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Articles 1831 - 1860 of 5875
Full-Text Articles in Medicine and Health Sciences
The Relationship Between Allied Health Therapy Leaders In Hospitals And Patient Satisfaction, Dickson Rodriguez
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 …
Digital Strategies To Improve The Performance Of Pharmaceutical Supply Chains, Manish Shashi
Digital Strategies To Improve The Performance Of Pharmaceutical Supply Chains, Manish Shashi
Walden Dissertations and Doctoral Studies
Some supply chain managers at pharmaceutical companies lack strategies to digitalize integrated supply chain systems impacting their profitability. Digitalized supply chain management in a pharmaceutical company can help reduce operation costs, improve assets, enhance shareholders’ value, positively respond to customer demand, and generate profits. Guided by the theory of constraints, the purpose of this qualitative multiple case study was to explore strategies some pharmaceutical managers use to digitalize integrated supply chain systems to increase their profitability. The participants were five managers from four pharmaceutical companies in New Jersey with strategies to digitalize their integrated supply chain systems. Data collection included …
Addressing Procedure Cancellation In Elective Surgeries, Vicky Marie Deuboue
Addressing Procedure Cancellation In Elective Surgeries, Vicky Marie Deuboue
Walden Dissertations and Doctoral Studies
When conducting elective surgeries, one of the challenges that healthcare providers experience is procedure cancellation. Across various healthcare settings, practitioners are employing relevant strategies to reduce the prevalence of procedure cancellations. The gap addressed in this project was the impact of calling patients to remind them to stay away from NSAIDs and blood thinners a few days prior to elective surgeries to avoid procedure cancellation. The administration of NSAIDs and blood thinners within that period may result in excessive bleeding in patients, which requires attention to improve elective surgery procedure outcomes. Erroneous administration of blood thinners too close to surgical …
Attitudes And Perceptions Of Nursing Graduates Regarding Interest In Gerontological Nursing Practice, Sonia Millicent Donaldson
Attitudes And Perceptions Of Nursing Graduates Regarding Interest In Gerontological Nursing Practice, Sonia Millicent Donaldson
Walden Dissertations and Doctoral Studies
AbstractAn ongoing increase in the number of older adults means an increased need for specialized health care, creating, in turn, a need for an increase in nurses in the United States to meet the demand. However, there is a problem in that nursing graduates, from the time they are students, do not choose geriatric-gerontological nursing (GN) as is practiced in long-term care and some specialty areas or units. The purpose of this basic qualitative study was to explore nursing graduates’ perceptions of GN as a field for professional practice and to determine how interest in GN may be encouraged. The …
Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel
Weight Management Among Postpartum African-Born Immigrant Women In Texas, Ethel Emehel
Walden Dissertations and Doctoral Studies
The growing population of postpartum African-born immigrant women has contributed significantly to the high burden of obesity and poor maternal health outcomes in the state of Texas; however, there is little research on this population. The purpose of this transcendental phenomenological study was to explore the lived experiences of weight management among postpartum African-born immigrant women in Texas based on the concepts of the health belief model. Semistructured interviews sparked the life experience of postpartum weight management of African-born immigrant women ages 18–45 who had a baby within the last year and suffered postpartum overweight or obesity. Interviews were audio-recorded …
Focused Surrogate Decision-Maker Identification In The Traumatically Injured Adult, Kelly Ann Evans
Focused Surrogate Decision-Maker Identification In The Traumatically Injured Adult, Kelly Ann Evans
Walden Dissertations and Doctoral Studies
AbstractPatients in the trauma care setting are often dependent on their families and physicians to decide medical treatments when they cannot participate in the process.But in up to one-third of cases, the surrogate decision-maker (SDM)selected by the patient is not the emergency contact listed in the electronic medical record (EMR).SDM identification and documentation will ensure that the patient is best represented by someone who knows their values and goals if they become incapacitated.Nurses can facilitate identifying a patient’s SDM and document this choice in the EMR.The purpose of this study was a staff education program to improve intensive care unit …
Development Of Staff Education On Improved Compliance Adherence In Sleep Apnea, Mayla F. Garcia
Development Of Staff Education On Improved Compliance Adherence In Sleep Apnea, Mayla F. Garcia
Walden Dissertations and Doctoral Studies
