Medicine and Health Sciences Commons^™

Use Of Cognitive Behavioral Therapy To Reduce Patient Self-Harm Incidents In Psychiatric In-Patient Settings, Amarachi Chigbu

Walden Dissertations and Doctoral Studies

AbstractThis doctoral project aimed to assess how the provision of a mental health providers’ education program regarding the use of cognitive-behavioral therapy for self-harm would assist in preventing and reducing self-harm incidents in an adolescents’ psychiatric unit. The project entailed a literature search that used various databases. The doctoral project relied on evidence deduced from systematic reviews, meta-analyses, randomized controlled trials, and well-designed controlled trials without randomization. The evidence obtained from the studies formulated an education program for the providers. The education program was based on John Hopkins nursing evidence-based practice model, lewin’s change theory, and the adult learning theory. …

Perceptions Of Nurse's Personal Smartphone Use At Work, Esperanza Criscuolo

Walden Dissertations and Doctoral Studies

Distracted nurses who use their personal smartphone at work has resulted in the diversion of attention from patient care. The specific problem is the personal smartphone use by nurses in the hospital settings has resulted in distracted patient care, leading to wrongful release of patient’s information, medical errors, injury or preventable patient death. The purpose of this qualitative study was to describe the perceptions of nurses regarding distracted patient care in their clinical workplace due to personal smartphone use by nurses. The study was grounded in the distraction-conflict theory conceptual framework. The key research question examined the perceptions of nurses …

Associations Between Provider Type And Medicaid Overpayments, Kezia Hercules

Walden Dissertations and Doctoral Studies

Healthcare costs have been rapidly increasing in the United States and consume a significant percentage of the Gross Domestic Product (GDP). A percentage of these costs are attributed to increased incidences of healthcare overpayments to providers. This study examined the impact of these overpayments by provider type, and the underlying reasons which resulted in overpayments from the Medicaid perspective. The theoretical framework used in this study was Ostrom’s institutional analysis and development (IAD) framework. The study used all available data (N = 682) from New York State Medicaid Inspector General final audits of providers for Medicaid overpayments. A chi-square test …

Age-Of-Consent Policies And Hiv Among Adolescents In Sub-Sahara Africa, Suzanne Marie King

Walden Dissertations and Doctoral Studies

Age of consent policies have recently been identified as a barrier to HIV testing among adolescents in HIV endemic Sub-Sahara Africa. Grounded in the modified social ecological model, the purpose of this study was to determine if these policies were related to HIV testing rates and prevalence. In this quantitative research secondary data sets from the Demographic Health Survey were used. This study included all sexually active respondents aged 18 years or below (N=37,015) and then was further limited by respondents that had HIV test results (N=25,107). Binary logistic regression showed that respondents with lower age of consent had higher …

Adult Canadian Disordered Gambling And Poor Physical Or Mental Health, Pilar Lane

Walden Dissertations and Doctoral Studies

Disordered gambling has become the first recognized nonsubstance addiction. Low- and moderate-level gamblers have been found to be more likely to suffer health consequences. The purpose of this quantitative, cross-sectional, comparative study was to explore whether and to what extent being a disordered gambler in Canada increases the likelihood of having a concurrent physical or mental health problems (i.e., heart disease, diabetes and/or suicidal ideation or attempts). The research questions were whether there was a significant difference in having heart disease, diabetes, or suicidal ideations or attempts between Canadian adults who are and who are not disordered gamblers. The theoretical …

Examination Of The Efficacy Of The Healthy Hunger-Free Kids Act To Reduce High School Childhood Obesity Rates System, Catrina Lashawn Morgan

Walden Dissertations and Doctoral Studies

The rapid rise in U.S. high school student obesity rates to 20.8% in 2018 presented significant risks to the health and well-being of American children and foreshadowed increased future healthcare costs. To address high school obesity, Congress passed the Healthy Hunger-Free Kids Act (HHFKA) in 2010 that mandated the U.S. Department of Agriculture develop regulations to nutrition to improve the nutrition of school cafeteria breakfasts and lunches. The purpose of this quantitative study was to test for changes between 2009 and 2016 in high school obesity rates attributable to the HHFKA using Youth Risk Behavior Surveillance System data, adjusted for …

