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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, …

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 …

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 …

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 …

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 …

"Evaluation Of Medication Adherence Through The Use Of Home Assisted Telemanagement", Kingsley Ezihe Ngameduru

Walden Dissertations and Doctoral Studies

Medication nonadherence can have serious consequences for patient outcomes. Home-automated telemanagement systems have supported increased levels of adherence among patients. This project explored whether the use of a home telemanagement program (HTM) would improve medication adherence in clinic patients diagnosed with hypertension (HTN). The health belief model, social learning theory, the self-regulation model and the theory of reasoned action guided this project. Providers in a primary care clinic completed the 4-question Morisky, Green, and Levine adherence scale with 50 HTN patients previously enrolled in a HTM. Survey results revealed that after 2 years in the program, patients were still forgetting …

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. …

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 …

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 …

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 …

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 …

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 …

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 …

Jamaican Kindergarten And First Grade Teachers’ Expectations For Readiness Skills, Sadie Henrietta Harris-Mortley

Walden Dissertations and Doctoral Studies

Children’s readiness to meet demands in Grade 1 is a common concern in most primary schools in Jamaica. Teachers have voiced their expectations that students should display a level of mastery in readiness skills so that they can be engaged in academic tasks when they transition from the kindergarten to Grade 1. The purpose of this qualitative case study, guided by social constructivism, was to explore kindergarten students’ readiness for Grade 1 based on the perceptions of kindergarten teachers compared to Grade 1 teachers on readiness skills, instructional practices, and expectations of students’ competency. The research questions were designed to …

Dissertation Mentor Communication Style And Behavior As Predictors Of Student Stress And Satisfaction, Julienne Inez King

Walden Dissertations and Doctoral Studies

Many graduate students (60%) do not complete their program of study. It is important for

universities to find ways to increase student completion rate. The general problem is that

online U.S. universities are faced with a high rate of PhD student drop out resulting in an

increased number of students not being able to complete their doctoral studies. The

purpose of this multiple linear regression study was to identify predictor variables of

dissertation student stress and overall dissertation satisfaction. Deci and Ryan's self

determination theory and Lazarus' theory of cognitive appraisal were used to guide this

research to identify how …

Experiences Of Formal Caregivers Providing Dementia Care To American Indians, Damon Grew Peter Syphers, C.J. Schumaker, Ronald P. Hudak

Journal of Sustainable Social Impact

Alzheimer’s disease (AD) is a significant public health concern for all elders in the United States. It is a particular concern for the American Indian (AI) population, which is one of the fastest aging populations in the United States and the smallest, most underrecognized, and most culturally diverse group in the country. A formal caregiver understanding of AD in the AI population is scarce. This phenomenological study was designed to discern what is known about AD in the AI population by exploring the cultural beliefs and experiences of formal caregivers who provide care for AI dementia patients. Specifically, this study …

Socialization Agents That Puerto Rican College Students Use To Make Financial Decisions, Enid Alvarez, Steven Tippins

Journal of Sustainable Social Impact

Using consumer socialization theory as theoretical framework, the purpose of this quantitative, nonexperimental, cross-sectional study was to identify the information sources that Puerto Ricans college students use to gather financial knowledge. A sample of 198 Puerto Rican college students answered a portion of the College Student Financial Literacy Survey. The research question addressed the preference of four financial information sources, including parents, peers, media, and school. A combination of descriptive statistics, one-way analysis of variance, repeated-measures analysis of variance, and multiple linear regression confirmed that participants preferred to gather financial knowledge from parents. Researchers, educators, and policymakers may use this …

Employee Retention Strategies In Nonprofit Organizations, Ann Laing

Walden Dissertations and Doctoral Studies

The nonprofit sector is faced with the business problem of low employee retention rates. Low employee retention rate presents various business challenges, which includes the inability to offer community members much needed social service programs as well as providing a competitive compensation package to their employees. The purpose of this descriptive phenomenological study was to explore the evidence-based best practice strategies in employee retention used in the nonprofit sector. The research included a conceptual framework focusing on Herzberg's Motivation - Hygiene Theory. The conceptual framework utilized in this study included segmentation of different employee retention strategies in nonprofit organizations. Data …

