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Factors Influencing Success In Day Treatment Programs For Children Ages 5 To 10, Leah Morken Jan 2019

Factors Influencing Success In Day Treatment Programs For Children Ages 5 To 10, Leah Morken

Walden Dissertations and Doctoral Studies

Improving the success rates of children in mental health treatment is an important step to bettering lives. Day treatment programs are intermediate level treatment modalities that help children who are struggling with their mental health. Success rates differ for children in day treatment programs and several studies have been done evaluating various factors. This research addressed whether a child who had been exposed to trauma showed as much success in a program as a child that had not been exposed to trauma. Other variables were to determine if children have different levels of success based on their diagnosis. The study …

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Effectiveness Of The Special Domestic Violence Criminal Jurisdiction Of The Tulalip Tribe, Marie Frances Natrall Jan 2019

Effectiveness Of The Special Domestic Violence Criminal Jurisdiction Of The Tulalip Tribe, Marie Frances Natrall

Walden Dissertations and Doctoral Studies

Native American women have been historically disadvantaged as victims of domestic violence. These hardships were primarily due to a policy that limited Native American tribes’ criminal jurisdiction over non-Native individuals on Native American reservations. This policy changed with the passage of the Special Domestic Violence Criminal Jurisdiction (SDVCJ) in 2013. This qualitative case study employed the social construction of target populations conceptual framework to explore the experiences of tribal officials and judicial officers of the Tulalip tribe. Data were collected through semi-structured interviews with 9 key informants selected through purposeful sampling on the basis of their role within the Tulalip …

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Advancement Via Individual Determination Graduates’ Applying Instructional Strategies In Post-Secondary Education, Cassandra Marie Mueller Jan 2019

Advancement Via Individual Determination Graduates’ Applying Instructional Strategies In Post-Secondary Education, Cassandra Marie Mueller

Walden Dissertations and Doctoral Studies

The problem in a suburban school district in a northwestern state is that fewer socioeconomic disadvantaged and minority students are graduating high school and attending post-secondary education than their White and economic middle-class counterparts. The disparity continues to expand the achievement gap between minorities and Whites within the education system and continues a cycle of poverty for the poorest and minority students. Bandura’s self-efficacy theory guided the study. The purpose of this bounded qualitative exploratory case study was to explore the advancement via individual determination (AVID) instructional strategies high school graduates used in their transition to post-secondary education. The research …

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Professional Identity Development In Blended Clinical Psychology Doctoral Students, Lindsay Nolan Jan 2019

Professional Identity Development In Blended Clinical Psychology Doctoral Students, Lindsay Nolan

Walden Dissertations and Doctoral Studies

As online graduate programs gain popularity, it has become more important to understand how students enrolled in these programs develop their professional identities. Researchers have demonstrated that there are both benefits and drawbacks to participation in blended learning programs (which incorporate in person and online instruction). It is not known how students enrolled in blended clinical psychology PhD programs experience the in-person portion of these programs and what their experiences mean for their professional identity development. This study examined the perceived impact of one part of an online clinical psychology doctoral program, the in-person classroom experiences, on the professional identity …

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Training Frequency And Anxiety: Do Cpr Manikins Lend To Delivering High-Quality Cpr?, Steven Marks Jan 2019

Training Frequency And Anxiety: Do Cpr Manikins Lend To Delivering High-Quality Cpr?, Steven Marks

Walden Dissertations and Doctoral Studies

Cardiopulmonary resuscitation (CPR) manikins are an educational technology tool employed to train nurses to perform high-quality CPR during real-life cardiac arrest events. However, a gap exists between CPR skills learned in training and those used in real life. The purpose of this quantitative study was to examine how CPR feedback and anxiety in registered nurses affect CPR performance on a manikin. Distributed practice and attentional control theory served as the foundations for this study. The research questions addressed the influence of demographic factors, real-time CPR feedback, and simulated hospital noises on CPR performance using CPR manikins. The study included a …

