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Educating Oncology Nurses About The Emotional Impact Of Cancer Diagnosis, Jonnell Ortiz Zayas

Walden Dissertations and Doctoral Studies

Anxiety and depression are common mood disorders in cancer patients, regardless of mental state prior to diagnosis. A gap in the education of oncology nurses in an eastern Caribbean island was discovered regarding their ability to identify anxiety and depression symptoms and to help patients who suffered from these disorders. The purpose of this project was to improve oncology nurses' assessment skills by reviewing appropriate use of the Hospital Anxiety and Depression Scale (HADS) tool and familiarizing nurses with resources to help patients who score high on the HADS. The Levine conservation model was the theoretical framework for this project. …

Kono Members' Perceptions Of Burial Practices And The Spread Of Ebola Virus Disease, Comfort Kenyeh Panda

Walden Dissertations and Doctoral Studies

Sierra Leone was heavily affected by the West African Ebola virus disease (EVD) epidemic from 2013 to 2016. Ongoing EVD transmission during the epidemic was connected to several factors including unsafe traditional burial practices. This phenomenological qualitative study addressed Kono members' perceived knowledge, attitudes, and beliefs regarding how burial practices influenced EVD transmission. Rosenstock's health belief model provided the framework for the study. The participants purposefully selected from various religions and professions were interviewed individually and in focus group settings. Similar phrases and comments were identified from the interview responses resulted which resulted in the following 5 main themes: (a) …

The Relationships Between Weight Stigma, Ethnic Identity, And Acculturation In Latinas, Catherine Rodrí­Guez Torres

Walden Dissertations and Doctoral Studies

Weight stigma has negative psychological and physical consequences including anxiety, depression, suicidal ideation, eating disorders, and lower quality of life. The purpose of this cross-sectional study was to explore the relationships between weight stigma, ethnic identity, and acculturation in Latinas. The intersectional theory provided the framework for this study. A sample of 154 Latinas over the age of 18 living in the United States or 1 of its territories was gathered through social media, a fat acceptance organization, and a research participant pool. The online survey consisted of 3 psychometric tools-Modified Weight Bias Internalization Scale, Multi-Group Ethnic Identity Measure-Revised, and …

Perceptions Of Problems, Policies, And Politics Of A Controversial Pacific State Mosque, Frederick Sahakian

Walden Dissertations and Doctoral Studies

Despite the existence of land use and environmental protection policies designed to provide guidance on land development, some projects can still be contentious. As the number of Muslims and mosques in the United States are increasing, little is known about the problematic conditions that Muslims may experience when attempting to site a new mosque, community center, or cemetery. The purpose of this study was to develop a deeper understanding about the experiences and perceptions of those involved in the failed siting of a controversial mosque, community center, and cemetery project in a U.S. West Coast state. The multiple streams framework …

Challenges Of African American Female Veterans Enrolled In Higher Education, Latrice Jones Tollerson

Walden Dissertations and Doctoral Studies

African American women represent 19% of the 2.1 million living female veterans. They are the largest minority group among veteran women; however, little is known about the challenges that they face when they transition to a postsecondary learning environment. The purpose of this qualitative study was to understand better how this cohort of veterans who served in the U.S. Army during military campaigns in the Middle East overcame transitional challenges to higher education. This study utilized Schlossberg's adult transition theory and identity formation as described in Josselson's theory of identity development in women. The focus of this study was on …

Influences Of The Sarbanes-Oxley Act On Ethical Financial Operations In Nonprofit Organizations, Stephanie Powell Works

Walden Dissertations and Doctoral Studies

In the United States, approximately 7% of nonprofits' annual revenue is lost as a result of a lack of ethical financial operations among nonprofit executive directors (EDs). This represents $85 billion in estimated annual losses in available operating funds. This study addressed the problem of ineffective leadership in nonprofit organizations from the perspective of EDs responsible for ethical financial operations. The purpose of this phenomenological study was to understand the lived experiences of nonprofit EDs who self-reported the use of 1 of Burn's and Bass' 3 leadership styles and whether leadership style influenced the use of the Sarbanes Oxley Act …

