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The Relative Strength Of Compulsive Reward-Driven Eating, Weight Self-Efficacy, And Physical Appearance Comparison In Predicting Feelings Of Self-Worth, Kathleen Rowe
Walden Dissertations and Doctoral Studies
Walden University College of Psychology and Community Services This is to certify that the doctoral dissertation by Kathleen Rowe 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. Hedy Dexter, Committee Chairperson, Psychology Faculty Dr. Medha Talpade, Committee Member, Psychology Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2026
Mentor Evaluation Of A Black Male Youth Mentoring Program, Kenneth Brown
Mentor Evaluation Of A Black Male Youth Mentoring Program, Kenneth Brown
Walden Dissertations and Doctoral Studies
This study was an exploration of how Black male mentors perceived organizational practices, culturally responsive mentoring, relational safety, and systems level barriers shaping their effectiveness and continued participation. The purpose was to examine early mentor-mentee match dissolution and low mentor retention in a nonprofit youth mentoring through the lens of the ecological systems theory and program evaluation framework. The practice-focused research questions were: How do volunteer mentors and program staff perceive the organizational practices and culturally responsive strategies that influence mentor effectiveness and retention in youth mentoring programs, and what organizational and systemic challenges do Black male mentors encounter in …
Strategies To Enhance Employee Retention Among Leaders In The U.S. Poultry Processing Industry, Gary Dale Sisson
Strategies To Enhance Employee Retention Among Leaders In The U.S. Poultry Processing Industry, Gary Dale Sisson
Walden Dissertations and Doctoral Studies
Employee turnover remains a persistent challenge in the U.S. poultry processing industry. Leaders in the U.S. poultry processing industry are concerned that high employee turnover increases operating costs, disrupts productivity, and contributes to workforce instability. Grounded in organizational support theory, this qualitative pragmatic inquiry research project explored successful strategies that leaders in the U.S. poultry processing industry use to enhance employee retention. The participants were six leaders from poultry processing facilities in the southeastern United States. Data were collected through semistructured interviews and supplemented with workplace observations and organizational records related to retention initiatives and turnover trends. Data were analyzed …
Staff Members And Students’ Perceptions On Retention In A Trio Student Support Services Program, Gregoire N. Lee
Staff Members And Students’ Perceptions On Retention In A Trio Student Support Services Program, Gregoire N. Lee
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study was the low retention rates and consequent low completion rates of students who are low-income, first-generation, and/or disabled who did not participate in a TRIO Student Support Services (SSS) program at Urban University. Grounded in Tinto’s student integration theory, Dweck’s mindset theory, and Duckworth’s grit theory, the purpose of this study was to determine staff members and students’ perceptions on the helpfulness of the TRIO SSS program in improving retention from Year 1 to Year 2 at Urban University. For this basic qualitative design, semistructured interviews with nine students and four staff …
Meaning Of Mentoring For Puerto Rican Diaspora Professionals Seeking Career Advancement, Coralys M. Cedó Negrón
Meaning Of Mentoring For Puerto Rican Diaspora Professionals Seeking Career Advancement, Coralys M. Cedó Negrón
Walden Dissertations and Doctoral Studies
Hispanic/Latino professionals remain underrepresented in senior leadership positions across industries in the United States. Organizational leaders need to understand this concern as a critical indicator of factors that may shape leadership development and career advancement among underrepresented professionals. Grounded in the mentoring model, the purpose of this qualitative interpretative phenomenological analysis (IPA) study was to understand the meaning of mentoring for Puerto Rican diaspora professionals seeking career advancement in the United States. The participants comprised 10 Puerto Rican professionals living and working in the Washington, D.C. metropolitan area who had participated in formal or informal mentoring relationships. Data were collected …
The Association Of Age, Race, And Gender And Novel Interventions In The Prevention Of Catheter-Associated Urinary Tract Infection, In Washington State, Lamin Darboe
Walden Dissertations and Doctoral Studies
