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Exploring The Perception Of Patients, Providers, And Healthcare Leaders Of The 15-20 Minute Primary Care Visit, Zuhur Hassan Ahmed Jan 2023

Exploring The Perception Of Patients, Providers, And Healthcare Leaders Of The 15-20 Minute Primary Care Visit, Zuhur Hassan Ahmed

Walden Dissertations and Doctoral Studies

While primary care plays a vital role in health maintenance and disease prevention, patients’ visits with primary care providers (PCP) are only 15-20 minutes on average. This visit length does not leave ample time for holistic care for patients with low socioeconomic backgrounds, who might also have psychosocial issues alongside their chronic conditions. Employing a qualitative multiple case study research design, this study explored participants' perceptions about the 15–20-minute visit duration with PCPs. Guided by the triple aim framework of improving patient healthcare outcomes, patient satisfaction with care, and cost of care per capita, this study answered the research question …

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Special Educators’ Experiences With Professional Development And Implementation Support In Using Digital Social Stories For Students With Autism, Simbi Mignon Animashaun Jan 2023

Special Educators’ Experiences With Professional Development And Implementation Support In Using Digital Social Stories For Students With Autism, Simbi Mignon Animashaun

Walden Dissertations and Doctoral Studies

Students with autism need social skills to succeed academically, which can be fostered with the use of digital social stories (DSSs). While many special educators are expected to use DSSs to teach social skills because of increased elementary autism diagnoses, a significant number of DSS users are unprepared. The problem addressed in this qualitative project study was that special educators were not receiving adequate professional development and implementation support to use DSSs to teach autism-related social skills. The purpose of this research was to explore the special educators’ experiences with professional development and implementation support. The concerns-based adoption model and …

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U.S. Senate And House Perspectives On Missile Defense Systems Opposed By Russia And China, Constance Valarie Baroudos Jan 2023

U.S. Senate And House Perspectives On Missile Defense Systems Opposed By Russia And China, Constance Valarie Baroudos

Walden Dissertations and Doctoral Studies

The United States and its allies and partners have deployed three missile defense systems to protect against Iranian and North Korean missile threats: the European Phased Adaptive Approach, Terminal High Altitude Area Defense, and Ground-based Missile Defense. Russia and China oppose these systems because they view them as undermining their strategic interests. The purpose of the present study was to better understand the perspectives of Senate and House Armed Services Committee HASC members about the three missile defense systems in congressional hearings. The three models of the congressional behavior model, the preference, simple party, and asymmetric categories, and neorealism and …

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The Lived Experiences Of Civilian Review Board Members, Vereen Charmaine Barton Jan 2023

The Lived Experiences Of Civilian Review Board Members, Vereen Charmaine Barton

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this transcendental phenomenological research was to describe the lived experiences of investigative civilian review board (CRB) members. The central research question of the study examined the lived experiences of investigative civilian review board members as it related to recruitment and selection, training, and support. Eight participants from two CRBs in the Northeast and Midwest formed a random sample of six females and two males. Three data collection instruments were used in this research (in-depth interviews, writing prompts, and personal narratives) to elicit information. The instruments were designed to prompt information about CRB members' experiences based on the …

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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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Experiences Of Non-Tenured African American Female Nursing Faculty At Predominately White Institutions, Allison R. Bethune Jan 2023

Experiences Of Non-Tenured African American Female Nursing Faculty At Predominately White Institutions, Allison R. Bethune

Walden Dissertations and Doctoral Studies

The proportionally fewer female African American nursing faculty at predominately White institutions (PWIs) have frequently reported adverse employment conditions in academia. The faculty within nursing schools at PWIs does not reflect society’s diversity. The problem addressed through this study is the low number of female African American nursing faculty in PWIs. The purpose of this basic qualitative study was to examine the experiences of non-tenured female African American nursing faculty at PWIs. The conceptual framework that informed this study is Crenshaw’s intersectionality. The research question addressed the experiences of non-tenured female African American nursing faculty at PWIs. Six non-tenured female …

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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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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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Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt Jan 2023

Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt

Walden Dissertations and Doctoral Studies

Endometriosis is an incurable chronic illness impacting 190 million women worldwide. Despite the prevalence of this painful disease, research addressing how it affects Black women in the United States was limited. Research addressing this phenomenon during the COVID-19 pandemic was further limited. The purpose of this qualitative study employing an interpretative phenomenological analysis was to understand the mental health of Black women with endometriosis-related symptoms during the COVID-19 pandemic and how having the illness during the pandemic might have impacted individuals in this population. The strong Black woman schema and biopsychosocial model were the theoretical foundations for the study. Data …

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The Role Of Mistrust In African American Organ Donation, Gina M. Williams Jan 2023

The Role Of Mistrust In African American Organ Donation, Gina M. Williams

Walden Dissertations and Doctoral Studies

AbstractAfrican Americans (AAs) who suffer from life-threatening organ failure often need an organ transplant to sustain or to improve their quality of life. The shortage of donor organs, and AAs willing to become organ donors, limits the number of organs available for transplant. The purpose of this study was to understand the lived experience of AAs regarding the role of mistrust and to understand its influence on their organ donation decision-making. Social cognitive theory guided this qualitative descriptive phenomenological study designed to gain an understanding of the lived experiences of the AAs related to the role of mistrust in their …

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Strategies To Improve Nonprofit Governance To Increase Donations, Charmaine Nicola Williams Tate Jan 2023

Strategies To Improve Nonprofit Governance To Increase Donations, Charmaine Nicola Williams Tate

Walden Dissertations and Doctoral Studies

AbstractThe leaders of nonprofit organizations rely on donors to achieve the organization’s mission, and governance practices are a key contributor to donor confidence and positive donor behavior. Some nonprofit leaders lack effective strategies to improve governance processes and encourage donor confidence to increase donations. Grounded in resource dependence theory, the purpose of this qualitative single case study was to explore strategies that nonprofit leaders use to improve governance processes and encourage donor confidence to increase levels of donations. The participants comprised four senior executive members of a donor-amalgamation nonprofit organization in the Midwestern United States. Data were collected from semistructured …

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Financial Sustainability Strategies Used By Small Retail Business Owners, Doreen Albert Jan 2023

Financial Sustainability Strategies Used By Small Retail Business Owners, Doreen Albert

Walden Dissertations and Doctoral Studies

AbstractSmall retail business owners who lack an understanding of proper financial sustainability strategies often struggle with business success. Grounded in resource-based based view theory, the purpose of this qualitative multiple-case study was to explore the financial sustainability strategies some small retail business owners used to sustain their businesses for the first 5 years or longer. The participants consisted of five small retail business owners in New York. The data were collected using six semistructured interview questions and cash flow statements. A thematic analysis was used to analyze the data in which four themes emerged: (a) human capital, (b) professional consultancy, …

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Differences In High School Student Athlete Perceptions Of Coach Leadership Behaviors, Clarissa Adams Jan 2023

Differences In High School Student Athlete Perceptions Of Coach Leadership Behaviors, Clarissa Adams

Walden Dissertations and Doctoral Studies

The dynamics between athletic coaches and their players have been widely studied with leadership as the focus. The problem was that there is limited literature on the differences in perceptions of high school student athletes regarding their coach’s leadership behaviors. The purpose of this group comparison study was to examine the differences in student athletes’ perceptions of their coach’s leadership behavior as measured by the Revised Leadership Scale for Sports scores between freshman, junior varsity, and varsity high school student athletes. Chelladurai’s multidimensional model of leadership was the theoretical foundation for this study. The invitation to the study with a …

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Achieving An Organizational Culture To Increase Female Leadership In Technology Organizations, Kikelomo Lina Awodogan Jan 2023

Achieving An Organizational Culture To Increase Female Leadership In Technology Organizations, Kikelomo Lina Awodogan

Walden Dissertations and Doctoral Studies

The nonexistence of organizational culture to increase female leadership in technology organizations impacts organizations’ performance. Leaders of technology organizations who do not create an organizational culture to increase female leadership may experience innovation gaps reducing their competitive advantage. Grounded in the gendered organization theory, the purpose of this multiple case study was to explore strategies that leaders of technology organizations use to create a culture-friendly environment and adequate support that allows women to occupy leadership positions for improving business performance. The participants were three technology leaders located in the United States. Data were collected via semistructured interviews and publicly available …

