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Factors Associated With Late Stage Diagnosis Of Cervical Cancer In The United States, Marianne S. Pelletier
Factors Associated With Late Stage Diagnosis Of Cervical Cancer In The United States, Marianne S. Pelletier
Walden Dissertations and Doctoral Studies
Cervical cancer represents a significant public health problem in the United States. According to the Centers for Disease Control and Prevention, the prognosis is related to stage at diagnosis, with the 5-year survival rate being 91.2% for early stage disease and only 17.0% for those with late stage disease. There is a gap in the literature examining the association of insurance status with late stage cervical cancer diagnosis across a large segment of the United States population. There is also a gap in the literature examining women residing in the United States with late stage cervical cancer diagnosis and identifying …
Branding Strategies Of Private International Schools In India, Balasubramanian Varadarajan
Branding Strategies Of Private International Schools In India, Balasubramanian Varadarajan
Walden Dissertations and Doctoral Studies
Private international schools in India are considered by many to be a quality brand. They have grown rapidly leading to competition among schools for student enrollments. The purpose of this case study was to explore the branding strategies used by leaders of Indian private international schools. The study population consisted of private international school leaders in India as well as the faculty and parents from the study site. The double vortex brand model served as the conceptual framework for the study. Semistructured interviews were conducted with 5 school leaders, 5 faculty, and 5 parents from an international school in Chennai. …
Hiv/Aids-Related Stigma And Discrimination Toward Women Living With Hiv/Aids In Enugu, Nigeria, Chinyere Fidelia Nnajiofor
Hiv/Aids-Related Stigma And Discrimination Toward Women Living With Hiv/Aids In Enugu, Nigeria, Chinyere Fidelia Nnajiofor
Walden Dissertations and Doctoral Studies
HIV/AIDS-related stigma and discrimination (S&D), lack of social support, poverty, and gender inequalities have been identified as factors in the increased prevalence rate of HIV transmission in Enugu, Nigeria, especially among women ages 15 to 49 years. Despite the funding of reduction programs, HIV/AIDS-related S&D remain a major driving force in the increased rate of new HIV cases in Enugu. This study addressed a perceived need for behavioral change intervention approaches that span all societal factors to reduce the HIV infection rate in Enugu Nigeria. The study was guided by Goffman's (1963) social S&D theory. The sample was composed of …
Total Quality System Breakdowns In Outsourced Clinical Trials, Hemali Barrios
Total Quality System Breakdowns In Outsourced Clinical Trials, Hemali Barrios
Walden Dissertations and Doctoral Studies
Numerous deaths, tragedies, and underreported drug side effects occur in outsourced clinical trials. Total quality system breakdowns occur even though quality agreement contracts and quality management systems are used by pharmaceutical organizations. The purpose of this single case study was to explore strategies clinical quality assurance managers use to avoid breakdowns in quality with outsourced clinical trials in Asia-Pacific countries. The study included a purposeful sample of 15 clinical quality assurance managers from 1 pharmaceutical organization located in the Northeast region of the United States. The conceptual framework was von Bertalanffy's general systems theory. Face-to-face semistructured interviews or e-mail questionnaires …
Maternal And Child Health Access Disparities Among Recent African Immigrants In The United States, Bakali Mukasa
Maternal And Child Health Access Disparities Among Recent African Immigrants In The United States, Bakali Mukasa
Walden Dissertations and Doctoral Studies
Health care disparities are U.S. national public health concerns that disproportionately affect minority populations. The focus of published studies on the health of larger immigrant populations from Europe, Asia, South America, and the Caribbean has revealed a knowledge gap on the health of African and other minority immigrants. The purpose of this phenomenological study was to explore disparities in access to maternal and child health (MCH) care as well as the causes and effects of such disparities to care-seeking experiences of recent African immigrants. Andersen's behavioral model of health services use provided the theoretical lenses to interpret study findings. Eleven …
Service-Disabled Veteran Small Business Owners' Success Strategies, Calvin Lewis Russell
