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Health Awareness On High Blood Pressure, High Cholesterol, And Risk For Cardiovascular Disease, Innocent Bibi Jan 2019

Health Awareness On High Blood Pressure, High Cholesterol, And Risk For Cardiovascular Disease, Innocent Bibi

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) is responsible for 25% of the annual deaths in the United States and represents a major public health burden, as patients often require screening and lifestyle changes related to multiple risk factors such as high blood pressure and high cholesterol. The purpose of this quantitative correlational study was to determine if there was a statistically significant association between high blood pressure and high cholesterol awareness (prevention and management) and cardiovascular health outcomes (angina pectoris, coronary heart disease, and heart attack). The theoretical framework that guided this study was the health belief model. Data from adults over the …

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The Impact Of Access, Socioeconomic Status, And Education, On Breast Cancer Screening In Boston, Ma, Chioma Azuonye Jan 2019

The Impact Of Access, Socioeconomic Status, And Education, On Breast Cancer Screening In Boston, Ma, Chioma Azuonye

Walden Dissertations and Doctoral Studies

In Boston Massachusetts, Black and White women aged 50-74, experience limited access to breast cancer screening. The purpose of this quantitative study was to investigate whether there is a correlation between breast cancer screening access to personal healthcare providers among Black and White women, aged 50- 74, in Boston, MA. The study focused on whether there was a correlation between breast cancer screening access and socioeconomic status among women, and whether a correlation existed between breast cancer screening and their educational levels. The study was informed by the health belief psychological framework. The study consisted of secondary data from the …

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Teachers' Beliefs About Using A Growth Mindset When Teaching Special Education Students, Kimberly Nicole Hellthaler Jan 2019

Teachers' Beliefs About Using A Growth Mindset When Teaching Special Education Students, Kimberly Nicole Hellthaler

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine general education teachers' knowledge and experiences regarding a growth versus a fixed mindset while teaching students with disabilities in Grades K-2. The conceptual framework that was used to guide this study was Dweck's implicit theories of mindsets. Research questions were developed to explore teachers' knowledge and experiences about teaching with a growth mindset versus fixed mindset and how they assessed themselves in terms of teaching with a fixed or growth mindset. The research design was a basic qualitative study that included semi structured interviews and a teacher assessment using a Mindset Quiz. …

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Embracing Ujima: A Grounded Theory Of African Americans Choosing The Counseling Profession, Rashida Karriem Fisher Jan 2019

Embracing Ujima: A Grounded Theory Of African Americans Choosing The Counseling Profession, Rashida Karriem Fisher

Walden Dissertations and Doctoral Studies

Racial and ethnic diverse populations experience discrimination in educational and career attainment and remain underrepresented in the counseling profession. The current literature provides limited guidance for the counseling profession and academic institutions for successfully recruiting racial and ethnic minority students in a master's level counselor training program. Social Constructivist theory and Adlerian/ Individual Psychology are the theoretical foundations of the study. This constructivist grounded theory study sought to understand the career decision-making process of African Americans choosing to enter in the counseling profession and the influence of racial and ethnic identity on this decision-making process. Utilizing semistructured interviews via video-conferencing; …

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Compassion Fatigue In Registered Dietitians Who Treat Patients With Eating Disorders, Caryn Alyce Honig Jan 2019

Compassion Fatigue In Registered Dietitians Who Treat Patients With Eating Disorders, Caryn Alyce Honig

Walden Dissertations and Doctoral Studies

Registered dietitians who treat patients with eating disorders may be at risk for developing compassion fatigue due to exposure to patients' chronic complications. Dietetic courses and programs do not comprise coping and resilience training, therefore, dietitians who work with these patients may need additional education. The purpose of this basic qualitative research study was to investigate the perceptions of practicing registered dietitians and dietetic educators on the risk of compassion fatigue, investigate ways to manage and prevent the development of compassion fatigue, and explore the possible need for professional education. Knowles's theory of andragogy provided the conceptual framework as perceptions …