The increasing prevalence of sleep disorders such as obstructive sleep apnea (OSA) affects approximately 25% of adults in the United States and an estimated 34% of men and 17% of women in the primary care population. In the clinical project site, the practice problem involved the increasing clinicians’ knowledge about OSA and being able to implement screening tools for further treatment and evaluation. The purpose of this project was to develop an educational training and intervention for staff to increase their knowledge of OSA conditions and have it validated by a panel of experts before dispersing it to the intended …
Policies That Support Emergency Department Staff In Providing Behavioral Health Care, Lizabeth Lepp Hennig
Policies That Support Emergency Department Staff In Providing Behavioral Health Care, Lizabeth Lepp Hennig
Walden Dissertations and Doctoral Studies
A significant portion of individuals with a behavioral health (BH) condition return to emergency departments (ED) seeking care, resulting in reduced quality of care, and contributing to disproportionate healthcare costs. Care can be improved and return visits to the ED reduced where behavioral health care and follow-up care planning are provided as part of their treatment. However, policies expected to create declines in ED use for behavioral conditions are typically in short duration or are difficult to use given other funding and policy constraints. With little known about how policy is supporting the engagement of ED staff who are critical …
A Comparison Of Treatment Outcomes Among Pediatric Hispanic Clients Using And Not Using Language Interpretation Services, Mohamed Khalif
A Comparison Of Treatment Outcomes Among Pediatric Hispanic Clients Using And Not Using Language Interpretation Services, Mohamed Khalif
Walden Dissertations and Doctoral Studies
Many families immigrating to the United States come fleeing adverse conditions in their home countries. Conditions such as war, political oppression, and economic hardship frequently result in a need for mental health services. This includes not only the adults in the family but also the children. However, because of their limited English proficiency, their access to mental health services frequently requires the use of interpretive services (IS). The body of knowledge on the use of IS in counseling is limited. The use of IS must be seen from a cultural perspective, hence Ridley et al.’s process model of multicultural counseling …
The Risk Factors For Hiv In African American Transgender Women In Connecticut, Oliver Kunda
The Risk Factors For Hiv In African American Transgender Women In Connecticut, Oliver Kunda
Walden Dissertations and Doctoral Studies
AbstractThe human immunodeficiency virus (HIV) incidence rate is 70 times higher for African American transgender women than in the general population. Despite decades of outreach and intervention effort to reduce HIV incidence in the transgender community by the lesbian, gay, bi-sexual, transexual, queer, plus (LGBTQ+) community and public health organizations, the HIV prevalence rate for transgender women remains high at 38%. The purpose of this qualitative exploratory case study was to gain insights into how attitude, subjective social norms, and perceived behavioral control influence HIV risk behaviors of African American transgender women in Connecticut. Ajzen’s theory of planned behavior provided …
Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson
Experiences Of African American Female Offenders On Parole And Under Community Supervision, Shirley Lawson
Walden Dissertations and Doctoral Studies
African American female offenders on parole under community supervision reenter communities as convicted felons and face the challenges of intersectionality and collateral consequences. The purpose of this descriptive phenomenological qualitative study was to explore the experiences of African American female offenders active on parole and under community supervision. General strain theory was used to explore the experiences of African American female offenders on parole and under community supervision. Data were collected through semi-structured telephone interviews with a purposive sample of 10 African American female offenders, ages 18 and above who were on parole and under community supervision. Colaizzi’s seven-step method …
Creating A Clinical Practice Guideline For Patients With Uncontrolled Hypertension, Nar'cissa Mcdonald
Creating A Clinical Practice Guideline For Patients With Uncontrolled Hypertension, Nar'cissa Mcdonald
Walden Dissertations and Doctoral Studies
Cardiovascular disease is the leading cause of death globally, with hypertension (HTN)the primary causal factor. The nursing professions' role as a critical agent in facilitating the management of patients should be based on best practices. No specific standard exists in the United States for nurses despite the publication of Clinical Practice Guidelines (CPGs) on HTN for adults. A gap in practice was identified in an outpatient primary care clinic located on the Gulf Coast of Mississippi, as there is no comprehensive CPG for nurses to provide patients with complete HTN diagnosis and management care. A literature review revealed that clinical …
An Evidenced-Based Nursing Education Discharge Plan For Prescription Opioids, Josephine J. Messelmani
An Evidenced-Based Nursing Education Discharge Plan For Prescription Opioids, Josephine J. Messelmani
Walden Dissertations and Doctoral Studies