Service-Disabled Veteran Small Business Owners' Success Strategies, Calvin Lewis Russell
Walden Dissertations and Doctoral Studies
The federal government has been inconsistent in meeting the mandated contracting set-aside goals of 3% to aid service-disabled veteran small business owners. Guided by the general systems theory, the purpose of this qualitative exploratory case study was to explore what strategies an owner and 2 senior managers of a small service-disabled veteran-owned business in the Washington, DC metropolitan used to obtain federal contracts. The owner and senior members represented those responsible for strategic vision, development of business opportunities, and the company acquisition process. Data were collected from semistructured face-to-face interviews and corporate documents. Member checking and transcript review were completed …
Complexity Of Prostate Cancer Diagnosis In African American Men In The United States, Adam B. Sumlin
Complexity Of Prostate Cancer Diagnosis In African American Men In The United States, Adam B. Sumlin
Walden Dissertations and Doctoral Studies
Researchers have identified higher incidence rates and mortality rates among African American men (AAM) diagnosed with prostate cancer than they have among urban African American men. This quantitative descriptive study was conducted to measure the association between advanced stage and grade of prostate cancer, demographic location, and prostate specific antigen (PSA) levels over a 5-year period in AAM and European American men (EAM) in rural versus urban communities. This study addressed 4 research questions concerning cancer grade, cancer stage, age, geographic location, PSA level, and the impact that each of these variables had on prostate cancer diagnosis in AAM in …
Insecticide Treated Nets As An Effective Malaria Control Strategy In Liberia, Taiyee Nelson Quenneh
Insecticide Treated Nets As An Effective Malaria Control Strategy In Liberia, Taiyee Nelson Quenneh
Walden Dissertations and Doctoral Studies
Malaria is a vector-borne disease that presents the most persistent and serious public health burden in Liberia. Numerous studies have examined the relationship between ITN use and malaria prevalence. However, little research has explored the effectiveness of ITNs in controlling malaria among children in postwar Liberia. The aim of this study was to examine the association between ITN ownership, parental economic status, ITN installation support, and malaria prevalence among children. This was a quantitative cross-sectional study guided by the health belief model. The study used secondary data from the 2011 Liberia Malaria Indicator Survey. Chi-square for association and Logistic regression …
The Association Between Demographic Factors And Use Of California's Health Insurance, Chiquita Theresa Tuttle
The Association Between Demographic Factors And Use Of California's Health Insurance, Chiquita Theresa Tuttle
Walden Dissertations and Doctoral Studies
The Patient Protection and Affordability Act of 2010 (PPACA) addressed the access to healthcare in the United States. One of the problems of this healthcare access was rooted in disproportionally lower access among minority populations. The purpose of this quantitative study, guided by the consumer behavior theory, was to examine the association between race/ethnicity and enrollment within the Covered California-?¢ (CoveredCA) Insurance Exchange. A cross-sectional study design was used to investigate the association between race/ethnicity and the use of Covered CA health benefit exchange. Logistic regression analysis was used to examine the relationship between enrollment and race/ethnicity, having adjusted for …
Evaluating The Impact Of Policies On Production Efficiency Of Nigeria's Rice Economy, Samuel Chukwueyem Rapu
Evaluating The Impact Of Policies On Production Efficiency Of Nigeria's Rice Economy, Samuel Chukwueyem Rapu
Walden Dissertations and Doctoral Studies
Nigeria, like all other rice consuming nations, has experienced a surge in domestic demand for rice since 1970. However, local rice production has not been sufficient to meet local demand, leading to this demand continually being filled by imports. The Federal Government of Nigeria has initiated subsidies programs intended to improve Nigerian rice farmers' technical and cost efficiency levels. This quantitative study evaluated the impact of these policies on the technical and cost efficiency levels of paddy rice farm households in Nigeria. Farrell's (1957) efficiency theory and production theory served as the theoretical frameworks. Data were collected from a cross-section …
