Open Access. Powered by Scholars. Published by Universities.®
- Discipline
-
- Nursing (2607)
- Public Health (2131)
- Public Health Education and Promotion (1504)
- Social and Behavioral Sciences (816)
- Health and Medical Administration (734)
-
- Epidemiology (581)
- Education (412)
- Mental and Social Health (395)
- Psychiatric and Mental Health (388)
- Psychology (346)
- Business (253)
- Arts and Humanities (231)
- Public Affairs, Public Policy and Public Administration (154)
- Sociology (149)
- Public Policy (120)
- Race, Ethnicity and Post-Colonial Studies (119)
- Educational Administration and Supervision (117)
- Physical Sciences and Mathematics (113)
- Rehabilitation and Therapy (113)
- Life Sciences (100)
- African American Studies (98)
- Teacher Education and Professional Development (98)
- Vocational Rehabilitation Counseling (89)
- Medical Specialties (88)
- Organizational Behavior and Theory (84)
- Social Work (76)
- Business Administration, Management, and Operations (75)
- Family, Life Course, and Society (73)
- Management Sciences and Quantitative Methods (73)
- Keyword
-
- Nursing (205)
- Education (130)
- Obesity (119)
- Diabetes (108)
- Leadership (85)
-
- Depression (79)
- African American (72)
- Healthcare (66)
- Mental Health (65)
- Retention (55)
- Burnout (54)
- Mental health (53)
- Stress (51)
- HIV (50)
- Health (47)
- Communication (46)
- Adolescents (45)
- Women (44)
- Nursing education (43)
- African Americans (42)
- Prevention (40)
- Management (38)
- Barriers (36)
- Knowledge (35)
- Nurse (35)
- Nurses (35)
- COVID-19 (33)
- Nigeria (33)
- Epidemiology (32)
- Hypertension (32)
Articles 3721 - 3750 of 5875
Full-Text Articles in Medicine and Health Sciences
Child Malnutrition In A Developing Country: A Persistent Challenge In Haiti, Jeanne M. Constant-Edma
Child Malnutrition In A Developing Country: A Persistent Challenge In Haiti, Jeanne M. Constant-Edma
Walden Dissertations and Doctoral Studies
Malnutrition is characterized by the insufficient intake of certain nutrients and the inability of the body to absorb or use these nutrients. This health problem continues to be a persistent challenge among children under 5 years of age in developing countries, including Haiti, despite food aid provided. The purpose of this study was to determine the association between dietary habits in children under 5 years of age in Haiti and their malnutrition status. Community organization theory was used to determine the association between determinants of health such as dietary habits, parents' knowledge and experience, cultural eating habits, socioeconomic status, and …
Preconception Health And Preterm Birth Differences Among U.S.-Born And Foreign-Born Black Women, Sheree Holmes Keitt
Preconception Health And Preterm Birth Differences Among U.S.-Born And Foreign-Born Black Women, Sheree Holmes Keitt
Walden Dissertations and Doctoral Studies
Foreign-born Black women giving birth in the United States have superior preterm birth outcomes compared to their U.S-born Black peers. Many studies have focused on tobacco use and medical risk factors, but few have focused solely on preconception health. The purpose of this study was to examine preconception health and preterm birth differences among U.S.-born and foreign-born Black women. Three theoretical frameworks guided this study: the life course theory, healthy migrant theory/immigrant paradox, and weathering theory. Primary research questions assessed (a) if there were an association between chronic preconception risk factors, prepregnancy obesity, diabetes, and hypertension, in U.S.-born and foreign-born …
Examining Cultural Humility And Intersectionality In Mental Health Treatment, Sandra Y. Herrera-Spinelli
Examining Cultural Humility And Intersectionality In Mental Health Treatment, Sandra Y. Herrera-Spinelli
Walden Dissertations and Doctoral Studies
Cultural awareness is an ethical standard in the social work profession and, as the diversity in the United States continues to grow, it is a social work practice problem when cultural awareness is not implemented in mental health settings. The National Association of Social Workers revised the cultural awareness standards to include cultural humility and intersectionality as practice indicators. The purpose of this action research study was to examine how clinical social workers demonstrated cultural humility and intersectionality in mental health settings. Person-centered theory guided this study and a total of 17 clinical social workers in New Mexico participated in …
Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali
Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali
Walden Dissertations and Doctoral Studies
