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Articles 1 - 30 of 4917

Full-Text Articles in Medicine and Health Sciences

Risk And Preventive Factors Of Asthma In Children In Texas, Yvonne A. Deen Apr 2024

Risk And Preventive Factors Of Asthma In Children In Texas, Yvonne A. Deen

Walden Dissertations and Doctoral Studies

No abstract provided.


Predictors Of Prep Uptake By Black Gay And Bisexual Men In Ohio, Ade Elisha Apr 2024

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

Walden Dissertations and Doctoral Studies

No abstract provided.


Role Of Pregnancy Intention And Substance Use In Postpartum Depression Among Black Women, Asaye Birhanu Mekonnen Apr 2024

Role Of Pregnancy Intention And Substance Use In Postpartum Depression Among Black Women, Asaye Birhanu Mekonnen

Walden Dissertations and Doctoral Studies

No abstract provided.


Impact Of Preexisting Hypertension And Demographic Factors On Pandemic-Era Anxiety Using The Coronavirus Anxiety Scale, Chukwuemeka Ogbonnaya Okpom Apr 2024

Impact Of Preexisting Hypertension And Demographic Factors On Pandemic-Era Anxiety Using The Coronavirus Anxiety Scale, Chukwuemeka Ogbonnaya Okpom

Walden Dissertations and Doctoral Studies

No abstract provided.


Clinical Competence In Evaluating The Consistent Use Of The Criteria For Post-Acute Levels Of Care Guideline, Oluwademilade O. Evbuomwan Apr 2024

Clinical Competence In Evaluating The Consistent Use Of The Criteria For Post-Acute Levels Of Care Guideline, Oluwademilade O. Evbuomwan

Walden Dissertations and Doctoral Studies

No abstract provided.


Spatial-Temporal Variation Of Diarrhea And Associated Sociobehavioral Factors Between 2010-2020 In Rwanda, Amans Ntakarutimana Apr 2024

Spatial-Temporal Variation Of Diarrhea And Associated Sociobehavioral Factors Between 2010-2020 In Rwanda, Amans Ntakarutimana

Walden Dissertations and Doctoral Studies

No abstract provided.


Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt Apr 2024

Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt

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 Apr 2024

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 …


Nurses’ Attitudes And Knowledge Differences Toward Pain In Patients With Sickle Cell Disease, Peggy Boyd Mar 2024

Nurses’ Attitudes And Knowledge Differences Toward Pain In Patients With Sickle Cell Disease, Peggy Boyd

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 Mar 2024

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.


Comparison By Race/Ethnicity And Social Determinants Of Health In Early Postpartum Maternal Morbidities, Cynthia Joy Garringer Mar 2024

Comparison By Race/Ethnicity And Social Determinants Of Health In Early Postpartum Maternal Morbidities, Cynthia Joy Garringer

Walden Dissertations and Doctoral Studies

Maternal mortality continues to increase in the United States, despite medical advances. Patients with negative social determinants of health (SDOH) and racial/ethnic minorities are at increased risk for maternal morbidities although most mortality and morbidities found in maternal health could have been prevented. The purpose of this study, guided by the SDOH conceptual mode, was to examine the relationship between the five components of SDOH and early postpartum morbidities among minority racial and ethnic groups. Secondary data (n = 1401) were obtained from a state health department in the Midwest for women who delivered in the year 2022 from one …


Public Health Insurance: An Approach To Mitigate The Burden Of Diabetes In Low Resource Settings, Jideuma I. Egwim, Namgyal Kyulo, Hadi Danawi, Aaron B. Mendelsohn Mar 2024

Public Health Insurance: An Approach To Mitigate The Burden Of Diabetes In Low Resource Settings, Jideuma I. Egwim, Namgyal Kyulo, Hadi Danawi, Aaron B. Mendelsohn

Journal of Social, Behavioral, and Health Sciences

Background: Diabetes mellitus is a significant public health concern globally as well as in Owerri, Nigeria. The deleterious effects of diabetes have been linked to poor glycemic control. According to the International Diabetes Federation, poor glycemic control is reflected in glycosylated hemoglobin levels greater than 7.0%, which are associated with substantial morbidity and mortality. Studies have shown a dramatic rise in diabetic complications in Nigeria, particularly in Owerri. However, evidence is lacking on specific risk factors associated with poor glycemic control among diabetes mellitus patients in Owerri. There is a gap in the literature regarding the association between health insurance …