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Probabilistic Algorithms, Lean Methodology Techniques, And Cell Optimization Results, Michael Mccurrey Jan 2019

Probabilistic Algorithms, Lean Methodology Techniques, And Cell Optimization Results, Michael Mccurrey

Walden Dissertations and Doctoral Studies

There is a significant technology deficiency within the U.S. manufacturing industry compared to other countries. To adequately compete in the global market, lean manufacturing organizations in the United States need to look beyond their traditional methods of evaluating their processes to optimize their assembly cells for efficiency. Utilizing the task-technology fit theory this quantitative correlational study examined the relationships among software using probabilistic algorithms, lean methodology techniques, and manufacturer cell optimization results. Participants consisted of individuals performing the role of the systems analyst within a manufacturing organization using lean methodologies in the Southwestern United States. Data were collected from 118 …

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Using Transformational Leadership To Reduce Employee Turnover In Hospital Organizations, Sylvia Mcmanus Jan 2019

Using Transformational Leadership To Reduce Employee Turnover In Hospital Organizations, Sylvia Mcmanus

Walden Dissertations and Doctoral Studies

Employee turnovers have been challenging and costly for most organizations. Organization leaders are concerned with employee turnover due to the high cost of training replacements. Grounded in Burns's model of transformational leadership, the purpose of this qualitative multiple case study was to identify strategies hospital managers used to reduce Environmental Services (EVS) employee turnover. The participants consisted of 5 EVS managers with recruiting and hiring responsibilities from the Piedmont Triad and Research Triangle Park of North Carolina who experienced EVS turnover, yet implemented effective leadership strategies to retain workers. Yin's 5 stages of data analysis were used to analyze data …

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A Practice Guideline For Triaging Mental Health Patients In The Emergency Setting, Florence Nguh Jan 2019

A Practice Guideline For Triaging Mental Health Patients In The Emergency Setting, Florence Nguh

Walden Dissertations and Doctoral Studies

Today's emergency departments (EDs) are challenged with increasing numbers of patients with behavioral health (BH) issues and associated management problems. Patients presenting in the ED are increasingly in need of BH services due to a lack of available services in the community. The implication is that ED staff are faced with conducting a comprehensive review of their systems and processes for BH care delivery to ensure that the needs of this population are safely met. Specifically, this DNP project addressed the lack of evidence-based screening tools for the ED triage area for patients with BH issues. The purpose was to …

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Examining Family Hierarchy Through The Eyes Of Former Mac Baller Gang Members, Jerome Lee Rice Jan 2019

Examining Family Hierarchy Through The Eyes Of Former Mac Baller Gang Members, Jerome Lee Rice

Walden Dissertations and Doctoral Studies

Criminal gang membership is growing, which corresponds to a continued breakdown of the family unit in the United States. Most of the young people who form gangs come from broken families or single-parent-headed households. This study explored the role of family hierarchy on gang membership. A qualitative case study approach was used to gather information on what motivates young people to join criminal gangs. A random sampling technique was used to recruit seven former members of the Mac Baller Brim gang. Ethical concerns were addressed to minimize the risks to the participants. The collected data from interviews were analyzed using …

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Response To Intervention For English Language Learners, Robin Adele Rivas Jan 2019

Response To Intervention For English Language Learners, Robin Adele Rivas

Walden Dissertations and Doctoral Studies

Researchers in schools have had differing interpretations of effective implementation of response to intervention (RTI) models that have resulted in educators' confusion and misperceptions of the programs, especially with elementary English language learner (ELL) students. The purpose of this case study of 4 schools in an urban school district in the midwest was to explore how teachers used experiential, linguistic, and culturally responsive research-based instructional strategies in their classes to meet the needs of ELLs. Additionally, the RTI team process was explored to discover what experiential, linguistic, and culturally responsive research-based indicators they considered during the RTI decision making process …

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Strategies Healthcare Managers Use To Reduce Employee Turnover, Christopher Sean Atkins Jan 2019

