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Articles 1051 - 1080 of 5875
Full-Text Articles in Medicine and Health Sciences
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 …
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 …
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 …
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 …
Staff Education Program To Enhance Patient Handover Communication, Olufemi Olawale
Staff Education Program To Enhance Patient Handover Communication, Olufemi Olawale
Walden Dissertations and Doctoral Studies
Patient handover communication is the process that occurs when nurses transfer responsibility for patient care and give status reports to nurses who are assuming care of the patient. The practice problem at the project site was the gap in quality, accuracy, and completeness of information that was shared during the handover process. The purpose of this project was to develop, implement, and evaluate a staff education program on effective communication handover between nurses and care providers. The practice-focused question for this project was: Will a staff education project increase nurses’ and clinicians’ knowledge and competency with using the situation, background, …
Improving Nursing Communication Through Handoff Tool Education: A Staff Education Project, Linda Holt Anderson
Improving Nursing Communication Through Handoff Tool Education: A Staff Education Project, Linda Holt Anderson
Walden Dissertations and Doctoral Studies
The common practice of handoff of care communication is an integral part of patient care. However, ineffective handoff communication is associated with significant risks to patient outcomes. The issue of ineffective handoff of care is a local practice problem as well as a national issue. Strategies including standardized verbal, written, and electronic clinical handoff tools are emerging. However, many nurses are not knowledgeable regarding use of these standardized handoff of care tools. Therefore, the practice-focused question for this doctoral project asked whether an educational program on use of a standardized handoff tool could increase nursing knowledge as compared pre- and …
Effects Of Nursing Faculty Incivility On Nursing Student Attrition, Amber Solheim
Effects Of Nursing Faculty Incivility On Nursing Student Attrition, Amber Solheim
Walden Dissertations and Doctoral Studies
Incivility in nursing academia can occur with various people in the role of the perpetrator or victim, including students, faculty, and healthcare professionals in clinical settings. Nursing faculty incivility towards students may lead to nursing student attrition in practical nursing or associate degree programs. The purposes of this study, guided by Bandura’s social learning theory and Tajfel’s social identity theory, were to determine if there is a (a) difference in perceived faculty incivility in nursing students who withdraw from nursing school and nursing students who do not withdraw and (b) the difference in the levels of perceived faculty incivility between …
Clinical Practice Guideline On Evaluating The Effectiveness Of Venipuncture Arm Simulation, Drena D. Belland
Clinical Practice Guideline On Evaluating The Effectiveness Of Venipuncture Arm Simulation, Drena D. Belland
Walden Dissertations and Doctoral Studies
Venipuncture is an integral process in clinical care, and it has an indispensable role in diagnostics and determining therapeutic interventions. The process of phlebotomy has faced several challenges that have compromised patients’ safety. The risk of incorrect venipuncture, or preanalytical errors, leading to severe patient complications of hematoma and thrombosis calls for training using current, evidence-based practices. The goal of this project was to develop a clinical practice guideline (CPG) to determine the efficacy of venipuncture simulation training using an arm task trainer to enhance the phlebotomy skills of nurses. Based on the outcome, present, state, test model and Nightingale’s …
A Staff Education Program On Managing Covid-19 In A Correctional Setting, Mary Catherine Knight
A Staff Education Program On Managing Covid-19 In A Correctional Setting, Mary Catherine Knight
Walden Dissertations and Doctoral Studies
The medical departments of many correctional facilities were unprepared to manage the COVID-19 pandemic. The practice problem identified for this doctorate of nursing practice (DNP) project was the lack of knowledge of health staff on managing incarcerated individuals' care during a pandemic. The primary purpose of the project was to develop, implement, and evaluate a staff education program on evidence-based interventions for preventing and managing a pandemic in a correctional facility. This project was guided by David Kolb's experiential learning theory and the analysis, design, development, implementation, and evaluation (ADDIE) model. The practice setting was a local detention center in …
