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2023

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Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt Jan 2023

Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt

Walden Dissertations and Doctoral Studies

AbstractThe transgender population is growing, and along with the population growth, the healthcare needs for gender transitioning of both medical and surgical procedures. Registered nurses (RNs) who care for hospitalized transgender patients are required to be knowledgeable about their care, yet little is known about what nurses know about the healthcare of the transgender patient. The purpose of this basic qualitative study, guided by Benner’s novice to expert theory, was to explore the knowledge and perceptions of RNs regarding healthcare of transgender persons undergoing transition to the opposite gender. Social media and snowball sampling were used to recruit 10 RNs …

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How Supply Standardization Affects Non-Emergent Laparoscopic Cholecystectomy Costs And Length Of Stay, Marc Lopez Jan 2023

How Supply Standardization Affects Non-Emergent Laparoscopic Cholecystectomy Costs And Length Of Stay, Marc Lopez

Walden Dissertations and Doctoral Studies

This study was conducted to identify if there were practices that could be implemented to decrease costs in the operating room without negatively effecting patient outcomes. With the cost of healthcare in the United States consistently increasing, studies that focus on cost-reduction measures such as this one are crucial to ensure health systems continue to operate with a neutral or positive margin to remain available to provide patient care. This was a retrospective quantitative research study built on the diffusion of innovation theory. It focused on motivating factors such as differences in cost between surgical cases that used a standardized …

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Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury Jan 2023

Future-Oriented Strategies That Small 501(C)(3) Nonprofit Organizations May Use To Support Financial Sustainability, Justine Lownsbury

Walden Dissertations and Doctoral Studies

The age of mortality for a nonprofit organization is between 6-15 years. The problem is that leaders of nonprofit organizations face challenges in financially sustaining nonprofit operations, which directly affects the ability to achieve and maintain the organizational mission. The purpose of this qualitative classical Delphi study was to explore how an expert panel of nine purposively selected U.S.-based stakeholders from small U.S.-based 501(c)(3) nonprofit organizations viewed the desirability, feasibility, and importance of future-oriented strategies to support financial sustainability. The research questions addressed this purpose. The conceptual framework was rooted in effective leadership, innovation, sustainability, and positive social change, as …

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Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin Jan 2023

Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin

Walden Dissertations and Doctoral Studies

Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …

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Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory Jan 2023

Consideration Of Mindfulness Intervention For Hispanic Adolescents In A School Setting, Kierra Mcshine Gregory

Walden Dissertations and Doctoral Studies

Hispanic adolescents’ accessibility to treatment options for depression is met with limitations associated with financial barriers and cultural misalignment. This research study aimed to bring to light an alternative psychotherapy treatment through the foundations of mindfulness interventions. The goal was to understand the experience of Hispanic adolescents when engaging in mindfulness in a school setting. The purpose of this study was to gather information about the experiences of Hispanic adolescents using mindfulness to support mental health practitioners, school counselors, and behavioral interventionists to provide treatment options that are accessible and meet the needs of this culture group. This explanatory case …

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Adult Learning And Motivation Of Students Previously Involved In The U.S. Criminal Justice System, Saudia Krystal Mohammed Jan 2023

Adult Learning And Motivation Of Students Previously Involved In The U.S. Criminal Justice System, Saudia Krystal Mohammed

Walden Dissertations and Doctoral Studies

Motivation is an important factor in the overall success, achievement potential, and capabilities of students, especially adult learners. For individuals who are currently in the criminal justice system, motivator is a key factor in degree obtainment, research shows. However, there is limited research on adult learners who have previously been involved in the U.S. criminal justice system and the motivational factors that led to their academic reengagement. The purpose of this study was to gain a better understanding of those motivational factors. The theoretical framework that underpinned this study was the transformative learning theory, which centers on how learners make …

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Financial Aid As A Predictor For Retention Of First-Year Black Male Community College Students, Malcom Jamar Morgan-Petty Jan 2023

Financial Aid As A Predictor For Retention Of First-Year Black Male Community College Students, Malcom Jamar Morgan-Petty

