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Articles 931 - 960 of 2220
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Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua
Perceived Learning Needs Of High School Teachers Regarding Suicide Prevention, Miranda Lynne Bevilacqua
Walden Dissertations and Doctoral Studies
Suicide is the second leading cause of death among youth in Canada. Though school-aged youth are surrounded by teachers, mentors, and school mental health nurses (SMHN), little is known about what teachers want to know regarding suicide and whether the teachers have the knowledge to recognize youth at risk. The purpose of this generic exploratory qualitative study, guided by the health belief model, was to explore the perceived learning needs of high school teachers in northwestern Ontario (NWO) regarding suicide prevention. The data collection process involved semistructured virtual interviews with 14 high school teachers in NWO recruited via social media. …
African American Social Service Nonprofit Leaders’ Success Strategies, Orletta Ekpene Caldwell
African American Social Service Nonprofit Leaders’ Success Strategies, Orletta Ekpene Caldwell
Walden Dissertations and Doctoral Studies
This study sought to understand successful African American social service nonprofit leaders’ stories about building sustainable organizations. There was currently limited research on this topic. Therefore, the study used a basic qualitative methodology to understand their backgrounds and influences that impacted their ability to maintain a sustainable nonprofit organization despite the unique challenges these leaders face. The White racial frame and social cognitive theory theories identified the context and foundation of these challenges. Nine successful African American social services nonprofit organization leaders were interviewed. Qualitative thematic analysis was used to identify key themes from the interview data. The interviews helped …
Experiences Of Volunteer Staff In Eldercare Facilities During The Covid-19 Pandemic, Novelle S. Davis
Experiences Of Volunteer Staff In Eldercare Facilities During The Covid-19 Pandemic, Novelle S. Davis
Walden Dissertations and Doctoral Studies
The exploitation of unpaid healthcare staff led to a volunteer flight from long-term residential facilities during the COVID-19 pandemic. A literature gap existed on human resource policies to support volunteer eldercare workers who had remained at their posts and taken charge of work in long-term care facilities during the public health crisis. The purpose of this qualitative narrative inquiry study was to explore how volunteers in eldercare facilities viewed their daily experiences and interpreted their role in eldercare facilities during the COVID-19 pandemic. This study was framed by Garner and Garner’s theory of volunteer retention and Studer’s concept of volunteer …
Relationship Between Social Media Screen Time, Sedentariness, And Bmi Among Young Adults, Helen Golod
Relationship Between Social Media Screen Time, Sedentariness, And Bmi Among Young Adults, Helen Golod
Walden Dissertations and Doctoral Studies
Obesity has quickly become an epidemic that affects adults and youth not only in the United States, but also increasingly elsewhere in the global community. Research suggests that most children and adolescents spend a significant amount of time indulging in screen-based leisure, especially on social media. Such behavior may also be linked to sedentary lifestyle, which can impact an individual’s body mass index (BMI). There is a lack of understanding concerning how sedentary behavior moderates the relationship between screen time spent on different types of social media and BMI among young adults in the United States. To address this research …
Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton
Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton
Walden Dissertations and Doctoral Studies
Falls among hospitalized, geriatric patients are a leading cause of injury. Geriatric patients with psychiatric illnesses are at an even greater risk of falls. The project site was experiencing an increase in the number of patient falls and identified a need for staff education on fall risk assessment and implementation of interventions specific to the hospitalized, geriatric, psychiatric patient. Thus, the practice-focused question for this project was whether an educational program on evidence-based assessment and fall prevention strategies would improve nurses’ knowledge and skills to assess risk for falls and implement appropriate interventions for inpatient, geriatric, psychiatric patients. Knowles’s adult …
Educators' And Parents' Perceptions Of Family Engagement In A Head Start Program, Sondeania Marie Johnson
Educators' And Parents' Perceptions Of Family Engagement In A Head Start Program, Sondeania Marie Johnson
Walden Dissertations and Doctoral Studies
Family engagement benefits children’s development and contributes to student academic success. However, educators feel that they are unprepared to engage families in the educational process, although they are encouraged to do so. The purpose of this basic qualitative study with interviews was to explore educators’ and parents’ perceptions of family engagement. The conceptual framework for this study was supported by Epstein’s ecological framework. A basic qualitative study and purposeful sampling were used to conduct semistructured interviews with 10 educators who were currently employed as teachers and with five parents who had a child enrolled in the Head Start program who …
