Initial Findings Of A Medicare Annual Wellness Visit Program,
2017
Walden University
Initial Findings Of A Medicare Annual Wellness Visit Program, Hesper B. Nowatzki
Walden Dissertations and Doctoral Studies
Despite the emphasis of benefits on preventive health, many older adults are not receiving the recommended age specific, evidence based screenings and vaccinations. The Medicare Annual Wellness Visit (AWV) is designed to address modifiable risk factors with aging adults and close gaps in care not captured in routine office visits. Although a free Medicare benefit to patients, and a reimbursable service to health care providers, participation in the AWV is low nationwide. The purpose of the project is to introduce an AWV program to a rural health clinic in Northwest Illinois that has a population consisting of over 25% of …
Effect Of Intimate Partner Violence On Children Of Puerto Rican Women,
2017
Walden University
Effect Of Intimate Partner Violence On Children Of Puerto Rican Women, Maria Natal-Gopin
Walden Dissertations and Doctoral Studies
Intimate partner violence [IPV] is a preventable and costly societal issue that has reached epidemic proportions. Women are often the victims of IPV, and millions of children are exposed to it annually. The purpose of this study was to explore experiences of Puerto Rican mothers and their perceptions of how IPV exposure may have impacted their children using resilience theory. Data were collected via audiotaped individual interviews with 9 Puerto Rican mothers who endured an array of escalating IPV, often exacerbated by the perpetrators use of alcohol or drugs, and had IPV-exposed children aged 6 -11 years. Data analysis integrated …
Facilitating Environmental Enrichment In Senior Care Activities With Professional Development,
2017
Walden University
Facilitating Environmental Enrichment In Senior Care Activities With Professional Development, Celia Mary Ross
Walden Dissertations and Doctoral Studies
There is little known about the current state of professional development and continuing education practices for empowering activity professionals to better enhance environmental enrichment in long term care. The purpose of this qualitative study was to explore the activity professional's perceived role and best strategies for professional development to enrich the long-term care environment. The study used social cognitive theory as its theoretical framework to develop research questions focused on the views of activity professionals concerning professional development and continuing education to support care for long-term care residents. Using a narrative approach, 9 activity professionals were recruited through networking at …
Exploring Social Support Networks Of African American Emancipated Foster Care Women,
2017
Walden University
Exploring Social Support Networks Of African American Emancipated Foster Care Women, Donna Marie Barrett
Walden Dissertations and Doctoral Studies
Many youth exit the United States foster care system each year and face challenges related to housing, employment, health care, and education. After emancipation, foster youth can experience family instability, educational disruption, incarceration, unemployment, unstable housing, and emotional problems at a much higher rate than youth in the general population. The purpose of this qualitative case study was to examine the experiences of African American foster women and the social support they received in finding housing upon exiting foster care system. Bronfenbrenner's ecological theory provided a conceptual framework of social interrelation for the study. Data were collected from a purposeful …
Perceptions Of Educational Accountability Among Single African American Mothers,
2017
Walden University
Perceptions Of Educational Accountability Among Single African American Mothers, Tierra Winston
Walden Dissertations and Doctoral Studies
The construct of educational accountability formally originated in 2001 as a means to improve education standards by holding teachers accountable for student academic progress; however, the definition of educational accountability for parents continues to be illusive. The purpose of this generic, qualitative study was to explore the perceptions of educational accountability among single, African American mothers of high school-aged children. The research question asked about how the beliefs of educational accountability among single African American mothers related to any involvement in their children's education. Azjen's theory of planned behavior, which outlines the relation of intention to action, was the framework …
The Impact Of Nursing Staff Ratios On Falls Rates In Skilled Nursing Facilities,
2017
Walden University
The Impact Of Nursing Staff Ratios On Falls Rates In Skilled Nursing Facilities, Akudo Okeorji
Walden Dissertations and Doctoral Studies
