Medicine and Health Sciences Commons^™

Palliative Privacy, Lina Fernandez, Jarratt Burton Banks, Stephen Meyer

South Atlantic Division GME Research Day 2022

No abstract provided.

Unusual Case Of Isolated Pancreatitis Secondary To Blunt Abdominal Trauma, Haroutiun Hamzoian, Reuben Plasencia, Ndifreke Ekpa, Elias Georg

Gulf Coast Division GME Research Day 2022

No abstract provided.

Religiosity And Ways Of Coping With Sport Injuries Among Christian Athletes, Diane M. Wiese‐Bjornstal, Kristin N. Wood, Francesca M. Principe, Emma S. Schwartz

Movement and Being: The Journal of the Christian Society for Kinesiology, Leisure and Sports Studies

Although research evidence supports religiosity’s predominantly positive mental and physical health benefits to patients coping with varied health problems, there are few studies exploring the influence of religiosity on coping with sport injuries among athletes identifying with specific religions. This study examined the relationships between religiosity and the use of religious and non-religious ways of coping with sport injuries by athletes affiliated with diverse Christian denominations. Within a concurrent mixed methods design, adult athletes (N = 88) responded to an online survey asking about several religiosity factors, their most serious or challenging sport injuries, and their ways of coping …

To Improve Quality, Leverage Design, Byron Crowe, Jessica Gaulton, Noah Minor, David A Asch, Jeff Eyet, Erin Rainosek, Kristen Flint, Joseph Joo, Chip Chambers, Sherry Bright, Julius J Yang, Gene Beyt, Read Pierce, James M Moses

Department of Medicine Faculty Papers

No abstract provided.

Impact Of Religion On Mental Health Care Use Among African Immigrants In The United States, Mary Nganga

Walden Dissertations and Doctoral Studies

Mental health illnesses are the leading causes of disability worldwide with one in every five people suffering from mental illness in the United States. African Immigrants are the fastest growing immigrant group in the United States, yet their mental health care use remains relatively low. African immigrants face stressors that may lead them to be more prone to mental illness, yet they depend on religion and family support rather than formal mental health care. The purpose of this qualitative study was to understand the impact of religion on mental health care use among African immigrants in the United States. The …

Exploring Infant Massage As Standard Nonpharmacological Treatment For Neonatal Opioid Withdrawal Syndrome, Christine Ann Perez

Walden Dissertations and Doctoral Studies

The opioid epidemic in the United States has increased opioid use in women of reproductive age, leading to in utero exposure causing withdrawal symptoms in newborns known as neonatal opioid withdrawal syndrome (NOWS). State perinatal quality collaboratives (SPQCs) have been used in hospitals with quality initiatives (QIs) to improve standardization for NOWS; however, there remains a gap in knowledge in interventions to support the mother-infant dyad such as infant massage. This general qualitative research study explored the process and experiences of implementing infant massage as a standard practice for NOWS to inform national, state, and local policy. Participants in the …

Extent Of Inclusion Of “Rural” In Comprehensive Cancer Control Plans In The United States, Inti Barrientos-Gutierrez, Katia Gallegos-Carrillo, Lizeth Cruz-Jimenez, Rosibel Rodriguez- Bolaños, Edna Arillo-Santillán, Jim F. Thrasher Ph.D., Ma, Ms

Faculty Publications

Objectives. To evaluate the prevalence of exposure to Internet communications on and advertising of electronic cigarettes (e-cigarettes) and their association with perceptions of the social acceptability of e-cigarettes in Mexico.

Methods. Data were analyzed from eight surveys (2018–2021) of an online sample of Mexican adult (> 18 years) smokers and dual users (of combustible and electronic cigarettes). Self-reported exposure to e-cigarette advertising across various marketing channels was assessed, as well as visits to e-cigarette websites. Logistic regression analysis was used to evaluate the association between perceptions of the social acceptability of e-cigarette use and level of advertising exposure and visits …

Pediatric Telehealth Simplified: A Toolkit For The Rural Pediatric Occupational Therapy Practitioner, Stacy Michelle Buschette

Occupational Therapy Capstones

Purpose: The purpose of this scholarly project is to promote occupational therapy to rural pediatric populations by means of effective and efficient telehealth service delivery via an extensive toolkit. The toolkit is meant to enhance the occupational therapy practitioner’s skills, abilities, and competencies pertaining to telehealth to ease the transition to telehealth implementation.