Racial And Cultural Etiology Of Body Satisfaction Among Obese, Young Adult Women, Deirdre Lynnett Moyer

Walden Dissertations and Doctoral Studies

Obesity, a public health issue in the United States, has been linked to numerous chronic diseases. A gap exists in the literature related to racial and cultural etiology of body satisfaction for obese women. The purpose of this qualitative phenomenological study was to describe the racial and cultural etiology of body satisfaction for obese Black women and White women residing in a rural area of the state of North Carolina. Social comparison theory provided the theoretical underpinning for this examination. The central research question was how do obese, young adult Black women and White women describe their perceptions about and …

The Influence Of Parental Perceptions On Early Childhood Educational Choices In Nigeria, Magdalene Uwadiogbu Okobah

Walden Dissertations and Doctoral Studies

The influx of women of childbearing age into the labor force, family dynamics of dual working parents as a result of economic factors, and weakening of extended family supports have increased demand for early childhood care and education programs in Nigeria. Consequently, a problem emerged in increased enrollment in ECCE programs that are deficient in terms of structural and process factors of child-caregiver ratio, group size, staff qualifications, health and safety practices, curriculum implementation, and parental engagement. The purpose of this study was to explore the factors that influenced parents' in their decision process for ECCE placement for their children …

Using Succession Strategies To Increase Workplace Productivity, Dayton Dave Robinson

Walden Dissertations and Doctoral Studies

Approximately 70% of small and medium-sized enterprises fail due to a lack of effective leadership succession planning. The purpose of this qualitative single case study was to explore strategies that some business leaders in the manufacturing sector in Jamaica used to implement leadership succession plans. Data were collected from semistructured interviews conducted with 5 business leaders who participated in the succession strategies of a manufacturing organization in Jamaica. Data were analyzed according to Yin's 5-step process. Analysis of data collected from interview sessions and review of company documentation were used to conduct methodological triangulation to validate the findings. Five themes …

Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort

Walden Dissertations and Doctoral Studies

Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project …

Impact Of Free Maternal And Child Health Services On Health Care Utilization In Jigawa State, Nigeria, Nura Ibrahim Kazaure

Walden Dissertations and Doctoral Studies

In spite of a decrease globally, the maternal mortality rate (MMR) in Nigeria and its

Jigawa State has remained persistently high. Few efforts to address the MMR in Nigeria have been undertaken. The purpose of this study was to investigate the impact of Jigawa State's Free Maternal and Child Health Program (JSFMCHP), education, employment, and parity of pregnant women on health care utilization (the outcome variable), as measured by antenatal care (ANC) visits. Anderson's behavioral model served as the study's theoretical framework. The sample size included 400 antenatal records of pregnant women who were randomly selected from the state's Health …

Parental Influence On Hiv Vertical Transmission In Kenya, Hussein Abdi Nunow

Walden Dissertations and Doctoral Studies

Mother-to-infant vertical transmission of HIV usually occurs during pregnancy, labor, delivery or breastfeeding. It is the third leading cause of transmission of HIV after sexual intercourse and blood transfusions. In 2008, 12 million women aged 15 years and above were anticipated to be living with HIV in countries within Sub-Saharan Africa. In this study, the association between parental HIV knowledge, attitudes and risk reduction practices, and HIV vertical transmission in Kenya were explored. The health belief model was used to help understand and interpret the findings. For this quantitative study, data were collected via surveys from 212 participants in 3 …

Haitian Votes Matter: Haitian Immigrants In Florida In Local Politics And Government, Bobb Rousseau

