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Articles 1861 - 1890 of 6102

Full-Text Articles in Medicine and Health Sciences

The Impact Of Telemedicine Availability On Fatal Opioid Overdose Rates In Texas, 2020, Cara W. Hall Jan 2022

The Impact Of Telemedicine Availability On Fatal Opioid Overdose Rates In Texas, 2020, Cara W. Hall

Walden Dissertations and Doctoral Studies

AbstractSubstance use disorders (SUDs) and fatal overdoses are a significant problem in the United States. A viable and effective method for treating SUDs is through telemedicine (tele-SUD) visits. Tele-SUD visits are an effective means of meeting with patients virtually, especially in the post-COVID-19 environment; however, a problem in health care exists concerning the availability of tele-SUD services in middle America. The purpose of this study was to investigate the impact of tele-SUD availability on rates of opioid overdose deaths in the state of Texas. Donabedian’s model of health care quality evaluation was used as the theoretical framework. A quantitative, independent …

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Staff Education For Implementation Of A Mobile Phone App For Diabetes Self-Management, Iheoma Christiana Madubuike Jan 2022

Staff Education For Implementation Of A Mobile Phone App For Diabetes Self-Management, Iheoma Christiana Madubuike

Walden Dissertations and Doctoral Studies

AbstractDiabetes is a global public health problem responsible for increased healthcare costs, altered quality of life, and significant morbidity and mortality. Mobile applications have become an effective lifestyle modification tool for ongoing individual diabetes monitoring and management; however, the project site had not been using this technology with their diabetes patients. Guided by the chronic care model, this staff education project explored the likelihood that clinicians in a family practice group in the Southeast region of the United States would implement a mobile application for their patients following an evidence-based education session. The staff education project was developed using evidence …

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Oral Health Behaviors, Attitudes, And Dental Diseases In Native American/Alaskan Native School-Age Children, Tawanda Martin Jan 2022

Oral Health Behaviors, Attitudes, And Dental Diseases In Native American/Alaskan Native School-Age Children, Tawanda Martin

Walden Dissertations and Doctoral Studies

Dental disease is a highly preventable pediatric disease, and 70% of Native American/Alaskan Native (NA/AN) preschool children have a history of dental caries, which is 3.5 times higher than in the general population. This study aimed to conduct a meta-analysis examining the impact of oral health behaviors and attitudes of NA/AN parents and guardians on dental disease in NA/AN school-age children. The impact of frequency of flossing and brushing, consumption of sugary foods, dental visits, dental attendance reason, sealants, fluoride treatment, and oral health education by NA/AN parents and guardians on children’s caries and periodontal diseases status was explored. Additionally, …

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Generational-Cohorts And Mental Health Help-Seeking Behavior Intentions In Law Enforcement Officers, Victoria Mccann Jan 2022

Generational-Cohorts And Mental Health Help-Seeking Behavior Intentions In Law Enforcement Officers, Victoria Mccann

Walden Dissertations and Doctoral Studies

Law enforcement is a high-stress, high-risk occupation that can lead to mental health issues. These issues can affect law enforcement officers and the level of service they provide to the public. Traditionally, officers have been found to be resistant to seeking help for their mental health. It was hypothesized that generational turnover may be impacting this positive change found in recent research. The purpose of this quantitative study was to explore the effect of generational cohorts on officers' mental health help-seeking behaviors. The core concepts of the Theory of Planned Behavior (attitudes, subjective norms, internal perceived behavioral control, external perceived …

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Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin Jan 2022

Staff Nurse Education On Best Practices For Preventing Blood-Borne Pathogen Exposures, Moriohunmubo Grace Omonayin

Walden Dissertations and Doctoral Studies

Blood-borne pathogens (BBPs) are an occupational risk confronted by many health care workers. Nurses are routinely exposed to Hepatitis B, Hepatitis C, and human immunodeficiency virus. A literature review, which included retrieval of peer-reviewed quantitative articles, systematic reviews, and mixed-methods studies published between 2014 and 2021 supported the need for nurses to be knowledgeable about prevention of BBP exposures and the processes to follow after an incident. The project aimed to educate staff nurses on the best practices for preventing the risk for and transmission of BBPs. A pretest–education–posttest format was used to assess knowledge before and after the presentation …

