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Walden Dissertations and Doctoral Studies

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Socially Learned Eating Pathology In African American Women (50+): A Narrative Inquiry, Patricia Ann Parker Jan 2025

Socially Learned Eating Pathology In African American Women (50+): A Narrative Inquiry, Patricia Ann Parker

Walden Dissertations and Doctoral Studies

This qualitative narrative study explored the lived experiences of African American women aged 50 and older who self-reported eating pathology and body image dissatisfaction. Disordered eating behaviors, including starvation, binge eating, excessive dieting, and purging, often function as maladaptive coping mechanisms for managing stress, regulating emotions, or responding to traumatic events. The study contributed to the literature by capturing detailed narratives that traced the development of disordered eating behaviors and body image dissatisfaction from early life through adulthood and across the lifespan. Grounded in Albert Bandura’s social cognitive and social learning theories and intersectionality theories, the research employed a robust …


Assessing The Influence Of An Eastern State's Disciplinary Alternative Education Program On Secondary Student Behavior, Alicia Michelle Gallaway Jan 2025

Assessing The Influence Of An Eastern State's Disciplinary Alternative Education Program On Secondary Student Behavior, Alicia Michelle Gallaway

Walden Dissertations and Doctoral Studies

Services at the local disciplinary alternative education program (DAEP) include counseling and behavioral services to referred secondary students, aiming to improve their behavior. The problem addressed in this quantitative study was that a DAEP was in place in the local district since 2009, but there had been no formal assessment to determine whether differences in student discipline occurred in the semester before and the semester after students attended the DAEP. Guided by Bandura’s social cognitive theory, the purpose of this ex post facto, causal-comparative, quasi-experimental study was to investigate if there was a difference in student discipline as measured by …


Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola Jan 2025

Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola

Walden Dissertations and Doctoral Studies

Hyperlipidemia is one of the modifiable risk factors for cardiovascular diseases (CVD), the leading cause of death among minority populations in the United States, including foreign-born people. Therefore, preventing and treating hyperlipidemia alongside other CVD risk factors is critical for avoiding CVD. Prior research examined disparities in health insurance coverage, length of stay, and blood cholesterol with mixed observations over time with new immigrants. This study aimed to determine if there was a statistically significant association between language spoken at home, length of stay in the United States, having health insurance coverage or none, and high cholesterol level status among …


The Experience Of Help Seeking For African American Pastors In Personal Crises, Jason Leon Hanna Jan 2025

The Experience Of Help Seeking For African American Pastors In Personal Crises, Jason Leon Hanna

Walden Dissertations and Doctoral Studies

The U.S. population faces enormous challenges coping with disease, financial stress, failure, and general mental health concerns. Rather than seeking care from psychotherapists, increasing numbers of people in religious communities seek help from clergy, who must then balance the needs of their constituents while navigating their own personal crises and need for support. The purpose of this qualitative study was to explore the meaning of help-seeking for African American clergy during personal crises, guided by Ajzen’s theory of planned behavior. Semistructured interviews were conducted with 20 African American senior pastors of congregations in the United States. Study participants defined help-seeking …


Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley Jan 2025

Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley

Walden Dissertations and Doctoral Studies

Reducing preterm birth (PTB) in Black women is a public health priority. The purpose of this quantitative, cross-sectional study was to analyze the association between selected Social Determinants of Health (SDoH) and PTB types, both spontaneous and provider-initiated in Black women using the SDoH framework. A logistic regression analysis used secondary data from the 2018 Natality Public Use File. In the adjusted models, higher paternal education, college degree or higher (OR = .791, 95% CI [.637, .982]) was associated with reduced odds of provider-initiated PTB. Fewer prenatal visits, seven to eleven visits OR = 2.301 (95% CI [2.034, 2.601]) and …


Assessing The Influence Of An Eastern State's Disciplinary Alternative Education Program On Secondary Student Behavior, Alicia Michelle Gallaway Jan 2025

Assessing The Influence Of An Eastern State's Disciplinary Alternative Education Program On Secondary Student Behavior, Alicia Michelle Gallaway