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A Lifestyle Modification Toolkit To Increase Physical Activity Among Young Adults, Anthonia Ninikanwa Nwanna Jan 2019

A Lifestyle Modification Toolkit To Increase Physical Activity Among Young Adults, Anthonia Ninikanwa Nwanna

Walden Dissertations and Doctoral Studies

Substantial decreases in physical activity have been observed between early to late adolescence in males and females, with decreases in levels of activity into adulthood. Physical inactivity among young adults leads to medical conditions such as Type 2 diabetes, stroke, ischemic heart disease, falls resulting in hip fractures, and depression later in life. Advanced Nurse Practitioners have a significant impact on the problem of physical inactivity among young adults through education to improve knowledge regarding physical activity participation. The focus of this project was to develop a toolkit on lifestyle modification as a resource for physical education teachers and nurses …

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Improving Gonorrhea Result Notification And Response Among African American Women, Lashonda Ouk Jan 2019

Improving Gonorrhea Result Notification And Response Among African American Women, Lashonda Ouk

Walden Dissertations and Doctoral Studies

Previous research has shown that 45% of malpractice claims are due to insufficient and late follow-up of test results and limited communication methods provided to patients. This study explored the preferred communication methods between a patient and a healthcare provider. The technology acceptance model served as the conceptual framework. A quantitative research design was used to examine patients’ perceived usefulness, attitude, perceived ease of use, and adaptability regarding mobile technology. The primary means of data collection was the use of a survey questionnaire. Participants included a random sample of 118 women seen in a local health department in the women’s …

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Effects Of Herzberg's Hygiene Factors On Fire Department Paramedics, Christine Elizabeth Peterson Jan 2019

Effects Of Herzberg's Hygiene Factors On Fire Department Paramedics, Christine Elizabeth Peterson

Walden Dissertations and Doctoral Studies

The decline in the number of lead paramedics at an Indiana fire department has stressed the local emergency medical system (EMS), jeopardized public safety, accelerated personnel burnout, and increased overtime expense. Using Herzberg’s motivation hygiene theory as a guiding lens, this phenomenological study explored the effects of the Indiana fire department’s policies related to lead paramedic job satisfaction. The purpose of this study was to investigate possible hygiene factors, relabeled as workplace satisfaction factors, which led to a decrease in the number of lead paramedics within EMS from 2007–2017. The reduction in lead paramedic numbers led to unanticipated and unbudgeted …

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Experiences Of High School Noncompleters With Emotional And Psychological Challenges, Christine M. Park Jan 2019

Experiences Of High School Noncompleters With Emotional And Psychological Challenges, Christine M. Park

Walden Dissertations and Doctoral Studies

High school noncompleters are those who did not earn a high school diploma. Before their early departure from high school, noncompleters often struggled with challenges (poverty, mental health, addiction, and emotional and physical abuse). Some enter remedial education to earn their equivalency credential. However, in this setting, they experience additional challenges, such as increased responsibility, stress, and anxiety. The problem surrounding the experiences of noncompleters has implications for counseling due to the limited use of and access to counseling as well as the disproportionate amount of mental health concerns and adversity among noncompleters. Current literature informs of the challenges noncompleters …

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Leader Readiness In A Volatile, Uncertain, Complex, And Ambiguous (Vuca) Business Environment, Karen Rimita Jan 2019

Leader Readiness In A Volatile, Uncertain, Complex, And Ambiguous (Vuca) Business Environment, Karen Rimita

Walden Dissertations and Doctoral Studies

Organizational leaders in the 21st century face relentless changes in the business environments in which they operate. The diversity, intensity, and rapidity of these changes create volatility, uncertainty, complexity, and ambiguity (VUCA), which challenge leaders on ways to lead effectively as existing methods prove inadequate. The problem in this study was that of inadequate leader preparedness to lead and win in VUCA environments. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of 15 Nigerian corporate executives about their VUCA business environment and the strategies they employed for VUCA-readiness and success within the manufacturing sector. The …

