Digital Commons Network^™

Black Women's Voluntary Use Of Mental Health Services, Dr. Natasha Wright

Walden Dissertations and Doctoral Studies

According to the American Psychiatric Association, Black women engage in formal mental health services at a lower rate than White men and women. In addition, the issues faced by Black women engaging in mental health services are multiplicative, major, and often divisive. Much of the research to date has centered on the barriers to, and negative experiences of, Black women in mental health. Grounded in critical race theory and Black womanist thought, this study investigated the lived experiences of Black women who voluntarily engaged in mental health services. The study included a purposive sample of 6 Black women from 2 …

Perceptions And Beliefs Of African American Men And Women 30 Years And Older About The Health Care System In The United States, Jacqueline Chadwick Mcnair

Walden Dissertations and Doctoral Studies

This qualitative study described perceptions and beliefs of African American men and women ages 30 and over regarding their experiences with the health care system in the United States. The health belief model was the theory that drove this research, and it was grounded in the concept of cultural competency. The study used grounded theory methodology as well as phenomenology to describe the lived experiences of the participants and ethnography to describe the cultural characteristics of African American men and women ages 30 and over as related to their perceptions and beliefs about health care in the United States. The …

Moderators Of Depression And Self-Management In Type 2 Diabetes Patients, Cynthia Elaine Fraser

Walden Dissertations and Doctoral Studies

Although Type 2 diabetes can be reversed or controlled, many individuals choose not to adhere to treatment regimens, nor do they engage in self-management practices. The purpose of this cross-sectional study was to explore self-management among individuals with Type 2 diabetes, examining whether some psychosocial variables have a moderating effect on self-management. The psychosocial variables explored in this research were perception of body image, fear of hypoglycemia, level of family support, and depression. The biopsychosocial model was the theoretical framework. Using the Body Appreciation Scale, Diabetes Self-Management Questionnaire, The Family Relationship Scale, Hypoglycemic Fear Survey (HFS-II), and the Beck Depression …

Leadership Strategies For Reducing Regulatory Citations To Maintain Tax-Exempt Statuses In Nonprofit Organizations, Emmanuel Kamara

Walden Dissertations and Doctoral Studies

Abstract

Leaders of nonprofit organizations have challenging responsibilities of satisfying the

demands of all their stakeholders by obeying state and federal regulations.

Noncompliance of regulations can quickly cause a nonprofit organization to lose its tax

exempt status and become nonexistent; thus, it appears that most nonprofits are choosing

to prioritize compliance, while struggling to maintain focus on their mission and services.

Using the conceptual framework of transformational leadership and general system

theories, this case study was to explore strategies leaders of nonprofits organizations in

Pennsylvania that cater to the needs of people with disabilities use for decreasing

regulatory citations to …

Posttraumatic Stress Disorder Rates Among Children In Foster Versus Family Kinship Care, Rashanda Allen

Walden Dissertations and Doctoral Studies

Children in foster care represent a highly traumatized population. However, trauma researchers studying this population have focused primarily on maltreatment rather than the full spectrum of posttraumatic stress disorder (PTSD) attributes and symptoms for children living in nonkinship foster homes versus kinship foster homes. The purpose of this study was to address this gap in the literature, as well as examine the benefits and limitations of children placed in kinship and nonkinship foster homes. Attachment theory was the theoretical framework. The research questions centered on the prevalence of specific types of posttraumatic stress symptoms for a sample of children living …

Lifestyle Factors And Social Determinants As Predictors Of Weight/Body Mass Index, Uthman Alhaji Baba

Walden Dissertations and Doctoral Studies

Obesity is a major public health concern that includes the risk of developing cardiovascular disease and premature death in adults. Previous studies have established the relationship between gender, educational level, household income and respondents’ weight but additional research is needed to factor the nature of education in relation to gender differences, diet, and other important behavioral mediators such as social determinants. The purpose of this quantitative cross-sectional study is to determine the extent to which frequency of physical activity, household income, social determinants of health (money for balanced meals, finances at the end of month, and poor mental health), respondent …

