Association Between Opioid-Related Emergency Department Visits And Financial Liability Of Hospitals,
2022
Walden University
Association Between Opioid-Related Emergency Department Visits And Financial Liability Of Hospitals, Mary-Zitta Muabe
Walden Dissertations and Doctoral Studies
Emergency departments (EDs) are experiencing an influx of patients with opioid-related which result in increased opioid misuse, abuse, and overdoses. The purpose of this study was to examine the relationship between opioid-related ED visits and financial liability of hospitals by evaluating if an increase in opioid-related ED visits leads to an increase in average ED visit costs. The framework used for this study was Reason’s theory of failures, which involves improving healthcare maturity in terms of risk management, achieved through enhanced efficiency. The analyzed research questions included analysis between the number of opioid-related ED visits and financial liability of hospitals …
Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility,
2022
Walden University
Effective Management Of Diabetes Mellitus Type Ii In A Military Treatment Facility, Jozy Merizier Smarth
Walden Dissertations and Doctoral Studies
In the United States, 34 million people have diabetes and 79 million have prediabetes. Currently, one in nine Americans are diagnosed with diabetes and it is projected that one in five will have diabetes by 2025 and one in three by 2050. The practice-focused question answered by this project addressed the question if implementing a staff education program improved staff’s knowledge about self-management education and intent for providers and staff to promote a formal diabetes self-management education (DSME) program in an overseas military treatment facility. The site has 47% of empaneled beneficiaries with diabetes mellitus Type II with an elevated …
Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas,
2022
Walden University
Exploring Promotoras As Influencers Of Physical Activity And Diet Acceptability Among Latinas, Gladys Orock Tataw-Ayuketah
Walden Dissertations and Doctoral Studies
Promotoras are frontline community health workers who help link Latino community members to health and social services. Latino women have high rates of attrition and lack of participation in weight loss programs due to various barriers, and the promotora model is vital to address these concerns. The approach incorporates strong family support and influence to address health and social issues through interdependent ties of promotoras and families who live and work within the community they serve. The purpose of this qualitative study was to explore how promotoras influenced the acceptability of and participation in physical activity and dietary modification programs …
California’S Urban And Rural Asthma Healthcare Access And Asthma Management During Covid-19 Pandemic,
2022
Walden University
California’S Urban And Rural Asthma Healthcare Access And Asthma Management During Covid-19 Pandemic, Stacey R. Varga
Walden Dissertations and Doctoral Studies
A lack of adequate healthcare access can negatively affect asthma management. The purpose of this study was to understand whether there was an association between source of care and asthma management. This study provides important insights concerning the changing landscape of how individuals receive asthma treatment and manage their asthma during a pandemic. Asthma management and asthma care have been studied; however, results have been inconclusive in relation to the barriers to health that are experienced among various adult age groups. Identifying additional subgroup characteristics could provide insight into where health practitioners, practice management, and policymakers direct healthcare resources. The …
Health Educators’ Perspectives On Black And Latin@ College Students’ Health Literacy,
2022
Walden University
Health Educators’ Perspectives On Black And Latin@ College Students’ Health Literacy, Desiree Williams Brown
Walden Dissertations and Doctoral Studies
AbstractEmerging adulthood is a critical life stage when participation in higher education can facilitate the transition of young individuals into adulthood and independence. The barriers associated with low health literacy levels are higher among racial or ethnic groups facing health inequalities, including those enrolled in higher education institutions. The purpose of this basic qualitative study was to explore how health educators promoted the health literacy of Black and Latino emerging adult college students. The theoretical framework was based on Bandura’s social cognitive theory. Eight health professionals who served to promote health literacy across diverse college campuses and different states in …
Educating Nursing Staff On Clostridioides Difficle Infection Bundle Use,
2022
Walden University
Educating Nursing Staff On Clostridioides Difficle Infection Bundle Use, Amber Lee Winkis
Walden Dissertations and Doctoral Studies
Clostridioides difficile infection (CDI) is a local, national, and global issue impacting patient outcomes and healthcare organizations. CDI is costly to treat, painful, and at times deadly. Given an increase in CDI over the past year at the project site, the current gap in practice is the nonadherence of nursing staff to using a CDI bundle. This project addresses that gap. The practice-focused question targeted at nursing staff (N = 18) on an adult medical-surgical unit in an acute care hospital and asks whether education on use of a CDI bundle would result in a knowledge gain about the importance …
Let My People Go:Improving Nurses’ Knowledge To Decrease Physical Restraint Use,
2022
Walden University
Let My People Go:Improving Nurses’ Knowledge To Decrease Physical Restraint Use, Trisha Marie Zehrung
Walden Dissertations and Doctoral Studies
