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Articles 1951 - 1980 of 5875
Full-Text Articles in Medicine and Health Sciences
Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott
Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott
Walden Dissertations and Doctoral Studies
AbstractThe increasing prevalence and incidence of chronic kidney disease (CKD) is a major healthcare burden in developed and developing countries. A gap in nursing practice was identified in a teaching and referral hospital located in Jamaica. Nurses in the organization lacked requisite knowledge and current evidence-based practice guidelines on CKD and therefore could not teach patients diagnosed with CKD. The purpose of this project was to educate nurses regarding the progression of CKD, with the aim of slowing the disease process. This Doctor of Nursing Practice project explored whether educating nurses on the progression of CKD would increase their knowledge …
Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa
Socioeconomic And Health Impact Of Opioid Overuse On Working-Age Population In Minnesota, Colette Ngum Ngwa
Walden Dissertations and Doctoral Studies
Abstract The United States faces numerous challenges associated with the ongoing opioid crisis. Although the opioid epidemic is complex, opioid overuse affects users’ health and has a far-reaching impact on socioeconomic well-being. This study employed a quantitative cross-sectional design using secondary data from a 2018 national survey of working-age individuals ages 18 to 45. Multivariate regression analysis was used to examine the associations between opioid overuse and socioeconomic status, health status, and perceived need for substance abuse treatment. The addiction career concept and chronic illness model theory were used to analyze these correlations. The findings indicated that people with higher …
Experiences Of Women In Sierra Leone Relating To Accessing Breast Cancer Treatment, Anne Neville
Experiences Of Women In Sierra Leone Relating To Accessing Breast Cancer Treatment, Anne Neville
Walden Dissertations and Doctoral Studies
There has been a lack of consistent access to breast cancer care and treatment for women in developing countries, especially in Sierra Leone. Limited access to breast cancer care and treatment is a significant problem for women diagnosed in the later stages of the disease. The purpose of this research was to understand the experiences of women diagnosed with different stages of breast cancer, how they went about accessing breast cancer care and treatment, and how those experiences can be used to improve access to breast cancer treatment in Sierra Leone. Andersen and Newman’s healthcare utilization model guided the study’s …
The Experience And Perception Of Contraceptive Use Among Teenage Girls Living In Lagos, Nigeria, Kikelomo Omotoso
The Experience And Perception Of Contraceptive Use Among Teenage Girls Living In Lagos, Nigeria, Kikelomo Omotoso
Walden Dissertations and Doctoral Studies
AbstractThere is a low level of contraceptive use among Nigerian teenagers, leading to unwanted pregnancies and subsequently unsafe abortions. Sexual activities among teenagers in Lagos, Nigeria, are a major public health problem. The principal factors leading to this health problem are poverty, peer pressure among university students leading to involvement in the sex trade, and early marriage in some cultures. There are myths and perceptions about the use of contraception in society, especially concerning the use of condoms, which Nigerian teenagers believe do not make intercourse interesting or satisfying; these ideas can lead to unwanted pregnancies, sexually transmitted infections (STIs), …
Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado
Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado
Walden Dissertations and Doctoral Studies
For the nursing profession, critical thinking is essential to provide safe and effectivepatient care. While the development of critical thinking skills is a desired outcome for newly graduated baccalaureate nurses, many lack the ability to make critical decisions. The absence of critical thinking among newly graduated nurses may be related to a lack of exposure to the clinical environment during their academic experience. This study explored how critical thinking processes can be affected by different approaches to baccalaureate clinical nursing education in Puerto Rico. A descriptive qualitative approach was used to understand the perceptions of newly graduated baccalaureate nurses regarding …
Relationships Between Stress Self-Management, Social Support, And Health In Hispanic Informal Caregiver Burnout Prevention, Nicole Alexandra Mas Román
Relationships Between Stress Self-Management, Social Support, And Health In Hispanic Informal Caregiver Burnout Prevention, Nicole Alexandra Mas Román
Walden Dissertations and Doctoral Studies
Burnout syndrome is a psychological disorder characterized by physical, emotional, and mental distress and exhaustion resulting in feelings of depression, anxiety, irritability, and negative attitudes. If left unattended, burnout syndrome can lead to new or worsening health outcomes. The purpose of this nonexperimental quantitative study was to examine the relationship between stress self-management, perceived social support, health status, and burden among Puerto Rican informal caregivers. The theoretical foundations for this research were the informal caregiving integrative model and the individual and family self-management theory. Survey data were collected from 415 participants. Multiple regression analyses were performed to determine the relationship …
