A5083377903- Agriculture and Farm Safety
- Healthcare Policy and Management
- Geriatric Care and Nursing Homes
- Occupational Health and Safety Research
- Traffic and Road Safety
- Emergency and Acute Care Studies
- Food Security and Health in Diverse Populations
- Interprofessional Education and Collaboration
- Healthcare Systems and Technology
- Veterinary Practice and Education Studies
- Cardiac Health and Mental Health
- Chemotherapy-induced cardiotoxicity and mitigation
- Cardiovascular Syncope and Autonomic Disorders
- Vector-Borne Animal Diseases
- Indoor Air Quality and Microbial Exposure
- Musculoskeletal pain and rehabilitation
- Injury Epidemiology and Prevention
- Automotive and Human Injury Biomechanics
- Palliative Care and End-of-Life Issues
- Primary Care and Health Outcomes
- Patient Satisfaction in Healthcare
- Healthcare cost, quality, practices
- Workplace Health and Well-being
- Healthcare Quality and Management
- Racial and Ethnic Identity Research
University of Kentucky
2015-2024
University of Alabama at Birmingham
2023
Washington University in St. Louis
2023
Western Kentucky University
2021-2022
As health systems shift toward value-based care, strategies to reduce readmissions and improve patient outcomes become increasingly important. Despite extensive research, the combinations of transitional care (TC) associated with best patient-centered remain uncertain. Using an observational, prospective cohort study design, Project ACHIEVE sought determine association different TC patient-reported postdischarge utilization outcomes. purposive sampling, research team recruited a diverse...
Animal production is a dangerous industry and increasingly reliant on Latino workforce. Within animal production, little known about the risks or occupational hazards of working farms involved in various aspects thoroughbred horse breeding. Extant research suggests that workers are at risk musculoskeletal respiratory symptoms, kicks, other injuries. However, limited has examined experiences industry's workers, including immigrant despite their prominence increased vulnerability. Using data...
The American agricultural industry is heavily reliant on Latina/o workers, yet there scant understanding regarding the mental health of this population. This gap in literature glaring as farmworkers are a highly vulnerable group who experience high rates occupational risks and hazards. study first, to our knowledge, examine individual, social work-related correlates depression among horse workers.A community survey (N = 225) administered by lay workers was implemented with were employed...
This study investigated the prevalence of self-reported musculoskeletal discomfort (MSD) and work-related factors associated with elevated MSD among Latino thoroughbred farm workers. Participants (N = 225) were recruited using a community-based purposive sampling approach to participate in in-person interviews. Of these workers, 85% experienced MSD. was divided into tertiles; upper tertile defined as elevated. Multivariable Poisson regression revealed associations between any longer tenure...
Abstract Introduction Cardio‐oncology focuses on diagnosing and preventing adverse cardiovascular outcomes in cancer patients. Interdisciplinary cardio‐oncology services address the spectrum of prevention, detection, monitoring, treatment patients at risk cardio‐toxicity aim to improve continuum cardiac care for oncology The goal this study was engage clinician administrative stakeholders assess multilevel needs, barriers, expectations regarding cardio services. Methods We interviewed...
Background Latino workers are likely exposed to a variety of respiratory hazards in the horse barn, yet potential impact these exposures on health has not been investigated. Methods Using community‐based sample 225 farmworkers we investigated prevalence upper and lower symptoms occupational characteristics associated with them. Multivariable logistic regression was used identify factors symptomology. Results Upper ranged from 24% 45%. Half reported symptoms. Workers were more be female have...
ABSTRACT Agriculture is a dangerous industry often reliant on Latino workers, vulnerable population. Using work organization framework, this cross-sectional study analyzes the relationship between variables and occupational health of crop (n = 49) horse breeding 54) workers in Kentucky. Increased levels abusive supervision were associated with injury (odds ratio [OR] 2.97; 95% confidence interval [CI]: 1.0–8.77) increased awkward postures illness (OR 3.85; CI: 1.06–13.98). Although not...
