Digital Commons Network^™

Mortality Disparities Among Puerto Rican Infants In 2015, Maria Del Carmen Medina

Walden Dissertations and Doctoral Studies

There is a well-established disparity between infant mortality rates among women residing in rural areas in Puerto Rico in comparison with woman residing in urban areas of Puerto Rico. There is a significant amount of research that connects infant mortality to low birth weight, congenital malformations, and premature births. The purpose of this study was to determine infant mortality and its relationship with the geographical location of Puerto Rican mothers. The study also examined whether there is a relationship between infant mortality and the area of residence (rural/urban) of the mother, marital status, race, and education level of the mother. …

Instructional Strategies Teachers Use To Improve Literacy Performance Of Children In Poverty, Carlene Leonie Miller-Thompson

Walden Dissertations and Doctoral Studies

Poverty has an on-going and broadening negative effect on students’ academic performance. At the research school, 78% of the students in poverty performed below proficiency on the national literacy test in 2012. In 2013, the number was 68%, and in 2014, 80% performed below proficiency. The purpose of this research study was to explore the instructional strategies that teachers are using with these students in poverty. Piaget’s cognitive development and Vygotsky’s social development theories established the conceptual framework for this study. The research questions that this study sought to answer at the local school setting were what instructional strategies teachers …

A Meta-Analysis Of E-Recruitment Applicant Experience, Perception, And Behavior, Diem J. Mooney

Walden Dissertations and Doctoral Studies

E-recruitment, an Internet-based approach for recruitment, has been shown to be an efficient method for organizations to reach a target candidate population. However, challenges with recruitment websites have resulted in high rates of job seekers abandoning an online application before completion. A quantitative meta-analytic review of literature from 2009 to 2019 was conducted to determine the relationship between applicant user experience (UX) when interacting with an organization’s e-recruitment website, applicant perceptions of the hiring organization, and applicant behaviors related to pursuing employment. The review initially considered 105 candidate articles, of which 41 were consider after applying initial inclusions criteria. After …

Association Of Landfall Atlantic Tropical Storms And Human Cases Of Locally Acquired West Nile Virus Infection In Florida, Jackson G. Mosley

Walden Dissertations and Doctoral Studies

West Nile virus (WNv) is the most widely distributed flavivirus and considered a vector-borne pathogen of global significance. During the study period from 2002 to 2018, WNv had the highest incidence of locally acquired human cases when compared to any other mosquito borne illness in Florida with 373 cases documented during the study period. The purpose of the study is to determine if there is an association between Florida landfall tropical storms (LTS) and the incidence of locally acquired human WNv cases from 2002 through 2018. The study used a retrospective ecological study design guided by the epidemiological triad model …

Evidence-Based Colorectal Cancer Screening Staff Education, Chantal Navalah

Walden Dissertations and Doctoral Studies

Colorectal Cancer (CRC) is the leading cause of cancer-related death, although it is considered preventable with adequate routine screening. Despite the decline in prevalence and mortality of CRC in the United States, the African American population persist in having the highest rates of death and shortest survival for CRC. This doctoral project focused on the gastrointestinal (G.I.) staff knowledge gap about the importance of CRC screening to achieve better patient outcomes. The purpose of this project was to address the knowledge gap among the G.I staff as it relates to CRC screening. The health belief model served as a guide …

Evaluating The Relationship Between Financial Inclusion, Social Inclusion And Multidimensional Poverty Reduction, Rotimi Mathew Nihinlola

Walden Dissertations and Doctoral Studies

The problems of high levels of poverty, financial exclusion and social exclusion are well documented in literature; a large population of poor people lack adequate access to financial services and social services including healthcare, electricity, education and water. Globally there are over 700 million people living in extreme poverty and in Ghana, over 6 million face this challenge. Progress is being recorded but there is no research that has examined the relationship between financial inclusion, social inclusion and poverty reduction in a country where multidimensional poverty is high. The purpose of this within-subject quasi-experimental correlational study is to determine the …

