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Walden Dissertations and Doctoral Studies

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Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo May 2024

Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo

Walden Dissertations and Doctoral Studies

About 80% of active tuberculosis (TB) cases are caused by untreated latent tuberculosis infection (LTBI), with most being foreign-born United States residents. Despite the availability of preventive therapies, African immigrants living in the United States are hesitant to accept LTBI treatment. Although researchers have explored LTBI treatment hesitancy among foreign-born United States citizens, no study has explored the perspectives of African immigrants living in the United States. This generic qualitative study explored the perception of African immigrants living in the United States on LTBI treatment hesitancy. Participants’ inclusion criteria include those 18 years and older with a positive TB test, …


A Clinical Practice Guideline On Dyslipidemia Screening In Children, Nadine Touayem Mbou May 2024

A Clinical Practice Guideline On Dyslipidemia Screening In Children, Nadine Touayem Mbou

Walden Dissertations and Doctoral Studies

Walden University College of Nursing This is to certify that the doctoral study by Nadine Mbou has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Deborah Lewis, Committee Chairperson, Nursing Faculty Dr. Elizabeth Diener, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The burden of dyslipidemia among children has increased substantially, affecting approximately 7% of adolescents in the United States. Although pediatric dyslipidemia screening can promote early identification, a standardized clinical practice guideline (CPG) …


Primary School Teachers’ Perspectives On Parent-Teacher Engagement In A Rural Title I Charter School District In The Southeast, Deena K. Eberhardt May 2024

Primary School Teachers’ Perspectives On Parent-Teacher Engagement In A Rural Title I Charter School District In The Southeast, Deena K. Eberhardt

Walden Dissertations and Doctoral Studies

Children learn more effectively when parent-teacher engagement is high and home-school communication and collaboration are optimal. The problem addressed in this study was a lack of parent-teacher engagement in two Title I primary schools within a charter school system located in a rural area of the Southeast. The purpose of this basic qualitative study was to explore primary teachers’ perspectives on parent-teacher engagement in a rural Title I charter school system in the Southeast. Epstein’s parental involvement model and Vygotsky’s social constructivist theory formed the conceptual framework. Research questions focused on teachers’ perspectives on parent-teacher engagement and strategies encourage this. …


A Qualitative Exploration Of Early Educator Retention And Within-Year Turnover, Elizabeth Ann Dupin May 2024

A Qualitative Exploration Of Early Educator Retention And Within-Year Turnover, Elizabeth Ann Dupin

Walden Dissertations and Doctoral Studies

Early childhood education and care (ECEC) programs are experiencing high turnover, resulting in lower teacher retention rates. High turnover hinders program quality, creates financial strain, and adversely affects program sustainability. Despite efforts to increase educator retention, a rural midwestern ECEC program’s administrative team continues to experience declining retention and high within-year turnover. This study aims to explore early educators’ perceptions of the organizational factors that contribute to teacher retention and within-year turnover in the selected ECEC site. The research study explores organizational factors using Herzberg’s two-factor theory of motivation. The qualitative data collected from current and previous early educators employed …


Barriers To Respite Care Among African Immigrant Mothers, Yewande T. Richards May 2024

Barriers To Respite Care Among African Immigrant Mothers, Yewande T. Richards

Walden Dissertations and Doctoral Studies

African immigrant children living in the United States (US) are highly susceptible to medically complex, life-limiting, and life-threatening conditions, including rheumatic heart disease, congenital heart disease, autism, and other neurodevelopmental disabilities. As primary caregivers, mothers frequently need a break from their caregiving responsibilities to experience normalcy, rest, and regenerate their reserves, which is critical to their families’ long-term stability. The purpose of this study was to understand access barriers to respite care services for these mothers and the role of race in potential disparities in access using a critical race theoretical lens. The generic qualitative research design was used with …


Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters May 2024

Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters

Walden Dissertations and Doctoral Studies

Factors such as geographical location/proximity and exposure to external environmental events, as well as poor regulatory processes, are known to increase the risk for cancers among affected populations. There is still a gap in the literature related to the incidence of cancers in specific regions with heavy industrialization and environmental health hazards. In West Virginia, chemical contamination events have occurred in or near water systems. The goal of this quantitative, retrospective study was to discover whether there were any differences in the incidence of disease or adverse health effects and cancers due to chemical contamination in four counties (Kanawha, Mingo, …


Factors That Influence African American Millennials’ Knowledge Of Risk Factors For Cardiovascular Disease, Ta'leitheia K. Boutin Apr 2024

Factors That Influence African American Millennials’ Knowledge Of Risk Factors For Cardiovascular Disease, Ta'leitheia K. Boutin

Walden Dissertations and Doctoral Studies

Findings have begun to identify that millennials have predispositions that significantly increase their risk of cardiovascular disease (CVD). This quantitative study, grounded in the socioecological model (SEM), addressed a gap of African American millennials' knowledge about CVD risk factors and the relationship of this knowledge to sociodemographic factors. Utilizing Survey Monkey, primary data was obtained through personal connections and social media such as Facebook, and participants were directed to a Heart Disease Knowledge Questionnaire (HDKQ). The requirement to participate was that they had to be African American, born between 1981 and 1996, and reside in Louisiana; the total number of …


The Experience Of Self-Regulation Among Obese Adults During The Covid-19 Pandemic, Nicholas Cunningham Apr 2024

The Experience Of Self-Regulation Among Obese Adults During The Covid-19 Pandemic, Nicholas Cunningham

Walden Dissertations and Doctoral Studies

Obesity is considered a disease, an epidemic, and is a risk factor for the development of cardiovascular diseases, certain cancers, poor mental health, and low quality of life. It is also a leading cause of mortality. While it is difficult for obese adults to combat their condition, it was much more challenging during unprecedented times such as the COVID-19 pandemic. Annesi’s self-regulation conceptual framework was used as a basis to ground this study. Research explains the importance of practicing self-regulation to increase physical activity. However, there is little research on the practice of self-regulation to increase physical activity and weight …


Avoidant Attachment, Coping Styles, And Body Image In Adults With Trichophagia And Onychophagia Disorders, Maryam Mehrtash Apr 2024

Avoidant Attachment, Coping Styles, And Body Image In Adults With Trichophagia And Onychophagia Disorders, Maryam Mehrtash

Walden Dissertations and Doctoral Studies

The purpose of this quantitative research was to study the relationship between avoidant attachment, coping styles, and body image in adults with trichophagia and onychophagia disorders. The repeated failed attempts of patients to reduce or stop their compulsive behavior persist as a significant health concern for clinicians and researchers alike. Previous literature indicated that a lack of recognition of the underlying mental illness in these conditions exists and may be due to the absence of individualized treatment. Attachment theory, proposed in this study, integrates psychosocial and neurobiological factors to examine this study’s therapeutic constructs. Sixty-seven adults with trichophagia (N= 50) …


Early Childhood Practitioners' Beliefs Regarding Children's Development And Learning Based On The Curriculum, Karlene Gloria Degrasse-Deslandes Apr 2024

Early Childhood Practitioners' Beliefs Regarding Children's Development And Learning Based On The Curriculum, Karlene Gloria Degrasse-Deslandes

Walden Dissertations and Doctoral Studies

The Early Childhood Commission (ECC) is an agency of the Ministry of Education and Youth in Jamaica responsible for early childhood development. It has been proposed that Early Childhood Practitioners (ECPs) should engage in more child friendly and age-appropriate teaching practices. This is especially critical as they use the Jamaica Early Childhood Curriculum (JECC). This basic qualitative research was conducted to explore ECPs’ beliefs regarding children’s development and learning and the influence on the implementation of the JECC. The research questions that guided the study address the beliefs of Jamaican ECPs regarding children’s development and learning and the influence of …


Sustaining And Increasing Participation Of Rural Seniors In A Senior Center, Michelle L. Fontaine Apr 2024

Sustaining And Increasing Participation Of Rural Seniors In A Senior Center, Michelle L. Fontaine

