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Articles 91 - 120 of 827
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Managing Values-Based Purchasing In School Nutrition Programs, Laura Lee Benavidez
Managing Values-Based Purchasing In School Nutrition Programs, Laura Lee Benavidez
Walden Dissertations and Doctoral Studies
School nutrition managers face the challenge of balancing values-based purchasing (VBP) with maintaining student participation and budgetary stability. While VBP integrates sustainability, environmental impact, and animal safety, these priorities may sometimes compete with traditional goals, such as cost efficiency and meal accessibility. Grounded in program evaluation theory, the purpose of this mixed methods explanatory sequential study was to examine how school food service managers implement VPB, integrating procurement and nutrition transparency while managing participation and costs. The quantitative phase focused on participation trends, cost structures, and procurement metrics across diverse school districts to establish a foundation for understanding VBP’s measurable …
Asian American Pacific Islander Representation In Middle School Social Studies, Erin Dorothy Mccarthy
Asian American Pacific Islander Representation In Middle School Social Studies, Erin Dorothy Mccarthy
Walden Dissertations and Doctoral Studies
According to recent studies, Asian American history has been misrepresented or omitted from the overall narrative of American history in standards, textbooks, and curricula. The problem was that Asian American Pacific Islander (AAPI) perspectives were missing and underrepresented in the middle school social studies curriculum in Wisconsin. Framed by Ladson-Billings’ culturally responsive pedagogy (CRP), the purpose of this basic qualitative study was to explore how middle school social studies teachers integrated the voices of AAPI identities into the curriculum. The research questions probed how middle school teachers met state statutes on including multicultural voices and how they included AAPI perspectives …
Staff Education On Medicaid And Medicare Programs, Angela R. Smith
Staff Education On Medicaid And Medicare Programs, Angela R. Smith
Walden Dissertations and Doctoral Studies
Case managers at the practice site are responsible for helping older and disabled clients receive services from Medicare and Medicaid. The gap in practice was that case managers were failing to recognize the benefit and eligibility differences between these federal and state-run programs. Case managers must be well-informed regarding these programs to effectively manage their clients’ care. The goal of this project was to plan, implement, and evaluate a staff education program on Medicare and Medicaid services. The practice-focused question centered on whether participants demonstrated increased knowledge about Medicare and Medicaid services available to Waiver Program clients. The theoretical framework …
Prohibitive Factors Of Successful Completion In Rural Drug Courts: A Quantitative Study, Travis Zimmerman
Prohibitive Factors Of Successful Completion In Rural Drug Courts: A Quantitative Study, Travis Zimmerman
Walden Dissertations and Doctoral Studies
Drug courts have been heralded as largely successful alternative sentencing programs for criminal drug offenders. While these programs demonstrate their ability to be effective with clients, little insight has been gained into the factors that impact client success and failure. The study utilized data from the Multi-site Adult Drug Court Evaluation (MADCE) to investigate the factors that lead to program failure for participants in drug court. Borrowing from the tenants of generalized strain theorists, the study batched together raw data into four “strain factors,” which were then analyzed to discern any corollary effect between the presence of these strains and …
Barriers Rural African American Mothers Experience Accessing Healthcare, Lovelia Dixon
Barriers Rural African American Mothers Experience Accessing Healthcare, Lovelia Dixon
Walden Dissertations and Doctoral Studies
Walden University College of Psychology and Community Services This is to certify that the doctoral dissertation by Lovelia Latrese Dixon has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Tracy Jackson, Committee Chairperson, Human Services Faculty Dr. Antoinette Pigatt, Committee Member, Human Services Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025 The study examined the barriers African American mothers living in rural areas face when accessing healthcare due to lack of information, transportation, and affordability. Understanding the …
Investigating The Association Between Metabolically Healthy And Metabolically Unhealthy Obesity With Disease, Colleen Marie Cohick
Investigating The Association Between Metabolically Healthy And Metabolically Unhealthy Obesity With Disease, Colleen Marie Cohick
