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Childcare Center Administrators’ Leadership Practices To Foster Childcare Worker Retention In Non-Residential Childcare Centers, Rebecca Dececco Jul 2026

Childcare Center Administrators’ Leadership Practices To Foster Childcare Worker Retention In Non-Residential Childcare Centers, Rebecca Dececco

Walden Dissertations and Doctoral Studies

Though staff retention is essential for children's stability and security in childcare settings, there remains a gap in knowledge about the leadership practices in childcare that have implications for retaining staff. The problem addressed in this study was the need for information about the influence of leadership practices on childcare teacher retention in the United States. Grounded in Bandura’s social cognitive theory, the purpose of this basic qualitative study was to explore the leadership practices of childcare center administrators who retain childcare staff. For this basic qualitative design, semistructured interviews were conducted with 12 childcare center administrators who worked directly …


Hospital-Acquired Infections Among Hispanic Diabetic Patients: Considering Geographic And Substance Use Factors In Southern Puerto Rico, Fabian A. Ramirez Rivera Jul 2026

Hospital-Acquired Infections Among Hispanic Diabetic Patients: Considering Geographic And Substance Use Factors In Southern Puerto Rico, Fabian A. Ramirez Rivera

Walden Dissertations and Doctoral Studies

Hospital-acquired infections (HAIs) remain a major cause of preventable morbidity, mortality, and healthcare utilization among hospitalized patients. Limited research has examined the relationship between diabetes and HAIs in Puerto Rican populations. The purpose of this quantitative cross-sectional study was to examine the prevalence of type 2 diabetes mellitus (T2DM) and its association with HAI characteristics and hospitalization outcomes among patients in southern Puerto Rico. The chronic care model provided a framework for evaluating whether diabetes status, geographic location, and substance use were associated with outcomes. Data were obtained through retrospective review of electronic health records from N = 846 patients …


Risk Factors For Metabolic Syndrome Among U.S.-Born And Non-U.S.-Born Hispanics In The United States, Banessa Maldonado Jul 2026

Risk Factors For Metabolic Syndrome Among U.S.-Born And Non-U.S.-Born Hispanics In The United States, Banessa Maldonado

Walden Dissertations and Doctoral Studies

Current knowledge regarding risk factors for metabolic syndrome (METS) among Hispanic individuals of Mexican descent remains limited. Using data from NHANES 2017–2020, this study compared factors contributing to METS and included U.S.-born and non-U.S.-born Hispanic adults of Mexican descent aged ≥ 18 years living in the USA (N = 949) with assessed METS. Grounded in the social ecological model and social determinants of health, this research evaluated dietary habits, lifestyle patterns, and acculturation processes using multivariate logistic regression and stratified analyses. Educational attainment was associated with METS, but the association was not statistically significant in adjusted models p = 0.528. …


Relationship Between Internet Use, Perceived Social Support, And Obesity Among African American Young Adults, Marketta Mccollough Jul 2026

Relationship Between Internet Use, Perceived Social Support, And Obesity Among African American Young Adults, Marketta Mccollough

Walden Dissertations and Doctoral Studies

The disproportionately high prevalence of obesity among African American young adults is a significant public health crisis rooted in systemic inequities. The purpose of this quantitative cross-sectional study was to examine the relationships between internet use for health information, perceived social support (online and offline), and obesity in this population. Grounded in the social cognitive theory (SCT), this study investigated how these behavioral and environmental factors interact to influence body mass index. Using secondary data from the 2021–2023 National Health and Nutrition Examination Survey, a complex samples logistic regression with a Bonferroni correction (α = .0125) was conducted on an …


Health Literacy And Diabetes Self-Care Behavior, Eucharia Amaefule Jul 2026

Health Literacy And Diabetes Self-Care Behavior, Eucharia Amaefule

Walden Dissertations and Doctoral Studies

Limited health literacy is a significant barrier to effective diabetes self-management among adults with type 2 diabetes mellitus (T2DM), yet nationally representative evidence using comprehensive health literacy measures remains limited. Guided by the health belief model, the purpose of this quantitative, secondary data analysis using cross-sectional data was to examine the relationship between health literacy and diabetes self-care behaviors among U.S. adults with T2DM and determine whether education level moderated this relationship. Data from the 2016 Behavioral Risk Factor Surveillance System were analyzed for U.S. adults (N = 9, 535) with self-reported T2DM. Diabetes self-care behaviors included blood glucose monitoring, …


The Lived Experiences Of The Flint Water Crisis And Its Psychological Effects, Joe W. Glenn Jul 2026

