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Articles 4051 - 4080 of 19539
Full-Text Articles in Entire DC Network
Prekindergarten Teacher Experiences With Professional Development For Inclusive Practices, Clory D. Walker
Prekindergarten Teacher Experiences With Professional Development For Inclusive Practices, Clory D. Walker
Walden Dissertations and Doctoral Studies
Teachers in inclusive prekindergarten (PK) settings often serve children with special learning needs without having had professional preparation or development (PD) for using inclusive practices. The problem addressed in this basic qualitative study was that many PK teachers have not received the PD they needed to promote inclusive practices to teach young children within inclusive early childhood classrooms. The purpose of this basic qualitative study was to explore PK teachers’ perspectives on the PD they need to promote inclusive practices to teach all young children, including children with special learning needs, in inclusive early childhood classrooms. The conceptual framework used …
Parental Experiences And Health Education Perceptions Raising Children With Orofacial Clefts, Ama Agyeibea Amuasi
Parental Experiences And Health Education Perceptions Raising Children With Orofacial Clefts, Ama Agyeibea Amuasi
Walden Dissertations and Doctoral Studies
Congenital abnormalities, such as cleft lip and/or palate (CL/P), are a significant global public health issue that contribute to newborn morbidity and mortality, difficulties in social integration, psychological problems for affected persons, parents, and families. Available health education information and resources on CL/P care for parents and families in Ghana are however minimal. The purpose of this qualitative study was to explore the health education perceptions of parents of children born with CL/P to identify and understand experiences of common psychosocial challenges, potential risk, and protective factors used by parents. Five research questions were designed to examine the health education …
The Impact Of The Covid-19 Pandemic On Depression And Anxiety Among Idaho Adults, Melissa Marie Henbest
The Impact Of The Covid-19 Pandemic On Depression And Anxiety Among Idaho Adults, Melissa Marie Henbest
Walden Dissertations and Doctoral Studies
Research indicates that the COVID-19 pandemic had negative repercussions on the mental health of U.S. citizens. The purpose of this study was to explore the impact the COVID-19 pandemic had on depression and anxiety on a population aged 18 years and older. Using a quantitative correlational repeated design, archival data were analyzed to evaluate the change in depression (as measured using the Patient Health Questionnaire-9) and anxiety (as measured using the Generalized Anxiety Disorder-7 [GAD-7]) indices from a non-pandemic year (2019) to the 1st pandemic year (2020) among patients of an outpatient community health care center. The study took into …
Educators’ Perspectives Of Science Instruction In Title I Elementary Schools To Improve Achievement, Sidonye Maria Coaxum
Educators’ Perspectives Of Science Instruction In Title I Elementary Schools To Improve Achievement, Sidonye Maria Coaxum
Walden Dissertations and Doctoral Studies
The problem addressed in this study was that students in upper elementary at four Title I elementary schools did not meet district achievement standards in science for four consecutive years, which could impede their educational and employment futures. Little is known how teachers in these elementary grades taught science content to improve student achievement. The purpose of this basic qualitative study was to explore five upper elementary educators’ perspectives of science instruction to improve achievement in Title I elementary schools in a southeastern state. The conceptual framework that grounded this study was a three-dimension concept of science, including scientific and …
Education For Nursing And Primary Care Providers On Nonpharmacological Management Of Chronic Pain, Ma Teresita Gonzales De Jesus
Education For Nursing And Primary Care Providers On Nonpharmacological Management Of Chronic Pain, Ma Teresita Gonzales De Jesus
Walden Dissertations and Doctoral Studies
Chronic pain is one of the leading causes of disability worldwide, with a significant financial burden on those individuals affected, the communities, the healthcare systems, and the government. Chronic pain also interferes with individuals’ daily activities and alters the quality of life. The treatment for chronic pain includes a variety of medications, including prescription opioids and nonprescription such as NSAIDS, acetaminophen, and muscle relaxants. Pharmacological treatments can result in untoward effects. The CDC has recommended nonpharmacological alternative treatment modalities that promote self-management but are not emphasized or utilized in the primary care setting. The staff education program was framed within …
