Impact Of Plans, Finance, And Zoning Policies On What Developers Choose To Build,
2017
Walden University
Impact Of Plans, Finance, And Zoning Policies On What Developers Choose To Build, Michele Ann Williams
Walden Dissertations and Doctoral Studies
While there is considerable academic research on the intersection of comprehensive plans, finance policies, zoning policies and how these factors influence real estate developers' choice of what land to develop and what buildings to construct on that land, little is understood about whether these three variables promote or hinder real estate developers' choice of whether to build communities that promote healthy living. Using urban planning theory as the foundation, the purpose of this correlational study was to determine how real estate developers' decisions are made to support healthy New Urbanism development in the United States. Secondary data from the Urban …
Homelessness In Calgary From The Perspectives Of Those Experiencing Homelessness,
2017
Walden University
Homelessness In Calgary From The Perspectives Of Those Experiencing Homelessness, Edith N. Ahajumobi
Walden Dissertations and Doctoral Studies
Since the 1990s, homelessness has increased in Canada. The existing strategies of the government and public health service providers to manage the situation have had limited success. Researchers have noted the lack of including those experiencing homelessness to better understand and find a solution to homelessness. The purpose of this phenomenological study, driven by the social cognitive theory, was to understand homelessness from the perspectives of people who do not have homes. Data were collected from open-ended interviews with a purposeful sample of 15 individuals who are homeless. Summarizing and analyzing the interviews, several themes emerged after interview data were …
Perceived Parental Barriers To Preventive Dental Care Programs For Children,
2017
Walden University
Perceived Parental Barriers To Preventive Dental Care Programs For Children, Kim Attanasi
Walden Dissertations and Doctoral Studies
Dental caries is the most prevalent childhood illness and disproportionately affects children from low socioeconomic backgrounds. Dental organizations are collaborating within communities to decrease oral health disparities among children by offering free preventive oral health events. These programs face the problem of low enrollment due to lack of informed parental consent. Also, gaps in the literature indicated the need to examine oral health perceptions and dental-care-seeking practices of culturally diverse low-income parents regarding preventive care for their children. The purpose of this qualitative case study was to explore the reasons why parents are not allowing their children to participate in …
Non Medical Prescription Drug Use In Rural Communities And Social Work,
2017
Walden University
Non Medical Prescription Drug Use In Rural Communities And Social Work, Izetta Mounice Briggs-Bolling
Walden Dissertations and Doctoral Studies
This study explored the roles and responsibilities of social workers providing services to nonmedical prescription drug users (NMPDU). Researchers have indicated NMPDU disproportionately affects people living in rural communities. The overarching research question sought to explore the concerns of social workers when providing services to patients coping with NMPDU in the rural community of Ulster County, New York. The intention was to examine systemic challenges facing rural social workers when attempting to decrease morbidity risks and increase the health of Ulster County residents. A total of 7 social workers participated in 3 focus groups to explore their ideas for defining, …
Effect Of Home Telemonitoring On Heart Failure Hospital Readmissions Among Adult Hispanics,
2017
Walden University
Effect Of Home Telemonitoring On Heart Failure Hospital Readmissions Among Adult Hispanics, Priscilla Liza Caban
Walden Dissertations and Doctoral Studies
