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Articles 1 - 30 of 4710
Full-Text Articles in Medicine and Health Sciences
Risk And Preventive Factors Of Asthma In Children In Texas, Yvonne A. Deen
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
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
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
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
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
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
Lived Experiences Of Nurses Caring For Persons With Mental Illnesses And Chronic Health Conditions, Luwieth Bolt
Walden Dissertations and Doctoral Studies
No abstract provided.
Nurses’ Attitudes And Knowledge Differences Toward Pain In Patients With Sickle Cell Disease, Peggy Boyd
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
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
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 …
Knowledge, Attitudes, And Beliefs Toward Third Hand Smoke, Gisele Tah
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
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 …
Nigerian Nurses' Perceptions Of Caring For Women With Female Genital Mutilation, Jane-Frances Echeozo
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
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
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
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
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 …
Effect Of Formal Toileting Programs On Urinary Tract Infection Rates In Long Term Care, Deborah Jeanmarie
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
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
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
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
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
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
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
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
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 …
Empowering Nurses Through Education To Reduce Patient Falls In An Acute Care Setting, Ericka Ophelia Evans Thompson
Empowering Nurses Through Education To Reduce Patient Falls In An Acute Care Setting, Ericka Ophelia Evans Thompson
Walden Dissertations and Doctoral Studies
Patient falls are a significant concern in acute health care institutions, leading to increased morbidity, mortality, and health care costs. Nurses play a vital role in patient safety and empowering them with the necessary knowledge and skills is crucial to mitigate the risk of falls. The aim of this Doctor of Nursing Practice (DNP) project was to develop and implement an evidence-based staff education program that would improve nurses’ knowledge of fall prevention strategies. To obtain evidence for the project, a comprehensive review of the literature on patient falls, educational interventions, and best practices and guidelines for fall prevention programs …
Experiences Of Undergraduate Nursing Faculty Adapting To The Changes Of The Next Generation Nclex, Marlene Kilpack Whiteside
Experiences Of Undergraduate Nursing Faculty Adapting To The Changes Of The Next Generation Nclex, Marlene Kilpack Whiteside
Walden Dissertations and Doctoral Studies
Undergraduate nursing faculty are responsible for preparing nursing students for patient care in a dynamic health care setting and are challenged with meeting the National Council Licensure Examination (NCLEX) change to the Next Generation NCLEX (NGN). The National Council of State Boards of Nursing recommended the incorporation of the Clinical Judgment Measurement Model (CJMM) and competency-based curriculum in preparation for NGN testing that began in 2023. Understanding how faculty experienced and adapted to changes in curriculum, patient-centered instruction, and NGN testing may help future nurse faculty in adapting. The purpose of this basic exploratory, qualitative study guided by the achievement …
The Association Between Cognitive Dysfunctions And Cardiovascular Disease Of Minority And Lgbtq+ Communities In The United States, Nathan G. De Shields
The Association Between Cognitive Dysfunctions And Cardiovascular Disease Of Minority And Lgbtq+ Communities In The United States, Nathan G. De Shields
Walden Dissertations and Doctoral Studies
Dementia, the loss of cognitive acuity is an umbrella term of neuro-degenerative symptoms that impact an estimated 6.5 million Americans, and amid heart disease, cancers, and emerging viruses, such as COVID-19, has reportedly increased in prevalence. A cross-sectional study of secondary data from the National Health and Nutrition Examination Survey (NHANES) was conducted to analyze minority and non-heterosexual experiences of health risks found higher in prior studies of distress rates in LGBTQ+ adults. The socio-ecological framework was used to interpret the competing ecologies of social health determinants in natural and social settings. Literature reviews on cognitive dysfunction and other vascular …
Education, Occupation, And Healthcare Accessibility As Predictors Of Self-Reporting Memory Rating, Ana Maria Gonzales
Education, Occupation, And Healthcare Accessibility As Predictors Of Self-Reporting Memory Rating, Ana Maria Gonzales
Walden Dissertations and Doctoral Studies
The increasing number of dementia cases in the United States, particularly among women, is a significant concern. This progressively deteriorating cognitive disease may profoundly affect talking, decision-making, and problem-solving abilities, interfere with their daily lives, and decrease their life expectancy. Although education, occupation, and healthcare access are individually associated with positive health outcomes, it was essential to explore whether their combination impacts self-reporting memory loss, an indicator of dementia. The purpose of this study was to determine the role of education, occupation, and access to health care as predictors of dementia among women in the United States. This study used …