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Articles 2491 - 2520 of 5875
Full-Text Articles in Medicine and Health Sciences
A Quality Improvement Evaluation Of A Hospitalist Telemedicine Program, Kelly Marie Awes
A Quality Improvement Evaluation Of A Hospitalist Telemedicine Program, Kelly Marie Awes
Walden Dissertations and Doctoral Studies
Critical access hospitals (CAHs) encounter unique challenges in terms of providingquality resources to their community, often lacking quality measures and continuity comparable to larger regional and tertiary hospitals. One CAH in rural Minnesota implemented an overnight hospitalist telemedicine service to address concerns with provider resources and quality practice. An evaluation of quality improvement implementation was completed to address data regarding ER transfers and inpatient length of stay (LOS). Following the triple aim framework to improve patient care, population health, and decrease costs, Donabedian’s model of quality improvement was utilized. Three months of pre and postimplementation data were collected one year …
An Educational Program For Nurses To Improve Culturally-Appropriate Mental Health Assessment For Nigerian Immigrant Youth In Central Florida, Blessing Anyaiwe Onyekachi
An Educational Program For Nurses To Improve Culturally-Appropriate Mental Health Assessment For Nigerian Immigrant Youth In Central Florida, Blessing Anyaiwe Onyekachi
Walden Dissertations and Doctoral Studies
AbstractNigerians, like other immigrants, face many health issues with rising waves of conflict and political instability that contribute to high migration rates. As a result, when they arrive in other countries, these immigrants not only have to deal with the trauma they left behind but face issues such as cultural stereotypes, stigma, lack of insurance, cultural and language barriers, poor communication, social discrimination, and low socioeconomic status. The question that this project addressed was whether an educational program for nurses would improve knowledge on culturally-appropriate mental health assessment for Nigerian immigrant youth in Central Florida. This was a nursing staff …
Haitian Immigrant Parents’ Perceptions On Acculturation And High-Risk Behaviors Among Their Children, Weiselande Cesar
Haitian Immigrant Parents’ Perceptions On Acculturation And High-Risk Behaviors Among Their Children, Weiselande Cesar
Walden Dissertations and Doctoral Studies
Immigrant Haitian parents experience acculturative stress when adjusting to the norms and expectations of a new country. Acculturative stress may be exacerbated if their adolescent children display unfamiliar behaviors, which may result in a greater need for psychological assessments and education programs to mitigate the instances of family breakdown. Following Haiti’s 2010 earthquake, there has been an increase in high-risk behaviors among Haitian adolescents. To date, there is limited research on acculturative stress in immigrant Haitian parents and how this stress may relate to their actions and perceptions of high-risk behaviors in their adolescent children. In this case study date …
Relationship Between Cultural And Religious Practices And Ebola Virus In Freetown, Sierra Leone, Richmond Samuel Kpange
Relationship Between Cultural And Religious Practices And Ebola Virus In Freetown, Sierra Leone, Richmond Samuel Kpange
Walden Dissertations and Doctoral Studies
The 2014 Ebola virus epidemic in the West Coast of Africa was a historically unprecedented epidemic with a sustained spread in multiple West African nations, including Sierra Leone. The World Health Organization (WHO) classified Sierra Leone as a high Ebola-affected country as it reported the highest number of deaths (14,124) during the last Ebola outbreak compared to other Ebola-affected countries. Public health experts have given little attention to the impact of sociocultural factors on infectious diseases, especially Ebola. The purpose of this study was to ascertain whether there is a relationship between the spread of EVD and a patient’s gender, …
Relationship Between Cultural And Religious Practices And Ebola Virus In Freetown, Sierra Leone, Richmond Samuel Kpange
Relationship Between Cultural And Religious Practices And Ebola Virus In Freetown, Sierra Leone, Richmond Samuel Kpange
Walden Dissertations and Doctoral Studies
The 2014 Ebola virus epidemic in the West Coast of Africa was a historically unprecedented epidemic with a sustained spread in multiple West African nations, including Sierra Leone. The World Health Organization (WHO) classified Sierra Leone as a high Ebola-affected country as it reported the highest number of deaths (14,124) during the last Ebola outbreak compared to other Ebola-affected countries. Public health experts have given little attention to the impact of sociocultural factors on infectious diseases, especially Ebola. The purpose of this study was to ascertain whether there is a relationship between the spread of EVD and a patient’s gender, …
