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Articles 811 - 840 of 2220
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Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose
Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD), depressive disorders, and mental health are significant health issues in the United States. The purpose of this study was to examine the association of CKD and depressive disorders and days of poor mental health in adults living in Georgia, controlling for race/ethnicity, socioeconomic status, gender, age, diabetes mellitus status, high blood pressure status, marital status, and number of adults in the household. The study was a descriptive, quantitative, cross-sectional design with secondary data analysis, and the framework used was Wilson and Cleary health-related quality of life measures. The 2019 Behavioral Risk Factor Surveillance System Survey weighted …
The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario
The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario
Walden Dissertations and Doctoral Studies
Latino/Hispanics are one of the largest ethnic minority groups in the United States, yet they are underrepresented in higher education. Grounded on the social cognitive theory and the Hoover-Dempsey and Sandler model, the purpose of this study was to examine the relationship between parental expectations, parental involvement, parental self-efficacy, and postsecondary planning of Latino/Hispanic students. The research questions were formulated to determine whether parental factors among Latino/Hispanic parents can predict postsecondary educational outcomes among Latino/Hispanic students. A quantitative correlational research study design was used. The target population was Latino/Hispanic parents residing in the United States with at least one child …
Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze
Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze
Walden Dissertations and Doctoral Studies
AbstractObesity is one of the Healthy People 2020 high-priority public health issue. Obesity is of importance due to the troubling higher prevalence in women because of the close link that exists between body weight and reproductive health in females from menarche to menopause and beyond. The identification of guidelines to improve or manage the care of female patients can alleviate the burden and complications from being overweight or obese. This project guided by the ADDIE (analyze, design, develop, implement, and evaluate) model was conducted in a family primary care clinic to address a gap in practice, the lack of knowledge …
Phenomenology Of How The Doctor-Patient Relationship Plays A Role In Cardiovascular, Sanam Sarahbi
Phenomenology Of How The Doctor-Patient Relationship Plays A Role In Cardiovascular, Sanam Sarahbi
Walden Dissertations and Doctoral Studies
Cardiovascular disease (CVD) is the leading cause of death in men and women for most racial and ethnic groups in the United States. Physicians are the most frequently sought-after source of support for self-management of chronic diseases of patients. Social support from physicians may help facilitate patient resiliency. This phenomenological study involved using the social support theory as the theoretical lens and health literacy as the conceptual framework to explore how CVD patients perceive experiences with their physicians foster resiliency. Semi-structured interviews were used to collect rich descriptions of CVD patient experiences. Data were analyzed by using Moustakas’ modification of …
Educators’ Perception Of Their Psychosocial Support Of Elementary Students In Gabon, Africa, Michel Ikamba
Educators’ Perception Of Their Psychosocial Support Of Elementary Students In Gabon, Africa, Michel Ikamba
Walden Dissertations and Doctoral Studies
Although educators internationally have often provided care to vulnerable students who struggle to meet the needs of nutrition, health, protection, and access to essential social services, no formal social systems exist in Gabon to aid educators who work with these students. In the absence of relevant local research and drawing on Dewey’s theory of progressive education as a conceptual model, this basic qualitative study asked about educators’ perceptions in limited resource elementary schools in Gabon of the social needs and strategies employed with students who demonstrated signs of disengagement and alienation. Qualitative data collection included semi-structured recorded interviews with 12 …
African American Women’S Body Image Perceptions And The Built Environment, Andrea Denise Smith
African American Women’S Body Image Perceptions And The Built Environment, Andrea Denise Smith
Walden Dissertations and Doctoral Studies
African American (AA) women have a 54.8% overall obesity rate in the United States. This quantitative cross-sectional study’s aim was to determine what factors may have an impact on body image perceptions of AA women in Alabama and New Jersey. A gap in research this study addressed is sociodemographic and geographic differences that may impact obesity rates among AA women. The theoretical framework used for this study was the social cognitive theory. Secondary data were obtained from the 2018 Behavioral Risk Factor Surveillance System. Linear regression (LR) analyses results showed that none of the sociodemographic variables (education level, employment status, …
Experiences In Informal Mentoring Among African American Women In Management, Alexandria Simone Samuels-Ross
