Social and Behavioral Sciences Commons^™

Providers' Knowledge Of The U.S. Health Care System And Their Medical Practice Choices: A Study Of Physicians, Residents, And Non-Physician Practitioners, Cora Case

Walden Dissertations and Doctoral Studies

The expansion of health insurance through health care reform has reduced the number of uninsured. but access to providers has not been addressed. Understanding the relationship between practice choices and aptitude of health policy and delivery is essential to determine other factors or motivators that contribute to the development of health care access policies. This descriptive study explored the value-laden elements of health care reform, such as social constructions, to learn whether there are implicit ways to address the issue of access to health care in the United States. Schneider and Ingrams's conceptualization of policy making through social construction was …

The Deterrent Effect Of Disciplinary Segregation On Prison Inmate Misconduct, Joseph William Lucas

Walden Dissertations and Doctoral Studies

Although a widely used practice, it was previously unknown whether disciplinary segregation is actually effective at modifying prison behavior. This quantitative, retrospective observational study tested deterrence theory and explored the effectiveness of disciplinary segregation in deterring subsequent prison inmate misconduct among those subjected to it (N = 228). It compared a cohort of male inmates incarcerated by the Oregon Department of Corrections who had spent time in disciplinary segregation in 2011 and/or 2012 with a comparison cohort who had not spent any time in disciplinary segregation. Three models were tested, each with the outcome variable operationalized in a different way: …

A Phenomenological Study Of Leaders' Perceptions And Experiences In Local Government, Janet Elerene Williams

Walden Dissertations and Doctoral Studies

An emerging crisis in the public sector of the United States is that local government organizations are unable to recruit and retain leaders. A large proportion of high-level and mid-management public administrators leave the profession within a 5-year period. The purpose of this phenomenological study was to explore, identify, and describe patterns in the experiences and perceptions of local government administrators to promote career longevity. The central research questions were designed to determine whether work adjustment theory accurately described the lived experiences and perceptions of the subjects' career success in local government. Data collection included in-depth interviews with 10 current …

Lived Experiences Of Attorneys Who Represent Transgender Clients In Prison Placement, Heidi Jo Green

Walden Dissertations and Doctoral Studies

Researchers have indicated that there are no formal guidelines for placing convicted transgender felons in the United States in correctional facilities and addressing their post-placement medical care and treatment. The problem is that inappropriate placement may lead to the discrimination of transgender offenders; it may also put them in situations that threaten their safety. Attorneys are legal advocates assigned to defend and protect the rights of their clients during the trial and sentencing phase when correctional placement is determined. The purpose of this hermeneutic, phenomenological study was to explore the lived experiences of attorneys who represent transgender clients during the …

The Role Of Uae Health Professionals In Maternal And Child Health Policy, Immanuel Azaad Moonesar

Walden Dissertations and Doctoral Studies

Maternal and child health (MCH) mortality is a formidable challenge for health systems around the world according to the World Health Organization. Health professionals and practitioners within the United Arab Emirates were studied to determine the extent they were involved in the policy-making process, and the potential impact that analysis may have on new or revised MCH policies. Research on MCH policy-making and development processes are limited. The Andersen model of healthcare services utilization provides an appropriate framework for this research, enabling the analysis that influences the policy-making process in the area of MCH. Independent variables included nationality, education, work …

Engaging The Nonprofits In Louisville Housing Market For Low-Income Households, Joshua Omoniyi Odetunde

Walden Dissertations and Doctoral Studies

Nonprofit organizations often work in partnership with government agencies to empower low income people in the housing market through government subsidized mortgage loans. In spite of this assistance, homelessness and substandard housing is pervasive among low income households because this population primarily relies on the rental housing market, leaving a gap in practice and knowledge related to how nonprofits provide assistance to the overwhelming majority of low income consumers in need of housing. The purpose of this case study was to use social justice theory to explore how the nonprofit sector, as an economic force, provides assistance to and empowers …

