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Factors Affecting Inadequate Growth During Early Childhood In Guyana, South America, Valescia Xenobia John
Factors Affecting Inadequate Growth During Early Childhood In Guyana, South America, Valescia Xenobia John
Walden Dissertations and Doctoral Studies
Children under 5 years of age in Guyana are at an increased risk for inadequate growth. According to the United Nations Development Programme, 1 out of 3 children of preschool age are undernourished globally. This is a major public health concern as undernourishment in children under 5 years can lead to lifelong health complications. The study assessed the relationship between inadequate growth and urban classification in children under 5 years in Guyana, South America, after controlling for the following variables: mother's level of education, mother's age at birth of the child, household size, wealth, and marital status. The study framework …
Obstetric Fistula: The Experiences Of Patients And Medical Personnel In Sierra Leone, Sheku Samba
Obstetric Fistula: The Experiences Of Patients And Medical Personnel In Sierra Leone, Sheku Samba
Walden Dissertations and Doctoral Studies
Women face great risks in pregnancy and childbirth, especially in developing countries where there are very few skilled birth attendants and negligible government investments in maternal health programs. As a result, obstetric fistula (OF), a potentially fatal but preventable and treatable condition, affects some 3 million women and girls globally. In Sierra Leone, the prevalence of OF is extremely high, but the absence of quality data to inform decision-making, both on prevalence and risk factors, is a barrier to creating an environment for OF prevention and care. The purpose of this phenomenological study was to explore and document the barriers …
Amnesty As A Public Policy Tool For Countering Insurgence In Nigeria, Ayodeji A. Dada
Amnesty As A Public Policy Tool For Countering Insurgence In Nigeria, Ayodeji A. Dada
Walden Dissertations and Doctoral Studies
Although research has been done on amnesty, little is known about amnesty as a public policy tool toward countering insurgence in Nigeria. The purpose of the study was to examine the role of amnesty as a public policy tool. The research questions are: Is there a difference in people's view of amnesty that explain the relevance of infrastructural facilities to stimulate economic growth and development in Nigeria? And, are there specific citizen characteristics that explain the differences in the way citizens perceive amnesty as a public policy choice? The theoretical framework was based on Marx's ideology of conflict theory. This …
Decreasing Primary-Care-Related Emergency Department Visits In The Hispanic Population Using Patient Navigators, Arthur Dominguez Jr.
Decreasing Primary-Care-Related Emergency Department Visits In The Hispanic Population Using Patient Navigators, Arthur Dominguez Jr.
Walden Dissertations and Doctoral Studies
Primary-care-related emergency department (PCR-ED) visits by Hispanic patients enrolled in a not-for-profit Medi-Cal and Medicare health plan resulted in longer wait times in the emergency department (ED) at a regional medical center in Southern California. This congestion decreased access for those with true emergencies, created capacity issues, increased ED length of stay, and resulted in potential safety risks. This project focused on decreasing PCR-ED visits in the Hispanic population using patient navigators in Southern California. Applying the health belief model and Lippitt's theory of change, this doctoral project involved the creation and implementation of a culturally appropriate, population-specific patient navigator …
Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda
Perceptions, Beliefs, And Behaviors Toward Breast Cancer Screening Of Filipino Women In Saudi Arabia, Cherry Rose Aguilar Fronda
Walden Dissertations and Doctoral Studies
Despite the existence of breast cancer screening that could promote early diagnosis and survival of breast cancer, high mortality rates of breast cancer persist among Filipino women. The purpose of the qualitative study was to describe the perceptions, beliefs, and behaviors of Filipino women working as Overseas Filipino Workers (OFWs) in Saudi Arabia. Face-to-face interviews were conducted with 20 Filipino women between the ages of 40 to 60 years who were recruited voluntarily using purposeful sampling technique. Guided by the structures of health belief model (HBM), the study used an inductive coding technique to elicit common themes from the raw …
Maternal Health Literacy, Antenatal Care, And Pregnancy Outcomes In Lagos, Nigeria, Olubunmi Adanri
