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Effect On Health Literacy On Medication Adherence In Older Latina Women With Type 2 Diabetes Mellitus, Cecilia S. Trinidad
Effect On Health Literacy On Medication Adherence In Older Latina Women With Type 2 Diabetes Mellitus, Cecilia S. Trinidad
Walden Dissertations and Doctoral Studies
The level of health literacy (HL) can have a significant impact on an individual's ability to understand how to care for themselves. Limited HL reduces access to healthcare having limited HL is associated with poor self-management of Type 2 Diabetes Mellitus (T2DM), which is common among vulnerable populations and further contributes to increased morbidity and mortality, especially in which is true in Latina/Hispanic adults who have T2DM. The purpose of the study, guided by the health belief model, was to determine what effect an educational intervention had on blood glucose levels, health literacy, and medication adherence in older Latina/Hispanic women …
Racial Profiling In Northern Virginia Against Hispanic Males, Abe Vasquez
Racial Profiling In Northern Virginia Against Hispanic Males, Abe Vasquez
Walden Dissertations and Doctoral Studies
Racial profiling is a trending topic today against the Black community. In contrast, there is little to no literature referencing racial profiling against Hispanic males. This paper discusses racial profiling against Hispanic males in Northern Virginia. The purpose of this study was to understand the relationship between local law enforcement in Northern Virginia and the Hispanic community. I implemented a conceptual framework with a focus on the critical race theory using a qualitative approach. This study identified the relationship make up between the police and the Hispanic community, how they interacted, and if the Critical Race Theory was present. The …
Project Management Strategies To Reduce Post-War Project Failure Rates In Liberia, Thomas Asafua Nketsia Wobill
Project Management Strategies To Reduce Post-War Project Failure Rates In Liberia, Thomas Asafua Nketsia Wobill
Walden Dissertations and Doctoral Studies
Project managers working in post-war Liberia from 2006 to 2020 have been struggling to reduce project failure rates due to ineffective project management strategies. This case study included the Delphi technique to explore strategies that project managers working in post-war Liberia's Ministry of Education may use to reduce project failure rates. The study addressed use of knowledge management principles in post-war project management. The resource-based view and knowledge-based view of organizations provided the conceptual framework. The purposeful international sample consisted of 20 project managers working with international organizations registered with Liberia's Ministry of Finance and Development Planning and affiliated with …
Nigerian Early Childhood Educators' Perspectives On The Influence Of Divorce On Children's Academic Achievement, Monica Ufuoma Peremine Wosowei
Nigerian Early Childhood Educators' Perspectives On The Influence Of Divorce On Children's Academic Achievement, Monica Ufuoma Peremine Wosowei
Walden Dissertations and Doctoral Studies
Parental divorce has profound negative effects on children's performance in school. The purpose of this basic qualitative study was to explore Nigerian early childhood educators' perspectives on the effects of divorce on children's academic achievement and strategies or suggestions for working with these children. The conceptual framework of this study consisted of three theories: Bowen's family systems theory, Piaget's theory of cognitive development, and Vygotsky's theory of social constructivism. Two research questions focused on educators' perspectives on the effects of divorce on children's academic achievement. Data were collected from 12 educators who are the participants using the inclusion criteria and …
Predictors Of Use Of Pap Tests Among Ghanaian Immigrant Women In Ohio, Baaba Forson
Predictors Of Use Of Pap Tests Among Ghanaian Immigrant Women In Ohio, Baaba Forson
Walden Dissertations and Doctoral Studies
In the United States, cervical cancer disproportionately affects members of ethnic minorities, including immigrant women from Ghana. Overall cervical cancer incidence and mortality rates have declined in the United States due to opportunistic screening with Pap tests; however, rates have not declined for Black women and immigrant women, who continue to experience higher than average mortality rates. Immigrant women, including Ghanaian women, use screening less than nonimmigrant women. Several factors including poor acculturation, low educational level, certain personal attitudes, and lack of health insurance are known to reduce participation in screening. Using the theory of planned behavior as a guide, …