Methodology: An in-depth literature review of current research was conducted to determine the common barriers and supports that are experienced by occupational therapy practitioners implementing telehealth service delivery. Due to the occurrence of the COVID-19 pandemic, numerous occupational therapy practitioners were compelled to transition to telehealth intervention …

Tiny Humans, Huge Environments: All The Sense’S Coming Into Play, Jessica L. Blackman

Occupational Therapy Capstones

Introduction The neonatal intensive care unit (NICU) is a busy overwhelming environment that differs from the womb. In the womb, an infant is protected from noises and bright lights, tasting and smelling the mother's diet, feeling movement and pushing against the mother as they grow (Altimier & Phillips, 2016). It is ideal for a premature infant's neurodevelopment to have the NICU environment mimic the womb. Two models were selected to help guide the product development, one occupation-based model and one NICU-based model.

Methodology The Person, Environment, Occupation (PEO) model Law et al. (1996) was selected to be used as it …

Increasing Health, Wellness, And Self-Care In Older Adults Experiencing Mental Health Effects During And After A Pandemic, Hayley Blom

Occupational Therapy Capstones

The COVID-19 pandemic calls for new solutions in promoting increased health, wellness, and self-care in older adults experiencing mental health effects during and after a pandemic. As the virus began to spread in the United States in early 2020, social distancing measures were implemented to reduce the spread of the virus. During this time of uncertainty, assisted living facilities (ALF) put a halt to all program activities, mealtimes in the communal dining area, and any other activities or events that were face-to-face. Along with activity programming, most facilities restricted visitors from entering the building including residents’ loved ones. These factors …

Addressing Challenges Related To Community Reintegration Following A Traumatic Brain Injury, Alexia Rose Gallagher

Occupational Therapy Capstones

Title: Addressing Challenges Related to Community Reintegration Following a Traumatic Brain Injury

Introduction: The purpose of this scholarly project was to create a guide of resources and tools available in and around Bismarck, North Dakota that individuals after a traumatic brain injury (TBI) can utilize to assist in their successful return to their community. The Rancho Los Amigos Scale was utilized to effectively guide which resources and supports were needed based on the functional level the individual is currently presenting at. The Person Environment Occupational (PEO) Model theoretical framework was utilized to guide the creation and implementation of this community …

Promoting Adherence To Lymphedema Manageemnt: A Resource Guide For Ot Practitioners In Interprofessional Teams, Marissa Louise Dreiling

Occupational Therapy Capstones

The chronic condition of lymphedema continues to be poorly recognized and managed by healthcare providers due to limited knowledge and education, which poses barriers for patients trying to manage from a personal, occupational, and environmental standpoint. The barriers experienced by patients include complex and time-consuming management approaches with little attention towards health literacy causing poor self-efficacy, lost independence in occupations, increased distress and frustration, isolation, and withdrawal (Boyages et al., 2016; Keast, Despatis, Allen, & Brassard, 2015; Ostby, Armer, Smith, & Stewart, 2018). The purpose of this product is to provide occupational therapy practitioners with educational strategies and materials to …

The Use Of Simulation With The School Of Nursing And Health Professions (Sonhp) Prelicensure Students To Support Affirming Practice With Transgender Communities, Genevieve Charbonneau

Doctoral Dissertations

This dissertation investigates how prelicensure nursing students are prepared to address healthcare disparities with transgender patients, specifically through simulation scenarios at the University of San Francisco School of Nursing and Health Professions Simulation Center.

A critical review of current literature reveals how microaggressions against transgender communities create and sustain barriers to equitable healthcare. The qualitative study was designed to explore the lived experience of prelicensure nursing students who are actively seeking to understand the healthcare needs of transgender patients in the San Francisco Bay Area.

This was a qualitative research study including data that suggests that using simulation scenarios featuring …

Adoption And Diffusion Of At-Home Medical Tests, Savannah Campbell, Mark Mitchell, Jerome Christia, Melissa Clark

Atlantic Marketing Journal

The purpose of this study is to understand the at-home medical test market including the medical and regulatory requirements to create at-home medical tests, as well as the market factors that influence consumer adoption in the context of the COVID-19 pandemic. To address testing shortages of COVID-19 tests companies created at-home tests which were rapidly approved by the FDA, bringing at-home testing to the forefront.

History of at-home health testing is reviewed, the medical requirements for creating them, and how the pandemic has affected such testing. Tables are also included to demonstrate currently available tests and potential future tests. The …

Strategies To Manage Customer Complaints, Ruah Sammour

Walden Dissertations and Doctoral Studies

Poor customer complaint-handling strategies can negatively affect customer loyalty. Leaders in the pharmaceutical industry who fail to improve complaint-handling strategies can experience a decrease in profitability. Grounded in the double-loop learning theory, the purpose of this qualitative single-case study was to explore effective strategies business leaders use to manage customer complaints in a pharmaceutical company. Participants included six business leaders in Northwest New Jersey, United States, who successfully used strategies to improve customer complaint handling in the pharmaceutical industry. Data were collected from semistructured interviews and company documents relevant to customer complaint handling and were analyzed using thematic data analysis. …

Primary Care Physicians’ Participation, Knowledge, And Views Of Nutrition Counseling For Weight Management, Carl Schlesser