Delayed removal of indwelling urinary catheters (IUCs) contributes to catheter-associated urinary tract infections, a leading healthcare-associated infection. A dot/smart-phrase communication tool, guided by the Health Belief Model construct of cues to action, to promote timely IUC removal interventions was evaluated in this quantitative, cross-sectional study. Secondary data from N = 372 adult patients with acute urinary retention in acute and critical care settings in Washington State were analyzed using SPSS Version 30. Binary logistic regression examined relationships among demographic variables, intervention-related factors (adherence within 48 hours, cosignature within 24 hours, and secure chat communication), and clinical outcomes (IUC removal and/or …
Effective Employee Retention Strategies Used By Hair Salon Leaders To Sustain Business Operations, Taylor Bynum
Effective Employee Retention Strategies Used By Hair Salon Leaders To Sustain Business Operations, Taylor Bynum
Walden Dissertations and Doctoral Studies
Employee retention challenges continue to affect the operational sustainability of hair salons. Hair salon owners and leaders are concerned about employee retention because it directly affects their ability to sustain business operations. Grounded in Wayne McPhee’s sustainable activity model, the purpose of this qualitative pragmatic inquiry was to explore the strategies hair salon owners and leaders used to retain employees and sustain business operations. Participants included eight hair salon owners or leaders who had successfully retained employees and sustained business operations for at least 5 years. Data from semistructured interviews with the participants were analyzed using Braun and Clarke’s six-step …
Staff Education To Enhance Nurse Knowledge Of Standardized Sud Screening Using The Dast-10 In An Outpatient Psychiatric Setting, Peters Olugbemiga Adu
Staff Education To Enhance Nurse Knowledge Of Standardized Sud Screening Using The Dast-10 In An Outpatient Psychiatric Setting, Peters Olugbemiga Adu
Walden Dissertations and Doctoral Studies
The utilization of substance use disorder (SUD) screening tools at the practice site was inconsistent, contributing to limited identification and diagnosis of SUDs. The project was conducted at a psychiatric outpatient clinic in an urban region of Maryland that serves many patients with co-occurring mental health and substance use disorders. The purpose of the project was to develop, implement, and evaluate a staff education program focused on the Drug Abuse Screening Test (DAST-10). The primary goal was to improve staff knowledge and understanding of the DAST-10 screening tool. A 14-item multiple-choice questionnaire was administered before and after the educational intervention …
Defining Quality Of Life: The Lived Experience Of Adults With Pulmonary Hypertension And The Impact Of Activity-Induced Respiratory Distress, Bethany Jean Adams
Defining Quality Of Life: The Lived Experience Of Adults With Pulmonary Hypertension And The Impact Of Activity-Induced Respiratory Distress, Bethany Jean Adams
Walden Dissertations and Doctoral Studies
Pulmonary hypertension (PH) is a progressive, life-limiting disease that significantly affects quality-of-life (QoL). Limited research has explored lived experiences of individuals with PH. Guided by Parse’s human becoming theory, this qualitative descriptive phenomenological study explored the lived experiences of individuals affected by PH and examined how activity-induced respiratory distress affected QoL. The research Question was: How do individuals with PH describe the impact of activity-induced respiratory distress on their QoL. I conducted interviews with nine participants, including eight adults diagnosed with PH and one caregiver of an individual with PH. Data were analyzed using Saldaña's comparative coding framework to identify …
Staff Education To Primary Care Staff About The Standardized Asthma Control Test, Paulina Asiedu
Staff Education To Primary Care Staff About The Standardized Asthma Control Test, Paulina Asiedu
Walden Dissertations and Doctoral Studies
Staff Education to Primary Care Staff About the Standardized Asthma Control Test by Paulina Asiedu Walden University, 2026. Background Inconsistent primary care asthma tracking leads to reactive management and avoidable emergency utilization. At a Minnesota community clinic, baseline electronic health record (EHR) audits revealed validated Asthma Control Test (ACT) scores were documented in only 5% of eligible encounters, driving a 12% emergency department utilization rate. Purpose & Methods This Doctor of Nursing Practice quality improvement project evaluated whether educating primary care staff on a standardized ACT protocol improved clinical knowledge, behavioral intent, and documentation compliance. Using ADDIE and ADKAR change …
Guideline For Early Identification Of Chronic Kidney Disease In At-Risk Adults In Primary Care, Catherine Ugo
Guideline For Early Identification Of Chronic Kidney Disease In At-Risk Adults In Primary Care, Catherine Ugo
