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Retention, Viral Suppression, And Care Models In Hiv Positive Children And Adolescents In Cameroon, Eveline Mboh Khan
Retention, Viral Suppression, And Care Models In Hiv Positive Children And Adolescents In Cameroon, Eveline Mboh Khan
Walden Dissertations and Doctoral Studies
Human Immunodeficiency Virus (HIV) remains a significant public health problem in Sub-Saharan Africa with poor treatment outcomes in children and adolescents (C&As). There is a lack of information on the effects of various HIV care models (Child and Adolescent Friendly Clinic model and Support Group model) on retention in care and Viral Suppression (VS) in Cameroon. This study was carried out to identify the care model with the best outcomes for C&As, inform national scale-up strategies, resource prioritization, and contribute to the existing literature. A quantitative retrospective cohort review approach guided by the social cognitive theory was used to analyze …
The Cultural Construct Of Stress In Luganda-Speaking Women In Uganda, Courtney Skiera
The Cultural Construct Of Stress In Luganda-Speaking Women In Uganda, Courtney Skiera
Walden Dissertations and Doctoral Studies
Luganda, the primary language spoken in Uganda has no word for stress, but this does not necessarily preclude the Luganda-speaking population from experiencing stress. There is currently no research that reveals the stress phenomenon from a Ugandan’s perspective. The purpose of this study was to examine how Luganda-speaking Ugandans conceptualize stress. Two theoretical foundations formed the basis of this study: the cognitive appraisal of stress theory and the coordinated management of meaning. Using a qualitative interpretive design, this study examined the conceptualization of stress by Luganda-speaking women in terms of understanding, experiencing, and communicating the stress phenomenon. Participants were 7 …
Intercultural Communication Between African American Managers And Hispanic Workers With Esl, Reva Ann Stanton
Intercultural Communication Between African American Managers And Hispanic Workers With Esl, Reva Ann Stanton
Walden Dissertations and Doctoral Studies
By 2050, individuals of Hispanic descent will represent nearly 30% of the total American population with English as a second language (ESL). The problem addressed the lack of strategies being used by African American Managers on communicating with Hispanic workers with ESL. The purpose of the study was to explore what communication strategies African American managers can use when managing Hispanic workers with ESL in a government agency in Illinois. The importance of this study is exemplified in the findings; the results provided a new way of thinking about the social world that is interwoven in an intercultural environment. The …
The Influence On Employee Engagement Of Employee Negative Perceptions Of Leader Actions, Vickki Gamol Johnson
The Influence On Employee Engagement Of Employee Negative Perceptions Of Leader Actions, Vickki Gamol Johnson
Walden Dissertations and Doctoral Studies
In 2018, only 34% of U.S. workers reported that they were engaged in their jobs, up from 31.5% just 4 years prior. Employee engagement, organizational well-being, and leader actions are significant to companies and brands in a highly competitive, modern business environment. The alarmingly low rate of employee engagement resulted from negative perceptions of leaders. The purpose of this qualitative study was to explore the phenomenon of disengagement through the lived experiences of employees in the public sector who had negative perceptions of their leaders. The conceptual lens was Herzberg’s theory mapped onto Maslow’s hierarchy to address the research question …
A Study Of The Lived Experiences Of Ghanaian Women In Leadership, Dorothy Roseline Appiah
A Study Of The Lived Experiences Of Ghanaian Women In Leadership, Dorothy Roseline Appiah
Walden Dissertations and Doctoral Studies
Underrepresentation, inequities, and career advancement to senior leadership positions continue to present obstacles for Ghanaian women, affecting their performance in organizations. This qualitative descriptive phenomenological study aimed to explore and understand the lived experiences of Ghanaian women leaders pursuit of professional careers in 5 different organizations and how best to improve them. The conceptual framework used was Eagly and Karau's role congruity theory of prejudice and Scheim's leadership and organizational culture theory. The research question explored the experiences of Ghanaian women leaders pursuit of professional careers in organizations. Fifteen purposefully selected Ghanaian women leaders with at least 10 years of …
