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Articles 1051 - 1080 of 6102
Full-Text Articles in Medicine and Health Sciences
Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo
Staff Education To Use The Mental Health Risk Assessment Tool, Nkeiruka Okwuoma Okonkwo
Walden Dissertations and Doctoral Studies
Suicide/self-harm continues to be one of the most common sentinel events that could result in significant harm or death especially among mental health patients (Mills et al., 2020). Environmental hazards seem to be the primary contributing factor in patient suicide and self-harm cases. Thus, patient suicide remains a safety concern, especially in mental health facilities. It is important that nurses have the knowledge to prevent, identify, assess, and respond appropriately whenever they encounter patients at risk for suicide/self-harm. This Doctor of Nursing Practice (DNP) staff education project focused on educating staff on how to use the Mental Health Environmental Risk …
The Application Of Therapeutic Communication Between Staff And Patients, Aloysius Mokom Tamufor
The Application Of Therapeutic Communication Between Staff And Patients, Aloysius Mokom Tamufor
Walden Dissertations and Doctoral Studies
The practice problem identified was the limited use of therapeutic communication among staff at the project site facility, which was attributed to low knowledge. The purpose of the project was to improve nurses’ knowledge of and intent to use therapeutic communication when interacting with patients with mental health disorders. The question that guided the project was: Does staff education about therapeutic communication improve nurses’ knowledge of and intent to use it when interacting with patients? A sample of 20 healthcare staff, which included advanced practice registered nurses and registered nurses who practiced in a mental health facility completed the education …
Universal Suicide Screening In Outpatient Primary Care And Specialty Care, Tamaria Featherlin
Universal Suicide Screening In Outpatient Primary Care And Specialty Care, Tamaria Featherlin
Walden Dissertations and Doctoral Studies
Native Americans are disproportionately affected by suicide, with mortality rates that are 2.5 higher than White and non-Hispanic Americans. Nursing staff in an Indian Health Service (IHS) outpatient and specialty care clinic inconsistently assess for suicide risk before outpatient and specialty clinic appointments due to sporadic use of screening tools and lack of confidence to ask patients suicide risk screening questions. The purpose of this staff education project was to determine if interactive education of outpatient nursing providers regarding universal screening for suicide risk using the Ask Suicide Screening Questions (ASQ) for patients who are 8 to 11. Patient Safety …
Inclusiveness Of English As A Second Language Nursing Students In The Academic Setting, Bahgat Youwakeem
Inclusiveness Of English As A Second Language Nursing Students In The Academic Setting, Bahgat Youwakeem
Walden Dissertations and Doctoral Studies
This study explored the perceptions of English as a Second Language (ESL) nursing students regarding inclusiveness in nursing programs in the southern United States. The problem addressed is the limited research on how ESL nursing students perceive inclusiveness in academic environments, particularly in the Southern States, where diversity is increasing. Previous studies have focused on the general challenges faced by ESL students, but few have examined their specific perceptions of inclusivity in nursing programs. The purpose of this qualitative phenomenological study, guided by Whannell and Whannell’s identity theory, was to gain insights into ESL nursing students' lived experiences of inclusiveness. …
Staff Education Project For Adult Icu Nurses, Hani Ayyad
Staff Education Project For Adult Icu Nurses, Hani Ayyad
Walden Dissertations and Doctoral Studies
This staff education project is a crucial initiative designed to enhance nursing knowledge and skills in the care of central lines. Its overarching goal is to reduce the incidence of central line-associated bloodstream infections (CLABSI) in a teaching hospital. Given that CLABSIs are a major concern in Intensive Care Units (ICUs), due to higher morbidity, mortality, and healthcare expenditures, this project is very important. My goal was to fill these gaps by providing a comprehensive staff education program addressing this critical issue. The evidence-based practice question (EBP) guiding this Doctor of Nursing Project (DNP) project was: Does the Staff Education …
Lived Experiences Of Low-Income African American Burn Survivors In Greater Washington, Dc, Angela White