Strategies Healthcare Managers Use To Reduce Employee Turnover, Christopher Sean Atkins

Walden Dissertations and Doctoral Studies

Healthcare managers who are unaware of the various strategies that exist for reducing turnover could adversely affect patient care, organizational morale and performance, and the achievement of organizational goals. The purpose of this qualitative multiple case study was to explore strategies healthcare supervisors used to reduce employee turnover. The participants comprised 3 senior healthcare managers located in central Texas responsible for hiring, firing, training, supervising, and successfully using strategies to reduce employee turnover. Herzberg's motivation-hygiene theory provided the conceptual framework. Data were collected from semistructured interviews and a review of company documents. Thematic analysis of the data resulted in 5 …

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A Systematic Review Of Nurse Staffing Models, Elizabeth Ndidi Ubochi Jan 2019

A Systematic Review Of Nurse Staffing Models, Elizabeth Ndidi Ubochi

Walden Dissertations and Doctoral Studies

Appropriate nurse staffing is essential to the delivery of high-quality patient care. Nursing leadership identifies nurse staffing model as an evidence-based staffing model following problems with nursing staff retention on 4 acute care units in a recently opened hospital. The linkage model guided the review of evidence on nurse staffing models and the relationship to nurse job satisfaction and nurse retention and to explore strategies that could lead to recommendations to nursing leadership. The 466 articles found were reduced to 7 articles, 2 at Level 1 (systematic review), 4 at Level VI (quantitative descriptive), and 1 at Level VII (expert …

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Strategies Middle Managers Of Nonprofit Health Care Organizations Use To Motivate Their Administrative Workforce, Chastidy Elliott Jan 2019

Strategies Middle Managers Of Nonprofit Health Care Organizations Use To Motivate Their Administrative Workforce, Chastidy Elliott

Walden Dissertations and Doctoral Studies

Despite the awareness of employee motivation among scholars and business leaders, many American workers attest to being unmotivated. A lack of employee motivation can lead to negative business outcomes. Therefore, middle managers may experience challenges in identifying strategies to motivate their staff. Grounded in the path-goal theory, the purpose of this qualitative multiple case study was to explore nonprofit health care organization middle managers' motivational strategies for the administrative workforce. The participants were comprised of 13 middle managers in the United States who supervised administrative teams of 4 or more members for over 2 years and effectively implemented motivational strategies. …

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A Qualitative Assessment Of Professional Development In A Competency-Based Education Model, Kerry Hannah Jan 2019

A Qualitative Assessment Of Professional Development In A Competency-Based Education Model, Kerry Hannah

Walden Dissertations and Doctoral Studies

Competency-based education (CBE) is increasingly important in higher education, both in volume and pervasiveness, which increases the need for comprehensive, systematic, and effective program-based support and instruction for faculty and staff. The purpose of this qualitative Delphi study was to gather expert opinions about competency-based best practices in professional development, support, and training resources in order to effectively implement a CBE method at a university. The conceptual framework comprised of adult learning theory and competency-based education. Eight experts in competency-based education completed 2 rounds of anonymous questionnaires with open- and closed-ended questions. Data analysis involved a systematic process of coding …

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A Phenomenological Approach To Understanding Consensual Nonmonogamy Among African-American Couples, Krishna Jones Clanton Jan 2019

A Phenomenological Approach To Understanding Consensual Nonmonogamy Among African-American Couples, Krishna Jones Clanton

Walden Dissertations and Doctoral Studies

Monogamy is recognized as a singularly accepted relationship construct within the United States. As a result, little is understood about alternative relationship constructs and those who choose them. Even less is understood regarding these practices among members of marginalized communities. Despite this lack of knowledge, there is evidence to suggest that approximately 4-5% of the United States population is engaged in some form of consensually nonmonogamous relationship pairing (a percentage comparable to the LGBTQAI community), and an estimated 25% of the population will engage in some form of consensual nonmonogamy over the course of their lifespan. This study looked to …

