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Staff Education On Chronic Obstructive Pulmonary Disease Self-Management Using Teach-Back, Yvonne Etenyi Fomengia Jan 2019

Staff Education On Chronic Obstructive Pulmonary Disease Self-Management Using Teach-Back, Yvonne Etenyi Fomengia

Walden Dissertations and Doctoral Studies

Exacerbation of chronic obstructive pulmonary disease (COPD) is the leading cause of hospital admissions and an estimated 120,000 deaths among older adults in the United States. In the community health clinic that served as the project site, more than 80% of patients with a COPD diagnosis had frequent exacerbations, with a hospital readmission rate of 23.2%, which was higher than the national benchmark of 21%. The clinic did not have a COPD discharge education plan with a teach-back tool for staff to teach patients. The purpose of the project was to develop an evidence-based COPD educational packet for staff on …

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Mentoring And Retention Of First Year College Students At Brown Community College, Valrey Dawn Francis Jan 2019

Mentoring And Retention Of First Year College Students At Brown Community College, Valrey Dawn Francis

Walden Dissertations and Doctoral Studies

Retention of first year college students has been problematic in many U.S. colleges, and different mentoring frameworks have been explored to help resolve the issue. The purpose of this qualitative multiple case study was to examine how the mentoring program at Brown Community College (BCC; pseudonym) positively increased retention of first year college students. BCC is a community college located in a metropolitan urban area in a southern state. Tinto's model of social integration and academic success was used to undergird the study. Research questions were developed to understand how BCC's mentoring program was supporting first year students' retention and …

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Relationship Of Years Of Experience To Aggression, Empathy, And Alcohol Intake Among Attorneys, Ashley Frantz Jan 2019

Relationship Of Years Of Experience To Aggression, Empathy, And Alcohol Intake Among Attorneys, Ashley Frantz

Walden Dissertations and Doctoral Studies

Attorneys are at an increased risk of negative psychological and physical effects due to stressors in their careers. The purpose of this study was to identify if sex crime attorneys and homicide attorneys identify with significant psychological changes throughout their careers. The framework for this study was theoretical in nature and utilized the social cognitive processing theory. This quantitative study (N = 28) included the use of the Alcohol Use Disorders Identification Test, the Buss-Perry Aggression Questionnaire, and the Multi-Dimensional Emotional Empathy Scale. A minimal significance was found correlating a decrease in aggression to years of experience as an attorney. …

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Self-Injurious Behavior And Social Media Use By Adolescents, Victoria Lynn Fye Jan 2019

Self-Injurious Behavior And Social Media Use By Adolescents, Victoria Lynn Fye

Walden Dissertations and Doctoral Studies

There is a surprising dearth of research related to the phenomenon of self-injurious behavior/nonsuicidal self-injury (SIB/NSSI), such as cutting. Research conducted on SIB has revealed that this maladaptive behavior is more common among adolescents than other populations. The act of posting SIB on social media deserves research attention, as it seems to contradict what had previously been considered a very private behavior. The goal of this qualitative case study was to better understand why adolescents engage in SIB as well as investigate why they post these behaviors on social media. Merton's theory of social strain and anomie, which focuses on …

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Guardians' Experiences With Mental Health Care For Adolescents With Pediatric Bipolar Disorder, Saudia Y. George Jan 2019

Guardians' Experiences With Mental Health Care For Adolescents With Pediatric Bipolar Disorder, Saudia Y. George

Walden Dissertations and Doctoral Studies

Pediatric bipolar disorder (PBD) is a growing public health problem in the United States, especially among adolescent children. Despite awareness of the diagnosis and the effects that it has on the child, little attention has been given to the effects that PBD has on the guardian. The purpose of this qualitative phenomenological study was to explore the factors influencing guardians' experiences related to PBD. Penchansky and Thomas' Theory of Access and Family Systems Theory were used in this study to explore guardians lived experiences of PBD, its effects on the entire family system, and mental health service treatment. This approach …

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Thirty-Day Readmission Risk Factors Of African American Adult Copd Patients With Tracheostomies, Shekeita Gibson Jan 2019

