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Articles 4171 - 4200 of 19539
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Association Between Psychological Distress And Diabetic Retinopathy Among U.S. Adults, Claret Ijeoma Onukogu
Association Between Psychological Distress And Diabetic Retinopathy Among U.S. Adults, Claret Ijeoma Onukogu
Walden Dissertations and Doctoral Studies
Diabetes can lead to diabetic retinopathy, an eye disease that causes damaged blood vessels and the growth of abnormal ones, leading to vision loss. The two stages of the disease are non-proliferative and proliferative diabetic retinopathy. In the non-proliferative stage, diabetics develop macular edema and ischemia with shortage of blood in the macula region of the eye, and the vision eventually becomes blurry. However, the proliferative stage is the advanced stage of the disease involves neovascularization and retinal detachment. The quantitative study employed the socioecological model as the theoretical framework to examine the relationship between psychological distress and diabetic retinopathy …
To Resist Or Persist? An Examination Of Interpersonal Relationships Formed In Prison, Kamecia S. Blake
To Resist Or Persist? An Examination Of Interpersonal Relationships Formed In Prison, Kamecia S. Blake
Walden Dissertations and Doctoral Studies
Prison is an important component of the criminal justice system. The structure and functionality of prison is tailored towards incapacitation, rehabilitation, and deterrence, which are goals of punishment. However, prison can have unintended consequences which increase the criminogenic risk of offenders causing inmates to become career criminals. This study examined the role of prison socialization, particularly the influence of interpersonal relationships formed while incarcerated on recidivistic behavior. It is important to investigate interpersonal relationships formed while incarcerated so that prison administrators can better realize its goal to rehabilitate offenders and prepare them for reintegration into society. The study was grounded …
Stakeholders’ Influence Of Voluntary Sustainability Reporting On Corporate Financial Performance, Delores Adams
Stakeholders’ Influence Of Voluntary Sustainability Reporting On Corporate Financial Performance, Delores Adams
Walden Dissertations and Doctoral Studies
This study explores the relationship between voluntary sustainability reporting and corporate financial performance, focusing on the influence of stakeholders on sustainability initiatives. The research uses legitimacy and stakeholder theories, drawing from signaling and institutional theories, to examine the impact of sustainability initiatives on financial results. The analysis was conducted on United States aerospace and defense companies listed in the Fortune 500, and Bloomberg’s ESG database. The independent variables included GRI-2019 – GRI-2022, stakeholders influence “STAKE,” firm size, and growth. The dependent variables were return on assets and Tobin’s Q. Return on investment was used as the moderating and mediating variable. …
How Sarcoidosis Mental Health Stories Could Affect Legislation, Dorothy Michelle Kemp
How Sarcoidosis Mental Health Stories Could Affect Legislation, Dorothy Michelle Kemp
Walden Dissertations and Doctoral Studies
The problem this general qualitative study with narrative techniques addressed was the lack of empirical research about sarcoidosis mental health based on depression, anxiousness, and feeling lonely. Sarcoidosis legislation was also compared to current mental health legislation, which proposed mental health measures. This study aimed to gather secondary data of firsthand descriptions based on the impacts of sarcoidosis mental health aspects and review sarcoidosis legislation. Accumulated secondary data for this study were a collection of stories from doctors, diagnosed patients, and caregivers based on their narrative of the disease from a mental health perspective. In utilizing the advocacy coalition framework, …
High School Teachers’ Perceptions Of The Use Of Achieve3000 As A Literacy Proficiency Intervention, Cameron Ashley Gaines
High School Teachers’ Perceptions Of The Use Of Achieve3000 As A Literacy Proficiency Intervention, Cameron Ashley Gaines
Walden Dissertations and Doctoral Studies
The problem that was addressed through this study was that inconsistency in using a literacy development initiative resulted in no improvement of low literacy scores in April of 2022, as a total of 80.85% of high school students in one learning zone within a Georgia school district scored below literacy proficiency on the Georgia Milestones Assessment System. The purpose of this qualitative study was to examine high school teachers’ perceptions of the use of Achieve3000 as a literacy intervention using the conceptual framework of disciplinary literacy. This study's two research questions focused on high school teachers’ perceptions of using Achieve3000 …
