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The Impact Of Social Determinants Of Health On Alcoholism Among African American Communities Aged 65 And Older, Kymberly Williams
The Impact Of Social Determinants Of Health On Alcoholism Among African American Communities Aged 65 And Older, Kymberly Williams
Walden Dissertations and Doctoral Studies
Alcohol use disorder among African American older adults (aged ≥65) remains an underrecognized contributor to preventable morbidity and diminished quality of life. Although previous research has identified individual risk factors for alcohol misuse, little is known about how social determinants of health shape alcohol use among this population. The purpose of this descriptive phenomenological study was to explore how family support, experiences of racial discrimination, religious engagement, and economic stability influence late-life alcohol use. Cultural Resilience Theory guided the exploration of how cultural resources and structural stressors influence alcohol use. Five African American adults aged 65 years and older were …
Educating School Nurses On Trauma-Informed Care, Na-Keisha Allene White
Educating School Nurses On Trauma-Informed Care, Na-Keisha Allene White
Walden Dissertations and Doctoral Studies
Trauma-informed care is a critical component of supporting students' overall wellness, and school nurses are central to this work. They are often the first professionals to recognize when a student is exhibiting a trauma response or experiencing a mental health concern during the school day. Although evidence-based school health organizations have advanced efforts to ensure that academic environments are prepared to support students’ mental health needs, school nurses are too often left out of these strategic planning processes. Their exclusion not only overlooks their clinical expertise but also weakens the school’s ability to respond effectively and holistically to student needs. …
Fecal Fatty Acids And Other Risk Factors Associated With Multiple Sclerosis Score, Progression And Diagnosis Among Hispanic Adults, Juliana Ayala-Viqueira
Fecal Fatty Acids And Other Risk Factors Associated With Multiple Sclerosis Score, Progression And Diagnosis Among Hispanic Adults, Juliana Ayala-Viqueira
Walden Dissertations and Doctoral Studies
Multiple sclerosis (MS) is a chronic neurological condition with insufficient research regarding risk factors influencing MS severity score (MSSS), progression and diagnosis among Hispanic adults living in the United States. This cross-sectional study assessed factors associated with MS score, progression and diagnosis using secondary data from the International Multiple Sclerosis Microbiome Study (iMSMS). Guided by the ecological model, the study included N = 576 participants with MS. Manuscript 1 explored the association between body mass index (BMI), sodium consumption, and the MS severity score in a Hispanic adult population. A multiple linear regression was conducted to examine whether age and …
Examining Inmate Labor In Emergency Management: Contributions, Challenges, And Ethical Considerations, Boris Eugene Valiance
Examining Inmate Labor In Emergency Management: Contributions, Challenges, And Ethical Considerations, Boris Eugene Valiance
Walden Dissertations and Doctoral Studies
Incarcerated individuals remain inconsistently engaged in disaster preparedness, response, and recovery, creating both an operational gap and an ethical challenge regarding labor equity, safety, voluntariness, and human dignity. Guided by RBT and EMT, the purpose of this qualitative case study was to explore how incarcerated individuals are utilized in emergency management and to examine stakeholder perceptions of the operational, ethical, and policy implications of inmate labor programs. The research questions examined current utilization patterns, stakeholder-perceived benefits and drawbacks, and ethical concerns influencing participation decisions. Data were collected through semi structured interviews with purposefully sampled emergency management professionals, policymakers, and correctional …
