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Articles 1 - 30 of 37
Full-Text Articles in Medicine and Health Sciences
Spiritual Wellness As A Predictor For Moral Injury In Combat Veterans, Steve Zappalla
Spiritual Wellness As A Predictor For Moral Injury In Combat Veterans, Steve Zappalla
Walden Dissertations and Doctoral Studies
Many combat veterans face difficulties coping with their personal lives, relationships, and families when they leave the service and return to civilian life. Most studies examining the effects of combat on veterans focus on posttraumatic stress disorder (PTSD) as well as a collection of related consequences. Interest in the term moral injury of military veterans as a related mental health construct has grown. Researchers have investigated the effects of spiritual wellness of combat veterans. However, there is a paucity of counseling literature on the relationship between spiritual wellness and moral injury when combat veterans return to civilian life. Investigating the …
Workplace Bullying From A Nurses Perspective, Dawn Reid White
Workplace Bullying From A Nurses Perspective, Dawn Reid White
Walden Dissertations and Doctoral Studies
Bullying has long been associated with school children. In recent years, however, more attention has been paid to the bullying that has reached beyond the playground and into the workforce. One population facing this problem is staff nurses. To date, no one has found an effective way to address workplace bullying in the healthcare field, nor have effective methods been found for retaining trained nurses affected by this problem. The focus of this dissertation was on understanding nurses' lived experiences and how nurses decided to remain in their current working position despite these problems. Taking a phenomenological approach and using …
Quality Of Life Among Entrepreneurs With Chronic Fatigue Syndrome, Brittany Kesler
Quality Of Life Among Entrepreneurs With Chronic Fatigue Syndrome, Brittany Kesler
Walden Dissertations and Doctoral Studies
The impacts of chronic fatigue syndrome (CFS) are far reaching, resulting in many burdens in the individual lives of CFS patients. One notable challenge lies in the inability to participate in the workforce due to associated physical, mental, and emotional symptoms. Previous research indicates that alternative employment options may help to overcome work related barriers presented with various types of chronic illness. Entrepreneurship is one path to working that offers many benefits, including autonomy, flexibility of work schedule, choice of work environment, and control. Questions though remain as to whether entrepreneurship enhances QOL or exacerbates symptoms among individuals with CFS. …
Hardiness, Adult Attachment Style, And Burnout In Nurses, Kristy A. Negri
Hardiness, Adult Attachment Style, And Burnout In Nurses, Kristy A. Negri
Walden Dissertations and Doctoral Studies
The current nursing shortage is a pressing crisis that is expected to worsen over time. A key reason nurses leave nursing is burnout. The purpose of this study was to investigate personality hardiness and adult attachment style in relation to the development of burnout in licensed professional nurses. Hardiness theory and attachment theory indicated that each provided protection against burnout, but no research has been conducted to examine both factors in relation to burnout in nurses. Research Question 1 asked if there was a relationship between attachment style and total hardiness score; Research Question 2 asked if there was a …
Facilitating Collaboration Among School And Community Providers In Children's Mental Health, Holly J. Curran
Facilitating Collaboration Among School And Community Providers In Children's Mental Health, Holly J. Curran
Walden Dissertations and Doctoral Studies
Interprofessional collaboration among school-based and community-based mental health providers in children's mental has been studied in relation to specific providers and as part of program evaluation; however, limited information exists as to how to overcome barriers to collaborative relationships. This study describes the experiences of school and community mental health service providers and those who supervise them. Using phenomenological methodology, three focus-group interview transcripts were analyzed by identifying recurrent themes relevant to the experience of collaboration from school and community providers' perspectives. Although participants viewed aspects of collaboration positively, barriers frequently interfered with collaborative relationships. Support for collaboration from state, …
Understanding Feeding Style And Young Children's Consumption Of Food, Mary W. Bean