Lived Experiences Of Low-Income African American Burn Survivors In Greater Washington, Dc, Angela White
Walden Dissertations and Doctoral Studies
Burn injuries are wounds that affect the skin and other organic tissue, categorized according to the mechanism of injury and brought on by heat, electricity, chemicals, fire, or flames. In the United States, researchers have shown that race and other healthcare inequalities lead to increased burn injuries among African Americans but have yet to explore their lived experiences after sustaining these injuries. This phenomenological study explored perceptions and understanding of the manifestation of burn injuries of seven African American burn survivors. Participants were recruited in health services public waiting areas, community storefronts, mailers, and on Facebook. Data were collected via …
Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant
Pneumonia Pathway’S Effectiveness In Decreasing Length Of Stay In An Acute Care, Marie Carline Hollant
Walden Dissertations and Doctoral Studies
Community-acquired pneumonia (CAP) can be detrimental to patient outcomes. One major challenge affecting care for CAP is hospital length of stay (HLOS), which is associated with multiple factors, mainly comorbid conditions. One way to improve the efficiency of CAP hospital care is the implementation of pneumonia clinical pathways to ensure effectiveness in application of pneumonia treatment and care. This project evaluated the effectiveness of using pneumonia pathways by evaluating HLOS before and after the health care staff in the project site implemented pneumonia pathways. Use of the pneumonia pathways in the project site started in 2021, but there had not …
Impact Of Drinking Water And Sanitation Facilities On Child Mortality In Sierra Leone, Christie Ben-Carew
Impact Of Drinking Water And Sanitation Facilities On Child Mortality In Sierra Leone, Christie Ben-Carew
Walden Dissertations and Doctoral Studies
Water, sanitation, and hygiene (WASH) are viewed as key contributors to the high rates of under-5 child deaths in sub-Saharan Africa. In one of the countries in the region, Sierra Leone, there was an absence of studies on the potential impacts of WASH on child mortality. The purpose of this quantitative study was to examine how variables related to access to toilet facilities and safe drinking water in rural and urban areas of Sierra Leone impact child mortality. Secondary data from the United Nations Children's Fund 2017 Multiple Indicator Cluster Survey (N = 18,006) were analyzed as part of this …
The Lived Experiences Of Work Related Violence Against Public Health Professionals During Covid-19 Pandemic, Cynthia Howell
The Lived Experiences Of Work Related Violence Against Public Health Professionals During Covid-19 Pandemic, Cynthia Howell
Walden Dissertations and Doctoral Studies
Work-related violence (WRV) against public health professionals is increasingly prevalent worldwide but received much greater attention during the COVID-19 pandemic. This qualitative study addressed a gap in the literature by exploring public health professionals' experiences with WRV threats, what factors contributed to their vulnerability, and the severity of these threats during the COVID-19 pandemic from 2020 to 2023. Rogers' (1975) Protection Motivation Theory was the conceptual framework for phenomenological study. Twelve public health professionals, both male and female, including epidemiologists, nurses, physicians, researchers/scientists, and community health workers, who actively worked during the COVID-19 pandemic and were residents of New York …
Marijuana Legalization And Opioid Use Disorder In Ontario, Canada, From 2015 To 2021, Luke Ome Agada
Marijuana Legalization And Opioid Use Disorder In Ontario, Canada, From 2015 To 2021, Luke Ome Agada
Walden Dissertations and Doctoral Studies
This study examined the trends in opioid-related hospitalizations and deaths in Ontario, Canada, from 2015, to 2021, with a particular focus on the periods before and after cannabis legalization. The social problem addressed was the ongoing opioid crisis, exacerbated by rising opioid-related health issues. Grounded in the harm reduction theory, this research explored whether cannabis legalization could serve as a substitute to mitigate opioid use disorder. Data were extracted from the Discharge Database, Emergency Department Database, National Ambulatory Care Reporting System, and Hospital Morbidity Database. Analysis using the generalized estimation equation (GEE) method revealed a significant increase in opioid-related hospitalizations, …
Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin
Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore the experiences of Black women who have received perinatal care in New York City (NYC) community health centers and the perceived impact on their maternal health behaviors and outcomes. Although maternal health care delivery and outcomes among Black women have been explored in research, socially and economically disenfranchised Black women in NYC who rely on community health centers for perinatal care have not been included in this research. This study involved addressing the lack of knowledge of Black women’s experiences with perinatal care in NYC’s community health system and consisted of …
Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus
Abstract Education On Agency For Healthcare Research And Quality Ideal For Health Ministry, Francesse Charles-Cherelus
Walden Dissertations and Doctoral Studies
Education on Agency for Healthcare Research and Quality IDEAL for Health Ministry by Francesse Charles-Cherelus MS, Walden University, 2020 BS, Clayton State University, 2018 Project in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University November 2024 The problem addressed in this project was lack of access to community resources for care of patients with behavioral or mental health conditions. Without adequate resources, patients are at risk for rehospitalization. The purpose of the doctoral project was to develop a staff education program for health ministry staff and evaluate effectiveness to increase staff confidence in …
Examining The Relationship Between Employment And Health Status Among Adults With Autism Spectrum Disorder (Asd) In The United States, Winifred Beckles
Examining The Relationship Between Employment And Health Status Among Adults With Autism Spectrum Disorder (Asd) In The United States, Winifred Beckles
Walden Dissertations and Doctoral Studies
Autism spectrum disorder (ASD), characterized by challenges in social communication and repetitive behaviors, is a developmental disability that impacts over five million adults in the United States. Despite the significant amount of research literature on the association between health and employment in the general population, there remains a gap in research on the relationship between health and employment in adults with autism. Utilizing the Social Ecological Model (SEM) framework, this study examined whether there is a relationship between employment, current living status, non-paid activities, United States Census regions, type of health insurance, and health status when controlling for age, race, …
Racial Bias In The Treatment Decision Of Breast Cancer In African American And Caucasian Women, Hayaat Mariette Amara
Racial Bias In The Treatment Decision Of Breast Cancer In African American And Caucasian Women, Hayaat Mariette Amara
Walden Dissertations and Doctoral Studies
Breast cancer stands as a formidable health challenge in the United States, ranking as the most prevalent and deadly diagnosed cancer and the second leading cause of cancer-related death among women. Of particular concern is the disproportionate impact on African American women, who experience elevated mortality rates compared to other demographic groups. This quantitative study, grounded in critical race theory, investigated whether there is an association between race as well as comorbidity score and first-course treatment plans for breast cancer among women in the State of Georgia, United States, adjusting for the stage of breast cancer, age, and household income. …
Staff Education To Improve Medication Compliance In Older Patients In Home Settings, Chika Ugoala Okwonna
Staff Education To Improve Medication Compliance In Older Patients In Home Settings, Chika Ugoala Okwonna
Walden Dissertations and Doctoral Studies
The Doctor of Nursing Practice (DNP) project was a staff education intervention intended to improve medication adherence at a long-term care facility. The practice gap identified was that staff lacked current evidence-based knowledge in medication compliance. The project addressed whether educating staff on medication compliance would increase knowledge. The purpose of this project was to increase knowledge with the overall goal to improve patient outcomes. Planning strategies included undertaking a strengths, weaknesses, opportunities, and threats (SWOT) assessment of the organization’s readiness. The project involved creating and implementing an in-person 60-minute presentation. Eighteen nursing staff voluntarily participated in the education intervention, …
Factors Affecting The Quality Of Reporting Dispensing Errors Among Pharmacists, Kelley Latrece Lavallais
