Open Access. Powered by Scholars. Published by Universities.®

Medicine and Health Sciences Commons™

Open Access. Powered by Scholars. Published by Universities.®

2021

Discipline
Institution
Keyword
Publication
Publication Type
File Type

Articles 19861 - 19890 of 21400

Full-Text Articles in Medicine and Health Sciences

Suicidal Ideation Among American Indian And Alaska Natives In The United States, Lacie Lashawn Tillman Jan 2021

Suicidal Ideation Among American Indian And Alaska Natives In The United States, Lacie Lashawn Tillman

Walden Dissertations and Doctoral Studies

Suicidal ideation is a silent public health issue across the United States. Evidence suggests that suicidal ideation is a predictor of suicide attempt and completion. Suicide is a leading cause of death among American Indians and Alaska Natives (AIs/ANs) in the United States, especially among younger people. Alcohol and illicit drug use, coupled with poor social conditions, can lead to suicidal ideations—and sometimes suicide completion. Using social cognitive theory, this quantitative cross-sectional study compared variables within the 2017, 2018, and 2019 National Survey on Drug Use and Health to determine the effect that alcohol and/or illicit drug use has on …

Go to article

Perceptions Of Physicians And Patients On How Mediated Electronic Health Records Affect Their Communication During Medical Encounters, Fabienne Alexandra Louis Jan 2021

Perceptions Of Physicians And Patients On How Mediated Electronic Health Records Affect Their Communication During Medical Encounters, Fabienne Alexandra Louis

Walden Dissertations and Doctoral Studies

Little is known concerning the effects of the mediated electronic health record (MEHR) on physician-patient communication, thereby making it difficult to provide patient-centered care. The purpose of this qualitative study was to examine and understand the perceptions of physicians and patients regarding how MEHR affects their communication during medical encounters in the outpatient setting. Data were collected from five physicians and five patients who provided email responses to open-ended questions. Driven by the media richness theory, a content analysis was performed to analyze the responses. Findings revealed that screen gazing, heavy keyboarding, and positioning of the computer monitor affect physician-patient …

Go to article

Alarm Fatigue On Medical-Surgical Units, Jody S. Destigter Jan 2021

Alarm Fatigue On Medical-Surgical Units, Jody S. Destigter

Walden Dissertations and Doctoral Studies

Technology use in the medical-surgical acute care setting has increased and leads to alarm, alert, and notification overload, also known as alarm fatigue, which is one of the top 10 health technology hazards leading to patient harm. Alarm fatigue is a new phenomenon within the acute care health care setting and impacts patients, families, staff, leadership, organizations, and the profession of nursing. The purpose of this descriptive, comparative, quantitative study was to examine the difference in the level of alarm fatigue and its impact on performance for nurses who work on a technology-dedicated, inpatient, medical-surgical unit versus a traditional inpatient …

Go to article

Workplace Psychosocial Factors, Perception Of Organizational Support, And Congregate Workers’ Quality Of Life, Claudine Alicia Cousins Jan 2021

Workplace Psychosocial Factors, Perception Of Organizational Support, And Congregate Workers’ Quality Of Life, Claudine Alicia Cousins

Walden Dissertations and Doctoral Studies

Congregate care organizations employ workers across various environments from shelters, group homes, long-term care homes, and correctional facilities. Congregate care workers in the developmental services sector face numerous risks that affect their quality of life due to workplace stress from daily interactions with individuals with intellectual disabilities and organizational demands. Workers’ perception of the support received from their organization may further impact their quality of life. The purpose of this quantitative study, guided by organizational support theory, was to examine the relationship among the independent variables of workplace psychosocial factors (defined as vicarious trauma, compassion fatigue, mental stress, or burnout), …

Go to article

Influence Of Questioning On Development Of Clinical Reasoning In Prelicensure Nursing, Teresa Maria Brown Jan 2021

