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Public Housing Professionals Perspectives On Mobile Food Unit Location And Accessibility For Children, Antoinette Lashurn Simpson
Public Housing Professionals Perspectives On Mobile Food Unit Location And Accessibility For Children, Antoinette Lashurn Simpson
Walden Dissertations and Doctoral Studies
Poor nutrition is a major contributor to death in the United States, and residents of public housing face disproportionate challenges in maintaining adequate nutrition. Public housing is the nation’s oldest housing subsidy program, providing more than one million units for millions of residents, many of whom are women, minorities, and unmarried individuals with incomes below the poverty line. The purpose of this generic qualitative study was to explore public housing professionals’ perspectives on using a mobile food unit located within housing communities to help reduce food insecurity. Feminist intersectionality theory provided the framework for this study, emphasizing how overlapping systems …
Enhancing Diabetes Self-Management Education And Support Knowledge And Awareness Among Nurses, Tamba Sam-Manimoi
Enhancing Diabetes Self-Management Education And Support Knowledge And Awareness Among Nurses, Tamba Sam-Manimoi
Walden Dissertations and Doctoral Studies
Diabetes mellitus (DM) affects 12% of the United States population at an annual cost of $412.9 billion. In the local clinic, 20% of the patient population has a diagnosis of DM. Despite the importance of diabetes self-management education and support (DSMES) in managing DM, patients are often not educated on this important strategy. Leadership identified that patients were reporting a lack of knowledge regarding DSMES practices and that the nurses lacked the necessary knowledge and awareness to educate patients in DSMES. Thus, the purpose of this DNP project was to determine if an educational intervention focused on DM and DSMES …
Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner
Dialysis Social Workers' Perceptions Of Strategies To Address Biopsychosocial-Spiritual Barriers To End-Of-Life Planning With Black Dialysis Patients, Annette Carol Kestner
Walden Dissertations and Doctoral Studies
Black individuals with end-stage renal disease (ESRD) have an excessive risk of mortality and experience ongoing inequities in end-of-life (EOL) planning. This basic qualitative study, informed by Sulmasy's biopsychosocial-spiritual model, explored social workers' perspectives about approaches that consider the interplay of physical, psychological, social, and spiritual aspects for mitigating barriers to EOL planning among Black dialysis patients. Data were obtained from semi structured interviews with 10 licensed dialysis social workers in Virginia and Maryland. Thematic analysis with descriptive coding, reflexive journaling, and peer debriefing was employed to analyze qualitative data to ensure trustworthiness. Six themes were identified: (a) building trust …
From Techno-Stressors To Techno-Exhaustion: The Mediating Role Of Techno-Anxiety In It Workplace, Jeevan Jyoti, Mehmood Ahmad, Mehak Mahajan
From Techno-Stressors To Techno-Exhaustion: The Mediating Role Of Techno-Anxiety In It Workplace, Jeevan Jyoti, Mehmood Ahmad, Mehak Mahajan
International Journal of Applied Management and Technology
The widespread use of information and communication technology in modern workplaces has intensified techno-stress. This study examines the impact of techno-stressors—techno-overload and techno-complexity—on techno-anxiety, its role in driving techno-exhaustion, and the mediating effect of techno-anxiety in this relationship. Data from Indian IT sector employees, collected via snowball sampling, was analyzed using structural equation modeling in AMOS (Version 23). Our findings revealed that techno-overload and techno-complexity significantly heighten techno-anxiety, which, in turn, exacerbates techno-exhaustion. Techno-anxiety serves as a crucial mediator in linking stressors to exhaustion. The study offers theoretical insights and practical implications, and emphasizes managerial strategies, employee support, and socio-technical …
Staff Education To Improve Knowledge Of Venous Leg Ulcer Prevention, Bini John
Staff Education To Improve Knowledge Of Venous Leg Ulcer Prevention, Bini John
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) staff education project implemented a standardized program to strengthen knowledge, confidence, and adherence to venous stasis ulcer (VSU) prevention among staff in an outpatient vascular clinic. The practice problem was the lack of standardized staff education, leading to inconsistent patient teaching and recurrent ulceration. VSUs are a significant public health challenge, increasing morbidity, healthcare utilization, and reducing quality of life (He et al., 2024). The practice-focused question for this project was: In frontline medical staff at a vascular outpatient clinic, does a staff education program on a standardized approach to patient education for VSU …
Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu
Staff Education On Oral Health To Night Shift Staff, Uzoamaka Mbionwu
Walden Dissertations and Doctoral Studies
Hospital-acquired pneumonia (HAP) remains the most common hospital-acquired infection in the United States, with nonventilated adult patients particularly at risk. This doctoral project focused on improving oral care practices among night shift nursing staff on a medical-surgical unit to reduce the risk of HAP. The practice gap identified was the inconsistent and inadequate delivery of oral hygiene during night shifts, primarily due to staff knowledge deficits, time constraints, and a lack of standardized procedures. The project was guided by the Johns Hopkins Evidence-Based Practice model and addressed the following question: In adult patients on a medical-surgical unit, will staff education …
Relationship Between Parent Demographics And Attitudes About Their Child’S Diabetes In Nigerian Parents Who Live In The United States, Vivian Obioma Nwankwo
Relationship Between Parent Demographics And Attitudes About Their Child’S Diabetes In Nigerian Parents Who Live In The United States, Vivian Obioma Nwankwo
Walden Dissertations and Doctoral Studies
Relationship Between Parent Demographics and Attitudes About Their Child’s Diabetes in Nigerian Parents who Live in the United States by Vivian Obioma Eluwa Nwankwo MA, Walden University, 2018 BA, University of Nigeria, 1992 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human and Social Services Walden University August 2025
Mold Exposure And Cognitive Health During Menopausal Transitions: A Quantitative Analysis Using Secondary Data, Holly Jeannette Burns
Mold Exposure And Cognitive Health During Menopausal Transitions: A Quantitative Analysis Using Secondary Data, Holly Jeannette Burns
Walden Dissertations and Doctoral Studies
Mold exposure and menopausal transition have been independently linked to cognitive decline, yet their interaction among socioeconomically disadvantaged populations has not been well examined. This quantitative study is an exploration of how menopausal transition influences the relationship between mold exposure and cognitive health outcomes among women aged 40 to 60 living in low-income housing in the United States. Bronfenbrenner’s ecological systems theory was used to guide the cross-sectional design using secondary data from the 2005–2006 National Health and Nutrition Examination Survey (NHANES; N = 149). Weighted logistic regression and Hayes’ PROCESS (Models 2 and 4) were used to test associations …
Resources And Strategies Needed To Address The Problem Of Child Labor In Erbil, Kurdistan Region Of Iraq, Evan Faiq
Walden Dissertations and Doctoral Studies
Child labor is an international practice that has been on the rise in some parts of the world including Erbil, the Kurdistan region of Iraq. The purpose of this qualitative study was to explore the different resources needed but not available for the victims, how child labor has impacted the community, and how the criminal justice system can better approach the child labor issue and reduce it in Erbil, Kurdistan region of Iraq. Social conflict theory was used to guide the study. Data were collected from 15 interviews with individuals from different areas of the criminal justice department, local organizations …
Sociocultural Factors Influencing Excess Gestational Weight Gain In Pregnant Puerto Rican Women, Sonia O. Roselló Aponte
Sociocultural Factors Influencing Excess Gestational Weight Gain In Pregnant Puerto Rican Women, Sonia O. Roselló Aponte
Walden Dissertations and Doctoral Studies
More than 50% of women experience excessive weight gain during pregnancy or are overweight at the start of pregnancy, increasing their risk of short and long-term maternal and fetal complications. The literature highlights the relationship between sociocultural factors and excessive gestational weight gain (EGWG) and the need to explore these factors in ethnic subgroups. The purpose of this descriptive qualitative study, guided by Nola Pender’s health promotion model, was to explore the sociocultural factors that influence EGWG for pregnant women living in Puerto Rico. Semi-structured interviews were conducted with seven participants recruited from public and private prenatal clinics in Puerto …
Utilizing An Evidence-Based Educational Intervention To Assess Health Care Provider Knowledge And Confidence Of Weight Management Strategies In A Primary Care Setting, Fanny Ngwa Shu
