Digital Commons Network^™

Risk Factors For Hepatitis A Hospitalizations And Mortality In Kentucky's 2018 Hepatitis A Outbreak, Tanya Campbell

Walden Dissertations and Doctoral Studies

In 2018, the state of Kentucky faced an outbreak of Hepatitis A virus (HAV), which led to a significant increase in HAV cases, hospitalizations, and fatalities. The social-ecological model (SEM) was used in a cross-sectional design to identify the factors associated with this outbreak. This approach employed secondary data extracted from the National Notifiable Disease Surveillance System (NNDSS). Logistic regression was used to test hypotheses determining homelessness, drug use, and HAV vaccine status were related to HAV hospitalizations. There was a statistically significant association between the covariate age and HAV hospitalization (p = 0.004), and between homelessness and hospitalization (p < .001); however, associations between drug use and HAV vaccine status were not statistically. Intervention programs should target homeless populations; such targeting can lead to a reduction in HAV infections and HAV outbreaks. Implications for positive social change include motivation for policymakers and public health officials to assist in curtailing hospitalization and mortality rates caused by HAV in high-risk groups. Targeted prevention and intervention measures can mitigate the incidence of HAV in high-risk populations and enhance their health prospects.

Psychological Experiences Of Medical-Surgical Nurses Who Cared For Covid-19 Patients., Cecilia Dapilah

Walden Dissertations and Doctoral Studies

: The outbreak of COVID-19 caused unparalleled pressure that brought healthcare facilities and healthcare staff to their knees across the globe, causing multiple deaths and economic despondency. Several studies have documented the effects of COVID-19 on healthcare workers and facilities, but none have addressed the problem from the psychological perspectives of medical-surgical nurses, especially in developing countries. This study explored the psychological experiences of medical-surgical nurses who cared for COVID-19 patients in developing countries. The theoretical foundation that informed this study was the Schachter-Singer’s theory of emotions. A descriptive qualitative design used purposeful sampling to interview 10 medical-surgical nurses. Their …

Using Strategic Planning To Improve Volunteer Recruitment And Retention For Nonprofits In The Post-Pandemic Era, Antonio L. Mccormack

Walden Dissertations and Doctoral Studies

COVID-19 has changed U.S. culture and negatively affected society worldwide, especially nonprofit organizations that provide community service. Since the pandemic, nonprofit agencies encountered many hardships, especially with the loss of personnel, primarily volunteers. The present study focused on implementing ways to improve recruitment and retention of volunteers for nonprofit organizations in the post-pandemic era through strategic planning. A qualitative approach was deemed the most feasible to conduct this study. This study utilized a SWOT analysis approach, a method of strategic planning used to collect data. A total of 10 interviews were conducted to explore the strengths, weaknesses, opportunities, and threats …

Family Medicine’S Role In Addressing The Intersections Of Redlining And Climate Change, Daryl O. Traylor, Eboni E. Anderson, Brianna Clark, Alex M. Smith, Cooper K. Allenbrand

Journal of Sustainable Social Impact

Redlining, the practice of discriminating against specific neighborhoods based on race and socioeconomic status, leads to persistent environmental hazards and socioeconomic inequalities that have lasting adverse health effects on their populations. Health disparities are further exacerbated through the concentration of environmental hazards, as well as the escalating impact of climate change, which poses an increased risk of respiratory illness, cardiovascular disease, mental health issues, heat-related illness, infectious diseases, food insecurity, and socioeconomic difficulties in redline neighborhoods.

This paper examines the interplay of redlining, climate change, and health disparities, with an emphasis on the enduring consequences for these marginalized communities. Through …

The Experience Of Self-Regulation Among Obese Adults During The Covid-19 Pandemic, Nicholas Cunningham

Walden Dissertations and Doctoral Studies

Obesity is considered a disease, an epidemic, and is a risk factor for the development of cardiovascular diseases, certain cancers, poor mental health, and low quality of life. It is also a leading cause of mortality. While it is difficult for obese adults to combat their condition, it was much more challenging during unprecedented times such as the COVID-19 pandemic. Annesi’s self-regulation conceptual framework was used as a basis to ground this study. Research explains the importance of practicing self-regulation to increase physical activity. However, there is little research on the practice of self-regulation to increase physical activity and weight …

Substance Users’ Perspectives On Harm Reduction Strategies In Housing First Programs, Tammy Montague

Walden Dissertations and Doctoral Studies

The social problem of housing instability for individuals with substance use issues is well known. Researchers have found that 50% of homeless individuals have a substance use disorder with a reduction in life expectancy compared to the general population. With 1% of the U.S. population experiencing homelessness, Housing First with its core component of harm reduction has been embraced by U.S. policymakers as a strategic solution towards ending homelessness through low-barrier permanent supportive housing. This generic qualitative study explored the perspectives of individuals with substance use experience about harm reduction strategies accessed that helped them to overcome system related barriers. …

The Perception Of Official Housing Policies For Women With Medically Assisted Treatment, Vickie Lynn Roberson

Walden Dissertations and Doctoral Studies

Opioid overdose is the leading cause of death among the homeless, with limited access to housing, food, security, and medically assisted treatment (MAT). The women on MAT are affected because they may not be readily accepted into the housing community if considered non-abstinent, unlike other substance users who would not have those problems. There previously had not been research on how housing for women was affected when on MAT or any housing facilities that have established MAT protocol. In this generic qualitative design, 10 female participants on MAT who needed housing were interviewed using semi-structured interviews. Bandura's social learning theory …

Predictors Of Prep Uptake By Black Gay And Bisexual Men In Ohio, Ade Elisha

Walden Dissertations and Doctoral Studies

No abstract provided.