Maternal Health Literacy, Antenatal Care, And Pregnancy Outcomes In Lagos, Nigeria, Olubunmi Adanri
Walden Dissertations and Doctoral Studies
Maternal mortality, an example of poor maternal health outcomes, is widely accepted as an indicator of the overall health of a population. One of the Millennium Development Goals was reduction in maternal mortality by 3 quarters by 2015. These goals were not met in Nigeria and it is important to look at some of the reasons why. Education has been shown to have positive impact on pregnancy outcomes; however, the characteristics of pregnant women, their health literacy level, their usage of antenatal care services and how these impact pregnancy outcomes are yet to be analyzed in Lagos, Nigeria. Guided by …
Assessing The Implementation Of Internal Branding Training In The Hotel Industry, Peter Juskiw
Assessing The Implementation Of Internal Branding Training In The Hotel Industry, Peter Juskiw
Walden Dissertations and Doctoral Studies
Internal branding (IB) evolved from marketing to engage employees in a company's strategic planning. IB has been studied extensively in the hospitality industry, but not with human resource (HR) departments. The purpose of this phenomenological study was to assess the effectiveness of corporate training designs in instilling IB corporate values in global employees of a multinational hotel chain to determine whether European core values could be transferred across different cultural backgrounds. Structured interviews on IB were conducted with 22 HR practitioners of a luxury hotel chain to capture essential information through the lived experiences of the participants, all of whom …
Roles Of Community Pharmacists In Improving Oral Health Awareness In Plateau State, Northern Nigeria, Olaniyi O. Taiwo
Roles Of Community Pharmacists In Improving Oral Health Awareness In Plateau State, Northern Nigeria, Olaniyi O. Taiwo
Walden Dissertations and Doctoral Studies
There is poor oral health awareness in Nigeria. This is mainly attributed to limited access to correct information on oral health as well as a lack of oral health care providers. The impact of the poor oral health awareness is worse in Northern Nigeria due to the uneven distribution of oral health care workers and training facilities. The purpose of this cross-sectional study was to describe the roles of community pharmacists (CPs) in Plateau State, Nigeria as sources of oral health information. Theoretical framework for this study was the theory of planned behavior (TPB). Background knowledge and practices of oral …
Translation And Validation Of The Spanish Version Of The Rapid Estimate Of Adult Literacy In Dentistry-30, Wilma Luquis
Translation And Validation Of The Spanish Version Of The Rapid Estimate Of Adult Literacy In Dentistry-30, Wilma Luquis
Walden Dissertations and Doctoral Studies
Low or marginal health literacy affect nearly 90 million citizens in the United States, compromising health outcomes, including oral health. Oral health literacy has been studied in diverse populations, yet the assessments used were developed and validated for English-speaking populations. A validated Spanish-language oral health literacy assessment was needed to help researchers and practitioners evaluate oral health literacy in the Hispanic population. Using the oral health literacy framework, the purpose of this study was to translate, culturally adapt, and validate a Spanish version of a previously validated English-language oral health literacy. A translation-back-translation process was applied to the English version …
Body Piercing And Health Complications Among College Students In Puerto Rico, Elsie Goicochea
Body Piercing And Health Complications Among College Students In Puerto Rico, Elsie Goicochea
Walden Dissertations and Doctoral Studies
The incidence and prevalence of body piercing health complications among students is a public health matter that has not been researched in Puerto Rico. College students are the most consistent participants in body piercing activities and have reported health complications resulting in visits to medical offices and emergency rooms. Based on the health belief model, which is used to explain and predict health attitudes, the purpose of this quantitative nonexperimental study was to analyze the health risks and possible complications occurring after body piercing and to investigate the association between sex and age and medical complications. Data were collected from …
The Effects Of Female Genital Mutilation On Women Of Sierra Leone, Nenneh Kalokoh Kalokoh
The Effects Of Female Genital Mutilation On Women Of Sierra Leone, Nenneh Kalokoh Kalokoh