Innovation-Driven Growth In Heavy Equipment Firms, Raynald J. Gallant
Innovation-Driven Growth In Heavy Equipment Firms, Raynald J. Gallant
Walden Dissertations and Doctoral Studies
Lack of innovation-driven revenue growth can have adverse effects on organizational outcomes. Company leaders who do not pursue innovation put their firm's survival at risk. Grounded in Christensen's theory of disruptive innovation and Rogers's diffusion of innovation theory, the purpose of this quantitative correlational study was to examine the relationship between company culture, company maturity, company revenue, and innovation-driven revenue growth rate in global heavy equipment manufacturing firms. Secondary data (N = 50) were collected from the Yellow Table, an annual listing of the top 50 global heavy equipment companies by revenue from 2002 to 2018. The results of the …
Association Of Working Therapeutic Alliance And Psychopathy In Civilly-Confined Sex Offenders, Kearie Ann Newman
Association Of Working Therapeutic Alliance And Psychopathy In Civilly-Confined Sex Offenders, Kearie Ann Newman
Walden Dissertations and Doctoral Studies
Over the past decade, researchers have focused attention on the therapeutic alliance (TA) and its impact in treatment outcomes. The literature on TA has been focused primarily on its impact on the client’s participation, the accomplishment of goals, and treatment completion. However, very little of this research includes individuals who have psychopathy. Therefore, the purpose of this quantitative survey study was to explore the relation between the level of psychopathy (high versus low) and TA ratings of 16 therapists and 64 clients in the population of convicted civilly-confined male sex offenders. Bordin’s theory grounded the study. Data were gathered from …
The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown
The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown
Walden Dissertations and Doctoral Studies
Family dynamics have experienced an immense transformation in the last 4 decades. Children are less likely to live in a 2-parent household with parents that are both biologically related to them due to various factors. Blended families (especially the children) face many adversities during the initial stages of formation and rarely receive specialized intervention when compared to nuclear families. The purpose of this basic qualitative study was to understand the long-term biopsychosocial effects experienced by young adults who lived in a blended family household. In addition, what services or interventions were offered to newly established blended family systems were also …
Rural Teacher Perceptions Of Trauma On Youth, Tracey Faye Whetstone
Rural Teacher Perceptions Of Trauma On Youth, Tracey Faye Whetstone
Walden Dissertations and Doctoral Studies
This study was an exploration of teacher experiences and perceptions in working with trauma-exposed students in a rural school district and what is needed to best support student academic and psychosocial success. The substantial long-term effects of trauma exposure cause many children to face behavioral and academic challenges in school, yet teachers are often unaware or untrained concerning trauma-informed care. There is little research regarding how teacher experiences with trauma-exposed students are perceived. This study explored teacher insight with rural trauma-exposed youth in terms of awareness and how they narrate these experiences in response to trauma-related issues. Grounded in trauma …
Parents’ Perceptions Of Healthcare Influences On Their Decisions To Vaccinate Their Children, Patricia Frances Badiola Harris
Parents’ Perceptions Of Healthcare Influences On Their Decisions To Vaccinate Their Children, Patricia Frances Badiola Harris
Walden Dissertations and Doctoral Studies
Declining immunization rates are associated with higher incidents of vaccine-preventable diseases. The purpose of this qualitative phenomenological inquiry was to explore the perceptions of vaccine-hesitant parents regarding their healthcare experiences. Ajzen and Fishbein‘s theory of reasoned actions and its key concepts (the intention to perform behaviors, attitudes, subjective norms, and external variables) was used as a framework to understand influences on parents' decisions to vaccinate their children. The research questions for the study examined the healthcare experiences of vaccine-hesitant parents, how these experiences influenced their decisions to vaccinate their children, and how this group perceived the current strategies promoting vaccinations …
Exploring The Dual Role Of Consumer And Provider In Substance Use Peer Support Workers, Christian Scannell
