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College Readiness In Career And Technical Education Instruction During The Pandemic, Kenyetta A. Kendrick
College Readiness In Career And Technical Education Instruction During The Pandemic, Kenyetta A. Kendrick
Walden Dissertations and Doctoral Studies
College and career readiness (CCR) has become a priority in national education policy, leading to changes to CCR standards, practices, and measurements. In response to the COVID pandemic, school closings altered student engagement in career and technical education (CTE) courses. CTE teachers played a crucial role in providing CCR support to students by looking for ways to better align curriculum and engagement for successful transitions from high school to college. The purpose of this basic qualitative study was to examine how teachers’ implementation of college and career instruction in CTE courses was influenced by the pandemic. Conley’s college readiness framework …
The Impact Of Covid-19 Response Measures On The Mental Health And Well-Being Of Teachers At Predominately Black Schools, Llewellyn Cooper
The Impact Of Covid-19 Response Measures On The Mental Health And Well-Being Of Teachers At Predominately Black Schools, Llewellyn Cooper
Walden Dissertations and Doctoral Studies
Teachers in predominately Black schools had limited access to mental health resources during the COVID-19 pandemic. The purpose of this generic qualitative study was to explore how the response to COVID-19 affected the mental health and well-being (MHWB) of teachers at predominately Black schools during the pandemic to gain an in-depth understanding of their experiences regarding MHWB. The study participants were eight teachers at various schools in the state of Alabama. The goal was to understand how teachers experienced MHWB support during the COVID-19 pandemic, how teachers’ MHWB were affected when there were rapid adjustments to curricula changes, and how …
The Perspective Of Formerly Incarcerated African American Men During The Covid-19 Pandemic, Iyesha Shauntae' Franklin
The Perspective Of Formerly Incarcerated African American Men During The Covid-19 Pandemic, Iyesha Shauntae' Franklin
Walden Dissertations and Doctoral Studies
The confluence of two devastating circumstances—the COVID-19 pandemic and the crowded, insalubrious living conditions in American jails as a result of mass incarceration, brought about an epidemic of an unprecedented magnitude. The large jail population, highly susceptible to infections due to overcrowded conditions, experienced exponential spread of the virus. While earlier research examined unhealthy situations related to the prison environment and their effects on inmates, the focus of such studies was not typically major crises or disease outbreaks in prisons. This qualitative phenomenological study used 10 participants located in the southeastern United States as a case study to better understand …
Relationship Between Shortage Of Nursing Staff And Covid-19 Mortality And Infection In Rural And Urban Nursing Homes In The State Of Minnesota, Annam Asif Inayatullah
Relationship Between Shortage Of Nursing Staff And Covid-19 Mortality And Infection In Rural And Urban Nursing Homes In The State Of Minnesota, Annam Asif Inayatullah
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic posed challenges for nursing homes in the United States, including those in Minnesota, due to shortages of nursing staff and the impact on resident care quality. This study aimed to assess the relationship between nursing staff shortages and COVID-19 mortality and infections among nursing home residents in Minnesota. The analysis used data from the Centers for Medicare and Medicaid Services public database, considering rural and urban locations. The independent variables were nursing staff shortages, and the dependent variables were COVID-19 total resident deaths and COVID-19 total resident infections in nursing homes in Minnesota. Following the Donabedian theory, …
Relationship Between Household Water Sanitation And Hygiene Behaviors And Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr.
Relationship Between Household Water Sanitation And Hygiene Behaviors And Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr.
