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Diabetes Management And Self-Perception Of Health Among Adults In The United States, Moses Ajoku
Diabetes Management And Self-Perception Of Health Among Adults In The United States, Moses Ajoku
Walden Dissertations and Doctoral Studies
The burden and complications of diabetes have been a public health concern and societal challenge for decades, and the rate of prevalence is projected to increase in the future. The study aims to examine the association between blood glucose monitoring, glycated hemoglobin test, and self-perceived health status among diabetic adults in the United States. Guided by the chronic care model, the study used data from the 2019 Behavioral Risk Factor Surveillance System to investigate diabetes management practices among diabetic adults in the United States. Quantitative and cross-sectional methods were used to assess the associations between diabetes management practices and self-perceived …
Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink
Association Between Food Insecurity And Influenza Outcome In The United States., Sabrina Fiona Pink
Walden Dissertations and Doctoral Studies
AbstractThe influenza virus is one of the most commonly occurring respiratory viral infections in the world. The outer capsule of the virus contains 18H proteins and 11N proteins, which allows the virus to reform in over 100 different strands and outperform the vaccine. Despite efforts to improve access to care and reduce vaccine inequities; the Center for Disease Control and Prevention estimates 9-45 million documented influenza-related illnesses, 140,000 to 810,000 hospitalization, and 64,000 deaths yearly. The purpose of this study is to investigate whether food insecurity, access to care and other social determinants of health such as age, race, and …
Understanding Female Full-Time Social Workers’ Experience Providing Informal Care For Older Loved Ones, Randi L. Anderson
Understanding Female Full-Time Social Workers’ Experience Providing Informal Care For Older Loved Ones, Randi L. Anderson
Walden Dissertations and Doctoral Studies
Limited research existed regarding the experience of informal caregiving that female social workers provide to older loved ones while managing a full-time social work position. The purpose of this qualitative action research study was to understand how Female Master’s level Social Workers (FMSWs) who are also informal caregivers manage these roles and whether the roles impact current and future well-being. Role spillover theory and cumulative disadvantage theory were the theoretical frameworks. Data were collected from nine participants through interviews completed on Zoom. The participants responded interview questions about significant changes in their levels of stress, resiliency, or burnout at work …
The Predictive Relationship Of Allostatic Load In Asthma, Mohamed Mustafa Hassan
The Predictive Relationship Of Allostatic Load In Asthma, Mohamed Mustafa Hassan
Walden Dissertations and Doctoral Studies
Research on populations emphasizes the influence of allostatic overload, a marker of biophysical and biochemical stress, in driving adverse health outcomes. Unknown is the impact of allostatic load and its cardiovascular, metabolic, and inflammatory components as they pertain to asthma prevalence in U.S. populations. Specifically, there is a need to understand the nature of the relationship between allostatic load and asthma in light of confounders such as socioeconomic status, race, education, and gender. Using Bronfenbrenner’s bioecological model as a theoretical underpinning and binary logistic regression as a statistical modality, the predictive relationship between allostatic load and asthma was examined in …
Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger
Relationship Between Social Support And Childhood Trauma On Resilience, Carol Krieger
Walden Dissertations and Doctoral Studies
People who have not overcome childhood trauma and who have developed mental illnesses have difficulties dealing with life challenges. The purpose of this quantitative study used a correlational design to test any relationship between childhood trauma experience levels and resilience against life challenges in adulthood. The theoretical framework used for this study was Barnes’ social support theory. Data were collected from 104 participants over a 7-week period. Participants voluntarily answered the ACE questionnaire, 2-way support scale, and resilience scale. Key results indicate that people with mental illness who receive social support are positive impacted by that support. Receiving adequate levels …
Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter
Food Insecurity In Community College Students In The Central Valley Of California, Leah Carter
Walden Dissertations and Doctoral Studies
AbstractMany college students struggle with having enough money to pay for the costs of college and basic necessities, such as adequate food, which leads to food insecurity. Food insecurity results in a more challenging time focusing on studying and less success in school. This study addressed the lack of a profile of a food-insecure California community college student at Hiker’s Community College (HCC; pseudonym) in the Central Valley of California. The purpose of this quantitative study was to determine the profile of a food-insecure student and to determine relationships between food insecurity and ethnicity, gender, being a first-generation college student, …
Increasing Access To Diabetic Self-Management Education Using Telehealth In Rural Kentucky, Gina Good