The Impact Of Public Consultation On Business Growth In The Virgin Islands, Arliene T. Penn
The Impact Of Public Consultation On Business Growth In The Virgin Islands, Arliene T. Penn
Walden Dissertations and Doctoral Studies
Consistent public consultation in the making of policies and regulations is a problem in the Virgin Islands, affecting small businesses across the territory. Small business owners and the public have challenged the government to be more accountable and transparent in drafting and implementing legislation and regulations. The stakeholders are mainly concerned with those pieces of legislation and regulations that have a behavioral, social, or economic impact on their business, and, in turn, society. There is a lack of research on how the presence or absence of public input in the rulemaking process of business regulations impacts the economic growth and …
Child Marriage: Parents' Lived Experience Of Decision-Making Processes And Consequential Health Effects, Hadiza Yakub
Child Marriage: Parents' Lived Experience Of Decision-Making Processes And Consequential Health Effects, Hadiza Yakub
Walden Dissertations and Doctoral Studies
Child or early marriage is increasingly recognized as a public health concern that poses significant health challenges for a young bride. This qualitative research explored child marriage among Hausa-Fulani ethnolinguistic communities in Northeastern Nigeria. Qualitative interviews were conducted with parents who married off their underage children. The central research questions relied on a theoretical foundation of social values theory and interpretative phenomenological analysis. The study results provide an in-depth understanding of the child marriage phenomenon by exploring parents' lived experiences and the role of a child bride's health in the decision-making process and illustrates how social values and norms drive …
Association Of State Tobacco 21 Law With Tobacco Consumption Among Youth, Rebecca Adamson
Association Of State Tobacco 21 Law With Tobacco Consumption Among Youth, Rebecca Adamson
Walden Dissertations and Doctoral Studies
The study is an investigation of the association between the Tobacco 21 Law and youth tobacco usage rates in Hawaii. Researchers have documented a gap in the research regarding the effectiveness of such laws. Several studies that have been conducted have shown mixed results. The purpose of this study was to better understand any association that may exist in Hawaii. The social ecological model (SEM) of health is the theoretical foundation for the study. The SEM of health includes five sources which influence health, and these consist of intrapersonal factors, interpersonal factors, institutional factors, community factors, and public policy. Tobacco …
Quality Of Life, Physical Activity, And Weight Status For A Sample Of Online Students, Walaa Awad
Quality Of Life, Physical Activity, And Weight Status For A Sample Of Online Students, Walaa Awad
Walden Dissertations and Doctoral Studies
Obesity has been identified as a global health problem and a risk factor for many chronic diseases. While previous studies discussed the weight status and factors associated with overweight and obesity among adults enrolled in traditional universities, few studies have yet estimated the obesity rate among adults who choose online education. Guided by the social cognitive theory, this descriptive exploratory quantitative study used a survey to collect primary data from adult online students of three higher educational institutions. The survey examined the effect of quality of life and physical activity level on the weight status of the participants; taking into …
Analysis Of Driving Forces That Ensures The Sustainability Of Voter Accreditation Technology, Lawrence Oluwagbenga Bayode
Analysis Of Driving Forces That Ensures The Sustainability Of Voter Accreditation Technology, Lawrence Oluwagbenga Bayode
Walden Dissertations and Doctoral Studies
Nigeria’s electoral body, the independent national electoral commission (INEC), deployed a novel information technology (IT) based voter accreditation technology in 2015. Benefits realized included transparency and curtailed electoral malpractices. The purpose of this quantitative correlational study was to examine the relationship(s) between some variables categorized into technological, organizational, and economic factors, and Sustainability of voter accreditation technology (SVAT). The theoretical framework for the study was the e-voting system adoption model in combination with constructs from three other theories. A total of 138 IT experts participated and were asked (via SurveyMonkey) of the relationships between the following factors and SVAT: ease …