Secret Keeping And Subjective Well-Being In Nurses, Augustina Marie Frazier
Secret Keeping And Subjective Well-Being In Nurses, Augustina Marie Frazier
Walden Dissertations and Doctoral Studies
Studies suggest that “secret-keeping,” the act of maintaining confidences or personal information, is a problem in the nursing population. Secret keeping may cause depression and anxiety, which might bring about isolation and reduce the ability to provide patient care. The purpose of this study was to address the gap in the literature concerning the relationship between secret-keeping and subjective well-being among early- and late-career nurses. Nurses are those who primarily work at the bedside and who supply the nursing labor force in health cares. I used Seligman's well-being theory to focus on the nurses’ happiness based on positive psychology. The …
Perceived Health And Preventative Care In The Transgender Population, Gregory Page Carpenter
Perceived Health And Preventative Care In The Transgender Population, Gregory Page Carpenter
Walden Dissertations and Doctoral Studies
Historically, the transgender community has been treated and studied myopically, using the lens of psychological illness. As treatment and research efforts have expanded in the past decade, the transgender population is becoming better understood. The purpose of the study was to examine the relationship between perceived health and preventative care in the transgender community. The health belief model was the theoretical framework for this cross-sectional study, which included data from the 2014–2018 Behavioral Risk Factor Surveillance System Survey. Chi-square tests and binomial logistic regressions were performed to investigate associations between perceived health and preventative care in the transgender community. The …
The Supplemental Nutrition Assistance Program Work Policy And Its Influence On College Students’ Academic Success, Annetta Ann Clark
The Supplemental Nutrition Assistance Program Work Policy And Its Influence On College Students’ Academic Success, Annetta Ann Clark
Walden Dissertations and Doctoral Studies
The Supplemental Nutrition Assistance Program (SNAP) is a public food supplement assistance program offered by the U.S. federal government. Undergraduate students who apply for the program must work at least 20 hours per week while concurrently enrolled in six academic units or more. However, students who work more find less time to commit to their college studies, resulting in a negative impact on their academic performance. This phenomenography study’s purpose is to understand from an academic advisor’s perspective how SNAP’s work policy affects academics among first-generation undergraduate students. Maslow’s hierarchy of needs and Goldratt’s theory of constraints were the conceptual …
Kindergarten Teachers’ Implementation Methods For School Readiness Skills In A Rural School, Beverly Vashon Woods
Kindergarten Teachers’ Implementation Methods For School Readiness Skills In A Rural School, Beverly Vashon Woods
Walden Dissertations and Doctoral Studies
Kindergarten students in a Title 1 elementary school are lacking school readiness skills. When students enter kindergarten unprepared to learn, they may experience difficulties with approaches toward learning skills related to physical, language, social, emotional, and cognitive development, which are reliable predictors of subsequent academic and life success. The purpose of this qualitative bounded case study with a constructivist framework was to examine how kindergarten teachers implemented the five domains of school readiness at a Title 1 school to improve incoming kindergarten students’ learning. Convenience sampling was used within a bounded system of four kindergarten teachers in a Title 1 …
The Relationship Between Health Insurance And Dialysis Utilization For Chronic Kidney Disease Patients In Saint Lucia, Anita Lilian Sydney
The Relationship Between Health Insurance And Dialysis Utilization For Chronic Kidney Disease Patients In Saint Lucia, Anita Lilian Sydney
Walden Dissertations and Doctoral Studies
AbstractChronic kidney disease (CKD) is a significant cause of disability and death in Saint Lucia. The incidence of CKD is disproportionately higher among individuals who are socially and financially disadvantaged. New evidence suggests that in resource-poor countries, government subsidization programs for dialysis treatment aid in the delay of disease progression and its associated costs. The purpose of this study was to examine the relationship between health insurance, government subsidization, employment, and dialysis utilization for CKD patients and the efficacy of subsidization for dialysis in Saint Lucia. The study included a retrospective cohort of 979 moderate-to-severe CKD patients from secondary data …
School Administrators’ Perceptions On Teaching Foster Children, Tisha Marie Hess
School Administrators’ Perceptions On Teaching Foster Children, Tisha Marie Hess
Walden Dissertations and Doctoral Studies