Factors Affecting The Quality Of Reporting Dispensing Errors Among Pharmacists, Kelley Latrece Lavallais
Walden Dissertations and Doctoral Studies
Medication dispensing errors, which are the inconsistency between the dispensing of medication to the patient against the prescribed medication, continue to be a public health challenge. Many studies have been conducted to examine their causes, including burnout, illegible handwriting, workload, and interruptions. There have also been studies on the types of medication dispensing errors. This study focused on the reporting of errors. The purpose of this quantitative study involving secondary data analysis was to examine the factors affecting the quality of reporting dispensing errors among pharmacists and the seriousness of the adverse events. The social-ecological model served as the theoretical …
Association Between Particulate Matter And Copd Among Adults In Alaska, Adeyemi Samuel Alimi
Association Between Particulate Matter And Copd Among Adults In Alaska, Adeyemi Samuel Alimi
Walden Dissertations and Doctoral Studies
Exposure to high levels of fine particulate matter (PM2.5) is emerging as a crucial risk factor for chronic obstructive pulmonary disease (COPD), a deadly lung disease with a significant public health burden. The Fairbanks North Star Borough (FNSB) in Alaska has one of the worst PM2.5 issues in the United States. The PM2.5 issues in the area are associated with increased wood-burning and temperature inversions in the winter and wildfires in the summer. Given these prevailing PM2.5 issues, this quantitative study was conducted using Alaska BRFSS datasets and a chi-square test to compare the COPD prevalence in the FNSB with …
Reactions To The Mpox Vaccine Regarding Absences And Disruption Of Daily Activities In The United States, Robert Rossi
Reactions To The Mpox Vaccine Regarding Absences And Disruption Of Daily Activities In The United States, Robert Rossi
Walden Dissertations and Doctoral Studies
Since its global outbreak in 2022, the monkeypox (Mpox) virus has infected over 32,000 individuals in the United States, resulting in approximately 58 deaths. Although the JYNNEOS vaccine is effective at disease prevention, it has also been found to cause side effects, such as a disruption in daily activities and/or attendance at work or school. This quantitative, cross-sectional study was conducted to investigate whether differences existed in reactions to the Mpox vaccine, using secondary data from the Centers for Disease Control and Prevention’s V-safe Mpox survey. The two dependent variables were work/school absenteeism and disruption of daily activities, and the …
Evaluation Of An Educational Intervention Focused On Intake And Output Documentation, Ingrid Lea Bloomfield
Evaluation Of An Educational Intervention Focused On Intake And Output Documentation, Ingrid Lea Bloomfield
Walden Dissertations and Doctoral Studies
Heart failure (HF) is the primary reason for hospital admissions in the United States, accounting for almost 6.5 million hospital days per year and for 8.5% of cardiovascular deaths. As part of care delivery and supported by the evidence, providers use intake and output (I&O) to guide a HF patient’s overall treatment plan. Following several reviews in the local organization, it was determined that I&O documentation sheets were incomplete or not completed at all. Thus, organizational leadership determined that an educational intervention focused on I&O monitoring and documentation as part of the HF patient treatment plan would address this gap-in-practice. …
Executive Summary: Clinical Practice Guideline, Bona Eze
Executive Summary: Clinical Practice Guideline, Bona Eze
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project addressed a gap in practice in an outpatient clinic in the Northeastern United States. The gap in practice was a lack of standardized patient education on self-care management strategies for adult patients with diabetes, leading to increased rates of noncompliance, readmission, and poor health outcomes. The guiding question asked whether an expert panel could evaluate and validate a clinical practice (CPG) developed from current, evidence-based literature and recommendations from the American Association of Clinical Endocrinologists and the American Diabetes Association on self-care management strategies for the adult patient with diabetes. The project followed …
Parental Knowledge And Perception Of Obesity And Effect On Feeding Behavior And Child's Weight Status, Fidelia Senayah
Parental Knowledge And Perception Of Obesity And Effect On Feeding Behavior And Child's Weight Status, Fidelia Senayah
