Digital Commons Network^™

Cancer Treatment Decision Making In Aging Minorities, Patrice Kemp

Walden Dissertations and Doctoral Studies

Cancer incidence is high for aging minority and underserved populations, yet research is limited about patient-provider communications with aging racial and ethnic minority populations. Achieving high-quality cancer care is crucial to reducing health disparities for this population. However, potential shortages in professional health personnel, the cost to treat cancer, a strained health care system, and large aging populations contribute to the problem. The purpose of this qualitative study was to understand the personal experiences of aging minorities during cancer treatment decision making when communicating with their cancer care providers. Purposive sampling methods were used to recruit 10 minority women and …

Racial Identity, Skin Tone, And Intragroup Racism Among African American Males, Carlton Deshawn Lewis

Walden Dissertations and Doctoral Studies

Abstract

Skin tone of an African American is a key primer for prejudicial attitudes among Whites,

with darker skin tones eliciting more negative reactions. No previous studies have

examined this phenomenon with African Americans as the evaluators. Social identity and

social categorization theories, and Cross' theory of nigrescence, provided theoretical

frameworks for this study. It was proposed that male African American observers'

evaluations of another African American male may depend not only on the skin tone of

the target (job candidate) and the quality of his credentials, but also on the observer's

own skin tone and stage of racial identity. …

Cultural Distance, Acculturative Stress, Social Support, And Psychological Adaptation Of International Students, Ariel Mitchell Ladum

Walden Dissertations and Doctoral Studies

International students experience stress and adaptation difficulties as they study in a new culture. This study examined how cultural distance, acculturative stress, and social support interacted to influence positive and negative emotional responses among international students in the northern part of Cyprus. Acculturation models and the stress-buffering hypothesis served as theoretical frameworks. The 2 research questions involved understanding whether international students experienced more negative emotional responses compared to students from the home culture and whether social support moderated acculturative stress and reactions to being in the northern part of Cyprus. An analysis of variance (ANOVA) was used to examine differences …

A Phenomenological Examination Of Resilience In Adult Children Of Alcoholics, Marcy Martens

Walden Dissertations and Doctoral Studies

Researchers have identified adult children of alcoholics (ACOAs) as being susceptible to substance abuse, intimate partner violence, mental health instability, and a myriad of psychosocial inadequacies. Growing up within an adverse childhood environment has also imprinted an unwanted stigma among ACOAs. Although there are many studies on the ACOA population, there is a significant gap in the literature between ACOAs exhibiting resilience and those who succumb to the negative characteristics of growing up within an adverse environment. The purpose of this hermeneutic, phenomenological study was to examine the lived experiences of adult children of alcoholics who have succeeded despite their …

Smoking And Surgical Site Infection In Orthopedic Patients' Lower Extremity Arthroplasty, Alicia Y. Mingo

Walden Dissertations and Doctoral Studies

Cigarette smoking has been a public health concern for many years, and the possible impact of smoking on surgical site infection (SSI) has been studied broadly. However, a gap in understanding has persisted concerning whether there is an association between smoking tobacco and the development of SSI among patients who undergo lower extremity surgery, specifically total knee arthroplasty (TKA). The purpose of this study was to examine the association between smoking and lower extremity SSI. Andersen's behavioral model (BM) was used to understand the risk factors relevant to the interaction between smoking and SSI. Application of the BM categories of …

Teachers' Perceptions Of The Adoption Of New Pedagogies In Kazakhstan, Phillipa Schulleri

Walden Dissertations and Doctoral Studies

Kazakhstan has used the Soviet system of education since its independence in 1990. Researchers have noted shortfalls in education reform efforts and documented factors of teachers' resistance to new pedagogies. The purpose of this basic qualitative study was to explore local teachers' perceptions of the new pedagogies in the context of understanding the local-international teacher program in Agrenov international schools (AIS). Three research questions focused on teachers' perceptions of factors for adoption of new pedagogies in an educationally transforming school using the motivational and systems approaches and emotional intelligence conceptual frameworks. A conceptual framework constructed from three theories of motivation, …

Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders

Walden Dissertations and Doctoral Studies

Due to projected growth of the 65-and-older population and concerns of an impending care gap, reliance on informal caregivers is expected to increase. Improving support for informal caregivers is viewed as a national priority, yet research related to the unmet support needs of informal caregivers is limited. The purpose of this cross-sectional correlational study was to examine predictive relationships between contextual factors (caregiving relationship and type of illness) and environmental factors (rurality) and the unmet support needs (classes, service access, support groups, counseling, and respite) of informal caregivers of older adults. The theoretical framework was Bronfenbrenner's ecological systems theory. Archival …

Interprofessional Intentional Empathy Centered Care (Ip-Iecc) In Healthcare Practice, Deepy Sur

Walden Dissertations and Doctoral Studies

Training interprofessional healthcare teams continues to advance practice for patient-centered care. Empathy research is also advancing and has been explored in social work, psychology, and other healthcare areas. In the absence of understanding empathy in an interprofessional setting, educators are limited in preparing teams to develop empathy as part of core competencies This grounded theory study explored for a theory of how interprofessional healthcare teams conceptualize and operationalize empathy in their practice. Azjen's theory of planned behavior and Barrett-Lennard's cyclical model of empathy framed the study. Data were collected using 6 focus groups and 24 semistructured interviews of varied healthcare …

Bereavement In Online Graduate Students: Perspectives On Academic Success And Interventions, Edythe Marie Bouldin

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to fill an existing gap in research on bereavement and graduate students. The study explored how bereavement and grief affect a person physically, mentally, and cognitively. Prior studies have addressed bereavement in undergraduate college students, but little research has focused on online graduate students and bereavement. This study fills that gap in the literature allowing university personnel and the public access to an understanding as to how online graduate students' bereavement affects their academic performance and how they perceive their university supports them during their time of bereavement. This exploration used a case …

Impact Of Stress Inoculating Training On Police In Aftermath Of Critical Incidents, Russell Ford

Walden Dissertations and Doctoral Studies

Critical incidents (CI) have increased over the last several decades, with police officers experiencing more trauma and a rise in psychological problems. Stress inoculation training (SIT) could possibly lower symptoms of posttraumatic stress experienced by the police officers who have responded to CIs. To date, little research exists specific to using SIT to lower symptomatic effects of CIs in police officers. The purpose of this quantitative ex post facto study was to examine and compare symptoms of posttraumatic stress, depression, and anxiety for police officers who have or have not received SIT prior to a CI. The theoretical foundation was …

Public Health Implications Of Retailer Resale Of Returned Textile Clothing Merchandise, Antonette M. A. Francis-Shearer

Walden Dissertations and Doctoral Studies

Historically, 18th century anecdotal accounts of the decimation of several tribes of U.S. of the Native American population by trading of infected textile blankets alludes to the role of retail in the transmission of infectious disease. This study explores implications of the modern day retail organization practice of reselling returned clothing textiles from a public health infectious disease perspective. A qualitative multi-case study, utilized responses from 20 open-ended, unstructured interviews of retail employees assigned to the returns process. Additionally, several informal observations of select U.S.based, top-ranked clothing retail organizations, identified by the National Retail Federation were completed. Select federal, state, …

Hiv Testing And Black Men Who Have Sex With Men, Stephaun Elite Wallace

Walden Dissertations and Doctoral Studies

HIV incidence among Black men who have sex with men (BMSM) is extremely high in contrast to their estimated population size and compared to other racial groups. Researchers have established that a significant proportion of these new cases annually originate from HIV transmission by BMSM who are unaware of their HIV status. The purpose of the study was to assess the relationship between age, sexual behavior, social support, substance use, internalized homophobia, depression, and HIV test history in BMSM. Guided by the social ecological model (SEM) as the conceptual framework, a quantitative cross-sectional study was designed to analyze secondary data …

