans In Sierra Leone: Stakeholders’ Perspectives, Mohamed Nabie Turay Jan 2022

Barriers To The Implementation Of Effective Sustainable Development Plans In Sierra Leone: Stakeholders’ Perspectives, Mohamed Nabie Turay

Walden Dissertations and Doctoral Studies

Abstract:Stakeholders’ competing positions with elected officials created barriers to the effective implementation of sustainable environmental policies. This study aimed to explore the barriers to implementing the National Environmental Policies (NEP), passed by the parliament of Sierra Leone in the 1990s. Sabastier and Jenkin-Smith’s advocacy coalition framework model provided the theoretical foundation for this study. The key research question explored is stakeholders’ perceptions of the barriers to effectively building coalitions to implement sustainable development policies like the NEP in Sierra Leone. A case study research approach was used to understand the barriers to implementing the NEP in Sierra Leone. Data were …


Relationships Between Stress Self-Management, Social Support, And Health In Hispanic Informal Caregiver Burnout Prevention, Nicole Alexandra Mas Román Jan 2022

Relationships Between Stress Self-Management, Social Support, And Health In Hispanic Informal Caregiver Burnout Prevention, Nicole Alexandra Mas Román

Walden Dissertations and Doctoral Studies

Burnout syndrome is a psychological disorder characterized by physical, emotional, and mental distress and exhaustion resulting in feelings of depression, anxiety, irritability, and negative attitudes. If left unattended, burnout syndrome can lead to new or worsening health outcomes. The purpose of this nonexperimental quantitative study was to examine the relationship between stress self-management, perceived social support, health status, and burden among Puerto Rican informal caregivers. The theoretical foundations for this research were the informal caregiving integrative model and the individual and family self-management theory. Survey data were collected from 415 participants. Multiple regression analyses were performed to determine the relationship …


Type Of Union And Reproductive Health Influence On Domestic Violence In Sierra Leone, Yvonne Rowe Jan 2022

Type Of Union And Reproductive Health Influence On Domestic Violence In Sierra Leone, Yvonne Rowe

Walden Dissertations and Doctoral Studies

Domestic violence (DV) is one of the most hidden but prevalent public health concerns affecting women of childbearing age in Africa, despite ongoing prevention initiatives. Lack of power and control in the household is a significant precursor of DV in women, especially in sub-Saharan Africa. While poverty, gender inequality, and societal norms have been identified as directly related to DV, the factors of type of union and reproductive health choice remain unexplored. This quantitative study with a cross-sectional design assessed the relationship between the type of union, female contraceptive use, and type of DV amongst women in Sierra Leone. Anchored …


Experiences With Addiction Transfer Among Weight Loss Surgery Recipients, Latoya Smalls Jan 2022

Experiences With Addiction Transfer Among Weight Loss Surgery Recipients, Latoya Smalls

Walden Dissertations and Doctoral Studies

Obesity remains a significant problem linked to psychological, behavioral, metabolic, and environmental factors. Some individuals who struggle with obesity turn to weight loss surgery. Studies exploring the long-term effects of weight loss surgery and its connection with transfer addiction have reached conflicting findings. This phenomenological study was conducted according to procedures developed by Husserl and Giorgi. Data were collected for this qualitative study through semistructured interviews with 10 bariatric weight loss surgery recipients. Data were analyzed using the five stages of Giorgi’s descriptive phenomenological method process of data analysis. Analysis of the data led to five themes and eight subthemes. …


Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity Jan 2022

Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity

Walden Dissertations and Doctoral Studies

For health care practitioners to effectively manage hypertension (HTN) patients and their related long- and short-term consequences, they must first identify the underlying cause of the disease. When patient interventions are not regularly implemented by clinicians, the likelihood of complications from HTN increases. A gap in staff knowledge on managing patients with HTN was identified in an outpatient clinic in the midwestern United States. A staff education program for health care providers to close the knowledge gap was developed based on the most recent Veterans Affairs/Department of Defense Clinical Practice Guidelines for the management of HTN. The aim of this …


Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer Jan 2022

Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer

Walden Dissertations and Doctoral Studies

Hospitalized, adult, oncology patients experience intractable pain that does not always respond to pharmacological therapies. Reiki is a complementary and alternative method used to reduce pain and increase the effectiveness of pharmacological treatments, but nurses may not possess knowledge about Reiki or have the self-efficacy to educate patients about Reiki. The purpose of this study, guided by Bandura’s social cognitive theory, was to identify the relationship between nurses’ knowledge, level of self-efficacy in educating their patients, beliefs about Reiki’s effectiveness, years practicing as a nurse, and willingness to recommend Reiki for their oncology patients’ pain. The Knowledge of Nurses’ Questionnaire …


Evidence-Based Approaches To Screening For Polypharmacy In Older Adults, Carmelo Maddy Jan 2022

