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Walden Dissertations and Doctoral Studies

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Looking Upstream For Factors Influencing Mental Illness In A Low-Resource Setting, Adewole Adebola Adefalu Jan 2022

Looking Upstream For Factors Influencing Mental Illness In A Low-Resource Setting, Adewole Adebola Adefalu

Walden Dissertations and Doctoral Studies

An investigation into the upstream determinants of mental disorders could provide insight into pathways by which these risk factors could relate to different groups of mental illness. The study was a quantitative inquiry using constructs within the Rothman’s sufficient and component cause framework to examine the pathways existing between upstream risk factors for schizophrenic and mood disorders. The study population was drawn from a convenience sample of clients accessing services at the psychiatry departments of a secondary mental health institution in North-Central Nigeria. The mean age of the participants in this study was 35.5years. The majority were males (53.4%), single …

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Risk Factors Associated With Community-Onset Sepsis In Latino/Hispanic Adults, Joan Ivaska Jan 2022

Risk Factors Associated With Community-Onset Sepsis In Latino/Hispanic Adults, Joan Ivaska

Walden Dissertations and Doctoral Studies

Sepsis results in a significant public health burden globally, causing 20% of adult mortality worldwide and accounting for more than one third of deaths in hospitalized adults in the United States, making it one of the top 15 leading causes of death in the United States. Community-onset sepsis (COS) comprises nearly 80% of all sepsis cases occurring in the United States each year. Despite the widespread prevalence of COS, significant gaps in knowledge exist regarding the risk factors that lead to COS and sepsis mortality in Latino/Hispanic adults in the United States. The purpose of this secondary data study was …

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Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan Jan 2022

Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan

Walden Dissertations and Doctoral Studies

Approximately 21 million individuals suffer from typhoid fever (TF) globally, and most outbreaks occur in Southeast Asia. The incidence of TF is high in Pakistan, particularly in low socioeconomic areas, and a new drug-resistant strain makes it difficult to control the spread of TF. There is a pressing need for up-to-date and accurate data regarding the attitudes, beliefs, and habits leading to the spread of TF infection among individuals living in low socioeconomic areas of Pakistan. This qualitative, phenomenological study was grounded in the health belief model and explored factors that influence the spread of TF among women of childbearing …

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Exposure To Malaria Awareness Messages And Preventive Health Behaviors Among Informal Workers In Ghana, Nora Larkai Jan 2022

Exposure To Malaria Awareness Messages And Preventive Health Behaviors Among Informal Workers In Ghana, Nora Larkai

Walden Dissertations and Doctoral Studies

Malaria is a global health issue that is most prevalent in Sub-Saharan countries such as Ghana. In the past, various studies have examined the use of malaria messages and malaria prevalence; however, very few Ghanaian studies focus explicitly on using various types of malaria-related messaging modalities and the impact of these messaging systems on lessening malaria contraction among the informal sectors. The aim of this study was to analyze the relationship between exposure to malaria awareness messages, place of residence, and preventive health behaviors controlling for sex, occupation group, marital status, and educational level among Ghanaian informal workers. This study …

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Appraisal Of Institutional Antimicrobial Stewardship In Selected Public Health Facilities In Nigeria, Joshua Olusegun Obasanya Jan 2022

Appraisal Of Institutional Antimicrobial Stewardship In Selected Public Health Facilities In Nigeria, Joshua Olusegun Obasanya

Walden Dissertations and Doctoral Studies

The misuse of antimicrobials (AM) constitutes a huge problem in developing countries, including Nigeria, posing severe public health threats to the populace’s health. Misuse contributes to the high consumption of AM, driving the emergence and spread of antimicrobial resistance (AMR). Establishing functional antimicrobial stewardship (AMS) programs at the health facility levels is recognized as an effective and efficient strategies to tackle AMR. Literature is replete with evidence of poor prescription practices, but few studies assessing the factors contributing to inappropriate use of AM in Nigeria exist. The purpose of this study was to improve the understanding of AMS practice at …

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Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga Jan 2022

Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga

Walden Dissertations and Doctoral Studies

AbstractProstate cancer is a major public health problem, being the second leading cause of cancer deaths in U.S. men, but mortality can be prevented with the use of early detection strategies. African American men are more than twice as likely to die of prostate cancer as compared to Hispanic and White men. African immigrant men as compared to African American men born in the United States have higher mortality rates of prostate cancer due to not seeking preventive care. However, little is known about the factors that prevent African immigrant men living in the United States from seeking prostate cancer …

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Legislative Efforts And Community Change To Combat Female Genital Mutilation In Egypt, Maryam Berkshire Jan 2022

Legislative Efforts And Community Change To Combat Female Genital Mutilation In Egypt, Maryam Berkshire

Walden Dissertations and Doctoral Studies

Female genital mutilation is recognized as a violation of human rights as it violates the bodily rights of young girls by cutting part of their bodies without their consent and leaves long term psychological, physical and sexual harm to women who were exposed to the practice. The World Health Organization estimates that 130 million girls and women are subjected to Female Genital Mutilation/Cutting (FGM/C) in African and Middle Eastern Countries. According to a UNICEF 2020 report, Egypt will not meet the SDG goal of eradicating FGM as the decrease in the practice is too slow despite the policy and community …

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Exploring Parent Support For School-Based Health Programs To Reduce Childhood, Alaphiah Delaney Campbell Byfield Jan 2022

Exploring Parent Support For School-Based Health Programs To Reduce Childhood, Alaphiah Delaney Campbell Byfield

Walden Dissertations and Doctoral Studies

The rise in childhood obesity rates continues globally despite the design and implementation of social programs aimed at curtailing that phenomenon. The government of Jamaica has indicated that a whole-of-government, whole-of-society approach is needed to control obesity. The literature has shown that in Jamaica, support for being fluffy impedes progress toward addressing the problem of childhood obesity; being fluffy is considered attractive and a sign that one has a good life. Studies have shown that obese or overweight children are at risk for developing psychosocial (e.g., having low self-esteem, and underperforming academically) and medical problems (e.g., noncommunicable diseases such as …

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Predictors Of Glycemic Control Among Type 2 Diabetes Mellitus Patients In Owerri, Nigeria, Jideuma Ikenna Egwim Jan 2022

Predictors Of Glycemic Control Among Type 2 Diabetes Mellitus Patients In Owerri, Nigeria, Jideuma Ikenna Egwim

Walden Dissertations and Doctoral Studies

Diabetes mellitus (DM) is a significant public health concern globally and in Owerri, Nigeria. The deleterious effects of diabetes have been linked to poor glycemic control. According to the International Diabetes Federation, poor glycemic control is reflected in glycosylated hemoglobin (HbA1c) levels greater than 7.0%, which are associated with substantial morbidity and mortality. Studies have shown a dramatic rise in diabetic complications in Nigeria, particularly in Owerri. However, evidence is lacking on specific risk factors associated with poor glycemic control among DM patients in Owerri. With health insurance assuming a significant position in healthcare service delivery in Nigeria, addressing this …

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Intersectional Approach To Understand Condom Use Behavior Between Black And Latinos Msm And Transgender Women, Vanessa J. Mejia Jan 2022

Intersectional Approach To Understand Condom Use Behavior Between Black And Latinos Msm And Transgender Women, Vanessa J. Mejia

Walden Dissertations and Doctoral Studies

Men who have sex with men (MSM) and transgender women has been a focus of scholars since the early 1990s. Researchers have demonstrated that individuals in these communities are at greater risk for adverse health outcomes such as sexually transmitted infections (STIs) and Human Immunodeficiency Virus (HIV). This study examined the relationship between macrosocial structural factors (i.e., housing stability) and the acceptance of risky sexual behavior (RSB) (i.e., condom use) between Black and Latino MSM, and transgender women guided by the health belief model and intersectionality theory. Using a quantitative approach, primary data were collected from MSM and transgender women …

