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Assessment And Treatment Of Postpartum Depression Among Mothers In Imo-State, Nigeria, Allison Chinyere Nnaka

Walden Dissertations and Doctoral Studies

Postpartum depression affects many postpartum mothers. When postpartum depression is not timely assessed, identified, and treated, it can lead to problems with mother child bonding and cause family problems, negligence, and infant death. The purpose of this phenomenological study was to understand Imo State women's lived experiences and perception on sufficiency of the assessment and treatment received for their postpartum depression. The conceptual theory for this study was the empowerment theory. In-depth, face-to-face interviews were conducted to examine 10 Imo State postpartum mothers' lived experiences of assessment processes and to understand if their psychological desires were addressed. The interviews were …

A Qualitative Study Of Factors Related To Weight Regain Following Roux-En-Y Surgery., Samone Renee Marion

Walden Dissertations and Doctoral Studies

During the past decade, obesity has become a worldwide epidemic, and bariatric surgery has been used to treat obesity. Previous researchers have addressed the success of the Roux-en-Y bariatric (RYGB) surgery within 12 months or later of the surgical procedure; however, a lack of research exists regarding participant success in maintaining their post-surgery weight loss long term. The current qualitative, phenomenological study was based on the conceptual framework of social learning and examined the beliefs, experiences and perceptions of women who underwent RYGB weight loss surgery but did not maintain their ideal weight during the 1st year and later following …

Low Health Literacy And Hpv Vaccine Uptake Of African American And Hispanic American Women, Peter Ntiamoah

Walden Dissertations and Doctoral Studies

Cervical cancer incidence in the United States has declined for the past 40 years, yet the odds of developing cervical cancer is much higher among marginalized women, particularly African American and Hispanic American women. Although preventable through vaccination against the human papillomavirus (HPV) prior to infection, uptake and completion rates of the vaccine among African American and Hispanic American women are low. The purpose of the study was to determine if a significant relationship existed between the health literacy levels of African American and Hispanic American women, ages 18-26, and the low HPV vaccination uptake. The integrated behavioral model, which …

Health Disparities Among Hispanic Americans With Type 2 Diabetes, Nelson Sitton

Walden Dissertations and Doctoral Studies

The ongoing increase in Type 2 diabetes among Hispanic Americans challenges the American public health system, particularly with health issues arising from not following appropriate health directives for the disease. This quantitative, cross-sectional, correlational study used primary data to assess the relationship between diabetes knowledge (as measured by the Diabetes Knowledge Questionnaire), health literacy level (as measured by the Short Assessment of Health Literacy-Spanish and English), education level, self-efficacy (as measured by the Diabetes Self-efficacy questionnaire), and self-reported diabetes self-care behaviors (as measured by the Summary of Diabetes Self-care Activities) among a sample of Hispanic Americans with Type 2 diabetes. …

Therapists' Experiences Of Domestic Violence Among African American Lesbians, Barbara Camille Bryant

Walden Dissertations and Doctoral Studies

Historically, African American lesbians (AALs) experiencing intimate partner violence (IPV) have received little or no support from therapists due to stigmas concerning the same-sex relationships of AALs in particular, who have been racially marginalized. The purpose of this study was to explore the experiences, attitudes, and perceptions of therapists who provide counseling for AALs who have experienced IPV. The findings of this study may help to better understand the challenges, perceptions, and attitudes of therapists regarding their experiences in working with AALs in domestic violent relationships because existing research was limited on mental health therapists' perceptions of working with AALs …

Using Marketing Strategies To Advance Millennial Prospects At Credit Unions In Jamaica, Minetta Edwards

Walden Dissertations and Doctoral Studies

Content of marketing strategies not only appeals to consumers based on their demographics and identity but consumers can also respond more positively to marketing strategies that target their purchasing behaviors. The purpose of this qualitative multiple case study was to explore how financial advisors at credit unions in Jamaica are using marketing strategies to advance millennial prospects, in an environment where consumers recognize commercial banks as the dominant institution in the financial industry. The conceptual framework for this study was the sustainability theory, with a direct focus on economic sustainability. The data collection process involved semistructured face-to-face-interviews with 5 financial …

