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Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott
Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott
Walden Dissertations and Doctoral Studies
AbstractMexican immigrants are less likely to use psychiatric services compared to people from other race or ethnic groups in the United States, yet little is known about the reasons why the Mexican American population are less likely to seek mental health services. A qualitative descriptive study, guided by Leininger's culture care diversity and universality care theory, was used to explore the perceptions of mental health service use and barriers to psychiatric services for Mexican American immigrants living in the United States. After institutional review board approval was obtained, flyers were placed in five churches in a northwestern U.S state where …
Emotional Intelligence Among Nigerian Construction Project Leaders During Periods Of Uncertainty, Ibrahim Hassan Mashi
Emotional Intelligence Among Nigerian Construction Project Leaders During Periods Of Uncertainty, Ibrahim Hassan Mashi
Walden Dissertations and Doctoral Studies
Some construction project leaders in Nigeria have exhibited leadership ineffectiveness during periods of uncertainty due to a lack of emotional intelligence (EI) engagement. This has led to poor performance of construction projects in Nigeria. The purpose of this qualitative exploratory case study was to explore the engagement of EI in enhancing leadership effectiveness among construction project leaders in Nigeria during periods of uncertainty. Fifteen participants involving construction project leaders were selected through purposeful sampling from five construction firms in Abuja, Nigeria. The target participants were specifically chosen for their expertise and experience to ensure that the information created is relevant …
Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses
Illegal Unreported And Unregulated Fishing And Overfishing Policymaking In A Caribbean Island Country, Anya J. Moses
Walden Dissertations and Doctoral Studies
Small island developing states, especially those within the Caribbean community, are faced with the challenges of overfishing and illegal, unregulated, and unreported (IUU) fishing activities. Despite global legal reforms, enforcement continues to be ineffective. In the policymaking process, the perspectives of those critically impacted are rarely taken into consideration The purpose of this qualitative study was to explore the issues leading to the lack of inclusion of fisherfolk knowledge in the policymaking process and policies that promote SDG 14. The goal was to explore the importance of fisherfolk involvement in the policymaking process. The research question focused on identifying the …
Association Of Income, Education, Employment And Covid-19 Mortality In Brazil, Marcelina Machado
Association Of Income, Education, Employment And Covid-19 Mortality In Brazil, Marcelina Machado
Walden Dissertations and Doctoral Studies
The increased mortality rates from COVID-19 in Brazil have adversely affectedvulnerable populations and placed a severe burden on its public health system as compared to other nations. Focusing on socioeconomic status as a risk factor in this retrospective cohort study, I investigated the association between Brazilian COVID-19 mortality rate, income, school enrollment rate, and employment rate after controlling for the demographics and immunization rate. This is an important issue as an increase in incidence and mortality rates affects how governmental and public health leaders can effectively control and prevent disease spread. Using the fundamental causes of disease theory as the …
Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa
Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa
Walden Dissertations and Doctoral Studies
AbstractMany patients whose primary or secondary chronic condition is hypertension present to their first follow-up appointment in a primary care facility in the north of Puerto Rico with uncontrolled high blood pressure. Nurses’ knowledge of hypertension is vital to addressing a gap in practice for this patient population and patient quality of life and the prevention of cardiovascular diseases. The practice-focused question guiding this project focused on a nurse educational session for increasing hypertension management knowledge as well as a follow-up phone call protocol that aimed to improve patient care. The theoretical framework guiding this project was Pender’s health promotion …
Exploring An Indian K-12 School’S Experience Of Culturally Adapting Multiple Intelligences Theory, Jessica Richmond
Exploring An Indian K-12 School’S Experience Of Culturally Adapting Multiple Intelligences Theory, Jessica Richmond