Low-income immigrants in the United States experience declining health with increasing length of stay in the country. Their declining health over time has been associated with increased smoking, obesity prevalence, and higher risk for developing diabetes and heart disease. How immigrants perceive their body weight and size, influenced by social interaction, culture, gender, and acculturation is also significant to healthy weight maintenance. Not knowing one's healthy weight could result in body weight misperception and resistance to attaining a healthy weight. The aim of this qualitative study, based on the social constructivist framework, was to understand Nigerian women immigrants' (NWI's) body …
Community Risk Factors And Health Inspection Violations In Mississippi Delta Census Tracts, Chrystal S. Early
Community Risk Factors And Health Inspection Violations In Mississippi Delta Census Tracts, Chrystal S. Early
Walden Dissertations and Doctoral Studies
A concerning public health issue in America is about food deserts urban and rural communities that lack grocery retailers that offer affordable, nutritious, and diverse foods. Empirical evidence has shown significant associations between neighborhood disadvantage/disorder risk factors of high poverty and high percentages of ethnic minority residents with presence/ absence of healthy food retailers in food deserts. The purpose of this quantitative correlational study, framed by the disparities in food safety conceptual model, was to examine if county-level poverty, number of African American residents, number of elderly (i.e., age 65 or older) residents, vehicle ownership, and crime rates were significantly …
Nurse Managers’ Self And Authentic Leadership In Relation To Their Job Satisfaction, L'Ouverture Ellis
Nurse Managers’ Self And Authentic Leadership In Relation To Their Job Satisfaction, L'Ouverture Ellis
Walden Dissertations and Doctoral Studies
There is a high cost to nurse manager turnover and added to this challenge is the difficult tasks that hospitals have of recruiting and retaining nurse managers. These difficulties make it challenging for healthcare providing institutions to achieve consistent positive patient and staff outcomes. The current study examined the relationship between self-leadership, authentic leadership, and job satisfaction with nurse managers. Three elements making up the theoretical framework of this research were self-leadership, authentic leadership, and job satisfaction. The 2 predictor variables were self-leadership and authentic leadership. An evaluation of whether a relationship existed between the predictors and the criterion, job …
Nonfatal Strangulation Continuing Education Program For Forensic Nurses, Pamela Susan Holtzinger
Nonfatal Strangulation Continuing Education Program For Forensic Nurses, Pamela Susan Holtzinger
Walden Dissertations and Doctoral Studies
Patients experiencing nonfatal strangulation during intimate partner violence (IPV) are suffering the consequences of unrecognized injuries and delayed life-threatening medical sequela. Forensic nurses offer expertise in the physical assessment and documentation to a variety of assault victims including those impacted by IPV. This project addressed whether an educational program on nonfatal strangulation increased the knowledge and assessment skills of forensic nurse examiners. The purpose of this doctoral project was to develop a continuing education program on the topic of nonfatal strangulation for forensic nurse examiners. The project design was created using Knowles's adult learning theory principles. The content outline was …
The Impact Of Parental Support On The Health Behaviors Of Transgender Young Adults, Jill Hingston
The Impact Of Parental Support On The Health Behaviors Of Transgender Young Adults, Jill Hingston
Walden Dissertations and Doctoral Studies
Paralleling recent increased public awareness of transgender issues, gender nonconforming youth are coming out at increasingly earlier ages. It is important to understand the impact that family acceptance or family rejection has on the health outcomes of transgender young people, who are at increased risk of discrimination, prejudice, harassment, victimization, violence, and possible mental health issues and who are understudied. This understanding can be framed within the minority stress model and Carl Rogers' theory of self, which provide insight into how minority groups experience negative reactions from both society and an internalized sense of congruence. The purpose of this descriptive, …
Depression Screening In Poststroke, Shannah Lowe
Depression Screening In Poststroke, Shannah Lowe
Walden Dissertations and Doctoral Studies
Depression, a sequela of stroke, is underrecognized and underreported. The American Heart/Stroke Association estimated 1/3 of patients develop depression after a stroke. Depression after a stroke has negative influence on stroke recovery through decreased participation in rehabilitation, and increased morbidity and mortality. The American Heart/Stroke Association recommended that depression screening be conducted on stroke patient; however, there is a lack of guidance regarding the optimal time and tools for depression screening. The practice problem identified was the absence of depression screening in poststroke patients at the project site. The project question focused on identifying evidence-based approaches for depression screening in …
