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Emergency Responders' Perceptions Of Mental Health Patients While Providing Care In Rural Areas, Cindy Perkinson Costilla Jan 2019

Emergency Responders' Perceptions Of Mental Health Patients While Providing Care In Rural Areas, Cindy Perkinson Costilla

Walden Dissertations and Doctoral Studies

Prior research has shown a correlation between public stigma and emergency responders' perceptions of mental health patients while providing care. However, research examining public stigma and emergency responders' perceptions of mental health patients is limited in rural areas. The purpose of this study was to explore possible relationships between the dependent variable, public stigma, and the independent variables: social distance, blameworthiness, and fear of unpredictable behavior. Link's modified labeling theory was the theoretical framework for this study. A sample of 92 emergency responders obtained from Facebook completed a questionnaire that consisted of three Likert scales. A multiple regression showed little …

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Pediatric Behavioral Health Best Practices In The Children's Emergency Department, Kristina Marie Pickering Jan 2019

Pediatric Behavioral Health Best Practices In The Children's Emergency Department, Kristina Marie Pickering

Walden Dissertations and Doctoral Studies

Emergency department (ED) use for behavioral-health-associated diagnoses has steadily increased in adult and pediatric populations, accounting for 1 out of every 8 ED visits. The increase in pediatric behavioral health ED visits, combined with limited resources for treatment, has created a challenge for EDs faced with extended boarding and constant observation of this population. The generalized behavioral health guidelines used at the practice site have not been adapted for the pediatric population. This project focused on providing age- and developmentally appropriate best practice guidelines for children under constant observation in the children's emergency department (CED) using Havelock's theory of planned …

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Adoption Of Cloud Computing Services In An Illinois-Based Insurance Company, Nekerral Polk Jan 2019

Adoption Of Cloud Computing Services In An Illinois-Based Insurance Company, Nekerral Polk

Walden Dissertations and Doctoral Studies

The decision to adopt cloud computing services should involve business units of an insurance company as well as information technology (IT) because cloud computing services are viewed as both a technology offering and business alternative. The purpose of this qualitative exploratory case study was to explore the strategies used by IT architects of an Illinois-based insurance company when adopting cloud computing services. The theory supporting this study was the technology acceptance model. The study's population consisted of IT architects from an Illinois-based insurance company that have used strategies to adopt cloud computing services. This study's data collection included semistructured interviews …

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Discharge Phone Call On Unplanned Readmission Due To Chemotherapy Among Cancer Patients, Denise Angelo Moreno Prudencio Jan 2019

Discharge Phone Call On Unplanned Readmission Due To Chemotherapy Among Cancer Patients, Denise Angelo Moreno Prudencio

Walden Dissertations and Doctoral Studies

The transition after hospitalization is a vulnerable period when adverse events like unplanned readmissions may occur. Unplanned readmissions with patients undergoing chemotherapy that are the result of gaps in communicating the discharge plan may be preventable. Several transitional care interventions have been explored, and one of these is the nurse discharge phone call. This project explored the effect of a nurse-led transitional discharge phone call within 30-days after hospital discharge on unplanned readmission due to chemotherapy among patients in the medical-oncology compared to patients without a nurse-led transitional discharge phone call. A nurse-led transitional discharge phone call was implemented within …

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Educational Training On Falls Intervention For Elderly Patients In Acute Care Settings, Kasturi Ramasamy Jan 2019

Educational Training On Falls Intervention For Elderly Patients In Acute Care Settings, Kasturi Ramasamy

Walden Dissertations and Doctoral Studies

Falls among hospitalized elderly patients are a safety concern for health care organizations and the patients they serve, but falls can be prevented through the team effort of nurses and other health care professions to promote safety within the organization. The project site was experiencing an increase in the number of patients falls and identified the need for staff education related to assessment and intervention to prevent patient falls in the elderly population. Thus, the practice-focused question for this project was whether an educational program on evidence-based fall prevention strategies using the American Medical Directors Association clinical guidelines would improve …

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Experiences And Perceptions Of Staff Providing Substance Use Disorder Treatment For Adolescents, Connie Jean Rendleman Jan 2019

Experiences And Perceptions Of Staff Providing Substance Use Disorder Treatment For Adolescents, Connie Jean Rendleman

Walden Dissertations and Doctoral Studies

Substance Use Disorder (SUD) is associated with high mortality rates and remains a public health concern in the United States. Although, numerous interventions are offered for adolescents struggling with substance misuse, minimal research is available on the effectiveness of treatments to reduce recidivism. Researching the most effective treatment offered to adolescents is crucial to treatment adherence and recovery. The purpose of this study is to determine the most effective SUD treatment for adolescent patients by exploring the perceptions and experiences of treatment therapists providing treatment. The trans-theoretical model was used with elements of the social cognitive theory as a guide …

