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Articles 961 - 990 of 2220
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Teachers Perceptions Of Using Persuasive Technologies To Prevent And Reduce The Incidence Of Childhood Obesity, John E. Stephens
Teachers Perceptions Of Using Persuasive Technologies To Prevent And Reduce The Incidence Of Childhood Obesity, John E. Stephens
Walden Dissertations and Doctoral Studies
Research of middle school health/physical education teachers’ perceptions regarding using technology in educational settings to help prevent and reduce the incidence of childhood overweight and obesity is lacking. The purpose of this study was to gain insight into those perceptions because that insight could be used to encourage teacher promotion of technology-based childhood obesity prevention initiatives in educational settings. Ajzen and Fishbein’s theory of planned behavior was used to support the conceptual framework. The research questions for this study were focused on teachers’ perceptions regarding using technology in educational settings to help prevent and reduce the incidence of childhood overweight …
Staff Education Regarding Breastfeeding For Perinatal Nurses, Shannon Nicole Long
Staff Education Regarding Breastfeeding For Perinatal Nurses, Shannon Nicole Long
Walden Dissertations and Doctoral Studies
AbstractExclusive breastfeeding in the U.S. is the optimal form of nutrition up to the age of 1 year; however, the current U.S. rate of 49% and Kentucky rate of 39% fall below the Healthy People 2020 goal of 60.6%. Researchers have shown that perinatal nurses often lack knowledge to ensure mothers begin and maintain this optimal form of human nourishment. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to present a continuing education program on breastfeeding for 10 staff nurses at the target hospital. The program presented was the …
Understanding Parent/Child Experiences Affecting Obesogenic Behavior In Children, Jean Gaffney
Understanding Parent/Child Experiences Affecting Obesogenic Behavior In Children, Jean Gaffney
Walden Dissertations and Doctoral Studies
Families living in an inequitable food environment are impacted by limited access to healthier foods inventory. Habitual consumption of foods lacking adequate nutritional value increasingly contributes to the heightened prevalence of obesity and premature death from non-communicable chronic diseases such as diabetes and heart disease. This basic qualitative analysis examined factors that impact parental decisions in food choices among obese and overweight children. The study explores the level of understanding held by low-income parents/caregivers as it relates to basic nutritional knowledge. Bandura’s Social Cognitive Theory framed the study. A purposeful sample of eight parents/caregiver between the age of 18-50, parenting …
New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou
New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou
Walden Dissertations and Doctoral Studies
Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …
Diabetic Education For Nurses To Enhance Patient Outcomes, Jacklyn Obeng
Diabetic Education For Nurses To Enhance Patient Outcomes, Jacklyn Obeng
Walden Dissertations and Doctoral Studies
AbstractDiabetes mellitus is metabolic disease that causes elevated blood glucose levels resulting in long-term health complications and medical costs. This project was aimed at addressing the lack of confidence and knowledge staff had when teaching patients diabetes self-management interventions. The purpose of this project was to develop an evidence-based educational program for staff working in an outpatient clinic in the northeastern United States. The analysis, design, development, implementation, and evaluation model and Watson’s theory of human caring provided frameworks for the project development and implementation. A diabetic nurse educator, a family nurse practitioner, and the chief medical officer served as …
The Relationship Between Cross-Cultural Psychological Capital And Organizational Commitment, Steven Andrew Snell
The Relationship Between Cross-Cultural Psychological Capital And Organizational Commitment, Steven Andrew Snell
Walden Dissertations and Doctoral Studies
For many organizations, the cultural demographics of the workforce reflect the growing diversity of the global workforce. Effective intercultural interactions require individuals to have several personal psychological resources, including cross-cultural psychological capital (PsyCap). Without such resources, employees may not have the ability to effectively work with individuals from other cultures, making working in these environments stressful. These stressful situations may negatively impact employee commitment levels, potentially increasing turnover rates. The purpose of this study was to explore the influence that employees’ cross-cultural PsyCap has on their organizational commitment (OC) as indicated by the three-component model of OC. To date, researchers …
Hospital-Acquired Condition Ranking Score Among Types Of Safety-Net Hospitals, Jude C. Iruka
Hospital-Acquired Condition Ranking Score Among Types Of Safety-Net Hospitals, Jude C. Iruka
Walden Dissertations and Doctoral Studies
