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Teses / dissertações sobre o tema "Patient Education Health Promotion"

Autor: Grafiati

Publicado: 4 de junho de 2021

Última modificação: 13 de fevereiro de 2022

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1

Burrell, Courtnie Jones. "Promotion of the Hospital's Patient Portal." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1681.

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The Centers for Medicare and Medicaid Services wanted to ensure that electronic health records were used in a meaningful manner to improve coordination and quality of patient care. In 2011, the federal government began offering monetary incentives to help healthcare facilities and providers adopt technology that supported patient access and increased their ability to manage their own health. The hospital where this project took place encouraged patients’ involvement in their health by providing a patient portal, yet the public has underutilized it. The purpose of this project was to develop an

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2

Akram, Daaiyah Nimat. "Merging Pay-for-Performance and Technology to Impact Patient Outcomes." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6504.

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Pay-for-performance (P4P) programs improve the effectiveness, quality, and overall value of healthcare. In today's world of advanced technology and changing trends, physician organizations hesitate to adopt P4P program methodology. A gap in the literature was identified, as there were no guides found that explained how to implement P4P initiatives that improved quality of care. The purpose of this study was to gain a better understand-ing of P4P, and the phenomenology of practice theory was applied to obtain different perspectives about P4P programs and how incorporating technology improved qu

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3

Ogungbayi, CarolineE Jokotola. "Strategies for Patient Engagement in a Self-Management Program for Adults with Diabetes." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7174.

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Patients' lack of adherence to diabetes self-management education and support (DSMES) recommendations is a challenge for healthcare. One approach to addressing patient noncompliance with DSMES is through education of staff on current guidelines. In an outpatient facility in South Texas, staff training on current DSMES guidelines was recommended as one of the solutions to the problem of Type 2 diabetes mellitus (T2DM) complications observed among clinic patients. An educational module was created to increase staff knowledge on T2DM and to assist staff members in teaching patients to self-manage

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4

Randel, Charon Denise. "Quality Improvement Initiative to Improve Patient Attendance in Diabetes Self-Management Education Classes." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7251.

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Diabetes self-management education (DSME) is a key resource in the battle against diabetes and its secondary effects. This quality improvement project was conducted to address the decreased attendance rates of DSME classes in a community health center in the southern United States. The practice question for this project explored process-related strategies to increase patient attendance in DSME classes. Based on review of patient reports of reasons for nonattendance and an evaluation of peer reviewed literature on improving attendance in DSME, the following strategies were implemented: (a) alte

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5

Cullins-Clark, Traci Edwynne. "Nurses' Perceptions of Patient Encounters During Bariatric Weight Loss Surgery Education." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6547.

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Many researchers have suggested positive patient-health provider relationships can positively impact patient outcomes. A few focused explicitly on bariatric weight loss surgery (BWLS) professional-patient interactions. This study is significant because BWLS is a recommended tool to combat obesity. The purpose of this study was to analyze the perceptions of BWLS education nurses regarding their patient encounters. This mixed methods research study used an online survey combining quantitative Likert scale questions and open-ended qualitative questions, with social cognitive theory as the theoret

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6

Curry, Andrea Nicole. "The Evaluation of the Relationship between Racial Health Disparities and the Patient-Provider Relationship." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/6005.

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African Americans are adversely affected by health disparities due to the complexities of the patient-provider relationship. The behavioral model of health services was used as the theoretical framework to understand how individuals make healthcare utilization decisions. The purpose of the research was to evaluate how the patient-provider relationship influences inconsistent doctor visits by African American patients despite the prevalence of chronic conditions. 45 African Americans located in Shelby County, Tennessee were included in this study. A cross-sectional quantitative design was used

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7

Redden, Gloria Medina. "Ambulatory Registered Nurse Perspectives on Health Literacy Roles and Patient Communication." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3365.

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Registered nurses (RNs) have a significant role in communicating health information to patients. The problem addressed in this study was RNs roles with health literacy and communicating health information using words that the patient understands. This study found that ambulatory RN perspectives on their roles in health literacy and patient communication may improve health outcomes and optimal wellness. The purpose of this qualitative study was to examine and describe ambulatory RN perspectives on their roles in health literacy and patient communication, as these are necessary components linked

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8

Sesay, Mohamed Lamin. "Patient Characteristics and Treatment Outcomes Among Tuberculosis Patients in Sierra Leone." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10269501.