Walden Dissertations and Doctoral Studies
Obesity is a global health concern, affecting individuals of all ages and ethnicities worldwide. A key factor in health concerns related to obesity is metabolic health: Obese individuals are either metabolically healthy obese or metabolically unhealthy obese, leading to different degrees of risk for cardiovascular disease and diabetes.. There is a lack of comprehensive research examining the association between metabolic health status among obese individuals and kidney, liver, and stomach diseases. This quantitative cross-sectional study was conducted to examine whether metabolic health status is a significant predictor of kidney, liver, and stomach diseases among obese individuals when lifestyle is a …
Examining The Impact Of Reentry Programs On The Employability Of African American Ex-Offenders Entering The Workforce In The State Of Michigan, Lawrence Gene Caldwell
Examining The Impact Of Reentry Programs On The Employability Of African American Ex-Offenders Entering The Workforce In The State Of Michigan, Lawrence Gene Caldwell
Walden Dissertations and Doctoral Studies
African American ex-offenders in Michigan have faced numerous challenges when trying to secure employment after incarceration. Despite the well-documented difficulties of reintegration, their personal experiences and perceptions of these obstacles remain largely unexplored. Successful reintegration has required individuals to break free from the behaviors and social patterns reinforced during their time in prisons. This generic qualitative study examined the role of reentry programs in addressing these challenges and emphasizes the need to reassess current criminal justice practices to better support formerly incarcerated individuals. This generic qualitative study focused on the employment struggles faced by African American ex-offenders and the broader …
Strategies To Improve Recruitment And Retention Of Nurses In Rural Emergency Departments, Thomas Allen Ortiz
Strategies To Improve Recruitment And Retention Of Nurses In Rural Emergency Departments, Thomas Allen Ortiz
Walden Dissertations and Doctoral Studies
Leaders of rural emergency departments (EDs) in the United States face persistent challenges in recruiting and retaining RNs. The aim of this integrative review was to identify strategies to mitigate these challenges. The review question focused on best practices leaders can implement to decrease problems with the recruitment and retention of rural ED nurses. A review of the literature published within the past five years yielded 31 empirical and non-empirical articles, which were analyzed using the Johns Hopkins Nursing Evidence-Based Practice (JHNEBP) appraisal tool. Overarching themes and subthemes were subsequently identified. The Dynamic Capabilities and Strategic Human Resource Management frameworks …
Economic Development In Ten Massachusetts Communities: A Study Of Public Policy Implementation Methods And Outcomes, Derek Michael Bennett
Economic Development In Ten Massachusetts Communities: A Study Of Public Policy Implementation Methods And Outcomes, Derek Michael Bennett
Walden Dissertations and Doctoral Studies
Economic renewal and development are an essential elements of urban economic development within numerous cities in the United States. Little has been reported concerning methods used to implement policy to create the conditions desirable for economic growth and development. The purpose of this study was to investigate the corelative relationship between implementation methods used and the outcomes of economic growth and development policy, applying Pierson's (1993) Policy Feedback Theory as the theoretical framework. Using a mixed methods-based study of quantitative and quantitative methods, to examine the correlation between policy implementation practices and resulting barriers in local economic growth and development, …
Stereotype, Stigma, And Discrimination And Prep Use Among Black And Latino Men And Women, Aieshia Brooks Poole
Stereotype, Stigma, And Discrimination And Prep Use Among Black And Latino Men And Women, Aieshia Brooks Poole
Walden Dissertations and Doctoral Studies
HIV infections continue to rise in the Southern United States, with Black and Latino men who have sex with men (MSM), bisexual men, and women experiencing disproportionate impacts. Although pre-exposure prophylaxis (PrEP) is an effective biomedical intervention for reducing HIV transmission, disparities in its uptake remain due to healthcare stereotype threat, felt stigma, and everyday discrimination. This quantitative cross-sectional study analyzed secondary data from the Generations: A Study of the Life and Health of LGB People in a Changing Society (2016–2019) to examine the relationship between these psychosocial barriers and PrEP use among Black/Latino MSM, bisexual men, and women aged …
