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Articles 39931 - 39960 of 243827
Full-Text Articles in Entire DC Network
The Impact Of Economic Uncertainty On Nonprofit Leaders’ Decision To Expand Services, Shawndra Maine
The Impact Of Economic Uncertainty On Nonprofit Leaders’ Decision To Expand Services, Shawndra Maine
Walden Dissertations and Doctoral Studies
Nonprofit organizations (NPOs) play a pivotal role in lower socioeconomic communities. Leaders of nonprofits are frequently faced with multiple, complex, and often-competing objectives. This qualitative case study was conducted to explore and understand how economic uncertainties impact an NPO and, specifically, how economic uncertainty has affected nonprofit executives’ development of strategies and decision making regarding expanding services. Data were collected through interviews and review of secondary data and the organization’s website from the executive director, president/chief executive officer, and funders. The Baldrige Framework of Excellence was used to support the foundations of this study. The collected data were analyzed, and …
Referral Source, Visit Modality, And The Delivery Of Diabetes Education In Pennsylvania, Alan Minor
Referral Source, Visit Modality, And The Delivery Of Diabetes Education In Pennsylvania, Alan Minor
Walden Dissertations and Doctoral Studies
Diabetes education is a principal component of optimal diabetes care that is often underutilized despite the known benefits that include reductions in complications as well as improved glycemic control and self-management knowledge. The purpose of this quantitative study was to examine the association between the completion of diabetes education, referral source, and visit modality. Because the completion of diabetes education is multifaceted, Levesque’s theoretical framework of health access, which incorporates dimensions of the accessibility of services and the abilities of potential users in the utilization of health services, was used to ground the study. A retrospective chart review was conducted …
Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses
Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses
Walden Dissertations and Doctoral Studies
Small island developing states, especially those within the Caribbean community, are faced with the challenges of overfishing and illegal, unregulated, and unreported (IUU) fishing activities. Despite global legal reforms, enforcement continues to be ineffective. In the policymaking process, the perspectives of those critically impacted are rarely taken into consideration The purpose of this qualitative study was to explore the issues leading to the lack of inclusion of fisherfolk knowledge in the policymaking process and policies that promote SDG 14. The goal was to explore the importance of fisherfolk involvement in the policymaking process. The research question focused on identifying the …
Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula
Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing …
A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye
A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye
Walden Dissertations and Doctoral Studies
AbstractObesity among children and adolescents has reached epidemic proportions in the United States (U.S). Nurses in pediatric settings have a critical role to play in assessing and managing childhood obesity. The partner site for this project has a childhood obesity rate of 35% compared to the national average of 19%. However, the nursing staff lacked adequate knowledge, competence, and confidence in assessing and managing childhood obesity in line with the recommended guidelines. The problem was addressed by implementing the Clinical Practice Guideline for the Treatment of Obesity and Overweight Children and Adolescents via an education program. The program’s content was …
Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski
Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski
Walden Dissertations and Doctoral Studies
Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …
Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff
Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff
Walden Dissertations and Doctoral Studies
Abstract Some restaurant business owners lack food waste strategies to maintain or increase profits. Restaurant business owners are concerned with increases in food waste leading to a loss of business profitability and may lack food waste strategies to maintain or increase profits. Grounded in stakeholder theory, the purpose of this qualitative single case study was to explore strategies restaurant business owners used to decrease food waste to maintain or increase profit. Participants in this study comprised five restaurant owners in a metropolitan suburb on the United States east coast who successfully reduced food waste in their operations to maintain or …
Exploring Care Recipients’ Health Conditions Influence On Caregivers And Caregivers’ Meaning Of Care Dependence, Yolanda Suarez-Calvo
Exploring Care Recipients’ Health Conditions Influence On Caregivers And Caregivers’ Meaning Of Care Dependence, Yolanda Suarez-Calvo
Walden Dissertations and Doctoral Studies
Little is known about the ways in which caregivers are affected or influenced by their care recipients’ health conditions. Additionally, the meaning of care dependence for caregivers is also understudied. The purpose of this generic qualitative study was to examine caregivers’ affection/influence due to the physical and psychosocial health conditions of the individuals for whom they care. Further, the meaning of care dependence, from the perspectives of the caregivers, was sought. The theoretical framework to further this research was Montgomery and Kosloski’s (2009) caregiver’s identity theory The research question addressed the ways caregivers are affected or influenced by the care …
Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate
Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate
Walden Dissertations and Doctoral Studies
Many individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …
Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor
Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor
Walden Dissertations and Doctoral Studies
Research has revealed that adult protective service workers experience high levels of occupational stress that often result in health complications such as burnout, secondary traumatic stress, and compassion fatigue. Although several qualitative studies have been conducted over the past decade, there was limited information on the phenomenon of how stress is experienced by adult protective service workers investigating cases of alleged elder abuse. The purpose of this study was to examine the lived experiences of a sample of adult protective service caseworkers from the southwestern United States that have experienced occupational stress while investigating cases of elder abuse. This study …
Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong
Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong
Walden Dissertations and Doctoral Studies
Antenatal depression, or depression during pregnancy, is a mental health concern in the United States that impacts mothers and their infants. This study examined the associations between psychosocial, obstetric, lifestyle factors, and antenatal depression. This study was guided by social cognitive theory, specifically the reciprocal determinism construct. Secondary data from the 2007–2018 National Health and Nutritional Examination Survey (NHANES) were used in this quantitative cross-sectional study. Every participant of the NHANES completed the Patient Health Questionnaire-9 depression screening form. The study sample consisted of 274 women who were pregnant at the time of participating in the NHANES, approximately 28.8% of …
Risk Factors Influencing Poliomyelitis Seroprevalence In Polio High Risk Areas Of Afghanistan, Wasan Abdulaziz Al-Tamimi
Risk Factors Influencing Poliomyelitis Seroprevalence In Polio High Risk Areas Of Afghanistan, Wasan Abdulaziz Al-Tamimi
Walden Dissertations and Doctoral Studies
Afghanistan is one of the remaining polio endemic countries in the world. Nearly one million children under 5 years of age have missed polio vaccination in Afghanistan from May 2018 until January 2021. This quantitative study used the socioecological model as the theoretical framework and secondary data analysis of the 2020 polio serosurvey (N = 1384) to investigate various risk factors such as gender, parental education, family origin (language/location), wealth, distance to nearest health facility, and number of polio vaccine doses on the level of antibodies (i.e., seroprevalence) against all three types of polioviruses in children of two age groups, …
Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly
Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly
Walden Dissertations and Doctoral Studies
AbstractEarly childhood educators have struggled to teach children with challenging behaviors, which can lead to suspension and expulsion. Although early childhood educators have limited professional development training in challenging behaviors, they are often not equipped to teach children with challenging behaviors. There is little research on how early childhood educators perceive their current training regarding teaching children with challenging behaviors. Exploring early childhood educators’ perceptions can determine what they need to teach children with challenging behaviors for a thriving classroom environment. The purpose of this basic qualitative study was to better understand educators’ perceptions regarding the type of professional development …
Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White
Exploring The Benefits Of A Collaboration Between Behavioral Health Coaches And Clinicians, Devan White
Walden Dissertations and Doctoral Studies
This case study addressed how to best use health coaches in the field of behavioral health to improve the accessibility and outreach of a new program launched by the target organization that emphasizes coaching as an intervention for improving well-being and mental fitness. The purpose of this qualitative case study was to investigate the potential influence of coaching within the behavioral health field and explore how health coaches could partner with clinicians or behavioral health leaders to allow for more collaboration and accessibility to services. The RQs centered on how health coaches might support the treatment of those who have …
Food Safety And Free Trade Area In East Africa, Diana Ogwal Akullo
Food Safety And Free Trade Area In East Africa, Diana Ogwal Akullo
Walden Dissertations and Doctoral Studies
Africans experience high incidences of foodborne diseases annually leading to poor public health, yet there is limited information on implementation of food laws in Uganda, Ethiopia, and Kenya from the perspectives of public officials with knowledge of and experience with implementing food laws, policies, and regulations to inform policy on food security and safety and help mitigate foodborne diseases and associated trade concerns between countries. The study’s research question involved identifying the perceptions of public officials on the impact of food laws on the food safety delivery systems in Uganda, Ethiopia, and Kenya. The study applied complex adaptive system theory …
Relationship Between Food Insecurity, Depression, And Race/Ethnicity Among U.S. Adults Aged 60–69 Years, Patrick E. Crandon
Relationship Between Food Insecurity, Depression, And Race/Ethnicity Among U.S. Adults Aged 60–69 Years, Patrick E. Crandon
Walden Dissertations and Doctoral Studies
