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Impact Of Single Motherhood On Child Nutrition And Health In Kgatleng District, Botswana, Mulume Seya Franklin Mwamba

Walden Dissertations and Doctoral Studies

AbstractMalnutrition affects sub-Saharan African countries with increased stunting among under-5 children. The short-and long-term effects of this stunting include the potential for slow growth in early life, impaired health, and educational and economic disadvantages in adolescent and adult years. The purpose of this quantitative cross-sectional study was to analyze the relationship between single-mother families and the occurrence of malnutrition (stunting) among under-5 children in the Kgatleng district of Botswana. Bronfenbrenner’s ecological model was applied to investigate factors that lead to stunting among these children. Primary data were collected from 196 mothers and their children who visited selected clinics in Kgatleng. …

Examining The Factors That Lead To Latinas Stopping Breastfeeding Across The United States, Dulce Ruelas

Walden Dissertations and Doctoral Studies

Breastfeeding is the optimal nutrition for an infant, yet only 25.4% of women in the United States decide to breastfeed. A Latina's choice for infant feeding must be made with accurate information as breastfeeding may reduce infant mortality and decrease chronic conditions such as obesity, depression, and diabetes. The study's purpose was to examine if Latinas are influenced by suggestions to not breastfeed by family members and health care providers or by events that may have happened at the hospital. Grounded in the theory of planned behavior, this study reviewed if social influences, marital status, and maternal education link to …

Social Determinants Of Health And Health Behaviors Of Hispanics, Suheily Valderrama

Walden Dissertations and Doctoral Studies

Mexican Americans experience higher morbidity and mortality than non-Hispanic whites, a problem known as health disparities, which is often explained by differences in social determinants of health (SDH). SDH are social and economic conditions that influence health-related behaviors. The purpose of this quantitative study was to examine the relationship between SDH (income, education, neighborhood safety, and health care access), and health behaviors (diet, sleep, and physical activity) of Hispanics. The cumulative inequality (CI) theory was used to inform this study. A secondary data analysis of 37078 Hispanic adults who completed the 2017 Behavioral Risk Factor Surveillance System survey was conducted. …

Association Between Modifiable Risk Factors And Stroke Among Hispanics, Shanice Williams

Walden Dissertations and Doctoral Studies

Stroke is a significant public health issue that impacts the health of Hispanic adults. Understanding the multiple risk factors of stroke is an essential strategy to control the disease among this population. The purpose of this study was to examine the association between modifiable risk factors and stroke among Hispanics. The public health prevention framework guided this study. The research questions were designed to determine whether an association exists between modifiable risk factors for stroke among Hispanics. A quantitative, cross-sectional research design was used to conduct secondary analysis of the pooled 2017–2019 Behavioral Risk Factor Surveillance System annual surveys. The …

Racial Disparities In Hypertension Self-Awareness And Hospitalizations For Hypertension-Related Illnesses Among Adult Arkansans, Chimfumnanya Nwanze-Smith

Walden Dissertations and Doctoral Studies

Black individuals in the United States are twice as likely as White individuals to die of cardiovascular diseases. Between 2010 and 2016 in Arkansas (AR), hypertension (HTN) and HTN-related diseases had an age-adjusted death rate of 230.4 deaths per 100,000 population compared to 173.6 deaths per 100,000 population for Whites. The purpose of this quantitative, cross-sectional study was to explore the potential association between HTN self-awareness and emergency department (ED) visits and hospitalization rates for HTN and HTN-related illnesses between Black and White individuals in AR. The socioecological framework was used to explore sociodemographic (SDF) and socioeconomic (SES) factors as …

Service-Level Factors Affecting Completion Of Antenatal Care Attendance In Uganda, Lorna Barungi Muhirwe

