Digital Commons Network^™

Lived Experiences Of Women Receiving Substance Abuse Treatment From Male Counselors, Robert C. Bennett

Walden Dissertations and Doctoral Studies

The cost of the misuse of drugs is significant. The impact is felt across multiple systems across America and is covered mostly by federal, state, and local governments. Women comprise a significant portion of the persons using illicit drugs. Treatment is an effective way of reducing substance misuse. However, research into the efficacy of treatment for women lag that of men. The Substance Abuse and Mental Health Services Administration reported that women receiving substance abuse treatment from a man had shorter stays in treatment and poorer outcomes than those who had a female counselor while in treatment. Phenomenological and relational-cultural …

Colorism And Skin Tone Messages In Father-Daughter Relationships, Ashley Nicole Void

Walden Dissertations and Doctoral Studies

Colorism, or in-group bias based on skin tone, is a persistent phenomenon within the African American community that often shapes family dynamics and results in significant negative psychosocial effects for African Americans. Researchers have examined colorism primarily as it pertains to mothers' transmission of these messages, but little research exists regarding the paternal role. The purpose of this phenomenological study was to explore the messages fathers transmit to their daughters regarding skin tone, while comparing these messages to those transmitted to fathers in their childhood. Twelve African American men, selected through purposive sampling, participated in individual semistructured interviews. Their responses …

Self-Efficacy, Decision Latitude, And Work Ethic Among Educated Women, Elisa Harris

Walden Dissertations and Doctoral Studies

Although women are more likely to seek advanced degrees, there are substantial gaps between men and women in terms of employment rates, wages, and positions of power. This cross-sectional study aligned with the social cognitive career theory and investigated how specific demographic variables (age and education level) interacted and influenced work-related characteristics (decision latitude, self-efficacy, and work ethic) to address issues women experience in the workplace. Females who identified as working a minimum of 15 hours per week and over the age of 18 were contacted via social media or in person. A snowball effect occurred when participants invited peers …

Relationship Between Doctor-Patient Communication And Sexual Functioning Among Women With Spinal Cord Injury, Melissa Lafferty

Walden Dissertations and Doctoral Studies

After individuals sustain a spinal cord injury, all aspects of their lifestyle must change for them to manage their new life roles. One important area of recovery that is often not addressed during the rehabilitation process is sexual functioning. The purpose of this quantitative study was to examine how doctor communication about sexual health with women who have sustained spinal cord injuries predicts their levels of sexual functioning and sexual self-esteem. The theoretical framework was the sexual health model. Questionnaires were used to gather data from 45 women who had completed rehabilitation from spinal cord injuries. Level of current sexual …

Hypertension Experience Of Foreign-Born West African Immigrant Women In The United States, Assumpta Onyinye Ude

Walden Dissertations and Doctoral Studies

Foreign-born African immigrants (FBAI) have a high rate of severe hypertension (HTN) and psychosocial-cultural factors have underlying roles in this, as in other chronic diseases. Literature lacks studies on FBAI women living with HTN. This study explored the HTN experience of FBAI women in the Washington Metropolitan area. This qualitative phenomenological study, was guided by a theoretical framework that included the Health Belief Model, Patient Centered Access to Health Care and the Transactional Model of Stress and Coping. Highly educated health care professional of 15 women participated in in-depth interviews. Thematic analysis was used for data analysis. Key findings included …

Women's Experiences Of Mindfulness In Romantic Relationships, Melissa Jay

Walden Dissertations and Doctoral Studies

Mindfulness has been found to enhance romantic relationships through the practice of remaining open, calm, and emotionally regulated during times of struggle. There was a gap in the literature, however, related to how the practice of mindfulness is subjectively experienced in women's romantic relationships. The purpose of this heuristic study was to understand how women's practice of mindfulness effects their romantic relationships. The conceptual framework for this study was mindfulness-to-meaning theory, which highlights that wellbeing is supported through 2 main mechanisms of mindfulness: savoring and reappraisal. The nature of this study was a qualitative approach using Moustakas's heuristic method. After …

