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Modern Factors Associated With Cervical Cancer Screening Among African American, Rosemary O. Fashogbon
Modern Factors Associated With Cervical Cancer Screening Among African American, Rosemary O. Fashogbon
Walden Dissertations and Doctoral Studies
Cervical cancer affects women of all races; however, African American women are diagnosed with advanced cervical cancer at a higher rate than White women. A number of factors could be related to this disparity, including a lack of education about the disease, lack of insurance, and other barriers to cervical cancer screening. The purpose of this study was to evaluate modern factors associated with cervical cancer screening among African American women in the state of Georgia. Blum’s model of health determinants was the theoretical framework for this study. This cross-sectional quantitative study sought to evaluate if an association exists between …
U.S. Operation Iraqi Freedom And Operation Enduring Freedom Female Veterans’ Attitudes And Perceived Barriers To Mental Health Treatment, Elizabeth E. Kuntz
U.S. Operation Iraqi Freedom And Operation Enduring Freedom Female Veterans’ Attitudes And Perceived Barriers To Mental Health Treatment, Elizabeth E. Kuntz
Walden Dissertations and Doctoral Studies
The purpose of this nonexperimental, quantitative survey research study was to investigate the potential barriers to mental health care that female veterans who participated in Operation Iraqi Freedom (OIF) and Operation Enduring Freedom (OEF) experience. As the female veteran population continues to grow so does the need for gender-specific literature. Past researchers have indicated that there is limited research on female veterans. Data was collected during the fall of 2024 using an online survey method. This study consisted of one research question, which stated as follows: To what extent does stigma, attitudes, and combat exposure act as barriers for female …
Nurse Educators’ Experiences With Medical Cannabis Education, Rachel Ann Parmelee
Nurse Educators’ Experiences With Medical Cannabis Education, Rachel Ann Parmelee
Walden Dissertations and Doctoral Studies
Medical cannabis is legal in more than half of the United States, and the National Council of State Boards of Nursing has provided guidelines indicating that nurses need to know about medical cannabis. However, most nurses report a lack of knowledge and education but believe that cannabis has therapeutic potential. The problem addressed in this study was the limited research on nurse educators’ experiences with medical cannabis education and its meaning for nursing education. The purpose of this hermeneutic phenomenological qualitative study, supported by an emergent framework, patterns of knowing, was to explore nurse educators’ experiences with medical cannabis education …
Relationship Between Daily Hassles In Different Domains And Later Anxiety And Depression With A Moderator Of Rejection Sensitivity Among Adolescents, Ashley Vasquez Gonzalez
Relationship Between Daily Hassles In Different Domains And Later Anxiety And Depression With A Moderator Of Rejection Sensitivity Among Adolescents, Ashley Vasquez Gonzalez
Walden Dissertations and Doctoral Studies
Exposure to stress can affect youths’ well-being; however, there was a need for research on how different types of stress or daily hassles are associated with emotional adjustment. Daily hassles common in adolescence, can occur in multiple domains including school, family, peer, appearance, and sports. Being sensitive to rejection may strengthen associations with emotional adjustment problems, especially for hassles in interpersonal domains. The purpose of this quantitative correlational study was to examine the associations between daily hassles in different domains and later anxiety and depression and how nervous and angry rejection sensitivity moderated those relationships. This study was based on …
Perinatal Mental Health Providers’ Perceptions Of Medicaid Expansion, Chelsea Desiree Walls
Perinatal Mental Health Providers’ Perceptions Of Medicaid Expansion, Chelsea Desiree Walls
Walden Dissertations and Doctoral Studies
Many women will experience a mood disorder at some point during the perinatal period, which begins at conception and extends to at least the 1st birthday of their child. With the expansion of Medicaid in the U.S. state of North Carolina in 2023, many new women of childbearing age have coverage that includes mental health services. However, despite this huge surge in newly insured women there is no notable increase in the number of mental health providers (social workers, clinical mental health counselors, etc.) in the state who accept Medicaid. The purpose of this study was to determine what service …
Staff Education To Increase Health Care Practitioners’ Knowledge On The Symptomology Of Burnout, Carli Turngren
Staff Education To Increase Health Care Practitioners’ Knowledge On The Symptomology Of Burnout, Carli Turngren
Walden Dissertations and Doctoral Studies