Walden Dissertations and Doctoral Studies

Lack of universal coverage of proven, low-cost, high-impact interventions—particularly for underserved and rural populations—remains a key reason for the high rates of maternal deaths in Uganda. Antenatal care (ANC) ensures early detection and treatment of pregnancy-related complications. Completion of recommended ANC visits remains suboptimal, particularly for rural women in Uganda. The purpose of this quantitative, cross-sectional study was to assess facility-level factors affecting completion of ANC attendance among women of reproductive age in a rural district in Uganda. The Dutton theory for initial and continued health services utilization was used to analyze the relationship between facility level factors and ANC …

Reproductive Health Factors And Maternal Mortality Of Internally Displaced Women In Nigeria, Fatima Mahmood Jibirilla

Walden Dissertations and Doctoral Studies

Approximately 529,000 women die from pregnancy-related causes every year, with 99% of these maternal deaths occurring in developing countries. Each year, about 59,000 maternal deaths occur in Nigeria, with a mortality rate of 576 deaths per 100,000 births. Women constitute about half of the 33.2 million internally displaced persons (IDPs) worldwide. The purpose of this retrospective cross-sectional study was to explore the association between the reproductive health factors and maternal mortality of internally displaced women in Borno state, Nigeria. McCarthy and Maine’s model for determinants of maternal mortality informed this study. A secondary dataset of 400 women (age 14-49 years) …

The Effects Of Foreign Direct Investment On Gender Inequality In Uganda, Peter Oogu

Walden Dissertations and Doctoral Studies

Abstract Gender inequality is one of the greatest global development challenges. In the developing countries, including those in Sub-Saharan Africa, work-place gender inequality hinders the emancipation of women. The purpose of this quantitative study was to analyze the effects of foreign direct investment on gender inequality in the Ugandan private sector. Chabot and Duyvendak’s transnational diffusion theory and Becker’s theory of economic discrimination formed the theoretical foundation for the study. The research questions dealt with the relationship between foreign direct investment and the percentage of female workers, the percentage of women in leadership positions, and the gender wage gap in …

Effect Of Insecticide-Treated Nets On Anemia In Nigerian Children, Adamu Onu

Walden Dissertations and Doctoral Studies

Childhood anemia is a significant public health problem in Nigeria and frequently coexists with malaria. The mortality associated with malaria increases when anemia is present. Insecticide-treated nets (ITNs) are a cheap and effective malaria preventive measure that can provide a protective barrier from insects. There are conflicting results from several studies on the effect of ITNs on anemia in children, with fewer studies on the effect of ITNs on anemia in Nigerian children. This study aimed to measure the effect of ITN use on anemia among children aged 6–59 months in Nigeria. The social ecological model was used as the …

Exploring Financial Inclusion With Village Savings And Loan Associations In Ghana’S Wa-West District, Jonathan Lanidune

Walden Dissertations and Doctoral Studies

Financial inclusion (FI) has played a significant role in Ghana's economic transformation but is not widespread in rural areas. Lack of access to FI systems in these areas has increased poverty and induced higher rural-urban migration. Researchers have not explored how village savings and loan associations (VSLAs) can bridge the FI gap in the absence of formal financial institutions. The purpose of this qualitative case study was to explore the VSLAs as a FI model for poverty and vulnerability reduction. Sixteen semi-structured telephone interviews were conducted with members of three different groups; VSLA members, community stakeholders, financial stakeholders in Wa …

Implementation Of Universal Basic Education Program In The North-Central Region Of Nigeria, Kazeem Oladimeji

Walden Dissertations and Doctoral Studies

Government reports document that the North-Central region of Nigeria has experienced increased negative ineffectiveness of preschool education policy implementation. At the same time, other data suggest that key stakeholders' contribution is missing in the preschool education policy formulation and implementation processes. However, much less is known regarding specific key stakeholders’ perceptions that could help reverse this trend. Grounded in the advocacy coalition framework and appreciative inquiry, narrowing this knowledge gap was the purpose of this study. The research question focused on key stakeholders’ perceptions that could increase full participation and facilitate the establishment of more quality preschools in the region. …

Perceptions Of Healthcare Workers About Jamaica’S Health Disaster Management Plan, Terence Raphael Walters