Exploring The Dual Role Of Consumer And Provider In Substance Use Peer Support Workers, Christian Scannell
Walden Dissertations and Doctoral Studies
Peer support is built upon the premise that shared life experiences will benefit both the helper and the receiver. In the substance abuse field, this relationship has been linked to an increase in practical knowledge, empowerment, hope, and community connectedness. However, the research on peer support is primarily geared toward the effectiveness of the intervention for the consumer. Less is known about the role of this relationship in the recovery of the workers themselves. The purpose of this generic qualitative study was to explore the experience of recovery in substance abuse peer support workers. A recovery framework and the helper …
Hypertensive Self Care: An Educational Tool For Advanced Practice Nurses, Kelisia Burks Mckay
Hypertensive Self Care: An Educational Tool For Advanced Practice Nurses, Kelisia Burks Mckay
Walden Dissertations and Doctoral Studies
Poorly controlled hypertension is a serious public health problem. Persons with high blood pressure are required to perform a variety of self-care behaviors. Advance practice nurses can improve health outcomes for hypertensive patients when they provide self-care education along with prescribing appropriate medications needed to treat high blood pressure. The purpose of this study was to educate rural advance practice nurses about hypertension medication and self-care management using the Hypertension Self-Care Activity Level Effects (H-SCALE) and the 8th National Joint Committee (JNC- 8) hypertensive guidelines. Twelve primary care advanced practices nurses (APN's) participated in an educational presentation that included pre …
Experiences Of Adult Survivors Of Child Sexual Assault As Parents Advising Their Children’S Sexual Exploration, Neysa Rhodes
Experiences Of Adult Survivors Of Child Sexual Assault As Parents Advising Their Children’S Sexual Exploration, Neysa Rhodes
Walden Dissertations and Doctoral Studies
One form of child abuse is childhood sexual assault (CSA). A gap in the literature exists concerning how adult survivors of childhood sexual assault (ASCSA) experience parenting their children during their exploration of sex. This descriptive phenomenological study was designed to explore the lived experiences of ASCSA parents helping their children explore sex. Attachment theory provided the conceptual framework. Data were collected from questionnaires completed by 5 participants recruited through websites offering supportive services to adults who experienced CSA. Gregorio’s steps of phenomenological analysis were used to analyze the data. Results indicated two themes regarding the perception of parenting skills: …
Gender Quota Policy Plans And Female Members Of The Board Of Directors, Saidah Muhammad Traish
Gender Quota Policy Plans And Female Members Of The Board Of Directors, Saidah Muhammad Traish
Walden Dissertations and Doctoral Studies
The present study explored how gender quota policy plans hindered and supported the access of female board members serving on the board of directors of their nonprofit organizations. The gender organizational theory guided the theoretical framework of this study by exploring how gendering organizational processes replicated, challenged, and reproduced gender perceptions of women in caregiving roles rather than leadership roles. The qualitative phenomenological approach explored the lived experiences of 6 female board members from 6 different nonprofit organizations on gender quota policy plans. The results of the analysis revealed succession planning, the inclusiveness of the mission and vision statements, and …
Risks For Hiv Infection Among Adolescent Girls And Young Women In Mozambique, Isabelle Casavant
Risks For Hiv Infection Among Adolescent Girls And Young Women In Mozambique, Isabelle Casavant
Walden Dissertations and Doctoral Studies
Adolescent girls and young women (AGYW) living in Sub-Saharan African countries constitute 17% of the population, yet they account for one third of all new human immunodeficiency virus (HIV) infections. To prevent HIV infections among AGYW, it is necessary to understand why they are disproportionally infected. The purpose of the dissertation was to identify risk for HIV among AGYW living in a southern district of Mozambique. The analysis was driven by the Modified Socio Ecological Model and performed using a quantitative dataset collected for the Chokwe Combination Prevention of HIV (N=3354). Logistic regression analysis was conducted to assess whether an …
Sex Bias In The Diagnosis Of Chronic Obstructive Pulmonary Disease, Olga Ivan Belitchenko Ryan