Increasing Access To Diabetic Self-Management Education Using Telehealth In Rural Kentucky, Gina Good
Walden Dissertations and Doctoral Studies
The lack of diabetic self-management education (DSME) can affect generations of families who have suffered from diabetes. More than 80% of Appalachian Kentucky counties lack access to DSME and care due to high incidence of diabetes. The purpose of this quality improvement project was to determine whether the use of telehealth increased patient access to DSME in Southeast Kentucky. Application of Peplau’s theory of interpersonal relations to patient relationships in nursing practice provided a framework for the project. De-identified retrospective data 6 weeks before intervention and 6 weeks postintervention were collected by the project facility for secondary data analysis to …
Stress, Coping, And Adjustment Of Young Adults Who Have Transitioned Out Of Foster Care, Helen S. Hogin
Stress, Coping, And Adjustment Of Young Adults Who Have Transitioned Out Of Foster Care, Helen S. Hogin
Walden Dissertations and Doctoral Studies
Current research lacked information on the stress, coping, and adjustment of individuals transitioning to adulthood from foster care. Transitioning out of foster care when adulthood is reached can be challenging, resulting in mental and physical health problems, decline in overall wellbeing, and poor outcomes. Elevated stress can make coping and adjusting to social life more difficult. The purpose of this study was to explore former foster youths’ perspectives and experiences of stress and what coping strategies were effective as they adjusted to society. The transactional model of stress and coping served as the study’s framework. The research questions focused on …
Black Mothers’ Birthing Center Experiences And Exclusive Breastfeeding Practices, Natashia King-Conner
Black Mothers’ Birthing Center Experiences And Exclusive Breastfeeding Practices, Natashia King-Conner
Walden Dissertations and Doctoral Studies
The persistence of racial disparities in breastfeeding is associated with a range of interconnected factors, such as historical, cultural, social, social, and psychological. The current gap in the prevalence of exclusive breastfeeding among Black mothers and White mothers has led to rising concerns in the United States. A basic qualitative approach was used to conceptualize the multidimensional constructs of the social–ecological model to investigate the individual, interpersonal, institutional, and community-level structures and existing policies in birthing centers that inadvertently harbor biases that impede care for Black mothers. Data were gathered through purposeful sampling and semistructured interviews with 10 Black mothers …
The Importance Of Staff Education About Implementing Ketogenic Diet In Prediabetic Patients, Clarissa L. Dorsey
The Importance Of Staff Education About Implementing Ketogenic Diet In Prediabetic Patients, Clarissa L. Dorsey
Walden Dissertations and Doctoral Studies
Diabetes, a chronic disease that can lead to many complications, is one of the leading causes of death. Obesity tends to increase the risk of diabetes. Nutritional therapy can not only control diabetes but also prevent it in some cases by decreasing weight. The ketogenic diet is a low-carbohydrate, high-fat diet that can prevent and control diabetes. The purpose of this study was to examine the recommendations of medical providers before and after the presentation of educational content on the ketogenic diet as nutritional therapy in prediabetic and diabetic patients. The practice-focused question addressed whether educating medical staff at a …
Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn
Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn
Walden Dissertations and Doctoral Studies
Human papillomavirus (HPV) infections account for most oropharyngeal, anal, and penile cancers among men. Two vaccines have been recommended for boys 11 years of age or older to prevent HPV infection, but HPV vaccination rates are far below the Healthy People 2030 target goal. Some research indicates the role of the parent is vital in HPV vaccine uptake, but to what extent is unclear. Through quantitative secondary data analysis of the National Immunization Survey-Teen 2016 (NIS-Teen) data set (n = 43,271) that was grounded in the health belief model, chi-square, and logistic regression analyses revealed three key findings. First, male …
Social Media And Physical Activity Among African American College Women, Carmen Brown
Social Media And Physical Activity Among African American College Women, Carmen Brown
Walden Dissertations and Doctoral Studies
Among African American (AA) college women, physical activity (PA) is decreasing, with less than 20% participating in moderate-intensity cardio or aerobic exercise. Physical inactivity can lead to increased morbidity and mortality from chronic conditions. There is a need for more research on AA women’s health practices to develop interventions that can lead to sustainable behavior change among this population. More than 70% of AA college women reported using some form of social media (i.e., Facebook, Twitter, Instagram, TikTok, and Snapchat) daily. Social networking sites (SNS) in particular can provide health information, advice, and an open forum for individuals with health …
Registered Nurses’ Perceptions Of Obesity, Elizabeth Ann Pettifor
Registered Nurses’ Perceptions Of Obesity, Elizabeth Ann Pettifor
Walden Dissertations and Doctoral Studies
