Medicine and Health Sciences Commons^™

Educating Nurses On The Progression Of Chronic Kidney Disease, Andrea Georgia Mignott

Walden Dissertations and Doctoral Studies

AbstractThe increasing prevalence and incidence of chronic kidney disease (CKD) is a major healthcare burden in developed and developing countries. A gap in nursing practice was identified in a teaching and referral hospital located in Jamaica. Nurses in the organization lacked requisite knowledge and current evidence-based practice guidelines on CKD and therefore could not teach patients diagnosed with CKD. The purpose of this project was to educate nurses regarding the progression of CKD, with the aim of slowing the disease process. This Doctor of Nursing Practice project explored whether educating nurses on the progression of CKD would increase their knowledge …

The Relationship Between Team Engagement And Physician Engagement, Lynne Miles

Walden Dissertations and Doctoral Studies

AbstractWhile physician engagement has previously been shown to be related to both turnover and burnout, there are no studies that focus primarily on the relationship between the physician and team. The purpose of this quantitative study was to examine the relationship between team engagement and physician engagement. The theoretical framework used to guide this research study is the neoclassical organizational theory. The secondary data source was from an engagement survey taken by employed team members and physicians. The independent variable is team engagement. The dependent variable is physician engagement. The instrument for the study is valid and reliable and was …

Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell

Walden Dissertations and Doctoral Studies

Gender discrimination in the workplace continues to be a persistent source of stress for women even after 5 decades of antidiscrimination legislation in the United States. Women are more likely than men to cope with stress by overeating, which is a risk factor for chronic illnesses and obesity. Much less is known about the protective factors that could weaken the association between perceived stress and overeating. The purpose of this quantitative study was to address this gap in the literature by examining whether resilience and social support are moderators of the overeating response for women who have experienced gender discrimination …

School Lunch Timing And Student Body Mass Index, Megan Monteith

Walden Dissertations and Doctoral Studies

Obesity continues to be a leading public health issue in the United States. Many chronic diseases are associated with obesity, including hypertension, diabetes, and several forms of cancer. There are multiple known contributing factors to obesity; however, historically, there has been little research focusing on time of day eating as a possible risk factor for obesity, especially childhood obesity. Childhood obesity is a significant risk factor for adult obesity. Obese children and adolescents are five times more likely to be obese in adulthood. The theoretical foundation for this study was the social ecological model. In this secondary correlational analysis using …

Educating Nurse Practitioners On Factors Associated With Compassion Fatigue, Alicia Moonesar

Walden Dissertations and Doctoral Studies

Nurse Practitioners (NPs) across Canada continue to endure the escalating demands of increasing patient workloads, the deficiency of inadequate resources, and the paucity of leadership support. The ongoing exposure to these and other challenges often contributes to a complex work environment that may result in compassion fatigue (CF). CF can be operationally defined as a state of exhaustion and dysfunction because of prolonged exposure to compassion stress and all that it evokes. The need for education and prevention of CF is critical as the prevalence of CF is on the rise. Guided by Watson’s Theory of Human Caring and Benner’s …

Association Between Therapeutic Interventions And Quality Of Life In People With Autism, Taline Movsessian

Walden Dissertations and Doctoral Studies

Research exploring the impact of autism interventions on the quality of life (QoL) of adults with autism is scarce. This correlational, cross-sectional survey study was conducted to determine the association between seven interventions—behavioral, social, mental health, daily living skills, vocational, mindfulness, and medications—and the QoL and mental health of adults 18 years and older with autism with no intellectual disability living in Canada. A national sample of 182 autistic adults completed the survey that used the WHOQOL-BREF and Depression, Anxiety, and Stress Scale to measure subjective QoL and mental health, respectively. Behavioral, mental health, and medications were the mostly used …

Perceptions Of Hiv Testing Among African-Born Immigrants In Washington State, Phoebe Kirigo Mugo

