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Postdischarge Pediatric Mortality In Nigeria For Children Under 5 Years Of Age, Philomina Nwaugo Chukwudike
Postdischarge Pediatric Mortality In Nigeria For Children Under 5 Years Of Age, Philomina Nwaugo Chukwudike
Walden Dissertations and Doctoral Studies
Child mortality has remained a public health issue that is prevalent among families living in Nigeria and low- and middle-income countries. Factors associated with post-discharge pediatric mortality among children under 5 have not been explored. The study involved examining associations between timely individual follow-up visits, availability of healthcare facilities for follow-up care, and likelihood of post-discharge mortality among children under 5 while adjusting for household income, geographical location, mothers’ age, and mothers’ education. The theoretical framework was the social ecological model. Data were generated from the 2018 Demographic and Health Survey. A sample size of N=21,671 was used to determine …
Narratives Of First-Generation Mexican American Bilingual Licensed Counselors, Marleny Soriano
Narratives Of First-Generation Mexican American Bilingual Licensed Counselors, Marleny Soriano
Walden Dissertations and Doctoral Studies
Despite the growing demand for mental health services in Spanish, bilingual counselors are often ill-equipped to provide services in Spanish and frequently enter state-required supervised licensure without adequate training or opportunities for clinical supervision to support their growth as bilingual counseling professionals. The purpose of this qualitative narrative inquiry was to answer the research question: What are the narratives of first-generation Mexican American bilingual counselors during supervised licensure? Guided by Anzaldua’s Borderlands Theory as a conceptual framework, data were collected from eight participants through semi-structured virtual interviews and analyzed using thematic analysis. Findings revealed four themes mirroring the stages of …
Overseas Military Transition And Post-Military Job Retention, Chea Hale-Hernandez
Overseas Military Transition And Post-Military Job Retention, Chea Hale-Hernandez
Walden Dissertations and Doctoral Studies
Adjustment from military life to the corporate or civilian world can be challenging for some individuals who have served in the armed forces. The purpose of this qualitative phenomenological study was to explore the lived experiences of U.S. military veterans transitioning from overseas service to civilian employment and to identify the factors contributing to long-term job retention. The military transition theory and turnover contagion theory grounded this study. The participants consisted of 20 male veterans representing the U.S. Army, Navy, Air Force, and Army National Guard in Dayton, Ohio. Data were collected using semistructured interviews and public documents. Two themes …
Identifying Best Practices To Decrease The High Rate Of 30-Day Rehospitalization Of Patients With Dementia From Skilled Nursing Facilities, Mavis Johnson
Walden Dissertations and Doctoral Studies
Abstract As CMS continues to prioritize quality care over quantity and positive patient outcomes, hospitals and nursing homes must ensure that their mission and goals align. The high rehospitalization rate is a current and ongoing concern among policymakers and healthcare administrators. Adverse patient outcomes and increased financial costs to both patients and Health Service Organization (HSO) administrators highlight the need to identify best practices to help reduce rehospitalization. The purpose of this integrative review is to identify best practices for reducing the high rate of 30-day rehospitalization among patients with dementia in skilled nursing facilities (SNF). The review question that …
Respiratory Health And Environmental Risks Among California Children: The Role Of Socioeconomic Status, Wen Chieh Chia
Respiratory Health And Environmental Risks Among California Children: The Role Of Socioeconomic Status, Wen Chieh Chia
Walden Dissertations and Doctoral Studies
Abstract Air pollution has been cited as a factor in the development of respiratory illness in children. Socioeconomic differences can intensify the effects of air pollution exposure on low-income children compared to higher-income children. This correlational study examined the relationship between air pollution exposure and respiratory health outcomes among California children, as well as the moderating role of socioeconomic status. The study was guided by the environmental health disparities framework and used secondary data from the California Environmental Health Tracking Program, analyzing data from 49 California counties (n = 49). Independent variables were PM2.5 concentrations and the number of ozone …
Cultural Influences Experienced By Self-Identified Hmong College Students, Nkaujntsa Lovy Lee