Walden Dissertations and Doctoral Studies
Childhood obesity is a significant public health problem that leads to poor health outcomes in affected children, including the potential for developing chronic diseases in adulthood if not addressed at an early stage. While there are several studies on childhood obesity, data on parental obesity knowledge and risk perception as it relates to feeding behavior and child weight outcome is inadequate. No data were found on the topic in Ohio, which has a high rate of childhood obesity and overweight. This study examined how parental obesity risk knowledge and risk perception influenced parental feeding behavior and children’s weight status in …
Demographic Characteristics As Moderators For The Association Between Cigarette Smoking And Type 2 Diabetes Mellitus, Aregash Tewoldeberhan Kidane
Demographic Characteristics As Moderators For The Association Between Cigarette Smoking And Type 2 Diabetes Mellitus, Aregash Tewoldeberhan Kidane
Walden Dissertations and Doctoral Studies
Diabetes mellitus is a major public health problem and is associated with increased morbidity, mortality, and healthcare expenditure in the United States. Several studies have been conducted that showed cigarette smoking is associated with an increased incidence and prevalence of diabetes mellitus (DM); however, there is no published information in the literature on the moderating effects of gender/sex and race/ethnicity on this association. The purpose of this quantitative, cross-sectional study was to address this gap in the literature and examine the association between cigarette smoking and DM and the moderating effect of sex and race/ethnicity on the association between cigarette …
Relationship Between Opioid Treatment And Nonpharmacological Chronic Pain Management Interventions And Perceived Effectiveness Of Managing Chronic Pain In African American Adults, Bona Eze
Walden Dissertations and Doctoral Studies
Chronic pain impacts all areas of life for most Americans, but the issue is particularly salient among African Americans (AAs) as they face adverse pain outcomes. There is little understanding of pain management strategies used by AAs to inform pain management recommendations. The purpose of this study, guided by the COM-B model and biopsychosocial theory, was to determine if there were a relationships between opioid treatment and perceived effectiveness of managing chronic pain in AA adults who are 18 years and older as well as between nonpharmacological interventions (physical therapy, chiropractic care, talk therapy, self-management program, yoga, massage) and perceived …
Relationship Between Household Water Sanitation And Hygiene Behaviors And Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr.
Relationship Between Household Water Sanitation And Hygiene Behaviors And Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr.
Journal of Social, Behavioral, and Health Sciences
Rwanda has made considerable progressive policy efforts to significantly reduce diarrhea among children under 5 years old, especially since 2010. This cross-sectional study aimed to assess the relationship between household water sanitation and hygiene (WASH) behaviors and diarrhea among children under 5 years old between 2010 and 2020. We used secondary data from the 2010, 2015, and 2020 Rwanda Demographic Health Surveys. We used descriptive statistics, pairwise comparisons, and linear regression designs to assess (a) the prevalence of household WASH behaviors across districts, regions, urban areas, and rural areas, (b) the variation of household WASH behaviors over time, and (c) …
Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott
Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott
Walden Dissertations and Doctoral Studies
By 2050, 152 million people worldwide, primarily low-income populations, will have Alzheimer's disease (AD). African American (AA) women informal caregivers are primary caregivers in low-income neighborhoods, and they suffer from burnout and poor health, including physical and mental fatigue, despair, anxiety, hypertension, and stressors that can lead to heart attacks, strokes, or premature mortality. The Informal Caregiver Integrative Model (ICIM) theoretical framework was used to survey 120 participants using SurveyMonkey was administered to collect data for this cross-sectional quantitative study. The multiple hierarchical regression analyses revealed caregiving appraisal had no significant impact on burnout. A higher quality of the caregiver-care …
Perceived Anxiety Disorder Stigma: A Predictive Analysis, Shawn Nabors, Richard J. Cicchetti, Gary Michael Szirony, Craig R. Blum, Sri Banerjee