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Predictors Of Cervical Cancer Screening Among Hispanic Women In Texas, Madhu Ravindranath Jan 2019

Predictors Of Cervical Cancer Screening Among Hispanic Women In Texas, Madhu Ravindranath

Walden Dissertations and Doctoral Studies

Hispanic women in Texas show higher cervical cancer incidence rates as compared to all women in the United States. The rate of cervical cancer in the United States has reduced mostly due to regular cervical cancer screening. However, high cervical cancer among Hispanics in Texas may reflect low cervical cancer screening. The purpose of this quantitative study was to examine the insurance status (independent variable) and cervical cancer screening (dependent variable) among low-income Hispanic women, living in Texas Health Service Regions (HSRs), after controlling for age, marital status, and personal health care provider. The theoretical framework used in this study …

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Understanding The Impact Of Choice Claims In Health Policy Among Veteran Patients, Stacie Marie Rivera Jan 2019

Understanding The Impact Of Choice Claims In Health Policy Among Veteran Patients, Stacie Marie Rivera

Walden Dissertations and Doctoral Studies

The patient-as-consumer has emerged as a narrative in the government health care system that cares for beneficiary veteran patients, elevating the phenomenon of choice in health care legislation and administration. The problem of the submerged state of a health policy was the issue examined within the context of access to health care and what patients experience when choice is present. The purpose of this study was to explore the motivations of beneficiary veteran patients to choose a preventive care option, a seasonal flu shot, at a private sector retail pharmacy rather than at their government health care provider, with the …

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Change Management Implementation Strategies For Small Businesses, Oneeka Rena' Rivers Jan 2019

Change Management Implementation Strategies For Small Businesses, Oneeka Rena' Rivers

Walden Dissertations and Doctoral Studies

Most organizational change initiatives fail because managers lack effective change management strategies. The purpose of this single case study was to explore change management strategies that outpatient care facility managers used to positively affect process improvements. The population consisted of 6 managers who completed change initiatives at a military, outpatient medical facility in Texas and 6 of their team members. Data were collected using semistructured interviews and organization documents, then analyzed based on the conceptual framework of Lewin’s change theory. Rowley’s 4-step process for analysis—organizing; getting acquainted with; classifying; coding and interpreting; and presenting and writing up the data—was used …

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Parental Perspectives Of Permanency Planning And Staffing Barriers In Child Welfare, Linda S. Sanders Jan 2019

Parental Perspectives Of Permanency Planning And Staffing Barriers In Child Welfare, Linda S. Sanders

Walden Dissertations and Doctoral Studies

Caseworker turnover in child welfare agencies has been a problem for many years. The turnover negatively impacts the agency, and the staff left behind by their departing peers, and continuity of services provided to clients. The purpose of this basic qualitative study was to explore parental experiences with child welfare staff turnover to determine how clients perceived that turnover impacted their child welfare case. The research questions for this study focused on (a) how clients perceived that child welfare turnover impacted their case and (b) how the turnover impacted their case plan and (c) recommendations for child welfare to enhance …

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Child-Directed Play And Teacher Education Related To Preschool Suspension And Expulsion, Nicole Scienza Jan 2019

Child-Directed Play And Teacher Education Related To Preschool Suspension And Expulsion, Nicole Scienza

Walden Dissertations and Doctoral Studies

The amount of time that children spend in child-directed activity can increase the frequency and quality of teacher–child interactions, which can decrease challenging behavior in children. The problem is that preschool children are being expelled and suspended at a high rate, and additional research is required to examine the prevention of behaviors that lead to expulsion and suspension. The purpose of this quantitative study was to examine whether the percentage of the day that children spend in child-directed learning stations, the quality of activities offered during child-initiated time, and the education level of the lead teacher predict classroom suspensions or …