Living In An Oil-Polluted Region In Nigeria As A Risk Factor In Colorectal Cancer Development, Steve Nwachi Onya
Living In An Oil-Polluted Region In Nigeria As A Risk Factor In Colorectal Cancer Development, Steve Nwachi Onya
Walden Dissertations and Doctoral Studies
Due to differences in exposure to various risk factors, colorectal cancer (CRC) rates differ in regions of Nigeria. Although the people living in the Southsouth, an oil-producing region, are concerned that they are most affected, there is insufficient research to address these concerns. The purpose of this quantitative ecological study was to investigate whether living in the oil-polluted region in Nigeria is associated with an excess CRC incidence rate. The potential spatial autocorrelation of CRC incidence among the contiguous regions was also examined. The study was grounded in the ecosocial theoretical framework. Data were extracted from the Nigeria National System …
The Role Of Psychological Distress In Maintaining Exercise After Cancer Diagnosis, Patrick Tertulien
The Role Of Psychological Distress In Maintaining Exercise After Cancer Diagnosis, Patrick Tertulien
Walden Dissertations and Doctoral Studies
AbstractCancer affects the lives of thousands of people every day and is a leading cause of death. Exercise has been shown to yield mental and physical benefits for patients and survivors, but the experiences of cancer patients who face a multiplicity of psychological stressors have not been clearly described. The purpose of this qualitative study was to understand the psychological factors that are associated with continuing to exercise after cancer diagnosis, during and/or following their treatment. The focus was on how cancer survivors maintained a regular routine of exercise while experiencing psychological distress associated with cancer diagnosis, treatment, and concerns …
Multimorbidity, Healthcare Processes, And Mortality Among Tb/Hiv Patients Treated With Antiretroviral Therapy In Uganda, Abel Nkolo
Walden Dissertations and Doctoral Studies
Globally, Uganda is one of the 30 tuberculosis (TB) and human immunodeficiency virus (HIV) high burden countries with high antiretroviral therapy (ART) coverage, yet mortality is still high among TB/HIV patients on ART. The reasons for the high mortality have not been fully explored. The purpose of this study was to determine the association between multimorbidity, age, sex, marital status, phase of TB treatment, timing of initiation for ART, and type of TB and mortality among TB/HIV patients on ART in Uganda. The health outcomes conceptual framework with 3 domains that directly or indirectly affect the outcome domain was used …
Exploring The Relationship Between Antenatal Care And Postnatal Care To Newborn Outcomes In Borno State, Northeastern Nigeria, Adebe Gabriel
Exploring The Relationship Between Antenatal Care And Postnatal Care To Newborn Outcomes In Borno State, Northeastern Nigeria, Adebe Gabriel
Walden Dissertations and Doctoral Studies
Newborn outcomes (morbidity or mortality) have been on the increase in Borno State. This study explores the relationship between antenatal care (ANC) and postnatal care (PNC) and newborn outcomes among women in Mafa local government area, Borno State. Also examined were the relationships between transportation and newborn outcomes, women’s knowledge of illness during pregnancy and ANC attendance, availability of staff/health workers, availability of supplies/equipment relations with ANC and PNC attendance. The three delays model was used as theoretical framework. The research will be useful for government and program-implementing partners to guide quality reproductive maternal newborn child adolescent health and nutrition …
Resilience As A Moderator Between Food And Housing Insecurity And Mental Distress, Denise Mchugh Loggie
Resilience As A Moderator Between Food And Housing Insecurity And Mental Distress, Denise Mchugh Loggie
Walden Dissertations and Doctoral Studies
The prevalence of food insecurity (FI) and housing insecurity (HI) in college students has increased over the last decade along with an associated increase in mental health problems. Studies show significant increases in many markers for mental distress in this population including a higher prevalence of mood disorders, non-lethal self-harm, and attempted and completed suicides, particularly over the last decade. Compounding these challenges is the low level of resilience found in college-age young adults, potentially limiting their ability to cope with and recover from the hardship of FI and HI. This quantitative study, guided by resilience theory and Maslow’s hierarchy …