Obesity Epidemic In The Military: Implications For Veterans, Tracy Lewis

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the impact of overweight and obesity on veterans' careers. Obesity, once thought unproblematic for the military, is being recognized as a health concern that has expansive implications for the health and readiness of service men and women, as well as for veterans. There is an abundance of information on obesity within the general population, but research on the impact of obesity on military careers is limited. This quantitative, cross-sectional research study investigated how obesity is a challenge throughout a veteran's career, from enlistment to retirement, using an online survey to gather data …

Perceptions Of Failed Foster Care, Nathaniel Mitchell

Walden Dissertations and Doctoral Studies

Abstract

The purpose of this action research study was to investigate social workers' perceptions of the problems that prevent successful family reunifications after foster care. The study explored social workers' perceptions of barriers that prevent family reunifications in central Mississippi. Using Bronfenbrenner's ecological theory as the framework, the research question explored the problem from multiple levels of practice including family, individual, institutional, and community. The focus group approach aligned with the project goal by allowing participants opportunities to share experiences and perspectives regarding family reunifications. The study used a purposive sample of 10 participants who were practicing licensed social workers …

Women Leaders In Information Technology: A Phenomenological Study Of Their Career Paths, Michelle Newsome

Walden Dissertations and Doctoral Studies

In the United States, women remain underrepresented in senior level positions in the information technology (IT) field. Despite this challenge, a few women have successfully ascended into senior leadership in IT. Using the social cognitive theory as the conceptual framework, the purpose of this qualitative transcendental phenomenological study was to understand the lived experiences of senior women leaders in the IT field. The research question explored the lived personal and professional experiences of senior women leaders in IT to gain an understanding of their career advancement into senior leadership positions. Through the use of the modified Van Kaam method of …

Successful Strategies For Implementing Health Information Technology In Primary Care Practice, Samuel O. Otoo

Walden Dissertations and Doctoral Studies

Health information technology (HIT) owner-practitioners who adopt effective strategies for HIT implementation can improve primary facility care delivery and profitability. However, some HIT owner-practitioners have ineffective implementation strategies, so they have not realized the total revenue increases of more than 8%. Grounded in general systems theory, the purpose of this multiple case study was to explore successful strategies primary care practitioners (PCPs) use to implement HIT to improve primary facility care delivery and profitability. The participants included 6 owner-practitioners located in Queens County, NY, who successfully implemented HIT to improve facility care delivery and profitability. Data were collected through face-to-face …

Examining Family Hierarchy Through The Eyes Of Former Mac Baller Gang Members, Jerome Lee Rice

Walden Dissertations and Doctoral Studies

Criminal gang membership is growing, which corresponds to a continued breakdown of the family unit in the United States. Most of the young people who form gangs come from broken families or single-parent-headed households. This study explored the role of family hierarchy on gang membership. A qualitative case study approach was used to gather information on what motivates young people to join criminal gangs. A random sampling technique was used to recruit seven former members of the Mac Baller Brim gang. Ethical concerns were addressed to minimize the risks to the participants. The collected data from interviews were analyzed using …

Socioeconomic Determinants Of Physical Activity Among Adult Arab Immigrants In Edmonton, Alberta, Samer Kobrosly

Walden Dissertations and Doctoral Studies

Little is known about leisure-time physical activity (LTPA) habits of Arab immigrants in Canada. Leisure-time physical activity has been linked to decreased risks for cancer, cardiovascular disease, and all causes mortality and increased life expectancy. Socioeconomic status has been recognized as a significant factor affecting health and wellbeing due to its impact on individuals’ attitudes, experiences, and exposure to several risk factors. The purpose of this cross-sectional descriptive study was to explore the levels of participation in LTPA among adult Arab immigrants in central Alberta, Canada, to examine the socioeconomic determinants of LTPA, and to investigate which individual, social, and …

Affordable Care Act And Racial Inequity In Breast Cancer Survival Rates, Nadine Terry-Lawrence