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project focused on developing and validating a clinical practice guideline (CPG) to improve the early identification of chronic kidney disease (CKD) among at-risk adults in a primary care practice. The project addressed a site-specific practice gap involving the inconsistent use of evidence-based CKD screening, particularly estimated glomerular filtration rate (eGFR) and urine albumin-to-creatinine ratio (UACR) testing, which may delay diagnosis and treatment (Kidney Disease: Improving Global Outcomes [KDIGO] CKD Work Group, 2024). The purpose of this project was to develop an evidence-based CPG and evaluate its quality using the Appraisal of Guidelines for Research and …
Assessing The Financial Impact Of Spoofing Attacks In Michigan’S Finance Industry, Shatarsha Smith
Assessing The Financial Impact Of Spoofing Attacks In Michigan’S Finance Industry, Shatarsha Smith
Walden Dissertations and Doctoral Studies
Spoofing attacks have become an increasingly significant cybersecurity threat, exposing organizations and customers to financial losses by impersonating trusted identities in digital environments. Cybersecurity leaders need a better understanding of how information security maturity and the selection of cybersecurity strategy relate to spoofing loss outcomes. Grounded in game theory, the purpose of this quantitative cross-sectional correlational study was to examine the relationships among information security maturity, cybersecurity strategy selection, and spoofing loss outcomes in the financial industry. Data were collected from approximately 90 IT professionals employed in a Michigan-based government office in the public finance sector with at least 5 …
How Adults With Fasd Describe Spiritual Experiences And Faith Formation, Emily Hargrove
How Adults With Fasd Describe Spiritual Experiences And Faith Formation, Emily Hargrove
Walden Dissertations and Doctoral Studies
Fetal alcohol spectrum disorder (FASD) has been extensively studied in childhood and, more recently, in adulthood. However, little is known about how adults with FASD experience faith formation and spirituality. Spirituality has been recognized as a coping resource that promotes resilience and psychological well-being, yet these experiences remain largely unexplored among adults with FASD. The purpose of this study was to explore how adults with FASD describe their faith formation and spiritual experiences. Two research questions guided the study: How do adults with FASD describe their faith formation? and How do adults with FASD describe their spiritual experiences? James Fowler's …
Southeastern Michigan Firefighters’ Experiences With Their Organization’S Employee Assistance Program, Angela Patricia Johnson
Southeastern Michigan Firefighters’ Experiences With Their Organization’S Employee Assistance Program, Angela Patricia Johnson
Walden Dissertations and Doctoral Studies
Mental health challenges among first responders require coordinated stakeholder efforts. Although employee assistance programs (EAPs) are commonly offered as workplace benefits, little is known about firefighters’ experiences with these programs and how they can be tailored to meet their unique needs. Existing literature suggested that EAP utilization among firefighters is influenced by program awareness, confidentiality concerns, organizational support, stigma, and the extent to which services are tailored to first responders’ needs. Using a generic qualitative design and policy feedback theory, this study explored southeastern Michigan firefighters’ experiences with EAPs. Purposive sampling was used to recruit 11 firefighters for semi structured …
Self-Efficacy Mediators For Health-Seeking Behaviors In Women Of Childbearing Age Living With Polycystic Ovary Syndrome, Domenica Carrier
Self-Efficacy Mediators For Health-Seeking Behaviors In Women Of Childbearing Age Living With Polycystic Ovary Syndrome, Domenica Carrier
Walden Dissertations and Doctoral Studies
Polycystic ovary syndrome (PCOS) is an endocrine disorder leading to varied health complications, such as high blood pressure, Type 2 diabetes, infertility, and depression among women in the United States. Most studies have focused on managing the physical aspects of PCOS. Limited research to date has been conducted to determine the intrinsic and extrinsic motivation women living with PCOS harness to navigate the physical, psychosocial, and access to care in New Jersey, which are contributors to positive social change. This basic qualitative study utilized semistructured open-ended questions to determine the experiences and perspectives of women between the ages of 18 …
Exploring Elite Athletes’ Perceptions Of The Practice Of Mindfulness For Mental Health And Optimal Performance, Omar A. Sesay