Staff Education On Chronic Obstructive Pulmonary Disease Self-Management Using Teach-Back, Yvonne Etenyi Fomengia
Staff Education On Chronic Obstructive Pulmonary Disease Self-Management Using Teach-Back, Yvonne Etenyi Fomengia
Walden Dissertations and Doctoral Studies
Exacerbation of chronic obstructive pulmonary disease (COPD) is the leading cause of hospital admissions and an estimated 120,000 deaths among older adults in the United States. In the community health clinic that served as the project site, more than 80% of patients with a COPD diagnosis had frequent exacerbations, with a hospital readmission rate of 23.2%, which was higher than the national benchmark of 21%. The clinic did not have a COPD discharge education plan with a teach-back tool for staff to teach patients. The purpose of the project was to develop an evidence-based COPD educational packet for staff on …
Assessing Medical Expenditure Disparities Among U.S. Adults With Hiv Or Cardiovascular Diseases, Lorraine Nnacheta
Assessing Medical Expenditure Disparities Among U.S. Adults With Hiv Or Cardiovascular Diseases, Lorraine Nnacheta
Walden Dissertations and Doctoral Studies
Older adults with infectious and chronic diseases, such as cardiovascular disease and human immunodeficiency virus (HIV), are at high risk for associated chronic comorbidities, which are associated with increased medical expenditures to cover treatment costs. The purpose of this study was to investigate (a) whether adults 65 or older with either HIV or cardiovascular disease were predisposed to increased medical expenditures versus adults 64 and younger, and (b) the impact of race and type of health service used on total direct medical expenditures incurred among adults with HIV or cardiovascular disease. A quantitative, deductive, retrospective cross-sectional design was used, and …
Demographic And Symptomology Differences Among Sexually Assaulted Children With Posttraumatic Stress Disorder, Kathleen Bethel-Pracht
Demographic And Symptomology Differences Among Sexually Assaulted Children With Posttraumatic Stress Disorder, Kathleen Bethel-Pracht
Walden Dissertations and Doctoral Studies
Trauma due to sexual assault becomes a life changing event during a child's critical developmental years. Bronfenbrenner's ecological systems theory outlines the process of understanding an individual's environment and how disruptions in one level may affect other levels. This study determined if gender and ethnicity among sexually traumatized children diagnosed with post-traumatic stress disorder (PTSD) predict symptom severity as measured by the Trauma Symptom Checklist for Children (TSCC) after controlling for the socioeconomic level and home environment. The population consisted of 126 children aged 8 through 16 with at least a second-grade reading level. Multiple regression examined whether male and …
Relationships Between Nursing Resources, Uncompensated Care, Hospital Profitability, And Quality Of Care, Gloria Glover
Relationships Between Nursing Resources, Uncompensated Care, Hospital Profitability, And Quality Of Care, Gloria Glover
Walden Dissertations and Doctoral Studies
The value-based purchase requirement of the Patient Protection and Affordable Care Act puts pressure on hospital leaders to control cost while improving quality of care. The resource dependency theory was the theoretical framework for this correlational study. Archival data from the Centers for Medicare and Medicaid Services collected from 166 acute care urban hospitals for the Fiscal Year 2016. Multiple linear regression analysis was used to determine the relationship between nursing salaries per patient day, cost of uncompensated care as a percentage of net patient revenue, percentage of net income from patient services, and overall patient satisfaction for quality of …
The Effects Of Breastfeeding Support On Women Enrolled For Wic Benefits, Judith Marie Khanuja
The Effects Of Breastfeeding Support On Women Enrolled For Wic Benefits, Judith Marie Khanuja
Walden Dissertations and Doctoral Studies
Breastfeeding has been shown to protect both the mother and infant, and health care professionals consider it to be the best choice for feeding an infant. The Special Supplemental Nutrition Program for Women, Infants, and Children (WIC) provides food, referrals to other social service programs, and nutrition and breastfeeding education for enrolled families. However, community support for the breastfeeding woman once she leaves the hospital is limited, especially in Philadelphia, PA. The purpose of this mixed-methods study was to explore the impact of prenatal breastfeeding education and understand the role that members of the community play in the infant feeding …