Telehealth Efforts To Reduce Hospital Readmissions Of Congestive Heart Failure Patients, Sirfornia L. Deasfernandes
Telehealth Efforts To Reduce Hospital Readmissions Of Congestive Heart Failure Patients, Sirfornia L. Deasfernandes
Walden Dissertations and Doctoral Studies
Congestive heart failure (CHF) is a chronic condition that affects millions of individuals in the United States. There is no cure for CHF, but medical interventions can help treat the symptoms and improve health outcomes. The purpose of this quantitative study was to determine if telehealth services help to reduce the readmission status of patients diagnosed with CHF. The theoretical framework used in this study was the individual and family self-management theory to help focus on self-management behaviors that contribute to improving the patients' health outcomes. The research questions were focused on addressing CHF patients receiving telehealth services and whether …
Strategies Used By It Project Managers To Integrate Icts In The Eastern Caribbean, Carl St. Aubin Roberts
Strategies Used By It Project Managers To Integrate Icts In The Eastern Caribbean, Carl St. Aubin Roberts
Walden Dissertations and Doctoral Studies
Current practices used to guide information and communication technology (ICT) projects in the Caribbean and developing countries lead to high project failure rates. Project managers must adopt new innovative approaches for transformation towards a 21st-century information society and sustainable digital economies. Grounded in the technology acceptance model (TAM), the purpose of this qualitative multiple-case study was to explore strategies information technology (IT) project managers use to implement IT frameworks designed to guide Caribbean ICT integration. Data were collected from face to face interviews and company documents and analyzed using coding, thematic analysis, and methodological triangulation. The participants were 12 IT …
Exploring The Lived Experiences Of The Prelicensure Hispanic Nursing Student, Mary Valerie Santos
Exploring The Lived Experiences Of The Prelicensure Hispanic Nursing Student, Mary Valerie Santos
Walden Dissertations and Doctoral Studies
AbstractNursing constitutes the largest group of healthcare professionals in the United States. Despite decades of discussion about the need to diversify the nursing profession, there continues to be a significant lack of diversity, particularly in the number of Hispanic nurses. The purpose of this qualitative study was to explore the lived experiences of Hispanic nursing students who have enrolled in a pre-licensure nursing program using Leininger’s culture care theory as the theoretical framework for this phenomenological study. This study sought to explore the lived experiences of the prelicensure Hispanic nursing student attempting to complete nursing school successfully and what factors …
Flipped Classroom Approach To A Critical Care Educational Program For New Graduates, Deborah Ann Smithers
Flipped Classroom Approach To A Critical Care Educational Program For New Graduates, Deborah Ann Smithers
Walden Dissertations and Doctoral Studies
Of the new graduate registered nurses hired to work in critical care areas, a few percent do not receive a formal critical care orientation. Furthermore, there is a high attrition rate of new graduates hired to work in high acuity patient care units. Many resign before their first work anniversary due to a lack of education and training. An initiative was put forth by critical care administration, at the study site, to critical care clinical leadership to significantly revise a critical care educational offering known as critical care core. The revision would allow for the satisfaction of the novice nurses …
The Impacts Of Open Grazing On The People Of Anambra South Senatorial Zone, Ephraim Izundu Udeagbala
The Impacts Of Open Grazing On The People Of Anambra South Senatorial Zone, Ephraim Izundu Udeagbala
Walden Dissertations and Doctoral Studies
AbstractOpen grazing is a main issue in Nigeria today, as Fulani herdsmen take farms by force with weapons like AK47s, which also affects the farmers of Anambra South Senatorial Zone. Further, there are different views on what open grazing is, which takes focus off its impacts that are detrimental to the people of the area. The purpose of this phenomenological study was to understand the impacts of open grazing on the farmers of Anambra South Senatorial Zone. The research question aligned with the purpose of the study and examined the impacts of open grazing on the farmers of Anambra South …
A Systematic Review Of Culturally Sensitive Strategies To Address Obesity Among Hispanic-American Pediatric Patients In The Primary Care Setting, Rachel Vurbeff