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<p> Despite decades of the implementation of the directly observed therapy short-course (DOTS), Sierra Leone is ranked among the 30 highest TB-burdened countries. Several factors account for unfavorable treatment outcomes, among which are patient characteristics. Previous studies have only focused on treatment compliance without any consideration for the factors that lead to noncompliance to treatment. The purpose of this study was to investigate patient characteristics that are associated with treatment noncompliance (treatment not completed) among TB patients undergoing the DOTS program in S

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9

Powell-Laney, Sharon Kay. "The use of human patient simulators to enhance the clinical decision making of nursing students." ScholarWorks, 2010. http://scholarworks.waldenu.edu/dilley/19.

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One of the newest teaching modalities in nursing education is the use of human patient simulators (HPS). An HPS simulation scenario creates a software program vignette in which students interact with a manikin to practice caring for critical patients in a risk-free environment. Although used extensively in schools of nursing, there is little research that examines if these expensive simulators improve the clinical decision-making ability of nursing students. The purpose of this experimental differentiated treatment study was to assess if HPS technology leads to increased clinical decision-maki

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10

Cartwright-Vanzant, Rachel Carla. "Influences of Provider-Patient Communication on Health Literacy and Public Policy Relevant Outcomes." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3755.

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Several artifacts of federal policy address the connection between health literacy of patients and health outcomes. These laws include The Plain Writing Act, Health Information Technology for Economic and Clinical Health, and the Health Insurance Portability and Accountability Act. Even with this policy structure, little is known about how nurses' knowledge of health literacy may influence patient understanding of medical information and health outcomes. Using Knowles' principles of effective communication, the purpose of this mixed-methods study was to concurrently examine the relationship be

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11

Gallivan, Karyn Marie. "The Effect of Referral Source on Patient Participation in Diabetes Education Programs." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4287.

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The goal of diabetes education programs (DEPs) is to improve patients' pattern-management habits for those with type 2 diabetes (T2D), though participation in DEPs is lower than expected due to low physician referral rates. This retrospective study examined secondary data of 162 T2D patients who had been referred to a DEP in a community center in RI to determine whether the source of referral affected patient attendance, participation persistence, and outcomes. Self-referred (n = 62) and physician-referred (n = 100) groups were analyzed for possible associations among the aforementioned variab

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12

Williams, Michelle D. "Exploring Education Needs for Heart Failure Patients' Transition of Care to Home." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6387.

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Transitions of care is a model designed to ensure that patients have resources needed to assist them to care for themselves at home after hospital discharge, which helps to decrease preventable adverse events. For people with heart failure (HF) to transition home from the hospital successfully, specific education is needed that is individualized to the disease process, but most patients' educational needs after discharge are unmet. The purpose of this qualitative study, guided by the Meleis middle range theory of transition, was to explore the perspectives of people with HF about their educati

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McConnell, Angela H. "Influence of Patient Engagement Protocol on Health Outcomes and Medication Adherence of Patients with Metabolic Syndrome." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2741.

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August 2016 Management of metabolic syndrome (MetS) may be enhanced by promoting patient engagement. Training health care providers in the conceptual and practical application of integrative patient centered care tools may promote patient lifestyle behaviors for better management of MetS. The purpose of this quantitative quasi-experimental study was to assess the impact of training providers in integrative patient centered care for patients with MetS. The biopsychosocial construct provided the conceptual framework for the study. Two groups of physicians were included; one received training in

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14

Mann, Travis L. "Patient Awareness and Knowledge of Medically Induced Radiation Exposure." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7881.

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The level of knowledge and awareness among patients about the concepts and implications of medical radiation is unknown. The purpose of this qualitative, case study was to explore patients' awareness and knowledge of information regarding this topic from their perspectives. The health belief model provided the framework for the study. A total of 20 individuals were recruited using purposive sampling. All participants were above the age of 18 in central North Carolina and had undergone or are currently undergoing medical radiation exams. Data were collected using semistructured interviews and a

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15

Keenan, Linda Marie. "African American Race and Culture and Patients' Perceptions of Diabetes Health Education." ScholarWorks, 2011. http://scholarworks.waldenu.edu/dissertations/1182.