Influence Of Questioning On Development Of Clinical Reasoning In Prelicensure Nursing, Teresa Maria Brown

Walden Dissertations and Doctoral Studies

Clinical reasoning is the basis for every clinical decision a nurse makes; however, only 23% of newly graduated nurses are safely able to recognize urgent clinical patient problems and demonstrate appropriate management of those problems. Furthermore, new nurses make 50% of medical errors. This leaves nurse educators looking for evidenced-based teaching/learning strategies to help their students develop clinical reasoning skills. The purpose of this study was to investigate the influence of questioning as a problem-based teaching/learning strategy on clinical reasoning in undergraduate nursing students. The theoretical framework used to guide this study was Tanner’s clinical judgment model. Using Lasater’s clinical …

Go to article

Medication Beliefs And Behaviors Of Hypertensive Caribbean Immigrants Living In New York City, Nadia Williams Jan 2021

Medication Beliefs And Behaviors Of Hypertensive Caribbean Immigrants Living In New York City, Nadia Williams

Walden Dissertations and Doctoral Studies

Hypertension remains a worldwide health phenomenon with serious health consequences including heart attack, stroke, aneurysm, and heart failure. Beliefs about medicines have been shown to influence hypertension outcomes. Medication adherence has emerged as a vital component of hypertension control and management. However, there has been limited research which addresses beliefs about medicines and medication adherence in Blacks of Caribbean origin. The purpose of this quantitative cross-sectional study was to identify the beliefs about medications held among hypertensive Caribbean immigrants living in New York City using the Beliefs about Medicines Questionnaire to identify what factors/barriers were related to these specific medication …

Go to article

The Viability Of Venture Philanthropy In A Nonprofit Organization, Melissa Lindsey Perkins Jan 2021

The Viability Of Venture Philanthropy In A Nonprofit Organization, Melissa Lindsey Perkins

Walden Dissertations and Doctoral Studies

This case study addressed the viability of a venture philanthropy approach to augment revenue at a youth-serving nonprofit organization in the U.S. state of Connecticut. Venture philanthropy as different from an outright financial donation in that the purpose of this donation is to allow the organization to start a mission-related business. The purpose of the study was to explore the perspectives of individual donors capable of making a venture-level investment to inform organizational leaders about this revenue generation strategy. The practice-focused questions concerned what a donor may want to know prior to making a venture-level investment, to what degree donors …

Go to article

Physician Retention Strategies In Small Military Treatment Facilities, Stacey Sherrice Amos Jan 2021

Physician Retention Strategies In Small Military Treatment Facilities, Stacey Sherrice Amos

Walden Dissertations and Doctoral Studies

During a time of increasing physician shortages, health care leaders must identify successful physician retention strategies. Health care leaders are concerned with physician retention, as a lack of physicians minimizes patient access to care. Grounded in the stakeholder theory, the purpose of this qualitative multiple case study was to explore strategies health care leaders in small military treatment facilities in rural areas use to improve physician retention. The participants were five health care leaders from different Army military treatment facilities located in rural areas throughout the continental United States who had more than four months of experience in physician shortages …

Go to article

Juvenile Justice And The Criminalization Of Mentally Ill Individuals, Michael Collins Jan 2021

Juvenile Justice And The Criminalization Of Mentally Ill Individuals, Michael Collins

Walden Dissertations and Doctoral Studies

Juvenile justice systems in the United States are using incarceration as a solution to the problem of youths with mental health disorders who commit violent crimes. Juvenile justice systems across the United States have a revolving door effect that arrests, adjudicates, and incarcerates youth offenders but fail to address the factors that contribute to recidivism. The purpose of the qualitative case study was to identify which treatment procedures were most appropriate for juvenile offenders who committed violent offenses in an effort to reduce recidivism for this offender population. For this study, an ecological psychology theory was used as a lens …

Go to article

Living In An Oil-Polluted Region In Nigeria As A Risk Factor In Colorectal Cancer Development, Steve Nwachi Onya Jan 2021

