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Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali

Walden Dissertations and Doctoral Studies

Low-income immigrants in the United States experience declining health with increasing length of stay in the country. Their declining health over time has been associated with increased smoking, obesity prevalence, and higher risk for developing diabetes and heart disease. How immigrants perceive their body weight and size, influenced by social interaction, culture, gender, and acculturation is also significant to healthy weight maintenance. Not knowing one's healthy weight could result in body weight misperception and resistance to attaining a healthy weight. The aim of this qualitative study, based on the social constructivist framework, was to understand Nigerian women immigrants' (NWI's) body …

Family Caregivers' Perspectives On Establishing Hospice Care In Belize, Rachael Florita Battle

Walden Dissertations and Doctoral Studies

End-of-life (EOL) care decisions present a challenge for family caregivers. Despite the increasing number of terminally ill patients in need of pain management and comfort care, there is limited qualitative data about how populations in the developing world can access culturally appropriate resources and EOL support. In this phenomenological study, 17 Garifuna family caregivers in southern Belize were interviewed about their experience caring for terminally family members. The conceptual frameworks were Kübler-Ross’s hospice approach and Watson’s theory of human caring. The two theories were selected based on their significance to this process: Kübler Ross’s hospice approach and its impact on …

Financing Post-2015 Development Goals: Shaping A New Policy Framework For Aid In Liberia, Apollos Ikechukwu Nwafor

Walden Dissertations and Doctoral Studies

Liberia, Africa's oldest democracy, has made several efforts in becoming a developed economy and ending poverty, but these efforts have been hampered by lack of appropriate financing mechanisms to achieve this goal. The most recent challenge which was the purpose of this study was to understand how Liberia can finance and achieve the sustainable development goals adopted by the United Nations in September 2015. Despite substantial external aid, Liberia was only able to meet 3 out of the 8 Millennium Development Goals, and more than 60% of the population remain extremely poor. The main research question was to understand what …

Successful Strategies For Using Knowledge Management In Small And Medium-Sized Enterprises, Josephine Kayaga Nsubuga-Mugoa

Walden Dissertations and Doctoral Studies

Knowledge management (KM) is vital for an organization to succeed in a highly dynamic and competitive world. The purpose of this multiple case study was to explore strategies that managers of small and medium-sized enterprises (SMEs) use to effectively integrate KM into business practices. The study population comprised 5 managers from 2 SMEs operating in Uganda. The eligibility criteria for this study were that participants had to be from Ugandan SMEs with a knowledge-intensive environment, managers with some responsibility of KM in the organization, and experienced with at least 1 year of successful KM practices. The conceptual framework for this …

Barriers To Utilization Of Malaria Preventive Measures In Rural Nigeria Among Pregnant Women, Olabosipo O. Oreyomi

Walden Dissertations and Doctoral Studies

Malaria is a mosquito transmitted tropical disease that accounts for more cases and deaths in Nigeria than in any other country worldwide. Globally malaria accounts for 300,000 deaths among young children and pregnant women annually. The promotion of the use of insecticide treated nets (ITNs) to reduce pregnant women's contact with mosquitoes has been the focus of malaria prevention efforts in Nigeria. However, the use of ITNs during pregnancy has been inexplicably low in Nigeria. A quantitative cross-sectional study was conducted to examine barriers to the utilization of ITNs among pregnant women in rural Nigeria. The social ecological model was …

Parental Behaviors Of Mothers In Low Socioeconomic Hispanic Families, Melanie Ballardo Rodriguez

Walden Dissertations and Doctoral Studies

Parental functioning and behaviors in the family impact the outcomes of adolescents; however, few researchers have identified how age-specific parental behaviors and parental stressors impact young children's social-emotional problems in low socioeconomic Hispanic families with children ages 6-11. Based on the family stress model, the purpose of this quantitative correlational study was to examine the relationship between parental behaviors (parental support, involvement, communication, and limit setting) and parental stress on children's social-emotional problems (internalizing and externalizing behavior problems), and the mediating effect of parental behaviors in low socioeconomic Hispanic families with children ages 6-11. A sample of 63 low socioeconomic, …