Abstract The Center for Medicare and Medicaid Services has been shifting from paying hospitals for the volume of services they delivered to paying them for the quality of those services, known as pay-for-performance, to incentivize hospitals to offer improved care at a lower cost. When a patient goes to the hospital to receive care for one condition and develops another condition during that hospital stay, the second condition is referred to as a hospital-acquired condition. It is anticipated that 1.7 million infections are acquired at some point in-hospital stay in the United States annually, resulting in nearly 100,000 deaths in …
The Impact Of Periodontal Disease On The Health-Related Quality Of Life Of The Chronic Kidney Disease Patient, Marlene M. Roberts
The Impact Of Periodontal Disease On The Health-Related Quality Of Life Of The Chronic Kidney Disease Patient, Marlene M. Roberts
Walden Dissertations and Doctoral Studies
AbstractChronic kidney disease (CKD) and Periodontal disease (PD) have been identified as public health issues by both the Centers for Disease Control and Prevention and the World Health Organization. The impact of PD on the health-related quality of life (HRQoL) of the CKD patient is an area where there has been little research. Previous research has not established a connection between PD and CKD although both diseases share common inflammatory markers. The focus of this cross-sectional, quantitative study was the possible impact of PD on the HRQoL of the CKD patient and the extent to which a less than optimal …
Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti
Importance Of Childhood Maltreatment On Borderline Personality In Adults: Meta-Analysis, Lisa Nicole Trentacosti
Walden Dissertations and Doctoral Studies
Early childhood maltreatment (CM) is a risk factor for later psychopathology specifically Borderline Personality Disorder (BPD). CM has been found to negatively affect social, emotional, and psychological development as well as the ability to foster and sustain interpersonal relationships throughout all stages of life. There are evidence-based interventions for different kinds of CM including Trauma-Focused Cognitive-Behavior Therapy (TF-CBT), Alternatives for Families - Cognitive Behavioral Therapy (AF-CBT), relaxation training, and social skills training. The current study is a meta-analysis of published research into CM as it contributes to BPD in adults and is designed to examine the effect size of childhood …
The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur
The Lived Experience Of Quality Of Life Of Older Adults In Rural Ghana, Benjamin Arthur
Walden Dissertations and Doctoral Studies
The quality of life (QOL) of older adults in rural Ghana is of growing concern, locally and throughout the country. In Ghana, it is the tradition for family members to take care of older adults without any government support, but research has shown that changing economic and social structures make this tradition less optimal, so older adults suffer physically and emotionally. The purpose of this phenomenological study was to explore the lived experience of QOL for older adults in rural Ghana. The ecological systems theory was used to explore the integral role of family support and QOL in the microsystem, …
Lived Experiences Of Diabetic Patients And Access To Care Information In Nigeria, Ngozi Scholar Nwaokoro
Lived Experiences Of Diabetic Patients And Access To Care Information In Nigeria, Ngozi Scholar Nwaokoro
Walden Dissertations and Doctoral Studies
AbstractStudies have shown that chronic diabetes can be managed throughout a lifetime, despite the numerous health, social and economic consequences of the disease. Nevertheless, researchers have yet to establish the efficacy of access to diabetic information on care and family needs in relation to living with diabetes in a developing country like Nigeria. The purpose of this study was to explore the lived experiences, including both barriers and needs regarding access to information and care, of diabetic patients in Abuja Municipal Area Council, Nigeria. The study used the Social-Ecological Model as a framework for analysis. Adopting the phenomenological research method, …
Parent And Teacher Perceptions Of Adolescent Use Of Mobile Technology For Diabetes Care In Kenya, Francis Kanyugi
Parent And Teacher Perceptions Of Adolescent Use Of Mobile Technology For Diabetes Care In Kenya, Francis Kanyugi
Walden Dissertations and Doctoral Studies
Mobile technology use provides an opportunity for the self-management of health among adolescents, serving as a lifestyle intervention tool to promote well-being and attenuate chronic conditions. However, little is known about how parents and teachers perceive how adolescents with chronic illness use mobile technology. This basic qualitative study aimed to explore teachers’ and parents’ perceptions regarding the use of mobile technology by adolescents who have diabetes in Kenya. This study’s conceptual framework was the unified theory of acceptance and use of technology. Data were collected from semistructured interviews with six teachers and eight parents from two counties in Kenya. The …
Narratives On The Academic Resilience Of Former Homeless Students, Alia Aboulhosn
Narratives On The Academic Resilience Of Former Homeless Students, Alia Aboulhosn
Walden Dissertations and Doctoral Studies