Identifying Intrinsic Needs And How They Effect Millennials’ Organizational Commitment, William Norman Jacobs

Walden Dissertations and Doctoral Studies

By 2025, 75% of the U.S. labor workforce will be composed of Millennials as Generation X managers leave the workforce. The influx of Millennials in the workforce has led to leaders of organizations encountering a serious challenge in terms of how to retain and motivate Millennials who on average change jobs every 2 years. The purpose of this qualitative phenomenological study was to explore the lived experiences of Millennials in the workforce in relation to their intrinsic needs in the workplace and organizational commitment. The research question that guided the research was: What are the lived experiences of Millennials in …

Assessing Pain-Related Factors As Predictors Of Distress During Transitional Musculoskeletal Pain Experience, Gary Robert Ahlstrom

Walden Dissertations and Doctoral Studies

During people’s pain experience, certain difficulties may emerge within individuals’ psychological and social domains that can confound and exacerbate the frequency of their pain-related distress episodes. Previous research has consistently found psychosocial factors evident during the first months of unresolved pain are reliable predictors of pain chronicity and disability at 12 months. This exploratory descriptive quantitative multivariate study included 2 nationwide online surveys that examined the frequency of moderate-to-severe symptoms of distress within the anxiety-depression spectrum, and the extent that 8 pain-related factors influenced and predicted episodes of anxiety and depressed mood, which included 2 demographic risk factors (age range …

Loneliness, Prosocial Relationships, And Recidivism In Long-Term Incarcerated Juveniles, Amy Rhoads Jozan

Walden Dissertations and Doctoral Studies

Prosocial bonds have been key in juvenile criminal desistance. Juvenile facility placement has resulted in deterioration of important prosocial supports and social isolation, increasing risk for recidivism. Loneliness has been increasingly prevalent in a facility setting, often leading to ongoing behavioral and health problems. Youth incarcerated longer than 1 year have experienced higher rates of physical and mental health challenges, lasting into adulthood. Lengthy juvenile incarceration impacts loneliness, postrelease prosocial relationships, and desistance implications have been underexplored. The purpose of this phenomenological study was to explore themes associated with reaffiliation motive, or lifelong problems resulting from loneliness, after experiencing youth …

Clinician Perspectives On Gender Bias In Diagnosis Of Borderline Personality Disorder, Carl N. Modeste

Walden Dissertations and Doctoral Studies

Healthcare systems across the globe strive to provide equal treatment for all patients irrespective of their status; nevertheless, disparities occur. Gender-based prejudices are present in many cultures and often affect clinicians’ diagnostic and treatment practices. Borderline personality disorder (BPD) patients represent a category that is more prone to gender biases. With a focus on Canada, this study was designed to contribute to currently limited evidence on BPD gender biases by addressing the knowledge gaps in clinical gender-based studies. The study was an exploration of forensic psychologists’ and psychiatrists’ methodology leading to making a diagnosis of BPD and the factors that …

Expressions Of Sexual Deviance In Black Serial Killers, Lucia J. Weatherall

Walden Dissertations and Doctoral Studies

The number of Black serial killers (BSKs) has increased, but empirical studies have not focused on this unique population, including their expressions of sexual deviance. The purpose of this case study was to understand the common socialization experiences and the expressions of sexual deviance in BSKs. Two conceptual frameworks were used to identify the concepts to explore: Bandura’s social learning theory of aggression and Agnew’s general strain theory. Data collected came from archival court and police records in Texas. A content-analysis approach was used to analyze the archival data, organized by criminal background, sexual deviance, familial data, and social development. …

Relationship Between Parent Asthma Knowledge, Parental Control Of Child's Asthma, And Parent Qol, Glori Sommerer

Walden Dissertations and Doctoral Studies

The long-term responsibility of caring for a child with asthma can result in parents

experiencing a lower quality of life (QoL), especially if the child's asthma is not well

controlled. Asthma knowledge can enhance asthma control practices among parents.