Type Of Union And Reproductive Health Influence On Domestic Violence In Sierra Leone, Yvonne Rowe
Type Of Union And Reproductive Health Influence On Domestic Violence In Sierra Leone, Yvonne Rowe
Walden Dissertations and Doctoral Studies
Domestic violence (DV) is one of the most hidden but prevalent public health concerns affecting women of childbearing age in Africa, despite ongoing prevention initiatives. Lack of power and control in the household is a significant precursor of DV in women, especially in sub-Saharan Africa. While poverty, gender inequality, and societal norms have been identified as directly related to DV, the factors of type of union and reproductive health choice remain unexplored. This quantitative study with a cross-sectional design assessed the relationship between the type of union, female contraceptive use, and type of DV amongst women in Sierra Leone. Anchored …
Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss
Fully Automated Life Support Training Effects On Inpatient, Cardiac Arrest Survival Rates, Adessa D. Goss
Walden Dissertations and Doctoral Studies
In the United States, more than 200,000 adult patients die annually from inpatient cardiac arrest with survival rates stagnated at 22%–25% nationally. Recently, the adoption of fully automated life support training modalities by health care organizations has become widespread with limited literature available showing the effects on inpatient, cardiac arrest survival. The purpose of this quantitative study was to investigate the effects of fully automated life support training on inpatient, cardiac arrest survival. Applying Bloom’s mastery learning theory, the impact of the Resuscitation Quality Improvement (RQI) quarterly training and hospital unit compliance on inpatient cardiac arrest return of spontaneous circulation …
The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman
The Efficacy Of Barcoded Medication Administration In The Emergency Department, Aleksandr Vasserman
Walden Dissertations and Doctoral Studies
The practice problem addressed in this Doctor of Nursing Practice project was safe medication administration in the emergency department (ED). Paper-based delivery of medication administration is prone to errors and multiple points of failure affecting patients’ safety. The gap in nursing practice was the lack of analysis regarding the efficacy of the barcoded medication administration (BCMA) process in the ED. The practice-focused question for this project addressed whether the implementation of BCMA in the ED effectively reduced medication administration errors as compared to the previously used paper-based, non-BCMA process. The aim of this doctoral project was to review the efficacy …
Social Distance Compliance And Perceived Importance Of Online Youtube Diabetes Prevention Programs, Bettyann Rogers
Social Distance Compliance And Perceived Importance Of Online Youtube Diabetes Prevention Programs, Bettyann Rogers
Walden Dissertations and Doctoral Studies
This quantitative, nonexperimental survey was designed using a five-point Likert scale to measure the differences in the perceived importance scores for enrollment practices into nationally accredited YouTube diabetes prevention programs, or YouTube DPP, among online U.S. adult participants during the COVID-19 pandemic based on the social cognitive framework and was validated with Cronbach’s alpha. G* Power analysis for alpha level = 0.05, standard power = 0.08, and the effect size = 0.25 was calculated for a target population of over 100,000. Responses (i.e., N = 258) from the COVID-19 Blood Sugar Wellness Survey were uploaded from SurveyMonkey. The perceived important …
Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff
Effect Of Compassion Fatigue And Burn Out Education In The Nurse, Pamela Spendiff
Walden Dissertations and Doctoral Studies
Evolving changes in healthcare have caused increased levels of pressure on registered nurses (RNs) which increases compassion fatigue (CF), secondary traumatic stress (STS) and burnout (BO) and negatively affect compassion satisfaction (CS) which may affect a nurse’s abilities and skills to provide quality care for patients and cause the RN to leave the profession. The mindfulness technique is one method which may help reduce CF, STS and BO in RNs. The purpose of this quasi-experimental study, guided by the compassion satisfaction and compassion fatigue model (CS-CF), was to determine what effect a mindfulness-based intervention (MBI) has on CF, BO and …
Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox
Factors Associated With Nonmedical Prescription Opioid Use And Prescription Opioid Misuse Among Rural Americans, Brittany Cox
Walden Dissertations and Doctoral Studies
Opioid misuse is a rapidly evolving health epidemic in the United States, leading to opioid use disorders, overdose deaths, and disparities in treatment. The rural population may be more susceptible given socioeconomic status, less educational attainment, and lower income. The impact on specific populations is not well understood. The purpose of this study was to identify the association of nonmedical prescription opioid use (NPOU), prescription opioid misuse (POM), and treatment-seeking with race, age, sex, education, and insurance status among rural Americans. The social-ecological model (SEM) served as the theoretical framework. The SEM described the interplay between individual, relationship, community, and …