Children in foster care face multiple barriers compared to their nonfoster peers, especially as it pertains to their educational success. The problem was school administrators, such as principals and assistant principals, face greater challenges in meeting the educational needs of foster children in addition to balancing the extraneous issues foster children face. Using Bronfenbrenner’s ecological theory, the purpose of this qualitative case study was to explore the experiences, perceptions, and challenges of elementary school administrators who work with foster youth in one school district in Illinois. The specific focus was on administrators’ role in curriculum design, support services, and ability …
Clinical Guideline To Support Diabetes Education For Adult Nursing Home Residents, Adediwura Ajadi
Clinical Guideline To Support Diabetes Education For Adult Nursing Home Residents, Adediwura Ajadi
Walden Dissertations and Doctoral Studies
AbstractDiabetes is a major cause of increased disease burden and cost of care for patients in long-term care (LTC) settings. Of common diabetes-related complications, hypoglycemia has the most catastrophic implications for this population. Poor understanding, reporting, and management of hypoglycemia by LTC staff can cause increased diabetes-related hospitalizations, disability, deaths, and financial burden for LTC patients and nursing homes. This DNP project focuses on developing a clinical guideline to address the recognition and management of hypoglycemia in LTC settings. It will advance the skills and knowledge of LTC staff regarding hypoglycemia management. The project is grounded in nursing theoretical models …
Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark
Sociodemographic And Psychosocial Factors And Wellbeing Among Adults 65 And Older In England, Dainelle Clark
Walden Dissertations and Doctoral Studies
The increased number of older adults living longer parallels with the growth of public health concerns regarding the impact of sociodemographic and psychosocial factors (e.g., loneliness and social isolation) on older adults' wellbeing. The purpose of this quantitative study was to examine the association between loneliness, social isolation, the combined model of loneliness, and social isolation on wellbeing among older adults when accounting for age, gender, ethnicity, and social support. The socioecological model (SEM) was used to evaluate the multiple levels of environmental determinants for loneliness, social isolation, and wellbeing. The target population included older adults 65 years and older …
How Prekindergarten And Kindergarten Teachers Supported Students' School Readiness Skill Development During The Covid-19 Pandemic, Eileen Manoukian
How Prekindergarten And Kindergarten Teachers Supported Students' School Readiness Skill Development During The Covid-19 Pandemic, Eileen Manoukian
Walden Dissertations and Doctoral Studies
Scholarly literature lacks studies on how prekindergarten and kindergarten (PK-K) teachers supported students’ school readiness skill development and successful transitions to formal schooling during the COVID-19 pandemic. Framed by school readiness theory and social development theory, this qualitative study explored perspectives of 16 PK-K teachers to answer two research questions about how teachers support students’ school readiness skill development foster students’ successful transitions to formal schooling during the COVID-19 pandemic in a metropolitan area in the southwest region of the United States. Data were collected through one on one, semistructured interviews, and analyzed by following an inductive process using Saldaña’s …
Strategic Planning In Small Nonprofit Behavioral Health Organizations, Amanda Machamer Becker
Strategic Planning In Small Nonprofit Behavioral Health Organizations, Amanda Machamer Becker
Walden Dissertations and Doctoral Studies
Rural communities in the United States depend on small community-based nonprofits to provide access to food, nutrition, transportation, and other social determinants of health. Despite this essential role, some leaders of small nonprofits forgo participating in strategic planning because they believe that the process can be time consuming and expensive. Strategic planning may help organizations of any size to be organized, mission focused, outcome based, and successful. The strategic planning process helps to identify which outcomes demonstrate effectiveness and increase program sustainability. The purpose of this study was to explore the ways that strategic planning may assist small rural community-based …
Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu
Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu
Walden Dissertations and Doctoral Studies
AbstractAfrican American men have not been sufficiently at the center of research studies, especially when it comes to health. Most researchers have explored African Americans as a whole, and few have looked at African American men specifically, especially when it comes to their perceptions and ability to trust sources of health information. The purpose of this quantitative cross-sectional study was to examine the relationship between race and trust in health information sources, including the relationship between prostate cancer health outreach done through the internet and the acceptance of such information outreach among African American men. The theory of planned behavior …
Exploring The Influences Of Culture On Hand-Hygiene Beliefs Of Foreign-Born Healthcare Workers, Sheila Blanche Davis
Exploring The Influences Of Culture On Hand-Hygiene Beliefs Of Foreign-Born Healthcare Workers, Sheila Blanche Davis