Carbon-Storing Trees And Particulate Matter Reduction In Los Angeles, California, Tanyi Obenson

Walden Dissertations and Doctoral Studies

Air pollution is a major concern in heavily populated cities such as Los-Angeles, California. Particulate Matter (PM) pollution in Hispanic and Black American neighborhoods in Los Angeles tends to be higher than adjacent non-minority areas. Research has indicated that certain carbon-storing trees can be used to reduce PM pollution. The purpose of this qualitative, interview research project was to determine the feasibility of using carbon-storing trees to reduce PM pollution in Hispanic and Black American neighborhoods in Los Angeles. Using an ecological theoretical framework, 10 subject matter experts were interviewed about their knowledge of carbon-storing properties and the feasibility of …

Effective Strategies For Venture Capital Evaluations Of Organizations' Drug Development Capabilities, Roslyn Chand

Walden Dissertations and Doctoral Studies

Undercapitalization is a major impediment for the growth and survival of Canadian life sciences firms. Proficient management teams are the 'sine qua non' criteria in the venture capital decision-making processes. The purpose of this multicase study was to explore strategies successful venture capitalists use to improve their evaluation processes of life sciences management teams' drug development capabilities. The conceptual framework for this study was based on business process management. The purposeful sample consisted of 10 venture capitalists located in the United States and Canada who had expertise evaluating life sciences management teams. The data were triangulated from semistructured interviews, annual …

Community Public-Private Partnership Leadership Synergy In Tanzania, Hawa Yatera Mshana

Walden Dissertations and Doctoral Studies

Although the public-private partnership (PPP) concept in health and social health has been politically accepted as the best pathway to improving health outcomes in many developing nations, implementation lacks leadership synergy. Lack of awareness and engagement of community leaders about PPP interventions and their benefits affect accountability and ownership of health and social care interventions. The purpose of this study was to better understand factors that could promote partnership leadership synergy to enhance ownership and accountability for community health and social welfare initiatives in Tanzania. A qualitative empirical case study design was used; diffusion of innovation and the public-private integrated …

Adherence To Antiretroviral Medicines Among Adolescents And Young Adults In Benue State, Nigeria, Amom Tor-Anyiin

Walden Dissertations and Doctoral Studies

Adherence to ARV medicines is essential to halt HIV progression, increase CD4 counts, decrease virologic impact, and improve quality of life for the infected people. However, sustaining good adherence among adolescents and young adults (AYA) has been a challenge caused by various problems such as distance to clinic, improved CD4 count which lead to complacency in adherence, and the nature of the environment. This was a quantitative, retrospective, correlational, cross-sectional study anchored by the transtheoretical model, which was used to understand how adherence rate among the study population was impacted by the predictive factors. Secondary data was collected from patient's …

Vote-Selling: Infrastructure And Public Services, Nat Adojutelegan

Walden Dissertations and Doctoral Studies

Vote-selling in Nigeria pervades and permeates the electoral space, where it has become the primary instrument of electoral fraud. Previous research has indicated a strong correlation between vote-buying and underinvestment and poor delivery of public services. There remains, however, a significant gap in the current literature regarding the nature of the relationship between vote-selling and the delivery of public services. The purpose of this study was to uncover voters' behaviors by investigating their common and lived experiences with respect to the provision of infrastructure, delivery of public services, and voting during elections. Using Bandura's theory of reciprocal determinism, the research …

Information Technology Infrastructure: Global Economy And National Development In Haiti, Reynolds Alcena

Walden Dissertations and Doctoral Studies

Political and environmental chaos recently experienced in Haiti has damaged the economic sector and telecommunication infrastructure. Developmental data from Haiti show 3 major trends: inadequate social and economic development, insufficient benefits from the global economy, and poorly planned information technology infrastructure (ITI). The specific problem addressed in this study is a knowledge gap in the views of stakeholders within Haiti's national culture on how the country's ITI can be developed to better engage Haiti in 21st century global and digital economy. The purpose of this qualitative case study was to explore the views of 48 expert participants regarding ITI development …

