Sexual Behavior, Contraceptive Use, And Unmet Needs Among Unmarried Teenage Women In Uganda,
2020
Walden University
Sexual Behavior, Contraceptive Use, And Unmet Needs Among Unmarried Teenage Women In Uganda, Lawrence Were
Walden Dissertations and Doctoral Studies
At 25%, teenage pregnancy in Uganda is one of the highest in the world, and this has been mainly attributed to low contraceptive use and a high unmet need for modern contraceptives. Unmarried women aged 15 to 19 years in Uganda face unique cultural, ethical, financial, and legal barriers to the use of contraception. The purpose of this study was to investigate how sexual behavior, contraceptive use, and unmet needs among unmarried teenage women in Uganda aged 15 to 19 years are influenced by personal and environmental factors. Bandura’s social cognitive theory was used as a theoretical framework for this …
Use Of Spanish Audio Podcast To Educate Visually Challenged Hispanics With Diabetes,
2020
Walden University
Use Of Spanish Audio Podcast To Educate Visually Challenged Hispanics With Diabetes, Baiju Issac
Walden Dissertations and Doctoral Studies
Diabetes is the leading cause of death among the Hispanic population, requiring solutions at the individual, community, and population levels. Self-management helps to manage diabetes and prevent complications, but it is a challenge in nursing practice. Health care providers use printed information to teach patients about self-management of diabetes. However, patients with visual impairment are not able to use these resources. Limited English proficiency, low health literacy, and visual challenges result in the underutilization of health care services within Hispanic communities. Therefore, the purpose of this study was to develop a Spanish audio podcast and lesson plan as teaching tools …
Education To Improve Health For Rural Africa American Women With Diabetes,
2020
Walden University
Education To Improve Health For Rural Africa American Women With Diabetes, Monique Deidre Pendleton
Walden Dissertations and Doctoral Studies
Diabetes (DM) is the 7th leading cause of death in the United States. Minorities like Hispanics and African Americans (AA) are at greater risk of developing DM. The prevalence and outcomes affecting diabetes are attributed to socioeconomic status, sex differences, ethnic, cultural, and religious status. Diabetes-related mortality is a major health problem in AA in rural America. The focus for this project was to identify the best evidence regarding educational counseling on lifestyle modifications that positively impact adult AA women with diabetes living in Rural America. The social-ecological theory and health belief model informed this project because these models incorporate …
Factors Associated With Flu Vaccination Status Among Older Hispanics In The United States,
2020
Walden University
Factors Associated With Flu Vaccination Status Among Older Hispanics In The United States, William Esteban Toledo Velazquez
Walden Dissertations and Doctoral Studies
AbstractOlder Hispanics in the United States are less likely to be vaccinated with the flu vaccine compared to older White Americans, despite being at higher risk of influenza-associated deaths and hospitalizations. A quantitative cross-sectional study based on the social ecological model was carried out to evaluate the influence of several sociodemographic and health factors on flu vaccination status among elderly Hispanic individuals in the United States. Logistic regression analyses were conducted using secondary data collected from 95,414 elderly Hispanic and White American 2018 Behavioral Risk Factor Surveillance System participants. Multivariate logistic regressions controlling for other variables revealed health care coverage …
Predictors Of Use Of Pap Tests Among Ghanaian Immigrant Women In Ohio,
2020
Walden University
Predictors Of Use Of Pap Tests Among Ghanaian Immigrant Women In Ohio, Baaba Forson
Walden Dissertations and Doctoral Studies
In the United States, cervical cancer disproportionately affects members of ethnic minorities, including immigrant women from Ghana. Overall cervical cancer incidence and mortality rates have declined in the United States due to opportunistic screening with Pap tests; however, rates have not declined for Black women and immigrant women, who continue to experience higher than average mortality rates. Immigrant women, including Ghanaian women, use screening less than nonimmigrant women. Several factors including poor acculturation, low educational level, certain personal attitudes, and lack of health insurance are known to reduce participation in screening. Using the theory of planned behavior as a guide, …
