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Articles 601 - 630 of 643
Full-Text Articles in Public Health Education and Promotion
The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen
The Experiences Of Women In The Healthcare Profession With Alcohol Use During The Covid-19 Pandemic, Amber Olsen
Walden Dissertations and Doctoral Studies
Women have severe health risks associated with drinking alcohol long-term and excessively. The purpose of this qualitative study was to explore the lived experience of women in healthcare positions regarding alcohol use during the COVID-19 pandemic. The study was informed by the theory of planned behavior. Semistructured interviews were used to gather information from participants based on their firsthand experiences with alcohol usage. Understanding women’s attitudes toward alcohol use during the COVID-19 pandemic can improve intervention. Data were analyzed using an inductive, thematic procedure. Participants associated their own use of alcohol with socialization, and all participants reported that they regarded …
Predictors Of Retention Among Individuals With Hiv Initiating Antiretroviral Therapy In Ghana, Ivy Ama Okae
Predictors Of Retention Among Individuals With Hiv Initiating Antiretroviral Therapy In Ghana, Ivy Ama Okae
Walden Dissertations and Doctoral Studies
Abstract Managing HIV requires lifelong therapy. Retaining clients on lifelong therapeutic antiretroviral therapy (ART) ensures the suppression of viral replication and better health outcomes. The time of the start of ART management is also a factor in determining better health outcomes for persons living with HIV. This study examined the association between initiation criteria (treat all, Option B+, and CDC T-cell count < 500) and retention on ART at 12 months for 17,974 randomly selected clients in the Ghana Health Service's HIV patient electronic database. Analyses controlled for age, gender, educational status, alcohol use, treatment/adherence monitoring, and tuberculosis disease treatment. Bronfenbrenner's ecological systems theory guided the interpretation of the findings. Results shows that retention was positively associated with all treatment initiation criteria. Clients initiated with CD4 count ≤ 500 criteria seemed to be retained at 12 months on ART at a higher rate than initiation criteria based on Option B+ and treat all. The study results may contribute to positive social change by supporting CD4 testing for clients before initiation of ART to improve retention and ensure the availability and use of adherence counseling, no tuberculosis disease and its prevention, and low use of alcohol among people living with HIV. The results of this study may also provide opportunities for public health policy intervention efforts requiring a personalized, group-based approach to service delivery at the intrapersonal level, interconnected with interpersonal, meso, and meta factors at the community level.
Factors Impacting College Students’ Receipt Of Human Papillomavirus Vaccination, Joy Yvette Payne
Factors Impacting College Students’ Receipt Of Human Papillomavirus Vaccination, Joy Yvette Payne
Walden Dissertations and Doctoral Studies
Less than half of U. S. students entering college have had a human papillomavirus (HPV) vaccination, placing them at risk for HPV-related cancers. This study’s purpose was to identify predictors of HPV vaccination initiation in college students. Andersen’s behavioral model of health services use was used to examine the differences in predisposing, enabling, and need factors in U.S. college students ages 18–26 years who received an initial HPV vaccination in college compared to those who never received an HPV vaccination. The study was a quantitative, cross-sectional survey design using multivariable logistic regression for data analyses. Data were collected through an …
Education To Increase Nurse Knowledge And Compliance With Social Determinants Of Health Screening, Bonnie Rieger
Education To Increase Nurse Knowledge And Compliance With Social Determinants Of Health Screening, Bonnie Rieger
Walden Dissertations and Doctoral Studies
To provide holistic care and ensure positive patient health outcomes, the social determinants of health (SDOH) must be addressed. Research demonstrates that while medical care is a contributor to wellness, the SDOH serve an influential role in patient health outcomes. There is limited literature describing how to best educate practicing nurses about SDOH concepts. The purpose of this DNP project was to provide an educational intervention to increase inpatient staff nursing knowledge of the SDOH. Sources of evidence used to create the education module included scholarly literature describing the SDOH concepts and their application to patient, community, and population health. …
The Role Of Family Support In The Relationship Between Childhood Obesity And The Number Of Days Bullied In Trinidad, Sharon Antoine-Mills