Thirty-Day Readmission Risk Factors Of African American Adult Copd Patients With Tracheostomies, Shekeita Gibson

Walden Dissertations and Doctoral Studies

The purpose of this study was to assess the association between hospital readmission and demographic variables (age, BMI, gender, income, marital status, comorbidities, and smoking history), and size and type of tracheostomy among African American chronic obstructive pulmonary disease (COPD) patients with tracheostomies. The Andersen model was the theoretical framework for this quantitative study. Secondary data were obtained from a long-term acute care facility. The sample comprised 438 African American adult patients admitted between 2010 and 2017. Logistic regression was used to analyze each research question and assess the odds of 30-day hospital readmission. The results indicated that the odds …

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Strategies To Recover From Satellite Communication Failures, Charles Lomotey Jan 2019

Strategies To Recover From Satellite Communication Failures, Charles Lomotey

Walden Dissertations and Doctoral Studies

In natural and manmade disasters, inadequate strategies to recover from satellite communication (SATCOM) failures can affect the ability of humanitarian organizations to provide timely assistance to the affected populations. This single case study explored strategies used by network administrators (NAs) to recover from SATCOM failures in humanitarian operations. The study population were NAs in Asia, the Middle East, Central Africa, East Africa, and West Africa. Data were collected from semistructured interviews with 9 NAs and an analysis of network statistics for their locations. The resource-based view was used as the conceptual framework for the study. Using inductive analysis, 3 themes …

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Social And Cultural Factors Influencing The Management Of Type 2 Diabetes Among African American Men, Lavetta W. Lopez Jan 2019

Social And Cultural Factors Influencing The Management Of Type 2 Diabetes Among African American Men, Lavetta W. Lopez

Walden Dissertations and Doctoral Studies

African American men are more likely to have diagnosed or undiagnosed diabetes than non-Hispanic White Americans and are less likely to adhere to treatment. Culture in the African American community plays a key role in how this community copes with illness and the health care system. The purpose of this study was to examine the lived experiences of social and cultural determinants of Type 2 diabetes self-management among African American men. Bandura's social cognitive theory provided the theoretical framework for the study. The research question sought to identify cultural and social factors that contribute or protect how African American men …

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Antenatal Care And Maternal Sociocultural Determinants Of Childhood Immunization In Northern Nigeria, Amaka Tonia Okafor Jan 2019

Antenatal Care And Maternal Sociocultural Determinants Of Childhood Immunization In Northern Nigeria, Amaka Tonia Okafor

Walden Dissertations and Doctoral Studies

Immunization has been recognized globally as a cost-effective public health intervention. However, despite its benefits, children in northern Nigeria are still adversely affected by the negative consequences of inadequate uptake of immunization. The purpose of this study was to assess antenatal care and maternal sociocultural determinants that influence childhood immunization within 2 months of birth in northern Nigeria. Constructs of social cognitive theory were applied to this retrospective correlational cross-sectional inquiry involving women 15-49 years old in northern Nigeria. Secondary data (the 2013 Nigeria Demographic and Health Survey) were analyzed using univariate, bivariate and multivariate logistic regression. Statistically significant (p < 0.05) predictors of uptake of childhood immunization within 2 months of birth were the person who delivered antenatal care, the number of antenatal care visits, the number of tetanus injections, maternal educational level, religion, wealth index, husband/partner educational level, and the person who decides on health care. Educated Christian women from middle-class or rich homes, whose husbands/partners were also educated and who jointly decided on health care, made numerous contacts with health care professionals, and received at least one tetanus injection during antenatal care, had a higher likelihood of immunizing their children within 2 months of birth. The positive social change implications for this study include providing evidence of deterrents to childhood immunization that could lead to relevant policies and interventions leading to healthier children, communities, and society.

