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How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black Jan 2023

How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black

Walden Dissertations and Doctoral Studies

Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …

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Comparison Of Rural Associate Degree Nursing Students’ Clinical Judgment After Curriculum Change, Karen Bowen Jan 2023

Comparison Of Rural Associate Degree Nursing Students’ Clinical Judgment After Curriculum Change, Karen Bowen

Walden Dissertations and Doctoral Studies

New graduate nurses often lack adequate clinical judgment skills to practice competent nursing care, which may result in increased risk of committing practice errors that threaten patient safety. To mitigate errors in patient safety, industry leaders have called for nursing program improvements in preparation of nursing students’ clinical judgement as they transition to professional practice. Guided by Tanner’s clinical judgment theory, the rural state nursing programs in this study implemented a concept-based curriculum to promote clinical judgment which includes thinking skills, priority setting, and management of care. The purpose of this three-part, quantitative, nonexperimental study was to compare the development …

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Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico Jan 2023

Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico

Walden Dissertations and Doctoral Studies

Abstract Nursing students possess valuable public health knowledge to prevent the spread of COVID-19 infection. They can provide health education to the public with reliable information and adequate resources. To better understand the role nursing students can take in prevention efforts, the purpose of this quantitative correlational study was to examine the association between COVID-19 health knowledge, self-efficacy, and preventive behavior among undergraduate nursing students. The health belief model was the theoretical framework that guided this study. The primary research questions assessed (a) if there was a statistically significant association between COVID-19 health knowledge and preventive behavior among nursing students, …

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Mental Health Utilization Among Former Pregnant And Parenting Teen Mothers, Chana Danielle Campbell Jan 2023

Mental Health Utilization Among Former Pregnant And Parenting Teen Mothers, Chana Danielle Campbell

Walden Dissertations and Doctoral Studies

Teen pregnancy and parenting at an early age can create numerous emotional stressors. Despite the documented need for mental health services among pregnant and parenting mothers, utilization rates of mental health services remain low. The purpose of this generic qualitative study was to explore the experiences of pregnant and parenting mothers who utilized mental health services. Bandura’s social learning theory was used to explore how the experiences, perceptions, learned behaviors, thoughts, and beliefs surrounding mental health services impacted teen mothers’ experiences with mental health utilization. One-on-one interviews were conducted with eight teen mothers or other young mothers who had given …

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Spiritual Care Visits During Palliative Care Predicting Discharge Location, Saundra Denise Casey Jan 2023

Spiritual Care Visits During Palliative Care Predicting Discharge Location, Saundra Denise Casey

Walden Dissertations and Doctoral Studies

AbstractSpiritual care has an important role in the caring of terminally ill patients and their families. However, there is little research demonstrating the relationship between spiritual care in palliative settings and discharge location of terminally ill patients. This study addressed spiritual care as a part of the palliative care services. A total of 186 records were reviewed from the spiritual care department at a hospital in Michigan. Kirkpatrick and Shaver’s attachment theory was used to evaluate the relationship between palliative care and discharge location. The research questions addressed the relationship between spiritual care visits, gender, age, religion, primary diagnosis, and …

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Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans Jan 2023

Clinical Social Workers’ Perceptions And Experiences Of Parental Alienation, Martinek Evans

Walden Dissertations and Doctoral Studies

This qualitative research study aimed to explore clinical social workers’ perceptions and experiences of parental alienation (PA). Using Bowen’s family system theory as the framework, the research questions examined the problem from multiple levels of practice, including individual, family, institutional, and systematic. The individual interview approach aligned with the study goal by allowing participants opportunities to share their perspectives and experiences working with PA. The study used a purposive and snowball sampling of eight participants who were licensed social workers in the United States. Individual interview responses were transcribed and coded. Thematic content analysis was also used to analyze the …

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Educator Preparedness In The Use Of Simulation In Nursing Education, Marcelene E. Hart Jan 2023

Educator Preparedness In The Use Of Simulation In Nursing Education, Marcelene E. Hart

Walden Dissertations and Doctoral Studies

AbstractNurse educators lack preparation when using simulation as a teaching modality in educating nurses and nursing students within their clinical environment. The purpose of this basic qualitative study was to understand nurse educators’ perceptions of the challenges in preparing for simulation-based training experiences for nurses and nursing students. Vygotsky’s constructivist theory was used as the conceptual framework for the study to emphasize students’ innate ability to learn using active and hands-on processes through simulation experiences. Questions were developed to explore the challenges nurse educators encounter when preparing for simulation activities. Survey questionnaire invitations were sent through email to hundreds of …

