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Walden Dissertations and Doctoral Studies

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Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint Jan 2021

Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint

Walden Dissertations and Doctoral Studies

AbstractBurnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees’ behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles’s theory of adult learning framed this education program on self-care and stress management. Focus was …

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Effect Of Human-Animal Interactions On Retail Employees’ Job Satisfaction And Job Performance, Michelle Elizabeth Davis Jan 2021

Effect Of Human-Animal Interactions On Retail Employees’ Job Satisfaction And Job Performance, Michelle Elizabeth Davis

Walden Dissertations and Doctoral Studies

Research has shown that companion animals can have a positive effect on people who suffer from mental and physical illnesses; however, few studies have considered the impact of human-animal interactions (HAIs) on employees in the work environment. This quantitative study investigated the effect of HAIs on 146 employees’ job satisfaction and job performance in three retail environments with a range of potential animal interactions: retail store with no animal presence (none), retail store with occasional animal presence (occasional), and retail store with persistent animal presence (constant). Retail employees’ job satisfaction and performance in each retail setting were assessed using the …

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Strategies To Integrate Innovation Into Business Practices In The Nigerian Private Sector, John Nbanefo Chukwudifu Jan 2021

Strategies To Integrate Innovation Into Business Practices In The Nigerian Private Sector, John Nbanefo Chukwudifu

Walden Dissertations and Doctoral Studies

Business leaders not integrating innovation into their business practices exhibit lower financial performance. Business leaders integrating innovation into their business practices increase operational and financial performance. Grounded in the diffusion of innovation theory, the purpose of this qualitative multiple case study was to explore strategies business leaders in the Nigerian private sector use to effectively integrate innovation into their business practices to increase financial performance. Study participants were three business leaders who developed successful strategies to effectively integrate innovation into their business practices to increase financial performance. Data were collected from semistructured interviews, organizational documents, and artifacts. Thematic analysis was …

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Ghanaian Immigrant Women In The United States Beliefs About Maternal Nutrition And Fetal Development, Yassi Azhdari Jan 2021

Ghanaian Immigrant Women In The United States Beliefs About Maternal Nutrition And Fetal Development, Yassi Azhdari

Walden Dissertations and Doctoral Studies

Ghanaian women, in their native country, experience a high rate of anemia, malaria, and malnutrition while pregnant. Poor health outcomes for mother and child are caused by a lack of protein in their diet, food taboos, consumption of nutrient-poor foods, and infections. These conditions may cause pregnancy complications such as premature birth, or maternal or fetal death. There is little known about, the differences between the Ghanaian and U.S. birth experience, and foods used by Ghanaian immigrant women while pregnant. The biopsychosocial model was used in this descriptive qualitative study to examine how Ghanaian immigrant women are impacted by pregnancy …

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Diabetes Self-Management Of Adults With Diabetes In Grenada During The Covid-19, Pauline Smith Jan 2021

Diabetes Self-Management Of Adults With Diabetes In Grenada During The Covid-19, Pauline Smith

Walden Dissertations and Doctoral Studies

Diabetes self-management involves several behaviors to prevent complications and ensure a good quality of life. Several studies addressed how the COVID-19 lockdown impacted diabetes self-management practices worldwide, yet little was known about self-management experiences in Grenada and the Caribbean region. The purpose of this phenomenological and directed content analysis study was to gain insight into the lived diabetes self-management experiences during the COVID-19 lockdown in Grenada. The theory of planned behavior was used as the theoretical framework for this study. The research questions addressed lived self-management experiences and attitudes, subjective norms, and perceived behavioral control toward diabetes self-management. Semistructured interviews …

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Predictors Of Stunting In Children Under 5 Years Of Age In Zimbabwe, Ranganai Matema Jan 2021

Predictors Of Stunting In Children Under 5 Years Of Age In Zimbabwe, Ranganai Matema

