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Articles 6691 - 6720 of 16858
Full-Text Articles in Entire DC Network
Sociodemographic Factors As Predictors Of Low Influenza Vaccination In Chicago, Illinois, Ingrid L. Jeske
Sociodemographic Factors As Predictors Of Low Influenza Vaccination In Chicago, Illinois, Ingrid L. Jeske
Walden Dissertations and Doctoral Studies
Outbursts of seasonal influenza contribute to morbidity and mortality in the United States. Influenza is a contagious disease caused by influenza viruses. The main subtypes of the influenza virus are Type A and Type B. Influenza vaccines are among the most effective methods in preventing the spread of the influenza virus because they offer the best immune defense. However, health care providers face significant challenges due to low patient compliance with current vaccine recommendations and misinformation. Scholars have yet to expand and further explore the reasons for the gap in influenza vaccination between White individuals and minorities, such as the …
The Effect Of Organizational Climate On Presenteeism As Moderated By Employee Personality, Iva Johan Pavlovic
The Effect Of Organizational Climate On Presenteeism As Moderated By Employee Personality, Iva Johan Pavlovic
Walden Dissertations and Doctoral Studies
This research study was an investigation of the relationship between the five dimensions of personality, organizational climate, and presenteeism - coming to work when ill. Presenteeism has significant, negative impact on employee’s long-term health, the overall organizational performance, and more broadly on national health systems. Researchers have found that in addition to financial impacts of not working while ill, antecedents of presenteeism include both personal, situational (e.g., the severity of the illness), and organizational circumstances. A systematic exploration into all five dimensions of personality and organizational climate has not been conducted to date. The purpose of this quantitative study was …
Abstract Immigration Policies Of The Obama And Trump Administrations Focused On Alien Arrests, Levino Lorenzo Johnson
Abstract Immigration Policies Of The Obama And Trump Administrations Focused On Alien Arrests, Levino Lorenzo Johnson
Walden Dissertations and Doctoral Studies
AbstractImmigration policy has been a growing concern for the United States, but it was unknown what differences had been experienced between President Trump and President Obama’s implemented immigration policies. Therefore, the purpose of this quantitative descriptive study was to determine if any statistically significant differences existed between the number of “criminal aliens” arrested for removal versus non-criminal aliens arrested with victimless crimes during the Obama and Trump administration. This cross-sectional study was guided by punctuated equilibrium theory and data were gathered by available public, archival data. The total number of documented/undocumented non-criminal alien arrests during the Obama Administration from January …
Administrative Support In Student Violence Directed Toward Teachers In K–12, Urban, Southern Louisiana Schools, Paula Taylor Johnson
Administrative Support In Student Violence Directed Toward Teachers In K–12, Urban, Southern Louisiana Schools, Paula Taylor Johnson
Walden Dissertations and Doctoral Studies
The number of teachers working in urban educational settings who have experienced student violence has increased yearly. Despite reporting these violent incidents, many teachers leave the profession between their first 5 years of teaching, identifying the limited support from school administrators as a major reason for their departure. The purpose of this basic qualitative study was to examine the perceptions of administrative support in student violence directed toward teachers in K–12, urban, southern school districts in Louisiana. Great man theory, trait theory, contingency theory, transformational leadership theory, transactional leadership theory, and laissez-faire leadership theory constituted the conceptual framework of this …
Predictors Of Health Literacy Scores In The Adolescent Oncologic Population, Amber N. Jenkins
Predictors Of Health Literacy Scores In The Adolescent Oncologic Population, Amber N. Jenkins
Walden Dissertations and Doctoral Studies
Recent research showed a relationship between low health literacy in adult oncology patients, poor communication with providers, misconceptions about disease and treatment options, and the inability to adhere to treatment plans. Comparative literature addressing adolescent health literacy contained insufficient evidence of these relationships. The purpose of this exploratory cross-sectional quantitative study, based on the health literacy skills framework, was to assess the health literacy of adolescents treated in the oncology department at an academic children’s hospital in Missouri to determine whether there was a significant relationship between individual health literacy scores of this population based on age, sex, number of …
Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James
Risk Factors Of Malnutrition In Children Under 5 In Nigeria, Itanwan James
Walden Dissertations and Doctoral Studies