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Strerss On Educators At A Discipline Alternative Education Program, Anthony G. Murray Jan 2019

Strerss On Educators At A Discipline Alternative Education Program, Anthony G. Murray

Walden Dissertations and Doctoral Studies

Interaction with their students during classroom instruction is often a source of stress among many teachers. The academic setting of Disciplinary Alternative Educational Programs (DAEP) poses a risk factor for teachers to experience stress, given that student disruptive behavior has been associated with higher stress levels among teachers. The problem underlying this study was that most studies on DAEP have focused on the experiences of students, with limited information available about the experiences of teachers in this type of academic setting. The purpose of this qualitative phenomenological study was to explore the role of job-related stress and coping on the …

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Strategies For Preventing Financial Fraud In Church Organizations In Ghana, Albert Rockson Jan 2019

Strategies For Preventing Financial Fraud In Church Organizations In Ghana, Albert Rockson

Walden Dissertations and Doctoral Studies

Financial fraud in church organizations is increasing rapidly, which can affect the reputation, donation appeal, future funding, and ability of church organizations to meet their planned organizational goals. The purpose of this multiple case study was to explore strategies for preventing financial fraud in church organizations. The conceptual framework for the study was Cressey’s fraud triangle theory. Twenty participants who utilize strategies for preventing financial fraud in their organizations were purposively selected from 5 church organizations in Ghana. Data were collected through semistructured interviews and analysis of organizational financial policy documents. Interview data were transcribed, coded, and analyzed with Saldaña’s …

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Managerial Practices That Contribute To Mitigating Nursing Turnover Intentions, Marcy Adams Jan 2019

Managerial Practices That Contribute To Mitigating Nursing Turnover Intentions, Marcy Adams

Walden Dissertations and Doctoral Studies

The U.S. health care industry incurs a high level of employee turnover year over year, which results in significant costs for organizations in the sector. Specific to the field of nursing, some pharmaceutical health care managers lack effective management strategies to successfully mitigate nursing turnover intentions to reduce organizational losses. The purpose of this single case study was to explore the strategies health care managers used to mitigate nursing turnover intentions. The conceptual framework was social exchange theory. Data were collected using semistructured interviews. The targeted population included 9 managers from a pharmaceutical company in the state of New Jersey …

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Regulatory Effects On Traditional Financial Systems Versus Blockchain And Emerging Financial Systems, Samuel Edwin Addo Baidoo Jan 2019

Regulatory Effects On Traditional Financial Systems Versus Blockchain And Emerging Financial Systems, Samuel Edwin Addo Baidoo

Walden Dissertations and Doctoral Studies

The expansion of the Internet led to disruptive business and consumer processes, as existing regulations do not cover the scope and scale of emerging financial technologies. Using organization economic theory as the foundation, the purpose of this correlational study was to examine and compare the financial regulatory impact on traditional and emerging financial systems across a variety of factors including organizational type, predicted users, operational concerns, reasons for cost increases, and changes in business practices as a result of the regulatory environment. Data were collected through a survey of 227 adult Americans who engage in the financial sector and are …

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Juvenile Correctional Officers' Job Satisfaction, Retention, And Quality Of Supervision, Lalita Nicole Appling-Plummer Jan 2019

Juvenile Correctional Officers' Job Satisfaction, Retention, And Quality Of Supervision, Lalita Nicole Appling-Plummer

Walden Dissertations and Doctoral Studies

Juvenile Correctional officers are important to the function of secure facilities because they maintain constant contact with offenders. This quantitative study sought to determine why turnover rates continue to rise and offered insight into retaining officers. This study utilized Abraham Maslow's Hierarchy of Needs theory as the foundation for explaining relationships between the variables: quality supervision and intent to stay and job satisfaction, job search, and job embeddedness of juvenile correctional officers across the United States. Survey data were collected from 247 juvenile correctional officers using a web-based survey containing 5 scales including Quality of Supervision and Intent to Stay, …

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African American Parents' Perceptions Of Childhood Obesity In Broward County, Kenol Aris Jan 2019

African American Parents' Perceptions Of Childhood Obesity In Broward County, Kenol Aris