However, research has not explored these variables together to determine whether

parental control of child's asthma mediates the relationship between parent asthma

knowledge and parent QoL. This quantitative research study explored whether parental

control of child's asthma mediated the relationship between parent asthma knowledge

and parent QoL. The theoretical foundation was asthma self-regulation theory, focused

on the importance of asthma knowledge …

Emotional Intelligence As Mediator Between Culture And Transformational Leadership In Jamaican Female Managers, Audrey Jean Allen

Walden Dissertations and Doctoral Studies

While women continue to make progress in terms of graduate level education, discrepancies remain between women and men when it comes to opportunities for professional growth and development into executive leadership positions and playing a role in the boardroom. Guided by the theories of emotional intelligence (EI), transformational leadership (TL), and Hofstede's cultural values, the purpose of this quantitative mediation analysis was to determine the mediating effect of EI on the relationship between cultural values and TL in Jamaican female managers. Data were collected from 38 Jamaican female managers who were working with varied public and private sector entities located …

The Perception Of Men's Preferred Female Body Size And Weight Control Behaviors Of Afro-Caribbean Women In The United States Virgin Islands, Alice Victoria Henry

Walden Dissertations and Doctoral Studies

The prevalence of obesity among Afro-Caribbean women living in the United States Virgin Islands (USVI) is a health care issue that can have detrimental effects on society. To reverse the spread of this disease, factors contributing to its prevalence must be understood so that they can be addressed. The purpose of this cross-sectional study was to examine Afro-Caribbean women's perception of the female body size preferred by Afro-Caribbean men and the influence of that perception on the women's weight control behaviors of diet and physical activity. The reasoned action approach was the basis for the theoretical foundation. The research problem …

The Dietary Decision-Making Process Of Women In Nigeria, Gachomo Joanne Mapis

Walden Dissertations and Doctoral Studies

Nigerians have been opting for a more processed Western diet. These changes in dietary choices have aligned with obesity and undernutrition, attributable to micronutrient deficiencies or malnutrition. Many scholars have presented varying intervention strategies ranging from consumption of a variety of foods containing the necessary micronutrients to food fortification. The purpose of this grounded theory study was to explore the perceptions of women in an urban city in Nigeria on indigenous foods and Western dietary influences to determine social interactions, the consequence of the interactions, and the women’s current perceptions of food choices. The social-ecological model was used to explore …

Multiracial Graduate Students’ Perceptions Of Online Doctoral Programs, Misty Jean Bryant

Walden Dissertations and Doctoral Studies

AbstractThe retention rates for multiracial students in higher education have been the focus of researchers, student affairs practitioners, and other key stakeholders for many years. Despite the increase of this population attending online doctoral programs, the retention rates continue to remain in question. The research problem for this study examined how online multiracial doctoral students perceive the effectiveness of their online university’s student engagement and academic achievement as it pertains to student retention. The theoretical framework of the study was Tinto’s theory of institutional departure, which addressed student challenges in establishing positive engagement practices in their online learning environments. Data …

Population Density And Spatial Distribution Of Neglected Tropical Diseases In Sierra Leone, Abou B. Funna

Walden Dissertations and Doctoral Studies

Neglected tropical diseases (NTDs) are the most common health conditions affecting the poorest residents of sub-Saharan Africa (SSA). These infections affect an estimated 2 billion people worldwide, including 500 million people living in SSA. About 85% of NTD infections are a result of helminth infections; hookworm is also a common occurrence among SSA’s poorest people, especially children. Schistosomiasis is the 2nd most prevalent NTD after hookworm. This quantitative correlational study investigated population distribution and the spread of NTDs in Sierra Leone. The focus was on 5 major NTDs: ascariasis, hookworm, schistosomiasis, soil-transmitted helminthiasis, and trichuris. Data were obtained from the …

Exploring The Impact Of Entrepreneurship Education Program On Current Graduate Entrepreneurs, Ruth Oluwatoyosi Abioye