Walden Dissertations and Doctoral Studies
Many government-run K-12 schools in India struggle to serve their diverse student bodies in a culturally responsive manner that draws from the nation's rich cultural heritage. Academic programs based on Gardner’s multiple intelligences (MI) theory have been utilized internationally to enhance learning, but the implementation has not been explored in a school curriculum based on Indian culture. The purpose of this qualitative case study, which was grounded in MI and Ladson-Billing’s culturally responsive pedagogy (CRP), was to explore the methods and experiences of an Indian K-12 school that culturally adapted MI theory to include yogic principles of the Indian culture. …
Relationship Between Opportunity For Advancement, Salary/Pay, And Retail Salesperson Turnover Intentions, Edith Mae Thompson
Relationship Between Opportunity For Advancement, Salary/Pay, And Retail Salesperson Turnover Intentions, Edith Mae Thompson
Walden Dissertations and Doctoral Studies
AbstractEmployee turnover intention is the principal antecedent and predictor of employee turnover behavior, which is a substantial threat to automotive retail dealerships’ current and future organizational performance. Understanding employee turnover intentions is vital for dealership general managers to reduce salesperson turnover, manage dealership costs, and maintain dealership competitive advantages. Grounded in Herzberg’s two-factor theory, the purpose of this quantitative correlational study was to examine the relationship between opportunity for advancement, salary/pay, and employee turnover intention among automobile salespeople. Using an online survey administered by Survey Monkey, data were collected from 76 retail salespeople in Tennessee, Kentucky, and Alabama. The survey …
Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker
Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker
Walden Dissertations and Doctoral Studies
The phenomenon of sexual violence against women in Liberia is a disturbing problem. Despite the significant number of individuals who have faced sexual assault in this country, little is known about the roots and long-term implications of this phenomenon within the context of Liberia, as well as the instruments that could be effective in remedying its effects. This study was conducted to understand how conflict-related sexual violence affects women in Liberia and suggest ways to help address it. The research questions addressed the effect of war-related sexual violence against women in Liberia and the strategies that are necessary to remedy …
Strategies That Small And Medium-Size Business Owners Use To Repay Bank Loan Obligations In Lagos, Nigeria, Taiwo Bamikole Ala
Strategies That Small And Medium-Size Business Owners Use To Repay Bank Loan Obligations In Lagos, Nigeria, Taiwo Bamikole Ala
Walden Dissertations and Doctoral Studies
The failure of businesses to repay loans adversely affects credit markets. Small and medium-sized (SME) business owners in Lagos, Nigeria, are concerned because financial institutions are unwilling to provide credit because of the low loan repayment performance of those who have received credit in the past. Grounded in the theory of planned behavior, the purpose of this qualitative multiple-case study was to explore strategies some SME owners use to successfully repay bank loan obligations to sustain their businesses. The participants were three SME owners in Lagos, Nigeria, who successfully repaid their bank loans. Data were collected using semistructured interviews and …
A Midwestern United States Latino Study Of Sexual Behaviors Among Latino Adolescents, Astrid Alejandra Cartagena Cabrera
A Midwestern United States Latino Study Of Sexual Behaviors Among Latino Adolescents, Astrid Alejandra Cartagena Cabrera
Walden Dissertations and Doctoral Studies
Increasing rates of adolescent unwanted pregnancies can be detrimental to families and the health of the infant. Rates of teen pregnancy among Blacks, Whites, Asians, and other races has decreased; however, the Latino population has not seen similar declining numbers. The Hispanic population currently has the highest rate of teen pregnancy that continues to increase in comparison to any other racial–ethnic group. In this study involving data from the Youth Risk Behavioral Surveillance System, a sample of 17,303 was used. Chi-square analyses and descriptive frequencies were used to identify associations between teen pregnancy and sexual behaviors; and how existing programs …
Strategies That Small And Medium-Size Business Owners Use To Repay Bank Loan Obligations In Lagos, Nigeria, Taiwo Bamikole Ala
Strategies That Small And Medium-Size Business Owners Use To Repay Bank Loan Obligations In Lagos, Nigeria, Taiwo Bamikole Ala
Walden Dissertations and Doctoral Studies