Walden Dissertations and Doctoral Studies

AbstractBlack male students are retained in higher education at less than half the rate of their Hispanic and White counterparts. At Southwestern Community College (SWCC, a pseudonym), there were indicators that the amount of financial aid received was related to retention; however, the extent of the relationship was unknown. The purpose of this nonexperimental quantitative correlational study was to examine the relationship between the amount of financial aid received and the retention of first-to-second-year Black male students at SWCC. Bean and Metzner’s model of nontraditional undergraduate student attrition provided the theoretical foundation. The research question sought to clarify the extent …

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Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton Jan 2023

Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton

Walden Dissertations and Doctoral Studies

AbstractEven though the current literature addresses racial microaggressions among ethnic minority people and implications for counseling, no qualitative research that included the voices of ethnic minority individuals was found. Researchers have not fully addressed the prevalence of racial microaggressions in counseling sessions. The purpose of this qualitative narrative study was to explore the lived encounters of ethnic minorities concerning racial microaggressions in counseling. The study issue was analyzed through the lens of critical race theory. Four participants were recruited from the Walden University participation pool. Data were selected through semi-structure interviews and narrative analysis was used to analyze data to …

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Impact Of Type 2 Diabetes And Hypertension On Allocation Of Grant Funds In Federally Qualified Health Centers, Rhonda Mullins Jan 2023

Impact Of Type 2 Diabetes And Hypertension On Allocation Of Grant Funds In Federally Qualified Health Centers, Rhonda Mullins

Walden Dissertations and Doctoral Studies

Limited resources exist for managing the increasing cases of hypertension and type 2 diabetes, which underlines the need to continuously review reimbursement plans to ensure care affordability for chronic illness. The purpose of this quantitative study was to determine whether a correlation existed between the number of patients with type 2 diabetes, hypertension, and demographic characteristics (independent variables) seen at Federally Qualified Health Centers (FQHCs) and the allocation of grant funds from Health Resources and Service Administration (HRSA) (dependent variable) from 2016 – 2020 among adults 18 years old and older in the United States. Guided by the Transaction Cost …

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Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers Jan 2023

Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers

Walden Dissertations and Doctoral Studies

Pancreatic cancer is the fourth-leading cause of cancer-related deaths in the United States, killing more than 90% of individuals diagnosed within 5 years. Due to the lack of signs and symptoms, 82% of all pancreatic cancer cases are diagnosed in terminal stages. As such, the most powerful method to reducing the morbidity and mortality of pancreatic cancer is to further investigate the risk factors. According to the theoretical framework of the ecosocial theory, long-term exposure to exposures to unfavorable socioecological and environmental factors serve as a “web of causation” for adverse health outcomes. Using data from the North Carolina Department …

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A Quantitative Study On Molecular Cluster Detection In Virally Suppressed Communities, Mariska Belinda Osborne-Wells Jan 2023

A Quantitative Study On Molecular Cluster Detection In Virally Suppressed Communities, Mariska Belinda Osborne-Wells

Walden Dissertations and Doctoral Studies

Viral suppression within human immunodeficiency virus (HIV) care and treatment planning is the gold standard of care for most providers when engaging with their patients. In many settings, the patient has received a positive lab that is indicative of HIV antibodies being detected; this in turn means they need additional medical attention to manage the infection. Upon receiving linkage to care services and attending an initial appointment, an initial genetic sequence is usually completed to assess the patient’s strain of HIV and how antiretroviral medications may antagonize or complement the HIV strain. It is possible that access, bias, and colorism …

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Gender Dynamics In The Management Care Of Internally Displaced Persons: The Boko Haram Insurgency, Evelyn Kikelomo Ikuenobe Otaigbe Jan 2023

Gender Dynamics In The Management Care Of Internally Displaced Persons: The Boko Haram Insurgency, Evelyn Kikelomo Ikuenobe Otaigbe

Walden Dissertations and Doctoral Studies

The Boko Haram asymmetric insurgency and warfare have decimated the Northeastern region of Nigeria and its neighboring environs of Chad, Niger, and Benin. The purpose of this study was to explore the peculiar socioethnic and cultural challenges encountered by female victims of Boko Haram terrorism at internally displaced persons camps in Abuja, Nigeria, including challenges in functioning, relocating, and acclimating back into society. A phenomenological approach was applied to understand participants’ lived experiences. Data collection occurred through interviews and observation. Data analysis involved the synthesis of narratives, and generation of themes. Among the emergent themes were poor feeding; lack of …