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Staff Development Introducing Self-Care Within The Nurse Residency Curriculum, Lauren Elizabeth Rogers Jan 2019

Staff Development Introducing Self-Care Within The Nurse Residency Curriculum, Lauren Elizabeth Rogers

Walden Dissertations and Doctoral Studies

Caregiver burnout is an issue for health care organizations, negatively influencing cost, engagement, and workforce stability. Nurse residency programs are intended to address the gap in practice between academia and clinical practice and provide social support during this transitional time. Self-care education can positively affect novice acute care nurses' transition into their new professional role while building connections with the health care organization during the first year of employment. The purpose of this project was to develop a staff educational module to address the nursing practice problem of evidence-based self-care education within a nurse residency curriculum at the doctoral site. …

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Improving Provider A1c Testing Frequency Adherence To Recommended Diabetes Guidelines, Susan Ann Simmons Jan 2019

Improving Provider A1c Testing Frequency Adherence To Recommended Diabetes Guidelines, Susan Ann Simmons

Walden Dissertations and Doctoral Studies

The Appalachian region of the United States has a high prevalence of diabetes, placing residents with diabetes at risk for physical, psychological, social, and financial burdens. To compound the issue, primary care providers often do not adhere to the guidelines established by the American Diabetes Association (ADA) regarding the recommended frequency of testing hemoglobin A1C in patients with diabetes. Lewin's planned change theory guided the project. The purpose of this project was to measure the knowledge of the primary care providers before and after an educational intervention covering the ADA guidelines for A1C monitoring and testing and to assess compliance …

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Job Satisfaction Strategies To Improve Performance Of Small Businesses, Akram Abubaha Jan 2019

Job Satisfaction Strategies To Improve Performance Of Small Businesses, Akram Abubaha

Walden Dissertations and Doctoral Studies

Small business leaders continually face challenges due to limited resources and lack of employees' engagement. Only 78% of new small businesses survive 1 year after establishment, and half of those fail within the next 4 years. The purpose of this multiple case study was to explore strategies small business leaders used to increase employees' overall job satisfaction in Alberta, Canada. The conceptual framework for the study was transformational leadership theory. The targeted population was 10 purposefully sampled leaders of small businesses from different industries located in Alberta. Member checking and methodological triangulation were used to validate the data gathered through …

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Post-Hurricane Sandy Coping Strategies And Resilience Factors Among People With Disabilities, Miriam Mukasa Jan 2019

Post-Hurricane Sandy Coping Strategies And Resilience Factors Among People With Disabilities, Miriam Mukasa

Walden Dissertations and Doctoral Studies

People with disabilities are likely to experience difficulties overcoming the impact of natural disasters. Few scholars have focused on this population's ability to recover and handle stress following a natural disaster. The purpose of this phenomenological study was to explore and describe coping strategies and resilience factors that people with physical or mental disabilities used in the aftermath of Hurricane Sandy. Resilience theory was used as the theoretical framework. Through face-to-face interviews, 10 persons with disabilities shared their experiences of coping and resilience. A lens of interpretative phenomenological analysis was used to identify emergent themes related to persons with disabilities' …

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Small Business Leaders' Strategies For Obtaining United States Government Subcontracts, Damian C. Dunbar Jan 2019

Small Business Leaders' Strategies For Obtaining United States Government Subcontracts, Damian C. Dunbar

Walden Dissertations and Doctoral Studies

Small business leaders (SBLs) underutilize billions of dollars of U.S. government funding for small business subcontracting. The role of small business in the United States is important to local economies as well as a major contributor to the U.S. economy. Using the resource-based view as the conceptual framework for this study, the purpose of this qualitative multiple case study was to explore the strategies 5 government support sector SBLs in the mid-Atlantic region used to obtain U.S. government subcontract awards to remain sustainable. The selection criteria for this study consisted of small businesses in the mid-Atlantic region that have obtained …

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The Self-Perceived Cultural Competency Of Hiv Interventionists, Tonya Herring Jan 2019