Walden Dissertations and Doctoral Studies

Children may become overweight or obese for different reasons, and childhood obesity may have health consequences such as Type 2 diabetes and asthma. The purpose of this qualitative phenomenological study was to describe the perceptions of African American parents of elementary-age children with obesity living in Broward County, Florida about the causes and consequences of childhood obesity. The health belief model (HBM) guided this study. Interview data were gathered from 9 participants who met the criteria of being African American parents of elementary-age children with obesity living in Broward County, Florida. Moustakas- steps to analyze the data collected led to …

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System Challenges For Bilingual Clinical Social Work In Forensic Settings, Roberto G. Arroyo Jan 2019

System Challenges For Bilingual Clinical Social Work In Forensic Settings, Roberto G. Arroyo

Walden Dissertations and Doctoral Studies

Little information exists about challenges that bilingual clinical social workers face when engaging individuals with Limited English Proficiency (LEP) in forensic settings, which may influence the efficacy of services provided. Bilingual clinical social workers in the U.S. state of South Carolina lack operational guidelines to assist people with LEP who are involved in forensic matters. The purpose of this study was to explore challenges that affect delivery of bilingual clinical social work to people with LEP in forensic settings. Ecological systems theory served as the conceptual framework for this study. Purposive and snowball sampling methods led to the participation of …

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Police Culture And Perceived Service Value: Officer Perspectives On Psychological Services Utilization, Kymberli Copeland Barker Jan 2019

Police Culture And Perceived Service Value: Officer Perspectives On Psychological Services Utilization, Kymberli Copeland Barker

Walden Dissertations and Doctoral Studies

There is a noted discrepancy between police psychological services offered and services utilized. It is important to understand reasons for underutilization when creating services for officers. The purpose of this study was providing empirical evidence from the officers-perspectives to answer this question. The conceptual foundation was officers may refuse participation due to police culture. The conceptual framework was represented in research questions focused on officers- perspectives regarding psychological services provided by psychologists without law enforcement (LE) experience. The participants were employed law enforcement officers (LEOs) from regions across the United States. Officer participation from all 50 states was targeted to …

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Exploring Employee Engagement Strategies From The Employee Perspective: A Case Study, Harley R. Barmore Jan 2019

Exploring Employee Engagement Strategies From The Employee Perspective: A Case Study, Harley R. Barmore

Walden Dissertations and Doctoral Studies

Small businesses, which are important to the success of local communities, continue to fail at a much higher rate than their larger counterparts. Employee disengagement contributes to small businesses failure and is often precipitated by a misalignment of leader intent and employee perception of engagement strategies. The purpose of this case study, grounded in prevailing engagement theories, was to explore the alignment of employee perceptions to leaders' engagement strategies. Research questions elicited employee perceptions of leader engagement strategies and how these perceptions influenced their attitudes toward work. Data were collected from employees and the owner of a small Midwestern, privately …

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Effect On Grades For Students With Disabilities Who Take Developmental Literacy Coursework, Christen Michelle Baumbach Jan 2019

Effect On Grades For Students With Disabilities Who Take Developmental Literacy Coursework, Christen Michelle Baumbach

Walden Dissertations and Doctoral Studies

Students with a wide array of disabilities are graduating from high school but are unprepared for community college literacy courses. The lack of preparation has caused many students who attend community colleges to be unsuccessful in literacy courses. This problem has led many community colleges to provide developmental courses, but mixed results on the effectiveness have occurred. My purpose in this quantitative causal-comparative study was to examine whether a developmental literacy course had a significant effect on the success of students with disabilities who took English 110 compared with students with disabilities who did not participate in the developmental course. …

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Demographic And Symptomology Differences Among Sexually Assaulted Children With Posttraumatic Stress Disorder, Kathleen Bethel-Pracht Jan 2019

Demographic And Symptomology Differences Among Sexually Assaulted Children With Posttraumatic Stress Disorder, Kathleen Bethel-Pracht