Walden Dissertations and Doctoral Studies

African born immigrants (ABIs) face challenges associated with HIV testing. As a result, many ABIs are not tested for HIV, and this population is among some of the most diagnosed at late stages of HIV/AIDS. The purpose of this qualitative phenomenological study was to explore and seek to understand the lived experiences of ABI adults ages 25 to 49 living in Washington State. I gathered data to gain their perceptions of HIV testing through in-depth interviews. The study was informed by the health belief model, which helped to understand the complex nature of healthcare-seeking behaviors among this population and how …

Exploring Vaccination Hesitancy Among Nonmandated Nurses And Health Care Workers, Germaine Lazett Nelson

Walden Dissertations and Doctoral Studies

COVID-19 vaccinations have been mandated for most healthcare professionals providing direct patient care, but there are a group of nonmandated healthcare professionals who have been hesitant to receive the vaccine. Given prolonged hesitancy among key health professionals charged with providing direct patient care, it is crucial to understand why they are hesitant; their apprehension may impact the pool of professionals available to provide direct patient care. This is a cross-sectional quantitative study that included an online survey. The health belief model served as the theoretical framework. The research questions addressed whether there is an association between type of patient care …

Educating Nursing Staff Regarding African Immigrants And Mental Health Stigma, Kelly Ngenge

Walden Dissertations and Doctoral Studies

AbstractMental health stigma exists across multiple minority populations, especially among African immigrants in the United States. The purpose of this project was to increase staff knowledge at an outpatient mental health clinic by educating them on mental health stigma among African immigrants in the United States. The practice-focused question guiding this study was: Does nursing staff education on mental health stigmas among African immigrants increase knowledge? Two theories served as the theoretical framework for this doctoral project: social stigma theory and modified labeling theory. Seventeen staff members voluntarily participated in a 60-minute nursing staff education project based on the analysis, …

Health Awareness Of Hypertension In The African American Community, Rosemond Nunge Nguiffo

Walden Dissertations and Doctoral Studies

The practice problem this doctoral project addressed is the lack of clinical staff knowledge on self-care management of hypertension (HTN). Addressing this health crisis with current evidence-based patient education guidance that clinical staff can use to teach patient has the potential to increase nursing knowledge and confidence in providing patient education on self-care management of HTN. The purpose of this project was to explore the known nursing practice gap and answer the practiced-focused question to determine if an evidence-based, standardized health literacy teaching guide for nurses would improve nursing knowledge and confidence in applying health literacy and teach-back methodology in …

Understanding The Perspectives Of African American Gay And Bisexual Men Toward Hiv, Victor Onwezi , Ikechukwu Nwanguma

Walden Dissertations and Doctoral Studies

There is an urgent need to stop the HIV epidemic among African American gay and bisexual men in the United States. The purpose of this basic qualitative study was to identify the health issues responsible for the HIV epidemic among African gay and bisexual men. Two theoretical frameworks that guided the study were the transtheoretical model and the syndemic theory. The study's research involved understanding African American gay and bisexual men's perspective toward HIV infections and their understanding of possible reasons HIV rates appear to increase in their community. Semi-structured telephone interviews and field notes were used to collect primary …

Second Victims In Nursing, Ofelia O'Donnell

Walden Dissertations and Doctoral Studies

Nurses involved with an unexpected adverse patient event can experience guilt, depression, stress, and anxiety and relive the incident, known as the second victim phenomenon. Nurses would benefit from education on the topic of the second victim. The project holds significance for nursing practice as implementing second-victim education increased knowledge and awareness while promoting a just culture that fosters a psychologically safe environment focused on process and system improvement. Use of the analysis design development implementation evaluation (ADDIE) model and the Walden Manual for Education guided the project planning and implementation. The sources of evidence were obtained through a combination …

Birthplace Decision Making Experiences Of The Ugep Women Of Southern Nigeria, Thomas Okoi Ofem

Walden Dissertations and Doctoral Studies

The purpose of this basic qualitative study was to explore and describe how behavioral, normative, and control beliefs shape women's birthplace decision-making experiences. The study sought to better understand how Ugep women of southern Nigeria decided where to give birth after attending antenatal care. Using the theory of planned behavior as a framework, a purposeful sample of nine women aged 25 to 35 years who attended antenatal clinic at least twice at the selected primary health facility but gave birth at home during the past year was recruited. Data collection was through face-to-face, semistructured interviews. Audio recordings of interviews were …