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An Examination Of Chronic Homelessness From The Perspective Of Counseling Professionals In Southeast Florida, Tonia Jackson Jan 2023

An Examination Of Chronic Homelessness From The Perspective Of Counseling Professionals In Southeast Florida, Tonia Jackson

Walden Dissertations and Doctoral Studies

Homelessness continues to be a serious social problem in the United States. Despite the public and private resources expended to address homelessness, the crisis still exists. This phenomenological study was framed in Maslow’s human needs approach. Maslow created a list of basic five human needs to gain a better understanding of human behavior and motivation. The human behavior theory can also be applied to homelessness to provide a deeper understanding of the phenomenon. The research question addressed the strongest factors that counseling professionals consider to be related with chronic homelessness in Southeast Florida. Data were collected through semi-structured interviews of …

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Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt Jan 2023

Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt

Walden Dissertations and Doctoral Studies

AbstractThe transgender population is growing, and along with the population growth, the healthcare needs for gender transitioning of both medical and surgical procedures. Registered nurses (RNs) who care for hospitalized transgender patients are required to be knowledgeable about their care, yet little is known about what nurses know about the healthcare of the transgender patient. The purpose of this basic qualitative study, guided by Benner’s novice to expert theory, was to explore the knowledge and perceptions of RNs regarding healthcare of transgender persons undergoing transition to the opposite gender. Social media and snowball sampling were used to recruit 10 RNs …

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Heart Attack Related Firefighter Fatalities And Compliance With Nfpa 1582, Ernest Lindqvist Jan 2023

Heart Attack Related Firefighter Fatalities And Compliance With Nfpa 1582, Ernest Lindqvist

Walden Dissertations and Doctoral Studies

Heart attacks have been the leading cause of on-duty firefighter fatalities for many years. Firefighters are subjected to health risks due to occupational practices and exposure to hazards. Firefighter fatality investigative reports suggest that comprehensive medical screenings consistent with the National Fire Protection Association (NFPA) 1582 standard would reduce deaths from heart attacks. The purpose of this study was to explore the extent to which fire departments comply with the NFPA 1582 standard. Using contextual interaction theory and a generic qualitative inquiry design, data were collected from fire departments that had a heart attack-related firefighter fatality incident. Semistructured interviews were …

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Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer Jan 2023

Evaluating The Efficacy Of Video Self-Modeling Social Skills In Children With Autism Spectrum Disorder, Brittany Londer

Walden Dissertations and Doctoral Studies

The inability to display social reciprocity is a hallmark criterion of autism spectrum disorder (ASD). This lack of proper social skills (i.e., eye contact, cooperative play, and reciprocal interaction) indicates the importance of purposeful interaction, about which a research gap exists. The theoretical framework for this study was social learning theory, by which Bandura (1977) posited that learning occurs by observing the behavior of others. The current study involved examining the effectiveness of an intervention conducted with children who have ASD. The purpose of the intervention was to increase children’s playground social skills by having them watch themselves at play …

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Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin Jan 2023

Perceptions Of Women Of Color Improving Patient Outcomes Through Hospital Leadership Advancement, Benita A. Mclarin

Walden Dissertations and Doctoral Studies

Women of color have been underrepresented in hospital leadership positions and face challenges in advancing their careers. The benefit to hospitals providing women of color with training and support to move into leadership positions may be improved patient outcomes. Grounded in the interactional model of cultural diversity framework, the purpose of this basic qualitative study was to explore the perceptions of women of color advancing in leadership roles in hospitals and their impact on patient outcomes. The study participants included 16 women of color in leadership positions from hospitals in a western U.S. state. Data were collected through semi structured …

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Gender Dynamics In The Management Care Of Internally Displaced Persons: The Boko Haram Insurgency, Evelyn Kikelomo Ikuenobe Otaigbe Jan 2023

Gender Dynamics In The Management Care Of Internally Displaced Persons: The Boko Haram Insurgency, Evelyn Kikelomo Ikuenobe Otaigbe