Walden Dissertations and Doctoral Studies

Trauma due to sexual assault becomes a life changing event during a child's critical developmental years. Bronfenbrenner's ecological systems theory outlines the process of understanding an individual's environment and how disruptions in one level may affect other levels. This study determined if gender and ethnicity among sexually traumatized children diagnosed with post-traumatic stress disorder (PTSD) predict symptom severity as measured by the Trauma Symptom Checklist for Children (TSCC) after controlling for the socioeconomic level and home environment. The population consisted of 126 children aged 8 through 16 with at least a second-grade reading level. Multiple regression examined whether male and …

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Strategies For Improving The Process Of Lean Implementation In Health Care, Nathalie Lise Boudreau Jan 2019

Strategies For Improving The Process Of Lean Implementation In Health Care, Nathalie Lise Boudreau

Walden Dissertations and Doctoral Studies

The Canadian health care system is a complex system under pressure due to an aging population. The annual health care budget has decreased, posing challenges for health care administrators. The purpose of this qualitative study, which was grounded in Deming's total quality management system framework, was to explore strategies 6 health care managers used to implement Lean initiatives to reduce health care costs in the province of Ontario, Canada. Data were collected through semistructured interviews and analyzed in accordance with Yin's approach, which includes compiling data, disassembling, reassembling, and interpreting data, and drawing conclusions. Four themes emerged from data analysis: …

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Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd Jan 2019

Medication Adherence For Foster Children From The Perspective Of Foster Care Providers, Odette Boyd

Walden Dissertations and Doctoral Studies

In 2015, over 427,000 children were in foster care and the largest population were in California's system. Of those children, more than 9,400 were prescribed psychotropic medications. Increases of psychotropic medication use have led to investigations and findings of medication oversights in foster care. Medication oversights included medication nonadherence, which was linked to an increase of problematic behaviors in foster children. The purpose of this phenomenological study was to explore the issues of medication adherence for foster care providers who care for foster children of mild to chronic health concerns who were prescribed medications and experienced multiple placements. By utilizing …

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Rational Choice Theory For Financial Strategy In Rural Michigan Community Colleges, Nicholas John Brege Jan 2019

Rational Choice Theory For Financial Strategy In Rural Michigan Community Colleges, Nicholas John Brege

Walden Dissertations and Doctoral Studies

Since 2011, drastic declines in tuition revenue for many rural community colleges have hindered institutional budgets and have been the primary driver for the financial strategy decisions made by college leaders. Recent declines in revenue for rural community colleges have created a constrained fiscal environment causing college leaders to increase focus on internal operations. The aim of this research was to expand the understanding of how management decisions influence tuition revenue when demand fluctuates. Data from multiple archival sources including several national and state statistical databases were used. This study used a multiple regression analysis to investigate the relationships between …

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Middle School Teachers And Administrators' Views Concerning The Prevention Of School Violence, Carlesia Britt Jan 2019

Middle School Teachers And Administrators' Views Concerning The Prevention Of School Violence, Carlesia Britt

Walden Dissertations and Doctoral Studies

Over the years, school violence has gained attention due to an increase of aggressive behaviors and actions within school systems across the United States. As a result, it has prompted school districts to develop plans that address school violence efficiently to promote safe school environments. There is gap in current literature as it pertains to addressing school violence in the middle school setting. The purpose of this study was to explore the views of teachers and administrators concerning effective ways to implement proactive prevention strategies to attain better approaches to preventing school violence. This case study methodology were framed by …

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Parents' Knowledge Of Child-Passenger Safety And Child-Passenger Restraint Usage, Amanda Cadore Jan 2019

Parents' Knowledge Of Child-Passenger Safety And Child-Passenger Restraint Usage, Amanda Cadore

Walden Dissertations and Doctoral Studies

Although occupant protection laws exist, limited research has been conducted on how current child passenger safety (CPS) issues and CPS marketing strategies relate to child passenger safety seat (CPSS) usage. The purpose of this cross-sectional study was to analyze the relationship between parents' perception and knowledge of CPS issues and CPSS usage rates. The diffusion of innovation and the social marketing theories provided the frameworks for this study. The overall research question for the study examined the correlation between parents' knowledge of CPS issues and CPSS usage. Data (participants' surveys, car seat check-up information, and observational statistics) were collected from …

