Digital Commons Network^™

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 …

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 …

Telecommuting Adaptation Of A Nonprofit Organization Due To The Covid-19 Pandemic, Walter Lynn Washington

Walden Dissertations and Doctoral Studies

AbstractIn response to the COVID-19 pandemic, which has disrupted lives around the globe, organizations have transitioned to telecommuting. Further research is required to address gaps in the literature regarding the perspectives of employees and organization leaders of these telecommuting policies. This study examined how leaders and employees of a nonprofit organization in southeast Florida perceived implementation of and adaptation to telecommuting policies in response to COVID-19. The study specifically assessed behavioral and utilitarian variables associated with social exchange theory, such as individual engagement and social settings and effects in the workplace, which related to social distancing and telecommuting policies. The …

Reading Teacher Perspectives On Classroom Behavior And Criteria Referral For Adhd Testing, Sharmaine Wilder

Walden Dissertations and Doctoral Studies

According to the Center for Disease Control and Prevention (CDC) and other researchers, the prevalence of Attention Deficit and Hyperactivity Disorder (ADHD) diagnoses among school-aged children has gained the attention of researchers. Due to the large amount of time children spend in the school context, researchers have found that teachers play a vital role as valuable resources to early identification of children needs of services. The purpose of this qualitative study was to expand knowledge about the in-depth experiences of third grade reading teachers when referring for behavioral health services. Bronfenbrenner’s (1979) bioecological model the was theoretical framework for this …

Weight Management Clinical Practice Guidelines For The Obese, Pre-Diabetic, And Diabetic Population, Dawn Williams

Walden Dissertations and Doctoral Studies

AbstractDiabetes is among chronic or lifestyle-related illnesses posing health care challenges at epidemic proportions, pressuring health care systems infrastructure for positive outcome-driven practices and sustainable costs, as continued research suggests that obese people are up to 80 times more likely to develop type 2 diabetes. In June 2021, a weight-loss and wellness center serving this high-risk population established recommended guidelines for Hemoglobin A1C (HbA1C) screening and education. During the initial 3 months of implementation, data findings captured 37% in a total of 220 with elevated HbA1C levels. The gap in practice is that the Wellness Center did not have a …

Perceived Diabetes Susceptibility Among African American Female College Students, Khaliah India Wilson

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a leading cause of death among African American women ages 20-44 years, and African American female college students are at high risk. Research shows that college students tend to underestimate their susceptibility to Type 2 diabetes, despite their existing risk factors. There is a gap in knowledge concerning African American female college students and their perception of diabetes susceptibility, despite their increased risk. The purpose of this quantitative nonexperimental, correlational study was to identify the factors associated with perceived personal susceptibility to Type 2 diabetes and Type 2 diabetes-related health behavior among African American female college …

Self-Monitoring In Military Consumer Research, Alan Oliver Wright

Walden Dissertations and Doctoral Studies

Underutilized military products exist among soldiers and can reduce safety, performance, and morale. The purpose of this study was to determine the extent to which self-monitoring constructs (Self-Monitoring, Acting, Extraversion, and Other-Directedness), gender, leadership, length of service, deployments, and combat experience predict military consumer attitudes. Self-monitoring theory describes differences in expressive control and self-presentation to predict consumer attitudes and behavior. High self-monitors alter their consumer behavior to gain social favor and low self-monitors base their consumer decisions on product quality, functionality, and internally held views of self. An archival dataset was used with 220 active-duty soldiers who provided liking ratings …

Treatment-Seeking Behaviors And Malaria Prevalence Among Under-5 Children In Niger, Aissa Yaye Habi

Walden Dissertations and Doctoral Studies

Malaria is a deadly vector-borne disease that mainly affects children in Africa, especially in Niger. Although public health efforts in malaria prevention have been successful in many parts of the world, malaria remains a significant public burden in sub-Saharan Africa, especially among children. Despite the numerous studies conducted on individual factors influencing the prevalence of malaria in sub-Saharan Africa and Niger, there is little knowledge about the collective influence of treatment-seeking behaviors and malaria prevalence among under-5 children in Niger. This study was a quantitative study with a cross-sectional design guided by the social-ecological model (SEM) that used secondary data …

Relationships Between Stress Self-Management, Social Support, And Health In Hispanic Informal Caregiver Burnout Prevention, Nicole Alexandra Mas Román

Walden Dissertations and Doctoral Studies

Burnout syndrome is a psychological disorder characterized by physical, emotional, and mental distress and exhaustion resulting in feelings of depression, anxiety, irritability, and negative attitudes. If left unattended, burnout syndrome can lead to new or worsening health outcomes. The purpose of this nonexperimental quantitative study was to examine the relationship between stress self-management, perceived social support, health status, and burden among Puerto Rican informal caregivers. The theoretical foundations for this research were the informal caregiving integrative model and the individual and family self-management theory. Survey data were collected from 415 participants. Multiple regression analyses were performed to determine the relationship …

