Digital Commons Network^™

Safety Planning: Self-Management Approaches For Intimate Partner Violence In Ohio, Yvette Clemons

Walden Dissertations and Doctoral Studies

AbstractIntimate partner violence (IPV) is a global health education and promotion burden that has affected one in four women in the United States between the ages of 18-24, who are at increased risk of subsequent negative health outcomes of sexually transmitted inflections, mental health and substance abuse disorders, exacerbated suicidal ideations, and death. Exploring the health education needs and learning preferences of women affected by IPV who have utilized self-management strategies during safety planning interventions was the purpose for this phenomenological qualitative study and aligned the four research questions. SurveyMonkey was used to conduct interviews of 30 women align with …

Language Acculturation Effect On Diabetes Prevalence And Self-Care Skills In Puerto Ricans, Gerardo Lazaro

Walden Dissertations and Doctoral Studies

Diabetes, a silent, chronic disease that involves demanding long-term self-care skills, affects adult Puerto Ricans disproportionately. Based on the health belief model, a theory that predicts health behavior, and the theory of language barriers, which predicts the effects of language on beliefs and behavior, this quantitative nonexperimental study analyzed the relationship of the preference of Puerto Ricans in Boston to use and speak Spanish (language acculturation) to diabetes prevalence and 4 diabetes self-care skills (healthy eating, being active, taking medication, and healthy coping). Data on 1,506 initial participants in the Boston Puerto Rican Health Study were used from 3 study …

Social Determinants Of Type 2 Diabetes And Health In Caribbean Women, Kathleen Tuitt

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a pressing public health issue for women in the Caribbean. The purpose of this study was to examine the prevalence of prediabetes, overweight/obesity, and Type 2 diabetes and the predictive relationship of social determinants, weight status, physical activity, and race/ethnicity on Type 2 diabetes diagnosis of women in Puerto Rico and the U.S. Virgin Islands. Further research was needed to understand why Caribbean women are at such high risk for Type 2 diabetes and obesity. A quantitative, nonexperimental design, involving the analysis of secondary data published by the Behavioral Risk Factor Surveillance System at the Centers …

Lived Experiences Of Nurse Faculty Teaching Patient Safety Risks From Smartphone Distractions, Nicole Irene Helstowski

Walden Dissertations and Doctoral Studies

Smartphone distractions frequently occur in healthcare, disrupting nurses’ provision of patient care and threatening patient safety. To ensure safe care for patients, nurse faculty must prepare prelicensure nursing students with the knowledge, skills, and behaviors that they need to mitigate patient safety risks. A lack of research regarding how nurse faculty teach nursing students about patient safety risks from smartphone distractions was the concern for this study. The purpose of this qualitative, descriptive phenomenology study was to identify and report the lived experiences of undergraduate nurse faculty regarding teaching about patient safety risks from smartphone distractions in prelicensure nursing programs …

Faculty Perceptions Of Preparing Bachelor Of Science In Nursing-Registered Nurse Students For Primary Health Care, Gloria J. Hopkinson

Walden Dissertations and Doctoral Studies

Healthcare systems rely on nurses to provide essential healthcare services in primary healthcare settings. However, few nursing school graduates seek careers in primary healthcare (PHC). The purposes of this exploratory, qualitative study guided by the patient-centeredness theory were to explore the beliefs and attitudes of nursing faculty who teach Bachelor of Science in nursing level PHC courses, how they incorporate PHC into the nursing curriculum, and what strategies they use to promote student interest in PHC. Participants of this study included seven faculty who teach PHC courses at two universities in the Midwest. The interviews were audio recorded, transcribed, and …

Homeless Shelter Social Workers’ Lived Experiences As Providers For Older Schizophrenic Women, Joan Marcy Spencer

Walden Dissertations and Doctoral Studies

The costs of social change efforts addressing homelessness among mentally ill individuals has increased in the United States over the past 40 years. Social workers face challenges with developing or executing individualized housing and mental health plans for older homeless women with schizophrenia. The purpose of this study was to examine the lived experiences among homeless shelter social workers who help women with schizophrenia during housing and mental health support implementation. This transcendental phenomenological study was anchored with Husserl’s theoretical context of human perceptions of reality within previous subjective experiences. The research question was: When implementing mental health and housing …

