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Mexican American Men Who Have Sex With Men: Cultural Factors And Substance Use, Michael L. Garcia
Mexican American Men Who Have Sex With Men: Cultural Factors And Substance Use, Michael L. Garcia
Walden Dissertations and Doctoral Studies
Research has shown substance use affects sexual minority communities disproportionately. Studies have shown when individuals are part of ethnic or sexual minority groups, negative attitudes and risk behaviors that can lead to substance use are experienced at a greater scale compared to their majority counterparts. There have not been significant investigations regarding relationships between cultural values and sexual and ethnic minority subpopulations within the United States. The purpose of this quantitative study was to identify relationships between religion, family structure, traditional gender roles, and substance use in terms of Mexican American men who have sex with men (MAMSM) populations. This …
Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay
Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay
Walden Dissertations and Doctoral Studies
In South Africa, diabetes is a serious problem where 1 in 9 adults has diabetes, making it the country with the highest diabetes prevalence on the African continent. Even though insulin is an absolute necessity for treating diabetes, it is unaffordable to millions. Biosimilar insulins, however, are innovative medicines that are similar but not exact copies of the originator insulin, making alternative treatment affordable to patients. The problem is that, in South Africa, it is still not known whether patients have access to biosimilar insulin in a country where diabetes is rampant. The diffusion of innovation theory was used to …
Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay
Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay
Walden Dissertations and Doctoral Studies
In South Africa, diabetes is a serious problem where 1 in 9 adults has diabetes, making it the country with the highest diabetes prevalence on the African continent. Even though insulin is an absolute necessity for treating diabetes, it is unaffordable to millions. Biosimilar insulins, however, are innovative medicines that are similar but not exact copies of the originator insulin, making alternative treatment affordable to patients. The problem is that, in South Africa, it is still not known whether patients have access to biosimilar insulin in a country where diabetes is rampant. The diffusion of innovation theory was used to …
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Walden Dissertations and Doctoral Studies
Childhood obesity (CHO) rates have increased significantly worldwide over the last decade. The magnitude of CHO extends beyond physical health to include economic stability, social connections, and access to daily living resources. CHO is complex and requires a multifaceted approach that may differ from traditional prevention approaches and treatment. Over the years, interventions have focused on maintaining a balance of healthy eating and active living to reduce weight and promote lifelong behavior change. Body mass index (BMI) surveillance studies have been conducted in Cherokee County, South Carolina since 2012 to assess and inform CHO interventions. However, the data have not …
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall
Walden Dissertations and Doctoral Studies
Childhood obesity (CHO) rates have increased significantly worldwide over the last decade. The magnitude of CHO extends beyond physical health to include economic stability, social connections, and access to daily living resources. CHO is complex and requires a multifaceted approach that may differ from traditional prevention approaches and treatment. Over the years, interventions have focused on maintaining a balance of healthy eating and active living to reduce weight and promote lifelong behavior change. Body mass index (BMI) surveillance studies have been conducted in Cherokee County, South Carolina since 2012 to assess and inform CHO interventions. However, the data have not …
How African American Clergy Perceive The Cultural Relevance And Usefulness Of The Mental Health Guide For Faith Leaders, Lisa Marie Harris
How African American Clergy Perceive The Cultural Relevance And Usefulness Of The Mental Health Guide For Faith Leaders, Lisa Marie Harris
Walden Dissertations and Doctoral Studies
African Americans experience mental illness at a rate similar to White individuals but are less likely to seek professional mental health care. African Americans have traditionally turned to the Black church for mental health assistance. Various organizations have created mental health resources for clergy members, with varying levels of comprehensiveness. The purpose of this basic qualitative study was to explore how African American clergy perceived the cultural relevance and usefulness of the American Psychiatric Association Foundation’s Mental Health Guide for Faith Leaders. The study was conducted using critical race theory as its theoretical framework. Four experienced clergy participated in two …
Strategies For Reducing Employee Turnover Costs, Karen Coates
Strategies For Reducing Employee Turnover Costs, Karen Coates
Walden Dissertations and Doctoral Studies
