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Articles 31 - 60 of 4045
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Sociodemographic And Geographic Factors Underlying Breast Cancer Survival Disparities Among Women In The United States, Colletta Brabham-Orr
Sociodemographic And Geographic Factors Underlying Breast Cancer Survival Disparities Among Women In The United States, Colletta Brabham-Orr
Walden Dissertations and Doctoral Studies
Breast cancer-specific mortality in the United States remains higher among women in rural and socioeconomically disadvantaged areas, yet few population-based studies have been conducted to jointly scrutinize demographic and structural determinants of this disparity. Informed by the social determinants of health framework, this secondary data analysis, using records from the SEER Research Plus database, examined the association between age at diagnosis, race and ethnicity, rural/urban residence, county-level median household income, and breast cancer-specific mortality among U.S. women aged 18 and older diagnosed with malignant invasive breast cancer between 2010 and 2020 (N = 285,865). Bivariate chi-square tests and binary logistic …
Barriers To Psychological Care: Lived Experiences Of Adults With Spinal Muscular Atrophy, Hovhannes Nazaryan
Barriers To Psychological Care: Lived Experiences Of Adults With Spinal Muscular Atrophy, Hovhannes Nazaryan
Walden Dissertations and Doctoral Studies
Adults with spinal muscular atrophy (SMA) may experience significant disability-related stressors, yet mental health services remain underused within this population. Although prior research has identified barriers to service use among individuals with SMA and people with disabilities more broadly, there is less literature about how adults with SMA experience the mental health care system. The purpose of this qualitative phenomenological study was to explore lived experiences of adults living in the United States with SMA as they relate to this system. Guided by the biopsychosocial model and Andersen’s behavioral model, the study involved addressing the question: What are lived experiences …
Impact Of Sexual Orientation On Syphilis Diagnosis Among African American Men In Colorado, Emmanuel Bhatti
Impact Of Sexual Orientation On Syphilis Diagnosis Among African American Men In Colorado, Emmanuel Bhatti
Walden Dissertations and Doctoral Studies
Syphilis remains an ongoing public health concern among African American men. Elevated rates during the COVID-19 pandemic further underscored the need for focused attention on this population. The risk factors driving syphilis diagnosis among African American men during a pandemic like COVID-19 remain poorly understood. The purpose of this quantitative cross-sectional study was to examine the association between sexual orientation and syphilis diagnosis among African American men in Colorado. Social cognitive theory was applied to understand the interaction among sexual orientation, HIV status, age, and syphilis diagnosis. Sexual orientation categories include men who have sex with men (MSM), men who …
Staff Education On Teaching Evidence-Based Chronic Pain Management, Valdane Eleonu Robinson
Staff Education On Teaching Evidence-Based Chronic Pain Management, Valdane Eleonu Robinson
Walden Dissertations and Doctoral Studies
This Doctor of Nursing Practice project focused on educating providers to fill in knowledge gaps in how to effectively manage chronic pain. The lack of knowledge about the evidence-based recommendations for treating chronic pain was the practice gap. Standardized training protocols to instruct pain management professionals and address disparities in chronic pain management care should be in place to guarantee that all patients in need of chronic pain management have access to culturally appropriate education.
