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The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley
The Lived Experience Of Older, Independent Residents During The Covid-19 Pandemic, Karen Graeb Stanley
Walden Dissertations and Doctoral Studies
The growing older population confronting the risks of the COVID-19 pandemic have a story to tell of their experiences that may influence the way society confronts future pandemics. Little research has been done on older adults in independent living communities and their experiences with the COVID-19 pandemic. This study aimed to fill that gap using the biopsychosocial model as a framework to guide the exploration of the research question addressing the lived experiences of older, independent residents during the COVID-19 pandemic. Using a basic qualitative analysis design, a purposive sample of 10 participants from a continuing care retirement community were …
Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili
Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili
Walden Dissertations and Doctoral Studies
Resistance to antibiotics among bacteria develops largely due to frequent use of antibiotics in human and animal medicine. Little is known about how patients’ socioeconomic factors, in conjunction with chronic health conditions, impact antibiotic prescribing rates in the United States. The research questions aimed to explore the relationship between poverty and antibiotic prescribing rates while also adjusting for confounders such as population aged ≥ 65, physician density, prevalence of obesity, diabetes, and chronic obstructive pulmonary disease (COPD). The relationships were evaluated using a quantitative, ecological study design using the ecosocial theory and mediation analysis of 2020 survey results provided by …
Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis
Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis
Walden Dissertations and Doctoral Studies
AbstractThe Zika virus does not have a known treatment, despite ongoing efforts since 2016 to develop a vaccine. The Zika virus has been labeled by World Health Organization and the Department of Defense as a threat to the readiness, resiliency, and preparedness of military service members and dependents that currently travel or serve in areas where high concentrations of the virus are present. As such, it is important to understand how the military community understanding of the Zika virus is impacted by military health services and education. A phenomenological qualitative approach was utilized to conduct this study. Twenty active-duty military …
Medicine Adherence As A Determinant Of Complication Development In Diabetes And Hypertension Patients On A Medical Aid Scheme In Zimbabwe, Tsitsi Moyo
Walden Dissertations and Doctoral Studies
Pharmacotherapy is a significant component of chronic disease management; its efficacy depends on long term, correct, and consistent use; however, medicine adherence rates remain low. The cost of medicines is considered a significant barrier to adherence, especially in low-income settings. This quantitative cross-sectional study was conducted using data from Cimas Medical Aid Society collected between 2015 and 2019. The purpose of the study was to determine the extent of the association between medicine adherence, complication development, and cost of care among diabetic and hypertensive patients while controlling for age and gender on a population that does not experience cost barriers …
Hand Hygiene Education For Nursing Homes, David La Rosa-Presume
Hand Hygiene Education For Nursing Homes, David La Rosa-Presume
Walden Dissertations and Doctoral Studies
In the health care sector, hand hygiene has been identified as one of the most appropriate approaches to preventing health-associated infections or nosocomial infections. A nursing home in the western United States had repeated survey findings showed that their hand hygiene compliance rates did not meet the expectations of the Long-Term Care Institute. This project was aimed to develop and implement an education program to improve hand hygiene compliance in a nursing home setting. The project practice question asked whether an education program would increase staff’s knowledge of hand hygiene methods within a skilled nursing facility. The Joint Commission’s Targeted …
Prison Medical Professionals’ Perspectives On Dignity In Death For End-Of-Life Inmates, Charlene Lupo
Prison Medical Professionals’ Perspectives On Dignity In Death For End-Of-Life Inmates, Charlene Lupo
Walden Dissertations and Doctoral Studies
Health care requirements of older persons in prison are complicated, and many may require palliative care before their term is completed. The purpose of this qualitative interpretative phenomenological analysis was to explore perspectives on dignity in death for end-of-life inmates through the lens of nine prison medical professionals. Concepts of dignity provided the conceptual framework for the study. Data were collected from one-to-one audio-recorded Zoom interviews and reflective literature articles. Axial coding and thematic data analysis were used to identify five themes: committed to their vocation, lack of services in administering proper health care, institutional barriers prohibiting death with dignity, …
Gaps In Immunization Prevention In The State Of Ohio, Audrey Shaw
Gaps In Immunization Prevention In The State Of Ohio, Audrey Shaw
Walden Dissertations and Doctoral Studies