Walden Dissertations and Doctoral Studies

This case study’s objective was to sustain and increase senior participation in senior center activities by examining the rural senior perception of environmental needs and support of a local senior center. Senior centers assist with aging in place well and aid seniors to be socially active within their communities. Much of the literature around senior centers has focused on urban environments and not on the specific needs of the rural senior. In this study, 24 individuals were interviewed. The questions examined the seniors’ perception about the functionality and accessibility of the senior center to meet their physical and social needs …


Perceptions Of Patient-Healthcare Provider Relationships In The Management Of Type 2 Diabetes, Desiree D. Lacey Apr 2024

Perceptions Of Patient-Healthcare Provider Relationships In The Management Of Type 2 Diabetes, Desiree D. Lacey

Walden Dissertations and Doctoral Studies

The patient-healthcare provider relationship (PPR) is the foundation of clinical care: it is established as a human relationship and has a profound effect on health outcomes. Though PPR has been studied in multiple health domains, there is very little on its role in managing Type 2 diabetes mellitus (T2DM). The purpose of this phenomenological qualitative research study was to better understand the challenges faced by healthcare providers (HCP) and T2DM patients within the clinical PPR for diabetes selfmanagement. The health belief model served as the theoretical framework and the diabetes self-management education program as the conceptual framework. Participants were recruited …


Strategies For Financial Sustainability In Family-Owned Nonprofit Organizations, Lance W. Cain Apr 2024

Strategies For Financial Sustainability In Family-Owned Nonprofit Organizations, Lance W. Cain

Walden Dissertations and Doctoral Studies

The mission of many family-owned nonprofit organizations (FONPOs) is to provide goods and services to underserved communities and benefit society. However, less than 50% of FONPO leaders maintain sufficient cash reserves for 30 days of operations, and up to 13% are technically insolvent. Without adequate cash reserves, FONPO leaders risk decreased operational capacity and profitability, and insolvency, which may lead to business closure. Grounded in the resource-based view and commitment–trust theories, the purpose of this qualitative single-case case study was to explore strategies used by some organizational leaders to ensure the financial sustainability of FONPOs. The participants were four senior …


Risk And Preventive Factors Of Asthma In Children In Texas, Yvonne A. Deen Apr 2024

Risk And Preventive Factors Of Asthma In Children In Texas, Yvonne A. Deen

Walden Dissertations and Doctoral Studies

No abstract provided.


Role Of Pregnancy Intention And Substance Use In Postpartum Depression Among Black Women, Asaye Birhanu Mekonnen Apr 2024

Role Of Pregnancy Intention And Substance Use In Postpartum Depression Among Black Women, Asaye Birhanu Mekonnen

Walden Dissertations and Doctoral Studies

No abstract provided.


Social-Emotional Learning And Teachers’ Perceptions Using The Collaborative For Academic, Social, And Emotional Learning Framework, Louise Simmon Apr 2024

Social-Emotional Learning And Teachers’ Perceptions Using The Collaborative For Academic, Social, And Emotional Learning Framework, Louise Simmon

Walden Dissertations and Doctoral Studies

No abstract provided.


Effectiveness Of Wellness Programs For Correctional Officers, Robert Salvatore Petralia Apr 2024

Effectiveness Of Wellness Programs For Correctional Officers, Robert Salvatore Petralia

Walden Dissertations and Doctoral Studies

No abstract provided.


Spatial-Temporal Variation Of Diarrhea And Associated Sociobehavioral Factors Between 2010-2020 In Rwanda, Amans Ntakarutimana Apr 2024

Spatial-Temporal Variation Of Diarrhea And Associated Sociobehavioral Factors Between 2010-2020 In Rwanda, Amans Ntakarutimana

Walden Dissertations and Doctoral Studies

No abstract provided.


The Experience Of Organizational Leaders With Decision-Making In A Crisis, Leigh E. Richardson Apr 2024

The Experience Of Organizational Leaders With Decision-Making In A Crisis, Leigh E. Richardson

Walden Dissertations and Doctoral Studies

No abstract provided.


