Social and Behavioral Sciences Commons^™

Evidence-Based Alternative Therapy To Reduce Anxiety In Ambulatory Mental Health Patients, Renee Ann Denobrega

Walden Dissertations and Doctoral Studies

Evidence-Based Alternative Therapy to Reduce Anxiety in Ambulatory Mental Health Patients

by

Renee Denobrega

MS, Widener University, 2013

BS, Alvernia University, 2007

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

January 2016

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 Associated With Harm Reduction Model Use Among Substance Abuse Counselors, Tiffany Madden

Walden Dissertations and Doctoral Studies

Drug overdose death rates in the United States have more than tripled since 1990 with more than 36,000 dying in 2008. In 2007 the estimated cost of drug use to U.S. society due to lost productivity, increased health care, and criminal justice costs was over $193 billion. Previous researchers have found that harm reduction is a viable treatment option within the field of addiction. The guiding premise in the harm reduction approach is that all people can achieve improved psychological and physiological health even if they are unable to be substance-free. However, there remains an important gap in the current …

Racial Socialization And African American Students' Academic Motivation And Self-Efficacy And Likelihood Attending Graduate School, Judith Parker

Walden Dissertations and Doctoral Studies

Enrollment by African American students in U.S. colleges and universities has increased since 2009, but graduation and retention remains low for this group. Within the African American community, education is considered a central aspect of social empowerment; however, the effect of discrimination, bias, and stereotyping are key when considering achievement indices within a cultural framework. The coping mechanisms that African Americans have developed to combat discrimination, bias, and stereotype threat may contribute to poor performance in college. The purpose of this study was to examine the relationship between racial socialization and African American students' academic motivation, academic self-efficacy, and likelihood …

Autonomy, Competence, Relatedness, And Personal Growth Initiative Among Postpartum Women, Tamar Mary Boyd

Walden Dissertations and Doctoral Studies

Prior research on maternal postpartum care, the transition to motherhood, pelvic floor dysfunction, and pelvic floor muscle training (PFMT) has revealed that postpartum women are often denied the basic information, instruction, and preventive strategies necessary for optimal postbirth rehabilitation and psychological well-being. Employing a dual framework of self-determination theory and personal growth initiative (PGI) theory, this quantitative study utilized a cross-sectional design to investigate if autonomy, competence, and relatedness satisfaction predicted PGI in postpartum women. Differences in autonomy, competence, relatedness, and PGI between PFMT practicing and nonpracticing postpartum women were also examined. A web-based survey method was employed to collect …

Experiences Of Nonincarcerated African American Male Youth With An Incarcerated Male Sibling, Fred Nana Biney

Walden Dissertations and Doctoral Studies

Approximately half of all incarcerated individuals in the United States are young African American men. Researchers have documented that nonincarcerated siblings may commit a crime when their sibling is in prison. The current study addressed literature regarding the experiences, and coping strategies of nonincarcerated young African American men who live in the inner city, and have a male sibling in prison. Guided by Bronfenbrenner's ecological systems theory, this interpretative phenomenological analysis (IPA) study explored the lived experiences and coping strategies of African

American male youth with a brother in incarceration. Purposive sampling was used to select 3 nonincarcerated African American …

Exploration Of Perceptions Of Marriage Dissatisfaction Among African American Couples, Terrence Schofield

Walden Dissertations and Doctoral Studies

Perceptions of Marital Dissatisfaction Among African American Couples

by

Terrence Schofield

MS, Walden University, 2012

BS, Knoxville College, 1994

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Clinical Psychology

Walden University

August 2016

African American Women Stem Majors' Lived Experiences In Community College, Loretta D. Westry

Walden Dissertations and Doctoral Studies

The United States economy has an accelerating demand for science, technology, engineering, and mathematics (STEM)-related degrees and programs that makes it essential for members of minority populations to achieve degrees in these fields. African American women are underrepresented in STEM fields, suggesting a need to better understand their development and needs while attending community college. This hermeneutical, phenomenological research study investigated the lived experiences and perspectives of African American women enrolled in STEM majors at community colleges. The conceptual framework used to interpret data for this study was derived from Maslow, Erikson, and Rogers's humanist theories of social learning, and …

The Impact Of African-Centered Psychotherapy On Depressive Symptoms And Africentric Worldview In African Americans, Larae Tillis

Walden Dissertations and Doctoral Studies

Depression is a prominent issue in the African American community. However, there are significant gaps in the literature on the delivery and outcomes of culturally relevant mental health psychotherapy to African Americans. Cultural variables, such as worldview, have been noted to impact an individual's overall psychosocial functioning and have significant implications for mental health service delivery. The purpose of this study was to use archival data to analyze the impact of African-centered therapeutic services on depressive symptoms and on Africentric worldview among African Americans. Archival data on 38 African American adults, recorded from 2012-2015, were obtained from a community mental …