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 …

Go to article

Detroit Community Violence And Mental Health Help-Seeking Behaviors Of African American Men, Rebekah D. Montgomery Jan 2021

Detroit Community Violence And Mental Health Help-Seeking Behaviors Of African American Men, Rebekah D. Montgomery

Walden Dissertations and Doctoral Studies

Community violence is a type of trauma commonly experienced in inner cities. Qualitative methods and hermeneutic phenomenology were used to identify connections of low use of professional mental health services by African American men in inner-city settings to chronic exposure to trauma. Sotero’s historical trauma theory was used to explain how minority men process trauma in present-day circumstances. Purposeful sampling was used to select seven African American men in Detroit, Michigan who self-reported exposure to community violence. Data were collected via semi-structured interviews and analyzed using three steps: transcribing; listening, reading, and analyzing; and coding using inductive and deductive analysis. …

Go to article

The Patient Dignity Project, Jennifer Kepler Flick Jan 2021

The Patient Dignity Project, Jennifer Kepler Flick

Walden Dissertations and Doctoral Studies

The delivery of patient-centered care is central to many healthcare initiatives. However, the national nursing shortage and the task-oriented nature of the nursing process can make the delivery of this type of care difficult. Nursing as a caring science requires nurses to have an in-depth understanding of how the care they provide impacts patient dignity. Although the Patient Dignity Question is effective as a dignity-preserving intervention, the project facility offered no orientation or educational opportunities that specifically related to patient dignity. This project was a multimodal educational intervention on protecting patient dignity with pre- and posteducation survey assessments. The practice-focused …

Go to article

Relationship Between Cultural And Religious Practices And Ebola Virus In Freetown, Sierra Leone, Richmond Samuel Kpange Jan 2021

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, …

Go to article

Change Fatigue, Job Satisfaction, And Organizational Commitment Among Nurses, Melissa Kapping Jan 2021

Change Fatigue, Job Satisfaction, And Organizational Commitment Among Nurses, Melissa Kapping

Walden Dissertations and Doctoral Studies

The healthcare environment is complex and ever-changing, which has a direct impact on the nurse. The effects of the constant change to the nurse may result in the development of change fatigue, which causes the loss of trust in the organization, a feeling of resentment, and a sense of apprehension while depleting the individual’s reserves. The purpose of this correlational study guided by Lazarus and Folkman’s stress and coping theory was to determine if there is a relationship between (a) job satisfaction and change fatigue and (b) organizational commitment and change fatigue in nurses who work in an outpatient clinical …

Go to article

Nurse Turnover A Crisis In Healthcare, Billie Robinson Jan 2021

Nurse Turnover A Crisis In Healthcare, Billie Robinson

Walden Dissertations and Doctoral Studies

AbstractNurse 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 …

Go to article

Associations Between The Use Of Bed Nets And Malaria Infection On The School Performance Of Juveniles In Ghana, Ans Bumbokuri Jan 2021

Associations Between The Use Of Bed Nets And Malaria Infection On The School Performance Of Juveniles In Ghana, Ans Bumbokuri

Walden Dissertations and Doctoral Studies

Millions of malaria cases are reported yearly in sub-Saharan Africa, events which adversely influence children’s school performance. The purpose of this quantitative, cross-sectional study was to investigate the effectiveness of major malaria control policies in reducing malaria cases as a means of improving academic performance among school children in the greater Accra region of Ghana. A secondary data set was obtained from the 2014-2016 data from the Ghana Malaria Indicator Survey (GMIS). Findings indicated that bed net use and malarial episodes in children of participant recorded a p-value of 0.43 which is a significant association between the variables. The likelihood …

Go to article

Surgical Site Infection Rates After Implementation Of The Surgical Care Improvement Project Initiative, Victor Lao De Guzman Jr Jan 2021