Walden Dissertations and Doctoral Studies
AbstractThe hand-hygiene practices of nonadherent health care workers (HCWs) are a major threat to patient safety and thus continue to be a concern for healthcare leaders and administrators worldwide. Healthcare-associated infections (HAIs), which are linked to HCWs' unclean hands, are prevalent throughout global healthcare settings. Global migration in the nursing profession and intercontinental travel among direct patient care providers make it challenging for healthcare leaders to sustain HCWs' adherence to hand-hygiene practices. The purpose of this grounded study was to explore the influence of the cultural beliefs about hand-hygiene practices of foreign-born HCWs. The theory of planned behavior was used …
Factors And Pre-/Post Bariatric Surgery Alcohol Behaviors And Attitudes, Tyrease T. Hammond
Factors And Pre-/Post Bariatric Surgery Alcohol Behaviors And Attitudes, Tyrease T. Hammond
Walden Dissertations and Doctoral Studies
AbstractBariatric surgery is the only long-term effective treatment for severe obesity and as the use of bariatric surgery has increased there has been an increase in cases of onset and transfer addictions to alcohol. The purpose of this quantitative, correlational study was to examine the relationship between demographics and pre and post bariatric surgery alcohol use consumption behavior. The Alcohol Use Disorder Test (AUDIT) and Alcohol Self-Regulated Questionnaire were used to measure pre and post-surgery alcohol use behaviors and attitudes respectively. The health belief model and theory of planned behavior provided the theoretical framework for this study. Purposeful convenience and …
Grandparents In Parental Roles With Grandchildren And Social Work Practice, Anetrice Nicole Rogers
Grandparents In Parental Roles With Grandchildren And Social Work Practice, Anetrice Nicole Rogers
Walden Dissertations and Doctoral Studies
AbstractOver the last 30 years, there has been an increase of grandparents who are raising grandchildren. Grandparents often need social services such as case management, legal services, counseling, adoption, and custody services. Although grandparents feel it is rewarding to raise their grandchildren, there are also challenges. Participatory action research was used as the method of study. Bronfenbrenner's ecological theory was used to guide the participatory action research. Participants included social workers and social service workers from various social service agencies in Atlanta, Georgia. This study aimed to understand grandparents' needs and how prepared social workers and social service workers are …
Pharmacological Management Of The Diabetic Patient: A Staff Education Project, Wilantha Silva
Pharmacological Management Of The Diabetic Patient: A Staff Education Project, Wilantha Silva
Walden Dissertations and Doctoral Studies
Poorly controlled diabetes can lead to health complications that impact quality of life, increase healthcare costs, and create a negative impact on communities. Pharmacological management of diabetes was identified by stakeholders as a gap in practice at a clinic in the southeastern United States. The purpose of this project was to develop staff education based on American Diabetes Association (ADA) and American Association of Clinical Endocrinologists (AACE) standards of care, deliver education to primary care nurse practitioners (NPs), and evaluate their learning and confidence levels. The primary framework for this project was the chronic care model. An expert panel, including …
Perceptions Of The Reggio Emilia Approach To Early Childhood Education, Brandon Harris Gantt
Perceptions Of The Reggio Emilia Approach To Early Childhood Education, Brandon Harris Gantt
Walden Dissertations and Doctoral Studies
Preschools provide a method of early intervention to prepare children for school. Reggio Emilia (RE) curricular approach widely used for early childhood education that has not consistently shown a positive influence on cognitive, social, and emotional development of young children. It is also unknown whether those who participate in the RE curricular approach perceive it to foster cognitive, social, and emotional development in early childhood. The purpose of this qualitative, exploratory case study was to investigate participant-perceived benefits of RE as a curricular approach. The conceptual grounding of the study was social constructivism because the RE curricular approach emphasizes the …
Staff Education Module On Beers Criteria For Geriatric Patients, Eyvonne Denise Hinton
Staff Education Module On Beers Criteria For Geriatric Patients, Eyvonne Denise Hinton
Walden Dissertations and Doctoral Studies
One of the main problems affecting geriatric patients over the age of 65 is the heightened risks of severe complications and mortality from adverse drug events (ADEs). Beers Criteria is a suitable framework for identifying potentially inappropriate medications (PIMs) for such at-risk population. The purpose of this project was to develop an evidence-based educational intervention for use by health practitioners to increase their knowledge and confidence regarding the 2012 American Geriatrics Society (AGS) Beers Criteria for PIMs. Lewin’s change theory provided the conceptual framework for the project. The method to evaluate the scores used involved a descriptive analysis of scores …
