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2022

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Understanding Effective Parental Involvement Activities Across Ses, Monique Antoinette Carrington Young Jan 2022

Understanding Effective Parental Involvement Activities Across Ses, Monique Antoinette Carrington Young

Walden Dissertations and Doctoral Studies

Parental involvement is pivotal for impoverished middle school students to achieve academic achievement. The purpose of this study was to evaluate the relationship of parental involvement activities and academic achievement for impoverished middle school students. Epstein’s six parental involvement types was the theoretical framework for the research study. The six independent variables of parental involvement were parenting, volunteering, learning at home, decision making, communicating, and collaborating with community The relationship for each parental involvement activated to academic achievement as measured by grade point average was evaluated. A quantitative research design was applied using archival data from the U.S. Department of …

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An Educational Program For Hospice Nurses About End-Of-Life Protocols, Rhonda Coleman Jan 2022

An Educational Program For Hospice Nurses About End-Of-Life Protocols, Rhonda Coleman

Walden Dissertations and Doctoral Studies

Abstract Palliative care is specialized care for people living with a serious illness. This type of care is centered on providing relief from the symptoms and stress of the illness with a primary goal to improve the quality of life for both the patient and the family. A gap in nursing practice was identified in a hospice facility in the South Central United States.; the nurses did not use palliative care or end-of-life (EoL) protocols. This project focused, therefore, on the development of a nursing staff education program for hospice nurses to increase knowledge about the use of EoL protocols. …

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The Mother-Daughter Attachment-Bond In Adulthood After Childhood Sexual Abuse, Dionne Carla Dauphin Jan 2022

The Mother-Daughter Attachment-Bond In Adulthood After Childhood Sexual Abuse, Dionne Carla Dauphin

Walden Dissertations and Doctoral Studies

AbstractChildhood sexual abuse (CSA) may have a significant impact on the attachment bond between adult women and their mothers when CSA is disclosed during childhood. When CSA is known by the mother during the period of abuse, and she failed to intervene on behalf of her daughter, there can be long-lasting effects on the mother-daughter attachment bond in the future. There is a gap in the research literature regarding the attachment bond between the mother-daughter dyad in adulthood influenced by CSA known by the mother during the period of abuse. The purpose of this phenomenological study was to understand the …

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The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke Jan 2022

The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke

Walden Dissertations and Doctoral Studies

The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …

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Healthcare Management Strategies For Achieving Sustainable Departmental Productivity Improvements, Timothy Hargrove Jan 2022

Healthcare Management Strategies For Achieving Sustainable Departmental Productivity Improvements, Timothy Hargrove

Walden Dissertations and Doctoral Studies

Healthcare organizations’ leaders' lack of strategies to effectively deploy and monitor departments’ productivity goals affect overall organizations’ performance. Healthcare leaders who fail to deploy and monitor departmental productivity strategies effectively are limited to enhancing healthcare organizations’ performance outcomes. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies healthcare organizations’ leaders use to effectively identify, deploy, and monitor departments’ goals for improving their overall organization's performance. The participants were 20 healthcare leaders who successfully demonstrated success in improving their organizations’ departmental-specific productivity performance. Data were collected using semistructured interviews and a review of …

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The Association Between Vocational Training Programs And Recidivism In A South Florida Prison, Audrey Karlene Ives Jan 2022

The Association Between Vocational Training Programs And Recidivism In A South Florida Prison, Audrey Karlene Ives

Walden Dissertations and Doctoral Studies

AbstractTo lower recidivism, a private rehabilitation and correctional facility (PRCF) in South Florida provides educational and therapeutic programs to inmates; however, the facility reported increased recidivism rates for several successive years. The purpose of this quantitative study was to examine the association between 12 vocational training programs at the local PRCF and recidivism. The study’s theoretical framework was Hirschi’s social bond theory of attachment, involvement, commitment, and belief. The research question sought to determine whether significant associations exist between specific vocational training programs and recidivism. A convenience sample of 187 inmates who completed one vocational training program and left the …

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Strategies Leaders In A Canadian Charity Use To Maintain Donors’ Trust And Ensure Continued Donations, Egberth Ralph Jeffers Jan 2022

Strategies Leaders In A Canadian Charity Use To Maintain Donors’ Trust And Ensure Continued Donations, Egberth Ralph Jeffers