Female Police Officers' Perceptions And Experiences With Marginalization: A Phenomenological Study, Dr. Arlether Ann Wilson

Walden Dissertations and Doctoral Studies

There is a lack of female police officer representation in police departments nationwide. Women's position, or lack thereof, in law enforcement is a topic of discussion in many police literature reviews. However, there were minimal studies detailing female police officers' personal experiences in the law enforcement profession. The purpose of this phenomenological study was to describe and understand the perceptions and lived experiences of female police officers, as well as the impact those experiences had on their careers. Female participants from 3 police departments formed the purposive sample that included 8 full-time female police officers. The feminist theory helped to …

The Lived Experiences Of South Asian Same-Sex Attracted Women Residing In The United States, Surinder Kaur Bal

Walden Dissertations and Doctoral Studies

South Asian same-sex attracted women in the United States experience discrimination and marginalization that puts them at an increased risk for mental health issues. Research shows their rates of counseling and psychotherapy use are low due to perceptions of stigma, lack of knowledge, and concerns about culturally insensitive treatment plans. Mental health providers lack the literature needed to inform culturally sensitive treatment plans to address these concerning gaps in services, and an extensive literature review found no studies on the lived experiences of this population. Guided by feminist theory, this research study examined how discrimination, oppression, and marginalization mold women's …

A Phenomenological Study Of The Experience Of Humanist, Spiritual, And Transpersonal Films On Positive Organizational Behaviors In The Workplace, Frederick Henry Keeve

Walden Dissertations and Doctoral Studies

A solution is needed to counteract violent news, Internet, and other negative media images and management behaviors in the workplace, in order to boost engagement and prosocial behaviors at work. The purpose of this phenomenological study was to explore the attitudes of working professionals toward prosocial behaviors and employee engagement in the workplace as affected by transpersonal Hollywood films. An organization's ability to survive is directly related to empowerment and innovation. Classic films provide a gateway for transpersonal experiences that could change behavior and thoughts. Peterson and Seligman's transformational typology involving 6 character virtues and 24 strengths was the basis …

Family Continuity And Multiple Incarcerations Among African American Women, Dorenda Karen Dixon

Walden Dissertations and Doctoral Studies

Scholars have studied incarceration among women in the United States of America for more than a decade, but few studies have explored the influence of repeated incarcerations among African American women and their family relationships. The research question for this study examined how African American women describe the effects of multiple incarcerations on family trust relationships and their ability to reintegrate into the family system and society. This multiple case study was conducted in Chicago, Illinois, and drew a sample of 4 African American women released from prison with histories of multiple incarcerations. The study explored their perspectives through a …

Senior Army Women's Leader Behaviors And Their Civilian Career Transition, Sharon R. Hamilton

Walden Dissertations and Doctoral Studies

Female retired Army colonels (FRACs) have significant potential to contribute to civilian organizations. To take advantage of that talent, it is important to have a better understanding of their behaviors based on their dual identities as women and leaders. The purpose of this qualitative case study was to understand the under researched factors accounting for the development of FRACs' leader behaviors and the transfer of those behaviors to civilian careers. The 4 underlying meta categories of leadership behavior formed the conceptual framework. The theory of planned behavior was used to explore potential influences on FRAC leader behavior development. The 3 …

Perceptions About Sexually Transmitted Diseases In Akwa Ibom State Of Nigeria: A Qualitative Study Of Young Adults Age 18-24, Mfon Archibong Archibong

Walden Dissertations and Doctoral Studies

Despite the ongoing investments in programs to increase sexual health awareness among young adults globally, many youths remain vulnerable to sexually transmitted diseases (STDs). Two-thirds of all STDs occur among youths engaging in high-risk sexual behaviors, which put young adults at higher risk of STDs and can result in serious consequences including infertility. Additionally, the social consequences of STD affect families and communities. While a need exists for increased public awareness of STDs among young adults, extant intervention and prevention activities should be informed by a cultural perspective, including the integration of community and government roles. The purpose of this …

Muliple Roles As Predictors Of Subjective Well-Being In African American Women, Sha-Rhonda Michea Green-Davis

Walden Dissertations and Doctoral Studies

The role strain caused by the multiple roles of some women can impact their stress levels and health outcomes, which negatively affects reported subjective well-being (SWB). The culture and race of African American women has a complex effect on how they experience stress and manage their health. Some research shows the harmful rippling effect of stress for African American women is distinct from other racial groups and men. The purpose of this quantitative archival study was to understand how the SWB of African American women can be predicted by their age, years of education, household income, number of children, and …

Role Of Coping Self-Efficacy In Working Mothers' Management Of Daily Hassles And Health Outcomes, Sonya Kali Broadnax

