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Effects Of Social Determinants On Access To Care Among Patients With Diabetes In Florida, Nekeisha Latoya Walker
Effects Of Social Determinants On Access To Care Among Patients With Diabetes In Florida, Nekeisha Latoya Walker
Walden Dissertations and Doctoral Studies
Diabetes imposes a major burden on society, especially in the state of Florida, in the form of increased medical costs, lost productivity, early mortality, and intangible costs in the form of diminished quality of life. Access to diabetic care affects health administration in Florida by impacting the overall cost of treating the condition. Limited access to care can lead to an increased risk of complications resulting in a higher cost of treatment. The purpose of this quantitative study was to determine whether access to care dependent variables (access to doctors and length of time since last routine checkup) were associated …
Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans
Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans
Walden Dissertations and Doctoral Studies
Patients with exertional hypoxemia are often prescribed supplemental oxygen therapy to alleviate their symptoms and maintain adequate arterial oxygen saturation; however, little is known about how chronic obstructive pulmonary disease (COPD) patients with exertional hypoxemia experience the addition of supplemental oxygen on their lives. The purpose of this descriptive phenomenological study guided by Roger’s science of unitary human beings was to explore the lived experiences of COPD patients with exertional hypoxemia and who require supplemental oxygen. Purposive sampling was used to recruit participants using a query from the electronic medical records to identify patients prescribed supplemental oxygen for exertional, not …
Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers
Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers
Walden Dissertations and Doctoral Studies
Pancreatic cancer is the fourth-leading cause of cancer-related deaths in the United States, killing more than 90% of individuals diagnosed within 5 years. Due to the lack of signs and symptoms, 82% of all pancreatic cancer cases are diagnosed in terminal stages. As such, the most powerful method to reducing the morbidity and mortality of pancreatic cancer is to further investigate the risk factors. According to the theoretical framework of the ecosocial theory, long-term exposure to exposures to unfavorable socioecological and environmental factors serve as a “web of causation” for adverse health outcomes. Using data from the North Carolina Department …
Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy
Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy
Walden Dissertations and Doctoral Studies
According to recent studies, the consumption of ultra-processed food is a major issue that leads to fatal outcomes within the United States, which is relevant because this type of food has become more accessible over the years. Using data from the National Health And Nutrition Examination Survey III (NHANES III), previous researchers found that frequent consumption of ultra-processed foods was associated with greater chances of all-cause mortality in U.S. adults, but little research has focused on factors that can impact ultra-processed food consumption, such as food environment. The purpose of this quantitative longitudinal study was to examine the effect of …
An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson
An Association Of The Transgenerational Implications Of Redlining And Obesity On Pediatric Type Ii Diabetes, Carlin Dexter Nelson
Walden Dissertations and Doctoral Studies
s the prevalence and incidence of childhood obesity has increased, so has the number of cases of pediatric Type 2 diabetes mellitus (T2DM). Although made unconstitutional in 1968, the transgenerational implications of redlining can be observed in disinvestments resulting in neighborhood detraction. Utilizing the 2019–2020 National Children’s Health Survey, the purpose of the study was to evaluate the relationship between obesity, T2DM, and neighborhood detraction elements as well as assessed indicators of T2DM in non-institutionalized children 6 through17 years of age (N = 34,725). The social determinants of health perspective served as the conceptual framework for the study. Results indicated …
Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage
Employee Development And Workforce Engagement In A Behavioral Health Organization, Lakisha R, Brimage
Walden Dissertations and Doctoral Studies
Ongoing training at the targeted behavioral health organization is necessary to improve employee knowledge, skills, and abilities to drive engagement and overall organizational performance. The purpose of this case study was to determine what leadership practices and strategies are currently in place and what training modules improve employee development for the purpose of improving workforce engagement. The Baldrige Excellence Framework was used to guide the qualitative case study of the nonprofit organization, which provides social services to low-income families in the United States. Data sources included semistructured interviews with two behavioral health leaders at the organization and reviews of organizational …
Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly
Professional Development Needs Of Early Childhood Educators Teaching Children With Challenging Behaviors, Latashia L. Kelly
Walden Dissertations and Doctoral Studies