Walden Dissertations and Doctoral Studies

The Boko Haram asymmetric insurgency and warfare have decimated the Northeastern region of Nigeria and its neighboring environs of Chad, Niger, and Benin. The purpose of this study was to explore the peculiar socioethnic and cultural challenges encountered by female victims of Boko Haram terrorism at internally displaced persons camps in Abuja, Nigeria, including challenges in functioning, relocating, and acclimating back into society. A phenomenological approach was applied to understand participants’ lived experiences. Data collection occurred through interviews and observation. Data analysis involved the synthesis of narratives, and generation of themes. Among the emergent themes were poor feeding; lack of …

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Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael Jan 2023

Academic Performance And E-Cigarette Use Among Teenagers, Jeremy Tan Rondael

Walden Dissertations and Doctoral Studies

Early e-cigarette use by youth has the capacity to create an early addiction to nicotine, increasing the risk of life-long dependency and the possible development of multiple cardiovascular and pulmonary diseases. Reinforced by the socioecological model, the purpose of this study was to determine if academic performance is associated with e-cigarette use among teenagers and young people and if the presence of adverse childhood events (e.g., cyberbullying in school and/or the presence of homelessness) mediated this association. This study included all respondents (N = 1,401) from the state of Nevada who answered the 2019 National Youth Risk Behavior Survey. Binary …

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Examining Psychosocial Characteristics Of Female Serial Murderers, Rachael Strebel Jan 2023

Examining Psychosocial Characteristics Of Female Serial Murderers, Rachael Strebel

Walden Dissertations and Doctoral Studies

Previous studies of serial murderers have focused primarily on male serial murderers.The reason for this is unknown, but is primarily reflective of media patterns, gender roles, and social norms that often exclude females from conversations surrounding female serial murder. This study focused on the psychosocial characteristics of female serial murderers. Both solo female serial murderers and serial murderers who worked with one partner were studied. Using a grounded theory approach, based on the review of 11 secondary data case studies, 12 female serial murderers were studied; six who murdered individually and six who murdered within a team. Six main themes …

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Andragogical Methods And Teaching Strategies Used In Community College Composition Courses, Octavia Thorns-Jackson Jan 2023

Andragogical Methods And Teaching Strategies Used In Community College Composition Courses, Octavia Thorns-Jackson

Walden Dissertations and Doctoral Studies

A midwestern community college utilized a corequisite model to accelerate students’ developmental education that allows adult learners to take developmental writing and English composition simultaneously. First-year composition instructors had no formal training at the college on andragogical methods and teaching strategies to foster successful completion in developmental and first-year composition courses. The purpose of this basic qualitative study was to explore the andragogical methods and teaching strategies of six successful full-time and adjunct developmental writing and first-year composition instructors as well as what these instructors need to improve their approaches with these students. The study was grounded in a conceptual …

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Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto Jan 2023

Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto

Walden Dissertations and Doctoral Studies

AbstractThe prevalence rates for end stage renal disease (ESRD) have continued to rise by approximately 20,000 cases per year, and the number of patients with kidney failure requiring dialysis in the United States had reached 554,038 at the end of 2018. Transition of care for patients between acute care facilities and other care facilities such as dialysis centers remains challenging for providers. Lack of clear communication between providers, poor patient understanding of post-hospital self-care, and gaps in healthcare scheduling contribute to a high rate of adverse events. This facility did not have a detailed clinical guideline for ESRD communication between …

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Exposure Of Ems Personnel To Violence In Urban Cities Of The Midwest, Alyssa Wheeler Jan 2023

Exposure Of Ems Personnel To Violence In Urban Cities Of The Midwest, Alyssa Wheeler

Walden Dissertations and Doctoral Studies

Emergency medical service (EMS) personnel experience both physical and verbal assaults towards them by patients, family members, and/or bystanders at the incident scenes. The mostly quantitative literature is limited in recognizing how this violence may affect the way that EMS personnel complete their jobs. Through in-depth, semistructured interviews with nine EMS personnel from the Midwest, this phenomenological study was used to understand EMS personnel’s lived experiences and perceptions of violence towards them by patients or bystanders at the response scene. How this violence towards EMS personnel affected the way they approach incident scenes and interact with patients and/or bystanders at …

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Evaluation Of The Implementation Of Primary Prevention Guidelines For The Treatment Of Hypertension, Aramide Alayande Jan 2023

