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Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga Jan 2023

Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga

Walden Dissertations and Doctoral Studies

The purpose of this interpretative qualitative study was to describe influences that affect the use of traditional healing and biomedical health services for type 2 diabetes to help health educators develop more culturally competent diabetes education programs for urban American Indian/Alaska Native (AI/AN) communities in the United States. The theoretical framework used for this study was the social ecological model (SEM). Using the SEM, the research questions were crafted to explore experiences of participants connected to personal, interpersonal, community, institutional, policy, and educational factors that influenced the use of traditional healing and biomedical health services. Urban AI/AN adults living in …

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Fathers’ Perspectives And Challenges Regarding Their Child’S School Readiness, Ula Pretlow Lyons Jan 2023

Fathers’ Perspectives And Challenges Regarding Their Child’S School Readiness, Ula Pretlow Lyons

Walden Dissertations and Doctoral Studies

A key influence of children’s school readiness is parental engagement, yet less is known about father engagement. This paper explores fathers’ perspectives and challenges regarding their child’s school readiness. Data was collected from twelve fathers within a pool of community-based preschools in a large rural region in a southeastern state in the United States. A qualitative method was adopted using interviews to gather data. Findings revealed fathers perceived their engagement in supporting children’s social skills, approaches to learning, and grandparents’ influence attributed to preparing children for kindergarten. However, fathers were challenged with work obligations, feelings of inadequacy, and children’s attention …

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Learning Support For Adult Nontraditional Learners On Campus In A Southeastern University, Philip D. Rausch Jan 2023

Learning Support For Adult Nontraditional Learners On Campus In A Southeastern University, Philip D. Rausch

Walden Dissertations and Doctoral Studies

The problem at the southeastern university study site is that adult nontraditional learners taking classes on campus are graduating at a low rate, which may indicate a lack of needed support services. The purpose of this basic qualitative study was to explore the learning support needs of adult nontraditional learners and institutional support provided and used as well as to make recommendations to eventually increase the graduation rate of this population at the study site. Tinto’s theory of student retention, specifically the aspects of institutional experiences and integrations, was used as the conceptual framework. The three research questions focused on …

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Comparisons Of Impostor Phenomenon Among Nursing Faculty Across Teaching Levels, Teaching Experience, And Gender, Deborah E. Horvath Jan 2023

Comparisons Of Impostor Phenomenon Among Nursing Faculty Across Teaching Levels, Teaching Experience, And Gender, Deborah E. Horvath

Walden Dissertations and Doctoral Studies

Nursing faculty must be effective educators, active nurse researchers, and practicing nurse experts. Feelings of impostor phenomenon (IP), defined as emotions of fraudulence, can lead to faculty deficiencies both as educators and scholars. The purpose of this three-manuscript dissertation, guided by Weiner’s attribution theory, was to determine differences in IP by teaching level, teaching experience, and gender among nursing faculty. A two-tailed t-test was used to analyze data collected from 164 participants who completed the Clance impostor phenomenon scale. Data revealed instructors teaching at the undergraduate level had more feelings of IP than those teaching at the postgraduate and graduate …

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Women’S Lived Experience With Shame In Intimacy After Surviving Childhood Sexual Abuse, Meg Christine Justison Jan 2023

Women’S Lived Experience With Shame In Intimacy After Surviving Childhood Sexual Abuse, Meg Christine Justison

Walden Dissertations and Doctoral Studies

Childhood sexual abuse (CSA) is a global problem and can lead to substantial challenges in adult intimate relationships. Though there is considerable research on CSA, relationships, and relationship challenges, one area that required further study was how shame was felt by women who have experienced CSA. Interpretive phenomenological analysis (IPA) was used to explore these shame experiences in adult intimate relationships in women who had this history. Strength resilience theory was used as the framework for exploring their shame and resilience experiences. Open-ended, semistructured interviews were conducted with eight women aged 18 to 50 who were in intimate relationships. Results …