The Self-Perceived Cultural Competency Of Hiv Interventionists, Tonya Herring

Walden Dissertations and Doctoral Studies

Despite significant research and inroads with the human immunodeficiency virus (HIV), disparities in HIV infection continue to widen for African American (AA) men who have sex with men (MSM). In recent times, cultural competence has been receiving increased attention as a possible factor to enhance the quality of health messaging and lessening HIV disparities. However, there is a dearth of research specifically dedicated to AA MSM and culturally competent HIV health messages. To address this gap, this qualitative research was designed to investigate the self-perceived cultural competency among HIV counselors. The theoretical framework for the project was the PEN-3 cultural …

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Trauma Social Workers' Perspectives On The Response Of Rural Social Work Agencies To Vicarious Trauma, Tiffany Ann Hardman Jan 2019

Trauma Social Workers' Perspectives On The Response Of Rural Social Work Agencies To Vicarious Trauma, Tiffany Ann Hardman

Walden Dissertations and Doctoral Studies

Social workers are susceptible to the potential negative impacts of vicarious trauma. Perspectives of trauma social workers on the responsiveness of rural social work agencies to vicarious trauma have not been explored even though the trauma-informed care model has been available since 2006 and outlines best practice in all settings of trauma social work. Considering the risk factors and negative effects vicarious trauma has on social workers, an increased understanding of the perspectives of social workers on how rural social work agencies are responding to vicarious trauma was needed. The purpose of this study was to explore this response through …

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Validation Of Communication Simulation Scenarios For Nurse Preceptors, Karie Thurston Jan 2019

Validation Of Communication Simulation Scenarios For Nurse Preceptors, Karie Thurston

Walden Dissertations and Doctoral Studies

An expectation of the nurse preceptor role includes the ability to evaluate, deliver feedback, and coach new graduate nurses. A gap in nurse preceptors' communication skills can affect the safety-related behaviors and quality of care provided by new graduate nurses, thus affecting patient outcomes. To bridge this gap, robust training on delivering feedback and coaching is needed for preceptors. The purpose of this staff education project was to develop and validate 5 communication simulation scenarios for preceptor training. Mezirow's transformative learning theory and the National League for Nurses-Jeffries simulation theory were used to guide the project. A panel of nurse …

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Promoting Nurses Management Of Night Shift Sleepiness, Sunday Iken Okundolor Jan 2019

Promoting Nurses Management Of Night Shift Sleepiness, Sunday Iken Okundolor

Walden Dissertations and Doctoral Studies

Nurses are largely unaware of the problems of night-shift-nurse sleepiness and available strategies to manage night-shift sleepiness. The purpose of this project was to examine nurses' self-perception, awareness of sleepiness, and current strategies to manage this problem in the emergency medicine department of a major academic hospital in the western United States. The validated de-identified Karolinska Sleepiness Scale (KSS) was used to measure the prevalence and intensity of night shift nurses' sleepiness prior to the development of an educational program on strategies to manage sleepiness. Of the 164 registered nurses surveyed, 72 (43.9%) reported sleepiness greater than 7 on the …

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A Comparison Of Sexual-Minority Stress In Lesbian And Gay Police Officers, Laura Ellen Williams Jan 2019

A Comparison Of Sexual-Minority Stress In Lesbian And Gay Police Officers, Laura Ellen Williams

Walden Dissertations and Doctoral Studies

The original purpose of this quantitative study was to compare 5 self-reported sexual minority stress (SMS) factors experienced by lesbian and gay police officers to discover if lesbian or gay police officers experience more SMS, and which factor, if any, is the biggest stressor for either group as measured using subscales of the Daily Heterosexist Experiences Questionnaire (DHEQ). This study partially incorporated minority-stress theory as applied to sexual minorities. This study used subscales from the DHEQ in anonymous, online surveys. Because of the low response rate, the study changed to compare the group of lesbian and gay police officers' self-reports …

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Strategies To Minimize Perishable Food Loss In The Retail Grocery Business, Thankgod Chukwumeka Aleruchi Jan 2019

Strategies To Minimize Perishable Food Loss In The Retail Grocery Business, Thankgod Chukwumeka Aleruchi

Walden Dissertations and Doctoral Studies

Supply chain managers in the retail grocery industry face significant challenges in reducing the wastage of perishable food. Perishable food spoilage and deterioration in the retail grocery industry result in a significant loss of profitability and consumer satisfaction. The purpose of this multiple case study was to explore the strategies that supply chain managers in the retail grocery business used to minimize perishable food loss. The perishable inventory theory was used as the conceptual framework. Data were collected from semistructured interviews with 6 Pennsylvania retail grocery supply chain managers who implemented strategies to minimize perishable food loss and from organizational …

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Efficacy Of A Va Residential Treatment Program For Co-Occurring Disorders, Kathrin Hohenstern Jan 2019

