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Articles 2941 - 2970 of 5875
Full-Text Articles in Medicine and Health Sciences
Use Of Spanish Audio Podcast To Educate Visually Challenged Hispanics With Diabetes, Baiju Issac
Use Of Spanish Audio Podcast To Educate Visually Challenged Hispanics With Diabetes, Baiju Issac
Walden Dissertations and Doctoral Studies
Diabetes is the leading cause of death among the Hispanic population, requiring solutions at the individual, community, and population levels. Self-management helps to manage diabetes and prevent complications, but it is a challenge in nursing practice. Health care providers use printed information to teach patients about self-management of diabetes. However, patients with visual impairment are not able to use these resources. Limited English proficiency, low health literacy, and visual challenges result in the underutilization of health care services within Hispanic communities. Therefore, the purpose of this study was to develop a Spanish audio podcast and lesson plan as teaching tools …
Men’S Knowledge And Perceptions Of Cervical Cancer: Influence Upon Increase In Cervical Cancer Screening In Rural Kenya, Lydia Oriko
Walden Dissertations and Doctoral Studies
Many facilities in Kendubay, Kenya offer cervical cancer screening and treatment services, yet many women in this rural community do not undergo screening. This lack of preventive care may be attributable to lack of support from men in the community. There exists a gap in the literature concerning the knowledge and perceptions of men about cervical cancer and related screening procedures. The purpose of this qualitative study was to describe the knowledge and perceptions of men in the community about cervical cancer and screening, and how men’s knowledge and perceptions influence women to undergo cervical cancer screening. The study used …
Perinatal Staff Education On Opioid Use Disorder, Theresa J. Engle
Perinatal Staff Education On Opioid Use Disorder, Theresa J. Engle
Walden Dissertations and Doctoral Studies
According to the Centers for Disease Control and Prevention, opiate use disorder (OUD) crosses all demographic areas, ethnicities, and social classes. In 2016, over 42,000 Americans died from opiate overdose with more than two million Americans having OUD. The need to care for patients with OUD has crossed all realms of nursing, including the perinatal specialty. Framed within the Iowa model of evidence-based practice, the purpose of this project was to develop a perinatal staff education program on OUD focusing on addiction as a brain disorder with care of the perinatal woman and identification and treatment of the newborn with …
A Systematic Review Of The Literature On Bedside Shift Reports, Dana Wickersheim
A Systematic Review Of The Literature On Bedside Shift Reports, Dana Wickersheim
Walden Dissertations and Doctoral Studies
AbstractIn 2017, The Joint Commission issued a sentinel event alert regarding inadequate nurse hand-off communication. Inadequate hand-off communication can lead to medication errors, delay in treatment, falls, and wrong-site surgery. To help ensure safe handoff of care between nurses by involving the patient and family, bedside shift report was created. Bedside shift report was developed to help improve patient safety and quality, patient experience of care, nursing staff satisfaction and time management, and accountability between nurses. Despite the implementation of bedside shift report in nursing practice, it continues to be inconsistently applied, which poses risks to patients and can lead …
Hospital Nurses’ Perceptions Of Computer-Assisted Instruction For Professional Development, Katherine Irizarry
Hospital Nurses’ Perceptions Of Computer-Assisted Instruction For Professional Development, Katherine Irizarry
Walden Dissertations and Doctoral Studies
Computer-assisted instruction (CAI) is increasingly being used for professional development. However, at one hospital in the northeast region of the United States, it was observed that nurses were not completing their CAI professional development modules and were failing to meet continuous education requirements. This qualitative case study explored professional nurses’ perspectives regarding the usefulness of CAI as a mode of professional development. The conceptual frameworks used to guide this study were Davis’ theory of technology acceptance, and Knowles’s theory of andragogy. The research question explored how professional nurses perceived the usefulness of CAI to assimilate new learning. The participants in …
Preventing Aspiration Pneumonia Using An Aspiration Prevention Protocol, Lee James-Pettway