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Major Depressive Disorder And Perceived Everyday Discrimination Among The Jamaican Diaspora In The United States., Warren Williams Jan 2022

Major Depressive Disorder And Perceived Everyday Discrimination Among The Jamaican Diaspora In The United States., Warren Williams

Walden Dissertations and Doctoral Studies

Overt racial discrimination in the United States has been supplanted by subtle forms of everyday discrimination known as microaggressions. Researchers have found perceived everyday discrimination (PED) to be associated with major depressive disorder (MDD) among African Americans but have often treated the African American subpopulation as a homogeneous group. The purpose of this cross-sectional study grounded in the theory of microaggression was to illuminate probable associations between microaggressions based on weight, age, gender, ethnicity, and race and lifetime MDD among the Jamaican diaspora in the United States. Secondary data from the Collaborative Psychiatric Epidemiologic Surveys were analyzed. Statistically significant associations …

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Health Educators’ Perspectives On Black And Latin@ College Students’ Health Literacy, Desiree Williams Brown Jan 2022

Health Educators’ Perspectives On Black And Latin@ College Students’ Health Literacy, Desiree Williams Brown

Walden Dissertations and Doctoral Studies

AbstractEmerging adulthood is a critical life stage when participation in higher education can facilitate the transition of young individuals into adulthood and independence. The barriers associated with low health literacy levels are higher among racial or ethnic groups facing health inequalities, including those enrolled in higher education institutions. The purpose of this basic qualitative study was to explore how health educators promoted the health literacy of Black and Latino emerging adult college students. The theoretical framework was based on Bandura’s social cognitive theory. Eight health professionals who served to promote health literacy across diverse college campuses and different states in …

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Effects Of Perpetrator Types And Gender-Based Violence On Condom Use Among Tanzanian Female Sex Workers, Lashonda Hall Jan 2022

Effects Of Perpetrator Types And Gender-Based Violence On Condom Use Among Tanzanian Female Sex Workers, Lashonda Hall

Walden Dissertations and Doctoral Studies

HIV status among female sex workers (FSWs) continues to be a significant public health concern. Condom use is associated with HIV cases among FSWs. Gender-based violence (GBV) plays a role in FSWs HIV status. While studies have investigated the relationship between GBV and condom use, little is known about the impact of factors such as perpetrator type and substance use. I aimed to examine whether perpetrator type and substance use affect the relationship between GBV and condom use among FSWs in Tanzania. Secondary data analysis was performed on 1,502 FSWs extracted from the 2020 Tanzanian, John Hopkins Program for International …

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Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose Jan 2022

Chronic Kidney Disease And Depressive Disorders Among Adult Non-Hispanic African Americans And Whites In Georgia, Omatola Gordon-Rose

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD), depressive disorders, and mental health are significant health issues in the United States. The purpose of this study was to examine the association of CKD and depressive disorders and days of poor mental health in adults living in Georgia, controlling for race/ethnicity, socioeconomic status, gender, age, diabetes mellitus status, high blood pressure status, marital status, and number of adults in the household. The study was a descriptive, quantitative, cross-sectional design with secondary data analysis, and the framework used was Wilson and Cleary health-related quality of life measures. The 2019 Behavioral Risk Factor Surveillance System Survey weighted …

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The Childbirth Experiences And Perceptions Of Sierra Leonean Women Relating To Basic Maternal Rights, Francess Fornah Jan 2022

The Childbirth Experiences And Perceptions Of Sierra Leonean Women Relating To Basic Maternal Rights, Francess Fornah

Walden Dissertations and Doctoral Studies

Sierra Leone faces immense challenges in supporting good quality, woman-centered care, with one of the world's highest maternal mortality ratios of 717 per 100,000 live births. In countries with high maternal mortality, evidence of the fear of disrespect and abuse women usually confront in maternity care is a more solid deterrent to the use of skilled care than commonly recognized barriers, such as cost or distance. This qualitative phenomenological study aimed at understanding the childbirth experiences and perceptions of Sierra Leonean women relating to basic maternal rights. The ecological systems theoretical framework and the respectful maternity care charter conceptual framework …