Walden Dissertations and Doctoral Studies

Services at the local disciplinary alternative education program (DAEP) include counseling and behavioral services to referred secondary students, aiming to improve their behavior. The problem addressed in this quantitative study was that a DAEP was in place in the local district since 2009, but there had been no formal assessment to determine whether differences in student discipline occurred in the semester before and the semester after students attended the DAEP. Guided by Bandura’s social cognitive theory, the purpose of this ex post facto, causal-comparative, quasi-experimental study was to investigate if there was a difference in student discipline as measured by …


Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley Jan 2025

Impact Of Social Determinants Of Health On Preterm Births Among Black Women, Tashara Coakley

Walden Dissertations and Doctoral Studies

Reducing preterm birth (PTB) in Black women is a public health priority. The purpose of this quantitative, cross-sectional study was to analyze the association between selected Social Determinants of Health (SDoH) and PTB types, both spontaneous and provider-initiated in Black women using the SDoH framework. A logistic regression analysis used secondary data from the 2018 Natality Public Use File. In the adjusted models, higher paternal education, college degree or higher (OR = .791, 95% CI [.637, .982]) was associated with reduced odds of provider-initiated PTB. Fewer prenatal visits, seven to eleven visits OR = 2.301 (95% CI [2.034, 2.601]) and …


Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola Jan 2025

Hyperlipidemia, Acculturation, And Health Insurance Coverage In United States Foreign-Born Individuals, Debola Olayinka Ola

Walden Dissertations and Doctoral Studies

Hyperlipidemia is one of the modifiable risk factors for cardiovascular diseases (CVD), the leading cause of death among minority populations in the United States, including foreign-born people. Therefore, preventing and treating hyperlipidemia alongside other CVD risk factors is critical for avoiding CVD. Prior research examined disparities in health insurance coverage, length of stay, and blood cholesterol with mixed observations over time with new immigrants. This study aimed to determine if there was a statistically significant association between language spoken at home, length of stay in the United States, having health insurance coverage or none, and high cholesterol level status among …


The Experience Of Help Seeking For African American Pastors In Personal Crises, Jason Leon Hanna Jan 2025

The Experience Of Help Seeking For African American Pastors In Personal Crises, Jason Leon Hanna

Walden Dissertations and Doctoral Studies

The U.S. population faces enormous challenges coping with disease, financial stress, failure, and general mental health concerns. Rather than seeking care from psychotherapists, increasing numbers of people in religious communities seek help from clergy, who must then balance the needs of their constituents while navigating their own personal crises and need for support. The purpose of this qualitative study was to explore the meaning of help-seeking for African American clergy during personal crises, guided by Ajzen’s theory of planned behavior. Semistructured interviews were conducted with 20 African American senior pastors of congregations in the United States. Study participants defined help-seeking …


Central Line Associated Bloodstream Infection Prevention In Medical Intensive Care Unit, Linet Angir Jan 2025

Central Line Associated Bloodstream Infection Prevention In Medical Intensive Care Unit, Linet Angir

Walden Dissertations and Doctoral Studies

. The doctoral project was a collaborative endeavor focused on central line dressing sites at a state university hospital in the northeastern United States. The aim was to reduce the current central line-associated infections (CLABSIs) rate. Through audits, it was discovered that most central line dressings needed to be completely sealed, some required insertion site clipping to ensure a complete seal, and some dressings were saturated. To uphold a commitment to quality care, clinical excellence, patient care, and superior outcomes, the Doctor of Nursing Practice (DNP) project recognized the importance of implementing the recommendations to reduce CLABSIs by maintaining central …


Central Line Associated Bloodstream Infection Prevention In Medical Intensive Care Unit, Linet Angir Jan 2025

Central Line Associated Bloodstream Infection Prevention In Medical Intensive Care Unit, Linet Angir