Efficacy Of A Va Residential Treatment Program For Co-Occurring Disorders, Kathrin Hohenstern

Walden Dissertations and Doctoral Studies

The problem of co-occurring substance abuse and mental health disorders among the veteran population can impact numerous aspects of a veteran's life, including self-esteem, relationships, employment, and legal issues. The Mental Health Residential Rehabilitation Treatment Program (MH RRTP) at the Saint Cloud, Minnesota VA Healthcare System is a program that provides residential treatment for this population. Identifying practical and beneficial treatment methods promotes better coping mechanisms for veterans and impacts social change by providing timely and cost-efficient care for veterans, while also leading the way for overall changes and improvements in other VA residential treatment programs. This study identified how …

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Determinants Of Compassion Fatigue In Acute Care Nursing, Sherry Levering Jan 2019

Determinants Of Compassion Fatigue In Acute Care Nursing, Sherry Levering

Walden Dissertations and Doctoral Studies

Nurses experiencing compassion fatigue (CF) are emotionally exhausted, which contributes to decreased nurse retention and patient satisfaction. The focus of this project was to identify factors that contribute to CF. A systematic review was conducted to identify demographic factors that contribute to CF in the acute care setting, clarify the types of care situations that increase CF, and describe the social support networks of nursing units influencing CF. The review included peer-reviewed journal articles published between 2007 and 2018 that focused on registered nurses in the acute care setting. Using the grading of recommendation assessment development and evaluation format, 3 …

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Competency Development And Implementation Among Direct Support Professionals In New York State, Johanna Loporto Jan 2019

Competency Development And Implementation Among Direct Support Professionals In New York State, Johanna Loporto

Walden Dissertations and Doctoral Studies

Direct support professionals (DSPs) serve an important function in the daily supervision and care of clients with intellectual and developmental disabilities (ID/DD) through standardization of technical, cognitive, and ethical competencies for all DSPs. It is not clear, however, how these DSPs and managers perceive the implementation process and utility of these competencies or whether implementation results in meeting the desired outcomes for clients. Using Donabedian's quality of care model as the foundation, the purpose of this qualitative case study in New York State to understand how DSPs perceived the implementation of the DSP core competencies under the direction of front-line …

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Metropolitan Young Adult American Muslims Perceptions Of Discrimination Post American Patriot Act, Ronald Mcdaniel Jan 2019

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 …

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Perceptions Of Barriers To Oral Care Among African American Families In Durham, North Carolina, Samuel Motto Jan 2019

Perceptions Of Barriers To Oral Care Among African American Families In Durham, North Carolina, Samuel Motto

Walden Dissertations and Doctoral Studies

Dental caries is one of the biggest issues of concern for healthcare providers in Durham, North Carolina due to the high prevalence of dental caries in African Americans. Many researchers have identified socio-economic, low income, poor education, psychological behavior, awareness, allied diseases, environment, unhealthy diet, obesity, type II diabetes, and inadequate health facilities as the possible reasons for its high prevalence, yet literature lacks information regarding how African Americans perceive the problem of oral health. Knowledge of the perceived factors may help to identify the actual cause of dental caries through the eyes of African Americans. The purpose of this …

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Mexican Women And Postpartum Depression In Maricopa County, Arizona, Julio Presendieu Jan 2019

Mexican Women And Postpartum Depression In Maricopa County, Arizona, Julio Presendieu

Walden Dissertations and Doctoral Studies

Researchers have found that postpartum depression (PPD) affects 10 to 15% of new mothers in the U.S. and minority groups experience more depressive symptoms than most of the U.S. population. In Maricopa County, Arizona, research studies of PPD suggested that Mexican women had the highest PPD rate when compared to African-American, Cuban, and Puerto-Rican women. The purpose of this qualitative interpretive descriptive study was to explore what experiences Mexican women in Maricopa County had with PPD, their perceptions of factors such as low-income, cultural beliefs, intimate partner violence, social support, and healthcare services, and to explore barriers that may prevent …

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Effect Of Mindfulness-Based Stress Reduction On Aggression In Adults With Intellectual Disabilities, William Sanchez Jan 2019

Effect Of Mindfulness-Based Stress Reduction On Aggression In Adults With Intellectual Disabilities, William Sanchez

Walden Dissertations and Doctoral Studies

Individuals with intellectual developmental disabilities occasionally exhibit challenging behaviors through forms of aggression. Interventions, such as cognitive behavioral therapy, and applied behavioral analysis, have all been shown to be effective in reducing symptoms of aggression. This quantitative study used a secondary analysis of clinical records from an agency that provides day treatment services for adults with intellectual disabilities. To assess the effectiveness of a mindfulness-based stress reduction (MBSR) program in reducing aggression in this population, 18 individuals with various levels of intellectual disabilities participated in an 8-week MBSR while an additional 18 participants served as the wait list control group …