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Perceptions Of Instructor Caring Behaviors Between English As A Second Language And Non-English As A Second Language Nursing Students, John Chukwuemeka Dike Jan 2022

Perceptions Of Instructor Caring Behaviors Between English As A Second Language And Non-English As A Second Language Nursing Students, John Chukwuemeka Dike

Walden Dissertations and Doctoral Studies

AbstractEnglish as a second language (ESL) nursing students have a significantly higher attrition rate and lower National Council Licensure Examination (NCLEX) pass rate than their non-ESL counterparts. Instructor caring behaviors (ICBs) are the ways nursing instructors treat students with respect, taking care to avoid prejudices, stereotyping, and judgments in the teaching-learning process which present prelicensure faculty to grapple with the challenge of effectively meeting the learning needs of both ESL and non-ESL students. The purpose of this cross-sectional, comparative study, guided by Watson’s theory of human caring, was to explore the differences in perceptions of ICBs between ESL and non-ESL …

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Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze Jan 2022

Use Of Evidence-Based Clinical Practice Guidelines In Obesity Management In Women, Chizimako Margaret Eze

Walden Dissertations and Doctoral Studies

AbstractObesity is one of the Healthy People 2020 high-priority public health issue. Obesity is of importance due to the troubling higher prevalence in women because of the close link that exists between body weight and reproductive health in females from menarche to menopause and beyond. The identification of guidelines to improve or manage the care of female patients can alleviate the burden and complications from being overweight or obese. This project guided by the ADDIE (analyze, design, develop, implement, and evaluate) model was conducted in a family primary care clinic to address a gap in practice, the lack of knowledge …

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Strategies For Achieving Sustainability Of Home Healthcare Agencies, Robert J. Gagnon Jan 2022

Strategies For Achieving Sustainability Of Home Healthcare Agencies, Robert J. Gagnon

Walden Dissertations and Doctoral Studies

AbstractSome organizational leaders of home healthcare agencies (HHA) experience financial pressures to sustain within the changing regulatory landscape. Organization healthcare leaders who develop sustainability strategies remain competitive and employ the community. Grounded in the balanced scorecard framework, the purpose of this descriptive, qualitative multiple case study was to identify strategies home healthcare agency (HHA) leaders used to maintain sustainability. The participants were five organizational leaders of three HHA and two home health industry consultants in the Northeast United States who implemented sustainability. Data collected came from semistructured interviews, archival records, and organizational documentation. Three themes emerged from the thematic analysis: …

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Medication Reconciliation Education To Promote Patient Safety In A Family Practice Setting, Oghaleoghene Kolo Jan 2022

Medication Reconciliation Education To Promote Patient Safety In A Family Practice Setting, Oghaleoghene Kolo

Walden Dissertations and Doctoral Studies

AbstractMedication reconciliation is a process in which the medications a patient is taking (or should be taking) are compared with newly ordered medications to identify and resolve discrepancies. Morbidity and mortality associated with the use of medication have become a public health concern. It was identified in this family practice setting that medication reconciliation guidelines were not being followed. This prompted the practice focused question if educating providers about medication reconciliation will improve their knowledge and intent to use guidelines about medication reconciliation. Peplau’s theory of interpersonal relationships provided the framework for the study. Data were collected from nine participants …

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Development Of A Capacity Building Program To Promote Trauma-Informed Services, Juan Miguel Medina Jan 2022

Development Of A Capacity Building Program To Promote Trauma-Informed Services, Juan Miguel Medina

Walden Dissertations and Doctoral Studies

Wichita County, Texas experienced decreased academic performances of elementary level children in 24 out of 45 communities. Higher numbers of traumatic experiences increase a child's risk of not meeting developmental benchmarks. The purpose of this capstone project is to support the development of a trauma-informed capacity-building program. Ungar's resiliency theory was used to understand the factors related to building resilience in children to prevent trauma. Using action research, the researcher explored how developing program content may improve an agency's system readiness to deliver effective trauma-informed care. Data were collected from a focus group with local social workers. Content analysis was …