Preventing Aspiration Pneumonia Using An Aspiration Prevention Protocol, Lee James-Pettway
Walden Dissertations and Doctoral Studies
Hospital-acquired pneumonia, which includes aspiration pneumonia (AP), is a preventable condition that is costly to all healthcare institutions (more than $17,000 to $ 30,000 per episode), because insurance no longer covers the cost of hospital-acquired harms. Each episode in the hospital setting can lead to patient complications, increased use of antibiotics, patient mortality, as well as decreased patient survey scores. Several factors put patients at risk of developing AP, and screening for these risk factors on admission and implementing preventative nursing interventions can decrease the incidence. Based on an extensive literature review, an evidence-based, clinical practice guideline (CPG) was identified …
Bedside Nurses' Perception Of Their Role Managing Elderly Patient's Polypharmacy, Patience E. Walker
Bedside Nurses' Perception Of Their Role Managing Elderly Patient's Polypharmacy, Patience E. Walker
Walden Dissertations and Doctoral Studies
AbstractPolypharmacy is described as having six or more prescription medications that are consumed concurrently and affects citizens worldwide. Polypharmacy may negatively affect patient care in hospitalized patients because nurses may lack the time to provide adequate care because they are overworked and/or understaffed, leading to problems such as medication errors. The purpose of this qualitative descriptive phenomenological study, guided by role theory, was to explore bedside nurses' perceptions of their role regarding patient polypharmacy. Twelve bedside nurses were interviewed on their roles in polypharmacy and medication management for elderly patients. The interviews were analyzed and revealed three distinct themes and …
Impact Of Integrated Laboratory Data Transfer Portals On Patient Results And Reports, Charmane Latrece Richie
Impact Of Integrated Laboratory Data Transfer Portals On Patient Results And Reports, Charmane Latrece Richie
Walden Dissertations and Doctoral Studies
An operational problem exists in which some healthcare organizations cannot maintain a suitable supporting data transfer system, which impacts the integrated laboratory data transfer portals designed to receive and send secure patient laboratory results and reports. This quantitative study examined whether an association exists between patient reporting turnaround times and specific test code nomenclatures used when comparing an older referral laboratory interface (RLI) laboratory information system (LIS) to the newer electronic orders and resulting (EOR) system using the Covance expanded laboratory management services (ELMS) NexGEN database from 2016-2020. The Donabedian model served as the framework for this study. The sampling …
The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown
The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown
Walden Dissertations and Doctoral Studies
Family dynamics have experienced an immense transformation in the last 4 decades. Children are less likely to live in a 2-parent household with parents that are both biologically related to them due to various factors. Blended families (especially the children) face many adversities during the initial stages of formation and rarely receive specialized intervention when compared to nuclear families. The purpose of this basic qualitative study was to understand the long-term biopsychosocial effects experienced by young adults who lived in a blended family household. In addition, what services or interventions were offered to newly established blended family systems were also …
Increasing Primary Care Nurse’S Recognition Of Symptoms Related To Job-Related Stress, Beverly Diann Butler
Increasing Primary Care Nurse’S Recognition Of Symptoms Related To Job-Related Stress, Beverly Diann Butler
Walden Dissertations and Doctoral Studies
AbstractMany nurses become accustomed to stressful situations and often do not recognize the signs of stress until it has in some form affected them. Nurses often lack education for recognition of signs regarding job-related stress. The practice-focused question for this doctoral project addressed whether knowledge of stress recognition increase in nurses after an evidence-based educational program (EBP) regarding signs of job- related stress.” The purpose and significance of this project was to develop, deliver and evaluate an EBP regarding recognition of signs regarding job-related stress. The project was guided by the Job Demands-Resource (JD-R) theory and Lewin’s Change Theory to …