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Predicting Spiritual And Religious Competence Based On Supervisor Practices And Institutional Attendance, Andrew Phillip Secor Jan 2019

Predicting Spiritual And Religious Competence Based On Supervisor Practices And Institutional Attendance, Andrew Phillip Secor

Walden Dissertations and Doctoral Studies

Counseling students report a lack of competence in spiritual and religious integration (SRI). As such, counselor educators and supervisors (CES) and students want to understand how to develop SRI competence. Although past research highlighted SRI dialogue in training, the problem is that no clear understanding exists about the role of faculty supervisor SRI on perceived student competence. The supervision models used to inform the study included the integrated developmental model, discrimination model, and spirituality in supervision model (SACRED). The purpose of this study was to determine if master’s-level graduate counseling students’ perception of their faculty supervisors’ SRI practices predicted students …

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Program Evaluation Of A Rich Media Implementation Program, Spencer Schultz Jan 2019

Program Evaluation Of A Rich Media Implementation Program, Spencer Schultz

Walden Dissertations and Doctoral Studies

Some U.S. e-commerce retail organizations use inadequate visual product presentation strategies that are limited to static product images and uninspiring textual descriptions. E-store customers have a stake because they are the beneficiary of the higher quality online shopping experience produced when rich media is used. Viewed through richness media theory, the purpose of this summative program evaluation was to evaluate the effectiveness of using rich media in e-store product listings. The evaluation was performed for a partner organization 1 year after the organization implemented a rich media implementation program in its e-store product listings. The results of the first repeated …

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Utilizing Food Safety Knowledge In Comprehensive Patient Care Among Harlem Hospital Physicians, Sean Alexander Shivers Jan 2019

Utilizing Food Safety Knowledge In Comprehensive Patient Care Among Harlem Hospital Physicians, Sean Alexander Shivers

Walden Dissertations and Doctoral Studies

According to the World Health Organization (WHO), people throughout the world become sick every year from consuming contaminated foods, which impacts countries’ socioeconomic development, straining their healthcare system, travel and tourism, and foreign trade markets. To help alleviate the impact foodborne illness (FBI) has on society, scholars suggest physicians incorporate food safety in their standard work practice. The purpose of this study was to determine if Harlem Hospital physicians utilized food safety knowledge in comprehensive patient care with a diagnosis of FBI, in addition to how physicians passed this food safety information onto the patient. A qualitative methodology using an …

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Clinical Practice Guideline: Posttraumatic Stress Disorder Screening Tool For Patients, Stephanie Lynn Smith Jan 2019

Clinical Practice Guideline: Posttraumatic Stress Disorder Screening Tool For Patients, Stephanie Lynn Smith

Walden Dissertations and Doctoral Studies

The National Institute of Health has estimated that over 1 million new cancer cases will occur yearly. Posttraumatic stress disorder (PTSD) is commonly associated with near death experiences or traumatic events, such as cancer diagnosis and treatment. There is a lack of knowledge and awareness by healthcare professionals in identifying PTSD in cancer patients. In this population, PTSD symptoms often contribute to anxiety, and there is no standardized protocol being used to screen these individuals for the trauma they are facing or have faced. The purpose of this project was to develop a clinical practice guideline for screening cancer patients …

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The Relationship Of Nurse Manager’S Leadership Styles In Maintaining A Just Culture, Aida Solomon Jan 2019

The Relationship Of Nurse Manager’S Leadership Styles In Maintaining A Just Culture, Aida Solomon

Walden Dissertations and Doctoral Studies

Healthcare leaders must establish a just culture to mitigate preventable medical deaths that occur at 250,000 per year, making medical errors the 3rd leading cause of death in the United States. However, there is a gap in knowledge regarding the attributes of nurse manager leadership styles that contribute to promoting a just culture at the unit level. Guided by the full range leadership theory and the just culture model, the purpose of this descriptive correlational study was to determine the relationship between nurse manager transformational, transactional, and laissez-faire leadership styles and unit level just culture perceptions and the differences between …