The Role Of Street-Level Bureaucrats In Relieving Food Insecurity Among African American Single Mothers, Andre Bakajika Kazadi
The Role Of Street-Level Bureaucrats In Relieving Food Insecurity Among African American Single Mothers, Andre Bakajika Kazadi
Walden Dissertations and Doctoral Studies
In Washington, DC, African American single mothers continued to experience food insecurity despite available assistance, as financial and bureaucratic barriers limited access to and utilization of these programs. This problem is relevant because identifying barriers to food assistance can inform recommendations to improve Supplemental Nutrition Assistance Program (SNAP) implementation and effectiveness. Findings from existing literature, conducted primarily from clients’ perspectives, found that food insecurity remained prevalent among African American single mothers. However, limited research has examined the perspectives of SNAP workers, known as street-level bureaucrats, who implement food assistance policies and mediate access to benefits. The purpose of this generic …
Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja
Impact Of Physical Disabilities On Daily Life, Mobility, And Public Health Outcomes Among Internally Displaced Children In Nigeria, Winnifred Obeya-Ekoja
Walden Dissertations and Doctoral Studies
The growing population of internally displaced persons (IDPs) in Nigeria presents significant public health challenges for children with physical disabilities. This study investigated how physical disabilities affect daily life, mobility, access to resources, and health outcomes among internally displaced children in IDP camps in Benue State, Nigeria. Guided by the ecological model of health behavior, the study examined caregivers’ experiences of children’s self-care, daily activities, environmental and interpersonal conditions, sanitation, and access to healthcare. A basic qualitative design used semi-structured interviews with parents and caregivers selected through purposive and snowball sampling. Data were analyzed using Braun and Clarke’s six-phase thematic …
Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson
Enhancing Housing Stability Among Homeless Lgbtq+ Youth, Chaunita Lotoya Johnson
Walden Dissertations and Doctoral Studies
Studies on LGBTQ+ youth homelessness, specifically concerning causes, health outcomes, and barriers to access, have garnered increased attention from social scientists in human services. Applying Ecker’s work, this study addressed how intersectionality impacts homelessness among LGBTQ+ youth, highlighting disparities related to race, poverty, and identified gender. This study also explored the question of whether family rejection is a significant cause of housing insecurity among LGBTQ+ youth. The methodology featured collaboration with service providers and generating recommendations informed by empirical research and professional practices. A semi-structured interview protocol was used to collect data for this study, ensuring comprehensive findings while providing …
Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane
Lived Experiences Of Spiritually Communicating Individuals Regarding Identity And Relationship Development In Early Adulthood, Bonnie Jean Kane
Walden Dissertations and Doctoral Studies
Spiritually communicating individuals (SCIs), those who report interactions with non-physical entities, may face misunderstanding, stigmatization, and pathologization. Although spiritual experiences are recognized across cultures and hold significant psychological importance, they remain largely absent from developmental psychology, leaving a gap in understanding how SCIs navigate identity formation, emotional regulation, and social integration in early adulthood. The foundation of this study is transpersonal theory, which incorporates spiritual and transcendent dimensions of human experience, and phenomenology, which served as the guiding methodological and philosophical approach to explore lived experiences as subjectively perceived. This study examined the lived experiences of SCIs aged 26–35, investigating …
Socioecological Factors Associated With Advanced Primary Tumor Category At Diagnosis Among Adults With Head And Neck Cancer Residing In Pennsylvania And New Jersey, Diane Elizabeth Crawford
Socioecological Factors Associated With Advanced Primary Tumor Category At Diagnosis Among Adults With Head And Neck Cancer Residing In Pennsylvania And New Jersey, Diane Elizabeth Crawford
Walden Dissertations and Doctoral Studies
Disparities in head and neck cancer (HNC) diagnosis may contribute to poorer outcomes among socially and economically disadvantaged populations. This quantitative secondary data analysis examined associations between socioecological factors and advanced primary tumor category among adults with HNC residing in Pennsylvania and New Jersey. Guided by the socioecological model, deidentified data (N = 350) from two Fox Chase Cancer Center research protocols were analyzed using three domain-specific multivariable logistic regression models. Primary tumor category was classified as lower (Tis–T2) or advanced (T3–T4) based on tumor size and/or local extent. Black participants had greater adjusted odds of advanced primary tumor category …
