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Mitigating American Wealth Inequality With Universal Basic Income: Perceptions From Social Service Professionals, Caitlin Dinneen Apr 2025

Mitigating American Wealth Inequality With Universal Basic Income: Perceptions From Social Service Professionals, Caitlin Dinneen

Harold L. Hodgkinson Award for Outstanding Dissertation

Extreme wealth disparities between the richest and poorest Americans are a problem in the United States. Although the existing literature has established mixed results regarding the efficacy of universal basic income as a tool to alleviate income inequality, no one has studied the perspectives of social service professionals in Minnesota. The purpose of this study was to identify the perceptions of Minnesota based social service professionals regarding universal basic income through the lens of Benet’s polarities of democracy framework. The research question for this study was what are the perceptions of Minnesota based social service professionals regarding the potential impact …

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Strategies That Nursing Home Owners Can Use To Increase Revenue In The Northeastern United States, Donald G. Morris Apr 2025

Strategies That Nursing Home Owners Can Use To Increase Revenue In The Northeastern United States, Donald G. Morris

Walden Dissertations and Doctoral Studies

The frequency of nursing home closures in the Northeastern United States left owners and operators of nursing homes panicking. The elderly, and their families, are concerned about the delivery of care in their communities, while owners and operators are concerned about the negative financial impact this may cause on daily operations. The business problem is that some nursing home owners have a limited understanding of strategies to source revenue to improve the financial sustainability of their nursing homes. Grounded in a dynamic capabilities framework, this qualitative multiple-case study aimed to explore the strategies that some nursing home owners use to …

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Mitigating American Wealth Inequality With Universal Basic Income: Perceptions From Social Service Professionals, Caitlin Dinneen Apr 2025

Mitigating American Wealth Inequality With Universal Basic Income: Perceptions From Social Service Professionals, Caitlin Dinneen

Walden Dissertations and Doctoral Studies

Extreme wealth disparities between the richest and poorest Americans are a problem in the United States. Although the existing literature has established mixed results regarding the efficacy of universal basic income as a tool to alleviate income inequality, no one has studied the perspectives of social service professionals in Minnesota. The purpose of this study was to identify the perceptions of Minnesota based social service professionals regarding universal basic income through the lens of Benet’s polarities of democracy framework. The research question for this study was what are the perceptions of Minnesota based social service professionals regarding the potential impact …

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Staff Education For Cardiovascular Nurses, Krupa Desai Apr 2025

Staff Education For Cardiovascular Nurses, Krupa Desai

Walden Dissertations and Doctoral Studies

Summary The goal of this staff education project is to increase patient awareness of early detection and self-management of cardiovascular disease (CVD) through the education of staff in an Arkansas cardiovascular clinic. Heart disease is the leading cause of death in Arkansas and the fourth highest in the country. The practice-focused question was: Does effective education for nursing staff regarding early detection and self-management of heart disease in adults help improve staff knowledge and willingness to educate patients as measured by pretest and posttest? Increasing patient knowledge in improving modifiable factors (e.g., physical activity, nutrition, monitoring of BMI, and cholesterol) …

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African American Adolescent Depressive Symptoms And Caregiver Perceptions, Katerina Marroquin Apr 2025

African American Adolescent Depressive Symptoms And Caregiver Perceptions, Katerina Marroquin

Walden Dissertations and Doctoral Studies

African American adolescents with untreated mental health problems can have symptoms of depression. Depressive symptoms can persist in adulthood if untreated. Caregiver recognition is the strongest predictor of adolescent behaviors and depressive symptom outcomes. Caregivers can identify depressive symptoms in African American adolescents by focusing on met and unmet needs. The purpose of this qualitative phenomenological study was to ask about caregiver perceptions of African American adolescent depressive symptoms with focus on physiological needs, safety, love, esteem, and self-actualization. The theoretical framework for this study is Maslow’s hierarchy of needs. Data analysis was conducted using NVivo to enhance the interpretation …

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Leadership Strategies For Employee Engagement And Retention In Behavioral Health Organizations, Nneka Grace Slater Apr 2025