Despite extensive research revealing the dangers of physical restraint use, it remains a common practice in critical care settings across the globe. Nurses stand at the forefront of clinical decision-making regarding the use of physical restraints but are doing so with a lack of education and evidence-based practices. The project addresses whether an evidence-based educational program regarding the use of physical restraints and alternative measures is an acceptable method for intensive care unit (ICU) nurse education according to six local subject matter experts (SMEs). The project’s purpose was to create an educational program outlining physical restraint evidence and alternative measures …
Effects Of Perpetrator Types And Gender-Based Violence On Condom Use Among Tanzanian Female Sex Workers,
2022
Walden University
Effects Of Perpetrator Types And Gender-Based Violence On Condom Use Among Tanzanian Female Sex Workers, Lashonda Hall
Walden Dissertations and Doctoral Studies
HIV status among female sex workers (FSWs) continues to be a significant public health concern. Condom use is associated with HIV cases among FSWs. Gender-based violence (GBV) plays a role in FSWs HIV status. While studies have investigated the relationship between GBV and condom use, little is known about the impact of factors such as perpetrator type and substance use. I aimed to examine whether perpetrator type and substance use affect the relationship between GBV and condom use among FSWs in Tanzania. Secondary data analysis was performed on 1,502 FSWs extracted from the 2020 Tanzanian, John Hopkins Program for International …
Preconception Protective Factors Associated With Preterm Birth In Black/African American And Non-Hispanic White Women In Nyc,
2022
Walden University
Preconception Protective Factors Associated With Preterm Birth In Black/African American And Non-Hispanic White Women In Nyc, Joyce Yvonne Hall
Walden Dissertations and Doctoral Studies
Racial disparities in preterm birth have persisted during the past two decades. Though studies have delineated the medical, behavioral, and social risk factors explaining racial disparities in preterm birth, less is known about protective factors. This quantitative, correlational study was conducted to examine the prevalence, association, and risk of preconception health protective factors and sociodemographic covariates between Black/African American and non-Hispanic White women with preterm birth in New York City (NYC). The maternal and child health (MCH) life course approach was the theoretical foundation. The NYC Pregnancy Risk Assessment Monitoring System 2016–2018 Phase 8 survey data, which included 2,161 women …
Lifestyle Modifications To Reduce Hypertension In Obese Patients: A Clinical Practice Guideline,
2022
Walden University
Lifestyle Modifications To Reduce Hypertension In Obese Patients: A Clinical Practice Guideline, Tiffany Lynn Oates
Walden Dissertations and Doctoral Studies
In the United States, obesity affects almost 50% of the population with estimates of 60–70% of hypertension in adults attributable to adiposity. The practice gap addressed in this project is a lack of standardized patient education on lifestyle modifications aimed at reducing hypertension in the obese patient, which is the recommended first line of treatment for these patients. The practice focused questions were answered when evidence from the literature supported the implementation of a clinical practice guideline developed from evidence-based literature focused on patient education about lifestyle modification as the initial treatment for the reduction of hypertension in the obese …
Association Between Family Structure And Childhood Obesity In Essex County, Nj.,
2022
Walden University
Association Between Family Structure And Childhood Obesity In Essex County, Nj., Chima Tony Onyeagoro
Walden Dissertations and Doctoral Studies
Obesity is one of the most prevalent nutritional disorders in children in the United States. There are many factors associated with childhood obesity, but there is limited information about the association between family structure and childhood obesity. This quantitative retrospective cross-sectional study, guided by the Social Ecological Model, was carried out to identify the effect of family structure on childhood obesity. For this study, the 2017 National Survey of Children’s Health (NSCH) of children 6-13 years old residing in the state of New Jersey was analyzed. Binary logistic regression was used to determine the relationship between family structure and obesity, …
Assessing Cancer And Heart Disease Occurrence From Groundwater Contaminated With Volatile Organic Compounds,
2022
Walden University
Assessing Cancer And Heart Disease Occurrence From Groundwater Contaminated With Volatile Organic Compounds, Courtnie S. Owens
Walden Dissertations and Doctoral Studies
This study examined the effects of the toxic chemicals contained in volatile organic compounds (VOCs) on cancer occurrence and heart disease through occupational and environmental exposure to groundwater sources. This study was important because it provided critical insight for the public health community on the association between variations of past and current levels of VOCs in water sources and cancers and heart disease. The key research questions examined what proportion of occupational and nonoccupational individuals in southeastern North Carolina were diagnosed with cancer or heart disease and whether VOCs were associated with the long-term effects of cancer or heart disease …
Children's Body Mass Index Before And After Covid-19 Related Childcare Center Closures,
2022
Walden University
Children's Body Mass Index Before And After Covid-19 Related Childcare Center Closures, Ericka L. Peterson
Walden Dissertations and Doctoral Studies
Prolonged childcare center closures due to COVID-19 restrictions have changed children’s health-related behaviors that may result in an increased risk in childhood obesity. Grounded in the social ecological model, the purpose of this study was to examine the differences in body mass index (BMI), physical activity, consumption of sugar-sweetened beverages (SSBs), and screen time among preschool aged children enrolled in the Merced County Office of Education Head Start program before and after COVID-19 related Head Start center closures. A quantitative, longitudinal study design using secondary data from ChildPlus was used. The paired t-test and Wilcoxon signed-rank test was used to …