Post-Ebola Case Management Of Orphaned Young Adults In Rural Sierra Leone, Augustine Frazer

Walden Dissertations and Doctoral Studies

The 2014-2016 Ebola pandemic in Sierra Leone significantly increased the orphan population and the need for social support programs, especially for student-orphans in higher education. Poorly prepared disaster response managers have little knowledge about how college student-orphans experience social services. The purpose of this transcendental phenomenological study was to explore how post-Ebola student-orphans enrolled in an agricultural university in rural Sierra Leone experienced post disaster specialized case management to enhance student performance. Criterion sampling techniques including specific inclusion and exclusion criteria guided the recruitment, that included 10 research participants taking part in the semi structured interviews. Ecological system theory and …

Female Sexual Abuse Survivors And The Therapeutic Relationship, Tracy J. Hollingworth

Walden Dissertations and Doctoral Studies

Childhood abuse can impact the survivors' life in many ways. Children learn various skills from their caregivers, such as the tools needed to develop and maintain healthy relationships. When a child is abused by their caregiver, there can be a drastic impact on how the child perceives the world, and the therapeutic relationship is important in the healing process. This interpretative phenomenological analysis (IPA) study explored the lived experiences of therapists who work with adult women who are survivors of childhood sexual abuse to better understand the effects that childhood sexual abuse has on the therapeutic relationship. The theoretical base …

Substance Use And Romantic Attachment Among African American And Black Caribbean Adult Males, Shaun Faith Hutton

Walden Dissertations and Doctoral Studies

Individuals from unfavorable environments tend to carry maladaptive patterns of attachment from infancy through adulthood. Empirically, these styles have been shown to be intergenerational. Substance use disorder has been linked to maladaptive patterns of attachment among adults. However, limited data exists regarding this phenomenon with African American and Black Caribbean males. Bowlby's attachment theory and Ainsworth's patterns of attachment were the theoretical frameworks applied to this quantitative study. The purpose was to determine the effect of ethnicity and alcohol use on anxious and avoidant attachment patterns among a sample of 151 adult males. Using the Experience in Close Relationship and …

Metropolitan Young Adult American Muslims Perceptions Of Discrimination Post American Patriot Act, Ronald Mcdaniel

Walden Dissertations and Doctoral Studies

Several researchers have identified discrimination and profiling as examples of oppression and threats to the democratic process. Scholarly literature provides little evidence on the experiences, beliefs, and attitudes of young adult Arab American Muslims post-9/11. This study addressed the attitudes and lived experiences of young adult Arab American Muslims between the ages of 18 and 25 regarding discrimination and profiling experienced in the District of Columbia Metropolitan area since the passage of the American Patriot Act. A phenomenological research study was conducted using Benet's polarities of democracy as the theoretical framework with a focus on diversity and equality. Data were …

Factors That Predict The Adoption Of Online Shopping In Saudi Arabia, Momen Nachar

Walden Dissertations and Doctoral Studies

Despite the increased numbers of online consumers, e-commerce growth is slow in the Kingdom of Saudi Arabia. In this correlational study, the technology acceptance model (TAM) was used as a theoretical framework to examine whether perceived ease of use of e-commerce platforms and perceived usefulness of e-commerce platforms could predict consumers' intention to adopt shopping online. A pre-existing TAM survey instrument was used to collect data from consumers (N = 95) who live in a City and have shopped at least once online. The regression analysis confirmed a positive statistically significant relationship between perceived ease of use of e-commerce platforms …

Long-Term Implementation Of Temporary Immigration Policy On The Security And Integration Of Liberians In The U.S., Glendaly Sanchez-Alicea

Walden Dissertations and Doctoral Studies

Immigration policies such as temporary protected status and deferred enforced departure can serve as suitable humanitarian solutions to help displaced individuals. Notwithstanding, when implemented in the course of many years, the uncertainty and stress of living in limbo can pose significant challenges to beneficiaries and create a multifarious scenario for government leaders. This qualitative study examined the experience of Liberians, a group designated with temporary immigration protection in the United States since 1991, who have consequently formed lives in the United States while in temporary status. The purpose of this qualitative study was to explore the effects of temporary immigration …