Exploring Former Foster Parents’ Perspectives On The Resignation Process And Returning To Foster Care, David Michael Wermuth
Exploring Former Foster Parents’ Perspectives On The Resignation Process And Returning To Foster Care, David Michael Wermuth
Walden Dissertations and Doctoral Studies
The foster care system faces a persistent challenge in retaining foster parents, resulting in adverse outcomes for foster children. The literature identifies multiple reasons for foster parent attrition (e.g., foster agency dissatisfaction, life changes, and lack of resources and support). This study explored former foster parents’ narratives of exiting foster care. I illuminated how foster care agencies treat foster parents who exit the system and how this affects their attitude about the foster care system. General systems theory (GST) was used to guide the analysis. The research design was basic qualitative, and purposive and snowball sampling were used to recruit …
Fractured Identities: Military–Civilian Dissonance And The Well-Being Of Women Veterans, Melissa D. Smith
Fractured Identities: Military–Civilian Dissonance And The Well-Being Of Women Veterans, Melissa D. Smith
Walden Dissertations and Doctoral Studies
For many women leaving military service, the path to civilian life involves a fundamental renegotiation of identity. Gender-specific pressures, institutional norms, and fractured belonging compound reintegration, yet the lived experiences of women veterans navigating competing identities remain underexplored. The purpose of this phenomenological study was to understand the lived experiences of women veterans at least 5 years postdischarge who struggled with identity dissonance between their military and civilian identities. The study was informed by reculturation theory. Seven women veterans participated in semistructured interviews, and data were analyzed using Braun and Clarke’s thematic analysis, revealing five themes: institutions, culture, and unequal …
From Service To Start-Up: Personality Prediction Of Individual Entrepreneurial Orientation In Female Veterans And Current Service Members, Carolyn Flinn Gaskill
From Service To Start-Up: Personality Prediction Of Individual Entrepreneurial Orientation In Female Veterans And Current Service Members, Carolyn Flinn Gaskill
Walden Dissertations and Doctoral Studies
The entrepreneurial orientation of female veterans and current service members remains insufficiently understood despite their growing presence in the military and small-business sectors. Organizational leaders need to understand this concern as an important indicator of entrepreneurial potential, innovation capacity, and business development outcomes among women with military experience. Grounded in personality theory and the individual entrepreneurial orientation framework, this quantitative predictive correlational study examined whether the Big Five traits, individually and collectively, predicted individual entrepreneurial orientation (Ind-EO) among 135 U.S. female veterans and current female service members. They completed the Big Five Inventory-2 and the Individual Entrepreneurial Orientation Scale in …
Navigating Sexuality In Therapy: Counselors Lived Experiences Of Initiating Conversations With Clients, Sandra Mireles
Navigating Sexuality In Therapy: Counselors Lived Experiences Of Initiating Conversations With Clients, Sandra Mireles
Walden Dissertations and Doctoral Studies
Gaps in counselor education leave many counselors inadequately prepared to initiate sexuality-related conversations with clients. This qualitative hermeneutic phenomenological study was an exploration of the lived experiences of independently licensed mental health counselors and the personal, cultural, and professional meanings they constructed around initiating conversations related to sexuality. Guided by hermeneutic phenomenology and social constructivism, semistructured interviews were conducted with six independently licensed mental health counselors who had practiced independently for at least 5 years and primarily worked with adult clients. Data were analyzed using interpretative phenomenological analysis (IPA). Three overarching themes emerged: (a) societal and religious influences and misconceptions …
The Lived Experiences Of Workplace Discrimination Of Transgender People In Mississippi, Wendy Mann
The Lived Experiences Of Workplace Discrimination Of Transgender People In Mississippi, Wendy Mann
Walden Dissertations and Doctoral Studies
In recent years, transgender people have been more open to living as the gender they believe they were meant to be, instead of the gender they were born as. With this decision, they are more susceptible to mistreatment and discrimination in the workplace. The purpose of this qualitative study was to explore and understand the experiences and perceptions of discrimination of transgender individuals within workplaces in the U.S. state of Mississippi. Transgender identity development (TID) and social identity theory provided a theoretical framework for examining participants’ lived experiences of perceived transgender workplace discrimination, navigation of this discrimination, and the role …