Walden Dissertations and Doctoral Studies

Disasters cause several barriers to the provision of healthcare services in Jamaica. These include damaged infrastructure, reduced access to medical care and supplies, increased demand for healthcare services, and physical and psychosocial impacts on healthcare workers. It is not known how effective the Ministry of Health Procedures Manual No. 7, Disaster Management is and how healthcare workers in Jamaica perceive the effectiveness of the plan. The purpose of this study was to explore how healthcare workers in Jamaica perceived the effectiveness of the plan. The procedures manual requires collective actions by healthcare workers to be implemented successfully, and therefore collective …

Identifying Training Competencies To Enhance Community-Based Program After-School Volunteer Performance, Charlene Sanders

Walden Dissertations and Doctoral Studies

AbstractIdentifying Training Competencies to Enhance Community-Based Program After-School Volunteer Performance by Charlene Sanders

MS, Walden University 2017 BA, Hampton, 2016

Dissertation Submitted in Partial Fulfillmentof the Requirements for the Degree of Doctor of Philosophy Human & Social Services––General

Walden University May 2021   Abstract Between 2013 and 2014, 25.2% of 10th grade algebra students who worked with 870,000 adult volunteers in after-school programs in the United States met their goals of improved math proficiency scores. A gap exists involving volunteer training strategies for after-school programs that are effective in improving math proficiency of 10th grade math students. The purpose of this …

The Impact Of Medicaid Expansion On Private Behavioral Health Organizations, Syreeta Mae Garner

Walden Dissertations and Doctoral Studies

Communities prosper when the mental health needs of community members are met, but unaddressed mental health problems can contribute to enormous social and economic cost. Behavioral health resources are integral to the successful mitigation of adverse implications associated with mental illness. This qualitative case study was conducted to determine if Medicaid expansion has provided benefits for individuals with behavioral health needs and if behavioral health providers have been able to continue to provide quality services, despite the increase in referrals. The organization identified for this study is located in the southeastern United States and is known for providing not only …

Teaching Guidelines For Screening Prostate Cancer In African American Men, Joain Sophie Silvera

Walden Dissertations and Doctoral Studies

AbstractAfrican American (AA) men have the highest incidence of prostate cancer (PCa) compared to their White and Hispanic counterparts and a higher mortality rate than any other ethnicity. While biological and socioeconomic factors are to be blamed, many AA men are not aware of the opportunities for screening or the prognoses for the condition. There is an obvious need for increased awareness in AA men concerning preventative screening for PCa. Following the Walden University Clinical Practice Guideline Manual and guided by the Appraisal of Guidelines for Research & Evaluation (AGREE II) model to guide and validate the newly developed clinical …

Educating Nurses To Help Promote Diabetes Self-Care Management In Primary Care, Delphine E. Ikpasaja

Walden Dissertations and Doctoral Studies

Diabetes is a chronic disease that has a genetic and lifestyle component, and it affects individuals in various parts of the world. A lack of understanding of the nature of the disease has contributed to the complications experienced by patients with diabetes 2 (DM2), such as an elevated glycosylated hemoglobin (A1C) and hyperglycemia. At the clinic where this project took place, patients received an initial teaching but did not get any further support or resources to manage their disease. A four sections of a 30 minutes each was the educational presentation used with staff at the clinic to help them …

Type 2 Diabetes Prevention And Management Educational Toolkit, Theresa O. Orjiakor

Walden Dissertations and Doctoral Studies

AbstractDiabetes is one of the chronic diseases that are challenging to prevent and manage. Approximately 8.3% of the United States' population has type 2 diabetes. One of the primary challenges in managing the disease entails reducing the associated financial and human costs by preventing new cases and enacting social change. Prevention and management education programs using enhanced toolkit may have positive effects on type 2 diabetes patients, who start enjoying a good quality of life, as well as positive social change in their communities and families. The purpose of this project was to develop and evaluate a type 2 diabetes …