Factors Influencing Alzheimer's Disease Healthcare Utilization Patterns In Puerto Rico, Carlamarie Noboa

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is associated with substantial healthcare utilization costs, resulting in a public health priority. In this study, the relationship between the demographic characteristics of age, gender, and type of health insurance; the presence of comorbidities of older Puerto Rican residents diagnosed with AD; and their healthcare utilization patterns (i.e., medical office and emergency room visits and hospital admissions) was examined using Andersen's behavioral model. Data from the 2013 Puerto Rico Health Study was used in this retrospective cohort design study. All AD cases aged -?¥ 60 years were extracted using systematic random sampling. One-way ANOVA-WELCH, Mann-Whitney U test, …

Corporate Social Responsibility And The Welfare Of Nigerian Niger Delta Landowners, Charles Oboh

Walden Dissertations and Doctoral Studies

The perception by any group of ineffectiveness in the dispensation of corporate social responsibility (CSR) to major stakeholders may result in friction, reduction in productivity, and an overall loss of social and economic capital. The problem addressed in this study, which represented the gap in knowledge and practice, was that CSR initiatives in the Niger Delta region lack a community-centric framework to ensure optimal and sustainable returns on CSR investments for multinational corporations and local Nigerian landowners. The purpose of the study was to develop a deeper understanding of what it means to experience CSR for Nigerian landowners in the …

The Impact Of Transmission Mode On Hiv/Aids Medication Adherence, Lindsey Wilde

Walden Dissertations and Doctoral Studies

Medication adherence amongst HIV/AIDS infected individuals can be challenging for many reasons. I examined whether there was an association between mode of HIV transmission, such as sexual intercourse, mother to child, or IV drug use, and medication adherence among HIV+ individuals 18 years and older living in New York City. The theoretical base for this study was the Social Ecological Systems Theory. Logistic regression analyses were conducted on field data obtained from the New York State Medicaid Agency from 2015. Results indicated that transmission mode, age, race, and poverty level all have statistically significant associations with the dependent variable of …

Strategies Small Business Owners Use To Decrease Voluntary Employee Turnover, Rose Mary Carter

Walden Dissertations and Doctoral Studies

Decreasing employee turnover among small businesses is a problem because employee turnover is costly and adversely affects business owners' ability to gain and maintain a competitive advantage. The purpose of this multiple case study was to explore strategies that small business owners use to decrease voluntary employee turnover to remain competitive. The target population was composed of small business owners located in the southeastern region of the United States who used strategies to decrease voluntary employee turnover. The conceptual framework for the study was Herzberg's 2-factor theory. Data were collected from semistructured interviews with 4 small business owners and review …

Relationships Of Gender On Mathematics Achievement In High Achieving Military-Connected Children, Randi Kay Rose Dalton

Walden Dissertations and Doctoral Studies

The purpose of this quantitative correlational study was to describe the relationship between gender and grade level to mathematics achievement for high achieving military-connected students in Grades 3 through 9 who attended American public schools between 2012 and 2016. The theoretical framework was based on Sax's research on gender differences in learning. The research questions were: if there was a statistically significant difference between the percentage of military-connected students scoring in the top 2 quartiles (at or above the national average) for normal curve equivalent (NCE) mathematics scores on the Terra Nova Third Edition (TNTE) using gender as a predictor; …

Association Between Genetic Ancestry And Body Mass Index Among A Cohort Of Hispanic American Children, Sahel Hazrati

Walden Dissertations and Doctoral Studies

Childhood obesity is disproportionately higher among children from Hispanic backgrounds. Ethnicity is a social and cultural construct and does not capture true ancestral heterogeneity. Hispanic Americans have a wide variety of genetic admixture proportions of European (EUR), Native American (AMR), and African (AFR) ancestry. The objective of this cross-sectional study was to assess the contribution of ancestral genetic composition to body mass index (BMI), and to evaluate the relationship of obesity risk factors to BMI among 154 2-year-old Hispanic American children. The theory of Evolutionary Developmental Biology was utilized to investigate the relationship between children's growth process and ancestral background. …