Diabetes Distress Among Adults Living In Texas, Jenny Chinedu Ogadi

Walden Dissertations and Doctoral Studies

About 34.2 million Americans (approximately 10.5% of the total U.S. population) live with diabetes. African Americans are twice as likely to be diagnosed with diabetes and more likely to be less compliant with treatment medication regimens and suffer from related complications, compared to non-Hispanic Whites. Such disparities brought attention to the need to investigate and understand better the diabetes distress of diverse groups of diabetics. The purpose of this cross-sectional study was to examine the relationships between demographic factors (race, age, gender, and educational level), diabetes education, diabetes management, and diabetes distress of adult diabetics in Texas. The theory of …

Disparities In Cervical Cancer Survival Amongst White And African American Women, Lucius Amandi-Tasie Ogoke

Walden Dissertations and Doctoral Studies

Cervical cancer disproportionately impacts racial and ethnic minorities in the United States. The continuum in the disturbing morbidity and mortality trends declined markedly in 2020. However, there are more than 13,000 diagnosed cases, and almost 4,300 related deaths, and significant racial disparities in cervical cancer survival persist. The socio-ecological model served as the theoretical framework. Chi-square tests and binary logistic regression analyses were used to analyze data from the National Cancer Institute Surveillance, Epidemiology, and Ends Results Summary. The purpose of the study was to assess the association between race/ethnicity-related disparities in sociodemographic, histopathological, and treatment-related factors and cervical cancer …

Variables On The Proportion Of Children With Sickle Cell Hemoglobin, Oyekola Oluyimika Oloyede

Walden Dissertations and Doctoral Studies

AbstractThe case fatality rate among children living with sickle cell disease was approximately 50% to 90% in Sub-Saharan Africa. Though researchers have contributed social determinants of health more broadly, they have not provided adequate screening information on children living with sickle cell disease aged 6 months to 59 months. The purpose of this cross-sectional study was to examine the association between sickle cell disease status, infection prevention, pain and anemia management, demography, socioeconomic status, and healthcare use. This study included approximately 11,536 genotype results of children under 5-years-old in Nigeria. Bronfenbrenner’s systems theory and Krieger’s ecological theory formed the theoretical …

Nurses’ Knowledge Of Cognitive Behavioral Therapy As A Treatment For Schizophrenia, Iwalola Stella Omojola

Walden Dissertations and Doctoral Studies

Existing evidence indicates that medications alone are not able to fully manage the psychotic symptoms associated with schizophrenia. Inadequately treated schizophrenia not only affects a patient's physical and mental health but also can lead to the onset of more complex issues such as substance and alcohol abuse disorders, homelessness, family conflicts, and violent behavior. Cognitive behavioral therapy (CBT) can assist in bridging the gaps associated with the use of medications in the treatment of schizophrenia. The purpose of this project was to increase the knowledge of nurses working at a private healthcare facility regarding the effective utilization of CBT as …

The Experience And Perception Of Contraceptive Use Among Teenage Girls Living In Lagos, Nigeria, Kikelomo Omotoso

Walden Dissertations and Doctoral Studies

AbstractThere is a low level of contraceptive use among Nigerian teenagers, leading to unwanted pregnancies and subsequently unsafe abortions. Sexual activities among teenagers in Lagos, Nigeria, are a major public health problem. The principal factors leading to this health problem are poverty, peer pressure among university students leading to involvement in the sex trade, and early marriage in some cultures. There are myths and perceptions about the use of contraception in society, especially concerning the use of condoms, which Nigerian teenagers believe do not make intercourse interesting or satisfying; these ideas can lead to unwanted pregnancies, sexually transmitted infections (STIs), …

Non-Disclosure Of Child Sexual Abuse: The Lived Experience Of Victims In South Africa, Chima Obiora Ozor