Perceived Anxiety Disorder Stigma: A Predictive Analysis, Shawn Nabors, Richard J. Cicchetti, Gary Michael Szirony, Craig R. Blum, Sri Banerjee
Journal of Social, Behavioral, and Health Sciences
Anxiety remains one of the most commonly diagnosed mental health disorders. Systemic barriers to mental health treatment persist. Research on anxiety is robust, although research on perceived anxiety disorder stigma is limited. The purpose of this quantitative analysis was to determine whether factors including age, gender, level of education, and presence of a diagnosable anxiety disorder condition would predict perceived anxiety stigma in a population of adults from the Midwestern region of the United States who were in treatment for anxiety. Based on Goffman’s framework, we used the Generalized Anxiety Stigma Scale (GASS) to determine the presence and level of …
The Association Between Race And Obesity After Controlling For Dietary Behaviors Among Adolescents, Jasmine Nicole Williams
The Association Between Race And Obesity After Controlling For Dietary Behaviors Among Adolescents, Jasmine Nicole Williams
Walden Dissertations and Doctoral Studies
Childhood obesity has become a critical global public health concern due to its significant, long-term impact on overall quality of life and physical health. Despite efforts, there is a lack of information that includes all races and ages to combat childhood obesity. This study addressed the association between race and obesity after controlling for dietary behaviors among adolescents in Georgia, using quantitative cross-sectional data from the 2021 Youth Risk Behavior Surveillance System (YRBSS). Guided by the social ecological model, the research investigated how demographic factors and dietary behaviors influence obesity rates. Specifically, the study explored the association between age, race, …
Effectiveness Of Simulation In The Education Of Rns Transitioning Into The Operating Room, Cortney Ann Lupo
Effectiveness Of Simulation In The Education Of Rns Transitioning Into The Operating Room, Cortney Ann Lupo
Walden Dissertations and Doctoral Studies
RNs who are new to the operating room (OR) must gain confidence and clinical reasoning skills to care for individuals undergoing surgery. Training in the OR is stressful but using simulation for training RNs new to the OR may improve clinical reasoning and confidence. The purposes of this two group, repeated measures study, guided by National League of Nursing/ Jefferies simulation theory and Benner’s novice to expert theory, were to determine if there was a difference in (a) clinical reasoning levels of RNs new to the OR who received simulation compared to clinical reasoning levels of RNs new to the …
Pro-Vaccine And Anti-Vaccine Groups. Social Distance And Self-Assessment Of Scientific Skills, Sandrine Gaymard
Pro-Vaccine And Anti-Vaccine Groups. Social Distance And Self-Assessment Of Scientific Skills, Sandrine Gaymard
Journal of Social, Behavioral, and Health Sciences
The social distance scale developed by Bogardus decades ago, which allows us to measure levels of acceptance among members of diverse social, ethnic, or racial groups, has been widely used in different contexts. The objective of this study is to evaluate the social distance accepted by pro-vaccine and anti-vaccine groups. Following the principle of the Bogardus scale, a questionnaire was created regarding different degrees of closeness. Respondents also completed a scientific skills self-assessment. The population consisted of 193 people who declared themselves in favor of vaccination and 41 people who declared themselves against it. Statistical tests show significant differences regarding …
Nurse Educators’ Experiences In Implementing Concept-Based Teaching, Ma Camlaria Felismino
Nurse Educators’ Experiences In Implementing Concept-Based Teaching, Ma Camlaria Felismino
Walden Dissertations and Doctoral Studies
The National League for Nursing called for implementing innovative teaching strategies in nursing education. Concept-based teaching (CBT) is a method that encourages learners to interpret, analyze, and integrate knowledge. Despite reports that CBT improves student outcomes and enhances critical thinking, the adoption of CBT is slow. This qualitative descriptive study, guided by Rogers’s diffusion of innovations theory, explored how nurse educators have experienced implementing CBT. Secondary data were analyzed from interviews conducted with 13 participants. Using constant comparative analysis, seven key themes emerged and were linked to the successful adoption and implementation of CBT: communication, learning from established programs, curriculum …