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Walden Dissertations and Doctoral Studies

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Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu Jan 2021

Relationship Between Trust, Race, And Health Care Information Sources Among African American Men, Uzochukwu Onukogu

Walden Dissertations and Doctoral Studies

AbstractAfrican American men have not been sufficiently at the center of research studies, especially when it comes to health. Most researchers have explored African Americans as a whole, and few have looked at African American men specifically, especially when it comes to their perceptions and ability to trust sources of health information. The purpose of this quantitative cross-sectional study was to examine the relationship between race and trust in health information sources, including the relationship between prostate cancer health outreach done through the internet and the acceptance of such information outreach among African American men. The theory of planned behavior …


Parents' Perceptions Of And Reactions To Their Child's Intergroup Marriage, Theresa Aikens Jan 2021

Parents' Perceptions Of And Reactions To Their Child's Intergroup Marriage, Theresa Aikens

Walden Dissertations and Doctoral Studies

Researchers have found that parental support and acceptance are integral to the success of interracial romantic relationships (IRRs) and well-being of interracial romantic relationship participants (IRRPs). Research on couples involved in IRRs is prevalent, but researchers neglected to include the perspectives of the parents of the IRRPs. The lived experiences of parents of adult children involved in Black-White IRRs and their perceptions of societal reactions to the IRR were explored to better understand the mechanisms behind parental support or disapproval of IRRs. Bronfenbrenner's PPCT model of bioecological theory allowed for a focus on a parent's development within the parent-child relationship …


Knowledge And Perceptions Of Antibiotic Resistance Stewardship Among Prehealth And Agriculture Students, Claudia Maria Da Silva Carvalho Jan 2021

Knowledge And Perceptions Of Antibiotic Resistance Stewardship Among Prehealth And Agriculture Students, Claudia Maria Da Silva Carvalho

Walden Dissertations and Doctoral Studies

The global threat of antibiotic resistant infection has resulted in health organizations to compile an antibiotic stewardship program, in which the education of current/future medical prescribers and farmers is central for the preservation of current and future antimicrobial treatments. The purpose of this study was to assess and compare the knowledge and perceived threat of antibiotic and antibiotic resistance, as well as the perceived benefit of antibiotic stewardship, among undergraduate students in biology and agriculture at a state university in Kansas. Framed by the health belief model, a cross-sectional study was conducted using a structured online survey of 136 undergraduate …


Grandparents In Parental Roles With Grandchildren And Social Work Practice, Anetrice Nicole Rogers Jan 2021

Grandparents In Parental Roles With Grandchildren And Social Work Practice, Anetrice Nicole Rogers

Walden Dissertations and Doctoral Studies

AbstractOver the last 30 years, there has been an increase of grandparents who are raising grandchildren. Grandparents often need social services such as case management, legal services, counseling, adoption, and custody services. Although grandparents feel it is rewarding to raise their grandchildren, there are also challenges. Participatory action research was used as the method of study. Bronfenbrenner's ecological theory was used to guide the participatory action research. Participants included social workers and social service workers from various social service agencies in Atlanta, Georgia. This study aimed to understand grandparents' needs and how prepared social workers and social service workers are …


Perceptions Of Effectiveness Of Eye Movement Desensitization And Reprocessing Treatment Intervention From Survivors Of Intimate Partner Violence, Laurinda Cumming Jan 2021

Perceptions Of Effectiveness Of Eye Movement Desensitization And Reprocessing Treatment Intervention From Survivors Of Intimate Partner Violence, Laurinda Cumming

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is a national health care problem. This violence affects 10 million people on average in the United States every year. This research focused on the treatment resistance for PTSD, a severe and disabling condition. This qualitative descriptive study provided a purposeful sampling of female survivors’ lived experiences and perceived effectiveness of EMDR in treating PTSD symptoms as a result of IPV. Study participants were 7 females, 18 years or older, residing in the Southwestern United States. The theoretical framework of the self-efficacy model was used to look at how posttraumatic symptoms can be so severe from …


The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier Jan 2021

The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating respiratory condition that leads to significant medial and financial burdens. For many patients with COPD, multiple socioeconomic factors contribute to health disparities, including income, education, employment status, and race/ethnicity. The purpose of this study was to examine the impact of SES and race/ethnicity on COPD patients. For this cross-sectional study, using secondary data analysis, the Social-Ecological Model (SEM), which discusses five levels of influence, was utilized. Data from over 3,222 participants aged 18 and over, living in Nevada were obtained from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) study. …