Wellness Programs: Strategies For Increasing Employees’ Productivity And Reducing Health Care Costs, Lymari Rentas González

Walden Dissertations and Doctoral Studies

Business executives risk higher healthcare costs and absenteeism rates without implementing cost-effective strategies to support wellness within the organization. To offset rising healthcare costs and absenteeism, executives should implement wellness programs as a component of the benefits package provided to their employees and families. Grounded in the theory of planned behavior, the purpose of this qualitative multiple case study was to explore the cost-effective strategies that executives in the private and not-for-profit sectors implemented to encourage employees to adopt healthy habits for increasing productivity and decreasing organizations’ healthcare costs. Six executives from the healthcare sector within the southern region of …

Experiences With Addiction Transfer Among Weight Loss Surgery Recipients, Latoya Smalls

Walden Dissertations and Doctoral Studies

Obesity remains a significant problem linked to psychological, behavioral, metabolic, and environmental factors. Some individuals who struggle with obesity turn to weight loss surgery. Studies exploring the long-term effects of weight loss surgery and its connection with transfer addiction have reached conflicting findings. This phenomenological study was conducted according to procedures developed by Husserl and Giorgi. Data were collected for this qualitative study through semistructured interviews with 10 bariatric weight loss surgery recipients. Data were analyzed using the five stages of Giorgi’s descriptive phenomenological method process of data analysis. Analysis of the data led to five themes and eight subthemes. …

Gestational Weight Gain, Level Of Education, And Infant Mortality Among African American Women, George Lee Amanambu

Walden Dissertations and Doctoral Studies

Abstract

African American (AA) women in Mississippi have a higher burden of infant mortality, especially those with low income and educational levels, as compared to other regions of the country. However, it is unknown if abnormal gestation weight gain (GWG) is contributing to this increased burden. This quantitative cross-sectional study examined the association between GWG (25-35lbs), level of education, income, and infant mortality among AA women with normal prepregnancy body weight who were between 30 to 47 years old in the state of Mississippi from 2016 to 2018. Biopsychosocial and ecosocial models were used as the theoretical foundation to design …

Parents’ Perceptions Of Kinesthetic Learning And Academic Performance Among Students With Attention Deficit Hyperactivity Disorder, Beverly Mount

Walden Dissertations and Doctoral Studies

Students with attention deficit hyperactivity disorder (ADHD) struggle academically more than students without ADHD. Although kinesthetic learning, a motor and tactile style of experiential learning, has been found to benefit students generally, parents’ perceptions of it as an educational intervention for students with ADHD has not been examined. The purpose of this qualitative study was to explore parents’ perceptions of kinesthetic learning and academic performance among students with ADHD. The experiential learning theory, which posits that learning occurs through experience, was the theoretical framework for the study. Eleven parents participated in an open-ended question interview ranging from 7 to 22 …

Depression, Drug Use, And Hsv-2 Among Women Who Have Sex With Women, Viani Picchetti

Walden Dissertations and Doctoral Studies

Herpes simplex virus type 2 (HSV-2), the main cause of genital herpes, is an incurable sexually transmitted infection responsible in 2018 for 18.6 million infections in the United States. HSV-2 is twice as frequent in women than in men. Women who have sex with women (WSW) have a higher prevalence of depression and drug use than women who have sex exclusively with men (WSM), which are each related to HSV-2 as they increase the likelihood of engaging in risky sexual behaviors. The purpose of this study was to assess the predictive relationship between depression status, nonprescription drug use status, and …

Perspectives Of Parents Of Black Head Start Graduates Regarding The Black-White Achievement Gap, Telisa Pitts

Walden Dissertations and Doctoral Studies

The problem of this study was the achievement gap that exists between Black and White children prior to kindergarten entrance. As children continue in school this gap grows substantially; therefore, it was important to understand perspectives of stakeholders regarding this gap. The purpose of this study was to explore perspectives of parents of Black Head Start graduates regarding the Black-White achievement gap, and how those perspectives shaped parents’ actions in promoting their children’s kindergarten readiness. The conceptual framework for this study was based on Bronfenbrenner’s ecological theory. The research questions focused on parents’ perspectives and how they believed those perspectives …

The Lived Experiences And Perceptions Of Young Adults Who Have Transitioned Out Of State Or Other Care, Linda Rose Ross

Walden Dissertations and Doctoral Studies

AbstractOver 20,000 young adults are released from state care annually and 100,000 young adults are released from justice centers. Past studies have revealed that young adults 18-24 years of age transitioning out of care are not prepared for independent living and may face many adversities. The problem is that young adults have difficulties finding permanent housing once emancipated from state care, their biological homes, or juvenile justice centers. The purpose of this study was to explore the perceptions and experiences of young adults 18-24 years of age and how their experiences and life skills helped on their journey to acquire …

