Digital Commons Network^™

Gender Identity Development Of Women In The U.S. Army, Marshelle Lee Machtan

Walden Dissertations and Doctoral Studies

In spite of a newly developed military policy to facilitate gender integration since 2012, women service members in the U.S. Army today still face a discriminatory social climate. Male-dominated units foster the masculine ideal that subsequently leads to hypermasculine attitudes enabled through gender harassment behavior. Here, women employ coping strategies that facilitate either gender management or a balanced military identity, addressed in Culver's (2013) Gender Identity Development of Women in the Military (GIDWM) 4-phase matrix. A woman service member's position in the matrix is proportional to her level of gender management or military identity development. Similarly, her matrix position is …

Physical Activity And Dietary Interventions For Adolescent African Americans In Mississippi, Tanga Deson Hart Robinson

Walden Dissertations and Doctoral Studies

African American (AA) adolescents have higher rates of obesity than many other ethnic groups, which increases their risk for obesity-related diseases. Culturally sensitive obesity preventive interventions have been unsuccessful, resulting in a steady increase of obesity among AA adolescents. AA adolescents in the southern region of the United States are at a higher risk for obesity and physical inactivity; knowledge and understanding of causative factors remains limited. To identify the impact of programs, a systematic review of the literature focused on structured physical activity and/or dietary education interventions in Mississippi. The ecological framework was used to guide this study. The …

Homelessness Status Among Female Veterans: Posttraumatic Stress Disorder, Depression, And Hopelessness, Shorrelle Sheri Kennedy

Walden Dissertations and Doctoral Studies

Homelessness among female veterans is a problem that is likely to increase as growing numbers of women in the United States military reestablish themselves into their communities as veterans. The purpose of this quantitavie quasi-experimental study was to determine whether there are differences in posttraumatic stress (PTSD), depression, and hopelessness in homeless versus nonhomeless female veterans who have experienced at least 1 U.S. military deployment. Four theories served as the basis for this research: the cognitive theory of depression, conditioning theory, ecological theory, and the hopelessness of depression theory. The data were collected from 88 female veterans who were deployed …

A Staff Education Module For Depression Screening In Acute Care, Olufumilayo Sayo Onuoha

Walden Dissertations and Doctoral Studies

Depression is one of the most common mental health disorders in the United States. Although it can be treated, it may go unidentified for a long period of time. The World Health Organization (WHO) anticipates that, by 2020, depression will become responsible for more disabilities than a combination of other conditions, excluding heart conditions. The prevalence of depression among the general population is higher in patients who seek emergency healthcare services. The purpose of this project is to develop an evidence-based educational module for nurses to screen for depression in an acute care setting using the PHQ-2 and PHQ-9 depression …

Social Workers' Experiences With Interventions For Clients With Congenital Heart Disease, Corinne Smorra

Walden Dissertations and Doctoral Studies

Many adults born with congenital heart disease (CHD) face long-term psychosocial issues related the disease. The purpose of this project was to better understand social workers' experiences with interventions for clients who have CHD and experience psychosocial problems. Bronfenbrenner's ecological theory was a basis for the research questions, which focused on clarifying social workers' experiences with interventions and identifying the ecological levels to which the interventions align. A narrative design with nonprobability sampling was used. Six social workers who counsel adults with CHD from 6 of the 109 U.S. CHD clinics participated in individual interviews. Interviews were transcribed, coded, and …

The Role Of Glucose Level On The Performance Of The Framingham Risk Score, Uohna June Thiessen

Walden Dissertations and Doctoral Studies

Cardiovascular diseases (CVD) are responsible for more deaths than any other disease, continue to threaten the quality of life for many, and is a major burden to the health care system. The Framingham Heart Study (FHS) identified the major CVD risk factors that became essential to effective CVD screening strategies and the Framingham Risk Score (FRS), is used to assess CVD risk. Based on the concepts of the health behavior model and CVD as a cardiometabolic disorder, multivariate logistic regression analysis was used to evaluate the association between fasting blood glucose (FBG) levels and a CHD event, and to determine …