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Patient Awareness And Knowledge Of Medically Induced Radiation Exposure, Travis L. Mann Jan 2019

Patient Awareness And Knowledge Of Medically Induced Radiation Exposure, Travis L. Mann

Walden Dissertations and Doctoral Studies

The level of knowledge and awareness among patients about the concepts and implications of medical radiation is unknown. The purpose of this qualitative, case study was to explore patients' awareness and knowledge of information regarding this topic from their perspectives. The health belief model provided the framework for the study. A total of 20 individuals were recruited using purposive sampling. All participants were above the age of 18 in central North Carolina and had undergone or are currently undergoing medical radiation exams. Data were collected using semistructured interviews and analyzed using Yin's 5-phased cycle, which involved compiling, disassembling, reassembling, interpreting, …

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U.S. Policymakers' Perspectives Regarding The Causes Of Terrorism And The Impact On U.S. Counterterrorism Policy, Jeffrey David Mcmanus Jan 2019

U.S. Policymakers' Perspectives Regarding The Causes Of Terrorism And The Impact On U.S. Counterterrorism Policy, Jeffrey David Mcmanus

Walden Dissertations and Doctoral Studies

U.S. counterterrorism policy appears to be influenced by different perspectives, as evidenced by conflicting statements by U.S. presidents regarding the causes of terrorism. Academic theories are not always applied by U.S. government employees who develop, influence, and implement counterterrorism policy. The purpose of this qualitative phenomenological study was to understand U.S. government policymakers' perspectives on the causes of terrorism, the influences on these views, and the impact on U.S. counterterrorism policy. Six theories regarding the causes of terrorism provided the theoretical framework. Additional theories related to individual and organizational impact on decision-making provided a broader conceptual framework. Data were collected …

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Case Workers' Perspectives Of Their Impact On First-Time, Female Status Offenders, Nikki Amanda Miller Jan 2019

Case Workers' Perspectives Of Their Impact On First-Time, Female Status Offenders, Nikki Amanda Miller

Walden Dissertations and Doctoral Studies

Female status offenders recidivate in the juvenile justice system within 1 to 3 years once released of the initial incarceration. The purpose of this basic qualitative study was to explore juvenile delinquent case workers' impact on first-time, female status offenders. Urie Bronfenbrenner's social ecological model informed the conceptual framework. The research instrument used for this study was the interview. Criteria for selecting 12 juvenile professionals to participate in the study included working 3 years or longer inside a women's forensic population, working with first-time offenders, having caseloads of female offenders, and focusing on the crime of status offenses. Initial and …

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Education Program For Critical Care Nurses On Preventing Catheter-Associated Urinary Tract Infections, Olatunde Olatunji Jan 2019

Education Program For Critical Care Nurses On Preventing Catheter-Associated Urinary Tract Infections, Olatunde Olatunji

Walden Dissertations and Doctoral Studies

Catheter-associated urinary tract infections (CAUTIs) are the most frequently reported hospital-acquired condition, affecting more than 560,000 patients each year. CAUTIs prolong hospital stays and increase health care costs, and they can result in patient morbidity and mortality. Nurses can be empowered by receiving education and knowledge to manage and identify urinary catheters that are not clinically indicated. The purpose of this project was to develop an education program on CAUTI prevention for critical care nurses using the teach-back method. The conceptual framework that guided this project was Knowles's adult learning theory. The theoretical model was based on 4 fundamental assumptions …

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Staff Education For Providers In An Outpatient Hemodialysis Center, Ibijoke Owolabi Jan 2019

Staff Education For Providers In An Outpatient Hemodialysis Center, Ibijoke Owolabi

Walden Dissertations and Doctoral Studies

The impact of end-stage renal disease (ESRD) on healthcare costs is significant. In 2013, the cost of providing care for the ESRD patient population was 7.1% of total Medicare expenses. ESRD patients' non-adherence with the medical plan is a reason for the high cost of care and poor patient outcomes. Staff education can have a positive impact on patient adherence in terms of the management of chronic illnesses, such as ESRD. This DNP project was an education program for hemodialysis (HD) staff regarding empowering patients to learn about self-care strategies aimed at improving ESRD patients' adherence to fluid restriction and …