Parents’ Perceptions Of Healthcare Influences On Their Decisions To Vaccinate Their Children, Patricia Frances Badiola Harris
Parents’ Perceptions Of Healthcare Influences On Their Decisions To Vaccinate Their Children, Patricia Frances Badiola Harris
Walden Dissertations and Doctoral Studies
Declining immunization rates are associated with higher incidents of vaccine-preventable diseases. The purpose of this qualitative phenomenological inquiry was to explore the perceptions of vaccine-hesitant parents regarding their healthcare experiences. Ajzen and Fishbein‘s theory of reasoned actions and its key concepts (the intention to perform behaviors, attitudes, subjective norms, and external variables) was used as a framework to understand influences on parents' decisions to vaccinate their children. The research questions for the study examined the healthcare experiences of vaccine-hesitant parents, how these experiences influenced their decisions to vaccinate their children, and how this group perceived the current strategies promoting vaccinations …
Barriers To Mental Health Services Related To Stigma In Northern California, Kandalena Ary
Barriers To Mental Health Services Related To Stigma In Northern California, Kandalena Ary
Walden Dissertations and Doctoral Studies
California Senate Bill 1041 recognized mental health as a contributing barrier for individuals struggling to achieve independence from aid through the California Work Opportunity and Responsibility to Kids (CalWORKs) program to meet the needs of the state's low-income families while reducing barriers to self-sufficiency. As mental health illnesses continue to increase, the engagement and utilization of services have not increased. The purpose of this study was to explore county policy infrastructure addresses making mental health services known, accessible, and increase participation to decrease barriers in utilization of available resources. The research questions were used to examine the effectiveness of processes …
Physician–Patient Communication: Association With Health Literacy In African Americans Living With Type 2 Diabetes Mellitus, Brittany Egeh
Physician–Patient Communication: Association With Health Literacy In African Americans Living With Type 2 Diabetes Mellitus, Brittany Egeh
Walden Dissertations and Doctoral Studies
Health literacy is needed throughout care to understand basic health, prevent diseases, understand diagnoses, and treatment and management of complicated diseases, such as Type 2 diabetes mellitus (T2DM). Inadequate physician–patient communication is related to medication errors and overall understanding of basic health information in chronic condition such as T2DM. The purpose of this study was to examine the association between physician–patient communication and health literacy, glycemic control, diabetic knowledge, and demographics. The target population consisted of African Americans, ages 18-75, diagnosed with T2DM. Primary data were collected from a family medicine clinic using 4 questionnaires: s-TOFHLA (short form of functional …
Hypertensive Self Care: An Educational Tool For Advanced Practice Nurses, Kelisia Burks Mckay
Hypertensive Self Care: An Educational Tool For Advanced Practice Nurses, Kelisia Burks Mckay
Walden Dissertations and Doctoral Studies
Poorly controlled hypertension is a serious public health problem. Persons with high blood pressure are required to perform a variety of self-care behaviors. Advance practice nurses can improve health outcomes for hypertensive patients when they provide self-care education along with prescribing appropriate medications needed to treat high blood pressure. The purpose of this study was to educate rural advance practice nurses about hypertension medication and self-care management using the Hypertension Self-Care Activity Level Effects (H-SCALE) and the 8th National Joint Committee (JNC- 8) hypertensive guidelines. Twelve primary care advanced practices nurses (APN's) participated in an educational presentation that included pre …
Evaluation Of A New Nurse Mentor Program, Corinne Romano
Evaluation Of A New Nurse Mentor Program, Corinne Romano
Walden Dissertations and Doctoral Studies
Novice nurses in the facility had a turnover rate of 32% in 2017 and 2018, despite participation in a novice nurse residency program. This project was the 3-month formative evaluation of a 1-year mentor program designed for novice nurses. The mentor program had been created to augment the residency program and support practice transition for novice nurses. The project questions explored the results of the process evaluation at the 3-month mark of the year-long mentorship program for the first cohort and recommendations to the mentor coordinators for continuous quality improvement. This quality improvement project followed the PDSA (plan-do-study-act) methodology. The …