Malnutrition in children under 5 years remains an important public health challenge as it spurs child mortality and morbidity in developing countries, including Nigeria. The purpose of this quantitative cross-sectional study was to explore the risk factors of malnutrition in children under 5 years of age in Akwa Ibom State, Nigeria. Socioecological and health belief models were applied to examine risk factors of malnutrition among these children. This study used a secondary dataset of 1,235 participants obtained from Akwa Ibom State Demographic and Health Survey database. Pearson’s chi-square test and binary logistic regression were adopted for the analyses. The results …
Strategies Using Threat Intelligence To Detect Advanced Persistent Threats: A Qualitative Case Study, Melisa A. Joyner
Strategies Using Threat Intelligence To Detect Advanced Persistent Threats: A Qualitative Case Study, Melisa A. Joyner
Walden Dissertations and Doctoral Studies
Advanced persistent threats (APTs) targeting critical infrastructures can adversely impact human lives. Cyber security analysts are concerned with APT attacks because they make it challenging to defend critical infrastructures. Grounded in routines activity theory (RAT), the purpose of this qualitative exploratory multiple case study was to explore strategies cybersecurity analysts use to defend critical infrastructures from APT attacks. Data were collected through interviews with 8 participants and documents from two organizations. Participants were required to have experience analyzing network traffic on a critical infrastructure network, one year of cyber threat hunting experience, prior or current knowledge of cyber threat intelligence …
Development Of A Basic Nursing Education Course For Psychiatric Nurses, Tasha M. Jones
Development Of A Basic Nursing Education Course For Psychiatric Nurses, Tasha M. Jones
Walden Dissertations and Doctoral Studies
" Abstract" Development of a Basic Nursing Education Course for Psychiatric NursesThe integration of psychiatric and medical services for psychiatric patients has been problematic for psychiatric nurses. This care integration problem revealed the lack of clinician education and training needed to meet the diverse needs of psychiatric patients. The lack of clinician education and training resulted in poor patient outcomes that can also have negative implications for nurses, families, organizations, and communities. Proper education and training were necessary to effectively care for psychiatric patients with common physical health conditions such as cardiac diseases and diabetes at the inpatient facility where …
Workaholism Development As A Self-Efficacy Behavior Among Black Women In The Workplace, Tiffany Nicole Johnson Lemon
Workaholism Development As A Self-Efficacy Behavior Among Black Women In The Workplace, Tiffany Nicole Johnson Lemon
Walden Dissertations and Doctoral Studies
Understanding how workaholism develops in Black women and the role organizational culture plays in its development, specifically individuals who work in predominantly White organizations, is needed to address this phenomenon. Data were gathered from individuals who identify as Black women and are self-proclaimed workaholics who work in settings comprised predominantly of White employees. Understanding workplace culture and the events that may lead to behavioral changes has been limited, specific to the minority group of Black women. The key research questions investigated the development of workaholism in Black women who work in predominantly White organizations and the role organizational culture plays …
Exposure Response Prevention For Adolescents With High-Functioning Autism And Social Anxiety, Elisha Jones
Exposure Response Prevention For Adolescents With High-Functioning Autism And Social Anxiety, Elisha Jones
Walden Dissertations and Doctoral Studies
Anxiety disorders are the most common comorbid mental health condition seen in individuals with neurodevelopmental disorders. This study was an exploration of the benefits of exposure and response prevention (ERP) for high-functioning adolescents with autism and comorbid social anxiety. The research problem was the lack of qualitative description of trained clinicians’ experiences of ERP delivery to high-functioning adolescents with autism and social anxiety. Data for this study were collected through semi structured interviews with six ERP clinicians who had experience in practicing ERP with this population. Analysis of the data revealed the following four core themes: (a) professional recommendations for …
Predictors Of Homelessness Among Female Veterans And Civilians, Victoria Caridad Justiniano Quinones
Predictors Of Homelessness Among Female Veterans And Civilians, Victoria Caridad Justiniano Quinones
Walden Dissertations and Doctoral Studies
Homelessness among female veterans is a problem that is likely to increase as growing numbers of women in the U.S. military reestablish themselves into their communities as veterans. There has been increasing concern about the greater risk for homelessness found among female veterans when compared to their nonveteran counterparts, so further investigation of homeless incidence by gender is also warranted. This quantitative, exploratory study was grounded in the social ecological theory, the Balshem and colleagues conceptual model of risk factors for veteran homelessness, and the Susser, Moore, and Link conceptual model which investigated causal pathways that are possible risk factors …