The Role Of Family Support In The Relationship Between Childhood Obesity And The Number Of Days Bullied In Trinidad, Sharon Antoine-Mills
Walden Dissertations and Doctoral Studies
There is limited data on childhood obesity and the number of days bullied in Trinidad and Tobago. This study examined the association between childhood obesity and the number of days an obese child has been bullied in Trinidad in the past 30 days, with family support as a moderator. The theoretical framework for this study was Bronfenbrenner’s social-ecological model, which posits that a child’s microsystems are instrumental in influencing their behaviors. A self-administered low-cost 2017 Global School-based Student Health Survey (GSHS) was used for this cross-sectional study. The sample comprised 2,229 school adolescents 13 to 17 years of age. Childhood …
Directors’ Perceptions Of Supplementing Clinical Requirements With Simulation-Based Education In Paramedic Education, Kimberly Whitten-Chung
Directors’ Perceptions Of Supplementing Clinical Requirements With Simulation-Based Education In Paramedic Education, Kimberly Whitten-Chung
Walden Dissertations and Doctoral Studies
The problem for this study was limited clinical site access for paramedic students causing delays in completion and exacerbating critical staffing shortages in healthcare. The purpose of the study was to explore perceptions of paramedic program directors (PD) in Colorado regarding use of simulation-based education (SBE) to supplement program-determined clinical requirements. Kolb’s experiential learning theory was the conceptual framework that guided this study. Research questions focused on Colorado paramedic PDs’ perceptions about advantages, disadvantages, and barriers involved with replacing program-determined clinical education with SBE. A basic qualitative design was used to capture insights of 6 Colorado paramedic PDs through semistructured …
Increasing Organizational Value Of A Private Healthcare Education Academy, Diana Skaff
Increasing Organizational Value Of A Private Healthcare Education Academy, Diana Skaff
Walden Dissertations and Doctoral Studies
Amid the dynamic changes and innovations of the healthcare field, healthcare providers seek educational activities that enhance their growth and decrease their knowledge gap. Healthcare education organizations responsible for providing high-quality healthcare education, have opportunities to differentiate their programs to acquire, attract, activate, and retain healthcare providers. Grounded in the five forces of competition and the value chain theories, this mixed method formative program evaluation aimed to improve the business development program by developing a differentiation by quality strategy that will increase its competitive advantage. Participants included three decision-makers and nine leaders in a healthcare education organization in the Kingdom …
Educating Providers And Nurses On Human Trafficking, Valerie Smith
Educating Providers And Nurses On Human Trafficking, Valerie Smith
Walden Dissertations and Doctoral Studies
Human trafficking is a global public health problem. Victims of human trafficking experience higher rates of sexually transmitted diseases, reproductive damage, sexual violence, infertility, and mental and behavioral issues. To help end human trafficking, which is potentially deadly, raising awareness about this topic is essential for victim survival. A gap in practice among staff at a community health center regarding recognition of victims of human trafficking and procedures for potential victims was identified. An education program focused on increasing knowledge and awareness was developed to close this gap. Guided by Watson’s theory of human caring, a 30-minute educational session followed …
Clinical Research Principal Investigators’ Perspectives Of Improving The Diversity Of Clinical Research Participants, Nadine Hyacinth Spring
Clinical Research Principal Investigators’ Perspectives Of Improving The Diversity Of Clinical Research Participants, Nadine Hyacinth Spring
Walden Dissertations and Doctoral Studies
Clinical trials are needed to make new medications, devices, and diagnostic tools available. Participants in these clinical trials have historically come from a homogeneous group, and there is a recognized need for increased diversity and representation in these clinical research studies. The absence of diversity in clinical trials makes it difficult for clinicians and researchers to know which medications and devices are safe and effective for specific populations. This basic qualitative phenomenological study was conducted to explore the experiences of clinical research principal investigators regarding diversity in clinical research studies and how to improve it. The theoretical framework for this …
Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi
Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi
Walden Dissertations and Doctoral Studies
Opioid use disorder (OUD) contributes to severe perinatal and neonatal morbidity and mortality in the United States, leading to alarming complications for pregnant women, mothers, and newborns. Complications the mother experiences with OUD include increased mortality, overdose, infections, endocarditis, narcotic bowel syndrome, and accident-related injury. Complications the newborn can suffer include neonatal abstinence syndrome, respiratory depression, microcephaly, and sudden infant death syndrome. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, this project aimed to plan, implement, and evaluate a staff education program on opioid use disorder. The staff education program was presented to 13 perinatal …
Perioperative Nurse Education For Undiagnosed Obstructive Sleep Apnea Screening, Juanita Turnipseed
Perioperative Nurse Education For Undiagnosed Obstructive Sleep Apnea Screening, Juanita Turnipseed
Walden Dissertations and Doctoral Studies
AbstractApproximately one third of surgical patients have undiagnosed obstructive sleep apnea (OSA), the most common form of sleep disordered breathing, which presents a risk in the perioperative setting. OSA is underdiagnosed and undertreated in the adult population and has an economic impact on limited healthcare resources. The need existed for nurses in the perioperative setting to be educated on OSA, including the introduction of the STOP-BANG screening questionnaire. The analysis, design, development, implementation, and evaluation model of instructional design informed this project. The purpose of this Doctor of Nursing Practice project was to plan, implement, and evaluate a perioperative nurse …
Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas
Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas
Walden Dissertations and Doctoral Studies
Abstract There are gaps in the literature regarding how patient-physician racially concordant relationships affect African American women’s health. This quantitative study evaluated the effects of non-minority physician influence on the perceptions of medical mistrust, racial discrimination, and healthcare-specific racial discrimination on African American women. The behavioral model for vulnerable populations guided the study. Two research questions involved understanding the relationship between trust in the physician scale and medical mistrust and the association between racial discrimination and perceived healthcare-specific racial discrimination among African American women living in a Southern U.S. state. A stratified random sampling strategy was used to obtain a …
Risk Factors Associated With The Development Of Type Ii Diabetes-Related Complications, Jessica Danielle Lucas Williams
Risk Factors Associated With The Development Of Type Ii Diabetes-Related Complications, Jessica Danielle Lucas Williams
Walden Dissertations and Doctoral Studies
By 2040, it is estimated that 642 million people ages 20 to 79 will have Type II diabetes, thereby making it a heavily studied topic among scholars. As more people are diagnosed with Type II diabetes each year, the literature is slowly shifting to long-term complications. However, the many risk and protective factors that exist have created gaps in the literature. The purpose of this study was to determine the relationship between participation in diabetes self-management classes, mental health, physical health, BMI, smoking status, exercise, and possible diabetes complications (diabetes-related retinopathy and diabetes-related kidney disease). The gap in the literature …
Moderators Of Peripheral Neuropathy On Overall And Cardiovascular Mortality In People Without Diabetes, Adeoye Muideen Adenekan
Moderators Of Peripheral Neuropathy On Overall And Cardiovascular Mortality In People Without Diabetes, Adeoye Muideen Adenekan
Walden Dissertations and Doctoral Studies
Peripheral neuropathy (PN), a group of common heterogeneous disorders with varied etiologies, is associated with substantial morbidity and mortality. PN presents both as a diagnostic and therapeutic challenge to physicians and other healthcare providers. Socioeconomic moderators of PN in adults without diabetes in the United States have not been well studied. The consequences of PN can be devastating and include foot ulcers, amputations, a general decline in the quality of life, and death. The overall prevalence of PN in the United States is 13.5% in adults with diabetes and 11.6% in adults without diabetes. Clearly, these statistics indicate a public …
Risk Factors Influencing Poliomyelitis Seroprevalence In Polio High Risk Areas Of Afghanistan, Wasan Abdulaziz Al-Tamimi
Risk Factors Influencing Poliomyelitis Seroprevalence In Polio High Risk Areas Of Afghanistan, Wasan Abdulaziz Al-Tamimi
Walden Dissertations and Doctoral Studies