Educating Nurses On How To Mentor Newly Hired Licensed Practical Nurses, Tamika Tamara Johnson
Educating Nurses On How To Mentor Newly Hired Licensed Practical Nurses, Tamika Tamara Johnson
Walden Dissertations and Doctoral Studies
The lack of mentorship for licensed practical nurses (LPN) in long-term care facilities can be stressful and challenging for a new hire nurse. Recognizing that mentoring is essential to achieve employee satisfaction, higher retention rates and the well-being of residents, the objective of this doctorate in nursing practice project was to create a staff education program and mentorship manual. Knowles’s adult learning theory; Benner’s novice to expert model; and the analysis, design, development, implementation, and evaluation model served as the framework for developing the DNP project. The project was guided by the following question: Does a mentorship-focused educational intervention increase …
Determinants Of Testicular Cancer Survival Rates In American Indian/Alaska Natives, Mufaya Nganzi
Determinants Of Testicular Cancer Survival Rates In American Indian/Alaska Natives, Mufaya Nganzi
Walden Dissertations and Doctoral Studies
Testicular cancer is the most common solid tumor among male young adults between 15 to 34 years old. Despite progress with the testicular cancer survival rate, American Indians or Alaskan Natives (AI/ANs) have the highest mortality rate of testicular cancer compared to all other racial groups in the United States. There is a shortage of reported studies on social-related factors that affect the survival rate of testicular cancer patients among AI/ANs. The purpose of this study was to examine the association between stage at diagnosis, treatment, insurance status, and marital status as independent variables and the survival rate (in months) …
The Influence Of Individual Characteristics On Human Immunodeficiency Virus Testing In Puerto Rico, Jose Au Lay
The Influence Of Individual Characteristics On Human Immunodeficiency Virus Testing In Puerto Rico, Jose Au Lay
Walden Dissertations and Doctoral Studies
In 2016, there were 17,072 people living with HIV in Puerto Rico. Most HIV cases were among men, with the primary mode of transmission identified as men who have sex with other men followed by heterosexual contact. Among women, heterosexual contact was the primary mode of HIV transmission. The rise in the numbers of individuals infected with HIV through heterosexual contact suggest the prevalence of high-risk sexual behaviors including multiple sexual partners and unprotected vaginal and anal sex. Guided by the health belief model, the purpose of this study was to explore the relationship between the likelihood of HIV testing …
Obese African American Women’S Perceptions Of Transition From College To Workforce, Alea Lycorish
Obese African American Women’S Perceptions Of Transition From College To Workforce, Alea Lycorish
Walden Dissertations and Doctoral Studies
The rate of obesity continues to rise among adults in the United States, and African American (AA) women are at greater risk in comparison with any other group. This matter has become an alarming public health crisis. Obese AA women also face a higher risk of discrimination in the workforce. The purpose of this qualitative, multiple case study was to increase the understanding of the perceptions and experiences of bachelor degree educated, overweight AA women during the postgraduate phase, who entered the workforce within the past 10 years. The theoretical framework used in this study was Crenshaw’s intersectionality theory. The …
Examining Coping Mechanisms Among Teachers And Administrators After Experiencing Gun Violence At School, Tracey Yvonne Holt
Examining Coping Mechanisms Among Teachers And Administrators After Experiencing Gun Violence At School, Tracey Yvonne Holt
Walden Dissertations and Doctoral Studies
According to recent research, gun violence at schools has become a public health issue. Teachers, administrators, students, and communities are trying to cope with the aftermath of gun violence at schools. The purpose of this qualitative phenomenological study was to identify coping mechanisms among teachers and administrators after experiencing gun violence at school. The theoretical framework was the transactional model of stress and coping, contending that a person’s capacity to cope and adjust to challenges and problems is a consequence of transactions. Data collection included Zoom interviews with 10 participants. Findings from coding and thematic analysis indicated that experiencing gun …