In the United States, the total cost for vaccine preventable diseases was $8.95 billion in 2015. The unvaccinated accounted for 80% of the total costs. This quantitative study was conducted to investigate the success and/or gaps in the implementation of the measles, mumps, and rubella (MMR) vaccine through the Vaccine for Children (VFC) Program by the Ohio Department of Health. General systems theory was chosen as a theoretical framework due to the complicated nature of the healthcare system. Healthcare is a complex system composed of multidisciplinary units that have their own structure and purpose that interact to accomplish the mission …
Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph
Factors Associated With The Uptake Of Hiv Testing Among African American Male College Students, Brittney Sade Washington-Ball,Drph
Walden Dissertations and Doctoral Studies
HIV testing rates are much lower among African American male college students than male college students of other racial groups. Routine HIV testing on college campuses can decrease HIV rates among African Americans and increase students' awareness of their HIV status. This study was an investigation of factors associated with HIV testing among a sample of 140 African American male college students. The health belief model guided the research study and served as the theoretical framework to examine the influence of factors such as the location of testing, STD status, number of sexual partners, insurance coverage, health information, and alcohol …
Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway
Diabetes, Obesity, Geographic Location Of The Patient And Clostridium Difficile Infection In The United States, Mary (Maribeth) Greenway
Walden Dissertations and Doctoral Studies
AbstractClostridium difficile infection (CDI) is a major nosocomial threat to be reckoned with in the current health care setting in the United States. Advancing age, underlying chronic disease associated with inflammation (including Diabetes Mellitus Type I ([DMI]), Diabetes Type II ([DMII]), and obesity), trauma, immunodeficiency and other factors that diminish the overall health of an individual, and increase an individual’s susceptibility to CDI. The ecological framework was used to determine the relationship between geographic, chronic diseases and the occurrence of infectious diseases. To continue enhancing knowledge related to CDI susceptibility this quantitative study used the 2010 National Hospital Discharge Survey …
Educating Nursing Staff On Clostridioides Difficle Infection Bundle Use, Amber Lee Winkis
Educating Nursing Staff On Clostridioides Difficle Infection Bundle Use, Amber Lee Winkis
Walden Dissertations and Doctoral Studies
Clostridioides difficile infection (CDI) is a local, national, and global issue impacting patient outcomes and healthcare organizations. CDI is costly to treat, painful, and at times deadly. Given an increase in CDI over the past year at the project site, the current gap in practice is the nonadherence of nursing staff to using a CDI bundle. This project addresses that gap. The practice-focused question targeted at nursing staff (N = 18) on an adult medical-surgical unit in an acute care hospital and asks whether education on use of a CDI bundle would result in a knowledge gain about the importance …
Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla
Evaluating The 2012 Vaccination Reporting Mandate: Applications To Adventist Health Network, May Abdalla
Walden Dissertations and Doctoral Studies
Influenza is a public health concern that claims up to 56,000 lives annually in the United States, though it is a vaccine-preventable disease. Influenza vaccination among health care personnel (HCP) is highly encouraged to prevent influenza transmission in health care settings. The objective of this study was to examine the relationship between mandatory reporting of HCP influenza vaccination rates (implemented in 2012) and HCP influenza vaccination intake in a health care network with 20 hospitals. The protection and motivation theory was used as the theoretical framework. Data collected from surveys of hospital administrators and archives of the Center for Medicare …
Food Availability And Sanitation Conditions In Pademba Road Prisons, A Case Study, Santos Alimamy Bangura
Food Availability And Sanitation Conditions In Pademba Road Prisons, A Case Study, Santos Alimamy Bangura
Walden Dissertations and Doctoral Studies
Abstract Prisons generally suffer from poor sanitation and food shortages that undermine the health and overall quality of inmates’ lives. Focusing on Pademba Road Prison in Freetown, Sierra Leone, the purpose of this study was to provide policy recommendations that benefit the inmates by ensuring they receive nutritious meals and improved conditions of hygiene. The following research question shaped the study: What policies can be formulated that would give inmates access to adequate food and improved sanitation at Pademba Road Prison? This qualitative case study took place in single research setting and focused on the dilemma of the workers and …
Treatment Outcomes And Associated Factors In Tb/Hiv-Coinfected Patients In Namibia, Esland Shilongo
Treatment Outcomes And Associated Factors In Tb/Hiv-Coinfected Patients In Namibia, Esland Shilongo
Walden Dissertations and Doctoral Studies