Animas-La Plata Project Stakeholder Narratives: A Case Study Using Kingdon's Three Streams Theory, Denise Renee Rue-Pastin

Walden Dissertations and Doctoral Studies

Population growth, coupled with changing weather patterns, is straining water supplies, especially in the American Southwest. A multitude of tools, including additional storage, will be needed to meet water demand and supply gaps. The Animas-La Plata Project, a reservoir in southwest Colorado, provides a case study of how groups worked for nearly 70 years to solve a water problem: insufficient irrigation for agriculture. This qualitative case study addressed a lack of first-person narratives from those most involved. Its purpose was to gather stakeholder narratives and analyze them using Kingdon's three streams theory to address the extent to which the problem, …

Improving High School Service-Learning To Increase Long-Term Impact On Volunteerism, Tracey Boldemann Tatkin

Walden Dissertations and Doctoral Studies

Passage of the Kennedy Serve America Act in 2009 led to wide support for service-learning programs in high schools. The effectiveness of these programs on future volunteerism in college, however, has not been established. In the absence of research clarifying the variables that might influence programming effectiveness, it is difficult to design and adapt such programs to increase their impact. This study explored how high school service-learning programs could be improved to encourage greater student participation and to motivate continued volunteerism in college. A multiple case study methodology was used that included face-to-face interviews with 7 teachers and service-learning coordinators …

Experiences Of Youth Recreation Sport Organizations' Administrators With Implementation Of Maryland Concussion Law, Donelle Mckenna

Walden Dissertations and Doctoral Studies

Experiences of Youth Recreation Sport Organizations' Administrators with Implementation of Maryland Concussion Law

by

Donelle Damali Ainsworth-McKenna

MHSA, The George Washington University, 2004

BS, Morgan State University, 2000

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Health Services

Walden University

September 2015

There have been statewide concussion policies implemented in all 50 states and the District of Columbia to address the problem of sports-related concussions in youth athletes. The efforts to implement the requirements of these laws have mainly focused on high school athletics, despite evidence that pre-high school youth athletes who participate …

Army Medics With College Degrees Who Transitioned To Civilian Life, Alex Giberson

Walden Dissertations and Doctoral Studies

Few colleges and universities have adopted the practice to provide credits for the majority of undergraduate coursework for military career training. Easing the transition from military to civilian life has become a priority for the Department of Defense, yet there is a significant gap in empirical knowledge regarding the potential benefits of a college degree on soldiers exiting the military. The purpose of this study was to understand the lived experiences of Army Medics who have transitioned back into civilian life after graduating from a college degree program that grants significant credit for military training. This phenomenological study used a …

We Left Lassie Behind: Defense Personnel Relocation, Animal Abandonment, And Shelter Impacts, Gabriele Griffiths

Walden Dissertations and Doctoral Studies

When Department of Defense (DoD) personnel receive orders to relocate to a new duty installation, nearly one third abandon their companion animals, which negatively affects the local shelters' costs, personnel, and capabilities to provide quality care for shelter animals. There is a lack of research on relevant policies among local government policy makers, installation commanders, directors of animal shelters, and animal rights advocates about the abandonment of companion animals by DoD personnel. The purpose of this qualitative descriptive case study was to investigate the relationship between the influx of abandoned DoD companion animals and the management and logistical (including financial) …

Methods Used In Public Policy Decision Making By County Managers In North Carolina, Jeffrey Bryan Gowen

Walden Dissertations and Doctoral Studies

Researchers have examined ways in which policy makers develop their decisions. The literature has not explored, however, the methodologies used by county managers to arrive at decisions, or whether they consider the medium- and long-term policy implications, or second and third order effects, of those decisions. The purpose of this study was to identify the methodologies and decision-making processes used by county managers in North Carolina. The theoretical framework was Lindblom's theory of incrementalism in decision making. Data for this phenomenological study were collected through semi-structured interviews with 10 purposefully selected county managers, and were coded and categorized to identify …