The number of homeless students in U.S public schools continues to rise. Although many homeless students drop out due to challenges they face, lacking is research on how some homeless students overcome challenges and graduate high school, referred to as academically resilient. The purpose of this qualitative narrative study was to gain a deeper understanding of the experiences that promoted former students who were homeless during their senior year of high school to graduate despite adversity, using Resiliency Theory as the theoretical framework. Semi-structured interviews with five participants provided insight into the broader sociopolitical and personal contexts in their stories, …
Structured Training Programs For Direct Support Professionals On Behavior Intervention Support Plans, Melody Lane Barnes-Meisenhelder
Structured Training Programs For Direct Support Professionals On Behavior Intervention Support Plans, Melody Lane Barnes-Meisenhelder
Walden Dissertations and Doctoral Studies
Direct support professionals work with developmentally disabled individuals and are responsible for implementing behavior intervention support plans (BISPs). Little is known about the efficacy of supplemental BISP training in these professionals. The purpose of this quantitative experimental study was to investigate the efficacy of BISP training to improve knowledge and applied understanding of BISPs in direct support professionals. Social validation, treatment fidelity, and change theories served as the foundations of the study. Seventy-three newly hired direct support professionals were randomized into an experimental group with a 2-day workshop training or a standard training group. BISP knowledge was assessed before and …
Strategies Used To Retain United States Veterans, Lucy Rene Moore
Strategies Used To Retain United States Veterans, Lucy Rene Moore
Walden Dissertations and Doctoral Studies
AbstractThe United States has a 20% average overall turnover rate, requiring employers to absorb the additional costs related to employee turnover, which can exceed 300% of each departed employee’s annual salary. Human resource leaders who lack strategies to retain veterans as employees experience increased turnover and replacement costs. Grounded in person organization fit theory and human capital theory, the purpose of this qualitative multiple case study was to explore the strategies leaders in human resource departments use to retain United States veterans. The participants included three human resources leaders in Washington who developed successful retention strategies for veterans. Data were …
Addressing Work-Induced Stress And Depressive Symptoms In Police Officers, Demetrius Markey Latham Jr
Addressing Work-Induced Stress And Depressive Symptoms In Police Officers, Demetrius Markey Latham Jr
Walden Dissertations and Doctoral Studies
Police officers across the nation face a significant issue as it relates to work-induced stress and depressive symptoms. Specifically, the problem is the lack of preventative mental health services available to officers. This study aims to explore the perceived presence of work-induced stress and depressive symptoms in patrol officers employed by the Field Police Department (Pseudonym; FPD). To gather these data, the potential research participants were offered the ability to take an online anonymous survey. The results indicated that many of the survey participants were suffering from work-related stress and depressive symptoms. The research results further displayed many of the …
Clinical Practice Guidelines For Community-Based Resources For Substance Abuse Patients In An Emergency Department, Julie Ann Thompson
Clinical Practice Guidelines For Community-Based Resources For Substance Abuse Patients In An Emergency Department, Julie Ann Thompson
Walden Dissertations and Doctoral Studies
Substance use disorder (SUD) has plagued the United States for decades and has been an ongoing issue in a Midwest hospital emergency department where SUD patients were provided discharge information that did not include SUD specific recovery and rehabilitation resources available in the community. The purpose of this project was to develop a clinical practice guideline (CPG) for nurses to use when discharging a SUD patient with an accompanying evidence-based recovery and referral resource list including Narcan, medication-assisted treatment, crisis hotlines, needle exchange programs, and treatment options. The Johns Hopkins Nursing Evidence-Based Practice framework was used to grade the levels …
Diabetes Management And Self-Perception Of Health Among Adults In The United States, Moses Ajoku
Diabetes Management And Self-Perception Of Health Among Adults In The United States, Moses Ajoku
Walden Dissertations and Doctoral Studies
The burden and complications of diabetes have been a public health concern and societal challenge for decades, and the rate of prevalence is projected to increase in the future. The study aims to examine the association between blood glucose monitoring, glycated hemoglobin test, and self-perceived health status among diabetic adults in the United States. Guided by the chronic care model, the study used data from the 2019 Behavioral Risk Factor Surveillance System to investigate diabetes management practices among diabetic adults in the United States. Quantitative and cross-sectional methods were used to assess the associations between diabetes management practices and self-perceived …
Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink
Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink
Walden Dissertations and Doctoral Studies
AbstractThe influenza virus is one of the most commonly occurring respiratory viral infections in the world. The outer capsule of the virus contains 18H proteins and 11N proteins, which allows the virus to reform in over 100 different strands and outperform the vaccine. Despite efforts to improve access to care and reduce vaccine inequities; the Center for Disease Control and Prevention estimates 9-45 million documented influenza-related illnesses, 140,000 to 810,000 hospitalization, and 64,000 deaths yearly. The purpose of this study is to investigate whether food insecurity, access to care and other social determinants of health such as age, race, and …
Understanding Female Full-Time Social Workers’ Experience Providing Informal Care For Older Loved Ones, Randi L. Anderson
Understanding Female Full-Time Social Workers’ Experience Providing Informal Care For Older Loved Ones, Randi L. Anderson
Walden Dissertations and Doctoral Studies
Limited research existed regarding the experience of informal caregiving that female social workers provide to older loved ones while managing a full-time social work position. The purpose of this qualitative action research study was to understand how Female Master’s level Social Workers (FMSWs) who are also informal caregivers manage these roles and whether the roles impact current and future well-being. Role spillover theory and cumulative disadvantage theory were the theoretical frameworks. Data were collected from nine participants through interviews completed on Zoom. The participants responded interview questions about significant changes in their levels of stress, resiliency, or burnout at work …
The Predictive Relationship Of Allostatic Load In Asthma, Mohamed Mustafa Hassan
The Predictive Relationship Of Allostatic Load In Asthma, Mohamed Mustafa Hassan
Walden Dissertations and Doctoral Studies
Research on populations emphasizes the influence of allostatic overload, a marker of biophysical and biochemical stress, in driving adverse health outcomes. Unknown is the impact of allostatic load and its cardiovascular, metabolic, and inflammatory components as they pertain to asthma prevalence in U.S. populations. Specifically, there is a need to understand the nature of the relationship between allostatic load and asthma in light of confounders such as socioeconomic status, race, education, and gender. Using Bronfenbrenner’s bioecological model as a theoretical underpinning and binary logistic regression as a statistical modality, the predictive relationship between allostatic load and asthma was examined in …
Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger
Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger
Walden Dissertations and Doctoral Studies
People who have not overcome childhood trauma and who have developed mental illnesses have difficulties dealing with life challenges. The purpose of this quantitative study used a correlational design to test any relationship between childhood trauma experience levels and resilience against life challenges in adulthood. The theoretical framework used for this study was Barnes’ social support theory. Data were collected from 104 participants over a 7-week period. Participants voluntarily answered the ACE questionnaire, 2-way support scale, and resilience scale. Key results indicate that people with mental illness who receive social support are positive impacted by that support. Receiving adequate levels …
Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter
Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter
Walden Dissertations and Doctoral Studies
AbstractMany college students struggle with having enough money to pay for the costs of college and basic necessities, such as adequate food, which leads to food insecurity. Food insecurity results in a more challenging time focusing on studying and less success in school. This study addressed the lack of a profile of a food-insecure California community college student at Hiker’s Community College (HCC; pseudonym) in the Central Valley of California. The purpose of this quantitative study was to determine the profile of a food-insecure student and to determine relationships between food insecurity and ethnicity, gender, being a first-generation college student, …
Increasing Access To Diabetic Self-Management Education Using Telehealth In Rural Kentucky, Gina Good
Increasing Access To Diabetic Self-Management Education Using Telehealth In Rural Kentucky, Gina Good
Walden Dissertations and Doctoral Studies
The lack of diabetic self-management education (DSME) can affect generations of families who have suffered from diabetes. More than 80% of Appalachian Kentucky counties lack access to DSME and care due to high incidence of diabetes. The purpose of this quality improvement project was to determine whether the use of telehealth increased patient access to DSME in Southeast Kentucky. Application of Peplau’s theory of interpersonal relations to patient relationships in nursing practice provided a framework for the project. De-identified retrospective data 6 weeks before intervention and 6 weeks postintervention were collected by the project facility for secondary data analysis to …