Low Income African American Parents Experiences Managing Obese Young Children Weight Loss, Angela Berry

Walden Dissertations and Doctoral Studies

February 2022 Abstract In the United States, 17% of children between the ages of two to 19 years are diagnosed with obesity more than any other chronic health condition. African American children living in the United States have an obesity rate of 22% compared to White children who have an obesity rate of 14.1%. These high obesity rates created situations in which these children are likely to experience significant lifelong health problems. The purpose of this descriptive qualitative phenomenological study was to describe the experiences of African American parents of low-income managing weight-loss in their young children with obesity between …

Perceived Barriers To Health Care Access And Delivery Among Arkansas Medicaid Beneficiaries, Kimbra D. Butler

Walden Dissertations and Doctoral Studies

Arkansas has historically been one of the lowest ranking states in the United States in education, economy, opportunity, crime and corrections, and health care. Though more than 3 million Arkansans live in the state, nearly 1 million receive Medicaid-funded health insurance. This phenomenological study employed a constructivist paradigm and focused on the perceptions of underserved Arkansans regarding their health and their access to health care; additionally, within this study, the Health Belief Model shifted the study’s focus to individuals’ perspectives, perceptions, experiences, and opinions through interview responses. The research was intended to identify factors that may relate to the higher …

Professional Identity Within An Evolving Profession: Clinical Social Work In Puerto Rico, Lorna Betzaida Colon Gonzalez

Walden Dissertations and Doctoral Studies

More than three decades of data document the challenges of clinical social workers in establishing their professional identity within the social work profession in Puerto Rico. Less is known specifically about how they identify within interdisciplinary and multidisciplinary teams in the various clinical settings on the island. The purpose of this study was to explore the perceptions of clinical social workers in Puerto Rico regarding their professional identity as compared to generalist social workers. The generic qualitative study was based on the ecological system theory framework. Data were collected from semistructured interviews with a purposive sample of 10 clinical and …

Case Managers’ Perspectives Of Hospital Postdischarge Services For Patients Diagnosed With Coronary Artery Disease, Brian Alexander Grant

Walden Dissertations and Doctoral Studies

The United States lacks postdischarge services, which can negatively impact hospital readmissions within 30 days. It is important for case managers to effectively leverage outpatient services to enhance patient care and reduce readmission rates. Grounded in the practice change model framework, this qualitative single case study explores the perspectives of case managers involved with postdischarge services for patients diagnosed with coronary artery disease (CAD). Participants included 13 case managers from two metropolitan hospitals in Atlanta, Georgia. To address the research problem and study purpose, data collection techniques included semi-structured interviews, case management discharge summaries, and reflective journal notes. The thematic …

Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway

Walden Dissertations and Doctoral Studies

AbstractClostridium difficile infection (CDI) is a major nosocomial threat to be reckoned with in the current health care setting in the United States. Advancing age, underlying chronic disease associated with inflammation (including Diabetes Mellitus Type I ([DMI]), Diabetes Type II ([DMII]), and obesity), trauma, immunodeficiency and other factors that diminish the overall health of an individual, and increase an individual’s susceptibility to CDI. The ecological framework was used to determine the relationship between geographic, chronic diseases and the occurrence of infectious diseases. To continue enhancing knowledge related to CDI susceptibility this quantitative study used the 2010 National Hospital Discharge Survey …

The Experiences Of Teenage Mothers About The Socioeconomic Aspects Of Teen Pregnancy In A Low-Income Community, Sunday Kerobo

Walden Dissertations and Doctoral Studies

Teenage pregnancy has adverse social, economic, and health consequences for adolescents. Pregnancy in adolescence is linked to high school dropout, high unemployment, stigma, low income, financial hardships, anxiety, and depression.. The purpose of this phenomenological research study was to understand the socioeconomic factors that impact young mothers aged 17 years and younger in low-income communities. Schlossberg's transition theory guided this study. Fifteen young women ages 18 and 24 who were either pregnant or had given birth before age 17 years and under were recruited through purposive sampling and interviewed using in-depth key informant interviews. Audio recordings of interviews were transcribed, …

Head Start Teachers' Descriptions Of Inclusion, Lawanda Katrina Lovett-Cunningham

Walden Dissertations and Doctoral Studies

AbstractA Head Start program in Southeast Georgia, teachers were struggling to provide appropriate services to students with special needs (SWSN) in inclusive settings. The purpose of this study was to explore Head Start teacher descriptions of their roles and the barriers that inhibit implementation of inclusive education for SWSN. McKenzie and Zascavage’s model of inclusion formed the conceptual framework that guided this study. The research questions for this study addressed teacher descriptions of their roles and the barriers that inhibit the implementation of inclusive teaching strategies. A basic qualitative design was used to capture the insights of 12 purposefully selected …