The aim of this staff education project was to educate health care practitioners about the early recognition of symptoms of burnout. Burnout is a syndrome resulting from chronic stress that has not been successfully managed. Symptoms of burnout appear as energy depletion, increased mental distance from one’s job, and reduced professional efficacy (World Health Organization 2019). Through a review of existing literature and analysis of qualitative data I gathered from practitioners, I identified key indicators of burnout and its implications for practitioner efficacy and patient outcomes. The findings underscore the urgent need for a proactive approach to address burnout in …
Staff Education To Incorporate Mental Health Screenings In Family Practice, Dani Achi
Staff Education To Incorporate Mental Health Screenings In Family Practice, Dani Achi
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project implemented a staff education initiative to integrate mental health screenings into family practice settings, addressing inconsistent screening practices that contribute to unmet patient needs and the exacerbation of mental health conditions. Guided by the question of whether education on the GAD-7 screening tool improves staff knowledge and competence in identifying generalized anxiety disorder, the project introduced both the GAD-7 and PHQ-9 tools to seven health care providers. Preintervention assessments revealed a baseline knowledge level of 47.5% correct responses, which increased to 91% postintervention. The initiative not only enhanced provider competence and satisfaction but also …
Perspectives Of Juvenile Violence Prevention Programs, Tamlar D. Walton
Perspectives Of Juvenile Violence Prevention Programs, Tamlar D. Walton
Walden Dissertations and Doctoral Studies
The increase in violent behavior among individuals aged 12 to 19 prompted a nonprofit organization to consider adopting a more proactive approach to reduce such violence in the community while also expanding the range of services offered to address this concern. The organization leaders recognized the necessity of improving their knowledge in this area, prompting them to enlist the services of a research consultant who utilized a generic qualitative research method to explore juvenile violence prevention programs. This professional administrative study examined the experiences and perspectives of public servants who engaged with juvenile offenders, focusing on the influence of their …
Perspectives Of Childcare Directors, Teachers, And Parents Regarding The Risks And Challenges Of Nature Preschools, Mary Lavere Traub
Perspectives Of Childcare Directors, Teachers, And Parents Regarding The Risks And Challenges Of Nature Preschools, Mary Lavere Traub
Walden Dissertations and Doctoral Studies
Nature preschools are becoming more widespread but most nature preschools in the United States are not licensed. The problem addressed in this study was that unlicensed nature preschools may present risks and challenges for children because they are unlicensed. Guided by the work of Ernst and colleagues about the safety risks inherent in nature preschools, the purpose of this basic qualitative study was to explore the perspectives of directors and teachers who work in nature preschools and parents who enroll their children in nature preschools regarding the risks and challenges for children that these preschools may present. Interviews were conducted …
Aviation Maintenance Technicians’ Perceptions Of Safety Management System Implementation At Maintenance, Repair, And Overhaul Facilities, Stanley Matthew Losiewicz
Aviation Maintenance Technicians’ Perceptions Of Safety Management System Implementation At Maintenance, Repair, And Overhaul Facilities, Stanley Matthew Losiewicz
Walden Dissertations and Doctoral Studies
A safety management system (SMS) is challenging for an aviation maintenance facility and even more significant for the aviation maintenance technicians (AMTs) entrusted to perform the work due to organizational, methodological, and consistency issues. The incorporation of an SMS is new in the United States for maintenance, repair, and overhaul (MRO) facilities that operate under the Code of Federal Regulations Part 145. AMTs constitute the bulk of the workers in an MRO. By default, a safety culture and safety consciousness existed in MROs prior to an SMS, and this study was conducted to understand the perceptions of the AMTs in …
Barriers And Success Factors Of Reentry Programs For Women After Incarceration, Jenice Kaye Jones
Barriers And Success Factors Of Reentry Programs For Women After Incarceration, Jenice Kaye Jones
Walden Dissertations and Doctoral Studies
The purpose of this general qualitative study was to explore the experiences of women ex-offenders participating in reentry programs that led to successful transitioning into society. The overall research problem being addressed are the barriers and success factors in identifying mental health care, housing, parental concerns, and any other stress-related factors associated with the reentry process for women during this exploration. The theoretical framework of labeling was interwoven throughout this study, highlighting its importance in understanding the barriers and successes women encounter. Previous research mainly focused on exploring barriers and successes for men. There is limited research regarding formerly incarcerated …
Exploring The Components Of Mental Health Programming Within Jails In Virginia, Kayla Deann Wilson
