Program Evaluation Of The Employee Health And Wellbeing Program,
2019
Walden University
Program Evaluation Of The Employee Health And Wellbeing Program, Alicia Carmen Marlena Perez
Walden Dissertations and Doctoral Studies
Health promotion and disease prevention are a focus of population health management. Without ongoing and rigorous evaluation, these programs may be in jeopardy of continuing. The purpose of this project was to conduct a descriptive population health- focused evaluation of a large-scale health system's employee health and wellbeing program. Guided by the Center for Disease Control and Prevention (CDC) framework for program evaluation in public health and National Center for Organization Development guidelines, a nurse-led evaluation was conducted using 5 specific data sets emphasizing organizational structure, employee health offerings, employee surveys, Pathway to Excellence survey, and program contributions. A descriptive …
Accessibility Of Innovative Services In Radiation Oncology,
2019
Walden University
Accessibility Of Innovative Services In Radiation Oncology, Patricia Sansourekidou
Walden Dissertations and Doctoral Studies
The field of radiation oncology (RO) involves the use of highly advanced techniques to treat cancer and safely spare healthy organs. The discipline has experienced rapid growth in the past 25 years, with technological advancement as the driving force. Available data and an instrument to effectively measure the accessibility of innovation in the field were lacking. The purpose of this study was to investigate the accessibility of innovative services in RO in the United States and assess possible diffusion patterns. Two hundred and forty medical physicists practicing in RO in the United States completed a custom Internet-based survey. The diffusion …
Oromo Ethiopians Perceptions Of The Prevalence, Causes, Treatment And Prevention Of Trachoma,
2019
Walden University
Oromo Ethiopians Perceptions Of The Prevalence, Causes, Treatment And Prevention Of Trachoma, Linda L. Gross
Walden Dissertations and Doctoral Studies
In Ethiopia, one of the primary contributors to blindness is trachoma, which is an infectious ocular disease. There is no record of any prevention programs in rural Ethiopian villages of Oromia, where the prevalence of trachoma is high. The original purpose of this phenomenological study was to explore the perceptions of rural Oromo villagers in Ethiopia on the causes, treatment, and prevention of trachoma, using the health belief model and the social-ecological model as a theoretical framework. Due to a security situation in Ethiopia, final interviews were conducted with immigrant Ethiopians in the US, all of them from the trachoma-endemic …
Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment,
2019
Walden University
Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede
Walden Dissertations and Doctoral Studies
In the United States, asthma remains a major cause of frequent urgent care visits, hospitalizations, and preventable deaths among children. Nationwide, the chronic disease continues to fall disproportionately on minorities, mostly residing in urban localities. When a child is diagnosed with asthma, the parents are typically tasked with managing the child's condition. Establishing a collaborative partnership between parents and their child's primary physician is significant for improving asthma self-management among youth. Using the theory of reasoned action as a theoretical framework, this mixed-methods study examined whether a relationship exists between parental perceptions of physician cultural sensitivity and parental care in …
Sexual Behaviours Of Adolescents In Creek Town, Cross River State, Nigeria,
2019
University of Ibadan
Sexual Behaviours Of Adolescents In Creek Town, Cross River State, Nigeria, Kabiru K. Salami, Rowland E. Edet
Department of Sociology: Faculty Publications
Risky sexual behaviors of adolescents in Creek Town have not been fully profiled. This study investigated the sexual behaviors of adolescents and their various dimensions in Creek Town, in Cross River State, Nigeria. This cross-sectional survey design adopted multi-stage sampling procedure to administer a 112-items questionnaire to 422 adolescents, to elicit information on their sexual behaviors and practices. Four focus group discussion sessions were also conducted with in-school and out-of-school adolescents. The mean age of adolescents was 17 years. Majority (65.4%) of the adolescents were sexually active. The mean age at sexual debut was 15 years for both male and …
Implementation Of A Transcultural Nursing Education Program To Improve Nurses' Cultural Competence,
2019
Walden University
Implementation Of A Transcultural Nursing Education Program To Improve Nurses' Cultural Competence, Ann Marie Elizabeth Edwards