Walden Dissertations and Doctoral Studies

Stunting is the most common form of undernutrition globally and is a major public health concern. Child stunting has both short-term negative effects on children’s health and long-term negative effects on adult health and human capital. Zimbabwe has a high prevalence of stunting, 27% in 2015. Although some of the factors associated with stunting are known, there is a gap on comprehensive evidence on the significant factors associated with persistent high levels of child stunting. The UNICEF conceptual framework for malnutrition was used to guide a cross-sectional study using the 2015 Zimbabwe Demographic and Health Survey data to identify and …

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Exploring The Relationship Between Antenatal Care And Postnatal Care To Newborn Outcomes In Borno State, Northeastern Nigeria, Adebe Gabriel Jan 2021

Exploring The Relationship Between Antenatal Care And Postnatal Care To Newborn Outcomes In Borno State, Northeastern Nigeria, Adebe Gabriel

Walden Dissertations and Doctoral Studies

Newborn outcomes (morbidity or mortality) have been on the increase in Borno State. This study explores the relationship between antenatal care (ANC) and postnatal care (PNC) and newborn outcomes among women in Mafa local government area, Borno State. Also examined were the relationships between transportation and newborn outcomes, women’s knowledge of illness during pregnancy and ANC attendance, availability of staff/health workers, availability of supplies/equipment relations with ANC and PNC attendance. The three delays model was used as theoretical framework. The research will be useful for government and program-implementing partners to guide quality reproductive maternal newborn child adolescent health and nutrition …

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Resilience As A Moderator Between Food And Housing Insecurity And Mental Distress, Denise Mchugh Loggie Jan 2021

Resilience As A Moderator Between Food And Housing Insecurity And Mental Distress, Denise Mchugh Loggie

Walden Dissertations and Doctoral Studies

The prevalence of food insecurity (FI) and housing insecurity (HI) in college students has increased over the last decade along with an associated increase in mental health problems. Studies show significant increases in many markers for mental distress in this population including a higher prevalence of mood disorders, non-lethal self-harm, and attempted and completed suicides, particularly over the last decade. Compounding these challenges is the low level of resilience found in college-age young adults, potentially limiting their ability to cope with and recover from the hardship of FI and HI. This quantitative study, guided by resilience theory and Maslow’s hierarchy …

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How Women Who Have Recidivated Describe Their Readiness For Employment After Release From Prison, Simba Kathleen Fox Jan 2021

How Women Who Have Recidivated Describe Their Readiness For Employment After Release From Prison, Simba Kathleen Fox

Walden Dissertations and Doctoral Studies

Since the 1980s, the population of women prisoners incarcerated in the state of California had significantly increased by 500% more than that of the male prisoners. The United States had more incarcerated women than any other country. Along with this alarming rise in female incarceration, recidivism rates were also higher among female inmates. This problem has negatively affected women in California; whereas 57% of the women released from prison were rearrested within three to seven years. The purpose of this qualitative phenomenological research study was to investigate how 18 women who had recidivated with the same or a different criminal …

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Breastfeeding Information And Breastfeeding Duration Among African American Women With A Family History Of Breast Or Ovarian Cancer, Aleatha Johnson Jan 2021

Breastfeeding Information And Breastfeeding Duration Among African American Women With A Family History Of Breast Or Ovarian Cancer, Aleatha Johnson

Walden Dissertations and Doctoral Studies

Decades of research supports the notion that breastfeeding may help prevent breast and ovarian cancer in women. Women with a family history of these cancers are at greater risk. African American women have the lowest breastfeeding rates, yet the highest breast and ovarian cancer mortality rates. No studies have been conducted exploring the impact of being informed about breastfeeding from health care providers, breastfeeding support services, or family and friends and the relationship between their knowledge of family history of breast or ovarian cancer and breastfeeding duration for African American women. The purpose of this quantitative study was to determine …

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Lived Experiences Of Parents Regarding Their Elementary-Age Child’S Exclusion From School Due To Behavioral Problems, Lauren Claire Ferber Jan 2021