Walden Dissertations and Doctoral Studies

This qualitative study investigated perceived barriers to the incorporation of Haitian immigrants in Florida into local politics and government. The theoretical framework for this study was Marschall and Mikulska's theory of minority political incorporation to better understand the political ambition of Haitian immigrants to emerge as candidates and voters toward achieving electoral success and a substantive representation. The research question addressed the lived experiences and perceptions of Haitian immigrants related to barriers to their political mobilization at district, state, and federal levels. A phenomenological study design was used with open-ended interviews of 10 Haitian Americans who lived in Florida for …

A Limited Rational Choice Theory In Local Public Health Decision Making, Lona Bryan

Walden Dissertations and Doctoral Studies

The threat and occurrence of terrorist attacks have increased in the United States since September 2011, heightening concerns for weaponized anthrax, other biological pathogens, and epidemics and pandemics. Early decisions and funding levels in local public health agencies can be the first line of defense or first point of failure; yet little is understood about how decisions are made when there are budget cuts before a biological event happens. Using Lindblom's conceptualization of limited rational choice theory, the purpose of this single case study was to understand how a local public health official made decisions after budget cuts in a …

Employee Retention Strategies In The Information Technology Industry, Corey Harris

Walden Dissertations and Doctoral Studies

Productivity declines when employees voluntarily leave an organization. The purpose of this case study was to explore strategies that business leaders use to reduce turnover among their skilled information technology (IT) professionals in the Dallas-Fort Worth area. Six business leaders were selected because they had implemented strategies to retain skilled IT professionals. Herzberg's 2-factor theory was the conceptual framework for this doctoral study. Data were collected from semistructured interviews and review of the organization's policies, procedures, and personnel handbook. Data analysis consisted of assembling the data, organizing the data into codes, compiling the data into themes, and interpreting and disclosing …

Determinants Of Low Birth Weight In A Population-Based Sample Of Zimbabwe, Paul Nesara

Walden Dissertations and Doctoral Studies

Low birth weight (LBW) is a major public health concern globally. Despite its negative social and economic impact on the family and community at large, it has remained relatively unexplored at population level in Zimbabwe. The purpose of the study was to establish determinants of LBW using data from the 2015 Zimbabwe Demographic and Health Survey. The socioecological model was the conceptual framework for the study. A secondary analysis was conducted on 4,227 mother-infant dyads. Independent variables were duration of pregnancy, number of births within the past 5-year period, exposure to mass media, type of fuel used for cooking in …

Copreneurs' Coping Strategies For Work-Family Conflict, Eunice Peregrino-Dartey

Walden Dissertations and Doctoral Studies

Family businesses including copreneurships have a high failure rate. Copreneurs experience work-family conflict (WFC), which can have a negative effect on business sustainability. The purpose of this qualitative multiple case study was to explore strategies that copreneurs used in managing WFC to achieve business sustainability for longer than 10 years. Three copreneurs from 3 copreneurial businesses located in the Greater Accra region of Ghana, who have employed effective strategies to cope with WFC to achieve business sustainability longer than 10 years, participated in the study. The WFC model for business/marriage partners (copreneurs) and the reciprocal coping model served as the …

Academic Role And Professional Identity Development In Counselor Education, Seth Scott

Walden Dissertations and Doctoral Studies

Professional identity development occurs during graduate training through mentoring, modeling, and academic training by counselor educators. If counselor educators are to transmit this professional identity, they must possess a robust professional identity themselves. Professional identity development theory suggests that the strength of this professional identity may be threatened by a lack of belonging in academia for nontenured or contingent faculty. A correlational research design using a purposeful convenience sample was used to examine the relationship between academic role, employment status, years of experience, and professional identity among counselor educators. The participants (n=50) were counselor educators who subscribe to the CESNET-Listserv. …

Women's Perceptions Of Malaria In The Western Rural Areas Of Sierra Leone, Marcella Davies

Walden Dissertations and Doctoral Studies

Malaria is one of the leading causes of death for children and women in Sierra Leone. The purpose of this qualitative study was to explore and understand the lived experiences of women from the rural areas of Sierra Leone regarding malaria. A purposive sample of Krio women from the western rural area, aged 21-55 years, spoke English, and had taken care of someone with malaria described their perceptions and lived experiences with the disease in face-to-face interviews. The research questions were based on the health belief model and focused on knowledge, beliefs, and perceptions about malaria prevention and treatment. Interpretative …

