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Hospital Location, Socioeconomic Factors, And Obesity Impact On Patient Readmission Rates 30 Days Post-Coronary Artery Bypass Graft, Mazalo Looky
Walden Dissertations and Doctoral Studies
Coronary artery bypass graft (CABG) is associated with a high rate of readmissions within 30 days after discharge. Patient variables such as obesity and socioeconomic status (SES) are modifiable, whereas hospital factors such as location indicate the need for a better regional needs assessment. The purpose of this study was to examine the impact of hospital location, SES, and obesity (independent variables) on the 30-day readmission rate post-CABG (dependent variable) among US patients. Secondary data sets available from the Centers for Medicare & Medicaid Services and the Society of Thoracic Surgery websites were analyzed to assess the impact of location, …
Hospital Location, Socioeconomic Factors, And Obesity Impact On Patient Readmission Rates 30 Days Post-Coronary Artery Bypass Graft, Mazalo Looky
Walden Dissertations and Doctoral Studies
Coronary artery bypass graft (CABG) is associated with a high rate of readmissions within 30 days after discharge. Patient variables such as obesity and socioeconomic status (SES) are modifiable, whereas hospital factors such as location indicate the need for a better regional needs assessment. The purpose of this study was to examine the impact of hospital location, SES, and obesity (independent variables) on the 30-day readmission rate post-CABG (dependent variable) among US patients. Secondary data sets available from the Centers for Medicare & Medicaid Services and the Society of Thoracic Surgery websites were analyzed to assess the impact of location, …
Undocumented Hispanics' Trust In Municipal Law Enforcement, Kendel Cole
Undocumented Hispanics' Trust In Municipal Law Enforcement, Kendel Cole
Walden Dissertations and Doctoral Studies
The purpose of the quantitative causal-comparative study was to examine the extent to which undocumented Hispanic immigrants in the United States trust municipal law enforcement differently based on whether they live in a sanctuary city or a non-sanctuary city. The research question (RQ) asks if there are significant differences in trust in municipal law enforcement among undocumented Hispanic immigrants in sanctuary cities compared to non-sanctuary cities. The Narrative Policy Framework was the theoretical foundation for the study. The study occurred in sanctuary cities and non-sanctuary cities. Sanctuary city status was the independent variable in the RQ, reflecting the self-identification of …
Predictors Of Mortality In African Americans With Alzheimer’S Disease-Related Dementias, Latrice Camille Noonan
Predictors Of Mortality In African Americans With Alzheimer’S Disease-Related Dementias, Latrice Camille Noonan
Walden Dissertations and Doctoral Studies
Alzheimer’s disease-related dementia (ADRD) is a leading cause of death worldwide. There is a need to identify the link between modifiable risk factors and the association with ADRD mortality. This study addresses the disproportionately high burden of ADRD among African Americans, aiming to inform targeted prevention strategies and promote health equity. In this study, the longitudinal relationship between ADRD mortality and the presences of diabetes, smoking, and obesity among older African Americans residing in the United States was examined, while controlling for age, gender, education, and socioeconomic status. The biopsychosocial model served as the theoretical framework for this study. The …
Strategies Physicians Use To Develop Leadership Skills, Judy Ann Ducsik
Strategies Physicians Use To Develop Leadership Skills, Judy Ann Ducsik
Walden Dissertations and Doctoral Studies
Some physicians are not adequately prepared to develop the leadership skills necessary to drive effective transformation in the healthcare environment. The lack of strategies to develop these skills is a concern for both physicians and healthcare leaders, as physicians are critical stakeholders in leading healthcare transformation. Grounded in the transformational leadership theory, the purpose of this qualitative pragmatic inquiry was to explore strategies physician leaders use to develop leadership skills to lead effective transformation in the healthcare environment. The participants included six physician leaders affiliated or employed with a leadership role in a healthcare organization in the United States. Data …
Effective Strategies Human Resource Business Leaders Use To Implement Diversity, Equity, And Inclusion Initiatives That Reduce Worker Turnover, Kerese Whyte-Phillips
Effective Strategies Human Resource Business Leaders Use To Implement Diversity, Equity, And Inclusion Initiatives That Reduce Worker Turnover, Kerese Whyte-Phillips
Walden Dissertations and Doctoral Studies
Human resource (HR) business leaders who prioritize diversity, equity, and inclusion (DEI) champion a more dynamic and innovative workforce and alleviate labor turnover, a costly hindrance to growth. HR business leaders orchestrate these strategies, promoting an environment where diverse talents are valued and equitable opportunities abound, reducing labor turnover. Rooted in the social identity theory (SIT) and the Equity, Diversity, and Inclusion (EDI) framework, this qualitative pragmatic inquiry aimed to identify and explore effective strategies HR business leaders use to implement DEI initiatives that reduce employee turnover in the Southeast United States. The participants were seven HR business leaders in …