Innovation Strategies In Small Agrarian Businesses In Sierra Leone, Solomon Sorba Scholz

Walden Dissertations and Doctoral Studies

In 2015, a sharp decline in the sustainability of small agrarian businesses in Sierra Leone resulted in the gross domestic product declining by 41%. The purpose of this multiple case study was to explore the innovation strategies owners of small agrarian businesses use to sustain their businesses for longer than 5 years. The disruptive innovation theory was the conceptual framework for this study. The participants were 16 owners of small agrarian businesses from Makeni, Kenema, Bo, and Freetown districts in Sierra Leone who have sustained their businesses for longer than 5 years. Data were collected using semistructured interviews, personal notes, …

Recommendations For African American Family Caregivers Of Adult With Congestive Heart Failure., Callista Chika Ejim

Walden Dissertations and Doctoral Studies

African Americans suffer disproportionately higher incidence of congestive heart failure (CHF) at an earlier age of onset and with more rapid progression compared to other races. Due to this escalating prevalence of CHF within the African American population and the lack of culturally responsive support for the caregiving role, African American family caregivers of adult CHF patients face greater challenges and suffer increased caregiver burden, stress, depression, and financial strain compared to European American caregivers. The purpose of this project was to conduct a systematic literature review to find the recommendations that target African American family caregivers of adult CHF …

Association Of Health Facility Delivery And Risk Of Infant Mortality In Nigeria, Susan Adaku Ukwu

Walden Dissertations and Doctoral Studies

Infant mortality (IM) incidence in health facility systems during or after infant delivery is

substantially high in Nigeria. In this quantitative, cross-sectional study, the effects of skill

birth attendants (SBAs), prenatal care, and providers of prenatal care on IM in health

facility delivery centers were examined. The Mosley and Chen theoretical framework

informed this study and was used to explain the relationship between SBAs, prenatal

care, and providers of prenatal care and IM. One hundred and sixty infant deaths were

examined among mothers who used an SBA versus those who did not, mothers who had

prenatal care versus those without, …

Papanicolaou Test Status Among Inner-City Adolescent Girls In Accra, Ghana, Collins Kwesi Asamoa-Afriyie

Walden Dissertations and Doctoral Studies

Cervical cancer is an emerging public health problem in developing countries. Globally, it is the 3rd most common malignancy in women after breast and colorectal cancers and 4th most frequent cancer in women, with an estimated 570,000 new cases and 311,000 deaths in 2018. Cervical cancer screening in the developed countries is credited with the reductions in cervical cancer morbidity and mortality during the last 50 years. However, nearly 90% of cervical cancer deaths occur in less developed countries. Ghana has a cervical cancer rate of 26.4%. Further, it is the highest cancer incidence faced among women 25 to 44 …

Urban Development Of A City In Niger Delta Region Of Nigeria, Chinyere Emmanuel Igwe

Walden Dissertations and Doctoral Studies

The issue of indiscriminate urban expansion is not uncommon in Africa. It has created haphazard, unplanned, and unapproved development that negatively affected urban planning for cities in the Niger Delta Region in Nigeria. Using Stone's urban regime theory, the purpose of this phenomenological study was to explore from the perspective of developers, associations, and government agencies (referred to as stakeholders), the roots causes of indiscriminate urban development and their activities in the process in the Niger Delta Region. Data were collected through semi structured telephone interviews with 10 participants who had at least 5 years experience working in public and …

Self-Concealment, Perceived Discrimination, And African American Treatment Choices For Major Depression, Danita Morales Ramos

Walden Dissertations and Doctoral Studies

African Americans have a higher proclivity to depression than other ethnic groups in the United States and also have a greater propensity to avoid seeking professional mental health treatment. The available research has shown that racial and cultural barriers such as perceived discrimination and self-concealment are the primary factors that negatively affect African Americans' attitudes toward mental health itself and mental health treatment. Perceived discrimination and self-concealment may also negatively affect whether African Americans seek help for depression and from whom, but further investigation was needed. The quantitative survey study provided answers to which factors influence whether and where African …