Narrative Analysis Of The 3-Year Recovery Of Superstorm Sandy Survivors, Joanne Fortune

Walden Dissertations and Doctoral Studies

Although research has been conducted on the short-term effects of natural and human-made disasters on individuals and families, few researchers have examined the experiences of families during the recovery and rebuilding process when stressors may continue on many levels, sometimes for years later. The aim of this qualitative study was to explore the experience of recovery for families during the 3-year period following Superstorm Sandy in 2012 through the theoretical lens of Bronfenbrenner's bio-ecological perspective. A narrative approach was used in order to understand the experience of natural disaster recovery and the meaning of recovery and coping for these families. …

Illegal Drug Use, Suicidal Ideation, And Attempted Suicide Among New York Adolescents, Jacqueline Taylor

Walden Dissertations and Doctoral Studies

Suicide, ranked as one of the top five causes of death among adolescents, aged 15 to 19, claims numerous lives within the state of New York. Driven by the social cognitive theory, the objective of this quantitative cross-sectional study was to investigate the association among being offered, sold, or given illegal drugs, illegal drug use, being bullied, age, gender, ethnicity, suicidal ideation, and attempted suicide among adolescents in New York. The Centers for Disease Control 2015 Youth Risk Behavior Surveillance data for 89,068 New York adolescents, Grades 9-12, were utilized in this study. There was increased risk of suicide ideation …

Using Social Cognitive Theory To Predict Obesity Behaviors In Hispanic American Children, Augustina Anyikwa

Walden Dissertations and Doctoral Studies

Childhood obesity is a growing challenge in the U.S. Hispanic American population. There is a need for evidence-based approaches to combat this problem. Social Cognitive Theory (SCT) is one such approach. The purpose of this study was to examine the extent to which selected constructs of SCT (expectations, self-efficacy, self-efficacy in overcoming barriers and self-control) could predict five childhood obesity prevention behaviors, namely time spent on television watching, time spent on physical activities, water consumption, consumption of fruits and vegetables, and meal portion size among Hispanic American children. A quantitative cross-sectional research design was employed for this study. Data were …

Psychosocial Impacts On Young Adult Haitian Immigrant Students In The United States, Lucien Eugene Pierre, Ph. D.

Walden Dissertations and Doctoral Studies

Abstract

Many young adult Haitian immigrant students (YAHIS) move to the United States

hoping to achieve better lives. This growing population faces many challenges when

acculturating to a new country and educational system. Some obstacles include

inadequate family and social support, language barriers, limited education, distinct

cultural values, a lack of academic materials, a shortage of Haitian teachers, and

inadequate educational programs. These psychosocial factors often prevent Haitian

immigrants from succeeding in U.S. schools. This study explored YAHIS' experiences of

acculturation and education as they relate to these psychosocial factors. Qualitative

phenomenological techniques, guided by Adlerian theory, revealed the assumptions, …

Increasing Universities' Tuition Fee Revenues From International Undergraduate Students, Marc Jan Ledermann

Walden Dissertations and Doctoral Studies

Universities are losing expected tuition revenues due to attrition of international undergraduate students. The purpose of this multiple case study was to explore strategies that university leaders use to increase tuition fee revenues from international undergraduate students. The participants in this study were 3 former leaders of the European division of Laureate International Universities, a global university group with university locations in the United Kingdom, Germany, France, Spain, Portugal, Italy, and Cyprus. The conceptual framework of this study was institutional theory as part of the change management of universities. Data collection included semistructured interviews of 3 former leaders of the …