Surgical Site Infection Rates After Implementation Of The Surgical Care Improvement Project Initiative, Victor Lao De Guzman Jr

Walden Dissertations and Doctoral Studies

Surgical site infections (SSIs) reflect a serious complication in modern healthcare and are a substantial burden to healthcare systems and service payers worldwide in terms of patient morbidity, mortality, and additional costs. The Surgical Care Improvement Project (SCIP), introduced in 2006, was developed by the Centers for Medicare and Medicaid Services to reduce SSI rates by 25%. However, SCIP was retired in 2015. Given the considerable financial burden of SSIs and because SSIs may be prevented using evidence-based measures, it was worth revisiting and re-evaluating the quality improvement efforts brought about by the success of the evidence-based SCIP initiative. This …

Go to article

Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi Jan 2021

Staff Education: Nonpharmacological Interventions For Pain In Older Adults With Osteoarthritis, Rachel 'Seunayo Ilesanmi

Walden Dissertations and Doctoral Studies

Osteoarthritis (OA) pain is a major social problem for older adults and has psychological and physical implications. In the clinic where the project was implemented, the family nurse practitioners (FNPs) are not addressing the OA pain of the older adult patients according to the evidence-based practice (EBP) guidelines. The purpose of this project was to educate FNPs on EBP guidelines regarding nonpharmacological intervention for chronic pain in OA patients. Knowles’ adult learning theory guided the development of the education program specific to the unique learning style of the FNPs. Fourteen FNPs who treat patients with OA in 3 clinic settings …

Go to article

Demographic Characteristics And Response Preparedness Of Employed Adults To Ebola Virus Disease In Monrovia, Liberia, Beth Ann Sexton Jan 2021

Demographic Characteristics And Response Preparedness Of Employed Adults To Ebola Virus Disease In Monrovia, Liberia, Beth Ann Sexton

Walden Dissertations and Doctoral Studies

AbstractEbola virus disease (EVD) is a deadly disease with no known cure and it caused an outbreak from 2014-2016 in Western Africa. Liberia had the highest morbidity and mortality; its capital city, Monrovia, was the focus of this study. The purpose of this research was to explore the association between sociodemographic and socioeconomic factors (gender, religion, age, occupation, education, and ward) and the use of preventative hygiene measures and understanding of EVD among working Monrovian adults. This population was chosen because 97% of the Monrovian population is employed, and thus serves as a good source for future public health campaigns. …

Go to article

Systematic Review Of The Barriers To Breastfeeding For Non-Hispanic Black Women, Ketty N. Floyd Jan 2021

Systematic Review Of The Barriers To Breastfeeding For Non-Hispanic Black Women, Ketty N. Floyd

Walden Dissertations and Doctoral Studies

Breastmilk provides the optimal food for newborns and contributes to improved lifelong health. A community hospital in the Eastern United States serving non-Hispanic Black (NHB) women has a breastfeeding exclusivity rate of only 8%, which is low compared to the state’s exclusivity rate of 40%. A systematic review of the literature was conducted to identify the breastfeeding barriers for NHB mothers and to identify strategies to address them. Guided by Fishbein and Yzer’s integrative model and the SQUIRE 2.0 knowledge reporting framework, 30 articles were appraised using Melnyk and Fineout-Overholt’s hierarchy of research and the Caldwell, Henshaw, and Taylor qualitative …

Go to article

The Experience Of Women With Opioid Use Disorder Accessing Methadone Treatment, Lizette Cristine Keenan Jan 2021

The Experience Of Women With Opioid Use Disorder Accessing Methadone Treatment, Lizette Cristine Keenan

Walden Dissertations and Doctoral Studies

The number of women experiencing opioid use disorder (OUD) in Canada has increased exponentially. In Canada, healthcare is socialized and free for all citizens and often medications like methadone are free as well, yet few individuals with OUD access treatment services. The purpose of this study was to describe the lived experiences of Canadian women with OUD who were receiving methadone treatment. Interpretive phenomenology was used to investigate the treatment experiences of seven women with OUD. The conceptual framework of self-care of chronic illness was used examine this phenomenon. Data was analyzed using a seven step process of interpretive phenomenological …