Walden Dissertations and Doctoral Studies

Eroded public trust and financial support threaten charity organizations' sustainability. Charity directors are concerned with eroding trust as lack of confidence adversely impacts the economic lives of disadvantaged communities. Grounded in Stewart’s ladder of accountability theory and Alderfer’s existence, relatedness, and growth theory, the purpose of this qualitative single case study was to explore strategies charitable organizations’ leaders use to maintain donors’ trust and ensure continued donations. The participants were five charity directors who used strategies to maintain donors’ trust and ensure ongoing donations. Data were collected using semistructured interviews and document reviews. Through Braun and Clarke's six-step thematic analysis, …

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Benefits And Barriers That African American Men Experience With Financial Assistance, C. Alan Jones Jan 2022

Benefits And Barriers That African American Men Experience With Financial Assistance, C. Alan Jones

Walden Dissertations and Doctoral Studies

Policymakers often design public policies and programs to assist populations in improving their social status, economic standing, or overall well-being. The problem addressed in this study is the gap in understanding the perspectives of African American men related to policies and programs that provide them with financial assistance. Ingram et al.’s social construction and policy design theory provided the framework for this qualitative study, which aimed to understand the benefits and barriers African American men experienced with public programs that provided financial assistance and its impact on their financial stability. Eleven African American men, selected using purposive sampling, responded to …

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Micronutrient Deficiency After Bariatric Surgery, Naitte P. Jordan Jan 2022

Micronutrient Deficiency After Bariatric Surgery, Naitte P. Jordan

Walden Dissertations and Doctoral Studies

Abstract Bariatric surgery is the most clinically efficacious treatment for obesity and obesityrelated comorbidities. Many patients undergoing bariatric surgery have preexisting levels of nutritional deficiencies. The prevalence of micronutrient deficiencies may increase after surgery, and long-term nutritional monitoring and follow-up are essential factors for postoperative patient care; yet advanced practice nurses may not be accustomed to caring for patients or treating micronutrient deficiencies. The purpose of this systematic literature review was to collect and analyze clinical evidence to determine what can the APN with the best available evidence do for implementing protocols and procedures to prevent, detect, and monitor for …

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Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr Jan 2022

Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr

Walden Dissertations and Doctoral Studies

The increasing number of hepatitis B-related deaths in the Armed Forces of Liberia was due to the lack of understanding of the associated risks with the disease. Gender, substance use, and condom use have been researched as related risk factors for hepatitis B virus infection (HBV). The goal of this study was to determine if gender (male or female) and risk factors (substance use, alcohol abuse, and condom use) predicted hepatitis B infections after adjusting for age, marital status, education, and military rank among Liberia military population. The theory that grounded this study was Bronfenbrenner’s socio-ecological model (SEM) which posits …

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The Experience Of Affection Expressed Between Black Male Friends, David Manning Jan 2022

The Experience Of Affection Expressed Between Black Male Friends, David Manning

Walden Dissertations and Doctoral Studies

AbstractAffectionate communication supports the maintenance and sustenance of long-term relationships for the purposes of survival and procreation. Friendship has been identified as one of the most significant relationships throughout an individual’s lifespan, supporting improved mental and physical health. This qualitative study explored the expressions of affection experienced within Black male friend dyads. Two research questions were posed, what is the experience of Black men receiving and giving affection to other Black men within the context of friendships? Also, are the affectionate needs of Black men being met within their Black male friendships? Affectionate exchange theory and social learning theory were …

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An Integrated Care Transitions Program And 30-Day Readmission Rates For Heart Failure And Chronic Obstructive Pulmonary Disease, Kathryn J. Martinez Jan 2022

An Integrated Care Transitions Program And 30-Day Readmission Rates For Heart Failure And Chronic Obstructive Pulmonary Disease, Kathryn J. Martinez

Walden Dissertations and Doctoral Studies

The impact of hospital readmissions on an organization includes reimbursement penalties, elevated mortality and morbidity rates, increased health care expenditures, and poor quality of life for the community’s residents. This study examined the impact of an integrated care transitions program on the 30-day readmission rates for heart failure and chronic obstructive pulmonary disease (COPD) within an independent rural community health care organization in Middle America. The two research questions pertained to the relationships pre-and post-implementation of this program to the 30-day readmission rates for these two disease processes. The Donabedian model examined the structure and function of an integrated care …

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The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin Jan 2022