A Guide For Effective Home Health Education, Dianne M. Nissen

Walden Dissertations and Doctoral Studies

Older adults afflicted with chronic conditions present a unique set of challenges for home health nurses. In addition to caring for many of the patient’s physical problems, patient education is needed to enable patients to manage themselves. Patient education focuses on complicated medication and treatment adherence, safety, and preventing complications. The purpose of this oral presentation and supplemental guide was to increase the knowledge and skills of home health nurses by formally preparing them for the responsibility of patient educator. The practice-focused question was whether the provision of education and a supportive guide for individualizing patient education would improve the …

Population-Level Determinants Of Cholera Incidence In African Countries, Ngoy Nsenga

Walden Dissertations and Doctoral Studies

Cholera remains endemic in Africa, with limited access to safe drinking water and inadequate sanitation as 2 of the main drivers of its dissemination. Few studies have examined the impact of health system capacity, even though it plays an important role in prevention, early detection, and response to a cholera outbreak. Grounded in the ecosocial theory of infectious disease dissemination, this quantitative ecological study explored the effect of social vulnerability (as measured by access to safe drinking water and sanitation, rate of open defecation, poverty, income inequality, gender inequality, and adult literacy) and health system (as measured by health financing …

Systematic Review Of Falls Among Older Individuals In The Long- Term Care Settings, Nonyelum Patience Odenigbo

Walden Dissertations and Doctoral Studies

Falls are common in the older population and can result in disability, increased dependence, or mortality. Falls have received increased attention in the literature as the most common cause of injuries among older individuals. The incidence of falls in the older population has a positive correlation with adverse health issues necessitating major lifestyle adjustments. The problem is magnified for older patients in long-term care settings where they are 3 times more susceptible to falls. The purpose of this project study was to conduct a systematic review of the literature to understand the impact and incidence of fall rates among older …

Hiv Knowledge And Behaviors Among Young People In Kenya And Lesotho, Beatrice Ochieng

Walden Dissertations and Doctoral Studies

Sub-Saharan Africa (SSA) has a great burden of human immunodeficiency virus (HIV) and high new HIV infection rates among youths age 15-24 years. Suboptimal practice of HIV risk-reducing sexual behaviors among youths threatens to reverse the gains made in preventing the spread of HIV in SSA. The purpose of this quantitative cross-sectional study was to investigate the effects of comprehensive knowledge of HIV transmission and prevention, on individuals’ attitude toward people living with HIV, and ability to obtain condoms (if needed) on practice of HIV risk-reducing sexual behaviors, in adolescents age 15-19 years and young adults age 20-24 years in …

Demographic Factors Associated With Childhood Obesity Among Women, Infants, Children (Wic) Participants In 2014, Olukayode Wisdom Oduwole

Walden Dissertations and Doctoral Studies

In the past few years, there has been an alarming increase in childhood obesity in the United States and worldwide, however there is little consensus around how to respond to the problem. What has now become an epidemic, was uncommon decades ago. This study assessed the demographic factors associated with childhood obesity among WIC participants in 2014. The study utilized demographic data from 3,011,119 participants in 2014 nationally representative National Health and Nutrition Examination Survey, and social cognitive theory (SCT) to understand the demographical factors associated with childhood obesity. Adjusted odds of obesity were calculated to assess association between males …

Hiv Positive African American Women’S Lived Experiences And Clinical Outcomes, Christie Olejemeh

Walden Dissertations and Doctoral Studies

African American (AA) women are disproportionately affected by HIV/AIDS. The infection rate for AA women continues to increase, and literature lacks information specifically on education for AA women regarding viral suppression at diagnosis. The purpose of the study was to understand the lived experiences of AA women living with HIV in the District of Columbia, particularly how they acquired knowledge of viral suppression. To understand their experiences with antiretroviral medications, viral suppression, discrimination, and stigma, this qualitative study applied a hermeneutic phenomenological approach. The theories of resilience and empowerment were applied. Ten HIV positive AA women living in the District …