Walden Dissertations and Doctoral Studies
Female genital mutilation or cutting (FGM/C), a common practice among Sierra Leonean women, carries significant psychological and physical risks. Prior to this study, a substantial need existed for inquiry of the experiences and belief systems within this cultural group to better understand the effects of FGM/C on women and girls. Guided by feminist theory and the theory of cultural relativism, the goal of this phenomenological study was to review the cultural perspectives and experiences of Sierra Leonean women who underwent FGM/C to investigate their concerns about safety and their perceptions of the practices. In addition, this study explored concerns among …
Breastfeeding Perceptions Of First-Time African American Mothers, Deborah Annmarie Jarrett
Breastfeeding Perceptions Of First-Time African American Mothers, Deborah Annmarie Jarrett
Walden Dissertations and Doctoral Studies
Breastfeeding is associated with numerous health and social benefits. Although support for breastfeeding is promoted globally, disparities in breastfeeding rates and support continue. African American mothers have lower breastfeeding rates than do Hispanic and Caucasian mothers. Several researchers have focused on the benefits of breastfeeding support, but no available research has explained any specific ethnic group perceptions of breastfeeding. This study explored 10 first-time African American mothers' perceptions of the breastfeeding support they received from physicians, nurses, midwives, and lactation consultants. The purposeful criterion sampling strategy was used to recruit participants, and data were collected through semistructured telephone interviews. The …
Rural Haitian Women's Experiences With Poor Health Through Poverty, Geralda Felix
Rural Haitian Women's Experiences With Poor Health Through Poverty, Geralda Felix
Walden Dissertations and Doctoral Studies
People living in rural Haiti lack access to basic health care services due to poverty. Rural poverty in Haiti particularly affects women's health because Haiti has had the highest maternal mortality and infant mortality rates in the Americas, in addition to some of the worst health statistics in the Western Hemisphere. The purpose of this phenomenological study was to cultivate a greater understanding of the poverty factors that affect access to health care services specifically among poor women living in rural Haiti. This study was based on the social ecological model for population health development, theorizing that a person's health …
Chronic Kidney Disease Awareness And Quality Of Care In Abuja Nigeria, Patience Eze
Chronic Kidney Disease Awareness And Quality Of Care In Abuja Nigeria, Patience Eze
Walden Dissertations and Doctoral Studies
Chronic kidney disease (CKD) is a non-communicable progressive disease that can lead to kidney failure or end-stage renal disease. In Nigeria, many people do not have access to health care due to extreme poverty, which means that those suffering from diabetes or high blood pressure, or both diseases, which have been identified as the 2 main risk factors, may not know their health status. The purpose of this phenomenological study was to explore the level of CKD awareness among Nigerians and if cultural beliefs affect individuals' health seeking behaviors because of the diverse nature of the Nigerian population. The protection …
Use Of Physician Credentialing Standards By U.S. Medical Services Professionals, James Allen Reeder
Use Of Physician Credentialing Standards By U.S. Medical Services Professionals, James Allen Reeder
Walden Dissertations and Doctoral Studies
Credentialing in hospitals is the first line of defense for improving patient safety and reducing medical errors by verifying a physician's medical knowledge and skills. There is no single set of standards for physician credentialing followed by all hospitals in the United States. Using May's normalization process theory, the purpose of this quantitative study was to survey medical services professionals (MSPs) to determine which physician credentialing standards were being used, the sources being used, and the frequency of standards used. The dependent variables in this study were the 13 ideal credentialing standards developed by the National Association of Medical Staff …
Staffing Standards And Care Outcomes In For-Profit And Not-For-Profit Religious-Based Nursing Homes, Ara Omobola Omotowa
Staffing Standards And Care Outcomes In For-Profit And Not-For-Profit Religious-Based Nursing Homes, Ara Omobola Omotowa
Walden Dissertations and Doctoral Studies
