Digital Commons Network^™

Defining The Hospital Social Worker’S Role And Geriatric Depression, Cara M. Galob

Walden Dissertations and Doctoral Studies

Hospital readmissions, compliance issues, increased long-term nursing home placements, and social determinants of health are significant concerns that burden the hospital inpatient industry. A notable factor that may impact these outcomes is the surprisingly high rates of depression in older adults. In various settings, social workers have historically provided clinical assessments and interventions for people suffering from depression. This study examines how clinical social workers can be utilized in a hospital inpatient setting to identify and treat older adults suffering from major depression. Social work interventions can positively impact many hospitals' long-term goals, such as improving the patient experience, achieving …

Psychoeducation On Addiction For Healthcare Providers, Lovester Duncan

Walden Dissertations and Doctoral Studies

Summary Walden University College of Nursing This is to certify that the doctoral study by Lovester Duncan has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Kristina Bohm, Committee Chairperson, Nursing Faculty Dr. Mary Martin, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The DNP project aimed to increase healthcare providers’ knowledge, awareness, and comfort with prescribing medication-Assisted Treatments (MATs). Inadequate treatment and higher overdose and death risks result from providers lacking experience with …

Staff Education: Improving Nursing Knowledge On Patient Medication Adherence Strategies Using Teach-Back, Janie Fleming

Walden Dissertations and Doctoral Studies

A staff education program was implemented for this Doctor of Nursing Practice project to improve nursing knowledge of the teach-back method. The identified practice problem was inadequate nurse-patient communication, which contributes to low patient comprehension, poor adherence to medication regimens, and suboptimal health outcomes. The practice-focused question guiding the project was, “Does an educational program on the teach-back method for patient medication adherence improve nursing knowledge as compared pre to post education?” The purpose of the project was to enhance nurses’ knowledge and skills regarding the teach-back method to improve patient communication, ultimately leading to better patient adherence and outcomes. …

Successful Human Resource Leader Strategies Used To Reduce Employee Turnover, Gilda Beatrice Lomas

Walden Dissertations and Doctoral Studies

Some Human Resource Managers (HRMs) and team leaders in customer service settings struggle to effectively implement conflict resolution strategies. HRMs are particularly concerned about the impact of unresolved conflicts, as they can lead to higher employee turnover. Grounded in emotional intelligence (EI), the purpose of this qualitative pragmatic inquiry study was to explore strategies that six HRMs in the United States use to retain customer service employees. Data were collected using semistructured interviews, public documents, websites, and professional artifacts that included direct involvement in managing teams within customer service settings. Through thematic analysis, four key themes were identified: conflict management …

Kindergarten Teachers’ Experiences On Strategies To Increase Children’S Phonological Awareness And Phonics Skills In Kindergarten, Taylor Imani Ridley

Walden Dissertations and Doctoral Studies

The problem addressed in this study pertained to two elementary schools whose kindergarten teachers encountered challenges in meeting phonological awareness and phonics standards. This basic qualitative study aimed to explore the experiences of kindergarten teachers regarding effective strategies for enhancing children’s phonological awareness and phonics skills, grounded in the concept of Vygotsky’s zone of proximal development. Data were collected from 12 kindergarten teachers through semi-structured interviews to understand their instructional strategies and the support needed to implement these strategies effectively. Findings indicated that teachers benefit from structured programs, multisensory approaches, differentiated instruction, and collaborative efforts; however, they also require increased …

Untangling Language Labeling And Mental Health: The Relationship Between Middle School Students’ Language Acquisition Status And Self-Reported Mental Health, Lauren Judith Mcclearn

LMU Theses and Dissertations

Across the United States, public K-12 schools are more diverse today than ever before. In the last two decades, there has been a significant rise in the prevalence of mental health conditions among children and adolescents. What’s more, mental health has garnered increased public attention with concern whether the novel coronavirus pandemic has exacerbated pre-existing or resulted in the onset of new mental health conditions. While scholars have analyzed mental health disparities among racial and ethnic minorities, there has been scarce investigation into English language acquisition status. Thus, the study described the difference among English Learner (EL), English Only (EO), …

Heart Failure Beyond The Diagnosis: A Narrative Review Of Patients' Perspectives On Daily Life And Challenges, Michelle Shigi Yang, Mohamed Bilal Abdallah, Zubair Bashir, Wissam Khalife