Afghanistan is one of the remaining polio endemic countries in the world. Nearly one million children under 5 years of age have missed polio vaccination in Afghanistan from May 2018 until January 2021. This quantitative study used the socioecological model as the theoretical framework and secondary data analysis of the 2020 polio serosurvey (N = 1384) to investigate various risk factors such as gender, parental education, family origin (language/location), wealth, distance to nearest health facility, and number of polio vaccine doses on the level of antibodies (i.e., seroprevalence) against all three types of polioviruses in children of two age groups, …
Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins
Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins
Walden Dissertations and Doctoral Studies
While anyone can be a victim of sexual violence, college-aged females between the ages of 18 and 21 are more likely to be victimized than any other group. Sexual violence continues to be a barrier to education, and colleges/universities make it challenging for students to report on campus. The purpose of this study is to explore the factors, intervention/prevention strategies, and policies/procedures used to address sexual violence on a university campus. The framework used was the ecological model, which focuses on factors and influences within the environment that affected individual behavior. The research questions focused on participants describing their experiences …
Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong
Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong
Walden Dissertations and Doctoral Studies
Antenatal depression, or depression during pregnancy, is a mental health concern in the United States that impacts mothers and their infants. This study examined the associations between psychosocial, obstetric, lifestyle factors, and antenatal depression. This study was guided by social cognitive theory, specifically the reciprocal determinism construct. Secondary data from the 2007–2018 National Health and Nutritional Examination Survey (NHANES) were used in this quantitative cross-sectional study. Every participant of the NHANES completed the Patient Health Questionnaire-9 depression screening form. The study sample consisted of 274 women who were pregnant at the time of participating in the NHANES, approximately 28.8% of …
Help-Seeking Behavior Of African American And Non-African American Victims Of Elderly Abuse, Tesfaye Yigletu Wosene
Help-Seeking Behavior Of African American And Non-African American Victims Of Elderly Abuse, Tesfaye Yigletu Wosene
Walden Dissertations and Doctoral Studies
Elderly abuse is a pervasive public health problem in the United States. Most abuse and neglect go unreported due to barriers including fear for safety, concerns about the consequences, culture, lack of knowledge about elder abuse, shame, and self-blame. However, there is limited research on how race and ethnicity impact help-seeking behaviors of the elderly. This cross-sectional quantitative study examined the difference in reporting and help-seeking behavior between African American and non-African American victims of elderly abuse. Applying the behavioral model of health services use, this study involved a secondary data analysis using the Nation Elderly Mistreatment Study Wave II …
Retention Of Foster Parents For At-Risk Youth In Tennessee, Marvin Amos
Retention Of Foster Parents For At-Risk Youth In Tennessee, Marvin Amos
Walden Dissertations and Doctoral Studies
Federal legislation with the Family First Prevention Service Act (FFPSA) of 2017 required Tennessee to increase foster parent retention strategies. Tennessee does not have enough available foster homes for adolescents. The purpose of this generic qualitative study was to explore foster parent retention in Tennessee and to inform policymakers on how to adapt policy to increase the retention. The theoretical foundation for this study was based on the policy feedback theory, to identify the policy scope in Tennessee, and the two-factor theory, to guide the data analysis in the context of employee satisfaction and retention measures. Purposive sampling techniques were …
Health Literacy, Race, And Understanding Health Information Among Women, Adrienne Clark
Health Literacy, Race, And Understanding Health Information Among Women, Adrienne Clark
Walden Dissertations and Doctoral Studies
Health literacy is a topic often referred to by public health professionals to help improve the health of a population. This study used a quantitative approach to understanding health information among women of different races, income levels, household sizes, and education levels within a specific age range. This study used the socio-ecological model for its framework. The overall goal of this study was to improve health disparities and improve health communication one population at a time. Women tend to be the pillar of communities. Having a better understanding of how women understand health information could improve public health outreach. The …