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Therapeutic Music Effectiveness In Managing Anxiety And Depression Feelings In Cancer Patients, Aida L. Ramos Jan 2022

Therapeutic Music Effectiveness In Managing Anxiety And Depression Feelings In Cancer Patients, Aida L. Ramos

Walden Dissertations and Doctoral Studies

AbstractWith the emergence of advances in health care technology, increased life expectancy has exacerbated the manifestation of chronic disease states such as cancer. The side effects of cancer treatments can lead to feelings of depression and anxiety, which can be as devastating as disease process. Many studies have provided evidence supporting the practice problem, therapeutic music effectiveness in managing anxiety and depression feelings in cancer patients. Available pharmacological treatments may result in additional side effects that may outweigh the benefits of their use. Current systematic reviews of literature demonstrating the effectiveness of therapeutic music use as a non-pharmacological thera-peutic adjunct …

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End-Of-Life Care For African Americans: A Staff Education Project, Oneika Natasha Rigby-Britton Jan 2022

End-Of-Life Care For African Americans: A Staff Education Project, Oneika Natasha Rigby-Britton

Walden Dissertations and Doctoral Studies

Increased knowledge is needed among long-term care facility staff members regarding end-of-life care services. There is a gap in staff knowledge regarding how to initiate education about these care services with patients and family members and how these services impact patient care and health outcomes, especially among the African American residents in long-term care facilities. The practice-focused question addressed in this project was whether staff education increased the staff members’ knowledge about end-of-life care and how to initiate conversations with African American patients and families on available services. The development of this staff education project used Roger’s diffusion of innovation …

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Lived Experiences Of Support Among Parents Of Children With Acute Lymphoblastic Leukemia During The Covid-19 Pandemic, Laxmi Seth Jan 2022

Lived Experiences Of Support Among Parents Of Children With Acute Lymphoblastic Leukemia During The Covid-19 Pandemic, Laxmi Seth

Walden Dissertations and Doctoral Studies

AbstractReceiving a cancer diagnosis for one’s child is a traumatic experience for any parent. Acute lymphoblastic leukemia (ALL) is the most prevalent form of leukemia in children. Treatment-related issues can negatively affect quality of life and cause long-term emotional, social, and financial stress for the parents. The world faced the COVID-19 pandemic in 2020. While professional support was available for the parents caring for their children undergoing ALL treatment during the pandemic, how these parents experienced support, including through social media, was unknown. Investigating parents’ lived experiences of support, including social media support, during COVID-19 pandemic, was the focus of …

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Comprehensive Sex Education, Religious Affiliated Organizations, And Std Knowledge Among Young Adults, Leslie Marie Shaffer Jan 2022

Comprehensive Sex Education, Religious Affiliated Organizations, And Std Knowledge Among Young Adults, Leslie Marie Shaffer

Walden Dissertations and Doctoral Studies

AbstractEvery year there are approximately 20 million new cases of sexually transmitted diseases (STDs) in the United States, and half of these are among young adults. Stark County, Ohio recently experienced an increase in chlamydia, gonorrhea, and syphilis cases among 18- to 24-year-old individuals. Public health practitioners have since called for research regarding factors that affect STD knowledge and perceptions in this population. This cross-sectional study was guided by the social-ecological model and assessed the association between attendance at a religious-affiliated institution, access to comprehensive sex education, and STD knowledge. One hundred thirty-eight (n=138) participants, aged 18 to 24 years, …

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Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli Jan 2022

Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli

Walden Dissertations and Doctoral Studies

AbstractNurses who work in the critical care unit are more likely to experience work-related stress, fatigue, understaffing, undesirable performance outcomes, and compromised workplace safety than general care nurses. Nurse managers in these units possess insights into nurses' stress-inducing challenges, in addition to managerial and administrative perspectives. Yet there is a lack of available knowledge about the experiences of critical care nurse managers in addressing nurses' work-related stress. The purpose of this study was to explore critical care nurse managers’ experiences of potential strategies to effectively address work-related stress among nurses. The job-demand resource model was the theoretical framework for the …

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Nursing Staff Education On Depression And Screening In The Perinatal Period, Lenora Dianne Woolary Jan 2022

Nursing Staff Education On Depression And Screening In The Perinatal Period, Lenora Dianne Woolary

Walden Dissertations and Doctoral Studies

AbstractPerinatal depression is among the most common of mental illnesses a woman experiences during pregnancy and postpartum. Currently, in the Federally Qualified Health Center, patients are only screened at the postpartum visit while the evidence-based literature recommends screening in the prenatal period as well thus creating a gap in practice. The purpose of this project was to address this gap through the planning, implementation, and evaluation of a staff education project on perinatal depression and screening. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the project was guided by two questions: (a) What evidence in …

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Comparative Effectiveness Study Of Acute Ischemic Stroke Care Between Stroke Belt And Non-Stroke Belt Hospitals Using The Get With The Guidelines-Stroke Program, Michael Earl Brown Jr Jan 2022

Comparative Effectiveness Study Of Acute Ischemic Stroke Care Between Stroke Belt And Non-Stroke Belt Hospitals Using The Get With The Guidelines-Stroke Program, Michael Earl Brown Jr

Walden Dissertations and Doctoral Studies

Stroke is a leading cause of mortality in the United States, particularly in a cluster of states termed the stroke belt. This study examined the efficacy of the Get With The Guidelines (GWTG)-Stroke program in stroke belt hospitals (SBHs) compared to non-stroke belt hospitals (NSBHs) regarding disparities related to mortality and acute ischemic stroke (AIS) treatment (i.e., recombinant tissue-type plasminogen activator [r-tPA] rates, Door-to-Needle [DTN], Door-to-Imaging [DTI]). Use of the GWTG-Stroke program was assessed to determine if SBHs and NSBHs were quantitatively equivalent in terms of specific core stroke measures. This quantitative employed an equivalence study design with over 2.9 …

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Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen Jan 2022

Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen

Walden Dissertations and Doctoral Studies

The prevalence of obesity among children and adolescents has markedly increased in several developed countries in recent years. Researchers have examined different factors that contribute to overweight and obesity in children and adolescents but have not fully explored the psychological impact of obesity on this population. The effectiveness of nutrition education programs in addressing the effects of obesity is also understudied. The primary purpose of this evaluative case study was to examine the impact of the Harvest of the Month nutritional educational program, which was adopted by San Diego County public schools in 2005, on the nutritional habits and psychosocial …

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Providers’ Perspectives On Barriers Associated With Repeat Teen Pregnancies In Rural Southeastern United States, Vanessa Iheoma Iheanachor Jan 2022

Providers’ Perspectives On Barriers Associated With Repeat Teen Pregnancies In Rural Southeastern United States, Vanessa Iheoma Iheanachor

Walden Dissertations and Doctoral Studies

Teen (or adolescent) pregnancy remains a significant public health problem in the United States. Rapid repeat pregnancy, defined as any pregnancy that occurs within 24 months of a previous birth, has been linked to adverse maternal and neonatal outcomes. The purpose of this quantitative, cross-sectional study was to understand the perceptions of health care providers (HCPs) regarding barriers that influence repeat pregnancies among adolescents in rural southeastern United States. The theoretical framework that guided this study was Urie Bronfenbrenner’s social ecological model. A survey instrument was developed and disseminated to HCPs using Qualtrics, an online survey platform. Data (n=32) were …

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Spirituality-Based Programs For African American Women, Sophelia Predom Kelly Jan 2022