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African American Sibling Relationships When Caring For An Alzheimer’S Parent, Cynthia M. Smith Jan 2019

African American Sibling Relationships When Caring For An Alzheimer’S Parent, Cynthia M. Smith

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is the most commonly occurring form of dementia that affects African Americans at 2 to 3 times higher rate than other ethnic or racial groups in the United States. As the number of older African Americans with AD grows rapidly so will the need for daily supports; therefore, informal caregivers, such as an adult offspring, often assume the role of filial caregiver. Focusing on the unique patterns of caregiving among African Americans, this generic qualitative study may help explain the adult offspring’s perspective on sibling relationships as they function in the role of primary filial caregiver. Equity …

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Direct Care Staffs’ Experiences And Perceptions Of Person-Centered Care Training, Jennifer Miranda Strollo Jan 2019

Direct Care Staffs’ Experiences And Perceptions Of Person-Centered Care Training, Jennifer Miranda Strollo

Walden Dissertations and Doctoral Studies

Many long-term care (LTC) facilities within the United States have replaced the institutional model of care with one that accepts person-centered care (PCC) as the guiding standard of practice. Quality training ensures that direct care staff have the skills and the knowledge in the delivery of quality PCC. However, many nurses and nursing assistants have expressed the desire for further training in PCC practices to effectively deliver quality care. The purpose of this study was to explore the types and length of training and education provided based on the perceptions and experiences of direct care staff related to their implementation …

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Impact Of Transitional Care Model On Readmissions Of Adults With Chronic Heart Failure, Sheila Delaine Stuckey Jan 2019

Impact Of Transitional Care Model On Readmissions Of Adults With Chronic Heart Failure, Sheila Delaine Stuckey

Walden Dissertations and Doctoral Studies

Chronic heart failure (CHF) is often associated with high morbidity, mortality, and increased health expenditures. The readmission rate of patients with CHF is approximately 30% within 30 to 60 days following discharge. This project examined the literature to identify best practices based on the use of the transitional care model (TCM) in the reduction of hospital readmissions among older patients with CHF. The review included articles that were published between 2015 and 2019, used a quantitative study methodology, were peer-reviewed, and written in English. Keywords used in the search were chronic heart failure, the transitional care model, and hospital readmissions. …

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The Impact Of Hiv Prevention Education In School On Young Men Who Have Sex With Men, Michael Edward Tachet Jan 2019

The Impact Of Hiv Prevention Education In School On Young Men Who Have Sex With Men, Michael Edward Tachet

Walden Dissertations and Doctoral Studies

Sex education through the public school system has been identified by the Centers for Disease Control and Prevention as an excellent vehicle by which HIV prevention education can be presented to students, thereby decreasing the rate of HIV infection among young men who have sex with men (YMSM). However, YMSM continue to be at high risk for HIV infection in the United States despite educational efforts to prevent infection. The purpose of this qualitative study using a phenomenological approach was to explore what impact school-based HIV prevention education had on YMSM in the past, and what effect that education has …

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Religious Coping And Ptsd Symptom Management Among African Americans: A Clergy Perspective, Barbra Talley Jan 2019

Religious Coping And Ptsd Symptom Management Among African Americans: A Clergy Perspective, Barbra Talley

Walden Dissertations and Doctoral Studies

Data indicated that although African Americans reported fewer occurrences of traumatic events than that of their racial/ethnic counterparts, however, the degree of traumatic events experienced by African Americans tends to be more serious and violent in nature. More so, lower recovery outcomes associated with PTSD among African Americans have been attributed to varying factors, such as financial restrictions, strained health care access, ineffective coping strategies as well as a mistrust of medical and clinical approaches, thus leading African Americans to seek faith-based approaches. This phenomenological study investigated clergy perspectives on religious coping constructs relative to the management of PTSD symptoms. …