Cultural Influences Experienced By Self-Identified Hmong College Students, Nkaujntsa Lovy Lee
Walden Dissertations and Doctoral Studies
The purpose of this qualitative research was to explore how self-identified Hmong college students aged 18–24 perceived their culture’s influence on their academic experiences. The study examined the relationships shaping individual identity and their effects on academic pursuits. A basic qualitative inquiry approach was used to interview ten Hmong undergraduate students enrolled in colleges across the United States. Semi-structured interviews facilitated data collection guided by the ecological systems theory, while thematic analysis and inductive coding were employed to identify patterns and develop themes from the data. The themes identified in the study were family as the central influence, negotiating conflicting …
What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff
What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff
Walden Dissertations and Doctoral Studies
There is no systematic process of orienting non-Hawaiian educators to Hawaiian culture, as evidenced by name mispronunciation. The purpose of this phenomenological study was to explore the experiences of individuals with traditional Hawaiian first names in a classroom environment. Critical race theory (CRT), especially the concept of microaggressions, was used as the framework for the study. Two research questions guided the study: What are the adult lived experiences with traditional Hawaiian first names encountered in academic settings during childhood? How do adults with traditional Hawaiian first names describe their experiences of race in the classroom? Semistructured interviews were conducted with …
The Relationship Between Cloud Computing Factors And Cloud Computing Behavioral Intention Of First-Year University Students, Gabriel Albino
The Relationship Between Cloud Computing Factors And Cloud Computing Behavioral Intention Of First-Year University Students, Gabriel Albino
Walden Dissertations and Doctoral Studies
In an era where vast amounts of data are generated daily, the ability to manage information through cloud computing has become critical; however, asymmetries in using this technology persist, particularly in developing countries. Academic managers often lack information about the factors influencing cloud computing usage. The purpose of this quantitative correlational cross-sectional study was to examine the relationship between cloud computing factors, including effort expectancy (EE), performance expectancy (PE), social influence (SI), and facilitating conditions (FC), and the first-year university students’ cloud computing behavioral intention (CCBI) in the developing country of Angola. A structured questionnaire was administered to a random …
Cancer Literacy And Social Determinants Of Health: An Epidemiological Analysis Of Trust, Digital Engagement, And Healthcare Utilization In Cancer Information Seeking, Kimberly Leeann Hazel
Cancer Literacy And Social Determinants Of Health: An Epidemiological Analysis Of Trust, Digital Engagement, And Healthcare Utilization In Cancer Information Seeking, Kimberly Leeann Hazel
Walden Dissertations and Doctoral Studies
The rise of online health information has increased access to cancer resources but also amplified misinformation, creating trust gaps that threaten prevention, treatment, and health equity. This study examined how trust in cancer information sources, online information-seeking, and healthcare perceptions relate among U.S. adults. Guided by the health information seeking behavior, the socioecological model, and the structural influence model of health communication, data from the 2022 Health Information National Trends Survey (N = 6,197) were analyzed with logistic regression, mediation, and moderation modeling, controlling for demographics. Trust in government agencies predicted greater cancer information seeking (odds ratio [OR] = 1.94, …
National Survey Of Physical Therapists’ Participation As Health Educators In Physical Activity Promotion Among Older Adults, Casey Nicole Mokres
National Survey Of Physical Therapists’ Participation As Health Educators In Physical Activity Promotion Among Older Adults, Casey Nicole Mokres
Walden Dissertations and Doctoral Studies
Physical inactivity among older adults remains a major national and global public health concern linked to preventable morbidity, mortality, and rising healthcare costs. Physical therapists are uniquely positioned to promote physical activity (PA) through health education, yet their engagement in this role is not well defined. This quantitative cross-sectional study examined associations between clinical practice factors—years of experience, board certification status, and practice setting—and three domains of the theoretical domains framework (knowledge, skills, and behavioral regulation) related to PA promotion among older adults. The framework guided identification of behavioral and contextual factors influencing therapists’ delivery of PA promotion interventions. Data …