Walden Dissertations and Doctoral Studies
The exponential growth of culturally diverse populations in the United States has led to a multicultural patient population while the nursing workforce remains predominantly White. At the project site, managers identified that staff nurses struggled to deliver culturally competent care. The purpose of this project was to improve the cultural competence of registered nurses (RNs) through a transcultural nursing education program. Leininger's transcultural nursing theory guided the project. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-R tool. Aggregate pretest and …
Lived Experiences With Social Networking Technology To Improve Physical Activity,
2019
Walden University
Lived Experiences With Social Networking Technology To Improve Physical Activity, Paula Nobles Eubanks
Walden Dissertations and Doctoral Studies
Research suggests that Black women living in the United States are not engaging in sufficient physical activity, which is a major factor negatively impacting their health outcomes. Black Girls Run (BGR) is a targeted national health movement using the capacity of social networking technology as a tool to interact with and inspire Black women to live healthy through running. Literature lacked the voice and perspective of Black women who were embracing the innovation of technology to positively improve their health behaviors. The purpose of this qualitative phenomenological study was to gain a better understanding of the composite experiences of women …
Beliefs And Opinions Of Low-Income Residents Living In A Food Desert In A Gulf Coast State,
2019
Walden University
Beliefs And Opinions Of Low-Income Residents Living In A Food Desert In A Gulf Coast State, Kimberly Lakeidra Willis
Walden Dissertations and Doctoral Studies
This study was an investigation of the access problem to fresh and affordable fruits and vegetables and how limited access influenced the beliefs and opinions of residents of a food desert as designated by United States Department of Agriculture. Many researchers have documented that price, availability, and transportation are barriers to fruit and vegetable consumption, particularly among low-income individuals. Researchers in other studies have concluded that these barriers are further exacerbated by an individual's distance from a supermarket or grocery store. However, much less information is available regarding the beliefs and opinions about life in a food desert and how …
Preventing Obesity And Type 2 Diabetes In Immigrant Populations,
2019
Walden University
Preventing Obesity And Type 2 Diabetes In Immigrant Populations, Maxwell K. Chikuta
Walden Dissertations and Doctoral Studies
Obesity-related diseases have been increasing in African immigrants throughout the United States. Although research has been done to identify risk factors associated with many ethnic groups in the United States, only a few studies exist that explore obesity and type 2 diabetes diseases among Central African immigrants. The conceptual framework for this qualitative case study was social constructivism and the health belief model. The primary research question addressed the potential underlying causes for an increase in obesity and type 2 diabetes among Central African Immigrants. The secondary research questions explored how culture, illiteracy, and religion contribute to the problem of …
Globalization Of Clinical Research And Assessment Of Global Access To Treatments Approved Between 2006-2015,
2019
Walden University
Globalization Of Clinical Research And Assessment Of Global Access To Treatments Approved Between 2006-2015, Rafael Duncan Escandon
Walden Dissertations and Doctoral Studies
Globalization in clinical research and development has increased since the 1990s. Products approved in the United States (U.S.) and European Union (EU) include increasing numbers of research participants from low- and middle-income countries. The purposes of this quantitative correlational study were to investigate the lag time, or drug lag, between U.S. approval and the approval of selected drugs in all countries that hosted their pivotal clinical trials. The study population was limited to products approved first in the U.S. between 2006 and 2015. The health capability model and research for health justice framework were the theoretical frameworks for the study. …
Connecticut Primary Care Physicians And Chronic Lyme Disease,
2019
Walden University
Connecticut Primary Care Physicians And Chronic Lyme Disease, Yvette P. Ghannam
Walden Dissertations and Doctoral Studies