Walden Dissertations and Doctoral Studies

African American women are more likely than White women to be diagnosed with breast cancer after the disease has progressed to advanced stages. Further, African American women experience higher breast cancer mortality rates than White women at all stages of cancer diagnosis. The purpose of this quantitative comparative study was to examine differences between implementation of the Affordable Care Act (ACA) and 5-year breast cancer survival rates among African American and White women. The independent variable was African American women and White women who were survivors of breast cancer after the ACA implementation; the dependent variables were breast cancer survival …

Fruit And Vegetable Consumption, Physical Activity, And Colorectal Cancer Among African Americans, Stella Francoise Nanga Ndzana

Walden Dissertations and Doctoral Studies

Colorectal cancer (CRC) is a deadly and costly cancer, especially among African Americans. The purpose of this quantitative, retrospective, cross-sectional study was to examine African Americans' health behaviors that may have an association with CRC. The Health Belief Model was used to guide this study. The study addressed whether there is a statistical association between fruit intake, vegetable intake, and physical activity, and the occurrence of CRC while controlling for confounders, such as body mass index, smoking status, and income level. After conducting an overall analysis, the final research question examined if the association varied by race. In this study, …

Attitudes And Perceptions Among African Americans About Dating Individuals With Bipolar Disorder, Casey Michelle Johnson

Walden Dissertations and Doctoral Studies

Individuals who experience bipolar disorder may have difficulty acquiring and maintaining relationships due to the stigma associated with mental illness. The purpose of this generic qualitative study was to examine the attitudes and perceptions of African American men and women regarding their experiences of dating and relationships with individuals who suffer from bipolar disorder. The theory used in this study was equity theory. The research question for this study explored how African American adults experience relationship acquisition and maintenance with a partner who has been diagnosed with bipolar disorder. For this generic qualitative study, there were 12 respondents. Participants were …

Policy Implications Of Intentional Contamination Of The Retail Food Chain, James C. Mack

Walden Dissertations and Doctoral Studies

The retail food safety chain is vulnerable to deliberate contamination, yet food safety professionals and emergency managers typically respond to intentional contamination in different ways. Little is known about the practices of environmental health food safety professionals (EHFSP) as compared to emergency managers and whether those approaches can be combined to more successfully impede intentional food contamination. The purpose of this narrative policy analysis was to use routine activity theory to compare the narratives of EHFSPs and emergency managers to determine whether there are opportunities to better understand the relationship between vulnerability and resiliency of the retail food safety chain. …

Supply Chain Managers' Reverse Logistics Strategies To Control Cost Through Risk Mitigation, Lawrence A. Reeves

Walden Dissertations and Doctoral Studies

Supply chain managers in the food and beverage industry face significant challenges regarding the use of effective reverse logistics strategies to reduce supply chain disruptions, control risk, and reduce costs. Through the lens of resource dependence theory, the purpose of this multiple case study was to explore reverse logistics strategies used by supply chain managers in the United States to control cost through risk mitigation. Participants in this study included 5 supply chain managers in the food and beverage distribution industry in the state of Georgia who implemented successful reverse logistics strategies to control cost through risk mitigation. Data were …

Rural Transgender And Gender-Nonconforming Individuals' Experiences With Social Media During Adolescence, Heather Lynn Anderson

Walden Dissertations and Doctoral Studies

Suicide attempt and completion rates are significantly higher for the transgender and gender-nonconforming (TGNC) population. TGNC adolescents experience many challenges and adversities, which are compounded when they live in rural communities. The lived experiences of rural TGNC adolescents with social media were unknown and created a gap in the research. This study was grounded in transgender, gender minority stress, and resiliency theories, along with the conceptual frameworks of rural communities and grit. The purpose of this descriptive phenomenological qualitative research study was to explore the lived experiences of rural TGNC individuals (18-24-year-olds) with social media during adolescence. Data was collected …