Childcare Center Principals’ Decision-Making Regarding Participation In A Quality Assurance Program, Rosa M. Flores Mar 2024

Childcare Center Principals’ Decision-Making Regarding Participation In A Quality Assurance Program, Rosa M. Flores

Walden Dissertations and Doctoral Studies

No abstract provided.


Impact Of The Lived Experience Of Adverse Childhood Experiences On Adult Homelessness, Arlene Marcellette Smith Mar 2024

Impact Of The Lived Experience Of Adverse Childhood Experiences On Adult Homelessness, Arlene Marcellette Smith

Walden Dissertations and Doctoral Studies

No abstract provided.


Organic Food Supply Chain Efficiency Strategies To Reduce Costs For Local Food Businesses, Tonya Keller Adair Mar 2024

Organic Food Supply Chain Efficiency Strategies To Reduce Costs For Local Food Businesses, Tonya Keller Adair

Walden Dissertations and Doctoral Studies

The price of organic foods makes consumers unable to reduce risks of specific health issues, including pesticide-related diseases and allergies. Supply chain managers are concerned that the financial barrier to accessing organic foods can exacerbate nutritional inequalities, particularly affecting communities facing food insecurity. Grounded in the resource dependency theory, the purpose of this qualitative pragmatic inquiry was to explore the processes supply chain leaders at four organizations use to supply organic foods to local grocery stores in South Carolina. The data collected from four semistructured interviews were thematically analyzed, resulting in six primary themes: organic certification, food appearance, expensive freight …


Understanding Adherence To Prescribed Medical Regimen To Treat Hypertension Among African American Males, Yolanda Lucian George Mar 2024

Understanding Adherence To Prescribed Medical Regimen To Treat Hypertension Among African American Males, Yolanda Lucian George

Walden Dissertations and Doctoral Studies

Hypertension is referred to as the silent killer and has been for decades. African Americans have been affected disproportionately compared to Whites, leading to a significant medical and financial burden. The literature has demonstrated that even though African Americans have a similar or better awareness of hypertension, they are more likely to have poorer treatment outcomes and have their hypertension less controlled. In this study, the health belief model and the ecological social model were used as the guiding framework to understand this phenomenon. In this qualitative study, semistructured interviews were used to explore and understand the perception of adherence …


The Lived Experiences Of African American Transgender Men Living In The Southern United States, Coltena Reynolds Mar 2024

The Lived Experiences Of African American Transgender Men Living In The Southern United States, Coltena Reynolds

Walden Dissertations and Doctoral Studies

Transgender individuals face challenges such as safety, stereotyping, mental illness, racialized violence, lack of support, and cultural challenges. There has been considerable media attention paid to transgender people, but there was little knowledge of the lived experiences of African American transgender males and how they manage situations in which invisibility is required to survive in the world, especially in the southern United States. The purpose of this qualitative phenomenological study was to understand the lived experiences of African American transgender men in this region. Crenshaw’s theory of intersectionality was used to understand how the intersectionality of many social statuses impacts …


Self-Management Of Coronary Heart Disease Among Middle-Aged And Older Low-Income African Americans, Tina Alfred-Iyamu Feb 2024

Self-Management Of Coronary Heart Disease Among Middle-Aged And Older Low-Income African Americans, Tina Alfred-Iyamu

Walden Dissertations and Doctoral Studies

Coronary heart disease (CHD) stands out as the predominant cardiovascular condition, exerting a significant toll on both mortality and morbidity. Notably, African Americans (AA) grapple with an alarmingly elevated incidence, prevalence, and mortality rate compared to other demographics within the United States. Extensive research underscores the potential for effective CHD management through self-management practices, though this is notably deficient. This qualitative, phenomenological study delves into the intricate lived experiences surrounding the self-management of CHD among low-income individuals in the middle-aged and older AA demographic. My theoretical framework was the Health Belief Model. Impressively, the study participants exhibited a profound understanding …


Strong Black Woman Schema And Its Impact Among Black Women, Charissa Simon Feb 2024