Impact Of Demographic Characteristics And Therapy On Tuberculosis Incident Cases,
2020
Walden University
Impact Of Demographic Characteristics And Therapy On Tuberculosis Incident Cases, Iliedor Garcon
Walden Dissertations and Doctoral Studies
For more than two decades, tuberculosis (TB) has ranked second among the top killers of infectious diseases, with an estimated 10.4 million incident cases in 2018. Demographic characteristics and drug susceptibility influence TB incidence worldwide. Using a retrospective cohort design, the purpose of this quantitative study was to investigate whether race/ethnicity, age, sex (gender), therapy completion within one year (COT), and testing for isoniazid and rifampin susceptibility (TIRS) were predictors of 672 cases of TB in New York-Newark-Jersey City from 1993 to 2017. Guided by the epidemiological triad theory, this research was conducted using a secondary TB dataset from the …
Telehealth Efforts To Reduce Hospital Readmissions Of Congestive Heart Failure Patients,
2020
Walden University
Telehealth Efforts To Reduce Hospital Readmissions Of Congestive Heart Failure Patients, Sirfornia L. Deasfernandes
Walden Dissertations and Doctoral Studies
Congestive heart failure (CHF) is a chronic condition that affects millions of individuals in the United States. There is no cure for CHF, but medical interventions can help treat the symptoms and improve health outcomes. The purpose of this quantitative study was to determine if telehealth services help to reduce the readmission status of patients diagnosed with CHF. The theoretical framework used in this study was the individual and family self-management theory to help focus on self-management behaviors that contribute to improving the patients' health outcomes. The research questions were focused on addressing CHF patients receiving telehealth services and whether …
Georgia Government Leaders' Lived Experience Creating And Implementing Health Equity Policies,
2020
Walden University
Georgia Government Leaders' Lived Experience Creating And Implementing Health Equity Policies, Tracy M. Clopton
Walden Dissertations and Doctoral Studies
Georgia’s racial and ethnic minority communities have a continual problem of disproportionately worse health outcomes, including higher chronic disease and behavioral risk factors, compared to their nonminority counterparts. The average cost per year for chronic disease between 2016 and 2030 could be $64.6 billion in medical costs and $26.8 billion in lost employee productivity for Georgia. The purpose of this study was to explore the lived experience of Georgia legislators and health program staff to determine policy solutions to reduce chronic disease and behavioral risk factor disparities in the racial and ethnic minority population. The theoretical lens for the study …
Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women,
2020
Walden University
Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women, Nicole Ekoue
Walden Dissertations and Doctoral Studies
Breast cancer incidence is suddenly increasing among African American women. Recent studies indicate that health behaviors are thought to confer important health benefits and have the potential to lowering breast cancer incidence. Guided by the social ecological model, the purpose of this quantitative, cross-sectional study was to investigate the association between health behaviors of fruit consumption, vegetable consumption, and physical activity and breast cancer after adjusting for age, body mass index, and smoker status. Social support and income level were assessed as modifiers. Using the 2012 to 2017 Health Information and National Trends Survey data, this study was conducted with …
A Provider Education Program Addressing Barriers To Diabetic Patients’ Self-Care,
2020
Walden University
A Provider Education Program Addressing Barriers To Diabetic Patients’ Self-Care, Henrietta O. Emokidi
Walden Dissertations and Doctoral Studies
Diabetes is the leading cause of death among American Indian/Alaskan Natives and the 7th leading cause of death in the United States. Type 2 diabetes (T2DM) affects 9% of the U.S. population and costs the United States an estimated $245 billion annually. The purpose of this project was to identify patients’ concerns related to their disease and to develop an education program for providers to address these concerns. The project was framed using Orem’s theory of self-care and the middle-range theory of self-care of chronic illness. Five providers in an underserved clinic in Alaska conducted assessments during a primary care …