Experiences Of Black Males With Generalized Anxiety Disorder During The Covid-19 Pandemic, Cynthia Lynn Williams
Experiences Of Black Males With Generalized Anxiety Disorder During The Covid-19 Pandemic, Cynthia Lynn Williams
Walden Dissertations and Doctoral Studies
This qualitative research dissertation involved exploring the intersection of race, gender, and mental health via lived experiences of Black males who were diagnosed with generalized anxiety disorder during the COVID-19 pandemic to provide a comprehensive understanding of how the unique sociocultural context of the pandemic influenced their experiences with anxiety. Using a qualitative Interpretive Phenomenological Analysis research design and semi-structured interviews with a diverse sample of seven Black males living in various regions of the United States the interviews involved their personal experiences, coping mechanisms, and perceptions of societal and systemic factors that affected their mental health during the pandemic. …
Utilizing The Health Belief Model To Evaluate Barriers To Screening Black Women For Perinatal Depression, Rasheed Davis
Utilizing The Health Belief Model To Evaluate Barriers To Screening Black Women For Perinatal Depression, Rasheed Davis
Walden Dissertations and Doctoral Studies
Perinatal depression is an important public health issue that disproportionately affects Black women and contributes to negative maternal and birth outcomes. This quantitative, correlational cross-sectional study aimed to understand the relationship between health care providers’ likelihood of screening for perinatal depression among Black women and their perceptions framed within the health belief model. This study was conducted to examine the impact of health care providers’ perceived susceptibility, perceived severity, perceived benefits, and perceived self-efficacy on the likelihood of screening for perinatal depression. This study was conducted in New York state and included 92 health care providers who actively provide prenatal …
School Counselors’ Perceptions And Descriptions Of Their Career Counseling Efforts For Non-Honor Roll Students In Career Management, Sherlette C. Burkhalter
School Counselors’ Perceptions And Descriptions Of Their Career Counseling Efforts For Non-Honor Roll Students In Career Management, Sherlette C. Burkhalter
Walden Dissertations and Doctoral Studies
High-quality career counseling is freely available at U.S. high schools. However, many students choose not to participate in career planning programs, despite being assigned to a school counselor for guidance. There is a projected increase in demand for school counselors; however, there needs to be more literature regarding whether high school students are taking advantage of career planning and how counselors cope with and manage their role in implementing career counseling programs. The purpose of this study was to explore school counselors’ perceptions and descriptions of their career counseling efforts for non-honor roll students in career management. The theoretical framework …
The Experiences Of Icu Nurses Caring For Covid-19 Patients In Zambia, Mable Kasonde Mwila
The Experiences Of Icu Nurses Caring For Covid-19 Patients In Zambia, Mable Kasonde Mwila
Walden Dissertations and Doctoral Studies
The purpose of this research was to explore the experiences of ICU nurses caring for COVID-19 patients in Zambia. The problem was lack of knowledge on what intensive care unit nurses experienced while caring for COVID patients then to investigate the experiences of ICU nurses taking care of COVID patients in Lusaka, Zambia. Using Sister Callista Roy’s nursing adaptation model as a conceptual framework, the qualitative interpretative phenomenology approach was used to interview 14 participants in two hospitals in Zambia. MAXQDA software was used to organize data to develop codes and derive six themes, which were education, emotional and psychological …
East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo
East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo
Walden Dissertations and Doctoral Studies
East African refugee women arrive as a vulnerable population in their host country. Before coming to the United States, refugee women may have experienced varying levels of trauma due to civil wars, genocide, sexual assault, deaths of loved ones, terrorist attacks, being taken hostage, and torture in their home country. The purpose of this generic qualitative study was to explore the experiences of refugee women from East African countries seeking health care in the Central United States when government assistance ends. The framework of the behavioral model of health was the guide for examining the experiences of the participant refugee …
The Impact Of Liberia’S Post-War Public Housing Policy On Homelessness, Bofor Rahim Toh, Ii
The Impact Of Liberia’S Post-War Public Housing Policy On Homelessness, Bofor Rahim Toh, Ii