Effects Of Two Years Of Blended Learning On High School Students’ Mathematics Growth In An International School In Kuwait, Maya Bilal Hashisho
Effects Of Two Years Of Blended Learning On High School Students’ Mathematics Growth In An International School In Kuwait, Maya Bilal Hashisho
Walden Dissertations and Doctoral Studies
Blended learning using a learning management system was implemented in a gender-segregated American school in Kuwait but not evaluated to determine instructional effectiveness. Thus, the purpose of this quantitative study was to compare student performance to determine to what extent there were differences in mathematical growth from Grade 8 to Grade 10 between male and female students who were taught with the traditional classroom approach versus those taught with blended learning in an international school in Kuwait where education is segregated by gender. Grounded in the substitution, augmentation, modification, and redefinition model, this quasi-experimental study involved using pre and post …
Relationship Between Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, Inflammatory Biomarkers, And Hospital Length Of Stay Among Covid-19 Patients., Alice Aghamie Osuji
Relationship Between Congestive Heart Failure, Chronic Obstructive Pulmonary Disease, Inflammatory Biomarkers, And Hospital Length Of Stay Among Covid-19 Patients., Alice Aghamie Osuji
Walden Dissertations and Doctoral Studies
COVID-19 has put immense pressure on healthcare facilities, especially in managing patients with comorbidity. This study addressed the association between two important coinfections, congestive heart failure (CHF) and chronic obstructive pulmonary disease (COPD), and their effect on hospital length of stay (LOS) among COVID-19 patients. The study also explored the predictive role of the inflammatory biomarker C-reactive protein (CRP) in prolonged hospitalization, also considering the influence of age and race. This study applied the Biopsychosocial Model and Chronic Care Model (CCM) to examine health outcomes and resource use. A retrospective cohort research design was used to examine medical records of …
Social Support And Treatment Outcomes Among Multi-Drug Resistant Tuberculosis And Persons Living With Hiv In Nigeria, Abiodun Olusegun Hassan
Social Support And Treatment Outcomes Among Multi-Drug Resistant Tuberculosis And Persons Living With Hiv In Nigeria, Abiodun Olusegun Hassan
Walden Dissertations and Doctoral Studies
An estimated 40% of people with tuberculosis (TB) are missed due to underdiagnosis, and among those previously treated TB cases, about a quarter develop drug-resistant TB in Nigeria. The emergence of multi-drug-resistant TB (MDR-TB) is stalling the effort towards TB’s control and eradication. Few studies have examined the impact of the psychosocial effect and support systems for TB, particularly for MDR-TB. In this quantitative, cross-sectional study, the predictive relationship between social support given to MDR-TB patients and their treatment outcomes was examined using secondary data of 594 MDR-TB cases enrolled between January 2018 and December 2021. The theoretical framework for …
The Lived Experiences Of Rural Nurses In The Post-Covid-19 Era, Amy Schultes
The Lived Experiences Of Rural Nurses In The Post-Covid-19 Era, Amy Schultes
Walden Dissertations and Doctoral Studies
Approximately 60 million people, or one in five Americans, live in rural areas across the United States. Despite this, there is a lack of information about the experiences of critical access nurses working in rural hospitals that serve small towns and rural areas. The goal with this research was to gain a deeper understanding of the experiences of rural nurses in the post-COVID-19 era. Using hermeneutic phenomenology and rural nursing theory, the lived experiences of eight nurses working in critical access hospitals in Iowa were explored through semi-structured interviews. The qualitative data was analyzed using the hermeneutic circle for phenomenological …
Successful Leadership Strategies Hotel Managers Use To Reduce Employee Turnover, Sean Reid
Successful Leadership Strategies Hotel Managers Use To Reduce Employee Turnover, Sean Reid
Walden Dissertations and Doctoral Studies
Employee turnover remains a significant challenge in the hotel industry, impacting service quality and increasing operational costs. Hotel managers are particularly concerned with this issue as it affects their ability to maintain a financially sustainable business. Grounded in the transformational leadership theory, the purpose of this qualitative multiple case study was to explore successful leadership strategies hotel managers use to reduce employee turnover. The participants comprised four hotel managers from four different hotels in the Caribbean. Data were gathered from semistructured interviews, interview notes, and a review of documents provided by the participants. Four themes emerged from the use of …
