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Walden Dissertations and Doctoral Studies

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Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas Jan 2023

Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas

Walden Dissertations and Doctoral Studies

Abstract There are gaps in the literature regarding how patient-physician racially concordant relationships affect African American women’s health. This quantitative study evaluated the effects of non-minority physician influence on the perceptions of medical mistrust, racial discrimination, and healthcare-specific racial discrimination on African American women. The behavioral model for vulnerable populations guided the study. Two research questions involved understanding the relationship between trust in the physician scale and medical mistrust and the association between racial discrimination and perceived healthcare-specific racial discrimination among African American women living in a Southern U.S. state. A stratified random sampling strategy was used to obtain a …

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Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang Jan 2023

Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang

Walden Dissertations and Doctoral Studies

The absence of adequate knowledge, skills, and competencies in screening for suicide risk in adolescent and young adult patients is a significant problem facing nurses in outpatient settings. An evaluation of the project site facility’s main performance metrics revealed shortcomings in locating patients who pose a serious risk of self-harm and suicide. Staff dealing with the patients may, as a result, overlook preemptive measures that could stop a suicide event. The project aimed to create a training program to introduce the ask suicide-screening questions (ASQ) tool kit, an evidence-based suicide screening tool, to ambulatory nurses. The goal of the project …

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Parenting Skills Of African American Young Mothers Who Transitioned From Foster Care, Tamesha Yvonne Townsend-Simmons Jan 2023

Parenting Skills Of African American Young Mothers Who Transitioned From Foster Care, Tamesha Yvonne Townsend-Simmons

Walden Dissertations and Doctoral Studies

Prior research indicated there is an ongoing social issue in the United States for young single mothers with foster care experiences and their children. This group of women face poor economic and parenting outcomes without assistance from government resources in the form of effective parenting programs. Yet programming lags and there are ongoing assumptions about young mothers' in foster care parenting skills and abilities. The purpose of this qualitative multiple-case study was to better understand the development of parenting skills among a selected group of African American adult young mothers who transitioned from foster care to independence and motherhood between …

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Impact Of A Workplace Wellness Program On Health Literacy And Type 2 Diabetes Management Among Blue-Collar Workers In South Carolina, Caitlin E. Townsend Jan 2023

Impact Of A Workplace Wellness Program On Health Literacy And Type 2 Diabetes Management Among Blue-Collar Workers In South Carolina, Caitlin E. Townsend

Walden Dissertations and Doctoral Studies

The prevalence of chronic diseases and their management is significantly different between blue- and white-collar employees. Social determinants of health are determining factors of health for blue-collar manufacturing employees in South Carolina. Type 2 Diabetes is a complex chronic condition that has been associated with serious co-morbidities, but it can be managed and/or treated. Workplace wellness programs provide an ideal setting for health education and promotion efforts targeted toward population health management. While workplace wellness programs have been proven successful, there is limited research on the relationship and impact on health literacy. This quantitative, descriptive study used secondary data to …

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Internal Control Strategies To Limit Nonprofit Organization Fraud And Embezzlement Costs., Ralston K. Tracey Jan 2023

Internal Control Strategies To Limit Nonprofit Organization Fraud And Embezzlement Costs., Ralston K. Tracey

Walden Dissertations and Doctoral Studies

AbstractEmployee intent to commit fraud and embezzlement costs has the potential for adverse business outcomes. Nonprofit leaders are concerned with employee fraud and embezzlement costs as it is the main predictor of employee wrongdoing and increase the chances of their organization's failure. Grounded in fraud triangle theory, the purpose of this qualitative multiple-case study was to explore internal control strategies nonprofit leaders use to limit fraud and embezzlement costs. The participants were eight leaders from four nonprofit organizations in the Southeastern United States who successfully used strategies to prevent fraudulent financial losses in their organizations. Data were collected from semistructured …

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Understanding African American Mothers’ Perceptions Of The Effectiveness Of Autism-Related Services For Their Autistic Children In Rural Communities, Brandi J. Treadway Jan 2023

Understanding African American Mothers’ Perceptions Of The Effectiveness Of Autism-Related Services For Their Autistic Children In Rural Communities, Brandi J. Treadway

