Association Between Parental Socioeconomic Status And Childhood Obesity In The Southwest Geopolitical Zone Of Nigeria, Omatsola Aboyowa Sifo

Walden Dissertations and Doctoral Studies

AbstractGlobally, childhood obesity is a major social and public health concern characterized by complications such as high cholesterol and high blood pressure. The purpose of this quantitative cross-sectional study was to examine the association between childhood obesity in children age 6–12 years and the socioeconomic status of their parents in the Southwest geopolitical zone of Nigeria. Social cognitive theory served as the theoretical framework for the study. Questionnaire data were collected from 384 parents/guardians of children age 6–12 years across three states in the Southwest geopolitical zone of Nigeria. Data were analyzed using descriptive statistics and multiple logistic regression at …

Substance Abuse Disorders And Veteran Homelessness, Donald Rufus Williams

Walden Dissertations and Doctoral Studies

AbstractVeterans constitute a significant proportion of the homeless population in the United States. Studies indicate that substance abuse is a major issue these veterans face that can result in homelessness. Despite improvement since 2009, substance abuse among this population remains a significant problem. The objective of this study was to gain a better understanding of the experiences of homeless and substance-abusing veterans to provide information to government agencies that may help them develop a practical approach for addressing the issue. The social cognitive theory and Lowry's dimension on federalism provided the theoretical framework for this study. A general qualitative research …

The Social Worker’S Experience Regarding Social Isolation In Middle Schools, Jeanne Williams

Walden Dissertations and Doctoral Studies

AbstractMiddle school is a time when adolescents struggle with social challenges, self-identity, and self-esteem. Social workers are critical stakeholders to support families in schools; these professionals serve in a unique capacity to assist with attendance, provide medical and behavioralsupport and connect families with resources to mitigate barriers to students’ success. Little is known, however, about the role social workers play in preventing and addressing the social isolation of middle school students. The purpose of this project was to explore the role of the social worker as it relates to preventing and addressing the social isolation of middle school students. Self-determination …

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 …

Predictors Of Glycemic Control Among Type 2 Diabetes Mellitus Patients In Owerri, Nigeria, Jideuma Ikenna Egwim

Walden Dissertations and Doctoral Studies

Diabetes mellitus (DM) is a significant public health concern globally and in Owerri, Nigeria. The deleterious effects of diabetes have been linked to poor glycemic control. According to the International Diabetes Federation, poor glycemic control is reflected in glycosylated hemoglobin (HbA1c) levels greater than 7.0%, which are associated with substantial morbidity and mortality. Studies have shown a dramatic rise in diabetic complications in Nigeria, particularly in Owerri. However, evidence is lacking on specific risk factors associated with poor glycemic control among DM patients in Owerri. With health insurance assuming a significant position in healthcare service delivery in Nigeria, addressing this …

Teacher And Coach Perspectives Regarding The Role Of Preschool Literacy Coaches In Developing Preschool Teachers’ Literacy Pedagogy, Marilyn Grigsby

Walden Dissertations and Doctoral Studies

AbstractAccording to the National Assessment of Education Progress, students in one state in the midwestern United States showed little change in reading scores despite the use of literacy coaches. The problem of focus in this study was inadequate primary students’ reading achievement in the focus state. Bandura’s social learning theory was used in this basic qualitative study to increase understanding regarding the perspectives of five preschool literacy coaches and five teachers regarding the role of preschool literacy coaches in developing teachers’ literacy pedagogy. The research questions focused on how preschool teachers and preschool literacy coaches each described the role of …

Teaching Environment, Instructional Coaching, And Perceived Organizational Support On Educators’ Quality Of Work-Life, Patrick Terrell Hall

Walden Dissertations and Doctoral Studies

In the field of education, work-life challenges are becoming a source of concern, especially during the recent global pandemic. This study sought to identify relationships between teaching environment, instructional coaching, perceived organizational support, and work-life quality. The variables in the study were measured using the following validated instruments: classroom environment scale; coaching evaluation scale; perceived organizational support scale; and the work-related quality of life scale. This research was informed by the ecological system theory, which served as the theoretical basis for the investigation. Elements of the ecological systems theory express a complex system of relationships that affects multiple levels of …

Forgiveness Therapy And Complex Trauma: Secular Therapists’ Perspectives, Andrea Hardman