The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier
The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier
Walden Dissertations and Doctoral Studies
Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating respiratory condition that leads to significant medial and financial burdens. For many patients with COPD, multiple socioeconomic factors contribute to health disparities, including income, education, employment status, and race/ethnicity. The purpose of this study was to examine the impact of SES and race/ethnicity on COPD patients. For this cross-sectional study, using secondary data analysis, the Social-Ecological Model (SEM), which discusses five levels of influence, was utilized. Data from over 3,222 participants aged 18 and over, living in Nevada were obtained from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) study. …
Parent And Administrator Perspectives Regarding Transportation Availability And Student Enrollment At Charter Schools, Amy Summers
Parent And Administrator Perspectives Regarding Transportation Availability And Student Enrollment At Charter Schools, Amy Summers
Walden Dissertations and Doctoral Studies
The demand for charter schools has increased during last two decades. Scholarly literature lacked deeper understanding of the perspectives of administrators and parents on transportation availability with respect to equal access to charter schools and how transportation is perceived to affect parental capability or willingness to enroll children in charter schools. This basic qualitative study, with the theory of school choice as the framework, used interviews with 8 parents of students enrolled in charter schools and traditional public schools and 4 administrators of charter schools. Two research questions focused on administrator and parent perspectives about transportation availability with respect to …
Effects Of Hepatitis On Human Immunodeficiency Virus Viral Suppression, Andrenita Checoby West
Effects Of Hepatitis On Human Immunodeficiency Virus Viral Suppression, Andrenita Checoby West
Walden Dissertations and Doctoral Studies
Coinfection with human immunodeficiency virus (HIV) and viral hepatitis leads to unfavorable health outcomes, making treatment of HIV difficult and increasing the odds of HIV transmission. The purpose of this study is to assess whether viral hepatitis (B and C) hinders HIV viral suppression and impacts the white blood cell count (CD4) when a person is concurrently infected with both viruses. The syndemics theory guided this study. Two research questions tested whether there was an association between coinfection with viral hepatitis and HIV viral load suppression. The research design was quantitative case-control with secondary data from 65,626 reports of HIV, …
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag
Walden Dissertations and Doctoral Studies
Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …
Staff Education On Diabetes Self-Management For Patients, Gloria Eberechukwu Okoye
Staff Education On Diabetes Self-Management For Patients, Gloria Eberechukwu Okoye
Walden Dissertations and Doctoral Studies
Abstract Staff Education on Diabetes Self-Management for Patients by Gloria Okoye MSN, Walden University, 2016 BSN, Walden University, 2015 Project Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2021 Abstract Diabetes mellitus is a chronic disease that poses health and financial burdens to patients, families, and society. An outpatient clinic in the Southeastern United States noted a gap in staff knowledge on diabetes self-management education for high-risk, diabetic patients. The purpose of the project was to educate clinical staff on lifestyle modification practices so that they could better educate diabetic …
Association Between Learning Methods And Analgesic Opioid Abuse, Nicole Marie Blanchard
Association Between Learning Methods And Analgesic Opioid Abuse, Nicole Marie Blanchard
Walden Dissertations and Doctoral Studies
Opioids are an extremely addictive class of medication used to treat pain; overprescribing practices and chronic misuse has led to an epidemic that continues to grow. The opioid epidemic not only has the potential to cause injury or even death but also has a large impact on the U.S. economy. Research regarding determinants of abuse are needed to improve safeguards for opioid abuse prevention. The purpose of this quantitative study was to determine if learning capabilities and/or learning medium preference are correlated with analgesic opioid abuse. The social-ecological model was used to evaluate the social levels of influence for abuse …
Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah
Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah
Walden Dissertations and Doctoral Studies
Sickle cell disease (SCD) is marked by excruciating chronic pain, commonly known as pain crisis. SCD healthcare practitioners (HCPs) have been employing palliative care as a mainstream treatment option to manage SCD pain crises using mainly opioid analgesics for years. Due to the current opioid crisis, however, it has become imperative to explore alternative regimens to manage the pain and associated comorbidities of SCD. Thus, the goals of this study included exploring alternative treatment options for SCD pain crisis management with the intent of decreasing SCD patients’ dependency on opioid-based or related analgesics while reducing the frequency of pain crises …