The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin

Walden Dissertations and Doctoral Studies

Stress results in many people altering their eating patterns, often consuming food high in sugar and fat. Such behavior is a factor in the growing obesity epidemic and can potentially cause the development of chronic diseases, resulting in employment problems and billions of extra dollars spent on national health care programs. Researchers have focused on the concept of “emotional eating” while overlooking the overarching research question of this study, which was about exploring the experience of individuals using eating behavior as a coping mechanism to deal with stress. All responses were viewed through the lens of social cognitive theory. Interviews …

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Improving Nurses' Knowledge Of Patient Self-Management Of Sickle Cell Disease, Angel Amaura Mccullough Jan 2022

Improving Nurses' Knowledge Of Patient Self-Management Of Sickle Cell Disease, Angel Amaura Mccullough

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is a chronic illness affecting over 100,000 Americans annually. SCD causes severe pain, which may require frequent hospital admissions for pain control. A high level of patient self-care knowledge is needed to prevent readmissions. Patients usually receive self-care education at hospital discharge from nurses, who may not know about self-care in SCD. Inadequate patient education on self-management of SCD at hospital discharge can lead to hospital readmissions. There was a gap in knowledge among RNs regarding SCD self-care at the local facility. This doctoral project was intended to educate nurses about SCD self-management to increase their …

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Diabetes Self-Management Education For Nurses In The Primary Care Setting, Emilea Emade Mfortow Jan 2022

Diabetes Self-Management Education For Nurses In The Primary Care Setting, Emilea Emade Mfortow

Walden Dissertations and Doctoral Studies

AbstractDiabetes is a chronic disease that can be controlled by self-management to reduce the risk of acute or long-term complications. Healthcare might encounter many challenges for patients’ lack of adherence to diabetes self-management education. For this reason, lifestyle modification can be applied as a tool in the nursing field to manage adult patients with type 2 diabetes mellitus. This doctoral project addressed the gap in nursing practice for adult patients with type 2 diabetes regarding diabetes self-management education. This project focused on improving the nursing staff’s knowledge to promote evidence-based diabetes self-management education with their patients. The goal was to …

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Strategic Management Practices For Responsible Mining In Artisanal And Small-Scale Mining Projects, Cornelius Mireku-Antwi Jan 2022

Strategic Management Practices For Responsible Mining In Artisanal And Small-Scale Mining Projects, Cornelius Mireku-Antwi

Walden Dissertations and Doctoral Studies

Irresponsible management practices in the Artisanal and small-scale mining (ASM) industry result in wasteful mineral resource recovery and utilization. The lack of ASM managers' ability to implement responsible mining inhibits the ability to grow revenues and profits. Grounded in Mckinsey’s 7S framework, the purpose of this qualitative multiple case study was to explore strategies ASM managers use to establish responsible mining while also improving revenues and profits. The participants were five ASM managers from five ASM companies in Ghana. Data were collected using semistructured interviews and company public documents such as published annual reports. The four themes from the thematic …

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Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell Jan 2022

Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell

Walden Dissertations and Doctoral Studies

Gender discrimination in the workplace continues to be a persistent source of stress for women even after 5 decades of antidiscrimination legislation in the United States. Women are more likely than men to cope with stress by overeating, which is a risk factor for chronic illnesses and obesity. Much less is known about the protective factors that could weaken the association between perceived stress and overeating. The purpose of this quantitative study was to address this gap in the literature by examining whether resilience and social support are moderators of the overeating response for women who have experienced gender discrimination …

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School Lunch Timing And Student Body Mass Index, Megan Monteith Jan 2022

School Lunch Timing And Student Body Mass Index, Megan Monteith

Walden Dissertations and Doctoral Studies

Obesity continues to be a leading public health issue in the United States. Many chronic diseases are associated with obesity, including hypertension, diabetes, and several forms of cancer. There are multiple known contributing factors to obesity; however, historically, there has been little research focusing on time of day eating as a possible risk factor for obesity, especially childhood obesity. Childhood obesity is a significant risk factor for adult obesity. Obese children and adolescents are five times more likely to be obese in adulthood. The theoretical foundation for this study was the social ecological model. In this secondary correlational analysis using …

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Association Between Therapeutic Interventions And Quality Of Life In People With Autism, Taline Movsessian Jan 2022

Association Between Therapeutic Interventions And Quality Of Life In People With Autism, Taline Movsessian

