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Differences In Breast Cancer Tumor Size, Stage, And Survival By Socioeconomic Position In Young Women, Julie Maureen Tomaska
Differences In Breast Cancer Tumor Size, Stage, And Survival By Socioeconomic Position In Young Women, Julie Maureen Tomaska
Walden Dissertations and Doctoral Studies
Although the incidence of breast cancer in women under 40 years of age is somewhat rare, young women tend to present with cancer that is more advanced and with poorer prognostic characteristics. This research will be important to providers, women and their families and those seeking to clarify screening guidelines. The purpose of this quantitative, retrospective, cohort study was to evaluate differences in prognostic characteristics by socioeconomic position (SIP). The cohort was comprised of females aged 18 to 39 with a primary diagnosis of breast cancer. Data were obtained from the Surveillance, Epidemiology and End Results registry for all primary …
Association Between Vegan, Vegetarian, And Omnivorous Diets And Overweight And Obesity, Daniel Sullivan
Association Between Vegan, Vegetarian, And Omnivorous Diets And Overweight And Obesity, Daniel Sullivan
Walden Dissertations and Doctoral Studies
Overweight and obesity and associated health risks have become epidemic in several regions around the world. Numerous studies have addressed the dietary habits of vegetarians and vegans in terms of disease prevention and nutritional deficiencies but the relationship between overweight and obesity and the demographic, psychosocial, lifestyle, and dietary intake of omnivores, vegetarians, and vegans has received less attention. Guided by the social-ecological model, this study included a cross-sectional, quantitative, anonymous web-based survey to obtain dietary information on omnivores, vegetarians, and vegans. Vegans demonstrated a significantly lower mean and median body mass index ( p=0.00) than omnivores, semi-vegetarians, and vegetarians. …
The Association Of Mentorships And Leadership Practices With Nursing Faculty Retention, Lisa M. Rettenmeier
The Association Of Mentorships And Leadership Practices With Nursing Faculty Retention, Lisa M. Rettenmeier
Walden Dissertations and Doctoral Studies
The lack of mentored relationships among nursing educators has the potential to negatively influence perceptions of leadership practices and could decrease the numbers of nursing faculty staying in academia. The purpose of this study was to investigate the perceptions of mentorships and leadership practices of nursing faculty teaching in academia. Watson's caring theory was the theoretical foundation to explain the congruence between mentored relationships, leadership practices, and the association with faculty retention. The first research question focused on differences between mentoring experience, assistance, and characteristics by mentor training type. Question two assessed the relationship between leadership practices by mentor training …
Union And Nonunion Employment: An Investigative Study Of Factors In The Employment Setting That May Influence The Development Of Burnout, Rachel Elizabeth Costello
Union And Nonunion Employment: An Investigative Study Of Factors In The Employment Setting That May Influence The Development Of Burnout, Rachel Elizabeth Costello
Walden Dissertations and Doctoral Studies
The primary goal of this two-phased, sequential mixed-methods study was to discover whether union affiliation is associated with a lower occurrence of burnout in factory workers by comparing union and nonunion workers. The objective was to determine levels of burnout in union and nonunion employees as well their perception of social support in the workplace. The theoretical synthesis consisted of conservation of resources theory and the theory of reasoned action. The Oldenburg Burnout Inventory (OLBI) and the Quality of Worklife Questionnaire were used to identify the characteristics of the workplace (job demands and job resources) and the level of burnout. …
Evaluation Of Capacity For Best Practice Of Clinical Vaccine Research In Western Kenya, Sylvie Anne Kwedi
Evaluation Of Capacity For Best Practice Of Clinical Vaccine Research In Western Kenya, Sylvie Anne Kwedi
Walden Dissertations and Doctoral Studies