Go to article

African American Mothers’ Experience In The Neonatal Intensive Care Unit, Lauren Magruder Jan 2021

African American Mothers’ Experience In The Neonatal Intensive Care Unit, Lauren Magruder

Walden Dissertations and Doctoral Studies

Black/African American (B/AA) mothers struggle disproportionately with problems related to childbirth. B/AA mothers have higher rates of premature births, infant death prior to age one, and death during childbirth. The purpose of this research was to add to present knowledge regarding B/AA mothers who have had a baby in the Neonatal Intensive Care Unit (NICU). Womanist theory was selected as a framework for the study because it focuses on the intersection of gender and race in relation to B/AA women. The experience of B/AA women in U.S. society is unique, in that it involves several pervasive stereotypes and controlling images. …

Go to article

Preparing Staff Nurses For Timely Management Of Hypertension In Acute Ischemic Stroke, Nneoma Oguguo Jan 2021

Preparing Staff Nurses For Timely Management Of Hypertension In Acute Ischemic Stroke, Nneoma Oguguo

Walden Dissertations and Doctoral Studies

When a blood clot obstructs the flow of blood and oxygen to the brain, it can cause an ischemic stroke. Hypertension is the most important risk factor for ischemic stroke because it causes damage to the arteries, making them easy to burst or clog and subsequently increases the risk of stroke. Advanced treatments have been developed to dissolve clots and restore blood flow to the brain. Tissue plasminogen activator (tPA) has been clinically beneficial in acute ischemic stroke if it is given early and under the right conditions. Nurses can improve patient care through application of evidenced-based management. The purpose …

Go to article

Effect Of Insecticide-Treated Nets On Anemia In Nigerian Children, Adamu Onu Jan 2021

Effect Of Insecticide-Treated Nets On Anemia In Nigerian Children, Adamu Onu

Walden Dissertations and Doctoral Studies

Childhood anemia is a significant public health problem in Nigeria and frequently coexists with malaria. The mortality associated with malaria increases when anemia is present. Insecticide-treated nets (ITNs) are a cheap and effective malaria preventive measure that can provide a protective barrier from insects. There are conflicting results from several studies on the effect of ITNs on anemia in children, with fewer studies on the effect of ITNs on anemia in Nigerian children. This study aimed to measure the effect of ITN use on anemia among children aged 6–59 months in Nigeria. The social ecological model was used as the …

Go to article

Pulmonary Rehabilitation And Hospital Readmissions Among Individuals With Chronic Obstructive Pulmonary Disease, Nicholas Prush Jan 2021

Pulmonary Rehabilitation And Hospital Readmissions Among Individuals With Chronic Obstructive Pulmonary Disease, Nicholas Prush

Walden Dissertations and Doctoral Studies

Due to policies that penalize hospitals for chronic obstructive pulmonary disease (COPD) readmissions and the health problems faced by individuals who are readmitted due to COPD, it is critical to identify treatments and strategies that can help reduce the likelihood of readmission. The purpose of this study was to assess the association of pulmonary rehabilitation and demographic variables (age, gender, and BMI) on 30-day hospital readmissions for patients with COPD. Shearer’s health empowerment theory was the theoretical framework for this quantitative study. Secondary data were obtained from a hospital and the sample was comprised of 253 COPD patients admitted between …

Go to article

Learning Experiences And Goal Setting Strategies From Successful Adult Basic Education Learners, Amanda Christine Sobremesana Jan 2021

Learning Experiences And Goal Setting Strategies From Successful Adult Basic Education Learners, Amanda Christine Sobremesana