The Worry Of Food Insecurity And The Manifestation Of Generalized Anxiety In Relation To Perceived Health Status, Ramona Lynnette Taylor
The Worry Of Food Insecurity And The Manifestation Of Generalized Anxiety In Relation To Perceived Health Status, Ramona Lynnette Taylor
Walden Dissertations and Doctoral Studies
This study examined the association between the worry of food insecurity and the manifestation of generalized anxiety, and how these factors related to perceived health status among adults aged 18 years and older in the U.S. The study controlled demographic factors such as gender, age, race, and education. Utilizing data from the 2019 National Health Interview Survey (NHIS), a binomial logistic regression analysis was employed. The findings indicated a significant association between those persons who often worry about food insecurity, severe (OR = 7.324, p < .001) and frequent generalized anxiety (OR = 5.185, p < .001) suggesting that individuals who worry about food insecurity have higher odds of experiencing severe and frequent (more than 3 times per week) generalized anxiety. Furthermore, both the worry of food insecurity in persons not sure (OR = 0.120, p = 0.004) and generalized anxiety (OR = 0.623 for severe anxiety, p = 0.009) were found to be significantly associated with lower perceived health status. These results suggest a potential association between worry about food insecurity and negative impacts on mental health and perceived overall well-being. Overall, these findings underscore the significant impact of food insecurity on mental health. Further research, including experimental and longitudinal studies, is necessary to elucidate the causal relationship between food insecurity and the manifestation of generalized anxiety in order to impact positive social change.
American Samoa High School Teachers’ Perceptions Of Fidelity Using Achieve 3000, Penelope Mareko
American Samoa High School Teachers’ Perceptions Of Fidelity Using Achieve 3000, Penelope Mareko
Walden Dissertations and Doctoral Studies
American Samoa, a U.S. territory, has grappled with low reading scores similar to other mainland schools. As a result, different reading interventions were implemented over the years. The problem studied was that despite using Achieve 3000 as a reading intervention for students in the local high school in American Samoa, reading scores had remained the same as expected, which suggested that there might have been issues with the instructional fidelity of the program implementation. This qualitative study explored teachers’ perceptions about the instructional fidelity of implementing Achieve 3000 in the local high school in American Samoa. Knowles’s theory of andragogy …
Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students Who Lack Age-Appropriate Social And Emotional Skills, Rachel Ann Stewart
Early Childhood Teachers’ Perspectives On The Challenges Of Teaching Students Who Lack Age-Appropriate Social And Emotional Skills, Rachel Ann Stewart
Walden Dissertations and Doctoral Studies
The problem addressed in this study was the significant increase in the number of students who lack age-appropriate social and emotional skills (SES), which has become a concern, especially for teachers. The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives on the challenges of teaching students who lack age-appropriate SES and what support they believed would help them when working with these students in the classroom. The conceptual framework that guided this study consisted of Bandura’s social learning theory. The focus of the research questions was early childhood teachers’ perspectives on the challenges of teaching …
Relationship Between Cultural Barriers, Adaptation Mechanisms, And Quality Of Life Among Congolese Refugees, Ndasi Zialo
Relationship Between Cultural Barriers, Adaptation Mechanisms, And Quality Of Life Among Congolese Refugees, Ndasi Zialo
Walden Dissertations and Doctoral Studies
Refugee cultural backgrounds are different from the primary culture in which they live. Cultural barriers have been identified as contributing factors to disparities in mental health services among refugees in the host country. They face racism, discrimination, and marginalization that impede their access to mental health services compared to the host populations. The Western model of mental health services was developed for the unique needs of the European refugees and could not always meet the needs of the non-European refugee populations. The lack of culturally specific mental health services creates disparities in mental health services that affect the quality of …
Co-Occurring Disorders In The Juvenile Justice System: Clinicians’ Attitudes, Skills, And Knowledge, Wendi Watson
Co-Occurring Disorders In The Juvenile Justice System: Clinicians’ Attitudes, Skills, And Knowledge, Wendi Watson
Walden Dissertations and Doctoral Studies