Predictors Of Influenza Vaccination Compliance Among Union And Nonunion Workers In A Pennsylvania Health Care System, Ericka Lynne Kalp
Predictors Of Influenza Vaccination Compliance Among Union And Nonunion Workers In A Pennsylvania Health Care System, Ericka Lynne Kalp
Walden Dissertations and Doctoral Studies
To improve U.S. residents' health, advocates are focusing their efforts on workplace health. Researchers have found that unionization is a positive influence on workers' participation in health promotion programs relating to smoking and obesity prevention. However, the effect of union membership on other health promotion initiatives, such as influenza vaccination compliance among health care workers, has not been examined. The purpose of this quantitative study was to address this knowledge gap between a union and a nonunion health care facility in the U.S. state of Pennsylvania. The health belief model was used to determine if different domains of influenza vaccination …
A Community's Perception Of Pregnancy And Sexually Transmitted Infections And Prevention Programs, Felecity Nicole Burns
A Community's Perception Of Pregnancy And Sexually Transmitted Infections And Prevention Programs, Felecity Nicole Burns
Walden Dissertations and Doctoral Studies
The United States has the highest rates of teenage pregnancies, births, abortions, and sexually transmitted infections in the industrialized world. African American teen pregnancies and sexually transmitted infections are on the rise in many rural southwest school districts in the State of Georgia where the sex education curriculum is nonexistent or solely focuses on abstinence. Georgia ranked 4th in cases of primary and secondary syphilis, 6th in AIDS, 12th in gonorrhea, 14th in teen pregnancies, and 17th in chlamydia in the United States in 2012. The purpose of this qualitative study was to evaluate the perceptions of residents of a …
A Qualitative Exploration Of The Use Of Contraband Cell Phones In Secured Facilities, Margaret E. Henderson
A Qualitative Exploration Of The Use Of Contraband Cell Phones In Secured Facilities, Margaret E. Henderson
Walden Dissertations and Doctoral Studies
Offenders accepting contraband cell phones in secured facilities violate state corrections law, and the possession of these cell phones is a form of risk taking behavior. When offenders continue this risky behavior, it affects their decision making in other domains where they are challenging authorities; and may impact the length of their incarceration. This qualitative phenomenological study examined the lived experience of ex-offenders who had contraband cell phones in secured correctional facilities in order to better understand their reasons for taking risks with contraband cell phones. The theoretical foundation for this study was Trimpop's risk-homeostasis and risk-motivation theories that suggest …
Success Strategies Among Immigrant Small Business Owners In The Southeastern United States, Tony Nnabue
Success Strategies Among Immigrant Small Business Owners In The Southeastern United States, Tony Nnabue
Walden Dissertations and Doctoral Studies
Although considerable concern exists regarding immigrant businesses, few studies address immigrant small business owners' strategies for success and sustainability. The purpose of this phenomenological study was to explore the strategies that immigrant small business owners in metro Atlanta, Georgia can use to sustain their business beyond 5 years. Cultural theory formed the conceptual framework for this study. A purposeful sample of 20 immigrant small business owners in metro Atlanta provided the data garnered from semistructured interviews for this research study. Using open coding, and modified van Kaam analysis of the interview data, 5 themes emerged for immigrant small businesses that …
Effect Of The Criminal Justice Curriculum On The Attitudes Of 12th-Grade Students Toward The Police, Willie Howard Bradley
Effect Of The Criminal Justice Curriculum On The Attitudes Of 12th-Grade Students Toward The Police, Willie Howard Bradley
Walden Dissertations and Doctoral Studies
While the use of criminal justice courses and law-related education programs have been shown to serve as a crime prevention and deterrence mechanism against school crime and violence, and help students to gain positive experiences and attitudes toward law enforcement, many high schools still do not offer criminal justice courses. The purpose of this quasiexperimental study was to compare the attitudes of 12th-grade students from a school district in Massachusetts who took a criminal justice course to 12th-grade students from another school district in Massachusetts who did not to determine if there is a statistically significant difference between the groups. …