Lived Experiences Of Parents Regarding Their Elementary-Age Child’S Exclusion From School Due To Behavioral Problems, Lauren Claire Ferber

Walden Dissertations and Doctoral Studies

AbstractDisciplinary exclusion, particularly school expulsion, presents a significant challenge to school-age children and their families. Although the impacts of disciplinary exclusion from school on children are well-known, less is known about how this phenomenon affects their parents. The purpose of this qualitative phenomenological study was to understand the lived experiences of parents who have a child who has been subjected to disciplinary exclusion due to behavioral problems in the classroom. Bronfenbrenner’s ecological systems theory provided the framework for this study. Data were collected from semistructured interviews with 12 parents of children who faced exclusion. Four themes emerged from coding analysis: …

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The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley Jan 2021

The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley

Walden Dissertations and Doctoral Studies

The United States is on a trajectory to reach 20% of citizens aged 65 and over by 2030. This hyper-aging population affects the costs of healthcare, but it is not adequately represented in current U.S. models. Studies indicate other hyper-aged nations have experienced this increase and implemented long-term care measures to counter the increase in aging populations and costs with system responsiveness. This study examined the role of Medicaid home -and community- based service (HCBS) contributions in states that have the fastest-aging populations. Using the established framework and data collected by the Centers for Medicare and Medicaid, the study looked …

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Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn Jan 2021

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 …

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Perceptions Of Using Complementary Alternative Medicine During Pregnancy For Nausea And Vomiting, Debra L. Blackett Jan 2021

Perceptions Of Using Complementary Alternative Medicine During Pregnancy For Nausea And Vomiting, Debra L. Blackett

Walden Dissertations and Doctoral Studies

Nausea Vomiting during Pregnancy (NVP) conditions have commonly occurred among pregnant women during gestation for more than 4,000 years. The purpose of the multicase qualitative design was to examine and improve the understanding of perceptions of pregnant women experiencing nausea and the potential use of Complementary Alternative Medicine (CAM) modalities to treat NVP symptoms. In this study, the Health Belief Model six core constructs provided the foundation for the theoretical framework for the process, explaining how working pregnant women experience decision-making and relate to the daily challenges associated with pregnancy. The research questions examined experience of coping with NVP and …

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Impact Of Out-Of-Pocket Fees On Under-5 Infant Mortality In Cameroon, Amelie Olga Mafotsing Fopoussi Jan 2021

Impact Of Out-Of-Pocket Fees On Under-5 Infant Mortality In Cameroon, Amelie Olga Mafotsing Fopoussi

Walden Dissertations and Doctoral Studies

Health facilities in Cameroon charge fees for treatment and services, which can affect health outcomes for those unable to pay for services. Some studies have shown that the removal of user fees had a positive impact on child health outcomes in selected African countries. The aim of this quantitative, cross-sectional study was to understand whether there is a link between out-of-pocket expenses and under-5 mortality in Cameron. The study was guided by the social ecological framework. Secondary data from the 2011 Cameroon Demographic Health Survey were used in the study. Chi-square, binary logistic regression, and multicollinearity analyses were used to …

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The Lived Experience Of African American Young Adult Men With Hiv And Self-Care Collaborative Management, Barbara A. Moore Jan 2021

The Lived Experience Of African American Young Adult Men With Hiv And Self-Care Collaborative Management, Barbara A. Moore

Walden Dissertations and Doctoral Studies

AbstractAfrican American young adult (AAYA) men living with HIV often lack interventions that address the influence that HIV has on their quality of life, especially their relationships. Self-care collaborative management (SCCM) concerns related to disclosure and stigmatization complicate social, psychological, and SCCM behaviors. Intervention programs addressing these concerns should be based on relevant, accurate information, but this information is lacking for AAYAs. The purpose of this research was to explore and describe the lived experiences of male AAYAs with HIV and their use of SCCM. The study method was qualitative; Husserl’s transcendental phenomenology was the design. The individual family self-management …