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project aimed to address a clinical gap in primary care by enhancing provider and staff knowledge and confidence in delivering weight management counseling. Despite the high prevalence of overweight and obesity, many healthcare providers feel inadequately prepared to initiate weight-related discussions due to factors such as limited training, cultural barriers, and a lack of understanding of social determinants of health (SDOH) that influence patient behaviors. This gap in care can hinder the effective management of chronic conditions like diabetes, hypertension, and cardiovascular disease. The practice-focused question guiding this project was: Can an educational session …
The Relationship Between Income And Race With The Utilization Of Oral Health Services Among Older Adults, Mishael Smith
The Relationship Between Income And Race With The Utilization Of Oral Health Services Among Older Adults, Mishael Smith
Walden Dissertations and Doctoral Studies
Oral health disparities continue to present a significant public health challenge for older adults in the United States, particularly among racial minority and low-income populations. Despite national discussions around healthcare equity, there remains limited empirical insight into how race and income influence dental service utilization among Medicare beneficiaries. In this quantitative, cross-sectional study, the extent to which these demographic factors predicted oral healthcare utilization, using nationally representative data from the 2021 Medicare Current Beneficiary Survey, was assessed. Guided by the social determinants of health framework, chi-square tests, binary logistic regression, and negative binomial regression were performed to analyze the data. …
Association Between Diabetes Mellitus, Hypertension, Obesity, And Diagnosis Of Covid-19 In Puerto Rico, Julian Rene Rivera Rodriguez
Association Between Diabetes Mellitus, Hypertension, Obesity, And Diagnosis Of Covid-19 In Puerto Rico, Julian Rene Rivera Rodriguez
Walden Dissertations and Doctoral Studies
The population of Puerto Rico has been heavily affected by chronic diseases; however, data remains limited on the influence of diabetes mellitus (DM), hypertension, and obesity on the probability of COVID-19 diagnosis. The purpose of this quantitative study was to evaluate the association between non-communicable diseases that included DM, obesity, hypertension, and COVID-19 diagnosis, controlling for age and sex and person exposure in Puerto Rico. The sample consisted of 1,463 participants who underwent a polymerase chain reaction (PCR) test for COVID-19 from April 1, 2020, to March 31, 2021. Results from adjusted multivariable logistic regression analyses established that obesity OR …
Strategies That Clinical Research Site Managers Use To Minimize Employee Turnover, Christina Holston
Strategies That Clinical Research Site Managers Use To Minimize Employee Turnover, Christina Holston
Walden Dissertations and Doctoral Studies
High turnover rates among clinical research staff present a business problem that reduces continuity, quality, and cost-effectiveness of clinical trials. This problem is important to clinical research managers because employee stability is essential for participant retention, regulatory compliance, and operational success. Grounded in the job embeddedness and transformational leadership theories, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective strategies that some clinical research site managers use to reduce employee turnover in the southeastern United States. Data were collected through semistructured interviews with six clinical research leaders and triangulated with publicly available documents. Using Yin’s …
Predictors Of Parental Behavior And Child Weight Status, Fidelia Senayah, Heba M. Athar, Allison G. Litton
Predictors Of Parental Behavior And Child Weight Status, Fidelia Senayah, Heba M. Athar, Allison G. Litton
Journal of Social, Behavioral, and Health Sciences
Childhood obesity is a major health issue globally. The prevalence rate remains high in Ohio, with associated complications among affected children and adolescents. The current study examined the association among obesity risk knowledge, risk perception, feeding behavior, and child weight outcome while controlling for race, gender, income, and education. We collected quantitative data through an online survey of parents in Northwest Ohio (n = 71) using the obesity risk knowledge scale and factors from the Child Feeding Questionnaire. We analyzed data using multiple linear regression. The primary outcome measures were feeding behavior and child weight status. Parental obesity risk …
Perceptions Of Whole Plant-Based Diets And Weight Among Hispanics In Miami, Florida, Zoraida Powell
Perceptions Of Whole Plant-Based Diets And Weight Among Hispanics In Miami, Florida, Zoraida Powell
