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Articles 181 - 210 of 922
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Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers
Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers
Walden Dissertations and Doctoral Studies
An argument can be made for the continued existence of Federally Qualified Health Centers (FQHCs) because of the level of importance of the service they provide to society. The problem addressed in this research is that despite the millions of people in need of affordable health care, the leaders of many FQHCs are fighting to keep facilities open amidst financial struggles. The purpose of this research was to identify leadership characteristics that promote FQHCs’ success by assessing effective leadership styles. This study applied a quantitative, descriptive non-experimental approach. Probability sampling was used to select the sample size and the Multifactor …
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Walden Dissertations and Doctoral Studies
HIV/AIDS infection, which originally was a fatal disease, is now a treatable, chronic disease with which people can live to reach 70 years of age or older if they comply with treatment. HIV treatment requires adherence to medications, but there is a lack of evidence on therapeutic adherence among older adults in Puerto Rico. The purpose of this descriptive phenomenology study, guided by the health belief model, was to provide a better understanding of HIV therapy adherence among older adults living in Puerto Rico. Semi structured interviews were conducted with 10 HIV-positive adults aged 65 years or older who were …
Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan
Waste Management Process And Malaria-Induced Child Mortality In Côte D’Ivoire., Kouame N'Guessan
Walden Dissertations and Doctoral Studies
Malaria-induced child mortality is a Sub-Saharan African phenomenon, and Côte d'Ivoire, in West Africa, has one of the highest rates. This general qualitative study investigates waste management as a potential factor of malaria-induced child mortality to inform policy changes and fill a gap in the body of knowledge. The study is grounded in Skocpol's policy feedback theoretical framework. The research question explored aspects of waste management in Côte d'Ivoire which contribute to the high rate of malaria-induced child mortality. Eighteen participants, equally divided into three groups, were purposely recruited via email and WhatsApp messages for semi-structured interviews using a smartphone …
Psychological Impact Of Ebola Disease On Survivors: A West Africa Study, Babatunde Moses Irinoye
Psychological Impact Of Ebola Disease On Survivors: A West Africa Study, Babatunde Moses Irinoye
Walden Dissertations and Doctoral Studies
Survivors of Ebola virus disease often experience social isolation. Understanding the psychological impact of Ebola virus disease on these survivors was the focus of this study. The study encompasses assessment of experiences in re-integration back into communities, and psychological implications (post-recovery), among Ebola infection survivors (EIS) in Republic of Liberia. The purpose of the study was to explore the psychological impact of Ebola as the EIS continue their re-integration journey in their communities in Liberia. The conceptual framework for this study was based on principles of system theory, based on interrelatedness of the biopsychological experience of the EIS, and the …
Medicaid Coverage As A Critical Component In Care Coordination And Continuity In Health Care Access During Reentry For Justice-Involved Individuals In Maryland, Bernard Bendenkaga Alenda
Medicaid Coverage As A Critical Component In Care Coordination And Continuity In Health Care Access During Reentry For Justice-Involved Individuals In Maryland, Bernard Bendenkaga Alenda
Walden Dissertations and Doctoral Studies
Incarcerated individuals in the United States have a high disease burden. Moreover, most of them are released from incarceration without health coverage. The problem is that most incarcerated people in Maryland return to the community from incarceration without health coverage and cannot access health care. The purpose of this qualitative study was to understand how Medicaid enrollment staff and managers of the Medicaid program perceive the experiences and challenges of justice-involved individuals in navigating the Medicaid system in Maryland. The study was grounded in the behavioral model for vulnerable populations. The main research question aimed at understanding how the enrollment …
Experiences Of Black Males With Generalized Anxiety Disorder During The Covid-19 Pandemic, Cynthia Lynn Williams
Experiences Of Black Males With Generalized Anxiety Disorder During The Covid-19 Pandemic, Cynthia Lynn Williams
Walden Dissertations and Doctoral Studies
This qualitative research dissertation involved exploring the intersection of race, gender, and mental health via lived experiences of Black males who were diagnosed with generalized anxiety disorder during the COVID-19 pandemic to provide a comprehensive understanding of how the unique sociocultural context of the pandemic influenced their experiences with anxiety. Using a qualitative Interpretive Phenomenological Analysis research design and semi-structured interviews with a diverse sample of seven Black males living in various regions of the United States the interviews involved their personal experiences, coping mechanisms, and perceptions of societal and systemic factors that affected their mental health during the pandemic. …