The prevalence of chronic Lyme disease (CLD) remains relatively unknown in Connecticut because there is not an agreement on what CLD is and how it should be diagnosed in addition to which pathological agent causes CLD. The aim of this quantitative study was to assess whether there were significant differences between two groups of primary care physicians (PCP) working in Connecticut from two different points in time regarding their knowledge in the diagnosis, treatment, and management of CLD. A knowledge, attitude, and practice model was used as the underlying theoretical framework for this study. A random cross-sectional survey was mailed …
Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment,
2019
Walden University
Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede
Walden Dissertations and Doctoral Studies
In the United States, asthma remains a major cause of frequent urgent care visits, hospitalizations, and preventable deaths among children. Nationwide, the chronic disease continues to fall disproportionately on minorities, mostly residing in urban localities. When a child is diagnosed with asthma, the parents are typically tasked with managing the child's condition. Establishing a collaborative partnership between parents and their child's primary physician is significant for improving asthma self-management among youth. Using the theory of reasoned action as a theoretical framework, this mixed-methods study examined whether a relationship exists between parental perceptions of physician cultural sensitivity and parental care in …
Directory Of Services And Resources To Support Breastfeeding Initiation, Exclusivity, And Longevity In The El Paso Texas Region,
2019
University of Texas at El Paso
Directory Of Services And Resources To Support Breastfeeding Initiation, Exclusivity, And Longevity In The El Paso Texas Region, Tiffany Nichelle Butler
Open Access Theses & Dissertations
Human milk is recognized as the ideal food for infants; however, in order for human milk to get to the infants, breastfeeding requires the support of the healthcare system. Among infants born in 2015 in United States, 4 out of 5 started to breastfeed and despite of this high rate, only 22% of mothers exclusively breastfed for 6 months. The decisions to breastfeed are influenced by multiple factors including breastfeeding education and support, hospital practices, and participating in tailored education programs. The Office of the Surgeon General has identified the need for healthcare systems to "guarantee continuity of skilled support …
Exploring The Association Between Post-Traumatic Stress Disorder And Social Connectedness With Quality Of Life Among High-Risk Hispanic Women Living In The U.S.-Mexico Border: A Mixed Methods Approach,
2019
University of Texas at El Paso
Exploring The Association Between Post-Traumatic Stress Disorder And Social Connectedness With Quality Of Life Among High-Risk Hispanic Women Living In The U.S.-Mexico Border: A Mixed Methods Approach, Tamanna Ferdous
Open Access Theses & Dissertations
Quality of life (QOL) is an emerging significant public health concern. The QOL among the women living in the U.S.-MX border region is different than that of other parts of the United States. The unique characteristics of U.S.-MX border include lower socioeconomic status, immigration and acculturation challenges. These along with social, structural, and regional norms place individuals, particularly women, living in this region at high-risk for post-traumatic stress disorder (PTSD), substance use disorder (SUD), weakened social connectedness, and domestic violence, which in turn affect their QOL. The purpose of this study is to examine the effects of PTSD and social …
Psychologically Satisfying: Exploring Client Experiences With Dynamics Of Shared Decision-Making In Care From Prescribing Psychologists,
2019
University of Texas at El Paso
Psychologically Satisfying: Exploring Client Experiences With Dynamics Of Shared Decision-Making In Care From Prescribing Psychologists, Ashley Graboski-Bauer
Open Access Theses & Dissertations
The purpose of this study was to explore the field of prescribing psychology as it is practiced by providers and experienced by clients in New Mexico. Prescribing psychology is an emerging field of hybrid mental healthcare in which psychologists with special post-doctoral training can obtain prescriptive authority in certain jurisdictions. The study sought to take a client-centered approach to investigating the type and quality of care provided to clients by prescribing psychologists (RxPs). This study included a provider survey of knowledge, attitudes, and practices regarding health literacy and shared decision-making, and a client survey of satisfaction and experiences with care …
Improving Access To Clean Water In Rural Ecuador: The Connection Between Willingness To Pay And Population Health,
2019
SIT Graduate Institute
Improving Access To Clean Water In Rural Ecuador: The Connection Between Willingness To Pay And Population Health, Micalea Leaska
