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Articles 1141 - 1170 of 5875
Full-Text Articles in Medicine and Health Sciences
Influence Of Social Media On Mothers’ Decision-Making Regarding Vaccinations, Wendy Michele Patterson
Influence Of Social Media On Mothers’ Decision-Making Regarding Vaccinations, Wendy Michele Patterson
Walden Dissertations and Doctoral Studies
This study involved determining why mothers hesitate to vaccinate their children and where they get their information about vaccinations. This descriptive qualitative study guided by the health belief model explored the influence social media has on mothers’ perceived barriers to vaccinating their children. A descriptive qualitative approach was used, and one-on-one audio interviews were conducted via Zoom or in person with 19 participants. Participants were mothers 19 or older, had children between zero and 18, made medical decisions for their children who resided in their household, and sought information about vaccinations via healthcare providers, social media platforms, friends, or family. …
Hiv Preventive Care Services For Pregnant Women In Kenya Before And During The Covid-19 Pandemic, Modesta Vesonder
Hiv Preventive Care Services For Pregnant Women In Kenya Before And During The Covid-19 Pandemic, Modesta Vesonder
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic significantly affected access to prenatal and postnatal care services for pregnant women living with HIV (PWLHIV) in counties in the Central, Eastern, and Rift Valley regions of Kenya. Many PWLHIV in some counties in Kenya faced challenges in accessing treatment services. In urban counties such as those in the Central region, HIV preventive care services were accessed with minimal disruption. Counties in the semi-arid of Eastern and Central regions experienced some disruptions in the provision of HIV preventive care services for PWLHIV. The periods under consideration were before the COVID-19 pandemic (2019) and during the COVID-19 pandemic …
Type 2 Diabetes As A Risk Factor For The Development Of Cognitive Dysfunction In U.S. Adults, Bobbi Johnson
Type 2 Diabetes As A Risk Factor For The Development Of Cognitive Dysfunction In U.S. Adults, Bobbi Johnson
Walden Dissertations and Doctoral Studies
There is no consensus as to whether having type 2 diabetes increases an individual’s risk for developing cognitive dysfunction. Though cognitive dysfunction is considered a risk factor for type 2 diabetes, it is also classified as a newly formed diabetes-related complication. The purpose of the study was to evaluate if self-reported healthcare – diagnosed diabetes has any association in the risk of the development of cognitive dysfunction in individuals living with type 2 diabetes. Self-determination theory served as the theoretical framework. The research questions concerned whether (a) an association exists between diabetes and cognitive dysfunction, (b) ethnicity plays a vital …
Assessing The Effectiveness Of Treatment Programs Among Veterans With Opioid Use Disorder In New York State, Olatoye Oluwaseyi Itaniyi
Assessing The Effectiveness Of Treatment Programs Among Veterans With Opioid Use Disorder In New York State, Olatoye Oluwaseyi Itaniyi
Walden Dissertations and Doctoral Studies
New York State (NYS) is home to millions of veterans and has the fifth-largest veteran population in the country. Veterans represent a vulnerable population and are at higher risk for mental and physical health struggles. The focus of this quantitative study was to assess if there is any significant difference between pre- and post-OUD 24-hour detoxification treatment services, residential/rehabilitation treatment services, ambulatory outpatient treatment services, frequency of opioid use at discharge, and mental disorder among veterans with opioid use disorder in NYS when controlling for age, gender, race, and marital status. The study utilized the harm reduction framework and the …
Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee Jodean Jacobson
Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee Jodean Jacobson
Walden Dissertations and Doctoral Studies
With the current nursing shortage, finding ways to increase nursing retention in graduate nurses can help ease the shortage. Self-efficacy is a factor that contributes to an individual’s well-being and can affect their professional accomplishments. The purpose of this study, guided by Bandura’s theory of self-efficacy, was to identify instructor characteristics that may impact student perceived self-efficacy in the clinical setting. Bandura identified self-efficacy as a factor that contributes to an individual’s well-being as a whole and can affect their professional accomplishments. A sample of 19 nursing students who were enrolled in a clinical course were recruited and completed the …
The Relationship Between Social Risk Factors And Pre-Term Births In Hawai’I, Rina Therese Ramos Amposta