Blended Value Accounting And Social Enterprise Success, John Anner
Blended Value Accounting And Social Enterprise Success, John Anner
Walden Dissertations and Doctoral Studies
Social enterprises (SEs) are businesses managed by entrepreneurs who seek to improve society, and they represent an important trend in social change work. However, there is little empirical knowledge about which blended value accounting (BVA) methods are used by SE managers, and whether the use of BVA is perceived by SE managers as a critical success factor. Blended value accounting is a conceptual framework for measuring combined social and financial outcomes in SEs, and some believe that the use of BVA may be a critical success factor for SEs. This research was based on Covin and Slevin's conceptualization of entrepreneurial …
Use Of Maternal Health Services And Pregnancy Outcomes In Nigeria, Abubakar Sadiq Umar
Use Of Maternal Health Services And Pregnancy Outcomes In Nigeria, Abubakar Sadiq Umar
Walden Dissertations and Doctoral Studies
Maternal health services (MHS) provide primary, secondary, and tertiary levels of prevention to achieve better pregnancy outcomes. However, use of prenatal and natal services among Nigerian women has been ranked among the lowest in the world and, consequently, the country is among the 10 countries with the highest maternal mortality ratio. Moreover, nationwide community-based studies on the use of maternal health services in Nigeria are limited. To address this gap, this quantitative, cross-sectional study analyzed the 2008 Nigerian Demographic and Health Survey (NDHS) data to identify whether Nigerian women's biological, cultural, and socioeconomic characteristics are associated with their use of …
The Experience Of Being Unsheltered In Atlanta, Ikeranda Smith
The Experience Of Being Unsheltered In Atlanta, Ikeranda Smith
Walden Dissertations and Doctoral Studies
In the United States, it is estimated that millions of adults are homeless. Some individuals choose not to use homeless shelters or are ineligible for their use. Researchers have indicated that many unsheltered homeless are men over the age of 45 years. The purpose of this phenomenological study was to examine the experiences with social services providers among unsheltered men. Understanding the social networks of unsheltered homeless and the use of spirituality or faith as a resource for coping was also examined, as a significant gap exists in the research on unsheltered homeless. Face-to-face, in-depth interviews were conducted with 8 …
The Implementation Of Governance To Counter Islamist Militancy In Pakistan's Khyber-Pakhtunkhwa Province, David Robert Diorio
The Implementation Of Governance To Counter Islamist Militancy In Pakistan's Khyber-Pakhtunkhwa Province, David Robert Diorio
Walden Dissertations and Doctoral Studies
Militancy inspired by Islamists is escalating globally, and government action is necessary to protect vulnerable populations. Security professionals generally agree that governance may complement the use of force to defeat militants; however, current doctrine does not address the concurrent integration of governance in a comprehensive strategy. This interpretive case study explored Pakistan's application of governance during the 2009 Khyber operation in Swat Valley, code-named Operation Rah-e-Rast. The central research question focused on how governance activities were integrated with military operations to subdue militancy. Data were collected through interviews with 6 planners, Pakistani secondary source survey data, and government artifacts. Data …
An Analysis Of Investments By Multilateral Development Banks In Central America, Jose Lopez Rojas
An Analysis Of Investments By Multilateral Development Banks In Central America, Jose Lopez Rojas
Walden Dissertations and Doctoral Studies
Multilateral development banks (MDBs) are under increased pressure to justify their allocation of donor resources. These funds help produce growth in developing regions such as Central America (CA), where wealth inequality limits individuals' access to basic services and increases the prevalence of crime and corruption. MDB leaders are not always confident the allocation of limited resources creates optimal value. The capital asset price model (CAPM) was the theoretical framework of this correlational study. Archival data consisting of annual reports and audited financial statements were used to draw a sample (N = 66) of USD $4.857-asset valued loans made by MDBs …
Standardized Assessment Results As A Predictor Of Student Reading Success In New Brunswick, Canada, Gregory David Paterson