Understanding Feeding Style And Young Children's Consumption Of Food, Mary W. Bean
Walden Dissertations and Doctoral Studies
Due to increased rates of childhood obesity since 2010, researchers have examined family environmental factors and family influences on children's consumption of healthy foods. While previous research has examined how factors such as food presentation and the food intake of other family members can predict a child's body mass index, there has been little research examining whether parent factors predict the amount of healthy foods children eat. This quantitative survey study examined whether certain parent factors, specifically parents' attitudes about food, parents' feeding styles, and parents' attachment styles, predicted the amount of fruits and vegetables children ate. Understanding the extent …
Influence Of Psychological Capital And Thinking Perspectives On Construction Safety Climate And Performance, Anne-Perrine Pascale Cades
Influence Of Psychological Capital And Thinking Perspectives On Construction Safety Climate And Performance, Anne-Perrine Pascale Cades
Walden Dissertations and Doctoral Studies
Understanding safety factors in construction is critical to reducing accident frequency and severity. Grounded in the safety performance model, this study was conducted to examine the impact of psychological capital (PsyCap), which consists of the shared variance of hope, efficacy, resilience and optimism, and Past, Present, and Future thinking perspectives, on safety climate and performance. A nonexperimental quantitative design was used to determine whether PsyCap and thinking perspectives of construction project employees predicted safety performance and/or moderated the relationship between safety climate and performance across construction sites in different countries. 411 construction employees were recruited via a multistage and clustering …
Locus Of Control, Poverty And Health Promoting Lifestyles, Cara Stephenson-Hunter
Locus Of Control, Poverty And Health Promoting Lifestyles, Cara Stephenson-Hunter
Walden Dissertations and Doctoral Studies
Despite increased access to care and interventions aimed to change health behavior, socioeconomic health disparities have remained unchanged, even for preventable illness and disease. Health behavior theories and interventions heavily rely on perceptions of control over one's fate and thus ignore populations with low perceptions of personal control. Poverty is associated with an external locus of control (LOC), while both poverty and external LOC are associated with less health protective behavior. The purpose of this quantitative study was to explore the role of LOC as an adaptive response to poverty and to discover the risks and benefits to physical and …
Increasing Knowledge About Food Allergy Management In The Preschool Setting, Katherine Mizell Crow
Increasing Knowledge About Food Allergy Management In The Preschool Setting, Katherine Mizell Crow
Walden Dissertations and Doctoral Studies
The prevalence of food allergies is a growing concern in the United States. Approximately 8% of the pediatric population has some form of food allergy. Many of these children are either in the preschool and primary school setting, which is where the majority of allergic reactions occur. If the symptoms of a food allergy reaction are not treated within minutes of exposure, the results can be damaging or fatal. Evidence continues to demonstrate that preschool and school personnel do not feel trained or prepared should a severe reaction arise. The purpose of this evidence-based project was to determine if the …
Women Of Intimate Partner Abuse: Traumatic Bonding Phenomenon, Meghan Koch
Women Of Intimate Partner Abuse: Traumatic Bonding Phenomenon, Meghan Koch
Walden Dissertations and Doctoral Studies
Researchers indicate women succumb to relational abuse as seen with maladaptive attachment, identity enmeshment, and implicit maltreatment. Implicit violence and nonviolence, bonding victims to victimizers remains unstudied, although the domestic abuse phenomenon continues. Intimate partner abuse was examined through qualitative inquiry. There is much to learn about female victim perspectives describing attachment bonds, identity conflicts, and implicit maltreatment experiences. Traumatic bonding theory served as the lens through which female participant responses were examined in this study. Research questions were developed to focus on female attachment bond perceptions, views concerning self-esteem, self-identity, or self-reference, and implicit aggression, coercive control, or manipulation …