Walden Dissertations and Doctoral Studies

This study aimed to address the gap in the literature related to understanding African American mothers’ perceptions of the effectiveness of the available services provided to their children diagnosed with autism living in rural communities. The theoretical framework used for this study is the racial formation theory as a lens for completing this study. The research question explored African American mothers’ perceptions of the effectiveness of autism-related services provided to their children with autism in rural communities. The research design chosen for this study is a generic qualitative design using semi-structured interviews for data collection from 10 African American mothers …

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Assessment Of Factors That Affect Men’S Access And Utilization Of Tuberculosis Services In Zululand District In South Africa, Maureen Fatsani Tshabalala Jan 2023

Assessment Of Factors That Affect Men’S Access And Utilization Of Tuberculosis Services In Zululand District In South Africa, Maureen Fatsani Tshabalala

Walden Dissertations and Doctoral Studies

Tuberculosis (TB) remains the leading cause of death in South Africa, with higher mortality rates among men compared to women, despite the availability of free TB services and a reduction in TB death rates. However, research on the factors influencing men's access to and utilization of TB services is limited. The purpose of this study was to assess the factors affecting men's geographical access and quality utilization of TB services in the Zululand district of KwaZulu Natal province, South Africa. A survey questionnaire was used to collect data from 200 men recruited from selected primary health care facilities. Andersen's model …

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A Sociotechnical Systems View Of Computer Self-Efficacy And Usability Determinants Of Technical Readiness, Stefani L. Tucker Jan 2023

A Sociotechnical Systems View Of Computer Self-Efficacy And Usability Determinants Of Technical Readiness, Stefani L. Tucker

Walden Dissertations and Doctoral Studies

The specific research problem was that it is unknown whether computer self-efficacy and usability determine technical readiness in hourly and exempt information technology support employees in the United States. The purpose of this correlational study was to examine the relationship between computer self-efficacy and technical readiness, usability and technical readiness, and computer self-efficacy, usability, and technical readiness in hourly and exempt information technology support employees in the United States. Sociotechnical system theory suggests that every transaction has a human and technical aspect; thus, the theoretical framework. The convenience sample included 136 information technology support employees aged 18-70. The regression results …

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Parent Perspectives On How The Covid-19 Pandemic Affected Symptoms Of Autism Spectrum Disorder In Their Children, Desiree Marie Vanderlick Jan 2023

Parent Perspectives On How The Covid-19 Pandemic Affected Symptoms Of Autism Spectrum Disorder In Their Children, Desiree Marie Vanderlick

Walden Dissertations and Doctoral Studies

Autism is a disorder that is characterized by struggles with socialization anddevelopmental delays that often involve much guidance and support. The purpose of this study was to explain the experience of parents as they attempted to manage behaviors related to symptoms of autism during the worldwide quarantine prompted by COVID-19. This study aimed to close the gap in literature and explore to see if there were any concerns that could be addressed by future studies. The study was framed around Bowen’s theory, which addresses emotions within a family unit, and the interdependence theory, which addresses how humans thrive to be …

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Knowledge Management Implementation In U.S. Army Headquarters: A Case Study, David Marvin Van Laar Jan 2023

Knowledge Management Implementation In U.S. Army Headquarters: A Case Study, David Marvin Van Laar

Walden Dissertations and Doctoral Studies

This case study examined the U.S. Army’s implementation of knowledge management (KM) as an integrating process within its command and control system. The research problem explored was the U.S. Army’s attempts to measure knowledge transfer using the KM Maturity Model (KM3) and KM Assessment Tool (KMAT). The purpose was to determine levels of KM maturity and knowledge barriers that affected decision-making. The conceptual approach used Nonaka and Takeuchi’s process theory for the knowledge-based firm, combined with Argote and Hora’s framework of knowledge transfer as it applied to Moore’s concept of public value. The central research questions explored the levels of …

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Career Progression: Narrative Study Of Impediments Affecting Army Female Officer Advancement From Major To Lieutenant Colonel, Jeremia M. Van Jan 2023

Career Progression: Narrative Study Of Impediments Affecting Army Female Officer Advancement From Major To Lieutenant Colonel, Jeremia M. Van