Walden Dissertations and Doctoral Studies

U.S. working mothers experience frequent daily hassles, yet little is known about how working mothers have disproportionate abilities to handle stress. The purpose of this cross-sectional study was to determine the extent to which coping self-efficacy mediated the effect that cumulative daily hassles had on working mothers' health outcomes (i.e., physical functioning, role-physical, bodily pain, general health, vitality, social functioning, role-emotional, and mental health). The transactional model of stress and coping, social cognitive theory, and self-efficacy theory provided the theoretical foundations for this study. Daily hassles were used for this study as an additional theoretical approach for measuring stress. A …

Challenges And Implications Of Implementing Strategic Intelligence Systems In Mexico, Hector De Jesus Rivera Ochoa

Walden Dissertations and Doctoral Studies

Business intelligence (BI) allows companies to make faster and better-informed decisions. Unfortunately, implementing BI systems in companies in developing countries is minimal. Limited and costly access to the technology, coupled with the cultural background affecting how people perceive BI, has restricted such implementations. The purpose of this phenomenological study was to explore and describe the lived experiences of chief executive officers (CEOs) in northern Mexico to obtain insight into the challenges of implementing BI systems. Research questions focused on the reasons behind the lack of BI systems implementation and the challenges faced by these officers when implementing a new system. …

The Lived Experiences Of Immigrant Canadian Women With The Healthcare System, Salma Debs-Ivall

Walden Dissertations and Doctoral Studies

Immigrants to Canada report better health status than the Canadian-born population when they first arrive in Canada, a phenomenon called the Healthy Immigrant Effect. However, by the fourth year after immigration, immigrants report a health status that is worse than that of the Canadian-born population. Visible minority immigrant women report the largest deterioration in health. The purpose of this qualitative study was to explore the lived experiences of visible minority immigrant women with encounters with the Canadian healthcare system to examine the multiplicative impact of gender, ethnicity, and immigration on their health. This phenomenological study, guided by Crenshaw's feminist intersectionality …

African Americans' Understanding Of The Provisions Of The Affordable Care Act, Ewang Theo Epie-Alobwede

Walden Dissertations and Doctoral Studies

African Americans as a group tend to have numerous health issues, and by the time they seek healthcare, the conditions often advance into more serious ailments. Researchers have shown that cultural distrust of the U.S. healthcare system coupled with some discriminatory practices has hindered African Americans seeking care and taking full advantage of the healthcare system. With the introduction of the Patient Protection and Affordable Care Act (ACA), there is some confusion about the application of the law, resulting in many intended beneficiaries misinterpreting it, and not accessing quality healthcare. This interpretive phenomenological study explored how African Americans in the …

Parent-Adolescent Sexual Health Communication In Immigrant Nigerian American Families, Susan Modupe Ogunnowo

Walden Dissertations and Doctoral Studies

Poor sexual health communication among first generation Nigerian American parents and their adolescent children due to disparities in cultural integration constitutes a barrier to effective parent-child relationships. The purpose of this phenomenological study, which was guided by the acculturative family distancing (AFD) model, was to explore the lived experience of Nigerian immigrant families in the United States regarding communication effectiveness about sex and integration into the American way of life. The research questions addressed cultural bias, parent-adolescent communication effectiveness, strategies employed, resources available to new immigrants, and barriers to their usage. Data collection was by individual interviews of 5 Nigerian-born …

Policemoms: Perceptions Of Motherhood And Policy In Ohio Police Organizations, Lacy Kristine Ellis

Walden Dissertations and Doctoral Studies

Police organizations have a problem retaining female police officers, especially those who are mothers. Women leave the policing profession at higher rates during childbearing and child-rearing years than during any other time in their career. Using feminist theory as a foundation, the purpose of this phenomenological study was to gain a deeper understanding of the lived experiences of policewomen who are mothers and identify factors that contribute to poor retention rates during childbearing and child-rearing years. Data were collected through 11 interviews with policewomen, who were also mothers, in Ohio. These data were analyzed using Saldana's 2-cycle coding procedure followed …

Exploring Ghana's Strategies For Stability:Lessons For Postwar Reconstruction, Wilmot Nah Adekoya

Walden Dissertations and Doctoral Studies

Between 1990 and 2005, the state of affairs in parts of Sub-Saharan Africa, including Liberia, remained fragile due to continuous civil unrest and war. Although peace initiatives were initiated, progress toward peace has remained minimal. Ghana, one of the nations in Sub-Saharan Africa, has continued to demonstrate significant stability and progress in the midst of civil and political conflicts in the sub-region. Currently, little research exists on how Ghanaians managed to remain stable, while countries in the sub-region continued to experience civil unrests and wars. Using Eisenstadt's theory of sociological modernization as the theoretical foundation, the purpose of this holistic …