Revictimization Of Female Sexual Assault Survivors During Cross-Examination From The Perspective Of Criminal Prosecutors, Robyn Fuchs
Walden Dissertations and Doctoral Studies
Sexual assault is a heinous crime that remains one of the most underreported crimes. Victims of sexual assault face scrutiny for reporting and may be revictimized by the process. The intent of this study was to examine how cross-examination has the potential to revictimize female sexual assault survivors from the perspective of criminal prosecutors. This study may provide insight on whether defense attorneys intentionally cause harm to victims or if there is an automatic level of trauma in testifying. Ten interviews were conducted with criminal prosecutors across the United States. After the interviews, the transcripts were manually analyzed to identify …
Navigating Trauma And Scarcity: A Phenomenological Inquiry Into Well-Being Among Black Adult Males In Ohio Valley, Devron Demont Hobbs
Navigating Trauma And Scarcity: A Phenomenological Inquiry Into Well-Being Among Black Adult Males In Ohio Valley, Devron Demont Hobbs
Walden Dissertations and Doctoral Studies
Black adult males in resource-scarce Ohio Valley communities have historically experienced trauma that disrupted their well-being. The purpose of this qualitative phenomenological study, grounded in developmental trauma disorder (DTD) theory, was to explore how Black adult males understood and sustained well-being while living with DTD in resource-scarce environments. The participants comprised six Black adult males who resided in Ohio Valley communities and experienced trauma during childhood and adulthood. Data were collected through confidential, semi-structured, face-to-face interviews and analyzed using interpretative phenomenological analysis (IPA). Five themes emerged: healing through connection and role-modeling, historical and systemic trauma as a daily barrier, navigating …
Personal Experiences With Remarkable Outcomes Of Stage 4 Cancer: A Phenomenological Study, Gail Firman Porter
Personal Experiences With Remarkable Outcomes Of Stage 4 Cancer: A Phenomenological Study, Gail Firman Porter
Walden Dissertations and Doctoral Studies
Prayer as a source of improved physical outcomes for individuals with medically diagnosed Stage 4 cancer has not been thoroughly addressed in recent academic literature, despite an increase in individual reporting within nonacademic sources.. The purpose of this phenomenological study was to explore the lived experiences of individuals in the United States who experienced remarkable healing from Stage 4 cancer after receiving Christian prayer for healing. Using the biopsychosocial-spiritual model as the conceptual framework, this study investigated the lived experiences of participants regarding their decision to seek prayer to heal their Stage 4 cancer, and its subsequent effects on their …
Workplace Loneliness And The Impact Of Social Connections In Distributed Teams, Belkys Stallings
Workplace Loneliness And The Impact Of Social Connections In Distributed Teams, Belkys Stallings
Walden Dissertations and Doctoral Studies
Workplace loneliness is a growing organizational challenge as the rise of distributed teams reshapes opportunities for social connection and engagement. Business leaders need to understand this challenge because it is associated with reduced belonging, lower job satisfaction, diminished productivity, and increased turnover intentions. The purpose of this quantitative correlational study was to examine the extent to which distributed team environments (remote, hybrid, or flexible) impacted workplace loneliness and whether social connectedness moderated this relationship. Social exchange theory, self-determination theory, and Weiss’s concept of loneliness grounded this study. The participants comprised 84 adults working full-time in distributed team environments across the …
Socioeconomic Determinants Of Malaria Infection Among Pregnant Women In Cameroon, Sub-Saharan Africa, Arnold Akosah Muluh
Socioeconomic Determinants Of Malaria Infection Among Pregnant Women In Cameroon, Sub-Saharan Africa, Arnold Akosah Muluh
Walden Dissertations and Doctoral Studies
Malaria during pregnancy is a significant public health issue in Cameroon, affecting maternal health and birth outcomes. Despite preventive measures, disparities exist among socioeconomic groups and between urban and rural areas. The study was guided by the social-ecological model and explored how socioeconomic factors and geographic location influence malaria infection in pregnant women. Specifically, the impact of wealth index, maternal education, and healthcare access on infection rates, considering maternal age, parity, and residence, was examined. Quantitative data from the Cameroon DHS Phase 8 were used (N=1204). The sample included pregnant women with valid malaria test results. Chi-Square tests and binary …
Staff Education To Strengthen Patient Counseling For Recurrent Uti Prevention In Middle-Aged And Older Women In A Low-Income Community Clinic, Linda Osamede Isidienu