Walden Dissertations and Doctoral Studies

AbstractQualitative narrative inquiry was used to understand the accounts and experiences of female officers in the United States Army that were once stationed in South Korea, who did not advance to the rank of lieutenant colonel. In today’s military, female officers still face many challenges during their advancement from Major to Lieutenant Colonel, relative to their male counterparts. The specific problem is the underrepresentation of female majors in the Army who compete for promotion to the lieutenant colonel rank. The researcher explored the experiences of 14 female Army officers that served in South Korea and sought out promotions from the …

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The Student’S Perspective Of Therapeutic Day Treatment, Krystal Vaughan Jan 2023

The Student’S Perspective Of Therapeutic Day Treatment, Krystal Vaughan

Walden Dissertations and Doctoral Studies

Attention deficit hyperactivity disorder (ADHD) has continued to be diagnosed in school-aged children at a high rate. Students with this diagnosis often display negative behaviors and poor academic performance, leading to the need for school-based interventions. Although the use of school-based interventions has shown to be moderately effective, the need to identify the student’s perspective is warranted. The purpose of this general qualitative study was to explore the effectiveness of therapeutic day treatment from the student’s perspective. While parents and teachers have found therapeutic day treatment useful, research to date from the student’s perspective is lacking. Vygotsky’s theory of cognitive …

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Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton Jan 2023

Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …

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Generational Cohort Membership And Career And Organizational Commitment Among Law Enforcement Officers, Erinn Elizabeth Vranches Jan 2023

Generational Cohort Membership And Career And Organizational Commitment Among Law Enforcement Officers, Erinn Elizabeth Vranches

Walden Dissertations and Doctoral Studies

Career and organizational commitment are topics of interest in multiple fields, including law enforcement. With the exodus and transition of generational cohorts, there is a need to understand generational differences to address the recruitment, training, and retention of officers. The purpose of this study was to examine the relationship between generational cohort membership, career commitment, and organizational commitment among law enforcement officers. Two theories were used for the foundation of this study: Manheim’s theory of generations and Super’s developmental self-concept theory. The study method was quantitative and the design, correlational. A survey containing demographic questions and items from the Occupational …

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Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker Jan 2023

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 …

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The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall Jan 2023

The Experiences And Perspectives Of Documented Hispanic Immigrants Dealing With Survivor’S Guilt, Fallon Victoria Wall

Walden Dissertations and Doctoral Studies

Hispanic immigrants are understudied and underserved; this is a population that continues to battle injustices and discriminatory actions due to immigration policy. The Hispanic population struggles with immigration stress and deportation, which contributes to difficulties such as psychological distress, physical health problems, acculturative stress, employment difficulties, and decreased access to support and services. In this study, a generic qualitative design was utilized to explore immigration stress and the experiences of documented Hispanic immigrants dealing with survivor’s guilt as it relates to the deportation of their loved ones. Relational cultural theory as used in the study to explore the Hispanic population, …

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Appropriated Racial Oppression As A Moderator Of Sexual Satisfaction Among Black Women, Jillian Rochelle Watts Jan 2023

Appropriated Racial Oppression As A Moderator Of Sexual Satisfaction Among Black Women, Jillian Rochelle Watts

Walden Dissertations and Doctoral Studies

Researchers have named pleasure as a form of justice: a reclamation of the body and striving for happiness. For Black women, cultural messaging and lived experiences have led to sexual shame that can impact how individuals experience sexual satisfaction. This quantitative cross-section correlational study was conducted to assess the relationship between sexual shame and sexual satisfaction, the relationship between appropriated racial oppression and sexual satisfaction, and whether appropriated racial oppression moderated the relationship between sexual shame and sexual satisfaction in Black women. Moderating regression analysis was used to examine and understand the relationships between sexual shame and sexual satisfaction and …

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Exploring Social Workers And Self-Care, Justyna Wawrzonek Jan 2023

Exploring Social Workers And Self-Care, Justyna Wawrzonek

Walden Dissertations and Doctoral Studies

First responder social workers are exposed to a stressful work environment, which puts them at risk for burnout. Burnout increases turnover rates, which negatively impacts both social workers and the clients they serve. The use of self-care practices mitigates the harmful effects of burnout. Because first responder social workers in southern California have an average turnover rate of 6 to 12 months after hire, this study explored southern California first responder social workers’ experiences with self-care practices. A basic qualitative design using semistructured interviews was applied through the purposeful sampling of eight first responder social workers. The study was grounded …