The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley
The Stigma Experiences Of The African American Transgender Individual In Mental Health Settings, Linda Shaw Henley
Walden Dissertations and Doctoral Studies
The intersection of race, gender identity, and systemic marginalization has profound implications for mental health outcomes, particularly among African American transgender individuals. Addressing African American transgender individuals’ stigma experiences in mental health settings is important because transgender individuals have dual minority statuses, wherein racism, stigma, transphobia, and institutional neglect converge, significantly impacting their access to affirming and effective mental health treatment. The purpose of this study was to explore the stigma experiences of the African American transgender individual in mental health settings. The phenomenon of interest in this study was stigma experiences in mental health settings with mental health providers. …
Cytoskeletal Protein Expression In Autism Spectrum Disorder: A Psychoneuroimmunological Perspective On Sars-Cov-2, James Birch
Cytoskeletal Protein Expression In Autism Spectrum Disorder: A Psychoneuroimmunological Perspective On Sars-Cov-2, James Birch
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic heightened concerns about health disparities among individuals with autism spectrum disorder (ASD). Limited understanding of the biological factors underlying health variability may hinder efforts to reduce disparities and improve care for neurodivergent populations. Guided by the psychoneuroimmunology framework, this quantitative study investigated whether cytoskeletal gene expression was associated with neuroimmune variability in ASD and SARS-CoV-2 populations. Three genes –Nck-associated protein 1 (NCKAP1), WAS/WASL-interacting protein family member 1 (WIPF1), and actin-related protein 2/3 complex subunit 1B (ARPC1B)—were evaluated using two publicly available Gene Expression Omnibus datasets GSE212645 (ASD vs. sibling-matched controls, N = 40) and GSE152641 (SARS-CoV-2-positive vs. …
Clinical Practice Guideline For Evidence-Based Management Of Chronic Prostatitis, Sandra Castro
Clinical Practice Guideline For Evidence-Based Management Of Chronic Prostatitis, Sandra Castro
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice (DNP) project involved the development, expert appraisal, and implementation of an evidence-based Clinical Practice Guideline (CPG) for chronic prostatitis management in adult male patients at a private outpatient clinic. The practice problem was persistent symptom burden from reliance on antibiotic monotherapy without adjunctive therapies, contributing to recurrent symptoms and decreased quality of life. The purpose was to develop and implement a standardized CPG to improve symptom outcomes and support antimicrobial stewardship. The project question was: In adult male patients with chronic prostatitis, how does a standardized CPG incorporating adjunctive ozone therapy and structured symptom monitoring, …
From Classroom To Cell: Examining Protective Factors Against The School-To-Prison Pipeline, Ronald Smith
From Classroom To Cell: Examining Protective Factors Against The School-To-Prison Pipeline, Ronald Smith
Walden Dissertations and Doctoral Studies
Truancy and chronic absenteeism among adjudicated youth are significant concerns for educators, school administrators, policymakers, and juvenile justice stakeholders because persistent school disengagement may contribute to pathways associated with the school-to-prison pipeline. Grounded in Hirschi’s social bond theory, the purpose of this quantitative correlational study was to examine the relationship between parental involvement, extracurricular activities, and teacher–student social bonds and truancy/chronic absenteeism among adjudicated youth. Secondary data were obtained from the Pathways to Desistance study, which included 1,070 adjudicated youth ages 14–17 from Maricopa County, Arizona, and Philadelphia County, Pennsylvania. Multiple linear regression was used to examine the relationships among …