Parent Perceptions Of Biofeedback Treatment Effectiveness For Pediatric Migraine, Andrea Grando Weber
Parent Perceptions Of Biofeedback Treatment Effectiveness For Pediatric Migraine, Andrea Grando Weber
Walden Dissertations and Doctoral Studies
Gate control theory posits the idea that the brain and spinal cord have the ability to control the perception of pain sensation throughout the body. Biofeedback provides a proven way to teach a person how they may control their heart rate, breathing, and skin temperature. Through this process, individuals learn to lessen their migraine frequency and intensity. There are no studies to date that have measured the effectiveness of biofeedback in conjunction with medication for migraines in children despite established evidence of success in adults. In this study, an online format via SurveyMonkey was used to document the perceptions of …
Implementing A Sepsis Protocol In A Long-Term Care Hospital, Kristine Lynette Harral
Implementing A Sepsis Protocol In A Long-Term Care Hospital, Kristine Lynette Harral
Walden Dissertations and Doctoral Studies
Sepsis is life-threatening organ dysfunction caused by a response to infection that causes multiorgan failure. This condition causes high mortality and morbidity rates and leaves permanent disabilities. The purpose of this project was to create a sepsis protocol and an education training program for clinical staff in a hospital setting where no sepsis protocol was in place. The practice-focused question examined whether an educational program would improve clinical staff perception of their knowledge of the early recognition and management of sepsis. A literature review was conducted to identify an evidence-based practice protocol; the results were used to develop the education …
Reducing Fall Recurrence In Institutionalized Elderly Residents On Narcotics, Paul Niyungeko
Reducing Fall Recurrence In Institutionalized Elderly Residents On Narcotics, Paul Niyungeko
Walden Dissertations and Doctoral Studies
Falls constitute a health care safety concern, specifically among the geriatric population institutionalized in health care facilities. From the pattern of observed falls at the project site, a discrepancy between fall prevention measures and expected outcomes was noted. Knowledge deficiency, inadequate practice skills, and insufficient organizational support were found to be the major obstacles to improving fall prevention. The purpose of this systematic literature review project was to identify evidence-based actions to reduce falls. The project was guided by Taylor's personality theory and Watson's theory of care. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses method was used to …
Built Environments And Childhood Obesity Epidemic In The Immigrant Population, Monique M. Nurse
Built Environments And Childhood Obesity Epidemic In The Immigrant Population, Monique M. Nurse
Walden Dissertations and Doctoral Studies
A lack of adequately built environments can negatively affect obesity rates among adolescents. The purpose of this quantitative cross-sectional study was to determine if there is a relationship between the presence of built environments and childhood obesity among the immigrant population living in Cobb County Georgia. The social ecological model was used to explain how environmental factors may influence behavior. The research questions addressed whether walkability and elements of built environments such as to healthy foods and access to parks and recreational areas of census tracts affect childhood obesity when adjusting for race/ethnicity and immigrant population in Cobb County. Data …
Standardized Clinical Guideline For Assessment, Documentation, And Treatment Of Statins, Esther Onyirimba
Standardized Clinical Guideline For Assessment, Documentation, And Treatment Of Statins, Esther Onyirimba
Walden Dissertations and Doctoral Studies
The purpose of this project was to develop a practice guideline for screening patients at risk for cardiovascular disease, educate the staff at the site about the guideline, and implement the guideline at a primary care clinic. The intention was to identify and treat patients at risk for cardiovascular disease to prevent occurrence of heart disease. Cardiovascular disease includes hypertension, coronary heart disease, heart failure, and stroke. Coronary heart disease is one of the leading causes of death in the Western world. The local practice problem and focus of this project was underprescribed statin therapy for patients at risk for …
Effective Nurse Recruitment Methods For Long-Term Care Facilities, Keith Laprade
Effective Nurse Recruitment Methods For Long-Term Care Facilities, Keith Laprade
Walden Dissertations and Doctoral Studies