Strategies For Recruiting Volunteers In The Nonprofit Sector, Marsha Delahaye

Walden Dissertations and Doctoral Studies

Many nonprofit organizations (NPO) leaders lack formal strategies to recruit volunteers. Nonprofit leaders without effective volunteer recruitment strategies may lack the workforce necessary to achieve the organization’s mission to support organization beneficiaries. Grounded in the strategic human resource management theory, the purpose of this qualitative, single case study was to explore strategies 3 leaders of a nonprofit organization located in the U.S. state of Colorado use to recruit volunteers. Data were collected from semistructured interviews, organizational documents, public and government data, and the organization’s website. The data were analyzed using Yin’s five-step thematic analysis process and the Baldrige Performance Excellence …

Organizational Culture As A Predictor Of Counselors’ Wellness, Ashley Nicole Davis

Walden Dissertations and Doctoral Studies

The foci of existing literature related to counselor wellness are on counselors as individuals, and researchers have failed to consider counselors as part of a larger system. Researchers have found that demanding work environments are more likely to lead to compassion fatigue and burnout for counselors which pose threats to the well-being of clients. The organizational culture also affects counselor self-efficacy, which influences the emotional state of the counselors. Limited research exists on institutional-level factors, such as the organizational culture, in counselor wellness which demonstrates the importance of this study. The purpose of this quantitative nonexperimental survey study was to …

Pressure Injury Prevention In An Urban Surgical Intensive Care Unit, Kayma P. Ricks

Walden Dissertations and Doctoral Studies

Hospital-acquired pressure injuries (HAPIs) affect approximately 2.5 million patients in the

United States, annually. Prevention requires surgical intensive care unit (SICU) nursing staff to

effectively use evidence-based risk assessment measures to appropriately identify patients at risk

for developing HAPIs and to prevent poor patient outcomes. The Braden Scale risk assessment

tool has demonstrated reliability and validity in the prediction and assessment of patients at risk

for the development of HAPIs. The purpose of this Doctor of Nursing Practice (DNP) project

was to improve nurses’ knowledge of the appropriate use of the Braden Scale risk assessment

tool in the SICU of …

Online Social Support And Biopsychosocial Implications For Bariatric Patients, Jamie Kathryn Schofell-Williams

Walden Dissertations and Doctoral Studies

Obesity has grown to epidemic proportions in the United States with approximately 40% of women and 30% of men having a body mass index greater than 35. Bariatric surgery is an effective form of weight loss. However, weight regain is a problem, with 50% of persons undergoing bariatric surgery experiencing a weight regain of 5% within 2 years of surgery and only 40% maintaining a loss of 30% or more long-term. Potential biological, psychological, and social issues can negatively impact the long-term success of weight management for many bariatric surgery patients. Research is significantly limited within this area and it …

Addressing Cardiovascular Disease Among Populations Disproportionately Impacted In The United States, Michael Leron Sells

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) causes the most deaths in the United States and is disproportionately impacting certain groups more than others. A gap in the research exists when focusing on national data for those who bear the highest burden of CVD amongst people with hypertension when cardiovascular morbidity and mortality are examined. There is also a need to investigate the relationships between key indicators for CVD health disparities in people with hypertension. The purpose of this quantitative study is to investigate the cumulative effect of key health disparities indicators such as race, age, gender, education, and income using national-level surveillance data …

Electronics And Computer Sales: Brick-And-Mortar Retail Strategies To Increase Revenue, Thomas Watson

Walden Dissertations and Doctoral Studies

The growth of online retailing threatens brick-and-mortar retail revenues. Brick-and-mortar retail leaders who fail to increase revenues risk insolvency. Grounded in the theory of change, the purpose of this qualitative multiple case study was to explore effective strategies electronics and computer brick-and-mortar retail leaders use to increase revenue in response to competition from online retailers. The participants comprised 6 electronics and computer brick-and-mortar electronics retail store leaders in San Diego, California, who effectively used strategies to increase revenues. Data were collected from semistructured interviews, company information, financial data, and web site documentation. Inductive thematic analysis was used to analyze the …

An Interpretive Qualitative Study Of Idaho Head Start Families Facing Food Insecurity, Sherry Deiter