Walden Dissertations and Doctoral Studies
There is an inadequacy in strategies to address homeless and vulnerable youth “Zogos” in post-war Liberia. Homelessness among youth is a severe problem in post-war Liberia, with many sleeping in Palm Groove Cemetery and other informal housing settings in Monrovia and other parts of the country. This qualitative study explored post-war Liberia’s public housing program policy roles that professional competency and human capacity play in effectively mitigating homelessness of youth in Monrovia. Glasser’s choice theory was the theoretical framework used for this study. The research question explored how human capacity, selection eligibility, and professional competency at the National Housing Authority …
Criminal Justice Practitioners Perceptions On Collateral Consequence Policies Affecting Formerly Incarcerated African American Males, Ronnie Devon Williams
Criminal Justice Practitioners Perceptions On Collateral Consequence Policies Affecting Formerly Incarcerated African American Males, Ronnie Devon Williams
Walden Dissertations and Doctoral Studies
Formerly incarcerated African American males have a challenging time transitioning back into the community due to invisible barriers that impede their opportunities for successful reintegration. This generic qualitative study aimed to explore criminal justice practitioners' perceptions regarding collateral consequence policies for formerly incarcerated African American males. The theoretical framework for the study was labeling theory, which explained how others stigmatize individuals due to their social and environmental characteristics. The research question guiding this study was how criminal justice practitioners perceived the impact of collateral consequence policies on the successful reintegration of African American males. Ten criminal justice practitioners including probation …
A Staff Education Project For Administration Of Phq-9 To Adult Patients In The Emergency Department, Jessica Leigh Ionno
A Staff Education Project For Administration Of Phq-9 To Adult Patients In The Emergency Department, Jessica Leigh Ionno
Walden Dissertations and Doctoral Studies
Depression is a global healthcare crisis impacting millions worldwide. In the United States, over 8% of adults experience depression, leading to significant disability and increased healthcare costs. Many individuals with depression seek initial treatment in emergency departments (EDs). This project aims to reduce the burden of depression by training ED nurses to identify at-risk patients early and provide timely interventions and referrals. Benefits include improved patient outcomes, decreased healthcare costs, and social change to address the mental health crisis. Utilizing Malcolm Knowles’ adult learning theory, the project emphasizes collaborative learning relevant to the clinical setting. The partner site is a …
National Narcotics Policy Influence On Youth Substance Abuse In Yendi, Ghana, Imran Abdel-Rahman Gomdah
National Narcotics Policy Influence On Youth Substance Abuse In Yendi, Ghana, Imran Abdel-Rahman Gomdah
Walden Dissertations and Doctoral Studies
Possession of small quantities of narcotics for personal use in Ghana could result in years in detention under the Narcotic Drugs Law of 1990, with youth constituting a large number of offenders. The government proposed a drug policy change in 2017 as the prevailing one failed to achieve its goals even with such stringency, resulting in Act 1019’s adoption in May 2020 as a new national drug policy to replace the Narcotic Drugs Law of 1990. The purpose of this generic qualitative study was to assess public perception of the impact of the new policy on the incidences of youth …
Exploring Pre-Service Elementary Teachers’ After Student-Teaching Content Knowledge And Teaching Knowledge Of Fraction Operations, Elizabeth Salgado
Exploring Pre-Service Elementary Teachers’ After Student-Teaching Content Knowledge And Teaching Knowledge Of Fraction Operations, Elizabeth Salgado
Walden Dissertations and Doctoral Studies
With the changes in Common Core State Standards, it was essential to explore how elementary pre-service teachers’ sense of fractions is developing and their thoughts about how to teach fractions. A gap in practice exists because it is unknown how pre-service elementary teachers, after student-teaching, perceive their level of in-practice knowledge in (a) knowledge of content and (b) knowledge of pedagogy in fraction operations. The three research questions centered on content knowledge, pedagogy knowledge, and knowledge of students, and the study was guided by the concepts of Lee Shulman’s categories of teacher knowledge. The purpose of this study was to …
African American Caregivers' Perceptions Of Ecological Factors Related To Hospice Utilization, Monica Prescott Lonon
African American Caregivers' Perceptions Of Ecological Factors Related To Hospice Utilization, Monica Prescott Lonon