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Educating Nursing Staff On Code Lavendar, Melanie Gumapas Webb Jan 2023

Educating Nursing Staff On Code Lavendar, Melanie Gumapas Webb

Walden Dissertations and Doctoral Studies

The role of the nurse has changed considerably over the past decade. Nurses are facing alarming rates of burnout that is causing them to leave the profession prematurely. The practice-focused question was to determine if a nurse staff education program on Code Lavender that focused on wellness and resiliency strategies helped to decrease nurse burnout. The purpose of this doctor of nursing practice project was to educate nurses on an 11-bed inpatient oncology unit at a hospital located in Maryland. A comprehensive literature review was conducted utilizing several databases and using inclusive terms such as nurse burnout, wellness, patient safety …

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Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland Jan 2023

Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland

Walden Dissertations and Doctoral Studies

Mental illnesses in correctional facilities have been an issue for decades and have increased over time. According to recent studies, correctional facilities have become known as mental health institutions without access to treatment. It is unclear why correctional facilities have limited resources, but research indicates that offenders are not receiving the appropriate treatment. This qualitative phenomenological study aimed to explore how five prison-based counselors perceive the quality and quantity of mental health services provided to inmates. The data were analyzed and coded using the Interpretative Phenomenological Analysis (IPA). The current study’s findings further added to the base of knowledge that …

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Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West Jan 2023

Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West

Walden Dissertations and Doctoral Studies

AbstractAfrican American small food service business owners contribute to national and local economies; however, only 45% of them sustain their businesses beyond 5 years. African American small food service business owners are concerned with the lack of effective business strategy implementation, as it is the number one predictor of actual business failure. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies African American small food service business owners used to sustain their businesses beyond 5 years. The participants were seven African American small food service business owners in the southeastern United …

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Exposure Of Ems Personnel To Violence In Urban Cities Of The Midwest, Alyssa Wheeler Jan 2023

Exposure Of Ems Personnel To Violence In Urban Cities Of The Midwest, Alyssa Wheeler

Walden Dissertations and Doctoral Studies

Emergency medical service (EMS) personnel experience both physical and verbal assaults towards them by patients, family members, and/or bystanders at the incident scenes. The mostly quantitative literature is limited in recognizing how this violence may affect the way that EMS personnel complete their jobs. Through in-depth, semistructured interviews with nine EMS personnel from the Midwest, this phenomenological study was used to understand EMS personnel’s lived experiences and perceptions of violence towards them by patients or bystanders at the response scene. How this violence towards EMS personnel affected the way they approach incident scenes and interact with patients and/or bystanders at …

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Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler Jan 2023

Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler

Walden Dissertations and Doctoral Studies

Excessive employee turnover can disrupt an organization's efficient operational performance. Call center managers remain concerned with excessive employee turnover due to the expense of lost productivity, recruiting, and training new employees. Grounded in Herzberg’s two-factor theory of motivation, the intent of this qualitative single case study was to explore strategies call center managers use to reduce employee turnover. The participants consisted of five managers in one financial service call center in Nebraska who used successful strategies to reduce employee turnover. Data was collected using semistructured interviews and a review of the employee handbook. Four themes emerged through Yin’s 5-step process: …

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A Phenomenological Study Of Executive Coaching For African American Leaders, Barrhonda White Jan 2023

A Phenomenological Study Of Executive Coaching For African American Leaders, Barrhonda White

Walden Dissertations and Doctoral Studies

African American leaders face inequalities in executive leadership development support such as executive coaching. This phenomenological qualitative study explored the lived experiences of African American leaders that worked with a leadership coach. The intention of the study was to gain insight into factors that led African American leaders to seek assistance from a leadership coach, preferences regarding leadership coach demographics, and goals from coaching. The theoretical foundation for this research was Self-Discrepancy Theory. The study utilized two research questions related to a) the lived experiences of African American leaders that work with, or have worked with, an executive coach, and …

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Workplace Satisfaction On Inclusion And Turnover Intentions Of Minority Women In Science, Technology, Engineering, And Mathematics, Tameka Whitten Jan 2023

Workplace Satisfaction On Inclusion And Turnover Intentions Of Minority Women In Science, Technology, Engineering, And Mathematics, Tameka Whitten