Leadership Strategies For Employee Engagement And Retention In Behavioral Health Organizations, Nneka Grace Slater

Walden Dissertations and Doctoral Studies

Healthcare business leaders encounter significant challenges related to employee engagement and retention across the United States. These healthcare business leaders are increasingly concerned with developing effective leadership strategies that promote employee engagement and ensure retention for periods extending beyond 5 years for improved organizational performance. Grounded in participative theory, the purpose of this qualitative pragmatic inquiry was to explore strategies business owners use to minimize employees’ intent to leave. The participants included six behavioral healthcare leaders in Monroe, Louisiana, United States, who successfully implemented strategies to engage and retain their employees for at least 5 years. Data were collected using …

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Staff Education On The Management Of Diabetes Among Type 2 Diabetic Black American Patients, Ngozi Philomena Anonyuo Apr 2025

Staff Education On The Management Of Diabetes Among Type 2 Diabetic Black American Patients, Ngozi Philomena Anonyuo

Walden Dissertations and Doctoral Studies

The aim of this staff education project was to increase nurses’ knowledge and confidence in providing patient education for diabetes self-management. Insufficient nurse knowledge regarding diabetes care and management was the gap in The practice-focused question was: Among Black American patients, does increasing nurses’ knowledge regarding implementation of diabetes-self management education programs result in a measurable increase in knowledge about diabetes management, ultimately contributing to improved expected diabetic outcomes involving glycemic control and reduced complications? Analytical strategies included descriptive and comparative analysis of deidentified pre- and post-knowledge assessments to evaluate the program’s impact on learning outcomes. An anonymous satisfaction survey …

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Risk Factors Of Self-Reported Prediabetes Status In New York State, Kari Ann Hunter Thompson Apr 2025

Risk Factors Of Self-Reported Prediabetes Status In New York State, Kari Ann Hunter Thompson

Walden Dissertations and Doctoral Studies

Prediabetes affects over 4 million people in New York State and increases the risk of Type 2 diabetes. Prior research identified risk factors such as poor diet, inactivity, obesity, hypertension, and smoking; but no studies examined these collectively or assessed their interactions. This quantitative, cross-sectional study analyzed a sample of 289 non-institutionalized adults aged 18 or older with landline or cellular phone, from the Behavioral Risk Factor Surveillance System. The study examined relationships between prediabetes and 16 factors in five categories: demographic (age, race, sex, education), socioeconomic (income, employment), behavioral (fruit intake, vegetable intake, physical activity, smoking), physiological (hypertension, BMI), …

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Complementary Self-Care Therapies To Self-Manage Endometriosis In Association With Health-Related Quality Of Life, Sarah Cummins Apr 2025

Complementary Self-Care Therapies To Self-Manage Endometriosis In Association With Health-Related Quality Of Life, Sarah Cummins

Walden Dissertations and Doctoral Studies

There is a lack of understanding within the psychological and medical communities on the extent to which endometriosis impacts the health-related quality of life (HRQoL) of people with endometriosis (PWE). This population is understudied in relation to the effects of endometriosis on HRQoL, the various methods used to treat and cope with endometriosis-related symptoms, the influence of self-managing endometriosis on PWE’s HRQoL, or the HRQoL outcomes associated with using nontraditional methods to self-manage endometriosis. As such, there is a lack of knowledge on the extent to which the use of various types of complementary self-care therapies to self-manage endometriosis is …

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Acculturation, Education, Food Choice, And Body Mass Index: A Survey In The Rio Grande Valley, Melanie Espinoza Apr 2025

Acculturation, Education, Food Choice, And Body Mass Index: A Survey In The Rio Grande Valley, Melanie Espinoza

Walden Dissertations and Doctoral Studies

Obesity is a global problem and a risk factor for many life-threatening illnesses and diseases. The Rio Grande Valley (RGV) in South Texas has higher than state and national obesity rates. The cultural influences on food choice in this region are a frequent focus of research, and there have also been numerous studies on the relationship between socioeconomic status and overweight and obesity; however, there are currently no studies that specifically investigate the relationship between educational attainment, acculturation, food choice behavior, and overweight and obesity among Hispanics in the RGV. Grounded in social cognitive and acculturation theories, the purpose of …

