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Articles 1 - 30 of 32
Full-Text Articles in Medicine and Health Sciences
Mothers Of Children With Disabilities: Perceptions Of Online Peer Mentoring Support, April S. Felder
Mothers Of Children With Disabilities: Perceptions Of Online Peer Mentoring Support, April S. Felder
Walden Dissertations and Doctoral Studies
There has been a trend of increased diagnoses of childhood disabilities in the United States. Mothers who care for a child diagnosed with disabilities typically experience increased parental obligations and maternal mental health deficits that often go undiagnosed or untreated, resulting in adverse events. Researchers found that peer mentoring is an effective, nonclinical resource for addressing these mothers’ intervention needs but have not established alternative ways to increase access and delivery. The purpose of this generic, qualitative study was to explore how mothers of children with disabilities perceive online peer mentoring as an intervention resource for stress and coping. Lazarus’s …
Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt
Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt
Walden Dissertations and Doctoral Studies
Endometriosis is an incurable chronic illness impacting 190 million women worldwide. Despite the prevalence of this painful disease, research addressing how it affects Black women in the United States was limited. Research addressing this phenomenon during the COVID-19 pandemic was further limited. The purpose of this qualitative study employing an interpretative phenomenological analysis was to understand the mental health of Black women with endometriosis-related symptoms during the COVID-19 pandemic and how having the illness during the pandemic might have impacted individuals in this population. The strong Black woman schema and biopsychosocial model were the theoretical foundations for the study. Data …
Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt
Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt
Walden Dissertations and Doctoral Studies
Endometriosis is an incurable chronic illness impacting 190 million women worldwide. Despite the prevalence of this painful disease, research addressing how it affects Black women in the United States was limited. Research addressing this phenomenon during the COVID-19 pandemic was further limited. The purpose of this qualitative study employing an interpretative phenomenological analysis was to understand the mental health of Black women with endometriosis-related symptoms during the COVID-19 pandemic and how having the illness during the pandemic might have impacted individuals in this population. The strong Black woman schema and biopsychosocial model were the theoretical foundations for the study. Data …
Nurse Perspectives Of Trauma-Informed Care, Lee Ann Blazejewski
Nurse Perspectives Of Trauma-Informed Care, Lee Ann Blazejewski
Walden Dissertations and Doctoral Studies
There is growing interest in trauma-informed nursing methods to better respond to the needs of patients with histories of adverse childhood experiences and other traumatic events. Recent advances in the understanding of how trauma can negatively affect long-term health outcomes have fostered a shift towards trauma-informed care as a method to decrease patient retraumatization in nursing practice. With the implementation of trauma-informed care in many areas of healthcare and public health, several challenges have been exposed. The purpose of this study was to examine nurses’ lived experience of implementing trauma-informed care into nursing practice for the care of patients with …
Volunteer Motivation Of Individuals In Rural Pacific Northwest, Lenea Kindred Pierzchanowski
Volunteer Motivation Of Individuals In Rural Pacific Northwest, Lenea Kindred Pierzchanowski
Walden Dissertations and Doctoral Studies
Volunteering is a selfless social action in which an individual chooses to participate through personal motivations. These actions of public service are a combination of need-based vacancies within organizations and unpaid compensation for filling those needs. The purpose of this research was to identify motivational attributes of individuals who volunteer in the identified rural area using one-on-one semi-structured interviews through the lens of the volunteer process model, in addition to the social identity, ecological, and social capital theories. The 15 participants for this study were over the age of 18, fluently spoke and read English, and had been a volunteer …
Neurodiversity And Workplace Social Capital Effects On Employee Attitudes And Intentions, Alice Edwards
Neurodiversity And Workplace Social Capital Effects On Employee Attitudes And Intentions, Alice Edwards
Walden Dissertations and Doctoral Studies
Neurodivergent employees have higher turnover rates than their neurotypical peers, andmuch remains unknown about how to improve their workplace experience. The purpose of this quantitative study was to examine the relationships between neurodiversity and workplace social capital on job satisfaction and turnover intent. Social cognitive career theory (SCCT) informed the study design. Working adults (N = 1,243) in the United States recruited using convenience sampling and MTurk participated through an anonymous online survey. Data analysis was conducted using three-way ANOVA and mediation. Significant three-way interactions were found between gender, job classification, and likelihood of having attention deficit hyperactivity disorder (ADHD) …