The Experiences Of Icu Nurses Caring For Covid-19 Patients In Zambia, Mable Kasonde Mwila
The Experiences Of Icu Nurses Caring For Covid-19 Patients In Zambia, Mable Kasonde Mwila
Walden Dissertations and Doctoral Studies
The purpose of this research was to explore the experiences of ICU nurses caring for COVID-19 patients in Zambia. The problem was lack of knowledge on what intensive care unit nurses experienced while caring for COVID patients then to investigate the experiences of ICU nurses taking care of COVID patients in Lusaka, Zambia. Using Sister Callista Roy’s nursing adaptation model as a conceptual framework, the qualitative interpretative phenomenology approach was used to interview 14 participants in two hospitals in Zambia. MAXQDA software was used to organize data to develop codes and derive six themes, which were education, emotional and psychological …
East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo
East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo
Walden Dissertations and Doctoral Studies
East African refugee women arrive as a vulnerable population in their host country. Before coming to the United States, refugee women may have experienced varying levels of trauma due to civil wars, genocide, sexual assault, deaths of loved ones, terrorist attacks, being taken hostage, and torture in their home country. The purpose of this generic qualitative study was to explore the experiences of refugee women from East African countries seeking health care in the Central United States when government assistance ends. The framework of the behavioral model of health was the guide for examining the experiences of the participant refugee …
Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During Covid-19 Pandemic, Philip Ndoki Ndoki
Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During Covid-19 Pandemic, Philip Ndoki Ndoki
Walden Dissertations and Doctoral Studies
This study was an investigation of how disability status, types, sociodemographic indicators, and reasons for not receiving vaccinations influenced COVID-19 vaccination rates among individuals with disabilities in the United States. Despite efforts, vaccination disparities persisted, necessitating an understanding of barriers to uptake. Using intersectionality theory and the social determinants of health framework, this study examined the impact of marginalized identities and structural inequalities. Key questions included the association between disability status and vaccination uptake, differences among disability types moderated by sociodemographic factors, and the interaction between disability status and reasons for not vaccinating. Household Pulse Survey data from the US …
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Walden Dissertations and Doctoral Studies
Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Evaluation Of Flooding Disaster Risk Initiatives In Vulnerable Homeless Communities, Nicholas W. O'Clair
Walden Dissertations and Doctoral Studies
Homeless individuals, who have limited resources and lack stable lodging, are particularly vulnerable during disasters, further jeopardizing their already precarious health conditions. By examining the effectiveness of existing preparedness and response strategies on the readiness of homeless individuals during flood events, insights can be gained to enhance emergency operations. The purpose of the study was to investigate the experiences and vulnerabilities of homeless populations in a northeastern U.S. city with the goal of promoting inclusivity and resilience. Research questions involved understanding knowledge of dangers of flooding disasters; disaster preparedness, response, and recovery; and how current public promotion practices of disaster …
Strategies For Evaluating Training For Field Engineers In The Aerospace And Defense Industry, Nathan D. Johnson
Strategies For Evaluating Training For Field Engineers In The Aerospace And Defense Industry, Nathan D. Johnson
Walden Dissertations and Doctoral Studies
Inefficient training strategies are just one of the many challenges field engineer managers face in the aerospace and defense industry. Aerospace and defense managers and customers are concerned because inefficient training strategies for field engineers impact how well they can effectively contribute to organizational and customer mission success in operations around the globe. Grounded in the Kirkpatrick model, the purpose of this qualitative pragmatic inquiry was to explore strategies aerospace and defense managers use to evaluate field engineer training programs. The participants were five aerospace and defense managers who successfully implemented training evaluation strategies. Data were collected from semistructured interviews …
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
Walden Dissertations and Doctoral Studies
In nursing education, both preregistration and continuing professional development, there is an absence of information about the specific needs of transgender people. The practicum site observed that education on the needs of the transgender community was lacking, discussing a discrepancy in the information offered and the scant attention paid to the unique requirements of transgender individuals. The goal of this project was to create a program that would raise staff members’ understanding of the exceptional health care requirements of the transgender population by providing them with an evidence-based assessment screening tool and training on transgender health care for nurses. The …