Health Literacy Staff Education For Heart Failure Management, Ifeoma Onyeiwu

Walden Dissertations and Doctoral Studies

Heart failure (HF) is a chronic disease with progressive deterioration that occurs over years or decades. There is a need for individuals affected by HF to be educated regarding this complex disease. Health literacy, an integral part of health and wellness, is one's ability to understand and use health information. Ninety million adults in America have difficulty understanding and using health information, resulting in higher rates of hospitalization and use of emergency services among patients. Limited health literacy may lead to billions of dollars in avoidable healthcare costs. This DNP project addressed health literacy as it relates to medication adherence …

Medical Brain Drain And Its Effect On The Nigerian Healthcare Sector, Oluwakemi Osigbesan

Walden Dissertations and Doctoral Studies

Nigeria suffers from a huge brain drain issue across different sectors, particularly in the healthcare sector. The WHO assessed that there is a current shortage of 2.8 million physicians in the world A heuristic phenomenological method was used in this study to explore the lived experiences of 12 Nigerian healthcare practitioners that migrated to the United States. The push-pull theory served as the theoretical framework that grounded this study. The central research questions for this study focused primarily on the reasons healthcare practitioners are leaving Nigeria and what the impact of those decisions have on the Nigerian healthcare sector. Qualitative …

Misuse Of Prescription Pain Relievers Among Pregnant Women In The United States, Winnie Chebet Rono

Walden Dissertations and Doctoral Studies

The non-medical use of prescription pain relievers has increased remarkably, posing social and public health concerns particularly in developed countries such as the United States. The management of pain experienced by pregnant women poses a challenge to clinicians considering the effects of the regimen on unborn babies. Guided by the health belief model, which aims to predict health-related behavior in terms of certain health beliefs and explain change and behavior maintenance as well as to guide health behavior interventions, this cross-sectional study aimed to understand the associations between misusing pain relievers and social determinants of health such as education level …

Predictors Of Obesity Among Young Adults In The State Of Maryland, Kala Shahi

Walden Dissertations and Doctoral Studies

AbstractObesity has become a global wellness concern for young adults. In the past, there were very few studies conducted on predictors of obesity among young adults, even though there have been several studies on the potential predictors of obesity on the general population. The social ecological model was used to guide this quantitative cross-sectional study to identify the possible predictors of obesity among young adults. The Behavioral Risk Factor Surveillance System was used to analyze the potential predictors of obesity among young adults between the ages 18 – 34 years old in Montgomery County, Frederick County, and Princess Georges County, …

Issues Facing Community-Based Social Workers When Providing Female Offenders With Reunification Services, Karen N. Vertti

Walden Dissertations and Doctoral Studies

AbstractThe goal with this action research project was to understand how community-based social workers (CBSWs) could address female offenders’ and their children’s needs while striving to reintegrate them into the community of Central Los Angeles County, California. Postrelease female offenders with children suffer from a variety of issues related to housing, employment, and personal childhood trauma. The trauma exacerbates the risk of revictimization and recidivism. CBSWs play a pivotal role in helping female offenders overcome barriers to successful reentry and reunify with their children. This study incorporated Bronfenbrenner’s ecological systems theory which provided a systems lens to this project. The …

Mental Health Provider Experiences Among Juvenile Offenders With Attention Deficit Hyperactivity Disorder, Vanessa West

Walden Dissertations and Doctoral Studies

Research has indicated various treatment options available such as medication management or family therapy for juvenile offenders struggling with a diagnosis of, or symptoms of, attention deficit hyperactivity disorder (ADHD). Exploring mental health clinicians’ perceptions may provide insight into treatment needed for this population to contribute positively to society. Past researchers refrained from obtaining mental health clinicians’ perspectives on treatment when working with this population. Rational choice theory indicates that individuals examine the costs and benefits of their actions prior to making decisions. Gestalt/feature-intensive processing theory promotes the inclusion of necessary information to help with processing when making decisions. Youth …

Educational Strategies For Healthcare Providers Of Postpartum Women With Substance Use Disorder, Agnes Denise White