Nurse recruitment is a challenge for long-term care (LTC) leaders. Some owners of LTC businesses lack knowledge of how to attract, market, and hire qualified nurses to help ensure success. The purpose of this multiple case study was to explore the methods and strategies LTC leaders used to recruit nurses. The target population consisted of leaders of 3 LTC facilities who were responsible for recruiting nurses. This selection was based on findings that organization leaders experienced a downsizing of more than 20% of their personnel. The conceptual framework was the motivation-hygiene theory. Working conditions were influenced by Herzberg's 2-factor principles …
Male Students And Stress During Their Nursing Education, Stephen Joseph Alves
Male Students And Stress During Their Nursing Education, Stephen Joseph Alves
Walden Dissertations and Doctoral Studies
Stress is a common phenomenon experienced by nursing students; however, there is a gap regarding the perception of stress by male nursing students. It is important for nurse educators to be aware of the stressors that are unique to male students to provide appropriate resources and ensure their success in nursing school. The purpose of this qualitative study was to identify the lived experiences male nursing students’ stress. Lazarus and Folkman’s transactional model of stress was the theoretical framework for this study. Semistructured interviews were conducted with 8 participants, who were male students enrolled in associate degree nursing programs, to …
Instrumental Role Modeling And The Sensitive Topic Of Obesity: A Grounded Theory, Tulie Blot Gay
Instrumental Role Modeling And The Sensitive Topic Of Obesity: A Grounded Theory, Tulie Blot Gay
Walden Dissertations and Doctoral Studies
The nurse practitioner (NP) role is more prominent now than ever before in primary healthcare, positioning them as providers who defend initiatives and ongoing health agendas. Obesity is among those agendas. The concept of instrumental role modeling was explained as a combination of understanding and physical presence that gives meaning and quality to inspire change. It implied that health professionals are not merely insightful clinicians but suggested their expertise is complimented by demonstrations of wellness in knowledge and practice. This topic of weight was perceived as sensitive but must be addressed. In this grounded theory study, the perspectives of NPs …
Closing The Gaps In Rural Healthcare In Texas: A Formative Bounded Case Study, Marianne Bogel
Closing The Gaps In Rural Healthcare In Texas: A Formative Bounded Case Study, Marianne Bogel
Walden Dissertations and Doctoral Studies
Maldistribution of healthcare professionals persists in remote and rural communities throughout the world. Adoption of a Community Paramedic (CP) program could improve access to quality healthcare for rural communities. The conceptual framework defined rural communities by their distinct characteristics — community efficacy, weaknesses, attitudes, assets, deficits, local culture, and the driving and restraining forces — and not defined by their small populations or distances to cities. The theoretical foundation was a synthesis of theories of Bandura, Rogers, and Lewin. This study assessed community characteristics that may influence the likelihood of success, sustainability, or program failure of the Australian CP model …
Improving Spiritual Care In Preoperative Nursing, Victoria Ngozi Ogbuji
Improving Spiritual Care In Preoperative Nursing, Victoria Ngozi Ogbuji
Walden Dissertations and Doctoral Studies
Spirituality and nursing have been intertwined from the beginning of the profession; however, there is little evidence that clearly defines spiritual nursing care and no standardized practices that can be included in the routine preoperative plan of care for patients undergoing invasive surgical procedures. The purpose of this project was to conduct a systematic review of the literature to define spiritual care and identify specific spiritual nursing care interventions. The biopsychosocial model, Narayanasamy's transcultural care practice model, and Watson's theory of human caring provided the theoretical framework for the project. MEDLINE, PubMed, Wiley online library, SCIENCE, WOS, Cochrane, and SciELO …
Florida Adult Trauma Scorecard Methodology And Scene Transportation Choice, Patricia Maher
Florida Adult Trauma Scorecard Methodology And Scene Transportation Choice, Patricia Maher
Walden Dissertations and Doctoral Studies
Prehospital management of patients who are traumatically injured within the state of Florida starts with the use of the Florida Adult Trauma Scorecard Methodology. The scorecard methodology may indicate that a patient is a Trauma Alert based on applied physiological and other judgment criteria. However, patients may be transported via Helicopter Emergency Medical Services (HEMS) without justified physiological needs. Rawls’ theory of justice posits that a fair and equal distribution of social resources is essential to public wellbeing. To evaluate this premise regarding prehospital trauma transports, archival 2015 data from the Florida Department of Health Trauma Registry was obtained. Using …