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Cross-Functional Team Collaboration For Enhancing Timely And Effective Emergency Department Care, Osaigbovo Osemwegie Jan 2023

Cross-Functional Team Collaboration For Enhancing Timely And Effective Emergency Department Care, Osaigbovo Osemwegie

Walden Dissertations and Doctoral Studies

AbstractMany US hospitals report overcrowding in the emergency department (ED) with increased ambulance diversion. Operating at overcapacity risks staff members' ability to provide timely and effective emergency care to patients, exposing them to poor health outcomes. The purpose of this quantitative study was to evaluate whether a correlation exists between cross-functional team collaboration and timely and effective ED care for patients who left 548 national hospital EDs before being seen between 2020 and 2021. The study's independent variable was cross-functional team collaboration, and the dependent variables were Centers for Medicare and Medicaid Services (CMS) Quality Measure scores: left before being …

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Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii Jan 2023

Strategies To Improve Hospital Patient Satisfaction To Increase Performance-Based Reimbursements, Celso G. Silla Iii

Walden Dissertations and Doctoral Studies

Officials from the Centers for Medicare and Medicaid Services (CMS) created the hospital valued-based purchasing (VBP) program focused on controlling cost, inefficiencies, and quality-of-care. Hospital leaders are incentivized or penalized based on meeting quality outcomes and risk millions of dollars in reimbursement if they do not meet the quality-of-care standards specified in the CMS hospital VBP program. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies hospital leaders used to improve patient satisfaction to increase VBP performance-based reimbursements. Participants included eight hospital leaders from seven hospitals in California who successfully implemented …

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Maternal Folate Status And Risk Factors For Autism Spectrum Disorders, Michael M. Haniff Jan 2023

Maternal Folate Status And Risk Factors For Autism Spectrum Disorders, Michael M. Haniff

Walden Dissertations and Doctoral Studies

Autism spectrum disorders (ASD) are thought to be influenced by environmental, genetic, and maternal factors, including potential links to periconceptional folic acid. This quantitative case-control study, guided by the life course theory, explored the association of maternal risk factors (age, race, education, income, folate status, gestational diabetes, gestational hypertension, and MTHFR mutation) on the precipitation of ASD in offspring. The sample comprised 96 mothers of children with ASD and 143 mothers of children without ASD. Logistic regression analysis indicated no significant association between maternal folate status and ASD (OR = 1.00, 95% CI [1.000, 0.001], p = .755). Mothers with …

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Parents’ Perceptions Of The Traits, Characteristics, And Circumstances Of Modern-Day Mass Shooters, Matt Talbot Jan 2023

Parents’ Perceptions Of The Traits, Characteristics, And Circumstances Of Modern-Day Mass Shooters, Matt Talbot

Walden Dissertations and Doctoral Studies

There is little research on parents’ perceptions about the traits, characteristics, and circumstances ascribed to mass shooters and the sources of information shaping these perceptions. Understanding parents’ beliefs about mass shooters and mass shootings can serve to inform approaches to training and education and recommendations for media reporting on such events. Evidence-based knowledge helps parents become more equipped to serve as early interventionists for those who may be moving along a pathway of violence. Application of Gerbner’s cultivation theory frames the process by which media sources shape perceptions. In this phenomenological qualitative study, semi structured interviews were conducted with 19 …

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Juvenile Delinquency: The Effectiveness Of The Juvenile Direct File Law, Kimberlee Nicole Taggart Jan 2023

Juvenile Delinquency: The Effectiveness Of The Juvenile Direct File Law, Kimberlee Nicole Taggart

Walden Dissertations and Doctoral Studies

The juvenile direct file law stands firm among Florida laws despite lacking research to show its effectiveness in the prevention of juvenile delinquency. In Florida, juvenile delinquency and the juvenile direct file law cause significant concern due to the uncertainty surrounding the law. The Florida juvenile justice system fosters a vital position in the lives of many children, young adults, and families. Florida’s direct file law has a negative impact on the health, mental health, education, and brain development of juveniles and their ability to separate from a criminal lifestyle. Identifying the direct file law’s effects on the future of …