Assessing The Relational Nature Of Child Physical Abuse And Neglect Among 12-Year-Old Girls, Corrine Ann Dale

Journal of Social, Behavioral, and Health Sciences

Child maltreatment is a historical and current problem in the United States. Children are exposed to physical abuse, neglect, and sexual abuse in alarming numbers. In 2014, state agencies found an estimated 702,000 victims of child maltreatment. With two thirds of this group representing child neglect victims, research studies and effective interventions are needed for this group in particular. This study examined the relational nature of child neglect versus child physical abuse. The sample population consisted of 68 girls aged 12 years old at the Midwest site of the Longitudinal Studies of Child Abuse and Neglect research project. The secondary …

Locus Of Control And Health Promotion For Marginalized Populations, Cara Stephenson-Hunter, Kathryn L. Dardeck

Journal of Social, Behavioral, and Health Sciences

Socioeconomic health disparities in the United States have remained largely unchanged for decades. This remains the case even for preventable illness and disease. Current health behavior theories and interventions rely on the perception of control over one’s fate to achieve desired behavior. In low-income and other marginalized populations, however, hopelessness and the perception of having limited control may make interventions less effective. The purpose of this quantitative study was to examine the role of the locus of control (LOC) as defined by the degree to which one believes outcomes are determined by external forces such as chance or authority figures …

Disease Diagnosis And Management: The Experiences Of Hemorrhoid Herbal Vendors And Customers In Oyo State, Nigeria, Abolaji Azeez, Uche Isiugo-Abanihe

Journal of Social, Behavioral, and Health Sciences

Hemorrhoids (or piles) are an anorectal condition that affects many individuals who do not necessarily seek medical support. Many who suffer from this condition resort to home treatment, especially cultural diagnosis and treatment. Consequently, an herbal remedy, popularly known as jedijedi drinks, has gained high patronage but with contested effectiveness. Thus, this study explored the diagnosis and use of hemorrhoid herbal remedy. Using a mixed-methods research design, information was elicited from those who used or sold the remedy at the three points of sales: 107 consumer respondents were surveyed and three herbal vendors were interviewed in Ibadan, Oyo Town, and …

The Role Of Prenatal Care And Systematic Hiv Testing In Preventing Perinatal Transmission In Tanzania, 2011-2012, Nkembi Lydie Bianda, Patrick A. Tschida, Vasileios Margaritis

Journal of Social, Behavioral, and Health Sciences

In 2012, the prevalence of HIV infection among Tanzanian women was 6.3%, and 18% of Tanzanian children were born infected with HIV. The purpose of this study was to determine the importance of prenatal care attendance on comprehensive knowledge of HIV mother-to-child transmission (MTCT), HIV testing and counseling, and awareness of HIV testing coverage services in Tanzania. The study population was Tanzanian women of childbearing. Guided by the health belief model, this cross-sectional survey design used secondary data from the 2011–2012 Tanzania Demographic Health Survey. Factors of interest were comprehensive knowledge of HIV MTCT, HIV testing and counseling, and awareness …

Exploring The Development Of Three Law-Based Competency Models For Public Health Practitioners, Montrece Mcneill Ransom, Brianne Yassine

Journal of Social, Behavioral, and Health Sciences

As public health promotion and protection become increasingly complex and integrated into various fields, public health law is emerging as an important tool for public health professionals. To ensure that public health professionals are adequately trained public health law, public health law-related competencies should to be integrated into educational and other programming. This article provides three competency models developed by the Public Health Law Program at the Centers for Disease Control and Prevention: (a) the public health emergency law competency model, (b) the public health law competency model, and (c) the legal epidemiology competency model. These competency models provide a …

Public Service Announcements To Promote Physical Activity, Jennifer Erickson, Jay Greiner

Journal of Social, Behavioral, and Health Sciences

The World Health Organization promotes physical activity (PA) as important for successful maintenance of health, but many individuals are inactive. Despite the potential for public service announcements (PSAs) to communicate health information and promote behavior change, no previous research on developing video PSAs to promote PA was found. The purpose of this quasi-experimental study was to examine how video PSAs designed for public health campaigns affect future levels of intention to engage in PA. The PSAs assessed perceived effectiveness of message foci and the impact of stage of change readiness. They were developed specifically for this study using the model …