Falls and complications from falls are a common problem among adults aged 65 years and older. About 60% of older adults fall every year, causing injuries, hospitalization, nursing home placement, and even death. Most studies on falls among skilled nursing facility (SNF) residents focus on fall preventive measures that fail to include staffing variables such as nursing hours. Although researchers have examined the relationship between nursing staff and patient outcomes in hospital settings, similar studies have not occurred in long-term care facilities. The purpose of this retrospective longitudinal study was to determine whether a correlation exists between nursing staff hours …
Quality Of Sibling Relationship And Age Spacing In Single-Parent Households Versus Two-Parent Households,
2017
Walden University
Quality Of Sibling Relationship And Age Spacing In Single-Parent Households Versus Two-Parent Households, Mari Varga Overlock
Walden Dissertations and Doctoral Studies
Sibling relationship quality is affected by several variables, such as gender, age spacing, marital conflicts, parenting, and parent-child relationship, which simultaneously influence personality and developmental outcomes. Furthermore, sibling relationships can significantly influence the social climate of the family and vice versa. The objective of this study was to examine the effects of household composition (1-parent home vs. 2-parent home) and the number of years between siblings ages on sibling relationship quality, and to determine whether parental conflict response management strategies differ between single-parent and 2-parent homes. The participants were 124 adult mothers with at least 2 children. Participants provided demographic …
African American Males' Lived Experiences Of Fathering Following Incarceration,
2017
Walden University
African American Males' Lived Experiences Of Fathering Following Incarceration, Sherece Shavel
Walden Dissertations and Doctoral Studies
In the United States, African American fathers are incarcerated at a disproportionate rate and have a poor prognosis of success. Although researchers have considered how crime, paternal abuse, poverty, and social disparities have affected African Americans, they have not adequately studied how formerly incarcerated African American fathers experience parenting. The purpose of this qualitative transcendental phenomenological study was to bridge this gap in knowledge by exploring the parenting experiences of formerly incarcerated African American fathers on parole. The research question focused on the parenting experiences of African American fathers obligated to mandatory supervision following an incarceration. A criterion-based sample of …
Tradition And Culture In Africa: Practices That Facilitate Trafficking Of Women And Children,
2017
Mzumbe University
Tradition And Culture In Africa: Practices That Facilitate Trafficking Of Women And Children, Norah Hashim Msuya
Dignity: A Journal of Analysis of Exploitation and Violence
Many states in Africa have adopted legislative, administrative and institutional measures to combat trafficking in human beings. These measures include, among other things, the formulation and implementation of both national and regional action plans by African states to provide for comprehensive and coordinated interventions. Many African countries have also enacted an anti-trafficking legislation at the country level. Despite these measures, African women and children have been trafficked annually worldwide for purposes of forced labor, sexual exploitation, and domestic servitude. Additionally, women and children are trafficked within their countries from rural to urban areas. Misconception and abuse of African tradition and …
The Perceptions Of Video Surveillance And Its Influence On Cargiver Stress In The Home Care Setting,
2017
Walden University
The Perceptions Of Video Surveillance And Its Influence On Cargiver Stress In The Home Care Setting, Asuncion Neri-Candelaria
Walden Dissertations and Doctoral Studies
Given the stress involved in caring for elders, the propensity for abuse among the older adult population continues to be a problem, as the number of caregivers providing care in the home is increasing to meet the demand of an increasing population of older adults. One solution is to implement video surveillance in the home. The purpose of this phenomenological, retrospective and prospective study was to describe the perceptions and experiences of caregivers that affect stress in the home care setting and to describe participants' perceptions about the impact of video surveillance in the home environment on caregiver stress and …
Differentiation Of Self As A Predictor Of Vicarious Trauma In Mental Health Professionals,
2017
Walden University
Differentiation Of Self As A Predictor Of Vicarious Trauma In Mental Health Professionals, Denise Purvis
Walden Dissertations and Doctoral Studies