African institutions that perform health research need to continuously evaluate their practices in order to ensure compliance with international standards of good clinical practice (GCP). This mixed-methods study, undertaken at one clinical research site in Western Kenya, was an evaluation of GCP compliance at the site, research participants' satisfaction with research procedures, and research participants' comprehension of informed consent. The qualitative portion of the study involved audit of the site's compliance with GCP standards. The quantitative portion was an assessment of participant satisfaction and informed consent comprehension, undertaken through interviews with a sample of 297 participants. Thematic analysis of the …
Analysis Of Risk Factors Associated With Asymptomatic Colonization Of Methicillin Resistant Staphylococcus Aureus (Mrsa) Among Community College Students, Marilynn Kish-Molina
Analysis Of Risk Factors Associated With Asymptomatic Colonization Of Methicillin Resistant Staphylococcus Aureus (Mrsa) Among Community College Students, Marilynn Kish-Molina
Walden Dissertations and Doctoral Studies
The bacterium Staphylococcus aureus has been an important human ailment for centuries, and with the overuse of antibiotics, methicillin resistant Staphylococcus aureus (MRSA) has emerged as a deadly, costly pathogen worldwide. Healthy carriers can become sick or can spread MRSA without symptoms. The amount of asymptomatic colonization among healthy college students and risk factors for colonization by MRSA are not well understood. According to the epidemiologic triangle model, the host (students who take antibiotics or have a history of skin infections), the infectious agent (MRSA) and the environment (direct contact with people, animals, or objects that may harbor MRSA) all …
Perceptions Of Recent Male Nursing Graduates Regarding Gender Bias And Gender-Based Educational Barriers, Nancy Spahr
Perceptions Of Recent Male Nursing Graduates Regarding Gender Bias And Gender-Based Educational Barriers, Nancy Spahr
Walden Dissertations and Doctoral Studies
Despite decades of important contributions by male nurses, nursing is still viewed as a feminine profession. Moreover, male nursing students continue to experience gender bias and gender-based educational barriers within schools of nursing. This has led to failure and drop-out rates much higher than those experienced by their female counterparts. The purposes of this quantitative survey study were to (a) explore the relationship between perceived gender bias, gender-based educational barriers within nursing education, and resiliency in recent male nursing graduates; and (b) to identify those gender-based barriers that were considered to be most prevalent and most important. A view of …
Socioeconomic Factors Affecting Infant Sleep-Related Deaths, Catherine M. Hogan
Socioeconomic Factors Affecting Infant Sleep-Related Deaths, Catherine M. Hogan
Walden Dissertations and Doctoral Studies
Racial disparity is present in deaths attributed to sudden infant death syndrome (SIDS) and unintentional suffocation. The Back to Sleep Campaign that began in 1994 caused an overall decrease in SIDS rates, but the racial disparity has continued to increase. Researchers have analyzed and described various socio-demographic characteristics of SIDS and infant deaths by unintentional suffocation in urban areas yet have not simultaneously controlled for multiple risk factors that may contribute to racial disparity such as race, poverty, maternal education, and number of children born to each mother (parity). The purpose of this study was to determine if there is …
Resilience As A Protective Factor Against Compassion Fatigue In Trauma Therapists, Daniel P. David
Resilience As A Protective Factor Against Compassion Fatigue In Trauma Therapists, Daniel P. David
Walden Dissertations and Doctoral Studies
Many adults in the United States experience posttraumatic stress disorder (PTSD) within their lifetimes. Researchers have identified compassion fatigue (CF), which debilitates mental health providers as a result of being exposed to their clients' traumatic experiences, as an occupational hazard. The purpose of this study was to examine whether a correlation exists between the presence of CF and the level of resilience. A confidential survey using the Connors-Davidson Resilience Scale, the Professional Quality of Life Scale Version 5, and a demographic questionnaire were given to graduate-level mental health clinicians who self-identified as routinely working with and/or treating trauma victims in …
Association Between Fast Food Consumption And Obesity And High Blood Pressure Among Office Workers, Kifle Mihrete
Association Between Fast Food Consumption And Obesity And High Blood Pressure Among Office Workers, Kifle Mihrete
Walden Dissertations and Doctoral Studies