Experiences Of College Freshmen Women Who Eat In A Social Environment, Kylie Cowens Blodgett
Experiences Of College Freshmen Women Who Eat In A Social Environment, Kylie Cowens Blodgett
Walden Dissertations and Doctoral Studies
The social cognitive theory suggests that social surroundings influence health behaviors, and social modeling literature supports that eating behaviors are influenced by social norms. Eating decisions are especially vulnerable to social influence during the transition to college, although current interventions do not address social influence in the context of the eating environment itself or consider how men and women may experience this environment differently. This generic qualitative study explored how freshmen women perceived their experiences eating in a cafeteria setting. The research questions investigated freshmen women’s perceptions about social influence on self-efficacy, self-regulation, outcome expectations, and modeling of normative information …
Attitudes And Beliefs Related To Risk Of Sexually Transmitted Infection In Swingers Who Do Not Use Condoms, Deborah Brown
Attitudes And Beliefs Related To Risk Of Sexually Transmitted Infection In Swingers Who Do Not Use Condoms, Deborah Brown
Walden Dissertations and Doctoral Studies
Sexually transmitted infection (STI) affects the public as a hidden epidemic of contagious disease with significant economic and health impacts. There are 110 million living with STI in the United States, with 20 million new infections annually. Condom use can reduce STI, but some people have sex without condoms, with risk for contracting or transmitting STI increasing when a person is in the same sexual network. Swingers are a growing sexual network and are a group at high risk of developing and spreading STI. The purpose of this generic qualitative study was to develop an understanding of the attitudes and …
Millennial Retail Employees Experiences And Perceptions Of Leaders With Body Image Modifications, Jennifer Mcclure
Millennial Retail Employees Experiences And Perceptions Of Leaders With Body Image Modifications, Jennifer Mcclure
Walden Dissertations and Doctoral Studies
Millennials in retail account for a large portion of the U.S. workforce and have the highest number of body image modifications from tattoos, piercings, and/or gauges. Following Moustakas concept of perception, the purpose of this transcendental phenomenology study was to explore how Millennial-aged retail employees describe and experience leaders with body image modifications from tattoos, piercings, and/or gauges. Participants were sought from various retail locations and were required to be born between 1981 and 1996. Data were collected through interviews with 6 participants and the data were analyzed using Moustakas modification of the Van Kamm Method. The results showed that …
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 …
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) …
Holistic Health And Hawaii's Renewable Energy Future, Richard M. Esterle
Holistic Health And Hawaii's Renewable Energy Future, Richard M. Esterle
Walden Dissertations and Doctoral Studies
Collective efficacy, time urgency, and health literacy have been a focus of research since the 1970s. Researchers have demonstrated that these factors influence health and decision making. However, researchers have yet to establish how these factors may be connected to the achievement of policy aims that impact holistic or environmental health. This study utilized the health belief model, social cognitive theory, time urgency theory, health education and promotion theory, Bronfenbrenner's ecological systems theory, and the Meikirch model. The purpose of this quantitative study was to determine if the factors of collective efficacy, perceived time urgency, perceived health literacy, ethnicity, age, …
Facebook, Parent-Child Relationships, And Emotion Regulation In An Adolescent Sample, Lauren Nicole Crandall
Facebook, Parent-Child Relationships, And Emotion Regulation In An Adolescent Sample, Lauren Nicole Crandall
Walden Dissertations and Doctoral Studies
Social networking has become an integral part of daily communication and information sharing. Although researchers continue to explore the fields of social networking and emotion regulation separately, there is a lack of research bridging these areas of interest, particularly in the adolescent population. The purpose of this study was to examine the predictive relationship between the environmental and social variables of Facebook use, online social connectedness, and quality of parent-child relationship with adolescent emotion regulation. Fogel's social process theory of emotion provided the framework for this study and allowed for examination of the social networking environment. Research questions addressed independent …
A Comparison Of Neuropathic Pain In Hiv Disease And Diabetes Mellitus, Mary Catherine George
A Comparison Of Neuropathic Pain In Hiv Disease And Diabetes Mellitus, Mary Catherine George
Walden Dissertations and Doctoral Studies
Neuropathy is a nerve disorder found in HIV disease and diabetes mellitus that indicates damage in the peripheral nervous system. Burning, tingling, stabbing, shooting, and painful sensations in the hands and feet are common symptoms of this chronic disorder, and no treatments are available that repair the nerves. The approved pain treatments are few and only available for the diabetic neuropathy population. A mixed-methods study of archival data was performed to compare patients with painful neuropathy (PN) associated with 2 diseases: HIV (HIV-PN) and diabetes mellitus (DPN). This study examined the similarities and differences of the pain narratives and common …