A Phenomenological Study Of High-Performance Teachers' Happiness At School And Home, Sarah Abuaqel

Walden Dissertations and Doctoral Studies

This research study is focused on understanding the phenomenology of happiness of High Performing Teachers (HPT) working in an elementary school located in a Midwest City. The purpose of the study was to understand positive and negative emotions of HPT, through their experiences at work and home. Qualitative methodology through in-depth interviews was employed for this study. Tomkins' affect theory of happiness (ATH), was used to assess and explore positive and negative emotions of participants of the study. In this study a purposeful sample of 11 participants that work in elementary school located in a Midwest City, participated in in-depth, …

A Geographic Study Of Lung And Bronchus Cancer Rates In Kentucky, Gabriel Njoh Dikong

Walden Dissertations and Doctoral Studies

The average age-adjusted incidence and mortality rates of lung and bronchus cancer is 55% and 56% higher in Kentucky than the national averages in the United States, respectively. Populations with low income and educational attainment, and those who live close to the mining regions across Kentucky are more affected by the high prevalence and resulting mortality rates of lung and bronchus cancer. This study was conducted because of the high incidence of lung and bronchus cancer and resulting mortality rates in the state of Kentucky that may not be caused solely by social and demographic factors. The theoretical foundation for …

Effects Of Pregnancy-Related Depression On Low Birth Weight Infants, Kimberly J. Bauer-Schaub

Walden Dissertations and Doctoral Studies

Maternal depression during pregnancy can have a negative impact on the developing child. Numerous studies have focused on postpartum depression and the influences on infant outcomes; however, there are limited data on pregnancy-related depression. The problem addressed in this study was the inadequacy and insufficiency of depression screening during the pregnancy period and access to quality-related health services for women. The purpose of this quantitative retrospective study was to test social cognitive theory on low birth weight and prenatal care adherence to pregnancy-related depression in women residing in Colorado. This research measured an association between pregnancy-related depression and both low …

Fathers’ Perceived Self-Efficacy In Talking To Their Children About Child Sexual Abuse Prevention, Lori Campbell

Walden Dissertations and Doctoral Studies

The research problem for this study was fathers’ low participation in child sexual abuse (CSA) prevention with their children. The purpose of this study was to explore how fathers perceive their self-efficacy in talking to their children about CSA prevention. Bandura’s self-efficacy concept, which is a part of social cognitive theory, was used as the theoretical foundation for this study. The primary research question addressed fathers’ perceptions of their self-efficacy in discussing CSA prevention with their children. The secondary research question addressed what fathers think could be affecting their comfort level in talking to their children about CSA prevention. A …

The Experiences Of Black Parents In Choosing Intervention Programs For Juvenile Offenders, Deborah Hawkes

Walden Dissertations and Doctoral Studies

Juvenile offense is a social problem that affects communities and families. Black juvenile offenses occur at a higher rate than White juvenile offenses. The parents of these offenders may engage in the intervention process of their juvenile offender with the intent to improve the intervention outcome. The literature on this topic, however, is primarily focused on the treatment outcomes of various types of intervention. The identified gap in the literature is research on Black parental input on the process used to select various types of intervention for their offending children. The high rate of incidence compounded by the racial disparity …

Effects Of Maternal Obesity On Preterm Birth And Birthweight, La Tosha Headley

Walden Dissertations and Doctoral Studies

Obesity is one of the major risk factors for neonate low birthweight among reproductive women. The purpose of this quantitative study was to examine the association between 3 categories of obese status (moderate, severe, and very severe) and low neonate birthweight and preterm birth among women ages 18 to 39 years at all socioeconomic levels. Secondary data were obtained from 141,859 women ages 18-39 years living in the United States who had participated in the 2012-2015 Pregnancy Risk Assessment Monitoring System. Social-ecological theory was used to guide the study, and binary logistic regression was used for the analyses adjusting for …

Organizational Culture’S Moderating Relationship On Surface Acting And Psychological Distress, James A. Judd