The failure of businesses to repay loans adversely affects credit markets. Small and medium-sized (SME) business owners in Lagos, Nigeria, are concerned because financial institutions are unwilling to provide credit because of the low loan repayment performance of those who have received credit in the past. Grounded in the theory of planned behavior, the purpose of this qualitative multiple-case study was to explore strategies some SME owners use to successfully repay bank loan obligations to sustain their businesses. The participants were three SME owners in Lagos, Nigeria, who successfully repaid their bank loans. Data were collected using semistructured interviews and …
Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey
Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey
Walden Dissertations and Doctoral Studies
AbstractJamaica has been listed among the most unfriendly nations for homosexual males. Previous research indicated that due to the biopolitical and sociocultural norms of the Jamaican society, homosexual males continued to be targets of various forms of discrimination based on their sexual orientation. However, research reflecting the lived experiences of homosexual males in Jamaica is sparse. The purpose of this phenomenological qualitative study was to provide details on the encounters of victimization due to homophobia of adult homosexual males in the parish of St. James, Jamaica. Data were collected through observations and in-depth interviews with eight men who identified as …
Predictors Of Psychoactive Substance Abuse Among Eastern Nigeran Youth, Kingsley Chidiebere Izuka
Predictors Of Psychoactive Substance Abuse Among Eastern Nigeran Youth, Kingsley Chidiebere Izuka
Walden Dissertations and Doctoral Studies
AbstractPsychoactive substance (PAS) abuse is a major public health problem leading to increased morbidity and mortality. In Nigeria, the incidence rate of PAS abuse has remained high, particularly in the youth population. The purpose of this study was to examine the influence of social factors and school enrollment status on PAS abuse in youth in Southeast Nigeria. The social ecological model and the theory of reasoned action were the theoretical frameworks used for this study; they were selected due to their focus on multiple levels of factors that influence behavior. A quantitative cross-sectional study design approach was used to determine …
Challenges In Improving Private Early Childhood Program Quality In Trinidad And Tobago From The Perspectives Of Program Administrators, Elizabeth Josephine King Oliver
Challenges In Improving Private Early Childhood Program Quality In Trinidad And Tobago From The Perspectives Of Program Administrators, Elizabeth Josephine King Oliver
Walden Dissertations and Doctoral Studies
In 2003, the Trinidad and Tobago Ministry of Education recommended that the early childhood care and education sector be regulated to improve the quality of programs. The problem is that the sector remains unregulated, and improving program quality in the private sector remains a challenge. This basic qualitative study examined private early childhood program administrators’ perspectives on challenges to improve program quality in Trinidad and Tobago. The research questions investigated the challenges private early childhood program administrators encountered in improving program quality and support needed for improvement. Ten purposively sampled private early childhood program administrators shared their perspectives. The conceptual …
Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León
Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León
Walden Dissertations and Doctoral Studies
In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …
Challenges With Multicultural Leadership For Project Managers: A Qualitative Multiple Case Study, Harrison Nnaemeka Nnaji
Challenges With Multicultural Leadership For Project Managers: A Qualitative Multiple Case Study, Harrison Nnaemeka Nnaji
Walden Dissertations and Doctoral Studies
Culturally diverse teams are becoming the norm with the rising trend of globalization. The phenomenon has been associated with a rise in the number of multicultural teams with diversified team members. The central problem addressed in this study relates to inadequate understanding of challenges posed to project managers of multicultural software development teams operating in Nigeria. The purpose of this qualitative multiple case study was to explore challenges faced by this population. Avruch’s theory of culture, the Human needs theory by Burton, and the cross-cultural adaptation theory by Kim were the conceptual frameworks for this study. Participants included 15 project …
Predictors Of Retention Among Individuals With Hiv Initiating Antiretroviral Therapy In Ghana, Ivy Ama Okae
