Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs,
2022
Walden University
Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield
Walden Dissertations and Doctoral Studies
AbstractOpioid use accounts for many deaths each day in the United States. Although research has shown that retention in medication assisted treatment (MAT) programs increases quality of life for those individuals with opioid use disorder (OUD) and decreases premature death, there has been limited research on the perspectives of individuals with OUD in MAT programs and why they remained in or left the programs. The purpose of this qualitative phenomenological study, guided by Merleau-Ponty’s theory of perception, was to explore the lived experiences of those with OUD treated in a MAT program. An algorithm type interview was conducted to ask …
Strategies To Improve Quality Of Care And Increase Medicare Payments In Hospitals,
2022
Walden University
Strategies To Improve Quality Of Care And Increase Medicare Payments In Hospitals, Emmanuel Mendoza
Walden Dissertations and Doctoral Studies
The difficulty that nurse leaders experience in administrating quality of care while increasing Medicare payments threatens the hospital's patient well-being and financial stability. Health care administrators should be concerned about these issues to ensure their hospitals meet patient and community needs. Grounded in the performance improvement model, the purpose of this qualitative single case study was to explore strategies that hospital managers use to improve the quality of care and increase Medicare payments. The participants were six nurse leaders of a medium size hospital based in Houston, Texas. Data were collected using semistructured virtual interviews and a review of company …
The Relationship Between Team Engagement And Physician Engagement,
2022
Walden University
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 …
Educating Nurse Practitioners On Factors Associated With Compassion Fatigue,
2022
Walden University
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 …
Relationship Between Nursing Staffing Hours (Rns & Lpns) And Covid-19 Mortality In Indiana Nursing Homes,
2022
Walden University
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 …
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities,
2022
Walden University
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric Sarrett
Walden Dissertations and Doctoral Studies
Young adults with intellectual and developmental disabilities (IDD) continue to struggle with community engagement despite decades of research and policy initiatives addressing postsecondary transition. Evidence shows that persons with IDD are engaging in employment, postsecondary education, independent living, socialization, and other roles at significantly diminished rates, yet little data exists describing this participation in the voices of those affected. The purpose of this narrative inquiry was to describe community integration of persons with IDD in the decade following postsecondary transition in their own words. Critical disability theory was used as a lens to explore the successes and failures of public …
Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community,
2022
Walden University
Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis
Walden Dissertations and Doctoral Studies
AbstractThe Zika virus does not have a known treatment, despite ongoing efforts since 2016 to develop a vaccine. The Zika virus has been labeled by World Health Organization and the Department of Defense as a threat to the readiness, resiliency, and preparedness of military service members and dependents that currently travel or serve in areas where high concentrations of the virus are present. As such, it is important to understand how the military community understanding of the Zika virus is impacted by military health services and education. A phenomenological qualitative approach was utilized to conduct this study. Twenty active-duty military …
Development And Validation Of A Clinical Practice Guideline For Telemedicine,
2022
Walden University
Development And Validation Of A Clinical Practice Guideline For Telemedicine, Jennifer Johnell Upton
Walden Dissertations and Doctoral Studies
Access to healthcare necessitated the utilization of telemedicine during the international pandemic of COVID 19. Telemedicine use surged in family practice in 2020 with limited resources for appropriate telemedicine patients. The problem identified for this DNP project was the lack of resources for telemedicine guidelines in family practice. The purpose of this project was to create a clinical practice guideline (CPG) to initiate screenings for appropriate patients for telemedicine. The Plan, Do, Study, Act (PDSA) concept and framework were utilized to develop the CPG. The project question identified was whether the development of a CPG on telehealth delivery in a …
Exploring Nurse Leader Self-Efficacy, Burnout, And Intent To Leave,
2022
Walden University
Exploring Nurse Leader Self-Efficacy, Burnout, And Intent To Leave, Donna Donova Johnson
Walden Dissertations and Doctoral Studies
Nurse leader turnover is an emerging issue in healthcare services. Considerable research has been done over the last decade revealing that nurse leaders are experiencing an increased rate of burnout with an intent to leave their jobs. Less research has been done to understand how to mitigate the rate of nurse leader burnout and retain nurse leaders in the workforce. Higher levels of self-efficacy have mediated the effects of work stress on job burnout in other service related fields. The purpose of this quantitative, non-experimental, cross-sectional study was to explore the possible mediating effect of leader self-efficacy between burnout and …