A Systematic Review Of Culturally Sensitive Strategies To Address Obesity Among Hispanic-American Pediatric Patients In The Primary Care Setting, Rachel Vurbeff
Walden Dissertations and Doctoral Studies
Obesity significantly increases morbidity and mortality, and its incidence amongHispanic-American children and adolescents exceeds that of any other ethnic group in the United States. Without proper intervention, these children and adolescents will experience the burden of costly comorbidities across the lifespan. Guided by Leininger’s theory of culture care diversity and universality, the purpose of this project was to identify evidence-based, culturally sensitive strategies to prevent and treat obesity among Hispanic-American pediatric patients in the primary care setting through a systematic review of the literature utilizing the Joanna Briggs Institute method. The practice-focused question that guided this review focused on finding …
Environmental Barriers To Accessing Tertiary Prevention Among Hispanics Diagnosed With Type 2 Diabetes, Stella B. Biira
Environmental Barriers To Accessing Tertiary Prevention Among Hispanics Diagnosed With Type 2 Diabetes, Stella B. Biira
Walden Dissertations and Doctoral Studies
In the United States, Hispanics diagnosed with type 2 diabetes (T2DM) have not accessed tertiary level prevention, which is critical in diabetes management and the prevention of further complications. The purpose of this quantitative study was to examine the association between neighborhood crime, the absence of community health centers, the lack of culturally competent providers, the lack of public transportation, the residential setting, the distance to T2DM education classes, and access to tertiary prevention among Hispanics diagnosed with T2DM. The research was guided by the Andersen behavioral model. A sample size of N = 4,977 was used in the study, …
Beyond Borders: Nigerian Diaspora, Men's Experiences Of Intimate Partner Violence, Christiana Ifeyinwa Chineme
Beyond Borders: Nigerian Diaspora, Men's Experiences Of Intimate Partner Violence, Christiana Ifeyinwa Chineme
Walden Dissertations and Doctoral Studies
Culture and social structures are factors in the way people view or think of intimate partner violence (IPV). A significant gap exists in the current literature regarding whether changes exist in IPV experience because of continuous and direct contact between individuals from different cultural origins. Despite the increasing emphasis on the social and structural determinants of IPV-related behaviors, research and interventions lag on how people view IPV while they live in their native country and when they migrate and are exposed to a different culture and social structure. The purpose of this qualitative phenomenological research was to explore the IPV …
Parental Perceptions Of Mobile Device Learning For Students In Special Education, Persjha T. Conry
Parental Perceptions Of Mobile Device Learning For Students In Special Education, Persjha T. Conry
Walden Dissertations and Doctoral Studies
The purpose of this generic qualitative study was to explore parentsâ perceptions of the use of mobile devices as tools for learning for their children in special education settings. Research literature on mobile-device use in special education indicates that little is known regarding parentsâ perception of mlearning. While studies provided information on teachersâ perspectives of mlearning in their special education classrooms, parentsâ perspectives on mlearning to support their childrenâs needs remained unexplored. The conceptual frameworks used included Rogersâs diffusion of innovation theory and Hoover-Dempsey and Sandlerâs theory of parental involvement. Individual semistructured interviews of eight parents of elementary students in …
Family Rejection And Unprotected Sex Inlatino Gay Men, Juan Alejandro De Llano Montano
Family Rejection And Unprotected Sex Inlatino Gay Men, Juan Alejandro De Llano Montano
Walden Dissertations and Doctoral Studies
The present work explored the role of family rejection on the sexual behavior of Latino gay men under the guidance of the minority stress model. Family rejection was analyzed as a distal stressor, self-esteem as a proximal stressor, and unprotected sex as the outcome. The hypotheses were tested using regression, mediation, and multiple regression of secondary data from the Latino men who have sex with men (MSM) community involvement project. The results suggested that family rejection is a weak predictor of low self-esteem and engaging in receptive unprotected sex with more partners. Low self-esteem did not mediate the relationship between …