Faculty, Staff and Student Publications

Heart failure (HF) is a complex syndrome that significantly affects patients' physical, psychological, and socioeconomic well-being. Despite advances in guideline-directed medical therapy (GDMT), such as ACE inhibitors, beta-blockers, and SGLT2 inhibitors, HF continues to have a high global burden, with over 64 million affected worldwide and a five-year mortality rate of 50%. HF disrupts various life aspects, especially for younger patients (aged 35-55), who often face career interruptions due to severe symptoms like fatigue and frequent hospitalizations. These patients may struggle to maintain employment, resulting in financial instability compounded by high healthcare costs. Moreover, reduced exercise capacity and sexual dysfunction …

Regeneration: A Collaborative Writing, Making, And Moving Inquiry, Melissa Dunlop, Alys Mendus, Mark Price, Karen Abadie, Laurinda Brown, Carol Laidler, Marian Liebmann, Marina Malthouse, Grace Mendus

School of Art, Design and Architecture

Nine members of the Collaborative Artful Narrative Inquiry network (CANI-net) gathered to explore a regenerative intention. This article tracks our interplay of writing, making, and moving together and questions that arose: How do we go about regenerating? Can we find openings to processes happening outside awareness? How does the refrain “now let’s write” act in relation to the un/intention of regeneration? Is our material, embodied co-presence regenerative? Answers were intimated through listening, touching hands, printmaking, and sculpting clay; in letting things be said and unsaid, writing as response, in making shapes and animal sounds, and dancing Zorba’s Dance.

Legacy Effects Of Plant Community Structure Are Manifested In Microbial Biofilm Development With Consequences For Ecosystem Co Emissions, Kevin H. Wyatt, Jillian Cieslik, Catherine M. Dieleman, Evan Kane, Allison R. Rober, Barrett Sullivan, Merritt R. Turetsky

Michigan Tech Publications

To better understand linkages between hydrology and ecosystem carbon flux in northern aquatic ecosystems, we evaluated the relationship between plant communities, biofilm development, and carbon dioxide (CO) exchange following long-term changes in hydrology in an Alaskan fen. We quantified seasonal variation in biofilm composition and CO exchange in response to lowered and raised water table position (relative to a control) during years with varying levels of background dissolved organic carbon (DOC). We then used nutrient-diffusing substrates (NDS) to evaluate cause-effect relationships between changes in plant subsidies (i.e., leachates) and biofilm composition among water table treatments. We found that background DOC …

Influence Of Officers’ Race, Suspects’ Characteristics, And Arrest Contexts On Police Homicide Victim Risk Factors, Dominique Damon Block

Walden Dissertations and Doctoral Studies

Media attention on the fatal use of force by law enforcement personnel has worsened the divide amongst the police and minority communities, intensifying the lack of confidence between groups. Further research is called for to understand how the fatal use of force by law enforcement is influenced by officer race, suspect race, and characteristics of the alleged crime. Implicit bias theory and procedural justice theory were used as theoretical and conceptual frameworks. The three research questions examined the extent to which characteristics of the officer, characteristics of the alleged perpetrator, and circumstances of the homicide predicted (a) perpetrator mental illness, …

The What’S What And The Who’S Who Of Psychobiography, Ronald Chenail

The Qualitative Report

Joseph G. Ponterotto’s 2025 book, The Psychobiographer's Handbook: A Practical Guide to Research and Ethics, not only serves as an excellent introduction and practical methodological guide to psychobiography, but it also introduces readers to the leading psychobiographers from around the world via the 22 captivating profiles distributed throughout the book. Starting with his self-reflective introduction Ponterotto brings us inside the psychobiography craft by combining technical design and data management skills along with a relational awareness of the researcher to the historic subject. Lastly, the structure of this book can also serve as a template for anyone wanting to create …

Efficacy And Safety Of Novel Anticoagulant Therapies In Patients With Chronic Kidney Disease—A Systematic Review And Meta-Analysis, Ernesto Calderon Martinez, Camila Sanchez Cruz, Edna Y. Diarte Acosta, Daniel Alejandro Aguirre Cano, Ana Maria Espinosa, Diana Othon, Flor Furman, Sebastian Obando Vera

School of Medicine Publications

Background

Chronic Kidney Disease (CKD) significantly increases the risk of cardiovascular diseases, including atrial fibrillation, which usually requires anticoagulant therapy. The effectiveness and safety of direct oral anticoagulants compared to vitamin K antagonists in patients with CKD remain insufficiently studied, particularly in the more advanced stages.

Methods

This systematic review, registered in PROSPERO (CRD42023410192), adhered to PRISMA guidelines and included randomized clinical trials and cohort studies comparing direct oral anticoagulants and vitamin K antagonists in CKD patients. Major databases were searched, and studies were selected based on strict inclusion criteria. A meta-analysis was performed using random-effects models.