AbstractEarly childhood educators have struggled to teach children with challenging behaviors, which can lead to suspension and expulsion. Although early childhood educators have limited professional development training in challenging behaviors, they are often not equipped to teach children with challenging behaviors. There is little research on how early childhood educators perceive their current training regarding teaching children with challenging behaviors. Exploring early childhood educators’ perceptions can determine what they need to teach children with challenging behaviors for a thriving classroom environment. The purpose of this basic qualitative study was to better understand educators’ perceptions regarding the type of professional development …
Educating Nurses On Mental Fatigue, Tawanna Ann Canty
Educating Nurses On Mental Fatigue, Tawanna Ann Canty
Walden Dissertations and Doctoral Studies
Education correlates with nurse performance and avoiding mental fatigue. This project attempted to answer the question, “Educating nurses on mental fatigue will increase knowledge” focusing on educating rehabilitative nurses regarding mental fatigue. The project was guided by the Analysis, Design, Develop, Implement, and Evaluate model. Twenty rehabilitative nurses were administered a pretest consisting of 10 multiple-choice test questions. They received education on mental fatigue through PowerPoint presentations and handouts. After completing the education, participants were administered a posttest with the same 10 questions. An evaluation tool consisting of six questions was completed measuring an increase in knowledge after the posttest. …
Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge
Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge
Walden Dissertations and Doctoral Studies
Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …
Mediators Between Job Stress And Health Quality Of Life Among Adults With Irritable Bowel Syndrome, Aida M. Benitez-Rexach
Mediators Between Job Stress And Health Quality Of Life Among Adults With Irritable Bowel Syndrome, Aida M. Benitez-Rexach
Walden Dissertations and Doctoral Studies
Irritable bowel syndrome (IBS) is a functional gastrointestinal affliction that affects millions around the globe, impacting health-related quality of life (HRQoL). The biopsychosocial model, Folkman and Lazarus’ transactional model of stress, Leventhal’s common sense model of self-regulation health and illness, and Bronfenbrenner’s human ecology theory are relevant to conceptualize interactions among environmental factors, biopsychosocial responses, and health-related quality of life (HRQoL). This quantitative, cross-sectional, complex correlational study sought to provide more understanding of how and whether IBS symptoms of pain, cognitive functioning, and interpersonal functioning serve as mediators between work stress and HRQoL. A total of 133 English-speaking volunteers from …
Education Program To Increase Nurses' Knowledge Of Faith Community Nursing, Lovell Thurmon Sweeten Cartwright
Education Program To Increase Nurses' Knowledge Of Faith Community Nursing, Lovell Thurmon Sweeten Cartwright
Walden Dissertations and Doctoral Studies
AbstractThe practice problem was a group of nurses practicing as faith community nurses (FCNs) who had no training in FCN practice, a specialty recognized by the American Nurses Association. This problem was important to address within the context of nursing practice because the nurses could have acted outside of their scope of practice and caused harm. The practice-focused question addressed whether a staff education program for FCNs would increase their knowledge of their role in a church setting with the goal of developing independent FCNs. The model guiding the project was the health promotion model. Eleven registered nurses were recruited …
Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz
Staff Education To Promote Probiotic Breastfeeding Therapy, José Diaz
Walden Dissertations and Doctoral Studies
Preterm birth is the leading cause of death in children under 5. In addition, there are 22 million babies born underweight each year which also contributes to the infant mortality rate. Some reasons for the inability to thrive and survive are the infants' immature system, allostatic load inadaptability, and undiversified and underdeveloped microbiota. Human breast milk (HBM) provides lifesaving nutrients, which prevents necrotizing enterocolitis and mortality. In addition, probiotic supplementation helps reduce late-onset sepsis, morbidities, and mortality. A literature review provided substantial evidence that HBM and probiotics can improve an infant's microbiota, thus improving thrivability and survivability. Probiotics offset the …
Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy
Food Environment As A Moderator In The Relationship Between Ultra-Processed Food Intake And Mortality In The United States, Brandon Jerod Grandy
Walden Dissertations and Doctoral Studies
According to recent studies, the consumption of ultra-processed food is a major issue that leads to fatal outcomes within the United States, which is relevant because this type of food has become more accessible over the years. Using data from the National Health And Nutrition Examination Survey III (NHANES III), previous researchers found that frequent consumption of ultra-processed foods was associated with greater chances of all-cause mortality in U.S. adults, but little research has focused on factors that can impact ultra-processed food consumption, such as food environment. The purpose of this quantitative longitudinal study was to examine the effect of …
Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga
Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga
Walden Dissertations and Doctoral Studies
The purpose of this interpretative qualitative study was to describe influences that affect the use of traditional healing and biomedical health services for type 2 diabetes to help health educators develop more culturally competent diabetes education programs for urban American Indian/Alaska Native (AI/AN) communities in the United States. The theoretical framework used for this study was the social ecological model (SEM). Using the SEM, the research questions were crafted to explore experiences of participants connected to personal, interpersonal, community, institutional, policy, and educational factors that influenced the use of traditional healing and biomedical health services. Urban AI/AN adults living in …
The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo
The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo
Walden Dissertations and Doctoral Studies
Even though hypertension affects people of all races, it is more prevalent among African Americans. However, recent research has revealed that the prevalence of hypertension is progressively increasing across Africa. African immigrants in the United States are the least-studied immigrant group prone to health inequalities when compared to their African American counterparts. To help bridge this gap, a secondary data analysis of a cross-sectional study was conducted to investigate the association between working habits (hours worked, diet at work), length of stay in the United States, and hypertension rates for first-generation African immigrants residing in the United States. The study …
Associations Of Stress, Health Behaviors, And Obesity Among African American Immigrants, Wole David Akinsola
Associations Of Stress, Health Behaviors, And Obesity Among African American Immigrants, Wole David Akinsola
Walden Dissertations and Doctoral Studies
AbstractObesity has been identified as a predisposing factor that poses a serious threat for the development of chronic diseases and contributes to health disparities affecting both minority and vulnerable populations. Though previous studies reported the association of stress with health status and behavior, there is little or no research on the heterogeneity of obesity predictors in specific minority populations in the United States. The purpose of this study was to examine the predictors of obesity among adult African American immigrant populations in the United States. Studying obesity in this population may help policymakers tailor interventions that could reduce obesity prevalence. …
Associations Between Socioecological Factors And Breastfeeding Duration Among Obese Mothers In Mississippi, Maria Mercedes Miranda Porter
Associations Between Socioecological Factors And Breastfeeding Duration Among Obese Mothers In Mississippi, Maria Mercedes Miranda Porter
Walden Dissertations and Doctoral Studies
There is a growing obesity pandemic in the United States. Low breastfeeding duration rates and socioecological factors lead to obesity in the most southern states. Overweight and obese breastfeeding mothers have not been primarily studied. There is mixed information regarding duration of breastfeeding, BMI, and heart health, as well as a lack of quantitative analyses involving reducing obesity rates in mother-child dyads. The purpose of this quantitative cross-sectional study was to investigate whether there were any associations between breastfeeding duration and BMI, heart health problems, breastfeeding support, and eating and exercise among Mississippi overweight and obese postpartum women based on …
A National Assessment Of Household, Community, And Environmental Situations On Breastfeeding Decisions, Marnita Siglar Thomas
A National Assessment Of Household, Community, And Environmental Situations On Breastfeeding Decisions, Marnita Siglar Thomas
Walden Dissertations and Doctoral Studies
Exclusively breastfeeding has been proven to be an effective preventive measure for childhood obesity; however, breastfeeding practices decline after 6 months. Secondary data from the 2018-2019 combined National Survey of Children's Health were used for this study to determine the household, community, and physical environment relationship between individuals' decisions to breastfeed and sustainment in the United States (N=16,750). Grounded by the theoretical framework of the socio-ecological model, the results suggested that household, community, and physical environments predict individuals' decisions to initiate breastfeeding and sustainment nationally (p < 0.001). Binary logistic regression, controlling for maternal age, indicated a statistical significance between breastfeeding initiation and income (p = 0.043, p = 0.041), family structure (p = 0.003, p < 0.001), education (p < 0.001, p < 0.001, p < 0.001), neighborhood support (p < 0.001), and neighborhood amenities (p = 0.039, p <0.001, p < 0.001). A statistical significance between breastfeeding duration and family structure (p = 0.061), education (p < 0.001, p < 0.001), maternal overall health (p <0.001), neighborhood support (p = 0.008), neighborhood safety (p = 0.006), and neighborhood amenities (p = 0.019) was found when controlling for maternal age. Implications for positive social change include providing health professionals with knowledge on breastfeeding decision making to encourage new recommendations and implement new practices and policies to promote breastfeeding and ultimately reduce the incidence of overweight and obesity in children nationwide.
Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses
Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses
Walden Dissertations and Doctoral Studies
Small island developing states, especially those within the Caribbean community, are faced with the challenges of overfishing and illegal, unregulated, and unreported (IUU) fishing activities. Despite global legal reforms, enforcement continues to be ineffective. In the policymaking process, the perspectives of those critically impacted are rarely taken into consideration The purpose of this qualitative study was to explore the issues leading to the lack of inclusion of fisherfolk knowledge in the policymaking process and policies that promote SDG 14. The goal was to explore the importance of fisherfolk involvement in the policymaking process. The research question focused on identifying the …
Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León
Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León
Walden Dissertations and Doctoral Studies
In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …
Impact Of Race And Socioeconomic Factors On Infant Mortality Between Non-Hispanic Black And White Women, Chukuma Clifton Chijioke
Impact Of Race And Socioeconomic Factors On Infant Mortality Between Non-Hispanic Black And White Women, Chukuma Clifton Chijioke
Walden Dissertations and Doctoral Studies
Abstract This quantitative retrospective study with a correlational design examined the impact of race and socioeconomic factors on the high infant mortality (IM) among non-Hispanic Black women compared to non-Hispanic White women in one midwestern US state county. Though the IM in the U.S. has consistently decreased, a disparity exists between non-Hispanic Black and non-Hispanic White women. Non-Hispanic Black women are twice as likely to experience infant deaths as non-Hispanic White women. This study utilized secondary data derived from vital records maintained by the county public health department. The research was grounded in the ecological model. Logistic regression was used …
How Public Health Expenditure Affect Health Outcomes In Cameroon, Gilbert Njinju Ayimaleh
How Public Health Expenditure Affect Health Outcomes In Cameroon, Gilbert Njinju Ayimaleh
Walden Dissertations and Doctoral Studies
Most African governments, and Cameroon in particular, have identified the reduction of infant mortality and life expectancy in Africa as a critical priority. The United Nations Millennium Development Goals set a target objective of reducing infant mortality by 60% from 1990 to 2015 in less-developed countries. Good health contributes significantly to the attainment of sustainable development and health outcomes. Despite Cameroon’s progress in achieving health-related Millennium Development Goals regarding reducing infant mortality and increasing life expectancy, the country is still worse in respect to health outcomes compared to other Sub-Saharan Countries like Nigeria and Ghana thus more need to be …
Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison
Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison
Walden Dissertations and Doctoral Studies
The human papillomavirus (HPV) is a leading domestic and global sexually transmitted disease. The purpose of this secondary quantitative, cross-sectional study is to investigate if there is an relationship between the rate of oral HPV-oropharyngeal squamous cell carcinoma (OPSCC) and race, exposure to smoking cigarettes (tobacco), risky sexual behavior, and participation in oral sex of male-to-male contact vs. male-to-female contact. The social cognitive theory grounded this study. The University of Alabama at Birmingham cancer database population supplied the study’s sample size of 337 males greater than 18 years of age with a diagnosis of OPSCC. I conducted descriptive analyses using …
Exploring The Perception Of Patients, Providers, And Healthcare Leaders Of The 15-20 Minute Primary Care Visit, Zuhur Hassan Ahmed
Exploring The Perception Of Patients, Providers, And Healthcare Leaders Of The 15-20 Minute Primary Care Visit, Zuhur Hassan Ahmed
Walden Dissertations and Doctoral Studies
While primary care plays a vital role in health maintenance and disease prevention, patients’ visits with primary care providers (PCP) are only 15-20 minutes on average. This visit length does not leave ample time for holistic care for patients with low socioeconomic backgrounds, who might also have psychosocial issues alongside their chronic conditions. Employing a qualitative multiple case study research design, this study explored participants' perceptions about the 15–20-minute visit duration with PCPs. Guided by the triple aim framework of improving patient healthcare outcomes, patient satisfaction with care, and cost of care per capita, this study answered the research question …
Experiences With Access To Seeking And Maintaining Home Health Care Services In Low-Income Communities, Staci Yvette Kennedy
Experiences With Access To Seeking And Maintaining Home Health Care Services In Low-Income Communities, Staci Yvette Kennedy
Walden Dissertations and Doctoral Studies