Walden Dissertations and Doctoral Studies

Treatment-seeking survivors of complex trauma pursue normality and resiliency in their everyday lives. Forgiveness therapy is one treatment modality for such trauma. However, studies linking complex trauma and forgiveness therapy are minimal. The purpose of this generic qualitative inquiry was to improve treatment interventions of secular therapists’ use of forgiveness therapy, specifically, Worthington’s REACH forgiveness model with complex trauma clients. Two research questions guided this study: “What are secular therapists’ perspectives on the use of forgiveness therapy with complex trauma clients” and “What are secular therapists’ perspectives on the use of Worthington’s REACH forgiveness model with complex trauma clients.” For …

Educators’ Perception Of Their Psychosocial Support Of Elementary Students In Gabon, Africa, Michel Ikamba

Walden Dissertations and Doctoral Studies

Although educators internationally have often provided care to vulnerable students who struggle to meet the needs of nutrition, health, protection, and access to essential social services, no formal social systems exist in Gabon to aid educators who work with these students. In the absence of relevant local research and drawing on Dewey’s theory of progressive education as a conceptual model, this basic qualitative study asked about educators’ perceptions in limited resource elementary schools in Gabon of the social needs and strategies employed with students who demonstrated signs of disengagement and alienation. Qualitative data collection included semi-structured recorded interviews with 12 …

Perspectives Of Girls, Families, And Healthcare Workers On Accessing Services For Adolescents With Perinatal Hiv In Nigeria, Joseph Fabian Inyang

Walden Dissertations and Doctoral Studies

Adolescents living with Human Immunodeficiency Virus (HIV) include those who were infected from their mother perinatally (PHIV) and those who were infected through sexual behaviors or drug use. Nigeria contributes the largest burden of children born with HIV globally, due to poor implementation of its prevention of mother-to-child transmission program. With advances in antiretroviral therapy (ART), more children and adolescents with HIV survive into adulthood. However, there are challenges to ART including access, uptake, adherence, and risks of long-term exposure. Using the social ecological model and a phenomenological approach, this qualitative study was designed to understand the experiences of adolescent …

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, …

African American Matriarch's Experiences With Reentry After Incarceration, Denise Little

Walden Dissertations and Doctoral Studies

Reentering society after incarceration can be difficult for all ex-convicts but worse for African American women. Once released from prison, these women face the challenges of reintegrating back into the community and rebuilding their lives. When released, most African American women are disproportionately under-educated, have low income, and possess little to no employment skills. As mothers, these African American women have the additional challenge of supporting a family while integrating into society. This study was conducted to examine the experiences and perspectives of African American matriarchs reentering society after incarceration. A qualitative phenomenological design guided this investigation exploring 15 African …

Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen

Walden Dissertations and Doctoral Studies

AbstractThe 21st century has brought about an increase in the popularity of social media networking usage on a global level, especially among college students. Social connectivity has become a vital part of the daily lives of college students, providing connections with their educational, personal, and social lives. The purpose of this qualitative study was to explore the actual experiences and self-reported perceptions of health/safety risks in college students using social media networking sites and to assess whether critical thinking skills were employed. The sample size of the targeted population was 23 volunteer college students, recruited from the Walden University Participant …

An Evidenced-Based Nursing Education Discharge Plan For Prescription Opioids, Josephine J. Messelmani

Walden Dissertations and Doctoral Studies

The reported number of prescription opioid overdoses justifies the need for providing patients with opioid discharge information and follow-up care as recommended. To prevent any misuse of prescription opioid drugs, it was critical for patients to receive a thorough review of their medications prior to being discharged. The purpose of the project was designed to educate nurses on the importance of delivering essential information to patients prescribed opioids. Implementation of an opioid discharge plan integrated with the teach back method increased patients’ understanding of how to properly take prescription opioids compared to the patients who did not receive opioid education …

Front Matter, Michigan Law Review

Michigan Law Review

Front Matter for Volume 120, Issue 4 of Michigan Law Review

Addressing Compassion Fatigue In Critical Care Nurses, Melissa Bowen

Doctor of Nursing Practice Projects

Compassion fatigue causes a ripple effect that impacts caregivers, patient outcomes, and the reliability of healthcare organizations. Jarrad et al. (2018) suggests the physical, emotional, spiritual, social, and organizational consequences of compassion fatigue are so extensive that they threaten the integrity of the nurse. Addressing compassion fatigue in critical care nurses is an indispensable part of maintaining the integrity and trust of the healthcare profession. It is imperative to care for the caregivers to warrant a solid foundation for optimal patient outcomes and engagement. Self-education and awareness, nursing leadership involvement, and self-care are integral to ensuring that compassion fatigue does …