Walden Dissertations and Doctoral Studies
Being overweight or obese poses major public health concerns and contributes to the development of chronic illnesses. While researchers have explored how a total plant-based diet impacts excess body weight or obesity, there is still a lack of clarity about how Hispanics living in Miami, FL, perceive or understand this diet concerning overweight and obesity. Using a generic qualitative approach, this study was conducted on how Hispanics in Miami, FL, understand and view a whole plant-based diet (WPBD) for preventing and reducing overweight and obesity. Through interviews with 14 diverse Hispanic participants, the study revealed that they see WPBD as …
Rurality’S Impact On Alaska Native Elders’ Levels Of Physical Activity And Obesity, Jessie Doherty
Rurality’S Impact On Alaska Native Elders’ Levels Of Physical Activity And Obesity, Jessie Doherty
Walden Dissertations and Doctoral Studies
While there have been studies on obesity levels and physical activity levels across many populations and age groups, few studies have focused on Alaska Native Elders. The purpose of this study was to examine rurality (urban vs. rural counties), physical activity, and obesity level while controlling for sex, self-reported loneliness, and self-reported stress. The theoretical foundation for this study was based on the socio-ecological model (SEM), and the research questions in this study explored how rurality impacted obesity levels and how rurality impacted physical activity levels in Alaska Native Elders. The methodology of this study was a quantitative cross-sectional design …
Dieticians’ Perceptions Of Pediatric Obesity Education In Children’S Hospitals Located In Northeast Maryland, Constance Bartu
Dieticians’ Perceptions Of Pediatric Obesity Education In Children’S Hospitals Located In Northeast Maryland, Constance Bartu
Walden Dissertations and Doctoral Studies
Dieticians play a vital role in the fight against pediatric obesity in the United States. The purpose of this qualitative study was to explore dieticians’ perceptions of internal and external reinforcements and barriers to childhood obesity interventions in children’s hospitals within Northeast Maryland. The study was framed by the social cognitive theory described by Bandura. As applied to this study, the theory focuses on prevention and intervention strategies used by dieticians working in children’s hospitals while offering educational interventions and other health care services. Interviews were conducted with eight dieticians with a minimum of 4 years working in children’s hospitals …
Lived Experiences Of Obese Women In Mississippi Concerning The Role Of Psychosocial Factors In The Development Of Obesity, Temitope Olabode
Lived Experiences Of Obese Women In Mississippi Concerning The Role Of Psychosocial Factors In The Development Of Obesity, Temitope Olabode
Walden Dissertations and Doctoral Studies
One of the highest rates of obesity in the United States is in Mississippi, where middle- aged obese women deal with a variety of social, cultural, and personal issues, including shame, discrimination, and stigma based on weight, mental anguish, cultural norms, financial limitations, and restricted access to healthcare. This study investigated the psychosocial factors that contribute to obesity in women aged 40- 60 years, and the effects of obesity on body image, self-esteem, health behaviors, and quality of life. A qualitative phenomenological study using the social ecological model (SEM) framework looked at the individual, interpersonal, and policy levels of the …
Staff Education Program To Increase Staff Knowledge On Evidence-Based Practices To Reduce Falls, Ariella Carrenan
Staff Education Program To Increase Staff Knowledge On Evidence-Based Practices To Reduce Falls, Ariella Carrenan
Walden Dissertations and Doctoral Studies
Falls among older adults in long-term care facilities constitute a pressing concern, affecting 30% to 40% of residents each year due to physiological changes associated with aging. Such incidents precipitated injuries, extended hospitalizations, elevated healthcare costs, and increased the potential for legal liabilities. This project investigated the effect of a structured educational intervention on nursing staff knowledge of fall prevention strategies in a long-term care facility where the fall rate of 3.4% exceeded the state average of 2.5% and the national average of 3.3%. The project explored the question: In a long-term care facility, does staff education increase staff knowledge …
Native Hawaiian Culturally Appropriate Substance Use Disorders Formative Program Evaluation, Kelly J. Penn
Native Hawaiian Culturally Appropriate Substance Use Disorders Formative Program Evaluation, Kelly J. Penn