Heart failure is ranked as one of the leading causes of hospitalizations and mortality among adults of all racial/ethnic groups in the United States. Telemonitoring, as a homecare intervention for heart failure management, has been used across all groups although the benefit for Hispanics not established. The purpose of this retrospective, quantitative study was to determine the differences in hospital readmission between Hispanic, non-Hispanic Black, and non-Hispanic White patients with heart failure disease who either received or did not receive home telemonitoring services from a homecare agency in Connecticut. The research questions for this study examined the effect of home …
'Stand By Me' Designated Tobacco Areas On U.S. Military Installations,
2017
Walden University
'Stand By Me' Designated Tobacco Areas On U.S. Military Installations, Robert Thomas Gobble
Walden Dissertations and Doctoral Studies
U.S. Air Force (USAF) active duty Airmenshowunusually high tobacco prevalence rates (TPR); i.e., smoke, smokeless, both(SSL-B), when compared to civilian publics in the United States. Tobacco control efforts have proven largely ineffective inlowering nicotine habits among Airmen, while outdoor designated tobacco areas (DTAs) sited near worksites and popular localeson USAF bases (USAFBs) likelyswayAirmen to continue riskynicotine habits. The aim of this inquiry was to assess whetherquantities of DTAs on USAFBs and U.S. airbases (USABs) with 4 mediator variables(quality of DTAs,sites of DTAs, execution of a tobacco cessation program, and types of tobacco cessation programs) wereassociated with TPR (SSL-B) among Airmen …
Obstetric Fistula: The Experiences Of Patients And Medical Personnel In Sierra Leone,
2017
Walden University
Obstetric Fistula: The Experiences Of Patients And Medical Personnel In Sierra Leone, Sheku Samba
Walden Dissertations and Doctoral Studies
Women face great risks in pregnancy and childbirth, especially in developing countries where there are very few skilled birth attendants and negligible government investments in maternal health programs. As a result, obstetric fistula (OF), a potentially fatal but preventable and treatable condition, affects some 3 million women and girls globally. In Sierra Leone, the prevalence of OF is extremely high, but the absence of quality data to inform decision-making, both on prevalence and risk factors, is a barrier to creating an environment for OF prevention and care. The purpose of this phenomenological study was to explore and document the barriers …
Night Shift Work And Weight Gain Among Female Filipino Nurses,
2017
Walden University
Night Shift Work And Weight Gain Among Female Filipino Nurses, Raymundo Mintac Apellido
Walden Dissertations and Doctoral Studies
The research problem is the increasing numbers of overweight and obese nurses working the night shift. Study on overweight and obesity among female Filipino nurses has not been conducted. It was important to conduct a research study among female Filipino nurses to find out if there are statistically significant associations between night shift work and weight gain. The purpose of this correlational and cross-sectional study was to determine if there are statistically significant associations between insufficient sleep, abnormal eating patterns, working 12-hour shifts, years of working night shift, age, stress, marital status, nursing units, decreased physical activity, and level of …
Dietary Acculturation And Obesity In African Immigrant Adults,
2017
Walden University
Dietary Acculturation And Obesity In African Immigrant Adults, Stella Chinyere Onuoha-Obilor
Walden Dissertations and Doctoral Studies
Racial/ethnic groups are disproportionately affected by obesity and other risk factors for chronic diseases. African immigrants are an increasing segment of the U.S. population at greater risk for obesity than other immigrants living in the United States. Public health organizations that aid immigrants could benefit from information about changing dietary patterns. The purpose of this study was to explore the association between dietary acculturation and obesity among African immigrant adults living in the United States, controlling for length of stay, English proficiency, region of residence, and other sociodemographic factors. Acculturation theory guided this study. The research design was quantitative cross-sectional …
Decreasing Primary-Care-Related Emergency Department Visits In The Hispanic Population Using Patient Navigators,
2017
Walden University
Decreasing Primary-Care-Related Emergency Department Visits In The Hispanic Population Using Patient Navigators, Arthur Dominguez Jr.