Walden Dissertations and Doctoral Studies
African Americans remain an underrepresented demographic in hospice care because they underutilize the service at disproportionate rates compared to the total population. The research problem addressed African American perceptions of the microsystem, mesosystem, exosystem, macrosystem, and chronosystem factors that impacted their perceptions and utilization of hospice. The purpose of this generic qualitative study was to explore African American caregivers’ perceptions of environment-related factors that affected their utilization of hospice care. Data were collected from semistructured interviews with 10 African American family caregivers aged 18 and over, with at least 2 years of experience as hospice caregivers. Findings from coding and …
Adults With Avoidant Attachment Styles And Their Online Dating Experien, Amber Mae Nelson
Adults With Avoidant Attachment Styles And Their Online Dating Experien, Amber Mae Nelson
Walden Dissertations and Doctoral Studies
Adult attachment style can influence how individuals communicate with each other and how they deal with conflict, both of which may influence the formation and maintenance of romantic relationships. Research suggested, that attachment style influenced the level of relationship security individuals experience and the level of intimacy in which they are comfortable engaging. The convenience and popularity of online dating may present unique struggles and benefits for adults with avoidant attachment styles; exploring their online dating experiences may provide insight into the benefits and pitfalls as avoidant individuals pursue romantic relationships. The purpose of this qualitative study was to explore …
Understanding The Perception Of Risk For Heart Disease In African American Women, Erica Hudson
Understanding The Perception Of Risk For Heart Disease In African American Women, Erica Hudson
Walden Dissertations and Doctoral Studies
Heart disease is a serious health condition and is one of the leading causes of death in the United States. African American women have the highest mortality rate from heart disease compared to any other racial group. The purpose of this research study was to assess knowledge of heart disease, by investigating two constructs of the health belief model: perceived susceptibility and perceived severity. A correlation design was used to analyze survey data from African American women from age 40 to 55 from the Atlanta, Georgia area. The participants completed the assessments on survey monkey. The assessments included a demographic …
Perceived Stress, Social Media Usage, And Sleep Quality In United States Adults, Justine P. Scott
Perceived Stress, Social Media Usage, And Sleep Quality In United States Adults, Justine P. Scott
Walden Dissertations and Doctoral Studies
The purpose of this quantitative study was to explore the intricate connections among perceived stress, sleep quality, and social media usage metrics, challenging prior assumptions by highlighting social media as a noteworthy stress coping mechanism. The research aimed to understand the relationship between sleep quality, perceived stress, and the frequency and quality of social media use, guided by the biopsychosocial model as the theoretical framework.The study involved adults aged 20-65. A questionnaire incorporated four validated instruments to assess these variables: the Epworth Sleepiness Scale (ESS), Internet Addiction Diagnostic Questionnaire (IADQ), Perceived Stress Scale (PSS), and Social Media Quality Measure (SMQM). …
The Relationship Between Investment Strategy, Investment Return, And Investment Performance, Issa Lamine Fofana
The Relationship Between Investment Strategy, Investment Return, And Investment Performance, Issa Lamine Fofana
Walden Dissertations and Doctoral Studies
Investment managers are concerned with investment strategy decisions, as they are one of the key predictors of successful investment management. Grounded in prospect theory, the purpose of this quantitative correlational research study was to examine the relationship between investment strategy, investment returns, and investment performance. The population consisted of 120 cases collected from Morningstar’s mutual fund database. The results of the multiple linear regression were significant, F(5, 119) = 36.598, p <.001, R2=.616. In the final model, two predictors were significant: total 5-year returns (ß = 0.034, p < .001) and large-cap investment strategy (ß = -0.357, p = .026) were significant predictors of investment performance. A key recommendation is for investment managers to determine the risk level they are willing to accept when building a portfolio. The implications for positive social change include boosting investment returns and performance, hence improving the investment industry's stability, which may result in the expansion of local economies.