Strategies For Evaluating Training For Field Engineers In The Aerospace And Defense Industry, Nathan D. Johnson
Strategies For Evaluating Training For Field Engineers In The Aerospace And Defense Industry, Nathan D. Johnson
Walden Dissertations and Doctoral Studies
Inefficient training strategies are just one of the many challenges field engineer managers face in the aerospace and defense industry. Aerospace and defense managers and customers are concerned because inefficient training strategies for field engineers impact how well they can effectively contribute to organizational and customer mission success in operations around the globe. Grounded in the Kirkpatrick model, the purpose of this qualitative pragmatic inquiry was to explore strategies aerospace and defense managers use to evaluate field engineer training programs. The participants were five aerospace and defense managers who successfully implemented training evaluation strategies. Data were collected from semistructured interviews …
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
A Staff Education Program On The Education Of Nurses On Transgender Health Care, Diana Collins
Walden Dissertations and Doctoral Studies
In nursing education, both preregistration and continuing professional development, there is an absence of information about the specific needs of transgender people. The practicum site observed that education on the needs of the transgender community was lacking, discussing a discrepancy in the information offered and the scant attention paid to the unique requirements of transgender individuals. The goal of this project was to create a program that would raise staff members’ understanding of the exceptional health care requirements of the transgender population by providing them with an evidence-based assessment screening tool and training on transgender health care for nurses. The …
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
Walden Dissertations and Doctoral Studies
Depression and fibromyalgia can often exacerbate each other and are known to be bidirectional disorders. Chronic pain from fibromyalgia often leads to depression, and depression can cause pain to become worse and affect the nervous system, causing pain. The purpose of this quantitative, binary logistic regression study is to determine if there is an association between mental health and fibromyalgia in African Americans while controlling for cardiovascular disease, chronic kidney disease, arthritis, education level (ie. Some high school, high school graduate, some college or higher), diet, poverty-income-ratio, PIR, diabetes, gender, and age. The socio-ecological model included in this cross-sectional study …
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
The Association Between Mental Health And Fibromyalgia In African Americans, Shalika J. Tisinger
Walden Dissertations and Doctoral Studies
Depression and fibromyalgia can often exacerbate each other and are known to be bidirectional disorders. Chronic pain from fibromyalgia often leads to depression, and depression can cause pain to become worse and affect the nervous system, causing pain. The purpose of this quantitative, binary logistic regression study is to determine if there is an association between mental health and fibromyalgia in African Americans while controlling for cardiovascular disease, chronic kidney disease, arthritis, education level (ie. Some high school, high school graduate, some college or higher), diet, poverty-income-ratio, PIR, diabetes, gender, and age. The socio-ecological model included in this cross-sectional study …
Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin
Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic exacerbated many illnesses afflicting older adults in U.S. communities, including mental health wellness. Since 2020, at the inception of the pandemic, older adults living in residential settings, including assisted living and skilled nursing homes, experienced harsh limitations in their everyday lives. The conditions included prolonged periods of isolation and reduced interactions between caregivers and loved ones. Therefore, it is important to understand the experiences of older adults living in facilities and their ability to adapt to the environment. The research question addressed in this study gained insight into the effects of mandated isolation on older adults. Using …
Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin
Residential Older Adults’ Experiences Related To Mental Health From Covid-19 Isolation, Heidi Beth Lubetkin
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic exacerbated many illnesses afflicting older adults in U.S. communities, including mental health wellness. Since 2020, at the inception of the pandemic, older adults living in residential settings, including assisted living and skilled nursing homes, experienced harsh limitations in their everyday lives. The conditions included prolonged periods of isolation and reduced interactions between caregivers and loved ones. Therefore, it is important to understand the experiences of older adults living in facilities and their ability to adapt to the environment. The research question addressed in this study gained insight into the effects of mandated isolation on older adults. Using …