The Lived Experiences Of The Flint Water Crisis And Its Psychological Effects, Joe W. Glenn

Walden Dissertations and Doctoral Studies

The Flint, Michigan, water crisis of 2014, with lead contamination of drinking water, adversely affected predominantly Black, socioeconomically disadvantaged residents. However, no research has investigated residents’ experiences, especially their trust in local and state government leaders. The purpose of this study was to explore the lived experiences of the Flint water crisis and its psychological effects. Rawls’s theory of justice provided the framework for the study. Three research questions guided this qualitative descriptive phenomenological study. Information from eight Flint residents was collected through semi-structured interviews. Data analysis followed Giorgi’s descriptive phenomenological steps. Five strong themes emerged: understanding individual perceptions, views …


Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti Jul 2026

Leadership Characteristics Driving Positive Patient Experience Outcomes In Behavioral Healthcare Organizations, Sophia Iovenitti

Walden Dissertations and Doctoral Studies

Patient experience is a key indicator of healthcare quality and performance; however, limited evidence exists regarding the specific leadership characteristics that influence patient experience outcomes in behavioral healthcare. The purpose of this qualitative case study was to explore the leadership characteristics associated with positive patient experience outcomes, examine how leadership behaviors influence patient perceptions, and identify leadership development strategies to enhance patient experience. The study was guided by the Baldrige excellence framework and the Beryl Institute’s definition of patient experience. Data were collected through semi structured interviews with executive and operational leaders and triangulated with organizational artifacts, including aggregated patient …


Non-Adherence To Antidiabetic Medications Among Rural Jamaicans, Norma Edwards Jul 2026

Non-Adherence To Antidiabetic Medications Among Rural Jamaicans, Norma Edwards

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus (T2DM) poses significant health challenges globally, with individuals and health care systems in rural communities particularly affected. Adherence to antidiabetic medication is crucial for effective management of T2DM. Still, people with T2DM encounter barriers that lead to nonadherence, resulting in poor glycemic control, increased complications, and higher health care costs. The purpose of this study was to explore the perceptions and experiences of rural Jamaicans regarding the factors influencing nonadherence to antidiabetic medications. The basic qualitative study was underpinned by social cognitive theory. Semi-structured interviews were conducted with eight rural Jamaican participants with T2DM. Interview data …


Staff Education To Instruct Nurses On How To Use The Braden Scale To Increase Their Knowledge, Anna Shedrick Jul 2026

Staff Education To Instruct Nurses On How To Use The Braden Scale To Increase Their Knowledge, Anna Shedrick

Walden Dissertations and Doctoral Studies

No abstract provided.


Exploring Lifestyle Transitions And Perceptions Of Weight And Health Among College Students In Huntsville, Texas, Keyonna Nicole Thomas Jul 2026

Exploring Lifestyle Transitions And Perceptions Of Weight And Health Among College Students In Huntsville, Texas, Keyonna Nicole Thomas

Walden Dissertations and Doctoral Studies

College students aged 18–25 transitioning to independent living often experience changes in diet, physical activity, stress, and time management that increase health risks. These challenges may be amplified in semi-urban communities by limited access to healthy food, transportation barriers, and scheduling constraints. This qualitative phenomenological study explored how college students in Huntsville, Texas, perceived and interpreted these lifestyle changes and their influence on perceptions of health and weight. Guided by the social ecological model, the study included 12 participants who were 18–25 years old, enrolled in college, living independently in Huntsville, Texas, and able to describe their experiences with lifestyle …


Social Determinants And Policy Implications Of Lived Experiences Of Multidimensional Poverty In Nigeria, Oluwatayo David Aduloju Jul 2026

Social Determinants And Policy Implications Of Lived Experiences Of Multidimensional Poverty In Nigeria, Oluwatayo David Aduloju

Walden Dissertations and Doctoral Studies

Poverty disproportionately affects rural populations, women, and children and is shaped by structural inequalities in access to resources and opportunities, reinforcing cycles of disadvantage. Although existing literature provides extensive quantitative evidence on multidimensional poverty, there remains a limited qualitative understanding of how these deprivations are experienced at the household level. This generic qualitative study addressed this gap by examining the lived experiences of heads of households in Bayelsa West Senatorial District, Nigeria, where poverty incidence and intensity are among the highest nationally. Drawing on Sen’s capability theory, Atkinson’s multidimensional poverty framework, and the social determinants of health model, this study …


Strategies To Prevent The Development Of Dependence Among Head Start Beneficiaries, Shira Stallworth Jul 2026

Strategies To Prevent The Development Of Dependence Among Head Start Beneficiaries, Shira Stallworth