Walden Dissertations and Doctoral Studies

Research exploring the impact of autism interventions on the quality of life (QoL) of adults with autism is scarce. This correlational, cross-sectional survey study was conducted to determine the association between seven interventions—behavioral, social, mental health, daily living skills, vocational, mindfulness, and medications—and the QoL and mental health of adults 18 years and older with autism with no intellectual disability living in Canada. A national sample of 182 autistic adults completed the survey that used the WHOQOL-BREF and Depression, Anxiety, and Stress Scale to measure subjective QoL and mental health, respectively. Behavioral, mental health, and medications were the mostly used …

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Health Awareness Of Hypertension In The African American Community, Rosemond Nunge Nguiffo Jan 2022

Health Awareness Of Hypertension In The African American Community, Rosemond Nunge Nguiffo

Walden Dissertations and Doctoral Studies

The practice problem this doctoral project addressed is the lack of clinical staff knowledge on self-care management of hypertension (HTN). Addressing this health crisis with current evidence-based patient education guidance that clinical staff can use to teach patient has the potential to increase nursing knowledge and confidence in providing patient education on self-care management of HTN. The purpose of this project was to explore the known nursing practice gap and answer the practiced-focused question to determine if an evidence-based, standardized health literacy teaching guide for nurses would improve nursing knowledge and confidence in applying health literacy and teach-back methodology in …

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Diabetes Distress Among Adults Living In Texas, Jenny Chinedu Ogadi Jan 2022

Diabetes Distress Among Adults Living In Texas, Jenny Chinedu Ogadi

Walden Dissertations and Doctoral Studies

About 34.2 million Americans (approximately 10.5% of the total U.S. population) live with diabetes. African Americans are twice as likely to be diagnosed with diabetes and more likely to be less compliant with treatment medication regimens and suffer from related complications, compared to non-Hispanic Whites. Such disparities brought attention to the need to investigate and understand better the diabetes distress of diverse groups of diabetics. The purpose of this cross-sectional study was to examine the relationships between demographic factors (race, age, gender, and educational level), diabetes education, diabetes management, and diabetes distress of adult diabetics in Texas. The theory of …

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Variables On The Proportion Of Children With Sickle Cell Hemoglobin, Oyekola Oluyimika Oloyede Jan 2022

Variables On The Proportion Of Children With Sickle Cell Hemoglobin, Oyekola Oluyimika Oloyede

Walden Dissertations and Doctoral Studies

AbstractThe case fatality rate among children living with sickle cell disease was approximately 50% to 90% in Sub-Saharan Africa. Though researchers have contributed social determinants of health more broadly, they have not provided adequate screening information on children living with sickle cell disease aged 6 months to 59 months. The purpose of this cross-sectional study was to examine the association between sickle cell disease status, infection prevention, pain and anemia management, demography, socioeconomic status, and healthcare use. This study included approximately 11,536 genotype results of children under 5-years-old in Nigeria. Bronfenbrenner’s systems theory and Krieger’s ecological theory formed the theoretical …

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Health Responsibility In Community College Students, Christine Phillips Jan 2022

Health Responsibility In Community College Students, Christine Phillips

Walden Dissertations and Doctoral Studies

Community college students are less healthy than 4-year college students, and they tend to have a higher allostatic load than their 4-year counterparts. Although research demonstrated that community college students are at greater risk for physical and mental illness, a better understanding of how community college students perceive their health responsibility was needed. A basic qualitative approach was employed to study how community college students experience health responsibility. Self-determination theory and the health belief model were used to guide the development of a semistructured interview and analysis plan. Thirteen adult credit-seeking students were interviewed. Data were analyzed using a top-down …

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Employment Barriers For Tanf Recipients In Kentucky, Omar Khalid Said Jan 2022

Employment Barriers For Tanf Recipients In Kentucky, Omar Khalid Said

Walden Dissertations and Doctoral Studies

Though Temporary Assistance for Needy Families (TANF) beneficiaries receive appropriate training and education within a 5-year time limit, many encounter challenges finding and maintaining employment. In this qualitative case study, constraints hindering the employability of TANF benefits recipients were explored to understand how some TANF program benefit recipients find and keep a job after completing 5-year term limits. The central research question examined the types of constraints that recipients of TANF benefits in the state of Kentucky experienced in finding and maintaining employment after completing a five-year term limit, and how some TANF recipients overcome such constraints. The conceptual framework …