Improvement In The Retention Of Graduate Nurses In A Long-Term Acute Care Hospital, Angie Lim Torres
Improvement In The Retention Of Graduate Nurses In A Long-Term Acute Care Hospital, Angie Lim Torres
Walden Dissertations and Doctoral Studies
The high turnover rate of graduate nurses is a challenge in the United States' hospitals because of high job dissatisfaction rates. The premature disaffiliation of the graduate nurses is costly for organizations and can significantly affect the quality and safety of patient care due to the inadequate supply of adequately prepared staff nurses, particularly in the long-term acute care hospitals. The purpose of the project was to decrease the turnover rate of graduate nurses in a long-term acute care setting from 40% to 20% through modification of the nurse residency program by applying an intervention based on Bauer and Erdogan's …
The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff
The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff
Walden Dissertations and Doctoral Studies
Self-disclosure is used by feminist, humanistic, client-centered, and a variety of other counselors to build therapeutic alliances with clients. However, little research has been conducted on counselors' perceptions of their preparedness to use self-disclosure. This exploratory multiple-case study used attachment theory as a framework to explore the perceptions of novice licensed professional counselors' preparedness to use self-disclosure. The 12 participants who participated in face-to-face interviews practiced as licensed professional counselors in Delaware, New Jersey, or Pennsylvania. The participants described how they learned, practiced, and used self-disclosure. After analyzing interview data through cycle coding and peer review, themes emerged showing participants' …
Problem Solving, Decision Making, And Kirton Adaption-Innovation Theory In High-Performance Organizations, Miriam Grace Michael
Problem Solving, Decision Making, And Kirton Adaption-Innovation Theory In High-Performance Organizations, Miriam Grace Michael
Walden Dissertations and Doctoral Studies
Research on high-performing nonprofit boards has indicated a positive relationship between a board's strength and an organization's effectiveness; however, how boards achieve success remains relatively unknown. The Kirton adaption-innovation (KAI) theory was used to examine board members' cognitive styles in relationship to facilitating problem solving and decision making. This nonexperimental, quantitative study included archived nonprofit board data from 2 American Society of Association Executives (ASAE) studies that had addressed the high performance of boards and factors associated with organizational success. A total of 102 randomly selected, high-performing nonprofit board members completed the KAI Inventory, which was used to measure cognitive …
Substance Abuse And Mental Illness Among Youth In The United States, Emmanuel Xavier Okoro
Substance Abuse And Mental Illness Among Youth In The United States, Emmanuel Xavier Okoro
Walden Dissertations and Doctoral Studies
Despite the trends showing a reduction in the use and abuse of drugs among American adolescents, the prevalence rates remain high. There is also comorbidity of mental illnesses among the adolescents using drugs. The aim of this study was to determine the presence and nature of the association between the use and abuse of marijuana and alcohol and mental illnesses among the American adolescent population. The noted comorbidities and the hypothesized association between the substance abuse and mental illnesses were explained using the expectancy theory. Using a quantitative research methodology, secondary data from the National Survey on Drug Use and …
Child Sexual Abuse And Prenatal Care: Understanding Screening, Modifications, And Proper Care, Wendy Abbott-Egnor
Child Sexual Abuse And Prenatal Care: Understanding Screening, Modifications, And Proper Care, Wendy Abbott-Egnor
Walden Dissertations and Doctoral Studies
Research has shown that 1 in 9 women in prenatal care have a history of childhood sexual abuse. Pregnant women with a history of childhood sexual abuse are at increased risk of depression, somatization, preterm contractions, posttraumatic stress symptomology, and re-traumatization. The purpose of this study was to bridge the gap in literature between research and practice. Data was collected from practitioners regarding the care and treatment of pregnant women with a childhood sexual abuse history. It was hypothesized that screening practices and modification to care and treatment based on practitioner knowledge of prior sex abuse history will vary by …
