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Improving Quality Of Life In Older Adults With Depression And Diabetes Through Medication Compliance Education, Valreen Hinds-Beharrie

Walden Dissertations and Doctoral Studies

Improving Quality-of-Life in Older Adults with Depression and Diabetes through Medication Compliance Education

by

Valreen Hinds-Beharrie

MSN, Adelphi University, 1997

BSN, Adelphi University, 1986

Project Submitted in Partial Fulfillment

of the Requirement for the Degree of

Doctor of Nursing Practice

Walden University

March 2016

Diabetes and depression are prevalent diseases that cause morbidity and mortality. Diabetes is a heterogeneous metabolic disease in which hypoglycemia is a central feature. Depression is associated with increased counter-regulatory, hormone release, and alteration in glucose transport function. Depression occurs in some individuals with diabetes and is associated with poor metabolic control, inadequate control of diet, …

Predicting Mathematics Teachers' Acceptance Of Reflective Blogging To Improve Instruction, Diana Sue Fesmire

Walden Dissertations and Doctoral Studies

An internal district audit identified that a rural, socioeconomically disadvantaged Southwestern school district has a lack of congruent and consistent implementation of the Common Core State Standards in mathematics. Innovative and cost-saving avenues for professional development (PD), such as reflective blogging, foster teacher learning to reconcile the enacted curriculum with the intended curriculum. This correlational study investigated the predictive power of technology acceptance and motivation constructs on reflective mathematics teachers' social media use intention and participation in informal, virtual Communities of Practice (vCoP). The framework that guided this study is the unified acceptance and use of technology and self-determination theory. …

Utilizing Social Media To Educate School Nutrition Professionals, Ashley Seybold

Master of Public Health Program Student Publications

Background: Schools enrolled in United States Department of Agriculture (USDA) Team Nutrition (TN) projects often have positive outcomes and develop useful resources. The challenge was to find an accessible mean to share outcomes and resources with schools across Ohio.

Purpose: The purpose of this project was to design a blog to educate school nutrition professionals and build awareness of positive activities related to Ohio school meals. This project also aimed to identify indicators of engagement, make recommendations for research and practice, and identify a set of best practices for future blog site use. Methods: The foundation of the blog ( …

Factors Associated With Cognitive Development Of Primary School Children In Eastern Indonesia, Nisa Felicia

Legacy Theses & Dissertations (2009 - 2024)

Reasoning, pattern recognition, and problem solving are key cognitive skills developed during

Do Neighborhoods Matter In China? : Pathways And Heterogeneous Effects Of Residential Contexts On Children's Education And Health, Lei Lei

Legacy Theses & Dissertations (2009 - 2024)

In recent years, Chinese society witnesses increasing spatial concentration of poverty and affluence and growing residential segregation by social class, migration status and housing tenure. This dissertation examines whether neighborhood socioeconomic status (SES) matters for children’s education and health in urban and rural China. It tests five mechanisms through which neighborhood SES affects children’s outcomes and examines whether the effects of neighborhood SES vary by child’s gender, family income, and parental involvement. Data for this research come from the baseline interview of the China Family Panel Studies (CFPS), which was collected in 2010. Multilevel linear and logistic regression models are …

Engaging Parents To Promote Girls' Transition To Secondary Education: Evidence From A Cluster Randomised Trial In Rural Gujarat, India, K.G. Santhya, A.J. Francis Zavier, Pallavi Patel, Neeta Shah

Poverty, Gender, and Youth

The Population Council and partners, with the support of the Human Dignity Foundation and the John D. and Catherine T. MacArthur Foundation, implemented a pilot intervention in India─Project Sankalp─to assess the acceptability and feasibility of engaging parents and communities to promote girls’ secondary education. The project's aim was to measure its effectiveness in improving adolescent girls’ transition to secondary education, their attendance at school, and learning outcomes. Findings show that the effect of Project Sankalp on creating an enabling environment for girls to pursue secondary education was mixed. On the positive side, the project showed success in raising girls’ educational …