Lived Experiences Of Caregivers For Individuals With Serious Mental Illness In Rural Communities, Jennifer Way
Lived Experiences Of Caregivers For Individuals With Serious Mental Illness In Rural Communities, Jennifer Way
Walden Dissertations and Doctoral Studies
More than ten million American adults live with a serious mental illness (SMI). Given the deinstitutionalization of psychiatric facilities, caregivers and family members are often needed to care for these individuals. Due to SMI individuals’ extensive needs, caregivers frequently face unique challenges and experiences. Although research has been conducted on caring for individuals with SMI, less information exists about the experiences of rural caregivers of SMI individuals. The purpose of this study was to fill this gap in research by exploring the lived experiences of caregivers of SMI individuals in rural areas with the intention of understanding this population’s unique …
Detecting Obstructive Sleep Apnea In An Adult Primary Care Population, Tizita Gedeon Tessema
Detecting Obstructive Sleep Apnea In An Adult Primary Care Population, Tizita Gedeon Tessema
Walden Dissertations and Doctoral Studies
Obstructive sleep apnea (OSA) is a sleep-related disorder that pauses or decreases air flow during sleep as a result of an obstructed upper airway. About 25 million people in the United States are affected by OSA. OSA has low identification and referral rates, especially in primary care facilities as indicated by the lack of patients' sleep histories. Screening tools such as questionnaires ensure an effective detection of OSA. The practice-focused question examined whether implementing the Epworth sleepiness scale (ESS) in an outpatient primary care setting would increase the number of referrals of high-risk patients. The purpose of the project was …
Patient Views On Social Media Communication With Their Health Care Providers, Brenda Elaine Welch
Patient Views On Social Media Communication With Their Health Care Providers, Brenda Elaine Welch
Walden Dissertations and Doctoral Studies
Communication between patients and health care providers at hospital discharge is a critical factor that determines whether a patient understands their treatment plan and self-care instructions. Lack of effective health management after hospital discharge can decrease the quality of life for a patient and increase the likelihood of costly hospital readmission. The purpose of this phenomenological study was to explore factors affecting the receptivity of patients using social media as a platform for post discharge, provider-client communication, and assessment. This was explored using social presence theory. Twenty patients between 45 to 65 years of age, who received care from hospitals …
The Influence Of Food Insecurity, Low-Income, And Race On Diabetes Self-Management Practices Among Women With Diabetes, Jill La Capria
The Influence Of Food Insecurity, Low-Income, And Race On Diabetes Self-Management Practices Among Women With Diabetes, Jill La Capria
Walden Dissertations and Doctoral Studies
Diabetes is a chronic condition affecting more than 30 million adults living in the United States. Diabetes self-management (DSM) can prevent or delay the complications of diabetes and improve clinical outcomes; however, data show that low-income, food insecurity, female gender, and race contribute to challenges performing effective DSM. The health belief model was the theoretical framework for this cross-sectional study, which examined how food insecurity, low-income, and race affect DSM activities in women with diabetes. The sample population from the 2017 Behavioral Risk Factor Surveillance System survey consisted of 1,842 women with diabetes who were 18 years of age or …
Program Evaluation Of The Rn Clinical Learning And Development Specialist, Brittany Montecuollo
Program Evaluation Of The Rn Clinical Learning And Development Specialist, Brittany Montecuollo
Walden Dissertations and Doctoral Studies
The purpose of this project was to evaluate the impact of a quality improvement strategy to implement an RN clinical learning and development specialist (CLDS) with the intent to reduce high turnover in novice nurses and low nurse engagement. The CLDS served as expert, role-model, coach, and mentor. Benner's model of novice-to-expert was used as the conceptual framework to monitor progression of nurses mentored by the CLDS. The Institute for Healthcare Improvement model for improvement was reviewed to assess the effectiveness of the CLDS on turnover rates and nurse engagement. At the time of program evaluation, the CLDS role had …