Standardized Assessment Results As A Predictor Of Student Reading Success In New Brunswick, Canada, Gregory David Paterson
Walden Dissertations and Doctoral Studies
Many Canadian school districts use standardized reading achievement data to support reading instruction. Over 30% of 9th-grade students in the Anglophone School District-South (ASD-S) have not met targets for the English Language Proficiency Assessment (ELPA), a graduation requirement in New Brunswick, Canada. This study compared archival reading scores of 6th-grade students from 2009-2012 with the same students' scores in 9th-grade from 2012-2015, to determine if 6th-grade scores were a predictor of 9th-grade results. Rendering the impact illiteracy plays on society, this study applied the theoretical framework of social theory from Bourdieu's (1977, 1984, 1986) view of social mobility and Turner's …
Effects Of Social Support On Cardiac Recurrence Among African Americans, Yolanda Phillips
Effects Of Social Support On Cardiac Recurrence Among African Americans, Yolanda Phillips
Walden Dissertations and Doctoral Studies
Heart disease is the leading cause of death among African Americans. Despite advances in treatment modalities, based on better understanding of the disease's pathology and access to health care, African Americans continue to die from heart disease at rates significantly higher than other races. The available literature on cardiovascular disease among African Americans does not adequately explore how social support affects heart health in this group. The purpose of this study was to examine the effects of social support on cardiac recurrence among African American adults. Cohen's ISEL support system variables: tangible, appraisal, belonging, and self-esteem; and five demographic variables: …
Executive Banking Leaders And Risk-Management Strategies On Subprime Mortgage Lending, Sam Elbarouki
Executive Banking Leaders And Risk-Management Strategies On Subprime Mortgage Lending, Sam Elbarouki
Walden Dissertations and Doctoral Studies
During 2000-2008, subprime mortgage loans were a profitable and popular commodity for banks and lenders alike. The majority of banks that offered this type of mortgage eventually suffered grave financial consequences, largely due to the lack of risk-mitigating processes within their mortgage portfolio. Guided by the stewardship theory, the purpose of this qualitative multiple case study was to explore the risk-mitigation protocols that 4 bank CEOs employed in Northern California used to mitigate the offering of this risky product. Semistructured interviews were used to elicit detailed narratives from these purposively selected bank CEOs on their experiences in risk mitigation. A …
Strategies For Growing And Sustaining Successful Small Businesses, Patrick Modilim Modilim
Strategies For Growing And Sustaining Successful Small Businesses, Patrick Modilim Modilim
Walden Dissertations and Doctoral Studies
Small business manufacturing enterprises represent viable means of creating employment, stimulating economic growth, and accelerating development. Many newly formed small business enterprises do not continue beyond 5 years after formation. The purpose of this multiple case study was to explore the strategies used by small business manufacturing leaders in Lagos, Nigeria to sustain their businesses, using general systems theory as the conceptual framework. The sample comprised 3 small business leaders who have sustained their business enterprises beyond 5 years after formation in Lagos, Nigeria. The data collections were through semistructured, in-person interviews and the review of business feasibility and planning …
Maternal Characteristics And Childhood Immunization Series Completion Rates Among Children 2-Years-Old, Merlene Ramnon
Maternal Characteristics And Childhood Immunization Series Completion Rates Among Children 2-Years-Old, Merlene Ramnon
Walden Dissertations and Doctoral Studies
Delays in childhood immunization may have adverse health implications. In the United States, childhood immunization among children who are below 3 years of age continues to be below Healthy People 2020 targets for some vaccines such as DTaP, PCV, HIB, Hep A, Rotavirus, and Hep B birth dose. The purpose of this study was to examine the association between maternal characteristics and childhood immunization series completion rates among children 2 years of age. The social learning theory and self-efficacy theory provided the theoretical foundation for the study. Data from the Florida Department of Health Immunization Surveys were used. ANOVA and …
Marketing Strategies For Increasing Latino Enrollment In Higher Education, Melissa Rocio Gomez De La Fuente