AbstractHome health care services (HHCS) are a cost-effective service option often underutilized by individuals living in low-income communities. For this population, barriers to care may result in higher health care costs and poor health outcomes. Gaps in literature indicated a need to explore experiences of accessing and maintaining home health care among individuals living in low-income communities. The purpose of this qualitative research study was to gain insight into how individuals living in low-income communities perceive their access to HHCS. The conceptual framework used for this phenomenological study was Penchansky and Thomas’s model of access, which addresses access from seven …
Exploring The Perception Of Patients, Providers, And Healthcare Leaders Of The 15-20 Minute Primary Care Visit, Zuhur Hassan Ahmed
Exploring The Perception Of Patients, Providers, And Healthcare Leaders Of The 15-20 Minute Primary Care Visit, Zuhur Hassan Ahmed
Walden Dissertations and Doctoral Studies
While primary care plays a vital role in health maintenance and disease prevention, patients’ visits with primary care providers (PCP) are only 15-20 minutes on average. This visit length does not leave ample time for holistic care for patients with low socioeconomic backgrounds, who might also have psychosocial issues alongside their chronic conditions. Employing a qualitative multiple case study research design, this study explored participants' perceptions about the 15–20-minute visit duration with PCPs. Guided by the triple aim framework of improving patient healthcare outcomes, patient satisfaction with care, and cost of care per capita, this study answered the research question …
The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo
The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo
Walden Dissertations and Doctoral Studies
Even though hypertension affects people of all races, it is more prevalent among African Americans. However, recent research has revealed that the prevalence of hypertension is progressively increasing across Africa. African immigrants in the United States are the least-studied immigrant group prone to health inequalities when compared to their African American counterparts. To help bridge this gap, a secondary data analysis of a cross-sectional study was conducted to investigate the association between working habits (hours worked, diet at work), length of stay in the United States, and hypertension rates for first-generation African immigrants residing in the United States. The study …
Theoretical Orientation Beliefs Among Adventure Therapy Professionals, Edward Spaulding
Theoretical Orientation Beliefs Among Adventure Therapy Professionals, Edward Spaulding
Walden Dissertations and Doctoral Studies
Adventure therapy as a therapeutic model for the treatment of mental health has been a growing area of psychology for more than 50 years. This quantitative study was conducted to explore the theoretical orientation beliefs to clarify the theoretical framework of this therapeutic approach using Coleman’s theoretical evaluation self-test (TEST) to gather data on self-identified adventure therapy practitioners’ theoretical beliefs. Data were collected from 150 participants recruited through their membership or affiliation with adventure therapy professional organizations or social media groups. Data were analyzed using a paired t-test to determine if adventure therapy professionals have higher scores on the cognitive, …
Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor
Occupational Stress Of Adult Protective Service Workers, Tiffany Taylor
Walden Dissertations and Doctoral Studies
Research has revealed that adult protective service workers experience high levels of occupational stress that often result in health complications such as burnout, secondary traumatic stress, and compassion fatigue. Although several qualitative studies have been conducted over the past decade, there was limited information on the phenomenon of how stress is experienced by adult protective service workers investigating cases of alleged elder abuse. The purpose of this study was to examine the lived experiences of a sample of adult protective service caseworkers from the southwestern United States that have experienced occupational stress while investigating cases of elder abuse. This study …
Experiences Of Older Adults With Hiv/Aids Enrolled In Case Management Programs In Northwest Indiana, Antoinette Cardenas
Experiences Of Older Adults With Hiv/Aids Enrolled In Case Management Programs In Northwest Indiana, Antoinette Cardenas
Walden Dissertations and Doctoral Studies
AbstractIn 2016, more than half of those infected with HIV/AIDS were age 50 years or older. Since the introduction of antiretroviral therapy, the survival rate of HIV patients has been on the rise with a predicted increase by 2030, but this has also contributed to early onset of comorbidities such as cardiovascular disease, osteoporosis, and kidney failure. The purpose of this generic qualitative study, driven by ecological systems theory, was to explore the experiences of older adults (age 50 and older) with HIV/AIDS who were enrolled in case management programs in Northwest Indiana. Data were collected from semi structured interviews …