Knowledge, Attitudes, And Beliefs Toward Third Hand Smoke, Gisele Tah Mar 2024

Knowledge, Attitudes, And Beliefs Toward Third Hand Smoke, Gisele Tah

Walden Dissertations and Doctoral Studies

Third hand smoke (THS) is gaining significant interest in the environmental and public health fields as a new but dangerous phenomenon. THS is identified as a form of passive smoke consisting of residual nicotine and chemicals that settle on surfaces. THS is reported to be genotoxic in human cells, yet the public has limited or no knowledge of this new concept. The purpose of this qualitative, interpretive, descriptive study was to discover and describe the level of knowledge, attitudes, practices, and beliefs regarding THS among individuals in an eastern U.S. state. Social cognitive theory provided the theoretical framework for this …


Understanding Adherence To Prescribed Medical Regimen To Treat Hypertension Among African American Males, Yolanda Lucian George Mar 2024

Understanding Adherence To Prescribed Medical Regimen To Treat Hypertension Among African American Males, Yolanda Lucian George

Walden Dissertations and Doctoral Studies

Hypertension is referred to as the silent killer and has been for decades. African Americans have been affected disproportionately compared to Whites, leading to a significant medical and financial burden. The literature has demonstrated that even though African Americans have a similar or better awareness of hypertension, they are more likely to have poorer treatment outcomes and have their hypertension less controlled. In this study, the health belief model and the ecological social model were used as the guiding framework to understand this phenomenon. In this qualitative study, semistructured interviews were used to explore and understand the perception of adherence …


Experiences Of Women In Sierra Leone Relating To Accessing Breast Cancer Treatment, Anne Neville, Magdeline Aagard Dr. Mar 2024

Experiences Of Women In Sierra Leone Relating To Accessing Breast Cancer Treatment, Anne Neville, Magdeline Aagard Dr.

Journal of Sustainable Social Change

The lack of consistent access to breast cancer care and treatment remains a significant problem for women diagnosed with breast cancer in Sierra Leone. The instability of the political structure has created an environment with a high level of illiteracy and financial hardship among the female population, resulting in a significant deficiency in information relating to symptoms and the detection of breast cancer. To study the lived experience of women living in Sierra Leone who were diagnosed with breast cancer, I [the first author] used a descriptive phenomenological approach. I conducted semi-structured interviews based on Andersen and Newman’s healthcare utilization …


Nigerian Nurses' Perceptions Of Caring For Women With Female Genital Mutilation, Jane-Frances Echeozo Mar 2024

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 …


The Moderating Effect Of Race On The Relationship Between Perceived Supervisor Support And Burnout Amongst Public Health Workers, Douglas Diontay Gaffney, Jr Mar 2024

The Moderating Effect Of Race On The Relationship Between Perceived Supervisor Support And Burnout Amongst Public Health Workers, Douglas Diontay Gaffney, Jr

Walden Dissertations and Doctoral Studies

Recent research has shown that burnout is a prevalent problem across the public health workforce. Burnout (BO) contributes to workplace challenges in turnover, employee performance, job satisfaction, and overall quality of life, and is more prevalent among racial minorities. Not only has BO been found to differ across racial demographics, employee perceptions about their level of support from supervisors (PSS) also differ. This quantitative study, informed by Meyer’s minority stress theory, examined Black-White differences in PSS and BO, and whether race moderated the relationship between PSS and BO. Data collected by De Beaumont’s 2017 national public health workforce interest and …


Association Between Medication Adherence And Asthma Among Latinos In The United States, Denisse Silva Mar 2024

Association Between Medication Adherence And Asthma Among Latinos In The United States, Denisse Silva

Walden Dissertations and Doctoral Studies

Prior research has shown that Latinos in the United States face disproportionate challenges in managing their asthma symptoms. Therefore, this study aimed to identify factors that may influence medication adherence and asthma episodes among Latinos in the United States and was guided by Andersen’s health behavior theory. Data from 2020 Latinos who participated in the National Health Interview System in 2020 were analyzed. Findings indicated that nearly 23% of respondents reported an asthma episode. Approximately 25% of the sample reported an asthma episode during the last 12 months. A total of 43.6% of the sample reported not taking medication every …


Increasing Nurses’ Knowledge Regarding Beers Criteria And Polypharmacy In Elderly, Non-Institutionalized Patients, Florence Chinwe Ukenye Feb 2024