Coping With And Surviving Domestic Violence Among African American Women In A Rural Community, Kimberly Evonne Wimbush
Coping With And Surviving Domestic Violence Among African American Women In A Rural Community, Kimberly Evonne Wimbush
Walden Dissertations and Doctoral Studies
Domestic violence (DV) or intimate partner violence is a widespread public health problem in the United States that knows no boundaries. Previous researchers have found that in the United States, African American women experience more severe effects from DV than women in other ethnic groups. The purpose of this generic qualitative study was to identify the coping strategies used by African American women who have survived DV living in rural areas where there are limited professional resources. Premises from the superwoman schema and adult resilience theory guided this research. Semistructured audio-recorded interviews, conducted via Zoom and face-to-face, were used to …
Moderating Effect Of Urban/Rural Status, State Of Residence, And Health Risk Factors On Maternal Mortality Among Different Races, Emmanuel Agubata
Moderating Effect Of Urban/Rural Status, State Of Residence, And Health Risk Factors On Maternal Mortality Among Different Races, Emmanuel Agubata
Walden Dissertations and Doctoral Studies
Maternal mortality in the United States is significantly higher than in most developed nations and has been increasing since 2000. Persistent between-group disparities among White, Black, and Hispanic women occur in terms of maternal mortality; however, the reason for this is largely unknown. Using the intersectionality theory, this quantitative study examined if racial groups predicted maternal mortality and to what extent relationships were moderated by geographic area and health risk factors. This nonexperimental correlational historical research design addressed three research questions. The Healthcare Cost and Utilization Project dataset was used for the analysis. The minimum sample size was 988 cases, …
Relationship Between Social Media And Acts Of Domestic Terrorism And Extremism, Winford Rochelle Craig
Relationship Between Social Media And Acts Of Domestic Terrorism And Extremism, Winford Rochelle Craig
Walden Dissertations and Doctoral Studies
After 9/11, domestic terrorism began to evolve in the United States and technological advances and the usage of social media (SM) increased exponentially. During the same era, technological advancement intensified and SM became one primary method of communication between extremists. SM has infiltrated into multiple segments of society, and became a method of transference of ideology, to the population of the United States. Domestic violent extremism (DVE) groups used SM to indoctrinate, train, and recruit individuals throughout the United States. The purpose of this quantitative study was to explore the relationship between the increased usage of SM and the rise …
Preparation Of K–12 Preservice Music Teacher Educators Using Assessment Strategies, Frederica Doctor
Preparation Of K–12 Preservice Music Teacher Educators Using Assessment Strategies, Frederica Doctor
Walden Dissertations and Doctoral Studies
Recent studies suggest that preservice music teacher educators (MTEs) had more experience in assessment preparation at the graduate level than during their undergraduate experience. Although music standards and assessments emphasize providing information about student learning, research investigating what assessment strategies music faculty are using and teaching to prepare preservice MTEs is limited. The purpose of this basic qualitative research study was to address the gap in research regarding assessment strategies used and taught by music faculty across the United States to prepare K–12 preservice MTEs for classroom instruction. The study is grounded in the Analysis, Design, Development, Implementation, and Evaluation …
Gender Ideology And Gender Equality Policy Adoption, Wendell Christopher Lewis
Gender Ideology And Gender Equality Policy Adoption, Wendell Christopher Lewis
Walden Dissertations and Doctoral Studies
Gender-based violence threatens the social and economic security of countries. Gender equality policies, which address the ideological and material relations of gender equality that support gender-based violence, are being stymied by antigender coalitions. Little is known of the concept called gender ideology used by this coalition to facilitate policy intractability of gender equality policies. This mixed-method study was intended to fill the theoretical and methodological gaps in the literature using the narrative policy framework to explore the concept of gender ideology and policy intractability during the National Gender Policy debate in Trinidad and Tobago between 2010-2018. The research questions focused …
Examining The Relationship Between Employment And Health Status Among Adults With Autism Spectrum Disorder (Asd) In The United States, Winifred Beckles
Examining The Relationship Between Employment And Health Status Among Adults With Autism Spectrum Disorder (Asd) In The United States, Winifred Beckles
Walden Dissertations and Doctoral Studies