Walden Dissertations and Doctoral Studies

AbstractProviding educational strategies to maternal-child staff members can improve their attitudes, perceptions, and stigma towards the childbearing age women who are substance users. In the United States, an increased number of pregnant women have substance abuse problems. It is important that the maternal child staff have the resources and are equipped to care for women who are substance users struggling with their addictions and motherhood. The purpose of this project was to determine whether an educational program provided to postpartum nurses increased knowledge on the special needs of the new mother with a substance abuse issue. The education of the …

Parental Education As A Potential Predictor Of Adolescent Substance Use Status, Haruna Bida Aliyu

Walden Dissertations and Doctoral Studies

AbstractAdolescents in the United States commence substance use as early as 12 to 14 years old and as late as 15 to 17 years old. Several factors influence adolescent substance use/abuse status, including environment, boredom, friends, teachers, and parental influence. The influence of parental communication with adolescents about the danger of substance use/abuse (SUA) required further study. The purpose of this quantitative cross-sectional study was to understand the influence of parental knowledge and communication with adolescents as potential predictors of substance use/abuse status. The social cognitive theory and social determinants of adolescent risky behavior provided the theoretical framework of this …

A Lebanese Health Care Organization’S Strategies To Secure Sustainable Funding, Dania Mahmoud Al Assadi

Walden Dissertations and Doctoral Studies

Fundraising and donations are the main sources of revenue for behavioral health care nonprofit organizations (NPOs) worldwide. Economic, political, social, or health crises impact fundraising and donation sources for behavioral health care NPOs. This qualitative case study addressed strategies that senior leaders of a Lebanese behavioral health care NPO could use in times of crisis. The study also addressed the behavioral health leaders’ experience managing a funding crisis. The Baldrige conceptual framework was used to assess the organization’s effectiveness in seven key areas. Interviews with the senior leaders and analysis of the organization’s archival data were used to inform the …

Effects Of Attribution And Appraisal Of Control On Emergency Department Nurse Stress When Treating Patients With Severe Mental Illness, Cynthia Lynn Bentzen-Mercer

Walden Dissertations and Doctoral Studies

AbstractAs the prevalence of severe mental illness continues to rise and access to mental health care is scarce, an increasing number of U.S. adults seek treatment in emergency departments. Nurses who triage the severity of a medical emergency may appraise the situation both through the lens of mental illness stigma and the degree of confidence they have to control the outcome. However, the research community knows little about the extent to which attribution and appraisal of control affect nurses’ appraisal of stress. The purpose of this quantitative nonexperimental, canonical correlational study was to examine the extent to which various combinations …

Social/Cultural Factors In Preschool Immunizations, Mozambique, Kristine Gayle Bernabe

Walden Dissertations and Doctoral Studies

Immunizations are scientifically proven, effective global health interventions that prevent infectious diseases and save lives. Yet, in Mozambique at the national level, less than 65% of children are fully immunized, i.e., received all the basic/routine vaccinations. The overall purpose of the doctoral study was to conduct quantitative research examining the sociocultural factors that may impact childhood immunization status in the context of the social ecological model. The study examined the relationship between child’s gender, mother’s and her husband/partner’s educational level, household wealth index, religion, ethnicity/language, urban-rural residency, and province/region with the child’s full immunization status in Mozambique. Secondary analysis of …

Data Modeling Of Cognitive Structure In Physiotherapy Students Learning Gross Anatomy, William Allan Besselink

Walden Dissertations and Doctoral Studies

Cognitive structures that promote deep learning of gross anatomy are integral to musculoskeletal physiotherapy practice yet poorly understood. This quantitative, criterion-related validation study addressed two data modeling strategies (multidimensional scaling and Pathfinder networks) as a potential visual and quantitative representation of the cognitive structures of physiotherapy students learning gross anatomy. The study was grounded in the Adaptive Control of Thought-Rational theory of cognition. The research questions addressed the agreement (reliability, accuracy, and association) between student and expert cognitive structures and included the derived quantitative parameters as predictor variables in multiple regression to examine potential relationships with unit grades. An online …

Parental Stress Coping And Middle-School Students’ Grades And Behavioral Conduct, Stephanie Buckner