Co-occurring mental health and substance use disorders have been found to contribute to delinquent and criminal behavior leading to higher rates of incarceration. Although this problem is increasingly recognized within the juvenile justice system and the social work profession, very little is known about how knowledgeable social workers are with respect to treating co-occurring disorders. The purpose of this study was to explore the relationship between social workers' clinical experience (i.e., years of experience), level of education, and type of licensure and perceived clinical competence when serving youth with co-occurring mental health and substance use disorders in the juvenile justice …
The Lived Experiences Of Clinical Supervision For Stress Mitigation Among Master’S Counseling Students In Internship, Marcia Kay Lebeau
The Lived Experiences Of Clinical Supervision For Stress Mitigation Among Master’S Counseling Students In Internship, Marcia Kay Lebeau
Walden Dissertations and Doctoral Studies
There is limited information on the lived experiences of stress mitigation in clinical supervision for master’s-level interns in Council for Accreditation of Counseling and Related Educational Programs (CACREP)-accredited counseling programs. There is a need for insight into how policy and supervision practices in counselor education programs can contribute to supporting and educating students during this time of professional and personal development and avoid negative personal and professional consequences. The purpose of this transcendental phenomenological study was to gain an understanding of the lived experiences of supervision for master’s-level interns in CACREP-accredited counseling programs in relation to utilizing supervision for stress …
Association Between High Health Literacy, Doctor's Recommendation, And Prostate Cancer Screening Among Men In The United States, Felicia Njideka Akunna
Association Between High Health Literacy, Doctor's Recommendation, And Prostate Cancer Screening Among Men In The United States, Felicia Njideka Akunna
Walden Dissertations and Doctoral Studies
To efficiently identify and prevent the advancement of prostate cancer and decrease mortality rates, it is crucial to examine the impact of health literacy. Despite potential advantages associated with enhanced health literacy and early detection, the United States continues to witness a significant rise in both new prostate cancer cases and mortality rates, emphasizing the severity of the condition. However, it is unclear if those with high health literacy are discouraged from participating in prostate cancer screening due to the risks associated with screening. Based on the stimulus organism response model, 2016 Behavioral Risk Factor Surveillance System data were analyzed …
Improving Access To Care For Uninsured Patients In Texas Outpatient Clinics: Achieving Patient-Centered Care, Stephanie Ann Greenwood
Improving Access To Care For Uninsured Patients In Texas Outpatient Clinics: Achieving Patient-Centered Care, Stephanie Ann Greenwood
Walden Dissertations and Doctoral Studies
Uninsured patients encounter major barriers to accessing healthcare, leading to delayed or missed medical care, higher rates of chronic conditions, and increased financial and psychological stress. The purpose of this integrative review study was to examine the factors that affect Texas residents who lack insurance and require access to healthcare services in outpatient community clinics. The review question was used to explore strategies to improve access to healthcare and strengthen patient-centered care for uninsured patients in Texas outpatient health clinics. A thorough integrative review was completed using empirical and nonempirical literature published between 2019 and 2024. The results of the …
Factors That Influence Elementary School Teachers Who Refer Students To Special, La' Trina Dudley
Factors That Influence Elementary School Teachers Who Refer Students To Special, La' Trina Dudley
Walden Dissertations and Doctoral Studies
There is an overrepresentation of African American students in special education classes; placing African Americans disproportionately in special education classes lowers their self-esteem and compromises their academic performance. This study aimed to increase understanding of the meaning-making processes elementary school general education teachers use to refer African American students for special education services. I used critical race theory (CRT) to support the study, which suggests that structural racism in schools harms African American students' self-esteem and academic achievement. Two research questions directed the study: What are the decision-making processes of elementary school teachers who refer African American students for special …
Adhd And Chronic Anhedonia: Antecedents Of Treatment-Resistant Depression And Suicidality In Adults, Tia Sternat