Spirituality-Based Programs For African American Women, Sophelia Predom Kelly

Walden Dissertations and Doctoral Studies

Because spirituality or personal value conflicts might arise between social workers and their clients, the purpose of the study was to understand personal and spirituality value conflicts. The theoretical framework for this study was adult transformative learning theory. The research questions examined how the participants described personal and spirituality value conflicts. Data were collected from interviews with two groups from Houston, Texas; Group 1 represented homeless or previously homeless African American women who self-identified as spiritual but nonreligious, and Group 2 represented White licensed master social workers. Researcher responses to the same interview questions were also recorded. Thematic data analysis …

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Predicting Patient Satisfaction Using Hospital Performance Characteristics, Vanna Lombardi-Gillies Jan 2022

Predicting Patient Satisfaction Using Hospital Performance Characteristics, Vanna Lombardi-Gillies

Walden Dissertations and Doctoral Studies

Performance related to patient satisfaction is becoming a significant factor in determining reimbursement for hospital-based services. Furthermore, consumers are increasingly accessing publicly available quality and patient experience information to make decisions about where to receive care. Understanding which hospital characteristics influence patient satisfaction is critical to the healthcare administrator to ensure the financial viability of the organization and to meet the needs and expectations of the community. Many studies have examined the relationship between a single performance characteristic and patient satisfaction. This secondary data quantitative study used regression analysis to analyze the relationship between three hospital performance characteristics (i.e., the …

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Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates Jan 2022

Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates

Walden Dissertations and Doctoral Studies

The lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) population is at increased risk for depression, poor mental health outcomes, and higher instances of suicidality and reluctance to seek care for mental health issues in comparison to their non-LGBTQ+ peers. The identified gap in practice was the need for an evidence-based clinical practice guideline (CPG) for managing mild to moderate depressive disorder in the LGBTQ+ patient at a primary care clinic located in the southeastern United States. The purpose of this project was to develop a CPG to aid primary care providers in screening for, identifying, and managing mild to moderate …

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Hospital Readmission Reduction Penalties And Chronic Obstructive Pulmonary Disease Readmissions, Anthony Aduro Jan 2022

Hospital Readmission Reduction Penalties And Chronic Obstructive Pulmonary Disease Readmissions, Anthony Aduro

Walden Dissertations and Doctoral Studies

AbstractChronic obstructive pulmonary disease (COPD) is a serious disease that affects the respiratory system, creating poor patient outcomes. Additionally, persons with COPD have higher hospital readmission rates than other patient populations. Not only is hospital readmission indicative of poor patient outcomes, but hospital readmissions are costly to healthcare organizations as well. High readmission rates are associated with wasted resources and money, and negatively impact organizational performance. The Centers for Medicaid and Medicare Services (CMS) implemented the Hospital Readmissions Reduction Program (HRRP) to reduce the rate of avoidable hospital readmissions for diseases including COPD. However, how HRRP penalties have impacted readmission …

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Teach-Back Program To Improve The Quality Of Patient Medication Education, Dawn Africa Jan 2022

Teach-Back Program To Improve The Quality Of Patient Medication Education, Dawn Africa

Walden Dissertations and Doctoral Studies

AbstractInstitutions are invested in improving healthcare providers’ ability to enhance the quality of patient teaching. The teach-back method provides tools and strategies for promoting patient-focused learning and has the potential to increase nurses’ conviction and confidence in teaching patients about their medications. Nurses are not routinely taught how to teach patients, and they usually lack confidence in teaching about medications. This project was developed using the Donabedian model of structure, process, and outcomes. Studies and journal articles were searched through a variety of libraries and online sources, including the internet, using various teach-back and patient literacy combinations of search terms, …

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Critical Care Nurses’ Experiences Of Compassion Satisfaction During A Pandemic, Michael W. Bailey Jan 2022

Critical Care Nurses’ Experiences Of Compassion Satisfaction During A Pandemic, Michael W. Bailey