Evidence-Based Approaches To Screening For Polypharmacy In Older Adults, Carmelo Maddy

Walden Dissertations and Doctoral Studies

AbstractPolypharmacy is the concomitant use of five or more medicines and is associated with a higher risk of being prescribed potentially inappropriate or interactive medications. Polypharmacy in adults over 60 years of age may correlate with adverse outcomes of multimorbidity such as functional impairment, low quality of life, high healthcare use, and increased costs. Health practitioners need to be aware of tools and methods to manage polypharmacy-related issues to optimize patient safety. The gap in practice is that a primary care practice did not have a comprehensive clinical guideline for a systematic and ongoing assessment of appropriateness of medication use …


Decreasing Physical Inactivity Among Adolescents, Anthony W. Ware Jan 2022

Decreasing Physical Inactivity Among Adolescents, Anthony W. Ware

Walden Dissertations and Doctoral Studies

AbstractAdolescents in the United States have become complacent about being involved in an adequate amount of physical activity and consuming a healthy diet. This has led to adolescents having health issues such as overweight status and obesity. The U.S. Department of Health and Human Services Centers for Disease Control and Prevention made recommendations for adolescents to maintain an adequate level of physical activity and to consume a healthy diet. In this study I hypothesized that students who were surveyed in the 2017 Youth Risk Behavior Survey who practiced both physical activity and healthy diet recommendations together would have a lower …


Stories Of Adults Experiencing Overweight Or Obesity With Histories Of Childhood Adversities, Megan Propps Jan 2022

Stories Of Adults Experiencing Overweight Or Obesity With Histories Of Childhood Adversities, Megan Propps

Walden Dissertations and Doctoral Studies

More than half the population in and outside of the United States experience childhood adversity, which is associated with the risk of developing obesity and overweight problems across the life span. In the United States, overweight affects 73.6% of adults, obesity affects 42.5% of adults, and both are considered a major public health concern. With this qualitative study, 18 adults with early life adversities were explored as to how experience weight loss treatment within their primary care. This narrative inquiry was designed to answer the research questions intended to explore physical health, mental health, and socio-environmental aspects of their stories, …


Nursing Staff Education Project To Improve Diabetic Patients' Glycemic Control, Valerie R. Gaston Jan 2022

Nursing Staff Education Project To Improve Diabetic Patients' Glycemic Control, Valerie R. Gaston

Walden Dissertations and Doctoral Studies

Diabetes is a chronic disease affecting more than 34.2 million people in the United States. The International Diabetes Federation predicted by the year 2045 an estimated 700 million people will have diabetes. In the clinic project site, the practice problem involved the increasing clinician’s knowledge about Type 2 diabetes mellitus (T2DM) with improved glycemic control through self-care management. The purpose of this project was to develop an educational training and intervention for staff to increase their knowledge of self-care management to improve glycemic control and have it validated by a panel of experts before dispersing it to the intended audience. …


The Beliefs And Practices Of Black Single Mothers Who Promoted College Completion Among Their Offspring, Michelle Arlene Akere-Azeez Jan 2022

The Beliefs And Practices Of Black Single Mothers Who Promoted College Completion Among Their Offspring, Michelle Arlene Akere-Azeez

Walden Dissertations and Doctoral Studies

In the United States, the number of single mothers among Blacks has steadily increased over time, with single motherhood being associated with a higher level of poverty and other social problems. Unfortunately, these adverse effects have led to a low rate of college completion among children of low-income Black single mothers, which has resulted in a cycle of generational poverty. The purpose of this generic qualitative study was to identify the beliefs and practices of low-income Black single mothers who influenced successful college completion among their offspring. Data were collected using semi structured interviews of eight low-income Black single mothers …


An Educational Program For Standardization Of Care For The Acute Opioid Withdrawal, Jessica Ann Larson Jan 2022

An Educational Program For Standardization Of Care For The Acute Opioid Withdrawal, Jessica Ann Larson

Walden Dissertations and Doctoral Studies

Opioid addiction is a widespread chronic disease affecting millions of Americans each year, resulting in medical, social, financial, and societal detriments. Patients experiencing opioid withdrawal benefit from a standardized and evidence-based approach to care. The purpose of this doctoral nursing project was to provide inpatient nursing education for a standardized clinical practice approach to optimize patient outcomes. The research question examined the impact of an educational program for nurses presenting a new standardized opioid withdrawal clinical practice guideline inclusive of assessment, nursing interventions, a symptom triggered order set, and follow up plan of care in terms of knowledge gained and …


Organizational Barriers To Effective University Student Mental Health Services, Felicia Evans-Edwards Jan 2022

Organizational Barriers To Effective University Student Mental Health Services, Felicia Evans-Edwards