High employee turnover costs are prevalent in academic healthcare centers. Healthcare center leaders who experience high employee turnover also experience high operational costs. Grounded in Blau's social exchange theory, the purpose of this qualitative multiple-case study was to explore strategies executive and senior healthcare leaders utilized to minimize employee turnover costs. Through interviews with four academic healthcare center leaders on the East Coast of the United States, using Ming-Shu Yuan's (2019) narrative analysis, four primary themes were identified: (a) strategies, (b) implementation, (c) measuring success, and (d) leadership support. One key recommendation is for academic medical center leaders to increase …
Education Reform: Exploring Human Services Needed To Address Disparities In Urban, Antonio Williams
Education Reform: Exploring Human Services Needed To Address Disparities In Urban, Antonio Williams
Walden Dissertations and Doctoral Studies
This investigation sought to delve into the complex issues surrounding racial and institutional racism within urban educational frameworks, emphasizing the substantial role that systemic obstacles and prejudices play in perpetuating educational inequities. Amidst an expanding corpus of literature on this topic, the nuanced contributions of human service interventions to ameliorate these inequities have been somewhat overlooked. The objective of this research was to fill this knowledge void by examining the perspectives and experiences of a diverse range of professionals within the K-12 educational sector, from a human services standpoint. The study utilized qualitative research methodology, gathering data through interviews with …
Budget Sustainability Strategies And Practices In Correctional Institutions, Darrel Fox
Budget Sustainability Strategies And Practices In Correctional Institutions, Darrel Fox
Walden Dissertations and Doctoral Studies
Over 80 billion dollars are spent annually incarcerating approximately 2.3 million people, yet correctional systems continue to encounter substantial barriers in maintaining budgetary sustainability. Correctional leaders are concerned with budget strategies’ relevance to ensure that needed resources are allocated and utilized to enable correctional facilities’ continuing effectiveness. Grounded in organizational capacity theory, the purpose of this qualitative multiple case study was to identify and explore effective budget strategies and practices used by midlevel supervisors in correctional institutions. The participants comprised five midlevel correctional supervisors from four state prisons in the Southeastern United States who successfully developed and implemented effective strategies …
Social Support, Caregiver Burden, And Anxiety/Depression Among Family Caregivers Of Stroke Patients, Rosalyn Moore
Social Support, Caregiver Burden, And Anxiety/Depression Among Family Caregivers Of Stroke Patients, Rosalyn Moore
Walden Dissertations and Doctoral Studies
Family caregivers encounter challenges when caring for relatives recovering from a stroke. Family caregivers often experience negative mental health outcomes including higher levels of anxiety, depression, and stress. The purpose of this study was to determine the extent to which years of caregiving experience, emotional and instrumental support, and caregiver burden predict anxiety and depression among family caregivers of stroke patients. The caregiving stress process model theoretical framework guided the research. This quantitative study used a non-experimental correlational research design. Participants were recruited using Survey Monkey and included a non-random convenience sample of 111 family caregivers of stroke patients who …
Lived Experiences Of Quality Of Life Among Makonde Immigrants In Kenya During And After The Covid-19 Pandemic, Shem Migosi Kenyanya
Lived Experiences Of Quality Of Life Among Makonde Immigrants In Kenya During And After The Covid-19 Pandemic, Shem Migosi Kenyanya
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic affected Makonde immigrants’ health and quality of life around the world more than any other previous event. This descriptive qualitative study aimed to contribute knowledge and understanding of the lived experiences of Makonde immigrants and their health and quality of life during and after the COVID-19 pandemic. Shye’s systematic quality of life model served as the theoretical basis for the study, along with Wilson and Cleary’s conceptual model of health quality of life. Semi-structured interviews were conducted with ten participants recruited through social media and flyers posted in Kilifi and Kwale counties. Subjects were interviewed face-to-face and …
Previously Incacerated Women's Emotional Experince Of Giving Birth In A U.S. Prison, Brigit Ichard-Henderson
Previously Incacerated Women's Emotional Experince Of Giving Birth In A U.S. Prison, Brigit Ichard-Henderson
Walden Dissertations and Doctoral Studies
Previously Incarcerated Women’s Emotional Experience of Giving Birth in a U.S. Prison by Brigit Ichard-Henderson MA, Walden University, 2018 MA, Texas A&M University-Central Texas, 2014 BS, Excelsior University, 2009 Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Human Services Walden University May 2024 Women have been giving birth while incarcerated since the advent of confinement as a punishment for crime. There is a plethora of information on incarceration rates, pathways to incarceration, access to health care and education while incarcerated, and reasons for recidivism among women. However, little is known about women’s experiences …
Successful Small Business Strategies Addressing Financially Related Adverse Circumstances, Shirley Thomas
Successful Small Business Strategies Addressing Financially Related Adverse Circumstances, Shirley Thomas
Walden Dissertations and Doctoral Studies
