Digital Commons Network^™

Needs Assessment Of Healthcare Services For Transitioning College Students, Victoria M. Miller

Honors Theses

Investigators measured students' needs for healthcare services during their transition from pediatric to adult healthcare at The University of Mississippi. Also, investigators examined chronically ill students' adherence to their conditions needs and measured a baseline of college freshman's knowledge about healthcare. Data was collected using a self-administered cross-sectional survey online through Qualtrics. This study was divided into four focuses in order to assess the subject's health status, health knowledge, healthcare practices, and barriers to transitioning. The investigator found that most of the students' health status compares to the national average with minor differences, a number of students have little knowledge …

They Call It Le Big Mac: The Importance Of Adapting To Local Preferences In Marketing Strategy, Walker Bobo

Honors Theses

When McDonald's entered France in the 1970s, critics did not believe it would be a success. France is a country with a strong and longstanding gastronomic tradition, and it is proud and protective of its culture. In addition, the country has been known for its anti-globalization views. However, France is today the largest market for McDonald's, outside of the United States. How was McDonald's able to win over the French market and become so successful? This thesis analyses adaptations to marketing strategy that McDonald's undertook in France to better appeal to the local audience and connects these adaptations to trends …

Effects Of Chronic Electronic Vapor Exposure On Body Weight, Appetite, And Metabolism, Matthew J. Breit

Graduate Theses, Dissertations, and Problem Reports (ETD)

Cigarette smokers weigh less than non-smokers and gain weight upon smoking cessation. Electronic cigarettes (E-cigs) have been used as a smoking cessation tool among many, however, their effects on metabolism, appetite, and energy balance are virtually unknown. This study compares the effects of chronic E-cig vapor exposure on body mass, food intake, metabolism, and body composition in mice. We hypothesized that E-cig exposure would elicit similar changes on body mass, body composition, food intake, and metabolic and appetite-regulating markers as conventional cigarettes (i.e. 3R4F reference cigarette). Female C57BL/6 mice were exposed to filtered room air (n=15), mainstream smoke from 3R4F …

The Effect Of Implant Prostheses Complications On Patient Satisfaction, Jessica Elyse Canallatos

Graduate Theses, Dissertations, and Problem Reports (ETD)

Objectives: To evaluate patient satisfaction with regards to implant prostheses and compare those who have experienced self-reported implant prostheses complications to those who have not. Through this observation, we intend to determine how and if implant-related complications affect the patients' self-reported quality of life.;Methods: In this retrospective study, data were gathered from 176 edentulous and partially dentate patients who have received implant prostheses including implant-supported crowns, implant supported overdentures, and hybrid prostheses from January 1, 2010 to December 31, 2014 at West Virginia University School of Dentistry (Morgantown, WV). Demographics and complications with implant prostheses were self-reported via a survey, …

Bring Your Own Device Initiative To Improve Engagement And Performance In Human Anatomy And Physiology I And Ii Laboratories, Kelsey Hillhouse

Honors Theses

At the University of Mississippi, just 4.93% (2014) and 6% (2015) of Human Anatomy and Physiology students responding to an informal, opinion survey stated that their favorite lab activity was using microscopes. In addition, performance on lab practical questions involving the identification of specimens under a microscope is low with the average percent correct being as low as 31.85% and no higher than 41.94%. These numbers are troubling in that Human Anatomy and Physiology I and II are required courses for students desiring entry into many allied health professions where knowledge of tissues, obtaining samples for biopsy, and interpreting microscopic …

Service Speaks 2017, Service Speaks Committee, Depaul University

Service Speaks

Service Speaks is an annual conference that demonstrates the multitude of ways DePaul students work with community partners to advance social justice causes in Chicago communities. Each academic year, over 200 courses and programs send students into the community to lift up the assets of our community partners through community-based service learning (CbSL) and project-based classes, community internships and community-based research. These connections result in mutually beneficial outcomes for the community organization and provide transformational experiences for our students.