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Employees’ Engagement Experiences In Private-Sector Companies In Urban Jamaica, Colleen Rose-Marie Bancroft Jan 2023

Employees’ Engagement Experiences In Private-Sector Companies In Urban Jamaica, Colleen Rose-Marie Bancroft

Walden Dissertations and Doctoral Studies

Marginal and fluctuating employee engagement levels continue to be a concern among organizations, evidenced by the quest for dynamic solutions and the investigative work observed in the literature. The purpose of this study was to understand the meaning of engagement for employees working in two urban, private-sector companies in Jamaica. A qualitative approach, with a hermeneutic phenomenological design was used to complete the study using the lens of self-efficacy theory. Semistructured interviews were conducted via Zoom with 12 employees and their engagement experiences were analyzed. The results indicate that organizational systems, working conditions, and shared values (organizational and national culture) …

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Moral Foundations For Political Party Preference Among Residents Of Politically Polarized U.S. Cities, Antoine Lee Barton Jan 2023

Moral Foundations For Political Party Preference Among Residents Of Politically Polarized U.S. Cities, Antoine Lee Barton

Walden Dissertations and Doctoral Studies

Excessive polarization, partisanship, and animosity can promote legislative gridlock in the American political electorate and can have a negative impact on democracy. The purpose of this qualitative study was to obtain a greater understanding of the moral foundations used by residents in polarized cities to determine political party preferences. Haidt and Graham’s moral foundations theory and Janis’s groupthink theory provided the conceptual framework. Secondary data consisting of open-ended responses from the 2020 American National Election Studies time series study were used. Secondary data were collected regarding likes and dislikes about the two major political parties (Democrat and Republican) from respondents …

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American Women's Motivations To Join Overseas Terrorist Groups, Zuri Sushil Birla Jan 2023

American Women's Motivations To Join Overseas Terrorist Groups, Zuri Sushil Birla

Walden Dissertations and Doctoral Studies

An increasing number of American women are actively engaging in overseas terrorist organizations and networks. Their motives, though, are little understood by researchers, although familial relationships and other associations, gender roles, and social media propaganda may play a role. The purpose of this qualitative narrative case study was to better understand the motives, decision-making, and behaviors of radicalized American women. The theoretical framework was social behavior theory and the research design, narrative case study based on Maslow’s Hierarchy of Needs and Motivation. The research question addressed American women’s immersion into terrorism through social media outlets and familial partnerships that emphasize …

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Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite Jan 2023

Structural Empowerment Of Nurse Leaders In New York State During The Covid-19 Pandemic, Tracey Braithwaite

Walden Dissertations and Doctoral Studies

The current phenomenological study explored the lived experience of Acting Chief Nursing Officers, Chief Nursing Officers, Chief Nursing Executives (henceforth CNOs) at hospitals in New York State who were charged with responding to executive orders while maintaining quality of patient care despite staffing constraints, inadequate supplies, or lack of additional support for the duties associated with their role. Their experience of structural empowerment in relation to the COVID-19 pandemic was also studied. The theoretical framework was Kanter’s theory of structural empowerment that addressed organizational behavior in the context of employee empowerment. The research question addressed how the CNOs perceived their …

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The Perceived Effectiveness And Evolution Of First-Semester Nursing Students’ Studying Methods, Elizabeth Brown Jan 2023

The Perceived Effectiveness And Evolution Of First-Semester Nursing Students’ Studying Methods, Elizabeth Brown

Walden Dissertations and Doctoral Studies

Little research has been done to identify the study strategies used by nursing students during their first nursing classes despite studies indicating they have poor study skills, making the nursing program challenging and causing many of the students to decide to leave after their first semester. The purpose of this qualitative study was to improve the understanding of registered nursing students’ study strategies during their first semester of nursing classes. Winne and Hadwin’s self-regulated learning model was used as the conceptual framework to answer the research questions about students’ study strategies during their first semester of nursing classes, how they …