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Innovation Strategies In Small Agrarian Businesses In Sierra Leone, Solomon Sorba Scholz Jan 2019

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, …

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Helping Veterans Of Operation Enduring Freedom And Operation Iraqi Freedom, Dawn M. Robinson Jan 2019

Helping Veterans Of Operation Enduring Freedom And Operation Iraqi Freedom, Dawn M. Robinson

Walden Dissertations and Doctoral Studies

Operation Enduring Freedom (OEF) and Operation Iraqi Freedom (OIF) created multiple challenges for the mental health of soldiers who served there. The local facility in this study determined there was a gap in providing OEF/OIF veterans assistance with mental health issues. The practice-focused question explored whether a training module for nurses would assist in the identification of signs and symptoms of mental health issues in OEF/OIF veterans, such as posttraumatic stress disorder, anxiety, depression, addictions, and suicidal/homicidal ideations, to help ensure timely referral for services. The project used Kolcaba's comfort theory as the basis for the training module. A pretest, …

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Leadership Strategies For Reducing Operational Costs In Waste Management Businesses In Liberia, Rita Evelyn Townsend Jan 2019

Leadership Strategies For Reducing Operational Costs In Waste Management Businesses In Liberia, Rita Evelyn Townsend

Walden Dissertations and Doctoral Studies

Waste is a global composite of organic and inorganic derivatives from human activities. Municipal solid waste consists primarily of plastics from households and e-wastes, creating opportunities for waste management businesses. The purpose of this study was to explore leadership strategies for reducing operational costs in waste management businesses in Liberia. In this multiple case study, 6 business leaders from 6 waste management businesses in Liberia were recruited as participants. The conceptual framework guiding the study was the transformational leadership theory. Each business leader responded to open-ended questions in a semistructured interview. Data were analyzed by iteratively searching recurrent codes to …

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High School Students' Perceptions Of Safety Concerns Predicts School Avoidance, Ann Marie Howard Jan 2019

High School Students' Perceptions Of Safety Concerns Predicts School Avoidance, Ann Marie Howard

Walden Dissertations and Doctoral Studies

School violence is a growing concern and an impending danger for American youth. Students' perceptions of violent school incidents may lead to fear and this fear may lead to school avoidance. Although researchers have found that teenage pregnancy and working to support family are two of the main reasons that students stay home from school, there has been no research conducted on whether students' perceptions of safety concerns, solely focusing on the presence of guns, gangs, student bullying, and fear of victimization, predict their decision to stay home from school. Therefore, based on social disorganization and resilience theories, the purpose …

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Accounts Receivable Management Strategies To Ensure Timely Payments In Rural Clinics, Anthony N. Medel Jan 2019

Accounts Receivable Management Strategies To Ensure Timely Payments In Rural Clinics, Anthony N. Medel

Walden Dissertations and Doctoral Studies

Healthcare business leaders in a rural clinic setting can enhance profitability by implementing strategies to ensure timely payments. The purpose of this multiple case study was to examine strategies applied by healthcare leaders in rural clinics to improve profitability. The population included 10 rural clinic managers and billing staff from 5 rural clinics in the southwestern region of the United States. The conceptual framework for this study was Wernerfelt's resource-based value theory. Implementing Yin's multiple-step data analysis process, data from semistructured interviews were transcribed, coded, and analyzed to identify strategies used by rural clinic managers and billing staff to enhance …

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Insurance Coverage And Completion Of Human Papillomavirus Vaccine Series Among Hispanic Girls, Adrienne A. Scott Jan 2019

Insurance Coverage And Completion Of Human Papillomavirus Vaccine Series Among Hispanic Girls, Adrienne A. Scott

Walden Dissertations and Doctoral Studies

Human papillomavirus (HPV) is the most common sexually transmitted infection and the leading cause of cervical cancer in the United States. Women from racial and ethnic minorities with genital HPV are 2 to 3 times more likely to develop cervical cancer. Vaccines are currently available to prevent HPV infections; however, despite their effectiveness, national completion rates for these vaccines remain low among Hispanic adolescents compared to non-Hispanic White adolescents. The reasons for this racial/ethnic disparity are not fully understood. In this quantitative, cross-sectional study, which was guided by the socioecological framework, the extent to which insurance coverage and having a …

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