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Heart Failure Education For Nurses Within An Acute Care Setting, Mitzy Dawkins-Julien Apr 2025

Heart Failure Education For Nurses Within An Acute Care Setting, Mitzy Dawkins-Julien

Walden Dissertations and Doctoral Studies

Successful management of heart failure, a chronic condition that progressively worsens over time, can be clinically challenging, expensive, and time-consuming. Heart failure can be managed with suitable treatment modalities to sustain full and active lifestyles for patients. It is essential to provide evidence-based education to nurses to support patients diagnosed with heart failure and improve patient outcomes. Bedside nurses are ideally placed to positively impact patients’ ability to care for themselves when diagnosed with heart failure by providing a high-quality, evidence-informed education. This project focused on evaluating nurses’ confidence and knowledge about heart failure, providing heart failure education, and reevaluating …

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K-12 Administrators' And Teachers' Perceptions Of Legal Requirements For Providing Inclusive Education, Rebecca Kay Berger Apr 2025

K-12 Administrators' And Teachers' Perceptions Of Legal Requirements For Providing Inclusive Education, Rebecca Kay Berger

Walden Dissertations and Doctoral Studies

At a large school system in the northwestern United States, students who received specially designed instruction services at the middle school study site were not always included with nondisabled peers in general education classes to the extent possible. The theoretical framework guiding this study was Vygotsky’s social constructivist paradigm, which says shared experiences shape people. Using a mixed methods, nonexperimental research design, data were collected using a concurrent, embedded strategy using a pre- and posttreatment online survey with 17 teacher-participants for the pretreatment survey and 11 participants for the posttreatment survey. The treatment in this study was a district-approved professional …

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The Association Of Sleep Quality And Depression On Having Three Vs. All Five Diagnostic Criteria Of Metabolic Syndrome, Nina Pollard Apr 2025

The Association Of Sleep Quality And Depression On Having Three Vs. All Five Diagnostic Criteria Of Metabolic Syndrome, Nina Pollard

Walden Dissertations and Doctoral Studies

Metabolic syndrome is increasing in prevalence in the United States. To be diagnosed, three of the five diagnostic criteria must be met. There is a higher risk of metabolic syndrome due to lifestyle and social factors, with increased criteria occurring as an individual has unmet social determinants of health. This quantitative quasi-experimental/quasi-comparative study examined the association between education level, with sleep quality and depression as moderators, on a diagnosis of metabolic syndrome with all five criteria versus three criteria using a binary logistic regression while controlling for age, race, gender, income, employment, and marital status. Bronfenbrenner’s social ecological theory served …

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Development Of End-Of-Life Educational Module For Nurses, Kari Mcclain Apr 2025

Development Of End-Of-Life Educational Module For Nurses, Kari Mcclain

Walden Dissertations and Doctoral Studies

End-of-life (EOL) care is given to patients and their families near the end of the patient’s life or when a patient or family member chooses to stop any treatment they are receiving to either cure or control their disease process. Having discussions regarding end-of-life and dying has proven to be difficult and uncomfortable for most healthcare professionals, whether they are providers or nurses at the bedside. Part of the reason for the discomfort in having these discussions is twofold. First, healthcare professionals are trained to do what they can to save a person's life. Therefore, there is a lack of …

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Clinical Practice Guideline For The Improvement Of Care Compliance Of Children Affected By Obesity, Denise Vaz Apr 2025

Clinical Practice Guideline For The Improvement Of Care Compliance Of Children Affected By Obesity, Denise Vaz

Walden Dissertations and Doctoral Studies

Childhood obesity is diagnosed in children with a weight that is above the normal levels for their age and height. This diagnosis can be made if the child's body mass index (BMI) percentile is equal to or above 95% for age and sex. Per the Centers for Disease Control and Prevention (CDC; 2024), BMI, an anthropometric index of weight and height, is calculated by dividing a person's weight (in kilograms) by the square of their height (in meters), is used to assess if a child is underweight, overweight, obese or of healthy weight. The Cleveland Clinic (2024) noted that BMI …