Small businesses are a crucial part of the economy of the United States. However, once a small business owner experiences a financially related adverse circumstance, the chances of failure increase exponentially. Grounded in the rational choice theory, the purpose of this qualitative multiple case study was to identify and explore the effective strategies small business owners use when addressing financially related adverse circumstances. The participants were four small business owners in the Washington, D.C. metropolitan area who used successful strategies to address financially related adverse circumstances. Data were collected using semistructured interviews and reviews of organizational documents and analyzed using …
Early Career Nurses’ Perceptions Of Quality And Safety In The Operating Room, Gilda H. Gilbert
Early Career Nurses’ Perceptions Of Quality And Safety In The Operating Room, Gilda H. Gilbert
Walden Dissertations and Doctoral Studies
With an ongoing shortage of operating room nurses, novices may be hired into circulator positions. Over 50 million people will undergo surgery in America this year, and many will be cared for by circulators with less than five years of experience. Little is known about how this burgeoning group of circulators perceive and experience quality and safety. In this qualitative descriptive study, the perceptions of quality and safety were explored in nurses who completed a postgraduate perioperative curriculum embedded with quality and safety competencies. Nurses were viewed through Benner’s characteristics of nurse competence and Bloom's domains of learning framed interpretations …
Perceptions Of Developmental Disability Service Providers, On How The Judicial System Responses To Persons With Developmental Disabilities., Donna Whilby
Walden Dissertations and Doctoral Studies
The situation or issue that prompted me to search the literature was observing the persons with developmental disabilities circling the judicial system due to multiple encounters with law enforcement. The purpose of this qualitative study was to understand how the Northeast Florida judicial system could improve the outcomes of persons with developmental disabilities by reducing and preventing multiple encounters. The empowerment theory was the most appropriate theory for my study. Empowerment theory indicates that it is imperative to encourage people, especially those who have a psychological deficit, to lean into their resources to gain and utilize their power in society. …
Racial Stressors, Resiliency, And African American Women Counselors, Barbara Ann Bazemore
Racial Stressors, Resiliency, And African American Women Counselors, Barbara Ann Bazemore
Walden Dissertations and Doctoral Studies
African American women therapists are the second largest group of counseling providers, with many displaying behavioral health symptoms differently than other cultures. This quantitative correlational cross-sectional study explored the resiliency of African American women counselors related to racial-specific stressors inclusive of self-identity, COVID-19 anxiety, and daily discrimination. Initially, three research questions were selected to investigate the relationship between demographic factors (age, education level, active years as a counselor), racial-specific stressors (self-identity, COVID-19 pandemic anxiety, and everyday discrimination), and resiliency in 112 African American women counselors. Emails and an online survey were sent to collect data to answer the research hypotheses. …
Symbolic Play And Imagination In Child-Centered Play Therapy, Stephanie Anderson
Symbolic Play And Imagination In Child-Centered Play Therapy, Stephanie Anderson
Walden Dissertations and Doctoral Studies
Child-centered play therapy (CCPT) is based on the theory that a child’s natural means of communication is through play. However, there is a lack of research into how this communication occurs in CCPT sessions. This grounded theory study explored the processes utilized by child-centered play therapists and their clients to communicate with each other using symbolic play and imagination. Data were gathered through semi structured interviews with six child-centered play therapists and three archival videos of CCPT sessions to gain a holistic understanding of how communication occurs in sessions. This study’s data analysis revealed 20 selective and six subcodes associated …
Factors Influencing Donation Decisions To Environmental Nongovernmental Organizations, Fernando Alferd Crocheron
Factors Influencing Donation Decisions To Environmental Nongovernmental Organizations, Fernando Alferd Crocheron
Walden Dissertations and Doctoral Studies
While philanthropic studies have been conducted for centuries, little information exists regarding factors that impel donors to make financial donations to environmental nongovernmental organizations (ENGOs). The phenomena surrounding human motivation have been studied via numerous lenses providing information focused on various domains of interest e.g., poverty alleviation, provisioning of educational opportunity, disease eradication, disaster relief, etc. The theoretical framework for this study was Self-Determination Theory (SDT). This study focused specifically on U.S. citizens and the motivational factors that impel said citizens to make monetary contributions to ENGOs. Ten participants ages 18 and over who had donated to an ENGO in …
The Concept Of Leadership During Climatological Crisis: A Comparative Case Study Of Puerto Rico Higher Education, Aniello Alberti
The Concept Of Leadership During Climatological Crisis: A Comparative Case Study Of Puerto Rico Higher Education, Aniello Alberti
Walden Dissertations and Doctoral Studies