Walden Dissertations and Doctoral Studies

Nursing shortages caused by burnout (BO) and compassion fatigue (CF) are a concern for nursing leaders in the United States. Researchers have discussed the mediating effect compassion satisfaction (CS) has on BO and CF in current studies; however, no qualitative studies have analyzed the experiences of nurses with CS. A combination of the compassion fatigue resilience model and Roy’s adaptation model were used to guide this study that examined critical care nurses’ lived experiences with CS during the COVID-19 pandemic. Convenience sampling was used to recruit the critical care nurses who participated in semistructured interviews. Data saturation was met after …

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Readiness Of Adolescent And Young Sickle Cell Patients To Transition From Pediatric To Adult Care, Tanisha D. Belton Jan 2022

Readiness Of Adolescent And Young Sickle Cell Patients To Transition From Pediatric To Adult Care, Tanisha D. Belton

Walden Dissertations and Doctoral Studies

Patients with sickle cell disease (SCD) face many challenges as they enter adulthood; therefore, preparing for the transition to adult care is crucial. Assessing the knowledge and skills adolescents and young adults (AYAs) possess before transitioning to adult care can aid in the success of their transition. However, a gap exists regarding factors attributed to guiding patients’ sense of readiness. The purpose of this quantitative study, driven by the theory of self-care management of SCD, was to examine the self-perceived readiness of SCD patients as they prepare to transition to adult care. Cross-sectional survey data were collected from 68 sickle …

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The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark Jan 2022

The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark

Walden Dissertations and Doctoral Studies

Law enforcement officers experience traumatic events that can have an impact on their health and their career. Regardless of the continued research on police and mental health, challenges persist. The stigma is that law enforcement officers are tough and keep their emotions to themselves; however, they are human, like the community they serve. Due to possible consequences related to officers discussing having mental health problems after critical incidents, police officers may be reluctant to seek help due to backlash. Interviews were completed in a two-tier format that led to follow-up questions with surveys specifically related to alcohol and burnout found …

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Strategies To Prevent Medicare Claims Fraud Committed By Speech Pathologists, Joseph Densmore Jan 2022

Strategies To Prevent Medicare Claims Fraud Committed By Speech Pathologists, Joseph Densmore

Walden Dissertations and Doctoral Studies

Fraudulent business activities have the potential for adverse business outcomes. Speech pathology business owners who lack a robust fraud prevention strategy may subject their practices to severe civil and criminal penalties. Grounded in Wilhelm’s eight-stage fraud management lifecycle theory, the purpose of this qualitative multiple case study was to explore strategies speech pathologist business owners used to prevent Medicare claims fraud. The participants were five speech pathologist business owners from three practices in a western U.S. state who successfully implemented fraud prevention strategies. Data were collected using semistructured interviews and reviewing organization policies and procedures manuals. Three themes emerged using …

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The Impact Of Electronic Cigarettes Use On Traditional Cigarette Uses Among U.S. Adolescents, Ismail Mensah Dwumfour-Poku Jan 2022

The Impact Of Electronic Cigarettes Use On Traditional Cigarette Uses Among U.S. Adolescents, Ismail Mensah Dwumfour-Poku

Walden Dissertations and Doctoral Studies

The increased usage of e-cigarettes among adolescents in the United States (U.S.) is a major public health concern. According to the Centers for Disease Control and Prevention (CDC), nicotine, an active ingredient in e-cigarettes, is the most addictive drug in use today. The purpose of the current study was to explore the relationship between smoking of e- cigarettes and the risk of smoking traditional cigarettes among middle and high school students in Grades 6 through 12 in the U.S., and to determine if demographic factors contribute to this predisposition. This, quantitative cross-sectional study used the social ecological model as the …

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Relationship Between Early Years’ Activities Of Daily Living And Alzheimer’S Disease Onset, Linyi Fan Jan 2022

Relationship Between Early Years’ Activities Of Daily Living And Alzheimer’S Disease Onset, Linyi Fan