Mental health professionals in all settings work with clients who are affected by trauma. Traumatic events expose mental health professionals to the negative psychological and emotional impact of witnessing and listening to client stories. Vicarious trauma is the emotional consequence of this empathic engagement with clients. The purpose of this correlational study was to identify predictors of vicarious trauma in mental health professionals that had not been studied before. The theoretical framework guiding the study was the Bowen family systems theory and the construct of differentiation of self. A regression analysis was conducted with a purposive sample of 83 licensed …
Improving Fall Prevention Strategies In An Acute-Care Setting,
2017
Walden University
Improving Fall Prevention Strategies In An Acute-Care Setting, Sylvia B. Boye-Doe
Walden Dissertations and Doctoral Studies
Falls with or without injuries among the elderly have become a public health concern, with falls among adults age 65 years and older increasing every year. Nurses play a role in ensuring patient safety by following fall prevention guidelines. The purpose of this evidence-based study was to implement the RE-AIM evaluation tool to determine the impact of the Safe Five program on staff compliance with the program; patients' awareness of the need for falls prevention; and falls among older adults, ages 65 years and older, admitted to an acute care nursing unit. The literature supports implementing a falls prevention program …
Staffing Standards And Care Outcomes In For-Profit And Not-For-Profit Religious-Based Nursing Homes,
2017
Walden University
Staffing Standards And Care Outcomes In For-Profit And Not-For-Profit Religious-Based Nursing Homes, Ara Omobola Omotowa
Walden Dissertations and Doctoral Studies
Vulnerable older adults residing in nursing homes continue to experience poor care outcomes due to nurse staffing levels that are below the levels required for maintaining their well-being. Studies have shown that patient care outcomes in nursing homes are related to nurse staffing standards/levels, which are affected by profit maximization on adherence to registered nurses and licensed nurse staffing standards. The purpose of this descriptive study was to determine if there was a relationship between adherence to staffing standards and care outcomes in for-profit (FP) and not-for-profit religious-based (NFPRB) nursing homes using the profit maximization theory. Research questions focused on …
Science Possible Selves And The Desire To Be A Scientist: Mindsets, Gender Bias, And Confidence During Early Adolescence,
2017
University of Nebraska-Lincoln
Science Possible Selves And The Desire To Be A Scientist: Mindsets, Gender Bias, And Confidence During Early Adolescence, Patricia Wonch Hill, Julia Mcquillan, Eli Talbert, Amy N. Spiegel, G. Robin Gauthier, Judy Diamond
Department of Sociology: Faculty Publications
In the United States, gender gaps in science interest widen during the middle school years. Recent research on adults shows that gender gaps in some academic fields are associated with mindsets about ability and gender-science biases. In a sample of 529 students in a U.S. middle school, we assess how explicit boy-science bias, science confidence, science possible self (belief in being able to become a scientist), and desire to be a scientist vary by gender. Guided by theories and prior research, we use a series of multivariate logistic regression models to examine the relationships between mindsets about ability and these …
Multimorbidity: Constellations Of Conditions Across Subgroups Of
Midlife And Older Individuals, And Related Medicare Expenditures,
2017
Case Western Reserve University
Multimorbidity: Constellations Of Conditions Across Subgroups Of Midlife And Older Individuals, And Related Medicare Expenditures, Siran M. Koroukian, Nicholas K. Schiltz, David F. Warner, Jiayang Sun, Kurt C. Strange, Charles W. Given, Avi Dor
Department of Sociology: Faculty Publications
Introduction: The Department of Health and Human Services’ 2010 Strategic Framework on Multiple Chronic Conditions called for the identification of common constellations of conditions in older adults. Objectives: To analyze patterns of conditions constituting multimorbidity (CCMM) and expenditures in a US representative sample of midlife and older adults (50–64 and ≥65 years of age, respectively). Design: A cross-sectional study of the 2010 Health and Retirement Study (HRS; n=17,912). The following measures were used: (1) count and combinations of CCMM, including (i) chronic conditions (hypertension, arthritis, heart disease, lung disease, stroke, diabetes, cancer, and psychiatric conditions), (ii) functional limitations …
Examining Changes Of Interview Length Over The Course Of The Field Period,
2017
University of Nebraska–Lincoln
Examining Changes Of Interview Length Over The Course Of The Field Period, Antje Kirchner, Kristen Olson