Autism spectrum disorder (ASD), characterized by challenges in social communication and repetitive behaviors, is a developmental disability that impacts over five million adults in the United States. Despite the significant amount of research literature on the association between health and employment in the general population, there remains a gap in research on the relationship between health and employment in adults with autism. Utilizing the Social Ecological Model (SEM) framework, this study examined whether there is a relationship between employment, current living status, non-paid activities, United States Census regions, type of health insurance, and health status when controlling for age, race, …
Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin
Black Women’S Perceptions Of Perinatal Healthcare In New York City Community Health Centers, Asiyah Franklin
Walden Dissertations and Doctoral Studies
The purpose of this qualitative study was to explore the experiences of Black women who have received perinatal care in New York City (NYC) community health centers and the perceived impact on their maternal health behaviors and outcomes. Although maternal health care delivery and outcomes among Black women have been explored in research, socially and economically disenfranchised Black women in NYC who rely on community health centers for perinatal care have not been included in this research. This study involved addressing the lack of knowledge of Black women’s experiences with perinatal care in NYC’s community health system and consisted of …
A Qualitative Examination Of Factors Potentially Impacting Displacement Of Historically Black Communities, Daffney Moore
A Qualitative Examination Of Factors Potentially Impacting Displacement Of Historically Black Communities, Daffney Moore
Walden Dissertations and Doctoral Studies
Historically, Black communities have often been discussed in the context of crime and poverty; however, most Black communities were flourishing neighborhoods with businesses, churches, and schools. Most of the literature related to gentrification and displacement does not address the root causes of the disappearance of Black communities, which generally centers on policies, legislation, force-outs, economic development, and racial disparities. This case study aimed to explore the displacement of a suburban historically Black community in St. Louis County, Missouri. Scholars have scarcely examined or written about the history of Black communities. The research question sought to explore the impact of displacement …
Strategies Small-To-Medium Sized Family Businesses Leaders Use To Expand Beyond Domestic Markets, Suresh Lakshmikanthan
Strategies Small-To-Medium Sized Family Businesses Leaders Use To Expand Beyond Domestic Markets, Suresh Lakshmikanthan
Walden Dissertations and Doctoral Studies
Most of India's small to mid-sized enterprises (SMEs) are family-owned. These businesses are crucial to the economy and contribute significantly to a nation’s gross domestic product. However, the pharmaceutical and dietary supplement subsector of family-owned SMEs faces challenges in expanding due to limitations in global competencies, skills, and financial resources. Grounded in a composite dynamic capability theory and resource-based view conceptual framework, the purpose of this qualitative multiple case study was to identify and explore successful international expansion strategies used by family-owned SME Indian pharmaceutical and nutraceutical companies. The participants included six SME Indian CEOs and owners in India who …
The Association Between Race And Obesity After Controlling For Dietary Behaviors Among Adolescents, Jasmine Nicole Williams
The Association Between Race And Obesity After Controlling For Dietary Behaviors Among Adolescents, Jasmine Nicole Williams
Walden Dissertations and Doctoral Studies
Childhood obesity has become a critical global public health concern due to its significant, long-term impact on overall quality of life and physical health. Despite efforts, there is a lack of information that includes all races and ages to combat childhood obesity. This study addressed the association between race and obesity after controlling for dietary behaviors among adolescents in Georgia, using quantitative cross-sectional data from the 2021 Youth Risk Behavior Surveillance System (YRBSS). Guided by the social ecological model, the research investigated how demographic factors and dietary behaviors influence obesity rates. Specifically, the study explored the association between age, race, …
Law Enforcement Executive Selection Process In North Texas, Herbert Robert Ashford
Law Enforcement Executive Selection Process In North Texas, Herbert Robert Ashford
Walden Dissertations and Doctoral Studies
Poor community–police relationships impact both communities and police because the community may feel unfairly targeted for enforcement. This qualitative study investigated what attributes are essential to executive law enforcement success. The theoretical framework was the person-organization fit theory as it applies to public service motivation. Data were collected from chief law enforcement executives and their direct reports from eight municipal law enforcement agencies in the Dallas County area of the Dallas-Fort Worth-Arlington Metropolitan Area through an open-ended qualitative questionnaire; the sample population consisted of 19 police executives. The results were analyzed using NVivo software and hand coding. The results were …