Abstract Food insecurity (FI) and depression among older populations in the United States are public health concerns. Although FI has declined in the United States, it is a psychosocial stressor prevalent among the growing population of adults over 60. It is unknown to what extent FI contributes to depression among racial/ethnic minorities in this population. The purpose of this quantitative cross-sectional study was to examine the relationships between FI and race and depression among U.S. adults aged 60–69 years when adjusting for other variables. The social-ecological model was used to understand the interplay between individual and environmental factors that may …
Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans
Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans
Walden Dissertations and Doctoral Studies
Patients with exertional hypoxemia are often prescribed supplemental oxygen therapy to alleviate their symptoms and maintain adequate arterial oxygen saturation; however, little is known about how chronic obstructive pulmonary disease (COPD) patients with exertional hypoxemia experience the addition of supplemental oxygen on their lives. The purpose of this descriptive phenomenological study guided by Roger’s science of unitary human beings was to explore the lived experiences of COPD patients with exertional hypoxemia and who require supplemental oxygen. Purposive sampling was used to recruit participants using a query from the electronic medical records to identify patients prescribed supplemental oxygen for exertional, not …
Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim
Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim
Walden Dissertations and Doctoral Studies
The utilization of tuberculosis (TB) health care services in a Nigerian state has not been optimal. Many residents do not utilize available health care resources when they experience symptoms of TB. Although much is known about the determinants of health seeking behavior (HSB), there is a gap on how TB knowledge and TB related stigma among traders in one main market contribute to HSB. This study examined the effect of TB knowledge and TB related stigma on HSB among traders. The health stigma and discrimination and health belif models served as the theoretical foundation. A quantitative cross-sectional analytical survey design …
The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant
The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant
Walden Dissertations and Doctoral Studies
Reducing preterm births is a local, national, and global public health priority. Preterm birth rates continue to rise with evident racial and ethnic differences. The purpose of the quantitative study was to analyze the Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 data to investigate the association between preterm births, timing of prenatal care, insurance types, and marital status among 5,666 women who gave birth in Mississippi between 2016 - 2020 using logistic regression. The social-ecological model was used to explain the impact of preterm births at the individual, interpersonal, and policy levels. Marital status was shown to be …
Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León
Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León
Walden Dissertations and Doctoral Studies
In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …
The Correlation Between Nurse Staffing And Quality Of Care Outcomes Within Nursing Homes In Mississippi, Nyeshia Nelson
The Correlation Between Nurse Staffing And Quality Of Care Outcomes Within Nursing Homes In Mississippi, Nyeshia Nelson
Walden Dissertations and Doctoral Studies
The U.S. population aged 65 years old and older is steadily increasing. Some of thispopulation resides in nursing homes; thus, the necessity for quality care provided in nursing homes has increased. Consistent, quality care remains a constant challenge for the government, nursing home administrators, health care consumers, and researchers. Nurse staffing has been identified as a critical structural measure that affects the quality of care and outcomes in nursing homes. The purpose of this quantitative study was to examine the relationship between nurse staffing and quality of care outcomes in Mississippi’s nursing homes. Donabedian’s structure, process, and outcome (SPO) model …
Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge
Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge
Walden Dissertations and Doctoral Studies
Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …
An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson
An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson
Walden Dissertations and Doctoral Studies
s the prevalence and incidence of childhood obesity has increased, so has the number of cases of pediatric Type 2 diabetes mellitus (T2DM). Although made unconstitutional in 1968, the transgenerational implications of redlining can be observed in disinvestments resulting in neighborhood detraction. Utilizing the 2019–2020 National Children’s Health Survey, the purpose of the study was to evaluate the relationship between obesity, T2DM, and neighborhood detraction elements as well as assessed indicators of T2DM in non-institutionalized children 6 through17 years of age (N = 34,725). The social determinants of health perspective served as the conceptual framework for the study. Results indicated …
How Nurturing America’S Agricultural Landscape Can Alleviate Its Health Crisis, Jennifer Galardi
How Nurturing America’S Agricultural Landscape Can Alleviate Its Health Crisis, Jennifer Galardi
Pepperdine Policy Review
This paper will review current nutritional narratives that promote the extinction of animal sourced foods (ASF’s) and why they are incorrect and possibly damaging. It will also briefly address agricultural history in the United States to trace how the country arrived at current agricultural policy, how it has damaged the independence of the country’s food supply, and why it is no longer useful. In addition, it will breakdown the contemporary issues and debates within agriculture and review current policy and why it’s insufficient. Finally, it proposes policy solutions that can help return the U.S. agriculture system to a more viable …