Advancement Of Social Service Delivery Through Cross-Sector Partnerships In Nigeria, Emmanuel Chukwudi Ihenacho

Walden Dissertations and Doctoral Studies

Nonprofit organizations and the social services they provide have often engaged the attention of organizational scholars and practitioners. There is also a general perception of nonprofits as agents of social development in cases of public service failure. However, with the proliferation of many small nonprofits, their capacity for effective service delivery has been debated. Some have proposed cross-sector organizational partnerships (CSPs) as a means of assuring service effectiveness; however, such initiatives have been limited and not well understood in Nigeria. This study used a qualitative case study approach to focus on a CSP involving a nonprofit vocational training institute and …

Niger Delta Youths' Views On Entrepreneurship Education For Combating Poverty And Unemployment, Sylvanus Obidinma Ohakam.

Walden Dissertations and Doctoral Studies

Abstract

Education policymakers in Nigeria lack the knowledge on the views of Niger Delta youths, who rely on entrepreneurship education and its contents to fight poverty and unemployment in their area. This study's purpose was to gain deeper understanding of the views of Niger Delta youths on entrepreneurship education, its contents, and its role in fighting their area's high rate of poverty and unemployment. This study was framed and guided by three key concepts that focus on the challenges of poor communities: youth unemployment in sub-Saharan Africa, entrepreneurship education, and youth entrepreneurship. To address this issue properly, a qualitative multiple-case …

Educating Oncology Nurses About The Emotional Impact Of Cancer Diagnosis, Jonnell Ortiz Zayas

Walden Dissertations and Doctoral Studies

Anxiety and depression are common mood disorders in cancer patients, regardless of mental state prior to diagnosis. A gap in the education of oncology nurses in an eastern Caribbean island was discovered regarding their ability to identify anxiety and depression symptoms and to help patients who suffered from these disorders. The purpose of this project was to improve oncology nurses' assessment skills by reviewing appropriate use of the Hospital Anxiety and Depression Scale (HADS) tool and familiarizing nurses with resources to help patients who score high on the HADS. The Levine conservation model was the theoretical framework for this project. …

Kono Members' Perceptions Of Burial Practices And The Spread Of Ebola Virus Disease, Comfort Kenyeh Panda

Walden Dissertations and Doctoral Studies

Sierra Leone was heavily affected by the West African Ebola virus disease (EVD) epidemic from 2013 to 2016. Ongoing EVD transmission during the epidemic was connected to several factors including unsafe traditional burial practices. This phenomenological qualitative study addressed Kono members' perceived knowledge, attitudes, and beliefs regarding how burial practices influenced EVD transmission. Rosenstock's health belief model provided the framework for the study. The participants purposefully selected from various religions and professions were interviewed individually and in focus group settings. Similar phrases and comments were identified from the interview responses resulted which resulted in the following 5 main themes: (a) …

The Relationships Between Weight Stigma, Ethnic Identity, And Acculturation In Latinas, Catherine Rodrí­Guez Torres

Walden Dissertations and Doctoral Studies

Weight stigma has negative psychological and physical consequences including anxiety, depression, suicidal ideation, eating disorders, and lower quality of life. The purpose of this cross-sectional study was to explore the relationships between weight stigma, ethnic identity, and acculturation in Latinas. The intersectional theory provided the framework for this study. A sample of 154 Latinas over the age of 18 living in the United States or 1 of its territories was gathered through social media, a fat acceptance organization, and a research participant pool. The online survey consisted of 3 psychometric tools-Modified Weight Bias Internalization Scale, Multi-Group Ethnic Identity Measure-Revised, and …

Perceptions Of Problems, Policies, And Politics Of A Controversial Pacific State Mosque, Frederick Sahakian

Walden Dissertations and Doctoral Studies

Despite the existence of land use and environmental protection policies designed to provide guidance on land development, some projects can still be contentious. As the number of Muslims and mosques in the United States are increasing, little is known about the problematic conditions that Muslims may experience when attempting to site a new mosque, community center, or cemetery. The purpose of this study was to develop a deeper understanding about the experiences and perceptions of those involved in the failed siting of a controversial mosque, community center, and cemetery project in a U.S. West Coast state. The multiple streams framework …