Wholistic Healing: The Physician Perspective Of The Tibetan Medical Philosophy, Emma J. Brooks
Wholistic Healing: The Physician Perspective Of The Tibetan Medical Philosophy, Emma J. Brooks
Walden Dissertations and Doctoral Studies
In Western medicine, anatomy is divided into multiple disciplines with specialists focused on their specialization, thereby limiting the whole system medical approach within the diagnosis, practice, and treatment of illness. The purpose of this qualitative study with an emergent design was to explore how physicians of Tibetan medicine viewed treating the whole person through the lens of Sowa Rigpa. Inquiry and analytical thinking were viewed through the lens of Otto and Knight’s principles of wholistic healing, Wilber’s integral model, and the philosophy of Merleau-Ponty. Phase I consisted of key informant interviews with four participants that were recent graduates of Tibetan …
Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity
Staff Hypertension Education Program For Vulnerable Populations In A Primary Care Setting, Brando Jobity
Walden Dissertations and Doctoral Studies
For health care practitioners to effectively manage hypertension (HTN) patients and their related long- and short-term consequences, they must first identify the underlying cause of the disease. When patient interventions are not regularly implemented by clinicians, the likelihood of complications from HTN increases. A gap in staff knowledge on managing patients with HTN was identified in an outpatient clinic in the midwestern United States. A staff education program for health care providers to close the knowledge gap was developed based on the most recent Veterans Affairs/Department of Defense Clinical Practice Guidelines for the management of HTN. The aim of this …
Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer
Factors Influencing Nurses’ Willingness To Recommend Reiki For Their Oncology Patients’ Pain, Amy Nezzer
Walden Dissertations and Doctoral Studies
Hospitalized, adult, oncology patients experience intractable pain that does not always respond to pharmacological therapies. Reiki is a complementary and alternative method used to reduce pain and increase the effectiveness of pharmacological treatments, but nurses may not possess knowledge about Reiki or have the self-efficacy to educate patients about Reiki. The purpose of this study, guided by Bandura’s social cognitive theory, was to identify the relationship between nurses’ knowledge, level of self-efficacy in educating their patients, beliefs about Reiki’s effectiveness, years practicing as a nurse, and willingness to recommend Reiki for their oncology patients’ pain. The Knowledge of Nurses’ Questionnaire …
Five-Year Cervical Cancer Survival Rates By Stage At Diagnosis, Race, And Place Of Residence In Georgia, Usa, Layal Mansour
Five-Year Cervical Cancer Survival Rates By Stage At Diagnosis, Race, And Place Of Residence In Georgia, Usa, Layal Mansour
Walden Dissertations and Doctoral Studies
Despite breakthroughs and improvement in cervical cancer (cercancer) management strategies over the years, racial and geographical disparities on 5-year relative survival rates (RSRs) persist. Studies showed black women have higher mortality rates than white women with the majority of deaths occurring among women above age 45. The aim of this cross-sectional study was to investigate the predicting abilities of race and residence on 5-year RSRs by stage at diagnosis and the potential effect on survival probability in the early stage of cercancer for women above 45 years living in Georgia. Anderson's behavioral model for inequalities in healthcare was the theoretical …
Meaningful Work And Remote Employee Engagement During The Covid-19 Pandemic, Monique Foster
Meaningful Work And Remote Employee Engagement During The Covid-19 Pandemic, Monique Foster
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic accelerated the remote working trend, causing workplace leaders to be challenged and remote employees to feel meaninglessness and lose interest in their work. The subjective nature of meaningful work and enforced remote work is a relatively recent socioeconomic phenomenon, creating a gap in the literature regarding how middle managers foster meaningful work for employees in a remote work environment. The purpose of this qualitative narrative inquiry study was to understand how middle managers fostered meaningful work for employees in a remote work environment during the COVID-19 pandemic. Data were collected from semistructured interviews with 10 middle managers …
Improving Colonoscopy Bowel Preparation In Adults Undergoing Screening Through Health Literacy Education, Kimmarie James-Ross
Improving Colonoscopy Bowel Preparation In Adults Undergoing Screening Through Health Literacy Education, Kimmarie James-Ross
Walden Dissertations and Doctoral Studies
Colorectal cancer (CRC) is the third leading cause of cancer-related deaths among men and women in the United States. Colonoscopy is the gold standard for CRC screening; however, the diagnostic efficiency of a colonoscopy is highly dependent on bowel preparation (prep) quality. Up to 30% of colonoscopy patients present with poor bowel prep. Poor bowel prep is a significant clinical practice problem that can lead to missed lesions, increased risk for CRC, increased risks for procedure-related complications, ineffective use of resources, and increased health care costs. A huge barrier to effective colonoscopy is low health literacy. This quality improvement project …