The Relationship Between Social Risk Factors And Pre-Term Births In Hawai’I, Rina Therese Ramos Amposta
Walden Dissertations and Doctoral Studies
Premature birth remains the leading cause of neonatal death and is associated with birth defects and long-term health morbidities. Hawai’i, with dominant Pacific Islander, Asian, and White populations, ranks 18th amongst the states with the highest rate of preterm birth. Guided by the social ecological model, the purpose of this quantitative, cross-sectional research study was to determine the extent of the association of social risk factors and preterm birth in the state of Hawai’i for the years 2012-2015 using the Hawai’i Pregnancy Risk Assessment and Monitoring Systems (PRAMS). Preterm birth in Hawai’i from 2012- 2015 was found to be 17% …
Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo
Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo
Walden Dissertations and Doctoral Studies
About 80% of active tuberculosis (TB) cases are caused by untreated latent tuberculosis infection (LTBI), with most being foreign-born United States residents. Despite the availability of preventive therapies, African immigrants living in the United States are hesitant to accept LTBI treatment. Although researchers have explored LTBI treatment hesitancy among foreign-born United States citizens, no study has explored the perspectives of African immigrants living in the United States. This generic qualitative study explored the perception of African immigrants living in the United States on LTBI treatment hesitancy. Participants’ inclusion criteria include those 18 years and older with a positive TB test, …
Impact Of Covid-19 On Opioid Misuse, Mental Health, And Substance Abuse Treatment Of Adults, David Stephen Reed
Impact Of Covid-19 On Opioid Misuse, Mental Health, And Substance Abuse Treatment Of Adults, David Stephen Reed
Walden Dissertations and Doctoral Studies
The purpose of this quantitative cross-year comparison of two cross-sectional studies was to examine whether there is an impact of the COVID-19 pandemic on opioid misusers seeking mental health and substance abuse treatment, taking into consideration the social, ecological, and economic factors of age, gender, poverty status, and county of residence metropolitan status. The theoretical foundations of this study are the social-ecological framework in terms of the geographic and economic impacts, and the structural and social determinants of health framework to examine the influences of economic and community on individual behaviors, to answer the research questions while controlling for the …
A Clinical Practice Guideline On Dyslipidemia Screening In Children, Nadine Touayem Mbou
A Clinical Practice Guideline On Dyslipidemia Screening In Children, Nadine Touayem Mbou
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Nadine Mbou 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. Deborah Lewis, Committee Chairperson, Nursing Faculty Dr. Elizabeth Diener, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The burden of dyslipidemia among children has increased substantially, affecting approximately 7% of adolescents in the United States. Although pediatric dyslipidemia screening can promote early identification, a standardized clinical practice guideline (CPG) …
The Relationship Between Ultrarunning Status, Subjective Well-Being, And Life Satisfaction, Raquel Ramirez Hernandez
The Relationship Between Ultrarunning Status, Subjective Well-Being, And Life Satisfaction, Raquel Ramirez Hernandez
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic resulted in a rise in mental health challenges across the United States. Consequently, two important well-being measures for Healthy People 2030—subjective well-being and life satisfaction—were negatively impacted. A plethora of evidence exists about the benefits of running for physical and mental health. Yet, there is no available evidence that shows the benefits of ultrarunning, subjective well-being, and life satisfaction. This quantitative cross-sectional study examined the relationship between ultrarunning status, subjective well-being, and life satisfaction among adult runners in the United States. The advanced triangle of epidemiology served as the conceptual framework. A convenience sample included 369 adult …
The Relationships Among Economic Support And Hypertension And Diabetes Among The Adult Jamaican Population, Andrea Wolfe
The Relationships Among Economic Support And Hypertension And Diabetes Among The Adult Jamaican Population, Andrea Wolfe
Walden Dissertations and Doctoral Studies