Experiences In Informal Mentoring Among African American Women In Management, Alexandria Simone Samuels-Ross
Walden Dissertations and Doctoral Studies
There is a lack of African American women representing senior management and executive positions within nonprofit organizations due to organizational culture, gender stereotypes, and failure to capitalize on the talents of women in general. The purpose of this generic qualitative study was to explore the informal mentoring experiences of African American women employed as managers for over two years in nonprofit organizations. Research has suggested the need for further study of on-the-job mentoring and its impact on employees’ job satisfaction and opportunities to advance within an organization. The theoretical framework that guided the study was social exchange theory, which is …
Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson
Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson
Walden Dissertations and Doctoral Studies
Behavioral health clinician shortages are a significant and ongoing problem in the United States, especially in rural areas, which have higher rates of homelessness, suicide, substance use, and violence rates than urban areas. The purpose of this qualitative case study was to explore factors contributing to the behavioral health clinician shortage in a rural midwestern U.S. public health department. The goal was to gain a better understanding of this shortage and explore strategies and solutions for recruiting and retaining behavioral health clinicians at the agency’s facilities. The Baldrige excellence framework undergirded the investigation. Data sources included interviews with three administrative …
Relationship Between Employee Engagement, Kind Of Initiatives, And Workplace Wellness Program Effectiveness, Alicia Dobrzeniecki
Relationship Between Employee Engagement, Kind Of Initiatives, And Workplace Wellness Program Effectiveness, Alicia Dobrzeniecki
Walden Dissertations and Doctoral Studies
Ineffective workplace wellness programs prevent organizations from decreasing employee health and well-being costs. Workplace wellness managers lose more than $1,100 in decreased productivity each year. Grounded in the theory of planned behavior, the purpose of this quantitative correlational study was to examine the relationship between workplace wellness engagement, kind of workplace wellness initiatives, and workplace wellness program effectiveness. Data were collected from 146 workplace wellness program managers who completed the HERO scorecard. The multiple linear regression analysis results indicated the model was able to significantly predict workplace wellness program effectiveness, F(2, 143) = 85.482, p = < .001, R² = .545. Both predictors provided a significant contribution to the model, with workplace wellness engagement level (t = 8.342, p = < .001, β = .543) providing a higher contribution to the model than kind of workplace wellness initiatives (t = 4.584, p = < .001, β = .298). A key recommendation for workplace wellness program managers is to emphasize employee engagement in workplace wellness programs and choose the appropriate initiatives to ensure workplace wellness program effectiveness. The implications for positive social change include the potential for improved health and well-being within the U.S. workforce.
An Educational Program To Enhance Knowledge And Communication For Nursing Staff Who Care For Dementia Patients, Behnaz Mohammadi
An Educational Program To Enhance Knowledge And Communication For Nursing Staff Who Care For Dementia Patients, Behnaz Mohammadi
Walden Dissertations and Doctoral Studies
AbstractDementia is a progressive chronic disease that requires skilled nursing care. Staff at a skilled nursing facility were not using best practices to prevent and manage the psychological and behavioral symptoms of dementia. The purpose of this DNP project was to implement a dementia care education to address this gap in knowledge. The question for the evidence-based educational project was whether the program increased knowledge, promoted positive attitudes, and increased confidence in dementia care staff. A 5-hour workshop was presented in person, twice in two weeks. The person-centered care model served as a framework for the project. Nursing staff (N …
Life Experiences Of Head Start Teachers In A Midwestern Region Pursuing Higher Education, Jeanette O. Keyes
Life Experiences Of Head Start Teachers In A Midwestern Region Pursuing Higher Education, Jeanette O. Keyes
Walden Dissertations and Doctoral Studies
AbstractThe 2007 Head Start Reauthorization Act mandated that all Head Start teachers have at least an associate degree and 50% of teachers within each Head Start program should have a baccalaureate degree in early childhood education. The problem addressed in this study was that Head Start teachers from a Midwestern region encountered barriers as they pursued higher education to meet mandated requirements to continue employment. The purpose of this study was to explore the life experiences, barriers, coping strategies and views of support needed by Head Start teachers who were completing their degrees. Tinto’s academic and social integration model and …
The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario
The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario
Walden Dissertations and Doctoral Studies
