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Full-Text Articles in Public Affairs, Public Policy and Public Administration

Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León Jan 2023

Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León

Walden Dissertations and Doctoral Studies

In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …


Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León Jan 2023

Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León

Walden Dissertations and Doctoral Studies

In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …


Early Hearing Screening Policy And Deaf Children’S Language Acquisition, Marla Hatrak Jan 2022

Early Hearing Screening Policy And Deaf Children’S Language Acquisition, Marla Hatrak

Walden Dissertations and Doctoral Studies

The federal Early Hearing Detection and Intervention Act (EHDI) guarantees medical and communication interventions for deaf children and audiological, medical, and language intervention data collection. However, the policy and its implementation have not been analyzed in regard to policy goal attainment of deaf children’s language acquisition. A qualitative case study was conducted to analyze seven federal- and state-level early hearing screening policy websites and implementation and intermediary documents to assess the federal and state policy formation and implementation of EHDI. In addition to the document assessment, data were collected from interviews to obtain the perspectives of two early childhood educational …


Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer Jan 2022

Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer

Walden Dissertations and Doctoral Studies

The rising cost of Medicare is a growing concern for recipients. Beneficiaries are often forced to implement a host of strategies to meet rising out-of-pocket expenses. This qualitative study was conducted to address a research gap in methods used by senior citizens to manage rising Medicare coverage costs. Garmezy’s resilience theory was used to contextualize the rising costs of Medicare premiums and copays and strategies used to manage healthcare needs. The purposive sample of 12 socioeconomically diverse respondents included eight women and four men ranging in age between 65 and 77, for an average age of 70.2 years. Participants completed …


Older Adults' Access To Medicaid's Home-And Community-Based Services, Joe Henry Horton Jan 2020

Older Adults' Access To Medicaid's Home-And Community-Based Services, Joe Henry Horton

Walden Dissertations and Doctoral Studies

As the U.S. population ages, the need for public policies regarding long-term care increases, as the need is unequal to demand. The purpose of this qualitative study was to explore and describe the role of senior service providers (SSPs) who have dealt with health policies from being responsible for the decision-making processes of implementing federal and state guidelines in Michigan on access and wait-listing of older adults for home and community-based services (HCBS). The theoretical foundation for this study was the social construction and policy design theory. The central research question sought perceptions of SSPs as to their ability to …


Time Banks As Aging-In-Place Initiatives, Calli Sajnani Jan 2018

Time Banks As Aging-In-Place Initiatives, Calli Sajnani

Walden Dissertations and Doctoral Studies

There has been growing concern over how state and federal governments can support the increasing population of aging Americans and their need for long-term care. Current insurance funding models cover acute hospitalization and skilled care only, leaving unskilled care needs and homemaker services at the full expense of those in need. Time banking allows individuals to exchange or barter time for goods or services without monetary payment. There is insufficient evidence to determine if members believe time banks to be a viable alternative to support aging-in-place care needs. This phenomenological study explored time banking as a potential vehicle for nonskilled …


Staffing Standards And Care Outcomes In For-Profit And Not-For-Profit Religious-Based Nursing Homes, Ara Omobola Omotowa Jan 2017

Staffing Standards And Care Outcomes In For-Profit And Not-For-Profit Religious-Based Nursing Homes, Ara Omobola Omotowa

Walden Dissertations and Doctoral Studies

Vulnerable older adults residing in nursing homes continue to experience poor care outcomes due to nurse staffing levels that are below the levels required for maintaining their well-being. Studies have shown that patient care outcomes in nursing homes are related to nurse staffing standards/levels, which are affected by profit maximization on adherence to registered nurses and licensed nurse staffing standards. The purpose of this descriptive study was to determine if there was a relationship between adherence to staffing standards and care outcomes in for-profit (FP) and not-for-profit religious-based (NFPRB) nursing homes using the profit maximization theory. Research questions focused on …