Women's Experiences Of The Glass Ceiling In U.S. Manufacturing And Service-Based Industries, Diane Michele Mastroguiseppe

Walden Dissertations and Doctoral Studies

Fewer women occupy executive-level positions in U.S. companies compared to the number of men. Antidiscrimination laws have been in place for 30 years to combat the threat to gender equality. The purpose of this descriptive phenomenological study was to examine the lived experiences of executive-level women employed in the manufacturing and service-based industries to explore the persistence of the glass ceiling. Social learning theory provided the framework for the study. Data were collected from semi-structured interviews with 12 executive-level women in the Philadelphia metropolitan area. Data analysis involved hand coding and software coding to identify six themes: discrimination, opportunities, support …

Hiv Testing Service Utilization Among Men And Women In Dominica, Carol Rosetta Jno.Baptiste-Smith

Walden Dissertations and Doctoral Studies

Voluntary HIV/AIDS testing and counselling (VHTC) is one of the preventive measures used in many countries to decrease the spread of HIV/AIDS. Archived data from National HIV/AIDS Response Program's (NHARP) raw 2016 dataset were used to identify relationships and to assess significant differences between sociodemographic factors and selected sexual risk behaviours versus VHTC practices among adults 18 years and older who resided in Dominica. The health belief model was used as the framework for this cross-sectional study. The sample comprised 982 participants (40% [394] men and 60% [588] women). Logistic regression analysis was used to assess associations between sociodemographic and …

The Experiences And Perceptions Of African American Women Who Reside In Nursing Homes, Lakeisha De Lon Riley

Walden Dissertations and Doctoral Studies

The purpose of this qualitative case study was to examine the experiences and perceptions of African American women who reside in a nursing home and to understand African American women's decisions for admitting to the facility. Social Learning Theory was applied to answer the question of how African American women's experiences and perceptions toward long-term care influence healthcare decisions and admission to a nursing home. Eleven participants interviewed in the study were at least 60 years old, admitted into the facility within the past two years and who had not previously resided in a nursing home. Yin's five step approach …

Exploring Relationships Between Resilience, Thinking Styles, And Ptsd Scores In Women Veterans, Tanya Wilson

Walden Dissertations and Doctoral Studies

In 2013, military leadership took action to lift the ban on women participating in combat roles, thus creating a vital need to understand protective cognitive factors in women veterans exposed to combat. There is no prior research examining the relationship between resilience and thinking styles in this population. The purpose of this quantitative survey study was to examine the predictive relationship between resilience, measured with the Connor-Davidson Resilience Scale, and thinking styles, measured with the Thinking Styles Inventory-Revised 2, on posttraumatic stress disorder (PTSD) scores, measured by PCL-5, in women with combat exposure (CE). A cross-sectional design was used. A …

A Structured Weight Loss Program To Combat Obesity In Women, Tara English

Walden Dissertations and Doctoral Studies

Rates of obesity and the associated comorbidities continue to increase for women in the United States. Despite information available, efforts at weight loss are often unsuccessful because women lack integral knowledge of how to approach the various components essential for weight loss. This doctoral project was created to address the practice question of whether obesity can be reduced through a step-wise weight loss program that identifies essential elements to reduce weight in menopausal age women. Guided by the information-motivation-behavioral skills model, this project led 17 volunteer participants from a Northwest, Florida primary care clinic through 6 weeks of protocols supplemented …

African-American Women And Work-Life Balance, Alisha Diane Powell

Walden Dissertations and Doctoral Studies

African American women have high rates of depression and anxiety and are more likely to experience marital instability. Work-life balance (WLB) has been a topic of growing discussion and research as the number of women in the workplace has increased significantly. Researchers have demonstrated that women who work full time outside of the home have the unique challenge of fulfilling work obligations while taking care of household responsibilities. Work-life balance (WLB) has been a topic of discussion and research as the numbers of women in the workplace have increased significantly in the United States. The purpose of this qualitative phenomenological …