Perception Of Clinic Staff On Weight Reduction Program For Young Adult Females, Ifeyinwa Cordelia Ibeanu

Walden Dissertations and Doctoral Studies

Obesity, a common disease among young people in the United States, is defined as aBMI of 30 or more. Among the most prevalent noncommunicable diseases, obesity is reported as a significant public health issue for the general population. The management of younger adults’ obesity requires advanced skills and knowledge to promote healthier lifestyles while directly addressing the factors that contribute to the condition. As a result, this project was designed to evaluate the staff perception of an evidence-based educational program on weight reduction among young adult females (ages 18-25) diagnosed with obesity at outpatient clinic in a Northeastern mid-Atlantic States. …

The Combined Impact Of Race And Education On Obesity Among U.S. Adults By Fidelis Okoye, Fidelis Chidi Okoye

Walden Dissertations and Doctoral Studies

Walden University

College of Health Professions

This is to certify that the doctoral dissertation by

Fidelis Okoye

has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made.

Review Committee Dr. Vasileios Margaritis, Committee Chairperson, Public Health Faculty Dr. Srikanta Banerjee, Committee Member, Public Health Faculty Dr. James Rohrer, University Reviewer, Public Health Faculty

Chief Academic Officer and ProvostSue Subocz, Ph.D.

Walden University2021

AbstractThe Combined Impact of Race and Education on Obesity Among U.S. Adults by Fidelis Okoye

MA, Walden University, 2009BS, Marygrove College, 2001

Dissertation …

The Use Of Vocational Services By Formerly Incarcerated Citizens Who Obtained Employment, Marianne Gonta

Walden Dissertations and Doctoral Studies

Almost 2.3 million people are incarcerated in correctional facilities across the United States. More than 95% of this population will be released to return to society at some time. People returning from prison can be at a disadvantage as they compete for work. They might be challenged by known barriers to employment, like restrictions on work opportunities and powerful stigma, resulting in a social problem. While some correctional facilities provide vocational services, 75% or more of citizens returning to U.S. communities from prison cannot obtain sustainable wage employment. Yet, it appears there is little research illuminating the pathways used by …

Nigerian Pensioners’ Knowledge, Attitudes, And Beliefs About Type 2 Diabetes, Nnawuihe Ugochukwu Nwosu

Walden Dissertations and Doctoral Studies

AbstractDiabetes is one of the leading killer diseases globally, and it is on the rise, especially in developing countries like Nigeria. The high prevalence of undiagnosed Type 2 diabetes in developing African countries has been attributed to a lack of knowledge and awareness about the disease, unbelief in modern healthcare efficacy, and limited healthcare services access. The purpose of this study was to explore the knowledge, attitudes, and beliefs about Type 2 diabetes among pensioners in Nigeria. A qualitative phenomenological research design was used for the study. The constructs of the health belief model formed the study’s theoretical framework. Data …

Nonprofit Organizations’ Program Evaluation Of Education Toward Prevention Of Teens Using Electronic Cigarettes And Vaping, Paulette Scott

Walden Dissertations and Doctoral Studies

AbstractThe pervasiveness of electronic cigarettes (e-cigarettes) and vaping among teenagers has led to a need for effective interventions to address this problem. One type of intervention that nonprofit organizations (NPOs) such as the American Lung Association (ALA) have adopted is the use of educational programs. For instance, ALA introduced an educational program referred to as Nicotine Dependence: Education, Prevention, Tobacco, and Health (INDEPTH), which acts as an alternative to suspension and citation of teens engaged in e-cigarette smoking or vaping. Despite such interventions, the use of e-cigarettes persists, suggesting the need to determine the perceived effectiveness of such programs. This …

The Pertinence Of Risk Management In Behavioral Healthcare Organizations, Mary Darden-Robinson

Walden Dissertations and Doctoral Studies

The role of risk management in healthcare settings addressing physical issues has been a focus for scholars since the 1950s. Researchers have demonstrated that effective risk mitigation in physical healthcare settings can decrease medical errors, poor patient care, and litigation. Although there has been a significant focus on the implications of risk management in these settings, there is less research related to this relationship within the context of behavioral healthcare. The purpose of this study was to explore risk-management processes in the setting of a midsized for-profit behavioral health organization on the East Coast of the United States. The Baldrige …

Strategies For Catalyzing Clinicians’ Support Of Telemedicine Programs In Rural Communities, Jonathan Liwag

Walden Dissertations and Doctoral Studies

Clinicians’ failure to accept contemporary technology has been a critical barrier to telemedicine program adoption. Staff technical challenges and resistance to change can affect technology return on investment, which concerns telemedicine program leaders. Grounded in Davis’s technology acceptance model, the purpose of this qualitative, descriptive single case study was to explore strategies used by program leaders in the Marianas Islands who successfully gained clinicians’ acceptance of contemporary technology. The participants were 5 program leaders recommended by their institution because of their leadership role and telemedicine technologies experience. Data were collected from 4 face-to-face and 1 audio teleconference interview with the …

Impact Of Single Motherhood On Child Nutrition And Health In Kgatleng District, Botswana, Mulume Seya Franklin Mwamba

Walden Dissertations and Doctoral Studies

AbstractMalnutrition affects sub-Saharan African countries with increased stunting among under-5 children. The short-and long-term effects of this stunting include the potential for slow growth in early life, impaired health, and educational and economic disadvantages in adolescent and adult years. The purpose of this quantitative cross-sectional study was to analyze the relationship between single-mother families and the occurrence of malnutrition (stunting) among under-5 children in the Kgatleng district of Botswana. Bronfenbrenner’s ecological model was applied to investigate factors that lead to stunting among these children. Primary data were collected from 196 mothers and their children who visited selected clinics in Kgatleng. …

Examining The Factors That Lead To Latinas Stopping Breastfeeding Across The United States, Dulce Ruelas

Walden Dissertations and Doctoral Studies

Breastfeeding is the optimal nutrition for an infant, yet only 25.4% of women in the United States decide to breastfeed. A Latina's choice for infant feeding must be made with accurate information as breastfeeding may reduce infant mortality and decrease chronic conditions such as obesity, depression, and diabetes. The study's purpose was to examine if Latinas are influenced by suggestions to not breastfeed by family members and health care providers or by events that may have happened at the hospital. Grounded in the theory of planned behavior, this study reviewed if social influences, marital status, and maternal education link to …

Social Determinants Of Health And Health Behaviors Of Hispanics, Suheily Valderrama

Walden Dissertations and Doctoral Studies

Mexican Americans experience higher morbidity and mortality than non-Hispanic whites, a problem known as health disparities, which is often explained by differences in social determinants of health (SDH). SDH are social and economic conditions that influence health-related behaviors. The purpose of this quantitative study was to examine the relationship between SDH (income, education, neighborhood safety, and health care access), and health behaviors (diet, sleep, and physical activity) of Hispanics. The cumulative inequality (CI) theory was used to inform this study. A secondary data analysis of 37078 Hispanic adults who completed the 2017 Behavioral Risk Factor Surveillance System survey was conducted. …

Association Between Modifiable Risk Factors And Stroke Among Hispanics, Shanice Williams

Walden Dissertations and Doctoral Studies

Stroke is a significant public health issue that impacts the health of Hispanic adults. Understanding the multiple risk factors of stroke is an essential strategy to control the disease among this population. The purpose of this study was to examine the association between modifiable risk factors and stroke among Hispanics. The public health prevention framework guided this study. The research questions were designed to determine whether an association exists between modifiable risk factors for stroke among Hispanics. A quantitative, cross-sectional research design was used to conduct secondary analysis of the pooled 2017–2019 Behavioral Risk Factor Surveillance System annual surveys. The …

Racial Disparities In Hypertension Self-Awareness And Hospitalizations For Hypertension-Related Illnesses Among Adult Arkansans, Chimfumnanya Nwanze-Smith

Walden Dissertations and Doctoral Studies

Black individuals in the United States are twice as likely as White individuals to die of cardiovascular diseases. Between 2010 and 2016 in Arkansas (AR), hypertension (HTN) and HTN-related diseases had an age-adjusted death rate of 230.4 deaths per 100,000 population compared to 173.6 deaths per 100,000 population for Whites. The purpose of this quantitative, cross-sectional study was to explore the potential association between HTN self-awareness and emergency department (ED) visits and hospitalization rates for HTN and HTN-related illnesses between Black and White individuals in AR. The socioecological framework was used to explore sociodemographic (SDF) and socioeconomic (SES) factors as …

Service-Level Factors Affecting Completion Of Antenatal Care Attendance In Uganda, Lorna Barungi Muhirwe

Walden Dissertations and Doctoral Studies

Lack of universal coverage of proven, low-cost, high-impact interventions—particularly for underserved and rural populations—remains a key reason for the high rates of maternal deaths in Uganda. Antenatal care (ANC) ensures early detection and treatment of pregnancy-related complications. Completion of recommended ANC visits remains suboptimal, particularly for rural women in Uganda. The purpose of this quantitative, cross-sectional study was to assess facility-level factors affecting completion of ANC attendance among women of reproductive age in a rural district in Uganda. The Dutton theory for initial and continued health services utilization was used to analyze the relationship between facility level factors and ANC …

Reproductive Health Factors And Maternal Mortality Of Internally Displaced Women In Nigeria, Fatima Mahmood Jibirilla

Walden Dissertations and Doctoral Studies

Approximately 529,000 women die from pregnancy-related causes every year, with 99% of these maternal deaths occurring in developing countries. Each year, about 59,000 maternal deaths occur in Nigeria, with a mortality rate of 576 deaths per 100,000 births. Women constitute about half of the 33.2 million internally displaced persons (IDPs) worldwide. The purpose of this retrospective cross-sectional study was to explore the association between the reproductive health factors and maternal mortality of internally displaced women in Borno state, Nigeria. McCarthy and Maine’s model for determinants of maternal mortality informed this study. A secondary dataset of 400 women (age 14-49 years) …

The Effects Of Foreign Direct Investment On Gender Inequality In Uganda, Peter Oogu

Walden Dissertations and Doctoral Studies

Abstract Gender inequality is one of the greatest global development challenges. In the developing countries, including those in Sub-Saharan Africa, work-place gender inequality hinders the emancipation of women. The purpose of this quantitative study was to analyze the effects of foreign direct investment on gender inequality in the Ugandan private sector. Chabot and Duyvendak’s transnational diffusion theory and Becker’s theory of economic discrimination formed the theoretical foundation for the study. The research questions dealt with the relationship between foreign direct investment and the percentage of female workers, the percentage of women in leadership positions, and the gender wage gap in …

Effect Of Insecticide-Treated Nets On Anemia In Nigerian Children, Adamu Onu

Walden Dissertations and Doctoral Studies

Childhood anemia is a significant public health problem in Nigeria and frequently coexists with malaria. The mortality associated with malaria increases when anemia is present. Insecticide-treated nets (ITNs) are a cheap and effective malaria preventive measure that can provide a protective barrier from insects. There are conflicting results from several studies on the effect of ITNs on anemia in children, with fewer studies on the effect of ITNs on anemia in Nigerian children. This study aimed to measure the effect of ITN use on anemia among children aged 6–59 months in Nigeria. The social ecological model was used as the …

Exploring Financial Inclusion With Village Savings And Loan Associations In Ghana’S Wa-West District, Jonathan Lanidune

Walden Dissertations and Doctoral Studies

Financial inclusion (FI) has played a significant role in Ghana's economic transformation but is not widespread in rural areas. Lack of access to FI systems in these areas has increased poverty and induced higher rural-urban migration. Researchers have not explored how village savings and loan associations (VSLAs) can bridge the FI gap in the absence of formal financial institutions. The purpose of this qualitative case study was to explore the VSLAs as a FI model for poverty and vulnerability reduction. Sixteen semi-structured telephone interviews were conducted with members of three different groups; VSLA members, community stakeholders, financial stakeholders in Wa …

Implementation Of Universal Basic Education Program In The North-Central Region Of Nigeria, Kazeem Oladimeji

Walden Dissertations and Doctoral Studies

Government reports document that the North-Central region of Nigeria has experienced increased negative ineffectiveness of preschool education policy implementation. At the same time, other data suggest that key stakeholders' contribution is missing in the preschool education policy formulation and implementation processes. However, much less is known regarding specific key stakeholders’ perceptions that could help reverse this trend. Grounded in the advocacy coalition framework and appreciative inquiry, narrowing this knowledge gap was the purpose of this study. The research question focused on key stakeholders’ perceptions that could increase full participation and facilitate the establishment of more quality preschools in the region. …