Comparing Intrapartum Interventions By Family Medicine Physicians And Obstetricians/Gynecologists In An Urban Academic Medical Center, K. Mariah Chrans Jan 2021

Comparing Intrapartum Interventions By Family Medicine Physicians And Obstetricians/Gynecologists In An Urban Academic Medical Center, K. Mariah Chrans

Walden Dissertations and Doctoral Studies

In the United States, over the last four decades, medical interventions in labor were intended to be a rare practice, to be used only when the benefits of birth outweighed the risk to the pregnant individual and fetus. This study was conducted to compare obstetricians gynecologists and family medicine physicians (OB/GYNs and FMPs) in an urban academic medical setting and to identify if they were practicing in an evidence-based manner as recommended by their respecting professional bodies by assessing for (a) associations between provider type and intervention (such as induction and augmentation) and for (b) labor and delivery outcomes for …


A Phenomenological Exploration Of The Leadership Development Experiences Of Black Women, Oresha Sharlene Greenidge Foster Jan 2021

A Phenomenological Exploration Of The Leadership Development Experiences Of Black Women, Oresha Sharlene Greenidge Foster

Walden Dissertations and Doctoral Studies

The leadership pathway for Black women has unique challenges and obstacles due to the double jeopardy of their race and gender. The lack of critical empirical work on the leadership development of Black women has left a gap in the understanding of how racial and gendered identities influence their development as successful leaders. This research was conducted to examine how Black women developed as leaders and how they made meaning of their leadership development experiences. A qualitative transcendental phenomenological study was conducted framed by concepts of intersectionality and gendered racism to produce a comprehensive description of the phenomenon of the …


Drug-Resistant Neisseria Gonorrhoeae; Identification Of At-Risk Groups In Florida By Regional Variation, Scott August Herber Jan 2021

Drug-Resistant Neisseria Gonorrhoeae; Identification Of At-Risk Groups In Florida By Regional Variation, Scott August Herber

Walden Dissertations and Doctoral Studies

Neisseria gonorrhoeae has been on the rise in the State of Florida since 2013. Florida currently follows the Centers for Disease Control and Prevention guidelines for identifying those at-risk for gonorrhea and drug resistant gonorrhea infections. These groups are narrowly defined and do not consider the different population dynamics throughout the State. This study examined the question of who is at-risk for contracting drug resistant strains of gonorrhea in the eight different regions of Florida based on the prescribed use of last-line-of-antibiotic-defense. Florida’s Surveillance Tools and Reporting System provided 12 years of secondary data from 2007 to 2018. The data …


Implementation Of International Society For Technology In Education Standards In Elementary School Teachers’ Pedagogical Science Practices, Rochelle Anne Mccoy Jan 2021

Implementation Of International Society For Technology In Education Standards In Elementary School Teachers’ Pedagogical Science Practices, Rochelle Anne Mccoy

Walden Dissertations and Doctoral Studies

This study addressed the problem of whether elementary school teachers are consistently implementing the International Society for Technology in Education (ISTE) standards in their pedagogical practices of teaching science. It was evident that half of all teachers in the United States do not consistently implement technology into their instruction. The purpose of this study was to understand elementary school teachers’ perceptions about how teachers are using the three selected ISTE standards during their pedagogical practices when teaching elementary science in order to maximize learning. The technology acceptance model was the conceptual framework used in this study. The research questions focused …


Parental Perceptions Of Inclusion Of Autism Spectrum Disorder Students In The Educational Process, Robin Waltman Jan 2021

Parental Perceptions Of Inclusion Of Autism Spectrum Disorder Students In The Educational Process, Robin Waltman

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) is a complex biological disorder that encompasses a wide range of symptoms and varies in degree of severity. Parents and caregivers rely on programs offered by school districts that encourage parental participation in the educational process and have differing views on inclusion in educational decisions. The purpose of the current study was to ascertain the views of parents of children with ASD regarding their inclusion in the educational process. The research question addressed the lived experiences and perceptions of parents of students with and ASD regarding their inclusion in the educational process. A case study methodology …


Teachers’ Opinions Of Coteaching, Tashina White Jan 2021

Teachers’ Opinions Of Coteaching, Tashina White

Walden Dissertations and Doctoral Studies

Georgia’s College and Career Ready Performance Index for 2014-2016 showed that students with disabilities (SwD) did not meet performance targets when taught in co-taught inclusion classrooms with both general education teachers (GET) and special education teachers (SET) in the classrooms. The purpose of this study was to determine the differences in teacher opinions of co-taught inclusion classrooms and their ability to teach SwD between GET and SET. The theoretical basis for this study was Johnson and Johnson’s cooperative learning theory. A sample of 88 elementary, middle, and high school teachers completed the Opinions Relative to Integration of Students with Disabilities …


Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed Jan 2021

Relationship Between Perceived Social Support, Phase Of Program, And General Health In Phd Ces Students, Sara Moubayed

Walden Dissertations and Doctoral Studies

Counselor education and supervision (CES) doctoral students face various challenges throughout their doctoral journey. A quantitative, correlational study was conducted to determine if there is a predictive relationship between the independent variables of perceived social support and phase of program (core courses, internship, or dissertation) and dependent variables general health, somatic symptoms, anxiety/insomnia, social dysfunction, and severe depression in PhD CES students (N = 73). The goal of the study was to contribute to a greater understanding of the general health of CES PhD students. Self-Determination theory and basic psychological need theory were applied as the theoretical framework of this …


The Impact Of Obesity, Race, Age, Education, Income, And Healthcare Coverage On Cervical Cancer Screening Among Mississippi Women, Henrietta Tamika Ross Jan 2021

The Impact Of Obesity, Race, Age, Education, Income, And Healthcare Coverage On Cervical Cancer Screening Among Mississippi Women, Henrietta Tamika Ross

Walden Dissertations and Doctoral Studies

The human papilloma virus is the necessary agent in the development of cervical cancer. It is through screening exams like the Papanicolaou (Pap) test that cervical changes can be identified, and cervical cancer can be diagnosed in the early stage of cancer. The Pap test has aided in decreasing the rate of cervical cancer and the morbidity of cervical cancer. However, cervical cancer rates and mortality rates from cervical cancer are still the highest among women in Mississippi. Additionally, obesity rates among those who reside in Mississippi are the second highest in the United States. The purpose of this quantitative …


Effects Of Hepatitis On Human Immunodeficiency Virus Viral Suppression, Andrenita Checoby West Jan 2021

Effects Of Hepatitis On Human Immunodeficiency Virus Viral Suppression, Andrenita Checoby West

Walden Dissertations and Doctoral Studies

Coinfection with human immunodeficiency virus (HIV) and viral hepatitis leads to unfavorable health outcomes, making treatment of HIV difficult and increasing the odds of HIV transmission. The purpose of this study is to assess whether viral hepatitis (B and C) hinders HIV viral suppression and impacts the white blood cell count (CD4) when a person is concurrently infected with both viruses. The syndemics theory guided this study. Two research questions tested whether there was an association between coinfection with viral hepatitis and HIV viral load suppression. The research design was quantitative case-control with secondary data from 65,626 reports of HIV, …


Striving For Homeostasis: Balancing The Inclusion Of Students With An Emotional/Behavioral Disorder, Rob Mcgarva Jan 2021

Striving For Homeostasis: Balancing The Inclusion Of Students With An Emotional/Behavioral Disorder, Rob Mcgarva

Walden Dissertations and Doctoral Studies

Social justice advocates have championed inclusive education, leading to its adoption in many jurisdictions. Despite policy changes designed to support learners with disabilities and research on inclusive education, students with an emotional/behavioral disorder (EBD) experience significantly poorer outcomes than their peers. Teachers often describe including this group of students as impossible and attempts to achieve inclusion often result in extreme stress. Research has identified proven inclusion strategies, but there are often problems with implementation in real-world settings. There is a research gap concerning how teachers understand and select interventions. Classic grounded theory methodology was used to identify the primary concern …


Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen Jan 2021

Helping In The Home: Counselors’ Experiences Providing Clients With In-Home Services, Melissa Jane Franzen

Walden Dissertations and Doctoral Studies

Counseling is an essential service that helps individuals work through struggles and live their best lives. Such service now includes providing counseling in clients’ homes. Counselors may require specific training or education to prepare for counseling in a home environment. This need for training and education is due to a lack of knowledge of the lived experiences of counselors providing services in the home. Transcendental phenomenology was used to guide a qualitative exploration into the lived experiences of counselors providing services in clients’ homes. Participants were 7 professional counselors, 5 female and 2 male, having met minimum state licensure requirements …


Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah Jan 2021

Perceptions And Experiences Of Sickle Cell Disease Patients And Parents/Caretakers On Alternative Treatment Options For Pain Management, Elizabeth Hagan Asamoah