Journal of Social, Behavioral, and Health Sciences
Rwanda has made considerable progressive policy efforts to significantly reduce diarrhea among children under 5 years old, especially since 2010. This cross-sectional study aimed to assess the relationship between household water sanitation and hygiene (WASH) behaviors and diarrhea among children under 5 years old between 2010 and 2020. We used secondary data from the 2010, 2015, and 2020 Rwanda Demographic Health Surveys. We used descriptive statistics, pairwise comparisons, and linear regression designs to assess (a) the prevalence of household WASH behaviors across districts, regions, urban areas, and rural areas, (b) the variation of household WASH behaviors over time, and (c) …
Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott
Health Risk Factors Of Female African American Informal Caregivers For Alzheimer’S Disease Patients In Low-Income Communities, Rosaline Elaine Elliott
Walden Dissertations and Doctoral Studies
By 2050, 152 million people worldwide, primarily low-income populations, will have Alzheimer's disease (AD). African American (AA) women informal caregivers are primary caregivers in low-income neighborhoods, and they suffer from burnout and poor health, including physical and mental fatigue, despair, anxiety, hypertension, and stressors that can lead to heart attacks, strokes, or premature mortality. The Informal Caregiver Integrative Model (ICIM) theoretical framework was used to survey 120 participants using SurveyMonkey was administered to collect data for this cross-sectional quantitative study. The multiple hierarchical regression analyses revealed caregiving appraisal had no significant impact on burnout. A higher quality of the caregiver-care …
Mental Health During The Covid-19 Pandemic In Trinidad: An Analysis Of Depression, Anxiety, And Stress Among Essential Workers, Bernadette Marson, Gerard A. Hutchinson
Mental Health During The Covid-19 Pandemic In Trinidad: An Analysis Of Depression, Anxiety, And Stress Among Essential Workers, Bernadette Marson, Gerard A. Hutchinson
Journal of Social, Behavioral, and Health Sciences
Research shows that some essential workers, such as healthcare workers, social workers, and first responders (including police officers, paramedics, and firefighters), are at greater risk for developing both short- and long-term mental health problems (Berger et al., 2012; Canady, 2022; Grey et al., 2020; Haugen et al., 2012; Mohamed et al., 2022; Petrie et al., 2018). The most prevalent of these include anxiety, depression, and stress, as well as other social and cognitive problems—with stress causing harmful effects on mental health and potentially resulting in anxiety and depression, which may then disrupt an individual’s social relationships, family life, and work. …
Effects Of The Covid-19 Vaccine Mandate On Healthcare Workers’ Decisions To Refuse Vaccination And Quit Their Jobs From Canadian Hospitals, Henry Bwang Ewane
Effects Of The Covid-19 Vaccine Mandate On Healthcare Workers’ Decisions To Refuse Vaccination And Quit Their Jobs From Canadian Hospitals, Henry Bwang Ewane
Walden Dissertations and Doctoral Studies
COVID-19 vaccine uptake and compliance implementation challenges exist among some Canadian healthcare workers (HCWs), including hospital administrators, despite free vaccination as a preventive measure to control the spread. Earlier studies have examined COVID-19 vaccine hesitancy and refusal among Canadian HCWs, but not how the -19 vaccine and vaccine mandates may have influenced their decisions to refuse vaccination and quit their jobs. This qualitative phenomenological study involved exploring how Canadian hospital HCWs’ lived experiences with the COVID-19 vaccine and vaccine mandates affected their decisions to refuse COVID-19 vaccination and quit their jobs. The theory of reasoned action was used to guide …
Type D Personality, Stressful Lifestyle, Coping Styles, And Social Support In Military Undergraduates, Thomas Richard Rabon
Type D Personality, Stressful Lifestyle, Coping Styles, And Social Support In Military Undergraduates, Thomas Richard Rabon
Walden Dissertations and Doctoral Studies
Type D personality, characterized by negative affectivity and social inhibition, has been shown to predict the prognosis of patients with heart disease. Type D personality has also been shown to have health-compromising effects on patients with other diseases and on the physical and psychological health of otherwise healthy individuals in the general population. The purpose of this study was to examine the extent to which a problem-focused coping, emotion-focused coping, dysfunctional or maladaptive coping, perceived stressful lifestyle, and perceived level of social support predict Type D personality in 203 individuals who maintain the dual roles of an active-duty enlisted member …
Behavioral Health Care Leaders Initiatives And Challenges Faced When Combating Homelessness After Covid-19, Alimatu Sadia Nuhu
Behavioral Health Care Leaders Initiatives And Challenges Faced When Combating Homelessness After Covid-19, Alimatu Sadia Nuhu
Walden Dissertations and Doctoral Studies
This qualitative study was an investigation of the initiatives and challenges faced by behavioral health leaders at Organization X, the largest behavioral health organization in the Southcentral United States, in combating post-COVID-19 homelessness. With a focus on the organization’s housing and homelessness division, the study was an exploration of the dynamic landscape of behavioral health in the pandemic’s aftermath. Primary data were gathered through semistructured interviews with key organizational leaders, complemented by secondary data from Organization X’s website, literature, and testimonials. Thematic analysis revealed interconnected themes, emphasizing the holistic nature of addressing homelessness. The digital aspect emerged as crucial, highlighting …