During times of climatological crisis, leadership is a crucial component of postsecondary education administrators’ arsenal, specifically regarding their ability to execute strategies in action plans aimed at restoring the normal operations of institutions. This comparative case study aimed to examine how strategies in crisis leadership plans were implemented in Puerto Rico's higher education system, focusing on the experiences of key administrators in two higher education units who managed the response to the impacts of the 2017 Hurricane Maria. The conceptual framework for this investigation was grounded in Blanchard and Hersey's situational leadership theory and Bass’s transformational theory. In-depth interviews were …
Skill Bias Perceptions Of Unskilled Workers' Self-Perception And Self-Efficacy, Cheryl M. Jackson
Skill Bias Perceptions Of Unskilled Workers' Self-Perception And Self-Efficacy, Cheryl M. Jackson
Walden Dissertations and Doctoral Studies
A common phenomenon witnessed in the United States health care industry is a division between skilled and unskilled workforces. The division results from skill bias perceptions that strip the appreciation and value of certain job titles and responsibilities. The purpose of this quantitative nonexperimental study focused on the human capability approach theory was to ascertain the differences in perception between the two types of workers and whether skill bias perceptions predict self-perception and self-efficacy. The goal was to recognize and support the innate human capabilities of unskilled workers as valuable human capital resources. From stratified sampling, 172 skilled and unskilled …
Relationship Between Self-Concept And Self-Compassion Scores And Weight-Loss Surgery Outcomes In Women, Christine Curry-Tuthill
Relationship Between Self-Concept And Self-Compassion Scores And Weight-Loss Surgery Outcomes In Women, Christine Curry-Tuthill
Walden Dissertations and Doctoral Studies
Obesity is a global health concern associated with a multitude of psychosocial issues, including emotional dysregulation, depression, low self-esteem, social isolation, and economic issues related to bias. Weight loss surgery is generally considered to be an effective treatment; however, insufficient weight loss and weight regain are not uncommon. Because self-compassion and self-concept are psychological and social constructs that have been shown to influence obesity and health, the purpose of this study was to explore the relationship between weight loss surgery outcomes and these two concepts to obtain a deeper understanding of the mechanisms behind suboptimal weight loss. The theoretical framework …
Predictors Of Work Styles And Transition Success From Military Service To The Civilian Workforce, Ryan Nicholas Schuler
Predictors Of Work Styles And Transition Success From Military Service To The Civilian Workforce, Ryan Nicholas Schuler
Walden Dissertations and Doctoral Studies
Upon leaving the armed forces, service members face challenges transitioning to the civilian workforce. The relationship between service members’ work styles and successfully transitioning to the civilian workforce is unknown. It is also unknown if military occupation (MO) affects the relationship between work styles and transition success. Although researchers have investigated the transition from active military service to the civilian workforce, they have not focused on identifying predictors of transition success. Three theories, positive psychology, transformational learning theory, and career decision-making theory, were used as the foundation of the study and to develop the research questions to determine the success …
Relationship Between Community College Students’ Socioeconomic Status, Completing Reading Strategies Courses, And English Achievement, Renee Bothwell
Relationship Between Community College Students’ Socioeconomic Status, Completing Reading Strategies Courses, And English Achievement, Renee Bothwell
Walden Dissertations and Doctoral Studies
Although academic success among diverse community college students requires effective reading skills, providing support for struggling readers is becoming increasingly more difficult. The problem addressed in this quantitative study was that due to Assembly Bill 705, prohibiting colleges from offering remedial courses without data to substantiate their effectiveness, students at a Southern California community college may have no avenue to learn reading comprehension strategies that are necessary to be successful in college. The purpose of this quantitative study was to determine the predictive value of taking a reading strategies course (RSC) and socioeconomic status (SES) on final grades in English …
Police Officers’ Coping Styles And Occupational Stressors Impacting Self-Regulation In Adult Offspring, Dannie Analese Garcia
Police Officers’ Coping Styles And Occupational Stressors Impacting Self-Regulation In Adult Offspring, Dannie Analese Garcia
Walden Dissertations and Doctoral Studies
Police work, a high stress occupation with increased risks and adverse events, often leads to strain between work and family. Work-family conflict (WFC) has been shown to mediate coping with stress. In addition, offspring of law enforcement officers (LEOs) may learn self-regulation by observing parental stress coping and attempting to alleviate stress for their parent. Three theoretical frameworks were used in this study: WFC, spill-over cross-over model, and family systems theory. Using a quantitative design, surveys were completed by 35 parent-adult offspring pairs, with more LEO parent respondents (N = 71) than adult offspring respondents (N = 43). Linear regression …
The Lived Spiritual Experience Of Aging Adults (≥65), Eddie Doron Soffer
The Lived Spiritual Experience Of Aging Adults (≥65), Eddie Doron Soffer