Results

Twenty-three studies …

“It’S Not Because They’Re Gypsy”: Practitioners Perspectives Of Gypsies, Travellers And Crime And Justice, Raegan Booth, Kirsty Koral, Kitty Lymperopoulou

School of Law, Humanities and Social Sciences

In dominant public, political and media narratives of Gypsy and Traveller communities, they have often been associated with criminality, deviance, violence, idleness and reluctance to assimilate into settled society. A discourse of othering predicated on negative stereotypes further affect their marginalisation and social exclusion. This empirical article critically examines reflections on, and responses to, these dominant narratives among practitioners who have engaged with Gypsy and Travellers operationally and strategically, in relation to crime and criminal justice. We find evidence of compliance with dominant narratives which include perceptions that deny and minimise experiences of victimisation and racism, while also suggesting a …

Cmsi Note #11: Admiral Miao Hua's Fall: Further Navy Fallout?, Andrew S. Erickson, Christopher Sharman

CMSI Notes

Pending investigation, Xi Jinping’s protégé Admiral Miao Hua (苗华) has been suspended from his duties as a member of China’s Central Military Commission (CMC) and Director of the CMC Political Work Department. This decision was made by the Chinese Communist Party (CCP)’s Central Committee, Defense Spokesperson Senior Colonel Wu Qian announced at the scheduled monthly People’s Liberation Army (PLA) press briefing on 28 November 2024, because Miao is “suspected of serious violation of discipline.” By the time such CCP investigations become public, conviction is a foregone conclusion. Miao’s fall thus raises three principal questions: Why is he being removed, will …

Chang V. Guzman

All Decisions

Tenant sought to vacate a stipulation of settlement and judgment of possession, claiming a lack of understanding due to language barriers and asserting rent stabilization defenses. The court reviewed the stipulation, including a Spanish interpreter, and found no basis to vacate the agreement. However, the tenant's motion was denied. The court stayed eviction for one month, to allow the tenant to vacate the premises with dignity.

Accumbal Plasticity And Associated Behavioral Adaptations In The Spared Nerve Injury Model Of Chronic Neuropathic Pain, Yu-Hsuan Chang

Arts & Sciences Graduate Student Theses and Dissertations

Chronic pain is a debilitating neurological disorder that affects hundreds of millions of individuals worldwide. It is associated with cognitive symptoms such as cognitive inflexibility, which is defined as the inability to adaptively update behavior in response to changing environmental conditions. To date, there are no effective treatments for these symptoms, even though they substantially contribute to the decreased quality of life of chronic pain patients and are associated with reduced efficacy of pain management strategies. Therefore, understanding the neural circuit adaptations that drive cognitive symptoms of chronic pain, like cognitive inflexibility, is essential for improving existing treatments for this …

Human Capital Assessment In Indigenous Regions To Enable Sustainable Futures, Victoria N. Sharakhmatova, Elena G. Mikhailova

Faculty Publications

This study is dedicated to the economic valuation of human capital (HC) in the regions where the Indigenous peoples of Kamchatka reside. The entire Kamchatksky Krai is considered an Indigenous people’s ancestral territory. However, in this study, only municipalities whose population is more than one-third Indigenous were chosen for the assessment. This includes six municipal districts and one urban district (Aleytsky, Bystrinsky, Karaginsky, Olyutorsky, Penzhinsky, and Tigilsky municipal districts and Palana urban district). The study employs statistical analysis and integrated, situational approaches: the investment approach was deemed the most appropriate tool for the economic assessment of HC in Indigenous territories. …

International Cross-Sectional Survey On Current And Updated Definitions Of Intra-Abdominal Hypertension And Abdominal Compartment Syndrome, Rosemary Lee

All Publications

Background: The Abdominal Compartment Society (WSACS) established consensus definitions and recommendations for the management of intra-abdominal hypertension (IAH) and abdominal compartment syndrome (ACS) in 2006, and they were last updated in 2013. The WSACS conducted an international survey between 2022 and 2023 to seek the agreement of healthcare practitioners (HCPs) worldwide on current and new candidate statements that may be used for future guidelines.