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Administrative Use Of Prior Review In High School Journalism Programs, Pedro J. Cabrera Jan 2023

Administrative Use Of Prior Review In High School Journalism Programs, Pedro J. Cabrera

Walden Dissertations and Doctoral Studies

In Hazelwood v. Kuhlmeier (1988), the U.S. Supreme Court established that school administrators have the right to review, change, or remove student-created media if the school sponsors it and if the school administrator has a “legitimate pedagogical interest,” which has been inconsistent across high school student-created media in a metro area of a southern region in a southwestern state. Because of the vagueness, the administration can review, change, or remove student-created media based on personal social, cultural, ethical, or political beliefs. The purpose of this basic qualitative research was to examine how campus administrators determined “legitimate pedagogical interest.” Gatekeeping theory …

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Perceived Barriers To Obtaining Health Insurance For African American Males Living In Arkansas, Tangelia Clary-Marshall Jan 2023

Perceived Barriers To Obtaining Health Insurance For African American Males Living In Arkansas, Tangelia Clary-Marshall

Walden Dissertations and Doctoral Studies

Despite the implementation of the Affordable Care Act (ACA) in 2010 and Medicaid expansion, many African American males between the ages of 18 and 64 remain uninsured. Lack of health coverage negatively impacts the economy, communities, and the lives of those who lack health insurance. Hospitals and health care providers are left unpaid when uninsured individuals cannot afford to pay for the healthcare. The purpose of this qualitative study was to discover whether barriers existed for uninsured African American males between the ages of 18 and 64 face in obtaining health insurance coverage, with a goal of influencing public policy …

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Understanding Law Enforcement Counterterrorism Information Sharing In Homegrown Violent Extremism Cases, Danielle Corry Jan 2023

Understanding Law Enforcement Counterterrorism Information Sharing In Homegrown Violent Extremism Cases, Danielle Corry

Walden Dissertations and Doctoral Studies

Local law enforcement agencies are charged with the responsibility to prevent terrorist events in the United States, including the emerging threat of homegrown violent extremism. Without the use of the terrorism prevention tool of information sharing, with other applicable state and federal law enforcement agencies, there continues to be a breakdown in the ability to prevent terrorist events, especially those associated with homegrown violent extremists, in the United States. This qualitative case study explores the information sharing process in law enforcement agencies by examining the recent Boston Marathon Bombing in Boston, Massachusetts that occurred in 2013. Five themes emerged from …

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The Effect Of Crime Drama Viewing Habits And Technology On Potential Jurors, Erin Marie Cosenza Jan 2023

The Effect Of Crime Drama Viewing Habits And Technology On Potential Jurors, Erin Marie Cosenza

Walden Dissertations and Doctoral Studies

Proponents of the “CSI effect” argue that viewers of fictional crime drama television programs are inappropriately influenced and have heightened expectations for the presentation of forensic evidence during jury trials and therefore cause jurors to incorrectly weigh the importance of the evidence on the outcome of the trial. Television programs make measurable contributions to viewers’ perceptions of reality and cultivate the way people learn about the world. Cultivation theory suggests that the ability to use critical thinking is inhibited in discerning truth from glamorized portrayals of evidence collection, analyses, and the timeframe with which criminal investigation storylines are concluded. The …

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Strategies For Clinical Managers To Reduce Nosocomial Infections, Samisha Lynn Davis Jan 2023

Strategies For Clinical Managers To Reduce Nosocomial Infections, Samisha Lynn Davis

Walden Dissertations and Doctoral Studies

Increasing nosocomial infection rates threaten patient safety when approximately 100 million patients annually acquire at least one nosocomial infection during their hospital stay. Some clinical managers lack strategies to reduce the incidence and costs of nosocomial infections. Clinical managers need training in proactive infection control guidelines that may reduce infection rates and increase profitability. Grounded in adaptive leadership theory, the purpose of this qualitative multiple case study was to explore successful strategies that clinical managers used to reduce incidence and costs associated with nosocomial infections. The participants were four clinical managers employed by health care organizations in the Southeast Texas …

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A Community-Based Distribution Intervention For Family Planning Among Women In Northern Nigeria, Joy Matau Garba Jan 2023