Walden Dissertations and Doctoral Studies

A few promising studies have indicated that activities of daily life (ADL) may be a useful way of predicting Alzheimer’s Disease (AD). However, the existing cross-sectional studies fail to show how ADLs in early years predict AD, and how social factors influence health either in addition to or in interaction with individual risk factors. Using a social epidemiology framework, this study examined the relationship between early years’ ADL and the development of AD in later years. This quantitative study included 4,526 participants derived from the Health and Retirement Study (HRS) dataset. The dependent variable was whether the participant has been …

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Improving Medication Adherence For African American Patients With Hypertension, Kimberly Fitzgerald Jan 2022

Improving Medication Adherence For African American Patients With Hypertension, Kimberly Fitzgerald

Walden Dissertations and Doctoral Studies

Adherence to antihypertensive medications is essential for positive outcomes in treating hypertension (HTN). But the rate of nonadherence to antihypertensive medications among African Americans (AA) is low. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would assist in improving hypertensive medication adherence in the AA patient population as well as assess whether the CPG would be recommended by a team of content experts for use in their practice. The Hypertension Medication Adherence CPG incorporated the medication adherence model and the transtheoretical model to generate evidence-based interventions. Grading of Recommendations Assessment, Development, and Evaluation …

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Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater Jan 2022

Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater

Walden Dissertations and Doctoral Studies

Rural healthcare leader deficiency in implementing successful strategies to retain nurses can deleteriously impact the quality of patient care and impede the organization's financial performance. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore successful nurse retention strategies used by rural healthcare leaders. Data were collected from semistructured interviews with eight pastoral healthcare leaders in the eastern region of the United States who improved nurse retention and a review of relevant supporting documentation from company websites. Coding was used for data analysis and theme determination. Three themes emerged: effective nurse retention incentives, meaningful relationships …

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Education Of Staff On Promoting Yoga Activities In Women With Depression, Ahaoma Roselima Nnebedum Jan 2022

Education Of Staff On Promoting Yoga Activities In Women With Depression, Ahaoma Roselima Nnebedum

Walden Dissertations and Doctoral Studies

AbstractMajor depression is a serious global health issue and one of the most common mental health problems women face in the United States. The problem in this DNP project, Education of Staff on Promoting Yoga Activities in Women with Depression, was the lack of staff knowledge in using yoga activity to treat women with depression resulting in suboptimal care of women with depression. The DNP project questions were addressed by collecting evidence-based information from the literature to develop the education and to explore if the DNP project would improve the staff knowledge of yoga allowing for the application of the …

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Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit Jan 2022

Educational Level As A Moderator Between Stress And Suicidal Ideation Among Law Enforcement Officers, Sittipong Permsookjit

Walden Dissertations and Doctoral Studies

Law enforcement officers are exposed to occupation-related stress at a level greater than any other occupation, save war combatants, such stress can lead to suicidal ideation. There is a growing trend of suicidal ideation among law enforcement officers. This trend will threaten the stability of society if it is allowed to continue. Educational level has been shown to improve quality of life and is considered a quantitative resource. Using the theoretical framework of appraisal theory, this study’s purpose was to examine the moderating effects of educational level on stress and suicidal ideation among law enforcement officers. A total of 72 …

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The Relationship Between Allied Health Therapy Leaders In Hospitals And Patient Satisfaction, Dickson Rodriguez Jan 2022

The Relationship Between Allied Health Therapy Leaders In Hospitals And Patient Satisfaction, Dickson Rodriguez

Walden Dissertations and Doctoral Studies

AbstractAlthough allied health professions account for 60% of the health care workforce, funding to support training and leadership in the allied health fields remains nominal. The purpose of this quantitative study was to investigate whether there is a relationship between allied health therapy leaders in hospitals and patient satisfaction. The Donabedian model was used as the theoretical framework, as it made it possible to conceptualize the underlying parts and processes that may contribute to poor quality of care for patients receiving healthcare. A quantitative methodology with a cross-sectional design was used to provide quantifiable information to ascertain whether the results …

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