Exploring The Components Of Mental Health Programming Within Jails In Virginia, Kayla Deann Wilson
Walden Dissertations and Doctoral Studies
The number of individuals who experience a mental health diagnosis and are incarcerated is growing within the United States. Data also shows that the types of mental health treatment currently being offered within jails are not enough to help those with a mental health diagnosis. The purpose of this qualitative study was to highlight different strategies to assist professionals and administrators of jails in Virginia with providing adequate mental health treatment to those incarcerated. The well-being development model framework was used as a lens through which to explore different strategies that human services professionals can use in correctional facilities to …
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 …
Factors Related To Employment Of Previously Incarcerated Individuals, Toni Victoria Lewis
Factors Related To Employment Of Previously Incarcerated Individuals, Toni Victoria Lewis
Walden Dissertations and Doctoral Studies
Employment amongst previously incarcerated individuals is a concern of the criminal justice system because being employed is considered a mitigator of reincarceration. While there is research about the stigma of incarceration in gaining employment, little is known about the factors associated with individuals being able to find employment. The purpose of this quantitative, correlational study was to identify whether there is a direct correlation between individual demographic features and employment status of individuals after 1 year or more of previously being incarcerated in North Carolina. General strain theory was the theoretical framework. The key research question focused on how release …
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 …
Turnover Impacts Of The Covid-19 Pandemic On The Health Care Workforce In Rural And Urban Settings In Arizona, Adeleke Moshood Abimbola
Turnover Impacts Of The Covid-19 Pandemic On The Health Care Workforce In Rural And Urban Settings In Arizona, Adeleke Moshood Abimbola
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic was a health care crisis that caused unprecedented impacts on health care workers and services worldwide. The purpose of this quantitative retrospective study was to determine whether there was a significant difference in health care employee turnover between 2019 (prepandemic) and 2021 (postpandemic) based on the location and type of health care workers. The independent variable was the COVID-19 pandemic, and the dependent variables were rural employee turnover, urban employee turnover, and nursing and nonnursing turnover. The theoretical background was based on the theory of organizational equilibrium and Glasser’s choice theory. The secondary data were collected from …
Predictors Of Older Adults' Confidence In Avoiding Drug Interactions, Ginalynn Cabanas Garces
Predictors Of Older Adults' Confidence In Avoiding Drug Interactions, Ginalynn Cabanas Garces
Walden Dissertations and Doctoral Studies
Adverse drug interactions due to polypharmacy pose a significant global health concern, particularly for older adults. Age-related physiological changes increase vulnerability to medication-related issues, with adverse drug reactions often mistaken for normal aging. These misdiagnoses can lead to prescribing cascades and preventable harm. Despite evidence supporting comprehensive medication reviews and clinical guidelines, their application remains inconsistent across healthcare settings. This quantitative archival analysis aimed to identify critical risk factors—such as age, sex, race, education level, medication complexity, drug interaction discussions, number of prescriptions, and overall physical and mental health—that influence older adults’ confidence in avoiding drug interactions. Grounded in the …
Heteronormative Factors That Affect Black Lesbian Women’S Parenting Desires, Keona Nicole Prude
Heteronormative Factors That Affect Black Lesbian Women’S Parenting Desires, Keona Nicole Prude
Walden Dissertations and Doctoral Studies
Stigma, prejudice, and stereotypes, key components of heteronormativity, impact the perceptions, behaviors, health, and psychosocial well-being of lesbian women, potentially undermining self-acceptance, causing internalized homophobia. The generic qualitative study aimed to understand the experiences of Black lesbian women navigating heteronormativity in relation to their parenting desires. Participants included Black lesbians, aged 25-35, who spoke English and had parenting desires within a lesbian relationship. Recruitment occurred via social media and local queer-supporting and parenting organizations. Guided by queer theory and minority stress theory, data were collected through semistructured interviews with 15 African American women in lesbian relationships with desiring parenthood. Thematic …
Police Culture Influence On Mental Health Of Federal Law Enforcement Officers, Ania Amat
Police Culture Influence On Mental Health Of Federal Law Enforcement Officers, Ania Amat
Walden Dissertations and Doctoral Studies