An Evidence-Based Mentorship Program For Experienced Nurses, Roma Allen
An Evidence-Based Mentorship Program For Experienced Nurses, Roma Allen
Walden Dissertations and Doctoral Studies
Turnover of experienced nurses is a component of the nursing shortage, which has created a lack of expert nurses administering bedside care. The project site is a Chicago suburban hospital with an average first year turnover of experienced nurses at 35%. This rate is above the 27% first year turnover reported by the Metropolitan Chicago Healthcare Council. This project focused on development and evaluation of an evidence-based mentorship program supported by theory that can contribute to an increase in experienced nurse retention. A detailed literature review references causative factors of turnover, such as an increasing workload, a multigenerational and aging …
The Effect Of Confirmation Bias In Criminal Investigative Decision Making, Wayne A. Wallace
The Effect Of Confirmation Bias In Criminal Investigative Decision Making, Wayne A. Wallace
Harold L. Hodgkinson Award for Outstanding Dissertation
Confirmation bias occurs when a person believes in or searches for evidence to support his or her favored theory while ignoring or excusing disconfirmatory evidence and is disinclined to change his or her belief once he or she arrives at a conclusion. The purpose of this quantitative study was to examine whether emotionally charged evidence and evidence presentation order could influence an investigator's belief in a suspect's guilt. The study included 166 sworn police officers (basic training recruits, patrol officers, and criminal investigators) who completed online surveys in response to criminal vignettes across different scenarios to record their measure of …
Teen Dating Violence: Co-Occurrence With Bullying Among African American Teens In South Florida, Rosemarie Hemmings
Teen Dating Violence: Co-Occurrence With Bullying Among African American Teens In South Florida, Rosemarie Hemmings
Walden Dissertations and Doctoral Studies
Teen dating violence and bullying are major public health concerns but are preventable. Both dating violence and bullying occur within similar social context and the prevalence of teen dating violence was highest for African American teens as reported on the 2011 Youth Risk Behavior Survey (YRBS). Social learning theory provides a foundation for understanding and changing behavior related to dating violence victimization and bully victimization. The research questions focused on relationships between bully and teen dating violence victimization when controlling for race/ethnicity, gender, substance abuse, age, and age of first sexual intercourse. Additionally, the potential mediating variable of spending time …
The Effect Of Media Literacy Training On The Self-Esteem And Body-Satisfaction Among Fifth Grade Girls, Holly Mathews
The Effect Of Media Literacy Training On The Self-Esteem And Body-Satisfaction Among Fifth Grade Girls, Holly Mathews
Walden Dissertations and Doctoral Studies
Repeated exposure to media images that portray women as sex objects can have negative long-term effects on self-esteem beginning in preadolescence. Negative effects include decreased feelings of competence, increased focus on appearance, increased body dissatisfaction, and limited achievement in domains not related to appearance. There is a gap in the literature examining if media literacy training can mitigate the negative effects of exposure to sexualized media content. Festinger's social comparison theory and Vygotsky's theory of cognitive development provided the framework for this study. A quasi-experimental pre-post-test design was used to examine the interaction of media literacy training and time of …
Hiv-Positive Status Disclosure Barriers In Stable Heterosexual Partners In Warri, Nigeria., Edith Nkechinyere Ogbozor
Hiv-Positive Status Disclosure Barriers In Stable Heterosexual Partners In Warri, Nigeria., Edith Nkechinyere Ogbozor
Walden Dissertations and Doctoral Studies
Nondisclosure of positive status drives the secondary transmission of human immunodeficiency virus (HIV) infection. This cross sectional quantitative survey study grounded by the consequence theory evaluates fear of stigma, lack of social support, and level of HIV-related knowledge as barriers to self-disclosure of HIV-positive status to stable heterosexual partners. A sample of 303 HIV-infected respondents (111 men and 192 women) accessing antiretroviral therapy at 4 designated centers in Warri, Nigeria, completed the self-administered questionnaires. Logistic regression analysis was used to assess the association between these factors and spousal HIV-positive status disclosure. Results demonstrated: (a) social support availability significantly predicted HIV …
Psychological Stress In Critical Care Nurses, Oladele Augustine Odunayo Akinwolere
Psychological Stress In Critical Care Nurses, Oladele Augustine Odunayo Akinwolere
Walden Dissertations and Doctoral Studies