Postpartum Mothers' Attitudes Toward Breastfeeding, Jackie Denise Jones

Walden Dissertations and Doctoral Studies

Breast milk is the optimal source of nourishment for babies, providing positive nutritional and psychosocial benefits for infants' growth and development. Rates for initiation of breastfeeding and exclusive breastfeeding at 6 months in the United States are well below the target rates for the Healthy People 2020 Maternal, Infant, and Children's Health objectives. Using Ajzen's theory of planned behavior, the purpose of this project was to ascertain how knowledge and attitudes influenced a mother's intent to breastfeed during her hospital stay and the likelihood of exclusive breastfeeding continuing after discharge. A convenience sample of 68 postpartum mothers was recruited from …

Effectiveness Of A Medication Administration Protocol On Medication Errors And Inpatient Falls, Avril Dolly

Walden Dissertations and Doctoral Studies

Effectiveness of a Medication Administration Protocol on Medication Errors and Inpatient Falls

By

Avril Dolly

MS, University of the West Indies, 2010

BS, University of the West Indies, 2009

Project Submitted in Partial Fulfillment of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

November 2017

Adverse events such as medication errors and inpatient falls have been reported as the leading cause of safety incidences at the acute care facility in Trinidad and Tobago where this project was conducted. These mishaps aroused concerns about patient safety and led to a quality improvement (QI) initiative at the hospital. …

Intimate Partner Violence During Pregnancy And Prenatal Care Attendance In Abuja, Nigeria., Dorothy Ijeoma Ezekwe-Anya

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) among women poses a significant threat to maternal mortality during pregnancy in Nigeria with a prevalence rate of 14% in the southern region versus 43% in the northern region. Early and adequate prenatal care is essential for improving pregnancy outcomes and the reduction of the maternal mortality rate. Previous studies in several countries have demonstrated a unique barrier to healthcare access among women exposed to IPV. This study assessed the association between IPV during pregnancy and prenatal clinic attendance, using a cross-sectional quantitative study design guided by the social learning theory. The modified Conflict Tactile Scale …

Effects Of Lifestyle Changes On The Health Of African Americans With Type 2 Diabetes, Charles Duro

Walden Dissertations and Doctoral Studies

African Americans are adversely affected by Type 2 diabetes at a greater rate than their European American counterparts; however, research on the effects of Type 2 diabetes on African Americans is limited. Lifestyle modifications that include the incorporation of physical activity and dietary changes can help patients with Type 2 diabetes better manage their disease and improve their overall quality of health. The purpose of this phenomenological study was to explore the experiences of African Americans with Type 2 diabetes who incorporated these self-management behaviors, discerning if they had improved health and quality of life. The self-efficacy framework was applied …

Night Shift Work And Weight Gain Among Female Filipino Nurses, Raymundo Mintac Apellido

Walden Dissertations and Doctoral Studies

The research problem is the increasing numbers of overweight and obese nurses working the night shift. Study on overweight and obesity among female Filipino nurses has not been conducted. It was important to conduct a research study among female Filipino nurses to find out if there are statistically significant associations between night shift work and weight gain. The purpose of this correlational and cross-sectional study was to determine if there are statistically significant associations between insufficient sleep, abnormal eating patterns, working 12-hour shifts, years of working night shift, age, stress, marital status, nursing units, decreased physical activity, and level of …

Alcohol Use Disorder And Withdrawal Syndrome In Correctional Facilities: An Evidence-Based Clinical Practice Guideline To Prevent Alcohol-Related Adverse Events, Wanda Wilma González-Méndez

Walden Dissertations and Doctoral Studies

In the United States, one in every 100 adults is confined to a correctional facility. Approximately 60% of inmates have an alcohol use disorder (AUD). When compared to the general population, inmates are twice as likely to have AUD. As they are unable to readily access alcohol, inmates entering a correctional facility with AUD are at high risk for the lethal alcohol withdrawal syndrome (AWS). AWS is preventable and yet correctional nurses process new inmates without an evidence-based clinical practice guideline (CPG) to assess for AUD, the prerequisite for AWS. The purpose of this project was to develop an evidence-based …

Factors Affecting Inadequate Growth During Early Childhood In Guyana, South America, Valescia Xenobia John