Walden Dissertations and Doctoral Studies
Substance use disorders (SUDs) disproportionately affects Native Hawaiians, yet conventional treatments often overlook the cultural, spiritual, and relational foundations of well-being for Native Hawaiians. This gap represents a human services problem, as it perpetuates health disparities, limits recovery, and slows social change within Native Hawaiian communities. The purpose of this qualitative single case study was to identify culturally relevant components for an SUD treatment program tailored to Native Hawaiians. The research question guiding this study was, what are culturally appropriate components for a SUD program for Native Hawaiians. The Nā Pou Kihi framework grounded the exploration of Indigenous approaches to …
Fathers’ Lived Experiences After Their Children Experienced Child Sexual Abuse, Joan Michelle Lucien
Fathers’ Lived Experiences After Their Children Experienced Child Sexual Abuse, Joan Michelle Lucien
Walden Dissertations and Doctoral Studies
Child sexual abuse (CSA) is a global health crisis with deleterious consequences that violates children’s safety worldwide. Exact rates of CSA prevalence vary, as most cases of CSA are not disclosed. Survivors delayed or nondisclosure impedes early interventions to alleviate documented adverse effects of CSA. CSA survivors have an increased risk of suicidal ideation. This phenomenological study involved examining the lived experiences of adult fathers after their children experienced CSA. Finkelhor and Browne’s traumagenic dynamics framework guided this study. Traumagenic dynamics influence children’s cognitive and emotional functioning and distort their self-esteem, identity, worldview, and affective capacities. Stigmatization has been associated …
Improving Staff Knowledge On Hourly Rounding Using The 4ps To Reduce The Fall Rate, Chukwuemeka Igboanugo
Improving Staff Knowledge On Hourly Rounding Using The 4ps To Reduce The Fall Rate, Chukwuemeka Igboanugo
Walden Dissertations and Doctoral Studies
I designed this Doctor of Nursing Practice (DNP) project to develop an educational program that increases staff knowledge of hourly rounding using an evidence-based approach, specifically pain, position, potty, and possession (the 4Ps), to prevent falls among residents in a long-term care facility. According to facility leadership, the observed gap in practice was the nursing staff members’ lack of knowledge in performing hourly rounding. The facility’s fall records for the lockdown units indicated a surge in fall rate, with 32 falls among 62 residents per month, reflecting a need for action. The practice-focused question guiding the project was: For staff …
Enhancing Disaster Response Through Mental Health Resilience: A Force Field Analysis, Veronica Portillo-Bradford
Enhancing Disaster Response Through Mental Health Resilience: A Force Field Analysis, Veronica Portillo-Bradford
Walden Dissertations and Doctoral Studies
Having a post-disaster program in place can offer survivors and emergency responders support, resource navigation, and resiliency planning. Human services workers in the field aid in disaster recovery and crisis prevention. The problem is that rural Nevada is already limited on resources and workforce with respect to mental and behavioral health response and recovery services. The purpose of this study was to identify unknown gaps within mental and behavioral health services in rural and frontier Nevada, in order to focus on advocating to enhance community resilience-related services post-disaster and potentially bolster resilience and disaster response preparedness. The framework for the …
Playful Learning Journeys: Exploring The Perceptions And Knowledge Of Lecturers/Tutors And Student Teachers, Frank Twum, Samuel Kweku Hayford, Dandy Dampson, Johnnie Kojo Hayford
Playful Learning Journeys: Exploring The Perceptions And Knowledge Of Lecturers/Tutors And Student Teachers, Frank Twum, Samuel Kweku Hayford, Dandy Dampson, Johnnie Kojo Hayford
Journal of Educational Research and Practice
This paper investigated the perceptions and knowledge of play-based learning (PBL) by lecturers/tutors and student teachers. Ninety lecturers/tutors (68 males, 22 females) and 363 student teachers (191 males, 172 females) participated in the study. While both lecturers/tutors and student teachers favored PBL, they had some concerns. Lecturers/tutors acknowledged the benefits of PBL, including its enhancement of memory, conceptual development, and motor skills in children. However, nearly two-thirds found it time-consuming. Student teachers were of the view PBL promoted positive student experiences. However, more than half felt PBL offered limited opportunities for their own learning during lessons. Both groups demonstrated knowledge …