Walden Dissertations and Doctoral Studies

The purpose of this basic interpretive qualitative study was to examine food insecurity among Idaho Head Start enrolled families, focusing on barriers and deterrents to accessing available nutrition assistance programs. The social-ecological model (SEM) was used as the theoretical foundation for this study. Based on this model, the research questions were designed to explore experiences of participants related to individual, interpersonal, community, organizational, policy, and educational factors that influenced food insecurity. Parents who had children enrolled in Idaho Head Start programs that met purposeful sampling criteria were recruited for the study. A total of 11 parents, all who had experiences …

Congestive Heart Failure And Strategies To Improve Quality Of Life, Esther Akunna Okorie

Walden Dissertations and Doctoral Studies

Congestive heart failure is a global, chronic, progressive, and debilitating disease affecting mostly older adults. The multiple complications associated with the health issue led to readmissions and markedly reduced ability of heart failure (HF) patients to perform the self-care management of the problem. Nurses are responsible for providing a standardized quality education for patients; however, nurses at the project site lacked adequate skills and knowledge to bridge the gap in HF self-care management education. The project was guided by health belief model and self-care deficit with the goal of boosting the staff knowledge and confidence with providing patient HF self-care …

African American Maternal Mortality In The United States: A Quantitative Analysis Of Chronic Disease And Maternal Deaths, Glory Inyang

Walden Dissertations and Doctoral Studies

African American women have higher rates of chronic disease including diabetes and cardiovascular related disease compared to White women and are 3 to 4 times more likely to die during childbirth, more than any other ethnic group in the United States. . When African American women become pregnant these conditions may influence their maternal health outcomes. This study aimed to determine difference in pregnancy related death associated with chronic conditions between African American women and White women. Based on secondary/archival data from the Center for Disease Control and Preventions' 2017 National Center for Health Statistics Mortality Multiple Cause Files a …

The Meaning Of Work And Self-Sufficiency For Rural Work- Eligible Adults, Janneice Mitcheam-Eatmon

Walden Dissertations and Doctoral Studies

Despite the implementation of government programs created to ensure access to job training and education assistance for rural residents, which encourage and support their efforts to change their life trajectory, many rural residents remain unemployed and unable to move beyond poverty. Most research on job training focuses on program effectiveness or epidemiological trends; however, the voices of rural residents' descriptions of their relationship to work and self-sufficiency are missing from the literature. This IPA study explored the meaning of work and self-sufficiency for rural, work-eligible adults using Bronfenbrenner's ecological systems theory (EST) as the theoretical framework. I used a combination …

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 …

Prekindergarten Educators' Perspectives On Professional Development About Transgender And Gender-Nonconforming Children, Danita Marie Norris Mccray

Walden Dissertations and Doctoral Studies

Young children start to develop an understanding of gender and gender identity in prekindergarten. Early childhood educators require professional development in creating safe, supportive learning environments for transgender and gender nonconforming children. Limited research has focused on prekindergarten educators' knowledge, skills, and dispositions about supporting transgender and gender nonconforming children in their classrooms. Framed by Bronfenbrenner’s bioecological systems theory and Derman-Sparks antibias early childhood concepts, the purpose of this basic qualitative study with interviews was to explore prekindergarten educators' perspectives on professional development about transgender and gender nonconforming children. Data were collected using semistructured, in-depth interviews with 12 prekindergarten educators …

Association Of Social Support And Depressive Symptoms Among African Americans, Jacketta Renee Cobbs

Walden Dissertations and Doctoral Studies

Depression affects over 120 million individuals worldwide; in the United States, depression is a leading cause of disability for individuals’ ages 15-44 years. Social support can affect both physical and depressive symptoms; therefore, most patients with heart failure (HF) need support from family and/or friends to effectively manage their health condition. This indicates family and/or friends are expected to be the core support system for long term care of those with HF. The purpose of this study was to determine whether social support contributes to depressive symptoms among African Americans with HF. The research questions examined the experience of different …