Walden Dissertations and Doctoral Studies

Child sexual assault (CSA) has been reported all over the world. Studies indicated that South Africa has one of the highest incidences with far reaching social, physical and emotional consequences. However, non-disclosure is common, which increases the risk of revictimization. Understanding the complexities surrounding the low reporting and non-disclosure will provide guidance for better intervention of CSA in South Africa. This study explored the past experiences of adults who were sexually abused as minors, and how their experiences and outcomes may have been influenced by factors at the micro, meso, macro, and chrono-system levels of Bronfenbrenner’s social ecological model. The …

Relationship Between Nursing Staffing Hours (Rns & Lpns) And Covid-19 Mortality In Indiana Nursing Homes, Chirag Chandrakant Patel

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, many nursing homes struggled to meet the needed staffing levels, compromising service delivery in health institutions across the United States. The disproportionate effect of COVID-19 on various health care institutions and staff-patient ratios rejuvenated discussions on the longstanding workforce challenges on quality care and outcomes. The purpose of this quantitative study was to evaluate the relationship between registered nurse (RN) staffing hours and COVID-19 deaths in Indiana private and public nursing home residents based on the data obtained in the Care Compare database and Indiana Department of health COVID-19 portals. The independent study variables were RN …

Staff Nurses Lack Of Knowledge And Opioid Use At The Veteran Administration, Cathy J. Ramey

Walden Dissertations and Doctoral Studies

AbstractStaff Nurses’ Lack of Knowledge and Opioid Use at the Veteran Administration By Cathy Ramey

MS, University of Phoenix, 2014BS, Chamberlain University, 2008

Dissertation Submitted in Partial Fulfillment Of the Requirements for the Degree of Doctor of Nursing Practice

Walden University November 2022

Abstract Opioids are often prescribed for pain management, which may have led to high rates of opioid addiction among veteran populations. The problem identified in this DNP project was the nurses’ lack of knowledge regarding pain management and the use of opioids in the veteran’s (VA) hospital where the project commenced. Using the Analyse, Design, Develop, Implement, …

Relationship Between Nurses’ Perceptions Of Work Environment And Intent To Stay, Ursula Virginia Roberts-Allen

Walden Dissertations and Doctoral Studies

Health systems in the United States face a growing shortage of nurses to provide care, including home health agencies looking for approaches to improve retention and reduce attrition. The work environment across all health delivery systems plays a critical role in nurse retention. Studies show increased attrition when nurses perceive their work environment as hostile. This quantitative correlational study guided Watson’s theory of human caring. It explored the relationship between home health nurses’ perceptions of their work environment and their intent to stay in their current position. Archival data from a convenience sample obtained from an extensive multistate multiservice health …

Staff Education On The Benefits Of Pharmacogenetic Testing For Chronic Pain Management, Laura April Robinson

Walden Dissertations and Doctoral Studies

Chronic pain management is a growing concern in the medical community with one out of three people in America suffering from chronic pain. This educational practice-focused project identified the value of educating a group of primary care providers (PCP) on pharmacogenetic (PGx) testing offering genetic-based prescribing choices and reducing trial and failure in treating chronic pain patients. The practice-focused question explored if there would be support regarding learning gained by the providers following an evidence-based education process on PGx testing, as shown from pretest to posttest results. The educational model was guided by the analysis, design, development, implementation, and evaluation …

Fire Safety Education And Increasing Functioning Smoke Detectors In Residential Apartments, Enrique Fernandez Robinson

Walden Dissertations and Doctoral Studies

The lack of functioning smoke detectors poses significant life safety risks to people in low-income residential communities. In 2019, a fire incident occurred in an urban Maryland community due to the lack of a functioning smoke detector. Although no deaths or injuries resulted, there was significant property damage and resident displacement. The purpose of this study was to assist a local fire department in an urban area of the state of Maryland with developing and implementing a fire safety community outreach program designed to reduce the percentage of residential homes in a low-income community without functioning smoke detectors. A qualitative …