Clinicians’ Perspectives On Distinguishing Between Religious/Spiritual And Psychotic Phenomena, Jessica K. Parker

Walden Dissertations and Doctoral Studies

Psychosis is a central concept in mental health, yet the concept is unclear. Clinicians are challenged with the task to be able to distinguish psychotic phenomena; however, little is known about how clinicians are able to distinguish religious/spiritual phenomena from psychotic phenomena, as both may be similar in presentation. The focus of this dissertation was on understanding the perspectives and distinguishing processes of mental health professionals when distinguishing between religious/spiritual and psychotic phenomena. Taking a generic qualitative framework approach, the study included face-to-face and telephone interviews with 10 licensed mental health professionals recruited through social media and snowball sampling. Interviews …

Achieving Sustainability In Global Supply Chains, Parthiv G. Patel

Walden Dissertations and Doctoral Studies

Most multinational company leaders lack effective strategies to achieve sustainability in their supply chains. Multinational company leaders who struggle to sustain supply chains, experience poor business performance creating risks of business failure. Grounded in systems theory, a qualitative multiple case study was conducted to explore successful strategies that leaders of multinational companies implemented to achieve sustainability throughout their supply chains. The participants comprised 6 business leaders of multinational consumer packaged goods companies in northern Vermont who have successfully implemented strategies for achieving sustainability in their global supply chains. Data were collected through semistructured face-to-face interviews, internal company supply chain documents, …

The Politics Of Decentralizing Criminal Justice Systems In Postconflict Societies: Insights From Liberia (2011-2017), Samuel Opoku-Agyakwa

Walden Dissertations and Doctoral Studies

After the end of Liberia’s brutal 14 year civil war, the process of rebuilding Liberia has focused on a number of interventions including reforming the criminal justice system. In the current study, institutional, policy, legal reform, and infrastructure development were the approaches used to decentralize Liberia’s Criminal Justice System. Thirty experts were interviewed, and their responses coded using NVivo 12.0. Seven themes and 25 subthemes emerged from the data. It was that found that a top down internationally led approach with minimal involvement of local communities and the neglect of the traditional justice system characterized the decentralization process. Results also …

Case Study Of Teachers’ Instructional Practices Among Eighth Grade Students With Disabilities, Lashaundon Perkins

Walden Dissertations and Doctoral Studies

Academic achievement of students relies heavily on a student’s reading proficiency. The college-and career-readiness reading test results of 8th grade North Carolina students did not meet expectations during the 2016-2017 school year. The overall reading performance of 8th grade North Carolina students who have shown achievement at or above proficient was 30%, which is below the national average. The purpose of this qualitative case study was to explore the instructional practices of special education teachers in a low performing school in the eastern region of North Carolina. Vygotsky’s sociocultural theory provided the conceptual framework for this study. Research questions addressed …

Completing City Streets, Christopher Alan Phillips

Walden Dissertations and Doctoral Studies

As a city in Tennessee continues to expand and the population continues to grow, citizens are concerned with safety and accessibility for pedestrians and cyclists. In this study, citizen comments and concerns for the city planning department were collected. A case study design was used for this study because it allowed for a focus on one setting and gathering data from a specific set of key stakeholders in the community. Data represented the thoughts and experiences of community pedestrians and were collected through surveys and 1-on-1, semistructured interviews with select participants that reflect the citizens of this community. The survey …

Roles Of Nephrology Social Workers In Health Literacy, Tiffena Gail Pierce

Walden Dissertations and Doctoral Studies

Health literacy is vital for hemodialysis patients because they need to undergo routine treatments 3 days per week and adhere to medication regimens requiring them to understand complicated health information. The questions for this study focused on a social work practice of their roles when assessing and promoting health literacy in dialysis patients. Nephrology social workers are vital in helping dialysis patients understand their medical information so that they can make better-informed decisions about their healthcare. This study also includes an exploration of the strategies nephrology social workers use to increase health literacy in patients with chronic kidney disease. An …