Stress, Coping, And Adjustment Of Young Adults Who Have Transitioned Out Of Foster Care, Helen S. Hogin
Stress, Coping, And Adjustment Of Young Adults Who Have Transitioned Out Of Foster Care, Helen S. Hogin
Walden Dissertations and Doctoral Studies
Current research lacked information on the stress, coping, and adjustment of individuals transitioning to adulthood from foster care. Transitioning out of foster care when adulthood is reached can be challenging, resulting in mental and physical health problems, decline in overall wellbeing, and poor outcomes. Elevated stress can make coping and adjusting to social life more difficult. The purpose of this study was to explore former foster youths’ perspectives and experiences of stress and what coping strategies were effective as they adjusted to society. The transactional model of stress and coping served as the study’s framework. The research questions focused on …
Black Mothers’ Birthing Center Experiences And Exclusive Breastfeeding Practices, Natashia King-Conner
Black Mothers’ Birthing Center Experiences And Exclusive Breastfeeding Practices, Natashia King-Conner
Walden Dissertations and Doctoral Studies
The persistence of racial disparities in breastfeeding is associated with a range of interconnected factors, such as historical, cultural, social, social, and psychological. The current gap in the prevalence of exclusive breastfeeding among Black mothers and White mothers has led to rising concerns in the United States. A basic qualitative approach was used to conceptualize the multidimensional constructs of the social–ecological model to investigate the individual, interpersonal, institutional, and community-level structures and existing policies in birthing centers that inadvertently harbor biases that impede care for Black mothers. Data were gathered through purposeful sampling and semistructured interviews with 10 Black mothers …
The Importance Of Staff Education About Implementing Ketogenic Diet In Prediabetic Patients, Clarissa L. Dorsey
The Importance Of Staff Education About Implementing Ketogenic Diet In Prediabetic Patients, Clarissa L. Dorsey
Walden Dissertations and Doctoral Studies
Diabetes, a chronic disease that can lead to many complications, is one of the leading causes of death. Obesity tends to increase the risk of diabetes. Nutritional therapy can not only control diabetes but also prevent it in some cases by decreasing weight. The ketogenic diet is a low-carbohydrate, high-fat diet that can prevent and control diabetes. The purpose of this study was to examine the recommendations of medical providers before and after the presentation of educational content on the ketogenic diet as nutritional therapy in prediabetic and diabetic patients. The practice-focused question addressed whether educating medical staff at a …
Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn
Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn
Walden Dissertations and Doctoral Studies
Human papillomavirus (HPV) infections account for most oropharyngeal, anal, and penile cancers among men. Two vaccines have been recommended for boys 11 years of age or older to prevent HPV infection, but HPV vaccination rates are far below the Healthy People 2030 target goal. Some research indicates the role of the parent is vital in HPV vaccine uptake, but to what extent is unclear. Through quantitative secondary data analysis of the National Immunization Survey-Teen 2016 (NIS-Teen) data set (n = 43,271) that was grounded in the health belief model, chi-square, and logistic regression analyses revealed three key findings. First, male …
Social Media And Physical Activity Among African American College Women, Carmen Brown
Social Media And Physical Activity Among African American College Women, Carmen Brown
Walden Dissertations and Doctoral Studies
Among African American (AA) college women, physical activity (PA) is decreasing, with less than 20% participating in moderate-intensity cardio or aerobic exercise. Physical inactivity can lead to increased morbidity and mortality from chronic conditions. There is a need for more research on AA women’s health practices to develop interventions that can lead to sustainable behavior change among this population. More than 70% of AA college women reported using some form of social media (i.e., Facebook, Twitter, Instagram, TikTok, and Snapchat) daily. Social networking sites (SNS) in particular can provide health information, advice, and an open forum for individuals with health …
Registered Nurses’ Perceptions Of Obesity, Elizabeth Ann Pettifor
Registered Nurses’ Perceptions Of Obesity, Elizabeth Ann Pettifor
Walden Dissertations and Doctoral Studies
Obesity has become an epidemic in the United States (U.S.) population. Obesity is a risk factor for many health problems that ultimately lead to death or disability. Nurses in the U.S have a higher-than-average rate of overweight and obesity. The purpose of this exploratory, qualitative case study was to identify and recommend areas for change in the hospital environment to assist bedside nurses in the U.S to have a healthier lifestyle. Social media was used to conduct a purposeful sampling technique and recruit 10 registered nurses working full time at the bedside in the U.S who struggle with obesity. Semi …