Cultural Competency When Providing Intimate Partner Violence Assistance, Deanna Lashawn Stewart
Cultural Competency When Providing Intimate Partner Violence Assistance, Deanna Lashawn Stewart
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is a significant public health crisis that disproportionately affects African American and Latina women due to systemic barriers, cultural stigmas, and inadequate culturally competent support services. This qualitative study explored the experiences of English-speaking African American and Latina women aged 23 to 60 in seeking culturally competent assistance for IPV in the United States. Using a generic qualitative research design and relational-cultural theory as a theoretical framework, this study examined how cultural beliefs and values influence help-seeking behaviors and the perceived adequacy of IPV support services. Semistructured interviews were conducted with 10 participants who had previously …
Strategies U.S. Hospital Leaders Use To Recruit, Hire, And Retain Physicians To Sustain Profitability, Terence Christopher Williams
Strategies U.S. Hospital Leaders Use To Recruit, Hire, And Retain Physicians To Sustain Profitability, Terence Christopher Williams
Walden Dissertations and Doctoral Studies
Poor physician retention negatively impacts the quality of community healthcare, leading to financial losses and increased operational costs for hospitals. Hospital administrators and the governing boards are particularly concerned with addressing this issue to ensure sustainable healthcare delivery. Grounded in the Hertzberg’s two factor theory, the purpose of this qualitative pragmatic inquiry was to explore strategies that hospital administrators can utilize to improve physician retention. The participants included eight high-ranking hospital administrators within the geographic region of North Carolina who had an active role in provider retention. Data was collected using semistructured interviews, identify five critical themes: (a) implement mentorship, …
Participant Experiences With Mobile Integrated Health In Underserved Communities While Managing Chronic Disease: Grounded Theory, Margaret Piwowar
Participant Experiences With Mobile Integrated Health In Underserved Communities While Managing Chronic Disease: Grounded Theory, Margaret Piwowar
Walden Dissertations and Doctoral Studies
Individuals in underserved communities face barriers to the management of chronic disease compounded by the lack of consideration of the social determinants of health in health education interventions. This qualitative study explored the perspectives and experiences of adults living in underserved communities who have graduated from an integrated program in a large metropolitan area in the United States. Mobile integrated health programs, conducted by community paramedics, work in underserved communities within citizens' homes, managing chronic disease. Limited research exists regarding the perspectives of participants who have received interventions from integrated programs and the perceived impact these interventions have on reducing …
Female Students With Disabilities’ Perceptions Of Science, Technology, Engineering, Mathematics Education, Toni Anne Walkowiak
Female Students With Disabilities’ Perceptions Of Science, Technology, Engineering, Mathematics Education, Toni Anne Walkowiak
Walden Dissertations and Doctoral Studies
The demand to increase enrollment in science, technology, engineering, and mathematics (STEM) education programs has intensified globally since the early 21st century. Researchers have concentrated on the gender divide with limited research on female students with disabilities (FSwDs). The purpose of this qualitative study was to explore FSwDs’ perceptions of their successes and challenges with accessibility, inclusion, and support experienced in STEM education programs, as well as their recommendations for improving policies and practices in STEM higher education. The study was grounded in social identity and social learning theories. For this basic qualitative design, semistructured interviews were conducted with nine …
Factors Affecting The Educational Status Of Children In Nigeria, Ayima Lott
Factors Affecting The Educational Status Of Children In Nigeria, Ayima Lott
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that irrespective of active involvement of Nigeria in Universal Basic Education, the nation still records the highest number of out-of-school children globally. The purpose of this quantitative study was to determine how geopolitical location, socio-economics of the household, parental education, role of the child, age of the child, and gender of the child predict the educational status of children in Nigeria. This study is grounded in conflict and social systems theories. The most recent national secondary data on education from the 2015 Nigerian Education Data Survey was used. Univariate, bivariate, and multivariate logistic …