Adhd And Chronic Anhedonia: Antecedents Of Treatment-Resistant Depression And Suicidality In Adults, Tia Sternat
Walden Dissertations and Doctoral Studies
Depression is a chronic and debilitating disorder. Approximately 280 million people live with depression, and more than 700,000 lives are lost due to suicide each year. Treatment-resistant depression (TRD) is a severe form of depression which is highly correlated with comorbid psychiatric disorders such as attention deficit hyperactive disorder (ADHD) and associated with increased suicidality. Anhedonia, the reduced ability to experience pleasure, is associated with various psychiatric conditions, including ADHD. The theoretical framework for this study was the biopsychosocial model. Depression may be diagnosed in accordance with a defined cluster of symptoms, and/or how symptoms are experienced vary by individuals …
Impact Of Covid-19 On Hospital Expenses Of Diabetes And Obesity Patients In Rural Eastern North Carolina, Courtney Battle-Bradley
Impact Of Covid-19 On Hospital Expenses Of Diabetes And Obesity Patients In Rural Eastern North Carolina, Courtney Battle-Bradley
Walden Dissertations and Doctoral Studies
Multiple chronic conditions have caused a significant increase in hospital expenses. Diabetes and obesity have been identified as variables that negatively impact patient outcomes, but hospital expenses for diabetes and obesity patients who had and did not have COVID-19 had not been explored. The purpose of this quantitative correlational study was to compare the difference in hospital expenses, if any, of diabetes and obesity patients with and without COVID-19 at a North Carolina rural health care center. The study’s design was a correlational analysis using simple linear regression guided by Andersen’s behavioral model of health service utilization. The dependent variable …
K To 8 Teachers’ Experiences Using Project-Based Learning, Coleen Morgan
K To 8 Teachers’ Experiences Using Project-Based Learning, Coleen Morgan
Walden Dissertations and Doctoral Studies
The problem in this study was that despite encouragement from administrators, kindergarten through Grade 8 teachers struggled to use project-based learning (PBL) in a local school in the Association of Independent Maryland and DC Schools (AIMS). Rooted in Kilpatrick’s progressive philosophy of education and Piaget’s theory of constructivism, this basic qualitative study focused on teachers’ experiences using PBL. Research questions in this study related to teachers’ experiences using PBL in private classrooms in kindergarten through Grade 8 and challenges that influence teacher use of PBL in private classrooms. Data were gathered through semistructured interviews with 10 teachers. Results of this …
Cultural Competence To Meet Students' Transcultural Learning Goals, Taijohnea Haywood
Cultural Competence To Meet Students' Transcultural Learning Goals, Taijohnea Haywood
Walden Dissertations and Doctoral Studies
Researchers have noted that some primary grade teachers do not have the cultural competence to meet transcultural learning goals for primary grade students in diverse schools. This qualitative study explored perspectives of kindergarten through second grade teachers on their cultural competence to meet transcultural learning goals for primary-grade students in diverse schools. Mishra and Metha’s 21st century learning model and Vernon’s six principles of culturally competent practice were used as the framework for this study. This study addressed two research questions focusing on primary grade teachers’ perspectives of their cultural competence to meet the transcultural learning goals for their students …
Teachers’ Perspectives Of Readiness, Academic, And Social Skills Of First Graders Who Did Not Attend Kindergarten, Kathryn Mary Hogan
Teachers’ Perspectives Of Readiness, Academic, And Social Skills Of First Graders Who Did Not Attend Kindergarten, Kathryn Mary Hogan
Walden Dissertations and Doctoral Studies
Research suggests that kindergarten attenders benefit from the time spent learning basic academic and social skills. Skills students learn in kindergarten lead to skills taught in first grade and school readiness; however, many children do not attend kindergarten. The problem under study was that records indicate that many students do not attend kindergarten, and so may not be ready for first grade. The purpose of this study was to explore the perspectives of first grade teachers in a southeastern U.S. state regarding the readiness for first grade of students whose entry records indicate they did not attend kindergarten. Pianta’s theory …
Staff Education To Enhance Healthcare Providers' Use Of The Phq-9 Assessment Tool, Priscilia Nguh
Staff Education To Enhance Healthcare Providers' Use Of The Phq-9 Assessment Tool, Priscilia Nguh
Walden Dissertations and Doctoral Studies