Barriers To Women Leadership Of Small And Medium Enterprises In Nigeria, Roseline Iruoma Ojinta

Walden Dissertations and Doctoral Studies

Management literature lacks a deeper understanding of barriers to Small and Medium Enterprises (SME) leadership among women entrepreneurs in Nigeria focusing on women leaders' daily business experiences, their agency, and their entrepreneurial context. Women in Nigeria seeking promotion to leadership roles in SMEs continue to look for answers on how to surmount the multiple barriers hampering their leadership aspirations. To address this need, this study was designed to explore how women entrepreneurs in Nigeria describe barriers to SME leadership through narratives about their daily business experiences, their agency, and their entrepreneurial context. The women's entrepreneurial development in Nigeria, the Nigerian …

Women's Perceptions Of Malaria In The Western Rural Areas Of Sierra Leone, Marcella Davies

Walden Dissertations and Doctoral Studies

Malaria is one of the leading causes of death for children and women in Sierra Leone. The purpose of this qualitative study was to explore and understand the lived experiences of women from the rural areas of Sierra Leone regarding malaria. A purposive sample of Krio women from the western rural area, aged 21-55 years, spoke English, and had taken care of someone with malaria described their perceptions and lived experiences with the disease in face-to-face interviews. The research questions were based on the health belief model and focused on knowledge, beliefs, and perceptions about malaria prevention and treatment. Interpretative …

Eliminating Direct Ground Combat Definition And Assignment Rule: Internal Preparations For Implementation, Steven Justi

Walden Dissertations and Doctoral Studies

Decades before the elimination of gender restrictions in the U.S. military, ground combat was an equal opportunity issue for women. Direct combat units, such as infantry and artillery, are now open to female enlistment. The purpose of this study was to examine the efforts, challenges and/or successes, of incorporating women into a U.S. Army combat brigade in a single state. The frame-critical approach was used to outline the competing arguments between supporters and opponents of women in combat. The research questions guiding the study included how gender integration is perceived with regards to strength and survivability of the unit, and …

Lived Experiences Of Mothers Returning To Work After A Child-Rearing Hiatus, Brenda Marceline Yahraes

Walden Dissertations and Doctoral Studies

Mothers who leave the workforce to raise children may face personal and professional difficulties when returning. There was a lack of qualitative research on what these women experience in their return to work. The purpose of this study was to discover and describe how a mother in a professional or managerial position experiences a return to the workforce after a hiatus of 2 or more years to raise children. The philosophy of Husserl and the methodology of Moustakas guided this transcendental phenomenological study. Through purposive snowball sampling, 12 women participated in semistructured interviews. Data analysis followed the Stevick-Colaizzi-Keen method leading …

Barriers To Mental Health Treatment Among Chronically Homeless Women: A Phenomenological Inquiry, Rebecca Keeler Spicer

Walden Dissertations and Doctoral Studies

Homeless women demonstrate higher rates of mental illness than homeless men. The combination of complex life circumstances, stigmas related to mental illness, and homelessness may cause homeless women with mental illnesses to face unique barriers that prevent them from accessing necessary mental health services. The purpose of this phenomenological study was to expand the body of literature on homeless women's experiences with the mental health system and to understand the barriers to treatment services. Guided by Young's critical social theory of gender, this study was designed to develop a better understanding of the support that may be in place to …

Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley

Walden Dissertations and Doctoral Studies

The Centers for Disease Control and Prevention reported that African American women had the lowest recorded number of suicide completions among all ethnic and gender groups in the United States. In addition, the number of suicides among African American women continued to soar without a clear reason or understanding of their lowest completion rates. Further research in the area of spirituality among African American women may be critical in understanding why African American women's rates of completed suicides are statistically lower than other ethnic groups and how to prevent future rate increases. A phenomenological framework was used to examine the …