Walden Dissertations and Doctoral Studies

. The doctoral project was a collaborative endeavor focused on central line dressing sites at a state university hospital in the northeastern United States. The aim was to reduce the current central line-associated infections (CLABSIs) rate. Through audits, it was discovered that most central line dressings needed to be completely sealed, some required insertion site clipping to ensure a complete seal, and some dressings were saturated. To uphold a commitment to quality care, clinical excellence, patient care, and superior outcomes, the Doctor of Nursing Practice (DNP) project recognized the importance of implementing the recommendations to reduce CLABSIs by maintaining central …


Depictions Of United States Military Domestic Violence Found On The Internet, Erica Ann Pearson Jan 2025

Depictions Of United States Military Domestic Violence Found On The Internet, Erica Ann Pearson

Walden Dissertations and Doctoral Studies

Military domestic violence (MDV) is an issue in the United States. The purpose of this generic qualitative study was to explore how the mainstream media and published government content depicts MDV on the internet, and whether those narratives/video transcripts contained any agenda to generate influence. Ragas’ agenda-setting theory was used as a framework for this study. Agenda-setting is a communication specific phenomenon directed to influence individuals or organizations, based on what public relations practitioners present to the public. There are two research questions in this study. The first is: How do mainstream media narratives, and government documents depict survivors and …


Depictions Of United States Military Domestic Violence Found On The Internet, Erica Ann Pearson Jan 2025

Depictions Of United States Military Domestic Violence Found On The Internet, Erica Ann Pearson

Walden Dissertations and Doctoral Studies

Military domestic violence (MDV) is an issue in the United States. The purpose of this generic qualitative study was to explore how the mainstream media and published government content depicts MDV on the internet, and whether those narratives/video transcripts contained any agenda to generate influence. Ragas’ agenda-setting theory was used as a framework for this study. Agenda-setting is a communication specific phenomenon directed to influence individuals or organizations, based on what public relations practitioners present to the public. There are two research questions in this study. The first is: How do mainstream media narratives, and government documents depict survivors and …


Jordanian Women's Perception Of The Discrepancy Between Education And Access To Labor Market, Rana El Khawand Jan 2025

Jordanian Women's Perception Of The Discrepancy Between Education And Access To Labor Market, Rana El Khawand

Walden Dissertations and Doctoral Studies

This study is an examination of the perceptions of educated Jordanian women regarding the gap between their high educational attainment and limited access to the labor market, focusing on systemic sociocultural, institutional, and economic barriers. Targeting women in science, technology, engineering, and mathematics (STEM) fields, the study was conducted using a feminist theoretical framework emphasizing societal norms, power imbalances, and institutional inequities as critical factors shaping women’s professional experiences. A generic qualitative design was employed, collecting data through semistructured interviews and SenseMaker narratives from four faculty members at a Jordanian university. Thematic coding, discourse analysis, and sentiment analysis were used …


Jordanian Women's Perception Of The Discrepancy Between Education And Access To Labor Market, Rana El Khawand Jan 2025

Jordanian Women's Perception Of The Discrepancy Between Education And Access To Labor Market, Rana El Khawand

Walden Dissertations and Doctoral Studies

This study is an examination of the perceptions of educated Jordanian women regarding the gap between their high educational attainment and limited access to the labor market, focusing on systemic sociocultural, institutional, and economic barriers. Targeting women in science, technology, engineering, and mathematics (STEM) fields, the study was conducted using a feminist theoretical framework emphasizing societal norms, power imbalances, and institutional inequities as critical factors shaping women’s professional experiences. A generic qualitative design was employed, collecting data through semistructured interviews and SenseMaker narratives from four faculty members at a Jordanian university. Thematic coding, discourse analysis, and sentiment analysis were used …


Perceptions Of Law Enforcement Spouses Regarding Officer Safety And Danger, Heidi Marie Rose Jan 2025

Perceptions Of Law Enforcement Spouses Regarding Officer Safety And Danger, Heidi Marie Rose