Strategies For Recruiting, Retaining, And Developing The Knowledge And Skills Of Behavioral Health Technicians, Shirley Ann Williams
Strategies For Recruiting, Retaining, And Developing The Knowledge And Skills Of Behavioral Health Technicians, Shirley Ann Williams
Walden Dissertations and Doctoral Studies
To be effective, behavioral health organization leaders must recruit and retain behavioral health technicians (BHTs) to provide nonclinical services. The focus of this case study was on identifying strategies to promote the recruitment and retention of BHTs and to help these workers develop the knowledge and skills they need for effective job performance. The Baldrige Framework for Excellence was used to guide this case study of a behavioral health organization located in the southeastern United States. The organization had one residential substance use facility serving men and five serving women and experienced a constant shortage of BHTs. Data were collected …
Uptake Of Plant-Based Nutrition And Awareness Among Lower Socioeconomic Status Populations In The United States, Tammy Frazier Renault
Uptake Of Plant-Based Nutrition And Awareness Among Lower Socioeconomic Status Populations In The United States, Tammy Frazier Renault
Walden Dissertations and Doctoral Studies
Chronic disease accounts for 86% of the annual health care expenditures in the United States. Lower socioeconomic status groups are vulnerable to the effects of nutritional deficiencies, and the connection between chronic disease and nutrition may be central to public health initiatives. The current study provided insight into the behaviors of nutritional choice for at-risk populations for many of the chronic diseases associated with nutritional education and policy which influence healthy eating patterns across multiple settings. The purpose of this quantitative study with a retrospective cross-sectional design was to observe any differences for the uptake of plant-based compliant nutrition and …
Theoretical Orientation Beliefs Among Adventure Therapy Professionals, Edward Spaulding
Theoretical Orientation Beliefs Among Adventure Therapy Professionals, Edward Spaulding
Walden Dissertations and Doctoral Studies
Adventure therapy as a therapeutic model for the treatment of mental health has been a growing area of psychology for more than 50 years. This quantitative study was conducted to explore the theoretical orientation beliefs to clarify the theoretical framework of this therapeutic approach using Coleman’s theoretical evaluation self-test (TEST) to gather data on self-identified adventure therapy practitioners’ theoretical beliefs. Data were collected from 150 participants recruited through their membership or affiliation with adventure therapy professional organizations or social media groups. Data were analyzed using a paired t-test to determine if adventure therapy professionals have higher scores on the cognitive, …
Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate
Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate
Walden Dissertations and Doctoral Studies
AbstractMany individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …
Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor
Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor
Walden Dissertations and Doctoral Studies
Research has revealed that adult protective service workers experience high levels of occupational stress that often result in health complications such as burnout, secondary traumatic stress, and compassion fatigue. Although several qualitative studies have been conducted over the past decade, there was limited information on the phenomenon of how stress is experienced by adult protective service workers investigating cases of alleged elder abuse. The purpose of this study was to examine the lived experiences of a sample of adult protective service caseworkers from the southwestern United States that have experienced occupational stress while investigating cases of elder abuse. This study …
A National Assessment Of Household, Community, And Environmental Situations On Breastfeeding Decisions, Marnita Siglar Thomas
A National Assessment Of Household, Community, And Environmental Situations On Breastfeeding Decisions, Marnita Siglar Thomas
Walden Dissertations and Doctoral Studies
Exclusively breastfeeding has been proven to be an effective preventive measure for childhood obesity; however, breastfeeding practices decline after 6 months. Secondary data from the 2018-2019 combined National Survey of Children's Health were used for this study to determine the household, community, and physical environment relationship between individuals' decisions to breastfeed and sustainment in the United States (N=16,750). Grounded by the theoretical framework of the socio-ecological model, the results suggested that household, community, and physical environments predict individuals' decisions to initiate breastfeeding and sustainment nationally (p < 0.001). Binary logistic regression, controlling for maternal age, indicated a statistical significance between breastfeeding initiation and income (p = 0.043, p = 0.041), family structure (p = 0.003, p < 0.001), education (p < 0.001, p < 0.001, p < 0.001), neighborhood support (p < 0.001), and neighborhood amenities (p = 0.039, p <0.001, p < 0.001). A statistical significance between breastfeeding duration and family structure (p = 0.061), education (p < 0.001, p < 0.001), maternal overall health (p <0.001), neighborhood support (p = 0.008), neighborhood safety (p = 0.006), and neighborhood amenities (p = 0.019) was found when controlling for maternal age. Implications for positive social change include providing health professionals with knowledge on breastfeeding decision making to encourage new recommendations and implement new practices and policies to promote breastfeeding and ultimately reduce the incidence of overweight and obesity in children nationwide.