Vulnerable older adults residing in nursing homes continue to experience poor care outcomes due to nurse staffing levels that are below the levels required for maintaining their well-being. Studies have shown that patient care outcomes in nursing homes are related to nurse staffing standards/levels, which are affected by profit maximization on adherence to registered nurses and licensed nurse staffing standards. The purpose of this descriptive study was to determine if there was a relationship between adherence to staffing standards and care outcomes in for-profit (FP) and not-for-profit religious-based (NFPRB) nursing homes using the profit maximization theory. Research questions focused on …
Dietary Acculturation And Obesity In African Immigrant Adults, Stella Chinyere Onuoha-Obilor
Dietary Acculturation And Obesity In African Immigrant Adults, Stella Chinyere Onuoha-Obilor
Walden Dissertations and Doctoral Studies
Racial/ethnic groups are disproportionately affected by obesity and other risk factors for chronic diseases. African immigrants are an increasing segment of the U.S. population at greater risk for obesity than other immigrants living in the United States. Public health organizations that aid immigrants could benefit from information about changing dietary patterns. The purpose of this study was to explore the association between dietary acculturation and obesity among African immigrant adults living in the United States, controlling for length of stay, English proficiency, region of residence, and other sociodemographic factors. Acculturation theory guided this study. The research design was quantitative cross-sectional …
Relationships Between Interprofessional Teamwork And Clinical Management Of, Jacqueline G. Stephens
Relationships Between Interprofessional Teamwork And Clinical Management Of, Jacqueline G. Stephens
Walden Dissertations and Doctoral Studies
Diabetes mellitus (DM) is a highly prevalent chronic disease that affects 29 million people in the United States including over 2 million veterans who receive care through the Veterans Administration. Patient-aligned care teams (PACTs) are an interprofessional teamwork system designed to improve outcomes of chronic illness, but empirical explorations of the efficacy of the PACTs have been insufficient. Utilizing the chronic care model, the purpose of this retrospective study was to determine if PACTs have been efficient in the diabetic management of veterans receiving care through a Southeastern VA. Medical records for 114 veterans with type 2 DM were randomly …
Predictors Of Obesity, Acculturation, And Perceived Stress In Meskhetian Turk (Ahiska) Immigrants In The United States, Zekeriya Temircan
Predictors Of Obesity, Acculturation, And Perceived Stress In Meskhetian Turk (Ahiska) Immigrants In The United States, Zekeriya Temircan
Walden Dissertations and Doctoral Studies
Obesity is a risk factor for chronic diseases among the ethnic minorities for adult immigrants in the United States. There have been many research studies conducted to examine the relationship between the predictors and obesity in minority groups in the United States, that relationship was unknown in Meskhetian Turk (Ahiska) immigrant populations. Guided by social ecological model and acculturation theory, this study examined the predictors of obesity in the Meskhetian Turk (Ahiska) immigrant population in the western United States. Data were collected from 109 participants using CDC's Behavioral Risk Factor Surveillance System, Stephenson Multigroup Acculturation Scale, and Perceived Stress Scale. …
Perceptions Of International Teacher Turnover In East Asia Regional Council Of Schools, Leon Michael Tkachyk
Perceptions Of International Teacher Turnover In East Asia Regional Council Of Schools, Leon Michael Tkachyk
Walden Dissertations and Doctoral Studies
High teacher turnover has become a serious problem globally, in many international schools, and is a growing concern in segments of the East Asia Regional Council of Schools (EARCOS). This persistent problem has a detrimental effect on student learning and upsets the culture of school communities. Herzberg's motivation-hygiene theory served as the framework for this qualitative case study research that examined the perceptions of EARCOS international overseas-hire teachers, to determine their beliefs regarding high teacher turnover in international schools. These questions gave direction to this study: What factors do international teachers in EARCOS member schools believe contribute to high teacher …
Assessing Effective Interventions In Pregnant And Postpartum American Indian And Alaska Native Women, Hope Thompson
Assessing Effective Interventions In Pregnant And Postpartum American Indian And Alaska Native Women, Hope Thompson