Staff Education To Strengthen Patient Counseling For Recurrent Uti Prevention In Middle-Aged And Older Women In A Low-Income Community Clinic, Linda Osamede Isidienu
Walden Dissertations and Doctoral Studies
This doctor of nursing practice (DNP) project was a practice-focused quality improvement (QI) staff education initiative designed to address recurrent urinary tract infections (UTIs) among middle-aged and older women receiving care in a low-income community clinic. Recurrent UTIs are associated with increased antibiotic use, antimicrobial resistance, and reduced quality of life. The purpose of this project was to evaluate whether a structured staff education program could improve provider knowledge related to patient counseling on UTI prevention. Twenty nurses and medical assistants participated in the intervention, which included education on evidence-based prevention strategies, counseling techniques for low health literacy populations, and …
The Relative Strength Of Compulsive Reward-Driven Eating, Weight Self-Efficacy, And Physical Appearance Comparison In Predicting Feelings Of Self-Worth, Kathleen Rowe
Walden Dissertations and Doctoral Studies
Walden University College of Psychology and Community Services This is to certify that the doctoral dissertation by Kathleen Rowe has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Hedy Dexter, Committee Chairperson, Psychology Faculty Dr. Medha Talpade, Committee Member, Psychology Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2026
Mentor Evaluation Of A Black Male Youth Mentoring Program, Kenneth Brown
Mentor Evaluation Of A Black Male Youth Mentoring Program, Kenneth Brown
Walden Dissertations and Doctoral Studies
This study was an exploration of how Black male mentors perceived organizational practices, culturally responsive mentoring, relational safety, and systems level barriers shaping their effectiveness and continued participation. The purpose was to examine early mentor-mentee match dissolution and low mentor retention in a nonprofit youth mentoring through the lens of the ecological systems theory and program evaluation framework. The practice-focused research questions were: How do volunteer mentors and program staff perceive the organizational practices and culturally responsive strategies that influence mentor effectiveness and retention in youth mentoring programs, and what organizational and systemic challenges do Black male mentors encounter in …
Inclusive Leadership And Employee Engagement In Multigenerational Nigeria’S Public Sector, Monday Kohwo Unurhiere
Inclusive Leadership And Employee Engagement In Multigenerational Nigeria’S Public Sector, Monday Kohwo Unurhiere
Walden Dissertations and Doctoral Studies
Ineffective leadership continues to engender disengaged employees whose work ethics contribute to inefficient and ineffective public service delivery across several African countries. The specific research problem is the inadequacy of knowledge about leadership behaviors that foster a sense of being valued among employees of different generational cohorts, leading to intellectual, social, and emotional engagement at work. The purpose of this quantitative correlational cross-sectional study was to investigate the influence of inclusive leadership (openness, availability, and accessibility) on employee engagement (intellectual, social, and affective) in the multigenerational Nigerian public sector. The theoretical framework included the constructs of inclusive leadership, employee engagement, …
The Association Of Age, Race, And Gender And Novel Interventions In The Prevention Of Catheter-Associated Urinary Tract Infection, In Washington State, Lamin Darboe
Walden Dissertations and Doctoral Studies
Delayed removal of indwelling urinary catheters (IUCs) contributes to catheter-associated urinary tract infections, a leading healthcare-associated infection. A dot/smart-phrase communication tool, guided by the Health Belief Model construct of cues to action, to promote timely IUC removal interventions was evaluated in this quantitative, cross-sectional study. Secondary data from N = 372 adult patients with acute urinary retention in acute and critical care settings in Washington State were analyzed using SPSS Version 30. Binary logistic regression examined relationships among demographic variables, intervention-related factors (adherence within 48 hours, cosignature within 24 hours, and secure chat communication), and clinical outcomes (IUC removal and/or …
Experiences Of African American Male Foster Care Alumni And How Mentoring Links To Academic Achievement, Tenaya Wade
Experiences Of African American Male Foster Care Alumni And How Mentoring Links To Academic Achievement, Tenaya Wade
Walden Dissertations and Doctoral Studies
This study explored how mentoring was perceived in the educational experiences of African American male foster care alumni who completed college. African American males with foster care histories often face significant adversity, including placement instability, disrupted educational experiences, and limited access to consistent support systems. Although these challenges are well documented, less is known about how supportive mentoring relationships may contribute to academic persistence and success. A generic qualitative framework was used to gather participant perspectives through semi-structured interviews. Four African American male foster care alumni aged 22 to 41 who had earned a college degree participated in the study. …