Perceptions Of Civilian Faculty In Professional Military Education Regarding Graduate Students’ Development Of Writing Skills, Katherine Zimmerle
Perceptions Of Civilian Faculty In Professional Military Education Regarding Graduate Students’ Development Of Writing Skills, Katherine Zimmerle
Walden Dissertations and Doctoral Studies
The problem that was investigated through this study was the gap in literature about civilian faculty’s perceptions of the writing skills needed and how best to support student success in graduate-level professional military education (PME) university programs. Grounded in schema theory and transfer theory, the purpose of this basic qualitative study was to investigate the perceptions of PME civilian faculty regarding the writing skills needed and recommendations thereof to strengthen the writing skill support in PME university programs. Data were collected through semistructured interviews with eight PME civilian faculty members with at least 3 years of experience. Qualitative content analysis …
Spatiotemporal Patterns Of Vaccine Uptake For Measles Outbreaks In Katsina State, Nigeria, Zeenat Kabir Asma'i
Spatiotemporal Patterns Of Vaccine Uptake For Measles Outbreaks In Katsina State, Nigeria, Zeenat Kabir Asma'i
Walden Dissertations and Doctoral Studies
Measles remains a public health concern in Nigeria despite the availability of effective vaccines, yet limited research has comprehensively examined spatiotemporal patterns and contextual determinants of vaccination coverage and measles incidence in Katsina State. Guided by the socioecological model, this quantitative ecological study examined spatiotemporal patterns of measles incidence among children aged 9–59 months of age across 183 wards in 34 local government areas of Katsina State, Nigeria, from 2018 to 2022. Confirmed cases (n = 376) were analyzed using negative binomial regression and spatial methods, including Moran’s I, SaTScan, and geographically weighted regression (GWR). Urban wards had higher incidence …
Juvenile Probation Officers’ And Therapists’ Perceptions Of Challenges In Rehabilitating Juvenile Sex Offenders And Reducing Recidivism In The Northern Region Of Texas, Raven L. Miles-Henderson
Juvenile Probation Officers’ And Therapists’ Perceptions Of Challenges In Rehabilitating Juvenile Sex Offenders And Reducing Recidivism In The Northern Region Of Texas, Raven L. Miles-Henderson
Walden Dissertations and Doctoral Studies
Juvenile probation officers (JPOs) and therapists play a critical role in supervising and rehabilitating juvenile sex offenders (JSOs) while balancing community safety and continuity of care. However, limited community-based services, variations in professional training, and challenges related to family engagement may create barriers to successful rehabilitation and recidivism reduction. The purpose of this qualitative grounded theory study was to explore how JPOs and therapists describe the obstacles they encounter when ensuring continuity of care for JSOs in the northern region of Texas. The study was guided by Bronfenbrenner’s social-ecological model to examine systemic and relational influences on supervision practices. Data …
Teachers’ Experiences In Teaching Foundational Reading Skills In The General Education English Language Arts Classroom In Grades 9-12, Jodi Leigh Mckenzie
Teachers’ Experiences In Teaching Foundational Reading Skills In The General Education English Language Arts Classroom In Grades 9-12, Jodi Leigh Mckenzie
Walden Dissertations and Doctoral Studies
No abstract provided.
Juvenile Justice Professionals’ Perceptions Of Prevention Programs In West Central Florida, Terry Rachelle Harmon
Juvenile Justice Professionals’ Perceptions Of Prevention Programs In West Central Florida, Terry Rachelle Harmon
Walden Dissertations and Doctoral Studies
No abstract provided.
What Strategies Do Some It Leaders Use To Prevent Ransomware Attacks On Healthcare Computer Networks, Sherraine Michelle Houston
What Strategies Do Some It Leaders Use To Prevent Ransomware Attacks On Healthcare Computer Networks, Sherraine Michelle Houston
Walden Dissertations and Doctoral Studies
No abstract provided.