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Perspectives Of Probation Officers On Training To Support Women Who Commit Co-Occurring Crimes, Cynthia Stephens Apr 2025

Perspectives Of Probation Officers On Training To Support Women Who Commit Co-Occurring Crimes, Cynthia Stephens

Walden Dissertations and Doctoral Studies

The lack of understanding about probation officers’ (POs’) training views, especially concerning female offenders, reduces training and reentry effectiveness for female criminals. This study investigated POs’ perspectives on their training to assist women with co-occurring offenses by developing a practical intervention framework to improve reentry outcomes. The labeling and dual-role relationship theories served as the theoretical foundation to answer the research question, which involved identifying the perspectives of POs on training to support women with co-occurring crimes. A phenomenological design and in-depth face-to-face PO interviews were appropriate to answer the research question. Thematic analysis occurred to identify key concepts revealed …

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The Lived Experiences Of Rural Nurses In The Post-Covid-19 Era, Amy Schultes Apr 2025

The Lived Experiences Of Rural Nurses In The Post-Covid-19 Era, Amy Schultes

Walden Dissertations and Doctoral Studies

Approximately 60 million people, or one in five Americans, live in rural areas across the United States. Despite this, there is a lack of information about the experiences of critical access nurses working in rural hospitals that serve small towns and rural areas. The goal with this research was to gain a deeper understanding of the experiences of rural nurses in the post-COVID-19 era. Using hermeneutic phenomenology and rural nursing theory, the lived experiences of eight nurses working in critical access hospitals in Iowa were explored through semi-structured interviews. The qualitative data was analyzed using the hermeneutic circle for phenomenological …

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The Association Between Maternal Nutrition, Perinatal Mental Health, And Birth Outcomes In Socioeconomically Disadvantaged Women, Kimberly Terrisa Ieasha Dudley Apr 2025

The Association Between Maternal Nutrition, Perinatal Mental Health, And Birth Outcomes In Socioeconomically Disadvantaged Women, Kimberly Terrisa Ieasha Dudley

Walden Dissertations and Doctoral Studies

According to recent studies, disparities in the United States indicated a prevalence of adverse outcomes associated with maternal nutrition and perinatal mental health among women facing socioeconomic challenges. The purpose of this quantitative cross-sectional study was to investigate the association between maternal nutrition, perinatal mental health, and birth outcomes with a focus on women facing socioeconomic challenges. The theoretical framework that guided this study was the socioecological model. The research design involved using secondary data from the Pregnancy Risk Assessment Monitoring System and employing multiple regression analysis. Key findings revealed significant associations between maternal nutrition, perinatal mental health, and birth …

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Mothers’ Characteristics And Children's Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr. Mar 2025

Mothers’ Characteristics And Children's Diarrhea Between 2010-2020 In Rwanda, Amans Ntakarutimana Dr., Patrick A. Tschida Dr.

Journal of Social, Behavioral, and Health Sciences

Mothers’ characteristics influence children’s health and development. We conducted a cross-sectional study to assess the influence of mothers’ education level, employment status, and exposure to domestic violence on diarrhea among children under 5 years old using secondary data from 2010, 2015, and 2020 Rwanda Demographic Health Surveys. We used stratified descriptive statistics, pairwise comparisons, and logistic regression designs to assess (a) the prevalence of mothers per education level, employment status, and exposure to domestic violence; (b) their variation over time; and (c) their influence on diarrhea among children under 5 years old between 2010 and 2020 in Rwanda. According to …

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Obesity Awareness Among Pregnant Hispanic Women In Urban New Jersey, Cloris Bustamante Mar 2025

Obesity Awareness Among Pregnant Hispanic Women In Urban New Jersey, Cloris Bustamante