Fast food consumption among office workers is a common phenomenon. Frequent consumption of fast food is linked to cardiovascular risk factors. The pervasiveness of these risk factors has debilitated the office workers' health and contributed to low performance and absenteeism. However, there remains a significant gap in the current literature regarding the health impacts of frequent fast food consumption behavior of office workers. Consuming large portions of fast food has been associated with obesity. The purpose of this correlation study was to investigate the relationship between fast food consumption and obesity and hypertension among office workers. The theoretical foundations for …
A Sibling Case-Control Study Of Maternal Prenatal Body Mass Index As A Risk Factor For Autism Spectrum Disorder, Ruth Ann Hendrix
A Sibling Case-Control Study Of Maternal Prenatal Body Mass Index As A Risk Factor For Autism Spectrum Disorder, Ruth Ann Hendrix
Walden Dissertations and Doctoral Studies
The prevalence of autism spectrum disorder (ASD) is estimated to be one in every 150 births. While both genetic and postpartum environmental exposure have been linked to ASD, prenatal maternal weight has not been investigated. The objective of the study is to assess whether overweight or obesity at pregnancy is an important risk factor for the diagnosis of ASD in offspring. A case-control study was designed to answer this question using the public health ecosocial theory. The study population consisted of 70 mothers, who were recruited via the Internet using the viral expansion loop. Multiple logistic regression analysis was used …
The Role Of Leadership In Safety Performance And Results, Halina E. Caravello
The Role Of Leadership In Safety Performance And Results, Halina E. Caravello
Walden Dissertations and Doctoral Studies
Employee injury rates in U.S. land-based operations in the energy industry are 2 to 3 times higher relative to other regions in the world. Although a rich literature exists on drivers of safety performance, no previous studies investigated factors influencing this elevated rate. Leadership has been identified as a key contributor to safety outcomes and this grounded theory study drew upon the full range leadership model, situational leadership, and leader-member exchange theories for the conceptual framework. Leadership aspects influencing safety performance were investigated through guided interviews of 27 study participants; data analyses included open and axial coding, and constant comparisons …
Responses Of Successful Latina Students To Academic Challenges Of Prerequisite Nursing Courses, Julie Wiggins Nadeau
Responses Of Successful Latina Students To Academic Challenges Of Prerequisite Nursing Courses, Julie Wiggins Nadeau
Walden Dissertations and Doctoral Studies
Nursing schools struggle to prepare enough nurses to meet the health care needs of a diverse and aging population in the United States. Many students do not complete their degrees, contributing to the problem. The purpose of this qualitative study was to explore and describe how successful Latina students experience and respond to the academic challenges of prerequisite nursing courses. The nursing shortage; healthcare needs of Hispanic patients; student outcomes; self-efficacy, achievement goal orientation, and academic help-seeking; and Hispanic cultural values framed the study. Using semistructured private interviews, the researcher explored the lived experiences of 6 successful Latina students when …
Factors Contributing To The Increase In Hiv/Aids And Late Diagnoses Of The Virus Among Older Adults, Lorraine C. Barnett
Factors Contributing To The Increase In Hiv/Aids And Late Diagnoses Of The Virus Among Older Adults, Lorraine C. Barnett
Walden Dissertations and Doctoral Studies
The Centers for Disease Control and Prevention predicted that the incidence of HIV/AIDS among the American population aged 50 years and over would account for 50% of all HIV/AIDS cases in the United States by 2015. Yet there is little research available about the reason for the high prevalence or the availability of interventions available for this population. The purpose of this study was to explore factors related to HIV/AIDS awareness in a group of older recipients of health care and their health care providers. This study was intended to help fill the information gaps in this area by using …
Experiences And Perceptions Of Pregnant Unmarried Adolescent Girls In Nigeria, Priscilla N. Asonye
Experiences And Perceptions Of Pregnant Unmarried Adolescent Girls In Nigeria, Priscilla N. Asonye