A Community-Based Distribution Intervention For Family Planning Among Women In Northern Nigeria, Joy Matau Garba

Walden Dissertations and Doctoral Studies

In Northern Nigeria, inadequate information on family planning contributes to high mortality and morbidity rates in women of reproductive age due to multiple childbirths yearly. This study aimed to examine the relationship between the community-based distribution (CBD) strategy, religion, and attitudes toward family planning methods. Rosenstock’s health belief model, which can be an instrumental anchor for health promotion programs, was the theoretical framework for the quantitative cross-sectional study design. The data source was survey questionnaires administered by the U.S. Agency for International Development to 809 reproductive-age Nigerian women after implementing a CBD intervention. A multinomial logistics regression analysis showed that …

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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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Relationships Between Racial Diversity Of Counties And Police Departments And Disproportionate Minority Contact At The Referral-Level In The State Of Georgia, Jacquelyn D. Johnson Jan 2023

Relationships Between Racial Diversity Of Counties And Police Departments And Disproportionate Minority Contact At The Referral-Level In The State Of Georgia, Jacquelyn D. Johnson

Walden Dissertations and Doctoral Studies

The existence of disproportionate minority contact (DMC) is a serious problem throughout the juvenile justice systems in every state in the United States. The DMC phenomenon is well documented in the 159 counties in the State of Georgia juvenile justice system. Although numerous researchers have investigated the role of county-level variables in the creation of these racial disparities, these researchers have not discovered any explanations for differences in outcomes from one county to another county within the same state based on the diversity of the county population or police departments in each county. The purpose of this quantitative study was …

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Comparing Motivation And Ambition Between Adolescent Mothers And Child-Free Women, Deirdre Lynn Jones Lowman Jan 2023

Comparing Motivation And Ambition Between Adolescent Mothers And Child-Free Women, Deirdre Lynn Jones Lowman

Walden Dissertations and Doctoral Studies

Recent studies have concluded that adolescent pregnancy and subsequent motherhood can contribute to mental health stressors, acting as potential barriers to ambition and motivation. Researchers have explored motivation and ambition; however, there is little or no research comparing motivation and ambition between adolescent mothers and child-free women. The purpose of this casual-comparative study was to compare motivation levels and ambition values between adolescent mothers, age 18-24, and women of the same age range who are child-free. Deci and Ryan's self-determination theory as the theoretical lens, and the Intrinsic Motivation Inventory and Aspirations Index, were used as data collection instruments. Recruitment …

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Disenfranchisement Laws Affecting Voting Rights Of Black Americans In Mississippi, April Masha Jones Jan 2023

Disenfranchisement Laws Affecting Voting Rights Of Black Americans In Mississippi, April Masha Jones

Walden Dissertations and Doctoral Studies

From Black individuals being enslaved and freed to being incarcerated in modern-day society more frequently than White individuals, the desire to have a voice in the decision-making process has been challenging. Black voters in Mississippi may be underrepresented because of felony disenfranchisement laws. The purpose of this general qualitative study was to examine the lived experiences of Black Mississippians about felony disenfranchisement laws and voting rights. The first research question addressed perceptions of Black Americans in Mississippi regarding the felony disenfranchisement laws. The second research question addressed the experiences related to any political implications among the electorate in Mississippi. The …

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Stories Of Sacred Healing In Adults Through The Covid-19 Pandemic, Kimberly D. Key Jan 2023

Stories Of Sacred Healing In Adults Through The Covid-19 Pandemic, Kimberly D. Key

Walden Dissertations and Doctoral Studies

The intersection of sacred healing and medicine was pronounced during the COVID-19 pandemic as researchers found that physicians experienced more difficulty during medical encounters when they did not understand and collaborate with patients’ sacred healing beliefs. As such, the purpose of this narrative qualitative study was to gain an understanding of people’s descriptions of sacred healing by asking participants to share their sacred healing stories at different stages of the COVID-19 pandemic. Antonovsky’s salutogenic model was selected as the theoretical framework, as it described people with a higher sense of coherence tend to have higher health outcomes in the face …

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