The Experience Of Sleep And Academic Performance Among African American College Students: A Case Study, Jamean Alma Alexander
The Experience Of Sleep And Academic Performance Among African American College Students: A Case Study, Jamean Alma Alexander
Walden Dissertations and Doctoral Studies
The transition to college presents significant challenges for African American college students, particularly in developing effective study habits and maintaining healthy sleep behaviors that support academic success. Despite growing evidence linking sleep and academic performance, limited research has explored how African American students attending historically Black colleges and universities (HBCUs) perceive these experiences. The purpose of this qualitative case study was to explore the perceptions and experiences of African American college students regarding sleep habits, study habits, and academic performance. Guided by three research questions, data were collected through semi structured interviews with 12 African American students attending HBCUs in …
Preschool Teachers' Perceptions In Supporting Students Experiencing Trauma, Ann F. Gorbett
Preschool Teachers' Perceptions In Supporting Students Experiencing Trauma, Ann F. Gorbett
Walden Dissertations and Doctoral Studies
Early childhood teachers are often the first to observe behaviors that could be a result of trauma. The problem that was addressed in this study is that preschool teachers are not adequately trained to effectively address the social, emotional, and academic needs of children who have experienced trauma. Framed by Bandura’s theory of self-efficacy, the purpose of this basic qualitative study was to explore preschool teachers’ preparedness and training needs to effectively respond to children who have experienced trauma. Data were collected through semistructured interviews with 10 general education preschool teachers, who have at least 2 years of teaching experience. …
How Adults With Fasd Describe Spiritual Experiences And Faith Formation, Emily Hargrove
How Adults With Fasd Describe Spiritual Experiences And Faith Formation, Emily Hargrove
Walden Dissertations and Doctoral Studies
Fetal alcohol spectrum disorder (FASD) has been extensively studied in childhood and, more recently, in adulthood. However, little is known about how adults with FASD experience faith formation and spirituality. Spirituality has been recognized as a coping resource that promotes resilience and psychological well-being, yet these experiences remain largely unexplored among adults with FASD. The purpose of this study was to explore how adults with FASD describe their faith formation and spiritual experiences. Two research questions guided the study: How do adults with FASD describe their faith formation? and How do adults with FASD describe their spiritual experiences? James Fowler's …
Implementing A Structured Lifestyle Counseling Program To Improve Weight Management In Obese Adults Ages 18–65 Within The Private Primary Care Setting, Ntoge Sone Penda
Implementing A Structured Lifestyle Counseling Program To Improve Weight Management In Obese Adults Ages 18–65 Within The Private Primary Care Setting, Ntoge Sone Penda
Walden Dissertations and Doctoral Studies
Obesity is a major public health concern that affects millions of adults. As a chronic, progressive disease, obesity increases the risk of developing several medical conditions. Although evidence-based clinical practice guidelines recommend comprehensive lifestyle modification as a first-line treatment, implementation of structured lifestyle counseling in primary care remains inconsistent. The practice-focused question guiding this Doctor of Nursing Practice (DNP) quality improvement project was: Among obese adults aged 18–65 years in a private primary care setting, does implementing a structured lifestyle counseling program improve body weight and body mass index (BMI) outcomes over an 11-week period? An organizational change process guided …
Food Insecurity Among Freshman Male Collegiate Athletes At A Historically Black University In Maryland, Petita Cue Rentz
Food Insecurity Among Freshman Male Collegiate Athletes At A Historically Black University In Maryland, Petita Cue Rentz
Walden Dissertations and Doctoral Studies
Food insecurity is an emerging public health issue impacting collegiate student-athletes enrolled at Historically Black Universities (HBUs). Recent research revealed that 63% of football players have reported some form of food insecurity which disproportionately impacts Black athletes at higher rates. The purpose of this qualitative study was to explore the lived experiences and dietary behaviors of freshman male collegiate student-athletes who lacked access to food despite receiving athletic scholarships in a publicly funded HBU in Maryland. The research questions for this qualitative study focused on exploring the lived experiencing of Black male athletes who were experiencing food insecurity at an …