Walden Dissertations and Doctoral Studies

Head Start programs provide educational, health, nutritional, and family support services to children from low-income families. Despite these benefits, concerns remain regarding factors that may contribute to dependency among some beneficiaries. Understanding these factors is important because public administrators seek to promote family self-sufficiency while ensuring support programs effectively address community needs. The purpose of this qualitative case study was to explore the perceptions of Head Start teachers and an education specialist regarding factors that may contribute to dependency among beneficiaries and to identify strategies that promote family self-sufficiency. The practice-focused research question was: What potential issues may contribute to …


African American Women’S Perceptions And Experiences With Weight Management And Ensuing Health Outcomes, Brenda Louise Gill Jul 2026

African American Women’S Perceptions And Experiences With Weight Management And Ensuing Health Outcomes, Brenda Louise Gill

Walden Dissertations and Doctoral Studies

African American women (AAW) experience disproportionately high rates of obesity and chronic disease compared to all other demographic groups in the United States. The purpose of this basic qualitative study was to explore the experiences of AAW aged 36–64 residing in Nashville, Tennessee, regarding food, weight management, and chronic disease management. The social-ecological model (SEM) served as the theoretical framework, providing a multilevel lens through which individual, interpersonal, organizational, community, and societal factors are examined. Three research questions guided the inquiry, examining individual-level experiences, parental and caregivers’ influences, and community and societal-level factors shaping participants’ relationship with food, weight management, …


Fecal Fatty Acids And Other Risk Factors Associated With Multiple Sclerosis Score, Progression And Diagnosis Among Hispanic Adults, Juliana Ayala-Viqueira Jul 2026

Fecal Fatty Acids And Other Risk Factors Associated With Multiple Sclerosis Score, Progression And Diagnosis Among Hispanic Adults, Juliana Ayala-Viqueira

Walden Dissertations and Doctoral Studies

Multiple sclerosis (MS) is a chronic neurological condition with insufficient research regarding risk factors influencing MS severity score (MSSS), progression and diagnosis among Hispanic adults living in the United States. This cross-sectional study assessed factors associated with MS score, progression and diagnosis using secondary data from the International Multiple Sclerosis Microbiome Study (iMSMS). Guided by the ecological model, the study included N = 576 participants with MS. Manuscript 1 explored the association between body mass index (BMI), sodium consumption, and the MS severity score in a Hispanic adult population. A multiple linear regression was conducted to examine whether age and …


The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley Jul 2026

The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley

Walden Dissertations and Doctoral Studies

The intersection of race, gender identity, and systemic marginalization has profound implications for mental health outcomes, particularly among African American transgender individuals. Addressing African American transgender individuals’ stigma experiences in mental health settings is important because transgender individuals have dual minority statuses, wherein racism, stigma, transphobia, and institutional neglect converge, significantly impacting their access to affirming and effective mental health treatment. The purpose of this study was to explore the stigma experiences of the African American transgender individual in mental health settings. The phenomenon of interest in this study was stigma experiences in mental health settings with mental health providers. …


Bridging The Gap Between Research And Practice In Schools, Giorgio Ostinelli Jul 2026

Bridging The Gap Between Research And Practice In Schools, Giorgio Ostinelli

Journal of Educational Research and Practice

This case study examined how a group of Swiss primary school teachers collaborated with a school improvement advisor/researcher (SIA); it is now part of a larger project that uses a design-based methodology. The SIA is a rising entity in the educational landscape and serves as a state-mandated coach who bridges the gap between universities and schools. The SIA embodies the characteristics of both an educational researcher and a school advisor/coach. The SIA experience was created and designed using a frame–object, a valuable tool for collaboratively building professional development experiences with teachers and coaches. Understanding by Design served as the frame–object …


Perceptions Of Civilian Faculty In Professional Military Education Regarding Graduate Students’ Development Of Writing Skills, Katherine Zimmerle Jul 2026

Perceptions Of Civilian Faculty In Professional Military Education Regarding Graduate Students’ Development Of Writing Skills, Katherine Zimmerle

Walden Dissertations and Doctoral Studies

The problem that was investigated through this study was the gap in literature about civilian faculty’s perceptions of the writing skills needed and how best to support student success in graduate-level professional military education (PME) university programs. Grounded in schema theory and transfer theory, the purpose of this basic qualitative study was to investigate the perceptions of PME civilian faculty regarding the writing skills needed and recommendations thereof to strengthen the writing skill support in PME university programs. Data were collected through semistructured interviews with eight PME civilian faculty members with at least 3 years of experience. Qualitative content analysis …


Marshallese Female Caregivers’ Intention To Seek Pediatric Care For Their Children, Ages 2–5, With A Body Mass Index At Or Above The 95th Percentile, Living In Northwest Arkansas, Madicyn Huddleston Freeman Jun 2026

Marshallese Female Caregivers’ Intention To Seek Pediatric Care For Their Children, Ages 2–5, With A Body Mass Index At Or Above The 95th Percentile, Living In Northwest Arkansas, Madicyn Huddleston Freeman

Walden Dissertations and Doctoral Studies

No abstract provided.