Impact Of Perceived Computed Tomography Radiation Risk And Benefit On Healthcare Decision-Making, Joseph Princewill

Walden Dissertations and Doctoral Studies

Patient-centered care is focused on healthcare consumers becoming more involved in their own health care decision-making. Research is needed to examine how those decisions are made in different settings. The purpose of this concurrent transformative design mixed method study was to evaluate how the perceived health risks and benefits of Computed Tomography (CT) influenced decision-making to accept or reject a hypothetical CT recommendation. One hundred thirty-four participants read 1 of 8 vignettes on how either “high” or “low” susceptibility to cancer risk, severity of exposure to radiation, and diagnostic benefits affected their decision-making. Using the health belief model as a …

Exploring The Use Of Familismo To Manage Depression Among Elderly Latino Women, Denise Ramos

Walden Dissertations and Doctoral Studies

As the elderly population continues to increase in the United States, so does the concern of major depressive disorder. Despite the need to forcefully recognize and address depression among this age group, efforts have been docile and passive; many elderly individuals continue to go undiagnosed. With the increase of Latino population within the past and upcoming decades and with studies showing that elderly Latinos appear to live longer than non-Latinos, it is critical that differences in treatment interventions be explored. This study aimed to explore the use of familismo (intense importance and attachment the Latino culture places on nuclear and …

Tuberculosis Diagnostics In Ethiopia: Assessment Of Laboratory Procedural Capabilities And Limitations, Yeshimebet Retta

Walden Dissertations and Doctoral Studies

Abstract

Tuberculosis (TB) is a curable and preventable disease; however, in 2015, 10.4 million people were diagnosed with TB, making it one of the top 10 causes of mortality. A major part of the TB disease burden is carried by low and middle-income countries. In Ethiopia, which ranks 15th among 22 countries with a high burden of TB and multidrug resistant TB (MDR-TB), important diagnostic and treatment gaps persist. This quantitative descriptive study was primarily aimed to determine levels of adherence to standardized TB laboratory procedures by calculating and reporting the number of sputum samples, and reporting valid and documented …

Readiness Of Stakeholders To Adopt Community Paramedicine Programs In Tennessee, Roger Lloyd Ritchie

Walden Dissertations and Doctoral Studies

Abstract

Community paramedicine is an emerging model of care that promulgates EMS in a more community-based and integrated role within the broader health care system. A hallmark characteristic of community paramedicine is that programs are designed to meet the specific needs of a given community, rendering programs unique but perplexing. A need for research aimed at exploring possible barriers that may impede the adoption and implementation of community paramedicine programs has been identified by the National EMS Advisory Board, the North Central EMS Institute, and the Joint Committee on Rural Emergency Care. The purpose of this study was to explore …

Minority Pregnant Women Perspective On Health Disparities And Health-Related Outcomes, Lorna Robinson

Walden Dissertations and Doctoral Studies

Health agencies have recognized persistent health care disparities as the primary causes of mortality among minority populations. The emphasis of published studies on the health of minority women in the United States has revealed a knowledge gap in prioritizing prenatal care (PNC). The purpose of this narrative descriptive study was to explore access disparities in PNC and the effect the overall experience had on first-time pregnant minority women in receipt of PNC. The health services utilization framework provided the theoretical lens to analyze and interpret the findings of this study. The key research questions explored how the self-reported experiences of …

The Impact Of Sex Offender Registration Laws On Offenders’ Reintegration Into Society, Stephanie Rose

Walden Dissertations and Doctoral Studies

Information related to the experiences of sex offenders required to register under the Sex Offender Registration and Notification Act of 2006 is predominantly based on quantitative data, and the majority of information relates to the factors that contribute to sexual offenses, recidivism rates, and public opinion of the sex offender registry. There is a lack of research on the lived experience of sex offenders who are required to register, specifically those in rural Pennsylvania. Research is also lacking on how sex offenders and the professionals with whom they interact perceive the registry. Therefore, the purpose of this phenomenological study was …