Hurricane Irma's Impact On Mortality Among The Chronically Ill Populations In Florida, Cody Ray Thornton
Hurricane Irma's Impact On Mortality Among The Chronically Ill Populations In Florida, Cody Ray Thornton
Walden Dissertations and Doctoral Studies
Natural disasters pose significant risks to individuals with chronic diseases, exacerbating health disparities through disruptions in healthcare access and systemic vulnerabilities. This study investigated the association between chronic disease-related mortality occurring within 2 months of Hurricane Irma, and whether demographic variables, including age, sex, race, Hispanic ethnicity, poverty, urbanicity, and educational attainment, modified this relationship. This cross-sectional study used the social-ecological model to analyze secondary mortality data from the National Vital Statistics System. Bivariate and multivariate logistic regression revealed that deaths from chronic illnesses, occurring between September 2017 and October 2017, were 2.694 times higher, compared to the same period …
A Disparities Analysis Of Cancer Patients’ Access To Depression Treatment By Health Insurance Status And Type, Stephanie Minbiole-Snider
A Disparities Analysis Of Cancer Patients’ Access To Depression Treatment By Health Insurance Status And Type, Stephanie Minbiole-Snider
Walden Dissertations and Doctoral Studies
Research has demonstrated that comorbid conditions like depression in cancer patients reduce quality of life, prolong recovery, and reduce survival time of the cancer patient. Although other studies have investigated the issue of depression among cancer patients, there is a dearth of studies looking at differences in taking depression medication with health insurance as a source of disparity. Using survey data from the National Health Interview Survey (NHIS), and the health belief model as the theoretical framework, this study had two purposes. The first was to determine if there were differences in the likelihood of taking medication for depression based …
Physical And Mental Health Experiences Of Obese Men Living In The United States During The Covid-19 Pandemic, James Cunningham
Physical And Mental Health Experiences Of Obese Men Living In The United States During The Covid-19 Pandemic, James Cunningham
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic posed unprecedented challenges to public health worldwide, significantly impacting vulnerable populations like obese men in the United States. This qualitative descriptive study involved exploring how these men perceived the pandemic’s impact on their physical and mental health, addressing a critical gap in existing literature. The research question that guided this study was: How did obese men living in the United States perceive the stressor that was the COVID-19 pandemic on their physical and mental health? Guided by the biopsychosocial model, the study involved using semi-structured interviews with 15 participants who were recruited online through social media. Thematic …
The Impacts Of Software Development Methodologies On New Model Success Rate In The U.S. Automotive Industry, Marquita Aleatrice Tucker
The Impacts Of Software Development Methodologies On New Model Success Rate In The U.S. Automotive Industry, Marquita Aleatrice Tucker
Walden Dissertations and Doctoral Studies
Since 2017, the U.S. automotive industry has experienced a decrease in new-model launch success rate. A single 12-month delay in a new vehicle launch may cost a manufacturer up to $200 million. One component of automotive product development is software development. The research problem was a lack of understanding of the challenges with software development methodologies from the perspective of software developers, preventing managers from implementing methodologies, policies, and processes to improve the rates of successful new model launches. The purpose and the research questions were focused on exploring the lived experiences of software developers in the U.S. automotive industry …
How Health Literacy Influences Rural West Virginians Knowledge Of Chronic Disease Prevention And Management, Summer Mitchell
How Health Literacy Influences Rural West Virginians Knowledge Of Chronic Disease Prevention And Management, Summer Mitchell
Walden Dissertations and Doctoral Studies
Health literacy can be described as the understanding of own’s own health and understanding of health-related information (Shadid, 2022). In rural communities, health literacy is typically at a lower level than in urban communities. West Virginia is a mostly rural state and in addition to lower health literacy, chronic diseases are high in West Virginia. The target area for this study was rural Greenbrier County, West Virginia. The purpose of the study was to examine perceived barriers to health literacy in Greenbrier County, West Virginia, and how this affects understanding of chronic disease. Research questions focused on participants’ knowledge of …