Perceptions, Practices, And Risk Factors Associated With Typhoid Fever In Nimo Village, Nigeria,
2020
Walden University
Perceptions, Practices, And Risk Factors Associated With Typhoid Fever In Nimo Village, Nigeria, George Ilouno
Walden Dissertations and Doctoral Studies
Typhoid fever is a bacterial disease transmitted by the fecal-oral route. In Nigeria, the condition is life threatening and endemic. It affects communities such as Nimo that have limited water, sanitation, and hygiene infrastructure. Previous researchers focused on sanitation and hygienic conditions that contribute to the disease such as household-level hygiene and food and water contamination, including handling practices. However, there is limited knowledge on how the environmental behavior and living conditions of eating and sleeping on a floor harboring fecal materials affect typhoid fever prevalence. The purpose of this qualitative phenomenological study was to explore the perception of the …
Decreasing Hiv Stigmatization For Care Of Young Men Of Color Who Have Sex With Men,
2020
Walden University
Decreasing Hiv Stigmatization For Care Of Young Men Of Color Who Have Sex With Men, Alethea Arnett Miller
Walden Dissertations and Doctoral Studies
HIV-related stigma from healthcare provider attitudes, beliefs, perceptions, or misconceptions has been a barrier to healthcare delivery. This project was conducted to examine whether an HIV-related stigma education provided to healthcare clinic staff with a focus on advance practice registered nurses can improve knowledge and empathy toward young men of color who have sex with men (MSM), which can lead to improved overall quality of healthcare through increased health behaviors and retention in care. An educational intervention was conducted utilizing a blended-learning environment focused on social cognitive theory to influence social behavior change among healthcare professionals, increasing their exposure, knowledge, …
Pharmacy Manager Strategies For Reducing Financial Losses From Adverse Drug Events By Polypharmacy Patients,
2020
Walden University
Pharmacy Manager Strategies For Reducing Financial Losses From Adverse Drug Events By Polypharmacy Patients, Francis Rudden
Walden Dissertations and Doctoral Studies
Every year over 100,000 deaths occur in the U.S. from adverse drug events derived from medication errors. Medication errors account for an annual cost of $100 to $200 billion. Healthcare pharmacists lack strategies to reduce adverse drug events and medication errors from taking place. Grounded in complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies to reduce advere drug events and medication errors. The participants were 5 pharmacist managers in a county in central Florida. These pharmacists were from different community pharmacies, and each had a minimum of 5 years’ experience in the …
Effectiveness Of A Standardized Fall Assessment Tool In Reducing Falls Among Elder Home Health Clients,
2020
Walden University
Effectiveness Of A Standardized Fall Assessment Tool In Reducing Falls Among Elder Home Health Clients, Terica M. Woods
Walden Dissertations and Doctoral Studies
Because of the physiological changes that occur with the normal aging process, falls tend to have more serious consequences in individuals age 65 and older. The purpose of this systematic review of literature was to analyze studies that addressed the impact of a multifactorial fall risk assessment tool on decreasing falls in the elderly home health patient population following hospitalization. The conceptual model for this project was Roper, Logan, and Tierney’s activity of daily living model. A narrative analysis was used to analyze 16 selected articles from the CINAHL, ProQuest and MEDLINE databases. Results indicated that implementing fall assessment tools …
Antibiotic Stewardship And The Quality Of Life For Residents Over 65 Years,
2020
Walden University
Antibiotic Stewardship And The Quality Of Life For Residents Over 65 Years, Reshma Beharry-Guest
Walden Dissertations and Doctoral Studies
Antibiotics were often over-prescribed in long term care facilities (LTCFs) and antibiotic stewardship guidelines, established by the CDC were not followed. The nursing home administrator was responsible for the quality of care for the residents and ensured that the facility met and/or exceeded the CMS antibiotic stewardship standard of care. The purpose of this quantitative study was to analyze operational secondary data collected from a Texas LTCF regarding antibiotic utilization for male and female residents over 65 years. The theoretical framework of the social cognitive theory was applicable for quality improvement in the LTCF setting. The data analysis showed that …