Food System Education Among High School Students, Yussra Mt Ebrahim

Honors Theses and Capstones

As the American public school system is currently designed, the average student is likely to graduate high school without ever having received any formal instruction regarding the food system in which he or she takes part as a consumer. Such instruction was not necessary up until the current era of separation between consumers and food production. Through this research project, I sought to demonstrate the effectiveness of a single introductory lesson on the issues confronting the modern American food system, which I taught to two high school biology classrooms. A pre-survey was taken by the high school biology students online …

An Analysis Of Education Reform In Sub-Saharan Africa, Katharine Eger

CMC Senior Theses

Sub-Saharan Africa continues to fall behind other developing regions regarding educational attainment, despite recent progress in enrollment. This thesis examines a variety of external conditional factors that could contribute to a country’s relative success, in terms of years spent in school using a prediction model that compares years enrolled in secondary education as a foundation to determine over- and under-performing countries in sub-Saharan Africa.

By exploring various educational policies, historical patterns, and projects executed in Rwanda, South Africa, Ghana, and Botswana, this thesis sheds light on four main challenges that can impact educational attainment: ethnic and racial tensions, an acute …

Nudging Parents, Meredith J. Harbach

Law Faculty Publications

Childcare quality matters, and parents intuitively understand that it does. Among the features of childcare parents most value, quality is regularly at the top of the list. Yet experts consistently rate childcare quality in the United States as mediocre at best. Why the disconnect? This Article argues that behavioral market failure is an important piece of the puzzle. Standard economic theory assumes parents are rational market actors, and even market failure theory cannot account for their imperfect rationality. But the paradox of poor childcare quality is not just market failure; it's behavioral market failure. This diagnosis not only helps us …

Bedside Nurse Recognition Of Delirium In The Medical-Surgical Setting, Bridget Ann Denzik

Walden Dissertations and Doctoral Studies

Delirium in adults aged 65 and older is a common occurrence in the acute care setting and is often unrecognized by bedside nurses. Delirium can trigger a negative cascade of events resulting in an increase in morbidity and mortality, functional decline, longer length of stay, and high rates of post hospital institutionalization and has a significant socioeconomic impact. The purpose of this quality improvement project was to establish a solid foundation using scholarly literature to support the development of a delirium prevention, recognition, and treatment program in the medical-surgical acute care setting applying the program logic framework. The goal was …

Breastfeeding Education And Support Needs For Women After A Cesarean Delivery Or Epidural Anesthesia, Joy Petzoldt-Hansell

Master's Theses and Doctoral Dissertations

Cesarean delivery and epidural anesthesia may require specific education and interventions for breastfeeding success. The objective of this study was to examine the prevalence of breastfeeding initiation and duration and explore specific breastfeeding needs for women who have had a Cesarean delivery or epidural anesthesia. Sixteen postpartum women aged 27 to 41 were recruited through a Lamaze center in Michigan. The women were interviewed with a questionnaire exploring their breastfeeding experiences and support needs after delivery, and use of artificial infant milk. All women initiated breastfeeding; 81% (n=13) breastfed their infant for at least 12 months. Cesarean delivery was associated …

An Evidence Based Curriculum On Early Recognition And Prevention Of Delirium In Hospitalized Elderly, Albert Belaro

Yale School of Nursing Digital Theses

Abstract

Background: Delirium in older adults is common, but there is evidence that programs utilizing a set of non-pharmacologic interventions are effective in preventing it. Early recognition and delirium prevention programs may save lives and reduce healthcare costs.

Problem: Hospitalized older adults have special needs that can be addressed using evidence-based clinical practice. However, hospital nurses may lack the competency to care for patients at risk of developing delirium and can benefit from a delirium educational training program.

Design: The development of an Education program.