Department of Sociology: Faculty Publications
It is well established that interviewers learn behaviors both during training and on the job. How this learning occurs has received surprisingly little empirical attention: Is it driven by the interviewer herself or by the respondents she interviews? There are two competing hypotheses about what happens during field data collection: (1) interviewers learn behaviors from their previous interviews, and thus change their behavior in reaction to the behaviors previously encountered; and (2) interviewers encounter different types of and, especially, less cooperative respondents (i.e., nonresponse propensity affecting the measurement error situation), leading to changes in interview behaviors over the course of …
Social Isolation, Survey Nonresponse, And Nonresponse Bias: An Empirical Evaluation Using Social Network Data Within An Organization,
2017
Hiroshima University
Social Isolation, Survey Nonresponse, And Nonresponse Bias: An Empirical Evaluation Using Social Network Data Within An Organization, Megumi Watanabe, Kristen Olson, Christina Falci
Department of Sociology: Faculty Publications
Survey researchers have long hypothesized that social isolation negatively affects the probability of survey participation and biases survey estimates. Previous research, however, has relied on proxy measures of isolation, such as being a marginalized group member within a population. We re-examine the relationship between social isolation and survey participation using direct measures of social isolation derived from social network data; specifically, instrumental research and expressive friendship connections among faculty within academic departments. Using a reconceptualization of social isolation, we find that social network isolation is negatively associated with unit response. Among women (a numerical minority group within the organization), we …
The Role Of The Broker In Mixed-Methods
Collaboration: A Case Study Of Social
Networks And Risk Practices Among People
Who Inject Drugs In The Rural United States,
2017
University of Nebraska-Lincoln
The Role Of The Broker In Mixed-Methods Collaboration: A Case Study Of Social Networks And Risk Practices Among People Who Inject Drugs In The Rural United States, Roberto Abadie
Department of Sociology: Faculty Publications
One of the most recent innovations in social epidemiology is the combination of epidemiological data collection with ethnographic fieldwork in order to produce algorithmic models that estimate rates of disease prevalence over time. This paper uses a case study about a multi-year study of social networks and risk among people who inject drugs (PWID) in a rural community in the US to document the challenges raised by this form of knowledge production. As the anthropologist in charge of overseeing data collection, I had a privileged position to reflect on the tensions inherent in mixed-methods collaboration in health research. The research …
Within-Household Selection In Mail Surveys: Explicit Questions Are Better Than Cover Letter Instructions,
2017
University of Nebraska-Lincoln
Within-Household Selection In Mail Surveys: Explicit Questions Are Better Than Cover Letter Instructions, Kristen Olson, Jolene Smyth
Department of Sociology: Faculty Publications
Randomly selecting a single adult within a household is one of the biggest challenges facing mail surveys. Yet obtaining a probability sample of adults within households is critical to having a probability sample of the US adult population. In this paper, we experimentally test three alternative placements of the within-household selection instructions in the National Health, Wellbeing, and Perspectives study (sample n = 6,000; respondent n = 998): (1) a standard cover letter informing the household to ask the person with the next birthday to complete the survey (control); (2) the control cover letter plus an instruction on the front …
Lgbtq+ Young Adults On The Street And On Campus: Identity As A Product Of Social Context,
2017
University of Texas Rio Grande Valley
Lgbtq+ Young Adults On The Street And On Campus: Identity As A Product Of Social Context, Rachel M. Schmitz, Kimberly A. Tyler
Department of Sociology: Faculty Publications
Lesbian, gay, bisexual, queer, and other sexual and gender minority (LGBTQ+) young adults face unique identity-related experiences based on their immersion in distinctive social contexts. The predominant framework of performing separate analyses on samples of LGBTQ+ young people by their primary social status obfuscates more holistic understandings of the role of social context. Using 46 in-depth interviews with LGBTQ+ college students and LGBTQ+ homeless young adults, we ask: How are LGBTQ+ young adults’ capacities for “doing” their gender and sexual identities shaped by their distinctive social contexts? In developing their identities, both groups of LGBTQ+ young adults navigated their social …