Health Literacy And Diabetes Among Refugee Women Residing In Arizona,
2020
Walden University
Health Literacy And Diabetes Among Refugee Women Residing In Arizona, Aline Nina Indatwa
Walden Dissertations and Doctoral Studies
There is limited research available linking health literacy and diabetes knowledge to poor health outcomes among refugees. The aim of this study was to determine the levels of health literacy and diabetes knowledge and examine whether different factors (age, education, employment status, number of years lived with diabetes and length of stay since resettlement) are associated with health literacy and diabetes knowledge. A cross-sectional study was performed among 82 refugee women with a known diagnosis of diabetes and residing in Maricopa County, Arizona. A modified two part questionnaire (self-reported health literacy extracted from the European Health Literacy Questionnaire [HLS-EU-Q16] and …
Self Reported Cardiovascular Disease Risk Factors Among Deaf Users: A Communication Barrier,
2020
Walden University
Self Reported Cardiovascular Disease Risk Factors Among Deaf Users: A Communication Barrier, Dr. Jolene Ayres Ogunjirin
Walden Dissertations and Doctoral Studies
Cardiovascular disease (CVD) is the number one cause of mortality worldwide, and may disproportionately affect the Deaf and Hard of Hearing (DHOH) subpopulation in the United States. It has been suggested that communication barriers among the DHOH subpopulation contribute to the high prevalence of CVD risk factors. To assess this claim, this quantitative study utilized a cross-sectional data set of 400 DHOH and 400 non- DHOH participants taken from the National Health and Nutrition Examination Survey (NHANES) database. The differences of being told by a health professional of having specific CVD risk factors were assessed between the two groups and …
Provider Education Increasing Recommendation For Human Papillomavirus Vaccination,
2020
Walden University
Provider Education Increasing Recommendation For Human Papillomavirus Vaccination, Tiffany Charest Skinner
Walden Dissertations and Doctoral Studies
Human Papillomavirus (HPV) was the most common sexually transmitted disease in the United States in 2018 according to the Centers for Disease Control and Prevention (CDC). The CDC established the Healthy People 2020 initiative for HPV vaccination uptake of 80% to effectively eliminate HPV associated cancers. The project site, a rural multispecialty clinic in the Mid-Atlantic United States reported a 3% vaccination compliance rate, well under the national average and the benchmark of 80% recommended by the CDC. The practice-focused question for this project was to determine how education of primary providers will increase recommendation rates for vaccination of HPV. …
Staff Instruction On Patient Health Questionnaire And Collaborative Care Model In Primary Care,
2020
Walden University
Staff Instruction On Patient Health Questionnaire And Collaborative Care Model In Primary Care, Jennifer Carton
Walden Dissertations and Doctoral Studies
The DNP project examined the effectiveness of the Patient Health Questionnaire-9 (PHQ-9) and the Collaborative Care Model (CCM) as a practice protocol for patients suffering from depression in primary care to address the problem of a shortage in mental health specialists. Research reveals an increase in Americans suffering from depression. Many primary care clinics do not have a practice protocol in place to screen and manage depression. The project's purpose was to develop a lesson plan to instruct staff on the PHQ-9 and CCM to implement into their practice. The project questions were if the lesson plan developed by the …
Factors Affecting Seatbelt Use Among The Deaf And Hard-Of-Hearing,
2020
Walden University
Factors Affecting Seatbelt Use Among The Deaf And Hard-Of-Hearing, Deidre G. Mott
Walden Dissertations and Doctoral Studies
In the United States, despite the proven significant economic, health, and social benefits of seatbelt use, millions of Americans do not use seatbelts. It is known that some factors, including obesity, reduce the rates of seatbelt use; however, a lack of research exists regarding whether individuals who are deaf or hard-of-hearing (HOH) have different rates of seatbelt use. The purpose of this study was to examine the difference in seatbelt use between deaf or HOH individuals and hearing individuals after adjusting for individual-level factors (BMI, marital status, education, and access to health care). The theoretical foundation for this study was …