Racial Differences In Hiv Testing And Hiv Infection Among Adults With Seborrheic Dermatitis In Atlanta, Georgia, Olivia Elizabeth Collins Jun 2026

Racial Differences In Hiv Testing And Hiv Infection Among Adults With Seborrheic Dermatitis In Atlanta, Georgia, Olivia Elizabeth Collins

Walden Dissertations and Doctoral Studies

No abstract provided.


Bridging Cultural Gaps In Enhancing Mental Health Support For The Bhutanese Community, Subash Chandra Majhi Jun 2026

Bridging Cultural Gaps In Enhancing Mental Health Support For The Bhutanese Community, Subash Chandra Majhi

Walden Dissertations and Doctoral Studies

No abstract provided.


Psycho-Behavioral And Psychosocial Factors Influencing Childhood Obesity In The United States, Nadia Ntori Nkansah Jun 2026

Psycho-Behavioral And Psychosocial Factors Influencing Childhood Obesity In The United States, Nadia Ntori Nkansah

Walden Dissertations and Doctoral Studies

No abstract provided.


Exploring Workplace Wellness Programs From A Correctional Officer’S Perspective, Lolita Jeaneen Johnson Jun 2026

Exploring Workplace Wellness Programs From A Correctional Officer’S Perspective, Lolita Jeaneen Johnson

Walden Dissertations and Doctoral Studies

No abstract provided.


Regional Differences Between Puerto Rican And Hispanic Mainland U.S. Parents’ Perceptions Of Childhood Obesity, Kasandra Blanton Jun 2026

Regional Differences Between Puerto Rican And Hispanic Mainland U.S. Parents’ Perceptions Of Childhood Obesity, Kasandra Blanton

Walden Dissertations and Doctoral Studies

No abstract provided.


Improving Strategic Planning In Faith-Based Transitional Housing For Women And Children, Cheryl Lee Burrall Jun 2026

Improving Strategic Planning In Faith-Based Transitional Housing For Women And Children, Cheryl Lee Burrall

Walden Dissertations and Doctoral Studies

No abstract provided.


Staff Education To Improve Knowledge On Delirium Assessment, Prevention, And Treatment, Michelle Lee Coll Jun 2026

Staff Education To Improve Knowledge On Delirium Assessment, Prevention, And Treatment, Michelle Lee Coll

Walden Dissertations and Doctoral Studies

No abstract provided.


Association Between Food Insecurity And Mental Health Of Active-Duty Service Members And Their Families, Ashley Harr Jun 2026

Association Between Food Insecurity And Mental Health Of Active-Duty Service Members And Their Families, Ashley Harr

Walden Dissertations and Doctoral Studies

No abstract provided.


Flame Retardant Metabolites In Urine Samples Associated With U.S. Consumer Dietary Behaviors, Heather Marie Holliday Jun 2026

Flame Retardant Metabolites In Urine Samples Associated With U.S. Consumer Dietary Behaviors, Heather Marie Holliday

Walden Dissertations and Doctoral Studies

No abstract provided.


Patterns In Healthcare Access And Utilization And Hpv Vaccine Completion In Uninsured Latinos, Samantha Solis Jun 2026

Patterns In Healthcare Access And Utilization And Hpv Vaccine Completion In Uninsured Latinos, Samantha Solis

Walden Dissertations and Doctoral Studies

No abstract provided.


Risk Management Strategies To Reduce Pressure Injuries In Skilled Nursing Homes In Florida, Teresa Latoya Desir Jun 2026

Risk Management Strategies To Reduce Pressure Injuries In Skilled Nursing Homes In Florida, Teresa Latoya Desir

Walden Dissertations and Doctoral Studies

No abstract provided.


Exploration Of Maryland African American Veterans’ Experiences Utilizing Information On Federal Benefits And Services, Shontrea Bazemore Jun 2026

Exploration Of Maryland African American Veterans’ Experiences Utilizing Information On Federal Benefits And Services, Shontrea Bazemore

Walden Dissertations and Doctoral Studies

No abstract provided.