Elementary Teachers’ Experiences Supporting Struggling Readers Within Social Studies, Kelly Pizani
Elementary Teachers’ Experiences Supporting Struggling Readers Within Social Studies, Kelly Pizani
Walden Dissertations and Doctoral Studies
Success in social studies is imperative, as civic literacy skills are used by students to become critical consumers of information and support making informed decisions. The problem is that teachers are making instructional shifts to support literacy performance and provide instruction for struggling readers in third and fourth grade to read, comprehend, and apply social studies disciplinary literacy skills within social studies text-based sources, but lack the appropriate preparation and support to effectively meet the needs of their students. The purpose of this basic qualitative study was to explore third and fourth-grade teachers’ experiences supporting struggling readers to read, comprehend, …
The Influence Of Individual Characteristics On Human Immunodeficiency Virus Testing In Puerto Rico, Jose Au Lay
The Influence Of Individual Characteristics On Human Immunodeficiency Virus Testing In Puerto Rico, Jose Au Lay
Walden Dissertations and Doctoral Studies
In 2016, there were 17,072 people living with HIV in Puerto Rico. Most HIV cases were among men, with the primary mode of transmission identified as men who have sex with other men followed by heterosexual contact. Among women, heterosexual contact was the primary mode of HIV transmission. The rise in the numbers of individuals infected with HIV through heterosexual contact suggest the prevalence of high-risk sexual behaviors including multiple sexual partners and unprotected vaginal and anal sex. Guided by the health belief model, the purpose of this study was to explore the relationship between the likelihood of HIV testing …
Exploring Successful Strategies For Small Business Owners’ Access To Financing, Emmanuel Innocent
Exploring Successful Strategies For Small Business Owners’ Access To Financing, Emmanuel Innocent
Walden Dissertations and Doctoral Studies
Considered the drivers of innovations and the engine of the economy, small and medium enterprises (SMEs) represent 99% of U.S. firms. However, nearly 80% of SMEs fail in their 1st year of operation, causing substantial financial hardship to the small business owners and significant loss of tax revenues to local and federal governments. Grounded in the theory of planned behavior, the purpose of this qualitative, pragmatic inquiry was to explore successful strategies that some small business owners use to gain access to financing for their businesses. The participants comprised six small business owners in Norfolk County, Massachusetts, United States, who …
Impacts Of Diets And Weight On Cognitive Decline Diseases Among The Middle-Aged Populations In Louisiana, Danielle Beamon
Impacts Of Diets And Weight On Cognitive Decline Diseases Among The Middle-Aged Populations In Louisiana, Danielle Beamon
Walden Dissertations and Doctoral Studies
Cognitive decline is a public health concern since people are living longer, but little is known regarding how to prevent the progression of this condition; furthermore, current treatment options are not always effective after diagnosis. Previous research indicated obesity was associated with diminishing cognitive health, but most studies were conducted on individuals over the age of 65. The purpose of the study was to determine if there is a statistical correlation between cognitive decline and body mass index (BMI) among those between the ages of 40 and 64 years. Data from the 2015-2020 Behavioral Risk Factor Surveillance System Alzheimer’s Disease …
Staff Input, A Critical Ethnography Of Institutional Racism And Intersectionality Demonstrated In At-Risk Youth Group Homes From A Staff’S Perspective, Tiara L. Clark
Walden Dissertations and Doctoral Studies
The lack of quality care is continuously questioned for the at-risk youth within the group home system fostered by the Department of Children and Family Services. However, due to a lack of proper training for trauma-informed care and a lack of knowledge of the pedagogical treatments such as Short Term Residential Therapeutic Program (STRTP), direct-line staff are having a hard time navigating and assisting the at-risk youth with their rehabilitation. It is pertinent for direct line staff to understand the at-risk youth population, how to implement and execute the appropriate pedagogical treatment, and the hierarchy within the agency. Critical ethnography …
Urban Principals’ Leadership Practices Needed To Implement Culturally Responsive Curricula And Instruction, Dr. Shervon Thompson-Slappy
Urban Principals’ Leadership Practices Needed To Implement Culturally Responsive Curricula And Instruction, Dr. Shervon Thompson-Slappy
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that the number of historically marginalized and diverse students in U.S. classrooms is rapidly increasing and schools are not prepared to address the need for culturally responsive curriculum and instruction. This study is important because K-12 principals are challenged to address equity, inclusion, and academic and behavioral barriers for this student population. The purpose of this basic qualitative study was to explore twelve K-12 principals' leadership experiences implementing culturally responsive curricula and instruction in their urban schools. Principals, who attended a district-level CRSL professional development, were purposefully selected to participate in semistructured interviews. …