AbstractHIV and TB have merged into a deadly co-epidemic in Namibia. Currently, though, TB and HIV data at the national, regional, and district level might be underreported and insufficient to understand the full burden and outcome rates of TB and HIV. Targeting the TB outcomes rate among TB/HIV-coinfected individuals is an effective strategy for decreasing future TB burden and furthering the gains in the control of both diseases. The objective of this study was: to assess the outcomes of patients registered for anti-TB treatment in //Karas Region which has the largests burden of TB in Namibia. A 5-year retrospective cohort …
Lived Experiences Of African American Women Climbing The Corporate Ladder For Executive Positions In Healthcare Administration, Oriaku Hampton Sowell
Lived Experiences Of African American Women Climbing The Corporate Ladder For Executive Positions In Healthcare Administration, Oriaku Hampton Sowell
Walden Dissertations and Doctoral Studies
The need for strong African American leadership and increased diversity remains a significant challenge in healthcare. While the issue of women in executive healthcare leadership has gained awareness, they remain underrepresented in the industry. A qualitative descriptive phenomenological study collected data from 12 participants through semistructured in-depth interviews. In this study, the experiences and perceptions of African American women regarding the limited number of women being promoted to executive roles were examined. The glass ceiling and critical race theories were the theoretical foundation used to cultivate a voice for African American women who aspire to healthcare executive roles. However, findings …
Faculty Perspectives On Quality Of Online Courses In Health Education And Promotion Programs, Dana Wawrzyniec
Faculty Perspectives On Quality Of Online Courses In Health Education And Promotion Programs, Dana Wawrzyniec
Walden Dissertations and Doctoral Studies
The need to make quick transitions online due to COVID-19 challenged many Health Education and Promotion (HEP) faculty to identify how to create quality online HEP courses. A review of the literature identified the need for qualitative research on the quality of online courses from the faculty’s perspective. The purpose of this general qualitative study was to explore the perceptions and experiences of HEP faculty at multiple universities, in terms of the organization and facilitation of their online courses, communication between instructor and student, and assessment of students. The community of inquiry (COI) framework, which evaluates the teaching, social, and …
Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan
Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan
Walden Dissertations and Doctoral Studies
Approximately 21 million individuals suffer from typhoid fever (TF) globally, and most outbreaks occur in Southeast Asia. The incidence of TF is high in Pakistan, particularly in low socioeconomic areas, and a new drug-resistant strain makes it difficult to control the spread of TF. There is a pressing need for up-to-date and accurate data regarding the attitudes, beliefs, and habits leading to the spread of TF infection among individuals living in low socioeconomic areas of Pakistan. This qualitative, phenomenological study was grounded in the health belief model and explored factors that influence the spread of TF among women of childbearing …
Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin
Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin
Walden Dissertations and Doctoral Studies
Perceived risks and side effects have left some with a lack of confidence in the safety and efficacy of vaccines. This may lead to not adhering to the recommended vaccination schedule and result in outbreaks that have the potential to harm those who are unable to get vaccinated due to age or infirmity. It is vital to seek and address the characteristics that may predict one’s confidence in vaccines. The aim of this study was to identify whether an individual’s alternative diet behavior may be able to predict their confidence in the measles, mumps, and rubella (MMR) vaccine. The theoretical …
The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer
The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer
Walden Dissertations and Doctoral Studies
AbstractIncidence of cardiovascular accident (CVA), also referred to as a stroke, has increased in Bermuda. Understanding key contributing factors is necessary to reduce incidences that are associated with this disease process. This dissertation examined the outcome of stroke education and management on CVA patients in Bermuda. The health belief model, incorporating a reflection of the public health framework, guided the analysis of a quantitative dataset obtained through Bermuda Hospitals Board’s Neurology Department. A cross-sectional study design was used to sample 253 stroke patients over a 2-year period (2019 -2021). The Wilcox test was employed to compare two groups – stroke …
The Impact Of Poverty And Gender-Based Disaster Education On Household Preparedness Planning In Male Latino Migrant Workers, Malikah Taylor
The Impact Of Poverty And Gender-Based Disaster Education On Household Preparedness Planning In Male Latino Migrant Workers, Malikah Taylor
Walden Dissertations and Doctoral Studies