A significant number of adult Jamaicans have been diagnosed with diabetes and hypertension, and individual socioeconomic status (SES) has been linked to these health outcomes. SES included income, education and employment. Income may directly influence health; however, some individual’s income may not be sufficient to cover all financial obligations and income support may be necessary. Local or overseas family members may significantly augment an individual’s income and financial situation that could affect health outcomes. This quantitative cross-sectional study was used to examine whether there were relationships between health outcomes (hypertension and diabetes) and economic support (governmental and familial). The Jamaica …
Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters
Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters
Walden Dissertations and Doctoral Studies
Factors such as geographical location/proximity and exposure to external environmental events, as well as poor regulatory processes, are known to increase the risk for cancers among affected populations. There is still a gap in the literature related to the incidence of cancers in specific regions with heavy industrialization and environmental health hazards. In West Virginia, chemical contamination events have occurred in or near water systems. The goal of this quantitative, retrospective study was to discover whether there were any differences in the incidence of disease or adverse health effects and cancers due to chemical contamination in four counties (Kanawha, Mingo, …
Examining The Relationship Between Patient Engagement With Digital Inhaler Technology And Asthma Control, Tanisha D. Hill
Examining The Relationship Between Patient Engagement With Digital Inhaler Technology And Asthma Control, Tanisha D. Hill
Walden Dissertations and Doctoral Studies
Asthma is a chronic lung disease that has significant public health and economic impact. Nonadherence to asthma medications can lead to poor treatment response and poor asthma outcomes. Digital health technologies have been shown to improve asthma medication adherence as well as asthma outcomes. The purpose of this quantitative research study was to examine the relationship between patient characteristics and mobile app engagement and the relationship between patient engagement with a digital inhaler app and asthma control in adult patients with uncontrolled asthma who were assigned to use a digitally enabled asthma medication and accompanying app for asthma therapy. Several …
Improving Nurses’ Communication Skills Using The Situation-Background-Assessment-Recommendation Model, Leslie Gonzalez
Improving Nurses’ Communication Skills Using The Situation-Background-Assessment-Recommendation Model, Leslie Gonzalez
Walden Dissertations and Doctoral Studies
Lack of effective communication among health care providers results in negative health outcomes, low patient satisfaction, and compromised patient safety. An educational intervention to improve communication skills was implemented with staff including licensed practical nurses, registered nurses, and nurse practitioners. The project was implemented and evaluated for improved patient outcomes and satisfaction. The framework for the project was the situation-background-assessment-recommendation (SBAR) model. Pre- and postimplementation surveys were used to assess nurses’ knowledge of the effectiveness of SBAR on communication skills and patient satisfaction. Descriptive statistics and inferential analysis, including the Wilcoxon sign test, were employed to analyze pre- and postintervention …
Risk Factors For Hepatitis A Hospitalizations And Mortality In Kentucky's 2018 Hepatitis A Outbreak, Tanya Campbell
Risk Factors For Hepatitis A Hospitalizations And Mortality In Kentucky's 2018 Hepatitis A Outbreak, Tanya Campbell
Walden Dissertations and Doctoral Studies
In 2018, the state of Kentucky faced an outbreak of Hepatitis A virus (HAV), which led to a significant increase in HAV cases, hospitalizations, and fatalities. The social-ecological model (SEM) was used in a cross-sectional design to identify the factors associated with this outbreak. This approach employed secondary data extracted from the National Notifiable Disease Surveillance System (NNDSS). Logistic regression was used to test hypotheses determining homelessness, drug use, and HAV vaccine status were related to HAV hospitalizations. There was a statistically significant association between the covariate age and HAV hospitalization (p = 0.004), and between homelessness and hospitalization (p < .001); however, associations between drug use and HAV vaccine status were not statistically. Intervention programs should target homeless populations; such targeting can lead to a reduction in HAV infections and HAV outbreaks. Implications for positive social change include motivation for policymakers and public health officials to assist in curtailing hospitalization and mortality rates caused by HAV in high-risk groups. Targeted prevention and intervention measures can mitigate the incidence of HAV in high-risk populations and enhance their health prospects.