Walden Dissertations and Doctoral Studies
Through the creation of the Indian Health Service in 1955, the health status of American Indian and Alaska Native (AI/AN) has improved; however, AI/AN women of reproductive age still have some of the poorest health outcomes of all populations. This study aimed to examine effective interventions that seek to improve the health of AI/AN women during pregnancy, and immediately postpartum (up to 12 months post delivery). This study addressed the research question: What effect does parental competence have on early parenting and/or infant/toddler outcomes? The life course conceptual framework was used to demonstrate how life experiences impact current health. The …
Assessment Of Anxiety And Depression Among Breast Cancer Patients Undergoing Treatment In Ghana, Kofi Adesi Kyei
Assessment Of Anxiety And Depression Among Breast Cancer Patients Undergoing Treatment In Ghana, Kofi Adesi Kyei
Walden Dissertations and Doctoral Studies
Breast cancer patients undergoing radiotherapy often experience severe levels of anxiety and depression. There is a gap in the research literature from Africa, particularly from Ghana, with few studies focusing on the assessment of anxiety and depression among breast cancer patients undergoing radiation treatment. A better understanding was essential to promote efforts to help breast cancer patients cope with their diagnosis and treatment and increase their overall quality of life. This mixed method study examined breast cancer patients in Ghana undergoing radiotherapy and their responses related to anxiety and depression through a concurrent triangulation involving an interview with selected professional …
The Relationship Between Infertility, Infertility Treatment, Psychological Interventions, And Posttraumatic Stress Disorder, Antoinette Corley-Newman
The Relationship Between Infertility, Infertility Treatment, Psychological Interventions, And Posttraumatic Stress Disorder, Antoinette Corley-Newman
Walden Dissertations and Doctoral Studies
The number of women diagnosed as infertile continues to grow every year. The psychological impact of the infertility experience has been said to create distress equivalent to that associated with life-threatening illnesses and has been linked with posttraumatic stress disorder (PTSD). Using shattered assumption and stress-buffering theory, this quantitative causal comparative study explored the potential functional relationship between infertility and PTSD. The majority of the (all-female) participants were 24- to 34-year-old college graduates. A 2 X 3 factorial between-subjects ANOVA examined and compared the cause and effect of the independent variables, fertility treatment and psychological intervention, on the dependent variable, …
Examining Binge Eating Rates Between Caucasian-American And African-American Men, Elizabeth Anne Raky
Examining Binge Eating Rates Between Caucasian-American And African-American Men, Elizabeth Anne Raky
Walden Dissertations and Doctoral Studies
Eating disorders (ED) are maladaptive eating patterns that can have social, biological, health, and occupational consequences. The purpose of this study was to explore and compare binge eating episodes, locus of control, and body dissatisfaction between African-American men (n = 66; 53.70%) and Caucasian-American men (n = 57; 46.30%). There is a current gap in the existing literature regarding the study of men who BE and a sampling bias with regard to ethnic minorities. Based on Bandura's social learning theory model and Rotter's locus of control, the purpose of this research was to determine and compare the relationship between BE, …
Elementary Teachers' Perceptions On Writing Proficiency Of Military-Connected Students, Kerrin Weatherwax
Elementary Teachers' Perceptions On Writing Proficiency Of Military-Connected Students, Kerrin Weatherwax
Walden Dissertations and Doctoral Studies
At Base Elementary School (BES) in the Southwest United States school administrators were concerned that writing proficiency levels for 2014-2015 were below district and state standards and there was not a clear understanding of teachers' perceptions on writing proficiency of military-connected (MC) students at the target site. Therefore, the purpose of this qualitative case study was to explore teachers' perceptions on writing proficiency of MC students at BES. Using Lave and Wenger's communities of practice framework, a qualitative instrumental case study was used to discern perceptions of elementary English Language Arts (ELA) teachers regarding the writing proficiency of MC students. …
The Relationship Of Job Stress To Job Performance In Police Officers, Chidiebere Chikwem