Predictors Of Retention Among Individuals With Hiv Initiating Antiretroviral Therapy In Ghana, Ivy Ama Okae
Walden Dissertations and Doctoral Studies
Abstract Managing HIV requires lifelong therapy. Retaining clients on lifelong therapeutic antiretroviral therapy (ART) ensures the suppression of viral replication and better health outcomes. The time of the start of ART management is also a factor in determining better health outcomes for persons living with HIV. This study examined the association between initiation criteria (treat all, Option B+, and CDC T-cell count < 500) and retention on ART at 12 months for 17,974 randomly selected clients in the Ghana Health Service's HIV patient electronic database. Analyses controlled for age, gender, educational status, alcohol use, treatment/adherence monitoring, and tuberculosis disease treatment. Bronfenbrenner's ecological systems theory guided the interpretation of the findings. Results shows that retention was positively associated with all treatment initiation criteria. Clients initiated with CD4 count ≤ 500 criteria seemed to be retained at 12 months on ART at a higher rate than initiation criteria based on Option B+ and treat all. The study results may contribute to positive social change by supporting CD4 testing for clients before initiation of ART to improve retention and ensure the availability and use of adherence counseling, no tuberculosis disease and its prevention, and low use of alcohol among people living with HIV. The results of this study may also provide opportunities for public health policy intervention efforts requiring a personalized, group-based approach to service delivery at the intrapersonal level, interconnected with interpersonal, meso, and meta factors at the community level.
Teacher And Administrator Perceptions Of The Effectiveness Of Instructional Coaching, Judith Salazar
Teacher And Administrator Perceptions Of The Effectiveness Of Instructional Coaching, Judith Salazar
Walden Dissertations and Doctoral Studies
Instructional coaching focuses on increasing the effectiveness of instructional practices. However, little is known concerning the perceptions of teachers and administrators regarding the role of instructional coaching related to student performance. This basic qualitative study was conducted to analyze the perceptions of administrators and teachers within one region in Texas. Semistructured interviews were conducted with 16 participants—eight administrators and eight teachers—using a researcher-designed questionnaire regarding the effectiveness of instructional coaching in addressing achievement gaps among African American, Hispanic, and European American students. Fullan’s coherence framework provided the basis for data analysis. Data collected from the interviews were analyzed and four …
The Role Of Family Support In The Relationship Between Childhood Obesity And The Number Of Days Bullied In Trinidad, Sharon Antoine-Mills
The Role Of Family Support In The Relationship Between Childhood Obesity And The Number Of Days Bullied In Trinidad, Sharon Antoine-Mills
Walden Dissertations and Doctoral Studies
There is limited data on childhood obesity and the number of days bullied in Trinidad and Tobago. This study examined the association between childhood obesity and the number of days an obese child has been bullied in Trinidad in the past 30 days, with family support as a moderator. The theoretical framework for this study was Bronfenbrenner’s social-ecological model, which posits that a child’s microsystems are instrumental in influencing their behaviors. A self-administered low-cost 2017 Global School-based Student Health Survey (GSHS) was used for this cross-sectional study. The sample comprised 2,229 school adolescents 13 to 17 years of age. Childhood …
Emotional Intelligence And Toxic Leadership In Police Departments, Lisa Sorensen
Emotional Intelligence And Toxic Leadership In Police Departments, Lisa Sorensen
Walden Dissertations and Doctoral Studies
Effective leadership in law enforcement is critical for the overall success andeffectiveness of law enforcement personnel. Police leaders need to effectively guide officers through unparalleled social, technological, and life and death challenges. Although scholarly research indicates a positive connection between leadership effectiveness and emotional intelligence, understanding the specifics of this relationship has not been clearly identified. This research was an attempt to better understand how emotional intelligence impacts the perception of leaders demonstrating toxic behaviors and the relationship quality between police leaders and their direct reports. Data was collected from 63 law enforcement leaders and 162 direct reports in small …