Walden Dissertations and Doctoral Studies
Sexual activity among unmarried adolescents is a major public health problem in Nigeria, because unmarried pregnant girls are more likely to have multiple sex partners and are less likely to use contraceptives, putting them at greater risk for sexually transmitted diseases (STD), unplanned pregnancy, abortion, social isolation, and poverty. Teen pregnancy and STD rates are on the rise in Nigeria, yet few data exist on the experience of the adolescents themselves. This phenomenological study was designed to explore the in-depth experiences of 10 pregnant, unmarried adolescent girls aged 16-19, including the factors contributing to their sexual activity. An ecological model …
The Effectiveness Of Exercise And Nutritional Counseling On Decreasing Body Composition And Increasing Fitness Levels In Firefighters, Michelle R. Mcnear
The Effectiveness Of Exercise And Nutritional Counseling On Decreasing Body Composition And Increasing Fitness Levels In Firefighters, Michelle R. Mcnear
Walden Dissertations and Doctoral Studies
Cardiovascular disease is the leading cause of death in the United States; firefighters are at a greater risk for both the disease and death. Their exposure to stress, toxic fumes and smoke, unhealthy eating habits, excessive weight, and low levels of physical activity are all contributing risk factors to this disease. The purpose of this quantitative study was to determine the effectiveness of a multi-faceted program of exercise and nutritional counseling to decrease body fat composition and increase fitness levels nine months after initial implementation among a sample of 202 firefighters. Social learning theory was the theoretical foundation for the …
The Experience Of Menopause As Reported By Sedentary Women, April Elizabeth Ann Rietdyk
The Experience Of Menopause As Reported By Sedentary Women, April Elizabeth Ann Rietdyk
Walden Dissertations and Doctoral Studies
Limited research exists on the experiences of sedentary women as they transition through menopause. This gap creates difficulty for public health practitioners as they strive to develop resources, implement programs, or influence policy change at the community level for this group of marginalized women. Keeping women healthy throughout the aging process, including menopause, improves their quality of life and decreases the impact aging has on the health care system. This phenomenological study, through in-depth interviews, provided the opportunity for sedentary women to share their thoughts and experiences of menopause. Thirteen sedentary women between the ages of 40 and 60, experiencing …
Predicting Breast Cancer Screening Among African American Lesbians And Bisexual Women, Cheryl B. Fields
Predicting Breast Cancer Screening Among African American Lesbians And Bisexual Women, Cheryl B. Fields
Walden Dissertations and Doctoral Studies
In 2009, 713,220 new cases of cancer were diagnosed for women in the United States with more than a quarter million deaths. African American women and lesbians exhibit behavioral risk factors as well as diminished access to and utilization of breast cancer screening that reduces opportunities for early detection. This secondary analysis of a national convenience-based study examined screening compliance among 647 African American lesbian and bisexual women. Barriers to accessing screening represented the theoretical framework for this study. Bivariate chi square analysis was used to assess the association between independent variables: sociodemographic characteristics; participation in wellness activities; sexual orientation/gender …
Discrete Trial Instruction: Comparing The Abbreviated Performance Feedback And Lecture Test Models, Tammy J. Dobbs
Discrete Trial Instruction: Comparing The Abbreviated Performance Feedback And Lecture Test Models, Tammy J. Dobbs
Walden Dissertations and Doctoral Studies
Growing media attention and a high diagnosis rate of autism places significant demand on the service industry to provide qualified staff to work with individuals who have autism. Discrete trial instruction (DTI) is one of the most sought-after treatment approaches for those individuals. However, there is a gap in research regarding the efficacy of training methods for those who train direct staff to implement DTI. This quantitative study used an applied behavior analysis basis, deriving from foundations of behavior theory, to compare the abbreviated feedback form (AFF) to the lecture test model (LTM) to understand which will improve direct staff's …