Walden Dissertations and Doctoral Studies

There is a scarcity of research linking surface acting (SA) to psychological distress (PD) in employee-to-employee interactions. Research has demonstrated direct negative effects of SA causing the PD elements of occupational stress (OS), emotional exhaustion (EE), and burnout/depersonalization (DEP) in employee-to-customer interactions. Moreover, little research exists if organizational culture (OC) type plays any role in mitigating these negative effects. Therefore, there was a need to research if the negative effects in the employee-to-customer interactions manifest in the employee-to employee interactions and also, if OC type can possibly moderate this effect between SA and PD. This quantitative study used a cross-sectional …

Perceptions Of Lifestyle As Mental Health Protective Factors Among Midwestern Amish, Gregory Lantz

Walden Dissertations and Doctoral Studies

The Amish are commonly known for horse-and-buggies, simple clothing, and refusal to use electricity. Less commonly known is their rate of mental illness, which is significantly lower than the non-Amish population. The literature that points to lower depression and anxiety among the Amish does not adequately explain what elements of their lifestyle contribute to this phenomenon. Depression and anxiety are a widespread problem in the United States, increasing the importance of understanding a lifestyle that can reduce these issues. The purpose of this study was to explore the Amish way of life through the words of its members. The three …

Patient Awareness And Knowledge Of Medically Induced Radiation Exposure, Travis L. Mann

Walden Dissertations and Doctoral Studies

The level of knowledge and awareness among patients about the concepts and implications of medical radiation is unknown. The purpose of this qualitative, case study was to explore patients' awareness and knowledge of information regarding this topic from their perspectives. The health belief model provided the framework for the study. A total of 20 individuals were recruited using purposive sampling. All participants were above the age of 18 in central North Carolina and had undergone or are currently undergoing medical radiation exams. Data were collected using semistructured interviews and analyzed using Yin's 5-phased cycle, which involved compiling, disassembling, reassembling, interpreting, …

A Conflictive Triuvirate Consruct Of Epidemiologic Systems Failure, Ngozi Lois Ulinwa

Walden Dissertations and Doctoral Studies

Epidemiologic systems failure (ESF) is a major hurdle in minimizing the spread of infectious diseases during outbreaks. The reasons for ESF include the technical limitation of personnel handling epidemic crises, strictly defined health policies that limit the actions of epidemiologists, and personal perspective's reservations towards the intentions of health agencies. The purpose of this triumvirate mixed-methods case study was to examine factors of infectious disease control mechanisms useful for determining ESF. Three juxtaposed pre-emptive factors (technical [T], organizational [O], and personal [P] perspectives were used to determine how the multiple perspectives inquiring systems and fuzzy logic revealed factors causing ESF …

Successful Strategies For Increased Dental Practice Competitiveness, William Eyster

Walden Dissertations and Doctoral Studies

The rapid expansion of dental service organizations (DSOs) continues to disrupt the traditional dental practice model and there was a 12.2% increase in DSOs between 2015 and 2016. Some solo and small group dental practice owners lack strategies to adapt their businesses to be successful in newly competitive markets including DSOs. Grounded in systems theory, the purpose of this qualitative multicase study was to explore strategies dental practice owners use to adapt their businesses to be successful in newly competitive markets. The participants included 3 solo and 2 small group dental practice owners in central Kentucky who demonstrated success in …

Embracing Ujima: A Grounded Theory Of African Americans Choosing The Counseling Profession, Rashida Karriem Fisher

Walden Dissertations and Doctoral Studies

Racial and ethnic diverse populations experience discrimination in educational and career attainment and remain underrepresented in the counseling profession. The current literature provides limited guidance for the counseling profession and academic institutions for successfully recruiting racial and ethnic minority students in a master's level counselor training program. Social Constructivist theory and Adlerian/ Individual Psychology are the theoretical foundations of the study. This constructivist grounded theory study sought to understand the career decision-making process of African Americans choosing to enter in the counseling profession and the influence of racial and ethnic identity on this decision-making process. Utilizing semistructured interviews via video-conferencing; …

Self-Efficacy And Leadership Commitment During Lean Strategy Deployment, Angela Deloise Pearson