Understanding Presidential Voting Motivation By Factors Of Agency, Sharlene Wilson

Walden Dissertations and Doctoral Studies

The President of the United States sets the tone for policy and has significant power in adopting and implementing policy. Despite this acknowledged power, prior studies, have not examined whether or not agency theory is predictive of voting in U.S. presidential elections. Agency theory is important in the scope of voting behavior as it identifies the relationships which support significance in practicing the activity. This correlational study examined the statistical impact of personal agency, social agency, and sociocultural agency on predictive voting behavior. This study used secondary data originally collected between 1956 and 2008 by the American National Election Study …

Knowledge Of Overdiagnosis And The Decision To Participate In Breast Cancer Screening, Kimberly T. Nembhard

Walden Dissertations and Doctoral Studies

In 2014, breast cancer was the second leading cause of death among Canadian women, with women over age 50 years making up 82% of the identified cases. To address this issue, the Ontario Breast Screening Program developed a media campaign that promoted the benefits of mammogram screening, but not the associated risks (i.e., false-positive, false-negative, radiation exposure, and overdiagnosis). This study was designed to determine whether there was a statistically significant relationship between knowledge of overdiagnosis and participation in mammogram screening. This cross-sectional, correlational study used schema theory supported by the effective health communication model. Forty-one women were invited to …

Attitudes Of Returning Citizens In Government-Managed Post-Release Programming, Zachary D'Jon Weaver

Walden Dissertations and Doctoral Studies

Nearly 700,000 prisoners return to communities annually, and approximately two-thirds are rearrested within 3 years of release. The cyclic pattern of recidivism presents risks to both returning offenders and the communities that accept them. Reentry research tends to include the voice and experiences of juveniles, community members, and service providers, and narrowly focuses on the socioeconomic conditions of adult ex-offender populations pre- and post-release. Few researchers have explored the attitudes of those returning citizens or the perceived impact on treatment success, as related to employment-based, post-release reintegration programs. This study investigated the attitudes of 32 participants of Project Empowerment, the …

Exploring Potential Associations With The Presidential Discretionary Power Of Fema Funds Dispensation, Matthew Thomas Eagles

Walden Dissertations and Doctoral Studies

US presidential approval of Federal Emergency Management Agency (FEMA) funding has been the subject of much research that largely has been inconclusive or contradictor as it relates to whether funds may have been distributed in a biased way through the use of presidential discretionary power. The purpose of this study was to explore if or to what degree US presidents acted in a potentially biased manner with the approval of FEMA approvals during election years in election battleground states. This study was an exploration of whether there was presidential political favoritism in approving FEMA funding from 1996-2012. The theoretical constructs …

The Burqa Ban In France And Its Potential Implications On Islamic Terrorism, Ifeanyi Valentine Madu

Walden Dissertations and Doctoral Studies

Islamic terrorism has become a global problem which has resulted in human, social, political, and economic costs. Many Islamic terrorist organizations have focused their attacks on the West and its interests. They justify these acts by making reference to policies of the West, which they believe are inimical to Islam. France, a Western country, recently introduced a law which bans the Islamic face veil (the burqa) in public places in the country. This study examined the implications of this law. The research question focused on the perceived relationship between this law and increased acts of Islamic terrorism. The theoretical construct …

Beyond Elections: Ghana's Democracy From The Perspective Of The Citizenry, Ransford Osafo-Danso

Walden Dissertations and Doctoral Studies

Ghana's democracy has been hailed by scholars, practitioners, and the international community in recent years as a shining example in the West African subregion as a result of the country's record of organizing successive elections with minimal or no violence. However, the evaluation of Ghana's democracy has predominantly focused on the elections and disproportionately captures the views of the political elite; conspicuously missing is the perspective of the ordinary Ghanaian. This presents an incomplete picture of Ghana's democracy, given the relevance of citizens' participation in democratic societies. To address this gap in knowledge, this qualitative case study explored the practice …

The Effect Of A State Legitimation Process On Child Support Payments And Father-Child Relationships, Chalonda L. Smith