Walden Dissertations and Doctoral Studies

Policing is a stressful and dangerous occupation that is imperative to a functioning society, and stress should be limited to ensure a healthy mind and body. The purpose of this study was to examine the perceptions of law enforcement spouses regarding officer safety and danger, which was lacking in the research. Law enforcement spouses have a significant impact over the stress levels of their loved ones. The work–life balance and work–family conflict theories were the theoretical framework used to relate to the study and support the research. The generic qualitative design was used with semistructured interviews to gather research data …


Perceptions Of Law Enforcement Spouses Regarding Officer Safety And Danger, Heidi Marie Rose Jan 2025

Perceptions Of Law Enforcement Spouses Regarding Officer Safety And Danger, Heidi Marie Rose

Walden Dissertations and Doctoral Studies

Policing is a stressful and dangerous occupation that is imperative to a functioning society, and stress should be limited to ensure a healthy mind and body. The purpose of this study was to examine the perceptions of law enforcement spouses regarding officer safety and danger, which was lacking in the research. Law enforcement spouses have a significant impact over the stress levels of their loved ones. The work–life balance and work–family conflict theories were the theoretical framework used to relate to the study and support the research. The generic qualitative design was used with semistructured interviews to gather research data …


Elementary Teachers’ Experiences Supporting The Academic Growth And Development Of Students On The Autism Spectrum In Inclusion Classrooms, Erica Williams Harryman Jan 2025

Elementary Teachers’ Experiences Supporting The Academic Growth And Development Of Students On The Autism Spectrum In Inclusion Classrooms, Erica Williams Harryman

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that elementary inclusion teachers in urban school districts in a northeastern state in the United States struggle to support the academic growth and development of their students with autism spectrum disorder (ASD). The purpose of this study was to explore the experiences of these teachers and identify the institutional conditions they perceive as necessary to foster positive academic outcomes for students with ASD, informing the study's two research questions. Framed by Bandura’s social cognitive theory, particularly its principle of triadic reciprocality, the study employed a basic qualitative design. Twelve elementary inclusion teachers participated …


Elementary Teachers’ Experiences Supporting The Academic Growth And Development Of Students On The Autism Spectrum In Inclusion Classrooms, Erica Williams Harryman Jan 2025

Elementary Teachers’ Experiences Supporting The Academic Growth And Development Of Students On The Autism Spectrum In Inclusion Classrooms, Erica Williams Harryman

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that elementary inclusion teachers in urban school districts in a northeastern state in the United States struggle to support the academic growth and development of their students with autism spectrum disorder (ASD). The purpose of this study was to explore the experiences of these teachers and identify the institutional conditions they perceive as necessary to foster positive academic outcomes for students with ASD, informing the study's two research questions. Framed by Bandura’s social cognitive theory, particularly its principle of triadic reciprocality, the study employed a basic qualitative design. Twelve elementary inclusion teachers participated …


Factors Associated With Parental Substance Use And Child Welfare In Nevada 2019-2021, Lisa Christine Lee Jan 2025

Factors Associated With Parental Substance Use And Child Welfare In Nevada 2019-2021, Lisa Christine Lee

Walden Dissertations and Doctoral Studies

Substance use is a growing public health concern that is adversely impacting reproductive-aged individuals and families (Bruzelius & Martins, 2022). Parental substance use is increasingly driving family separation through the child welfare system. Substance use and family separation intersect with trauma and adverse childhood experiences in a variety of ways. Risk factors and race/ethnicity may contribute to family surveillance, bias, and disproportionality in child welfare and impact reunification and cause further trauma. This study explored associations between household characteristics and risk factors and services provided to families with reunification goals for families with child welfare involvement due to substance use …


Factors Associated With Parental Substance Use And Child Welfare In Nevada 2019-2021, Lisa Christine Lee Jan 2025

Factors Associated With Parental Substance Use And Child Welfare In Nevada 2019-2021, Lisa Christine Lee