Effect Of Multiple Skin-To-Skin Experiences On Exclusive Breastfeeding Rates, Joanna Horst Horst

Walden Dissertations and Doctoral Studies

Breastmilk feeding at birth demonstrates short- and long-term medical and neurodevelopmental advantages. Infants who are exclusively breastfed demonstrate less nausea, vomiting, and diarrhea, and they experience less upper respiratory and ear infections than do infants who are not breastfed. One strategy that supports breastfeeding initiation is providing skin-to-skin contact (STS) with mothers and newborns immediately upon birth. The purpose of this project was to evaluate the impact of a second session of STS on the postpartum unit on exclusive breastfeeding rates at discharge. A retrospective comparison design using Swanson's caring model was used to guide the evaluation study that examined …

Perceptions Of Women Receiving Services From Domestic Violence Advocacy And Counseling Programs, Lisa Yvette Proby

Walden Dissertations and Doctoral Studies

Abstract

The purpose of this qualitative study was to examine domestic violence victims' perceptions of advocacy and counseling programs that provide women with safe refuge, prevention education, mental health treatment, and other services. Many women in the United States are victims of intimate partner violence. Review of existing literature found that little is known about the extent to which the needs of these victims are met from available advocacy and counseling services. The health belief model was used to theorize victims' perceptions of services and risk factors for re-abuse. A phenomenological design was used to answer research questions, and in-depth …

Saudi Women's Experiences Of Control And Engagement As Employees In Private Universities, Kimberly Dawn Deatherage

Walden Dissertations and Doctoral Studies

Saudi women have higher rates of graduation from college than their male counterparts, but are underrepresented as employees in the private higher education sector. Saudi women working in higher education report a lack of involvement in the planning of their work, challenges in balancing family and career, and low wages. Yet, no research has explored how Saudi women in administrative support staff positions in private universities perceive control and how their perceptions of control affect their engagement in the workplace. Therefore, based on locus of control theory, the 2-process model of perceived control, and compensatory control theory, the purpose of …

Biosociocultural Factors And Motivation To Lose Weight Among Obese African American Women, Odette Marie Russell

Walden Dissertations and Doctoral Studies

Obesity is a pandemic that has a substantial impact among African American women. Biological, social, and cultural acceptance of obesity, collectively referred to as biosociocultural factors, represents an obstacle to efforts to address this health risk among this group. The purpose of this study was to develop a better understanding of the relationship between biosociocultural factors and motivation to lose weight. Self-determination theory, objectification theory, and social learning theory formed the study's theoretical framework. The key research question concerned the extent to which the investigated constructs (BMI, internalized body image, and social networks) helped to explain motivation for weight loss …

Hopeful Thinking: Conceptualizing A Future Beyond Domestic Abuse, Henri Zombil

Walden Dissertations and Doctoral Studies

Domestic violence is a continuing public health problem. Immigrant women facing domestic violence have additional challenges in dealing with domestic violence and accessing services. Hopeful thinking has been identified as a strategy for intervening and surviving beyond domestic violence. The purpose of this multiple descriptive case study was to explore hopeful thinking in Haitian immigrant women domestic abuse survivors' (HIDAS) conceptualizations of the future beyond domestic abuse. The framework for the study was resilience theory, which emphasizes the individual's ability to bounce back from stressful situations. This framework was used to investigate how HIDAS in the United States experience hopeful …

Women In Stem: The Effect Of Undergraduate Research On Persistence, Jodi Christine Wilker

Walden Dissertations and Doctoral Studies

The underrepresentation of women in science, technology, engineering, and math (STEM) careers constitutes a major issue in postsecondary science education. Perseverance of women in STEM is linked to a strong science identity. Experiential learning activities, such as undergraduate research, increase science identity and thus should help keep women in STEM. Most studies on research program development are from 4-year institutions, yet many women start at community colleges. The goal of this study was to fill this gap. Science identity and experiential learning theories provided the framework for this case study at a local institution (LECC). Semistructured interviews determined college science …