Perceptions Of Immunizations As Health Prevention Among Female Mexican Immigrants In Oklahoma, Jennifer Doyle

Walden Dissertations and Doctoral Studies

Research on health prevention behaviors of Mexican immigrant mothers regarding immunizations has been limited. As of 2014, Hispanics or Latinos comprised 9.6% of the population of the state of Oklahoma and were the largest minority group within Oklahoma. This minority population has continued to grow at a rapid rate in Oklahoma. The purpose of this study was to explore the perceptions of immunizations held by Mexican immigrants who are mothers residing in Oklahoma. The aim of this study was to identify their perceived risk of contracting a vaccine-preventable disease if not immunized and knowledge of immunizations as a health prevention …

Consequences Of The Niger Delta Amnesty Program Implementation On Nigeria's Upstream Petroleum Industry, Chisomaga Ihediohanma Ezeocha

Walden Dissertations and Doctoral Studies

The Niger Delta militancy ravaged the Nigerian upstream petroleum sector between 2004-2009, bringing it to a standstill. In response, the Nigerian state adopted an amnesty policy―a globally recognized tool for conflict resolution and peacebuilding―to protect the sector and the economy from collapse. Little is known, however, about the unintended consequences of the amnesty implementation for the Nigerian upstream petroleum sector. Thus, the purpose of this study was to fill this gap in the research literature on the Niger Delta amnesty program. Polarity management was the conceptual framework applied; relative deprivation and polarities of democracy constituted the theoretical foundation for this …

Identity-Based Cultural Paradigms, Trauma, And Interethnic Conflict In South Sudan, John Maluk Yak

Walden Dissertations and Doctoral Studies

In 2011, South Sudan became independent through the agreement and implementation of the comprehensive peace agreement (CPA). However, interethnic conflict also escalated. This cycle of violence impacts the psychological and physical health of local society. When violence between ethnic groups escalates, civilians may be forced to flee their homes. This study employed a phenomenological research approach that examined the views and experiences of the recruited 13 members from the state of Jonglei; 5 members of the Dinka, 3 members of the Murle, and 5 members of the Nuer ethnic groups residing in the United States. In an attempt to understand …

Rural Obese African American Women And Depression, Food Culture, And Binge Eating, Tracee Tamiko Smith

Walden Dissertations and Doctoral Studies

The rural African American population has a high incidence of severe psychosocial problems and a skewed perception of obesity, despite obesity's extremely high prevalence rate in this population. Despite the acknowledgements of these problems, there is a gap in literature relative to the effective treatments for obese African Americans diagnosed with depression. This study measured correlations between obesity and depression, binge eating, and food culture amongst African American women residing in Jefferson County, MS. The health belief model was used to guide an assessment of beliefs, perceptions, susceptibility, cues to action, and self-efficacy. A cross-sectional design was used based on …

Health Care Professionals' Perceptions Of Media Influence On Eating Disorder-Related Factors Among African American Women, Erica Hudson

Walden Dissertations and Doctoral Studies

Little is known about health care professionals' perceptions of eating disorder etiology among African American (AA) women. The purpose of this quantitative research study was to examine the associations among health care professionals' race, cultural awareness, and perceptions of media influence on eating disorder-related factors in AA women. Festigner's social comparison theory; Bandura's social learning theory; and Garcia, Cartwright, Winston, and Borzuchowska's transcultural integrative model served as the theoretical frameworks for this study. Specifically, this study examined whether race and cultural awareness of health care professionals relate to their perceptions of the extent to which media influences AA women's eating …

An Exploration Of Exposure To Music In High School Males In Appalachian Ohio, Cassandra Mcdonald

Walden Dissertations and Doctoral Studies

Even with increasing availability of alternative educational systems, individual learning plans, and vocational schools, the high school dropout rate among males is still rising. High school dropouts have a negative effect on a community because their chances of being employed and contributing to the community are reduced. The theoretical frameworks of multiple intelligences, self-efficacy, and developmental constructivism were used to conduct a hermeneutical phenomenological study of the lived experiences of a specific population of male youth in rural Ohio who decided to return to school and complete the requirements for a high school diploma or GED after being exposed to …

Immigration's Impact On Emerging Mental Health Issues Among Kenyans In The Northeast United States, Jane Itumbi Kabuiku

Walden Dissertations and Doctoral Studies

Immigrants lose their unique psychosocial context when their experiences are subsumed under pan ethnic labels such as Hispanics, Latina/o, Asians or Africans. The stress from navigating different cultural contexts becomes problematic when immigrants operate within mainstream cultural norms that are in conflict with their traditional values. The number of Kenyan immigrants to the United States has steadily increased since the 1980s. The purpose of this descriptive phenomenological study was to study the lived experience of Kenyan immigrants by focusing on their integration experience and how the integration processes may have affected their mental health. Very few studies center on the …