Walden Dissertations and Doctoral Studies

AbstractAn estimated 70% of the United States population is considered overweight or obese, which has led to an epidemic. Primary care physicians (PCPs) are considered the first line of defense to help fight obesity through weight management by providing nutrition care to patients. With little known about how PCPs engage with their patients on nutrition care combined with changing guidelines on treating obese patients, there is a gap in research on how PCPs help patients with weight management and what tools PCPs use to accomplish this. Guided by the health promotion model, the purpose of this qualitative study was to …

Parents’ Perspectives On Early Intervention For Children With Autism, Tiffany Schmidt

Walden Dissertations and Doctoral Studies

The purpose of this study was to analyze parent perspectives on early intervention services for children with autism. Research has shown a significant positive impact of early intervention on children with autism. A total of eight parents participated in this basic qualitative study guided by social cognitive theory. Participating parents were those whose child had an autism diagnosis and were receiving or had received early intervention services in Southeast Michigan. Data analysis included establishing themes and codes to organize the data into categories. Thematic analysis was applied by analyzing interview transcripts. The research questions used to collect data addressed parents’ …

Continuity Of Care In Crisis Stabilization Centers, Brian West-Pearson

Walden Dissertations and Doctoral Studies

AbstractCrisis stabilization centers (CSCs) were designed to provide individuals with substance use disorders (SUDs), the treatment they needed to get well, manage their addiction, and prevent future abuse of their substance of choice. Realizing these objectives requires proper patient referrals and assessment of the patient’s condition. The Tobacco, Alcohol, Prescription medication, and other Substance use (TAPS) assessment screening tool helps to provide critical health information about the patients that can help enhance continuity of care. The TAPS assessment tool included age, gender, substance use history, housing status, legal concerns, family support, employment status, education level, and medical and psychiatric status. …

Lived Experience Of Albanian Migrants Who Became Obese After Moving To The United States, Briseida Xhelaj

Walden Dissertations and Doctoral Studies

The problem of obesity is significant in the United States, and more information is needed about the factors that increase the risk for obesity among migrant populations like Albanian Americans. The purpose of this study was to discover the lived experience of Albanian migrants who became obese after moving to the United States. This study was guided by the social ecological model. The research questions were used to examine how individual, relationship, community, and societal level factors impacted lifestyle changes and obesity for Albanian American migrants after moving to the United States. This qualitative study involved the use of a …

Stakeholder Success Measures Of A Safe Parking Pilot Program For Individuals Sheltering In Vehicles, Obiageri Constance Aginam

Walden Dissertations and Doctoral Studies

The Safe Parking Pilot Program was a crisis response to the recent increase in vehicular homelessness in a Northern Californian city. The city identified issues of unsheltered individuals due to the increase housing cost and unaffordable housing. The city partnered with faith-based organizations to provide safe locations for individuals sheltering in vehicles. The current research aimed to evaluate benchmarks and metrics to measure the safe parking pilot program. The purpose of the study was to help the city leaders and the key stakeholders identify measures of success and how they might improve the program in one Northern Californian city. Semistructured …

Health Department Prevention/Education Plans And Perceived Risks Of Zika Infection, Lacey Jacques

Walden Dissertations and Doctoral Studies

AbstractZika virus is an infectious disease caused by the bite of an infected mosquito that has been linked to increased rates of microcephaly and other devastating birth defects. The existing body of knowledge has focused on the individual-level factors that influence a person’s decisions about prevention activities and risk perceptions related to Zika virus. The purpose of this study was to determine the relationship between state-level plans for prevention and education and individual-level risk perceptions. Rosenstock’s health belief model lays a foundation for why individuals make the health decisions they do and helps explain how these can be influenced for …

Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater

Walden Dissertations and Doctoral Studies

Rural healthcare leader deficiency in implementing successful strategies to retain nurses can deleteriously impact the quality of patient care and impede the organization's financial performance. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore successful nurse retention strategies used by rural healthcare leaders. Data were collected from semistructured interviews with eight pastoral healthcare leaders in the eastern region of the United States who improved nurse retention and a review of relevant supporting documentation from company websites. Coding was used for data analysis and theme determination. Three themes emerged: effective nurse retention incentives, meaningful relationships …

Validation Of The Knowledge Of Genome Sequencing (Kogs) Scale In Cancer Patients, P Butow, C Napier, R Campbell, N Bartley, Megan Best, M L. Ballinger

IES Papers and Journal Articles

Introduction: The Knowledge of Genome Sequencing (KOGS) questionnaire was recently developed to measure knowledge of genomic sequencing (GS), with preliminary psychometric data supporting its reliability and validity. The aim of this study was to test the reliability and validity of the KOGS in a larger sample, and to confirm its utility in a cancer setting.