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Career Pathway And Leadership Attributes Of Academic Administrators At Historically Black Colleges And Universities, Dyanne Mitchell-Williams Jan 2019

Career Pathway And Leadership Attributes Of Academic Administrators At Historically Black Colleges And Universities, Dyanne Mitchell-Williams

Walden Dissertations and Doctoral Studies

Academic administrators at historically Black colleges and universities (HBCUs) are faced with multiple challenges regarding retention of students, funding, and maintaining status as an HBCU, yet little is understood about how and why leaders choose a particular career pathway. This lack of understanding creates opportunities for failure related to turnover in leadership, funding discrepancies, and lower rates of retention and persistence for students. Using Maslow's needs theory as the foundation, the purpose of this descriptive study was to better understand the career pathways of established executive level leaders atin HBCUs in order to determine attributes of success among leaders with …

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Relationship Between Novice Counselors' Supervisory Attachments And Boundary Practices And Perceptions, Glenda Hill Nanna Jan 2019

Relationship Between Novice Counselors' Supervisory Attachments And Boundary Practices And Perceptions, Glenda Hill Nanna

Walden Dissertations and Doctoral Studies

Novice counselors may struggle to understand and follow ethical guidelines for boundary behaviors with clients. When counselors violate therapeutic boundaries, harmful consequences can result for clients and counselors. The purpose of this quantitative study was to examine the possible relationship between novice counselors' (NCs') attachment to supervisors and NCs' ethical perceptions and boundary practices. This study addressed the possible predictor variables of age, gender, relationship status, and practice setting. Bowlby's attachment theory provided the framework for the study. Survey data from 114 NCs were analyzed using descriptive statistics and hierarchical linear regression. Each regression analyzed predictors of age, gender, relationship …

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Cybersecurity Strategies For Universities With Bring Your Own Device Programs, Hai Vu Nguyen Jan 2019

Cybersecurity Strategies For Universities With Bring Your Own Device Programs, Hai Vu Nguyen

Walden Dissertations and Doctoral Studies

The bring your own device (BYOD) phenomenon has proliferated, making its way into different business and educational sectors and enabling multiple vectors of attack and vulnerability to protected data. The purpose of this multiple-case study was to explore the strategies information technology (IT) security professionals working in a university setting use to secure an environment to support BYOD in a university system. The study population was comprised of IT security professionals from the University of California campuses currently managing a network environment for at least 2 years where BYOD has been implemented. Protection motivation theory was the study's conceptual framework. …

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The Perceptions Of Transgender Patients Toward Nursing Care, Debra Ann Quenga Jan 2019

The Perceptions Of Transgender Patients Toward Nursing Care, Debra Ann Quenga

Walden Dissertations and Doctoral Studies

Transgender individuals present unique issues when seeking care that many nurses are not prepared for. Nursing education is lacking in transgender care for both nursing students and practicing nurses, which may delay care or lead to patients not disclosing their gender if they feel their needs are not understood or that there is bias toward them. Due to the limited research available, educators are not prepared to include transgender care in their nursing curricula, leading to a lack of knowledge and skills needed to care for this population. The purpose of this qualitative study was to explore the perceptions of …

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Law Enforcement Perception Of Social Media As An Influence In Mass Shootings, Jazma Mekelle Parker Jan 2019

Law Enforcement Perception Of Social Media As An Influence In Mass Shootings, Jazma Mekelle Parker

Walden Dissertations and Doctoral Studies

Mass shootings have been a persistent issue in the United States, and the underlying factors that continue to influence this crime are not yet evident. This study explored the effects of social media as an influence on mass shootings in the United States. Its purpose was to address the role of social media in spreading opinionated ideologies. The research question addressed the role of social media in influencing the actions of perpetrators of mass shootings in the United States. The study framework was based on the social-ecological model to facilitate classification of the susceptibilities of social media users to adverse …