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Challenges For Hospital Leadership In Obtaining Urology And Otolaryngology Community Preceptors, Donna Orsatti Jan 2022

Challenges For Hospital Leadership In Obtaining Urology And Otolaryngology Community Preceptors, Donna Orsatti

Walden Dissertations and Doctoral Studies

Healthcare organizations are becoming more complex and medical education is constantly evolving in response to healthcare needs. These changes have an impact on community preceptors that supervise and train medical residents. Physicians willing to engage in community-based precepting are decreasing, thereby making it difficult for students to complete medical specializations. The purpose of this qualitative study was to understand the challenges healthcare leaders face when attempting to secure practicums or residencies in urology and otolaryngology. This case study used the Baldrige Excellence Framework as a lens to understand the organization’s functioning within the educational healthcare sector. In-depth, semi-structured interviews were …

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Adverse Childhood Events And Protective Health Behaviors Among Adults With Diabetes Or Diabetes With Comorbid Heart Disease, Ciara Michelle Rukse Jan 2022

Adverse Childhood Events And Protective Health Behaviors Among Adults With Diabetes Or Diabetes With Comorbid Heart Disease, Ciara Michelle Rukse

Walden Dissertations and Doctoral Studies

Diabetes is a prevalent and costly chronic condition that can lead to other comorbid conditions such as heart disease. Disease management is essential but can be stressful and complicated, especially for individuals who have developed maladaptive behaviors in response to exposure to adverse childhood events (ACEs), which are chronic stressors that impact physiological and psychological development. There is limited research on the potential relationship between childhood adversity and engagement in protective health behaviors among U.S. populations with diabetes or diabetes with comorbid heart disease. The ACEs pyramid was the theoretical framework of this quantitative cross-sectional study concerning morbidity and early …

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African American Women’S Body Image Perceptions And The Built Environment, Andrea Denise Smith Jan 2022

African American Women’S Body Image Perceptions And The Built Environment, Andrea Denise Smith

Walden Dissertations and Doctoral Studies

African American (AA) women have a 54.8% overall obesity rate in the United States. This quantitative cross-sectional study’s aim was to determine what factors may have an impact on body image perceptions of AA women in Alabama and New Jersey. A gap in research this study addressed is sociodemographic and geographic differences that may impact obesity rates among AA women. The theoretical framework used for this study was the social cognitive theory. Secondary data were obtained from the 2018 Behavioral Risk Factor Surveillance System. Linear regression (LR) analyses results showed that none of the sociodemographic variables (education level, employment status, …

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Educating Nurse Leaders On The Application Of Watson’S Caring Science, Diane Lm Updyke Jan 2022

Educating Nurse Leaders On The Application Of Watson’S Caring Science, Diane Lm Updyke

Walden Dissertations and Doctoral Studies

Nurse leaders’ creation of a culture of caring for their nursing staff has been shown to improve nurses’ job satisfaction and retention, and ultimately patient outcomes. At the project site, there was a perceived gap in nursing leadership practice in integrating a culture of caring into leadership and management practices. Although staff and leadership identified similar caring behaviors, staff members did not perceive nursing leadership as caring, which affected the former’s job satisfaction. The purpose of this education project was to provide site leaders with information on specific caring behaviors and how to model these behaviors with staff using Watson’s …

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Diabetes Self-Management Education In The Urban Low Socioeconomic Status Senior Population, Heather Santa Barbara Jan 2022

Diabetes Self-Management Education In The Urban Low Socioeconomic Status Senior Population, Heather Santa Barbara

Walden Dissertations and Doctoral Studies

This exploratory quantitative study used a survey design to address a gap in the literature concerning primary care team perceptions about diabetes care for urban low socioeconomic status seniors with diabetes. Diabetes is a chronic health problem that is often managed in primary care offices, and primary care teams are often the first source of education and support for patients. Standards of management for seniors with diabetes has changed to eliminate tight control of glucose levels, and primary care team members may have differing perceptions about diabetes care depending upon their role in the primary care team and years of …