Walden Dissertations and Doctoral Studies

For noncustodial fathers, having legal rights and leaving an inheritance to their child or children are important aspects of being an active father. Georgia state law sees a difference between paternity and legitimation, and for some noncustodial fathers, although paternity is established and they are responsible for supporting that child financially and medically as deemed through child support enforcement, they have no legal rights to their children, nor can they petition the courts for visitation until legitimation is established. This correlational study examined the impact that the legitimation policy has on noncustodial fathers and their relationship with their child, as …

Neighborhood Risks And Resources Correlated With Rates Of Successful Reentry Of Youth Returning From Detention Centers In Massachusetts, Nokuthula Sibanda

Walden Dissertations and Doctoral Studies

Youth delinquency is a major social problem in the United States with approximately 29% of youths aged 18 to 21 reoffending within the first year of release in Massachusetts. Given the amount of state resources used for youth corrections, the factors that encourage the youth to reoffend become important to understand. The purpose of this quantitative, cross-sectional correlational study was to examine whether community and environmental risks and resources are related with successful reentry of youth returning from detention centers in Massachusetts. Using the collective efficacy and routine activities theory to explain the motivations to reoffend, the study sought to …

Identifying And Mitigating Domestic Minor Sex Trafficking In An Urban Community, Anne Ellen Gresham

Walden Dissertations and Doctoral Studies

Human trafficking, domestic minor sex trafficking (DMST), and commercial sexual exploitation of children (CSEC) are complex and multifaceted occurrences in the United States. As the numbers of youth ensnared in sexually exploitive situations increase, organizations and communities are called upon to address the ramifications of this abuse; little research was located, however, that examined collaborative networks and partnerships that address victim identification and mitigation of DMST and CSEC. The purpose of this qualitative single case study was to determine whether strategic partnerships existed within the community under investigation. The theoretical framework was environmental theory, as first described by Florence Nightingale; …

Perceived Factors Contributing To Coronary Heart Disease In African American Women, Funmilola O. Sholanke

Walden Dissertations and Doctoral Studies

African American women (AAW) suffer from disproportionately high death rates due to coronary heart disease (CHD) compared to Caucasian women. Although there have been a number of studies targeting African American adults with CHD in clinical interventions, very few studies have addressed the social determinants of health and the influence of AAW's perceptions of health factors on health outcomes. The purpose of this phenomenological study was to fill the gap in the existing knowledge base by examining the lived experiences of 10 AAW diagnosed with CHD with a focus on the perceptions of environmental, socioeconomic, and cultural factors related to …

The United Nations Training Of The Liberia National Police: Effectiveness, Results, And Future Implications, Yarsuo Laezee Weh-Dorliae

Walden Dissertations and Doctoral Studies

After the United Nations' mission in Liberia (UNMIL) ends on September 30, 2015, effective policing will be a security concern for Liberians. Liberians have expressed fear that conflict could return if ongoing police training programs do not sustain public safety. The purpose of this mixed methods study was to understand how UNMIL's training affected public confidence in the Liberia National Police (LNP). The theoretical bases for this study included public choice theory and liberal democratic theory. Quantitative data were used to address impact of UNMIL's police training on the maintenance of law and order. These data were collected through a …

Determinants Of Usage Of Age-Appropriate Child Safety Seats In Connecticut, Giuseppina Mendillo Violano

Walden Dissertations and Doctoral Studies

In the United States, motor vehicle crashes are one of the leading causes of unintentional injury death and disability for children ages 1'15 years. Despite local, state, and federal legislative and educational efforts, children continue to be restrained improperly and thus face harm. Identifying behaviors and barriers that place child occupants at risk is crucial for implementing focused, injury-prevention programs and policies. The purpose of this study was to evaluate the effectiveness of Connecticut's child passenger safety law that was strengthened in 2005. This study involved a multifactorial approach to predicting child seat use, guided by Roger's diffusion of innovations …

