- HIV/AIDS Research and Interventions
- Global Maternal and Child Health
- Maternal Mental Health During Pregnancy and Postpartum
- Religion, Spirituality, and Psychology
- HIV, Drug Use, Sexual Risk
- Maternal and Perinatal Health Interventions
- Maternal and fetal healthcare
- COVID-19 and Mental Health
- Adolescent Sexual and Reproductive Health
- Cultural Competency in Health Care
- Mindfulness and Compassion Interventions
- Food Security and Health in Diverse Populations
- Interprofessional Education and Collaboration
- Nursing Roles and Practices
- HIV-related health complications and treatments
- Neonatal and fetal brain pathology
- Emergency and Acute Care Studies
- Clinical practice guidelines implementation
- Global Health Workforce Issues
- Family Caregiving in Mental Illness
- Human Rights and Development
- Nursing Education, Practice, and Leadership
- Pelvic floor disorders treatments
- LGBTQ Health, Identity, and Policy
- Sepsis Diagnosis and Treatment
Texas Children's Hospital
2014-2023
Baylor College of Medicine
2016-2020
Community Link
2020
Boston Children's Hospital
2014-2015
MGH Institute of Health Professions
2009-2015
Brigham and Women's Hospital
2009-2015
Partners In Health
2015
Harvard University Press
2010-2014
University of Ottawa
2014
Barry Callebaut (Belgium)
2012
This study aimed to assess the rates of detection, treatment, and referral maternal depression anxiety by obstetrical providers during pregnancy at 6 weeks postpartum.A convenience sample women receiving care a large urban teaching hospital (n = 491) was screened for third trimester again postpartum using Edinburgh Postnatal Depression Scale portions Patient Health Questionnaire. Participants were also asked if they thought needed help depression, anxiety, or stress two time points....
To compare outcomes between planned and urgent cesarean hysterectomy for morbidly adherent placenta managed by a multidisciplinary team.This is retrospective case-control study of women with singleton pregnancies antenatally suspected pathologically confirmed who underwent January 1, 2011, February 30, 2017. Timing delivery was classified as either (delivery at 34-35 weeks gestation) or (need result uterine contractions, bleeding, both). The primary outcome variable composite maternal...
The aims of this study were to examine differences in self-schemas between persons living with HIV/AIDS and without depressive symptoms, the degree which these predict symptoms population. Self-schemas are beliefs about oneself include self-esteem, HIV symptom management self-efficacy, self-compassion. Beck's cognitive theory depression guided analysis data from a sample 1766 PLHIV USA Puerto Rico. Sixty-five percent reported symptoms. These significantly (p ≤ 0.05), negatively correlated...
Coronavirus disease 2019 (COVID-19) has been declared a public health emergency for the entire United States. Providing access to prenatal care while limiting exposure of both obstetric professionals and patients COVID-19 is challenging. Although reductions in frequency visits implementation telehealth interventions provide some options, there still remains need patient–health professional visits. A drive-through model was developed which pregnant women would remain their automobiles being...
The objective of this study was to evaluate the impact quality improvement (QI) and patient safety initiatives data disaggregation on racial disparities in severe maternal morbidity from hemorrhage (SMM-H).Our hospital began monitoring reporting SMM-overall SMM-H rates 2018 using administrative data. In March 2019, we stratifying by race ethnicity noted a disparity rates, with non-Hispanic Black women having highest SMM rates. presented as run charts at monthly department meetings. During...
Human immunodeficiency virus (HIV) treatment self-efficacy is the confidence held by an individual in her or his ability to follow recommendations, including specific HIV care such as initiating and adhering antiretroviral therapy (ART). The purpose of this study was explore potential mediating role adherence relationships between Social Cognitive Theory constructs self- reported ART adherence.Cross-sectional descriptive. conducted 2009 2011 included 1,414 participants who lived United...
Social capital refers to the resources linked having a strong social network. This concept plays into health outcomes among People Living with HIV/AIDS because, globally, this is highly marginalized population. Case studies show that modifying can lead improvements in HIV transmission and management; however, there remains lack of description or definition international settings. The purpose our paper was describe degree an sample adults living HIV/AIDS. We recruited PLWH at 16 sites from...