Walden Dissertations and Doctoral Studies

The rising prevalence of obesity among pregnant women presents significant health risks for mothers and children, beginning as early as intrauterine life throughout adulthood. The purpose of this quantitative cross-sectional study was to investigate whether demographic factors influenced obesity awareness as a personal issue in pregnant Hispanic women. The precaution adoption process model guided the study, a theoretical framework focusing on stages of health behavior change, including awareness, decision making, and action. A purposive sample of 134 pregnant Hispanic women aged 18 years or older receiving prenatal care in urban New Jersey was surveyed using the English (15) and Spanish …

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The Relationship Between Sexual Orientation, Anxiety, And Mental Health Access With Suicidal Ideation Among Veterans, Winsome R. Ashley Mar 2025

The Relationship Between Sexual Orientation, Anxiety, And Mental Health Access With Suicidal Ideation Among Veterans, Winsome R. Ashley

Walden Dissertations and Doctoral Studies

Prior studies have examined the connection between minority sexual orientation (MSO) and mental health; however, very little is known about the effect among veterans. The objective of this cross-sectional quantitative study aimed to determine the relationship between veteran status, sexual orientation, anxiety levels, access to mental health services, and suicidal ideation among veterans. More specifically, it addressed if veteran status modifies the association between anxiety and suicidal ideation, if marital status modifies the association between mental health care access and suicidal ideation, and if veteran status modifies the association between sexual orientation and suicidal ideation after controlling for age, gender, …

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Integrating E-Commerce To Reduce Postharvest Losses In Rural Cameroon, Maurice Tchasso Mar 2025

Integrating E-Commerce To Reduce Postharvest Losses In Rural Cameroon, Maurice Tchasso

Walden Dissertations and Doctoral Studies

E-commerce has the potential of assisting the agriculture market to curb postharvest losses by connecting new and existing customers to agricultural products more efficiently. The purpose of this qualitative phenomenological study was to explore and describe the lived experiences of successful farmers in rural Cameroon to obtain insights into the e-commerce factors and strategies they use to manage and reduce postharvest losses. The study sample was 20 rural Cameroonian farmers using e-commerce in reducing postharvest losses. The conceptual framework for this study was Rogers’s diffusion of innovation theory. The data collection occurred through virtual interviews with the participants and their …

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Gender Differences In Weight Perceptions And Intentions Among Hispanic Youth In The United States, Kristy Gregurek Mar 2025

Gender Differences In Weight Perceptions And Intentions Among Hispanic Youth In The United States, Kristy Gregurek

Walden Dissertations and Doctoral Studies

Childhood obesity is a global epidemic and a serious issue for children and adolescents in the United States. Despite recognition of its dangers, obesity remains a public health concern, with both genetic and environmental factors contributing to its prevalence. Of particular concern is the higher obesity rates among Hispanic children, who face disproportionately significant psychological and physical health risks. Using the theory of planned behavior, this study aimed to investigate the lack of knowledge regarding gender differences in weight perceptions and intentions, the relationship between physical activity and weight perception, and the role each may play in obesity among Hispanic …

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Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson Mar 2025

Adverse Childhood Experiences In Early Adolescence And Adult Interpersonal Relationships Violence, Jenalee M. Dawson

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a pervasive social issue that affects individuals and communities, often rooted in early life experiences such as adverse childhood experiences (ACEs). Understanding the link between ACEs and IPV is crucial for developing effective prevention and intervention strategies. This quantitative research explored the potential link between ACEs encountered during early adolescence and the subsequent occurrence of IPV in adult domestic relationships, building upon the foundational work of Felitti et al. Using a quantitative survey design, 30 participants aged 18 and older who had experienced at least one ACE were recruited via social media and surveyed. Bandura's …

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Strategies For Improving The Transition Process Home After Skilled Nursing For Chronically Ill Residents Who Are 65 Years Or Older, Tawauna Renea Mcclendon Mar 2025

Strategies For Improving The Transition Process Home After Skilled Nursing For Chronically Ill Residents Who Are 65 Years Or Older, Tawauna Renea Mcclendon