Exploring Parenting Experiences: Fathers And Mothers Raising A Child With Autism, Simmi Santha
Exploring Parenting Experiences: Fathers And Mothers Raising A Child With Autism, Simmi Santha
Walden Dissertations and Doctoral Studies
The experiences of parenting a child with autism spectrum disorder (ASD) have been widely studied in Western contexts. Still, limited research has explored how sociocultural factors shape these experiences in India. This qualitative study aims to address this gap by exploring and comparing the lived experiences of mothers and fathers raising a child with ASD in Kerala, India. The purpose of this study was to investigate how gender roles, cultural expectations, and social structures impact parental adaptation, coping, and caregiving practices. Bronfenbrenner’s ecological systems theory and Crenshaw’s ideas of intersectionality provide the conceptual framework of this study. Using an interpretative …
Strategies To Manage Business Process Outsourcing Initiatives, Zienisha Bailey-Grant
Strategies To Manage Business Process Outsourcing Initiatives, Zienisha Bailey-Grant
Walden Dissertations and Doctoral Studies
Organizations increasingly rely on business process outsourcing (BPO) to reduce costs, access specialized expertise, and improve efficiency; however, failure rates in BPO initiatives remain high, leading to financial loss, operational disruptions, and reduced competitiveness. Business leaders who lack effective strategies to manage outsourcing projects risk eroding customer satisfaction and organizational performance. Grounded in transaction cost economics and the resource-based view, the purpose of this qualitative single-case study was to explore strategies some business leaders used to successfully manage BPO initiatives. The participants included 10 senior managers from organizations in the southeastern United States who had demonstrated success in overseeing outsourcing …
Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi
Circumciser Type And The Type Of Female Genital Mutilation/Cutting Prevalence For Girls Ages 0-14 Years In Ethiopia, Jean-Pierre Ramazani Abedi
Walden Dissertations and Doctoral Studies
Despite ongoing eradication efforts, female genital mutilation and cutting (FGM/C) remains a major public health and human rights concern in Ethiopia. This quantitative study was conducted to examine how circumciser type (traditional cutter, birth attendant, or health professional) influences FGM/C prevalence and severity among girls ages 0–14, considering the moderating effects of residence and mothers’ FGM status, while controlling for age and income. Guided by the social ecological model and using 2016 E Ethiopian Demographic Health Surveys data, analysis indicates a significant association between circumciser type and FGM/C type (χ² (2, N = 1,553) = 6.86, p = .032), which …
Teachers’ Experiences With The Use Of Read-Alouds For Fourth- And Fifth-Grade Students, Shervita Bryant
Teachers’ Experiences With The Use Of Read-Alouds For Fourth- And Fifth-Grade Students, Shervita Bryant
Walden Dissertations and Doctoral Studies
The research problem addressed in this basic qualitative study was the inconsistent use and implementation of teacher read-alouds among fourth- and fifth-grade teachers in an urban district. Guided by Clark and Peterson’s cognitive process teacher model, Rumelhart’s schema theory, and Gough and Tunmer’s simple view of reading, the purpose of this project study was to explore teachers’ experiences and perceptions regarding their use of read-alouds as part of their regular reading instruction. Two research questions were developed to explore teachers’ experiences of the support received for using the read-aloud. Semistructured interviews were conducted with 10 fourth- and fifth-grade teachers. Data …
Assessing The Impact Of Substance Abuse On Occupational Injuries Using Workers Compensation Claims In Ohio, Samson Agboola
Assessing The Impact Of Substance Abuse On Occupational Injuries Using Workers Compensation Claims In Ohio, Samson Agboola
Walden Dissertations and Doctoral Studies
Occupational injuries remain prevalent across various industries, resulting in significant financial burdens for both organizations and employees through increased workers’ compensation claims. One potential contributing factor is substance use in the workplace, which has been linked to decreased productivity, impaired judgment, and workplace conflict. Despite these risks, the relationship between substance use and occupational injuries remains underexplored. As such, grounded in constructivism and interpretivism, this study investigated the extent to which substance use influences injury outcomes and whether its role is underestimated in workplace incident reporting by analyzing worker’s compensation claims in Ohio. A mixed-methods approach was employed, combining a …
Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar
Lived Oral Health Experiences Of Syrian Refugees In The United States, Taniya Michael Henry-Sangar
Walden Dissertations and Doctoral Studies
The oral health status of Syrian refugees has been impacted by war and displacement since the 2011 civil war. To date, limited in-depth knowledge is available on oral health experiences of resettled Syrian refugees in the United States. The purpose of this qualitative study was to explore lived oral health experiences of resettled Syrian refugees before, during, and after the 2011 Syrian civil war. The health belief model (HBM) and theory of planned behavior (TPB) were theoretical frameworks for this phenomenological inquiry. The study was guided by semi-structured phone interviews with a purposeful sample of 11 Syrian refugees over the …
Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami
Integration Of Afghan Refugee Professionals Into American Society, Khatera Bahrami
Walden Dissertations and Doctoral Studies
This study explored the social and psychological challenges Afghan refugee professionals experienced when they entered the U.S. workforce after being forcibly displaced. Trauma, job loss, and cultural adjustment significantly impacted their mental health and reintegration. The study examined how social and psychological obstacles impacted their cultural adjustment, well-being, and capacity to deal with credentialing and professional demands. This research employed a qualitative phenomenological design, grounded in Conservation of Resources (COR) Theory and the Stress Appraisal Model, using 60-minute audio-only, semi-structured interviews with 10 Afghan refugee professionals. Using Reflexive Thematic Analysis (RTA), according to the findings, participants faced challenges relating to …
Investigating Trust Between Hispanic Immigrants And Law Enforcement, Nina Marie Morales-Perez
Investigating Trust Between Hispanic Immigrants And Law Enforcement, Nina Marie Morales-Perez
Walden Dissertations and Doctoral Studies
In this qualitative study, the evolving perceptions of law enforcement among child immigrants from Central and South America following their immigration to the United States were investigated. Anchored in social learning theory, the aim was to discern whether interactions with law enforcement in their home countries and the United States influence these perceptions. A phenomenological approach was used to conduct in-depth interviews with six Latino individuals who immigrated between the ages of 7 and 17 and are at least 18 years old at the time of their interview. Participants were recruited through purposeful sampling, and interview questions were used to …
The Relationship Between K-12 Public School Funding, Per Pupil Expenditures, And Student Achievement, Regina R. Frazier-Bagley
The Relationship Between K-12 Public School Funding, Per Pupil Expenditures, And Student Achievement, Regina R. Frazier-Bagley
Walden Dissertations and Doctoral Studies
Public school district leaders are challenged with funding K-12 education that creates the desired student academic performance. Grounded in student-based budgeting theory, this quantitative ex post facto study aimed to investigate the relationship between K–12 public school funding, per-pupil expenditures, student achievement, and graduation rates in Georgia. The study included secondary data from 51 North Georgia public school districts for the 2018–2019 school year. Multiple regression analysis was completed to examine the relationship between the independent variables—state funding, per-pupil expenditures, and academic achievement in math, science, and language arts—and the dependent variable: graduation rates. The results of the analysis were …
Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield
Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield
Walden Dissertations and Doctoral Studies
Despite growing organizational attention to diversity, equity, and inclusion, some workplaces continued to struggle with embedding equitable practices. The research problem addressed in this study focused on understanding how employees perceived leaders’ diversity training and its effectiveness in supporting organizational equity. The purpose of this qualitative interpretative phenomenological study was to explore employees’ perspectives of leadership diversity training and its role in supporting organizational equity. Behavioral leadership theory and critical race theory grounded this study. The participants consisted of 10 employees with experience in leadership diversity training in Kentucky, Ohio, and Indiana. Data were collected using semistructured interviews. Seven most …
Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders
Telehealth, Access To Care, And Perceived Lived Experiences Of Seniors Living In Sumter, South Carolina, Taquisha Anquinette Howard-Sanders
Walden Dissertations and Doctoral Studies
Telehealth has emerged as a transformative approach to healthcare delivery, particularly for populations facing geographic, financial, and mobility-related barriers. In rural communities such as Sumter, South Carolina, seniors 50 and older continue to experience challenges in accessing timely care, including limited transportation, provider shortages, digital illiteracy, and financial constraints. Conducted by Andersen’s Behavioral Model of Health Services Use (ABMHSU), this qualitative phenomenological study explored the lived experiences of seven seniors in Sumter to understand how telehealth influences engagement in healthcare. This study was guided by three research questions (RQ) that examined seniors’ experiences using ABMHSU, focusing on predisposing factors, enabling …
Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie
Navigating The Shadows: A Phenomenological Exploration Of The Psychological Well-Being Of Coachees From Strengths-Based Coaching, Lorenzo Moultrie
Walden Dissertations and Doctoral Studies
Organizations may experience negative impacts, such as the loss of valuable employees and disruptions in team dynamics, when coaching interventions lead to challenges against organizational norms or policies. Coaching industry leaders must understand the negative impacts as indicators of workplace vulnerability affecting employees and productivity. The purpose of this qualitative phenomenological study was to explore how coachees describe their lived experiences of strengths-based coaching (SBC) and its impact on their psychological well-being (PWB). The SBC’s dual outcomes on PWB, using a conceptual framework that integrates positive psychology coaching, Ryff’s model of PWB, and social exchange theory, grounded this study. The …
Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork
Walden Dissertations and Doctoral Studies
Psychogenic nonepileptic seizure (PNES) is an important individual and public health concern, but inconsistent results exist in the literature in terms of the circumstances surrounding the initial occurrence of PNES among patients without a prior diagnosis of epilepsy. The purpose of this study was to determine to what extent patient sex, number of medical comorbidities, sleep deprivation, head injury in the past, and eyes closed during seizures predict initial PNES among patients with or without PNES. The precaution adoption process model provided a framework for exploring how individuals become aware of health risks and decide to adopt preventive behaviors. Secondary …
Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo
Generational Differences And Registered Nurses’ Intention To Leave An Organization, Mutabazi Sekimonyo
Walden Dissertations and Doctoral Studies
As baby boomers, Generation X, millennials, and Generation Z converge in healthcare settings, their distinct values and work styles influence organizational culture, communication, and collaboration, ultimately affecting patient care outcomes. This study was conducted to explore the impact of generational differences on registered nurses’ intentions to leave their organizations or the nursing profession. By examining how these generational differences shape nurses’ intentions to leave their organizations, the study can help to identify challenges and opportunities for healthcare leadership. Through an analysis of generational expectations and workforce dynamics, this research aimed to inform strategies for supporting retention, enhancing job satisfaction, and …
Strategies To Streamline Patient Appointments In Specialty Outpatient Care, Adama Drammeh
Strategies To Streamline Patient Appointments In Specialty Outpatient Care, Adama Drammeh
Walden Dissertations and Doctoral Studies
Abstract Outpatient addiction treatment centers face significant challenges from inefficient appointment scheduling systems that contribute to high no-show rates, delayed care, and weakened organizational performance. These barriers affect more than daily operations; they disrupt the flow of treatment, increase patient disengagement, and place additional strain on limited healthcare resources. For patients navigating substance use disorders, a missed appointment may jeopardize continuity of care and undermine recovery efforts. This integrative review explored strategies to improve scheduling efficiency and enhance patient engagement in outpatient addiction care. A systematic search of recent U.S. studies was conducted and appraised using the Johns Hopkins Evidence-Based …
Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay
Self-Connection As A Mediator Between Exercise And Well-Being, Lauren Esmay
Walden Dissertations and Doctoral Studies
Scientists and health professionals have established the connection among physical activity and overall wellbeing. In more recent years, scholars have also researched the correlation among increased self-connection with increased overall well-being. Nevertheless, insignificant data has been gathered to investigate the impact of predictor variables upon the connection between exercise and wellbeing. This research study examined the mediating effect of self-connection among the relationship between exercise and wellbeing. The current study’s purpose was to gain better insights on how self-connection predicts a person’s physical activity, contributing to comprehensive insights how exercise habits may predict a person’s wellbeing by using a cross-sectional …
Educator Experiences With Implementing Every Student Succeeds Act Equity Mandates For Students With Autism, Jameelah S. Lewis
Educator Experiences With Implementing Every Student Succeeds Act Equity Mandates For Students With Autism, Jameelah S. Lewis
Walden Dissertations and Doctoral Studies
Educating students with autism spectrum disorder (ASD) in under resourced schools remains a persistent equity concern in the United States. This study addressed a gap in the existing research, as prior studies have examined special education policy and school-level implementation challenges, but few have explored the experiences of general education teachers implementing inclusion in low-socioeconomic public schools. The purpose of this generic qualitative study was to explore the barriers general education teachers encounter in providing equitable education and their recommendations for improving inclusion. The study was guided by Ingram and Schneider’s (1993) social construction theory, which explains how marginalized groups …
From Trauma To Triumph: A Qualitative Content Analysis Of Posttraumatic Growth In Children’S Animated Films, Crystal Victoria Tasker
From Trauma To Triumph: A Qualitative Content Analysis Of Posttraumatic Growth In Children’S Animated Films, Crystal Victoria Tasker
Walden Dissertations and Doctoral Studies
Children’s animated films have often been analyzed for problematic depictions of gender and cultural stereotypes, but far less attention has been given to how these narratives may portray psychological adversity and transformation. This study addressed this gap by examining how posttraumatic growth (PTG) is symbolized through the narrative arcs of ten Disney films released between 2013 and 2023. The purpose of this research was to explore how these films illustrate themes of emotional transformation, utilizing a theoretical foundation based on Tedeschi and Calhoun’s PTG model, which emphasizes five domains of growth following adversity: appreciation of life, enhanced relationships, personal strength, …
Addressing Nursing Shortages In Rural Hospitals: Strategies For Recruitment And Retention, Harrison Efosa Omoruyi
Addressing Nursing Shortages In Rural Hospitals: Strategies For Recruitment And Retention, Harrison Efosa Omoruyi
Walden Dissertations and Doctoral Studies
Abstract The shortage of nursing staff in rural hospitals has created a critical workforce challenge in the United States, negatively affecting patient care, organizational performance, and community health. The purpose of this integrative review was to identify evidence-based strategies to improve the recruitment and retention of nurses in rural hospital settings. A search of literature published between 2021 and 2025 yielded 20 high-quality and good-quality studies that addressed the problem. Guided by Herzberg’s two-factor theory, thematic analysis revealed six overarching themes: (a) strategic improvements, (b) system efficiency and effectiveness, (c) service availability, (d) care models, (e) organizational support, and (f) …
Expressing Diversity And Anxiety Among Graduate Psychology Students, Paola G. Garcia Betancourt
Expressing Diversity And Anxiety Among Graduate Psychology Students, Paola G. Garcia Betancourt
Walden Dissertations and Doctoral Studies
This quantitative study examined the relationship between motivational factors that contribute to challenges in expressing diversity and the levels of anxiety experienced by graduate psychology students when discussing racial topics. The study was grounded in critical race theory, which posits that racism is embedded within social and institutional systems and influences interpersonal and educational dynamics. The purpose of the study was to determine whether motivational factors, as measured by the Color-Blind Racial Attitudes Scale, predicted anxiety levels, as measured by the Patient-Reported Outcomes Measurement Information System Emotional Distress Anxiety Short Form, and whether racial background moderated this relationship. Data were …