Exploring Elite Athletes’ Perceptions Of The Practice Of Mindfulness For Mental Health And Optimal Performance, Omar A. Sesay
Walden Dissertations and Doctoral Studies
Elite athletes experience physical, cognitive, and emotional demands that affect athletic performance and personal well-being, increasing the risk for anxiety, depression, burnout, attentional difficulties, and maladaptive coping strategies. Mindfulness-based stress reduction (MBSR) has been examined for its effect on attentional control, emotional regulation, cognitive flexibility, and stress resilience, but limited qualitative research has examined how elite athletes experience the practice of mindfulness. The purpose of this generic qualitative study was to explore elite athletes’ perceptions of the practice of mindfulness for mental health and optimal performance. The theoretical framework draws from mindfulness theory and MBSR principles. Semistructured interviews were conducted …
Mexican Women Caregivers’ Support For Family Members With Type 2 Diabetes, Andrea Mesa
Mexican Women Caregivers’ Support For Family Members With Type 2 Diabetes, Andrea Mesa
Walden Dissertations and Doctoral Studies
Type 2 diabetes (T2D) is a persistent public health challenge in the United States, disproportionately affecting Hispanic populations. Mexican-origin women often serve as primary caregivers for relatives living with diabetes, yet their voices and lived experiences remain underrepresented in research. This study addressed the limited understanding of how cultural values and caregiving roles influence diabetes management within Hispanic families. The purpose of this qualitative phenomenological study was to explore the lived experiences of Mexican-origin women aged 40 to 60 who care for a family member with T2D. Guided by the theory of planned behavior and social cognitive theory, the study …
Retaining Teaching Hospital Nonacademic Nurse Educators: Addressing Burnout And Building Workforce Resilience, Walter Guevara
Retaining Teaching Hospital Nonacademic Nurse Educators: Addressing Burnout And Building Workforce Resilience, Walter Guevara
Walden Dissertations and Doctoral Studies
Burnout and high turnover intentions among nonacademic nurse educators (NANEs) in academic teaching hospitals pose a critical challenge for healthcare administration, threatening workforce stability, nursing education capacity, and healthcare outcomes. The purpose of the integrative review was to examine evidence-based strategies to reduce burnout and enhance resilience among NANEs, thereby improving retention, well-being, and workforce sustainability. An integrative literature review was conducted using the Johns Hopkins Evidence-Based Practice appraisal tools and 49 sources published between 2020 and 2025 were found to match criteria and quality for thematic analysis. Guided by Herzberg’s two-factor theory, a thematic analysis was used to synthesize …
Self-Care Behavior And Diabetes Knowledge In African American Women With Type 2 Diabetes, Rena Renee Barron
Self-Care Behavior And Diabetes Knowledge In African American Women With Type 2 Diabetes, Rena Renee Barron
Walden Dissertations and Doctoral Studies
African American women experience a disproportionate burden of Type 2 diabetes, and limited evidence exists regarding the relationship between diabetes knowledge and self-care behaviors, particularly among African American female veterans. The purpose of this quantitative, cross-sectional study was to examine the relationship between diabetes knowledge and diabetes self-care among African American women with Type 2 diabetes, including a subsample of African American female veterans, and to evaluate whether the COVID-19 pandemic (2017–2019 vs. 2021–2023) moderated this relationship. Additional variables included age, marital status, physical health, and mental health. Guided by the social-ecological model, de-identified data from the Behavioral Risk Factor …
Challenges Early Childhood Educators Encounter When Balancing Play-Based Learning With Preparation For Standardized Testing, Shanette Damar Mcbride
Challenges Early Childhood Educators Encounter When Balancing Play-Based Learning With Preparation For Standardized Testing, Shanette Damar Mcbride
Walden Dissertations and Doctoral Studies
The problem addressed through this study was that emphasis is being placed on standardized testing, which is causing early childhood educators to feel pressured to eliminate or reduce playtime in their classrooms. Framed by Vygotsky’s theory of social development and Lave and Wenger’s situated learning framework, the purpose of this basic qualitative study was to explore the experiences of early childhood educators in a southcentral U.S. state regarding the challenges they face in balancing a play-based learning curriculum and the support they need, while emphasizing information about standardized testing. The data were collected from semistructured interviews with 12 certified kindergarten …