Behavioral Intentions And Use Of Telehealth Among Afro-Caribbean Immigrants In Florida, Patsy Patricia Lindo-Wood
Behavioral Intentions And Use Of Telehealth Among Afro-Caribbean Immigrants In Florida, Patsy Patricia Lindo-Wood
Walden Dissertations and Doctoral Studies
Many researchers have documented the benefits of telehealth in managing cardiovascular disease and its risk factors. However, acceptance and use of telehealth among immigrants in the United States were low compared to other users, and little is known about Afro-Caribbean immigrants and their telehealth acceptance and use. Guided by the unified theory of acceptance and use of technology, this study explored how performance expectancy, effort expectancy, social influence, and facilitating conditions shape behavioral intentions and telehealth use among Afro-Caribbean immigrants in Port St. Lucie, Florida. A generic qualitative design with a purposive sampling strategy was used to interview 17 Afro-Caribbean …
Leadership-Mediated Retention Strategies To Sustain Workforce Capacity And Performance In Public Health, Meredith Winslow Wilkins
Leadership-Mediated Retention Strategies To Sustain Workforce Capacity And Performance In Public Health, Meredith Winslow Wilkins
Walden Dissertations and Doctoral Studies
Workforce retention challenges continue to affect public health leaders by contributing to staffing shortages, reduced organizational capacity, and disruptions in service delivery. Public health leaders are concerned with employee turnover because it affects workforce stability, organizational performance, and the ability to meet community health needs. Grounded in Herzberg’s motivation-hygiene theory, the purpose of this qualitative pragmatic inquiry was to explore effective workforce retention strategies used by public health leaders to retain skilled staff and strengthen organizational capacity and revenue. The participants were eight public health leaders in the Northeast region of the United States with responsibility for workforce management and …
Parental Participation And Engagement In North Carolina Medicaid Enhanced Mental Health Services For Children And Adolescents, Jonathan Andrew Traylor
Parental Participation And Engagement In North Carolina Medicaid Enhanced Mental Health Services For Children And Adolescents, Jonathan Andrew Traylor
Walden Dissertations and Doctoral Studies
Parental participation and engagement (PPE) are positively associated with improved treatment outcomes for children receiving mental health services; however, parental involvement remains inconsistent among culturally diverse and economically disadvantaged families served through North Carolina Medicaid enhanced mental health services. Barriers to communication, collaboration, and sustained engagement may limit parents’ active participation in treatment planning and service delivery. The purpose of this basic qualitative study was to explore PPE among culturally diverse and economically disadvantaged parents whose children received North Carolina Medicaid enhanced mental health services. The ecological perspective of human development constituted the theoretical framework for this study. Data were …
Effective Strategies For Retaining Millennial Employees In Small Southern Retail Businesses, Justin Nathaniel Moore
Effective Strategies For Retaining Millennial Employees In Small Southern Retail Businesses, Justin Nathaniel Moore
Walden Dissertations and Doctoral Studies
Small retail businesses in the Southern United States continue to experience costly millennial employee turnover, threatening workforce stability and long-term business sustainability. This issue is important to small Southern retail business owners because turnover increases staffing costs, disrupts customer service, and weakens organizational performance. The purpose of this qualitative pragmatic inquiry was to explore strategies some small Southern U.S. retail business owners use to improve millennial employee retention. The job demands–resources model grounded the research project. Participants were six owner-operators in Virginia, Alabama, and Tennessee with at least 5 years of leadership experience managing millennial employees. Data were collected through …
The Relationship Between Emotional Intelligence And Leadership Styles Among African American Female Law Enforcement Supervisors, Hudson Cutno, Jr.
The Relationship Between Emotional Intelligence And Leadership Styles Among African American Female Law Enforcement Supervisors, Hudson Cutno, Jr.
Walden Dissertations and Doctoral Studies
No abstract provided.
Black Entrepreneurs’ Strategies For Sustainability, Barbara Davis
Black Entrepreneurs’ Strategies For Sustainability, Barbara Davis
Walden Dissertations and Doctoral Studies
No abstract provided.
Reducing Turnover At The Frontline: Hotel Leadership Strategies, Tamica Hales
Reducing Turnover At The Frontline: Hotel Leadership Strategies, Tamica Hales
Walden Dissertations and Doctoral Studies
No abstract provided.
Organizational Demands, Worker Adaptation, And The Relational Ripple Effect In Child Welfare Case Planning, Mackenzie Alexia Leach
Organizational Demands, Worker Adaptation, And The Relational Ripple Effect In Child Welfare Case Planning, Mackenzie Alexia Leach
Walden Dissertations and Doctoral Studies
No abstract provided.