Relationship Between Healthcare Provider Communication And Preventable 30-Day Copd Readmission Rates,
2022
Walden University
Relationship Between Healthcare Provider Communication And Preventable 30-Day Copd Readmission Rates, Jonathan Butler
Walden Dissertations and Doctoral Studies
AbstractThe Centers for Medicare and Medicaid Services implemented the Hospital Readmission Reduction Program in 2012. Ten years later, hospitals across the United States have had negligible improvement in reducing preventable 30-day hospital readmissions for COPD patients. Healthcare, specifically the hospital setting, consists of complex processes and procedures. Not one process or procedure is the sole cause of correcting excessive preventable 30-day readmissions of patients with COPD. The essential elements of provider communication were studied using the Complex Adaptive Systems theory in this quantitative study. Each fundamental element of provider communication was the independent variable, and the preventable 30-day COPD excessive …
Medicine Adherence As A Determinant Of Complication Development In Diabetes And Hypertension Patients On A Medical Aid Scheme In Zimbabwe,
2022
Walden University
Medicine Adherence As A Determinant Of Complication Development In Diabetes And Hypertension Patients On A Medical Aid Scheme In Zimbabwe, Tsitsi Moyo
Walden Dissertations and Doctoral Studies
Pharmacotherapy is a significant component of chronic disease management; its efficacy depends on long term, correct, and consistent use; however, medicine adherence rates remain low. The cost of medicines is considered a significant barrier to adherence, especially in low-income settings. This quantitative cross-sectional study was conducted using data from Cimas Medical Aid Society collected between 2015 and 2019. The purpose of the study was to determine the extent of the association between medicine adherence, complication development, and cost of care among diabetic and hypertensive patients while controlling for age and gender on a population that does not experience cost barriers …
Wellness Programs: Strategies For Increasing Employees’ Productivity And Reducing Health Care Costs,
2022
Walden University
Wellness Programs: Strategies For Increasing Employees’ Productivity And Reducing Health Care Costs, Lymari Rentas González
Walden Dissertations and Doctoral Studies
Business executives risk higher healthcare costs and absenteeism rates without implementing cost-effective strategies to support wellness within the organization. To offset rising healthcare costs and absenteeism, executives should implement wellness programs as a component of the benefits package provided to their employees and families. Grounded in the theory of planned behavior, the purpose of this qualitative multiple case study was to explore the cost-effective strategies that executives in the private and not-for-profit sectors implemented to encourage employees to adopt healthy habits for increasing productivity and decreasing organizations’ healthcare costs. Six executives from the healthcare sector within the southern region of …
Factors Of Experience And Training And Physician Intention To Adopt Telemedicine,
2022
Walden University
Factors Of Experience And Training And Physician Intention To Adopt Telemedicine, Tina Mozhayski
Walden Dissertations and Doctoral Studies
Despite the increased role of telemedicine services, physicians’ intention to adopt telemedicine for the long term remains disproportionately low; further, little research has focused on the factors behind these intentions. The purpose of this study was to determine and compare the effects of two causal factors: previous experience of physicians in telemedicine and company telemedicine training, on physicians’ intention to adopt telemedicine. The Davis’s technology acceptance model was used as a theoretical framework for this study, which included analytical data of health care regulatory organizations, medical professional alliances, and secondary statistical data of a marketing company with experience in conducting …
Gaps In Immunization Prevention In The State Of Ohio,
2022
Walden University
Gaps In Immunization Prevention In The State Of Ohio, Audrey Shaw
Walden Dissertations and Doctoral Studies
In the United States, the total cost for vaccine preventable diseases was $8.95 billion in 2015. The unvaccinated accounted for 80% of the total costs. This quantitative study was conducted to investigate the success and/or gaps in the implementation of the measles, mumps, and rubella (MMR) vaccine through the Vaccine for Children (VFC) Program by the Ohio Department of Health. General systems theory was chosen as a theoretical framework due to the complicated nature of the healthcare system. Healthcare is a complex system composed of multidisciplinary units that have their own structure and purpose that interact to accomplish the mission …
Nurse Staffing And Leadership Support On In-Patient Hospital Safety,
2022
Walden University
Nurse Staffing And Leadership Support On In-Patient Hospital Safety, Kearia Deresa Watson-Orr
Walden Dissertations and Doctoral Studies