Impact Of Race And Socioeconomic Factors On Infant Mortality Between Non-Hispanic Black And White Women, Chukuma Clifton Chijioke
Impact Of Race And Socioeconomic Factors On Infant Mortality Between Non-Hispanic Black And White Women, Chukuma Clifton Chijioke
Walden Dissertations and Doctoral Studies
Abstract This quantitative retrospective study with a correlational design examined the impact of race and socioeconomic factors on the high infant mortality (IM) among non-Hispanic Black women compared to non-Hispanic White women in one midwestern US state county. Though the IM in the U.S. has consistently decreased, a disparity exists between non-Hispanic Black and non-Hispanic White women. Non-Hispanic Black women are twice as likely to experience infant deaths as non-Hispanic White women. This study utilized secondary data derived from vital records maintained by the county public health department. The research was grounded in the ecological model. Logistic regression was used …
How Public Health Expenditure Affect Health Outcomes In Cameroon, Gilbert Njinju Ayimaleh
How Public Health Expenditure Affect Health Outcomes In Cameroon, Gilbert Njinju Ayimaleh
Walden Dissertations and Doctoral Studies
Most African governments, and Cameroon in particular, have identified the reduction of infant mortality and life expectancy in Africa as a critical priority. The United Nations Millennium Development Goals set a target objective of reducing infant mortality by 60% from 1990 to 2015 in less-developed countries. Good health contributes significantly to the attainment of sustainable development and health outcomes. Despite Cameroon’s progress in achieving health-related Millennium Development Goals regarding reducing infant mortality and increasing life expectancy, the country is still worse in respect to health outcomes compared to other Sub-Saharan Countries like Nigeria and Ghana thus more need to be …
Business Sustainability Among Women Entrepreneurs In Ghana, Gabriel Yaw Asante
Business Sustainability Among Women Entrepreneurs In Ghana, Gabriel Yaw Asante
Walden Dissertations and Doctoral Studies
Women entrepreneurs in Ghana are not prepared for entrepreneurship and face individual and contextual barriers that include social, cultural, economic, political, demographic, institutional, and technological perceived support. Guided by the institutional theory, the purpose of this qualitative exploratory multiple case study was to explore business strategic information that women entrepreneurs in Ghana need to learn to make their business sustainable beyond 5 years. Ten successful women entrepreneurs from 5 industries in Ghana, who had the training, experience, and information on the causes of business failure and had applied that information to gain business sustainability beyond 5 years, were recruited. Data …
Historically Black Colleges And Universities' Faculty Experiences With Online Course Design, Ashley Burton
Historically Black Colleges And Universities' Faculty Experiences With Online Course Design, Ashley Burton
Walden Dissertations and Doctoral Studies
Quality online course design requires course designers to make carefully informed decisions based on current resources and considerations for the learner. Some faculty at historically Black colleges and universities (HBCUs) design online learning without the assistance of instructional designers, training, or a technological infrastructure that supports online learning. To date, there is a shortage of scholarly research about how HBCU faculty design online courses and what supports or barriers exist for them. Thus, this basic qualitative research study aimed to understand faculty’s online course design experiences at HBCUs. Instructional design, adult learning theory, and the HBCU context formed the conceptual …
Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison
Risk Factors Of Human Papillomavirus Positive Oropharyngeal Cancer In Men, Kentress Davison
Walden Dissertations and Doctoral Studies
The human papillomavirus (HPV) is a leading domestic and global sexually transmitted disease. The purpose of this secondary quantitative, cross-sectional study is to investigate if there is an relationship between the rate of oral HPV-oropharyngeal squamous cell carcinoma (OPSCC) and race, exposure to smoking cigarettes (tobacco), risky sexual behavior, and participation in oral sex of male-to-male contact vs. male-to-female contact. The social cognitive theory grounded this study. The University of Alabama at Birmingham cancer database population supplied the study’s sample size of 337 males greater than 18 years of age with a diagnosis of OPSCC. I conducted descriptive analyses using …
Health Leadership And Management Practices That Support Accountability For Results, Peter Kayiira Byansi
