WU Healthcare and Diabetic Retinopathy in African Americans Summary

Description

Critique each article using the appropriate appraisal form:

Qualitative Review Download Qualitative Review

Quantitative Review Download Quantitative Review

Use the information below to help you know which section of the article to use to answer the questions in the template:

Introduction and its subsections have the purpose or WHY study done.

Methods section and its subsections contains HOW the study was done.

Results, Discussion and Conclusions section have WHAT was found.

Details

In week 2 you selected a topic of interest and formulated a question about that topic for your Evidence-Based Practice Assignment.

In week 4 you searched the literature on your week two topic and submitted three articles for approval towards building your Evidence-Based Practice Assignment.

In week 6 you are completing an appraisal of the two articles, which were the quantitative and qualitative research study reports you were approved for in week 4. The third article you appraise is an evidence-based practice clinical guideline that is related to your week two topic.

Module 6 readings are a continuation from week 5 that includes chapters 13 and 14 on Appraising Research Evidence and Clinical Practice Guidelines. Please refer to these chapters on how to complete an appraisal using templates provided here in instructions. Appendix A to G in your book gives you examples of completing a template appraisal form.

For the first template in week 6 you will choose either a Qualitative or a Quantitative Review (Please do not complete both Quantitative and Qualitative Appraisal). Your second article is a Systematic Review Appraisal, and your 3rd article is an Evidence Based Clinical Practice Guideline.

Make sure you receive approval from faculty in week 4 for the article you use to complete either the Qualitative or Quantitative Review and for the Systematic Review. There are hyperlinks to these templates in week 6 instructions. Do not create your own word document with answers.

Each section of the template is required to be completed as this assignment builds on your Evidence Based Practice Project. Each template has a citation that must be submitted and in APA 7th ed format. Answers to questions in Synopsis sections are required (see template examples mentioned above in your book). Credibility section Yes/No answers are also required. The Comments area is also required and should be at least 1-3 sentences noting how this article relates to your nursing issue topic from week 2 and what you thought was significant.

You will be using these articles again in week 8 Model and Barrier Paper and in your week 9 Evidence Based Practice Project Poster.

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Walden University
ScholarWorks
Walden Dissertations and Doctoral Studies
Walden Dissertations and Doctoral Studies
Collection
2019
Associations Between Healthcare Utilization Factors and Diabetic
Retinopathy Among Adult African Americans
Olusina Adesanya
Walden University
Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations
Part of the Public Health Education and Promotion Commons
This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies
Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an
authorized administrator of ScholarWorks. For more information, please contact ScholarWorks@waldenu.edu.
Walden University
College of Health Sciences
This is to certify that the doctoral study by
Olusina Adesanya
has been found to be complete and satisfactory in all respects,
and that any and all revisions required by
the review committee have been made.
Review Committee
Dr. Shanna Barnett, Committee Chairperson, Public Health Faculty
Dr. Mary Lou Gutierrez, Committee Member, Public Health Faculty
Dr. Jagdish Khubchandani, University Reviewer, Public Health Faculty
The Office of the Provost
Walden University
2019
Abstract
Associations Between Healthcare Utilization Factors and Diabetic Retinopathy Among
Adult African Americans
by
Olusina Adesanya
MPH, Walden University, 2015
MBBS, University of Lagos, 1983
Doctoral Study Submitted in Partial Fulfillment
of the Requirements for the Degree of
Doctor of Public Health
Walden University
November 2019
Abstract
African Americans are disproportionately affected by diabetes mellitus (DM) and
complications that include diabetic retinopathy and its disease and socioeconomic
burdens. This study examined the relationships between diabetic retinopathy and health
care utilization factors, such as gender, DM comorbidities of hypertension and
hyperlipidemia, and health care access, among sampled African Americans with DM in
the United States. The Andersen health care utilization model was the framework for the
study. In this correlational cross-sectional study, data from the 2011-2016 National
Health and Nutrition Examination Survey datasets were analyzed. Results of complex
samples logistic regression showed that there were no significant associations between
diabetic retinopathy and DM comorbidities of hypertension and hyperlipidemia, gender,
and health care access, after controlling for hemoglobin A1C level, urine albumin-tocreatinine ratio (UACR), marital status, education level, and annual household income.
UACR, annual household income, and adult education level were significantly associated
with diabetic retinopathy (p
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