Occupational stressors are inherent in police work. Left unmitigated, these stressors may have deleterious effects on officers’ overall health. Police agencies throughout the country offer organizational resilience programs to aid officers navigate stressors. A constraint keeping officers from seeking mental health wellness are the unspoken social norms of police culture. Police culture stigmatizes mental health seeking behaviors, deterring officers from accessing organizational resilience programs. The purpose of this study was to understand the perceptions and lived experiences of federal law enforcement officers regarding mental health-seeking behaviors and the influence of the police culture. Study participants included 16 federal law enforcement …
Childhood Religious Participation As Mediator For Posttraumatic Symptoms And A Joyful Disposition In Adulthood, Kara S. Mccoy
Childhood Religious Participation As Mediator For Posttraumatic Symptoms And A Joyful Disposition In Adulthood, Kara S. Mccoy
Walden Dissertations and Doctoral Studies
Individuals who have experienced trauma may have varying life experience outcomes based on trauma histories and other factors. Little to no study has been done to determine whether childhood religious involvement can be a mediating factor. The purpose of this quantitative study was to test if any potential mediating effects exist between childhood religious attendance, the presence of joyfulness in life, and adult posttraumatic symptoms. The theoretical framework utilized in this study was Kenneth Pargament’s theory of religious coping. Data were collected in a secure fashion utilizing Survey Monkey, and all participants voluntarily answered questions that utilized the short posttraumatic …
Relationship Between Non-Affirmation Of Gender Identity, Healthcare Stereotype Threat, And Perceived Employment Inequities, Len M. Meyer
Relationship Between Non-Affirmation Of Gender Identity, Healthcare Stereotype Threat, And Perceived Employment Inequities, Len M. Meyer
Walden Dissertations and Doctoral Studies
The transgender and gender-diverse (TGD) population faces barriers when seeking healthcare and perceived employment inequities for simply identifying as their gender identity. This study examined the relationships between non-affirmation of gender identity, healthcare stereotype threat, and perceived employment inequities for TGD people across the United States. The purpose of this quantitative, retrospective, quasi-experimental study was to determine if there was a relationship between non-affirmation of gender identity, healthcare stereotype threat, and perceived employment inequities. This study was guided by the sexual citizenship theory devised by T.H. Marshall, which examines three elements of the model: (a) civil society, (b) political society, …
Childhood Religious Participation As Mediator For Posttraumatic Symptoms And A Joyful Disposition In Adulthood, Kara S. Mccoy
Childhood Religious Participation As Mediator For Posttraumatic Symptoms And A Joyful Disposition In Adulthood, Kara S. Mccoy
Walden Dissertations and Doctoral Studies
Individuals who have experienced trauma may have varying life experience outcomes based on trauma histories and other factors. Little to no study has been done to determine whether childhood religious involvement can be a mediating factor. The purpose of this quantitative study was to test if any potential mediating effects exist between childhood religious attendance, the presence of joyfulness in life, and adult posttraumatic symptoms. The theoretical framework utilized in this study was Kenneth Pargament’s theory of religious coping. Data were collected in a secure fashion utilizing Survey Monkey, and all participants voluntarily answered questions that utilized the short posttraumatic …
Relationship Between Parental Neglect, Socioeconomic Status, And Aggression In Adolescents, Chemarin Eve Boyd
Relationship Between Parental Neglect, Socioeconomic Status, And Aggression In Adolescents, Chemarin Eve Boyd
Walden Dissertations and Doctoral Studies
Aggressive behavior among adolescents poses significant challenges for families, educators, and communities, often stemming from complex interactions between parental behavior and environmental factors. This quantitative nonexperimental study examined the relationship between parental neglect, socioeconomic status (SES), and adolescent aggression, guided by the parental acceptance-rejection theory. Data were collected from 250 parents of adolescents age 12-18 divided into two groups: those reporting no to low levels of aggression and those reporting moderate to high levels. Binary logistic regression was employed to predict the likelihood of adolescent aggression based on parental neglect (categorical) and SES (scale). The results demonstrated that parental neglect …
Comfort And Knowledge As Predictors Of An Accurate Diagnosis Of Factitious Disorder Imposed On Another Among Counseling Professionals, Ari Gartin
Walden Dissertations and Doctoral Studies