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The Impact Of Effective Patient Advocacy In Ghana Health Care Reform, Gladys Opong-Tetteh Jan 2021

The Impact Of Effective Patient Advocacy In Ghana Health Care Reform, Gladys Opong-Tetteh

Walden Dissertations and Doctoral Studies

AbstractPatient advocacy has become a vital concept for healthcare providers all over the world. There is evidence that the concept of patient advocacy is not new in Ghana. However, the degree of its practice continues to be negative and quite narrow in Ghana and even in Africa as a whole. It has also been argued that effective patience advocacy practice is either scarce or non-existent in Ghana. To address this issue, an assessment of the medical policies in Ghana was conducted, informed by the applied psychology theoretical framework. This study focused on using phenomenological inquiry to better understand patients’ experiences …

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Access To Preventive Health Care Services And Effects On Health Outcomes For Hispanic Older Adults With Type 2 Diabetes, Shafa Al-Showk Jan 2021

Access To Preventive Health Care Services And Effects On Health Outcomes For Hispanic Older Adults With Type 2 Diabetes, Shafa Al-Showk

Walden Dissertations and Doctoral Studies

Despite elevated prevalence of diabetes among Hispanic, Hispanic older adults face challenges in self-control and management of their glucose levels, and they have less access to preventive health care services. The purpose of this retrospective quantitative cross-sectional study was to examine the associations between access to preventive health care services and Type 2 diabetes outcomes among Hispanic adults aged 65 years and older. The social-ecological model provided the framework for the study. The research question for this study examined the extent to which doctor visits, diabetes education and blood sugar checks correlate with HbA1c levels. Data were collected from 566 …

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Social Determinants Of Health Influence On Surgical Morbidity After Colorectal Surgery, Koianka J. Ivanova Trencheva Jan 2021

Social Determinants Of Health Influence On Surgical Morbidity After Colorectal Surgery, Koianka J. Ivanova Trencheva

Walden Dissertations and Doctoral Studies

Decreasing surgical morbidity and improving surgical safety is a public health priority. With same-day or early hospital discharge after surgery, knowledge about social determinants of health (SDOH) impact on surgical morbidity is vital for surgical safety improvement. This study’s aim was to evaluate SDOH association with surgery-related morbidity after colorectal surgery in an adult population. This quantitative cross-sectional study used New York Statewide Planning and Research Cooperative System (SPARCS) secondary data from 2006 ⁠–2016 on 130,731 patients linked to SDOH. Dependent variables were anastomotic leak (AL), surgical site infection (SSI), Not SSI related, and overall complications (COMPL) within 30 days …

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The Effectiveness Of Rape Prevention And Awareness Programs On Historically Black Colleges And University Campuses, Lucretia Rishelle Banks Jan 2021

The Effectiveness Of Rape Prevention And Awareness Programs On Historically Black Colleges And University Campuses, Lucretia Rishelle Banks

Walden Dissertations and Doctoral Studies

As rapes and sexual assaults continue to occur on Historically Black College and University (HBCU) campuses, students remain apprehensive in reporting victimizations to law enforcement, despite the presence of sexual assault prevention and awareness programming. Research has shown that the lack of reporting to law enforcement is based on specific barriers. However, there is little knowledge on the perceptions of program facilitators and administrators on why victims decline to report to law enforcement. This qualitative phenomenological study gathered the perceptions of eight program facilitators and administrators on the effectiveness of rape and sexual assault prevention programming. The community readiness theoretical …

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Educators’ Perspectives On Strategies To Close The Achievement Gap For African American Elementary Students In Mathematics And English Language Arts, Keamber Denise Booker Jan 2021

Educators’ Perspectives On Strategies To Close The Achievement Gap For African American Elementary Students In Mathematics And English Language Arts, Keamber Denise Booker