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Lesbian, Gay, Bisexual, Transgender, And Questioning Youth Services In Urban Homeless Shelters, Rajahm Sellers Jan 2019

Lesbian, Gay, Bisexual, Transgender, And Questioning Youth Services In Urban Homeless Shelters, Rajahm Sellers

Walden Dissertations and Doctoral Studies

Homeless shelter administrators provide shelter, food, and other basic needs to the homeless population. Because policies, environments, and services adhere to the general population, lesbian, gay, bisexual, transgendered, and questioning (LGBTQ) youth suffer when homeless shelter administrators do not address specific needs. The purpose of this study was to examine the perceptions of homeless shelter administrators and bridge the gap in knowledge about the policies and environments that impact the homeless LGBTQ youth community. The theoretical framework for this study was Tajfel and Turner's theory of social identity. Research questions included significant differences between developed shelter policies and environments based …

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Mental Health Service Providers' Engagement Experiences Of Homeless Individuals, Tarsha Thomas-Richardson Jan 2019

Mental Health Service Providers' Engagement Experiences Of Homeless Individuals, Tarsha Thomas-Richardson

Walden Dissertations and Doctoral Studies

Limited literature exists regarding best engagement practices of mental health service providers in encouraging the homeless individuals to participate in clinical mental health services in New York City. New York City has a population of more than 8.5 million, and in 2017 more than 129,803 homeless individuals slept in shelters. The purpose of this phenomenological qualitative study was to gain more insight and knowledge about the best engagement practices and experiences of mental health service providers in encouraging homeless individuals to participate in clinical mental health services. The conceptual framework used to guide this study comes from Kearsley and Shneiderman's …

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A Conflictive Triuvirate Consruct Of Epidemiologic Systems Failure, Ngozi Lois Ulinwa Jan 2019

A Conflictive Triuvirate Consruct Of Epidemiologic Systems Failure, Ngozi Lois Ulinwa

Walden Dissertations and Doctoral Studies

Epidemiologic systems failure (ESF) is a major hurdle in minimizing the spread of infectious diseases during outbreaks. The reasons for ESF include the technical limitation of personnel handling epidemic crises, strictly defined health policies that limit the actions of epidemiologists, and personal perspective's reservations towards the intentions of health agencies. The purpose of this triumvirate mixed-methods case study was to examine factors of infectious disease control mechanisms useful for determining ESF. Three juxtaposed pre-emptive factors (technical [T], organizational [O], and personal [P] perspectives were used to determine how the multiple perspectives inquiring systems and fuzzy logic revealed factors causing ESF …

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Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede Jan 2019

Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede

Walden Dissertations and Doctoral Studies

In the United States, asthma remains a major cause of frequent urgent care visits, hospitalizations, and preventable deaths among children. Nationwide, the chronic disease continues to fall disproportionately on minorities, mostly residing in urban localities. When a child is diagnosed with asthma, the parents are typically tasked with managing the child's condition. Establishing a collaborative partnership between parents and their child's primary physician is significant for improving asthma self-management among youth. Using the theory of reasoned action as a theoretical framework, this mixed-methods study examined whether a relationship exists between parental perceptions of physician cultural sensitivity and parental care in …

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Lived Experiences Of African Students With Microaggressions In U.S.-Based Higher Education Institutions, Amevi Molley Jan 2019

Lived Experiences Of African Students With Microaggressions In U.S.-Based Higher Education Institutions, Amevi Molley

Walden Dissertations and Doctoral Studies

The prevalence of microaggressions in higher education institutions in the United States is a major issue for individuals of color and international background. Microaggressions can interfere with international students' smooth transition into their new academic system and social environment. The purpose of this qualitative study with a transcendental phenomenological approach was to explore the lived experiences of Sub-Saharan international graduate students who have experienced microaggressions in a higher education institution in the United States. The racial microaggression theory and the theory of neo-racism served as a guiding conceptual framework for this study. The research question was to examine the lived …

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