Obesity has become an epidemic in the United States (U.S.) population. Obesity is a risk factor for many health problems that ultimately lead to death or disability. Nurses in the U.S have a higher-than-average rate of overweight and obesity. The purpose of this exploratory, qualitative case study was to identify and recommend areas for change in the hospital environment to assist bedside nurses in the U.S to have a healthier lifestyle. Social media was used to conduct a purposeful sampling technique and recruit 10 registered nurses working full time at the bedside in the U.S who struggle with obesity. Semi …
Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint
Reducing Stress And Burnout In Hospice And Palliative Care Through Education, Marvet Wint
Walden Dissertations and Doctoral Studies
AbstractBurnout, a syndrome described as a state of mental and or physical exhaustion, impacts the workforce of hospice and palliative nurses where employees’ behaviors and professional efficacy reflect poorly on their work. The prevalence of burnout among hospice nurses led to the development of this project. The Maslach Burnout Inventory (MBI) served as a reference guide for developing the content, which addressed whether a staff education program at this Southeastern United States facility, would affect a change in knowledge among hospice nurses reduce burnout. Knowles’s theory of adult learning framed this education program on self-care and stress management. Focus was …
Effect Of Human-Animal Interactions On Retail Employees’ Job Satisfaction And Job Performance, Michelle Elizabeth Davis
Effect Of Human-Animal Interactions On Retail Employees’ Job Satisfaction And Job Performance, Michelle Elizabeth Davis
Walden Dissertations and Doctoral Studies
Research has shown that companion animals can have a positive effect on people who suffer from mental and physical illnesses; however, few studies have considered the impact of human-animal interactions (HAIs) on employees in the work environment. This quantitative study investigated the effect of HAIs on 146 employees’ job satisfaction and job performance in three retail environments with a range of potential animal interactions: retail store with no animal presence (none), retail store with occasional animal presence (occasional), and retail store with persistent animal presence (constant). Retail employees’ job satisfaction and performance in each retail setting were assessed using the …
Strategies To Integrate Innovation Into Business Practices In The Nigerian Private Sector, John Nbanefo Chukwudifu
Strategies To Integrate Innovation Into Business Practices In The Nigerian Private Sector, John Nbanefo Chukwudifu
Walden Dissertations and Doctoral Studies
Business leaders not integrating innovation into their business practices exhibit lower financial performance. Business leaders integrating innovation into their business practices increase operational and financial performance. Grounded in the diffusion of innovation theory, the purpose of this qualitative multiple case study was to explore strategies business leaders in the Nigerian private sector use to effectively integrate innovation into their business practices to increase financial performance. Study participants were three business leaders who developed successful strategies to effectively integrate innovation into their business practices to increase financial performance. Data were collected from semistructured interviews, organizational documents, and artifacts. Thematic analysis was …
Ghanaian Immigrant Women In The United States Beliefs About Maternal Nutrition And Fetal Development, Yassi Azhdari
Ghanaian Immigrant Women In The United States Beliefs About Maternal Nutrition And Fetal Development, Yassi Azhdari
Walden Dissertations and Doctoral Studies
Ghanaian women, in their native country, experience a high rate of anemia, malaria, and malnutrition while pregnant. Poor health outcomes for mother and child are caused by a lack of protein in their diet, food taboos, consumption of nutrient-poor foods, and infections. These conditions may cause pregnancy complications such as premature birth, or maternal or fetal death. There is little known about, the differences between the Ghanaian and U.S. birth experience, and foods used by Ghanaian immigrant women while pregnant. The biopsychosocial model was used in this descriptive qualitative study to examine how Ghanaian immigrant women are impacted by pregnancy …
Diabetes Self-Management Of Adults With Diabetes In Grenada During The Covid-19, Pauline Smith
Diabetes Self-Management Of Adults With Diabetes In Grenada During The Covid-19, Pauline Smith
Walden Dissertations and Doctoral Studies
Diabetes self-management involves several behaviors to prevent complications and ensure a good quality of life. Several studies addressed how the COVID-19 lockdown impacted diabetes self-management practices worldwide, yet little was known about self-management experiences in Grenada and the Caribbean region. The purpose of this phenomenological and directed content analysis study was to gain insight into the lived diabetes self-management experiences during the COVID-19 lockdown in Grenada. The theory of planned behavior was used as the theoretical framework for this study. The research questions addressed lived self-management experiences and attitudes, subjective norms, and perceived behavioral control toward diabetes self-management. Semistructured interviews …
Predictors Of Stunting In Children Under 5 Years Of Age In Zimbabwe, Ranganai Matema
Predictors Of Stunting In Children Under 5 Years Of Age In Zimbabwe, Ranganai Matema
