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Full-Text Articles in Medicine and Health Sciences
Counselor Supervisors' Perceptions Of Tertiary Trauma, Eric David Jett
Counselor Supervisors' Perceptions Of Tertiary Trauma, Eric David Jett
Walden Dissertations and Doctoral Studies
Vicarious trauma impacts counselors in various ways: by diminishing their feelings of importance in the profession, hindering their completion of adequate work with clients, and negatively affecting their personal life choices. Although numerous qualitative and quantitative studies have been conducted on vicarious trauma over the past 20 years, there is a rarity of research investigating the implications of trauma for counseling supervisors. The purpose of this study was to examine the lived experiences and perceptions of tertiary trauma among 11 counselor supervisors from Oklahoma and Missouri who were providing active supervision. This study was approached through a hermeneutic phenomenological methodology. …
The Healthy, Hunger-Free Kids Act And High School Obesity, Derek Grills
The Healthy, Hunger-Free Kids Act And High School Obesity, Derek Grills
Walden Dissertations and Doctoral Studies
United States high school student obesity rates have doubled in the past 30 years to 13%, threatening the health of millions of adolescents. To mitigate the epidemic, Congress passed the Healthy, Hunger-Free Kids Act (HHFKA) in 2010, which mandated significant changes to school nutrition and physical education. From a public policy perspective, the HHFKA changed school nutrition and exercise policy to affect obesity rates by changing intake and energy expenditure at school, though no study using national-level data examined this relationship. As such, the purpose of the study was to examine whether HHFKA policy compliance had a statistically significant effect …
Factors Influencing Employee Participation And Nonparticipation In A Rural Hospital's Employer-Sponsored Wellness Program, Nicole Marie Kolacz
Factors Influencing Employee Participation And Nonparticipation In A Rural Hospital's Employer-Sponsored Wellness Program, Nicole Marie Kolacz
Walden Dissertations and Doctoral Studies
Employer-sponsored wellness programs are important tools for keeping employees healthy, reducing an organization's healthcare expenses, mitigating risk factors, and promoting health and well-being. Little research is available on the factors associated with employees' participation in wellness programs in rural hospitals. Pender's health promotion model was used to determine how employees who participated in a rural hospital's wellness program differed from those who did not participate in terms of demographics, perceptions of personal health, general health behaviors, health locus of control, self-motivation, and situational barriers. A descriptive, correlational replication with the Hallion and Haignere questionnaire was used to survey employees. Of …
The Center For Total Health: Healthcare Reform In Cook County, Illinois, James Leon Miles
The Center For Total Health: Healthcare Reform In Cook County, Illinois, James Leon Miles
Walden Dissertations and Doctoral Studies
The Patient Protection and Affordable Care Act (PPACA) of 2010 requires hospital systems in the United States to shift the culture of patient care from a focus on sick-care to a focus on prevention and wellness care. Little is known about how hospital systems will make this culture shift while retaining quality patient care. The purpose of this case study of a pioneering hospital-based PPACA-compliant initiative was to answer the research question of how Wallace's revitalization movement theory (RMT) "a rapid culture change model"could serve as a transferable evaluation framework for PPACA prevention and wellness care compliance in hospital-based programs. …