Walden Dissertations and Doctoral Studies

Adults who are unsuccessful in completing their educational program will not receive the needed certification or diploma to be competitive in a global economy and job market. The completion percentage of adult basic education learners remains low at an adult basic education site in a Western state. The purpose of this study was to better understand the various experiences of the successful adult learner and the different ways they used goal setting strategies to complete their programs. This basic qualitative study was guided by Knowles’ theory of andragogy. The guiding research questions asked adult learners what learning experiences and goal …

Go to article

Impact Of Immediate Bedding In The Emergency Department On Length-Of-Stay And Left-Without-Being-Seen, Christine Demo Jan 2021

Impact Of Immediate Bedding In The Emergency Department On Length-Of-Stay And Left-Without-Being-Seen, Christine Demo

Walden Dissertations and Doctoral Studies

Hospital systems and health care leaders struggle to provide safe and efficient care to patients seeking care in the emergency department (ED). EDs are experiencing a high influx of patients leading to ED overcrowding and causing stress on the department to manage patient flow more efficiently. The inability to manage patient flow properly limits the ability to provide safe, effective, and timely care to patients. Many solutions have been proposed to decrease overcrowding though the main focus of this study was the implementation of a more efficient patient flow strategy, known as immediate bedding. The purpose of this quantitative study …

Go to article

Predictors Of Cancer Information Seeking Among Adults With A Family History Of Cancer, Oluwakemi Akindeju Fawole Jan 2021

Predictors Of Cancer Information Seeking Among Adults With A Family History Of Cancer, Oluwakemi Akindeju Fawole

Walden Dissertations and Doctoral Studies

Cancer is a significant cause of illness and mortality in the United States. A family history of cancer is a valuable factor for assessing disease risk and increasing cancer information-seeking behaviors for prevention. Guided by the health belief model, this quantitative study addressed the predictors of cancer information seeking behavior among adults with a family history of cancer. In this study, data from 8,473 participants in the 2017–2019 Health Information Trends Analysis Survey were analyzed using multivariate logistic regression. This analysis addressed whether there was a statistically significant difference in sociodemographic factors, measures of health status, and health care engagement …

Go to article

Benefits Of Using An Electronic-Medical-Record In The Emergency Department: A Systematic Review, Eduardo Paguntalan Monroy Jan 2021

Benefits Of Using An Electronic-Medical-Record In The Emergency Department: A Systematic Review, Eduardo Paguntalan Monroy

Walden Dissertations and Doctoral Studies

AbstractLow quality of care is a problem for many United States (U.S.) emergency departments (E.D.). The use of electronic medical records (EMR) with quick embedded tools, treatment plans, and protocols decrease E.D. overcrowding, reduce boarding time, to approximate the 4- hour recommendation by the Joint Commission on Accreditation of Healthcare Organizations, and improve quality of care. The project question asked whether a systematic review of EMRs with quick embedded tools, treatment plans, and protocols decreased overcrowding and boarding time, and improved E.D. quality care. This systematic review used the Johns Hopkins Model to answer the project question by guiding selection, …

Go to article

Associations Between Nurse Manager Engagement And Nursing Quality Indicators, Justin Travis Morris Jan 2021

Associations Between Nurse Manager Engagement And Nursing Quality Indicators, Justin Travis Morris

Walden Dissertations and Doctoral Studies

Individuals serving in the nurse manager role are critical stakeholders supporting frontline nurses delivering quality care within acute care settings. Despite evidence supporting nurse managers’ contributions to improved quality outcomes for patients by proxy, there is scant evidence supporting direct relationships between the role and outcomes. This study intended to provide quantitative evidence of relationships between nurse managers’ engagement, nurse managers’ tenure, and patient outcomes. The leadership complexity theory classified the nurse manager as a meso-level leader, requiring support from the macro- and microlevels of the organization. Acting as a liaison, meso-level leaders’ function in the space between executive leadership …

Go to article

First Prev Next Last