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African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the prefer

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16

Benedict, James. "Chronic Disease Management of the Uninsured Patient at Ohio Free Clinics." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2713.

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Management of chronic disease requires a different service delivery model from that of acute illness. The uninsured population experience poorer health status and increased incidence of chronic disease than do the insured population. The purpose of this study was to identify the supports and barriers present in providing chronic disease management to patients at Ohio free clinics. Wagner's theory of chronic disease management served as the theoretical lens. The sequential, exploratory mixed methods study collected data from 13 free clinics belonging to the Ohio Association of Free Clinics (OAF

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17

Werner, Dana Marie. "The Predictors of Physician-Patient Discussions of Sexual Health with Older Adults." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/246.

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The number of adults aged 65 years and over has been rising quickly, as has the rate of new onset sexually transmitted diseases within this population. Discussions of sexual health between physicians and older adults are currently lacking in frequency and effectiveness. Using the foundation of stereotype embodiment theory, the purpose of this study was to identify the factors that predict frequency of discussing sexual health with older adult patients. A comparative sample of geriatric physicians and family practitioners completed 2 researcher-developed questions and the Sexual Health Care Sca

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18

Simmons, Anita Joyce. "Health Portal Functionality and the Use of Patient-Centered Technology." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3071.

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Health portals are dedicated web pages for medical practices to provide patients access to their electronic health records. The problem identified in this quality improvement project was that the health portal in the urgent care setting had not been available to staff nor patients. To provide leadership with information related to opening the portal, the first purpose of the project was to assess staff and patients' perceived use, ease of use, attitude toward using, and intention to use the portal. The second purpose was to evaluate the portal education materials for the top 5 urgent care diag

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19

Walker, Albertina LaShonda. "A Story to Tell among Minority Alzheimer's Patient Caregivers: A Phenomenological Study." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4573.

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The level of burden experienced by caregivers of patients diagnosed with Alzheimer's disease is high. Studies that examine this burden by taking into account cultural and spiritual differences are limited, particularly with regard to minority populations. The purpose of this study was to investigate the burden and challenges faced by minority caregivers providing in-home care to Alzheimer's patients. Guided by social support theory, a phenomenological study design was used with semi-structured interviews of 12 caregivers to examine their perspectives on the burden and challenges they face, inc

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20

Carrillo, Victor A. "Community and Patient-Centered Medical Home in the Care of Chronically Ill Patients." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3143.

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Large portions of the US population live in poor inner-city communities. Health needs assessment data have shown that these communities have disproportionately high rates of chronic illnesses. The patient-centered medical home (PCMH) model was developed to address the gaps that exist in the primary care system, and emphasizes a redesign of primary care that is patient centered, utilizes multiple levels of healthcare professionals, information technology, and care coordination. However, little evidence exists on the value of this model which may explain why it has not gained wide acceptance by

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21

Njoku, Vicente. "Strategies Hospital Administrators Utilize to Optimize Patient Services." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7496.

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Hospital administrators face challenges that arise from environmental factors or psychosocial factors, and lack resources to deliver valuable medical services to stakeholders, including patients and employees. A multicase study served to explore experiences and gain a broader perspective of hospital administrators' use of strategies to optimize patient services. Ten hospital administrators from acute care hospitals in Nevada and California were purposefully selected from the population of hospital managers with a minimum of 2 years of documented experience in successfully implementing manageme

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22

Forward, Cortney D. "Involving Patient/Family Advisors and Advisory Councils with Patient and Family Engagement." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6326.

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Health care consumers are under-represented in literature when defining patient and family engagement. The proportion of people living longer is rapidly growing. Future research is needed to evaluate which strategies of patient and family engagement are most useful in real-world health care settings for patient and families. The purpose of this study was to describe the lived experiences of patient/family advisors working within patient family advisory councils at an academic medical center in the Midwestern United States. The conceptual framework is based on Greenleaf's servant leadership and

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23

Oshegbo, Godwin. "Effects of Patient Protection and Affordable Care Act on Behavioral Health Access." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4978.

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About 50% of adults in the United States suffer from at least 1 mental health challenge in their lifetime. Annually, mental health and substance use disorders cost the United States about $800 billion, leaving individuals with unaffordable cost of care and the nation with diminished productivity and revenue. With the Essential Health Benefits and Medicaid expansion under the Patient Protection and Affordable Care Act (PPACA), healthcare resources were created to address gaps in behavioral healthcare. There is a need to understand how the healthcare law has influenced the availability of behavi

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24

Shivers, Sean Alexander. "Utilizing Food Safety Knowledge in Comprehensive Patient Care Among Harlem Hospital Physicians." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/7746.