Increased levels of stress in the workplace have led the American Psychological Association to predict a looming public health crisis. Critical care nurses (CCNs) are highly exposed to stressors in the workplace, more than other nurses. Tens of billion dollars were reported lost in productive work time yearly due to ill health from depression alone. An important gap remains in understanding the relationships of stressors with the amount of stress. Supported by the biopsychosocial stress theory, the purpose of this study was to determine the relationship between frequencies of perceived stressors (IVs) as a source of perceived levels of stress …
Identifying Future Effective Foster Parent Characteristics: Using The Casey Foster Family Assessment, Jennifer Grimes-Vawters
Identifying Future Effective Foster Parent Characteristics: Using The Casey Foster Family Assessment, Jennifer Grimes-Vawters
Walden Dissertations and Doctoral Studies
In 2014, Washoe County Department of Social Services in Nevada, licensed only 50 of 400 parents who applied to foster children. Lack of long-term effective foster parents creates instability within the system. Significant concern over increased numbers of children entering foster care and a decreased number of qualified foster care applicants continues. The Casey Foster Family Assessment (CFFA), a comprehensive assessment of key traits of effective foster parents may further enhance the fostering application process. The identified CFFA subscales most predictive of future foster parent effectiveness, may help WCDSS more effectively identify applicants likely to provide long-term stable homes for …
Hiv Stigma Within Religious Communities In Rural India, Krutarth J. Vyas
Hiv Stigma Within Religious Communities In Rural India, Krutarth J. Vyas
Walden Dissertations and Doctoral Studies
This study was conducted to gain a better understanding of HIV/AIDS-related stigma within religious communities in rural Gujarat, India. This study used the hidden distress model of HIV stigma and the HIV peer education model as conceptual frameworks to examine a rural population sample of 100 participants. Regression analysis was conducted to test if school education had a moderating effect on the relationship between illness as punishment for sin (IPS) and HIV stigma. Religiosity was tested for mediating effects on the relationship between early religious involvement (ERI) and HIV stigma. The results of this study indicated that single unemployed men …
Spirituality, Religious Coping, And Depressive Symptoms In Hospice Patients: A Terror Management Perspective, Janine Siegel
Spirituality, Religious Coping, And Depressive Symptoms In Hospice Patients: A Terror Management Perspective, Janine Siegel
Walden Dissertations and Doctoral Studies
Facing imminent death can be an unremitting problem for hospice patients who lack psychological support for existential concerns that contribute to depressive symptoms and suffering. According to terror management theory, spiritual and religious beliefs are a common means of coping with mortality at the end of life, and few studies have considered how hospice patients feel about their impending death. This was a quantitative, cross-sectional study that examined whether spirituality and religious coping moderated the relationship between imminent death concerns and depressive symptoms in 54 hospice patients. Participants completed a self-administered survey that included the Templer Death Anxiety scale, Brief …
Factors Influencing Diabetes Self-Management Of Filipino Americans With Type 2 Diabetes Mellitus: A Holistic Approach, Jocelyn B. Sonsona
Factors Influencing Diabetes Self-Management Of Filipino Americans With Type 2 Diabetes Mellitus: A Holistic Approach, Jocelyn B. Sonsona
Walden Dissertations and Doctoral Studies
There is an increasing prevalence of Type 2 diabetes mellitus among Filipino Americans. However, how well Filipino Americans with diabetes self-manage their disease and what factors influence their diabetes self-management behaviors remain unknown. Based on a holistic approach, this quantitative study was designed to investigate the diabetes self-management behaviors of this population and the factors influencing their self-management behaviors. The combined roles of diabetes knowledge, diabetes self-efficacy, spirituality, and social support were examined in predicting diabetes self-care behaviors. A convenience sample of 113 Filipino Americans with Type 2 diabetes mellitus completed the Diabetes Knowledge Test, Self-Efficacy for Diabetes Test, Daily …
Understanding Psychosocial Rehabilitation Workers' Perceptions Of Difficult Psychiatric Situations, James B. Arnold
Understanding Psychosocial Rehabilitation Workers' Perceptions Of Difficult Psychiatric Situations, James B. Arnold
Walden Dissertations and Doctoral Studies
Psychosocial rehabilitation (PSR) is a community-based service that addresses the challenges faced by people diagnosed as having psychiatric disabilities. While working with co workers and clients, PSR workers may harbor perceptions that could lower the effectiveness of their work and hinder recovery by their clients. Although cognitive-behavioral theory has suggested an association, research has not yet connected PSR worker attitudes about psychiatric situations to their feelings and behavior. In this nonexperimental factorial design, 196 PSR workers were surveyed about the frustrations presented by stressful interpersonal job situations using the Psychiatric Situations Scale to identify whether occupation (case workers, residential workers, …
Gatekeeper Suicide Prevention Training And Its Impact On Attitudes Toward Help Seeking, John Angelo Cascamo Jr.