Multifamily Subsidized Housing Seniors' Awareness Of Aging And Disability Resource Center Services, Katrina Polk Jan 2017

Multifamily Subsidized Housing Seniors' Awareness Of Aging And Disability Resource Center Services, Katrina Polk

Walden Dissertations and Doctoral Studies

Over 75% of adults 60 years of age or older who live in Washington, D.C. are unaware of access to Aging and Disability Resource Centers' (ADRC) community-based services. Approximately 25% of these individuals are low-income and reside in multifamily subsidized housing. With a theoretical basis in Penchansky and Thomas' construct of access, this phenomenological study explored whether increased awareness of access to ADRC service delivery may potentially better meet the needs of this socioeconomically marginalized population. Data were collected through semi-structured interviews with 20 senior citizens in Washington, D.C. who received some programmatic assistance, such as housing or meal delivery, …


The Influence Of Nursing Home Administrator Turnover On Resident Quality Of Life, Juliet Iheoma Madubata Jan 2015

The Influence Of Nursing Home Administrator Turnover On Resident Quality Of Life, Juliet Iheoma Madubata

Walden Dissertations and Doctoral Studies

By 2040, 79.7 million older adults will live in the US, and nearly 40% will need nursing home services that are primarily funded by Medicare and Medicaid. Researchers have underscored the importance of leadership in quality healthcare care delivery, suggesting that nursing home administrator turnover could influence resident quality of life, causing ill-health for the residents and preventable medical costs for taxpayers. In spite of the suggested association, little research has specifically examined the role of administrator turnover on resident quality of life. As such, the purpose and central research questions of this case study were designed specifically to address …


Improving The Experiences Of Informal And Formal Alzheimer's Disease And Dementias Caregivers, Roxroy Anthony Reid Jan 2015

Improving The Experiences Of Informal And Formal Alzheimer's Disease And Dementias Caregivers, Roxroy Anthony Reid

Walden Dissertations and Doctoral Studies

Informal and formal caregivers of persons with Alzheimer's disease and related dementias (ADRD) encounter a more difficult and unique set of challenges than do caregivers of individuals with general disabilities. If adequate caregiver supports are not provided, caregivers may experience increased strain as the disease progresses, increasing the likelihood of unnecessary institutionalization of their care recipients and increasing the cost to the public. Using rational choice theory and political systems theory, the purpose of this study was to differentiate between the phenomenological experiences of formal and informal caregivers of ADRD patients. The overall research was a qualitative design that used …


Exploring The Lived Experiences Of Seniors Aging In Place, Magaly C. Dante Jan 2015

Exploring The Lived Experiences Of Seniors Aging In Place, Magaly C. Dante

Walden Dissertations and Doctoral Studies

Baby boomers are living longer, and as they age, they will need more supportive services that may include housing, mobility, nutrition, personal care, or health care. Despite the studies that have been conducted on baby boomers aging in place (choosing to stay in their home versus move to an institution), the focus has been on the old and frail and very little has been done to address the lifestyle of active (physically functioning) baby boomers. The purpose of this phenomenological study was to understand the lived, shared experiences of active baby boomers regarding their beliefs and attitudes about aging in …


The Perspectives Of African American Nonprofit Female Executives From The Northeastern Region Of The United States About The Work-Family Balance, Tammy Evans-Colquitt Jan 2011

The Perspectives Of African American Nonprofit Female Executives From The Northeastern Region Of The United States About The Work-Family Balance, Tammy Evans-Colquitt

Walden Dissertations and Doctoral Studies

Although many studies have been conducted on the increased pressure and stress facing women who are trying to fulfill work and family demands, little is known about African American women in executive positions and their perspectives about work-life balance. A particular gap in the research literature exists on the lived experience of African American nonprofit executive women in maintaining work-life balance. The conceptual framework of this phenomenological study was the bidirectional frame of both work interfering with family and family interfering with work. Data were collected through semistructured telephone interviews of 12 African American women ages 30 to 45 and …