Walden Dissertations and Doctoral Studies

Substance use is a growing public health concern that is adversely impacting reproductive-aged individuals and families (Bruzelius & Martins, 2022). Parental substance use is increasingly driving family separation through the child welfare system. Substance use and family separation intersect with trauma and adverse childhood experiences in a variety of ways. Risk factors and race/ethnicity may contribute to family surveillance, bias, and disproportionality in child welfare and impact reunification and cause further trauma. This study explored associations between household characteristics and risk factors and services provided to families with reunification goals for families with child welfare involvement due to substance use …


Structured Staff Education On Incorporating Social Determinants Of Health Into Phq-9 Depression Screening For Improved Patient Outcomes, Gbemisola Elizabeth Mojelope Jan 2025

Structured Staff Education On Incorporating Social Determinants Of Health Into Phq-9 Depression Screening For Improved Patient Outcomes, Gbemisola Elizabeth Mojelope

Walden Dissertations and Doctoral Studies

This doctor of nursing (DNP) project addressed a significant practice gap in an outpatient community healthcare setting, where staff lacked knowledge related to patient health questionnaire (PHQ-9) depression screening. The project’s focus question addressed whether staff education increased knowledge pertaining to the PHQ-9 depression screening. The initiative aimed to equip healthcare providers with the skills needed to incorporate social determinants of health in routine depression screenings, enhancing early identification of depressive symptoms and supporting targeted interventions. Fifteen healthcare workers voluntarily participated in the education. The in-person education initiative highlighted the importance of integrating social determinants of health (SDoH) into PHQ-9 …


Structured Staff Education On Incorporating Social Determinants Of Health Into Phq-9 Depression Screening For Improved Patient Outcomes, Gbemisola Elizabeth Mojelope Jan 2025

Structured Staff Education On Incorporating Social Determinants Of Health Into Phq-9 Depression Screening For Improved Patient Outcomes, Gbemisola Elizabeth Mojelope

Walden Dissertations and Doctoral Studies

This doctor of nursing (DNP) project addressed a significant practice gap in an outpatient community healthcare setting, where staff lacked knowledge related to patient health questionnaire (PHQ-9) depression screening. The project’s focus question addressed whether staff education increased knowledge pertaining to the PHQ-9 depression screening. The initiative aimed to equip healthcare providers with the skills needed to incorporate social determinants of health in routine depression screenings, enhancing early identification of depressive symptoms and supporting targeted interventions. Fifteen healthcare workers voluntarily participated in the education. The in-person education initiative highlighted the importance of integrating social determinants of health (SDoH) into PHQ-9 …


Exploring Pre-Kindergarten Teachers' Experiences With Engaging Black Boys In Literacy Instruction, Airreia Faith Pierce Jan 2025

Exploring Pre-Kindergarten Teachers' Experiences With Engaging Black Boys In Literacy Instruction, Airreia Faith Pierce

Walden Dissertations and Doctoral Studies

Recent studies convey the critical need for teachers to use culturally relevant pedagogy (CRP) to engage Black boys in literacy instruction. The problem was that in the Sunshine School District (SSD: a pseudonym), pre-kindergarten (pre-K) teachers found it challenging to engage Black boys in literacy instruction. Framed by Ladson-Billings’s CRP, the purpose of this basic qualitative study was to explore how pre-K teachers engaged Black boys in literacy instruction and how teachers’ instructional practices aligned with CRP. To collect data, a purposeful sample of 11 pre-K teachers from SSD participated in semistructured interviews. Thematic analysis, using open coding, was applied …


A Mother's Understanding Of Her Adolescent: A Social Anxiety Study, Cheronda Pinkard Dec 2024

A Mother's Understanding Of Her Adolescent: A Social Anxiety Study, Cheronda Pinkard

Walden Dissertations and Doctoral Studies

Social anxiety disorder (SAD) affects 1% to 13% of adolescents, often placing significant demands on their caregivers. Mothers frequently adapt their behaviors to accommodate their child’s anxiety, which may impact their well-being and the parent-child relationship. This qualitative study explored the lived experiences of mothers accommodating adolescents with SAD to understand better the emotional and relational toll of this caregiving role. The problem addressed is the limited understanding of how maternal accommodation affects mothers. Mental health practitioners, educators, and policymakers may benefit from this research by gaining insight into these families' challenges and informing family-centered interventions and support services. Guided …