Challenges Of African American Female Veterans Enrolled In Higher Education, Latrice Jones Tollerson

Walden Dissertations and Doctoral Studies

African American women represent 19% of the 2.1 million living female veterans. They are the largest minority group among veteran women; however, little is known about the challenges that they face when they transition to a postsecondary learning environment. The purpose of this qualitative study was to understand better how this cohort of veterans who served in the U.S. Army during military campaigns in the Middle East overcame transitional challenges to higher education. This study utilized Schlossberg's adult transition theory and identity formation as described in Josselson's theory of identity development in women. The focus of this study was on …

Influences Of The Sarbanes-Oxley Act On Ethical Financial Operations In Nonprofit Organizations, Stephanie Powell Works

Walden Dissertations and Doctoral Studies

In the United States, approximately 7% of nonprofits' annual revenue is lost as a result of a lack of ethical financial operations among nonprofit executive directors (EDs). This represents $85 billion in estimated annual losses in available operating funds. This study addressed the problem of ineffective leadership in nonprofit organizations from the perspective of EDs responsible for ethical financial operations. The purpose of this phenomenological study was to understand the lived experiences of nonprofit EDs who self-reported the use of 1 of Burn's and Bass' 3 leadership styles and whether leadership style influenced the use of the Sarbanes Oxley Act …

Racial And Cultural Etiology Of Body Satisfaction Among Obese, Young Adult Women, Deirdre Lynnett Moyer

Walden Dissertations and Doctoral Studies

Obesity, a public health issue in the United States, has been linked to numerous chronic diseases. A gap exists in the literature related to racial and cultural etiology of body satisfaction for obese women. The purpose of this qualitative phenomenological study was to describe the racial and cultural etiology of body satisfaction for obese Black women and White women residing in a rural area of the state of North Carolina. Social comparison theory provided the theoretical underpinning for this examination. The central research question was how do obese, young adult Black women and White women describe their perceptions about and …

The Influence Of Parental Perceptions On Early Childhood Educational Choices In Nigeria, Magdalene Uwadiogbu Okobah

Walden Dissertations and Doctoral Studies

The influx of women of childbearing age into the labor force, family dynamics of dual working parents as a result of economic factors, and weakening of extended family supports have increased demand for early childhood care and education programs in Nigeria. Consequently, a problem emerged in increased enrollment in ECCE programs that are deficient in terms of structural and process factors of child-caregiver ratio, group size, staff qualifications, health and safety practices, curriculum implementation, and parental engagement. The purpose of this study was to explore the factors that influenced parents' in their decision process for ECCE placement for their children …

Using Succession Strategies To Increase Workplace Productivity, Dayton Dave Robinson

Walden Dissertations and Doctoral Studies

Approximately 70% of small and medium-sized enterprises fail due to a lack of effective leadership succession planning. The purpose of this qualitative single case study was to explore strategies that some business leaders in the manufacturing sector in Jamaica used to implement leadership succession plans. Data were collected from semistructured interviews conducted with 5 business leaders who participated in the succession strategies of a manufacturing organization in Jamaica. Data were analyzed according to Yin's 5-step process. Analysis of data collected from interview sessions and review of company documentation were used to conduct methodological triangulation to validate the findings. Five themes …

Type 2 Diabetes Management For Geriatric Veterans, Fachecia L. Fort

Walden Dissertations and Doctoral Studies

Managing diabetes in the geriatric long-term care population can be challenging, yet important because diabetes is a chronic, progressive disease. The purpose of this project was to identify clinical practice guidelines for managing Type 2 diabetes in geriatric veterans and to develop a class to educate providers on diabetes management in the geriatric long-term care population at a community living and rehabilitation center. The practice focused question asked if providing education to providers about the clinical practice guidelines for managing Type 2 diabetes in geriatric long-term care veterans would improve knowledge as measured by a pre- and posttest. The project …