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Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson Jan 2023

Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson

Walden Dissertations and Doctoral Studies

Parents are a key influence on their adolescent children's sexual health care decisions. Few researchers have considered the impact of religious environments and parental expectations on adolescents’ use of sexual health services, and research on religious parents’ awareness of adolescents’ use of sexual health services in Christian environments is scarce. The purpose of this basic qualitative study was to explore religious parents' awareness of and attitudes toward their adolescents’ use of sexual health services. The social ecological theory provided the conceptual lens for this study. Eight Christian parents participated in in-depth virtual interviews to discuss their encouragement or discouragement of …

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Effects Of Social Determinants On Access To Care Among Patients With Diabetes In Florida, Nekeisha Latoya Walker Jan 2023

Effects Of Social Determinants On Access To Care Among Patients With Diabetes In Florida, Nekeisha Latoya Walker

Walden Dissertations and Doctoral Studies

Diabetes imposes a major burden on society, especially in the state of Florida, in the form of increased medical costs, lost productivity, early mortality, and intangible costs in the form of diminished quality of life. Access to diabetic care affects health administration in Florida by impacting the overall cost of treating the condition. Limited access to care can lead to an increased risk of complications resulting in a higher cost of treatment. The purpose of this quantitative study was to determine whether access to care dependent variables (access to doctors and length of time since last routine checkup) were associated …

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Influence Of Behavioral Leadership Strategies On Employee Engagement In Hospital Departments, Callie Selner Jan 2023

Influence Of Behavioral Leadership Strategies On Employee Engagement In Hospital Departments, Callie Selner

Walden Dissertations and Doctoral Studies

Lack of employee engagement as a result of deficient behavioral leadership strategies has the potential for adverse business outcomes on productivity, business mission, and strategy. As a result of this qualitative single case study, hospital department managers who apply behavioral leadership strategies are more likely to promote an environment conducive to employee engagement. Grounded in the employee engagement theory, the purpose of this qualitative single case study was to explore behavioral leadership strategies hospital department managers use to promote an environment conducive to employee engagement. The participants were five hospital department managers who had been successful with employee engagement. Data …

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Nurse Managers’ Leadership Style And Retention Of Registered Nurses In Canada, Wisdom Vizor Jan 2023

Nurse Managers’ Leadership Style And Retention Of Registered Nurses In Canada, Wisdom Vizor

Walden Dissertations and Doctoral Studies

Registered nurse shortages and high turnover rates are a problem in Canada. Few studies have been conducted that concentrate on nurse managers’ leadership styles in relation to retaining experienced registered nurses in Canada. This qualitative study was conducted to examine nurse managers’ leadership styles in relation to Canada’s declining retention of registered nurses. Leadership-motivated theory was used as a theoretical framework. Data were collected through semistructured interviews conducted with five registered nurses and three nurse managers, who all had a minimum of 5 years of experience in their respective roles in public healthcare centers in the province of Alberta, British …

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The Court Experiences Of Survivors Of Interpersonal Violence, Angela Cartwright Jan 2023

The Court Experiences Of Survivors Of Interpersonal Violence, Angela Cartwright

Walden Dissertations and Doctoral Studies

AbstractInterpersonal violence (IPV) is a complicated public problem that requires collaborative and coordinated strategies in order to address this issue effectively and appropriately. Although the court system has a significant role in their response, IPV is a complex issue for the justice system to address alone. Court system experiences may significantly impact survivors’ outcomes overall health and well-being. There are a limited number of studies showing that survivor experiences in the court have a significant impact on victim outcomes. The purpose of this study was to describe the lived experiences of female IPV survivors who have encountered IPV, highlighting their …