The Effects Of Cultural Dissimilarity On Employee Job Attitudes And Productivity, Sherrice Olithia Lyons
The Effects Of Cultural Dissimilarity On Employee Job Attitudes And Productivity, Sherrice Olithia Lyons
Walden Dissertations and Doctoral Studies
Organizations in Jamaica have been impacted by globalization and the opportunities and challenges of cultural incompatibilities. Most previous studies on cultural incompatibilities have focused on the impact on expatriates leaving a gap in the literature with respect to the implications for host country nationals, and specifically Jamaicans. This quantitative study focused on employees of 2 companies in Jamaica, an energy company and a hospitality company. It examined cultural dissimilarity with respect to host country nationals and expatriates, and its effect on the productivity, job satisfaction, affective commitment, and normative commitment of these employees (N = 110). In addition to the …
Exploring The Multicultural Pedagogy Of Ces Faculty Through An Intersectional Lens, Jenae D. Thompson
Exploring The Multicultural Pedagogy Of Ces Faculty Through An Intersectional Lens, Jenae D. Thompson
Walden Dissertations and Doctoral Studies
Counselor education and supervision (CES) faculty members are responsible for adequately preparing counselors-in-training (CIT) for their work with diverse populations. Current literature explains traditional multicultural counseling education in this way; however, little research is available exploring faculty members' personal and professional experiences with intersectionality and how those experiences contribute to their pedagogy. In this dissertation, CES faculty members' experiences with intersectionality theory and how they could use this theory in their multicultural pedagogy were explored. Research questions exploring CES faculty use of intersectionality in their multicultural coursework, how their personal experiences contribute to their pedagogy, and their experiences with privilege …
Amputee Social Support: A Quantitative Investigation Of Peer-To-Peer And Group Influence, Dirrick Anthony Williams
Amputee Social Support: A Quantitative Investigation Of Peer-To-Peer And Group Influence, Dirrick Anthony Williams
Walden Dissertations and Doctoral Studies
Previous research has indicated that vascular disease, trauma, and cancer lead to amputations and that 1.7 million Americans are living with an amputation. The social problem of this study is that amputees have limited places to obtain social support. Alderfer's Existence, Relatedness, and Growth Theory provided the foundation for this research. The current study examined the following questions. First, does type of social support impact amputee perceived social support satisfaction? Second, does type of social support impact life satisfaction? Survey methodology was used following attendance at either peer-to-peer or group support. A purposeful sample of 184 participants were assessed using …
A Comparative Analysis Of Family Therapies On Youth With A Co-Occurring Disorder, Rochelle Henderson-Clark
A Comparative Analysis Of Family Therapies On Youth With A Co-Occurring Disorder, Rochelle Henderson-Clark
Walden Dissertations and Doctoral Studies
There are approximately 1.3 million youth who have been diagnosed with a co-occurring disorder. The purpose of this study was to analyze the relationship between the type of therapy (brief strategic family therapy or family functional therapy), demographic factors (age, race, type of drug used), and therapy discharge status (successful or unsuccessful) in male youth with a co-occurring disorder of attention-deficit hyperactivity disorder and substance use disorder. A correlational research design of a cross-sectional nature was used for this study and secondary data were obtained from a mental health agency located in Hampton Roads Virginia. The theoretical basis for this …
A Meta-Analysis Of Video Based Interventions In Adult Mental Health, Lauretta Kaye Montes
A Meta-Analysis Of Video Based Interventions In Adult Mental Health, Lauretta Kaye Montes
Walden Dissertations and Doctoral Studies
Symptoms of mental illness such as anxiety and depression diminish functioning, cause distress, and create an economic burden to individuals and society. This meta-analysis was designed to evaluate the effectiveness of video based interventions (VBIs) for the treatment of adults in mental health settings. VBIs comprise four different ways of using video in mental health therapy, including video modeling, video exposure, video feedback, and videos used for psychoeducation. Bandura's social learning theory, Beck's cognitive theory, and Dowrick's theory of feedforward learning form the theoretical framework for understanding how VBIs work. The research questions were: (a) what is the range of …