Gatekeeper Suicide Prevention Training And Its Impact On Attitudes Toward Help Seeking, John Angelo Cascamo Jr.
Walden Dissertations and Doctoral Studies
Gatekeeper Suicide Prevention Trainings such as Question Persuade and Refer (QPR) are used to increase suicide awareness and teach participants basic suicide intervention skills. Previous researchers showed that QPR training increases knowledge of suicide risk factors and increases participants' willingness to intervene with individuals at risk of suicide. It was hypothesized that completion of QPR would also increase positive attitudes toward the utilization of mental health services and that this outcome would be more pronounced among male participants. The examination of attitudes was rooted in the theoretical framework of Ajzen's theory of planned behavior. The Inventory of Attitudes toward Seeking …
The Influence Of Hiv Stigma And Disclosure On Psychosocial Behavior, James Minson
The Influence Of Hiv Stigma And Disclosure On Psychosocial Behavior, James Minson
Walden Dissertations and Doctoral Studies
Human Immunodeficiency Virus (HIV) remains a serious public health issue, and many social factors are involved in virus transmission and treatment. The current conceptualization of how HIV status disclosure and perceived stigma of HIV diagnosis interact is undeveloped. This study was based on social cognitive theory and tested hypothesized positive relations between HIV serostatus disclosure, social support, and self-efficacy. In addition, self-rated HIV stigma was examined as a potential mediating variable. Participants were 109 HIV positive, mostly White gay men recruited via an online bulletin board. They completed the medical outcomes study social support survey, the general self-efficacy scale, the …
Influence Of Coping Styles On Social Support Seeking Among Cancer Patient Family Caregivers, Sandra Renee Rankin
Influence Of Coping Styles On Social Support Seeking Among Cancer Patient Family Caregivers, Sandra Renee Rankin
Walden Dissertations and Doctoral Studies
Family caregivers of cancer patients may enter a predeath grief cycle when their loved one is diagnosed with cancer. The emotional upheaval and accompanying stress that define predeath grief may lead to health problems for the caregiver, and also interfere with their ability to provide care for their loved one. The purpose of the present research was to examine the relationship between coping styles of family caregivers and the tendency of those caregivers to seek social support during active caregiving. This study employed a quantitative approach based on the revised coping theory and the process of bereavement, which is grounded …
The Effect Of Encounters Between Medical Gatekeepers And Patients On The Doctor-Patient Relationship, Linda Pilzer Erlich
The Effect Of Encounters Between Medical Gatekeepers And Patients On The Doctor-Patient Relationship, Linda Pilzer Erlich
Walden Dissertations and Doctoral Studies
Research currently indicates patient perceptions of the doctor-patient relationship are central to health outcomes. Theoretically, the current study is grounded in two literatures: the placebo effect and the broader literature examining empirically tested predictors of the doctor-patient relationship. Two factors not yet studied relative to patient perceptions of the doctor-patient relationship include the direct effect of medical gatekeeper characteristics along with the interaction between gatekeeper characteristics and existing healthcare attitudes/behaviors. This quantitative archival study utilized a MultiCare Survey dataset of 10, 579 participants who were general practitioner patients in northwestern United States. This study first examined the individual impact of …
A Phenomenological Inquiry Of Chronic Homeless Individuals' Challenges To Independence, Dewana Hall
A Phenomenological Inquiry Of Chronic Homeless Individuals' Challenges To Independence, Dewana Hall
Walden Dissertations and Doctoral Studies
Homelessness is a comprehensive social problem affecting approximately 744,000 people in the U.S. Despite consistent efforts from politicians, state and local leaders, and service providers, the number of homeless people continues to rise. Although there are some explanations in the literature to account for the increase of homelessness, the literature tends to not include the voices of the homeless themselves. The purpose of this phenomenological study, which used Maslow's hierarchy of needs as its conceptual framework, was to understand the life experiences of members of the homeless population, as perceived by four male residents of a mission in an eastern …