Walden Dissertations and Doctoral Studies

Lean strategy deployment (LSD) provides a means to create lasting value at reduced cost; yet most LSD efforts fail to attain sustainable improvements. The current study sought to gain an understanding of how leaders in oral healthcare manufacturing setting in the northeastern region of the United States can apply self-efficacy and leadership commitment during an LSD. Using Bandura’s theory of self-efficacy this qualitative phenomenological study examined the lived experiences and perceptions of 15 mid-to-senior level managers, concerning the use of self-efficacy and leadership commitment during a lean strategy deployment (LSD). The key findings resulted in 10 emergent themes. The top …

Depression With Peripartum Onset (Postpartum) And Mother’S Perceptions Of Social Support And Self-Efficacy For Parenting, Shenetha Carmise Ramsey

Walden Dissertations and Doctoral Studies

Depression with peripartum onset, which was previously called maternal depression, or postpartum depression, is common among many pregnant women. The condition increases impairment in maintaining relationships, self-esteem, and parenting skills. The purpose of this phenomenological qualitative study was to explore how mothers who have experienced peripartum onset (postpartum) depression perceive their social support and their ability to parent effectively. The conceptual framework was based on Albert Bandura’s self-efficacy theory. Convenience and snowball sampling were both used to obtain 6 research participants who were interviewed face-to-face or by telephone. Participants shared their experiences with depression, perceptions of social support, and how …

Exploring Social Worker Knowledge, Conceptualization, And Use Of Cultural Humility In Hospice, Shelby L. Schiller

Walden Dissertations and Doctoral Studies

This capstone project examined social workers’ knowledge, values, and beliefs as related to the concept of cultural humility to determine how hospice care professionals treat patients’ cultural preferences and traditions with respect and sensitivity at the end of life; as such practices have the ability to improve the hospice experience. Research questions addressed in the study (a) how social workers in Nevada define cultural humility in the context of hospice social work practice, (b) the values or principles hospice social workers in Nevada consider most important in providing culturally appropriate care to hospice patients, and (c) the ways hospice social …

The Effects Of Maternal Incarceration On Juvenile Delinquency, Sherri Trice

Walden Dissertations and Doctoral Studies

Increasing rates of maternal incarceration are potentially linked to development of delinquency in the children of these mothers. Current literature points to the intergenerational transmission of criminality that may result in future low socioeconomic status and unemployment for children of incarcerated mothers, yet little of this literature addresses the link between maternal incarceration and juvenile delinquency. Using attachment theory as the foundation, the purpose of this quantitative correlational study was to assess correlation between maternal incarceration and juvenile delinquency, as well as investigate the mediating role of child gender, race, current relationship with the primary caregiver, and disciplinary environment. The …

Relationship Between Preparedness Training And Posttraumatic Stress Disorder Severity In Combat Veterans, Charles F. Snay

Walden Dissertations and Doctoral Studies

In the past decade, the military has deployed approximately 1 million members into combat, and a factor that plagues the military veterans returning from combat is the prevalence of posttraumatic stress disorder (PTSD). A factor to examine is preparedness training before combat because the research has shown that postcombat resilience training has been effective in reducing symptoms of PTSD. Using the social cognitive theory, the purpose of this study was to determine whether self-reported preparedness training before deployments was related to lower severity of self-reported PTSD. Based on prior research, age and gender are other variables that this study examined. …

Teachers' And Students' Perspectives About Patterns Of Interaction, Ena Smith

Walden Dissertations and Doctoral Studies

Social interaction is key to students' learning in blending learning discussions. Although there is research on interactions in online courses and traditional classes, there is little on whether blended learning discussions are meeting students' social interaction and educational development needs. The purpose of this multicase study was to examine attitudes of first-year and final-year business and technology students and faculty members for patterns of interaction and knowledge construction. The study was conducted in the northeastern United States. Piaget's cognitive constructivism, Vygotsky's social constructivism, and Knowles's andragogy constituted the conceptual framework. Using maximum variation sampling, participants were 8 students and 4 …

Factors That Influence The Prevalence Of Type 2 Diabetes Among Aboriginals In Canada, Olayinka Awoyemi