Strategies Health Care Leaders Use To Implement Strategic Change Initiatives Successfully, Sophia F. Brown
Strategies Health Care Leaders Use To Implement Strategic Change Initiatives Successfully, Sophia F. Brown
Walden Dissertations and Doctoral Studies
Health care organizations lose a significant competitive edge when leaders fail to align strategic change initiatives with necessary operational activities. Health care leaders who struggle to maintain a competitive edge are at high risk for failure. Pettigrew and Whipp's content, process, and context strategic change management and Hoshin Kanri (HK) program deployment models constituted the composite conceptual framework for this study. The purpose of this qualitative multiple case study was to explore strategies health care leaders use to implement strategic change initiatives successfully. The participants comprised of 4 strategic change leaders from 2 health care organizations in Manhattan, New York, …
Risks For Hiv Infection Among Adolescent Girls And Young Women In Mozambique, Isabelle Casavant
Risks For Hiv Infection Among Adolescent Girls And Young Women In Mozambique, Isabelle Casavant
Walden Dissertations and Doctoral Studies
Adolescent girls and young women (AGYW) living in Sub-Saharan African countries constitute 17% of the population, yet they account for one third of all new human immunodeficiency virus (HIV) infections. To prevent HIV infections among AGYW, it is necessary to understand why they are disproportionally infected. The purpose of the dissertation was to identify risk for HIV among AGYW living in a southern district of Mozambique. The analysis was driven by the Modified Socio Ecological Model and performed using a quantitative dataset collected for the Chokwe Combination Prevention of HIV (N=3354). Logistic regression analysis was conducted to assess whether an …
Nursing Administration And Faculty Perceptions Of Their Self-Efficacy With Active Learning Methods, Lindsey Ann Helm
Nursing Administration And Faculty Perceptions Of Their Self-Efficacy With Active Learning Methods, Lindsey Ann Helm
Walden Dissertations and Doctoral Studies
A lack of active teaching was identified in a small, rural college in a midwestern state, resulting in negative course evaluations that referenced students’ learning preferences as not being met. This qualitative case study was aligned with Bandura’s theory of self-efficacy to explore the perceptions of nursing administrators and nursing faculty about their teaching methods and self-efficacy regarding the implementation of active learning strategies. A purposeful sampling method was used to select a total of 8 participants: 6 nursing faculty and 2 nursing administrators. Selection criteria included nurse educators and administrators who had worked at the college within the last …
Impact Of Race-Related Stress And Intraracial Microaggressions On Self-Efficacy Of African Descendants, Samina Long
Impact Of Race-Related Stress And Intraracial Microaggressions On Self-Efficacy Of African Descendants, Samina Long
Walden Dissertations and Doctoral Studies
Race-related stress such as ancestral trauma and experiences of out- and in-group microaggressions can be intergenerationally transmitted from parent to child. The current study was conducted to address the need for research on race-related trauma and out- and in-group discrimination by providing evidence-based research on whether African descendants experiencing and witnessing race-related stress and intraracial microaggressions results in low self-efficacy. The purpose of this quantitative, multiple regression design was to explore the relationships among race-related stress, intraracial microaggressions, and self-efficacy, which may provide clarity on the psychological impact of these stressors. This study addressed the question of whether race-related stress …
Planned Behavior And Congolese Physicians’ Practice: Predicting Advanced Preventive Health Services Provision, Jean-Clément Milabu Mumbusi
Planned Behavior And Congolese Physicians’ Practice: Predicting Advanced Preventive Health Services Provision, Jean-Clément Milabu Mumbusi
Walden Dissertations and Doctoral Studies