Adverse Childhood Experiences, Internalized Homophobia, Alcohol Use, And Suicide Ideation And Attempts Among Sexual Minority Msm Of Color, Odion Clunis
Walden Dissertations and Doctoral Studies
Sexual minority men of color who engage in sexual activity with men (MSM) are twice as likely to experience a psychological episode contributing to suicide ideation or attempts when compared to White MSM. These MSM are underserved in health systems, underrepresented in research, and limited in their access to health care services and interventions. The purpose of this quantitative study was to examine relationships between adverse childhood experiences, internalized homophobia, alcohol use, and suicide ideation and attempts while controlling for age, income, education, and employment among sexual minority men of color (Asian, Black/African American, Hispanic/Latino, Middle Eastern, Native Hawaiian/Pacific islanders, …
Help Seeking Behavior For Mental Health Issues Among College Students At A Southern University, Amanda Brooke Espinoza
Help Seeking Behavior For Mental Health Issues Among College Students At A Southern University, Amanda Brooke Espinoza
Walden Dissertations and Doctoral Studies
The mental health of college students continues to decline, leading to increased suicide rates among young adults. College campuses provide mental health resources; however, many college students do not effectively utilize the resources. This quantitative research study allowed for a deeper understanding of why college students are not using mental health resources on their campus. A non-probability convenience sample was used. This sample of convenience was comprised of students who volunteered to complete the study survey sent via a university email. The survey was created for the purposes of this study using social cognitive theory constructs. The instrument contained four …
A Community-Based Distribution Intervention For Family Planning Among Women In Northern Nigeria, Joy Matau Garba
A Community-Based Distribution Intervention For Family Planning Among Women In Northern Nigeria, Joy Matau Garba
Walden Dissertations and Doctoral Studies
In Northern Nigeria, inadequate information on family planning contributes to high mortality and morbidity rates in women of reproductive age due to multiple childbirths yearly. This study aimed to examine the relationship between the community-based distribution (CBD) strategy, religion, and attitudes toward family planning methods. Rosenstock’s health belief model, which can be an instrumental anchor for health promotion programs, was the theoretical framework for the quantitative cross-sectional study design. The data source was survey questionnaires administered by the U.S. Agency for International Development to 809 reproductive-age Nigerian women after implementing a CBD intervention. A multinomial logistics regression analysis showed that …
The Lived Experiences Of Black Women With Hysterectomy For Benign Fibroids, Clarise M. Jackson-Hall
The Lived Experiences Of Black Women With Hysterectomy For Benign Fibroids, Clarise M. Jackson-Hall
Walden Dissertations and Doctoral Studies
Black women are more likely than women of any other race in the United States to undergo an abdominal hysterectomy instead of a less invasive and less damaging laparoscopic or robotic procedure for benign fibroids. Although Black women are the population most disparately affected by benign fibroids, as evidenced by higher morbidity and mortality rates due to complications, they are often excluded in clinical research. The purpose of this qualitative phenomenological study was to explore the lived experiences of Black women who decided to undergo an invasive abdominal hysterectomy for benign fibroids. Semistructured interviews were conducted with 14 Black women, …
Associations Between Depression, Social Support, And Sexual Risk-Taking Behaviors Among Hiv-Infected Adult Black Women In The Southeastern United States, Joy Ireri Kagendo
Associations Between Depression, Social Support, And Sexual Risk-Taking Behaviors Among Hiv-Infected Adult Black Women In The Southeastern United States, Joy Ireri Kagendo
Walden Dissertations and Doctoral Studies
African Americans continue to carry the burden of new HIV cases and sexually transmitted infections and other comorbidity health problems more than any other social group in the United States. Except for New York; Washington, DC; and Maryland, 65% of all new HIV cases are in the Southern states. The U.S. Southern states make up 38% of the U.S. population, yet approximately 51% of annual HIV diagnoses are from the Southern U.S. states. In the Southern states, AIDS is among the leading cause of death for African American women. A gap exists in the associations of depression, social support, and …