Natural disasters cause catastrophic damage to a community through death, injury, and property loss. Urban areas are predisposed to these events due to their built environment and the dense population of vulnerable groups. Urban male Latino migrant workers are an at-risk population with multiple social determinants of health that should be considered when implementing risk reduction plans. Programs that do not target this entire community only enhance the vulnerability of this group. This study examined the relationship between poverty and household preparedness in this community, controlling for gender. The socioecological model provided the foundation for this retrospective secondary analysis. Statistical …
The Double Burden Of Intra-Household Malnutrition Among Mother–Child Dyads In South Africa, Puveshni Crozier
The Double Burden Of Intra-Household Malnutrition Among Mother–Child Dyads In South Africa, Puveshni Crozier
Walden Dissertations and Doctoral Studies
Household-level double burden of malnutrition (HL-DBM) challenges traditional South African vertical malnutrition programs. Research has associated a household with an overweight/obese mother of reproductive age and her under 5-year-old child with signs of undernutrition (wasting, stunting, or thinness) with socioeconomic levels, maternal characteristics, features of the household, and child’s demographics. Grounded in the social determinants of health conceptual framework, this study aimed to investigate the determinants of HL-DBM in South Africa across the reproductive-child health continuum. Using the representative 2017 Wave 5 South African National Income Dynamics Study survey secondary data, a total sample of 314 homes met this non-experimental …
Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield
Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield
Walden Dissertations and Doctoral Studies
AbstractOpioid use accounts for many deaths each day in the United States. Although research has shown that retention in medication assisted treatment (MAT) programs increases quality of life for those individuals with opioid use disorder (OUD) and decreases premature death, there has been limited research on the perspectives of individuals with OUD in MAT programs and why they remained in or left the programs. The purpose of this qualitative phenomenological study, guided by Merleau-Ponty’s theory of perception, was to explore the lived experiences of those with OUD treated in a MAT program. An algorithm type interview was conducted to ask …
Association Between Parental Socioeconomic Status And Childhood Obesity In The Southwest Geopolitical Zone Of Nigeria, Omatsola Aboyowa Sifo
Association Between Parental Socioeconomic Status And Childhood Obesity In The Southwest Geopolitical Zone Of Nigeria, Omatsola Aboyowa Sifo
Walden Dissertations and Doctoral Studies
AbstractGlobally, childhood obesity is a major social and public health concern characterized by complications such as high cholesterol and high blood pressure. The purpose of this quantitative cross-sectional study was to examine the association between childhood obesity in children age 6–12 years and the socioeconomic status of their parents in the Southwest geopolitical zone of Nigeria. Social cognitive theory served as the theoretical framework for the study. Questionnaire data were collected from 384 parents/guardians of children age 6–12 years across three states in the Southwest geopolitical zone of Nigeria. Data were analyzed using descriptive statistics and multiple logistic regression at …
Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James
Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James
Walden Dissertations and Doctoral Studies
Malnutrition in children under 5 years remains an important public health challenge as it spurs child mortality and morbidity in developing countries, including Nigeria. The purpose of this quantitative cross-sectional study was to explore the risk factors of malnutrition in children under 5 years of age in Akwa Ibom State, Nigeria. Socioecological and health belief models were applied to examine risk factors of malnutrition among these children. This study used a secondary dataset of 1,235 participants obtained from Akwa Ibom State Demographic and Health Survey database. Pearson’s chi-square test and binary logistic regression were adopted for the analyses. The results …
Experiences Of African American Women Living With Herpes Simplex Virus 2, Cherlisa Jackson, Yitza A. Arcelay-Rojas
Experiences Of African American Women Living With Herpes Simplex Virus 2, Cherlisa Jackson, Yitza A. Arcelay-Rojas
Journal of Social, Behavioral, and Health Sciences
In the United States, the prevalence of herpes simplex virus 2 (HSV-2) continues to be the highest among African American women. Yet the perceived benefit of discussing sexual health, as well as recognizing a need to discuss HSV-2 with a health-care provider, is a gap in research. The purpose of this interpretive qualitative study was to understand the experiences of African American women who received an asymptomatic HSV-2 diagnosis. Semistructured interviews of seven participants were used to explore the experiences of African American women diagnosed with HSV-2, including barriers and challenges of discussing HSV-2 with health-care providers. Participants highlighted that …
How Transformational Leadership Can Help Native American Students, Kevin T. Caffrey
How Transformational Leadership Can Help Native American Students, Kevin T. Caffrey
Journal of Educational Research and Practice