The Relationship Of Job Stress To Job Performance In Police Officers, Chidiebere Chikwem
Walden Dissertations and Doctoral Studies
For the past 3 decades, police officers have been diagnosed with various stress-induced health problems. Police officers are at a greater risk of various environmental health problems due to the stressful nature of their profession. While there is abundant research that explores the relationship between high stress occupations and environmental health, researchers have yet to sufficiently explore the relationships between police officers' job stress and job performance. The purpose of this correlational study was to use Cohen & McKay's conceptualization of the stress-buffering hypothesis to explore whether police officers' physical exercise moderated the negative impact of job stress on their …
Examining The Impact Of Art-Based Anchor Charts On Academic Achievement In Language Arts, Kimberly Ivette Fontanez
Examining The Impact Of Art-Based Anchor Charts On Academic Achievement In Language Arts, Kimberly Ivette Fontanez
Walden Dissertations and Doctoral Studies
The students at 2 middle schools in County SD, NHMS and WMS are not scoring on or above grade level on the information text portion of the English Language Arts (ELA) standardized SC Palmetto Assessment of State Standards (SCPASS) test given annually in South Carolina. The teachers developed and implemented art-based anchor charts to help close the achievement gap among the 6th, 7th, and 8th grade students. There has been no formal exploration of the teachers' experiences regarding the use of anchor charts. Using the elements of problem-based learning as the theoretical framework, the purpose of this project study was …
A Study Of Fourth-Grade Students' Perceptions On Homework Environment And Academic Motivation In Mathematics, Stefanie Harmon
A Study Of Fourth-Grade Students' Perceptions On Homework Environment And Academic Motivation In Mathematics, Stefanie Harmon
Walden Dissertations and Doctoral Studies
The problem at an elementary school is teachers' lack of knowledge and information on the perceptions and motivation of students to complete independent mathematics homework. The purpose of this study was to identify students' perceptions regarding their homework environment and academic motivation in mathematics. The study's conceptual framework, attribution theory, supported the examination of drivers of motivation for participants related to homework completion. Guiding research questions, supported by Keller's ARCS model, focused on the identification of students' perceptions of homework attention, relevance, curiosity, satisfaction, and their preferred homework environment. This qualitative research study obtained data from semistructured interviews with 44 …
Postpartum Mothers' Attitudes Toward Breastfeeding, Jackie Denise Jones
Postpartum Mothers' Attitudes Toward Breastfeeding, Jackie Denise Jones
Walden Dissertations and Doctoral Studies
Breast milk is the optimal source of nourishment for babies, providing positive nutritional and psychosocial benefits for infants' growth and development. Rates for initiation of breastfeeding and exclusive breastfeeding at 6 months in the United States are well below the target rates for the Healthy People 2020 Maternal, Infant, and Children's Health objectives. Using Ajzen's theory of planned behavior, the purpose of this project was to ascertain how knowledge and attitudes influenced a mother's intent to breastfeed during her hospital stay and the likelihood of exclusive breastfeeding continuing after discharge. A convenience sample of 68 postpartum mothers was recruited from …
Hpv Vaccination, Sociodemographic Variables, And Physician Recommendation In Select U.S. Areas, Rebecca Marie Jungbauer
Hpv Vaccination, Sociodemographic Variables, And Physician Recommendation In Select U.S. Areas, Rebecca Marie Jungbauer
Walden Dissertations and Doctoral Studies
Human papillomavirus (HPV) is the most common sexually transmitted virus, and is causally related to several cancers. HPV vaccination rates are far below HealthyPeople 2020 targets and vary across geographic, socioeconomic, and demographic populations. The purpose of this research was to test the relationships among socioeconomic and demographic variables, HPV vaccination, social vulnerability, and physician recommendation within select local areas in the United States. Fundamental cause theory and behavioral economics informed this quantitative secondary analysis of National Immunization Survey-Teen and Social Vulnerability Index data (n = 43,271). Statistical analyses included chi-square and binomial logistic regression. Teens whose mothers had less …