Evaluation Of The Implementation Of Primary Prevention Guidelines For The Treatment Of Hypertension, Aramide Alayande

Walden Dissertations and Doctoral Studies

AbstractHypertension is a chronic disease that is associated with increased risk of cardiovascular mortality. This Doctor of Nursing Practice project was a quality improvement initiative that addressed the gap in practice that the nurse practitioners (NPs) were not consistently following the American College of Cardiology (ACC) and American Heart Association (AHA) recommended guidelines for the treatment of hypertension. The purpose of the project was to evaluate whether the NPs were consistently using the guidelines to treat patients with hypertension after an educational intervention. The project used a before-after approach to evaluate the consistency of using the guidelines in treatment of …

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Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee Jan 2023

Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee

Walden Dissertations and Doctoral Studies

With approximately 4.4 million Americans addicted to cannabis, it is considered a dominant non-medical drug that is common in the US. The purpose of this study was to investigate the possible contribution of the state laws that allow the cultivation of marijuana to Marijuana Medical (MM) program cardholders on cannabis addiction. This study was conducted to address the issue of the increase in demand for cannabis-related admissions that contribute to an upsurge in the unmet treatment needs. The study is founded on the Ecological Models proposed by Urie. The key research question explored the association between state laws that allow …

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Burnout And Positive Thinking Skills Among Critical Care Nurses, Evangeline Ani Jan 2023

Burnout And Positive Thinking Skills Among Critical Care Nurses, Evangeline Ani

Walden Dissertations and Doctoral Studies

AbstractBurnout is a global health problem with a significant negative impact on the physical, mental, and emotional health and well-being of critical care nurses, which in turn has serious effects on the critical care work environment. Positive thinking has the potential of transforming the work environment. The purposes of this quantitative, correlational study, guided by Lazarus’s theory of stress, were to determine (a) if there was a relationship between the use of positive thinking skills and burnout among critical care nurses, and (b) if there was a difference between the use of positive thinking skills and burnout among critical care …

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Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian Jan 2023

Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian

Walden Dissertations and Doctoral Studies

Adolescents with autism spectrum disorder (ASD) often struggle with comorbid disorders like anxiety. However, special education teachers may lack the training to implement specific interventions in the classroom setting for adolescents with ASD and anxiety. This qualitative action research study was conducted to examine how special education teachers work with adolescents diagnosed with both ASD and anxiety. Bandura’s reciprocal determinism concept guided this study by explaining that the classroom environment and adolescents’ cognition and behavior should be considered when implementing cognitive–behavioral therapy (CBT) for students with ASD and anxiety. The two research questions asked participants to describe their ability to …

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Emotional Intelligence And Safety Culture In Business Aviation, Sonnie Bates Jan 2023

Emotional Intelligence And Safety Culture In Business Aviation, Sonnie Bates

Walden Dissertations and Doctoral Studies

With a lack of research regarding the relationship between emotional intelligence and safety culture in the aviation industry, safety professionals have inadequate information to reduce human error, the leading cause of tragic aircraft accidents. The purpose of this study was to determine the extent to which there is a relationship between emotional intelligence and safety culture in the business aviation industry. This study was grounded on Reason’s theoretical model for safety culture, enhanced by Wang and Sun, and the emotional intelligence framework by Salovey and Mayer, enhanced by Jordan and Lawrence. A quantitative descriptive correlational approach was used with convenience …

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Public Policy And African American Victims Of Inner-City Violence, Michael Andrew Benson Sr. Jan 2023

Public Policy And African American Victims Of Inner-City Violence, Michael Andrew Benson Sr.

Walden Dissertations and Doctoral Studies

The effects of being victimized or being a witness to a violent traumatic event without the support of public institutions, such as criminal justice, social service agencies, and mental health care clinics has led to post-traumatic stress disorder (PTSD). The purpose of this study was to explore the barriers and success factors for victims of inner-city violence as it related to access to public administration institutions to address their victimization. Self-efficacy theory was used as the theoretical foundation, and the study’s research question focused on victimization and access to public policy institutions. The study used a qualitative design with 10 …

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Screening For Depression In Immigrants In Their Host Country, Hortense Bissila Jan 2023

Screening For Depression In Immigrants In Their Host Country, Hortense Bissila

Walden Dissertations and Doctoral Studies

AbstractThe initial need for care for depression is greater for immigrants, who encounter linguistic, cultural, structural, and attitudinal hurdles to mental health care that render them more susceptible to increased levels of depressive symptoms compared to populations of hosting country. The aim of this Doctor of Nursing Practice project was to educate frontliners in the community on how to assess for depression in immigrants in culturally congruent ways. This project addresses gap in mental health care practice that needs urgent redress in promoting self-cultural competence and raising awareness to assess for depression on immigrants. To meet the aims of the …

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Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins Jan 2023

Sexual Violence And University Campus Response To Sexual Violence, Jennifer Bivins

Walden Dissertations and Doctoral Studies

While anyone can be a victim of sexual violence, college-aged females between the ages of 18 and 21 are more likely to be victimized than any other group. Sexual violence continues to be a barrier to education, and colleges/universities make it challenging for students to report on campus. The purpose of this study is to explore the factors, intervention/prevention strategies, and policies/procedures used to address sexual violence on a university campus. The framework used was the ecological model, which focuses on factors and influences within the environment that affected individual behavior. The research questions focused on participants describing their experiences …

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Mortgage Broker Strategies To Overcome The Volatility Of Inconsistent Sales, Marissa Blackwell Jan 2023

Mortgage Broker Strategies To Overcome The Volatility Of Inconsistent Sales, Marissa Blackwell

Walden Dissertations and Doctoral Studies

Many mortgage brokers leave the mortgage industry because of unforeseen changes andvolatility. Mortgage brokers are concerned with adequate strategies to mitigate industry volatility and inconsistent sales, which is important to successful sustainability during challenging times. Grounded in relationship marketing theory, the purpose of this qualitative single case study was to explore the strategies seven mortgage brokers from a single organization used to sustain sales during volatile times. Data were collected using semistructured interviews by telecommunication, a reflective journal, LinkedIn, Facebook, and broker websites. Through thematic analysis, three themes emerged: maintaining a presence with new and existing clients, understanding client needs, …

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Comparison Of The Effects Of Telehealth Versus N95 On Nurse-Patient Communication, Tony Christopher Bloomfield Jan 2023

Comparison Of The Effects Of Telehealth Versus N95 On Nurse-Patient Communication, Tony Christopher Bloomfield

Walden Dissertations and Doctoral Studies

Telehealth and face masks are some of the infection control measures nurses use while attending to patients. Nurses provide the most patient care in hospital settings and thus spend the most time with patients in their recovery journey. Because communication is paramount to the role nurses play as health care professionals, there is a substantial need to investigate how infection control measures affect the quality of nurse-patient communication. The purpose of this quantitative cross-sectional study was to describe the relationship of methods aimed at maintaining social distancing between nurses and patients to nurse-patient communication and to compare differences in the …

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Sharing Strategies Between Higher Education Administrators And Their Information Technology Leaders, Larita Brewster Jan 2023

Sharing Strategies Between Higher Education Administrators And Their Information Technology Leaders, Larita Brewster

Walden Dissertations and Doctoral Studies

Some senior administrators in higher education institutions lack strategies to share leadership decision-making with their information technology (IT) leaders in the quest to sustain and improve organizational performance, which is often of concern to leverage technology and improve organizational performance. Grounded in the Bolman and Deal four-frame model of leadership, the purpose of this qualitative, multiple-case study was to explore strategies used at four higher education institutions by four IT leaders and four senior administrators, to improve organizational performance in Alabama. The participants were four higher education senior administrators and four IT leaders in Alabaman higher educational institutions. Data were …

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Impacts Of Mobile Health Technology On The African American Millennial Health Care Experience, Antoine J. Campbell Jan 2023

Impacts Of Mobile Health Technology On The African American Millennial Health Care Experience, Antoine J. Campbell

Walden Dissertations and Doctoral Studies

African Americans are underrepresented and have limited access to health care in the United States due to systemic disparities. The purpose of this qualitative phenomenological study was to develop a better understanding of the relationship that African Americans have with the health care system and the way they interact with it as well as to examine the impacts of mobile health (mHealth) patient engagement applications and their impact on shaping health experiences amongst millennial African Americans. Research questions addressed African American millennials’ perspectives on potential barriers to utilizing health care in the U.S. health care system as well as consideration …

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