Methods: Critical content was identified, synthesized from the literature and developed into a curriculum outline. …

Perceived Lack Of Teacher Empathy And Remedial Classroom Conflicts, Henry Young

Department of Conflict Resolution Studies Theses and Dissertations

In light of earlier research pertaining to empathy, it is reasonable to believe that certain teachers feel empathic toward students in remedial classrooms. It is also evident that teacher empathy is something that students relish. However, a perceived lack of teacher empathy among students in remedial classes is a concern. The general problem addressed in the study was the effect of teachers’ lack of empathy on remedial college students’ perceptions of teacher–student conflict. The specific problem addressed in the study was the limited research on the impact of teachers’ empathy on remedial students’ perceptions. The purposes of the study were …

Socioeconomic Status As A Predictor Of Chronic Obstructive Pulmonary Disease, Hilaire Saint-Pierre

Walden Dissertations and Doctoral Studies

While epidemiological research has generated new knowledge about the treatment and prevention of chronic obstructive pulmonary disease (COPD) through smoking secession, the socioeconomic status (SES) of people with the disease has been under investigated. Thus, the purpose of this study was to determine the predictability of association between SES and COPD. This study was based on the ecological theory, which states that health and disease may have multiple underlying factors. This study was a secondary analysis of archived data from the Inter-University Consortium for Political and Social Research (ICPSR). The dataset was collected for the National Survey of Midlife Development …

Common Ground: Uniting Archaeology And Secondary Social Studies Curricula, Jeremy Allen Haas

Electronic Theses and Dissertations

Archaeologists have been attempting to establish stronger connections with communities for several decades. Concepts such as stewardship can be presented to a larger audience, and archaeology can be a valuable tool for public education. Public schools across the nation are struggling to improve with limited resources. Archaeology can provide teachers with inexpensive resources that improve student learning while simultaneously helping teachers meet more rigorous standards. Using historical, archaeological, and cultural resources from the World War II Japanese American internment camp, Amache, I created a new supplementary curriculum that focused on the experience of Japanese and Japanese Americans during that era. …

Evaluation Of Educational Intervention And Management Of Patients With Type Ii Diabetes Mellitus, Elissa Johnson

DNP Projects

Background: Diabetes is a costly disease with devastating consequences. Patients with poor glucose control whether due to inadequate medical care or limited self-care are most at risk for complications. Evidence supports the efficacy of multifaceted interventions in the treatment of type II diabetes mellitus (T2DM). Patient education, assessing behavioral and psychosocial elements, and focusing on lifestyle change (e.g. diet and exercise) are interventions shown to enhance self-efficacy and promote patient empowerment (Knight, Dornan, & Bundy, 2005).

Study Design: A retrospective chart review of 104 patients with established T2DM was conducted along with a qualitative interview with providers focused on management …

The Importance Of The Prioritization Of Human Development Through Governmental Policies, Barbara Marie Fertitta

Dissertations and Theses

This thesis examines the prioritization of human development through governmental policies. Education and gender equality are two of the most fundamental indicators of human development that have far reaching impacts on other human development indicators. This thesis uses the case studies of Ghana and Pakistan to compare and contrast how each respective government has prioritized different aspects of human development and the impact it has had on their country as well as their security. I propose that higher levels of human development increase levels of security and that when there is low physical security, human development levels are also low. …

Health, Education And Children’S Rights: A Comparability Analysis Of Kenya And Brazil, Charlette Lopez

Dissertations and Theses

Developing adequate health care and education systems has been an ongoing struggle for the governments of both Kenya and Brazil. Despite moderate improvements in health and education statistics for both of these countries, there is clear evidence that these states will have to be actively engaged in order to overcome the challenges that lie ahead. Kenya and Brazil may differ in geographical location, history, culture, and socioeconomic status, but both countries are congruent in the challenges they face to provide sufficient access to quality health care and educational resources to the upcoming generations of children who are being failed by …

Best Practices For Controlling Tuberculosis - Training In Correctional Facilities: A Mixed Methods Evaluation, Ellen Reynolds Murray