A Comparison Of Social Disconnectedness And Perceived Isolation In Deaf/Hard Of Hearing Women And Hearing Women, Mellissa Perry
A Comparison Of Social Disconnectedness And Perceived Isolation In Deaf/Hard Of Hearing Women And Hearing Women, Mellissa Perry
Walden Dissertations and Doctoral Studies
Previous research has concluded that hearing loss is related to psychological risk factors in a person that could potentially increase feelings of disconnect or isolation. However, the gap in literature and lack of knowledge regarding social disconnectedness and perceived isolation specifically for deaf/hard of hearing women makes it difficult for clinicians to develop appropriate programs to assist this population. The purpose of this study was to contribute information regarding the effects of hearing loss on social disconnectedness and perceived isolation to help clinicians create proper treatment plans to better assist the deaf/hard of hearing with negative feelings (e.g., loneliness, depression) …
Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan
Intensive Outpatient Treatment Program For Patients With Depressive Disorder: A Parental Perspective, Emmanuel Akpan
Walden Dissertations and Doctoral Studies
Psychosocial support from family is important in outpatient treatment programs for individuals with depressive disorder. The purpose of this phenomenological study was to explore the lived experiences and perceptions of parents of patients with depressive disorder regarding intensive outpatient treatment. The research question was what are the experiences and perceptions of parents of patients with depression regarding their role as caretakers in intensive outpatient treatment? The conceptual framework was a biopsychosocial framework and family systems theory. Content analysis was used to analyze data provided from interviews with parent participants (n = 8). Many participants reported high levels of involvement with …
Perceptions Of Preconception Health And Prenatal Care By Young Adult Women And Men At Risk For Unintended Pregnancies, Broderick Crawford
Perceptions Of Preconception Health And Prenatal Care By Young Adult Women And Men At Risk For Unintended Pregnancies, Broderick Crawford
Walden Dissertations and Doctoral Studies
Among young adults at risk for unintended pregnancies, preconception health and prenatal care programs aimed at positive birth outcomes remain unaddressed. The purpose of this phenomenological study was to explore the lived experiences of young adults in terms of their willingness to use preconception health and prenatal care as a means for increasing both positive birth outcomes and overall health. All study participants met the following criteria: (a) young adult man or woman, (b) age 18 to 25, (c) at risk for unintended pregnancies, (d) sexually active, (e) single or in cohabiting partnerships, and (f) living in the greater Los …
The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace
The Impact Of Depakote On Agitation And Short-Term Memory In Nursing Home Dementia Residents, Kristin E. Fazzolari-Pleace
Walden Dissertations and Doctoral Studies
Researchers have linked dementia to common psychiatric symptoms such as agitation and aggression, known as behavioral and psychological symptoms of dementia (BPSD). To treat residents manifesting BPSD, nursing homes (NHs) use psychoactive medications. However, research is limited and inconsistent regarding the impact of Depakote treatment on agitation and short-term memory (STM) in NH residents who have dementia. The purpose of this nonexperimental quantitative study was to evaluate for 1 year the impact of Depakote treatment on agitation and STM in NH residents as measured by each resident's Minimum Data Set (MDS). Moncrieff and Cohen's drug-centered theory served as the theoretical …
Reintegration Among Combat Veterans Suffering From Psychological Conditions, Virginia Falck
Reintegration Among Combat Veterans Suffering From Psychological Conditions, Virginia Falck
Walden Dissertations and Doctoral Studies
Active duty personnel as well as combat veterans of the United States often engage in military operations during their service that require deployments to participate in missions, which may lead to extended periods away from home. When active duty men and women are appointed to combat zones, they may return with psychological burdens such as post traumatic stress disorder, which can complicate their reintegration into civilian life. This study explored the experiences of combat veterans who faced challenges when returning home from a war zone, along with the experiences of their family members. The study involved 26 combat veterans, spouses, …
Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan
Family Relational Experiences During Major Transitions With A Chronic Illness, Juanita Sibayan
Walden Dissertations and Doctoral Studies
Although health care transitions have received some attention in the literature, few researchers have emphasized family relational experiences and communication during major changes while living with a chronic illness. The purpose of this phenomenological study was to understand the lived experience of parents and their adult children while transitioning from pediatric to adult care of a chronic illness. The bio-psychosocial theory, family systems theory, and attachment theory established the context for this study. A criterion-based sampling technique and snowball sampling were used to recruit 7 parents and 6 of their adult children aged 18 to 30 years who were diagnosed …
Marital Status And Burdensomeness As Risk Factors Of Suicide Ideation In Poststroke Patients, Froso Andreou
Marital Status And Burdensomeness As Risk Factors Of Suicide Ideation In Poststroke Patients, Froso Andreou
Walden Dissertations and Doctoral Studies
Suicide ideation, suicide attempts, and suicide (SISAS) are increased in poststroke patients, yet not everyone who has suffered a stroke is at risk for SISAS. Two risk factors for SISAS, marital status and burdensomeness, may be of particular relevance to poststroke patients. The majority of poststroke patients have a disability that may require help from a family member with basic functions such as dressing and bathing. It was not known if being married decreases risk of SISAS for stoke victims as shown in studies with nonpoststroke subjects or increases risk for SISAS due to its influence on feelings of burdensomeness. …
Childhood Lead Exposure And Attention-Deficit/Hyperactivity Disorder Symptoms: A Meta-Analysis, Megan Glenn Brown
Childhood Lead Exposure And Attention-Deficit/Hyperactivity Disorder Symptoms: A Meta-Analysis, Megan Glenn Brown
Walden Dissertations and Doctoral Studies
Lead exposure during childhood is a significant global public health concern as the potential effects of exposure can result in the need for long-term treatment, diminished productivity in society, and financial strain on the health care system. There is strong evidence of a relationship between lead exposure and attention-deficit/hyperactivity disorder (ADHD); however, there is a gap in the current literature regarding the relationship between lead exposure and specific symptoms of ADHD and the strength of that relationship. The purpose of this meta-analysis was to examine and help quantify this relationship. Cohen's d was used as the standardized mean effect size …
The Efficacy Of Neurofeedback In The Treatment Of Autism., Rosemary Akhavan
The Efficacy Of Neurofeedback In The Treatment Of Autism., Rosemary Akhavan
Walden Dissertations and Doctoral Studies
Autism is a disorder that impairs the development of a person's ability to interact with other people and to relate productively with the outside world. There are many types of interventions being used to treat autism, but there are no cures or definitive treatments for this disorder. A biological theoretical foundation was the basis of this study, as recent neuroimaging techniques have demonstrated that autism is a neurological disorder that reveals distinct abnormalities in the brain. The purpose of this study was to examine the efficacy of neurofeedback (NFB) in the treatment of autism. NFB has shown promise of improving …
Sexism, Just-World Beliefs, And Defensive Attribution: Relationship To Online Discourse And Child Sexual Abuse, Andrea M. Barbis
Sexism, Just-World Beliefs, And Defensive Attribution: Relationship To Online Discourse And Child Sexual Abuse, Andrea M. Barbis
Walden Dissertations and Doctoral Studies
Research has shown that individuals' willingness to believe a disclosure of childhood sexual abuse (CSA) is related to just-world beliefs, ambivalent sexism, and defensive attribution. However, researchers do not know whether these variables relate to posts made in response to online articles describing CSA. Negative or disbelieving posts may impact not only the author, but also readers who view these comments via hindrance of disclosures, increased self-blame, and avoidance of help seeking. In this quantitative study, just-world, ambivalent sexism, and defensive attribution theories provided the theoretical basis used to determine whether just-world beliefs, ambivalent sexism, and defensive attribution influenced comments …