African American Fathers’ Experiences Of Emotional Distress Within The Context Of Black Masculinity After Their Children’S Autism Diagnosis, John Notice
Walden Dissertations and Doctoral Studies
Although parental experiences following a child's autism spectrum disorder (ASD) diagnosis have been examined, mothers’ experiences have garnered the most exploration, with comparatively less attention given to fathers’ experiences. There was a gap in knowledge, in particular, on how African American (AA) fathers experience their children's ASD diagnoses while navigating emotional distress within the context of Black masculinity. The purpose of this generic qualitative study was to explore how AA fathers experienced their children's ASD diagnoses while navigating emotional distress within the context of Black masculinity. Crenshaw's intersectionality theory served as the conceptual framework. Data were collected by conducting semistructured …
Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski
Lived Experiences And Competencies Of Mental Health Professionals Supporting Postpartum Mothers’ Mental Health And Well-Being, Shaynie Wolski
Walden Dissertations and Doctoral Studies
Perinatal mood and anxiety disorders (PMADs), including depression, anxiety, obsessive-compulsive disorder, posttraumatic stress disorder, and postpartum psychosis, affect postpartum individuals and their families. Limited research has examined the lived experiences and competencies of licensed mental health professionals who address PMADs, potentially limiting counselor educators’ ability to prepare counselors for postpartum mental health needs. Guided by hermeneutic phenomenology and informed by Ecological Systems Theory, the purpose of this qualitative study was to answer the guiding question: What are the lived experiences of licensed mental health professionals in recognizing, assessing, and treating PMADs among postpartum clients? Semi-structured interviews were conducted with eight …
Burnout, Compassion Fatigue, Secondary Trauma, And Experiences With Death And Dying Among Organ And Tissue Recovery Professionals: A Hermeneutic Phenomenological Study, Shelby Andreasen
Walden Dissertations and Doctoral Studies
Professionals in organ and tissue recovery have complex job roles that affect the outcomes of patients who wait for a life-saving organ or a life-enhancing tissue graft. This profession had little research regarding burnout, compassion fatigue, and secondary trauma, as well as how consistent involvement with deceased patients affects these professionals and the outcomes of their cases. The purpose of this qualitative phenomenological study was to explore the lived experiences of 11 organ and tissue recovery professionals (OTRPs). Constructivist self-development theory was applied to understand OTRPs’ lived experiences of compassion fatigue, secondary trauma, and burnout, as well as the impact …
The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves
The Lived Experiences Of Intimacy And Isolation In Single Mothers During Covid-19: An Eriksonian Perspective, Chante Renee Reeves
Walden Dissertations and Doctoral Studies
Single mothers were largely absent from the COVID-19 literature, despite being head of household in approximately 80% of single-parent homes. The purpose of this phenomenological qualitative research study was to gain insight into the lived experiences of single mothers during the COVID-19 pandemic. This study addressed how this group connected with family, friends, and others in meaningful ways despite government-imposed lockdowns and restrictions. This phenomenon was explored through Erik Erikson’s psychosocial development theory, with a focus on the intimacy versus isolation stage. An Eriksonian perspective on relationship building and maintenance in adulthood can help better understand and address the social …
Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer
Completion Outcomes And Predictive Characteristics In Mandated Inpatient Substance Use Treatment, Tina Marie Moyer
Walden Dissertations and Doctoral Studies
Treatment retention, specifically as it pertains to offenders who are mandated to receive substance use treatment rather than serve standard incarceration sentences, is receiving more scholarly attention. Although prior research indicates an association between substance use treatment and reduced criminal behavior, many studies have methodological limitations. The purpose of this quantitative non-experimental, comparative study was to compare treatment completion outcomes for mandated and non-mandated offenders and to examine individual predictors of treatment completion, thereby addressing gaps in the current research. Secondary data from adult offenders receiving treatment at an inpatient substance use rehabilitation facility were analyzed. The risk-needs-responsivity model was …