Walden Dissertations and Doctoral Studies

AbstractAccording to Bronfenbrenner’s ecological systems theory, factors such as parental stress influence family functioning and affect children’s adaptive development. This quantitative study was conducted to better understand the association of parental stress coping skills with two dependent measures: the grades and behavioral conduct of middle-school students. Sixty-six parent/guardians completed the Coping Skills Assessment 2nd Revision (COSA R2), an assessment of parental stress coping skills and a brief questionnaire to collect data on their middle-school-aged children’s grades and conduct, along with demographic variables of race/ethnicity, age, family income level, number of children in the household, and partner status. No significant difference …

Inhaled Insulin, Afrezza, Educational Module For Health Care Providers, Sara Lynn Doolin-Thompson

Walden Dissertations and Doctoral Studies

Abstract Inhaled Insulin, Afrezza, Educational Module for Health Care Providers

bySara Doolin-Thompson

MSN, Walden University, 2014 BSN, University of Phoenix, 2004 ASN, Kentucky Wesleyan College, 1994

Project Submitted in Partial Fulfillmentof the Requirements for the Degree of Doctor of Nursing Practice

Walden University August 2021 Abstract Diabetes is on a global rise and there is a definite gap in providing care for the diabetic population. Two of the largest contributors to this gap in care are the lack of collaboration between health care professionals and the lack of education for health care providers on the evolution of diabetes treatment plans. …

Nursing Home Nurse Turnover And The Association To Workload, Absenteeism, And Number Of Beds, Justin Ryan Gracieux

Walden Dissertations and Doctoral Studies

The aging population in the United States has resulted in an increased need for quality nursing home care, which includes a stable nursing staff and reduced workforce instability. The purpose of this quantitative correlational study was to examine the relationship between direct care nursing staff turnover rates for RNs, licensed vocational nurses (LVNs), and certified nursing assistants (CNAs) concerning workload, absenteeism, and number of beds in Texas nursing homes. The relational coordination theory provided the theoretical framework for understanding the underlying issues and communication needs that may relate to staff turnover. Secondary data from 11,336 direct resident care nursing staff …

Post-Conflict Mental Health Policy And Substance Use Among Liberian Adults, Ekua Amonoo-Lartson

Walden Dissertations and Doctoral Studies

AbstractThe objective of post-conflict countries after an extended period of war and trauma is to maintain peace and stability. However, the physical and psychological effects of substance use to cope with the devastation of war remains long after the crisis has ended. The purpose of this qualitative phenomenological study was to examine substance use among Liberian working-age adults, including their substance use habits, experiences with substance use, and access to mental health rehabilitative treatment. The access to medical care theoretical framework was used to guide the study. Data were collected from face-to-face semistructured interviews with 15 individuals regarding their experiences …

The Impact Of Assertiveness And Religiosity On The Expression Of Dissent Among U.S. Immigrant Nigerian Workers, Peter Osiabia Azorji

Walden Dissertations and Doctoral Studies

AbstractScholars have studied dissent in general, but few have focused on the impact of cultural contexts and characteristics on dissent. Literature on the influence of cultural factors on expression of disagreement in organizations, by immigrant Nigerian workers in the US has not received adequate attention. There is therefore a compelling need to bridge this gap. This quantitative nonexperimental correlation study examined the impact of assertiveness and religiosity (variables that may be influenced by culture), on expression of minority dissent among Nigerian immigrant workers in the United States. The inquiry was based on two theoretical models: Bourhis et al.’s interactive acculturation …

Safety Planning: Self-Management Approaches For Intimate Partner Violence In Ohio, Yvette Clemons

Walden Dissertations and Doctoral Studies

AbstractIntimate partner violence (IPV) is a global health education and promotion burden that has affected one in four women in the United States between the ages of 18-24, who are at increased risk of subsequent negative health outcomes of sexually transmitted inflections, mental health and substance abuse disorders, exacerbated suicidal ideations, and death. Exploring the health education needs and learning preferences of women affected by IPV who have utilized self-management strategies during safety planning interventions was the purpose for this phenomenological qualitative study and aligned the four research questions. SurveyMonkey was used to conduct interviews of 30 women align with …