Lived Experiences And Coping Styles Of Alaskan Women With Opioid Use Disorders, Faith May Golden

Walden Dissertations and Doctoral Studies

Death caused by opioid abuse has increased in recent years, and women in the state of Alaska have been significantly impacted by this opioid crisis. Previous researchers have indicated a possible connection between opioid use and sub-clinical PTSD criteria. The purpose of this grounded theory study was to develop a theory regarding the presence of PTSD diagnostic criteria in this population, to identify patterns in past traumas and other life stressors, and to investigate coping strategies in 43 Alaskan women who sought treatment for opioid use. Archived data in the form of therapy notes were analyzed using grounded theory techniques …

Rural Haitian Women's Experiences With Poor Health Through Poverty, Geralda Felix

Walden Dissertations and Doctoral Studies

People living in rural Haiti lack access to basic health care services due to poverty. Rural poverty in Haiti particularly affects women's health because Haiti has had the highest maternal mortality and infant mortality rates in the Americas, in addition to some of the worst health statistics in the Western Hemisphere. The purpose of this phenomenological study was to cultivate a greater understanding of the poverty factors that affect access to health care services specifically among poor women living in rural Haiti. This study was based on the social ecological model for population health development, theorizing that a person's health …

Exercise Adherence Among Active Working Women, Roxane Evonne Hearn

Walden Dissertations and Doctoral Studies

Low levels of exercise adherence has contributed to the increased prevalence of heart disease, cancer, and diabetes in American women. These low levels, coupled with high exercise program dropout rates, point to a need for strategies to increase exercise frequency in women who exercise, but not enough to improve their health and reduce risks. Real-time interventions, such as text messaging, could be useful in improving the cognitions that regulate adherence. Using a snowball sampling strategy, a cross-sectional sample of working women (N =130), ages 18-64, in the volitional stage of exercise behavior, completed a 60-item survey on exercise behavior. Social …

Intercultural And Career Experiences Of African American Women Midlevel Leaders At Predominately White Institutions, Rabekah Stewart

Walden Dissertations and Doctoral Studies

African American women leaders positively influence the college experiences of students at predominately White institutions (PWI), but the retention of those women leaders remains an issue. At the time of this study, limited research informed race and gender issues that intersect the career advancement of African American women serving in midlevel leadership positions at PWIs. The purpose of this qualitative study was to understand the intercultural and career advancement experiences of these women. Critical race theory, critical race feminist theory, and intercultural communications theory were used as a framework to understand the participants' intercultural and career advancement experiences, perceived influences, …

An Examination Of The Relationship Between Authenticity And Female Sexual Dysfunction, Ellen Kaye Smith

Walden Dissertations and Doctoral Studies

Since the late 1990s, researchers have reported a high degree of sexual dysfunction among American women that is associated with significant negative consequences (e.g., reduced quality of life and sexual satisfaction). In addition, sexual satisfaction is a primary factor in marital stability. Because of the widespread impact on both individual well-being and marital relationships, female sexual dysfunction is a significant public health problem. Most research has supported the predominance of psychocultural factors in women's sexual issues. Authenticity, defined by Kernis and Goldman as acting in accord with one's natural inclinations, is associated with increased well-being, but researchers have often overlooked …

Factors Affecting Body Mass Index Levels In African American Women Living In North Carolina, Padmini Shanti Kirpalani

Walden Dissertations and Doctoral Studies

The prevalence of obesity has doubled over the past 25 years in the United States, particularly in North Carolina. Obesity is influenced by biological, social, and environmental factors; its prevalence has been found to be higher among African American women and other racial ethnic minorities. Guided by the social ecological model, the purpose of this cross sectional study was to examine the relationship of the psycho-social, psycho-behavioral factors, and body mass index levels (BMI) in African American women living in North Carolina versus their Hispanic American and European American counterparts. A logistic regression model using secondary data from the Behavioral …