The reported number of prescription opioid overdoses justifies the need for providing patients with opioid discharge information and follow-up care as recommended. To prevent any misuse of prescription opioid drugs, it was critical for patients to receive a thorough review of their medications prior to being discharged. The purpose of the project was designed to educate nurses on the importance of delivering essential information to patients prescribed opioids. Implementation of an opioid discharge plan integrated with the teach back method increased patients’ understanding of how to properly take prescription opioids compared to the patients who did not receive opioid education …
Experiences Of Nurses Who Provide Advance Care Planning In The Dialysis Setting, Sheree Mullen
Experiences Of Nurses Who Provide Advance Care Planning In The Dialysis Setting, Sheree Mullen
Walden Dissertations and Doctoral Studies
AbstractPatients diagnosed with end-stage renal disease (ESRD) receiving dialysis experience increased symptom burden and multiple hospitalizations as the disease progresses. Dialysis nurses are charged with involving ESRD patients in decisions regarding their care and advance care planning for end-of- life; however, discussions about end-of-life care do not consistently occur. Providing advance care planning is important to involve the patient in their end-of-life care needs. The purpose of this qualitative descriptive study guided by the theory of planned behavior was to explore the experiences of nurses who provide advance care planning to patients receiving dialysis therapy. Eight participants volunteered to participate …
Use Of The Hester Davis Falls Risk Assessment Scale In Medical-Surgical Patients, Gideon M. Nyakundi
Use Of The Hester Davis Falls Risk Assessment Scale In Medical-Surgical Patients, Gideon M. Nyakundi
Walden Dissertations and Doctoral Studies
AbstractIdentifying and containing patient falls before they happen, reporting fall occurrence, and analyzing fall causes could increase patient safety to achieve the triple aim of improved quality, reduced cost, and accessibility in healthcare. Patient falls within the medical-surgical population continue to present challenges to patients, families, hospitals, and society, despite the use of fall-related predictive analysis tools. The purpose of this quantitative study was to determine the extent to which the overall score on the Hester Davis Falls Risk Assessment Scale (HDS), comprised of patient-related factors such as medications, volume/electrolyte status, age, last known fall date, mobility, toileting needs, communication/sensory …
Food Insecurity In Oncology Patients: An Educational Intervention For Nurses, Chinelo Pernilla Onwuazombe
Food Insecurity In Oncology Patients: An Educational Intervention For Nurses, Chinelo Pernilla Onwuazombe
Walden Dissertations and Doctoral Studies
AbstractFood insecurity is not having enough food or resources or not being able to procure nutritious foods. An observation that nurses in one oncology clinic rarely assessed their patients for food insecurity as part of their regular assessment led to the development and testing of an educational intervention for nurses which was to create awareness on the importance of assessing food insecurity among oncology patients and to learn to use the Household Food Insecurity Assess Scale (HFIAS) in assessing patients. Summative evaluation was done using a pre/and posttest. The Maslow’s hierarchy of needs and the Virginia Henderson nursing need theories …
Knowledge And Experiences Of African American Women With Polycystic Ovary Syndrome, Kristy L. Vance
Knowledge And Experiences Of African American Women With Polycystic Ovary Syndrome, Kristy L. Vance
Walden Dissertations and Doctoral Studies
While polycystic ovary syndrome (PCOS) is a nationwide phenomenon, African American or Black women often have little to no information on the education and support available to manage the condition. PCOS is one of the most poorly understood disorders among patients which has led to limited resources and management. The lack of education could contribute to increased risks to many health issues for African American women with PCOS. The purpose of this basic qualitative study was to explore and examine the level of health knowledge related to PCOS among African American women living in or around the Northern Region of …
Understanding Obesity In The Workplace From The Nursing Manager’S Perspective, Francis Taiwo Akinmoladun
Understanding Obesity In The Workplace From The Nursing Manager’S Perspective, Francis Taiwo Akinmoladun
Walden Dissertations and Doctoral Studies
AbstractLike other individuals from diverse backgrounds, nurses who work in nursing homes are susceptible to becoming overweight. The way that others see and respond to the overweight person also may vary and even result in some level of discrimination. The purpose of this study was to explore the perspective of nurse managers about obese staff in the workplace. A qualitative phenomenological descriptive study design was used, guided by the theory of interpersonal relations and the relational leadership framework, to examine the lived experiences of managers working with obese nurses in nursing home settings in a large metropolitan region in the …