Walden Dissertations and Doctoral Studies

Nigeria produces up to 500,000 graduates from multiple disciplines every year from its educational institutions however, most of these graduates fail to possess the 21st Century skills and competencies that are required to be effective in the workforce and are therefore considered unemployable. The current general qualitative study employed the theory of planned behaviour and the theory of social construction in order to examine the role of entrepreneurship education and its impact on the graduates in the country. Semi structured interviews were conducted with a purposeful sample of 15 recent graduates from Covenant University’s entrepreneurship education programs and who are …

The Relationship Between At-Home Reading Literacy Activities And Reading Literacy Scores Of Beginning Kindergarteners, Shera Chantel Caviness

Walden Dissertations and Doctoral Studies

Approximately 33% of U.S. prekindergartners have trouble recognizing the English alphabet and their associated sounds. To compete and succeed globally today, children start early with English alphabet recognition and phonics instruction to develop fluent reading skills. The purpose of this study was to investigate the relationship between parental recollection of at-home reading literacy activities of prekindergartners and beginning kindergarteners’ reading literacy scores. Vygotsky’s theory of social interaction and Piaget’s theory of child development provided the theoretical basis for this study. The key research question focused on the relationship between parental recollection of at-home reading literacy activities of prekindergarteners and beginning …

Minority Women Leaders' Experiences Of Shattering The Glass Ceiling In Public Administration, Trina N. George

Walden Dissertations and Doctoral Studies

Little research explores the experiences of women who have successfully attained careers in the highest echelons of federal service. Using Gregory-Mina's conceptualization of the great man theory as the foundation, the purpose of this general qualitative study was to understand the experiences and achievements of 7 women who advanced in the federal leadership hierarchy. This study used secondary data that is part of the Public Administration Genome Project holdings and these data were analyzed using inductive coding followed by a thematic analysis procedure. Data analysis revealed common experiences including that all of the women experienced a lack of mentors and …

Strategies For Small Businesses Negotiating Contracts With Hospitals, Patricia Gale Mccoy

Walden Dissertations and Doctoral Studies

Failure to successfully negotiate contracts can have negative impacts on business survivability. Contract negotiations are ways medical suppliers and hospitals establish mutually beneficial relationships to increase profitability and longevity while innovating to improve patient care. Grounded in the resource dependency theory and the grand theory of negotiation, the purpose of this qualitative multiple case study was to explore strategies used by Texas physician preference item (PPI) suppliers to successfully negotiate contracts with hospitals to improve profits and sustain their small business beyond 5 years. The participants comprised 11 small business leaders in Texas who successfully negotiated contracts with hospitals to …

Quality Of Life For Patients Who Have Undergone Hip Replacement Surgery With And Without An Enhanced Recovery Program, Patrick Servat

Walden Dissertations and Doctoral Studies

The World Health Organization considers hip replacement one of the main public health concerns of this 21st century. An enhanced recovery after surgery (ERAS) approach has proved to be an effective and efficient approach to treat patients in need of a hip replacement. The quality of life (QOL) of patients who have undergone a hip replacement surgery with an ERAS approach has not been documented due to its recent development as a possibility for hip surgery. The objective of this study was to compare QOL, length of stay (LOS), and surgery risks of patients undergoing hip replacement surgery with or …

Difficulties Social Workers Face When Working With Youth Exposed To Technology Without Parental Supervision, Dorothy Williams

Walden Dissertations and Doctoral Studies

There has been a significant increase in behavioral issues in the home and school environments of youth ages 13-17 years in the state of Georgia who have constant access to technology through internet-connected devices over the past years. Due to constant evolution and advancements of technology, mental health professionals are now noticing that when youth are overly consumed with technology, it tends to correlate with problematic behaviors. The social work practice problem and purpose is understanding the difficulties social workers face when working with youth exposed to technology without parental supervision. This study is important within the context of clinical …

Child Welfare Workers' Perceptions Of The Effective Black Parenting Program, Kharmynn M. Bullock

Walden Dissertations and Doctoral Studies

The child welfare system (CWS) serves around half a million families each year in America. Of those, in Texas, hundreds of thousands of African American families represent the greatest percentages of families in the CWS when compared with their respective numbers in the general population. In 2013, African American children made up about 13.9% of the overall population of children in the United States; however, these children represented close to 26% (or 101,938) African American children in the system with CWS. Child Protective Services (CPS) has various programs and services, including parent education referrals to social services agencies that carry …