Depression is a common mental health issue that has a substantial impact on people’s well-being and healthcare results. While there is ample evidence of depression’s harmful impact, the difficulty of accurate diagnosis remains. Inadequate screening of depression in primary health clinics results in treatment delays. The PHQ-9 is a tool to diagnose depression, however many clinicians are unfamiliar with its use. As a result, individuals susceptible to depression may not receive timely appropriate management, leading to poor health outcomes and higher healthcare utilization. This practice focused project aimed to understand if staff education would improve healthcare providers’ knowledge regarding use …
Relationship Between Student Physical Therapist Pain Knowledge, Beliefs, And Self-Efficacy Assessing And Treating Pain, Ryan Morgan Reed
Relationship Between Student Physical Therapist Pain Knowledge, Beliefs, And Self-Efficacy Assessing And Treating Pain, Ryan Morgan Reed
Walden Dissertations and Doctoral Studies
Chronic pain is a debilitating condition that affects a large percentage of the population. According to recent studies, chronic pain management is best treated using a biopsychosocial (BPS) non-pharmacological approach rather than a biomedical (BM) approach. Student Physical Therapists (SPTs) trained in a BPS approach have different beliefs about pain than those trained in the BM approach. Beliefs about pain are related to pain knowledge and self-efficacy for treating pain patients. To date, no study has examined these three variables together or explored differences in BM versus BPS beliefs in relationship to the other two variables. Guided by social cognitive …
Socioeconomic Determinants And Maternal Mortality In Liberia, Monee Sherman
Socioeconomic Determinants And Maternal Mortality In Liberia, Monee Sherman
Walden Dissertations and Doctoral Studies
High rates of pregnancies and childbirth contribute to a heightened risk of maternal mortality among women between 15 and 49 in Liberia. Most women are uninformed about their maternal risk behaviors, symptom severity, and delayed care-seeking. The mortality rate for women between 25 and 34 during pregnancy and childbirth is unacceptably high. The highest increase in maternal mortality rates is seen among women between 40 and 44 who choose to delay motherhood. In Liberia, the deaths of 4.5 women a day are caused by complications during pregnancy and childbirth. We examined the influence of participant background characteristics, socioeconomic factors, and …
Predictors Of Antisocial Behavior Among Hispanic Adults, Mara Page
Predictors Of Antisocial Behavior Among Hispanic Adults, Mara Page
Walden Dissertations and Doctoral Studies
Antisocial behavior can lead to serious social and legal consequences such as long-term involvement in criminal activities. Although there has been much research on predictors of antisocial behavior, such as perceived economic status, parental communication, impulsivity, substances, parenting styles, and parental involvement, little has been researched on how these apply to the Hispanic population. Grounded in Gottfredson and Hirschi’s general crime theory, the purpose of this nonexperimental correlational survey design study was to assess whether sensation-seeking behavior, self-control, parental monitoring, religious coping, perceived social support, and rugged resilience predicted antisocial behavior among Hispanic adults. A sample of 167 Hispanic adult …
Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers
Exploring Leadership Characteristics And Their Effects On Sustaining Federally Qualified Health Centers, Eleace E. Sawyers
Walden Dissertations and Doctoral Studies
An argument can be made for the continued existence of Federally Qualified Health Centers (FQHCs) because of the level of importance of the service they provide to society. The problem addressed in this research is that despite the millions of people in need of affordable health care, the leaders of many FQHCs are fighting to keep facilities open amidst financial struggles. The purpose of this research was to identify leadership characteristics that promote FQHCs’ success by assessing effective leadership styles. This study applied a quantitative, descriptive non-experimental approach. Probability sampling was used to select the sample size and the Multifactor …
Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds
Administrator Perspectives On Challenges And Opportunities In Assisting Teachers Transition To Online Teaching During Covid-19, Itari Beryl Hinds
Walden Dissertations and Doctoral Studies
During the COVID-19 global pandemic, there was no precedence set or documented protocol to govern the transition from face-to-face to online teaching. The purpose of this study was to explore middle school administrators' perspectives on their challenges and opportunities when assisting teachers as they transitioned from face-to-face to online teaching during the COVID-19 pandemic. Bass’s transformational leadership theory was used as the conceptual framework to emphasize the need for administrators to motivate teachers to persevere and adapt during times of crisis. The study’s two research questions were designed to explore administrators’ perspectives on whether they experienced challenges or opportunities when …