Walden Dissertations and Doctoral Studies
Primary-care-related emergency department (PCR-ED) visits by Hispanic patients enrolled in a not-for-profit Medi-Cal and Medicare health plan resulted in longer wait times in the emergency department (ED) at a regional medical center in Southern California. This congestion decreased access for those with true emergencies, created capacity issues, increased ED length of stay, and resulted in potential safety risks. This project focused on decreasing PCR-ED visits in the Hispanic population using patient navigators in Southern California. Applying the health belief model and Lippitt's theory of change, this doctoral project involved the creation and implementation of a culturally appropriate, population-specific patient navigator …
Postpartum Mothers' Attitudes Toward Breastfeeding,
2017
Walden University
Postpartum Mothers' Attitudes Toward Breastfeeding, Jackie Denise Jones
Walden Dissertations and Doctoral Studies
Breast milk is the optimal source of nourishment for babies, providing positive nutritional and psychosocial benefits for infants' growth and development. Rates for initiation of breastfeeding and exclusive breastfeeding at 6 months in the United States are well below the target rates for the Healthy People 2020 Maternal, Infant, and Children's Health objectives. Using Ajzen's theory of planned behavior, the purpose of this project was to ascertain how knowledge and attitudes influenced a mother's intent to breastfeed during her hospital stay and the likelihood of exclusive breastfeeding continuing after discharge. A convenience sample of 68 postpartum mothers was recruited from …
Hpv Vaccination, Sociodemographic Variables, And Physician Recommendation In Select U.S. Areas,
2017
Walden University
Hpv Vaccination, Sociodemographic Variables, And Physician Recommendation In Select U.S. Areas, Rebecca Marie Jungbauer
Walden Dissertations and Doctoral Studies
Human papillomavirus (HPV) is the most common sexually transmitted virus, and is causally related to several cancers. HPV vaccination rates are far below HealthyPeople 2020 targets and vary across geographic, socioeconomic, and demographic populations. The purpose of this research was to test the relationships among socioeconomic and demographic variables, HPV vaccination, social vulnerability, and physician recommendation within select local areas in the United States. Fundamental cause theory and behavioral economics informed this quantitative secondary analysis of National Immunization Survey-Teen and Social Vulnerability Index data (n = 43,271). Statistical analyses included chi-square and binomial logistic regression. Teens whose mothers had less …
Hygiene Beliefs, Attitudes, And Practices Of Suya Producers In Nigeria,
2017
Walden University
Hygiene Beliefs, Attitudes, And Practices Of Suya Producers In Nigeria, Vivian Iwar
Walden Dissertations and Doctoral Studies
The street food sector continues to grow in Nigeria in a largely unregulated environment. The lack of regulation poses a significant public health risk for consuming unsafe street foods such as suya. Quantitative research has revealed high levels of microbiological contamination of suya, despite qualitative findings that suggest that food handlers are knowledgeable about safe food handling practices. This discrepancy reveals a gap in understanding about what influences safe food handling practices besides knowledge. This qualitative study was therefore designed to gain a deeper understanding of the beliefs and attitudes that influence hygienic practices among suya producers. Guided by the …
The Meaning Of Feeling Fearful For New Community/Public Health Nurses,
2017
Walden University
The Meaning Of Feeling Fearful For New Community/Public Health Nurses, Demetrius Ann Jones
Walden Dissertations and Doctoral Studies
This study examined the meaning of feeling fearful for nurses entering community/public health (C/PH) nursing. Nurses are entering the C/PH workforce with less experience and education than ever before, and may feel afraid or fearful in their jobs. Additionally, the autonomous nature of C/PH nursing poses significant challenges for this population such as fear of isolation and/ or abandonment. Therefore, the purpose of this qualitative descriptive study was to explicate the meaning of feeling fearful for new C/PH health nurses. Ten nurses with up to 2 years of C/PH experience volunteered for this study. The research questions were guided by …
Translation And Validation Of The Spanish Version Of The Rapid Estimate Of Adult Literacy In Dentistry-30,
2017
Walden University
Translation And Validation Of The Spanish Version Of The Rapid Estimate Of Adult Literacy In Dentistry-30, Wilma Luquis
Walden Dissertations and Doctoral Studies