The Relationship Between Magnet And Non-Magnet Designated Sites And Severe Maternal Morbidity For New Jersey Hospitals, Adrienne L. Elberfeld
The Relationship Between Magnet And Non-Magnet Designated Sites And Severe Maternal Morbidity For New Jersey Hospitals, Adrienne L. Elberfeld
Walden Dissertations and Doctoral Studies
For the past 25 years U.S. health care providers have reported higher than expected severe maternal morbidity (SMM). Magnet status is a designation through the American Nurses Credentialing Center (ANCC). Studies indicate that hospitals with Magnet recognition provide better patient care resulting in better quality outcomes. The recent COVID-19 pandemic (COVID-19) created a global-wide disruption, presenting new systemic challenges for U.S. health care providers in providing accessible, timely patient health services. The purpose of this study was to determine if there is a statistically significant difference between Magnet and non-Magnet hospitals in New Jersey (NJ) for SMM rates during COVID-19 …
The Relationship Between Magnet And Non-Magnet Designated Sites And Severe Maternal Morbidity For New Jersey Hospitals, Adrienne L. Elberfeld
The Relationship Between Magnet And Non-Magnet Designated Sites And Severe Maternal Morbidity For New Jersey Hospitals, Adrienne L. Elberfeld
Walden Dissertations and Doctoral Studies
For the past 25 years U.S. health care providers have reported higher than expected severe maternal morbidity (SMM). Magnet status is a designation through the American Nurses Credentialing Center (ANCC). Studies indicate that hospitals with Magnet recognition provide better patient care resulting in better quality outcomes. The recent COVID-19 pandemic (COVID-19) created a global-wide disruption, presenting new systemic challenges for U.S. health care providers in providing accessible, timely patient health services. The purpose of this study was to determine if there is a statistically significant difference between Magnet and non-Magnet hospitals in New Jersey (NJ) for SMM rates during COVID-19 …
Elementary School Teachers’ Lived Experience Teaching Remotely During The Covid-19 Pandemic, Natasha Gorman
Elementary School Teachers’ Lived Experience Teaching Remotely During The Covid-19 Pandemic, Natasha Gorman
Walden Dissertations and Doctoral Studies
Teaching experiences changed during COVID-19 from face-to-face to online, and teachers encountered numerous challenges. Considerable research has been conducted on many of the issues that teachers at different grade levels faced in this transition. The experiences of elementary school teachers, however, have not received much attention. The purpose of this qualitative study was to explore the lived experiences of elementary school teachers who taught remotely during the COVID-19 pandemic. Understanding their challenges may lead to the development of appropriate resources and specific training for teachers in these early grades. The theoretical foundation that grounded this study was Bronfenbrenner’s ecological systems …
Elementary School Teachers’ Lived Experience Teaching Remotely During The Covid-19 Pandemic, Natasha Gorman
Elementary School Teachers’ Lived Experience Teaching Remotely During The Covid-19 Pandemic, Natasha Gorman
Walden Dissertations and Doctoral Studies
Teaching experiences changed during COVID-19 from face-to-face to online, and teachers encountered numerous challenges. Considerable research has been conducted on many of the issues that teachers at different grade levels faced in this transition. The experiences of elementary school teachers, however, have not received much attention. The purpose of this qualitative study was to explore the lived experiences of elementary school teachers who taught remotely during the COVID-19 pandemic. Understanding their challenges may lead to the development of appropriate resources and specific training for teachers in these early grades. The theoretical foundation that grounded this study was Bronfenbrenner’s ecological systems …
How Working Women In Healthcare Perceive Public Transportation And Safety, Assaaformbi Bama
How Working Women In Healthcare Perceive Public Transportation And Safety, Assaaformbi Bama
Walden Dissertations and Doctoral Studies
Women use public transportation more frequently than do men. However, most of these transportation systems were not constructed with women in mind. Public transportation systems are accountable for securely transporting people to their destinations, as well as upkeeping protective policies to advocate for fearful passengers. The purpose of this qualitative study was to examine women’s perspectives on public transportation.The research question guiding this study asked women to discuss their safety experiences and needs related to existing public transportation policy. Cooley’s theory of transportation and Friedman’s public safety theory formed the conceptual framework for this study. Purposeful sampling was used to …
How Working Women In Healthcare Perceive Public Transportation And Safety, Assaaformbi Bama
How Working Women In Healthcare Perceive Public Transportation And Safety, Assaaformbi Bama
Walden Dissertations and Doctoral Studies