Walden Dissertations and Doctoral Studies

According to the literature, identifying and treating tuberculosis (TB) in correctional facilities have been problematic for the inmates and also for the communities into which inmates are released. The importance of training those who can identify this disease early into incarceration is vital to halt the transmission. Although some training has been done by public health authorities for corrections, there is little to no evaluation of such training. The aim of this mixed methods retrospective study was to evaluate the effectiveness of a training to control TB in correctional facilities. The Southeastern National Tuberculosis Center (SNTC) conducted 12 trainings between …

Effects Of Education On Pressure Ulcer Prevention In Developmentally Disabled Individuals, Jasneth M. James

Walden Dissertations and Doctoral Studies

Pressure ulcers were a continuing concern among the nonverbal developmentally disabled population of a state institution. The lengthy use of wheelchairs, the inability to body shift, and physical and mental impairment were attributes of the target population that have been cited in the literature as contributing to pressure ulcer. The purpose of this quasi-experimental pretest/posttest project was to evaluate the effectiveness of an education intervention for direct care staff on the prevention treatment, and eradication of pressure ulcers among patients with developmental disabilities. Orem's self-care deficit theory, particularly the emphasis on the need for nursing staff to perform self-care activities …

Examining Barriers That Inhibit Student Achievement From A Teacher's Perspective, Taryn Everett

Walden Dissertations and Doctoral Studies

Teachers at an urban high school in the Southeast have failed to see an increase in classroom achievement or standardized test scores despite efforts to increase passing rates. If achievement rates do not increase, school restructuring will occur. While the site has implemented programs to reduce academic failure, data exists that external barriers may be affecting student achievement. Guided by Bandura's (1986) theory of metacognitive beliefs and self-efficacy as the conceptual framework, this qualitative case study explored teachers' perceptions about the root causes of poor student achievement. This study examines how to identify those causes to help students improve academically, …

Social Justice And Human Rights In Education Policy Discourse: Assessing Nelson Mandela's Legacy, Abrehet Gebremedhin, Devin Joshi

Research Collection School of Social Sciences

Twenty years after South Africa's democratisation, Nelson Mandela's passing has prompted scholars to examine his legacy in various domains. Here we take a look at his legacy in education discourse. Tracing Mandela's thoughts and pronouncements on education we find two major emphases: a view of education as a practical means to economic development, and education as a means to social justice, human rights, and democracy. Assessing the legacy of these twin emphases, we conducted qualitative and quantitative content analysis of turning point documents in education policy and annual reports from the respective South African ministries of education over the last …

Asia Pacific Perspectives Vol. 14 No. 1, Fall 2016, University Of San Francisco

Asia Pacific Perspectives

Contents:

Editor's Introduction by Melissa Dale

This special issue presents five papers focused on themes related to the social history of medicine and contemporary cultural understandings of disease and patients' lived experiences in the Asia Pacific.

Rethinking Breast Mountain (Yuam): Surgical Treatments of Breast Cancer in South Korea, 1959-1993 by Soyoung Suh

This article analyzes premodern Korean medical treatises, professional surgical journals, and patient memoirs to expand our understanding of surgical treatment of breast cancer between 1959 and 1993 in South Korea. This essay discusses changing historical connotations of breast ailments, treatments, and surgical interventions. Although the depiction of breast …

More Than A Zip Code: Addressing Home Factors Influencing Kindergarten Readiness Levels, Julie Baker Finck Ph. D., Allison Shea

Journal of Family Strengths

Families and primary caregivers play an important role in developing essential emergent literacy skills of children from birth so that they are ready for kindergarten and have a strong foundation for future academic success. This article explores factors that influence the emergent literacy development process and offers strategies to boost school readiness levels and literacy rates among children.