Health Disparities In Females With Rheumatic Heart Disease In Central Afghanistan, Ruhina Najem

Walden Dissertations and Doctoral Studies

This study surveyed healthcare professionals and rheumatic heart disease (RHD) female participants in two hospitals located in central Afghanistan to examine the effects of communication among healthcare professionals, ethnicity and socioeconomic status, and the health quality of life. The social ecological models (SEM) of health promotion was utilized in the individual (communication between healthcare professionals), community (health quality of life), and societal factors (ethnicity and socioeconomic status). Three research questions were explored in this study: the significance of RHD healthcare professional's education to their RHD female patients ages 16 to 45 years; a correlation between ethnicity and socioeconomic status among …

Hiv/Aids And Behavioral Risk Factors Among Former Texas Prison Inmates, Scarlett Lusk-Edwards

Walden Dissertations and Doctoral Studies

As of the end of 2010, .9% (20,093) of the inmate population under the care of the U.S. Federal Bureau of Prisons and 1.7% (2,394) of the inmate population under the care of the Texas Department of Criminal Justice were living with HIV/AIDS. The purpose of this quantitative correlational study was to analyze the relationships between HIV/AIDS status and former inmate demographic characteristics, intravenous drug use (IDU), and social support networks. The behavior models of importation and deprivation formed the theoretical frameworks used to explore the relationship between HIV/AIDS and behavioral risk factors for released Texas prison inmates. Fifty former …

Parental Needs Regarding The Future Of Their Adult Intellectually Disabled Child, Jeannie Brown

Walden Dissertations and Doctoral Studies

The problem examined in this study was the lack of policy in New York State regarding the provision of prioritized residential services for intellectually disabled individuals who are being cared for by an aging caregiver. The purpose of this qualitative phenomenological study was to explore and document the needs experienced by aging parents regarding securing the future of their intellectually disabled adult child. The theoretical framework for this study was based on Sabatier’s advocacy coalition framework. The research questions examined the lived experiences of aging parents caring for an adult child with an intellectual disability what parents perceive their needs …

Prison Nurseries And Social Work Practice, Brooke Sheehan

Walden Dissertations and Doctoral Studies

This study sought to examine what gaps existed in practice through the perspectives of correctional social workers in terms of helping incarcerated mother–infant dyads bond. Additionally, it examined whether a prison nursery was viewed as a possible option within a smaller correctional facility. Theories used to guide this study included attachment theory and separation-individuation theory, which align with the research questions that sought to explore gaps in services, supports that could be established, and program feasibility. Action research, using an anonymous online survey, resulted in N = 6 social work participants who worked as prison social workers in the northeast …

Accessibility Of Innovative Services In Radiation Oncology, Patricia Sansourekidou

Walden Dissertations and Doctoral Studies

The field of radiation oncology (RO) involves the use of highly advanced techniques to treat cancer and safely spare healthy organs. The discipline has experienced rapid growth in the past 25 years, with technological advancement as the driving force. Available data and an instrument to effectively measure the accessibility of innovation in the field were lacking. The purpose of this study was to investigate the accessibility of innovative services in RO in the United States and assess possible diffusion patterns. Two hundred and forty medical physicists practicing in RO in the United States completed a custom Internet-based survey. The diffusion …

An Evaluation Of A Redesigned Developmental Mathematics Course At A Hawaii Community College, Bebi Zamina Khan Davis

Walden Dissertations and Doctoral Studies

Developmental mathematics is a problem for many college students due to high failure rate. The purpose of the study was to evaluate the effectiveness of the redesigned course, Math 24. The evaluation examined success, retention, and persistence outcomes of the redesigned course compared to the previous developmental math course. The course's academic and environmental strengths and weaknesses were assessed from the students' and instructors' perspectives. The study utilized the theoretical and conceptual frameworks of Tinto's retention model, Astin's I-E-O model, and Wlodkowski's culturally responsive teaching. A mixed methods program evaluation was employed for the case study using an ex post …