Sex Bias In The Diagnosis Of Chronic Obstructive Pulmonary Disease, Olga Ivan Belitchenko Ryan
Walden Dissertations and Doctoral Studies
Chronic obstructive pulmonary disease (COPD) is a leading cause of morbidity, mortality, disability, and cost globally and in the United States. Various sources point to women experiencing greater morbidity, increased health care resource use and higher incidence of mortality resultant from COPD. While exact causality is not fully understood, it is possible that social bias towards COPD in women impacting screening and timely diagnosis may be a contributing factor. This current investigation involved the social ecological model. In this cross-sectional secondary analysis of Behavioral Risk Factor Surveillance System, 2017 data, differences in screening through use of breathing testing among 6334 …
Comparison Of Gpa And Act Reading And Math Scores For African American Males In Afrocentric Versus Mainstream High Schools, Marissa Irene Prince
Comparison Of Gpa And Act Reading And Math Scores For African American Males In Afrocentric Versus Mainstream High Schools, Marissa Irene Prince
Walden Dissertations and Doctoral Studies
In the United States, the academic achievement of African American males is not at the same level as their peers from other ethnic backgrounds. There are negative social and financial implications for African American males who do not experience positive educational outcomes. The purpose of this quantitative study, based on critical race theory, was to compare the effectiveness of traditional high school education and Afrocentric high school education on the educational outcomes of African American males. Three measures of educational outcomes were examined: GPA at graduation, ACT reading score, and ACT math scores. The participants were 143 African American males, …
Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women, Nicole Ekoue
Health Behaviors Of Fruit And Vegetable Consumption, Physical Activity, And Breast Cancer Among African American Women, Nicole Ekoue
Walden Dissertations and Doctoral Studies
Breast cancer incidence is suddenly increasing among African American women. Recent studies indicate that health behaviors are thought to confer important health benefits and have the potential to lowering breast cancer incidence. Guided by the social ecological model, the purpose of this quantitative, cross-sectional study was to investigate the association between health behaviors of fruit consumption, vegetable consumption, and physical activity and breast cancer after adjusting for age, body mass index, and smoker status. Social support and income level were assessed as modifiers. Using the 2012 to 2017 Health Information and National Trends Survey data, this study was conducted with …
Association Between Maoa U Vntr Genetic Polymorphism And Aggression, Gender, And Race In Adolescents, Almaz Adair Johnson
Association Between Maoa U Vntr Genetic Polymorphism And Aggression, Gender, And Race In Adolescents, Almaz Adair Johnson
Walden Dissertations and Doctoral Studies
A genetic polymorphism found in the upstream region of the monoamine oxidase A (MAOA) gene upstream variable number tandem repeat (u VNTR) has been shown to have an influence on aggression with mixed results. The purpose of this quantitative study was to examine the association between the u VNTR genetic polymorphism of the MAOA gene and aggression in an adolescent population 13–18 years of age. The conceptual framework was based on the biosocial model of antisocial behavior that indicates genes can influence aggressive behaviors with or without environmental influences. Data (N = 2506) from the National Longitudinal Adolescents and Adult …
Pharmacy Manager Strategies For Reducing Financial Losses From Adverse Drug Events By Polypharmacy Patients, Francis Rudden
Pharmacy Manager Strategies For Reducing Financial Losses From Adverse Drug Events By Polypharmacy Patients, Francis Rudden
Walden Dissertations and Doctoral Studies
Every year over 100,000 deaths occur in the U.S. from adverse drug events derived from medication errors. Medication errors account for an annual cost of $100 to $200 billion. Healthcare pharmacists lack strategies to reduce adverse drug events and medication errors from taking place. Grounded in complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies to reduce advere drug events and medication errors. The participants were 5 pharmacist managers in a county in central Florida. These pharmacists were from different community pharmacies, and each had a minimum of 5 years’ experience in the …
Tool Kit To Address Communication On A Mental Health Unit, Carol L. Barclay