Effectiveness Of Wellness Programs For Correctional Officers, Robert Salvatore Petralia

Walden Dissertations and Doctoral Studies

No abstract provided.

Impact Of Official State Messaging On Covid-19 Infection And Death Rates In Five U.S. States, Barclay Randall Murphy

Walden Dissertations and Doctoral Studies

No abstract provided.

Broken Promises: Prolonged Diminished Quality-Of-Life Among Liberian Ebola Survivors Half A Decade After The 2014-16 West African Outbreak, Jessi Hanson-Defusco, Decontee Davis, Meghana Bommareddy, Zainab Olaniyan

Journal of Social, Behavioral, and Health Sciences

The 2014–2016 Ebola outbreak left thousands of Liberian survivors with severely diminished quality of life. Applying a social determinants framework, this mixed method study investigates to what extent Ebola virus disease (EVD) survivors suffer long-haul psychosocial stress, diminished quality-of-life factors, and the impact of EVD-related service provisions on their ongoing healing. We present the results of a quantitative analysis survey of data collected from 19 Liberian EVD survivors in 2022 using snowball sampling. Additionally, a qualitative analysis of survivor statements helps triangulate key statistical findings and inform causal mechanisms. Survivors report experiencing 5.25 of a total of 7 ongoing stressors …

Crisis Support Through Policies For Medical Professionals In 2020 And 2021 During The Covid-19 Pandemic, Malik James Fonville-Simmons

Walden Dissertations and Doctoral Studies

No abstract provided.

Changes In Human Resources Function In Higher Education Institutions During A Pandemic, Naterena Anevia Parham-Cofield

Walden Dissertations and Doctoral Studies

No abstract provided.

The Lived Experience Of Family Stress In Partners Of Firefighters During The Covid-19 Pandemic, Kimberley A. Giannini

Walden Dissertations and Doctoral Studies

No abstract provided.

Individual Risk Factors Associated With Cesarean Section Surgical Site Infections Among African American Women In California, Paula St Hill

Walden Dissertations and Doctoral Studies

No abstract provided.

Individual Risk Factors Associated With Cesarean Section Surgical Site Infections Among African American Women In California, Paula St Hill

Frank Dilley Award for Outstanding Doctoral Study

Healthcare-associated infections (HAIs) are a significant public health issue. More than 600,000 patients in the United States develop HAIs every year. Surgical site infections (SSIs) are a very common HAI and can develop when a woman has a Cesarean section (C-section). The complications from the development of an SSI can be severe. SSIs and C-section rates are high among African American women. The purpose of this quantitative study, utilizing secondary data provided by the California Health and Human Services Open Data Portal, was to determine if age at the time of delivery, smoking status of tobacco and non-tobacco products during …

Environmental Health Assessments For Foodborne Illness Outbreaks In The United States From 2017- 2019, Alyssa Shontel Woods

Walden Dissertations and Doctoral Studies

Individual cases of foodborne illness can lead to outbreaks that result in severe morbidity and fatality. As the United States’ food scene continues to evolve and diversify, there is a need to consider cultural variations and how they may affect food safety practices. This quantitative study, based on the National Environmental Assessment Reporting System (NEARS) data, grounded in the socio-ecological model, examined the prevalence and factors associated with salmonella outbreaks in ethnic versus non-ethnic food service establishments (FSEs) in the U.S. from 2017 to 2019. The research questions involved understanding the relationship between the primary language spoken, food safety training, …

Knowledge, Attitudes, And Hesitancy To Covid-19 Vaccination Uptake In Nigeria, Dominique U. Mbachie

Walden Dissertations and Doctoral Studies

Vaccine hesitancy is a major global health problem despite their being historically effective at preventing infectious diseases such as tetanus, diphtheria, polio, rabies, pertussis, measles, and yellow fever. It has significantly hampered herd immunity, with a rate of 67% for COVID-19 globally. Vaccine hesitancy is common in underdeveloped nations like Nigeria. Misinformation and rumors may be the foundation of the lower vaccination rates in impacted African nations, particularly Nigeria. Thus, the Nigerian population has primarily remained unvaccinated or hesitant about COVID-19 vaccination uptake. This qualitative study explored the knowledge and attitudes towards hesitancy regarding COVID-19 vaccination uptake in Nigeria. The …