Strategies For Establishing A Diverse Workforce Within A University Health System’S Department, Shanee Chantel Morgan
Strategies For Establishing A Diverse Workforce Within A University Health System’S Department, Shanee Chantel Morgan
Walden Dissertations and Doctoral Studies
Balanced diversity in health care promotes patient satisfaction and enhances innovation. Obtaining a culturally balanced workplace requires recruitment strategies that encourage inclusiveness among team members from various backgrounds. The purpose of this doctoral study was to explore the issue of lack of diversity in a behavioral health organization’s (BHO’s) student intern program and identify strategies for creating greater diversity in the workplace. The Baldrige excellence framework, the conceptual framework that guided the research, was designed to help BHOs to improve their overall business performance to accomplish goals and increase organizational sustainability. Three themes emerged from the data analysis: diversity training, …
Retrospective And Forecasting Analysis Of Increased Long Term Care Demand In Niagara, Breanne Alissa Hines
Retrospective And Forecasting Analysis Of Increased Long Term Care Demand In Niagara, Breanne Alissa Hines
Walden Dissertations and Doctoral Studies
A problem exists within the Canadian healthcare system as many patients experience longer lengths of stay (LOS) in acute care (AC) and complex care (CC) beds within hospitals because of a lack of long term care (LTC) facilities. The purpose of this study was to evaluate the extra days patients wait for placement and assess the benefits of increasing the number of LTC beds. The theoretical framework used was the four-level model of the health care system. Research questions involved 2017-2019 data for the number of LTC beds required to eliminate waits and evaluate beds needed in the future. This …
Health Beliefs And Nonadherence To Prescribed Medication Among African Americans Diagnosed With Hypertension, Monique D. Porter
Health Beliefs And Nonadherence To Prescribed Medication Among African Americans Diagnosed With Hypertension, Monique D. Porter
Walden Dissertations and Doctoral Studies
Perceptions of high blood pressure among African Americans and medicationnonadherence contribute to worsening cardiovascular disease compared to other racial groups; thus, they may suffer an increased lack of control of hypertension due to their subjective health beliefs. This study aimed to uncover health beliefs that result in nonadherence to medication advice, building on existing research associated with high blood pressure disparities despite recommendations for high blood pressure medication use. In this qualitative phenomenological study, the health belief model was used to identify the health beliefs of 12 African American patients with hypertension who were non-adherent to taking their prescribed medication. …
Risk Factors For Foodborne Illness Outbreaks In Retail Food Establishments, Brendalee Viveiros
Risk Factors For Foodborne Illness Outbreaks In Retail Food Establishments, Brendalee Viveiros
Walden Dissertations and Doctoral Studies
Despite policies and interventions over the last two decades, foodborne illness remains a significant public health concern. According to the CDC’s Foodborne Disease Outbreak Surveillance System, 60% of reported foodborne illness outbreaks involved food that was prepared at a restaurant. Reducing foodborne illness outbreaks that occur at restaurants would have a significant impact on the overall number of foodborne illnesses that occur each year. The purpose of this study was to quantitatively analyze the differences in risk factors in food establishments that have had a foodborne illness outbreak compared to food establishments that have not. This study used Reckwitz’s theory …
Breastfeeding Information And Breastfeeding Duration Among African American Women With A Family History Of Breast Or Ovarian Cancer, Aleatha Johnson
Breastfeeding Information And Breastfeeding Duration Among African American Women With A Family History Of Breast Or Ovarian Cancer, Aleatha Johnson
Walden Dissertations and Doctoral Studies