Health Leadership And Management Practices That Support Accountability For Results, Peter Kayiira Byansi
Walden Dissertations and Doctoral Studies
Although leaders are expected to nurture and sustain a culture of accountability for results, little is known about how health leaders in developing countries perceive, interpret, demonstrate, and promote accountability in their day-to-day practices. The purpose of this generic qualitative study was to explore the management and leadership practices that leaders of public and non-profit health support organizations in Uganda utilize to embody and support accountability for key stakeholders’ results. Data from in-depths interviews with 13 participants at the governance, senior management, and middle management levels were analysed using thematic data analysis. Riggio's conceptualization of using multiple perspectives and disciplines …
A Case Study Of Joint Accountability Mechanism And Interorganizational Collaboration In Post-Earthquake Haiti, Jude J. Jean-Gilles
A Case Study Of Joint Accountability Mechanism And Interorganizational Collaboration In Post-Earthquake Haiti, Jude J. Jean-Gilles
Walden Dissertations and Doctoral Studies
Abstract: The earthquake that hit Haiti on January 12, 2010, caused massive destruction of its capital city Port-au-Prince and its suburbs and killed over a quarter of million people. The recovery period that followed required effectiveness to plan and mobilize resources. The magnitude of the destruction, lack of local recovery plans or previous disaster experience, and scarcity of local resources inspired the creation of the Interim Haiti Recovery Commission (IHRC), a compilation of local and international stakeholders who agreed to collaboratively address the recovery challenges. Several studies have examined post-earthquake recovery initiatives under the leadership of local governments, but having …
Artificial Intelligence-Based Medical Device Technologies Implementation Strategies In The Nigerian Health Care Industry, Oliver Chikaodinaka Iheme
Artificial Intelligence-Based Medical Device Technologies Implementation Strategies In The Nigerian Health Care Industry, Oliver Chikaodinaka Iheme
Walden Dissertations and Doctoral Studies
Artificial intelligence (AI)-based medical device technologies can aid medical professionals in delivering faster and more accurate treatment, but health care leaders are concerned with eliminating challenges that impede implementation. Grounded in the technology-organization-environment and technology acceptance models, the purpose of this qualitative multi-case study was to explore strategies health care leaders in Nigeria use to obtain, adopt, and implement AI-based medical device technologies. The participants were 11 health care leaders in Nigeria who successfully implemented AI-based medical device technologies in their hospitals. Data were collected using semi-structured interviews and the review of organizational documents. Through thematic analysis, five themes were …
Stories Of Licensed Counseling Supervisors Who Identify As Wounded Healers, Carolyn Litteral
Stories Of Licensed Counseling Supervisors Who Identify As Wounded Healers, Carolyn Litteral
Walden Dissertations and Doctoral Studies
Although a large percentage of counselors who are wounded healers eventually become clinical counseling supervisors, little is known about the effects on clinical supervision. Counseling supervisors have the responsibility of gatekeeping, managing client care, and modeling counseling for counselors-in-training; the process is likely affected by woundedness as is the counseling process. The purpose of the current qualitative narrative study was to identify the stories of wounded healers as clinical counseling supervisors to recognize how supervision is affected and influenced by being a wounded healer. The data were analyzed using the theoretical lens of existentialism and the conceptual framework of the …
Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller
Effects Of Supermax On Inmate Mental Health: Phenomenological Experiences Of Knowledgeable Professionals, Lea Michelle Miller
Walden Dissertations and Doctoral Studies
It may or may not be true that the conditions and practices associated with supermax sentencing are both creating and exacerbating psychological harm for the inmates who are exposed to them. To date, there is evidence that both supports and refutes the contention that supermax sentencing is psychologically harmful; thus, the literature necessitates additional research into this phenomenon. This qualitative study was conducted to add to the extant body of knowledge relevant to supermax prisons and populations by exploring the lived experiences of professionals who have worked with them. This research was conceptually based in the current understanding of social …