Mandatory Arrest Laws: Breaking The Cycle Of Violence In Colorado And Nebraska, Ryann Lavata Livingstone
Mandatory Arrest Laws: Breaking The Cycle Of Violence In Colorado And Nebraska, Ryann Lavata Livingstone
Walden Dissertations and Doctoral Studies
No abstract provided.
Managing Elderly Patients With Dementia Using Evidence-Based Non-Pharmacological Interventions In The Ed Setting, Rita Anue Cho
Managing Elderly Patients With Dementia Using Evidence-Based Non-Pharmacological Interventions In The Ed Setting, Rita Anue Cho
Walden Dissertations and Doctoral Studies
Persons with dementia frequent emergency departments (EDs), but ED staff lack understanding of cognitive impairment and evidence-base management of these symptoms, which sometimes results to unsafe encounters, aggression, agitation and assault with or without injuries. As a result, staff may resort to physical or chemical restraints to maintain safety for patients, staff, and the milieu. It is essential for staff in the ED to understand the disease process, recognize behavioral triggers, and apply evidence-based non-pharmacological interventions. The purpose of this project was to provide education to ED staff to enhance their understanding of cognitive disorders and dementia in the elderly …
Black Faith-Based Organization Leaders And Their Role In Mental Health, Alyssa Te'rese Green
Black Faith-Based Organization Leaders And Their Role In Mental Health, Alyssa Te'rese Green
Walden Dissertations and Doctoral Studies
Blacks age 65+ have more mental health issues than others but underutilize mental health services because of stigma. The purpose of this generic qualitative study was to identify what leaders in Black faith-based organizations believe their role is in supporting their congregants in accessing/attaining mental health services and how they provide support to their elderly congregants who may not have social support that could identify mental health issues. The health belief model and theory of planned behavior were used to explore mental health knowledge and support for the elderly congregants of faith-based organizations. Semistructured interview data from 10 Black religious …
Caregiving And Mental Health Among Mothers During The Covid-19 Pandemic, Makayla Elise Techentine
Caregiving And Mental Health Among Mothers During The Covid-19 Pandemic, Makayla Elise Techentine
Walden Dissertations and Doctoral Studies
The 2019 coronavirus (COVID-19) pandemic led to reliance on family members or friends to care for the sick, resulting in a burden of informal caregiving stressors and relationship to mental health. Guided by the stress process model, this quantitative, cross-sectional study aimed to assess the relationship between caregiving stressors and the mental health of mothers of children aged 18 years or younger who were serving as informal caregivers. Secondary data from the 2020-2021 Behavioral Risk Factor Surveillance System (N = 1,772) considered the independent variables related to caregiving stressors, including hours spent caregiving, time since becoming a caregiver, personal care …
Staff Education To Improve Lithium Adherence In Bipolar I Disorder Through Staff Education, Queendroline Fundong Nkeh
Staff Education To Improve Lithium Adherence In Bipolar I Disorder Through Staff Education, Queendroline Fundong Nkeh
Walden Dissertations and Doctoral Studies
No abstract provided.
Administrative Leadership, Job Resources, And Teacher Burnout In U.S. Middle Schools: A Jd-R Study, Santerous Glenn Colbert
Administrative Leadership, Job Resources, And Teacher Burnout In U.S. Middle Schools: A Jd-R Study, Santerous Glenn Colbert
Walden Dissertations and Doctoral Studies
No abstract provided.
Physical Activity Mediation In Perceived Emotional Support And Type 2 Diabetes Among African American Older Adults, Don Scott Mendes
Physical Activity Mediation In Perceived Emotional Support And Type 2 Diabetes Among African American Older Adults, Don Scott Mendes
Walden Dissertations and Doctoral Studies
No abstract provided.
African Americans’ Perceptions And Experiences Of Aesthetic Environments As A Determinant Of Stress, Clarence Gardener
African Americans’ Perceptions And Experiences Of Aesthetic Environments As A Determinant Of Stress, Clarence Gardener
Walden Dissertations and Doctoral Studies
No abstract provided.