Experiences Of Food Insecurity Among Single Mothers Pursuing Secondary Education, Amber Bernard
Experiences Of Food Insecurity Among Single Mothers Pursuing Secondary Education, Amber Bernard
Walden Dissertations and Doctoral Studies
The number of single mothers continues to grow across the nation, and many are at a socioeconomic disadvantage. Little research focuses, however, on how single mothers describe their experiences of balancing motherhood, work, and pursuing higher education, all while undergoing food insecurity. Lazarus and Folkman’s transactional theory of stress and coping was used to formulate the research design. Semistructured interview questions were used to answer the question of how single mothers with food insecurity describe their experiences pursuing higher education. A generic qualitative research approach was utilized in this study. Interviews were conducted with 10 single mothers pursuing postsecondary education …
Socioeconomic Status On The Management Of Type-2 Diabetes Among African Americans (Aged 26–64) In Rural Pennsylvania, Mariejo Joyce Constant
Socioeconomic Status On The Management Of Type-2 Diabetes Among African Americans (Aged 26–64) In Rural Pennsylvania, Mariejo Joyce Constant
Walden Dissertations and Doctoral Studies
There is a lack of knowledge on hardly-reached patients’ socioeconomic status (SES). This quantitative study examined the extent to which SES moderated or impacted the relationships of African American status, rural status, or insurance status with type-2 diabetes mellitus (T2DM) management outcomes (testing for elevated glucose levels, patient education, and regular doctor visits) for African American individuals of low SES living in rural areas. The theoretical foundation for this study was the ecological systems theory (EST). Secondary data were from the publicly available Behavioral Risk Factor Surveillance System (BRFSS) 2021 dataset. Binary and linear regression analyses showed insufficient results to …
Exploring Teacher Practices Used To Support Black Students In Two Early College High School Programs, Raquel Hairston
Exploring Teacher Practices Used To Support Black Students In Two Early College High School Programs, Raquel Hairston
Walden Dissertations and Doctoral Studies
Early college high schools (ECHS) have contributed to the increased number of Black students earning associate degrees. However, data show that students considered college and career-ready upon entering the ECHS/dual enrollment program are underperforming in college classes, hindering their acceptance into higher education institutions and bachelor’s degree attainment. This qualitative exploratory study aimed to understand the academic and social practices teachers used to support Black students in college classes and to see if additional resources were needed. Tinto’s student integration theory examined the connection between social and academic integration and student retention. Data were collected through semistructured interviews with seven …
Training Nurse Practitioners And Providers In Primary Care To Screen For Bipolar Disorder, Jane Ngozi Iwebo
Training Nurse Practitioners And Providers In Primary Care To Screen For Bipolar Disorder, Jane Ngozi Iwebo
Walden Dissertations and Doctoral Studies
The global spotlight on mental illness has challenged healthcare providers to enhance their assessment and diagnosis of various mental health conditions like Bipolar Affective Disorder. Bipolar Affective Disorder (BPAD) is a serious mental illness characterized by severe mood swings ranging from depression to mania, often leading to high rates of suicide and disability. There is a significant gap of 8-10 years between the initial primary care visit and the diagnosis of BPAD leading to delayed treatment and worsening outcomes. The lack of use and/or knowledge of primary care providers on the use of assessment tools, such as the mood disorder …
Nursing Staff Education On Enhanced Recovery After Surgery Related To Nurse-Patient Pain Communication, Kathleen Ranne
Nursing Staff Education On Enhanced Recovery After Surgery Related To Nurse-Patient Pain Communication, Kathleen Ranne
Walden Dissertations and Doctoral Studies
Perioperative pain is a significant challenge in terms of care of surgical patients which requires effective communication by nurses to improve patient outcomes and satisfaction. The communication component of the Enhanced Recovery after Surgery protocol is a foundation for improved patient outcomes and pain management. The problem that was identified in this Doctor of Nursing Practice project was lack of staff education during the perioperative period related to nurse-patient communications regarding pain management. Using the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this DNP project was to plan, implement, and evaluate a staff education …
