Medicine and Health Sciences Commons^™

Anxiety And Depression Among Students Using Tobacco In A Selected College Of Sonitpur District, Assam: A Crosssectional Study, Monalisa Saikia, Nurnahar Ahmed, Arunjyoti Baruah

Manipal Journal of Nursing and Health Sciences

Introduction: Tobacco use is one of the major public health concerns around the world, accounting for many deaths and disabilities. The use of tobacco is linked to many physical and mental ailments. A large population of adolescents are enrolled in colleges and universities in India, making them a vulnerable population for the use and abuse of tobacco. Objective: The objective of this study is to assess the level of anxiety and symptoms of depression among college-going students who consume tobacco. Methods: A descriptive cross-sectional approach was selected for the study. The purposive sampling technique was used to select college students …

Knowledge, Attitude And Practice Related To Covid-19 Among People- A Descriptive Survey, Pramilaa R

Manipal Journal of Nursing and Health Sciences

Introduction: Corona virus can be deemed as one of the rapidly spreading viral infections. More than 200 countries in less than four months were infected. Findings of a study proved that insight of people in the community is remarkable to render care during pandemics. Characteristics that influence the people to adhere with sound healthy practices and desirable behaviors can be acquired by examining the level of awareness related to COVID-19 among people. Objectives: The objectives of the study were to assess knowledge, attitude and practice related to COVID-19 among people; correlate the knowledge, attitude and practice scores related to COVID-19 …

Assessment Of Maternal Factors Associated With Low Birth Weight At A Tertiary Care Hospital Of South India - An Exploratory Study., Shilpa Varghese, Priya Reshma Aranha

Manipal Journal of Nursing and Health Sciences

Background : Low birth weight is a major public health problem in many of the developing countries. Though the causes are multiple, maternal factors of low birth weight are significant. A large number of infant deaths can be prevented if these factors are identified early and prompt management of low birth weight babies could save life.

Aim :To identify the maternal factors associated with low birth weight in new born among postnatal mothers

Methods : An exploratory research design was adopted to assess the maternal factors associated with low birth weight in new born. Non probability convenience sampling technique was …

Prevalence And Quality Of Life Among People With Iodine Deficiency Disorders In Selected Villages Of Udupi District, Karnataka, Manjula Upendra Ms, Malathi G. Nayak, Reshma R. Kotian Ms, Shashidhara Yn

Manipal Journal of Nursing and Health Sciences

Introduction: In India, the entire population is prone to iodine deficiency disorders (IDD) due to iodine deficiency in the soil of the subcontinent and consequently, the food derived from it. People with a diagnosis of hypothyroidism report a decreased quality of life (QOL). The study aimed to determine the prevalence and QOL of people who were diagnosed with IDD. Methods: A total of 2,360 people residing among 252 houses were surveyed using the nonprobability purposive sampling technique. Results: Out of 2,360 people surveyed, 16 cases were identified that were diagnosed with IDD. Thus, the prevalence of diagnosed IDD in the …

Incidence Of Tuberculosis In The Association Of South-East Asia Nation (Asean) Countries And Its Relation With Health Expenditure: A Secondary Data Analysis., Vaanita Shanmuham, Jeevan K. Shetty, Venkatesh Ramaswamy Naik

Manipal Journal of Nursing and Health Sciences

Introduction: Tuberculosis (TB) is an infectious disease that mainly affects the lungs. ASEAN is responsible for the high incidence of tuberculosis recorded worldwide. Therefore, this study analyses the trend of tuberculosis and its association with per capita health expenditure in ASEAN.

Methods: The incidence of tuberculosis and the per capita health expenditure are collected from Global Health Observatory resources and World Bank Organization. The data were interpreted using SPSS Software Version 23 and the results were presented in graphs and tables.

Results: Six ASEAN countries showed a declining trend, three countries had a fluctuating trend, and one country had an …

Yoke Between Covid-19 Infection And Cardiovascular Diseases: Evidence Briefing From Indian Studies, Melita Sheilini

Manipal Journal of Nursing and Health Sciences

Abstract:

Globally, Cardio[ES[M1] [m2] vascular diseases (CVDs) are of major concern. The current pandemic situation of COVID 19 infection has further hiked the burden of cardiovascular problems.