Employee Retention Strategies In Trinidadian Small Enterprises, Alicia Singh

Walden Dissertations and Doctoral Studies

Organizational leaders face obstacles stemming from the lack of employee retention. An ineffective retention strategy can result in the loss of employees and the loss of institutional knowledge. Lack of appropriate retention strategies can negatively impact the reputation of the organization and ultimately affect the financial standing of an organization. Grounded by Herzberg's 2-factor theory, the purpose of this multiple case study was to explore strategies small retail business managers in Trinidad used to retain employees. I collected data through face-to-face semistructured interviews with 5 small business managers and a review of company documents. Data were analyzed using methodological triangulation, …

Nigerian Banks' Compliance With The Code Of Corporate Governance, Aderonke Alberta Tayo-Tiwo

Walden Dissertations and Doctoral Studies

Frequent incidences of bank failures in Nigeria resulting in enormous losses of investments and jobs have raised questions about the level of banks' compliance with the code of corporate governance. This single exploratory case study shifted attention from the banks to the regulators of banks in Nigeria, the Central Bank of Nigeria (CBN), to find out the problems they may be encountering in getting the banks to be fully compliant. Purposeful sampling was used to select 25 senior participants who were directly involved with the monitoring of banks from CBN. The agency theory served as the conceptual framework. The sources …

Successful Marketing Strategies For Promoting Clinical Diagnostic Instrument Validation Packages, Hsiao-Ching Teng

Walden Dissertations and Doctoral Studies

Successful marketing strategies for clinical validation packages not only help laboratories increase the accuracy and efficiency of testing, but also facilitate clinical quality awareness and collaboration. False diagnosis and inefficiency in healthcare can be costly, and managers in diagnostic instrument manufacturing organizations need strategies to promote validation packages to help laboratories reduce errors leading to inappropriate treatment. The purpose of this single case study was to explore strategies business development managers use to integrate dynamic capabilities for marketing instrument validation packages aimed to increase clinical laboratory quality and test accuracy. The conceptual framework was Teece's concept of dynamic capabilities. The …

Assessing Condom Use Among Navajo Men In The Southwest, Terra E. Yabeny

Walden Dissertations and Doctoral Studies

The Navajo tribe reports extraordinarily high number of cases of sexually transmitted diseases (STDs), such as gonorrhea, chlamydia, and human immunodeficiency virus (HIV) among men who have sex with men (MSM) and heterosexual populations. The purpose of this qualitative study was to explore the cultural value of adil' idli (self-respect) and how this cultural practice might influence health behaviors in sexual activity, condoms use, and acquiring of STDs among Navajo men. The Health Belief Model (HBM) was the theoretical foundation for providing a deeper understanding of the social, environmental, and cultural factors of condom use among Navajo men. Research questions …

Kenya's Constituency Development Fund, Free Secondary Education Policy, And Access To Secondary Education, Charles Kyalo Nzuki

Walden Dissertations and Doctoral Studies

The effects of the Constituency Development Fund (CDF) and the Free Secondary Education Policy (FSEP) on access to secondary school education in Kenya's Yatta sub-county have not been adequately explored in available public policy literature. Hence, this qualitative multiple-case study was designed to understand the effects of the 2 policies on both enrollment and dropout among secondary school age children in Yatta. The study was conducted in 1 mixed-boarding secondary school and 1 secondary day school in Yatta. The study was built on an adapted Huisman and Smits' theoretical model on dropout among students in developing countries. The data were …

Incarceration Of Nonviolent Offenders At The High Court In Oyo State, Nigeria, Olugbenga Rotimi Akanji

Walden Dissertations and Doctoral Studies

The nonuse of community correction in the Nigeria criminal justice system has led to increased recidivism, contributed to prison congestion, introduced the risk of prison victimization, and lacked the provision of a rehabilitative structure for nonviolent offenders. The purpose of this phenomenological research study was to explore Nigerian judges' use of alternatives to incarcerations for nonviolent offenders. Dolinko retributive punishment theory provided the theoretical framework for this study. Ten participant judges comprised the study sample from a purposeful and criterion random sampling method. Data were collected from participants through structured interviews and were coded manually, sorted, and analyzed using the …