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is marked by excruciating chronic pain, commonly known as pain crisis. SCD healthcare practitioners (HCPs) have been employing palliative care as a mainstream treatment option to manage SCD pain crises using mainly opioid analgesics for years. Due to the current opioid crisis, however, it has become imperative to explore alternative regimens to manage the pain and associated comorbidities of SCD. Thus, the goals of this study included exploring alternative treatment options for SCD pain crisis management with the intent of decreasing SCD patients’ dependency on opioid-based or related analgesics while reducing the frequency of pain crises …


Psychological Distress As A Predictor Of Methamphetamine Use Among Racial Minority Women, Sundra Barnett Allen Jan 2021

Psychological Distress As A Predictor Of Methamphetamine Use Among Racial Minority Women, Sundra Barnett Allen

Walden Dissertations and Doctoral Studies

AbstractThe scope and magnitude of methamphetamine (MA) use among racial minority women (RMW) created pivotal health concerns due to its highly addictive nature. Despite much available research, the problem of psychological distress (PD) as an attribute of MA use among RMW remained as a gap in the literature. The purpose of the present study was to examine the relevancy between PD and MA use among RMW to determine if distress predicts MA use among this population. The attributes of PD, as defined in the K6, are nervousness, restlessness, hopelessness, feelings of sadness or depression, feelings that suppress effort, and a …


African American Females And Herpes Simplex Virus 2: A Basic Interpretive Qualitative Study, Cherlisa Jackson Jan 2021

African American Females And Herpes Simplex Virus 2: A Basic Interpretive Qualitative Study, Cherlisa Jackson

Walden Dissertations and Doctoral Studies

According to recent studies, African American females are most susceptible to HSV-2 and are often asymptomatically diagnosed. Yet, the perceived benefit of discussing sexual health as well as recognizing a need to discuss HSV-2 with a healthcare provider was an identified gap in the existing research and current study findings. The purpose of this qualitative interpretive study was to understand the experiences of African American females who received an asymptomatic HSV-2 diagnosis. The health belief model constructs guided this study. Outlined through semi-structured interviews were the experiences of seven African American females diagnosed with HSV-2 in Fulton County, GA, as …


Black Fathers Experiences Of Paternal Abandonment Through Raising & Disciplining Their Sons, William Douglas Harvey Jan 2021

Black Fathers Experiences Of Paternal Abandonment Through Raising & Disciplining Their Sons, William Douglas Harvey

Walden Dissertations and Doctoral Studies

Black male children have long experienced paternal abandonment. In some instances, those male children grow up to have sons of their own, yet have no frame of reference of fatherhood from their upbringing. The specific issue for this study was exploring the capacity to control the quality of one’s life entering fatherhood, even when considering the influences related to paternal abandonment. The purpose of this qualitative study was to explore the lived experiences of paternally abandoned Black fathers and their experience of raising their male offspring, to understand how those Black fathers’ past occurrence may affect their relationships with their …


Employer Strategies For Military Spouse Retention, Shanna Smith Jan 2021

Employer Strategies For Military Spouse Retention, Shanna Smith

Walden Dissertations and Doctoral Studies

Employee turnover is extremely costly to organizations, which concerns business leaders in the United States because organizations invest time and money in resources such as recruiting, hiring, onboarding, and training. Grounded in systems theory, the purpose of this multiple case study was to explore strategies employers use to retain military spouse talent. The sample consisted of nine business leaders from large companies in San Antonio, Texas, known for successful talent retention initiatives for military spouses. Data were collected from semistructured interviews with business leaders and publicly available organizational documents. Data analysis was guided by thematic analysis, member checking, and methodological …


Narratives Of Chronic Pain After Treatment In Adult Patients, Matthew Sebastian Vittucci Jan 2021

Narratives Of Chronic Pain After Treatment In Adult Patients, Matthew Sebastian Vittucci

Walden Dissertations and Doctoral Studies

In the United States 100 million people live with pain and must negotiate complicated clinical decisions that lead to a variety of treatments to control pain, some of which are effective and some that are not. Social identity theory and attribution theory guided the development of the interview protocol and analysis plan. A qualitative study was conducted to explore the complex nature of living with chronic pain through the narratives of seventeen adults in chronic pain for at least 3 months. Structural and thematic approaches were used to analyze the data. The structural results revealed three groups of participants: those …


Hiv/Aids And Substance Use Among Older Adults, Jamerlia E. Wyatt Jan 2021

Hiv/Aids And Substance Use Among Older Adults, Jamerlia E. Wyatt

Walden Dissertations and Doctoral Studies

HIV/AIDS and substance abuse among older adults is a significant national and worldwide problem. As older HIV-positive adults continue to age, they will have problems with managing their HIV/AIDS, comorbidity disorders, and quality of life, which can lead to substance abuse. The purpose of this descriptive, phenomenological study was to explore the socio-risk behaviors, specific treatment preferences, and daily lived experiences of adults aged 50 years and older living with HIV/AIDS and substance use in a large northeastern urban city. The conceptual framework used to ground this qualitative study was Engel's biopsychosocial model. The purposeful sampling method was used to …