Evidence-Based Approaches To Screening For Polypharmacy In Older Adults, Carmelo Maddy
Evidence-Based Approaches To Screening For Polypharmacy In Older Adults, Carmelo Maddy
Walden Dissertations and Doctoral Studies
AbstractPolypharmacy is the concomitant use of five or more medicines and is associated with a higher risk of being prescribed potentially inappropriate or interactive medications. Polypharmacy in adults over 60 years of age may correlate with adverse outcomes of multimorbidity such as functional impairment, low quality of life, high healthcare use, and increased costs. Health practitioners need to be aware of tools and methods to manage polypharmacy-related issues to optimize patient safety. The gap in practice is that a primary care practice did not have a comprehensive clinical guideline for a systematic and ongoing assessment of appropriateness of medication use …
Effectiveness Of Responsible Beverage Service Policies In Reducing Drunk-Driving In Maryland, Rhoda Makinde
Effectiveness Of Responsible Beverage Service Policies In Reducing Drunk-Driving In Maryland, Rhoda Makinde
Walden Dissertations and Doctoral Studies
In the State of Maryland and across the United States, driving under the influence (DUI) has led to a massive loss of lives and disability cases. Hence, responsible beverage service (RBS) policies and programs have been developed to prevent and control DUI incidence. This study sought to identify the effectiveness of these policies in addressing the DUI-related fatalities and injuries among young adults (18–30 years old) in the State of Maryland. Using program theory to evaluate the effectiveness of RBS policies and programs in reducing DUI, this qualitative research sampled bar patrons, club patrons, and alcohol servers/service staff in Baltimore. …
Perspectives Of Social Barriers To Accessing Health Care Insurance Among The Homeless Population, Abedalhakeem Damin Abukhalil
Perspectives Of Social Barriers To Accessing Health Care Insurance Among The Homeless Population, Abedalhakeem Damin Abukhalil
Walden Dissertations and Doctoral Studies
Access to healthcare services and healthcare insurance has been considered problematic for many populations in the United States. Despite many efforts to solve these issues, there is a significant gap in research related to the perceptions of the population experiencing homelessness associated with the social barriers they face with access to health insurance and health care. The behavioral-ecological framework best suited this study. In this qualitative descriptive study the perceptions of a sample of 10 individuals experiencing homelessness, who accepted to sit for 60-minute interviews, were investigated. Purposeful sampling was used to identify these individuals, whose age 18-60 years old, …
Accessibility To Vaping Products, Vaping, And Use Of Cigarettes Among Adolescents, Sherri Adeosun
Accessibility To Vaping Products, Vaping, And Use Of Cigarettes Among Adolescents, Sherri Adeosun
Walden Dissertations and Doctoral Studies
There has been a continuous increase in the use of e-cigarettes among adolescents. The growth threatens to nullify the years of successfully reducing cigarette smoking among this age demographic. Additionally, the increase has been a concern for public healthcare workers due to the limited research on the effects of long-term use of e-cigarettes on adolescents. I investigated the possible side effects of exposure to e-cigarette advertisements and the use of e-cigarettes. Additionally, the study reviewed the relationship between the age e-cigarette use was initiated and the subsequent use of cigarettes. The conceptual framework was based on the multi-theory model and …
Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes
Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes
Walden Dissertations and Doctoral Studies
Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the confidence level among nurses by providing an educational program. The practice-focused question focused on whether knowledge, skills, and confidence would increase among nurses after receiving education on the clinical monitoring system. The model to facilitate organizing and analyzing this project …
Boost Tool Implementation And Sepsis Readmissions, Length Of Stay, And Patient Satisfaction, Jane Venus-Nocentelli
Boost Tool Implementation And Sepsis Readmissions, Length Of Stay, And Patient Satisfaction, Jane Venus-Nocentelli
Walden Dissertations and Doctoral Studies
Sepsis is a global concern because it contributes to high mortality rates, increased healthcare costs, and poor patient outcomes. Health care organizations have used risk stratification tools such as the Better Outcomes by Optimizing Safe Transitions (BOOST) tool to reduce unnecessary readmissions, decrease length of hospital stays, and improve patient health outcomes. But there is limited data on the use of the BOOST tool in the sepsis population and the impact on readmissions and length of stay. The purpose of this quantitative study was to investigate the relationship between BOOST tool implementation, readmissions, and length of stay in patients with …