Food And Income Insecurity And Academic Progress Among African American College Students During The Covid-19 Pandemic, Gloria Brown Moore
Food And Income Insecurity And Academic Progress Among African American College Students During The Covid-19 Pandemic, Gloria Brown Moore
Walden Dissertations and Doctoral Studies
The impact of food insecurity on minority college students is an ongoing concern that reached new importance during the COVID-19 pandemic. Although researchers have examined food insecurity among college students during COVID-19, they had not explored the role of coping responses among African American college students during the onset of the pandemic. The purpose of this study was to investigate coping responses as mediators between situational stressors (students’ experiences of food insecurity, residential changes, and changes in employment) and academic progress among African American college students during COVID-19. The instruments used for this study were the Brief COPE Inventory, Global …
Examining The Relationship Between Time Spent On Tasks, Job Responsibilities, And Job Satisfaction Among Nurse Practitioners, Iasia E. Owens
Examining The Relationship Between Time Spent On Tasks, Job Responsibilities, And Job Satisfaction Among Nurse Practitioners, Iasia E. Owens
Walden Dissertations and Doctoral Studies
Managing patient care with the help of nurse practitioners is an expanding trend in healthcare and achieving job satisfaction is a priority for these professionals. The purpose of this quantitative study was to examine two research questions and the associated variables concerning the relationship between time spent on tasks, job responsibilities, and job satisfaction among nurse practitioners. Conway’s role theory, which is used to explore and predict behaviors of workers in certain roles, informed this study. Data were derived from the 2017 National Survey of Nurse Practitioners and 972 participants were included. Correlation and linear regression analyses were used to …
Detecting Postpartum Depression In Women: Effects Of Breastfeeding, Weight Gain, And Abuse, Ifitumi Audu
Detecting Postpartum Depression In Women: Effects Of Breastfeeding, Weight Gain, And Abuse, Ifitumi Audu
Walden Dissertations and Doctoral Studies
Postpartum depression is a significant health issue that has affected over 10% of womenworldwide. However, it has not received the attention it deserves, and many women continue to suffer in silence. Certain risk factors are indicative of postpartum depression. Some include a history of depression and a lack of a support system. Others include weight gain, breastfeeding, and physical/emotional abuse. However, research on these is limited. Thus, this research aimed to investigate the effect of breastfeeding, weight gain, and abuse on postpartum depression in women between 18 and 40+. This cross-sectional study used secondary data from the Pregnancy Risk Assessment …
Association Between Dietary Phytoestrogen Intake And Xenoestrogen Exposure And Estrogen-Dependent Cancers, Pisita Bolsue
Association Between Dietary Phytoestrogen Intake And Xenoestrogen Exposure And Estrogen-Dependent Cancers, Pisita Bolsue
Walden Dissertations and Doctoral Studies
The role of circulating estrogens and the impact of lifetime exposure to multiple sources of exogenous estrogens as factors in carcinogenesis were not well understood. Research showed conflicting results when dietary phytoestrogen (PE) intake and xenoestrogen (XE) exposure occurred independently and when co-exposed. The purpose of this quantitative cross-sectional study was to investigate the association between dietary PE intake and XE exposure and the development of estrogen-dependent cancers in an epidemiological context. The advanced model of the epidemiology triangle was the theoretical framework for the current study in which binary logistic regression was employed on secondary data from the 2003–2006 …
Improving Student Nurse Clinical Reasoning, Critical Thinking, And Clinical Judgment Through Simulation Debriefing, Deborah Brester
Improving Student Nurse Clinical Reasoning, Critical Thinking, And Clinical Judgment Through Simulation Debriefing, Deborah Brester
Walden Dissertations and Doctoral Studies
Simulation is an educational strategy in nursing education that incorporates structured activities that depict real-life situations to develop and enhance the knowledge, skills, and attitudes of nursing students by allowing them to analyze and initiate interventions for realistic situations in a simulated environment. Debriefing is a reflective process and is a key component in the simulation education process, but there is a lack of evidence on debriefing methods that enhance learning outcomes in nursing education. This study, which was guided by the National League for Nursing Jeffries simulation theory, was to determine the effect simulation debriefing, as assessed using the …