Help-Seeking Behaviors Among Filipino Americans: Understanding Enculturation, Depression, And Anxiety, Kristoffer John Almazan Rouse

Walden Dissertations and Doctoral Studies

Filipino Americans have some of the highest levels of psychological distress among all Asian Americans. However, underrepresentation in psychological studies and a unique set of cultural values and norms contribute to the lack of literature on the sources of this distress among Filipino Americans. The purpose of this quantitative study was to examine how aspects of cultural assimilation and norms of Filipino culture affect willingness of Filipino Americans to seek mental health services. Several factors, enculturation, anxiety, and depression, among Filipino Americans were examined to predict influence on help-seeking behaviors. A sample of 120 Filipino Americans living in the Pacific …

Understanding A Transitional Educational Program For Students With Autism And Intellectual Disabilities, Robin E. Ruiz

Walden Dissertations and Doctoral Studies

The number of children in U.S. schools diagnosed with autism and intellectual disabilities disorders is increasing and they face low levels of employment after graduation. Without a viable education, including work skills training, these students cannot be successful citizens. The purpose of this generic qualitative study was to understand the experiences and perceptions of educators implementing an innovative transitional secondary education program designed to prepare students who have intellectual disabilities and autism to be successful in college or the workplace. The conceptual framework for this study included the theory of self-efficacy, sociocultural learning theory, differentiated instruction, and experiential learning theory. …

Sex Differences In Lyme Disease Symptomatology In The Northeast United States, Jeanine Scotti

Walden Dissertations and Doctoral Studies

Guided by the gender-analysis-matrix theoretical framework, 3 key areas of research inquiries focused on the relationship between sex and Lyme disease, symptoms of Lyme disease and sex, and severity of Lyme disease symptoms on sex. A quantitative secondary data analysis was used to address the research questions. A clinician specializing in caring for individuals with Lyme disease provided the dataset, containing responses to the Horowitz Multiple Systemic Infectious Disease Syndrome Questionnaire for Lyme disease. A cross-sectional, comparative research design incorporating 2 statistical techniques for analysis—the independent samples t test and multivariable regression analyses—was used to examine symptom counts and the …

Coalition Sustainability After Federal Funding Is Expended: A Case Study, Shawnee Marie Seese

Walden Dissertations and Doctoral Studies

Community coalition sustainability has been a focus of scholars as community coalitions deliver vital programs and services for communities in need. Despite the value coalitions bring to U.S. communities, they often become vulnerable after federal funding is expended. Researchers acknowledge the need to build understanding of coalition sustainability and have identified factors that contribute to the sustainability of programs, but studies on the topic remain quite limited. Federal funding requirements are more stringent than in previous years, requiring evidence of sustainability planning, which increases the urgency to identify those elements that ensure sustainability. The purpose of this study was to …

Analysis Of The Impact Of Family Structure And Type 2 Diabetes Among Adolescents, Danny Lee Self

Walden Dissertations and Doctoral Studies

Type 2 diabetes (T2D) has increased among the adolescent population in the United States within the past 30 years. While the increase in T2D is linked to obesity and a lack of physical activity, it lacks contextual analysis within the structure of the non-traditional family unit. The purpose of this quantitative study was to examine family structure and prevalence of T2D among adolescents. Krieger’s ecosocial theory guided the study. The research questions were designed to investigate whether family structure directly impacts T2D prevalence or indirectly through socioeconomic status. The research design was quantitative with cross-sectional analysis of secondary data. The …

Predictors Of Lone Wolf Terrorism, Gwendolyn Shands

Walden Dissertations and Doctoral Studies

Lone wolf terrorism is political violence perpetrated by individuals who act alone, who do not belong to an organized terrorist group or network, and whose tactics and methods are conceived and directed by the individual without any direct outside commitments or directions. The increase of domestic lone wolf terrorism continues to impact the safety and security of the United States, yet little is known about the potential predictors of this type of behavior. Using McCauley and Moskalenko’s framework of lone wolf terrorism as the foundation, the purpose of this nonparametric study was to examine the statistical association between certain elements …