Sustaining Diversity, Equity, And Inclusion Through Transformational Leadership In Behavioral Health Management, Ndubuisi Christopher Egunetugo
Sustaining Diversity, Equity, And Inclusion Through Transformational Leadership In Behavioral Health Management, Ndubuisi Christopher Egunetugo
Walden Dissertations and Doctoral Studies
This case study examines the challenges of Diversity, Equity, and Inclusion (DEI) within an organization, emphasizing systemic biases, workforce diversity, and the necessity of culturally competent care. The Behavioral Health Organization in the southern United States faces significant DEI challenges due to its diverse clientele, workforce, and various stakeholders. Transformational leadership, marked by visionary thinking and actionable initiatives, is crucial for sustaining DEI efforts and addressing disparities in service access, care quality, management practices, and treatment outcomes. The Baldrige Framework of Excellence is employed as a systematic method to embed DEI principles across organizational operations, facilitated by transformational leadership to …
Risk Factors For Peripheral Artery Disease-Related Amputations Among Black Americans, Darnell L. Blake
Risk Factors For Peripheral Artery Disease-Related Amputations Among Black Americans, Darnell L. Blake
Walden Dissertations and Doctoral Studies
Evidence suggests that Black Americans (BAs) are at a significantly higher risk of peripheral artery disease (PAD)-related amputations. This study aimed to examine risk factors for non-traumatic lower extremity amputation (NTLEA) among BAs with PAD addressing a significant knowledge gap regarding racial disparities in PAD outcomes. Grounded in Bandura's social cognitive theory, which posits the interplay among personal factors, environmental influences, and behavior, this study examines how age, gender, income, and comorbidities like cardiovascular disease, kidney disease, and diabetes influence NTLEA across various insurance types (private, Medicaid, Medicare, self-pay). This quantitative cross-sectional study used the 2020 National Inpatient Sample, 1% …
Risk Factors For Peripheral Artery Disease-Related Amputations Among Black Americans, Darnell L. Blake
Risk Factors For Peripheral Artery Disease-Related Amputations Among Black Americans, Darnell L. Blake
Walden Dissertations and Doctoral Studies
Evidence suggests that Black Americans (BAs) are at a significantly higher risk of peripheral artery disease (PAD)-related amputations. This study aimed to examine risk factors for non-traumatic lower extremity amputation (NTLEA) among BAs with PAD addressing a significant knowledge gap regarding racial disparities in PAD outcomes. Grounded in Bandura's social cognitive theory, which posits the interplay among personal factors, environmental influences, and behavior, this study examines how age, gender, income, and comorbidities like cardiovascular disease, kidney disease, and diabetes influence NTLEA across various insurance types (private, Medicaid, Medicare, self-pay). This quantitative cross-sectional study used the 2020 National Inpatient Sample, 1% …
Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola
Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola
Walden Dissertations and Doctoral Studies
Hyperlipidemia is one of the modifiable risk factors for cardiovascular diseases (CVD), the leading cause of death among minority populations in the United States, including foreign-born people. Therefore, preventing and treating hyperlipidemia alongside other CVD risk factors is critical for avoiding CVD. Prior research examined disparities in health insurance coverage, length of stay, and blood cholesterol with mixed observations over time with new immigrants. This study aimed to determine if there was a statistically significant association between language spoken at home, length of stay in the United States, having health insurance coverage or none, and high cholesterol level status among …
Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola
Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola
Walden Dissertations and Doctoral Studies
Hyperlipidemia is one of the modifiable risk factors for cardiovascular diseases (CVD), the leading cause of death among minority populations in the United States, including foreign-born people. Therefore, preventing and treating hyperlipidemia alongside other CVD risk factors is critical for avoiding CVD. Prior research examined disparities in health insurance coverage, length of stay, and blood cholesterol with mixed observations over time with new immigrants. This study aimed to determine if there was a statistically significant association between language spoken at home, length of stay in the United States, having health insurance coverage or none, and high cholesterol level status among …