Postpartum Conversion Type 2 Diabetes In African American Women With Gestational Diabetes, Guerino Tondreau
Postpartum Conversion Type 2 Diabetes In African American Women With Gestational Diabetes, Guerino Tondreau
Walden Dissertations and Doctoral Studies
Type 2 diabetes mellitus (T2DM) remains a significant public health concern in the United States, with non-Hispanic Black women bearing a disproportionately high burden of the disease. Although this group has a lower overall prevalence of gestational diabetes mellitus (GDM), those who develop GDM face an increased risk of progressing to T2DM. The purpose of this quantitative, correlational study was to explore the relationship between GDM, physical activity, weight status, and T2DM development among non-Hispanic Black women. Secondary data from the National Health and Nutrition Examination Survey, collected from 2017 through March 2020, were analyzed. The health belief model served …
The Psychological Impact Of Systemic Factors On Maternal Mental Health Outcomes, V Johnson
The Psychological Impact Of Systemic Factors On Maternal Mental Health Outcomes, V Johnson
Walden Dissertations and Doctoral Studies
Maternal mental health disparities in the United States continue to impact reproductive-age women, especially those from underserved populations. In this quantitative study, how healthcare accessibility and socioeconomic status (SES) influenced psychological stress and maternal mental health outcomes was examined. Bronfenbrenner’s socioecological model and critical race theory guided the theoretical framework. Secondary data from the 2019 Behavioral Risk Factor Surveillance System were used to analyze three research questions related to the predictive relationships between systemic factors and mental health outcomes, and differences in stress across age groups. Key variables included insurance coverage, access to a personal doctor, cost-related barriers, income, employment …
Spatial-Temporal Variation Of Diarrhea Among Children Under 5 Years Old Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr., Elias Nyandwi Dr.
Spatial-Temporal Variation Of Diarrhea Among Children Under 5 Years Old Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr., Elias Nyandwi Dr.
Journal of Social, Behavioral, and Health Sciences
We used secondary data from the Rwanda Demographic and Health Surveys of 2010, 2015, and 2020 to assess the spatial-temporal variation of diarrhea among children under 5 years old between the years 2010 and 2020 in Rwanda. Stratified descriptive statistics, pairwise comparisons, and logistic regression designs were used for data analysis in SPSS. A statistically significant variation of diarrhea among children under 5 years old was observed across districts, regions, and urban–rural areas but not at the national level between 2010–2020. Some districts of the Western region, including Nyabihu (OR = 2.5), Ngororero (OR = 2.3), and Karongi …
Radio And Television Media And Health-Seeking Behavior Among Women In Rural Northern Nigeria, Olufolake Akeju
Radio And Television Media And Health-Seeking Behavior Among Women In Rural Northern Nigeria, Olufolake Akeju
Walden Dissertations and Doctoral Studies
Poor maternal health-seeking behavior (MHSB) has contributed to persistently high maternal mortality in rural northern Nigeria. Despite increasing access to health information via media platforms, little is known about the association between media exposure and MHSB in this region. In this study, the association between mass media exposure (radio and television) and MHSB was investigated using institutional delivery as a proxy. The health belief model was applied as the theoretical framework for this study and sought to answer two key questions focused on whether there is an association between media exposure and MHSB in rural northern Nigeria and what the …
Understanding White-Collar Worker Experiences In Using Worksite Wellness Programs To Achieve Weight Loss, Anna Nicole Hermanson Hartwig
Understanding White-Collar Worker Experiences In Using Worksite Wellness Programs To Achieve Weight Loss, Anna Nicole Hermanson Hartwig
Walden Dissertations and Doctoral Studies
Adult obesity rates have increased from approximately 15% in 1980 to more than 40% of adults in 2018, and the rates continue to increase. White-collar workers are disproportionately impacted as a result of the sedentary work performed in a white-collar work environment. Increased levels of obesity result in elevated levels of psychological stress, chronic health conditions, and increased organizational costs. The purpose of this basic qualitative study was to understand the lived experiences of the obese white-collar worker who has used a worksite wellness program to lose weight and to understand what additional support was needed to achieve weight loss. …