In this paper, I examine the challenges that Native American students face in higher education and the role that education plays in their lives. I provide data on this topic spanning more than three decades through a literature review of three published articles. Through this literature review, I reveal key challenges that Native American students historically have faced and provide information on what factors play an important role in their success. Furthermore, I expose a research gap on the role that higher education administrators can play in addressing these challenges and inequities. I present strategies and recommendations on how to …
Social Distancing In The Context Of Covid-19 Anxiety: A Social Cognitive Approach, Allyson S. Graf, Abigail Nehrkorn-Bailey, Amy Knepple Carney
Social Distancing In The Context Of Covid-19 Anxiety: A Social Cognitive Approach, Allyson S. Graf, Abigail Nehrkorn-Bailey, Amy Knepple Carney
Journal of Social, Behavioral, and Health Sciences
As the impact of COVID-19 continues, engagement in social distancing is essential. Using Social Cognitive Theory, the current study examined the unique roles of COVID-19 anxiety and self-efficacy on the relationships between information-seeking and risk perception as predictors of social distancing intention. A convenience sample of 960 adults (M = 37.81 years, SD = 11.65) completed an author-designed online survey. Participants completed measures on behavioral intention, information-seeking, risk perception, COVID-19 anxiety, and self-efficacy. Moderated mediations examined the theoretically proposed relationships among the variables. COVID-19 anxiety moderated the relationship between risk perception and self-efficacy, but not the association between information-seeking …
Bed And Breakfast: The Role Of Sleep In Breakfast Intake, Ashley R. Macpherson, Natalie D. Dautovich
Bed And Breakfast: The Role Of Sleep In Breakfast Intake, Ashley R. Macpherson, Natalie D. Dautovich
Journal of Social, Behavioral, and Health Sciences
Breakfast intake is associated with numerous positive physical and mental health outcomes, yet skipping breakfast remains common in adults. Sleep behaviors show potential as predictors of breakfast intake; the existing literature, however, has methodological limitations. The current investigation explored the association of means and intraindividual variability of a variety of sleep behaviors (bedtime, midsleep, sleep duration) as predictors of the frequency of eating breakfast and frequency of high-protein breakfast intake. Hierarchical regressions were conducted to assess direct associations between sleep behaviors and breakfast intake frequency. Variability in bedtime was a significant predictor of the frequency of breakfast intake, with greater …
Reducing Hygiene-Related Disease And Malnutrition In Rwanda, Amans Ntakarutimana, Jeanne Kagwiza, Emmy Bushaija, David Tumusiime, Kristin Schuller
Reducing Hygiene-Related Disease And Malnutrition In Rwanda, Amans Ntakarutimana, Jeanne Kagwiza, Emmy Bushaija, David Tumusiime, Kristin Schuller
Journal of Social, Behavioral, and Health Sciences
Water sanitation and hygiene-related disease and malnutrition are a high priority in developing countries, including Rwanda. Interventions that can trigger and sustain household-level behavioral change and practice are needed. A case-control study was conducted to assess the potential of the Community Health Club (CHC) intervention, which consisted of village-based health education on water sanitation, hygiene, nutrition, and monitoring of households’ practices to reduce water sanitation and hygiene-related disease and malnutrition. The study targeted one village which had been exposed to the CHC. As a control, one village was picked from among villages that had not been exposed to CHC intervention. …
Exploring Barriers To Care: Provider Efforts To Improve Retention In Urban-Rural Clusters, Kenyata M. Fletcher
Exploring Barriers To Care: Provider Efforts To Improve Retention In Urban-Rural Clusters, Kenyata M. Fletcher
Walden Dissertations and Doctoral Studies
AbstractOver the years, the infection rates for HIV in the United States has changed partly due to lack of engagement and medication adherence which can lead to substantial declines in individual health. Factors that contribute to the individual’s adherence can include transportation cost, childcare, and lack of finances to name a few. These barriers can often be decreased with the help of supportive service providers and improvement in the patient-provider relationship. Currently, there is limited research that explores how to reduce patient barriers to care, specifically in rural areas. This qualitative study examines how Illinois health care providers help HIV-positive …
Risk Factors Associated With Childhood Vaccination Coverage In Afghanistan, Iqbal Mawani
Risk Factors Associated With Childhood Vaccination Coverage In Afghanistan, Iqbal Mawani
Walden Dissertations and Doctoral Studies
Globally, vaccination is among the most successful and cost-effective public health practices in the prevention of infectious diseases. The purpose of this study was to examine the child, parental, and geographical risk factors that influence childhood vaccination coverage in Afghanistan. The health belief model and socio-ecological model was used in this study as the theoretical framework to examine the effects of these risk factors on vaccination coverage among children in Afghanistan. Univariate, bivariate, and multivariate tests were conducted within the secondary data analysis of the 2015 Afghanistan national Demographic and Health Survey dataset. Of the 32,420 children aged 0 to …