Methods: The Genetic Cancer Risk in the Young (RisC) study recruits participants with a personal history of cancer, to investigate heritable cancer causes and future cancer risk using germline GS. Participants (n = 261) in a psychosocial substudy of RisC completed a questionnaire after consent …

Adolescents’ Perspective On Social Media Contributing To Suicidal Ideations And Attempts, Shavon Mariah Brooks

Walden Dissertations and Doctoral Studies

Social media has become mainstream over the past decade, with new applications that adolescents can download to stay in consistent contact with their peers. Though social media can enhance the ability for communication, it seems to also have the ability to alienate, burden, and exacerbate depression and potential self-harm. The purpose of this qualitative study is to explore five adolescent’s perspective on social media contributing to suicide ideations and attempts. The theoretical research was built upon Joiner’s interpersonal theory of suicide. Two research questions were explored in this study, which were the adolescent’s perspective on social media triggering suicidal ideations …

Role Of Intravenous Access Support In Novice Nurses’ Job Satisfaction And Intent To Stay, Shaji Kurian

Walden Dissertations and Doctoral Studies

The nursing shortage is a growing concern across the country, especially due to the Covid-19 pandemic. Novice nurse retention is essential to solving this national problem. The purpose of this study was to examine whether intravenous (IV) access support influences job satisfaction and retention among novice nurses to improve their retention. Herzberg’s two-factor theory guided this research; IV access support acts as the hygiene factor. The absence of IV access support can result in dissatisfaction among novice nurses, contributing to higher turnover rates. This quantitative nonexperimental causal-comparative research design utilized a nurse work satisfaction questionnaire and intent to stay scale …

Advanced Practice Registered Nurses Expanding Treatment For Opioid Use Disorder With Buprenorphine, Toni Deniese Mason

Walden Dissertations and Doctoral Studies

The practice problem this doctoral project addressed was the misuse of opiates and the alarming number of intentional and unintentional overdose deaths that occur yearly as a result. The practice-focused question was the following: Providing education on the use of the medication-assisted treatment (MAT) protocol to advanced practice registered nurses (APRNs) in this practice setting will increase both knowledge and confidence in using the MAT protocol? The health belief model and The Johns Hopkins nursing evidence-based practice model were used as the framework for this project. The health belief model was used to explain and predict an individual’s behavior surrounding …

Officers' Perceived Safety After A Law Enforcement Line Of Duty Death, Crystal Baird

Walden Dissertations and Doctoral Studies

Every year, several line of duty deaths occur among law enforcement personnel in the United States. Risk factors, community influences, types of violence, and diverse calls for service could affect an officer’s perception of safety. Given the number of line of duty deaths, officers’ perceived safety is an important avenue for further research. The purpose of this qualitative phenomenological study was to explore whether a line of duty death affected the perceived safety of officers in small, rural police departments in the state of Texas. A social constructivism perspective was used to understand the world in which the participating officers …

Nurses’ Perceptions Of Culturally Competent Care At The Bedside, Judith Cox

Walden Dissertations and Doctoral Studies

The population served by health care systems in the United States is widely diversified, which requires nurses to be culturally competent in their care practices. However, studies have shown that nurses do not consistently deliver culturally competent care. This basic qualitative study was designed to explore nurses’ perceptions of cultural competence at the bedside to understand what is needed to improve cultural competency practices. Campinha-Bacote’s conceptual framework for cultural competency was used to guide this study that included face-to-face, videoconference interviews using semi structured and open-ended questions from 13 voluntary, acute care bedside nurses. Interviews were audio recorded and uploaded …

A Clinical Practice Guideline To Promote Medication Adherence Among Adult African Americans With Hypertension, Beatrice Chisara Ekechukwu

Walden Dissertations and Doctoral Studies

Medication nonadherence represents one of the major barriers to achieving optimal health, particularly for African Americans (AAs). Poor adherence to medications is a significant problem that can lead to increased morbidity, mortality, and health care costs. Clinical practice guidelines (CPGs) provide current, evidence-based interventions for changing health behaviors to improve medication adherence (MA). The purpose of this project was to develop an evidence-based patient education CPG to address MA among AA patients with hypertension (HTN). The project site was a medium-sized health care clinic in the South Central United States with a high rate of uncontrolled HTN among AA patients. …

Retention Strategies For The Current Nursing Workforce, Jennifer Higgins

Walden Dissertations and Doctoral Studies

Retaining a robust nursing workforce is essential to care delivery. As the generation gap in the nursing field widens, retention strategies that align with the current nursing workforce must be considered. Rapid turnover is a looming concern as baby boomers retire and millennials become the leading generation in the nursing workforce. Nurse leaders must identify and deploy strategies that will provide a meaningful work environment to retain nurses in this majority group. The purpose of this project was to address the gap in practice of rising turnover, low nurse engagement, and reliance on premium labor to deliver care. The sources …