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Policy Diffusion Assistance In The Amelioration Of Homelessness On The Island Of O`Ahu, Hawai`I, Anita Tanner Jan 2019

Policy Diffusion Assistance In The Amelioration Of Homelessness On The Island Of O`Ahu, Hawai`I, Anita Tanner

Walden Dissertations and Doctoral Studies

The issue of homelessness is one that many cities and states in the United States have to contend with; however, the issue of homelessness on an island can be even more difficult to find viable solutions. The homeless problem on the island of O`ahu is one that affects not only residents but also tourists. The purpose of this qualitative case study was to reveal the perceptions of policy makers on the island of O`ahu, Hawai`i if diffusing public policy from Salt Lake City, Utah, would help ameliorate homelessness on the island. The theoretical framework was the diffusion theory and diffusions …

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The Effects Of Maternal Incarceration On Juvenile Delinquency, Sherri Trice Jan 2019

The Effects Of Maternal Incarceration On Juvenile Delinquency, Sherri Trice

Walden Dissertations and Doctoral Studies

Increasing rates of maternal incarceration are potentially linked to development of delinquency in the children of these mothers. Current literature points to the intergenerational transmission of criminality that may result in future low socioeconomic status and unemployment for children of incarcerated mothers, yet little of this literature addresses the link between maternal incarceration and juvenile delinquency. Using attachment theory as the foundation, the purpose of this quantitative correlational study was to assess correlation between maternal incarceration and juvenile delinquency, as well as investigate the mediating role of child gender, race, current relationship with the primary caregiver, and disciplinary environment. The …

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An Educational Module On High Blood Pressure Management And Control, Chinyere Ukomadu Jan 2019

An Educational Module On High Blood Pressure Management And Control, Chinyere Ukomadu

Walden Dissertations and Doctoral Studies

An educational module, based on evidence-based practice (EBP) guidelines by the 8th Joint National Committee (JNC 8) and the American College of Cardiology (ACC), was created and implemented to determine if its implementation would impact the knowledge of clinic staff regarding current EBP guidelines about self-management of hypertension (HTN). The module has the potential to contribute to the resolution of patient noncompliance on HTN treatment and management by increasing nursing staff proficiency in knowledge transfer to patients on effective self-management of their health condition. The creation of the module was guided by the concept of need or asset assessment and …

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Public Health Nurses’ Perceptions Of High School Dropout Rates As A Public Health Issue, Maria Wallace Jan 2019

Public Health Nurses’ Perceptions Of High School Dropout Rates As A Public Health Issue, Maria Wallace

Walden Dissertations and Doctoral Studies

Education is one of the strongest predictors of health, and well-being. Early termination of education can lead to poorer health, shorter lifespans, and increased stress on the healthcare system. Improving overall high school graduation rates has been debated and discussed by the Toronto District School Board (TDSB) and the Ministry of Education, however, there is a paucity of research on increased graduation rates as they relate to public health in the Canadian context. The purpose of this phenomenological qualitative study was to explore the perceptions of liaison public health nurses (PHNs) who worked directly with the TDSB regarding their roles …

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Repercussions Of The Mechanistic Dehumanization Of Muslim Americans, Resilience, And Sustainable Communities, Melvin Walters Jan 2019

Repercussions Of The Mechanistic Dehumanization Of Muslim Americans, Resilience, And Sustainable Communities, Melvin Walters

Walden Dissertations and Doctoral Studies

There is a lack of research on the relationship between dehumanization of minority religious groups and affiliation with terrorism, which suggests a need to consider the consequences of dehumanization perceptions beyond promoting aggression. This qualitative case study addresses whether dehumanization embedded in public policies influences Muslim Americans 18 to 25 years of age, native and nonnative, to engage in homegrown terrorism. Using Schneider and Ingram’s social constructions of target populations as the foundation, research questions focused on how perceptions of mechanistic dehumanization in policy design influence homegrown terrorism among Muslim- American adults. Data were acquired through archival data that included …

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