A Mother's Understanding Of Her Adolescent: A Social Anxiety Study, Cheronda Pinkard Dec 2024

A Mother's Understanding Of Her Adolescent: A Social Anxiety Study, Cheronda Pinkard

Walden Dissertations and Doctoral Studies

Social anxiety disorder (SAD) affects 1% to 13% of adolescents, often placing significant demands on their caregivers. Mothers frequently adapt their behaviors to accommodate their child’s anxiety, which may impact their well-being and the parent-child relationship. This qualitative study explored the lived experiences of mothers accommodating adolescents with SAD to understand better the emotional and relational toll of this caregiving role. The problem addressed is the limited understanding of how maternal accommodation affects mothers. Mental health practitioners, educators, and policymakers may benefit from this research by gaining insight into these families' challenges and informing family-centered interventions and support services. Guided …


U.S. Patented Medication Prices Too High To Warrant Affordable Costs By Patients, Kisa Mwenelupembe Dec 2024

U.S. Patented Medication Prices Too High To Warrant Affordable Costs By Patients, Kisa Mwenelupembe

Walden Dissertations and Doctoral Studies

Optimal pricing of patent medicines is needed to ensure profitability of pharmaceutical companies while managing ease of access to these medicines for patients. The general problem that necessitated this study was that the prices of most patent medications in the United States are too high to warrant affordable costs by patients while simultaneously fostering drug innovation. The purpose of this qualitative multiple case study was to explore the best practices for ensuring equal access to patent medicines while maintaining profitability of pharmaceutical companies to pursue needed innovation and development of new drugs. This study was underpinned by Bandura’s social cognitive …


U.S. Patented Medication Prices Too High To Warrant Affordable Costs By Patients, Kisa Mwenelupembe Dec 2024

U.S. Patented Medication Prices Too High To Warrant Affordable Costs By Patients, Kisa Mwenelupembe

Walden Dissertations and Doctoral Studies

Optimal pricing of patent medicines is needed to ensure profitability of pharmaceutical companies while managing ease of access to these medicines for patients. The general problem that necessitated this study was that the prices of most patent medications in the United States are too high to warrant affordable costs by patients while simultaneously fostering drug innovation. The purpose of this qualitative multiple case study was to explore the best practices for ensuring equal access to patent medicines while maintaining profitability of pharmaceutical companies to pursue needed innovation and development of new drugs. This study was underpinned by Bandura’s social cognitive …


Perceptions Of Early Childhood System Partners On Career Pathways, Melissa Larson Busby Dec 2024

Perceptions Of Early Childhood System Partners On Career Pathways, Melissa Larson Busby

Walden Dissertations and Doctoral Studies

Researchers have found high-quality early childhood teachers are crucial to high-quality programs for young children. Despite this, there is a significant need for more highly qualified teachers in a southwestern state. The purpose of the qualitative study was to explore the perceptions of early childhood education (ECE) systems partners in one southwestern state regarding the current systems, structures, and policies related to career pathways through the high school, community college, and university levels. The conceptual framework for this study was based on von Bertalanffy’s general systems theory and systems thinkers such as Senge, who detail the complex interactions between systems …


Perceptions Of Early Childhood System Partners On Career Pathways, Melissa Larson Busby Dec 2024

Perceptions Of Early Childhood System Partners On Career Pathways, Melissa Larson Busby

Walden Dissertations and Doctoral Studies

Researchers have found high-quality early childhood teachers are crucial to high-quality programs for young children. Despite this, there is a significant need for more highly qualified teachers in a southwestern state. The purpose of the qualitative study was to explore the perceptions of early childhood education (ECE) systems partners in one southwestern state regarding the current systems, structures, and policies related to career pathways through the high school, community college, and university levels. The conceptual framework for this study was based on von Bertalanffy’s general systems theory and systems thinkers such as Senge, who detail the complex interactions between systems …