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Impact Evaluation Of The Brfss In New York On Obesity Prevention For Weight Loss Among Women, Nikisha Skeete Jan 2022

Impact Evaluation Of The Brfss In New York On Obesity Prevention For Weight Loss Among Women, Nikisha Skeete

Walden Dissertations and Doctoral Studies

Abstract Obesity has increased among the adult population, specifically women, in the United States within the past few decades. While the increase in obesity has been linked to a lack of physical activity and poor dietary intake, obesity lacks contextual analysis within adult women as a group. The purpose of this quantitative study was to examine the impact of the Behavioral Risk Factor Surveillance System (BRFSS) on obesity prevention for weight loss in women. Health behavior change theory, the transtheoretical theory model, and the health behavior model guided this study. The research questions were designed to examine whether modifiable lifestyle …

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The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley Jan 2022

The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley

Walden Dissertations and Doctoral Studies

The growing older population confronting the risks of the COVID-19 pandemic have a story to tell of their experiences that may influence the way society confronts future pandemics. Little research has been done on older adults in independent living communities and their experiences with the COVID-19 pandemic. This study aimed to fill that gap using the biopsychosocial model as a framework to guide the exploration of the research question addressing the lived experiences of older, independent residents during the COVID-19 pandemic. Using a basic qualitative analysis design, a purposive sample of 10 participants from a continuing care retirement community were …

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Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili Jan 2022

Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili

Walden Dissertations and Doctoral Studies

Resistance to antibiotics among bacteria develops largely due to frequent use of antibiotics in human and animal medicine. Little is known about how patients’ socioeconomic factors, in conjunction with chronic health conditions, impact antibiotic prescribing rates in the United States. The research questions aimed to explore the relationship between poverty and antibiotic prescribing rates while also adjusting for confounders such as population aged ≥ 65, physician density, prevalence of obesity, diabetes, and chronic obstructive pulmonary disease (COPD). The relationships were evaluated using a quantitative, ecological study design using the ecosocial theory and mediation analysis of 2020 survey results provided by …

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Vitamin K Deficiency And Ischemic Stroke In Atrial Fibrillation Patients On Warfarin, Kimberly Therese Thompson Jan 2022

Vitamin K Deficiency And Ischemic Stroke In Atrial Fibrillation Patients On Warfarin, Kimberly Therese Thompson

Walden Dissertations and Doctoral Studies

Individuals with poor nutritional vitamin K status can suffer from atrial fibrillation (AF) due to misinterpretation of warfarin instructions by healthcare providers. The purpose of this quantitative study was to determine if there was an association between inadequate dietary vitamin K intake in AF patients and stroke outcomes to address the lack of research surrounding stroke outcomes in patients with true vitamin K deficiency. Grounded in the health belief model, this study assessed if individual beliefs from health education influenced the nutritional quality of their diet and health outcomes. The study is a secondary data analysis of the Framingham Heart …

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Physical Activity Assessment And Staff Education For Oncology Nurses, Laurie Jean Tyer Jan 2022

Physical Activity Assessment And Staff Education For Oncology Nurses, Laurie Jean Tyer

Walden Dissertations and Doctoral Studies

Physical activity and mobility are key indicators of treatment and disease tolerance in cancer patients. Patients are living longer during and after cancer treatment, and staying active prevents many side effects of the disease and the treatment. Staying mobile also prevents some conditions from occurring including bone and muscle loss. A nursing educational platform was identified as a need in the facility site’s cancer center on the importance of patients staying physically active throughout cancer treatment. Nurses did not feel confident to coach patients on their activity levels which was an identified gap in their nursing practice. A nursing educational …

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Staff Education To Improve Workplace Wellness Program Resource Use, Joann Coley Ward Jan 2022

Staff Education To Improve Workplace Wellness Program Resource Use, Joann Coley Ward

Walden Dissertations and Doctoral Studies

Workplace wellness programs, as a determinant of health, have the potential to improve the health of people, but are often underutilized due to a lack of knowledge of the programs. This project was conducted to examine whether a panel of experts would validate a staff education module designed to improve knowledge deficits amongst Army civilian employees and their supervisors about the Army’s civilian fitness program (CFP). The purpose of this project was to create a staff education module with a pretest and a posttest that could be validated by a panel of experts. The education module addressed the public health …

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