Walden Dissertations and Doctoral Studies

Children under 5 years of age in Guyana are at an increased risk for inadequate growth. According to the United Nations Development Programme, 1 out of 3 children of preschool age are undernourished globally. This is a major public health concern as undernourishment in children under 5 years can lead to lifelong health complications. The study assessed the relationship between inadequate growth and urban classification in children under 5 years in Guyana, South America, after controlling for the following variables: mother's level of education, mother's age at birth of the child, household size, wealth, and marital status. The study framework …

Quantitative Poverty: Relationship Between Poverty Level And Population Size, Gdp, And Gini Coefficient, Kelly Singleton Johnson

Walden Dissertations and Doctoral Studies

This research examines why poverty has been persistent in all regimes that have tried to use public policy to eradicate it with no success. This research begins to examine the economic, fiscal, and current Federal Reserve monetary policy for an understanding of why poverty persists. The purpose of this experimental, cross-sectional design is to test the relationship between poverty level, population size, gross domestic product and the Gini coefficient. The most important outcome of the research is to understand if poverty is an unintended consequence of economic activity and not individual circumstance. In the dissertation, 5 U.S. states are examined …

Teacher Perceptions Of Head Start Preschool Programs In An Urban Public School, Salvador Perez

Walden Dissertations and Doctoral Studies

An initiative to coordinate early learning programs across a major city in the Midwestern United States was undertaken in 2013. The opinions of teachers regarding effects on instruction and children were not included in the development and implementation of the program. This omission is important because multiple scholars have pointed to the benefits and need of including stakeholders' perspectives in program development. The purpose of this study was to explore preschool teachers' experiences and perspectives of this initiative using a qualitative bounded instrumental case study design. Fullan's theory of educational change served as the framework of this study. Nine preschool …

Evidence-Based Practice Project Proposal: Reducing Chfrr Through The Get Well Networks Chf Prevention Education Materials, Susan Kay Richmond

Walden Dissertations and Doctoral Studies

In the United States, congestive heart failure (CHF) impacts 6.5 million adults and costs about $39 billion year with a projected incidence increasing by 25% by 2030. CHF can be addressed by advancing patient self-care knowledge through interactive patient education. For this project, the Health Beliefs Model guided a strategy to stimulate behavior modification based on perceived benefits of self-care. The purpose of this quality improvement project was to implement an interactive patient education video system, called the Get Well Network, to encourage patient self-care to reduce CHF readmission rates at a veteran's administration hospital. Four evidence-based CHF video order …

Relationship Between Educational Leisure Motivation And Recovery From Mental Illness Among Members Of Clubhouse International, Dianna Rene Pearce

Walden Dissertations and Doctoral Studies

Individuals with serious mental illness (SMI) exhibit low motivation to participate in educational leisure activities at Clubhouses accredited by Clubhouse International (CI). This correlational study examined the relationship between each of 4 motives, intellectual, social, competence-mastery, and stimulus-avoidance, to engage in leisure activities, and the perception of recovery from SMI. Knowles's theory of andragogy supported the concept of informal self-directed learning, which occurs with leisure activities. Literature indicates that participating in leisure activities such as those offered at Clubhouses aids in the recovery from SMI. Quantitative data were collected from a convenience sample of 75 individuals at 4 CI clubhouses …

Development And Evaluation Of A Patient Decision Aid For The West Virginia Physician Order For Scope Of Treatment (Post), Jarred V. Gallegos

Graduate Theses, Dissertations, and Problem Reports (ETD)

Decision aids have been shown to be helpful for patients making medical decisions. The use of decision aids can increase patient knowledge, decrease decisional conflict, and increase overall satisfaction with the treatment decision made. The purpose of the study was to develop and evaluate a novel video decision aid for the West Virginia Physician Orders for Scope of Treatment (POST). There are no known decision aids developed to assist patients completing POST forms, thus there is a paucity of research investigating the nature, quality, and outcomes of the decision-making process of patients completing a POST form. Fifty English-speaking, community-dwelling older …

The United Nations Cluster Approach To Humanitarian Aid: A Critical Analysis And Reform Proposal Based On Focused Mitigation Efforts, Mary Margaret Gagnet