The Connection Between Pain, Perceived Disability, Emotional/Behavioral Problems, And Treatment Satisfaction, Penny Renee Drake Jan 2021

The Connection Between Pain, Perceived Disability, Emotional/Behavioral Problems, And Treatment Satisfaction, Penny Renee Drake

Walden Dissertations and Doctoral Studies

With more than 100 million Americans living in chronic pain (CP), there is a growing need for better and more effective pain management strategies. CP can result from an injury, disease, or an emotional or psychological issue. The purpose of this quantitative, nonexperimental study using a multiple linear regression procedure was to determine if CP patients’ perception of their disability as measured by the Personality Assessment Screener (PAS) and their emotional and/or behavioral problems as measured by the Oswestry Disability Index predict their satisfaction with their pain management regimen as measured by the researcher-produced instrument Survey of Satisfaction with Pain …


New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou Jan 2021

New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou

Walden Dissertations and Doctoral Studies

Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …


Exploring Culturally Competent Mental Health Outreach To Black Churches, Michele Marie Fry Jan 2021

Exploring Culturally Competent Mental Health Outreach To Black Churches, Michele Marie Fry

Walden Dissertations and Doctoral Studies

Black individuals and communities have held distrust toward mental health services and experience barriers in seeking services. Although the church is a significant support system in the Black community, it can also pose a barrier to congregation members seeking mental health services, as the Black church community has often stigmatized those seeking mental health services as weak. Ways to reach the Black community with trauma-informed, culturally competent, and spiritually sensitive mental health services through establishing connections with Black churches and church leaders were explored in this study. Previous research indicated that the COVID-19 pandemic increased depression and anxiety in the …


Staff Education Inservice For Preventing Discrimination Against Lgbt, Florence Titilola Eze Jan 2021

Staff Education Inservice For Preventing Discrimination Against Lgbt, Florence Titilola Eze

Walden Dissertations and Doctoral Studies

Lesbian, gay, bisexual and transgender (LGBT) members live in the community, yet they are prone to various types of oppression, mistreatments, and denial of services from most institutions including health care settings. Concerns, such as being denied access to caregivers or being given a lower quality of care continue despite the community’s fighting for their voices to be heard across the globe and various movements that have been established, especially the United States and the United Kingdom, and laws that call for equitable healthcare. The purpose of this project was to explore whether a change in knowledge and attitudes would …


Interrelationships Of Sociodemographic And Biological Factors In Breast Cancer Mortality Disparity Affecting Young Black Women, Richard Mutyabule Jan 2021

Interrelationships Of Sociodemographic And Biological Factors In Breast Cancer Mortality Disparity Affecting Young Black Women, Richard Mutyabule

Walden Dissertations and Doctoral Studies

Despite improved overall survival among breast cancer patients, race and biological subtype-specific disparities persist. Subsequently, this retrospective longitudinal study, guided by ecosocial theory, examined associations between biological subtypes of breast cancer and patient-level sociodemographic factors on survival outcomes in women 25 to 44 years of age. Using Surveillance, Epidemiology, and End Results (SEER) database, 34,007 breast cancer cases between 2013 and 2018 were extracted. Kaplan Meier method and Cox proportional hazards model were used to examine time to event and the adjusted mortality risk by race and breast cancer subtype. There was a statistically significant difference in survival among young …


Exploring Quality Management Strategies To Mitigate Culture Shock Among Cochlear Implant Users, Victor Mulume' Ambila Jan 2021

Exploring Quality Management Strategies To Mitigate Culture Shock Among Cochlear Implant Users, Victor Mulume' Ambila

Walden Dissertations and Doctoral Studies

AbstractAfter the cochlear implant (CI) activation period and therapy, adult CI users who travel overseas encounter culture shock factors that paralyze their coping capability, which need normalization through management strategies during the post-cochlear-implantation process (PCIP). In the structure of the conceptual framework, a plan is presented for addressing the management strategy. An integrated system of product-process-service-care portrays the product as an active implant within an individual bearer fostering a CI user’s physical, physiological, and psychological traits. The problematic aspects alter the end users’ coping capability in an unfamiliar host environment abroad. The qualitative research approach used was a single case …