The Experience Of Remediation For At-Risk, Pre-Licensure Baccalaureate Student Nurses, Nicole Jager
The Experience Of Remediation For At-Risk, Pre-Licensure Baccalaureate Student Nurses, Nicole Jager
Walden Dissertations and Doctoral Studies
At-risk students face academic challenges that can affect nursing program progression. Remediation strategies can increase student success. The research problem addressed through this study is a lack of information surrounding the students' remediation experience in an at-risk, pre-licensure baccalaureate student nurse population. Individualizing remediation to the student population can increase success; however, the student perspective is needed to correctly identify and tailor the remediation activities to fit the students’ needs. The purpose of this descriptive qualitative study was to explore the experience of remediation among at-risk, pre-licensure baccalaureate student nurses. Mezirow's transformative learning theory grounded this study. The research design …
Psychological Experiences Of Medical-Surgical Nurses Who Cared For Covid-19 Patients., Cecilia Dapilah
Psychological Experiences Of Medical-Surgical Nurses Who Cared For Covid-19 Patients., Cecilia Dapilah
Walden Dissertations and Doctoral Studies
: The outbreak of COVID-19 caused unparalleled pressure that brought healthcare facilities and healthcare staff to their knees across the globe, causing multiple deaths and economic despondency. Several studies have documented the effects of COVID-19 on healthcare workers and facilities, but none have addressed the problem from the psychological perspectives of medical-surgical nurses, especially in developing countries. This study explored the psychological experiences of medical-surgical nurses who cared for COVID-19 patients in developing countries. The theoretical foundation that informed this study was the Schachter-Singer’s theory of emotions. A descriptive qualitative design used purposeful sampling to interview 10 medical-surgical nurses. Their …
Using Nurse-Assisted Telemedicine To Reduce Healthcare System Utilization By Rural Congestive Heart Failure Patients, Melissa Diehl Weidner
Using Nurse-Assisted Telemedicine To Reduce Healthcare System Utilization By Rural Congestive Heart Failure Patients, Melissa Diehl Weidner
Walden Dissertations and Doctoral Studies
Congestive heart failure (CHF) is among the most common reasons for emergency room utilization and hospitalizations in those over age 65. With the rapidly aging population in the United States, the number of CHF patients is projected to continue to rise, disproportionately affecting rural communities. This research study evaluated an innovative nurse-led telemedicine program developed by one rural healthcare system to address the care and economic influence of rural CHF care. The purpose of this causal comparative analysis was to determine the impact a nurse-assisted telemedicine program had on the number of emergency room visits and hospital admissions for CHF …
Relationship Between Knowledge, Years Of Licensure, And Attitudes Of Midwives About Female Genital Mutilation And Its Prevalence Among Their Patients In Bawku, Ghana, Frank Debrah
Walden Dissertations and Doctoral Studies
Female genital mutilation (FGM) is one of the hindrances to girls' development. FGM is often a rite of passage between childhood and adulthood. This cross-sectional study examined the relationship between the knowledge, years of licensure, and attitudes of midwives regarding FGM and the prevalence of FGM among their patients in Bawku, Ghana. Bronfenbrenner's social ecological model served as the theoretical framework to describe the link between midwives' knowledge, attitude, years of licensure, and FGM prevalence. The knowledge and attitude of midwives were classified as exosystem factors. Hence, their direct interaction with patients is likely to affect the patient's practice of …
Perceptions Of Patient-Healthcare Provider Relationships In The Management Of Type 2 Diabetes, Desiree D. Lacey
Perceptions Of Patient-Healthcare Provider Relationships In The Management Of Type 2 Diabetes, Desiree D. Lacey
Walden Dissertations and Doctoral Studies