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According to the World Health Organization (WHO), people throughout the world become sick every year from consuming contaminated foods, which impacts countries’ socioeconomic development, straining their healthcare system, travel and tourism, and foreign trade markets. To help alleviate the impact foodborne illness (FBI) has on society, scholars suggest physicians incorporate food safety in their standard work practice. The purpose of this study was to determine if Harlem Hospital physicians utilized food safety knowledge in comprehensive patient care with a diagnosis of FBI, in addition to ho

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25

Keenan, Linda Marie. "African American Race and Culture and Patients' Perceptions of Diabetes Health Education." ScholarWorks, 2014. https://scholarworks.waldenu.edu/dissertations/148.

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African Americans diagnosed with diabetes are less likely to self-manage diabetes-specific modifiable risk factors. As a result, utilization of healthcare services occurs at a greater rate than other racial groups, and thereby incurs higher than expected healthcare costs. This ethnographic study explored the elements of diabetes educational material African Americans in a large city in the southern part of the United States found most useful to facilitate self-management of their disease. Bandura's self-efficacy theory provided the theoretical framework. Research questions addressed the prefer

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26

Moore, Sheila Marjean. "Impact of Simulation Training on Novice Nurses." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/3114.

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In 1999, the Institute of Medicine released its report on building a safer health system. Since then, safety in patient care has become a paramount interest. Given the growing support for increasing patient safety, simulation training has become a common part of novice nurses' orientation program. This simulation training is designed to mimic situations in the acute care setting where novice nurses can practice in a patient safe environment. In this DNP project, a stroke simulation scenario and supporting patient chart was developed as an addition to a novice nurses' orientation program. The N

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27

Souza, Allison Marlene. "Introducing the Health Coach Method of Motivational Interviewing to Medical Assistants to Improve the Patient Care Approach." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3414.

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The emerging health care culture of accountability for patient outcomes compounds problems for already overwhelmed clinicians struggling to fit everything entailed in complicated office visits into 15-minute appointments. Unprocessed frustrations tempt clinicians to use ineffective and outdated methods for trying to get their patients to comply or adhere to their care plans, undermining effective health care management. The intention of this project was to evaluate whether educating medical assistants in the health coaching method of motivational interviewing can improve the patient care appro

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28

Meyer, Melanie. "The Effects of Financial Literacy on Patient Engagement." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1727.

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Health care reform has caused consumers to learn more about what it means to have health insurance and its costs. Patient engagement, a critical component of health care reform, reflects provider and consumer attention to shared decision making between patient and physician. The problem addressed in this study is that although researchers have studied patient engagement, there has been insufficient exploration of the relationship between financial literacy and patient engagement, which could negatively impact health outcomes not only for patients or consumers but for society as a whole. The pu

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29

Samba, Sheku. "Obstetric Fistula| The Experiences of Patients and Medical Personnel in Sierra Leone." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10636481.

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<p> Women face great risks in pregnancy and childbirth, especially in developing countries where there are very few skilled birth attendants and negligible government investments in maternal health programs. As a result, obstetric fistula (OF), a potentially fatal but preventable and treatable condition, affects some 3 million women and girls globally. In Sierra Leone, the prevalence of OF is extremely high, but the absence of quality data to inform decision-making, both on prevalence and risk factors, is a barrier to creating an environment for OF prevention and care. The purpose of this phen

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30

Kobayashi, Monica. "Incidence of and Risk Factors for Thromboembolic Events in Elderly Medicare Patients With Kidney Cancer." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2553.

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The incidence of venous and arterial thromboembolic events (VTEs/ATEs) varies greatly by cancer type and age, with increased risk in the elderly. Very little research has been reported specific to elderly kidney cancer patients. Retrospective cohort analyses of Medicare patients, 11,463 with and 11,463 without kidney cancer, between 2003 and 2010 were conducted to compare incidence rates of VTEs/ATEs in cancer patients with matched noncancer patients and to assess independent risk factors for VTEs in cancer patients. The advanced epidemiology triangle was the theoretical framework used to inte

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31

Lasslo, Julie. "THE INFLUENCE OF PATIENT-PROVIDER INTERACTION, SELF-CONCEPT, AND THE SOCIO-PHYSICAL ENVIRONMENT ON PELVIC EXAM SEEKING BEHAVIOR, ANXIETY, AND THE HEALTH CARE EXPERIENCE." UKnowledge, 2019. https://uknowledge.uky.edu/edsc_etds/56.