Tool Kit To Address Communication On A Mental Health Unit, Carol L. Barclay
Walden Dissertations and Doctoral Studies
Effective communication by newly graduated, hired nursing staff is a significant issue affecting patient care on mental health units. The rising prevalence of mental illness in the United States has not only increased the healthcare burden, but has also affected the overall economy. The lack of training of new nursing staff regarding communication diminishes the effective recovery rate of patients, further increasing the burden to the healthcare field and the economy. A tool kit for newly graduated mental health nurses working on mental health units may help to improve communication skills and enhance patient safety and quality of care. Therefore, …
Effective Strategies Nonprofit U.S. Leaders Use To Assess And Mitigate Occupational Fraud, Fahim Mazumdar
Effective Strategies Nonprofit U.S. Leaders Use To Assess And Mitigate Occupational Fraud, Fahim Mazumdar
Walden Dissertations and Doctoral Studies
A lack of effective strategies to assess and mitigate occupational fraud can negatively impact nonprofit organizations. Nonprofit organizational leaders in the United States who lack the strategies to assess and mitigate occupational fraud are at high risk of incurring loss due to fraud. Grounded in Cressey’s fraud triangle theory, the purpose of this qualitative single case study was to explore strategies nonprofit officers use to assess and mitigate occupational fraud in a nonprofit organization. The participants comprised 2 internal auditors in the northeast region of the United States who effectively used strategies to assess and mitigate occupational fraud in the …
Identifying What Hinders Effective Interactions Between Correctional Staff And Transgender Juvenile Offenders, Tawanda Walker
Identifying What Hinders Effective Interactions Between Correctional Staff And Transgender Juvenile Offenders, Tawanda Walker
Walden Dissertations and Doctoral Studies
Communication serves as an avenue for individuals to introduce themselves to others and the world, but communication for individuals who identify as lesbian, gay, bisexual, transgender, questioning/queer, or intersex (LGBTQI) creates an opportunity discrimination, bias, and mistreatment. Research has been conducted to address the issues of discrimination, bias, and mistreatment among LGBTQI youth in juvenile detention centers; however, a gap exists in the literature exploring correctional staff members’ beliefs, attitudes, and understandings of transgender juvenile offenders. The purpose of this action research, quasi-experimental, mixed-method study was to explore if correctional staff members’ religious beliefs, lack of LGBTQI training, and inadequate …
Faculty Perceptions Of The Use Of Virtual Learning Environments In Introductory Biology Courses, Whitley Shaina Webb
Faculty Perceptions Of The Use Of Virtual Learning Environments In Introductory Biology Courses, Whitley Shaina Webb
Walden Dissertations and Doctoral Studies
Blended learning (BL) and virtual learning environments (VLEs) are innovative approaches that many higher education instructors are using to promote student success and learning in introductory biology courses. However, research does not provide insight into whether specific VLEs such as Mastering Biology (MB), are useful or effective in increasing student success. The purpose of this basic qualitative research study was to explore the experiences and perceptions of higher education introductory biology instructors regarding the use of BL and MB to promote student success and learning. The theoretical framework for this study was connectivism, based on the work of Siemens. Research …
Strategies For Teaching New Mothers The Importance Of Vaccination, Halimat Akojie
Strategies For Teaching New Mothers The Importance Of Vaccination, Halimat Akojie
Walden Dissertations and Doctoral Studies
Vaccinations provide protection against a number of severe childhood communicable diseases, such as polio, measles, and pertussis. However, not all parents follow the recommended immunization schedules for their young children, a decision which could lead to increased disease incidence and prevalence. The purpose of this DNP project was to address the gap-in-practice related to ineffective strategies to reduce vaccination refusal among parents. This systematic review sought to understand strategies effective at teaching new mothers the importance of vaccinating their children. The theoretical foundation for addressing this question is Rogersâ protection motivation theory, which explains that sources of information, mediating cognitive …