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Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris Jan 2023

Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris

Walden Dissertations and Doctoral Studies

Based on recommendations from research, leaders in a north Texas public school district implemented social emotional learning (SEL) to address academic gaps among high residential mobility (HRM) students. Incorporating SEL instruction improves academic achievement 11 percentile points on average; however, in Adoniram School District (ASD), 2021 passing rates fell 8% from 2019 despite adopting SEL curriculum. The purpose of this qualitative case study was to explore how ASD elementary teachers instructed SEL, and their perceptions of how SEL techniques influenced HRM elementary students’ reading literacy development. The study on social and emotional skills (SSES) conceptual framework guided this study because …

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Relationship Between Homelessness, Substance Use, Employment, Living On A Reservation And Tuberculosis Among Northern Plains Native Americans, Darla Mccloskey Jan 2023

Relationship Between Homelessness, Substance Use, Employment, Living On A Reservation And Tuberculosis Among Northern Plains Native Americans, Darla Mccloskey

Walden Dissertations and Doctoral Studies

Native Americans in the Northern Plains have a long history of tuberculosis (TB) infections. There is limited research on the causes of latent TB infections (LTBI) and TB in this population. The purpose of this quantitative study was to assess the relationship between latent TB and factors of homelessness, substance use, employment, living on a reservation, and active or latent TB among this population using the eco-social theory as the theoretical framework. Data from 146 TB cases of Native Americans living in the Northern Plains and diagnosed with TB from 1999 to 2019 were analyzed using chi-square tests that showed …

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The Relationship Between Chlamydia, Gonorrhea, Syphilis And Race, Gender, And Age, Johnny James Mcgrew Jan 2023

The Relationship Between Chlamydia, Gonorrhea, Syphilis And Race, Gender, And Age, Johnny James Mcgrew

Walden Dissertations and Doctoral Studies

The purpose of this quantitative correlational design using secondary data from Colorado Department of Public Health and Environment was to examine the relationship between different types of sexually transmitted infections (STIs), specifically, chlamydia, gonorrhea, and syphilis, and race, gender, and age in the United States. This study is significant because it could assist medical personnel to focus on more personally-based STI treatments. This study could also lead to a call for more research regarding sexual health programs across the nation, individuals’ willingness to share personal information regarding STIs, and how sexual health programs could increase testing for STIs. The study …

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Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans Jan 2023

Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans

Walden Dissertations and Doctoral Studies

Patients with exertional hypoxemia are often prescribed supplemental oxygen therapy to alleviate their symptoms and maintain adequate arterial oxygen saturation; however, little is known about how chronic obstructive pulmonary disease (COPD) patients with exertional hypoxemia experience the addition of supplemental oxygen on their lives. The purpose of this descriptive phenomenological study guided by Roger’s science of unitary human beings was to explore the lived experiences of COPD patients with exertional hypoxemia and who require supplemental oxygen. Purposive sampling was used to recruit participants using a query from the electronic medical records to identify patients prescribed supplemental oxygen for exertional, not …

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Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers Jan 2023

Pancreatic Cancer: Quantitative Study Investigating The Regional Risk Factors In North Carolina, Holly Marie Myers

Walden Dissertations and Doctoral Studies

Pancreatic cancer is the fourth-leading cause of cancer-related deaths in the United States, killing more than 90% of individuals diagnosed within 5 years. Due to the lack of signs and symptoms, 82% of all pancreatic cancer cases are diagnosed in terminal stages. As such, the most powerful method to reducing the morbidity and mortality of pancreatic cancer is to further investigate the risk factors. According to the theoretical framework of the ecosocial theory, long-term exposure to exposures to unfavorable socioecological and environmental factors serve as a “web of causation” for adverse health outcomes. Using data from the North Carolina Department …

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Nurses’ Perception Of Facilitators And Barriers To The Community College Faculty Role, Hallie Roselie Coppi Jan 2023