Intimate Partner Violence Education In An Outpatient Setting, Juddy Morgan

Walden Dissertations and Doctoral Studies

Intimate partner violence/domestic violence (IPV/DV) has been a widely recognized yet preventable public health concern. Despite the increased attention to IPV/DV, there has been a lack of knowledge in recognizing its symptoms and referring victims to appropriate community services by staff in a mental health outpatient clinic. The purpose of this project was to provide the clinic staff with the knowledge to recognize symptoms of IPV/DV victims and refer them to appropriate services within the community. The educational intervention was designed to increase the clinic staff’s knowledge of recognizing victims of IPV/DV; becoming familiar with the Hurt, Insult, Threaten, Scream …

Staff Education For Obesity And An Evidence- Based Checklist To Manage Obesity, Veronica B. Nelson

Walden Dissertations and Doctoral Studies

AbstractObesity is a global problem that affects individuals of all ages. It results in a myriad of adverse health effects for children and adults. It is a preventable condition that can lead to a host of physical and psychological health conditions. Despite numerous attempts to decrease the incidence and prevalence of obesity, it continues to be a persistent problem. Efforts to decrease its incidence and prevalence are thus warranted within the nursing profession. Obesity management is inconsistent in clinical practice. This project aimed to deliver an education program to the staff of a pediatric clinic who serves many obese clients. …

Acculturation And Emotional Eating Among Arabic Middle Eastern Women In The United States, Sherri Alizz Roohi-Booroujeni

Walden Dissertations and Doctoral Studies

Obesity is a substantial problem that occurs worldwide and is highly associated with increased risks of chronic diseases such as Type II diabetes mellitus, cardiac-related diseases, hypertension, and some cancers. Middle Eastern cultures have one of the highest rates of overweight and obesity, estimated to be the second highest worldwide. The purpose of this study was to examine the relationship among stress, depression, emotional eating, and weight gain in Middle Eastern women, specifically Arabs, who have moved to the United States, using a quantitative approach. The theoretical foundation was psychosomatic theory, which explains the connection between psychological problems and emotional …

Lived Experiences Of Congenital Heart Defect Diagnosis In Adulthood, Jacklyn Sanders

Walden Dissertations and Doctoral Studies

Abstract

Congenital heart defects (CHD) are reported by the Centers for Disease Control and Prevention as the most common type of birth defect and can affect more than 30,000 infants each year. However, CHDs diagnosed in adulthood are becoming a growing public health concern. When the defect is not diagnosed in infancy or childhood, adult individuals may experience an array of signs and symptoms leading to the diagnosis of a CHD. CHDs that are undiagnosed until an individual reaches adulthood can cause many health complications. The purpose of this phenomenological study was to describe the lived experiences of adults diagnosed …

Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders

Walden Dissertations and Doctoral Studies

AbstractNoise levels can negatively affect a patient’s hospital experience. Increased noise levels in the hospital can trigger sleep disturbance and affect the length of recovery for patients; the increased noise levels can also cause increased anxiety and exhaustion for nursing staff members. Due to a gap in nursing practice related to nurses’ knowledge to safely reduce noise levels, this project addressed if nursing staff education on noise reduction could increase the knowledge among nursing staff members to use specific strategies to reduce noise levels in an intensive care unit (ICU) setting. The purpose of this project was to educate eight …

Speech-Language Pathologists’ Thoughts About Emotion Regulation Therapy To Improve Students’ Employability, Phyllis R. Scott

Walden Dissertations and Doctoral Studies

AbstractHigh school graduates with language deficits often have poor emotion regulation (ER), enter the workforce unprepared to meet the emotional demands, and experience workforce outcomes that lead to a poor quality of life. Speech-language pathologists (SLPs) teach ER, but little is known about ER-targeted speech-language therapy (ERSLT) for high schoolers with mild-to-moderate language impairments and ER deficits (MMLI/ER). This study was designed to explore SLPs’ views and decisions about providing ER-SLT to improve career readiness and employability for students with MMLI/ER. Several studies, the evidence-based practice (EBP) model, and a thematic analysis approach informed this integrative interpretive description design and …

Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth

Walden Dissertations and Doctoral Studies

In the United States, 34 million people have diabetes and 79 million have prediabetes. Currently, one in nine Americans are diagnosed with diabetes and it is projected that one in five will have diabetes by 2025 and one in three by 2050. The practice-focused question answered by this project addressed the question if implementing a staff education program improved staff’s knowledge about self-management education and intent for providers and staff to promote a formal diabetes self-management education (DSME) program in an overseas military treatment facility. The site has 47% of empaneled beneficiaries with diabetes mellitus Type II with an elevated …