Walden Dissertations and Doctoral Studies

There is a persistent academic achievement gap between African American and European American elementary students in mathematics and English language arts. The purpose of this basic qualitative study was to explore third through fifth-grade elementary educators’ perspectives on strategies used to narrow the gap in achievement for African American students in mathematics and English language arts from a school located in the southeastern region of the United States; consequently, the research question was developed to focus on these perspectives. The conceptual framework for this study was Ladson-Billings’s culturally relevant pedagogy. Purposeful sampling and snowball sampling were used to select study …

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Increasing Fall Awareness Through Nursing Staff Education, Evelyn Ahiante Dennis Jan 2021

Increasing Fall Awareness Through Nursing Staff Education, Evelyn Ahiante Dennis

Walden Dissertations and Doctoral Studies

Patient falls are a significant healthcare concern, with the highest risk being among older adults aged 65 and older. A lack of nursing knowledge can contribute to patient falls. This DNP project was conducted in the medical-surgical trauma unit of a 137-bed local rehabilitation center in Northern Georgia. The intention of the project was to understand if a nursing staff education program would increase knowledge regarding falls prevention. Kurt Lewin’s change theory provided the framework for the project. The project participants were nine medical surgical nurses. Using the analysis, design, development, implementation (ADDIE) model, a falls prevention education program was …

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Parental Involvement And Academic Achievement Of Students With Attention Deficit Hyperactivity Disorder, Marie Myrlene Dupont-Krommie Jan 2021

Parental Involvement And Academic Achievement Of Students With Attention Deficit Hyperactivity Disorder, Marie Myrlene Dupont-Krommie

Walden Dissertations and Doctoral Studies

Students with attention deficit hyperactivity disorder (ADHD) have persistently encountered academic difficulties resulting from their struggles to cope with educational standard rules hindering their academic achievement. Parental involvement significantly provides an optimistic effect on students' academic achievement; however, there is sparse literature that focuses on the effect of parental involvement on the academic achievement of children with ADHD. The purpose of this qualitative study was to examine the involvement of parents of children diagnosed with ADHD through their academic life, explore those parents' perceptions of themselves as contributors in their children's academic lives, report their views as influential participants in …

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The Perspectives Of Parents Who Are Obese On The Standards Of Health For Their Children, Ingrid Facey Jan 2021

The Perspectives Of Parents Who Are Obese On The Standards Of Health For Their Children, Ingrid Facey

Walden Dissertations and Doctoral Studies

Obesity is a burdensome and preventable noncommunicable disease that annually claims the lives of approximately 5% of the global population. Initially, the disease affected only adults, but the increasing prevalence of childhood obesity has become an ongoing concern to health officials and world leaders. Childhood obesity may persist into adulthood and may become a precursor to Type 2 diabetes, some cancers, and socioeconomic complications. Some parents who struggle with obesity may miss signs that their children are obese, which hinders their children’s growth at many levels. Research on the lived experiences of parents who are obese and their coping strategies …

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Mitigating It Security Risk In United States Healthcare: A Qualitative Examination Of Best Practices, Joann Hemann Jan 2021

Mitigating It Security Risk In United States Healthcare: A Qualitative Examination Of Best Practices, Joann Hemann

Walden Dissertations and Doctoral Studies

AbstractCyberattacks are ranked as third in the top 10 highest global threats in terms of likelihood, ranked after extreme weather events and natural disasters. Traditional technology risk management plans for preventative, detective, and recovery measures have failed to mitigate cybersecurity risks created by new technologies. The social problem addressed was the impact of cybercrime to the healthcare industry. The purpose of this qualitative classical Delphi study was to determine how a panel of 25 healthcare cybersecurity experts, based in the United States, viewed the desirability, feasibility, and importance of information technology (IT) cybersecurity risk mitigation techniques. The conceptual framework selected …