Background Although farm management may understand agriculture's risks, they not provide personal protective equipment (PPE). This study describes thoroughbred management's risk perceptions, provision of PPE, and factors that influence its provision. Methods Thirty‐five representatives from 26 farms participated in a 1–4hr semi‐structured interview covering perceived risks associated with horse work perspectives PPE. Interviews were audio‐recorded, transcribed, entered into ATLAS.ti,...
Abstract Background Interdisciplinary rounds (IDR) are increasingly employed by hospitals; however, there is no formal definition, structure, or framework. Objective The purpose of this observational study was to document the heterogeneity IDRs and assess different characteristics associated with IDR functions. Designs, Settings, Participants Observation occurred at 27 hospitals that were purposively selected ensure a mix following criteria: geographic region, provider type, for‐profit...
Background Latino thoroughbred workers may be at risk for developing abnormal pulmonary function related to occupational exposures. Methods Eighty worker participants were recruited via community-based purposive sampling. Questionnaires and spirometry tests administered by trained lay health promoters. Demographic factors assessed associations with respiratory outcomes multivariable logistic regression. Results Twenty-seven percent of exhibited (primarily restrictive), 79% reported any...
After activation of the Hospital Readmission Reduction Program (HRRP) in 2012, hospitals nationwide experimented broadly with implementation Transitional Care (TC) strategies to reduce hospital readmissions. Although numerous evidence-based TC models exist, they are often adapted local contexts, rendering large-scale evaluation difficult. Little systematic evidence exists about prevailing patterns among hospitals, nor which combinations most effective at improving patient outcomes. We aimed...
Background There is a dearth of research on successful interventions to improve nurse-physician communication (NPC). An important step identifying what matters bedside nurses and their perceptions effective NPC communications actions. Methods We conducted three focus groups with total 19 medical unit across two hospitals in one academic center the United States. Using convenience sampling strategy, five eight voluntarily participated each group. The recording was transcribed verbatim...
The purpose of this study was to identify barriers and design interventions promote adherence 2017 Guideline for Syncope Evaluation Management.Focus groups interviews were conducted understand preferences, needs from patients providers. Educational materials developed following a co-design, iterative process with patients, providers hospital staff. academic medical center's (AMC) Patient Education Department & Family Advisory Council reviewed ensure health literacy. We piloted usability...
Abstract Background Thoroughbred horse farm workers self‐report a high frequency of work‐related injuries and pain. However, an analysis workers’ compensation injury claims is absent from the literature, yet may benefit worker safety. Methods We analyzed insurance firm data containing 2276 filed between 2008 2015. Injury frequency, cost, lost time per cause, nature, body part injured were examined qualitatively via univariate tests. Factors associated with cost duration modeled multivariable...
Aggressive driving and driver distraction have widely been reported as the two main causes of traffic crashes. According to police crash database for years 2015–2019 in Kentucky, crashes affected by aggressive violations activities accounted nearly 20% 36% total involving commercial motor vehicles (CMVs), respectively, while they were responsible 31% 41% severe crashes, respectively. This study aims at comparing injury severity outcomes (severe versus non-severe) concerning...
Purpose: Syncope is a complex symptom requiring thoughtful evaluation. The ACC/AHA/HRS published syncope management guidelines in 2017. Effective guideline implementation hinges on overcoming multilevel barriers, including providers' perceptions that patients prefer aggressive diagnostic testing when presenting to the emergency department (ED) with syncope, which conflicts 2017 Guideline Syncope. To better understand this perceived barrier, we explored patient and family caregiver...
There is little reported on the work environment of thoroughbred breeding operations. As a first step toward minimizing risk in this hazardous industry, study documents farm and workforce characteristics, employment conditions, organisational job factors farms one southeastern state U.S. Data were collected via phone-administered survey with convenience sample management representatives (owner, manager, or human resource personnel) from 32 farms. Farms chiefly employed full-time, non-native,...