Strong Black Woman Schema And Its Impact Among Black Women, Charissa Simon

Walden Dissertations and Doctoral Studies

This qualitative phenomenological study explored the impact of the Strong Black Woman (SBW) schema on the mental health and help-seeking behaviors of Black/African American professional women, contributing novel insights to existing literature. Despite possessing access and financial means for mental health services, a strikingly low rate of Black/African American professional women seek such resources. The study was grounded in intersectionality theory and the self-silencing theory. Eleven Black/African American professional women participants volunteered. Thematic analysis illuminated common barriers including pride, distrust in the mental health system, a strong inclination towards self-reliance, feelings of being misunderstood, and a lack of emotional support. …


Nurse Relationships, Techniques, And Turnover With Female Nurses In Nigeria, Judith Obirieze Oparaocha Feb 2024

Nurse Relationships, Techniques, And Turnover With Female Nurses In Nigeria, Judith Obirieze Oparaocha

Walden Dissertations and Doctoral Studies

Nurse understaffing relates to reduced quality and safety of care in the healthcare sector, which substantially risks the nation's future health. With issues such as faculty shortage, burnout, increased workload, retirement, and increased turnover, the nursing sector has been unable to sustainably have adequate staffing to satisfy patients' needs. Nurse leaders, directly and indirectly, influence the rate of nurse retention and turnover mainly by affecting the work environment, workload, and staff motivation. Based on the leader-member exchange model, this research stipulates that an amicable and supportive relationship between leaders and followers promotes staff retention and increased productivity. The study aims …


U.S. Health Care Leaders' Perceptions Of A $15 Living Wage And Its Influence On Organizational Outcomes, Mary Trenice Richardson Feb 2024

U.S. Health Care Leaders' Perceptions Of A $15 Living Wage And Its Influence On Organizational Outcomes, Mary Trenice Richardson

Walden Dissertations and Doctoral Studies

In the United States, paying employees a living wage has been a salient topic for organizations, social advocacy groups, and politicians in recent years. Advocates have introduced a $15 per hour wage as an appropriate living wage. There is existing research on living wages; however, research is limited on perceptions of living wages among leadership in the health care industry. The purpose of this qualitative case study was to explore leaders' perceptions of a $15 living wage and its influence on organizational outcomes in the health care industry. The efficiency wage theory provided the theoretical framework for the investigation. A …


The Lived Experience Of Transformation In Cam Providers Trained In Trauma-Informed Care, Alane Lucht Feb 2024

The Lived Experience Of Transformation In Cam Providers Trained In Trauma-Informed Care, Alane Lucht

Walden Dissertations and Doctoral Studies

Public and professional awareness of the nature and consequences of psychological trauma has resulted in a greater interest in becoming trauma informed. Complementary and alternative medicine (CAM) providers have begun to incorporate trauma-informed care in their practices. However, there is a lack of research exploring how training in trauma-informed care (TIC) personally and professionally transforms CAM providers. This descriptive phenomenological study explored the lived experience of transformation in CAM providers who participated in TIC training. Transformative learning theory (TLT) was used as the conceptual framework. Nine participants were interviewed, and their experiences of personal and professional transformation were analyzed using …


Challenges That Educators Face When Providing English Language Arts Instruction To K-5 Elementary Students In Title 1 Schools, Shari A. Clarke Feb 2024

Challenges That Educators Face When Providing English Language Arts Instruction To K-5 Elementary Students In Title 1 Schools, Shari A. Clarke

Walden Dissertations and Doctoral Studies

Students in Title 1 school districts continue to fall far behind their peers academically in comparison to neighboring suburban districts. School reform has unsuccessfully attempted to improve test scores by consistently changing reading curriculums and mandating the use of various resources that fail when implemented. Struggling school districts must use research-based strategies that include educators’ perspectives to best identify how to successfully increase student achievement. Test scores reveal that schools in a Title 1 school district in northern New Jersey are lacking proficiency in English Language Arts (ELA). The purpose of this study was to examine the challenges that educators …