Nigerian Nurses' Perceptions Of Caring For Women With Female Genital Mutilation, Jane-Frances Echeozo

Walden Dissertations and Doctoral Studies

There are numerous health problems associated with female genital mutilation (FGM) practice. In Nigerian healthcare, professionals need to ensure culturally sensitive care for FGM cases. However, there was a literature gap involving culturally sensitive care for Nigerian women with FGM complications, evidenced by some northern Nigerian nurses who were not able to identify FGM categories or cultural given names associated with FGM types. Thus, this qualitative study involved ascertaining the worldview of Nigerian nurses and midwives in Owerri regarding providing culturally competent nursing care for FGM complications, guided by the process of cultural competence in the delivery of healthcare services …

Caregivers' Attachment Relationships With Infants And Toddlers During The Covid-19 Pandemic, Rebecca Ellen Roth

Walden Dissertations and Doctoral Studies

Health and safety protocols related to the COVID-19 pandemic and its variants continue to influence practices in infant–toddler programs one western state in the United States; caregivers in the state are concerned about attachment relationships with infants and toddlers. The purpose of this basic qualitative study was to explore caregiver perceptions of attachment relationships related to the COVID-19 pandemic and its variants and the influence of health and safety protocols on caregiver practices. The conceptual framework combined attachment and biobehavioral theories. Data from interviews with four infant and six toddler caregivers were recorded, transcribed, and analyzed by searching for patterns …

Race-Related Stress, Medical Mistrust, Covid-19 Worry, And Covid-19 Vaccination Behavior Among African Americans, Lisa A. Cash

Walden Dissertations and Doctoral Studies

In the United States, nearly 104 million cases and over 1.1 million deaths from novel coronavirus disease of 2019 (COVID-19) have been reported overall, but African Americans have been disproportionately affected. Nevertheless, this population has demonstrated the lowest intention to be vaccinated and lowest vaccination rates of all racial/ethnic groups in the United States. The research problem addressed by this study is African American COVID-19 health disparities. The purpose of this investigation was to examine factors that influence COVID-19 vaccination behavior among African Americans, which is important to better understand how to achieve health equity. Using the health belief model …

The Lived Experiences Of Urhobo Women From The Niger Delta Region Of Nigeria During The Menopausal Transition, Omemiyere Sheila Uwayzor

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study offered an in-depth exploration of the menopausal experiences of seven Urhobo women, ages 45–65 years old, representing diverse occupational backgrounds and communities from the Niger Delta region of Nigeria, who shed light on the multifaceted dimensions of menopausal experiences. Grounded in the Meleis transitions theory, the research presented thematic insights from semi-structured interviews, capturing the participants’ physiological, emotional, cultural, and healthcare-related experiences. Interviews were conducted with seven Urhobo women aged between 45 and 65 years old. These menopausal women responded to the research question regarding their lived experiences of Urhobo women during the menopausal transition. Using …

Sars-Cov-2 Versus Other Duty-Related Deaths Among United States Law Enforcement Officers, Jessica Lizeth Alvitres

Walden Dissertations and Doctoral Studies

In 2020, more than half of United States law enforcement officer deaths were attributed to COVID-19, spurring the need for further investigation into the impact of the SARS-CoV-2 pandemic on this category of frontline essential workers. The purpose of this quantitative secondary data analysis study was to investigate the existence of associations between U.S. law enforcement officer deaths (SARS-CoV-2, non-SARS-CoV-2, or other duty-related) and the geographic region, as well as year of death while controlling for the officer rank, age, and sex. Based on the conceptual framework for evaluating mortality and morbidity following large-scale disasters from the National Academies of …

Covid-19 Vaccine And Survival Of Diabetes Patient On Dialysis, Luis Guillermo De Jesús Iii Vega

Walden Dissertations and Doctoral Studies

No abstract provided.

Association Between Malaria Educational Message Exposure And Malaria Prevalence Among Children In Nigeria, Eberechukwu Jacob Ajiwe

Walden Dissertations and Doctoral Studies

No abstract provided.

The Role Of Educational Status And The Management Of Diabetes Among Mexican Migrants On The Northern Mexican Border, Suvipuli Mayarata Quinn

Walden Dissertations and Doctoral Studies

No abstract provided.

The Trucking Industry, Working From Home, Covid-19, And Positive Social Change Effects, Martin Lulgjuraj

Walden Dissertations and Doctoral Studies

No abstract provided.

Catheter-Associated Urinary Tract Infections (Cautis) And The Relationship Between Hospital Overall Star Ratings And Reimbursement Rates, Cynthia Palmer

Walden Dissertations and Doctoral Studies

No abstract provided.

Relationship Of Weekly Rest To Bsn Appraisal Of Stress And Hardiness, Everly Batuik

Walden Dissertations and Doctoral Studies

No abstract provided.

Social Determinants Of Health, Comorbidities, And Covid-19 Among Adults Aged 18 And Older In Indiana, Kandeh Kamara

Walden Dissertations and Doctoral Studies

No abstract provided.