Medication adherence is the "Plus" in global challenge to have 90% of HIV-infected individuals tested, those who are HIV positive treated, and treated achieve an undetectable viral load. The latter indicates suppression, goal for clinicians treating people living with (PLWH). comparative importance different psychosocial scales predicting level antiretroviral adherence, however, has been little studied. Using data from a cross-sectional study medication international convenience sample 1811...
Natural and man-made disasters have increased dramatically over time, requiring healthcare systems to develop sustain emergency preparedness plans. Nurse leaders frontline clinical nurses are often the first long-term responders during these traumatic events. Emergency requires exceed expectations beyond daily level of performance in caring for patients presence obstacles. A disaster creates additional burdens on psychosocially due work home demands. Despite this adversity, able under harsh...
This study addresses social responsibility in the discipline of nursing and implications for global health. The concept is explicated its relevance examined, grounded American Nurses Association Code Ethics International Council Ethics. Social justice, human rights, nurse migration, approaches to education are discussed within framework nursing’s responsibility. Strategies addressing workforce issues a explored.
Human rights approaches to manage HIV and efforts decriminalize exposure/transmission globally offer hope persons living with (PLWH). However, among vulnerable populations of PLWH, substantial human structural challenges (disadvantage injustice that results from everyday practices a well-intentioned liberal society) must be addressed. These span all ecosocial context levels in North America (Canada the United States) can include prosecution for nondisclosure exposure/transmission. Our aims...
Abstract Unhealthy substance‐use behaviors, including a heavy alcohol intake, illicit drug use, and cigarette smoking, are engaged in by many HIV‐positive individuals, often as way to manage their disease‐related symptoms. This study, based on data from larger randomized controlled trial of an HIV/AIDS symptom management manual, examines the prevalence characteristics unhealthy behaviors relation The mean age sample ( n = 775) was 42.8 years 38.5% female. number living with HIV 9.1 years....
Aim This study represents an initial effort at examining the association between construct of self‐compassion and human immunodeficiency virus ( HIV )‐related anxiety in a multinational population with disease. Background Previous studies have found that is powerful predictor mental health, demonstrating positive consistent linkages various measures affect, psychopathology well‐being, including anxiety. Methods Cross‐sectional data from conducted by members I nternational N ursing etwork for...
Abstract The purpose of this study was to investigate the effects stressful life events (SLE) on medication adherence (3 days, 30 days) as mediated by sense coherence (SOC), self-compassion (SCS), and engagement with healthcare provider (eHCP) whether differed international site. Data were obtained from a cross-sectional sample 2082 HIV positive adults between September 2009 January 2011 sites in Canada, China, Namibia, Puerto Rico, Thailand, US. Statistical tests explore antiretroviral...
In adequately resourced clinical environments, diagnosis of hypoxemia via pulse oximetry is routine. Unfortunately, rarely utilized in under-resourced hospitals developing countries. The prevalence undiagnosed among adults and children with illnesses other than pneumonia these environments remains poorly described. This cross-sectional analysis the was conducted Kapiri Mposhi, Zambia, at 60-bed District Hospital, which serves a population 320,000. resting room air oxygen saturations two...
The largest health discrepancy in the world is maternal mortality with most deaths occurring around labor, delivery and postpartum period. presence of skilled birth attendants such as qualified midwives a leading factor averting death disability. This study evaluated use simulation midwifery students Zambia using pre post test quasi experimental design measuring confidence, satisfaction learning, knowledge between who experienced those had traditional instruction. A total 34 participated...
Abstract Sexual risk behavior and illicit drug use among people living with HIV/AIDS (PLWHA) contribute to poor health onward transmission of HIV. The aim this collaborative multi‐site nursing research study was explore the association between self‐compassion behaviors in PLWHA. As part a larger project, nurse researchers Canada, China, Namibia, Puerto Rico, Thailand US enrolled 1211 sexually active PLWHA using convenience sampling. majority sample male, middle‐aged, from US. Illicit...