Minorities' Perception Of The Comprehensive Emergency Management Model Of Distributing Of Information, Lawrence Davis

Walden Dissertations and Doctoral Studies

Failure to receive critical and timely information from emergency management professionals (EMPs) may lead to the loss of life during disasters and emergencies. Recent research and government reports have indicated that there may be communication failures between EMPs and minority community members, though little is known about how minority communities perceive EMP communication efforts. The central research questions and purpose of this study were designed to explore the experiences of minority community members in receiving and interpreting disaster-related communications from EMPs. Data for this phenomenological study were acquired through-in-depth interviews with 13 African Americans (7 males and 6 females) located …

Qualitative Case Study On F-35 Fighter Production Delays Affecting National Security Guidance, Monique Marie Maldonado

Walden Dissertations and Doctoral Studies

Approaching $400 billion for its establishment and production, the F-35 Joint Strike Fighter (JSF) is the Department of Defense's (DoD) largest acquisition program in U.S. history. Unfortunately, significant delays have immobilized the program's production rate, and little research has examined whether and how such delays directly affect national security. The purpose of this study was to determine whether and how production delays in the JSF program directly affect national security. The theoretical foundations for this qualitative case study were Condorcet's modernization theory and Giddens's globalization framework. Data were collected from interviews with 15 senior DoD civilian, military, and JSF officials …

Public-Police Relations: Officers' Interpretations Of Citizen Contacts, Donal Alfred Hardin

Walden Dissertations and Doctoral Studies

Perceptual differences in how citizens and police view police-initiated contacts can result in individual and communal tension, mistrust, and social strife, which complicate the relationships needed in order to thrive and promote safe environments. To examine how police officers interpret these contacts, this case study sought to explore the nature of citizen-police relations from the perspective of police officers in a city in the northwest part of the United States. Social contract and procedural justice theories were used to examine the circumstances that officers cited for taking enforcement actions, including operational definitions of police fairness and legitimacy from the Queensland …

Relief Aid Dependency Syndromes: A Case For Disaster-Prone Moroto District In Uganda, Richard Acaye

Walden Dissertations and Doctoral Studies

Humanitarian aid, while useful in the short run, sometimes has the effect of contributing to poverty and poor economic conditions in the long run. This occurs when recipients of relief aid lose their initiative to fend for themselves and become reliant on external aid. The purpose of this mixed method study was to evaluate the degree to which dependency on long term aid has contributed to chronic poverty in the Moroto district of Uganda. This study was grounded on Harvey & Lind's conceptualization of the dependency syndrome. The research questions addressed the relationship between household production and investment pattern with …

Relationships Between A Prenatal Nutrition Education Intervention And Maternal Nutrition In Ethiopia, Divya Lakshmi Selvakumar

Walden Dissertations and Doctoral Studies

In Ethiopia, 17% of pregnant women ages 18-49 are malnourished and have low awareness of prenatal nutrition, which may relate to increasingly high rates of maternal and infant mortality. The purpose of this mixed methods research study was to determine the effects of a community-based prenatal nutrition education intervention program on maternal nutrition knowledge and attitudes in the Alaje district of Ethiopia. The theoretical framework was Sen's capability theory of poverty, in which opportunities can lead to well-being and promote economic development. Research questions focused on the relationships among 8 independent variables-age, income source, degree of program implementation, marital status, …

Stigmas Associated With Black American Incarceration Through An Afrocentric Lens, Wylie Jason Tidwell

Walden Dissertations and Doctoral Studies

Although extensive quantitative research has been conducted on Black American incarceration rates, to date, there has not been a study from an Afrocentric (Black American) perspective in the field of public policy. Using Dillard's conceptualization of Afrocentric theory, this study added to the field of public policy by examining how the stigmas associated with mass incarceration have reduced political and economic opportunities for Black Americans born 1965 - 1984. The purpose of this ethnographic study was to provide an Afrocentric voice by which the members of the Black American community are the center of the data collection on the stigmas …