Exploring Critical Success Factors For Implementing It Modernization Systems In Michigan State Agencies, Luc Armand Kamdem
Exploring Critical Success Factors For Implementing It Modernization Systems In Michigan State Agencies, Luc Armand Kamdem
Walden Dissertations and Doctoral Studies
Since 2001, most government organizations’ IT modernization programs had failed because of ineffective implementation strategies from IT leaders. The research problem was the absence of effective strategies to modernize IT legacy systems. The purpose of this qualitative single case study was to explore effective IT modernization strategies to revolutionize IT legacy systems. The researcher sought to answer how organizations create effective strategies to modernize IT legacy systems. The study used purposeful sampling, including 13 IT leaders, IT technicians, and customers based on their experience in implementing successful IT modernization programs’ strategies. Data were collected using semi-structured interviews and agency documentation. …
The Relationship Between Sexual Abuse And Juvenile Sexual Offending When Moderated By Family Dysfunction, Dahlia Kaplan-Regan
The Relationship Between Sexual Abuse And Juvenile Sexual Offending When Moderated By Family Dysfunction, Dahlia Kaplan-Regan
Walden Dissertations and Doctoral Studies
Sexual abuse and victimization can have long-term negative ramifications on victims, their families, and the community. Juveniles account for a notable portion of persons who engage in sexual offending behaviors; therefore, knowing more about the pathway that leads to juvenile sexual offending is beneficial in preventing sexual abuse and promoting community safety. Social cognitive theory was applied to the pathway of juvenile sexual offending behaviors to develop insight into how this behavior may be learned and to inform the selection of variables for this research. The key research question explored how traits of family dysfunction moderated the relationship between childhood …
Evidence-Based Discharge Planning For Assisted Living Facility Residents, Annick Sheron Kelly
Evidence-Based Discharge Planning For Assisted Living Facility Residents, Annick Sheron Kelly
Walden Dissertations and Doctoral Studies
AbstractLack of staff knowledge is one of the leading challenges contributing to ineffective discharge planning from assisted living facilities. Recognizing that appropriate discharge planning is essential to the well-being of residents, the purpose of this doctoral project was to develop a staff education program based on current evidence-based discharge planning procedures for residents of an assisted living facility. Knowles’s adult learning theory; Lewin’s change theory; and the analysis, design, development, implementation, and evaluation model guided development of the staff education program. According to a review of the literature, evidence-based strategies for resident discharge planning included early discharge planning; tailored support, …
Exploring African American Experiences With Police In Cleveland, Ohio, Hamza Khabir
Exploring African American Experiences With Police In Cleveland, Ohio, Hamza Khabir
Walden Dissertations and Doctoral Studies
According to previous research, African Americans in Cleveland, OH, reported having more negative experiences with the Cleveland Police Department (CPD) than any other demographic in the city. Furthermore, The U.S. Department of Justice, Civil Rights Division, determined that the CPD had regularly engaged in excessive force by police officers. This study's purpose was to understand African Americans' experiences in Cleveland regarding the CPD. This study's research question focused on African Americans' experiences in Cleveland and their relationship with the Cleveland police. The study used a general qualitative design to conduct interviews with 10 African Americans between the ages of 18 …
Measuring Advance Directive Knowledge Gives Rise To Primary Care Nurses' Education Training, Arnell Corethia Kithcart
Measuring Advance Directive Knowledge Gives Rise To Primary Care Nurses' Education Training, Arnell Corethia Kithcart
Walden Dissertations and Doctoral Studies
AbstractPatients have the right to self-determine how and in what manner they desire to make end-of-life decisions. The use of advance directives (AD) is the focus of the Patient Self Determination Act (PSDA). The PSDA permits the use of legal documents to outline the patient’s end-of-life decision when they can no longer communicate to the medical community. Because individuals with chronic diseases are living longer the medical community must stay abreast on current laws and protocols to provide the care needed and address patient’s wishes for end-of-life needs. Nurses would be ideal to provide education on AD to patients upon …
Technological Employees’ Experiences Of Psychological Contract Breach: A Phenomenological Study, Dr. Uganda Knapps, Ph.D.
Technological Employees’ Experiences Of Psychological Contract Breach: A Phenomenological Study, Dr. Uganda Knapps, Ph.D.