Methods: A self-administered, online cross-sectional survey was conducted under the auspices of the WSACS to assess the level of agreement among HCPs over current and new candidate statements. The survey, distributed electronically worldwide, collected agreement or …

Early Detection Of Risk Factor For Suicidal Ideation Among Senior High School Students In Jakarta: Updated Measurement, Nova R. Yusuf, Sabarinah Prasetyo, Byron J. Good

Kesmas

The key strategy to address suicide in adolescents is school-based suicidal prevention by adapting a screening instrument to the local culture and policymakers’ perception of suicide. This study aimed to develop an instrument for the early detection of risk for suicidal ideation and identify influential risk factors for suicidal ideation among high school students in Jakarta, Indonesia. This study was conducted in 2018 with a mixed-method design (quantitative and qualitative approaches). It was found that 5% of students had suicidal ideation in July–November 2018, and 13.8% had a high-risk factor for suicidal ideation. The instrument developed in this study consisted …

Household Food Expenditure Typology And Its Association With Child Stunting And Anemia In Indonesia, Ratu Ayu Dewi Sartika, Yusnita Yusnita, Winda M. Ningsih, Ririn Arminsih Wulandari, Siti A. Pujonarti, Fadila Wirawan

Kesmas

Stunting and anemia remain the coexisting nutritional problems among Indonesian children. However, evidence of household-level food expenditure and its association with child stunting and anemia is limited. This study aimed to observe the association between household food expenditure typology and child stunting and anemia in Indonesia. Data was obtained from the 2007 and 2014 Indonesia Family Life Survey (IFLS). The household food expenditure, child nutritional status, and anemia were observed in 2007 and 2014. Latent class analysis was taken to identify the food expenditure pattern. Binary logistic regression was applied to analyze the association between household food expenditure patterns and …

Dietary Diversity As A Dominant Factor Of Energy Intake Among Breastfeeding Mothers In Depok City, Indonesia, Cornelia Lugita Santoso, Ratu Ayu Dewi Sartika, Sandra Fikawati, Fadila Wirawan, Primasti Nuryandari Putri, Nurul Husna Mohd Shukri

Kesmas

Maternal nutritional needs increase during lactation. However, the energy intake of breastfeeding mothers usually still falls short of the recommended adequacy levels. This study aimed to identify the dominant factor of energy intake in breastfeeding mothers in Sawangan District, Depok City, Indonesia. This quantitative study used a cross-sectional design from July 2022 to February 2023. Energy intake, dietary diversity, and eating frequency were collected using 24-hour food recall. Other variables were collected through interviews with structured questionnaires. Data were analyzed using the Chi-square test and binary logistic regression. A total of 217 breastfeeding mothers participated in this study. This study …

Assessment Of Free Drinking Water Facilities And Its Potential Health Risks: A Study In The University X, Indah Actry Zane Lumbantobing, Bambang Wispriyono, Fitri Kurniasari, Sifa Fauzia, Muhammad Nur Ihsan Ayyasy, Alissa Siti Haura, Ghina Labibah, Muhammad Abiyyu Akmal, Kirana Mahadewi Heryadi, Firda Alfianti, Nuranida Fauziyah

Kesmas

University X offers free drinking water facilities. However, it has a significant problem in accessing safe drinking water. This study aimed to examine the microbial and chemical parameters of the free drinking water facilities at University X. The microbial quality was assessed by evaluating the total coliform bacteria, and the chemical parameter assessment, substances such as nitrate, iron, manganese, hexavalent chromium, and fluoride were analyzed across 12 water samples from various locations within the university. Among these, only total coliform and fluoride levels exceeded the guidelines of the World Health Organization (WHO) and the Indonesian Ministry of Health. An Environmental …

Risk Factors Of Covid-19 Infection Among Health Workers Post-Vaccination In Jakarta, Rahmat Saputra, Nurhayati Adnan Prihartono, Mondastri Korib Sudaryo, Renti Mahkota, Yeni Devita, Ni Wayan Deisy Arisanti

Kesmas

One of the best approaches to stop the COVID-19 pandemic is vaccination. In Indonesia, the first round of vaccinations was prioritized for health workers on January 14, 2021 (first dose) and March 1, 2021 (second dose). However, some health workers who have been vaccinated were found to be reinfected after receiving the second dose. This cross-sectional study examined the risk factors for COVID-19 infection among health workers after vaccination using secondary and primary data. The data analysis was carried out in univariate (examining the frequency distribution and proportion of independent variables), bivariate (Chi-square test to explore the relationship between independent …

Home Births Among Ethnic Minority Communities In Bokeo Province, Lao People's Democratic Republic, Jukkrit Wungrath, Rungrasami Sriwongphan, Krissana Kapheak, Wanchalerm Ritthimon

Kesmas

Home births among ethnic minorities in developing countries pose significant risks to maternal and neonatal health. In Lao PDR, the government has taken steps to manage home births through training traditional birth attendants, improving transportation, and establishing referral systems. However, high home birth rates in regions like Bokeo remain concerning. This review emphasized the need for more skilled birth attendants and better access to emergency obstetric care in rural, ethnic minority areas. This review used 40 articles published between 2000 and 2023 and highlighted gaps in research regarding healthcare access, cultural practices, socioeconomic barriers, and the role of traditional birth …