Since India has a large number of cases with cardiovascular problems the interlink between the COVID 19 infection and CVD has greatly challenged the field of medicine.[ES[M3] [m4] Also, the surge in COVID-19 cases in India hampered the regular follow-up of individuals with cardiovascular problems resulting in people seeking health care services only when the health condition gets deteriorated and in need of emergency medical aid. The main reason for this …

A Review On Drug Regulation Policy In The Netherlands And India: The History Of Current Policy Development, And Policy Analysis, Tapashi Adhikary, Pratik Kumar Bal, Kumar Sumit

Manipal Journal of Nursing and Health Sciences

Background

Drug use and illicit trafficking of drugs have been a common problem in both the Netherlands and India since historical times. The Dutch Drug Policy (DDP) model is a combination of both leniency and strict laws whereas the Indian Narcotic Drugs and Psychotropic Substances Act (NDPS Act) went from being a stringent policy in the past to a more flexible lenient policy in recent years. The objective of the current review was to explore the history of the development of the Netherlands and India's drug regulating policies, followed by the analysis of the policies using the Walt & Gilson …

Economic Burden Of Hospitalization On Parents Of Children Inpatient For Surgery: A Systematic Review Protocol, Edlin Glane Mathias Ms

Manipal Journal of Nursing and Health Sciences

Introduction: Hospitalization and surgery is a stressful period for the parents and the family. Families those children are undergoing surgery are faced with financial burden of direct and indirect costs.

Objective: To systematically analyse the available evidence on the economic burden of hospitalization among parents of children inpatient for surgery.

Methods and analysis: This systematic review protocol is developed based on “The Preferred Reporting Items for Systematic Reviews and Meta-Analyses Protocols” (PRISMA-P) guidelines. A comprehensive electronic bibliographic search will be conducted in MEDLINE (Medical Literature Analysis and Retrieval System Online), CINAHL (Cumulative Index of Nursing and Allied Health Literature), ProQuest, …

Strategies For Preventing And Mitigating Counterfeit Medication From Entering The U.S. Supply Chain, Denise Blais

Walden Dissertations and Doctoral Studies

Some pharmaceutical brand protection managers lack strategies to mitigate financial losses from counterfeit prescription drugs. A multilayered approach involving guiding principles, supply chain security, investigations, enforcement, advocacy, and awareness can help mitigate potential financial losses and keep patients safe. Guided by the Six Sigma define, measure, analyze, improve, and control (DMAIC) model and the fraud triangle conceptual framework, the purpose of this multiple case study was to explore strategies brand protection managers use to mitigate financial losses from counterfeit prescription drugs. Data collection included three semi-structured interviews using Zoom. Analyzing data entailed transcribing and coding themes within data and relating …

Effect Of Simulation Learning On Graduate Student Attitudes Toward Interprofessional Teams And The Team Approach To Care, Norman Cadiz Belleza

Walden Dissertations and Doctoral Studies

According to health care reports, more than 250,000 deaths annually are attributed to medical error, prompting interprofessional education (IPE) initiatives as one way to improve healthcare delivery. The problem is that little is known about the effect of simulation learning with standardized patients on occupational therapy (OT) and physical therapy (PT) students’ attitudes toward IPE. The purpose of this causal-comparative study using a pretest–posttest nonequivalent control group design was to investigate the difference in posttest scores on the Students’ Perceptions of Interprofessional Clinical Education—Version 2 (SPICE-R2) between first-term graduate OT and PT students who participated in a simulation and those …

The Nutrition Environment Among Young San Children In Oshandi: A Case Study, Evelyn Ndinelao Breuer

Walden Dissertations and Doctoral Studies

AbstractUndernutrition among young San children under the age of five remains prominent in Namibia, despite nutritional intervention programs. Guided by the model of community nutritional environment conceptual framework and social-ecological model, this case study involved exploring perceptions of San parents and local nutritional service providers regarding the nutritional environment of San children in Oshandi Village. Semi-structured interviews and observations were used to conduct this research with 12 participants, five local nutritional service providers and seven San parents who had children under five. Irregular and unreliable nutritional support was a factor leading to not explicitly addressing needs of the San people, …

Frequency In Copd And Cad Emergency Department Visits In South Carolina: Medicare Versus Self-Pay, Alexandria Brown