Evaluating The Communication And Accountability Of Nurses In The Clinic Setting, Emily Baarz
Evaluating The Communication And Accountability Of Nurses In The Clinic Setting, Emily Baarz
Walden Dissertations and Doctoral Studies
Research has demonstrated the importance of effective communication and its relationship to positive patient, provider, and organizational outcomes. In the local organization, nursing staff verbalized concerns regarding lack of professional communication that may contribute to a hostile work environment and affect the quality of patient care delivered. To address this concern, the organization implemented a staff education program focused on effective communication practices and level of accountability. The purpose of this quality improvement project was to determine if the educational intervention focused on effective communication practices and level of accountability increased the participants’ perceptions of communication and accountability among nursing …
Concussions And Their Relationship With Cheerleading, Jazmin Hampton
Concussions And Their Relationship With Cheerleading, Jazmin Hampton
Walden Dissertations and Doctoral Studies
Concussions are a major public health issue that impacts a variety of persons. Cheerleading is an emerging popular sport that has seen increased participation. Minimal information about cheerleading and concussions is known. This study aimed to investigate sustaining a concussion as a cheerleader while accounting for demographics (age, race, and gender), mechanism of injury, and injury setting. The precaution adoption process model was the theoretical framework for this study. Chi-square analysis and binary logistic regression were applied to address research questions. Data from 3,536 patients were obtained from the 2018-2022 National Electronic Injury Surveillance System. Findings indicated there were associations …
Education For Nursing And Primary Care Providers On Nonpharmacological Management Of Chronic Pain, Ma Teresita Gonzales De Jesus
Education For Nursing And Primary Care Providers On Nonpharmacological Management Of Chronic Pain, Ma Teresita Gonzales De Jesus
Walden Dissertations and Doctoral Studies
Chronic pain is one of the leading causes of disability worldwide, with a significant financial burden on those individuals affected, the communities, the healthcare systems, and the government. Chronic pain also interferes with individuals’ daily activities and alters the quality of life. The treatment for chronic pain includes a variety of medications, including prescription opioids and nonprescription such as NSAIDS, acetaminophen, and muscle relaxants. Pharmacological treatments can result in untoward effects. The CDC has recommended nonpharmacological alternative treatment modalities that promote self-management but are not emphasized or utilized in the primary care setting. The staff education program was framed within …
The Worry Of Food Insecurity And The Manifestation Of Generalized Anxiety In Relation To Perceived Health Status, Ramona Lynnette Taylor
The Worry Of Food Insecurity And The Manifestation Of Generalized Anxiety In Relation To Perceived Health Status, Ramona Lynnette Taylor
Walden Dissertations and Doctoral Studies
This study examined the association between the worry of food insecurity and the manifestation of generalized anxiety, and how these factors related to perceived health status among adults aged 18 years and older in the U.S. The study controlled demographic factors such as gender, age, race, and education. Utilizing data from the 2019 National Health Interview Survey (NHIS), a binomial logistic regression analysis was employed. The findings indicated a significant association between those persons who often worry about food insecurity, severe (OR = 7.324, p < .001) and frequent generalized anxiety (OR = 5.185, p < .001) suggesting that individuals who worry about food insecurity have higher odds of experiencing severe and frequent (more than 3 times per week) generalized anxiety. Furthermore, both the worry of food insecurity in persons not sure (OR = 0.120, p = 0.004) and generalized anxiety (OR = 0.623 for severe anxiety, p = 0.009) were found to be significantly associated with lower perceived health status. These results suggest a potential association between worry about food insecurity and negative impacts on mental health and perceived overall well-being. Overall, these findings underscore the significant impact of food insecurity on mental health. Further research, including experimental and longitudinal studies, is necessary to elucidate the causal relationship between food insecurity and the manifestation of generalized anxiety in order to impact positive social change.