The Experience Of Being An Older Online Graduate Student, Shirley A. Losiewicz

Walden Dissertations and Doctoral Studies

The number of older adult online students (over age 30) has continued to grow over the past 10 years, but their perceptions of how the online experience affects their family and friendship relationships were unknown. The purpose of this qualitative phenomenological study was to examine the experiences of 6 graduate students over the age of 30 years enrolled in an online program, using the lens of Bowen’s family systems theory and Elder’s life course theory. The research questions focused on the experiences of being an older online graduate student, including motivation, factors that helped or hindered adjustment, perceived stress, social …

Age Differences In Effect Of Collaboration Of Care Activities On Student Behaviors, Ronda Lynn Stevens

Walden Dissertations and Doctoral Studies

Over 18 million children in the US have mental health problems and 70% receive the care in the education sector. The Collaboration of Care (CoC) approach is widely used to address these needs. However, the body of knowledge to date does not focus on relationships between the use of a CoC in a school environment nor examines school-based outcomes. This study examined a specific CoC, called the Collaboration of Services for Youth (COSY), to see if there was a positive association between participation in COSY and changes in attendance, behavior, and academic performance among 52 public-school students, ages 5-16, and …

The Lived Experience Of Monogamy Among Gay Men In Monogamous Relationships, Kellie L. Barton

Walden Dissertations and Doctoral Studies

Research on male gay relationships spans more than 50 years, and the focus of most of this research has been on understanding the development processes, consequences, and risk factors of nonmonogamous relationships. Few researchers have explored the nature and meaning of monogamy in the male gay community. Therefore, the purpose of this research was to explore the lived experience of monogamy to give voice to other expressions of gay male relationships and potentially add to the literature surrounding clinical implications of treatment. The framework for developing the research emerged from the construct of the monogamy gap, derived from theories of …

Role Of Social Workers In Psychiatric Patient-Centered Care With U.S. Veterans, Alesia Michelle Noce-Owen

Walden Dissertations and Doctoral Studies

Social workers play an important role in the implementation of patient-centered care (PCC) within an interdisciplinary treatment team in an inpatient psychiatric unit. The PCC approach can become overwhelming and stressful for interdisciplinary team members because the definition of PCC varies across disciplines. The purpose of this qualitative action research study was to explore social workers’ perceptions of their role within an interdisciplinary team, including barriers to social work inclusion and PCC. Ecological systems theory provided the framework for the study. Interview data were collected from 2 focus groups containing a total of 10 purposively selected social workers. A grounded …

Mothers' Knowledge, Clinic Staff, Community Support, And Breastfeeding Practices, Ubong Usua

Walden Dissertations and Doctoral Studies

Among low-income mothers enrolled in the Women Infant and Child (WIC) program and Medicaid, the rate of initiating breastfeeding immediately after delivery is low (57%) compared to high-income mothers (74%). Among the many factors contributing to this are low-income mothers' poor knowledge of the benefits of breast-feeding and lack of support and encouragement from clinical staff, family, and community. However, few studies have singled out the role of community and family support in improving maternal knowledge and breastfeeding practices. Using the Theory of Planned Behavior framework, this quantitative study used WIC data from the Texas Department of Health and Human …

Qualities That Promote Male Friendship, Troy Alan Akins

Walden Dissertations and Doctoral Studies

The psychological, physical, and social circumstances surrounding the relationship between friends can be detrimental, especially in males. The purpose of this phenomenological study was to explore the qualities that can be used to promote friendship among adult men ages 30 to 35 in the Northeastern Wyoming area. The theoretical framework for the study was Miller’s relational cultural theory. Data were collected from 11 semistructured interviews with men ages 30 to 35. Data were transcribed and analyzed to identify themes. Participants reported that they rely on acts of justice and fairness as well as established understanding to have clarity in friendship, …