Women use public transportation more frequently than do men. However, most of these transportation systems were not constructed with women in mind. Public transportation systems are accountable for securely transporting people to their destinations, as well as upkeeping protective policies to advocate for fearful passengers. The purpose of this qualitative study was to examine women’s perspectives on public transportation.The research question guiding this study asked women to discuss their safety experiences and needs related to existing public transportation policy. Cooley’s theory of transportation and Friedman’s public safety theory formed the conceptual framework for this study. Purposeful sampling was used to …
Preparing For The Next Pandemic: Helpful Strategies For Hospital Managers, Lynesha Sweeney
Preparing For The Next Pandemic: Helpful Strategies For Hospital Managers, Lynesha Sweeney
Walden Dissertations and Doctoral Studies
During the rapid spread of the coronavirus in 2020, some hospital managers lacked strategies to support and treat the number of patients falling ill daily. Effective strategies to support and treat patients during the next pandemic are important to hospital managers because insufficient access to quality healthcare services can be harmful to community citizens and detrimental to hospital sustainability. Grounded in the resource-based theory, the purpose of this qualitative pragmatic inquiry was to explore strategies some hospital managers have created and implemented to be prepared for future pandemics within their facilities. The participants were six healthcare leaders working in roles …
Preparing For The Next Pandemic: Helpful Strategies For Hospital Managers, Lynesha Sweeney
Preparing For The Next Pandemic: Helpful Strategies For Hospital Managers, Lynesha Sweeney
Walden Dissertations and Doctoral Studies
During the rapid spread of the coronavirus in 2020, some hospital managers lacked strategies to support and treat the number of patients falling ill daily. Effective strategies to support and treat patients during the next pandemic are important to hospital managers because insufficient access to quality healthcare services can be harmful to community citizens and detrimental to hospital sustainability. Grounded in the resource-based theory, the purpose of this qualitative pragmatic inquiry was to explore strategies some hospital managers have created and implemented to be prepared for future pandemics within their facilities. The participants were six healthcare leaders working in roles …
Perception Of Pre-Existing Dm2 Management Among Pregnant Asian Indian Immigrants During Covid-19, Sanya Bedi Grewal
Perception Of Pre-Existing Dm2 Management Among Pregnant Asian Indian Immigrants During Covid-19, Sanya Bedi Grewal
Walden Dissertations and Doctoral Studies
Type 2 diabetes is a chronic disease that exerts a significant burden among communities by increasing healthcare costs, reducing productivity, higher rates for premature mortality, and tangible socioeconomic burden, which overall reduces the quality of life. The purpose of the study was to explore the perception of pregnant Asian Indian immigrants regarding diabetes self-management strategies during the COVID-19 pandemic. Five women were recruited via purposive sampling from Facebook groups. Data were collected via individual interviews using Facebook groups. The health belief model was used to help understand and interpret the findings. Clarke and Braun’s thematic analysis method was used to …
Impact Of Telehealth On Type 2 Diabetes Self-Management During The Covid-19 Pandemic, Nancy Olivo Marshall
Impact Of Telehealth On Type 2 Diabetes Self-Management During The Covid-19 Pandemic, Nancy Olivo Marshall
Walden Dissertations and Doctoral Studies
The incidence of Type 2 diabetes mellitus (T2DM) is on the rise, particularly among adults aged 18 years and older. Glycosylated hemoglobin (HbA1c) levels are commonly used by healthcare professionals to assess glucose variability; fluctuations are associated with an increased risk of adverse effects. The COVID-19 pandemic highlighted the importance of self-directed management of HbA1c levels through telehealth. The purpose of this retrospective quantitative study was to investigate the effectiveness of self-directed management of HbA1c levels using telehealth among T2DM diagnosed adults at a community health service organization in the northeastern U.S. from December 2018 to 2022. Using multivariate regression …
Perception Of Pre-Existing Dm2 Management Among Pregnant Asian Indian Immigrants During Covid-19, Sanya Bedi Grewal
Perception Of Pre-Existing Dm2 Management Among Pregnant Asian Indian Immigrants During Covid-19, Sanya Bedi Grewal
Walden Dissertations and Doctoral Studies
Type 2 diabetes is a chronic disease that exerts a significant burden among communities by increasing healthcare costs, reducing productivity, higher rates for premature mortality, and tangible socioeconomic burden, which overall reduces the quality of life. The purpose of the study was to explore the perception of pregnant Asian Indian immigrants regarding diabetes self-management strategies during the COVID-19 pandemic. Five women were recruited via purposive sampling from Facebook groups. Data were collected via individual interviews using Facebook groups. The health belief model was used to help understand and interpret the findings. Clarke and Braun’s thematic analysis method was used to …