Decades of research supports the notion that breastfeeding may help prevent breast and ovarian cancer in women. Women with a family history of these cancers are at greater risk. African American women have the lowest breastfeeding rates, yet the highest breast and ovarian cancer mortality rates. No studies have been conducted exploring the impact of being informed about breastfeeding from health care providers, breastfeeding support services, or family and friends and the relationship between their knowledge of family history of breast or ovarian cancer and breastfeeding duration for African American women. The purpose of this quantitative study was to determine …
Disparities In The Use Of Radiation Therapy For Postlumpectomy Breast Cancer, Deborah Rothley
Disparities In The Use Of Radiation Therapy For Postlumpectomy Breast Cancer, Deborah Rothley
Walden Dissertations and Doctoral Studies
Early-stage breast cancer can be highly curable when properly treated using national standards of care. However, disparities in treatment, including radiation therapy after lumpectomy, may result in disproportional mortality rates in African American women. The purpose of this study was to add to the body of research to help determine the reasons for an underutilization of radiation therapy among African American women and whether the disparity has continued by analyzing recent patient data. Anderson’s behavioral model was used to frame the study and help determine the associations between the predisposing and enabling independent variables of race, age, health insurance status, …
Workplace Bullying/Interpersonal Conflict, Job Stress, Coworker Support And Hypertension Among Women, Kia Williams
Workplace Bullying/Interpersonal Conflict, Job Stress, Coworker Support And Hypertension Among Women, Kia Williams
Walden Dissertations and Doctoral Studies
Interpersonal conflict in the workplace, such as workplace bullying, is recognized as a growing public health issue that could lead to poor health outcomes like hypertension among women workers. However, there is limited research on the role that interpersonal conflict, as well as other job-related factors such as job stress and coworker support, may collectively have on hypertensive outcomes among minority women workers, specifically in younger age groups. The purpose of this cross-sectional quantitative study was to examine the extent to which certain job risk factors (interpersonal conflict, job stress and coworker support) were associated with being treated for hypertension …
Effective Physician Engagement Strategies For Improving Healthcare, Auriesheaua Bell
Effective Physician Engagement Strategies For Improving Healthcare, Auriesheaua Bell
Walden Dissertations and Doctoral Studies
Middle and senior-level healthcare managers lack physician engagement strategies to help avoid physician burnout. Many physicians leave the healthcare profession due to disengagement, which could cause a significant healthcare crisis. Grounded in the transformational leadership theory, the purpose of this qualitative single case study was to explore the engagement strategies healthcare middle and senior-level managers used to help avoid physician burnout. Participants comprised seven middle and senior-level healthcare managers with a minimum of five years of employee management experience who effectively used physician engagement strategies to help avoid physician burnout at a Central Pacific United States healthcare organization. Data were …
The Use Of The Qsen Framework In Nrp For Graduate Nurses: A Systematic Review, Debra Friedl
The Use Of The Qsen Framework In Nrp For Graduate Nurses: A Systematic Review, Debra Friedl
Walden Dissertations and Doctoral Studies
In hospitals offering a nurse residency programs (NRP) for new graduates, the framework used can impact retention and job satisfaction rates. To meet the nursing needs of the hospitalized population, it is critical to understand which NRP framework results in higher retention and job satisfaction rates as compared to national rates. The purpose of this systematic review was to examine the evidence on those NRP using the quality and safety for education of nurses’ framework (QSEN) to compare rates of job satisfaction and job retention with published national rates. A comprehensive search outlined in the PRISMA (Preferred Reporting Items for …
Strategies Healthcare Leaders Use To Improve Patient Satisfaction, Kajon Franklin
Strategies Healthcare Leaders Use To Improve Patient Satisfaction, Kajon Franklin
Walden Dissertations and Doctoral Studies
For all healthcare leaders, patient satisfaction plays a key role in healthcare; poor patient satisfaction within healthcare organizations can lead to poor patient health outcomes, decreased revenue, and poor employee engagement. Grounded in Mayeroff’s theory of caring, the purpose of this qualitative single case study was to explore strategies healthcare leaders use to improve patient satisfaction. The participants consisted of five healthcare leaders in metropolitan Detroit, Michigan, who implemented strategies that improved patient satisfaction. Data was collected using semistructured interviews, archival document review, and data from the Centers for Medicare and Medicaid Services (CMS) Hospital Compare database. Yin’s five-step process …
Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek
Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek
Walden Dissertations and Doctoral Studies
In the initial postpartum period, exclusive breastfeeding (EBF) improves women's and children's health status and outcomes. Gaps in nursing practice that decrease the rate of EBF during hospitalization at this site were identified by the lactation consultant using a standard chart audit during the last two years. The purpose of this Doctor of Nursing Practice education project was to provide a comprehensive education program that included the purpose, philosophy, nursing practice, and evaluation tools for increasing the EBF rates to meet the Joint Commission’s standard of improvement for perinatal care core measures. A formal educational program that included didactic and …
Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn
Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn
Walden Dissertations and Doctoral Studies
Human papillomavirus (HPV) infections account for most oropharyngeal, anal, and penile cancers among men. Two vaccines have been recommended for boys 11 years of age or older to prevent HPV infection, but HPV vaccination rates are far below the Healthy People 2030 target goal. Some research indicates the role of the parent is vital in HPV vaccine uptake, but to what extent is unclear. Through quantitative secondary data analysis of the National Immunization Survey-Teen 2016 (NIS-Teen) data set (n = 43,271) that was grounded in the health belief model, chi-square, and logistic regression analyses revealed three key findings. First, male …
Nurse Turnover A Crisis In Healthcare, Billie Robinson
Nurse Turnover A Crisis In Healthcare, Billie Robinson
Walden Dissertations and Doctoral Studies
Nurse turnover is a global, national, and local problem that impacts the ability of healthcare leaders to deliver high quality healthcare to the populations in need of healthcare services. The purpose of this study is to identify reasons nurses leave organizations. The Leader-Member Exchange Theory undergirds the quantitative research which was conducted using the Supervisor Leader Communication Inventory. Nurse leaders communicate with acute care nurses using principles of the Leader- Member Exchange Theory. The survey was distributed to members of the Georgia Nurse Association. Positive correlations were revealed between the independent and dependent variables. SPSS was used to establish the …
Smoothing Patient Flow By Improving Bed Turnover Time, Carrie Lanasha Percell
Smoothing Patient Flow By Improving Bed Turnover Time, Carrie Lanasha Percell
Walden Dissertations and Doctoral Studies
Bed Management Solutions (BMS) is a bed tracking system that provides real-time data into hospital activities, including admissions, transfers, discharges, bed turnover rates, and processing time frames. When BMS is used appropriately, it has the potential to improve bed turnover rates, reduce stress of clinical staff, improve patient satisfaction, and improve patients’ well-being. Delays in bed turnover times can create overcrowding, extended wait times, bottlenecking, delays in patient care, and significant patient flow problems. The purpose of this DNP project was to develop a staff education program to answer the question if the implementation of an educational training program could …
Staff Development Project For Fall Prevention In Long-Term Care, Afua Ofosuhene
Staff Development Project For Fall Prevention In Long-Term Care, Afua Ofosuhene
Walden Dissertations and Doctoral Studies
AbstractFalls pose major healthcare problems in long-term care (LTC) facilities. Falls significantly impede quality of life for the elderly and their caregivers. The purpose of the project was to determine if the fall prevention program Stopping Elderly Accidents Deaths & Injuries (STEADI) increased staff knowledge regarding fall prevention and reduced fall rates at the LTC setting. The project addressed whether educating LTC staff regarding a fall prevention program could increase their knowledge of fall prevention and decrease the rate of falls. The gap identified was that nurses lacked education regarding fall prevention strategies. The Plan-Do-Study-Act (PDSA) model was the evidence-based …
Supervision Needs For Social Workers Providing Home-Based Treatment For Children And Families, Magda Demerritt