Nontraditional Former Bachelor Of Science Nursing Students’ Perceptions Of Academic And Social Support Services, Teresa Cowan
Nontraditional Former Bachelor Of Science Nursing Students’ Perceptions Of Academic And Social Support Services, Teresa Cowan
Walden Dissertations and Doctoral Studies
Higher education has responded to the nursing shortage by adopting academic and social support services that have increased student retention and promoted higher graduation rates. The purpose of this basic qualitative study was to explore the perceptions of experiences that led nontraditional former Bachelor of Science in Nursing students at a career college to switch from their nursing program to another program within the first 2 years of college, which has contributed to the nursing shortage. This study also explored the perceptions of the participants about the influences, if any, that academic and social support services at the college had …
Identification, Treatment, And Management Of Patients With Suicidal Ideation On The Medical-Surgical Unit For Nurses, Renea Crawford
Identification, Treatment, And Management Of Patients With Suicidal Ideation On The Medical-Surgical Unit For Nurses, Renea Crawford
Walden Dissertations and Doctoral Studies
Suicide and suicidal ideations are among the leading causes of death in the United States. The Joint Commission identifies inpatient suicide as a sentinel event that should never happen. Nurses working on the medical/surgical (M/S) unit in a hospital located in the midwestern region of the United States voiced their concern that they were not prepared to recognize the signs that may indicate an escalating emotional situation in patients with suicidal ideation; in addition, there were no guidelines in the hospital to use as a resource. The purpose of this project was to determine whether an evidence-based (EB) clinical practice …
The Lived Experiences Of Group Practice Ownership By Female Licensed Professional Counselors, Ashley Garrett
The Lived Experiences Of Group Practice Ownership By Female Licensed Professional Counselors, Ashley Garrett
Walden Dissertations and Doctoral Studies
The U.S. counseling profession is mostly female, with many practitioners interested in starting their own business. However, little is known about women’s lived experiences of owning a group counseling practice. An interpretative phenomenological analysis approach was used to explore the lived experiences of six female licensed professional counselors who have owned a group counseling practice for at least 5 years. Phenomenology and feminist theory provided a framework for the study. Eight themes emerged from the study: (a) factors associated with the decision to create a group practice, (b) a continuum of preparatory engagement for group practice ownership, (c) the influence …
Systematic Review Of Physiologic Assessment Measures For Mobility Readiness Of Adult Patients In Critical Care, Brenda Kepley Hardin-Wike
Systematic Review Of Physiologic Assessment Measures For Mobility Readiness Of Adult Patients In Critical Care, Brenda Kepley Hardin-Wike
Walden Dissertations and Doctoral Studies
Nurses play a significant role in mobility management, an essential element of care for critically ill adults. However, the current practice of mobility management comes from patient orders without the adoption of an evidence-based physiologic assessment guide to support safe patient mobility resulting in unreliable outcomes. Physiologic stability may change during mobility and unsafe patient mobilization can result in negative patient outcomes that increase patient recovery time. The purpose of this systematic review was to look at the current practice of physiologic assessment measures and then use the findings to influence safe patient mobility practices in intensive care units. The …
Cost-Containment Strategies Used By Hospital Business Leaders For Pharmaceutical Inventory, Julie Carlene Mccaughan
Cost-Containment Strategies Used By Hospital Business Leaders For Pharmaceutical Inventory, Julie Carlene Mccaughan
Walden Dissertations and Doctoral Studies
Ineffective strategies to contain the costs of medical supply inventory can result in financial loss and are a significant challenge for hospital leaders. Grounded in complex adaptive systems theory, the purpose of this qualitative single case study was to explore the cost-containment strategies that private hospital business leaders use to reduce the expense of pharmaceutical inventory. The participants comprised six private hospital business leaders in one healthcare organization in Myanmar. Data were collected from semistructured interviews, internal company documents, and publicly available annual reports. Four themes emerged from Yin’s five-step data analysis method: (a) management controls, (b) specialist engagement and …
Increase Knowledge And Attitude In End-Of-Life For Long-Term Care Nurses, Lisa Mitchell
Increase Knowledge And Attitude In End-Of-Life For Long-Term Care Nurses, Lisa Mitchell
Walden Dissertations and Doctoral Studies