Staff Education On Fall Reduction For Residents Of Long-Term Care Facility, Lauretta Ifeoma Iwuala-Mcwilliams
Staff Education On Fall Reduction For Residents Of Long-Term Care Facility, Lauretta Ifeoma Iwuala-Mcwilliams
Walden Dissertations and Doctoral Studies
Falls pose a major safety risk for elderly individuals living in long-term care facilities, leading to injuries, hospitalizations, loss of autonomy, increased healthcare expenses, and higher morbidity and mortality rates. In the facility involved in this project, the incidence of falls was above anticipated benchmarks. Factors such as high staff turnover and reliance on agency staff resulted in inconsistent knowledge among personnel regarding fall prevention measures. Purpose: This Doctor of Nursing Practice quality improvement initiative aimed to implement and assess an evidence-based educational program designed to enhance staff understanding and skills related to fall-risk assessment, the identification of both intrinsic …
Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang
Staff Education To Improve Staff Knowledge On Fall Prevention, Nginjoh Presilia Njofang
Walden Dissertations and Doctoral Studies
Patient safety risks associated with falls are a major issue in adult inpatient medical-surgical environments because nursing inconsistencies with regard to fall risk assessments, individualized fall prevention interventions, and documentation could impede adherence to best practices. To overcome this knowledge gap among RNs in the selected environment, a DNP education project aimed at standardized fall-prevention staff education was initiated. The question for the practice was whether standardized staff education would increase knowledge among nurses regarding fall-risk assessments, preventive measures, and documentation requirements, based on pretest and posttest results. In the course of a one-hour educational session conducted face-to-face, twenty RNs …
Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik
Operating Room Scheduling And Workflow Optimization In Acute Care Hospitals, Waleed Tawfik
Walden Dissertations and Doctoral Studies
Operating room scheduling inefficiencies in acute care hospitals contribute to delays, prolonged turnover times, cancellations, underused capacity, overtime, higher costs, and reduced timely access to surgery. This integrative review examined evidence-based, systems-oriented scheduling and workflow strategies to improve operating room utilization, reduce delays, and enhance operational efficiency. Guided by general systems theory, a structured search identified 196 database-level records; 28 articles underwent full-text review, and 20 sources were retained for thematic synthesis after critical appraisal using the Johns Hopkins Evidence-Based Practice criteria. The thematic analysis revealed four main themes: standardized workflow coordination, data-driven scheduling and decision support, integrated resource and …
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Underrepresented Students’ Perceptions Of Precollege Programs And Challenges Of Transitioning To Postsecondary Education, Dana Truesdale
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study is that underrepresented students (low-income and first generation college students) face challenges associated with the transition from secondary education to postsecondary education. Grounded in Schlossberg’s transition theory, the purpose of this study was to explore underrepresented students’ perceptions of support provided by precollege programs and remaining challenges when transitioning to higher education. For this basic qualitative design, semistructured interviews with 11 underrepresented students who participated in a precollege program were conducted. Braun and Clarke’s six-phase data analysis was used. After deductive and inductive analysis, the following themes emerged: Students indicated that the …
Exploring The Definition Of Democracy And Rule Of Law From Afghan Women’S Perspective, Lynda Boswell
Exploring The Definition Of Democracy And Rule Of Law From Afghan Women’S Perspective, Lynda Boswell
Walden Dissertations and Doctoral Studies
Although the United States funded programs from 2001 to 2021 to promote democracy, the rule of law, and opportunities for Afghan women, existing reports and evaluations focused primarily on expenditures, implementation, outputs, and accountability rather than Afghan women’s perspectives, particularly after the Taliban’s return to power in August 2021. This study addressed that gap by exploring how Afghan women experienced and understood democracy and the rule of law before and after the U.S. withdrawal and how U.S.-supported programs influenced their perceptions and experiences. Guided by theoretical frameworks of democracy and the rule of law as applied in Afghanistan and other …