Marketing Strategies For Increasing Latino Enrollment In Higher Education, Melissa Rocio Gomez De La Fuente
Walden Dissertations and Doctoral Studies
Many leaders of higher education institutions in the United States face changes in student demographics, tightened regulatory environments, and reduced state funding. University leaders have an opportunity to leverage targeted marketing strategies in order to increase their institutions' market share in the Latino student segment. The purpose of this study was to explore the strategies that some university leaders use to increase Latino student enrollment in higher education programs. The marketing mix and the Ps of marketing theory comprised the study's conceptual framework. Semistructured interviews were conducted with 3 marketing experts from the higher education sector, who were selected by …
Strategies That Make Entrepreneurs Sucessful On A Second Business Launch, Willie Joseph Johnson
Strategies That Make Entrepreneurs Sucessful On A Second Business Launch, Willie Joseph Johnson
Walden Dissertations and Doctoral Studies
Fifty percent of small businesses launched survive 5 years or more and about 33.3 percent continue operating for 10 years or longer. This transcendental phenomenological study included Cantillion's theory of entrepreneurship to explore strategies used by successful second-time business owners after a failed first launch. Face-to-face interviews took place with 12 successful second-time business owners in Fairfax County, Virginia, whose first business had failed. Interviews were transcribed and analyzed using a modified Van Kaam method to identify strategies small business owners used to succeed beyond 5 years after a failed first business venture. Data analysis revealed 4 themes: (a) owners …
An Examination Of Teachers' Reading Instructional Challenges In An Alternative School Setting, Leslie Bowen Retchko
An Examination Of Teachers' Reading Instructional Challenges In An Alternative School Setting, Leslie Bowen Retchko
Walden Dissertations and Doctoral Studies
In a suburban alternative school, educators of at-risk students reading below grade level often struggled to provide effective reading instruction. As a result, these students were likely to continue to experience academic difficulties, which could limit their career options and their opportunities to contribute to the betterment of society. This study addressed the gap between reading strategies teachers actually used in the classroom and the reading strategies they learned during professional development. The research questions focused on the instructional challenges teachers experienced while working with struggling readers in an alternative school setting. Mastery learning theory and the adult adragogical theory …
A Cross-Regional Comparison Of Fabricated Metals' Manufacturing Sector Resiliency, Linda Ann Holt
A Cross-Regional Comparison Of Fabricated Metals' Manufacturing Sector Resiliency, Linda Ann Holt
Walden Dissertations and Doctoral Studies
Fabricated metals' manufacturing sector employment in the United States declined following the onset of the 2008 recession. Premium compensation and benefits afforded to employees within the manufacturing sector amplified the negative effects of recessionary job losses. Using the regional macroeconomic complex adaptive systems (CAS) framework, the purpose of this study was to examine the geographic distribution of job losses, recovery rates, and adaptive behavior after the recession for the fabricated metals manufacturing sector by measuring and comparing effects in 50 East North Central division MSAs and 50 South Atlantic division MSAs in the United States. Independent sample t tests compared …
A Quantitative Model Studying The Effects Of Transformational Leadership On Job Satisfaction, Kenneth Uzoma Chukwuba
A Quantitative Model Studying The Effects Of Transformational Leadership On Job Satisfaction, Kenneth Uzoma Chukwuba
Walden Dissertations and Doctoral Studies
Hotels have lost $3.4 billion over the last 5 years because of high rates of employee turnover. Leaders must use the tools necessary to increase job satisfaction and retain professional employees. The problem was that insufficient data described the relationships between transformational leadership, gender, education, and job satisfaction for hotel professionals. The purpose of this survey study was to understand the relationship between transformational leadership and job satisfaction for the hotel professionals in the United States. A total of 248 hotel professionals from the Colorado Lodging and Hotel Association were surveyed using the Multifactor Leadership Questionnaire and the Job Satisfaction …