Adherence To Art Among Hiv Infected Female Sex Workers In Nigeria, Abass Babatunde Yusuf

Walden Dissertations and Doctoral Studies

A lack of adherence to antiretroviral therapy (ART) increases the risk of onward human immunodeficiency virus (HIV) transmission and mortality. The purpose of this cross-sectional study based on Andersen's conceptual framework was to test the associations between age, marital status, job/occupational status, education, membership in a peer support group, community, and facility ARV drug refill and alcohol and substance use, and adherence to ART among female sex workers (FSWs) who are 15 years and older in Rivers and Cross Rivers states Nigeria. Data were abstracted from existing program data collected between January 2015 and December 2017 by Heartland Alliance International, …

Progress On The Economic Empowerment Of Female Entrepreneurs In Kenya's 30% Preferential Public Procurement Policy, Rukaya Mohammed

Walden Dissertations and Doctoral Studies

In Kenya, a 2013 presidential directive reserved 30% of government procurement opportunities for enterprises owned by women, youth, and persons with disabilities to promote economic empowerment; however, as of 2016, female entrepreneurs continued to be outpaced by their male counterparts. The lack of policy evaluation from the female entrepreneur perspective limits the ability to assess progress and identify obstacles. Through purposeful sampling and semistructured interviews, this qualitative phenomenological study obtained the perceptions of the implementation and impact of Access to Government Procurement Opportunities (AGPO) on economic empowerment from the perspective of 20 female entrepreneurs in Kenya previously awarded procurement contracts. …

Elder Abuse In Illinois: A Two–Pronged Approach To Assessing The State's Response, Angelique Marie Pass

Walden Dissertations and Doctoral Studies

The Adult Protective Services Program is tasked with enforcing the standards and policies created at the federal level relating to how provider agencies should respond to elder abuse. What has yet to be explored is whether the Adult Protective Services Program is efficiently responding to the issue of elder abuse through its monitoring and evaluation protocols, which are based on the current policies. The purpose of this study was to explore the role of the 13 planning and service areas in their response to elder abuse. The response to elder abuse is guided by the current policies and funding strategies …

The Effect Of Income On Stroke Recovery In Urban Ghana, Ida Dawsome Amuah

Walden Dissertations and Doctoral Studies

Stroke recovery is a crucial public health issue in Ghana due to the high rate of mortality and morbidity associated with stroke. The significant role income plays in the onset of stroke has been empirically proven using quantitative research. However, the in-depth insights on the role income plays in stroke recovery are less known and less appreciated, particularly, in middle-income countries such as Ghana. The phenomenological study was purposed to provide in-depth insight into the effect which might exist between income earned by Ghanaian-families and stroke recovery. The theoretical framework underlining this qualitative study was a combination of the Dahlgren-Whitehead …

Child Malnutrition In A Developing Country: A Persistent Challenge In Haiti, Jeanne M. Constant-Edma

Walden Dissertations and Doctoral Studies

Malnutrition is characterized by the insufficient intake of certain nutrients and the inability of the body to absorb or use these nutrients. This health problem continues to be a persistent challenge among children under 5 years of age in developing countries, including Haiti, despite food aid provided. The purpose of this study was to determine the association between dietary habits in children under 5 years of age in Haiti and their malnutrition status. Community organization theory was used to determine the association between determinants of health such as dietary habits, parents' knowledge and experience, cultural eating habits, socioeconomic status, and …

Hiv Testing Among Nigerian Men Who Have Sex With Men After Criminalization Of Homosexuality, Gerald Onyeka Ileka

Walden Dissertations and Doctoral Studies

Men who have sex with men (MSM) are at high risk of HIV in Nigeria. However, African countries like Nigeria, Botswana, Mali, and Mozambique have laws that prohibit homosexuality, making it a punishable crime in these countries. For example, the Nigerian government signed the anti-gay law in 2014. Laws like these affect the health status and outcomes among Nigerian MSM. The purpose of this qualitative study was to examine the influence criminalization of homosexuality has on the willingness to test for HIV among MSM in Abuja, Nigeria. Guided by the socio-political theory (SP) as the theoretical framework, a qualitative approach …

Public Officials' Defense Of Bribery As A Culturally Acceptable Behavior In Ghana, Agyena Osei Joseph

Walden Dissertations and Doctoral Studies

The prevalence of bribery in Ghana has increased significantly since the mid-2000s and has received considerable attention in both local and international media, as well as among empirical researchers. Although researchers have examined factors that influence the giving and acceptance of bribes in Ghana, limited theoretical research exists concerning the ways public officials in Ghana defend their corrupt behavior. The purpose of this study was to examine ways bribees in Ghana defend their illegal actions, using Sykes and Matza’s neutralization theory. Data were collected from telephone interviews with 11 Ghanaian public officials who have served sentences for bribery; their statements …

Impact Of Trauma On Reoccurring Homelessness In The U. S. Virgin Islands, Elisa Amaris Niles

Walden Dissertations and Doctoral Studies

Homelessness is a growing concern in the United States Virgin Islands (USVI) especially since 2 major hurricanes in 2017 devastated the islands. The impact trauma has on reoccurring homelessness in the USVI is unknown. Failure to understand the impact trauma may pose on persons who are homeless could hinder stable housing and perpetuate reoccurring homelessness. The purpose of this cross-sectional study was to examine the predictive relationship between trauma and reoccurring homelessness in persons who are homeless living in the USVI. The theoretical framework for this study was Psychological Trauma Theory. Participants were homeless adult persons (N=73) who were surveyed …

Psychological Well-Being And Acculturation Of Mexican Alumni Of U.S. Colleges And Universities, Cynthia L. Ruelas

Walden Dissertations and Doctoral Studies

The Hispanic population is the largest and fastest growing population in the United States, which necessitates research on the acculturation process, especially because of the current events regarding the Texas–Mexico border. Although research has indicated the need to develop coping skills to support positive mental health during acculturation, there is a lack of empirical information regarding acculturation and mental health among Mexican alumni of U.S. colleges and universities. Based on social identity theory and acculturation theory, this quantitative, correlational study was conducted to examine the relationship between acculturation and psychological well-being (PWB) among Mexican alumni of colleges and universities in …

Exploring Regulatory Framework Guiding Bank Employees' Career Advancement In Nigeria, Adenrele Jonathan Adegbite

Walden Dissertations and Doctoral Studies

The current global labor market tends to be knowledge based and workers are consistently required to develop new competencies and adapt to changing environments. Bank employees in Nigeria do not have training that sustains future employment in other sectors, largely as a result of regulatory requirements that impede the development of soft skills and life-long learning opportunities. Little attention has been given to the lived experiences of these bank employees who are currently faced with the challenges posed by globalization and technology adoption. Guided by institutional analysis and development theory (IAD), this exploratory study examined the regulatory framework guiding bank …

The Impacts Of Race, Residence, And Prenatal Care On Infant Mortality, Mary Christine Dorley

Walden Dissertations and Doctoral Studies

Tennessee ranks high for infant mortality (IM) in the United States. Despite public health efforts, the IM rate for Blacks is twice that of Whites mimicking what is observed nationally. Several risk factors for IM have been identified; however, it was still unclear how places of residence and prenatal care (PNC) affect IM for Tennesseans. The purpose of this study was to assess the relationship between places of residence (conceptualized by rurality and racial concentration), PNC, and IM among racial groups across Tennessee and to determine if race modified these associations. This was a cross-sectional study using data from the …

Career Pathways Of African-American Women Senior Executives At Predominantly White Institutions, Etheldria Amayah Bonnie Moulds-Greene

Walden Dissertations and Doctoral Studies

Research studies have revealed that African-American women are disproportionately underrepresented in senior and executive leadership positions compared to European-American female and male counterparts at public and private predominantly White institutions, despite their increased representation in university senior leadership positions. The purpose of this basic qualitative study was to discover the meaning and understanding of African-American women's career pathway experiences ascending to executive positions at these institutions. Critical race theory and Black feminist thought lenses were used as frameworks to understand participants' career pathways, barriers, and facilitating factors advancing toward leadership. LinkedIn recruitment and snowball sampling led to 9 participants who …