Low or marginal health literacy affect nearly 90 million citizens in the United States, compromising health outcomes, including oral health. Oral health literacy has been studied in diverse populations, yet the assessments used were developed and validated for English-speaking populations. A validated Spanish-language oral health literacy assessment was needed to help researchers and practitioners evaluate oral health literacy in the Hispanic population. Using the oral health literacy framework, the purpose of this study was to translate, culturally adapt, and validate a Spanish version of a previously validated English-language oral health literacy. A translation-back-translation process was applied to the English version …
Temporary Restaurant Closures And Food Handling Violations: Inspection Reports In British Columbia,
2017
Walden University
Temporary Restaurant Closures And Food Handling Violations: Inspection Reports In British Columbia, Pam Mandarino
Walden Dissertations and Doctoral Studies
Unsafe food handling practices are implicated in many restaurant-associated foodborne disease outbreaks. Factors that contribute to unsafe food handling in restaurants include inadequate food safety knowledge, employees who perceive that safe food handling is not under their control, and restaurant cultures that do not prioritize food safety. The purpose of this study was to determine whether temporary restaurant closures were associated with reduced food handling violations after closure in restaurants from the Vancouver Coastal Health Authority and the Fraser Health Authority, in British Columbia, Canada. The theoretical foundations used were the health action process approach and the theory of planned …
School Nurses' Role In The Management Of Children With Type 2 Diabetes,
2017
Walden University
School Nurses' Role In The Management Of Children With Type 2 Diabetes, Rosaline Jane Martinez-Culpepper
Walden Dissertations and Doctoral Studies
An estimated 215,000 children and adolescents younger than 20 years old were diagnosed with Type 1 or Type 2 diabetes in 2011. Management of children with Type 2 diabetes requires 24-hour care provided by health care providers, parents, and school nurses. Guided by the health belief model (HBM), the purpose of this qualitative case study was to explore and describe beliefs, attitudes, and practices of school nurses who manage children with Type 2 diabetes. A pilot study with 2 nurses was conducted to finalize interview guide. Volunteer school nurses were recruited through an e-mail announcement from their school district. Face-to-face, …
Gender Differences In Health Service Utilization Among Veterans With Acute Kidney Injury,
2017
Walden University
Gender Differences In Health Service Utilization Among Veterans With Acute Kidney Injury, Freneka Fronsha Minter
Walden Dissertations and Doctoral Studies
The U.S. Department of Veterans Affairs (VA) studies on acute kidney injury (AKI) have focused on defined procedures and outcomes but not on gender differences. The purpose of this study was to investigate differences in health services utilization by gender and other predisposing factors (age and race) among hospitalized veterans with AKI during a 5-year period from 2008 to 2013. The study included a retrospective cohort design and the behavioral model of health services utilization as the underlying theoretical framework. Secondary data were collected from an existing VA cohort. Data from 1,636 hospitalized AKI veterans were subjected to t tests …
Infant Mortality Among African American Women Compared To European American Women In New York City,
2017
Walden University
Infant Mortality Among African American Women Compared To European American Women In New York City, Marian Taylor
Walden Dissertations and Doctoral Studies
The birth of low weight babies in the United States has not had a meaningful decline for the last 10 years.It continues to be a major predictor of fetal-infant mortality. In addition, the rate of low birth weight infants among African American women continues to be twice that of European American women. Low birth weight babies may experience breathing problems, vision problems, diabetes, hypertension, and cerebral palsy. The purpose of this study was to examine why the high infant mortality rate persist among the African American communities of Southeast Queens, New York City as compared to European American communities in …
African American Pastors' Perspectives On Health Promotion Ministries,
2017
Walden University
African American Pastors' Perspectives On Health Promotion Ministries, Brenda Ivy Watson
Walden Dissertations and Doctoral Studies
The centrality of the church in African American communities makes it a culturally compelling sponsor for health promotion activities targeting health disparities among the medically underserved. Pastoral support is critical in determining whether a church initiates or supports a health promotion agenda, but there is little understanding of the variables that influence this decision. The aim of the qualitative study was to investigate the perceptions of African American pastors regarding the decision to incorporate health promotion programs in their churches. This study was guided by the health belief model using a phenomenological approach. Data were collected using both semi-structured and …