Walden Dissertations and Doctoral Studies

Coronary artery diseases (CAD) and chronic obstructive pulmonary diseases (COPD) represent the most common cause of emergency department (ED) visits and hospitalization for both Medicare and self-pay patients, which amount to nearly 2 to 4 million spent annually. The purpose of this quantitative stud ywas to identify the relationship between ED frequency among CAD and COPD Medicare and self-pay recipients 18 to 65 years within South Carolina between 2016 to 2018. The variables for this study were age and payer (independent) and ED frequency (dependent). Using a sample size of 7,689 an ANOVA Regression and t-test analyses were used to …

Patients’ Perspectives Of Quality Care With The Use Of Health Technology, Stacie Lois Campbell

Walden Dissertations and Doctoral Studies

More and more patients are using health technology to monitor their care and collaborate with their health care team. However, few studies address the patient’s perspective on the benefits of these health technologies. This descriptive qualitative study aimed to explore how health information technology contributes to the quality of care received from the patient perspective. The Institute of Medicine’s (IOM's) conceptual framework of quality care informed this study. Five participants were interviewed by telephone and resulting transcripts were coded using Tesch’s eight steps of coding. Themes emerged that were aligned to the six concepts identified by the IOM. From the …

School Social Workers’ Perceptions Of Compassion Fatigue Syndrome, Gloria I. Collazo Cartagena

Walden Dissertations and Doctoral Studies

School social workers face domestic violence, trauma, social violence, and mental and emotional health problems in their work context. Indeed, compassion fatigue results from professionals’ continuous exposure to these problems. This study explored school social work professionals’ perceptions of compassion fatigue. For this, the following questions were explored:the perception of school social workers working for the Puerto Rico Department of Education about compassion fatigue.

Leadership Styles And Rn Turnover Intentions In Long-Term Care Facilities, Kelli M. Casey

Walden Dissertations and Doctoral Studies

Employee turnover is a concern for leaders in the nursing home industry because employees with turnover intentions may negatively impact the continuity of operations and strategic plans, resulting in poor quality of care for residents. Grounded in House's path-goal theory, the purpose of this quantitative, correlational study was to examine the relationship among idealized attributes, idealized behaviors, inspirational motivation, intellectual stimulation, individualized consideration, contingent reward, management by exception-active management by exception-passive, and turnover intentions in RNs. The independent variables were the subcategories of transformational and transactional leadership. The dependent variable was turnover intentions. Participants included 110 nonmanagement RNs working in …

Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen

Walden Dissertations and Doctoral Studies

Advancement in mechanical circulatory support (MCS) device therapy has led to increased use in heart failure therapy and relies on optimized patient education for successful support. The purpose of this 3-manuscript study, guided by the Husserlian transcendental phenomenological method, was to explore the lived experiences of (a) patients with primary mechanical circulatory support education (PMCSE), (b) patients who undergo unplanned MCS implantation with PMCSE, and (c) patients who undergo planned MCS implantation with PMCSE. Eleven participants were recruited (eight planned, three unplanned) from MCS targeted social media sites and interviewed using a semistructured open-ended question format. Data were analyzed using …

Nurse Educator Perspectives On Undergraduate Nursing Curriculum And Moral Courage Development, April Ciesielski

Walden Dissertations and Doctoral Studies

Newly licensed nurses may enter the profession without the tools to cope with morally distressing events in the workplace. Experiences of moral distress at work negatively affect physical, emotional, and psychological wellbeing, and effects of moral distress on new nurses may result in job dissatisfaction, burnout, and abandonment of the profession. The specific problem is that undergraduate nursing students are entering the professional field experiencing moral distress. In this study, nurse educators’ perspectives regarding how undergraduate nursing curriculum addresses the topic of moral distress and strategies and skills that can enhance moral courage were explored. The conceptual framework comprised Kidder’s …

An Educational Program For Hospice Nurses About End-Of-Life Protocols, Rhonda Coleman

Walden Dissertations and Doctoral Studies

Abstract Palliative care is specialized care for people living with a serious illness. This type of care is centered on providing relief from the symptoms and stress of the illness with a primary goal to improve the quality of life for both the patient and the family. A gap in nursing practice was identified in a hospice facility in the South Central United States.; the nurses did not use palliative care or end-of-life (EoL) protocols. This project focused, therefore, on the development of a nursing staff education program for hospice nurses to increase knowledge about the use of EoL protocols. …