Reduced A1c Levels Through Diabetes Self-Management Strategies In The Teen Population: A Systematic Review, Nicole O'Neil

Master's Projects and Capstones

This project utilized current evidence-based practices to improve the diabetes education in the endocrine clinic for the adolescent population ages 15-18. Based on a clinic audit, an average hA1C level of 8.1% was revealed. The goal was to decrease these levels from 8.1% to 7.9% within 90 days through the implementation of the revised diabetes brochure. Evidence suggests the following: DSME improves clinical outcomes and quality of life; an A1C level >7% is associated with increased risks of complications ; teaching aimed at lowering glycemic levels have decreased numerous complications; there is a need to ensure age appropriate, family-centered care, …

Effectiveness Of Food-Demos To Increase Nutrition Knowledge, Megan Hemmelgarn

Honors Projects

This research investigated the effectiveness of a one-time food-demo at increasing the knowledge and improving the behavior of vegetable and diary consumption in the diets of college-aged females. Participation included a convenience sample of 26 college-aged females living in residence halls at a Bowling Green State University in Northwest Ohio. Testing was delivered before intervention as a baseline of knowledge and diet behavior. Post-testing was delivered immediately after intervention and evaluated any gain in knowledge from the baseline. One-month after intervention, post 2-testing was distributed evaluating retention of knowledge and behavioral change. Overall, participants experienced knowledge gain immediately after intervention …

Development And Testing Of Supplemental Materials For An Undergraduate Healthy Food Product Development Curriculum, Breanne Halteman

All Theses

ABSTRACT The goal of this research project was three-fold: (1) to follow up with students who had taken the Applied Interdisciplinary Product Development (AIPD) course two years prior to assess the long-term effect of the course on perceived self-confidence in product development skills, connectedness with the department, and preparedness to enter the industry; (2) to design, implement, and evaluate course materials educating undergraduate students about the subjects of herbs, spices, and sensory science; and (3) to evaluate the success of dissemination of a sophomore-level hybrid course on healthy food product development. A Subject Knowledge Assessment (SKA) was designed to measure …

Portion Size Communication By Means Of Package Design, Tami J. Strickland

Graduate Theses and Dissertations

This qualitative study assessed consumers’ current methods of determining portion sizing of chicken products and examined their perceptions of how effectively three package designs communicate portion size. Everett M. Rogers’ Diffusion of Innovations (DI) Theory analyzes the characteristics of the consumer of the innovation (adopter) and the impact these characteristics have on adopting new innovations. The innovation in this study will be the prototype packaging. Focusing on Rogers’ adopter characteristics and defined proprietary consumer segmentation characteristics, this study will be pivotal for future package design projects targeting nutrition education.

Focus group questions were scrutinized through a pilot study and revised …

From Attention Deficit Hyperactivity Disorder To Substance Use Disorder: Perspectives From Recovering Addicts, Elena Potovsky

Dissertations, Masters Theses, Capstones, and Culminating Projects

People who have Attention Deficit Hyperactivity Disorder (ADHD) are often at high risk of acquiring Substance Use Disorder (SUD). When a diagnosis is determined for a school age child, the special education team mainly focuses on the most obvious problems that occur with ADHD: executive function issues, reading and writing impairments, and disruptive behavior. They may not realize how common it is for those identified with ADHD to also acquire SUD.

The literature revealed that there may be a shared genetic basis between ADHD and SUD, that there is commonly an early onset of SUD for those who have ADHD, …

Perceptions Toward The Value Of Higher Education For Hotel Professionals In Las Vegas: A Case Study, Gary Lee Deel

UNLV Theses, Dissertations, Professional Papers, and Capstones

This study concerns a qualitative investigation of the views toward higher education and its importance to hospitality career success among hotel professionals in the Las Vegas, Nevada area. Existing literature supported the premise that education may be important to professional career success in several different ways, and that values concerning education may be passed from one person to another via social learning. However, the relevant theories had not previously been evaluated within the context of the hospitality industry. Professionals in reporting relationships at two Las Vegas hotels were interviewed to determine perceptions about higher education, the sources of those perceptions, …