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Chronic Obstructive Pulmonary Disease 30-Day Readmission Rates In California, Illinois, And New York, Theresa Teverbaugh Jan 2022

Chronic Obstructive Pulmonary Disease 30-Day Readmission Rates In California, Illinois, And New York, Theresa Teverbaugh

Walden Dissertations and Doctoral Studies

AbstractThe Centers for Medicare and Medicaid Services (CMS) have implemented financial penalties to reduce hospital readmissions for various conditions, including chronic obstructive pulmonary disease (COPD). As a result, hospital administrators explore ways to prevent financial penalties for excessive COPD 30-day hospital readmissions. The purpose of this quantitative study was to determine if there was a correlation between hospital Medicare reimbursement, quality-of-care measures related to patient satisfaction, and 30-day readmissions rates for COPD patients in California, Illinois, and New York. The quality-of-care measures included communication with nurses, communication with doctors, the hospital staff's responsiveness, and medicine communication. The secondary data were …

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Military Emergency And Critical Care Nurses’ Lived Experiences Of Resilience, Carla Ann Wiese Jan 2022

Military Emergency And Critical Care Nurses’ Lived Experiences Of Resilience, Carla Ann Wiese

Walden Dissertations and Doctoral Studies

Resilience has been studied across a myriad of populations. Many resilience studies have focused on military service members, including military healthcare personnel, specifically nurses. Although many quantitative resilience studies have been conducted, there have been few qualitative studies in this area. Qualitative studies have focused solely on spiritual resilience, although mixed methods studies have identified other resilience characteristics. The aim of this descriptive phenomenological study was to identify resilience characteristics through rich description within the situational and philosophical patterns of resilience and gain a better understanding of how emergency and critical care military nurses honed resilience in the face of …

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Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson Jan 2022

Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson

Walden Dissertations and Doctoral Studies

Behavioral health clinician shortages are a significant and ongoing problem in the United States, especially in rural areas, which have higher rates of homelessness, suicide, substance use, and violence rates than urban areas. The purpose of this qualitative case study was to explore factors contributing to the behavioral health clinician shortage in a rural midwestern U.S. public health department. The goal was to gain a better understanding of this shortage and explore strategies and solutions for recruiting and retaining behavioral health clinicians at the agency’s facilities. The Baldrige excellence framework undergirded the investigation. Data sources included interviews with three administrative …

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Employee Engagement In A Clinical Ambulatory Setting, Paulette Zolicoffer Jan 2022

Employee Engagement In A Clinical Ambulatory Setting, Paulette Zolicoffer

Walden Dissertations and Doctoral Studies

Low employee engagement can result in adverse business outcomes. Healthcare managers who lack strategies to increase employee engagement risk lower employee productivity and overall profitability. Grounded in organizational support theory, the purpose of this qualitative single case study was to explore strategies healthcare ambulatory managers use to increase employee engagement successfully. The participants were four mobile clinic managers from one organization in the northwest suburban region of Illinois who successfully implemented strategies to increase employee engagement. Data were collected using semistructured interviews and reviewing company documents and reports related to employee engagement. Through thematic analysis, three themes were identified: perceived …

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Improving Medical-Surgical Nursing Knowledge Of Congestive Heart Failure, Sylvia Rene Cunningham Jan 2022

Improving Medical-Surgical Nursing Knowledge Of Congestive Heart Failure, Sylvia Rene Cunningham

Walden Dissertations and Doctoral Studies

The purpose of this Doctor of Nursing practice project was to address the nursing gap in knowledge about congestive heart failure (CHF) management. Lack of staff knowledge on this topic inhibits their ability to educate patients. Poor patient understanding can lead to frequent readmissions and poor patient outcomes. The project aim was to determine if educating medical-surgical nurses about CHF management increased their knowledge of topic. The ADDIE model was used to design staff education. Lewin’s change theory guided the project. Nine registered nurses attended a power point presentation. A pre-education questionnaire was distributed, and participants created unique identifiers. The …

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