Newly Graduated Baccalaureate Nurses Critical-Thinking Development, Norberto Rosado

Walden Dissertations and Doctoral Studies

For the nursing profession, critical thinking is essential to provide safe and effectivepatient care. While the development of critical thinking skills is a desired outcome for newly graduated baccalaureate nurses, many lack the ability to make critical decisions. The absence of critical thinking among newly graduated nurses may be related to a lack of exposure to the clinical environment during their academic experience. This study explored how critical thinking processes can be affected by different approaches to baccalaureate clinical nursing education in Puerto Rico. A descriptive qualitative approach was used to understand the perceptions of newly graduated baccalaureate nurses regarding …

Educating Nurses On Sbar Tool Implementation For End-Of-Shift Reporting, Doreen Rose-Park

Walden Dissertations and Doctoral Studies

Patient information transfer during nursing end-of-shift reporting remains a complicated process that lacks universal standardization. This lack of standardization was illustrated at the project site, a detention center in the northeastern United States. Deficiencies and gaps in the health care information of patients during end-of-shift reporting lacked consistence and congruency. This project was developed and implemented to educate the nursing staff at the project site on using the situation–background–assessment–recommendation (SBAR) tool during patient information transfer at cell-side in the facility infirmary. The practice-focused question that guided this project was whether a staff education on an SBAR communication tool designed to …

The Perceptions And Experiences Of Intensive In-Home Counselors Regarding Vicarious Trauma, Tara Ross

Walden Dissertations and Doctoral Studies

The purpose of the study was to explore intensive in-home counselors’ perceptions and experiences with vicarious trauma when providing in-home services to children. The constructivist self-development theory was used to explain how helpers develop vicarious trauma after exposure to traumatic stories of clients. A generic qualitative inquiry was the methodology for this study because it focused on illuminating the participants’ experiences, and offered a highlighted description of the participants’ awareness, consciousness, and understanding, which explored those personal experiences. The study consisted of 10 adults between the ages of 31 and 62. The participants were all African American. Semi structured interviews …

Social Work Participation In Living Donor Education To Organ Transplant Candidates, Mary Rzeszut

Walden Dissertations and Doctoral Studies

Living donor transplantation (LDT), despite its documented benefits, does not occur as often as deceased donor transplants (DDT). Transplant social workers are an integral part of the transplant interdisciplinary team and are well trained in conducting psychoeducation. This action research study involved examining social work practice challenges that transplant social workers experience that prohibit them from conducting effective LDT education. The study was guided by family problem solving theory, social cognitive theory and the Afrocentricity perspective to determine how transplant candidates and families can best learn information to discuss and recruit potential living donors. The research questions were about roles …

Why Some Cancer Patients Chose Fasting Instead Of, Or With, Conventional Treatments, Richard Alvin Sacks

Walden Dissertations and Doctoral Studies

Abstract Conventional cancer treatment consists of some combination of three therapies: chemotherapy, surgery and radiation. The purpose of this study was to understand why some individuals diagnosed with cancer elected to follow an alternative course of treatment, consisting of fasting on juices or water only rather than, or in addition to, conventional cancer treatment. The theory chosen to guide this study was the Markula Center for Applied Ethics framework for ethical decision making. Research questions were designed to understand the decision-making process of study participants in choosing fasting on juice or water only, rather than, or in addition to, the …

Sociodemographic And Behavioral Predictors Of Obesity Among Female Asian Indian Immigrants In The United States, Afiya Saleem

Walden Dissertations and Doctoral Studies

Individuals from low-income countries such as those in the Asian region migrate to high-income countries and adopt obesogenic behaviors like sedentary lifestyles and high fat and sugar intake. This results in increased susceptibility to obesity, diabetes mellitus, cardiovascular disease, and stroke. Previous research has demonstrated that migrants from South Asian countries are at an increased risk of developing obesity, type 2 diabetes, and hypertension; however, little is known about the factors that contribute to this phenomenon. This was a quantitative, cross-sectional study guided by the social-ecological model. This study used secondary data from the National Health Interview survey to investigate …