Risk Factors Of Infant Mortality Disparity In Indian River County, Florida, Cecilia Miguelina Escorbore
Risk Factors Of Infant Mortality Disparity In Indian River County, Florida, Cecilia Miguelina Escorbore
Walden Dissertations and Doctoral Studies
Infant mortality in the United States is a great concern to families, communities, and professionals in the public health field. More concerning is the infant mortality racial disparity, prevalent throughout the United States. The purpose of this study was to explore risk factors of infant mortality disparity in Indian River County (IRC), Florida. Using socioecological theory as the theoretical framework, this study explored whether there is an association between infant mortality among Black infants and geographic location as well as measures of socioeconomic status (age, educational level, health insurance status, and marital status) associated with infant mortality among Black infants …
Treatment Disparities In Black And Hispanic Children With Attention-Deficit Hyperactivity Disorders, Charlotte Seiji Frey
Treatment Disparities In Black And Hispanic Children With Attention-Deficit Hyperactivity Disorders, Charlotte Seiji Frey
Walden Dissertations and Doctoral Studies
Disparity in diagnosis and treatment of attention deficit hyperactivity disorder (ADHD) among children has been studied; however, no known studies examining disparities based on severity of symptoms have been investigated. The purpose of this study was to assess the racial disparities in diagnosis and treatment that exist among children based on severity of symptoms. This cross-sectional quantitative analysis used data from the 2016 National Survey of Children's Health and the theoretical foundation was guided by the behavioral model of healthcare utilization and help-seeking behavior for ADHD. Binomial logistic regression analysis showed an overall association between race and the diagnosis and …
Influence Of Summer Bridge Programs On First-Generation Latino Students' Academic Success, Amber Dawn Gutzwiler
Influence Of Summer Bridge Programs On First-Generation Latino Students' Academic Success, Amber Dawn Gutzwiler
Walden Dissertations and Doctoral Studies
Colleges and universities have used programs like the summer bridge program (SBP) to improve academic abilities and retention. The research on the effectiveness of SBPs is inconclusive. With a focus those on who required remediation in writing, the purpose of this quantitative quasi-experimental study was to evaluate the influence of a SBP on first-generation Latino students' weighted grade point average (GPA) and retention. Tinto's theory of student retention was used as the framework. To determine the effectiveness of the SBP on first-generation Latino students, this study focused on comparing the variables between those who took the SBP versus a remedial …
Factors Associated With Flu Vaccination Status Among Older Hispanics In The United States, William Esteban Toledo Velazquez
Factors Associated With Flu Vaccination Status Among Older Hispanics In The United States, William Esteban Toledo Velazquez
Walden Dissertations and Doctoral Studies
AbstractOlder Hispanics in the United States are less likely to be vaccinated with the flu vaccine compared to older White Americans, despite being at higher risk of influenza-associated deaths and hospitalizations. A quantitative cross-sectional study based on the social ecological model was carried out to evaluate the influence of several sociodemographic and health factors on flu vaccination status among elderly Hispanic individuals in the United States. Logistic regression analyses were conducted using secondary data collected from 95,414 elderly Hispanic and White American 2018 Behavioral Risk Factor Surveillance System participants. Multivariate logistic regressions controlling for other variables revealed health care coverage …
Borehole Water And Sachet Water Production In Southeast Nigeria, Joseph Emerenini
Borehole Water And Sachet Water Production In Southeast Nigeria, Joseph Emerenini
Walden Dissertations and Doctoral Studies
AbstractDrinking water is potable and safe if it is free from physical, chemical, and microbiological contaminants. Despite the Nigerian government's interventions to alleviate water contamination, a considerable number of Nigerians are still without safe potable water. The purpose of this quantitative cross-sectional study was to examine whether the level of contamination of drinking water sourced from boreholes and sachet packaged water in Owerri City, Southeast Nigeria was in compliance with World Health Organization (WHO) standards, and to examine the relationship between the physical, chemical, and bacteriological parameters of drinking water sourced from borehole and sachet packaged water The conceptual framework …