Dental Hygiene Faculty Use Of Educational Technologies For Instruction, Natalie Michelle Delacruz

Walden Dissertations and Doctoral Studies

Faculty hesitancy to implement educational technologies for instruction is problematic in dental hygiene education. Little or no scholarly research has been conducted on faculty use of educational technologies for instructional practices in the dental hygiene field. Grounded in the technology acceptance model, the purpose of this inquiry was to explore the perceptions of dental hygiene faculty regarding their attitudes toward use, usefulness, and ease of use of educational technologies for instruction. The research questions focused on dental hygiene faculty attitudes toward use of educational technologies for instruction, the usefulness of educational technologies for instruction, and the ease of use of …

Implementation Of A Fall Prevention Program For The Elderly In A Long-Term Care Facility, Maureen Orobosa Igharosa

Walden Dissertations and Doctoral Studies

One out of 4 older people fall each year. By the year 2030, it is estimated that 49 million older adults will fall and that 12 million will incur injuries as a result. A rise in the trend in falls among older adults represents a growing burden; the cost for falls billed to Medicare in the year 2015 was an aggregate of over $31 billion. The purpose of this quality improvement evaluation project was to assess the effectiveness of a fall preventative pilot program to reduce the number of falls among the residents of a rehabilitation and long-term care facility …

Factors Influencing Family Planning Uptake Among Adolescents And Postpartum Women In Kenya, Shiphrah Kuria-Ndiritu

Walden Dissertations and Doctoral Studies

Family planning (FP) is a cost-effective public health strategy, but the uptake is low with marked disparity among adolescents and postpartum women. However, data on these marginalized groups are limited. This quantitative, cross-sectional study sought to provide information on the factors that contribute to the uptake of FP among adolescents and postpartum women in Kenya. The 2014 Kenya Demographic Health Survey FP data were analyzed regarding the factors associated with FP uptake among adolescents and postpartum women as well as the differences by region. The factors were organized according to the socioecological model (SEM) and included intrapersonal, interpersonal, community, and …

Language Acculturation Effect On Diabetes Prevalence And Self-Care Skills In Puerto Ricans, Gerardo Lazaro

Walden Dissertations and Doctoral Studies

Diabetes, a silent, chronic disease that involves demanding long-term self-care skills, affects adult Puerto Ricans disproportionately. Based on the health belief model, a theory that predicts health behavior, and the theory of language barriers, which predicts the effects of language on beliefs and behavior, this quantitative nonexperimental study analyzed the relationship of the preference of Puerto Ricans in Boston to use and speak Spanish (language acculturation) to diabetes prevalence and 4 diabetes self-care skills (healthy eating, being active, taking medication, and healthy coping). Data on 1,506 initial participants in the Boston Puerto Rican Health Study were used from 3 study …

The Experience Of Recovery From Childhood Sexual Abuse Among Black Men, Zeneth Myrie

Walden Dissertations and Doctoral Studies

Childhood sexual abuse (CSA) can result in consequences that are devastating and long lasting. Differences in the nature of CSA for males and females potentially influence recovery and the role of moderating factors, such as spirituality. Studies of recovery from CSA, especially men's experiences of recovery, are relatively few indicating that this is an under researched area. This lack of studies is particularly evident for ethnic minority groups. While addressing the gap in the literature, the purpose of this study was to explore the lived experience of recovery from CSA among African, Caribbean, Black identified male survivors of CSA living …

Evidence-Based Strategies Used By Primary Care Providers In Early Hospice Referrals, May Tanay

Walden Dissertations and Doctoral Studies

Despite scientific evidence suggesting that hospice care improves quality of life (QOL) at end of life (EOL), terminally ill patients are being referred to hospice too late. A considerable number of terminally ill patients are referred directly from the inpatient unit. Often, these patients have not had a goal-of-care conversation (GOC) with their primary care provider (PCP) nor have they been offered hospice care until hospitalization. It is imperative that PCPs, advocate and support patients and families during all stages of life including EOL. This doctoral project was completed for the purpose of identifying strategies used by PCPs that enhance …