Walden Dissertations and Doctoral Studies
This phenomenological study explored the lived spiritual experience of aging adults (≥65), filling a gap in the literature relating to aging people’s spirituality in a variety of circumstances. The once-American youth-oriented society is growing older at an unprecedented rate as 76 million individuals of the baby-boomer generation (born 1946–1964) face retirement age. This demographic shift highlights a social problem of millions of aging baby boomers requiring a far-reaching change in the structure of society. This qualitative study aimed to gain insights into the lived experience of the spirituality of a sample of nine adults aged 65 and above by asking …
Mental Health Clinicians’ Experiences Of Treatment Length With Incarcerated Men In Therapeutic Community Substance Abuse Treatment, Crystal D. Nelson
Mental Health Clinicians’ Experiences Of Treatment Length With Incarcerated Men In Therapeutic Community Substance Abuse Treatment, Crystal D. Nelson
Walden Dissertations and Doctoral Studies
Over half of the incarcerated population suffer from a substance abuse disorder; however, less than 20% of those incarcerated have access to substance abuse treatment while incarcerated. In those facilities where substance abuse treatment is an option, pressures of overcrowding and financial constraints threaten the length of treatment programming offered to move more people through treatment quicker. Therapeutic communities (TCs) have been shown to be the best substance abuse treatment option for those who are incarcerated, but TCs were designed to be a phase-based program based on developmental changes and signs of growth through the program. The purpose of this …
Probation And Pre-Trial Officers' Perspectives On The Impact Of Maternal Incarceration On Children, Shaniqua Anderson
Probation And Pre-Trial Officers' Perspectives On The Impact Of Maternal Incarceration On Children, Shaniqua Anderson
Walden Dissertations and Doctoral Studies
Because of the mass incarceration of women, maternal incarceration has become a phenomenon within itself. This phenomenon has led to an increase in Black children with an incarcerated mother; however, there is a lack of information about how the cycle of the mass incarceration of Black women is perceived on the community supervision level. The purpose of this qualitative phenomenological study was to better understand probation and pre-trial officers’ perceptions of how the maternal incarceration of Black women impacts Black children. Three research questions explored how participants viewed the impact of maternal incarceration on Black children, recidivism, and positive reentry. …
Elementary Teachers’ Perceptions Of Challenges In Instructing Students With Dyslexia And Recommendations For Improvement, Lainie Barbieri
Elementary Teachers’ Perceptions Of Challenges In Instructing Students With Dyslexia And Recommendations For Improvement, Lainie Barbieri
Walden Dissertations and Doctoral Studies
The problem investigated in this study was that, despite professional development (PD) training, elementary teachers at a school district in the western United States are challenged in instructing students with dyslexia. The purpose of this basic qualitative study was to investigate teachers’ perceptions of the challenges of instructing students with dyslexia and recommendations to improve teacher training to work with students with dyslexia in the study school district. Guskey’s model of the five critical levels of PD evaluation theory informed this study. The research questions explored elementary teachers’ perceptions of the challenges of instructing students with dyslexia and recommendations for …
Women’S Participation In Kenya Dairy Cooperative Decision-Making Processes, Caroline Minoo Mukeku
Women’S Participation In Kenya Dairy Cooperative Decision-Making Processes, Caroline Minoo Mukeku
Walden Dissertations and Doctoral Studies
Women contribute immensely to the dairy production workforce in Kenya, yet they lack access and control over production services and resources. They are also underrepresented in the decision-making processes of dairy cooperatives. Constraining women from reaching their maximum potential diminishes their ability to influence and participate in societal change. Although researchers have investigated this issue, few studies have focused on this topic. The purpose of this general qualitative study was to describe barriers that prevent women from participating in decision-making processes in Kenya’s dairy cooperatives. The research question was focused on factors that inhibit women’s participation in decision-making processes in …
Hospital Staff Members’ Lived Experiences Of Facilitating Yalom Focus Groups With Inpatient Adults In Psychiatric Units, Yemisi T. Abiona
Hospital Staff Members’ Lived Experiences Of Facilitating Yalom Focus Groups With Inpatient Adults In Psychiatric Units, Yemisi T. Abiona
Walden Dissertations and Doctoral Studies
An increase in inpatient psychiatric admissions across the United States with a decrease in funding necessitated a need to investigate clinical and cost-effective interventions to meet the demands. Research indicated that therapeutic group interventions are clinically sound and cost-effective. However, there are few evidence-based group interventions designed for acute and chronically ill psychiatric patients. The objective of this qualitative phenomenological study was to explore the lived experiences of Yalom group facilitators to determine whether the group could be further researched and adopted as a specialized group intervention for this population. Existential theory served as the theoretical framework for this study. …