Walden Dissertations and Doctoral Studies

This study was focused on organizational barriers to effective university student mental health services access in the department of student resources (DSR) at a for-profit university in the northeastern United States. Once such barriers are addressed, faculty may be more successful in reaching out to students needing mental health services who are not self-identifying as needing these services. The Baldrige excellence framework guided this descriptive case study to examine the organizational barriers that prevent university leadership from creating clear policies and procedures for faculty to refer students to mental health services. Data sources included interviews with the behavioral health leader …


Factors Associated With Accidental Drug Exposure In U.S. Adults Over 65 Years Of Age, Edwin Raj Jan 2022

Factors Associated With Accidental Drug Exposure In U.S. Adults Over 65 Years Of Age, Edwin Raj

Walden Dissertations and Doctoral Studies

Medication errors are a major public health issue and a leading cause of fatalities in the United States and globally. Older adults who rely on medications to address age-related health issues are at higher risk of medication errors. Accidental exposure to drugs is a major type of medication error that impacts older people more than other age groups. The purpose of this quantitative correlational study was to examine the association between patient gender, age group, and reporter type and accidental exposure to drugs in older people. The ecological model was used to guide the study. Logistic regression analysis was used …


Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer Jan 2022

Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer

Walden Dissertations and Doctoral Studies

The rising cost of Medicare is a growing concern for recipients. Beneficiaries are often forced to implement a host of strategies to meet rising out-of-pocket expenses. This qualitative study was conducted to address a research gap in methods used by senior citizens to manage rising Medicare coverage costs. Garmezy’s resilience theory was used to contextualize the rising costs of Medicare premiums and copays and strategies used to manage healthcare needs. The purposive sample of 12 socioeconomically diverse respondents included eight women and four men ranging in age between 65 and 77, for an average age of 70.2 years. Participants completed …


Improving Advance Care Planning Among Native Americans, Jasjit Kaur Pataria Jan 2022

Improving Advance Care Planning Among Native Americans, Jasjit Kaur Pataria

Walden Dissertations and Doctoral Studies

A staff education project was created in a tribal health system of primary care clinics to improve advance care planning (ACP) conversations between care providers and Native American tribal patients. ACP conversations and advance directive documentation occurrences were found to be low or negligible in the project site despite primary care clinics being an ideal place to start these conversations. The purpose of the staff education project was to improve the knowledge and attitudes of providers toward initiating ACP conversations in a rural underserved community of Native Americans. The knowledge-to-action model was used to frame the project. Pretests and posttests …


Appraisal Of Institutional Antimicrobial Stewardship In Selected Public Health Facilities In Nigeria, Joshua Olusegun Obasanya Jan 2022

Appraisal Of Institutional Antimicrobial Stewardship In Selected Public Health Facilities In Nigeria, Joshua Olusegun Obasanya

Walden Dissertations and Doctoral Studies

The misuse of antimicrobials (AM) constitutes a huge problem in developing countries, including Nigeria, posing severe public health threats to the populace’s health. Misuse contributes to the high consumption of AM, driving the emergence and spread of antimicrobial resistance (AMR). Establishing functional antimicrobial stewardship (AMS) programs at the health facility levels is recognized as an effective and efficient strategies to tackle AMR. Literature is replete with evidence of poor prescription practices, but few studies assessing the factors contributing to inappropriate use of AM in Nigeria exist. The purpose of this study was to improve the understanding of AMS practice at …


Exploring Parent Support For School-Based Health Programs To Reduce Childhood, Alaphiah Delaney Campbell Byfield Jan 2022

Exploring Parent Support For School-Based Health Programs To Reduce Childhood, Alaphiah Delaney Campbell Byfield

Walden Dissertations and Doctoral Studies

The rise in childhood obesity rates continues globally despite the design and implementation of social programs aimed at curtailing that phenomenon. The government of Jamaica has indicated that a whole-of-government, whole-of-society approach is needed to control obesity. The literature has shown that in Jamaica, support for being fluffy impedes progress toward addressing the problem of childhood obesity; being fluffy is considered attractive and a sign that one has a good life. Studies have shown that obese or overweight children are at risk for developing psychosocial (e.g., having low self-esteem, and underperforming academically) and medical problems (e.g., noncommunicable diseases such as …


Health Educators’ Perspectives On Black And Latin@ College Students’ Health Literacy, Desiree Williams Brown Jan 2022

Health Educators’ Perspectives On Black And Latin@ College Students’ Health Literacy, Desiree Williams Brown

Walden Dissertations and Doctoral Studies

AbstractEmerging adulthood is a critical life stage when participation in higher education can facilitate the transition of young individuals into adulthood and independence. The barriers associated with low health literacy levels are higher among racial or ethnic groups facing health inequalities, including those enrolled in higher education institutions. The purpose of this basic qualitative study was to explore how health educators promoted the health literacy of Black and Latino emerging adult college students. The theoretical framework was based on Bandura’s social cognitive theory. Eight health professionals who served to promote health literacy across diverse college campuses and different states in …