Nurses’ Perception Of Facilitators And Barriers To The Community College Faculty Role, Hallie Roselie Coppi

Walden Dissertations and Doctoral Studies

There is an increased nursing faculty shortage throughout the United States (U.S.) which can have a significant impact on student enrollment in nursing programs. The purpose of this descriptive qualitative study, which was guided by Herzberg’s two-factor theory, was to explore perceptions of nursing faculty about their role in community college associate degree nursing (ADN) programs in the western U.S. Data were collected via in-depth semi-structured interviews with 14 nurse educators to gain insights regarding experiences with role transition, work expectations, and plans in academia. Transcribed interview data were thematically analyzed to reveal seven overarching themes which were motivation, role …

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Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce Jan 2023

Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce

Walden Dissertations and Doctoral Studies

AbstractThe absence of clinical practice guidelines (CPGs) and collaboration with significant stakeholders may lead to gaps in the delivery of patient care. Specimen handoff in the endoscopy unit plays a critical role in patient diagnosis and treatment plans; errors can compromise patient safety. The purpose of this project was to provide endoscopy nursing staff with a CPG to improve the accuracy of the specimen handoff process during the endoscopy procedure. The practice-focused question addressed the feasibility of developing a quality and usable CPG to improve the accuracy and efficacy of handling the specimen handoff process during endoscopy procedures. Walden University …

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School Counselor Leadership: Illuminating The Lived Experiences Of Principals Who Utilize Counselors In Leadership, Amanda Schwyn Jan 2023

School Counselor Leadership: Illuminating The Lived Experiences Of Principals Who Utilize Counselors In Leadership, Amanda Schwyn

Walden Dissertations and Doctoral Studies

AbstractThe topic of principal–school counselor partnerships has been emerging over the last several decades. The American School Counselor Association (ASCA) helped introduce and streamline counselor roles and responsibilities in 1952 and has been advocating for schools to have comprehensive school counseling programs since. Despite articles, research, and ASCA’s work to promote school counselors as leaders in the school and the importance of a comprehensive school counseling program, a gap remains with respect to counselors working with principals to establish comprehensive school counseling programs from the principal’s perspective. To understand the principal’s experience, the study was conducted using eight principals at …

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A Sociotechnical Systems View Of Computer Self-Efficacy And Usability Determinants Of Technical Readiness, Stefani L. Tucker Jan 2023

A Sociotechnical Systems View Of Computer Self-Efficacy And Usability Determinants Of Technical Readiness, Stefani L. Tucker

Walden Dissertations and Doctoral Studies

The specific research problem was that it is unknown whether computer self-efficacy and usability determine technical readiness in hourly and exempt information technology support employees in the United States. The purpose of this correlational study was to examine the relationship between computer self-efficacy and technical readiness, usability and technical readiness, and computer self-efficacy, usability, and technical readiness in hourly and exempt information technology support employees in the United States. Sociotechnical system theory suggests that every transaction has a human and technical aspect; thus, the theoretical framework. The convenience sample included 136 information technology support employees aged 18-70. The regression results …

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Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade Jan 2023

Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade

Walden Dissertations and Doctoral Studies

Work-life balance (WLB) is employees’ ability to effectively manage between job obligations and everyday life activities involving family, health, and social life. Successful WLB has become increasingly important to healthcare administrators due to staff shortages and essentials of job performance, attendance, and satisfaction. The purpose of this quantitative study was to determine if there was a correlation between WLB, workplace stress, and employee workplace attendance. The two research questions were correlational; the dependent variable was workplace attendance, and the independent variables were workplace stress and WLB. The compensation theory served as the foundation for the study, in which both family …

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Strategies To Mitigate Inappropriate Test Utilization By Physicians To Improve Efficiency In A Healthcare Setting, Christine C. Wood Jan 2023

Strategies To Mitigate Inappropriate Test Utilization By Physicians To Improve Efficiency In A Healthcare Setting, Christine C. Wood