Increasing Nurses’ Knowledge Regarding Beers Criteria And Polypharmacy In Elderly, Non-Institutionalized Patients, Florence Chinwe Ukenye

Walden Dissertations and Doctoral Studies

The elderly population, comprising individuals ages 65 years and above, accounts for 12% of the total population in the United States. Many elderly individuals residing in noninstitutionalized communities continue to experience the effects of polypharmacy despite efforts to employ evidence-based practices for medication reconciliation. Preventing polypharmacy among people ages 65 and older is crucial to avoid unintended drug abuse and subsequent adverse drug effects in this vulnerable patient group. One significant strategy to prevent drug-related problems and negative effects of medications is using the Beers criteria. The gap in practice in a post-acute care and rehabilitation facility addressed in this …


Self-Management Of Coronary Heart Disease Among Middle-Aged And Older Low-Income African Americans, Tina Alfred-Iyamu Feb 2024

Self-Management Of Coronary Heart Disease Among Middle-Aged And Older Low-Income African Americans, Tina Alfred-Iyamu

Walden Dissertations and Doctoral Studies

Coronary heart disease (CHD) stands out as the predominant cardiovascular condition, exerting a significant toll on both mortality and morbidity. Notably, African Americans (AA) grapple with an alarmingly elevated incidence, prevalence, and mortality rate compared to other demographics within the United States. Extensive research underscores the potential for effective CHD management through self-management practices, though this is notably deficient. This qualitative, phenomenological study delves into the intricate lived experiences surrounding the self-management of CHD among low-income individuals in the middle-aged and older AA demographic. My theoretical framework was the Health Belief Model. Impressively, the study participants exhibited a profound understanding …


Intersectional Model Of Service Use: Understanding Transgender And Nonbinary Healthcare Access, Jarrod Call, Brendon Holloway Feb 2024

Intersectional Model Of Service Use: Understanding Transgender And Nonbinary Healthcare Access, Jarrod Call, Brendon Holloway

Journal of Social, Behavioral, and Health Sciences

Transgender and nonbinary (TNB) people often have difficulty accessing healthcare services because of the systemic forces of transphobia and cisgenderism. Despite this, there is little theory specifically designed to examine healthcare access among TNB people. We conducted a literature review to identify studies examining TNB healthcare access. We screened a total of 2,050 unique articles for inclusion, resulting in a final sample of 46 articles that met the review criteria. Theories used and key findings were coded to inform the development of the Intersectional Model of Service Use (IMSU) for TNB people. The IMSU builds upon current theoretical frameworks including …


Effect Of Formal Toileting Programs On Urinary Tract Infection Rates In Long Term Care, Deborah Jeanmarie Feb 2024

Effect Of Formal Toileting Programs On Urinary Tract Infection Rates In Long Term Care, Deborah Jeanmarie

Walden Dissertations and Doctoral Studies

Urinary tract infection (UTI) accounts for up to 31% of sepsis diagnoses and is the fourth leading cause of infections in long-term care (LTC) facilities. Timed and prompted toileting programs are used by LTCs to reduce incontinence episodes, but there is a lack of information regarding the effectiveness of timed and prompted voiding incontinence management programs on the rate of UTIs. The purpose of this study, guided by Donabedian’s conceptual model of quality improvement, was to determine if there is a difference in the rate of UTIs in Georgia LTC facilities that have a timed and prompted voiding program and …


Race-Related Stress, Medical Mistrust, Covid-19 Worry, And Covid-19 Vaccination Behavior Among African Americans, Lisa A. Cash Feb 2024

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 …


Social, Cognitive, And Teaching Presence As Predictors Of Online Student Engagement Among Msn Students, Mark Littler Feb 2024

Social, Cognitive, And Teaching Presence As Predictors Of Online Student Engagement Among Msn Students, Mark Littler

Walden Dissertations and Doctoral Studies

The dynamics of higher education have changed as a result of online learning. However, it can be challenging for teachers to effectively engage students online. Furthermore, limited research about the relationship between presence and online student engagement is a social problem that impacts the quality of online nursing education. The purpose of this nonexperimental quantitative research study was to examine the relationship between social presence, cognitive presence, teaching presence, and online student engagement among MSN students. The community of inquiry (CoI) framework was used to guide this study. The research question addressed the relationship between social presence, cognitive presence, teaching …