Walden Dissertations and Doctoral Studies
Stunting is the most common form of undernutrition globally and is a major public health concern. Child stunting has both short-term negative effects on children’s health and long-term negative effects on adult health and human capital. Zimbabwe has a high prevalence of stunting, 27% in 2015. Although some of the factors associated with stunting are known, there is a gap on comprehensive evidence on the significant factors associated with persistent high levels of child stunting. The UNICEF conceptual framework for malnutrition was used to guide a cross-sectional study using the 2015 Zimbabwe Demographic and Health Survey data to identify and …
Exploring The Relationship Between Antenatal Care And Postnatal Care To Newborn Outcomes In Borno State, Northeastern Nigeria, Adebe Gabriel
Exploring The Relationship Between Antenatal Care And Postnatal Care To Newborn Outcomes In Borno State, Northeastern Nigeria, Adebe Gabriel
Walden Dissertations and Doctoral Studies
Newborn outcomes (morbidity or mortality) have been on the increase in Borno State. This study explores the relationship between antenatal care (ANC) and postnatal care (PNC) and newborn outcomes among women in Mafa local government area, Borno State. Also examined were the relationships between transportation and newborn outcomes, women’s knowledge of illness during pregnancy and ANC attendance, availability of staff/health workers, availability of supplies/equipment relations with ANC and PNC attendance. The three delays model was used as theoretical framework. The research will be useful for government and program-implementing partners to guide quality reproductive maternal newborn child adolescent health and nutrition …
Resilience As A Moderator Between Food And Housing Insecurity And Mental Distress, Denise Mchugh Loggie
Resilience As A Moderator Between Food And Housing Insecurity And Mental Distress, Denise Mchugh Loggie
Walden Dissertations and Doctoral Studies
The prevalence of food insecurity (FI) and housing insecurity (HI) in college students has increased over the last decade along with an associated increase in mental health problems. Studies show significant increases in many markers for mental distress in this population including a higher prevalence of mood disorders, non-lethal self-harm, and attempted and completed suicides, particularly over the last decade. Compounding these challenges is the low level of resilience found in college-age young adults, potentially limiting their ability to cope with and recover from the hardship of FI and HI. This quantitative study, guided by resilience theory and Maslow’s hierarchy …
How Women Who Have Recidivated Describe Their Readiness For Employment After Release From Prison, Simba Kathleen Fox
How Women Who Have Recidivated Describe Their Readiness For Employment After Release From Prison, Simba Kathleen Fox
Walden Dissertations and Doctoral Studies
Since the 1980s, the population of women prisoners incarcerated in the state of California had significantly increased by 500% more than that of the male prisoners. The United States had more incarcerated women than any other country. Along with this alarming rise in female incarceration, recidivism rates were also higher among female inmates. This problem has negatively affected women in California; whereas 57% of the women released from prison were rearrested within three to seven years. The purpose of this qualitative phenomenological research study was to investigate how 18 women who had recidivated with the same or a different criminal …
Breastfeeding Information And Breastfeeding Duration Among African American Women With A Family History Of Breast Or Ovarian Cancer, Aleatha Johnson
Breastfeeding Information And Breastfeeding Duration Among African American Women With A Family History Of Breast Or Ovarian Cancer, Aleatha Johnson
Walden Dissertations and Doctoral Studies
Decades of research supports the notion that breastfeeding may help prevent breast and ovarian cancer in women. Women with a family history of these cancers are at greater risk. African American women have the lowest breastfeeding rates, yet the highest breast and ovarian cancer mortality rates. No studies have been conducted exploring the impact of being informed about breastfeeding from health care providers, breastfeeding support services, or family and friends and the relationship between their knowledge of family history of breast or ovarian cancer and breastfeeding duration for African American women. The purpose of this quantitative study was to determine …
Lived Experiences Of Parents Regarding Their Elementary-Age Child’S Exclusion From School Due To Behavioral Problems, Lauren Claire Ferber
Lived Experiences Of Parents Regarding Their Elementary-Age Child’S Exclusion From School Due To Behavioral Problems, Lauren Claire Ferber
Walden Dissertations and Doctoral Studies
AbstractDisciplinary exclusion, particularly school expulsion, presents a significant challenge to school-age children and their families. Although the impacts of disciplinary exclusion from school on children are well-known, less is known about how this phenomenon affects their parents. The purpose of this qualitative phenomenological study was to understand the lived experiences of parents who have a child who has been subjected to disciplinary exclusion due to behavioral problems in the classroom. Bronfenbrenner’s ecological systems theory provided the framework for this study. Data were collected from semistructured interviews with 12 parents of children who faced exclusion. Four themes emerged from coding analysis: …