Nigerian Women Entrepreneurs’ Strategies For Financial Inclusion: A Generic Qualitative Inquiry, Oluwatoyin Madein
Nigerian Women Entrepreneurs’ Strategies For Financial Inclusion: A Generic Qualitative Inquiry, Oluwatoyin Madein
Walden Dissertations and Doctoral Studies
Women in Nigeria are approximately 50% of the population and operate significantly in the micro, small, and medium enterprises. Women entrepreneurs in Nigeria are experiencing business failure, early exit, stagnant growth, and low return on investment due to inadequate finance. This study’s specific management problem is that many women entrepreneurs in Nigeria lack strategies to develop financial literacy and access to external loans for business sustainability. Using the concepts of financial inclusion and financial exclusion, the purpose of this qualitative inquiry was to explore the strategies women entrepreneurs use and whether they have the required experience and knowledge of financial …
Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze
Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze
Walden Dissertations and Doctoral Studies
In Africa, especially Nigeria, maternal mortality is a public health issue among women of childbearing age (WCBA). WCBA living in the Ekpeye community located in Rivers state in Nigeria are at high risk of maternal deaths during pregnancy and labor or delivery. Data were obtained through key informant interviews with 9 relatives, friends, and health workers. The purpose of the key informant interviews was to identify perceived barriers that result in high maternal deaths and facilitators seen as promoters to reduce pregnancy-related deaths. The participants identified 11 core themes as contributors to maternal death: (a) postpartum death, (b) financial insecurity, …
The Beliefs Of Sex Education Instructors In The Classroom, Denise Stewart
The Beliefs Of Sex Education Instructors In The Classroom, Denise Stewart
Walden Dissertations and Doctoral Studies
Data-driven research is an ethical precept for nearly every profession, and it holds a particular importance within any human-services field, including public health education. This research study used a phenomenological methodology and Brofenbrenner’s theoretical framework to construct descriptive themes, investigating how public school instructors' personal beliefs impact teaching practice. Ten in-depth face-to-face interviews were conducted with public high school teachers who self-identified as being involved with sex education instruction. Participants were selected from several public Minnesota high schools responsible for providing sex education to public school students in Grades 9 to 12. The findings revealed several themes relating to how …
Sustainable Land Management And Smallholder Farmers In Zimbabwe, Owen Prince Gono
Sustainable Land Management And Smallholder Farmers In Zimbabwe, Owen Prince Gono
Walden Dissertations and Doctoral Studies
AbstractThe sustainability of smallholder farms in Southern Africa is largely dependent on farmers’ decision-making abilities regarding land management practices; however, smallholder farmers in Zimbabwe have knowledge gaps on sustainable land management practices. The purpose of this qualitative multiple case study was to gain a deeper understanding of specific knowledge gaps among smallholder farmers in Zimbabwe to tailor sustainable land management training to their needs. To address the research problem and purpose of the study, qualitative data were collected from multiple sources of evidence, including semistructured interviews with 7 smallholder farmers in Zimbabwe, archival data, and reflective journaling notes. This study …
Strategies For Outsourcing Manufacturing In The Caribbean, Cindy Labossiere-Auguste
Strategies For Outsourcing Manufacturing In The Caribbean, Cindy Labossiere-Auguste
Walden Dissertations and Doctoral Studies
Ineffective outsourcing strategies fail to overcome cultural challenges. Outsourcing apparel industry leaders who fail to overcome cultural barriers negatively impact the organization's financial growth and trajectory. Grounded in the theory of constraints, the purpose of this qualitative single case study was to explore the strategies apparel industry leaders use to overcome cultural barriers when outsourcing internationally. Participants comprised 3 North American apparel company leaders who successfully implemented strategies to overcome outsourcing challenges in the Caribbean. Data were collected using semistructured interviews and reviewing company documents. Yin’s 5-step approach, methodological triangulation, and thematic analysis were used to analyze the data. Three …