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Perceptions Of Female Veterans Regarding Mental Health Services In The Veterans Administration System, Linda Kaye Perry Jan 2023

Perceptions Of Female Veterans Regarding Mental Health Services In The Veterans Administration System, Linda Kaye Perry

Walden Dissertations and Doctoral Studies

Over the past 2 decades, women’s roles in the United States military have changed which has increased their risk of developing post-traumatic stress disorder. In 2016, all military occupational specialty were opened to women which allowed women to fight and be exposed to a combat environment. As more female veterans are returning home and reintegrating into their communities, they are seeking care for combat-related post-traumatic stress disorder and combat exposure. The purpose of this generic qualitative study was to understand the female veterans’ perception of the utilization of the Veterans Health Administration when seeking care for combat-related post-traumatic stress disorder …

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Impact Of Minority Incarceration On The Family Unit, Huey S. Ratcliff Jan 2023

Impact Of Minority Incarceration On The Family Unit, Huey S. Ratcliff

Walden Dissertations and Doctoral Studies

The economic impact of incarceration on minority family units has both secondary and third-order effects on the minority family unit when a family member is incarcerated, which is exacerbated when the incarcerated family member was both the primary breadwinner and a parent. The purpose of this study was to identify the social and economic effects incarceration has on minority families. The study addressed how minority families adjust to changes in organic composition and how the minority family copes with increased debt and loss of earning potential. Further, the study sought to answer how minority families overcome economic hardship when the …

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The Experiences Of Latina Police Officers In Patrol, Jasmine Ivonne Reilly Jan 2023

The Experiences Of Latina Police Officers In Patrol, Jasmine Ivonne Reilly

Walden Dissertations and Doctoral Studies

The purpose of this research was to describe the experiences of Latina police officers working in a patrol function. Latina officers working in law enforcement agencies must contend with an agency that is traditionally male and White, leaving these officers with the need to navigate territory that has, historically, not taken their needs into account. In an age where police agencies are attempting to better serve the public, the need for officers that fit minority demographic characteristics is necessary if police agencies are to continue legitimizing their space in modern American society. This research addressed some of the issues that …

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Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael Jan 2023

Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael

Walden Dissertations and Doctoral Studies

Early e-cigarette use by youth has the capacity to create an early addiction to nicotine, increasing the risk of life-long dependency and the possible development of multiple cardiovascular and pulmonary diseases. Reinforced by the socioecological model, the purpose of this study was to determine if academic performance is associated with e-cigarette use among teenagers and young people and if the presence of adverse childhood events (e.g., cyberbullying in school and/or the presence of homelessness) mediated this association. This study included all respondents (N = 1,401) from the state of Nevada who answered the 2019 National Youth Risk Behavior Survey. Binary …

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Perspectives On Motor Skills Necessary For Kindergarteners’ Formal School Readiness, Allyson M. Schildt Jan 2023

Perspectives On Motor Skills Necessary For Kindergarteners’ Formal School Readiness, Allyson M. Schildt

Walden Dissertations and Doctoral Studies

Researchers have noted that before children can learn academics, they must first have developed motor skills. Motor skills are foundational to learning and integrated into other domains of learning as a child develops. The problem addressed through this basic qualitative study is that some kindergarten students in the northeastern United States lack motor skills necessary for formal school readiness, and kindergarten teachers are challenged to support students’ development of motor skills necessary for formal school readiness. The purpose of this study was to explore kindergarten teacher perspectives on kindergarten students’ motor skills necessary for formal school readiness. Thelen’s dynamic systems …

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Social Networks And Self-Efficacy Among Hawaiian Homeless, Blake Shavers Jan 2023

Social Networks And Self-Efficacy Among Hawaiian Homeless, Blake Shavers

Walden Dissertations and Doctoral Studies

AbstractHomelessness affects over half a million people in the United States and millions worldwide. While permanent supportive housing initiatives like Housing First have successfully improved homeless wellbeing, recent research has shown that housing alone is not a solution; it requires add-on programming to assist in mitigating the causal factors. The purpose of this study was to explore and describe the social networking and self-efficacy of currently homeless and those who have successfully transitioned to supportive housing in the unique social and geographical environment of O’ahu, Hawai’i. A phenomenological study design using criterion sampling for semi structured interviews of four houseless …