Role Of Social Media In Adolescent-Parent Relationships Among At-Risk Youths, Jennifer Davis

Walden Dissertations and Doctoral Studies

Social media has been linked to online crimes and cyberbullying among 88% of teens. The purpose of this study was to understand the role of adolescent and parent social media use on adolescents reported at-risk behaviors, as well as the role of social media among at-risk youths and their parents using the attachment theory. An interpretive phenomenological analysis design was used in this study to describe relationships between adolescents and their parents involving social media use and reported at-risk behaviors. Semi-structured interviews were performed with a total of six pairs of individuals resulting in 12 total participants. There were four …

Compassion Fatigue And Resilience In Long-Term Care Nurses, Dierdre C. De Gravina

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate the association between CF and resilience in LTC nurses. Watson’s caring theory was the theoretical foundation for the study. A survey containing demographic questions and items from the Professional Quality of Life Measure and the Connor-Davidson Resilience Scale survey was administered online to 111 LTC nurses from 10 states across the Eastern Seaboard. A simple linear regression analysis was performed to identify if there was an association between CF and resilience. The results indicated that the model was significant (p<.001). Results revealed an inverse relationship that with higher resilience scores, CF scores were lower and when CF was high, resilience was lower. The study may promote positive social change by highlighting the need for LTC facility managers to identify strategies that foster increased LTC nurse resilience such as improving work environments and developing programs that promote mental and emotional health of LTC nurses. Implementation of these strategies may reduce CF and promote nurse job retention and ultimately improve patient care. Recommendations for future research include quantitative studies to consider the effect of age, length of time in practice, and education level on resiliency and CF and qualitative studies on strategies for increasing resiliency among nurses in LTC facilities.

How Social Workers Contribute To Outcomes Of Adolescent Participants In Wilderness Programs, Tracy Dockler

Walden Dissertations and Doctoral Studies

The wilderness environment has become recognized as a viable treatment modality for addressing the psychosocial and behavioral needs of treatment-resistant adolescents. Even though social workers provide services in these specialized programs, little is known about how they perceive the contributions they make to the outcomes of the adolescent participants. The conceptual framework of wilderness treatment with a focus on the wilderness experience, as well as on the physical, social, and psychosocial aspects of participant functioning guided this study. In this qualitative study, a semistructured interview guide was used to elicit the thoughts of five master’s level social workers (MSWs) regarding …

The Experience Of Providing Direct Care To Children Victims Of Boko Haram Insurgencies In Nigeria, Felicia Etuke

Walden Dissertations and Doctoral Studies

The insurgency of terrorism leaves lasting economic, social, academics, spiritual, religious, and psychological effects, but often children’s psychological welfare is neglected in the aftermath of terrorist attacks. Boko Haram’s presence in Nigeria has left many children orphaned, displaced, and impoverished. Thus, there is a need to highlight the importance of the role that care providers play in securing the psychological health of the child victims of Boko Haram insurgency. This qualitative, phenomenological study explored the experiences of care providers to the child victims of Boko Haram insurgency in Nigeria. Compassion fatigue theory was used as a theoretical framework for the …

Assessing Online Faculty Likelihood To Refer Students To University Mental Health Services, Karin Evans

Walden Dissertations and Doctoral Studies

The negative impact of mental health concerns experienced by college students has prompted faculty teaching in-person to become gatekeepers, assisting students in accessing mental health services. COVID-19 has changed the learning environment and presented a need to explore the role online faculty play as gatekeepers. The purpose of this study was to investigate online faculty’s willingness to refer students to university mental health services by applying factors shown to influence in-person faculty in context of the health belief model. Using a quantitative, non-experimental, cross-sectional study design, 182 online faculty completed an online survey assessing the likelihood of making a referral …

Strategies Nursing Managers Use To Prevent And Address Workplace Conflicts, Ifeanyi Emmanuel Ezeani