“Tell Me When ‘Normal’ Stops”: How Parents Recognized Their Child’S Mental Illness, Lori Salgado

Journal of Sustainable Social Impact

Many parents do not recognize psychological disorder, and current mental health service delivery programs are not sufficiently responsive to the early help-seeking dynamics of families. This mixed-methods study explored Colorado parents’ experiences of recognizing their child’s mental illness as a precursor to seeking treatment, revealing that the phenomenon of parental recognition was a process of “waiting to hear that ‘normal’ had stopped,” wherein parents miscategorized symptoms as typical behaviors in a passing developmental phase. Prior experience with mental illness appeared to significantly decrease both the length of time and the level of distress necessary for recognition. Ultimately, recognition did not …

Successful Climate Change Strategies In Corporate Farming, Deann Renee Reaves

Journal of Sustainable Social Impact

According to the National Oceanic and Atmospheric Administration’s National Centers for Environmental Information (2016), climate-related disasters occurring from 2011 to 2015 caused property damages in excess of US$230 billion—and the agriculture sector incurs some of the largest losses (Hoffmann, 2013). The purpose of this case study was to identify, through an in-depth interview and document review, successful climate-change-based sustainability strategies in a publicly held farming operation. The findings indicated that the farm’s climate-change-based sustainability strategy had basic qualities of corporate social responsibility, triple-bottom-line thinking, and systems thinking. Specific approaches identified were mitigation- and adaptation-oriented approaches. Implications for social change include …

Advanced Practice Nursing In Nigerian Healthcare: Prospects And Challenges, Raymond O. Chimezie, Sally N. Ibe

Journal of Sustainable Social Impact

This study explored the prospects and challenges of introducing advanced practice nursing (APN) in the Nigerian health system. It sought to address the following: career pathways for registered nurses and midwives, advanced duties performed by them and the circumstances, their views and willingness for autonomous practice, and doctors’ degree of acceptance. Research population composed of registered nurses, midwives and medical doctors in primary healthcare. The conceptual framework for this study was based on the scope of practice, standards and competencies of the APN established by the International Council of Nurses (2008). A 12-item checklist of typical duties of APN from …

Improving Nursing Knowledge Of African American Heart Failure Self-Care Management, Sharnee Moore-Jervis

Walden Dissertations and Doctoral Studies

Heart failure is a complex chronic disease affecting 6.6 million people in the United States, with an annual cost of $39.2 billion per year. African Americans are at an especially high risk for poor outcomes and readmissions from heart failure complications, as they are 2.5 times more likely to develop heart failure than other ethnic groups. This disease requires a high level of patient self-care management, and evidence suggests that African Americans do not always receive culturally sensitive education, which can lead to suboptimal self-care practices. The practice-focused question for this educational program asked whether nurses of African American patients …

Perceptions Of Lifestyle As Mental Health Protective Factors Among Midwestern Amish, Gregory Lantz

Walden Dissertations and Doctoral Studies

The Amish are commonly known for horse-and-buggies, simple clothing, and refusal to use electricity. Less commonly known is their rate of mental illness, which is significantly lower than the non-Amish population. The literature that points to lower depression and anxiety among the Amish does not adequately explain what elements of their lifestyle contribute to this phenomenon. Depression and anxiety are a widespread problem in the United States, increasing the importance of understanding a lifestyle that can reduce these issues. The purpose of this study was to explore the Amish way of life through the words of its members. The three …

Development Of A Tele-Healthcare Clinical Practice Guideline For Diabetic Patients, Kathy J. Montgomery

Walden Dissertations and Doctoral Studies

Lack of access to healthcare in rural communities has resulted in increased morbidity and mortality rates among diabetic patients. The problem identified in this project was the lack of access to healthcare among diabetic patients living in rural southeast Ohio. Tele-healthcare is a strategy that provides healthcare remotely and has been introduced into the rural setting and offers an appropriate healthcare delivery mode for the rural community. The purpose of the project was to develop a tele-healthcare clinical practice guideline, including smart phone applications, for the management of diabetic patients. An expert panel consisting of 2 advanced practice nurses in …