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Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch Jan 2023

Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch

Walden Dissertations and Doctoral Studies

Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …

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Middle School Teacher Perceptions Of The Use Of Serious Games For Students With Attention Deficit Hyperactivity Disorder, Latoyia R. Stewart Jan 2023

Middle School Teacher Perceptions Of The Use Of Serious Games For Students With Attention Deficit Hyperactivity Disorder, Latoyia R. Stewart

Walden Dissertations and Doctoral Studies

Attention deficient hyperactivity disorder (ADHD) is the most common childhood neurodevelopment disorder, and digital serious game use has recently shown significant promise in this psychotherapeutic area. Digital serious games have also been used as an innovative teaching and learning approach. The purpose of this study was to explore middle school teachers’ perceptions of the use of digital serious games for students with ADHD. The conceptual framework for this study was Sherry’s model of game engagement. The two research questions for this basic qualitative study focused on middle school teacher perceptions regarding the benefits and challenges related to the use of …

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Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto Jan 2023

Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto

Walden Dissertations and Doctoral Studies

AbstractThe prevalence rates for end stage renal disease (ESRD) have continued to rise by approximately 20,000 cases per year, and the number of patients with kidney failure requiring dialysis in the United States had reached 554,038 at the end of 2018. Transition of care for patients between acute care facilities and other care facilities such as dialysis centers remains challenging for providers. Lack of clear communication between providers, poor patient understanding of post-hospital self-care, and gaps in healthcare scheduling contribute to a high rate of adverse events. This facility did not have a detailed clinical guideline for ESRD communication between …

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Teachers' And Coaches' Perspectives On The Challenges In Implementing A Literacy Coaching Program, Lucia West Jan 2023

Teachers' And Coaches' Perspectives On The Challenges In Implementing A Literacy Coaching Program, Lucia West

Walden Dissertations and Doctoral Studies

The problem in a local school district in the Southwest region of the United States was the lack of improvement in reading achievement scores in Grades 3 through 5 despite the implementation of a literacy coaching program during the previous 3 years. This lack of improvement in reading achievement has an impact on students’ subsequent academic performance and outcomes. The purpose of this basic qualitative study was to explore the perspectives of teachers and literacy coaches in the local setting regarding the challenges in implementing the literacy coaching program. The conceptual framework of the study was Vygotsky's third space theory. …

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Exposure Of Ems Personnel To Violence In Urban Cities Of The Midwest, Alyssa Wheeler Jan 2023

Exposure Of Ems Personnel To Violence In Urban Cities Of The Midwest, Alyssa Wheeler

Walden Dissertations and Doctoral Studies

Emergency medical service (EMS) personnel experience both physical and verbal assaults towards them by patients, family members, and/or bystanders at the incident scenes. The mostly quantitative literature is limited in recognizing how this violence may affect the way that EMS personnel complete their jobs. Through in-depth, semistructured interviews with nine EMS personnel from the Midwest, this phenomenological study was used to understand EMS personnel’s lived experiences and perceptions of violence towards them by patients or bystanders at the response scene. How this violence towards EMS personnel affected the way they approach incident scenes and interact with patients and/or bystanders at …

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Help-Seeking Behavior Of African American And Non-African American Victims Of Elderly Abuse, Tesfaye Yigletu Wosene Jan 2023

Help-Seeking Behavior Of African American And Non-African American Victims Of Elderly Abuse, Tesfaye Yigletu Wosene

Walden Dissertations and Doctoral Studies

Elderly abuse is a pervasive public health problem in the United States. Most abuse and neglect go unreported due to barriers including fear for safety, concerns about the consequences, culture, lack of knowledge about elder abuse, shame, and self-blame. However, there is limited research on how race and ethnicity impact help-seeking behaviors of the elderly. This cross-sectional quantitative study examined the difference in reporting and help-seeking behavior between African American and non-African American victims of elderly abuse. Applying the behavioral model of health services use, this study involved a secondary data analysis using the Nation Elderly Mistreatment Study Wave II …

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Strategies For Mitigating U.S. Banks’ Risks From Exposure To Derivatives And The Underlying Assets, Othman Abdelmoumen Jan 2023

Strategies For Mitigating U.S. Banks’ Risks From Exposure To Derivatives And The Underlying Assets, Othman Abdelmoumen