A Staff Education Program On Managing Covid-19 In A Correctional Setting, Mary Catherine Knight
A Staff Education Program On Managing Covid-19 In A Correctional Setting, Mary Catherine Knight
Walden Dissertations and Doctoral Studies
The medical departments of many correctional facilities were unprepared to manage the COVID-19 pandemic. The practice problem identified for this doctorate of nursing practice (DNP) project was the lack of knowledge of health staff on managing incarcerated individuals' care during a pandemic. The primary purpose of the project was to develop, implement, and evaluate a staff education program on evidence-based interventions for preventing and managing a pandemic in a correctional facility. This project was guided by David Kolb's experiential learning theory and the analysis, design, development, implementation, and evaluation (ADDIE) model. The practice setting was a local detention center in …
The Influence Of Individual Characteristics On Human Immunodeficiency Virus Testing In Puerto Rico, Jose Au Lay
The Influence Of Individual Characteristics On Human Immunodeficiency Virus Testing In Puerto Rico, Jose Au Lay
Walden Dissertations and Doctoral Studies
In 2016, there were 17,072 people living with HIV in Puerto Rico. Most HIV cases were among men, with the primary mode of transmission identified as men who have sex with other men followed by heterosexual contact. Among women, heterosexual contact was the primary mode of HIV transmission. The rise in the numbers of individuals infected with HIV through heterosexual contact suggest the prevalence of high-risk sexual behaviors including multiple sexual partners and unprotected vaginal and anal sex. Guided by the health belief model, the purpose of this study was to explore the relationship between the likelihood of HIV testing …
The Impact Of The Covid-19 Pandemic On Depression And Anxiety Among Idaho Adults, Melissa Marie Henbest
The Impact Of The Covid-19 Pandemic On Depression And Anxiety Among Idaho Adults, Melissa Marie Henbest
Walden Dissertations and Doctoral Studies
Research indicates that the COVID-19 pandemic had negative repercussions on the mental health of U.S. citizens. The purpose of this study was to explore the impact the COVID-19 pandemic had on depression and anxiety on a population aged 18 years and older. Using a quantitative correlational repeated design, archival data were analyzed to evaluate the change in depression (as measured using the Patient Health Questionnaire-9) and anxiety (as measured using the Generalized Anxiety Disorder-7 [GAD-7]) indices from a non-pandemic year (2019) to the 1st pandemic year (2020) among patients of an outpatient community health care center. The study took into …
Impact Of Covid-19 On Hospital Expenses Of Diabetes And Obesity Patients In Rural Eastern North Carolina, Courtney Battle-Bradley
Impact Of Covid-19 On Hospital Expenses Of Diabetes And Obesity Patients In Rural Eastern North Carolina, Courtney Battle-Bradley
Walden Dissertations and Doctoral Studies
Multiple chronic conditions have caused a significant increase in hospital expenses. Diabetes and obesity have been identified as variables that negatively impact patient outcomes, but hospital expenses for diabetes and obesity patients who had and did not have COVID-19 had not been explored. The purpose of this quantitative correlational study was to compare the difference in hospital expenses, if any, of diabetes and obesity patients with and without COVID-19 at a North Carolina rural health care center. The study’s design was a correlational analysis using simple linear regression guided by Andersen’s behavioral model of health service utilization. The dependent variable …
Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers
Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers
Walden Dissertations and Doctoral Studies
An argument can be made for the continued existence of Federally Qualified Health Centers (FQHCs) because of the level of importance of the service they provide to society. The problem addressed in this research is that despite the millions of people in need of affordable health care, the leaders of many FQHCs are fighting to keep facilities open amidst financial struggles. The purpose of this research was to identify leadership characteristics that promote FQHCs’ success by assessing effective leadership styles. This study applied a quantitative, descriptive non-experimental approach. Probability sampling was used to select the sample size and the Multifactor …
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Walden Dissertations and Doctoral Studies
HIV/AIDS infection, which originally was a fatal disease, is now a treatable, chronic disease with which people can live to reach 70 years of age or older if they comply with treatment. HIV treatment requires adherence to medications, but there is a lack of evidence on therapeutic adherence among older adults in Puerto Rico. The purpose of this descriptive phenomenology study, guided by the health belief model, was to provide a better understanding of HIV therapy adherence among older adults living in Puerto Rico. Semi structured interviews were conducted with 10 HIV-positive adults aged 65 years or older who were …
Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan
Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan
Walden Dissertations and Doctoral Studies
Malaria-induced child mortality is a Sub-Saharan African phenomenon, and Côte d'Ivoire, in West Africa, has one of the highest rates. This general qualitative study investigates waste management as a potential factor of malaria-induced child mortality to inform policy changes and fill a gap in the body of knowledge. The study is grounded in Skocpol's policy feedback theoretical framework. The research question explored aspects of waste management in Côte d'Ivoire which contribute to the high rate of malaria-induced child mortality. Eighteen participants, equally divided into three groups, were purposely recruited via email and WhatsApp messages for semi-structured interviews using a smartphone …
Psychological Impact Of Ebola Disease On Survivors: A West Africa Study, Babatunde Moses Irinoye
Psychological Impact Of Ebola Disease On Survivors: A West Africa Study, Babatunde Moses Irinoye
Walden Dissertations and Doctoral Studies
Survivors of Ebola virus disease often experience social isolation. Understanding the psychological impact of Ebola virus disease on these survivors was the focus of this study. The study encompasses assessment of experiences in re-integration back into communities, and psychological implications (post-recovery), among Ebola infection survivors (EIS) in Republic of Liberia. The purpose of the study was to explore the psychological impact of Ebola as the EIS continue their re-integration journey in their communities in Liberia. The conceptual framework for this study was based on principles of system theory, based on interrelatedness of the biopsychological experience of the EIS, and the …
Medicaid Coverage As A Critical Component In Care Coordination And Continuity In Health Care Access During Reentry For Justice-Involved Individuals In Maryland, Bernard Bendenkaga Alenda
Medicaid Coverage As A Critical Component In Care Coordination And Continuity In Health Care Access During Reentry For Justice-Involved Individuals In Maryland, Bernard Bendenkaga Alenda
Walden Dissertations and Doctoral Studies
Incarcerated individuals in the United States have a high disease burden. Moreover, most of them are released from incarceration without health coverage. The problem is that most incarcerated people in Maryland return to the community from incarceration without health coverage and cannot access health care. The purpose of this qualitative study was to understand how Medicaid enrollment staff and managers of the Medicaid program perceive the experiences and challenges of justice-involved individuals in navigating the Medicaid system in Maryland. The study was grounded in the behavioral model for vulnerable populations. The main research question aimed at understanding how the enrollment …
Experiences Of Black Males With Generalized Anxiety Disorder During The Covid-19 Pandemic, Cynthia Lynn Williams
Experiences Of Black Males With Generalized Anxiety Disorder During The Covid-19 Pandemic, Cynthia Lynn Williams
Walden Dissertations and Doctoral Studies
This qualitative research dissertation involved exploring the intersection of race, gender, and mental health via lived experiences of Black males who were diagnosed with generalized anxiety disorder during the COVID-19 pandemic to provide a comprehensive understanding of how the unique sociocultural context of the pandemic influenced their experiences with anxiety. Using a qualitative Interpretive Phenomenological Analysis research design and semi-structured interviews with a diverse sample of seven Black males living in various regions of the United States the interviews involved their personal experiences, coping mechanisms, and perceptions of societal and systemic factors that affected their mental health during the pandemic. …
The Experiences Of Icu Nurses Caring For Covid-19 Patients In Zambia, Mable Kasonde Mwila
The Experiences Of Icu Nurses Caring For Covid-19 Patients In Zambia, Mable Kasonde Mwila
Walden Dissertations and Doctoral Studies
The purpose of this research was to explore the experiences of ICU nurses caring for COVID-19 patients in Zambia. The problem was lack of knowledge on what intensive care unit nurses experienced while caring for COVID patients then to investigate the experiences of ICU nurses taking care of COVID patients in Lusaka, Zambia. Using Sister Callista Roy’s nursing adaptation model as a conceptual framework, the qualitative interpretative phenomenology approach was used to interview 14 participants in two hospitals in Zambia. MAXQDA software was used to organize data to develop codes and derive six themes, which were education, emotional and psychological …
East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo
East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo
Walden Dissertations and Doctoral Studies
East African refugee women arrive as a vulnerable population in their host country. Before coming to the United States, refugee women may have experienced varying levels of trauma due to civil wars, genocide, sexual assault, deaths of loved ones, terrorist attacks, being taken hostage, and torture in their home country. The purpose of this generic qualitative study was to explore the experiences of refugee women from East African countries seeking health care in the Central United States when government assistance ends. The framework of the behavioral model of health was the guide for examining the experiences of the participant refugee …
Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During Covid-19 Pandemic, Philip Ndoki Ndoki
Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During Covid-19 Pandemic, Philip Ndoki Ndoki
Walden Dissertations and Doctoral Studies
This study was an investigation of how disability status, types, sociodemographic indicators, and reasons for not receiving vaccinations influenced COVID-19 vaccination rates among individuals with disabilities in the United States. Despite efforts, vaccination disparities persisted, necessitating an understanding of barriers to uptake. Using intersectionality theory and the social determinants of health framework, this study examined the impact of marginalized identities and structural inequalities. Key questions included the association between disability status and vaccination uptake, differences among disability types moderated by sociodemographic factors, and the interaction between disability status and reasons for not vaccinating. Household Pulse Survey data from the US …
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Walden Dissertations and Doctoral Studies
Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Walden Dissertations and Doctoral Studies
Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …
Strategies For Evaluating Training For Field Engineers In The Aerospace And Defense Industry, Nathan D. Johnson
Strategies For Evaluating Training For Field Engineers In The Aerospace And Defense Industry, Nathan D. Johnson
Walden Dissertations and Doctoral Studies
Inefficient training strategies are just one of the many challenges field engineer managers face in the aerospace and defense industry. Aerospace and defense managers and customers are concerned because inefficient training strategies for field engineers impact how well they can effectively contribute to organizational and customer mission success in operations around the globe. Grounded in the Kirkpatrick model, the purpose of this qualitative pragmatic inquiry was to explore strategies aerospace and defense managers use to evaluate field engineer training programs. The participants were five aerospace and defense managers who successfully implemented training evaluation strategies. Data were collected from semistructured interviews …
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
Walden Dissertations and Doctoral Studies
In nursing education, both preregistration and continuing professional development, there is an absence of information about the specific needs of transgender people. The practicum site observed that education on the needs of the transgender community was lacking, discussing a discrepancy in the information offered and the scant attention paid to the unique requirements of transgender individuals. The goal of this project was to create a program that would raise staff members’ understanding of the exceptional health care requirements of the transgender population by providing them with an evidence-based assessment screening tool and training on transgender health care for nurses. The …
Strategies For Evaluating Training For Field Engineers In The Aerospace And Defense Industry, Nathan D. Johnson
Strategies For Evaluating Training For Field Engineers In The Aerospace And Defense Industry, Nathan D. Johnson
Walden Dissertations and Doctoral Studies
Inefficient training strategies are just one of the many challenges field engineer managers face in the aerospace and defense industry. Aerospace and defense managers and customers are concerned because inefficient training strategies for field engineers impact how well they can effectively contribute to organizational and customer mission success in operations around the globe. Grounded in the Kirkpatrick model, the purpose of this qualitative pragmatic inquiry was to explore strategies aerospace and defense managers use to evaluate field engineer training programs. The participants were five aerospace and defense managers who successfully implemented training evaluation strategies. Data were collected from semistructured interviews …
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
Walden Dissertations and Doctoral Studies
In nursing education, both preregistration and continuing professional development, there is an absence of information about the specific needs of transgender people. The practicum site observed that education on the needs of the transgender community was lacking, discussing a discrepancy in the information offered and the scant attention paid to the unique requirements of transgender individuals. The goal of this project was to create a program that would raise staff members’ understanding of the exceptional health care requirements of the transgender population by providing them with an evidence-based assessment screening tool and training on transgender health care for nurses. The …
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
Walden Dissertations and Doctoral Studies
Depression and fibromyalgia can often exacerbate each other and are known to be bidirectional disorders. Chronic pain from fibromyalgia often leads to depression, and depression can cause pain to become worse and affect the nervous system, causing pain. The purpose of this quantitative, binary logistic regression study is to determine if there is an association between mental health and fibromyalgia in African Americans while controlling for cardiovascular disease, chronic kidney disease, arthritis, education level (ie. Some high school, high school graduate, some college or higher), diet, poverty-income-ratio, PIR, diabetes, gender, and age. The socio-ecological model included in this cross-sectional study …