Browsing by Subject "Hispanic"
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Item Lived Experiences of Hispanic Youth during Their Transition to Postsecondary Education(2017-05) Novillo, WalterIn a knowledge-based economy, achievement of a postsecondary credential has become a requirement for individual development and, specifically, fulfillment of career aspirations. In the onset of the Twenty-First Century, Hispanic youth represent the fast growing group in postsecondary educational programs in the United; however, Hispanic youth have the highest non-completion rate in postsecondary programs. This study investigated the lived experiences of 15 Hispanic youth during their transition to postsecondary education and supplements current research on the postsecondary achievement of the Hispanic community. Participants of this study were enrolled in postsecondary programs at public colleges or universities in a large metropolitan area in the Midwest Region of the United States. An Interpretative Phenomenological Analysis (IPA) approach was used to explore in detail how Hispanic youth make sense of their personal and social world to better understand the meaning of their experiences and events that have influenced them during their transition to postsecondary education. An adaptation of Tinto’s Model of Student Departure (1993) provided the theoretical framework. The themes found in this study include the lack of a sense of belonging that Hispanic youth experience at postsecondary educational institutions, racism, and difficulty accessing quality education programs and financial resources. Facilitating positive and effective connections for Hispanic youth with postsecondary faculty and promoting a sense of belonging may help future Hispanic youth access to and succeed in postsecondary programs. The findings of this research could help postsecondary faculty and administrators better connect with Hispanic youth and increase their success at postsecondary education programs. Furthermore, recommendations of further research are presented.Item Medication Experiences of Hispanic People Living with HIV/AIDS(University of Minnesota, College of Pharmacy, 2010) Sánchez, Luz DaliaObjective: The objective of this study was to describe the medication experiences of Hispanic people living with HIV/AIDS. Specific aims were to describe their current medication experiences and to describe how they viewed their medication history in order to determine essential themes for improving culturally-appropriate medication therapy management services. Methods: A qualitative, phenomenological research methodology was employed. Ten adults living with HIV/AIDS were audiotaped during semi-structured, in-depth interviews conducted in Spanish. In addition to audiotaping, field notes were taken. Thematic analysis of text was done to obtain themes consistent with the research objectives. Analysis was accomplished in two phases. The first phase applied Van Manen’s lifeworld existentials of lived body, lived time, lived relation and lived space as the organizing framework for identifying themes. The second phase identified “essential themes” using holistic, selective, and detailed approaches that were applied to the themes identified in the first phase. Results: The results showed that lifeworld existentials were relevant medication experiences for Hispanic patients living with HIV/AIDS and their medication-taking behavior during their lives. Ten themes were identified. From these, we identified an overall “essential theme” comprised of: (1) Duality of Living with HIV/AIDS and (2) Primacy of Medications for Hispanic HIV/AIDS patients. Conclusions: The findings revealed that the medication taking experiences for Hispanic people living with HIV/AIDS can be described in terms of the duality of living with HIV/AIDS as “living dead” patients and in terms of the centrality that medications take in their lives, even to the point of a spiritual level.Item The Role of Ambulatory Care Pharmacists in an HIV Multidisciplinary Team within a Free and Bilingual Clinic(University of Minnesota, College of Pharmacy, 2013) Vanmali, Radha S; Mayer, Sallie D; Fugit, Ann MObjective: Describe the role and integration of ambulatory care pharmacists in a Human Immunodeficiency Virus (HIV) clinic within a free and bilingual clinic with regards to types of interventions made during the patient-pharmacist visit. Design: Retrospective, single-centered, chart review. Setting: Free, bilingual clinic in Richmond, VA. Participants: Thirty-two adult patients with diagnosed HIV receiving care in the clinic between June 30, 2010 and January 26, 2011. Main Outcome Measure: Types of interventions documented during the patient-pharmacist visit, categorized as medication review, patient education, or adherence monitoring. Results: Total of 32 patients accounted for 55 patient-pharmacist visits and 296 interventions. The most common interventions were medication review (66.9%), patient education (23.3%), and adherence monitoring (9.8%). Post-hoc analysis suggests Hispanic patients are more likely to be diagnosed with Acquired Immune Deficiency Syndrome (AIDS) (P = 0.01), have current or history of opportunistic infection (OI) (P=0.01), and have current or history of OI prophylaxis (P = 0.03). Adherence monitoring was less common amongst the non-Hispanics (7.1%) compared to the Hispanic sub-population (16.5%), (P = 0.04). Conclusion: The role of ambulatory care pharmacists in a free and bilingual clinic goes beyond adherence monitoring. Pharmacists can be a valuable part of the patient care team by providing medication review and patient education for HIV and other co-morbidities within free clinics. Further research is warranted to assess outcomes and to further explore the underlying barriers to early HIV diagnosis and adherence within the Hispanic population.