The provision of preventive services, health promotion, and health maintenance has become the cornerstone of primary care practice in the United States and other Western countries to prevent morbidity and premature mortality and to increase the quality and years of a healthy life. Unfortunately, the delivery of these advanced preventive health services (APHS) has been sporadic in the Democratic Republic of Congo, a country with poor health indicators. The purpose of this cross-sectional mixed-method study was to apply Ajzen’s theory of planned behavior (TPB) to predict the intention of Congolese primary care physicians (PCPs) in the provision of APHS. Using …
Sex Bias In The Diagnosis Of Chronic Obstructive Pulmonary Disease, Olga Ivan Belitchenko Ryan
Sex Bias In The Diagnosis Of Chronic Obstructive Pulmonary Disease, Olga Ivan Belitchenko Ryan
Walden Dissertations and Doctoral Studies
Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity, mortality, disability, and cost globally and in the United States. Various sources point to women experiencing greater morbidity, increased health care resource use and higher incidence of mortality resultant from COPD. While exact causality is not fully understood, it is possible that social bias towards COPD in women impacting screening and timely diagnosis may be a contributing factor. This current investigation involved the social ecological model. In this cross-sectional secondary analysis of Behavioral Risk Factor Surveillance System, 2017 data, differences in screening through use of breathing testing among 6334 …
Medical Skepticism And Diabetes Management In African Americans, Pamela Bouyer
Medical Skepticism And Diabetes Management In African Americans, Pamela Bouyer
Walden Dissertations and Doctoral Studies
Type 2 diabetes (T2DM) in African Americans is a manageable disease, and self-management interventions reduce complications and hospital stays. However, in the African American population, traditional T2DM self-management interventions do not produce long-term effects on lifestyle and behavior changes. Researchers have analyzed the barriers and interventions associated with the disease, but the problem still exists. Medical skepticism may influence T2DM management and health outcomes in African Americans. However, there is scarce literature addressing the relationship between medical skepticism and health outcomes (eye and kidney problems). The purpose of the study is to assess the relationship between medical skepticism and outcomes …
Enhancing Nurse- Patient Communication Through Commit To Sit, Cherrielyn E. Quiambao
Enhancing Nurse- Patient Communication Through Commit To Sit, Cherrielyn E. Quiambao
Walden Dissertations and Doctoral Studies
The patient experience is considered by healthcare policy experts as one of the essential components of healthcare quality. The project site implemented a program called “Commit to Sit” to help promote direct bedside communication with patients. This quality improvement project examined the impact of the Commit to Sit program on patient experience in an acute care setting. The purpose of this evaluation focused on determining whether communication between the frontline nurses and patients improved through the implementation of “Commit to Sit” campaign on a pilot unit in a community hospital. The Duffy’s Quality Caring Model was utilized because it encourages …
Suicidal Ideation, Suicidality, And Hiv/Aids Infection Or Diagnosis Among Asian American Sexual Minorities, Francis Azih Ngene
Suicidal Ideation, Suicidality, And Hiv/Aids Infection Or Diagnosis Among Asian American Sexual Minorities, Francis Azih Ngene
Walden Dissertations and Doctoral Studies
Asian American men who have sex with men (MSM) are an understudied minority. They are particularly affected by HIV/AIDS and are also impacted by psychosocial and mental health factors of depression, substance use, drug use, and alcohol use/abuse, any of which may lead to suicidal ideation and suicidality. These associations have not been widely studied in this population. The purpose of this quantitative study was to use the 2015 National Survey on Drug Use and Health data to examine these psychosocial and mental health issues and their association with suicidal ideation, suicidality, and HIV/AIDS infection or diagnosis among Asian American …
A Mentorship Program For Newly Licensed Registered Nurses, Omin Chandler
A Mentorship Program For Newly Licensed Registered Nurses, Omin Chandler
Walden Dissertations and Doctoral Studies
The retention of new nurses remains a challenge for most healthcare organizations. Approximately 75% of newly licensed registered nurses (NLRNs) resign their positions within the first year of employment due to transition shock from the academic setting to the practicum setting. Other reasons for resignation include lack of confidence, poor critical thinking skills, and feeling overwhelmed to provide quality patient care. This loss of retention among NLRNs poses a significant threat to the delivery of quality and safe patient care. Nurses who assume the role of mentor to newly licensed nurses face many barriers to fulfilling their role effectively, including …
Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women, Nicole Ekoue
Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women, Nicole Ekoue
Walden Dissertations and Doctoral Studies
Breast cancer incidence is suddenly increasing among African American women. Recent studies indicate that health behaviors are thought to confer important health benefits and have the potential to lowering breast cancer incidence. Guided by the social ecological model, the purpose of this quantitative, cross-sectional study was to investigate the association between health behaviors of fruit consumption, vegetable consumption, and physical activity and breast cancer after adjusting for age, body mass index, and smoker status. Social support and income level were assessed as modifiers. Using the 2012 to 2017 Health Information and National Trends Survey data, this study was conducted with …
Evidence-Based Practice Guideline: Breastfeeding Support Of The Active Duty Servicewoman, Heidi A. Koslo
Evidence-Based Practice Guideline: Breastfeeding Support Of The Active Duty Servicewoman, Heidi A. Koslo
Walden Dissertations and Doctoral Studies
There is no policy on breastfeeding support of the active duty military servicewoman at the targeted military treatment facility, and no global policy serving active duty personnel applicable at the Department of Defense and Defense Health Agency (DoD/DHA) level to span across branches of the U.S. military. Nurses, as members of the most trusted profession, are often expected to know how to assist a mother in meeting her feeding goals. Creation of an evidence-based practice guideline (EBPG) for support of the active duty servicewoman in the military health system was the purpose of this project. The project was conceptualized within …
Pharmacy Manager Strategies For Reducing Financial Losses From Adverse Drug Events By Polypharmacy Patients, Francis Rudden
Pharmacy Manager Strategies For Reducing Financial Losses From Adverse Drug Events By Polypharmacy Patients, Francis Rudden
Walden Dissertations and Doctoral Studies
Every year over 100,000 deaths occur in the U.S. from adverse drug events derived from medication errors. Medication errors account for an annual cost of $100 to $200 billion. Healthcare pharmacists lack strategies to reduce adverse drug events and medication errors from taking place. Grounded in complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies to reduce advere drug events and medication errors. The participants were 5 pharmacist managers in a county in central Florida. These pharmacists were from different community pharmacies, and each had a minimum of 5 years’ experience in the …
Education Toolkit On Restraint Reduction In The Intensive Care Unit, Sharon Watkins
Education Toolkit On Restraint Reduction In The Intensive Care Unit, Sharon Watkins
Walden Dissertations and Doctoral Studies
The use of physical restraints in hospitals has been in practice for the better part of a century despite the many adverse effects it can have on patients. Socially, restraint use can strip the patient of their dignity in addition to their freedom. This evidence-based project was to build a toolkit to educate intensive care unit (ICU) nurses regarding the negative effects physical restraint use can have on their patients and to present alternatives to their use. Tools developed from prior research were included in the toolkit, and the Neuman systems model was applied to the overall education project. The …
Tool Kit To Address Communication On A Mental Health Unit, Carol L. Barclay
Tool Kit To Address Communication On A Mental Health Unit, Carol L. Barclay
Walden Dissertations and Doctoral Studies
Effective communication by newly graduated, hired nursing staff is a significant issue affecting patient care on mental health units. The rising prevalence of mental illness in the United States has not only increased the healthcare burden, but has also affected the overall economy. The lack of training of new nursing staff regarding communication diminishes the effective recovery rate of patients, further increasing the burden to the healthcare field and the economy. A tool kit for newly graduated mental health nurses working on mental health units may help to improve communication skills and enhance patient safety and quality of care. Therefore, …