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Regular gynecological screenings are critical for women in promotion of health and preventing diseases like cervical cancer. Despite the importance of such examinations, many women fail to adhere to recommended screening protocols. As a result, women experience an increased disease risk. The current study examined the relationship between patient-provider communication quality, skill, and empathy on pelvic exam seeking behavior and exam-related anxiety and satisfaction. Additionally, negative self-concept, perceived poor genital self-image, and various elements of the socio-physical clinic env

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32

Schumacher, Constance Louise. "Understanding Self-Management Decision Making in Heart Failure." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4099.

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Heart failure patients are responsible for managing fluctuations in symptoms between exacerbations by employing treatment adherence, active monitoring, and management strategies based on expert guidelines. Despite education, delayed help seeking persists among those in the need of acute medical intervention, as evidenced by high hospital admission and readmission rates. The purpose of this qualitative grounded theory study was to explore the decision making processes undertaken by heart failure, community-dwelling individuals as they experience symptom changes. Eighteen face-to-face interviews

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33

Sherifi, Dasantila. "Perceived Usefulness and Perceived Ease of Use Impact on Patient Portal Use." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/4756.

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Patient portals are web-based tools that provide patients with access to their health records and enhance communication with providers. Despite the efforts in expanding their use and patients interest in using them, patient portal usage remains low. Higher use of portals is associated with greater patient engagement and better healthcare quality and outcomes. This study investigated the impact of perceived usefulness (PU) and perceived ease of use (PEU) on patient portal usage. The conceptual framework was based on the Technology Acceptance Model, which suggests that PU and PEU of a system aff

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34

McNinch, Deborah A. "Patients' Perspectives on Discussing Complementary and Alternative Medicine Therapies With Conventional Doctors." ScholarWorks, 2011. https://scholarworks.waldenu.edu/dissertations/946.

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Currently, little is known about patients' perceptions and beliefs in discussing complementary and alternative medicine (CAM) with their conventional medical (CM) doctor. The purpose of this descriptive research was to show whether CAM-using patients have an interest in discussing CAM treatments with their CM doctor for comprehensive care as described by the health belief model (HBM) constructs of perceived susceptibility, perceived seriousness, and perceived benefits of taking action. A sample of 165 participants age 18 or older from 2 chiropractic clinics in the midwestern United States co

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35

Stallworth, Deborah Ann. "Development of a Staff Education Module on Adolescent Obesity." ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5659.

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Adolescent obesity is a growing health concern in the United States due to its increasing prevalence and comorbidities that can reduce longevity and increase morbidity. Advanced practice nurses (APNs) providing care in school-based health centers (SBHC) located in marginalized communities are uniquely positioned to work with adolescent students challenged with obesity. The management of adolescent obesity requires advanced skills and knowledge to promote healthy lifestyles, prevent obesity, and to directly address the many factors that contribute to the condition. The purpose of this project w

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Ford, Paul Leslie. "Patient Care Provider Safety: Examining one intervention to reduce hospital violence." Scholar Commons, 2012. http://scholarcommons.usf.edu/etd/4042.

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Abstract In the summer of 2009, Tampa General care providers met with Hospital Administration to express concern that violence on care units was a growing problem and making it difficult to provide quality care. Nurses stated that such violence was one important reason many of their peers choose to retire. Administration took this situation seriously and formed a committee to gather information and submit suggestions to reduce the violence. The committee consisted of representatives from several nursing units, human resources, risk management, security, and administration. Duties assigned

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Lewis, Joanne. "A Video Intervention Targeting Opioid Disposal After General Surgery: A Feasibility Study." eScholarship@UMMS, 2020. https://escholarship.umassmed.edu/gsn_diss/60.