Walden Dissertations and Doctoral Studies

Workplace conflicts negatively impact organizational performance. Health care leaders are concerned that workplace conflicts lead to stress and low performance by nurses and negatively affect the delivery of care to patients. Grounded in the social exchange theory, the purpose of this qualitative multiple case study was to explore strategies health care nursing managers use to address workplace conflict. Data were collected through semistructured interviews with five nursing managers from multiple healthcare organizations in the Western region of the United States who have successful strategies to address workplace conflict. The data analysis using Yin’s five-step approach identified four main themes: perception …

Why A Women’S Domestic Violence Long-Term Shelter Is Needed, Markquatt Ford

Walden Dissertations and Doctoral Studies

This qualitative project provided a content analysis of primary and secondary data to do a need assessment of how a short-term shelter, a home for victims of domestic violence in Kansas City, Mo, can turn into a long-term shelter for victims of domestic violence. This organization was a short-term shelter, a not-for-profit organization that works for the positive social change and rehabilitation of female victims of domestic violence in Kansas City, Mo. The organization followed a traditional organizational model with a short-term scope of action. A long-term shelter is supposed to provide the residents with sufficient programs for recovery to …

Strategies Mental Health Managers Use To Reduce Direct Care Employee Turnover, Theresa Foster

Walden Dissertations and Doctoral Studies

Direct care professionals assist people with intellectual and developmental disabilities with health care services in the consumer's home, community based residential setting, hospitals, and vocational settings. The high turnover rate of direct care professionals working in mental health organizations may jeopardize many services, including administrative, medical, and provisions for the individuals they serve. Retaining direct care professionals is vital due to the expected demand for direct care jobs in the future. Grounded in Herzberg’s two-factor theory, this qualitative multiple case study explored leadership strategies managers from mental health organizations use to retain direct care professionals. Participants were eleven managers from …

The Childbirth Experiences And Perceptions Of Sierra Leonean Women Relating To Basic Maternal Rights, Francess Fornah

Walden Dissertations and Doctoral Studies

Sierra Leone faces immense challenges in supporting good quality, woman-centered care, with one of the world's highest maternal mortality ratios of 717 per 100,000 live births. In countries with high maternal mortality, evidence of the fear of disrespect and abuse women usually confront in maternity care is a more solid deterrent to the use of skilled care than commonly recognized barriers, such as cost or distance. This qualitative phenomenological study aimed at understanding the childbirth experiences and perceptions of Sierra Leonean women relating to basic maternal rights. The ecological systems theoretical framework and the respectful maternity care charter conceptual framework …

Predictors Of Radio Frequency Identification Adoption For Medication Administration In Hospitals, Sherita Freeman

Walden Dissertations and Doctoral Studies

Medication administration challenges within the United States hospital system have led to adverse drug events from medication errors among patients, resulting in 1.3 million emergency room visits and 350,000 hospitalizations annually. Radio frequency identification (RFID) has been identified as a useful tool within hospital systems; however, this technology has been slow to be incorporated to manage medication administration processes, necessitating exploration of predicting factors of RFID adoption. This quantitative, cross-sectional study explored the contributing factors of United States hospital’s adoption of RFID for medication administration using the technology-organization-environment framework as a foundation and secondary data from the Health Information Management …

Successful Strategies To Sustain Practice Changes In Healthcare, Erin Gable

Walden Dissertations and Doctoral Studies

Healthcare managers implement evidence-based practice to meet the growing needs of aging populations. However, many healthcare leaders fail to sustain newly implemented practices. Grounded in the promoting action on research implementation in health services conceptual framework, the purpose of this qualitative interpretative descriptive study was to explore strategies healthcare leaders use to sustain practice changes to meet increasing demands for quality care of the aging population. The participants included eight healthcare managers from Canada and the United States who led strategies to sustain practice change. The four themes that emerged using semistructured interviews and thematic analysis were staff buy-in, staff …

Law Enforcement Officers' Experience Of Crisis Intervention Team (Cit) Training, Jessica Yolanda Goings

Walden Dissertations and Doctoral Studies

AbstractThe decline in mental health services has led to an increased role of law enforcement officers (LEOs), who are often the first to respond to mental health crisis incidents. Despite the specialized training that officers receive, there continues to be a public consensus that LEOs lack proficiency when handling a mental ill individual and have a deficiency in communication skills. The purpose of the research was to explore the experience of Crisis Intervention Team (CIT) training for LEOs and then describe how their experience ensued once deployed to the field to handle mental health encounters. Evaluations of CIT training have …