Improving Care Of Women Experiencing A Pregnancy, Belinda T. Ferguson

Doctor of Nursing Practice Projects

The purpose of the Doctor of Nursing Practice (DNP) project was to provide evidence-based staff education at a pregnancy resource center to increase staff/patient engagement and communication by implementing a clinical practice change and use of a DNP student-developed discharge summary referral form (DRF) to assist with assessing patient’s needs, evaluating access to services and utilization of medical care and health promotion services. The overall aim of this project is to increase care with medical follow-up and seek to address improving engagement and communication with patients during their care and after discharge from the Pregnancy Resource Center (PRC). The major …

The Impact Of Mindful Breathing On Stress Of Employees Working From Home, Lindsey Goldberg

Doctor of Nursing Practice Projects

This DNP project was designed to decrease stress among employees working from home (WFH) by educating them on mindful breathing practices. Through the implementation of a mindful breathing activity, the intended project outcome was to improve stress levels of employees working from their homes. Mindful breathing is an evidence-based strategy that has demonstrated decreased stress levels. Mindful breathing was implemented among two companies employing an estimate of 170 WFH employees to improve health and well-being with potential long-term positive impact on sustainability of organizations in the post-COVID, work from home environment. The participants were invited to perform 8-minutes of daily …

Standardized Daily Family Updates To Improve Patient Satisfaction Scores On A Pulmonary Medical Progressive Care Unit, Quentin Butterfield

Doctor of Nursing Practice Projects

Communication remains one of the most challenging aspects of healthcare. COVID-19 added another layer of communication breakdown in the form of visitor restrictions that limited or removed visitation for hospital-positive patients. Guided by the principles of Jean Watson’s theory of human caring, a literature review was performed to determine best practice evidence related to improvements in communication.

A daily family update form was drafted to guide the nurses of a pulmonary medical progressive care unit in providing standardized daily family updates to improve communication through consistency of information shared. Patients identified family members they would like to receive daily updates …

Case Study Of Lived Experiences: Three Male Peer Recovery Coaches At A Community-Based, Spiritual, Residential Substance Abuse Recovery Program, Vicki Lynn Moak

Doctoral Dissertations and Projects

Substance use disorder is one of the most universal clinical and public health concerns in the United States. A shift in the behavioral health field from short-term cures to long-term recovery found peer-based recovery services to be a notable asset. The peer recovery coach (PRC), experientially equipped through personal substance use disorder history and recovery, is the fastest growing role in peer services. Very limited research exists into the lived experience of PRCs and the impact of the PRC role on personal recovery. This investigation aimed to fill gaps in the literature related to PRCs’ lived experience and personal recovery. …

Washington University Magazine, April 2022

Washington University Magazine

No abstract provided.

Washington University Magazine, August 2022

Washington University Magazine

No abstract provided.

An Analysis Of Military Service Academies Sexual Harassment And Sexual Assault Through Reports, Research, And Media Coverage, Lisa “Tana” Youn Kyung Sharp

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

Military Sexual Trauma (MST) at the United States Military Services Academies (MSA) remains at a concerning rate despite the MSAs’ proactive educational steps towards addressing this issue. One of the most influential factors is the very culture of the MSAs. This paper analyzes publicly-accessible governmental research and reports, peer reviewed articles, a legal publication, and media coverage. The analysis shows that there remain significant barriers to change which continue to play a role in the high frequency of MST. These barriers are low rates of accountability, difficulty in access to cadets/midshipmen by outside researchers, and the overall MSA cultural trends …

Unreality And Loss Of Self: Dissociative Experiences In Buddhist Practitioners, Jill Loving

Graduate School of Professional Psychology: Doctoral Papers and Masters Projects

On the surface, the Buddhist idea of emptiness and experiences of depersonalization and derealization seem to have significant overlap. Meditations on emptiness in the Buddhist tradition seek to lead meditators to observe the ego as illusory and empty of inherent content as one step in the journey to liberate oneself from suffering. Conversely, dissociation is generally an involuntary, automatic response to severe trauma that can become more common or chronic in an individual over time. Topographically, these experiences may look similar; both include a sense of unreality of the self and often of the broader world. However, differences in stimulus …