Capstone Collection
Climate change is affecting social and environmental determinants of health through access to safe drinking water, safely managed sanitation systems, and access to health care services and the ability for individuals to break free from unsuitable circumstances. Ecological disturbances such as those caused by climate change can cause a shift in host vectors or a change in habitat that results in a greater likelihood of the pathogen coming in contact with humans. Water, sanitation, and hygiene (WASH) services and their accessibility to populations can directly impact a community’s vulnerability to diseases and limiting factors to increase economic growth. If rural …
What Influences Our Decision To Vaccinate? The Social Amplification Of Risk Framework And Vaccination,
2019
Louisiana State University
What Influences Our Decision To Vaccinate? The Social Amplification Of Risk Framework And Vaccination, Laura B. Carper
International Crisis and Risk Communication Conference
The current study applies the social amplification risk framework to the anti-vaccination movement, specifically to the social factors that influence the likelihood to vaccinate. A total of 264 participants were recruited using Amazon’s Mechanical Turk engine and students from a large southern university. Participants responded to questions about their personal, friend, and family experiences with vaccines, their discussion about vaccines, and trust in vaccine literature (CDC, Facebook, family, etc.). Lastly, participants responded to a modified Duke’s social support scale. Results indicated that the likelihood to vaccinate is impacted by several social factors and that those factors can be amplified based …
Tweeting To Prepare: An Examination Of Government And Organizational Messages During National Preparedness Month,
2019
State University of New York at Oswego
Tweeting To Prepare: An Examination Of Government And Organizational Messages During National Preparedness Month, Jenna L. Currie-Mueller
International Crisis and Risk Communication Conference
Each year, disasters have devastating consequences in the United States. Consequences are long term and extend beyond the disaster’s immediate impact area. Establishing a culture of preparedness is necessary for the U.S. A prepared populace responds more effectively to disasters and is less stressful on community infrastructure and resources during the response phase. One of the ways government organizations and non-government organizations can encourage preparedness actions is via social media. This study examined preparedness messages existing independently of an emerging event disseminated on Twitter by government and non-government organizations. A total of 6,374 tweets were analyzed from data collected during …
Quality Improvement Initiative To Improve Patient Attendance In Diabetes Self-Management Education Classes,
2019
Walden University
Quality Improvement Initiative To Improve Patient Attendance In Diabetes Self-Management Education Classes, Charon Denise Randel
Walden Dissertations and Doctoral Studies
Diabetes self-management education (DSME) is a key resource in the battle against diabetes and its secondary effects. This quality improvement project was conducted to address the decreased attendance rates of DSME classes in a community health center in the southern United States. The practice question for this project explored process-related strategies to increase patient attendance in DSME classes. Based on review of patient reports of reasons for nonattendance and an evaluation of peer reviewed literature on improving attendance in DSME, the following strategies were implemented: (a) alternative solutions such as providing patients with the dates for a year of initial …
Cardiovascular Exercise Participation And Obstructive Sleep Apnea Among Adults Over Normal Weight In The United States,
2019
Walden University
Cardiovascular Exercise Participation And Obstructive Sleep Apnea Among Adults Over Normal Weight In The United States, Marytherese Agwara
Walden Dissertations and Doctoral Studies
Obstructive sleep apnea (OSA) is a type of sleep apnea that is common, complicated, and a major contributor to cardiovascular diseases, neurocognitive impairment, and mortality. This disease has additional negative impacts on patients' lives by contributing to daytime sleepiness and low productivity at work as well as absenteeism and work-related injuries. Several studies have been conducted to assess the relationship between cardiovascular exercises and OSA; however, a definite conclusion is lacking. The purpose of this quantitative cross-sectional study was to assess the relationship between cardiovascular exercise participation and OSA by examining the relationship between total cardiovascular exercise participation per week …
