African American (AA) women have high prevalence of Type 2 diabetes mellitus (T2DM) and complications. No studies have been conducted about how social determinants of health and health care delivery affect their T2DM self-management. The purpose was to describe how social determinants of health and healthcare delivery may influence AA women’s T2DM self-management using qualitative descriptive methodology ( N = 10). Ten participants were interviewed. Participants’ geographical location, education, level of income, health literacy, and systemic racism, that is, healthcare delivery services, for example, inadequate healthcare services, providers’ assumptions about the patient’s knowledge of diabetes, providers’ attitudes toward patients, and stigma related to diabetes as a disease were identified. Understanding the role of social determinants of health and the health care delivery system in influencing T2DM self-management is a powerful tool for providers and practitioners for improving practice and health care policies to decrease health disparities and improve health outcomes among AA women with T2DM.
The purpose of this study was to describe the perceptions of African American (AA) women with Type 2 diabetes mellitus (T2DM) about developing diabetes mellitus (DM) complications and explore how their perceived risk influenced DM self-management. Ten ( N = 10) AA women participated in the qualitative description study through semi-structured interviews. Thematic analysis informed by the Health Belief Model and Risk Perception Conceptual Model revealed the perceived probability of DM complications by AA women with T2DM and how they made judgments regarding the seriousness, extent, or severity of complications. Those with high levels of DM knowledge perceived themselves at high risk of developing DM complications and those with low DM knowledge perceived themselves at low risk of DM complications. Risk perceptions and health literacy also influenced DM self-management behaviors.
Despite the vital role of automated queuing system on organizational performance from human resource management literature, researchers have paid little attention on state-owned commercial entities and more specifically in Kenya. Studies have revealed controversial findings on the link between automated queuing system and organizational performance thus the need for further studies to bridge the knowledge gaps. The general objective of this study will be to examine the influence of automated queuing system on performance of selected state-owned commercial entities in Kenya. Three specific objectives will be examined. The first objective will be to determine the extent of adoption of automated queuing systems in the selected State-owned entities in Kenya. The second objective will be to establish the influence of automated queuing systems on performance of selected State-owned entities in Kenya. The third objective will be to assess the challenges experienced by selected State-owned entities in Kenya when implementing automated queuing system policies and the fourth objective will be to ascertain ways of mitigating the challenges of implementing automated queuing system policies in State-owned entities in Kenya. This study will be informed by Queue management theory and technology acceptance theory. Exploratory research design will be utilized in this study. Desktop research analysis will be adopted. Published materials including peer-reviewed journals, conference papers, theses and reports relevant with the topic of the current study will be reviewed. Findings, conclusions and recommendations of this study will be derived from findings of previous empirical studies. Recommendations will be made in accordance with recommended protocols and guidelines of statistical literature. Further research will be recommended in other areas using different methodologies to facilitate collaboration of the results.
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