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Time And Transitions As Predictors Of Effective Postdeployment Resilience, Ricarlos Marcell Caldwell Jan 2019

Time And Transitions As Predictors Of Effective Postdeployment Resilience, Ricarlos Marcell Caldwell

Walden Dissertations and Doctoral Studies

Since 9/11 over 2.77 million U.S. service members have deployed 5.4 million times to a theater of war with the majority serving in the U.S. Army. The increased stress inherent in a single combat deployment grows exponentially with each subsequent deployment, resulting in behavioral issues and suicide attempts and ideations. This study's purpose, following resilience theory, was to explore the associations of military life experiences (permanent changes of station, promotions, retirements, etc.) and deployment characteristics (number of deployments, operational specialties, combined lengths of deployments, etc.) to postdeployment resilience in U.S. military personnel. The study's design was a quantitative correlational research …

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Intimate Partner Violence (Ipv) And Help-Seeking: The Experiences Of African American Male Survivors, Marjorie Yvonne Campbell-Hawkins Jan 2019

Intimate Partner Violence (Ipv) And Help-Seeking: The Experiences Of African American Male Survivors, Marjorie Yvonne Campbell-Hawkins

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a serious worldwide problem and a deliberate violation of human rights. Men from all ethnicities are physically, psychologically, and mentally affected by IPV. In the Unites States, approximately 835,000 men are abused by an intimate partner. Although there are higher incidences of IPV in the African American community and lower rates of help-seeking especially among males, there is a scarcity of studies addressing the help-seeking behavior of African American male IPV survivors. The purpose of this phenomenological study was to explore the lived experiences of African American male survivors of IPV and their help-seeking behaviors. …

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Scripted Programs: A Curriculum Evaluation, Amanda Rose Crose Jan 2019

Scripted Programs: A Curriculum Evaluation, Amanda Rose Crose

Walden Dissertations and Doctoral Studies

Schools participating in the Carson Curriculum Project use a scripted literacy curriculum. After years of implementation, these curricula are still being used, despite no increase in standardized tests, which is the goal of the project. An evaluation of scripted literacy curriculum has never been completed. The purpose of this study was to use a qualitative case study to gather the perspectives of 12 teachers, administrators, and curriculum coaches, three from each of the four schools who have taught in 3rd, 4th, or 5th grade for at least 1 school year. The conceptual framework for this study was Bradley's effectiveness model. …

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Medicare And Medicaid Regulations' Financial Effects On Home Health Agencies' Performance, Binzie Roy Davidson Jan 2019

Medicare And Medicaid Regulations' Financial Effects On Home Health Agencies' Performance, Binzie Roy Davidson

Walden Dissertations and Doctoral Studies

Some owners of small to medium-sized managed care businesses lack strategies to address the effects of healthcare regulations on their businesses. The purpose of this multiple case study was to identify strategies that owners of small to medium-sized managed care businesses used to address the financial effects of healthcare regulations on their businesses. The conceptual framework for this study was profit maximization and adaptation in changing contexts. Data were gathered from company documents, observations, and semistructured interviews with 5 home healthcare business owners in Los Angeles County, California. Data were coded to identify themes from the narrative segments. Key themes …

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Faith Leaders' Experiences On Health Counseling Provided To Their Congregation, Latangee Degrace Dickens Jan 2019

Faith Leaders' Experiences On Health Counseling Provided To Their Congregation, Latangee Degrace Dickens

Walden Dissertations and Doctoral Studies

Numerous faith-based organizations (FBOs), denominations, and religious groups are represented in the United States. Faith leaders have the responsibility of addressing the spiritual needs of the congregation; however, the health needs of parishioners may be a point of discussion faith leaders should address. Communities surrounding FBOs may have limited health care services, lack transportation, and have serious health issues. The purpose of this phenomenological qualitative study was to explore the experiences of faith leaders on giving health counseling to their congregation. Faith leaders play an essential role in providing health counseling on various health topics to their congregation and community. …

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