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PURPOSE: The purpose of this feasibility study was to explore the use of an online video intervention to prepare surgical patients to properly dispose of unused opioids. SPECIFIC AIMS: Describe the feasibility of recruiting, enrolling, randomizing and retaining participants who recently had a general surgery into the study. Describe the differences in opioid disposal by age, sex, education, and type of surgery for the entire sample and by treatment assignment. Describe the preliminary change in knowledge, behavioral beliefs, normative beliefs and disposal of opioids from baseline to post-int

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Dunn, Patrick J. "Understanding Health Literacy Skills of Patients With Cardiovascular Disease and Diabetes." ScholarWorks, 2015. https://scholarworks.waldenu.edu/dissertations/1259.

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Health literacy is the ability to understand and act on health information and is linked to health outcomes. It is unclear how health literacy skills are developed in patients with complex conditions, such as cardiovascular disease and diabetes. The purpose of this grounded theory study was to gain perspectives of both patients and healthcare professionals on how health literacy skills were developed in patients with cardiovascular disease or diabetes. The research questions addressed how knowledge and skills were acquired, the role of digital tools, instructional strategies used by healthcare

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Kritikos, Vicky. "INNOVATIVE ASTHMA MANAGEMENT BY COMMUNITY PHARMACISTS IN AUSTRALIA." University of Sydney, 2007. http://hdl.handle.net/2123/2064.

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Doctor of Philosophy<br>Excerpt Chapter 2 - A review of the literature has revealed that asthma management practices in the Australian community are currently suboptimal resulting in significant morbidity and mortality. In adolescent asthma there are added challenges, with problems of self-image, denial and non-adherence to therapy where self-management skills assume a greater importance (Forero et al 1996, Price 1996, Brook and Tepper 1997, Buston and Wood 2000, Kyngäs et al 2000). In rural and remote areas in Australia, asthma management practices have been shown to be poorer and mortality r

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40

Mwalui, Anita. "Understanding the Importance of Culturally Appropriate Patient-Provider Communication in Diabetes Self-Management." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3710.

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According to the Centers for Disease Control and Prevention, 29.1 million people in the United States have diabetes. Among those 29.1 million people, 21 million have been diagnosed, but 8.1 million have not. Changing demographics in the United States and the prevalence of diabetes are projected to be burdens on the health care system through 2050. Guided by the social cognitive theory, the purpose of this qualitative case study was to understand the importance of culturally appropriate patient-provider communication to the self-management of Type 2 diabetes by patients who are African immigran

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Jordan, Jennifer. "Communicating Periodontal Disease Risk to American Indian Patients With Diabetes." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2361.

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Type 2 diabetes is epidemic in the American Indian population. One problem health care providers face when working with the American Indian population is communicating about secondary complications, such as periodontal disease. From a public health standpoint, periodontal disease prevention is important not only to prevent unnecessary oral pain and tooth loss, but also to prevent other more serious systemic problems from occurring such as cardiovascular disease, strokes, and bacterial pneumonia. The purpose of this qualitative study was to examine the communication efforts of health care provi

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Paulus, Amber B. "Factors Associated with Hospital Readmissions Among United States Dialysis Facilities." VCU Scholars Compass, 2019. https://scholarscompass.vcu.edu/etd/5971.

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Hospital readmissions are a major burden for patients with end stage renal disease (ESRD). On average, one in three hospital discharges among patients with ESRD are followed by a readmission within 30 days. Currently, dialysis facilities are held accountable for readmissions via the ESRD Quality Incentive Program standardized readmission ratio (SRR) clinical measure. However, little is known about facility-level factors associated with readmission. Additionally, unlike other standardized measures of quality in the dialysis setting, incident patients within their first 90-days of dialysis are i

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Gaddis, LaQuasha Arenese. "Association of Social Support and Patient-Provider Communication and Medication Adherence." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6564.

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The prevalence of hypertension in African Americans is the highest of any population in the United States, and this population also demonstrates lower rates of adherence to mediation. Social support and patient-provider communication have been considered as reinforcing factors to help hypertensive patients achieve optimal blood pressure control. The purpose of this study was to examine the association of social support and patient-provider communication and medication adherence for hypertensive African American men and women. The study was guided by the theory of reasoned action. This study wa

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Middleton, Angela Christine. "Improving Early Mobilization in Acute Stroke Patients Through Best Practice Education." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6760.