Economic Growth, Poverty Gap, And Health Inequality: Implications Based On Panel Analysis Of Organization For Economic Cooperation And Development Data, Sangik Han

Kesmas

This study investigated the impact of economic growth and income distribution on health inequality using data from the Organization for Economic Cooperation and Development (OECD). Employing a panel analysis, this study amalgamated 21 years of data (spanning from 2000 to 2020) from 37 OECD countries. The dependent variables (life expectancy and avoidable mortality) were scrutinized against independent variables (gross domestic product and poverty gap). Control variables encompassed body mass index, consumption patterns, smoking rates, health workers availability, number of beds in health facilities, national medical expenses, and unemployment rates. This study revealed significant associations between economic growth, poverty gap, and …

Social Determinants Of Neonatal Health Outcomes In Indonesia: A Multilevel Regression Analysis, Rooswanti Soeharno, Amal Chalik Sjaaf

Kesmas

Indonesia’s neonatal mortality rate remains alarmingly high. This study addressed the determinants of neonatal outcomes in Indonesia, including the effects of a decentralized health system, socioeconomic disparities, and geographic variations. The analysis used 2018 national survey data across 34 provinces, 513 cities/districts, and 300,000 households, with a sample of 73,864 women aged 10-54 years who have given birth in the preceding five years. The multilevel regression was used to assess the impact of social determinants and systemic inequalities on neonatal health. Key findings revealed a neonatal mortality rate that, despite being preventable in many cases, remained high with significant disparities. …

Telemedicine Adoption In Developing Economies: A Systematic Review On The Enablers And Barriers, Zaidbren Macabato, Lemuel Clark Velasco, Art Brian Escabarte, Mae-Lanie Ong Poblete, Armando Isla Jr., Rentor Cafino, Sarah Lizette Aquino-Cafino, Frevy Teofilo-Orencia

Kesmas

Telemedicine’s adoption has been effective in certain contexts despite being controversial in certain settings because of its tendency to cause misdiagnosis and concerns about data privacy. This study aimed to synthesize the research findings on the factors leading to the adoption of telemedicine among developing economies. The study utilized Preferred Reporting Items for Systematic Reviews and Meta-Analysis methodology to analyze 27 related literature and the Unified Theory of Acceptance and Use of Technology to map out the factors considered enablers and barriers in adopting telemedicine. Results showed that performance expectancy, effort expectancy, social influence, and facilitating conditions were significant predictors. …

An Evaluation Of A Multidisciplinary Care Planning Tool For People With Intellectual Disabilities And Behaviours Of Concern, Rohit Shankar

Peninsula Medical School

No abstract provided.

Psychological Interventions For Internalized Weight Stigma: A Systematic Scoping Review Of Feasibility, Acceptability, And Preliminary Efficacy, Laura D'Adamo, Abigail T Shonrock, Lawrence Monocello, Jake Goldberg, Lauren H Yaeger, Rebecca L Pearl, Denise E Wilfley

2020-Current year OA Pubs

BACKGROUND: Internalized weight stigma (IWS) is highly prevalent and associated with deleterious mental and physical health outcomes. Initiatives are needed to address IWS and promote effective coping and resilience among individuals who are exposed to weight stigma. We conducted a systematic scoping review of the literature on psychological interventions for IWS and explored their intervention components, feasibility, acceptability, and preliminary efficacy at reducing IWS and related negative physiological and psychological health outcomes.

METHODS: Eight databases were searched. Inclusion criteria included: (1) Psychological intervention; (2) Published in English; and (3) Included IWS as an outcome. Exclusion criteria included: (1) Commentary or …

Building Capacity In Dissemination And Implementation Research: The Presence And Impact Of Advice Networks, Allison J L'Hotta, Rebekah R Jacob, Stephanie Mazzucca-Ragan, Russell E Glasgow, Sharon E Straus, Wynne E Norton, Ross C Brownson

2020-Current year OA Pubs

BACKGROUND: As dissemination and implementation (D&I) research increases, we must continue to expand training capacity and research networks. Documenting, understanding, and enhancing advice networks identifies key connectors and areas where networks are less established. In 2012 Norton et al. mapped D&I science advice and collaboration networks. The current study builds on this work and aims to map current D&I research advice networks.

METHODS: D&I researchers in the United States (US) and Canada were identified through a combination of publication metrics, and key persons identified networks and were invited to participate (n = 1,576). In this social network analysis study, participants …