Residential Street Trees And Cardiovascular Disease Among Urban-Dwelling Mexican Adults, Christine Campbell
Residential Street Trees And Cardiovascular Disease Among Urban-Dwelling Mexican Adults, Christine Campbell
Walden Dissertations and Doctoral Studies
Cardiovascular diseases (CVDs) are a significant public health burden in Mexico despite national efforts to address traditional risk factors. With growing evidence that elements of nature can improve physical and mental health of people living in cities, this quantitative epidemiological study of secondary data examined the relationship between the presence of street trees in Mexican metropolitan areas and self-reported CVD in adults over age 40. The integrated socio-environmental model of health and well-being provided the conceptual framework for the study. A secondary data analysis was performed using combined individual health data from Mexico’s 2012 National Health and Nutrition Survey and …
Relationship Of Enterprise Risk Management To The Success Of Micro-, Small-, And Medium-Sized Enterprises, Gary Francis
Relationship Of Enterprise Risk Management To The Success Of Micro-, Small-, And Medium-Sized Enterprises, Gary Francis
Walden Dissertations and Doctoral Studies
Micro-, small-, and medium-sized enterprises (MSMEs) account for over 95% of businesses and 80% of the workforce in Jamaica. Jamaican government and business leaders are concerned that MSMEs’ meager success rate will continue to hinder economic growth. Grounded in the four pillars of enterprise risk management and rent theory, the purpose of this quantitative correlational study was to examine the relationship between ERM and the business success of MSMEs. The participants were 85 owners or managers of registered MSMEs who operate in the Kingston metropolitan area of Jamaica, have been in operation for at least three years, and completed a …
Effective Strategies For Building Traditional Church Membership, Carlos Blake
Effective Strategies For Building Traditional Church Membership, Carlos Blake
Walden Dissertations and Doctoral Studies
A dwindling number of congregational members poses a significant risk to the continuity of U.S. churches. Leaders in traditional congregations need effective tactics for membership expansion. Drawing upon Bolman and Deal’s four-frame theory, the purpose of this qualitative pragmatic inquiry was to explore effective strategies leaders of traditional churches use to build membership. The participants were six leaders from traditional churches situated in the Southern and Eastern parts of the United States. Data were collected by conducting semistructured interviews and archival documents. Thematic analysis of the data revealed four prominent themes: influential leadership, community involvement, use of technology and social …
Elementary Principals’ Instructional Support To Teach Science, Alfred Lewis
Elementary Principals’ Instructional Support To Teach Science, Alfred Lewis
Walden Dissertations and Doctoral Studies
Principals serve as the instructional leader of their schools and teaching staff, a critical role in leading science achievement. In a racially diverse K-8 public school district in New Jersey, elementary principals are challenged to provide instructional support to teachers who are struggling to teach science to elementary students performing below proficiency on the state’s standardized assessment for science. The research questions focused on principals’ perceived challenges to support elementary science teachers, as well as recommendations for improved training and resources to support teachers. A basic qualitative study consisted of semistructured interviews with 12 elementary principals and assistant principals. The …
Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During Covid-19 Pandemic, Philip Ndoki Ndoki
Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During Covid-19 Pandemic, Philip Ndoki Ndoki
Walden Dissertations and Doctoral Studies
This study was an investigation of how disability status, types, sociodemographic indicators, and reasons for not receiving vaccinations influenced COVID-19 vaccination rates among individuals with disabilities in the United States. Despite efforts, vaccination disparities persisted, necessitating an understanding of barriers to uptake. Using intersectionality theory and the social determinants of health framework, this study examined the impact of marginalized identities and structural inequalities. Key questions included the association between disability status and vaccination uptake, differences among disability types moderated by sociodemographic factors, and the interaction between disability status and reasons for not vaccinating. Household Pulse Survey data from the US …
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Walden Dissertations and Doctoral Studies
Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Walden Dissertations and Doctoral Studies
Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …