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Community And Individual Risk Factors Associated With Tuberculosis Treatment Outcomes: Ca, Md, And Oh, [2017-2021]., Kadiatu Banjoko
Community And Individual Risk Factors Associated With Tuberculosis Treatment Outcomes: Ca, Md, And Oh, [2017-2021]., Kadiatu Banjoko
Walden Dissertations and Doctoral Studies
There are unsuccessful treatment outcomes with Tuberculosis (TB) disease, although effective therapies exist. This study aimed to identify predictors of unsuccessful treatment using the socioecological model. A quantitative cross-sectional study and multinomial logistic regression analysis were used to measure the associations between long-term care (LTC), homelessness, correctional facility, Human Immunodeficiency Virus (HIV), diabetes, excess alcohol, illicit drug use, and TB treatment outcomes of death, lost to follow-up, and treatment refusal. The sample consisted of 7,589 individuals aged 15 and older with pulmonary TB between 2017 and 2021, residing in California, Ohio, and Maryland. Findings indicated a correlation between community factors …
Paternal Filicide In The Context Of Divorce And Child Custody, Andrea Chase
Paternal Filicide In The Context Of Divorce And Child Custody, Andrea Chase
Walden Dissertations and Doctoral Studies
This qualitative study examined the troubling intersection of parental separation, domestic violence and paternal filicide, issues that profoundly challenge societal and legal frameworks. Although domestic violence and marital dissolution are recognized risk factors for child maltreatment, their role in paternal filicide, specifically when motivated by parental separation, has been understudied. Using a purposeful and criterion-based sampling strategy, cases were drawn from the Center for Judicial Excellence database of children murdered during divorce, parental separation, and child custody disputes. After applying predefined inclusion and exclusion criteria, the final sample consisted of 113 biological fathers responsible for the deaths of 263 children …
Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese
Strategies Financial Institutions Use To Mitigate Security Breaches For Mobile Customers, Steven F. Knese
Walden Dissertations and Doctoral Studies
Mobile fraud attack rates are increasing rapidly. Financial institutions, cybersecurity managers, and regulators need effective strategies to reduce consumer financial harm and operational risk. Grounded in the cybernetics model, this qualitative, pragmatic inquiry identified the cybersecurity strategies that cybersecurity professionals use at financial institutions to mitigate data breaches for mobile customers accessing financial data. Data were collected from five cybersecurity professionals through semistructured interviews and from publicly available documents and guidance issued by financial institutions and standards bodies. Six significant themes emerged from thematic analysis: implementing multifactor authentication, deploying virtual private networks (VPNs), delivering user education, promoting regular account monitoring, …
Early Atopic Dermatitis And Risk Of Later Autism Spectrum Disorders, Annissa Courtney Heslope-Mathieu
Early Atopic Dermatitis And Risk Of Later Autism Spectrum Disorders, Annissa Courtney Heslope-Mathieu
Walden Dissertations and Doctoral Studies
Early-onset atopic dermatitis (AD) affects approximately 10-20% of children in the United States, and emerging evidence suggests potential links between early immune dysregulation and neurodevelopmental outcomes. Limited research has examined whether early AD serves as a specific risk factor for later ASD diagnosis. Guided by life course theory, the purpose of this study was to examine whether AD diagnosed within the first two years of life predicts later diagnosis of ASD among U.S. children younger than five years. A secondary analysis of the Fragile Families and Child Wellbeing Study was conducted using a retrospective cohort design. The sample included 2,949 …
Postdischarge Pediatric Mortality In Nigeria For Children Under 5 Years Of Age, Philomina Nwaugo Chukwudike
Postdischarge Pediatric Mortality In Nigeria For Children Under 5 Years Of Age, Philomina Nwaugo Chukwudike
Walden Dissertations and Doctoral Studies
Child mortality has remained a public health issue that is prevalent among families living in Nigeria and low- and middle-income countries. Factors associated with post-discharge pediatric mortality among children under 5 have not been explored. The study involved examining associations between timely individual follow-up visits, availability of healthcare facilities for follow-up care, and likelihood of post-discharge mortality among children under 5 while adjusting for household income, geographical location, mothers’ age, and mothers’ education. The theoretical framework was the social ecological model. Data were generated from the 2018 Demographic and Health Survey. A sample size of N=21,671 was used to determine …
Reducing Youth False Confessions With Attorney Presence, Rosa Bowden-Maccalla
Reducing Youth False Confessions With Attorney Presence, Rosa Bowden-Maccalla
Walden Dissertations and Doctoral Studies
Interrogation techniques are influenced by the interrogator's style and the individual being interviewed. Most law enforcement agencies use adult-centered interrogation methods, leading to suboptimal results when working with youth. The research has focused on youth offenders in the interrogation room and the choices they make, often leading to false confessions when an attorney is absent. This suggests that the presence of legal representation helps protect youths' vulnerability, suggestibility, and rights, thereby reducing the likelihood of false confessions. This qualitative collective case study aimed to understand why youth offenders falsely confess by collecting seven anonymous questionnaires from multigender U.S. practicing attorneys …
Navigating Blended Family Dynamics: Lived Experiences Of Newly - Married Black American Couples With Children, Nichole King-Price
Navigating Blended Family Dynamics: Lived Experiences Of Newly - Married Black American Couples With Children, Nichole King-Price
Walden Dissertations and Doctoral Studies
Remarriage offers the opportunity to create new family structures, giving individuals second chances to forge meaningful connections and develop new family dynamics. This study involved investigating the experiences of newly-married Black American couples with children as they faced challenges inherent to blended family dynamics. The objective was to understand how these families navigated the complexities of integrating different family systems during their formative years. Using a basic qualitative research design, the study was guided by Bowen’s family systems theory, which emphasizes how individuals construct knowledge within their socioemotional contexts. A convenience sample of nine spouses from blended families was purposefully …
Strategies To Reduce Safety Accidents In Chemical Facilities, Travon Eshawn Herriotte
Strategies To Reduce Safety Accidents In Chemical Facilities, Travon Eshawn Herriotte
Walden Dissertations and Doctoral Studies
Chemical-industry accidents remain a persistent threat capable of injuring workers, damaging communities, and destabilizing organizations, despite decades of safety regulations and technological advancements. Chemical facility managers, workers’ families, emergency responders, local communities, and entire supply chains bear the burden of every preventable failure. Grounded in human capital theory, the purpose of this qualitative pragmatic research project was to identify and explore effective strategies that managers use to reduce safety accidents in chemical facilities. The participants were six managers from chemical facilities in the eastern United States. Data were collected using semistructured and publicly available documents. Through reflexive thematic analysis, five …
Respiratory Health And Environmental Risks Among California Children: The Role Of Socioeconomic Status, Wen Chieh Chia
Respiratory Health And Environmental Risks Among California Children: The Role Of Socioeconomic Status, Wen Chieh Chia
Walden Dissertations and Doctoral Studies
Abstract Air pollution has been cited as a factor in the development of respiratory illness in children. Socioeconomic differences can intensify the effects of air pollution exposure on low-income children compared to higher-income children. This correlational study examined the relationship between air pollution exposure and respiratory health outcomes among California children, as well as the moderating role of socioeconomic status. The study was guided by the environmental health disparities framework and used secondary data from the California Environmental Health Tracking Program, analyzing data from 49 California counties (n = 49). Independent variables were PM2.5 concentrations and the number of ozone …
Psychological Experiences Of Law Enforcement Officers Responding To Critical Incidents Alone And With A Partner, Lydia Abernethy
Psychological Experiences Of Law Enforcement Officers Responding To Critical Incidents Alone And With A Partner, Lydia Abernethy
Walden Dissertations and Doctoral Studies
The role of law enforcement officers is to restore peace and safety when chaos occurs, which can be life-threatening and stressful as officers respond to the critical incidents unfolding. For this study, a qualitative approach and phenomenological framework were utilized to gain insight into the first-hand psychological experiences of officers responding to critical incidents. Police officers work in demanding environments that can lead to mental health conditions such as depression and post-traumatic stress disorder. Peer support and communication among coworkers have emerged as a potentially important factor, as officers would share traumatic events with other officers. Therefore, my research focused …
School Social Workers’ Perceptions Of The Effectiveness Of The Strategies Used To Reduce The Dropout Rates Of African American High School Male Students, Tawanda Mclaurin
School Social Workers’ Perceptions Of The Effectiveness Of The Strategies Used To Reduce The Dropout Rates Of African American High School Male Students, Tawanda Mclaurin
Walden Dissertations and Doctoral Studies
The problem investigated in this study was that approximately 34% of African American male students had dropped out of high school in an urban public school district in the Northern United States. Grounded in Bronfenbrenner’s ecological systems theory, the purpose of this basic qualitative study was to explore school social workers’ perceptions of the effectiveness of strategies used to reduce dropout rates among African American male high school students. Purposive sampling was used to recruit 10 school social workers from one urban public school district who worked with African American male students at risk of dropping out. Data was collected …
A Phenomenological Exploration Of Lgbtq+ High School Graduates’ Perspectives On Lgbtq+-Related Legislation, Thomas James Foley
A Phenomenological Exploration Of Lgbtq+ High School Graduates’ Perspectives On Lgbtq+-Related Legislation, Thomas James Foley
Walden Dissertations and Doctoral Studies
Lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ+) students’ social, emotional, and academic experiences and outcomes are not on par with their non-LGBTQ+ peers. Understanding how LGBTQ+ young adults experienced high school in a state with LGBTQ+-affirmative education legislation provides insight for counselors and educators to identify policies and practices that support positive outcomes for LGBTQ+ students. This qualitative phenomenological study explored how LGBTQ+-identifying high school graduates made meaning of their experiences in school as they related to LGBTQ+-affirmative education legislation. Interpretive phenomenological analysis (IPA) was used for the research methodology and data analysis process. Results included four themes: (a) …
What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff
What’S My Name? Experiences Of Individuals With Traditional Hawaiian Names, Natalya N. Spotkaeff
Walden Dissertations and Doctoral Studies
There is no systematic process of orienting non-Hawaiian educators to Hawaiian culture, as evidenced by name mispronunciation. The purpose of this phenomenological study was to explore the experiences of individuals with traditional Hawaiian first names in a classroom environment. Critical race theory (CRT), especially the concept of microaggressions, was used as the framework for the study. Two research questions guided the study: What are the adult lived experiences with traditional Hawaiian first names encountered in academic settings during childhood? How do adults with traditional Hawaiian first names describe their experiences of race in the classroom? Semistructured interviews were conducted with …
Exploring The Impact Of Antidiscrimination Laws On Child-Welfare Workers Working With Lgbtq Foster Youth, Heather Kesterson
Exploring The Impact Of Antidiscrimination Laws On Child-Welfare Workers Working With Lgbtq Foster Youth, Heather Kesterson
Walden Dissertations and Doctoral Studies
Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) youth are overrepresented in the foster care system and have unique needs compared to their peers. In the state of Virginia, there is an antidiscrimination policy that protects LGBTQ foster youth; however, it is unclear how this impacts child welfare workers. Past literature has explored the needs of LGBTQ youth, the experiences of foster parents, and policy implications, but not the impact of antidiscrimination laws on child welfare workers. The purpose of this generic qualitative study was to explore the understanding of child welfare workers’ knowledge, integration, training, and implications of Virginia’s antidiscrimination …
Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee
Factors Affecting The Level Of Grief Experienced By Men Whose Female Partner Died In The United States, Keona C. Lee
Walden Dissertations and Doctoral Studies
Grief is an emotional reaction to the loss of a loved one through death. Although grief is a universal human experience, its perspective is unique, and research has often ignored the varied experiences of racial/ethnic and cultural groups, particularly men of color in the United States. The purpose of this quantitative study was to measure the level of grief experienced by men whose female partner died and to determine whether ethnicity, having a prior mental health diagnosis, social support, and traumatic or anticipated loss significantly impacted their level of grief. The study was guided by the social-ecological model to explain …
Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill
Racial And Ethnic Minority Supervisees’ Experiences In Clinical Supervision, Destiny Chanel Hill
Walden Dissertations and Doctoral Studies
Clinical supervision practices, although essential to counselor development, often reflect limited cultural competence among supervisors contributes to unclear expectations, conflicting roles, and isolation, leading to stress, negative internalization, and compromised professional development. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of racial and ethnic minority supervisees in clinical supervision within the mental health counseling profession. The research question was: What are the lived experiences of racial and ethnic minority supervisees who have been involved in clinical supervision? The framework guiding the study was hermeneutic phenomenology. Data from interviews with eight participants were analyzed using the …
Associations Between Health-Seeking Behaviors And Social Support For Adult Black Women In The United States, Patricia Saint Cyr-Hager
Associations Between Health-Seeking Behaviors And Social Support For Adult Black Women In The United States, Patricia Saint Cyr-Hager
Walden Dissertations and Doctoral Studies
A persistent gap exists involving health outcomes for Black women in the United States, regardless of socioeconomic status when compared to Black men and White women. This qualitative case study involved exploring the influence of social support on health-seeking behaviors among Black women. Sixteen participants, between ages 22 to 49 from nine states, were recruited. Data was collected using semi-structured interviews based on the social support theory. An analysis of the network composition showed that family members (including mothers, fathers, sisters, and partners), friends, community support groups not connected to social media, and online community support groups were the most …
The Association Between E-Cigarette Use And Community Mattering Among Adolescents In Maine, April Hughes
The Association Between E-Cigarette Use And Community Mattering Among Adolescents In Maine, April Hughes
Walden Dissertations and Doctoral Studies
E-cigarette use among U.S. high school students is a significant public health issue. Factors such as mattering, sexual orientation, and gender identity (SOGI) influence e-cigarette use among adolescents, yet few studies have explored the relationship between mattering and e-cigarette use when considering SOGI. This quantitative study explored the association between past 30-day e-cigarette use and mattering among Maine high schoolers while controlling for SOGI and grade level. This correlational cross-sectional study used the 2023 Maine Integrated Youth Health Survey data, and the socioecological model served as the theoretical foundation. A multivariate binary logistic regression analysis indicated a significant association between …
Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix
Attachment Styles Of Women Who Are Attracted To Violent Incarcerated Men, Carolina Felix
Walden Dissertations and Doctoral Studies
In this qualitative study, attachment styles of women who are attracted to violent incarcerated men were investigated. Bowlby’s attachment styles were used to develop an insight into the women who are attracted to violent incarcerated men. Steinberg’s theory of love was used for a more intimate view into the women and their pursuit of relationships with incarcerated males. The findings revealed that the women identify as having anxious attachment styles and are insecure-ambivalent/resistant. Those with anxious attachment styles yearn to develop supportive relationships as their insecurities hinder them from developing trust, satisfaction, commitment, and interdependence. As for being insecure-ambivalent/resistant, it …
Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes
Assessing The Gender Differences In Mental Health Access And The Intersectionality Of Depression, Anxiety, Stress Between Black Men And Black Women During Covid-19, Turquoise Ef'e Pipes
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic, which emerged in the past five years, has had a particularly severe impact on well-being, mental health, and access to care for Black communities. Therefore, the purpose of this quantitative study, grounded in intersectionality theory was to assess gender differences between Black women and Black men confronted with depression, anxiety, stress symptoms and mental health access during the crisis of COVID-19, which has been under researched within this demographic. The study sample included participants from various cities across the United States who lived through the COVID-19 pandemic from March 2020 to March 2023 (n= 104). A MANOVA …
Teachers' Perspectives On Humane Education Implementation, Rebecca Ann Bartaway
Teachers' Perspectives On Humane Education Implementation, Rebecca Ann Bartaway
Walden Dissertations and Doctoral Studies
Humane education (HE) encompasses multiple concepts, including animal ethics, ecological environment, and social justice. The problem prompting this study was that individuals who have graduated from a higher education HE program face challenges in successfully integrating HE into their K–12 classrooms. Grounded by Weil's solutionary approach to HE, the purpose of this basic qualitative study was to explore the teaching experiences of individuals who graduated from a higher education HE program and successfully integrated HE into their classrooms. Participants were purposefully sampled from a small population of educators who completed a U.S. degree or certificate program in HE and successfully …
First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller
First Responder Resiliency With Line Of Duty Critical Incident Exposure, Jennifer Miller
Walden Dissertations and Doctoral Studies
First responders' mental health resiliency and distress tolerance following crises and adverse, sporadic, and consistent exposure to critical incidents, such as line-of-duty death, mass casualty incidents, and calls involving children, continues to be a public health challenge in the United States. In this phenomenological study, the role of critical incidents in the overall mental and physical health resiliency of first responders was explored. Resilience theory served as the theoretical perspective for this study. The central research question for this study was to investigate the lived experiences of first responders who have been exposed to critical incidents in the line of …
Staff Education For Effective Patient Handoff, Kaylonn Amundson
Staff Education For Effective Patient Handoff, Kaylonn Amundson
Walden Dissertations and Doctoral Studies
This staff education project was initiated to address the lack of standardized handoff procedures which was found to have contributed to an adverse outcome for a hospitalized patient. The purpose of this project was to address the question: Will an interactive education program on a standardized handoff tool increase nursing staffs’ knowledge and self-confidence regarding its use? The project involved educating 20 inpatient nurses and care staff about the structure of the SIGNOUT? handoff tool using a PowerPoint presentation with a follow-up practice simulation. Handoff sheets and visuals were distributed to aid in the learning process. Pre- and post-education surveys …
Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield
Employees’ Perceptions Of Leaders’ Diversity Training For Supporting Organizational Equity, Michelle L. Burchfield
Walden Dissertations and Doctoral Studies
Despite growing organizational attention to diversity, equity, and inclusion, some workplaces continued to struggle with embedding equitable practices. The research problem addressed in this study focused on understanding how employees perceived leaders’ diversity training and its effectiveness in supporting organizational equity. The purpose of this qualitative interpretative phenomenological study was to explore employees’ perspectives of leadership diversity training and its role in supporting organizational equity. Behavioral leadership theory and critical race theory grounded this study. The participants consisted of 10 employees with experience in leadership diversity training in Kentucky, Ohio, and Indiana. Data were collected using semistructured interviews. Seven most …
Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree
Reducing The Use Of Erythropoiesis-Stimulating Agents In Hemodialysis Patients, Myriamme Neree
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project was a quality improvement (QI) initiative. Nephrologists were inconsistent in ordering iron studies and sometimes delayed the initiation of erythropoiesis-stimulating agents (ESAs) on admission to the inpatient site. These delays often led to suboptimal outcomes. The practice-focused question guiding the project asked whether a nurse-driven iron protocol would improve adherence to anemia management guidelines. The project’s purpose was to evaluate the impact of the evidence-based nurse-driven protocol. I used descriptive and inferential statistics for data analysis. Findings demonstrated a statistically significant improvement in the timely completion of iron studies and in intravenous (IV) iron …
Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy
Effective Strategies To Reduce Burnout For Employees With High Workload Demands, Michelle Healy
Walden Dissertations and Doctoral Studies
Ineffective strategies to reduce burnout for employees can decrease productivity and quality of work, and can increase turnover. Event industry leaders who struggle to reduce burnout of employees with high workload demands are at risk of employee turnover. Grounded in the Job Demands-Resources (JD-R) model, the purpose of this qualitative, pragmatic inquiry research project was to explore effective strategies to reduce burnout for employees with high workload demands. The participants were eight event industry leaders who had effectively implemented strategies to reduce burnout. Data were collected using semistructured interviews and a review of public websites and documents. Using thematic analysis, …
Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan
Learned Resiliency: Lived Experiences Of First Responders, Kevin Francis Sullivan
Walden Dissertations and Doctoral Studies
Scholarly literature has found that post-traumatic stress impacts first responders; however, little attention has been paid to how first responders learn resiliency through post-traumatic growth (PTG). The purpose of this hermeneutic phenomenological study was to explore a gap in the literature of first responders who learned resiliency through posttraumatic growth following a critical incident in the line of duty. The research study was grounded in Heidegger’s philosophy of hermeneutic phenomenology, guided by resiliency theory , and informed by post-traumatic growth theory. Seven first responders from multiple disciplines were invited to participate in semi-structured interviews designed to provide rich and reflective …
Factors Associated With Initial Psychogenic Non Epileptic Seizures (Pnes) Amongst Patients With/Without Epileptic Seizures (Es), Enow Ogork
Walden Dissertations and Doctoral Studies
Psychogenic nonepileptic seizure (PNES) is an important individual and public health concern, but inconsistent results exist in the literature in terms of the circumstances surrounding the initial occurrence of PNES among patients without a prior diagnosis of epilepsy. The purpose of this study was to determine to what extent patient sex, number of medical comorbidities, sleep deprivation, head injury in the past, and eyes closed during seizures predict initial PNES among patients with or without PNES. The precaution adoption process model provided a framework for exploring how individuals become aware of health risks and decide to adopt preventive behaviors. Secondary …
Educator Experiences With Implementing Every Student Succeeds Act Equity Mandates For Students With Autism, Jameelah S. Lewis
Educator Experiences With Implementing Every Student Succeeds Act Equity Mandates For Students With Autism, Jameelah S. Lewis
Walden Dissertations and Doctoral Studies
Educating students with autism spectrum disorder (ASD) in under resourced schools remains a persistent equity concern in the United States. This study addressed a gap in the existing research, as prior studies have examined special education policy and school-level implementation challenges, but few have explored the experiences of general education teachers implementing inclusion in low-socioeconomic public schools. The purpose of this generic qualitative study was to explore the barriers general education teachers encounter in providing equitable education and their recommendations for improving inclusion. The study was guided by Ingram and Schneider’s (1993) social construction theory, which explains how marginalized groups …
Factors Affecting School Readiness And Level Of Distraction Among Black Children During Virtual Learning In The United States, Imani Barnes
Factors Affecting School Readiness And Level Of Distraction Among Black Children During Virtual Learning In The United States, Imani Barnes
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic necessitated an shift to mandatory virtual learning (VL) for kindergarten through grade 12 students, disrupting educational systems globally and exposing systemic inequities. Although researchers had explored health and education disparities separately, they had not adequately examined the intersection of child health, specifically body mass index (BMI) and health-affected ability, with school readiness and level of distraction in VL environments. The purpose of this quantitative, cross-sectional study was to examine associations between BMI, health affected ability, school readiness, and distraction levels among U.S. Black children engaged in VL in the 2020 school year, controlling for gender, age, and …