This quantitative predictive study examined comfort and knowledge as predictors of an accurate Factitious Disorder Imposed on Another (FDIA) diagnosis among master-level mental health counseling professionals in Washington State. This study also explores why researchers have struggled to develop a collective body of knowledge that can predict an accurate diagnosis of FDIA. The person-centered theory model guided this research. Data from the online platform SurveyMonkey was used to collect participant demographics, answers to the diagnostic questionnaire, and answers to the knowledge and comfort survey. All data collection took place between June and July 2024 and all data collected was electronically …
Executive Summary: Staff Education Project Prescription-Based Virtual Reality Solution For Chronic Pain Management, Adesina Adegoke
Executive Summary: Staff Education Project Prescription-Based Virtual Reality Solution For Chronic Pain Management, Adesina Adegoke
Walden Dissertations and Doctoral Studies
The gap in practice addressed in this educational project was that the staff at the project site in central Massachusetts did not have adequate knowledge of how virtual reality (VR) technology can be a treatment alternative to pain medication. According to a survey in 2010, approximately 24% of the adult population of Massachusetts had chronic pain and may often depend on opioids for pain management. The problem question was: Does educating the mental health staff on VR technology as a viable alternative to opioid medication improve knowledge as evidenced from pre- to postsurvey? With this evidence-based educational project, I aimed …
A Qualitative Analysis Of Awareness And Perceptions Of African Immigrant Men Regarding Hpv Vaccine Uptake In Children To Prevent Cervical Cancer, Netsai Nancy Mariga Andere
A Qualitative Analysis Of Awareness And Perceptions Of African Immigrant Men Regarding Hpv Vaccine Uptake In Children To Prevent Cervical Cancer, Netsai Nancy Mariga Andere
Walden Dissertations and Doctoral Studies
Low Human Papillomavirus (HPV) vaccine acceptance remains one of the most crucial disparities in the US by country of origin among children. The study aims to qualitatively explore the HPV and HPV vaccine awareness and perceptions among African immigrant men to help reduce the HPV-related cervical cancer burden among African immigrants living in the US. The health belief model (HBM) was used for this basic qualitative study of self-reported awareness and perception among African immigrant men in the US with responses from 11 individual interviews. Thematic analysis was utilized to analyze the data collected from the interview responses. Six themes …
Patient Satisfaction And Nurse Communication Pre- And Posthospital Mergers And/Or Acquisitions, Shakeeya Sorrells
Patient Satisfaction And Nurse Communication Pre- And Posthospital Mergers And/Or Acquisitions, Shakeeya Sorrells
Walden Dissertations and Doctoral Studies
Amid continuing mergers and/or acquisitions (M&As) of their institutions, U.S. hospital leaders have found it challenging to maintain favorable patient satisfaction Hospital Consumer Assessment of Health Care Providers and Systems (HCAHPS) scores. The purpose of this quantitative, quasi-experimental study was to explore the correlation between patient satisfaction (identified as the “likelihood to recommend” metric) and “nurse communication” HCAHPS scores pre- and post-hospital M&As. Donabedian’s theoretical framework and triad model of structure, process, and outcomes within health care quality served as the foundation for the evaluation. HCAHPS and 2019 change of hospital ownership data were obtained from the Centers for Medicaid …
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% …
Comfort And Knowledge As Predictors Of An Accurate Diagnosis Of Factitious Disorder Imposed On Another Among Counseling Professionals, Ari Gartin
Walden Dissertations and Doctoral Studies
This quantitative predictive study examined comfort and knowledge as predictors of an accurate Factitious Disorder Imposed on Another (FDIA) diagnosis among master-level mental health counseling professionals in Washington State. This study also explores why researchers have struggled to develop a collective body of knowledge that can predict an accurate diagnosis of FDIA. The person-centered theory model guided this research. Data from the online platform SurveyMonkey was used to collect participant demographics, answers to the diagnostic questionnaire, and answers to the knowledge and comfort survey. All data collection took place between June and July 2024 and all data collected was electronically …
Executive Summary: Staff Education Project Prescription-Based Virtual Reality Solution For Chronic Pain Management, Adesina Adegoke
Executive Summary: Staff Education Project Prescription-Based Virtual Reality Solution For Chronic Pain Management, Adesina Adegoke
Walden Dissertations and Doctoral Studies
The gap in practice addressed in this educational project was that the staff at the project site in central Massachusetts did not have adequate knowledge of how virtual reality (VR) technology can be a treatment alternative to pain medication. According to a survey in 2010, approximately 24% of the adult population of Massachusetts had chronic pain and may often depend on opioids for pain management. The problem question was: Does educating the mental health staff on VR technology as a viable alternative to opioid medication improve knowledge as evidenced from pre- to postsurvey? With this evidence-based educational project, I aimed …