Walden Dissertations and Doctoral Studies

The focus of this study was on potential social determinants of health factors that influence the prevalence of type 2 diabetes in the general population of Canada, with emphasis on the disproportion in rates of the disease between Aboriginal and non-Aboriginal populations of Canada. This study also examined the risk factors that are peculiar to the general, Aboriginal, and non-Aboriginal population of Canada. A total number of 101,080 individuals who were 18 years and above provided data for this study. The data and information obtained from these participants were used to answer the major research questions regarding if there was …

Analysis Of Control Measures Used During Cholera Outbreaks Among Internally Displaced Persons, Nicole Devine Carneal-Frazer

Walden Dissertations and Doctoral Studies

Cholera remains a major public health problem affecting high-risk populations such as camps of internally displaced persons. During a cholera outbreak, it is essential to reduce transmission and minimize new infections. The Miasma theory, host-agent-environment model and Ecosocial theory were utilized for this study. This study was a retrospective comparison to determine whether historical cholera control measures are effective during current cholera outbreaks within camps of internally displaced persons. A quantitative approach ascertained changes in incidence and mortality rates following implementation of primary and/or secondary control measures. Cholera outbreaks were identified from the World Health Organization's (WHO) Disease Outbreak News …

Fire Training Fatalities And Firefighter Adherence To National Fire Protection Association Standards, Lucas Aaron Garcia

Walden Dissertations and Doctoral Studies

Sudden cardiac arrest continues to be a major cause of firefighter deaths during training due to a lack of individual firefighter adherence to National Fire Protection Association (NFPA) standards. These standards identify requirements for fire departments to create and maintain fitness programs. Existing research has not identified any relationships between training fatalities and individual firefighter adherence to NFPA 1583, Standard on Health-Related Fitness Programs for Fire Department Members. Using self-determination theory as the foundation, the purpose of this cross-sectional correlation study was to investigate whether individual firefighter adherence to NFPA 1583 has a measurable effect on training fatalities. Survey data …

A Comparison Of The Safety And Efficacy Of Three Medical Abortion Protocols, Dhammika Perera

Walden Dissertations and Doctoral Studies

Unsafe abortions pose serious threats to women's health. Medical abortion provides safer abortion access to many. The lengthy interval between misoprostol and mifepristone creates multiple barriers for women and providers.

A paucity of research exists about medical abortion protocols that allow single day procedures. The efficacy and the safety of 3 medical abortion protocols of varying lengths were explored in this study.

A secondary data set of over 55,000 patients from the United Kingdom was retrospectively analyzed using binomial logistic regression. Efficacy results showed no significant difference between the conventional and the simultaneous protocols; when compared to those, the 6- …

Reduction Of Centers For Medicare And Medicaid Services Reimbursement Penalty Risk, Christopher Douglas Poteet

Walden Dissertations and Doctoral Studies

Healthcare centers face increasing revenue risk under the Medicare Access and Children's Health Insurance Program Reauthorization Act (MACRA). The purpose of this multiple case study was to explore strategies that successful leaders of healthcare centers use to mitigate the risk of reimbursement penalties under MACRA. The conceptual framework of this study was Generation 3 cultural-historical activity theory (CHAT-III), and the analysis process used was Yin's recursive and iterative phases. Participants of this study were 6 leaders of healthcare centers in the United States identified as having high quality and low cost via the Centers for Medicare and Medicaid public use …

Living Arrangements, Referral Source And Young Adult Admissions To Drug Treatment, Daniel Samaila

Walden Dissertations and Doctoral Studies

Abuse of painkiller drugs and non-medical use of drugs among young adults continues to be a public health crisis in the United States. Living arrangements and source of treatment referral were considered as the social context that could contribute to increased admissions to treatment for drug abuse. The purpose of this study was to examine the relationship between, independent living arrangement, the principal source of referral, and abuse of opioid, heroin, and cocaine. Steered by the conceptual framework of the biopsychosocial model, this study used the data from the 2015 Treatment Episode Data Set: Admissions managed by the Substance Abuse …