Treatment Outcomes And Associated Factors In Tb/Hiv-Coinfected Patients In Namibia,
2022
Walden University
Treatment Outcomes And Associated Factors In Tb/Hiv-Coinfected Patients In Namibia, Esland Shilongo
Walden Dissertations and Doctoral Studies
AbstractHIV and TB have merged into a deadly co-epidemic in Namibia. Currently, though, TB and HIV data at the national, regional, and district level might be underreported and insufficient to understand the full burden and outcome rates of TB and HIV. Targeting the TB outcomes rate among TB/HIV-coinfected individuals is an effective strategy for decreasing future TB burden and furthering the gains in the control of both diseases. The objective of this study was: to assess the outcomes of patients registered for anti-TB treatment in //Karas Region which has the largests burden of TB in Namibia. A 5-year retrospective cohort …
Faculty Perspectives On Quality Of Online Courses In Health Education And Promotion Programs,
2022
Walden University
Faculty Perspectives On Quality Of Online Courses In Health Education And Promotion Programs, Dana Wawrzyniec
Walden Dissertations and Doctoral Studies
The need to make quick transitions online due to COVID-19 challenged many Health Education and Promotion (HEP) faculty to identify how to create quality online HEP courses. A review of the literature identified the need for qualitative research on the quality of online courses from the faculty’s perspective. The purpose of this general qualitative study was to explore the perceptions and experiences of HEP faculty at multiple universities, in terms of the organization and facilitation of their online courses, communication between instructor and student, and assessment of students. The community of inquiry (COI) framework, which evaluates the teaching, social, and …
Nursing Staff Education On The Use Of The American Diabetes Association Guidelines,
2022
Walden University
Nursing Staff Education On The Use Of The American Diabetes Association Guidelines, Terrie Hattie Allen
Walden Dissertations and Doctoral Studies
AbstractDiabetes mellitus is a complex chronic condition that requires continuous care and management. Approximately 34 million Americans are diagnosed with diabetes and around 90%–95% suffer from Type 2 diabetes. The problem identified in this project was the need to follow the American Diabetes Association guidelines in place at the study site clinic but are not adhered to by the staff. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this project was to plan, implement, and evaluate a nursing staff education program on the use of the American Diabetes Association Guidelines for diabetes. …
Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan.,
2022
Walden University
Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan
Walden Dissertations and Doctoral Studies
Approximately 21 million individuals suffer from typhoid fever (TF) globally, and most outbreaks occur in Southeast Asia. The incidence of TF is high in Pakistan, particularly in low socioeconomic areas, and a new drug-resistant strain makes it difficult to control the spread of TF. There is a pressing need for up-to-date and accurate data regarding the attitudes, beliefs, and habits leading to the spread of TF infection among individuals living in low socioeconomic areas of Pakistan. This qualitative, phenomenological study was grounded in the health belief model and explored factors that influence the spread of TF among women of childbearing …
Alternative Diet Practices As Predictors For Vaccine Confidence,
2022
Walden University
Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin
Walden Dissertations and Doctoral Studies
Perceived risks and side effects have left some with a lack of confidence in the safety and efficacy of vaccines. This may lead to not adhering to the recommended vaccination schedule and result in outbreaks that have the potential to harm those who are unable to get vaccinated due to age or infirmity. It is vital to seek and address the characteristics that may predict one’s confidence in vaccines. The aim of this study was to identify whether an individual’s alternative diet behavior may be able to predict their confidence in the measles, mumps, and rubella (MMR) vaccine. The theoretical …
The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda,
2022
Walden University
The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer
Walden Dissertations and Doctoral Studies
AbstractIncidence of cardiovascular accident (CVA), also referred to as a stroke, has increased in Bermuda. Understanding key contributing factors is necessary to reduce incidences that are associated with this disease process. This dissertation examined the outcome of stroke education and management on CVA patients in Bermuda. The health belief model, incorporating a reflection of the public health framework, guided the analysis of a quantitative dataset obtained through Bermuda Hospitals Board’s Neurology Department. A cross-sectional study design was used to sample 253 stroke patients over a 2-year period (2019 -2021). The Wilcox test was employed to compare two groups – stroke …
Length Of Stay In A Homeless Shelter And Mitigating Homelessness,
2022
Walden University
Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit
Walden Dissertations and Doctoral Studies
AbstractHomelessness is a major public health issue in the United States. Every night, thousands of people have no residence to call their own. Most homeless persons turn to homeless shelters for help. Despite the homeless shelters, the problem of homelessness persists. This study examined the concept that the length of time spent at a homeless shelter is related to the homeless persons mitigating their homelessness through home placement, jobs, and healthcare access. Homelessness was examined using the socioecological model with its attendant levels of influence. On the intrapersonal level, socioeconomic status, education, old age, veteran status, and disability were factors. …