In-patient hospital safety relates to healthcare facilities protecting patients from medical errors. The “problem of many hands” exists, where there is a gap in understanding who is responsible for in-patient hospital safety, nurse staffing, or leadership support. The purpose of this quantitative study was to determine the association between nurse staffing (nurse-to-patient ratios and hours worked) and in-patient safety (perception of in-patient safety by nurses) as well as the association between leadership support (work climate promotes patient safety and actions of hospital management to show that patient safety is a top priority) and in-patient safety (perception of in-patient safety) based …
Sustainability Strategies Of Small Nigerian Restaurants,
2022
Walden University
Sustainability Strategies Of Small Nigerian Restaurants, Omotayo A. Adeniyi
Walden Dissertations and Doctoral Studies
Fewer than half of small restaurants remain in the market after the first 5 years of operation. Small business leaders and policymakers are concerned with business failure due to the negative economic impacts on their employees and the local community. Grounded in the entrepreneurship theory, the purpose of this qualitative multiple case study was to explore strategies small restaurant owners use to sustain their operations beyond at least 5 years. Participants included four owners of small Nigerian restaurants who successfully operated their restaurants for more than 5 years. Data were collected using semistructured interviews and a review of internal documents. …
Understanding How Healthcare Social Workers Respond To Adult Medical Trauma,
2022
Walden University
Understanding How Healthcare Social Workers Respond To Adult Medical Trauma, Sonya Anthony
Walden Dissertations and Doctoral Studies
Medical trauma in the hospital is a growing health disparity often accompanied by social determinants. Assisting in alleviating disparities and social determinants is a standard of care embedded in social work practice. This research was conducted to examine healthcare social workers’ experiences responding to and managing the psychosocial impacts of adult medical trauma in an acute inpatient environment. The goal of the research was to identify if a need exists for trauma-informed training among healthcare social workers. The research question examined how healthcare social workers respond to medical trauma. The model of case management, trauma-informed care, and systems theory were …
Perceived Barriers To Health Care Access And Delivery Among Arkansas Medicaid Beneficiaries,
2022
Walden University
Perceived Barriers To Health Care Access And Delivery Among Arkansas Medicaid Beneficiaries, Kimbra D. Butler
Walden Dissertations and Doctoral Studies
Arkansas has historically been one of the lowest ranking states in the United States in education, economy, opportunity, crime and corrections, and health care. Though more than 3 million Arkansans live in the state, nearly 1 million receive Medicaid-funded health insurance. This phenomenological study employed a constructivist paradigm and focused on the perceptions of underserved Arkansans regarding their health and their access to health care; additionally, within this study, the Health Belief Model shifted the study’s focus to individuals’ perspectives, perceptions, experiences, and opinions through interview responses. The research was intended to identify factors that may relate to the higher …
Case Managers’ Perspectives Of Hospital Postdischarge Services For Patients Diagnosed With Coronary Artery Disease,
2022
Walden University
Case Managers’ Perspectives Of Hospital Postdischarge Services For Patients Diagnosed With Coronary Artery Disease, Brian Alexander Grant
Walden Dissertations and Doctoral Studies
The United States lacks postdischarge services, which can negatively impact hospital readmissions within 30 days. It is important for case managers to effectively leverage outpatient services to enhance patient care and reduce readmission rates. Grounded in the practice change model framework, this qualitative single case study explores the perspectives of case managers involved with postdischarge services for patients diagnosed with coronary artery disease (CAD). Participants included 13 case managers from two metropolitan hospitals in Atlanta, Georgia. To address the research problem and study purpose, data collection techniques included semi-structured interviews, case management discharge summaries, and reflective journal notes. The thematic …
Integrated Care Impact On Postpartum Visit Compliance And Readmissions,
2022
Walden University
Integrated Care Impact On Postpartum Visit Compliance And Readmissions, Matthew Herrick
Walden Dissertations and Doctoral Studies
The specific research problem that was addressed through this study is the low rate of postpartum visits among Medicaid-enrolled women, leading to increased postpartum complications and readmissions. The purpose of this quantitative study was to evaluate if hospital readmissions can be reduced by integrated care home visiting services relating to postpartum visit compliance. The research questions evaluated the relationships between postpartum visit compliance, hospital readmissions among Medicaid-enrolled women in Indiana, and an integrated care home visiting program. The Donabedian model for quality-of-care grounds this study and is based on structure, process, and outcome. Through this model, healthcare leaders can evaluate …