Walden Dissertations and Doctoral Studies
The aim of this study was to understand the importance of employee relations, ethics, and values; how psychological contracts form through the lenses of ethics, values, organizational justice, and perceptions; and how a psychological contract breach (PCB) may occur in certain situations. The psychological contract is imperative for positive employee relations. The foundation on how psychological contracts form and how psychological contracts may be breached and, in extreme circumstances, violated is based in theory by Argyris and in Rousseau’s theory to differentiate between psychological contract breaches and violations. An interpretive phenomenological analysis approach was used in this study to understand …
Social Competencies And Social Skills Of Adolescent Females With Attention Deficit Hyperactivity Disorder, Mary Kniola
Social Competencies And Social Skills Of Adolescent Females With Attention Deficit Hyperactivity Disorder, Mary Kniola
Walden Dissertations and Doctoral Studies
Attention deficit hyperactivity disorder (ADHD) is one of the most prevalent disorders diagnosed in children and adolescents in the United States, many of whom experience peer rejection and are at risk for subsequent employment difficulties, depression and anxiety, school failure, and substance abuse. The purpose of this study was to evaluate differences in the social skills and social competence of females with and without ADHD in 6th and 12th grades. The theoretical foundation for this study was Barkley’s theory of ADHD. Facebook, Qualtrics, and Prolific were used to recruit 80 parents, who were placed into four groups based on the …
Teachers’ Attitudes Toward The Impact Inclusion Classrooms Have On Nondisabled Students’ Social, Emotional, And Academic Well-Being, Kristee Nicole Knouse
Teachers’ Attitudes Toward The Impact Inclusion Classrooms Have On Nondisabled Students’ Social, Emotional, And Academic Well-Being, Kristee Nicole Knouse
Walden Dissertations and Doctoral Studies
Inclusive educational settings were developed in the United States to help encourage and facilitate grade-level and appropriate social, emotional, and academic interactions for all students with the assistance of their teachers regardless of aptitude, skill, or disability. The purpose of this quantitative research study was to investigate teachers’ attitudes toward the impact inclusion classrooms have on the nondisabled students’ social, emotional, and academic well-being compared to students with special educational needs (SEN) and special education needs and disability (SEND) students. Ajzen’s theory of planned behavior was used to guide the study to determine whether there is a relationship between the …
Understanding Police Decision-Making With Firearms: From Training To Real-Life Deployment, Alex S. Kondos
Understanding Police Decision-Making With Firearms: From Training To Real-Life Deployment, Alex S. Kondos
Walden Dissertations and Doctoral Studies
Modern efforts involving police reform have created a need for police administrators and policymakers to address various elements of policing. Administrative and punitive policy reforms have had little effect on decreasing police shootings. The purpose of this phenomenological study is to understand the experiences of officers who have been involved in deadly force encounters in order to identify where their past training methods led to success or failures in real-life situations. The theoretical framework for this study was Janis and Mann’s conflict model of decision-making. This study involved answering the question: From the perspectives of police officers involved in shootings, …
Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr
Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr
Walden Dissertations and Doctoral Studies
The increasing number of hepatitis B-related deaths in the Armed Forces of Liberia was due to the lack of understanding of the associated risks with the disease. Gender, substance use, and condom use have been researched as related risk factors for hepatitis B virus infection (HBV). The goal of this study was to determine if gender (male or female) and risk factors (substance use, alcohol abuse, and condom use) predicted hepatitis B infections after adjusting for age, marital status, education, and military rank among Liberia military population. The theory that grounded this study was Bronfenbrenner’s socio-ecological model (SEM) which posits …
Covid-19 Ethical Decisions Encountered By Healthcare Professionals In Southwest Ohio, Joshua Lader
Covid-19 Ethical Decisions Encountered By Healthcare Professionals In Southwest Ohio, Joshua Lader
Walden Dissertations and Doctoral Studies
The COVID-19 coronavirus has wreaked havoc on the world and medical community. Treating individuals during a worldwide pandemic is nothing short of heroic. With limited supplies and treatment options, healthcare professionals were forced to make ethical considerations when treating patients with COVID-19. The pandemic exposed stress in the healthcare system, leading to difficult ethical decisions such as providing access or denying access to treatment. Knowing these ethical considerations can assist healthcare professionals with practical policies for future pandemics. The key research question in this study explored how healthcare professionals in Southwest Ohio made ethical decisions related to who and how …
Influence Of Medical Education Scholarships On Reducing Physician Shortages, Brendon L. La Grenade
Influence Of Medical Education Scholarships On Reducing Physician Shortages, Brendon L. La Grenade
Walden Dissertations and Doctoral Studies
For more than 44 years, the study site university and the Government of Grenada, a low- and middle-income country island, have collaborated to provide medical education scholarships for qualified citizens. These scholarships aim to provide an education pathway to medical school and a solution to the island’s physician shortage by having the scholarship recipients return to serve their country as physicians. However, the problem of a physician shortage persists because most recipients migrate to higher income countries, primarily the United States. The purpose of this basic qualitative study was to explore the perspectives of scholarship recipients and providers regarding how …