Walden Dissertations and Doctoral Studies

Women of color are diminishing from the STEM workforce in spite of organizational efforts to increase diverse representation. A diverse workforce is a key competitive advantage for many STEM innovations, making this a topic of interest amongst workplace scholars. Researchers have pointed to relative contributors, such as barriers to inclusion and social identity threats for minority women in STEM. However, scholars have not yet uncovered the effect of global satisfaction on inclusion and turnover intentions for minority women within these workplaces. The purpose of this study was to evaluate organizational inclusion differences by sex and minority status, review organizational inclusion …

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Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett Jan 2023

Lived Experience Of Women Veterans Navigating The Veteran Healthcare System, Candance Willett

Walden Dissertations and Doctoral Studies

Many women veterans who navigate the Veterans Affairs (VA) healthcare system across the United States have felt that their voices have not been heard regarding their input and lived experiences concerning inclusion to the quality-of-care delivery for their health needs. The purpose of this study was to explore the lived experiences of women veterans who were currently facing or had previously faced difficulty navigating the VA healthcare system. The framework used for this qualitative study was interpretive phenomenological analysis. The qualitative method used was hermeneutics which was designed by Edmund Husserl and Martin Heidegger. Semi structured interviews were of 12 …

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Strategies To Improve Nonprofit Governance To Increase Donations, Charmaine Nicola Williams Tate Jan 2023

Strategies To Improve Nonprofit Governance To Increase Donations, Charmaine Nicola Williams Tate

Walden Dissertations and Doctoral Studies

AbstractThe leaders of nonprofit organizations rely on donors to achieve the organization’s mission, and governance practices are a key contributor to donor confidence and positive donor behavior. Some nonprofit leaders lack effective strategies to improve governance processes and encourage donor confidence to increase donations. Grounded in resource dependence theory, the purpose of this qualitative single case study was to explore strategies that nonprofit leaders use to improve governance processes and encourage donor confidence to increase levels of donations. The participants comprised four senior executive members of a donor-amalgamation nonprofit organization in the Midwestern United States. Data were collected from semistructured …

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Evaluators' Perceptions On The Quality Of Training For Conducting Classroom Observations, Mark Williams Jan 2023

Evaluators' Perceptions On The Quality Of Training For Conducting Classroom Observations, Mark Williams

Walden Dissertations and Doctoral Studies

AbstractThere is a problem in the state of Michigan’s evaluation system regarding the training received by those conducting classroom teacher observations. A performance gap between teachers and students and provides training solutions for classroom observers was identified. The purpose of this basic qualitative study was to explore the perceptions of school administrators regarding their preparedness and ability to conduct effective observations of teachers. Social cognitive theory and its six constructs was the conceptual framework used for this research study. Research questions addressed the perceptions of school administrators about the training they have received and their need for additional training. A …

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Examining School Funding Inequity And Impact On African American High School Dropouts, Michelle Janette Williams Jan 2023

Examining School Funding Inequity And Impact On African American High School Dropouts, Michelle Janette Williams

Walden Dissertations and Doctoral Studies

Causal factors such as peer pressure and socioeconomic status have been linked to African Americans dropping out of high school. Little research has been done to examine the impact school funding inequity has on African Americans dropping out of a high school. In response, this quantitative research study examined the association between school funding and when an African American dropped out of high school. The results can be used to make an argument for increased funding in high-poverty schools. The theoretical framework that underpinned this research study was equity theory. The quantitative research study explored the association between funding and …

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The Role Of Mistrust In African American Organ Donation, Gina M. Williams Jan 2023

The Role Of Mistrust In African American Organ Donation, Gina M. Williams

Walden Dissertations and Doctoral Studies

AbstractAfrican Americans (AAs) who suffer from life-threatening organ failure often need an organ transplant to sustain or to improve their quality of life. The shortage of donor organs, and AAs willing to become organ donors, limits the number of organs available for transplant. The purpose of this study was to understand the lived experience of AAs regarding the role of mistrust and to understand its influence on their organ donation decision-making. Social cognitive theory guided this qualitative descriptive phenomenological study designed to gain an understanding of the lived experiences of the AAs related to the role of mistrust in their …

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