Walden Dissertations and Doctoral Studies

Many banks’ executives lacked strategies to mitigate the risk of default on subprime mortgages and their linked derivatives to prevent bank insolvency. This led to severe financial losses and insolvency of many banks in 2008-2009. Grounded in the corporate governance agency problem and stewardship theories, the purpose of this qualitative multiple case study was to explore (CG) strategies some bank executives implemented to mitigate the risk of default of subprime mortgages and their linked derivatives to prevent bank insolvency. The participants were four bank executives who worked for federally insured banks in Colorado. Data were collected from semi-structured interviews and …

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Educating Nurses On Failure To Rescue Due To Treatment Delay, Ganiyu Olasheni Adewale Jan 2023

Educating Nurses On Failure To Rescue Due To Treatment Delay, Ganiyu Olasheni Adewale

Walden Dissertations and Doctoral Studies

Studies have found a shortfall in nurses' skills in caring for patients with a significant risk of failure to rescue in an acute care setting. The practice gap the healthcare facility was experiencing today was a gap in relation to failure to rescue with an increased rate of sentinel cases. There was a knowledge deficit among critical care nurses. The importance of educating nursing staff is to increase their knowledge and help decrease the occurrence of failure to rescue in an acute care setting. The practice-focused question for this education project asked if educating nursing staff with a medical-surgical competency …

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Evaluation Of The Implementation Of Primary Prevention Guidelines For The Treatment Of Hypertension, Aramide Alayande Jan 2023

Evaluation Of The Implementation Of Primary Prevention Guidelines For The Treatment Of Hypertension, Aramide Alayande

Walden Dissertations and Doctoral Studies

AbstractHypertension is a chronic disease that is associated with increased risk of cardiovascular mortality. This Doctor of Nursing Practice project was a quality improvement initiative that addressed the gap in practice that the nurse practitioners (NPs) were not consistently following the American College of Cardiology (ACC) and American Heart Association (AHA) recommended guidelines for the treatment of hypertension. The purpose of the project was to evaluate whether the NPs were consistently using the guidelines to treat patients with hypertension after an educational intervention. The project used a before-after approach to evaluate the consistency of using the guidelines in treatment of …

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Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee Jan 2023

Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee

Walden Dissertations and Doctoral Studies

With approximately 4.4 million Americans addicted to cannabis, it is considered a dominant non-medical drug that is common in the US. The purpose of this study was to investigate the possible contribution of the state laws that allow the cultivation of marijuana to Marijuana Medical (MM) program cardholders on cannabis addiction. This study was conducted to address the issue of the increase in demand for cannabis-related admissions that contribute to an upsurge in the unmet treatment needs. The study is founded on the Ecological Models proposed by Urie. The key research question explored the association between state laws that allow …

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Burnout And Positive Thinking Skills Among Critical Care Nurses, Evangeline Ani Jan 2023

Burnout And Positive Thinking Skills Among Critical Care Nurses, Evangeline Ani

Walden Dissertations and Doctoral Studies

AbstractBurnout is a global health problem with a significant negative impact on the physical, mental, and emotional health and well-being of critical care nurses, which in turn has serious effects on the critical care work environment. Positive thinking has the potential of transforming the work environment. The purposes of this quantitative, correlational study, guided by Lazarus’s theory of stress, were to determine (a) if there was a relationship between the use of positive thinking skills and burnout among critical care nurses, and (b) if there was a difference between the use of positive thinking skills and burnout among critical care …

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Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm Jan 2023

Differences Between Nurse-Led Intervention Topics, Longevity, Changed Practices, And Sustainability Planning, Robin Anselm

Walden Dissertations and Doctoral Studies

Though health care providers use evidence-based interventions (EBIs), a knowledge gap exists regarding lasting change associated with doctorate-prepared nurse interventions and sustainability planning. This quantitative cross-sectional descriptive design guided by the five pillars of the United Nations sustainable development goals (SDGs) was used to examine the differences between doctorate-prepared nurses’ sustainable EBI topics, intervention longevity, changed clinical practices, and sustainability planning. The dynamic sustainability framework, the adult learning theory, and the social learning theory framed this study. The design included a survey of 1,365 nurse anesthesiologists using a questionnaire composed of the Program Sustainability Assessment Tool (PSAT) version 2 and …

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