Staff Education Program On Postpartum Depression Screening, Pamela Barstow
Staff Education Program On Postpartum Depression Screening, Pamela Barstow
Walden Dissertations and Doctoral Studies
AbstractPostpartum depression (PPD) in the US is a serious health concern that negatively impacts an average of 11.5% of women, with 13.36% of women in Virginia in 2018 reporting PPD symptoms. Mothers experiencing PPD may have trouble bonding with their infants, which may negatively impact childhood growth and development. However, fewer than one-half of pediatricians screen mothers of infants for PPD. Literature supports staff education on PPD to promote the wellbeing of postpartum mothers and their infants. Using the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this Doctor of Nursing Practice project was to …
Annual Financial Performance, Efficiency, And Quality Of Care In Accountable Care Organizations In Florida And Texas, Tony Lavance White
Annual Financial Performance, Efficiency, And Quality Of Care In Accountable Care Organizations In Florida And Texas, Tony Lavance White
Walden Dissertations and Doctoral Studies
The association between efficiency and quality of care among accountable care organizations is not fully understood. Therefore, the purpose of this quantitative study was to examine the relationships between ACO efficiency, ACO financial performance, and ACO quality scores in the states of Florida and Texas. Guided by structural contingency theory, the research questions explored whether there was a statistically significant relationship between ACO efficiency and financial performance, as well as ACO efficiency and the quality of care among ACOs in the states of Texas and Florida in 2018 using all ACOs located in those states. The results of the study …
Perceptions Of Contraceptive Practice Among Arab American Victims Of Intimate Partner Violence, Linda Humaidan-Zayed
Perceptions Of Contraceptive Practice Among Arab American Victims Of Intimate Partner Violence, Linda Humaidan-Zayed
Walden Dissertations and Doctoral Studies
There has been limited research on Arab Americans as they are an unidentified minority population. The specific research problem addressed through this study is that there is little research pertaining to the role of intimate partner violence (IPV) in poor contraceptive practice among Arab Americans, contributing to the larger problem of unwanted pregnancies, reproductive coercion, and other aspects of reproductive health. The problem with a high prevalence rate of IPV among Arab American women is that they are more susceptible to becoming pregnant and not accessing the reproductive health services that they may need. Thus, the purpose of this qualitative …
Strategies For Improving Customer Retention For Medical Imaging Devices, Guillermo Sander
Strategies For Improving Customer Retention For Medical Imaging Devices, Guillermo Sander
Walden Dissertations and Doctoral Studies
Some sales managers of medical imaging devices lack strategies to improve long-term customer retention. Increasing retention can save these sales managers up to 50% of their customer acquisition costs. Grounded in the service profit chain theory, the purpose of this qualitative multiple case study was to explore strategies sales managers of medical imaging devices use to improve long-term customer retention. The participants comprised seven sales managers of medical imaging devices from three companies who successfully achieved long-term customer retention. Data were collected using semistructured interviews and public documents. Thematic analysis was used to analyze the data. Three themes emerged: value-added …
Nursing Staff Education Project To Improve Diabetic Patients' Glycemic Control, Valerie R. Gaston
Nursing Staff Education Project To Improve Diabetic Patients' Glycemic Control, Valerie R. Gaston
Walden Dissertations and Doctoral Studies
Diabetes is a chronic disease affecting more than 34.2 million people in the United States. The International Diabetes Federation predicted by the year 2045 an estimated 700 million people will have diabetes. In the clinic project site, the practice problem involved the increasing clinician’s knowledge about Type 2 diabetes mellitus (T2DM) with improved glycemic control through self-care management. The purpose of this project was to develop an educational training and intervention for staff to increase their knowledge of self-care management to improve glycemic control and have it validated by a panel of experts before dispersing it to the intended audience. …
Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan
Relationship Between Rurality, Home Telehealth, And Bed Days Of Care For Military Veterans Readmitted For Heart Failure, Storm Li Morgan
Walden Dissertations and Doctoral Studies
Heart failure (HF), the leading hospital admission diagnosis for military veteran patients discharged from a Department of Veterans Affairs (VA) hospital, is more common in patients residing in rural than urban areas. Primary care managers prioritize reducing readmissions for HF as up to 80% of health care costs for HF, projected to increase to $69.7 billion annually by 2030, incur during hospitalizations. Underpinned in Andersen’s behavioral model of health services use, the purpose of this quantitative ex post facto correlational study was to examine the relationship between residence rurality, home telehealth enrollment, and bed days of care for military veteran …