Nurses are key health professionals in long-term care facilities who have an essential role in providing compassionate care at the end-of-life. The customary education that nurses receive in end-of-life care is inadequate to meet the complex care of dying patients. The purpose of this scholarly project was to implement an evidence-based end-of-life educational program to improve the nursing staff knowledge, attitudes towards care of the dying, and standards in long-term care. The theoretical framework to guide this project is Bandura’s self-efficacy to support the confidence and attitude of nurses caring for the dying. The End-of-Life Nursing Education Consortium (ELNEC) Geriatric …
Effects Of Socioeconomic Status, Demographic Characteristics, And Education On Sarcopenic Obesity, Moruf Oladele Olaleye
Effects Of Socioeconomic Status, Demographic Characteristics, And Education On Sarcopenic Obesity, Moruf Oladele Olaleye
Walden Dissertations and Doctoral Studies
The general problem is that although the body of research about obesity is robust, there is a lack of research addressing the problem of sarcopenic obesity. Specifically, there is a lack of research examining the statistical significance of the relationship between the independent variables of socioeconomic status, demographic characteristics, and education and the dependent variable of sarcopenic obesity. This research may advance practice and policy by lending support for developing interventions to address factors that have a statistically significant relationship with sarcopenic obesity. The purpose of this quantitative causal-comparative study was to identify independent variables among socioeconomic, demographic, and education …
Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli
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 …
Servant Leadership On Burnout Among Physicians In Residency Training, Karen Grant-Hewitt
Servant Leadership On Burnout Among Physicians In Residency Training, Karen Grant-Hewitt
Walden Dissertations and Doctoral Studies
Physicians in residency training (PIRTs) in the United States are facing extreme burnout. The prevalence of burnout among physicians in residency training may cause adverse consequences such as medical malfeasance, alcoholism, or suicide due to physical and mental exhaustion. The purpose of this study was to analyze the servant leadership style of physician trainers and burnout among PIRTs in academic medical centers in the United States to ultimately increase wellness and thereby mitigate burnout. Servant leadership was the theoretical foundation for this study. This research investigated whether servant leadership characteristics of physician trainers played a statistically significant role in burnout …
Nursing Health Care Leadership Strategies To Reduce Homeless Patient 30-Day Readmission Rates, Shavonda L. Greene
Nursing Health Care Leadership Strategies To Reduce Homeless Patient 30-Day Readmission Rates, Shavonda L. Greene
Walden Dissertations and Doctoral Studies
AbstractAdult homeless patient 30-day readmission is a concern for nursing healthcare leaders who still have problems in providing effective strategies for revisit reduction in various acute care settings across the United States. The purpose of this quantitative comparative study was to examine the association between nursing healthcare leadership strategies, 30-day homeless patient readmission rates, and hospital discharge rates at hospitals in California. The theoretical foundation for the research study was Pender’s health promotion model theory, which identifies preventative health measures and describes the critical function of nurses in helping patients to prevent illness by self-care and bold alternatives. Research questions …
Age And Experience As Factors For Predicting Emotional Intelligence In Nurse Managers, Patricia Gursky
Age And Experience As Factors For Predicting Emotional Intelligence In Nurse Managers, Patricia Gursky
Walden Dissertations and Doctoral Studies
Emotional intelligence (EI) is defined as the capacity to recognize and manage emotions and feelings to guide behaviors which is an ability that is crucial for nurse mangers to possess. Understanding the key factors for predicting emotional intelligence in nurse managers may influence hiring practices and the appointment of managers who will influence job satisfaction, employee engagement, retention, and turnover. The purpose of this quantitative predictive correlational study, guided by King’s theory of goal attainment and Mayer and Salovey’s four-branch ability model of EI, was to determine whether age, years of experience as a nurse, and years of experience as …
Primary Care Provider Education On Behavioral Interventions For Management Of Adult, Rose Chinasa Kajuru
Primary Care Provider Education On Behavioral Interventions For Management Of Adult, Rose Chinasa Kajuru
Walden Dissertations and Doctoral Studies
The high prevalence of obesity continues to pose significant health challenges globally. According to the U.S. Preventive Service Task Force, obesity affects more than 35% of men and 40% of women in the United States. The national annual cost of medical care related to obesity is estimated at $147 to $210 billion. Intensive behavioral interventions in adults with obesity can lead to clinically sufficient improvements. The project aimed to determine if the current evidence-based clinical guideline of behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults would improve primary care providers’ knowledge of adult obesity management. The …