Honors Theses

Overlap and gaps in assistance within the Inter-Agency Standing Committee's Cluster Approach for humanitarian aid is a major issue plaguing the international community and its response to emergencies. The inefficiencies within the cooperative effort of involved agencies leads to prolonged suffering and death within the countries in need of humanitarian aid. With these dire consequences riding on the ability of this mobilization system to function effective, it is imperative that steps be taken to ensure competent humanitarian response. There is no clearly outlined path to assist those experiencing humanitarian crisis, but there is a particular objective in mind. This goal, …

An Analysis Of The Financial Literacy Of Senior Students Across Fields Of Study At The University Of Mississippi, Robert Hollis Burrow

Honors Theses

This thesis examines the financial literacy of senior students at the University of Mississippi, as well as which variables influence a student's financial literacy level. Financial literacy is crucial for both an individual's current and long-term well-being and financial health. Students in various major fields of study participated in a multiple-choice survey, including demographic, socioeconomic, and financial literacy questions. The student's answers were analyzed using univariate analyses, an ordinary least squares stepwise regression, and a logistic stepwise regression. The study found that the average student score of 2.75 out of five financial literacy questions was comparable to the national average …

Factors Associated With Health-Related Quality Of Life In Pediatric Inflammatory Bowel Disease, Ellen M. Manegold

Graduate Theses, Dissertations, and Problem Reports (ETD)

Youth with inflammatory bowel disease (IBD) experience poor health-related quality of life (HRQOL; e.g., Cunningham et al., 2007; De Boer et al., 2005; Greenley et al., 2010). Previous research has demonstrated that factors such as problematic family functioning and increased general anxiety are associated with decreased HRQOL in pediatric IBD (e.g., Guilfoyle et al., 2014; Gumidyala & Greenley, 2014; Herzer et al., 2011a; Kilroy, Nolan, & Sarma, 2011). However, little was known about how specific aspects of the parent-child relationship are related to HRQOL. Furthermore, there was a gap in the literature about the relation of gastrointestinal (GI)-specific anxiety to …

Strategies For Reducing The Effects Of Employee Absenteeism On Organizational Profitability, Marjorie D. Waye

Walden Dissertations and Doctoral Studies

Employee absenteeism is a significant threat to organizational profitability. Finding solutions to mitigate the adverse effects of employee absenteeism on organizational profitability is critical to the success of organizations. The purpose of this case study was to explore the strategies human resource leaders used to mitigate the adverse effects of employee absenteeism on organizational profitability. The conceptual framework was performance prism theory. Data were gathered from in-depth interviews and publicly available organizational documents, including wellbeing program resources and annual investment presentations and Securities and Exchange Commission (SEC) reporting documents. Participants included 4 human resource managers and a third party service …

Initial Findings Of A Medicare Annual Wellness Visit Program, Hesper B. Nowatzki

Walden Dissertations and Doctoral Studies

Despite the emphasis of benefits on preventive health, many older adults are not receiving the recommended age specific, evidence based screenings and vaccinations. The Medicare Annual Wellness Visit (AWV) is designed to address modifiable risk factors with aging adults and close gaps in care not captured in routine office visits. Although a free Medicare benefit to patients, and a reimbursable service to health care providers, participation in the AWV is low nationwide. The purpose of the project is to introduce an AWV program to a rural health clinic in Northwest Illinois that has a population consisting of over 25% of …

Translating Evidence Of Skin-To-Skin And Rooming-In To Practice, Francisca Njoku

Walden Dissertations and Doctoral Studies

The old practice of separating the mother-baby-dyad was without measurable benefits to mothers or their infants. Evidence has shown that skin-to-skin care (SSC) prevents hypothermia and hypoglycemia, decreases crying during painful procedures in newborns, and reduces maternal anxiety, stress, and postpartum depression. Rooming-in care (RIC) has been linked to an increase in the rate of breastfeeding and mother-infant interaction, as well as a decrease in the infant morbidity rate. This project assessed the effect of an educational intervention to increase rates of SSC and RIC in an obstetric unit, in addition to measuring nurses' attitudes and barriers in relation to …