Perceptions Of Healthcare Workers About Jamaica’S Health Disaster Management Plan, Terence Raphael Walters

Walden Dissertations and Doctoral Studies

Disasters cause several barriers to the provision of healthcare services in Jamaica. These include damaged infrastructure, reduced access to medical care and supplies, increased demand for healthcare services, and physical and psychosocial impacts on healthcare workers. It is not known how effective the Ministry of Health Procedures Manual No. 7, Disaster Management is and how healthcare workers in Jamaica perceive the effectiveness of the plan. The purpose of this study was to explore how healthcare workers in Jamaica perceived the effectiveness of the plan. The procedures manual requires collective actions by healthcare workers to be implemented successfully, and therefore collective …

Identifying Training Competencies To Enhance Community-Based Program After-School Volunteer Performance, Charlene Sanders

Walden Dissertations and Doctoral Studies

AbstractIdentifying Training Competencies to Enhance Community-Based Program After-School Volunteer Performance by Charlene Sanders

MS, Walden University 2017 BA, Hampton, 2016

Dissertation Submitted in Partial Fulfillmentof the Requirements for the Degree of Doctor of Philosophy Human & Social Services––General

Walden University May 2021   Abstract Between 2013 and 2014, 25.2% of 10th grade algebra students who worked with 870,000 adult volunteers in after-school programs in the United States met their goals of improved math proficiency scores. A gap exists involving volunteer training strategies for after-school programs that are effective in improving math proficiency of 10th grade math students. The purpose of this …

The Impact Of Medicaid Expansion On Private Behavioral Health Organizations, Syreeta Mae Garner

Walden Dissertations and Doctoral Studies

Communities prosper when the mental health needs of community members are met, but unaddressed mental health problems can contribute to enormous social and economic cost. Behavioral health resources are integral to the successful mitigation of adverse implications associated with mental illness. This qualitative case study was conducted to determine if Medicaid expansion has provided benefits for individuals with behavioral health needs and if behavioral health providers have been able to continue to provide quality services, despite the increase in referrals. The organization identified for this study is located in the southeastern United States and is known for providing not only …

Teaching Guidelines For Screening Prostate Cancer In African American Men, Joain Sophie Silvera

Walden Dissertations and Doctoral Studies

AbstractAfrican American (AA) men have the highest incidence of prostate cancer (PCa) compared to their White and Hispanic counterparts and a higher mortality rate than any other ethnicity. While biological and socioeconomic factors are to be blamed, many AA men are not aware of the opportunities for screening or the prognoses for the condition. There is an obvious need for increased awareness in AA men concerning preventative screening for PCa. Following the Walden University Clinical Practice Guideline Manual and guided by the Appraisal of Guidelines for Research & Evaluation (AGREE II) model to guide and validate the newly developed clinical …

Educating Nurses To Help Promote Diabetes Self-Care Management In Primary Care, Delphine E. Ikpasaja

Walden Dissertations and Doctoral Studies

Diabetes is a chronic disease that has a genetic and lifestyle component, and it affects individuals in various parts of the world. A lack of understanding of the nature of the disease has contributed to the complications experienced by patients with diabetes 2 (DM2), such as an elevated glycosylated hemoglobin (A1C) and hyperglycemia. At the clinic where this project took place, patients received an initial teaching but did not get any further support or resources to manage their disease. A four sections of a 30 minutes each was the educational presentation used with staff at the clinic to help them …

Impact Of District-Wide Free Lunch On Third-Grade Students’ Reading Comprehension, Rita A. Williams

Walden University Research Conference

Children with low economic status often perform poorly in math and reading. The purpose of this study was to examine the impact of universal free and reduced lunch (FRL) policy changes on third grade reading normal curve equivalent (NCE ) scores. I collected secondary data from the Tennessee Department of Education website. The findings indicated there are no statistically significant differences in NCE third grade reading scores after the policy change to 100% FRL. The social implications of these findings offer the potential to raise awareness of universal FRL and its impact on reading comprehension among third grade students.

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