Walden Dissertations and Doctoral Studies

When skilled nursing facilities fail to implement, enforce, and follow up with the discharge planning process before and after the resident transitions home, it can lead to a hospital admission. The purpose of this integrative review was to synthesize the literature to identify how the chronic care model (CCM) can support skilled nursing facilities with the pre- and postdischarge planning process and make recommendations for strategy or policy revisions. The review question was focused on determining how the CCM can be effectively implemented within SNFs to optimize pre- and postdischarge planning for residents with chronic conditions and what strategy revisions …

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Lived Experiences Of Rural Female Veterans Seeking Mental Health Counseling, Tina Marie Tarryk Feb 2025

Lived Experiences Of Rural Female Veterans Seeking Mental Health Counseling, Tina Marie Tarryk

Walden Dissertations and Doctoral Studies

Over the past 20 years, the number of female veterans in the United States has doubled. Research has shown a gap in the literature regarding the lived experiences of female veterans seeking mental health care services in rural areas. The purpose of this qualitative phenomenological study was to explore the lived experiences of female veterans seeking mental health services in rural areas. A hermeneutic phenomenological theoretical framework through the lens of health care utilization theory was used to guide the study. Nine women meeting the inclusion criteria of being a veteran, being 18 years or older, having at least 2 …

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Participant Experiences With Mobile Integrated Health In Underserved Communities While Managing Chronic Disease: Grounded Theory, Margaret Piwowar Feb 2025

Participant Experiences With Mobile Integrated Health In Underserved Communities While Managing Chronic Disease: Grounded Theory, Margaret Piwowar

Walden Dissertations and Doctoral Studies

Individuals in underserved communities face barriers to the management of chronic disease compounded by the lack of consideration of the social determinants of health in health education interventions. This qualitative study explored the perspectives and experiences of adults living in underserved communities who have graduated from an integrated program in a large metropolitan area in the United States. Mobile integrated health programs, conducted by community paramedics, work in underserved communities within citizens' homes, managing chronic disease. Limited research exists regarding the perspectives of participants who have received interventions from integrated programs and the perceived impact these interventions have on reducing …

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Constraints Interfering With The Goals Of Child Maltreatment Programs In Northwestern Wyoming, Barbara Andersen Feb 2025

Constraints Interfering With The Goals Of Child Maltreatment Programs In Northwestern Wyoming, Barbara Andersen

Walden Dissertations and Doctoral Studies

Child abuse and neglect occurs in the United States and Wyoming. There are numerous variables that influence caregivers to abuse, and if unresolved, these variables can contribute to future events of child maltreatment. This study focused on the programs assigned to achieve reunification and the constraints observed by the program providers that interfere in resolving the variables that cause child maltreatment. The research questions were: What specific factors or constraints impede the successful achievement of program goals? In what ways do the identified constraints hinder the effectiveness of the programs? What strategies could be implemented to overcome constraints and improve …

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More Than Numbers: Black Adolescents’ Journey With Type 1 Diabetes Management, Vanessa Di Felice Feb 2025

More Than Numbers: Black Adolescents’ Journey With Type 1 Diabetes Management, Vanessa Di Felice

Walden Dissertations and Doctoral Studies

Black adolescents with Type 1 diabetes mellitus (T1DM) face significant health disparities, yet their unique treatment journeys remain largely underreported. This phenomenological qualitative study explored the lived experiences of Black adolescents with T1DM. The study addressed two research questions examining how these individuals experience and navigate T1DM self-management, self-efficacy beliefs, and perceived barriers and facilitators to optimal self-care. Virtual semi-structured interviews were conducted with 15 Black adolescents with T1DM recruited from a pediatric hospital in Washington, DC. The study utilized Bandura's social cognitive theory as the theoretical framework. Thematic data analysis identified four key themes: (1) character development through knowledge …

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Education Module To Improve Staff Medication Administration Practice, Linda Ikegwuoha Feb 2025

Education Module To Improve Staff Medication Administration Practice, Linda Ikegwuoha

Walden Dissertations and Doctoral Studies

Executive Summary: Staff Education Project Education Module to Improve Staff Medication Administration Practice by Linda C. Ikegwuoha BSN, Austin Community College, 2021 ADN, Austin Community College, 2019 Executive Summary Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Nursing Practice Walden University May 2025

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