Exploring Teacher Perceptions On The Effectiveness Of The Freshman Academy, Renee C. Goode-Boyd
Exploring Teacher Perceptions On The Effectiveness Of The Freshman Academy, Renee C. Goode-Boyd
Walden Dissertations and Doctoral Studies
A Southeastern school district created freshman academies to assist freshman students with strategies and support they need to combat ninth-grade failure successfully, but little change was observed. The purpose of the study was to explore teachers' perceptions of the freshman academy's transition program structure, benefits, challenges, and effectiveness. The conceptual framework for this study encompassed elements of constructivist theory, which explains how children adapt to their environments and learn how to process information successfully. The research questions examined teachers' perceptions regarding the benefits, challenges, and perceived effectiveness of the freshman academy intervention program. The data for this basic qualitative study …
Prelicensure Baccalaureate Nursing Faculty’S Experiences Of Providing Incivility Awareness Education To Students, Emily Vanessa Pappa
Prelicensure Baccalaureate Nursing Faculty’S Experiences Of Providing Incivility Awareness Education To Students, Emily Vanessa Pappa
Walden Dissertations and Doctoral Studies
This study investigated prelicensure baccalaureate nursing faculty’s lived experiences of providing incivility awareness education to students. The problem was that previous research regarding incivility awareness education to prelicensure baccalaureate nursing students focused on pilot studies to find effective strategies and students’ receptiveness to educational approaches, but it lacked the nurse educators’ experiences of delivering the education. The purpose was to explore the lived experiences of nurse educators providing incivility awareness education to prelicensure baccalaureate nursing students. with at least 1 year of teaching experience in prelicensure baccalaureate nursing programs and had taught the topic of incivility awareness. Using the qualitative …
Examining Psycho-Social Factors Of Foster Parents Who Engage In Contact Sexual Abuse, Heather Lee Manning
Examining Psycho-Social Factors Of Foster Parents Who Engage In Contact Sexual Abuse, Heather Lee Manning
Walden Dissertations and Doctoral Studies
Previous work has been done to identify psych-social factors of criminals, although no work currently exists to identify the specific type of sexual offender identified within this study- foster parents who sexually offend foster children. This qualitative study focused on pre-determined psycho-social factors of both male and female offenders. The study reviewed nine cases which met the inclusion criteria and where sufficient data was able to be collected. Results of the study revealed that most offenders were male, most were married or in an otherwise committed relationship with a consenting adult during the time of their offending behaviors. These finding …
Impact Of Parental Attachment On Family Communication Patterns About Sex And Intimacy, Trish Mook
Impact Of Parental Attachment On Family Communication Patterns About Sex And Intimacy, Trish Mook
Walden Dissertations and Doctoral Studies
Risky sexual behaviors in adolescence continue to be a social problem that impacts individuals, families, and communities across the United States. Previous research showed that parents who actively talk with their adolescents about sex and intimacy topics reduce their likelihood of engaging in these behaviors. Still, less is known about what motivates a parent to engage in these discussions. This correlational quantitative research study aimed to apply Bowlby’s attachment theory and McLeod and Chaffee’s family communication patterns theory to identify if a relationship exists between parental attachment style and the family communication patterns that a parent employs when discussing sex …
Leadership Strategies For Small Business’ Sustainability, Abhay Arora
Leadership Strategies For Small Business’ Sustainability, Abhay Arora
Walden Dissertations and Doctoral Studies
Small business leaders are concerned with the lack of effective leadership strategies for sustaining their businesses, which can jeopardize their long-term operational and financial success. Grounded in systems theory, the purpose of this qualitative pragmatic inquiry was to explore leadership strategies small business leaders use to sustain their financial performance. The participants were comprised of four business leaders operating businesses in local malls in Manchester, Connecticut who implemented successful leadership strategies for sustainability. Data were collected using semistructured interviews. Five key themes emerged from the thematic analysis: (a) customer focus and service, (b) community engagement, (c) employee collaboration and engagement, …