Restaurant Management Strategies To Comply With Food Safety Regulations, Dr. Carlos Juan Calcador

Walden Dissertations and Doctoral Studies

The recent economic crisis in Puerto Rico has created decreased health department fiscal capabilities, adding more responsibilities to health department officials in charge of restaurant inspections without adding more operational funds, which in turn led to less regulatory capacity. This situation instigated increased food safety regulation violations, and food safety legislation changes, imposing more economic pressure to restaurant owners, which leads to a lack of restaurant sustainability. The purpose of this case study was to explore strategies six business visionaries, smart entrepreneurs, who have positioned themselves as successful restaurateurs, in the restaurant industry in Puerto Rico. They were key factors …

Development Of An Evidence-Based Practice Guideline For Prevention Of Diaper Dermatitis, Nanita Flavier Lim-Sulit

Walden Dissertations and Doctoral Studies

Diaper dermatitis, an acute inflammatory reaction of the skin, is one of the most common forms of dermatitis among neonatal and pediatric patients. The problem addressed in this quality improvement project was the absence of an evidence-based practice (EBP) guideline for perineal care which resulted in 4 unexpected cases of diaper dermatitis per 100 hospital days at a non free standing children's hospital. Framed within Rosswurm and Larrabee's model for EBP, the purpose of this project was to develop an educational initiative encompassing an EBP guideline for perineal care, an educational curriculum plan for staff members, and a Power Point …

Assessing Plant-Based Food Lifestyle To Reduce Obesity Risk, Erna Siregar

Walden Dissertations and Doctoral Studies

Despite an increasing number of healthy lifestyles throughout the country, Americans, including Native Hawaiians, keep gaining weight. Unlike several American lifestyles that have resulted in weight gain within the American population, the vegetarian lifestyle is a scientifically proven method for decreasing body weight and maintaining the weight loss for more than 1 year. This study aimed to compare the lifestyle patterns of 4 vegetarian lifestyles and 1 nonvegetarian lifestyle among Native Hawaiians aged 21 and older using their body mass index (BMI). This quantitative study utilized a correlational design, which is particularly suitable for examining the relationship of BMI to …

Perceptions Among Senior Consumers Regarding Stereotyping In Magazine Advertisements, Greg Milsom

Walden Dissertations and Doctoral Studies

Marketing decision makers often employ stereotypes in their advertising messages, but constant exposure to negative messages is offensive to older consumers and contributes toward ageism. The general problem is that many senior adults feel dissatisfied with advertising directed toward them and may not purchase products that they could otherwise enjoy. Based on the tenets of social identity theory, the purpose of this study was to explore the perceptions of a group of senior consumers toward the stereotypes used to portray older adult models featured in magazine advertisements by uncovering the factors that influence purchasing decisions and the stereotypes that are …

Childhood Obesity Comorbitities Awareness Hospital-Based Education, Sandra Mcgrath Mcgrath

Walden Dissertations and Doctoral Studies

As childhood obesity continues to increase, so do the comorbidities and related health issues, putting youth at a greater risk of developing adult-related diseases such as hypertension, Type 2 diabetes, and cardiovascular diseases. Current literature indicates that healthcare organizations have a significant role in the fight against this epidemic, yet most children's hospitals have no policy to accomplish this task. The purpose of this project was to develop a program proposal for a hospital-based, sustainable obesity program that will aid in improving patient and family awareness of the importance of maintaining an ideal body weight to decrease the incidences of …

Instructional Strategies That Promote Cultural Competence In Nutrition And Dietetics Education, Cecile Adkins

Walden Dissertations and Doctoral Studies

Changing demographics in the United States to a minority-majority culture require health care professionals who are culturally competent to provide appropriate care to patients. In a university in the Mid-Atlantic region of the United States, a gap existed between student education and the culturally competent professional practice of entry-level registered dietitians. Using Freire's notion of social justice and Vygotsky's constructivist theory as the conceptual frameworks, the purpose of this study was to explore educators' instructional strategies that promoted cultural competence in nutrition and dietetics education. The research questions examined how educators described the instructional practices they employed to promote cultural …