The patient-healthcare provider relationship (PPR) is the foundation of clinical care: it is established as a human relationship and has a profound effect on health outcomes. Though PPR has been studied in multiple health domains, there is very little on its role in managing Type 2 diabetes mellitus (T2DM). The purpose of this phenomenological qualitative research study was to better understand the challenges faced by healthcare providers (HCP) and T2DM patients within the clinical PPR for diabetes selfmanagement. The health belief model served as the theoretical framework and the diabetes self-management education program as the conceptual framework. Participants were recruited …
Understanding Nurses' Experience Of The Covid-19 Pandemic Through The Lens Of Trauma, Grace Simmons
Understanding Nurses' Experience Of The Covid-19 Pandemic Through The Lens Of Trauma, Grace Simmons
Walden Dissertations and Doctoral Studies
The destructive effects of the trauma experienced by nurses during the COVID-19 pandemic left nurses with long-term psychological and physical effects that impaired their ability to effectively care for their patients, their families, and themselves. Although researchers have described the nurses’ experiences using generalized psychological and physiological trauma-related symptomatology, none have grounded their studies within the context of trauma theory. The purpose of this qualitative descriptive study was to explore the lived experience of nurses caring for critically ill COVID-19 patients during the pandemic through the lens of trauma theory. The constructivist self-development theory (CSDT) provided the framework for understanding …
The Investigation Of Collaboration Among First-Year Bachelor Of Science Nursing Students, Christie Marie Cavallo
The Investigation Of Collaboration Among First-Year Bachelor Of Science Nursing Students, Christie Marie Cavallo
Walden Dissertations and Doctoral Studies
Despite the benefits of collaboration, first-year nursing students prefer not to work together. It was important to find out why nursing students do not want to collaborate. The purpose of this study was to discover first-year nursing students’ and faculty’s perceptions of how instructor-created opportunities for collaboration contributed to first-year nursing students’ collaboration. Using Wenger’s communities of practice (CoPs) model as a lens, the data were explored using a qualitative explanatory case study approach. This study consisted of individual interviews of 12 first-year nursing students and nursing faculty. Inclusion criteria included students enrolled in or faculty teaching first year of …
Risk And Preventive Factors Of Asthma In Children In Texas, Yvonne A. Deen
Risk And Preventive Factors Of Asthma In Children In Texas, Yvonne A. Deen
Walden Dissertations and Doctoral Studies
No abstract provided.
Predictors Of Prep Uptake By Black Gay And Bisexual Men In Ohio, Ade Elisha
Predictors Of Prep Uptake By Black Gay And Bisexual Men In Ohio, Ade Elisha
Walden Dissertations and Doctoral Studies
No abstract provided.
Role Of Pregnancy Intention And Substance Use In Postpartum Depression Among Black Women, Asaye Birhanu Mekonnen
Role Of Pregnancy Intention And Substance Use In Postpartum Depression Among Black Women, Asaye Birhanu Mekonnen
Walden Dissertations and Doctoral Studies
No abstract provided.
Impact Of Preexisting Hypertension And Demographic Factors On Pandemic-Era Anxiety Using The Coronavirus Anxiety Scale, Chukwuemeka Ogbonnaya Okpom
Impact Of Preexisting Hypertension And Demographic Factors On Pandemic-Era Anxiety Using The Coronavirus Anxiety Scale, Chukwuemeka Ogbonnaya Okpom
Walden Dissertations and Doctoral Studies
No abstract provided.
Clinical Competence In Evaluating The Consistent Use Of The Criteria For Post-Acute Levels Of Care Guideline, Oluwademilade O. Evbuomwan
Clinical Competence In Evaluating The Consistent Use Of The Criteria For Post-Acute Levels Of Care Guideline, Oluwademilade O. Evbuomwan
Walden Dissertations and Doctoral Studies
No abstract provided.
Spatial-Temporal Variation Of Diarrhea And Associated Sociobehavioral Factors Between 2010-2020 In Rwanda, Amans Ntakarutimana
Spatial-Temporal Variation Of Diarrhea And Associated Sociobehavioral Factors Between 2010-2020 In Rwanda, Amans Ntakarutimana
Walden Dissertations and Doctoral Studies
No abstract provided.
Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt
Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt
Walden Dissertations and Doctoral Studies
No abstract provided.
Nurses’ Attitudes And Knowledge Differences Toward Pain In Patients With Sickle Cell Disease, Peggy Boyd
Nurses’ Attitudes And Knowledge Differences Toward Pain In Patients With Sickle Cell Disease, Peggy Boyd
Walden Dissertations and Doctoral Studies
No abstract provided.