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Nonadherence to best practice guidelines in early mobilization in acute stroke increases the time from admission to mobilization and may increase residual long-term stroke effects. Early mobilization following an acute stroke is known to decrease long-term and secondary disability. The purpose of this project was to decrease the time from admission to mobilization in the acute stroke patient population by improving knowledge of best-practice guidelines in early mobility using an educational intervention for advanced practice nurse practitioners, physicians, and registered nurses. The practice-

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Geddes, Martine S. "Depression Detection in Hospitalized Cardiac Patients." DigitalCommons@USU, 2010. https://digitalcommons.usu.edu/etd/630.

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Depression has been shown to increase an individual's risk for heart disease. Despite this finding, physicians are not identifying depression in their hospitalized cardiac patients. This study looked at hospitalized cardiac patients and determined whether their physicians were identifying depression in those that scored > 5 on the PHQ-9 depression inventory. Methods included assessing patient depression during their stay at an intensive care unit using the PHQ-9. Those patients scoring > 5 were determined as depressed. Chart audits were performed after the patient discharged from the hosp

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Dominguez, Jr Arthur. "Decreasing Primary-Care-Related Emergency Department Visits in the Hispanic Population Using Patient Navigators." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4616.

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Primary-care-related emergency department (PCR-ED) visits by Hispanic patients enrolled in a not-for-profit Medi-Cal and Medicare health plan resulted in longer wait times in the emergency department (ED) at a regional medical center in Southern California. This congestion decreased access for those with true emergencies, created capacity issues, increased ED length of stay, and resulted in potential safety risks. This project focused on decreasing PCR-ED visits in the Hispanic population using patient navigators in Southern California. Applying the health belief model and Lippitt's theory of

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Gilson, Sheryl L. "Promoting Early Mobility of Patients in the Intensive Care Unit." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6433.

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Deconditioning occurs in critically ill patients as early as 4 days after entering the intensive care unit (ICU) resulting in a loss of up to 25% peripheral muscle tone and 18% body weight by the time the patient is discharged. Early mobility (EM) has been shown to reduce complications such as neuromuscular weakness, muscle wasting, pneumonia, and the effects of prolonged periods of time on the ventilator. No formal education on EM had been provided to nurses at the clinical site. The purpose of this project was to develop an educational program on EM to promote early ambulation of critically

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Smith, Sheree Margaret Stewart. "A critical analysis of the relationship between health promoting behaviours, an individual's health risk, asthma severity and control, and patient centred asthma education in the emergency department." Queensland University of Technology, 2006. http://eprints.qut.edu.au/16921/.

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Asthma affects over 2.2 million people in Australia. Asthma morbidity is increasing while mortality is decreasing. People with asthma experience shortness of breath as their airways narrow and become inflamed. After an episode of acute asthma many patients experience a relapse requiring further emergency department care. Numerous studies have been undertaken to identify the determinants of asthma morbidity and these studies have primarily used asthma oriented and co-morbidity scales such as anxiety and depression indices. Other studies in this area have indicated psychosocial factors such as c

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Bustamante, Edlyn Geraldine. "Culturally Competent Nutrition Counseling and Health Outcomes of Patients on Emergency Dialysis." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/4046.

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Undocumented end stage renal disease (ESRD) patients in the United States only have access to emergency dialysis. To compensate for the lack of regular dialysis these patients must follow strict renal dietary restrictions. However, nutrition counseling by a dietitian is not part of the renal management of patients on emergency dialysis. The purpose of this quantitative quasi-experimental treatment-control study was to assess how the application of nutritional counseling that is both culturally and linguistically competent affects dialysis frequency and biochemical lab values such as serum pota

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Tubbs, Jeffrey A. "Reimportation of Prescription Drugs as Contributing Component to Patient Drug Adherence: A Qualitative-Grounded Theory Study." ScholarWorks, 2015. http://scholarworks.waldenu.edu/dissertations/1720.

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Pharmaceutical drugs are one of the most socially important health care products. They are part of many individuals' everyday lives, from the eradicating of diseases at birth to treating patients at the end of life. However, for many patients access is prevented due to expensive cost. This study explored cost-related non-adherence (CRN) and researched if reimportation of pharmaceutical drugs from other countries could increase patient drug adherence. The perceptions of 10 patients and 10 providers in Maine were assessed. Maine is the only state that allowed its citizens to purchase prescriptio

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