Supervision Needs For Social Workers Providing Home-Based Treatment For Children And Families, Magda Demerritt
Walden Dissertations and Doctoral Studies
Social workers providing home-based therapy services for children and families face challenges that make it difficult to provide efficient and effective treatment. The purpose of this qualitative study was to explore the supervision needs of social workers who provide treatment using the home-based service delivery model. The leader-member exchange theory was used to guide the study. Data were collected from a focus group meeting with 10 master’s-level social workers in Miami-Dade County, Florida. Findings from coding and thematic analysis revealed that participants’ needs involved being educated on the value of the home-based model, receiving support and guidance related to their …
Psychosocial Factors And Physical Health In Chronic Obstructive Pulmonary Disease Patients, Olulana Bamiro
Psychosocial Factors And Physical Health In Chronic Obstructive Pulmonary Disease Patients, Olulana Bamiro
Walden Dissertations and Doctoral Studies
The research problem identified was poor physical health in older adults with chronic obstructive pulmonary disease (COPD). The problem is important because poor physical health yields unsuccessful aging. The current research aimed to identify psychosocial factors that improve self-evaluated physical health in the study population as a proxy to overall health; the research questions helped identify these factors. The first research question assessed the association between health locus of control and self-evaluated physical health. The second research question evaluated the association between family support and self-evaluated physical health. A final research question assessed the association between health locus of control, …
Strategies To Reduce Costs Caused By Medication Errors In Us Hospitals, Janice Leah Chobanuk
Strategies To Reduce Costs Caused By Medication Errors In Us Hospitals, Janice Leah Chobanuk
Walden Dissertations and Doctoral Studies
Medication errors result in patient harm, including deaths, costing American hospitals over $20 billion annually. The financial impact and reduced public confidence in safe patient care create a business problem for hospital leaders trying to contain costs, maintain a competitive edge, and sustain patient satisfaction. Grounded in the sociotechnical conceptual framework, the purpose of this generic qualitative study was to identify strategies hospital leaders use to reduce costs caused by medication errors in hospitals. Data collection involved semistructured interviews with 10 hospital leaders from various high-reliability hospitals across the United States and a review of documents related to medication management …
Health Care Leaders Strategies And Patient Satisfaction, Aaronn Haerr
Health Care Leaders Strategies And Patient Satisfaction, Aaronn Haerr
Walden Dissertations and Doctoral Studies
Ineffective patient satisfaction strategies can negatively impact patient satisfaction scores and overall organizational performance. Health care leaders who struggle to increase patient satisfaction are at high risk of diminished organizational performance and long-term sustainability. Grounded in the transformative learning theory, the purpose of this qualitative single case study was to explore strategies health care leaders implemented to improve patient satisfaction. The participants were five health care leaders in Ohio who effectively implemented strategies to increase overall patient satisfaction. Data were collected from semistructured interviews, organizational documents provided by the participants, and the company website. Yin’s five-step method was used to …
Perceptions Of Using Complementary Alternative Medicine During Pregnancy For Nausea And Vomiting, Debra L. Blackett
Perceptions Of Using Complementary Alternative Medicine During Pregnancy For Nausea And Vomiting, Debra L. Blackett
Walden Dissertations and Doctoral Studies
Nausea Vomiting during Pregnancy (NVP) conditions have commonly occurred among pregnant women during gestation for more than 4,000 years. The purpose of the multicase qualitative design was to examine and improve the understanding of perceptions of pregnant women experiencing nausea and the potential use of Complementary Alternative Medicine (CAM) modalities to treat NVP symptoms. In this study, the Health Belief Model six core constructs provided the foundation for the theoretical framework for the process, explaining how working pregnant women experience decision-making and relate to the daily challenges associated with pregnancy. The research questions examined experience of coping with NVP and …