Latino/Hispanics are one of the largest ethnic minority groups in the United States, yet they are underrepresented in higher education. Grounded on the social cognitive theory and the Hoover-Dempsey and Sandler model, the purpose of this study was to examine the relationship between parental expectations, parental involvement, parental self-efficacy, and postsecondary planning of Latino/Hispanic students. The research questions were formulated to determine whether parental factors among Latino/Hispanic parents can predict postsecondary educational outcomes among Latino/Hispanic students. A quantitative correlational research study design was used. The target population was Latino/Hispanic parents residing in the United States with at least one child …
Relationship Between Income, Maternal And Infant Factors, And Infant Mortality Rates In African American Communities, Kristen Newman
Relationship Between Income, Maternal And Infant Factors, And Infant Mortality Rates In African American Communities, Kristen Newman
Walden Dissertations and Doctoral Studies
Infant mortality is a significant public health issue that provides insight into the health of a community. The purpose of this study was to examine whether a relationship existed between infant mortality and median income by zip code, maternal factors, and/or infant factors in the affluent, African American community of Prince George’s County, Maryland. The research theory chosen for this study was the conceptual framework for action on the social determinants of health based upon its action-oriented focus. The secondary data used for this study was linked birth and infant death data for 2010 to 2016 collected by the Department …
The Nutrition Environment Among Young San Children In Oshandi: A Case Study, Evelyn Ndinelao Breuer
The Nutrition Environment Among Young San Children In Oshandi: A Case Study, Evelyn Ndinelao Breuer
Walden Dissertations and Doctoral Studies
AbstractUndernutrition among young San children under the age of five remains prominent in Namibia, despite nutritional intervention programs. Guided by the model of community nutritional environment conceptual framework and social-ecological model, this case study involved exploring perceptions of San parents and local nutritional service providers regarding the nutritional environment of San children in Oshandi Village. Semi-structured interviews and observations were used to conduct this research with 12 participants, five local nutritional service providers and seven San parents who had children under five. Irregular and unreliable nutritional support was a factor leading to not explicitly addressing needs of the San people, …
Frequency In Copd And Cad Emergency Department Visits In South Carolina: Medicare Versus Self-Pay, Alexandria Brown
Frequency In Copd And Cad Emergency Department Visits In South Carolina: Medicare Versus Self-Pay, Alexandria Brown
Walden Dissertations and Doctoral Studies
Coronary artery diseases (CAD) and chronic obstructive pulmonary diseases (COPD) represent the most common cause of emergency department (ED) visits and hospitalization for both Medicare and self-pay patients, which amount to nearly 2 to 4 million spent annually. The purpose of this quantitative stud ywas to identify the relationship between ED frequency among CAD and COPD Medicare and self-pay recipients 18 to 65 years within South Carolina between 2016 to 2018. The variables for this study were age and payer (independent) and ED frequency (dependent). Using a sample size of 7,689 an ANOVA Regression and t-test analyses were used to …
Understanding Effective Parental Involvement Activities Across Ses, Monique Antoinette Carrington Young
Understanding Effective Parental Involvement Activities Across Ses, Monique Antoinette Carrington Young
Walden Dissertations and Doctoral Studies
Parental involvement is pivotal for impoverished middle school students to achieve academic achievement. The purpose of this study was to evaluate the relationship of parental involvement activities and academic achievement for impoverished middle school students. Epstein’s six parental involvement types was the theoretical framework for the research study. The six independent variables of parental involvement were parenting, volunteering, learning at home, decision making, communicating, and collaborating with community The relationship for each parental involvement activated to academic achievement as measured by grade point average was evaluated. A quantitative research design was applied using archival data from the U.S. Department of …
An Educational Program For Hospice Nurses About End-Of-Life Protocols, Rhonda Coleman
An Educational Program For Hospice Nurses About End-Of-Life Protocols, Rhonda Coleman
Walden Dissertations and Doctoral Studies
Abstract Palliative care is specialized care for people living with a serious illness. This type of care is centered on providing relief from the symptoms and stress of the illness with a primary goal to improve the quality of life for both the patient and the family. A gap in nursing practice was identified in a hospice facility in the South Central United States.; the nurses did not use palliative care or end-of-life (EoL) protocols. This project focused, therefore, on the development of a nursing staff education program for hospice nurses to increase knowledge about the use of EoL protocols. …
The Mother-Daughter Attachment-Bond In Adulthood After Childhood Sexual Abuse, Dionne Carla Dauphin
The Mother-Daughter Attachment-Bond In Adulthood After Childhood Sexual Abuse, Dionne Carla Dauphin
Walden Dissertations and Doctoral Studies