The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley
The Importance Of Understanding Functionality In Home- And Community-Based Care And The Impact On Costs As America Ages, Shannon Stanley
Walden Dissertations and Doctoral Studies
The United States is on a trajectory to reach 20% of citizens aged 65 and over by 2030. This hyper-aging population affects the costs of healthcare, but it is not adequately represented in current U.S. models. Studies indicate other hyper-aged nations have experienced this increase and implemented long-term care measures to counter the increase in aging populations and costs with system responsiveness. This study examined the role of Medicaid home -and community- based service (HCBS) contributions in states that have the fastest-aging populations. Using the established framework and data collected by the Centers for Medicare and Medicaid, the study looked …
Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn
Parents’ Decision Making And Uptake Of Human Papillomavirus Vaccination Among Adolescent Males, Franklyn Penn
Walden Dissertations and Doctoral Studies
Human papillomavirus (HPV) infections account for most oropharyngeal, anal, and penile cancers among men. Two vaccines have been recommended for boys 11 years of age or older to prevent HPV infection, but HPV vaccination rates are far below the Healthy People 2030 target goal. Some research indicates the role of the parent is vital in HPV vaccine uptake, but to what extent is unclear. Through quantitative secondary data analysis of the National Immunization Survey-Teen 2016 (NIS-Teen) data set (n = 43,271) that was grounded in the health belief model, chi-square, and logistic regression analyses revealed three key findings. First, male …
Perceptions Of Using Complementary Alternative Medicine During Pregnancy For Nausea And Vomiting, Debra L. Blackett
Perceptions Of Using Complementary Alternative Medicine During Pregnancy For Nausea And Vomiting, Debra L. Blackett
Walden Dissertations and Doctoral Studies
Nausea Vomiting during Pregnancy (NVP) conditions have commonly occurred among pregnant women during gestation for more than 4,000 years. The purpose of the multicase qualitative design was to examine and improve the understanding of perceptions of pregnant women experiencing nausea and the potential use of Complementary Alternative Medicine (CAM) modalities to treat NVP symptoms. In this study, the Health Belief Model six core constructs provided the foundation for the theoretical framework for the process, explaining how working pregnant women experience decision-making and relate to the daily challenges associated with pregnancy. The research questions examined experience of coping with NVP and …
Impact Of Out-Of-Pocket Fees On Under-5 Infant Mortality In Cameroon, Amelie Olga Mafotsing Fopoussi
Impact Of Out-Of-Pocket Fees On Under-5 Infant Mortality In Cameroon, Amelie Olga Mafotsing Fopoussi
Walden Dissertations and Doctoral Studies
Health facilities in Cameroon charge fees for treatment and services, which can affect health outcomes for those unable to pay for services. Some studies have shown that the removal of user fees had a positive impact on child health outcomes in selected African countries. The aim of this quantitative, cross-sectional study was to understand whether there is a link between out-of-pocket expenses and under-5 mortality in Cameron. The study was guided by the social ecological framework. Secondary data from the 2011 Cameroon Demographic Health Survey were used in the study. Chi-square, binary logistic regression, and multicollinearity analyses were used to …
The Lived Experience Of African American Young Adult Men With Hiv And Self-Care Collaborative Management, Barbara A. Moore
The Lived Experience Of African American Young Adult Men With Hiv And Self-Care Collaborative Management, Barbara A. Moore
Walden Dissertations and Doctoral Studies
AbstractAfrican American young adult (AAYA) men living with HIV often lack interventions that address the influence that HIV has on their quality of life, especially their relationships. Self-care collaborative management (SCCM) concerns related to disclosure and stigmatization complicate social, psychological, and SCCM behaviors. Intervention programs addressing these concerns should be based on relevant, accurate information, but this information is lacking for AAYAs. The purpose of this research was to explore and describe the lived experiences of male AAYAs with HIV and their use of SCCM. The study method was qualitative; Husserl’s transcendental phenomenology was the design. The individual family self-management …
The Impact Of Effective Patient Advocacy In Ghana Health Care Reform, Gladys Opong-Tetteh
The Impact Of Effective Patient Advocacy In Ghana Health Care Reform, Gladys Opong-Tetteh
Walden Dissertations and Doctoral Studies
AbstractPatient advocacy has become a vital concept for healthcare providers all over the world. There is evidence that the concept of patient advocacy is not new in Ghana. However, the degree of its practice continues to be negative and quite narrow in Ghana and even in Africa as a whole. It has also been argued that effective patience advocacy practice is either scarce or non-existent in Ghana. To address this issue, an assessment of the medical policies in Ghana was conducted, informed by the applied psychology theoretical framework. This study focused on using phenomenological inquiry to better understand patients’ experiences …