Officers' Perceptions Of The Ontario Provincial Police Framework For Police Preparedness For Indigenous Critical Incidents, Armand P. La Barge
Officers' Perceptions Of The Ontario Provincial Police Framework For Police Preparedness For Indigenous Critical Incidents, Armand P. La Barge
Walden Dissertations and Doctoral Studies
AbstractResponding to First Nation occupations and protests is one of the most challenging duties that police officers in Canada undertake. Over the last 30 years, these types of incidents have resulted in deaths and injuries to police and protesters, and millions of dollars’ worth of damage and financial loss. After the 1995 shooting death of an unarmed Indigenous protester by police at the Ipperwash occupation, the Ontario Provincial Police (OPP) introduced an unconventional operational approach for protests known as the OPP Framework policy. That approach was built on the concepts of peacekeeping, patient negotiation, mutual respect, and the minimal use …
Mental Health-Medical Crisis Team Impact On First Responder Outcomes On Persons With Mental Illness, Mary Josephine Lakey
Mental Health-Medical Crisis Team Impact On First Responder Outcomes On Persons With Mental Illness, Mary Josephine Lakey
Walden Dissertations and Doctoral Studies
Persons with mental illness (PMIs) are 16 times more likely to experience harm when interacting with police than individuals without mental illness. This inequity has recently become prominent in American discourse due to the ubiquitous use of cell phones and social media, where videos of incidents between police and PMIs circulate. In this generic qualitative research, members of a collaborative mental health and emergency medical service professionals (EMSPs) team in an urban area were interviewed to assess the team members’ perceptions of the impact of the program on frequency of adverse outcomes during interactions with PMIs. The theoretical framework for …
Risk Factors Of Infant Mortality Among Sub-Saharan Immigrants In The United States, Roland Lankah
Risk Factors Of Infant Mortality Among Sub-Saharan Immigrants In The United States, Roland Lankah
Walden Dissertations and Doctoral Studies
While prepregnancy body mass index (BMI), gestational weight gain (GWG), and birthplace have been suggested to play a key role in predicting infant mortality outcomes, they have not been thoroughly investigated across all races/ethnicities. The purpose of this study was to examine the associations between prepregnancy BMI, GWG, birthplace as independent variables, and infant mortality as the outcome variable within the United States Sub-Saharan African Immigrants (SSAI). A quantitative cross-sectional study design grounded in the biopsychosocial model was used. Data were extracted from the 2017-2018 natality-linked birth/infant death file from the Centers for Disease Control and Prevention Wonder Database. It …
Innovation Strategies For Rural Micro And Small Businesses, Suzanne K. Larsen
Innovation Strategies For Rural Micro And Small Businesses, Suzanne K. Larsen
Walden Dissertations and Doctoral Studies
Facing many unique challenges compared to their urban counterparts, rural business owners rely on innovation strategies to successfully operate their businesses. Reflecting only 14% of the population but occupying more than 72% of the geographic United States, the failure of rural business owners jeopardizes the network of goods and services that feed and support the entire nation. Grounded in Castle’s rural capital framework and Van de Ven’s innovation framework, the purpose of this qualitative multiple case study was to explore the strategies rural small business owners use to ensure business innovation. The participants were eight successful rural small business owners …
Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender
Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender
Walden Dissertations and Doctoral Studies
Substance use disorder continues to be a major health crisis in the United States. Thousands of people die yearly due to substance use and related criminal activity. Substance abuse treatment is a remedy to the disorder and treatment centers admit thousands of patients yearly to address the dilemma. Throughout the years retention has been an ongoing barrier to successful treatment. This study explored significant obstacles to retention: motivation and engagement. The Baldrige Excellence Framework was utilized to assess the training, supervision, procedures, and leadership roles at an intensive outpatient substance abuse treatment center. This study utilized a qualitative approach case …
Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble
Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble
Walden Dissertations and Doctoral Studies
Moral distress (MD) is a concept that has been well studied in nursing and other medical fields as a precursor to provider burnout. Understanding how MD impacts behavioral health (BH) clinicians provides insights for counselor educators and supervisors to identify clinical situations that often lead to MD. This qualitative phenomenological study explored how MD was experienced by five BH clinicians who have worked in residential and hospital settings providing counseling to maternal, opioid-using clients. Interpretive phenomenological analysis (IPA) informed the research methodology and data analysis. Substance use during pregnancy is highly stigmatized in society; thus, a feminist conceptualization was integrated …
Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee
Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee
Walden Dissertations and Doctoral Studies
Haiti has a history of natural disasters that have played a part in the country’s weak infrastructure, poor quality health care, and short life expectancy. The purpose of this qualitative case study was to understand the experiences of health care professionals providing prenatal, perinatal, and postpartum health care services before and during the COVID-19 pandemic in Haiti to gain an understanding of the gaps in disaster response in reproductive health care. The theoretical bases for this study were community resilience theory and reproductive justice theory. Data were collected from interviews with 10 health care professionals working in Haiti providing reproductive …