Walden Dissertations and Doctoral Studies

Inappropriate test utilization by physicians for clinical decision-making in patient care is a significant problem facing some healthcare leaders. Healthcare leaders are concerned about inappropriate test utilization because it can increase healthcare costs and degrade patient outcomes. Grounded in the complex adaptive system and Lean Six Sigma conceptual frameworks, the purpose of this qualitative single-case study was to identify strategies seven hospital leaders in Maryland and Washington, DC. who implemented successful test utilization strategies for physicians. Data were collected from semistructured virtual interviews and organizational reports and analyzed using Yin’s 5 step process. Five themes emerged: (a) continuing physician education, …

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Thirty-Second Mindful Body Scan Meditation For Bedside Nurses, Shruti Balwalli-Udyawer Jan 2023

Thirty-Second Mindful Body Scan Meditation For Bedside Nurses, Shruti Balwalli-Udyawer

Walden Dissertations and Doctoral Studies

Compassion fatigue, or secondary traumatic stress, is a state of physical and mental exhaustion caused by an inability to cope with the everyday environment that reduces the ability of the nurse to provide high-quality health care to a patient. The purpose of this staff education project, guided by Selye’s general adaption syndrome , was a 6-week, 30-second mindfulness exercise program to promote stress reduction for cardiac step-down and medical-surgical nurses. In this quantitative, pre- and posttest study, the Perceived Stress Scale was completed by a sample of 24 nurses who met the inclusion criteria. The practice focused whether educating nurses …

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Non-Nightmare Recurring Dreams And Trauma, Asmai Fathelbab Jan 2023

Non-Nightmare Recurring Dreams And Trauma, Asmai Fathelbab

Walden Dissertations and Doctoral Studies

This study examined the relationship between trauma and non-nightmare recurrent dreams (NNRD). Although there is extensive literature on the psychological consequences, diagnosis, and treatment of trauma, studies on the role of sleep processes have focused almost exclusively on nightmares. The potential relationship between NNRD and traumatic experiences has been overlooked by researchers. The purpose of this study was to assess if history of trauma and NNRD were correlated. More specifically, using Revonsuo’s threat simulation theory as a framework, the study evaluated if gender, quality of sleep, depression, anxiety, stress, and history trauma predicted NNRD. A cross-sectional correlational survey design was …

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The Lived Experiences Of Minority Widowers With Dependent Children, Cathy-Ann L. King Jan 2023

The Lived Experiences Of Minority Widowers With Dependent Children, Cathy-Ann L. King

Walden Dissertations and Doctoral Studies

Spousal death is a traumatic event well documented amongst clinical professionals because of its impact on a man’s physical and mental health. However, prior research on widowers has focused predominantly on white middle-class males. Little is known about the black indigenous people of color (BIPOC) male experience with spousal death, especially from those who are raising their dependent children. This qualitative phenomenological study aimed to understand the lived experiences of BIPOC male widowers and their children. BIPOC widowers experiencing the trauma of this life-changing event without professional assistance are at higher risk of emotional, physical, and mental distress. Attachment theory …

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Strategies For Sustaining The Profitability Of Small Businesses During Covid-19, Veronica Lee Jan 2023

Strategies For Sustaining The Profitability Of Small Businesses During Covid-19, Veronica Lee

Walden Dissertations and Doctoral Studies

AbstractThe covid-19 pandemic had a significant impact on small businesses. Small business leaders have been challenged to maintain profitability during a global crisis. Small business owners are concerned with the covid-19 pandemic because they faced profitability losses and business closures during the prolonged crisis. Grounded in authentic leadership theory, the purpose of this multiple case study was to explore strategies some small business leaders used to remain profitable during the Covid-19 crisis. The participants were four business leaders in Tampa, FL, who have remained profitable despite the pandemic. Data were collected using semi-structured interviews and analyzed using thematic analysis; five …

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