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Perceptions And Experiences Of African American Americorps Program Participants, Dean Michael Hindenlang Jan 2021

Perceptions And Experiences Of African American Americorps Program Participants, Dean Michael Hindenlang

Walden Dissertations and Doctoral Studies

AmeriCorps, a voluntary public service program founded in 1993, has largely consisted of a nonminority middle-class group, generally 20 to 29 years old, who had the financial assistance of family while serving. African American participants may be experiencing AmeriCorps-based programs differently, in areas such as financial solvency, job readiness skills, and the ability to begin or return to college. This qualitative study was designed to reveal the perceptions and experiences of African American participants who have completed AmeriCorps service in a Midwest metropolis. Using the lens of critical race theory, which explored African American Corps members through a historical position …

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Demographic And Socioeconomic Determinants Of Lassa Fever In Edo State, Nigeria, Faith Ogagaroghene Ireye Jan 2021

Demographic And Socioeconomic Determinants Of Lassa Fever In Edo State, Nigeria, Faith Ogagaroghene Ireye

Walden Dissertations and Doctoral Studies

Lassa fever is a viral hemorrhagic fever caused by the Lassa virus and associated with significant morbidity and mortality. Yearly outbreaks of the disease occur in Edo State, Nigeria. The purpose of this study was to examine the demographic and socioeconomic factors that can influence transmission of the disease. The Commission on Social Determinants of Health conceptual framework was used in this research study. This framework describes the relationship between structural and intermediary factors and how they determine health outcomes. To answer the research question of how demographic and socioeconomic factors influence Lassa fever transmission in Edo State, a cross-sectional …

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Differentiated Instruction For Students With Significant Disabilities In Inclusive Secondary Classrooms, Oghenevwaire Odeworitse Malomo Jan 2021

Differentiated Instruction For Students With Significant Disabilities In Inclusive Secondary Classrooms, Oghenevwaire Odeworitse Malomo

Walden Dissertations and Doctoral Studies

Secondary general education teachers often face many challenges when differentiating instruction to meet the learning needs of students with significant disabilities (SD) in an inclusive secondary general education classroom. A qualitative case study that included eight general education teachers from different content areas in southwest state in the US was used to investigate the general education teachers’ perception of the challenges they face when differentiating instruction to meet the learning needs of students with SD in an inclusive secondary general education classroom. Tomlinson’s differentiated instruction (DI) model serve as the conceptual framework for this study, which emphasizes maximizing learning for …

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Diabetes Education For Nursing Staff In Primary Health Care, Artemio Pontejos Jan 2021

Diabetes Education For Nursing Staff In Primary Health Care, Artemio Pontejos

Walden Dissertations and Doctoral Studies

The nature of the DNP project was a staff education program for staff nurses and other clinic personnel on diabetes self-care management in a primary health care setting. The goal of this educational program was to improve and update the knowledge on self-care management of primary health care nurses. This education program followed the Walden University DNP Project Manual for Staff Education guidelines. The purpose of this continuing education of professional nurses was to improve nurses’ patient education on self-care management. After a 3-day face-to-face 90-minute lecture, improvement of knowledge was measured with a comparison of a pretest and a …

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End-Stage Renal Disease Patients' Experience Of Anticipatory Grief, Felicia Nicole Speed Jan 2021

End-Stage Renal Disease Patients' Experience Of Anticipatory Grief, Felicia Nicole Speed

Walden Dissertations and Doctoral Studies

Although prior researchers have suggested that end-stage renal disease (ESRD) patients experience depression that impacts their adherence to treatment and quality of life, there is a lack of understanding of how ESRD patients experience anticipatory grief related to their mortality and loss. This lack of knowledge has made it challenging for social workers to address treatment adherence and palliative care issues during the care planning process. The purpose of this qualitative study was to explore perceptions of loss and grief of ESRD patients who were undergoing hemodialysis treatment. The conceptual framework was anticipatory grief, specifically how patients perceive their own …

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