Association Between High Health Literacy, Doctor's Recommendation, And Prostate Cancer Screening Among Men In The United States, Felicia Njideka Akunna
Association Between High Health Literacy, Doctor's Recommendation, And Prostate Cancer Screening Among Men In The United States, Felicia Njideka Akunna
Walden Dissertations and Doctoral Studies
To efficiently identify and prevent the advancement of prostate cancer and decrease mortality rates, it is crucial to examine the impact of health literacy. Despite potential advantages associated with enhanced health literacy and early detection, the United States continues to witness a significant rise in both new prostate cancer cases and mortality rates, emphasizing the severity of the condition. However, it is unclear if those with high health literacy are discouraged from participating in prostate cancer screening due to the risks associated with screening. Based on the stimulus organism response model, 2016 Behavioral Risk Factor Surveillance System data were analyzed …
Staff Education To Enhance Healthcare Providers' Use Of The Phq-9 Assessment Tool, Priscilia Nguh
Staff Education To Enhance Healthcare Providers' Use Of The Phq-9 Assessment Tool, Priscilia Nguh
Walden Dissertations and Doctoral Studies
Depression is a common mental health issue that has a substantial impact on people’s well-being and healthcare results. While there is ample evidence of depression’s harmful impact, the difficulty of accurate diagnosis remains. Inadequate screening of depression in primary health clinics results in treatment delays. The PHQ-9 is a tool to diagnose depression, however many clinicians are unfamiliar with its use. As a result, individuals susceptible to depression may not receive timely appropriate management, leading to poor health outcomes and higher healthcare utilization. This practice focused project aimed to understand if staff education would improve healthcare providers’ knowledge regarding use …
Socioeconomic Determinants And Maternal Mortality In Liberia, Monee Sherman
Socioeconomic Determinants And Maternal Mortality In Liberia, Monee Sherman
Walden Dissertations and Doctoral Studies
High rates of pregnancies and childbirth contribute to a heightened risk of maternal mortality among women between 15 and 49 in Liberia. Most women are uninformed about their maternal risk behaviors, symptom severity, and delayed care-seeking. The mortality rate for women between 25 and 34 during pregnancy and childbirth is unacceptably high. The highest increase in maternal mortality rates is seen among women between 40 and 44 who choose to delay motherhood. In Liberia, the deaths of 4.5 women a day are caused by complications during pregnancy and childbirth. We examined the influence of participant background characteristics, socioeconomic factors, and …
Educating Nursing Staff On Urinary Tract Infections, Eldarada Rosamay Searcy
Educating Nursing Staff On Urinary Tract Infections, Eldarada Rosamay Searcy
Walden Dissertations and Doctoral Studies
The primary objective of this doctor of nursing practice (DNP) project was to educate staff on urinary tract infection (UTI) prevention. A gap in practice was identified among nursing staff at an assisted-living facility who lacked current, evidence-based knowledge. This project was conducted to determine whether educating staff on UTI prevention increased their knowledge. Knowles’s adult learning theory and the analysis, design, development, implementation, and evaluation model were used as the theoretical framework that guided this project. Eighty-eight healthcare workers at the project site voluntarily participated in this project. Before the education session, a 10-question, multiple-choice pretest was administered to …
Exploring Lived Experiences Of Mothers Raising Children With Down Syndrome In Western Nigeria, Vivian N. Aruwajoye
Exploring Lived Experiences Of Mothers Raising Children With Down Syndrome In Western Nigeria, Vivian N. Aruwajoye
Walden Dissertations and Doctoral Studies
Having a child with Down syndrome (DS) negatively impacts mothers’ health and well-being. Families raising a child or children with DS encounter significant financial burdens, inadequate support services, and cultural influences, which have adverse effects on the families. The purpose of this phenomenological qualitative study was to understand the accessibility and utilization of support services through the lived experiences of Western Nigerian mothers raising children with DS. The study involved 10 mothers who were recruited using a purposive sampling technique. Data were collected through semi-structured interviews via Zoom and observational notes. Thematic analysis was guided by Bronfenbrenner's ecological model. NVivo …