The Lived Experiences Of Urhobo Women From The Niger Delta Region Of Nigeria During The Menopausal Transition, Omemiyere Sheila Uwayzor Feb 2024

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 …


Association Between Sociodemographic Variables And Low Birthweight Among Disabled Black Mothers, Yewunetu Dessalegn Malefia Feb 2024

Association Between Sociodemographic Variables And Low Birthweight Among Disabled Black Mothers, Yewunetu Dessalegn Malefia

Walden Dissertations and Doctoral Studies

Low birthweight (LBW) affects around 30 million infants annually. Infants with LBW face a 20-fold risk of mortality compared to those weighing 2,500 grams or more at birth. In the United States, the prevalence of LBW is nearly double among Blacks compared to Whites. Despite 61 million U.S. adults with disabilities, including 35 million women, there remains a significant research gap concerning factors that contribute to LBW among Black mothers with a disability (BMWD). This retrospective study employed 2019 and 2020 Pregnancy Risk Assessment Monitoring System (PRAMS) datasets to investigate the association between LBW and sociodemographic factors among BMWD. Bivariate …


Education To Dialysis Clinical Staff About The Role Of Advanced Practice Registered Nurses In Home Dialysis, Bilinda Dawkins-Francis Feb 2024

Education To Dialysis Clinical Staff About The Role Of Advanced Practice Registered Nurses In Home Dialysis, Bilinda Dawkins-Francis

Walden Dissertations and Doctoral Studies

Chronic kidney disease (CKD) and end-stage renal disease (ESRD) have become substantial issues in the United States. There is a call to action from scholars for nurses, especially advanced practice registered nurses (APRNs), to cultivate APRN-led renal discipline teams and gauge directed health results. Nurse practitioners encounter and are responsible for identifying and managing patients in the home dialysis setting. It is essential to increase knowledge, teaching, and treatment options to nurse practitioners and clinical staff regarding the role of APRNs in home dialysis. The purpose of this project was to answer the practice-focused question addressing whether staff education about …


Implementing Motivational Interviewing To Improve Medication Adherence: A Staff Education Project, Marlon Medina Feb 2024

Implementing Motivational Interviewing To Improve Medication Adherence: A Staff Education Project, Marlon Medina

Walden Dissertations and Doctoral Studies

Medication nonadherence is a major health issue among psychiatric patients as studies show a significantly high rate of medication nonadherence among psychiatric patients. This impacts the health outcomes of patients taking psychotropic medications. Psychiatric nurses have a major role to play in implementing strategies to improve medication adherence among patients. This project proposes the implementation of psychoeducation based on motivational interviewing to improve medication adherence among psychiatric patients. An educational workshop was provided to four nurses over 4 weeks to improve the knowledge, skills, and attitudes of staff members at an outpatient care clinic, ultimately, to improve the patients’ medication …


The Lived Experience Of Nursing Faculty At Rural Community Colleges In East Texas During The Covid-19 Pandemic, Mary N. Isichei Feb 2024

The Lived Experience Of Nursing Faculty At Rural Community Colleges In East Texas During The Covid-19 Pandemic, Mary N. Isichei

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic highlighted the need for public health (PH) emergency preparedness and for the formal training of frontline workers, primarily nurses, on how to manage PH emergencies. The need for the latter was especially evident at U.S. rural community colleges (RCC), a subset of institutions of higher education (IHEs), which, due to a lack of resources, lacked PH-trained nursing faculty members (NFMs). The purpose of this qualitative study was to discover the lived experience of NFMs in RCC in East Texas during the COVID-19 pandemic. The phenomenological theoretical (PT) framework assisted in understanding the lived experience of the NFMs …


Perceptions Of Burden Among Informal Caregivers Of Older Adults In Assisted Living, Gösta H W Schlegel Feb 2024

Perceptions Of Burden Among Informal Caregivers Of Older Adults In Assisted Living, Gösta H W Schlegel

Walden Dissertations and Doctoral Studies

Few studies have focused on the lived experiences of informal caregivers of residents of assisted living facilities (ALFs) and their perceptions of their caregiver burden, which can lead to decreased physical and mental health, decreased economic status, and negative effects on the care recipient’s wellbeing. A considerable knowledge and practice gap remains regarding how public health practitioners relate to informal caregiving. The purpose of this study was to understand what informal caregivers of ALF residents perceive as factors that affect their caregiver burden and the perceived impact caregiver burden has on the caregiver and their eldercare recipient. The social-ecological model …