Implementing Obesity And Comorbidity Education In A Faith-Based Setting, Tammy Lynn

Doctor of Nursing Practice Projects

The aim of the study was to increase knowledge of the damaging consequences of obesity and related comorbidities. Obesity has reached epidemic proportions on a global scale and increases the potential health risk of many associated diseases. Faith-Based organizations have been found to be optimal resources for public health education. The shared beliefs and comradery are a source of support and encouragement for those who face many of life’s challenges, as well as life’s joys. The purpose of the project was to investigate the effectiveness of education delivered in a Baptist church on the topics of obesity and related comorbidities. …

Superwoman Schema: Fighting Back With Holistic Therapy, Chavonne Good

Doctor of Nursing Practice Projects

For decades, Black women have upheld the stereotype of being consistently strong, capable, tenacious, and unwavering throughout life’s many challenges. Unfortunately, while being resolute in their desire to succeed against all odds, many Black women have unknowingly embraced the characteristics of a phenomenon known as Superwoman Schema. Superwoman Schema consists of five characteristics that are not inherently negative. However, when Black women consistently embody these traits which include the determination to succeed and to be strong, and an obligation to help others; they may neglect their own self-care needs. Subsequently, while neglecting themselves, focusing on others, and continuously trying to …

Implementation Of New Teaching Strategies By Psychosocial Rehabilitation Center Staff To Increase Member Participation And Retention Of Newly Referred Members, Joseph Warren Ledesma Perez

Doctor of Nursing Practice Projects

Non-profit organizations like psychosocial rehabilitation centers operate largely on reimbursements and funding from government agencies and charitable organizations, respectively. Since reimbursements are based on units of service provided, the center’s operations rely heavily on the attendance and participation of its members in the provided sessions. Charitable institutions, also require fund recipients to provide a report of outcomes and the impact the funds have on the recipients or the community at large. Members’ participation at the chosen site was reported to be low, which led to a projected unsustainability of operations if the numbers did not improve. Equipping the staff facilitating …

Improving Self-Care Awareness Among Undergraduate Nursing Students, D'Anna Helms

Doctor of Nursing Practice Projects

The purpose of this DNP project was to improve self-care (SC) awareness among undergraduate nursing students by educating on the use of constructive SC activities. Twenty-two senior level nursing students attended an educational seminar, completed the Mindful Self-Care Scale – Clinical (MSCS-C) pre- and post-survey, and reflective journaling. A paired-samples t test was calculated to compare the mean pretest score to the mean posttest score. The mean on the pretest was 77.68 (sd= 9.33), and the mean on the posttest was 75.27 (sd= 31.59). A significant increase from pretest to posttest was found (t (21) = .307, p < .05). Thematical analysis revealed enhanced awareness and incorporation of constructive SC activities. Educational interventions which seek to improve SC awareness will generate practical and sustainable acts of SC, thus improving students’ overall success and further empowering students in their transition from graduate to licensed nurses.

Improving The Mental Health And Wellness Of Middle School Educators Post-Covid19, April Pearson

Doctor of Nursing Practice Projects

U.S. public school teachers of all educational levels were challenged during the COVID-19 pandemic to provide education to students in alternative ways; face-to-face, hybrid model, or remote learning. This resulted in teacher stress, dissatisfaction, and turnover. Locally, after the 2020-2021 school year at East Iredell Middle School, 9 out of 22 educators resigned or transferred due to the stress and fatigue of teaching students in a hybrid model during the COVID-19 pandemic. The purpose of this project was to promote the health and wellness of middle school educators. The PICOT statement is, what is the effect of an educational program …

Teacher Resilience, Kristen Whipple

Murray State Theses and Dissertations

Abstract

The main purpose of this quantitative research study was to explore the influences that impact teacher resilience. Seven factors that potentially protect teacher resilience were chosen: competency, self-efficacy, agency, relationships, organizational culture, altruism, and sense of humor. These factors were tested against years of service categories and self-perceived resilience scores to determine if relationships exist. A two-part online survey gathered demographic information, self-perceived resilience scores, and resilience factor data from American PreK-12 teachers. To answer the three guiding research questions, the statistical tests of multiple linear regression, Pearson’s r correlation coefficient, and chi-square test of independence were utilized. The …