Early Childhood Teachers’ Perceptions On Well-Being Following The Covid-19 Pandemic, Janith Rena Rhodes
Early Childhood Teachers’ Perceptions On Well-Being Following The Covid-19 Pandemic, Janith Rena Rhodes
Walden Dissertations and Doctoral Studies
The problem addressed through this study was the decrease in early childhood (EC) teachers’ well-being since 2021 at a southeastern school district (SESD, a pseudonym) following the COVID-19 pandemic. The purpose of this qualitative study was to explore the personal and professional well-being of EC teachers during the post-pandemic teaching environment to gain an understanding of how the school district can support teachers so that they work effectively. The conceptual framework for this study was Seligman’s (2016) multidimensional PERMA model, which was found useful for understanding employees’ well-being for all employees at work. Data were collected through semistructured interviews of …
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Experiences With Therapeutic Adherence Among Hiv Positive Older Adults In Puerto Rico, Isaida Cabrera-Montero
Walden Dissertations and Doctoral Studies
HIV/AIDS infection, which originally was a fatal disease, is now a treatable, chronic disease with which people can live to reach 70 years of age or older if they comply with treatment. HIV treatment requires adherence to medications, but there is a lack of evidence on therapeutic adherence among older adults in Puerto Rico. The purpose of this descriptive phenomenology study, guided by the health belief model, was to provide a better understanding of HIV therapy adherence among older adults living in Puerto Rico. Semi structured interviews were conducted with 10 HIV-positive adults aged 65 years or older who were …
Anticipatory Grief Narratives Of Caregivers Of Children With Cockayne Syndrome, Emily T. Smith
Anticipatory Grief Narratives Of Caregivers Of Children With Cockayne Syndrome, Emily T. Smith
Walden Dissertations and Doctoral Studies
Knowledge of the impending death of a loved one has been connected with experiences of anticipatory grief. Specific grief experiences such as caring for a parent with dementia and caring for a child with cancer have been explored. Other rarely occurring anticipatory grief experiences have yet to be explored. The occurrence of Cockayne syndrome (CS) is 2.7 births in 1,000,000 worldwide. CS caregivers begin grieving the moment they learn of their child’s diagnosis, and counseling professionals are ill prepared to counsel the bereaved in even the more typical post death situations. Therefore, this qualitative, narrative study asked the question: what …
The Lived Experiences Of Cisheteronormativity By Nonbinary Sexual Assault Survivors, Emma Jackson Smith
The Lived Experiences Of Cisheteronormativity By Nonbinary Sexual Assault Survivors, Emma Jackson Smith
Walden Dissertations and Doctoral Studies
Gender minorities experience higher rates of sexual assault (SA) victimization and psychological distress, including posttraumatic stress disorder (PTSD) than their cisgender counterparts. Nonbinary individuals, in particular, face elevated levels of victimization, post assault distress, and unique barriers to receiving competent care both in general and specific to their assault experiences. Current research highlights the need for culturally competent care for nonbinary and transgender individuals, as well as for SA survivors. Although the experiences of SA survivors have been previously explored, specific information regarding the experiences of nonbinary survivors remains scarce. The purpose of this hermeneutic phenomenological study, grounded in Heideggerian …
Educating Nursing Staff On Urinary Tract Infections, Eldarada Rosamay Searcy
Educating Nursing Staff On Urinary Tract Infections, Eldarada Rosamay Searcy
Walden Dissertations and Doctoral Studies
The primary objective of this doctor of nursing practice (DNP) project was to educate staff on urinary tract infection (UTI) prevention. A gap in practice was identified among nursing staff at an assisted-living facility who lacked current, evidence-based knowledge. This project was conducted to determine whether educating staff on UTI prevention increased their knowledge. Knowles’s adult learning theory and the analysis, design, development, implementation, and evaluation model were used as the theoretical framework that guided this project. Eighty-eight healthcare workers at the project site voluntarily participated in this project. Before the education session, a 10-question, multiple-choice pretest was administered to …