AbstractChildhood sexual abuse (CSA) may have a significant impact on the attachment bond between adult women and their mothers when CSA is disclosed during childhood. When CSA is known by the mother during the period of abuse, and she failed to intervene on behalf of her daughter, there can be long-lasting effects on the mother-daughter attachment bond in the future. There is a gap in the research literature regarding the attachment bond between the mother-daughter dyad in adulthood influenced by CSA known by the mother during the period of abuse. The purpose of this phenomenological study was to understand the …
The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke
The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke
Walden Dissertations and Doctoral Studies
The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …
Healthcare Management Strategies For Achieving Sustainable Departmental Productivity Improvements, Timothy Hargrove
Healthcare Management Strategies For Achieving Sustainable Departmental Productivity Improvements, Timothy Hargrove
Walden Dissertations and Doctoral Studies
Healthcare organizations’ leaders' lack of strategies to effectively deploy and monitor departments’ productivity goals affect overall organizations’ performance. Healthcare leaders who fail to deploy and monitor departmental productivity strategies effectively are limited to enhancing healthcare organizations’ performance outcomes. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies healthcare organizations’ leaders use to effectively identify, deploy, and monitor departments’ goals for improving their overall organization's performance. The participants were 20 healthcare leaders who successfully demonstrated success in improving their organizations’ departmental-specific productivity performance. Data were collected using semistructured interviews and a review of …
The Association Between Vocational Training Programs And Recidivism In A South Florida Prison, Audrey Karlene Ives
The Association Between Vocational Training Programs And Recidivism In A South Florida Prison, Audrey Karlene Ives
Walden Dissertations and Doctoral Studies
AbstractTo lower recidivism, a private rehabilitation and correctional facility (PRCF) in South Florida provides educational and therapeutic programs to inmates; however, the facility reported increased recidivism rates for several successive years. The purpose of this quantitative study was to examine the association between 12 vocational training programs at the local PRCF and recidivism. The study’s theoretical framework was Hirschi’s social bond theory of attachment, involvement, commitment, and belief. The research question sought to determine whether significant associations exist between specific vocational training programs and recidivism. A convenience sample of 187 inmates who completed one vocational training program and left the …
Strategies Leaders In A Canadian Charity Use To Maintain Donors’ Trust And Ensure Continued Donations, Egberth Ralph Jeffers
Strategies Leaders In A Canadian Charity Use To Maintain Donors’ Trust And Ensure Continued Donations, Egberth Ralph Jeffers
Walden Dissertations and Doctoral Studies
Eroded public trust and financial support threaten charity organizations' sustainability. Charity directors are concerned with eroding trust as lack of confidence adversely impacts the economic lives of disadvantaged communities. Grounded in Stewart’s ladder of accountability theory and Alderfer’s existence, relatedness, and growth theory, the purpose of this qualitative single case study was to explore strategies charitable organizations’ leaders use to maintain donors’ trust and ensure continued donations. The participants were five charity directors who used strategies to maintain donors’ trust and ensure ongoing donations. Data were collected using semistructured interviews and document reviews. Through Braun and Clarke's six-step thematic analysis, …
Benefits And Barriers That African American Men Experience With Financial Assistance, C. Alan Jones
Benefits And Barriers That African American Men Experience With Financial Assistance, C. Alan Jones
Walden Dissertations and Doctoral Studies
Policymakers often design public policies and programs to assist populations in improving their social status, economic standing, or overall well-being. The problem addressed in this study is the gap in understanding the perspectives of African American men related to policies and programs that provide them with financial assistance. Ingram et al.’s social construction and policy design theory provided the framework for this qualitative study, which aimed to understand the benefits and barriers African American men experienced with public programs that provided financial assistance and its impact on their financial stability. Eleven African American men, selected using purposive sampling, responded to …
Micronutrient Deficiency After Bariatric Surgery, Naitte P. Jordan
Micronutrient Deficiency After Bariatric Surgery, Naitte P. Jordan
Walden Dissertations and Doctoral Studies
Abstract Bariatric surgery is the most clinically efficacious treatment for obesity and obesityrelated comorbidities. Many patients undergoing bariatric surgery have preexisting levels of nutritional deficiencies. The prevalence of micronutrient deficiencies may increase after surgery, and long-term nutritional monitoring and follow-up are essential factors for postoperative patient care; yet advanced practice nurses may not be accustomed to caring for patients or treating micronutrient deficiencies. The purpose of this systematic literature review was to collect and analyze clinical evidence to determine what can the APN with the best available evidence do for implementing protocols and procedures to prevent, detect, and monitor for …
Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr
Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr
Walden Dissertations and Doctoral Studies
The increasing number of hepatitis B-related deaths in the Armed Forces of Liberia was due to the lack of understanding of the associated risks with the disease. Gender, substance use, and condom use have been researched as related risk factors for hepatitis B virus infection (HBV). The goal of this study was to determine if gender (male or female) and risk factors (substance use, alcohol abuse, and condom use) predicted hepatitis B infections after adjusting for age, marital status, education, and military rank among Liberia military population. The theory that grounded this study was Bronfenbrenner’s socio-ecological model (SEM) which posits …
The Experience Of Affection Expressed Between Black Male Friends, David Manning
The Experience Of Affection Expressed Between Black Male Friends, David Manning
Walden Dissertations and Doctoral Studies
AbstractAffectionate communication supports the maintenance and sustenance of long-term relationships for the purposes of survival and procreation. Friendship has been identified as one of the most significant relationships throughout an individual’s lifespan, supporting improved mental and physical health. This qualitative study explored the expressions of affection experienced within Black male friend dyads. Two research questions were posed, what is the experience of Black men receiving and giving affection to other Black men within the context of friendships? Also, are the affectionate needs of Black men being met within their Black male friendships? Affectionate exchange theory and social learning theory were …
An Integrated Care Transitions Program And 30-Day Readmission Rates For Heart Failure And Chronic Obstructive Pulmonary Disease, Kathryn J. Martinez
An Integrated Care Transitions Program And 30-Day Readmission Rates For Heart Failure And Chronic Obstructive Pulmonary Disease, Kathryn J. Martinez
Walden Dissertations and Doctoral Studies
The impact of hospital readmissions on an organization includes reimbursement penalties, elevated mortality and morbidity rates, increased health care expenditures, and poor quality of life for the community’s residents. This study examined the impact of an integrated care transitions program on the 30-day readmission rates for heart failure and chronic obstructive pulmonary disease (COPD) within an independent rural community health care organization in Middle America. The two research questions pertained to the relationships pre-and post-implementation of this program to the 30-day readmission rates for these two disease processes. The Donabedian model examined the structure and function of an integrated care …
The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin
The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin
Walden Dissertations and Doctoral Studies
Stress results in many people altering their eating patterns, often consuming food high in sugar and fat. Such behavior is a factor in the growing obesity epidemic and can potentially cause the development of chronic diseases, resulting in employment problems and billions of extra dollars spent on national health care programs. Researchers have focused on the concept of “emotional eating” while overlooking the overarching research question of this study, which was about exploring the experience of individuals using eating behavior as a coping mechanism to deal with stress. All responses were viewed through the lens of social cognitive theory. Interviews …
Improving Nurses' Knowledge Of Patient Self-Management Of Sickle Cell Disease, Angel Amaura Mccullough
Improving Nurses' Knowledge Of Patient Self-Management Of Sickle Cell Disease, Angel Amaura Mccullough
Walden Dissertations and Doctoral Studies
Sickle cell disease (SCD) is a chronic illness affecting over 100,000 Americans annually. SCD causes severe pain, which may require frequent hospital admissions for pain control. A high level of patient self-care knowledge is needed to prevent readmissions. Patients usually receive self-care education at hospital discharge from nurses, who may not know about self-care in SCD. Inadequate patient education on self-management of SCD at hospital discharge can lead to hospital readmissions. There was a gap in knowledge among RNs regarding SCD self-care at the local facility. This doctoral project was intended to educate nurses about SCD self-management to increase their …
Diabetes Self-Management Education For Nurses In The Primary Care Setting, Emilea Emade Mfortow
Diabetes Self-Management Education For Nurses In The Primary Care Setting, Emilea Emade Mfortow
Walden Dissertations and Doctoral Studies
AbstractDiabetes is a chronic disease that can be controlled by self-management to reduce the risk of acute or long-term complications. Healthcare might encounter many challenges for patients’ lack of adherence to diabetes self-management education. For this reason, lifestyle modification can be applied as a tool in the nursing field to manage adult patients with type 2 diabetes mellitus. This doctoral project addressed the gap in nursing practice for adult patients with type 2 diabetes regarding diabetes self-management education. This project focused on improving the nursing staff’s knowledge to promote evidence-based diabetes self-management education with their patients. The goal was to …