Hiv/Sti Screening, Testing, And Prophylaxis Among Sexual Assault Survivors In U. S. Emergency Departments, Elizabeth A. Cita
Hiv/Sti Screening, Testing, And Prophylaxis Among Sexual Assault Survivors In U. S. Emergency Departments, Elizabeth A. Cita
Walden Dissertations and Doctoral Studies
Use of HIV screening/testing and prophylaxis has been found to be low in the general emergency department (ED) population. Less is known about the use of HIV/sexually transmitted infection (STI) screening, testing, and prophylaxis among sexual assault survivors who present to EDs. The main research questions asked whether there was a relationship between race, socioeconomic status (SES), geographic region, or age, HIV/STI, treatment, and prophylaxis among sexual assault survivors that present to U.S. EDs. This study was a secondary analysis of data collected in the NHAMCS years 2010 to 2016 and included 112 geographic primary sampling units, about 480 hospitals. …
Job Satisfaction And Retention Of Middle School Teachers, Rebecca Jane Gault
Job Satisfaction And Retention Of Middle School Teachers, Rebecca Jane Gault
Walden Dissertations and Doctoral Studies
The problem investigated in this study was the high turnover rates of experienced, quality, and highly effective middle school teachers, which has a negative effect on student learning and achievement. The purpose of this qualitative study was to discover what specific support and professional development middle school teachers need to remain teaching. The conceptual framework that grounded this study was Herzberg’s two-factor theory of motivation. The research questions explored what experienced middle school teachers need in terms of support and professional development in order to improve their job satisfaction and increase their retention. Nine teachers, one from each middle school …
The Influence Of Age And A Self-Actualizing Workshop On Adult Self-Actualization Scores, Tami Amelia Michelle Harris
The Influence Of Age And A Self-Actualizing Workshop On Adult Self-Actualization Scores, Tami Amelia Michelle Harris
Walden Dissertations and Doctoral Studies
Seeking self-fulfillment is a relevant goal among many adults but one that is often not attained. Existing literature includes research on programs that enhance the well-being of participants but does not teach how core self-actualization attributes are significant in developing self-fulfillment. The main theoretical framework for this study was Maslow’s hierarchy of needs concentrating on the internal and external schemas of self-actualizing attributes. Using a snowball sample, the total number of qualified participants for this study was 80; the study was a cross-section sample of adults using a between group, single group, pre-/posttest, quantitative design. The 10 items of the …
Evaluation Of The Impact Of Virginia’S Senate Bill 1294 On Crisis Intervention Team Cooperation, Dennis Ray Martin
Evaluation Of The Impact Of Virginia’S Senate Bill 1294 On Crisis Intervention Team Cooperation, Dennis Ray Martin
Walden Dissertations and Doctoral Studies
In 2009, the Commonwealth of Virginia passed Senate Bill (SB) 1294 that directly involved the Department of Criminal Justice Services and the Department of Behavioral Health and Developmental Services in the spread of the Crisis Intervention Team (CIT) program statewide. The purpose of this mixed-method study was to explore how the passage of SB 1294 affected the level of stakeholder cooperation within Virginia’s statewide CIT program, through 11 interviews with Virginian CIT leaders and by the completion of 115 questionnaires by CIT members in a region of central Virginia. Findings indicated the most common way that SB 1294 affected CIT …
Understanding A Transitional Educational Program For Students With Autism And Intellectual Disabilities, Robin E. Ruiz
Understanding A Transitional Educational Program For Students With Autism And Intellectual Disabilities, Robin E. Ruiz
Walden Dissertations and Doctoral Studies
The number of children in U.S. schools diagnosed with autism and intellectual disabilities disorders is increasing and they face low levels of employment after graduation. Without a viable education, including work skills training, these students cannot be successful citizens. The purpose of this generic qualitative study was to understand the experiences and perceptions of educators implementing an innovative transitional secondary education program designed to prepare students who have intellectual disabilities and autism to be successful in college or the workplace. The conceptual framework for this study included the theory of self-efficacy, sociocultural learning theory, differentiated instruction, and experiential learning theory. …