Digital Commons Network^™

Beliefs Among Mothers Of Adolescent Females On Cervical Cancer Vaccination, Aja Rochelle Gardner

Walden Dissertations and Doctoral Studies

Hispanic and African American women are infected with sexually transmitted diseases more often than are Caucasian women. This racial disparity is also seen in the incidence of human papillomavirus (HPV) and cervical cancer. The medical connection between HPV and cervical cancer is often unknown or misunderstood among women. This study addressed the beliefs and subsequent health decisions of minority parents regarding whether to get their daughters vaccinated against HPV. The theoretical framework for this study was Rosenstock's health belief model (HBM). The specific study design used was Husserl and Heidegher's theory on Phenomenology. This qualitative study utilized focus groups containing …

Factors Affecting Body Mass Index Levels In African American Women Living In North Carolina, Padmini Shanti Kirpalani

Walden Dissertations and Doctoral Studies

The prevalence of obesity has doubled over the past 25 years in the United States, particularly in North Carolina. Obesity is influenced by biological, social, and environmental factors; its prevalence has been found to be higher among African American women and other racial ethnic minorities. Guided by the social ecological model, the purpose of this cross sectional study was to examine the relationship of the psycho-social, psycho-behavioral factors, and body mass index levels (BMI) in African American women living in North Carolina versus their Hispanic American and European American counterparts. A logistic regression model using secondary data from the Behavioral …

The Experience Of Survivorship: Quality Of Life For African American Breast Cancer Survivors, Angela L. Grimmett

Walden Dissertations and Doctoral Studies

African American breast cancer survivors are at a greater risk of experiencing disparities in mortality, treatment, and quality of life. The purpose of this phenomenological study was to explore the impact that breast cancer had on the quality of life of African American breast cancer survivors from a psychosocial, physical, spiritual, and economic perspective. Face-to-face, in-depth interviews were conducted with 9 volunteers who met the eligibility criteria of being breast cancer survivors of African American decent. The sample of survivors ranged in ages 45 to 80 and was between 6 to 30 years postdiagnosis. Giorgi's phenomenological method was used to …

Community And Patient-Centered Medical Home In The Care Of Chronically Ill Patients, Victor A. Carrillo

Walden Dissertations and Doctoral Studies

Large portions of the US population live in poor inner-city communities. Health needs assessment data have shown that these communities have disproportionately high rates of chronic illnesses. The patient-centered medical home (PCMH) model was developed to address the gaps that exist in the primary care system, and emphasizes a redesign of primary care that is patient centered, utilizes multiple levels of healthcare professionals, information technology, and care coordination. However, little evidence exists on the value of this model which may explain why it has not gained wide acceptance by primary care providers. Therefore, this study was designed to examine the …

Perceptions Of Immunizations As Health Prevention Among Female Mexican Immigrants In Oklahoma, Jennifer Doyle

Walden Dissertations and Doctoral Studies

Research on health prevention behaviors of Mexican immigrant mothers regarding immunizations has been limited. As of 2014, Hispanics or Latinos comprised 9.6% of the population of the state of Oklahoma and were the largest minority group within Oklahoma. This minority population has continued to grow at a rapid rate in Oklahoma. The purpose of this study was to explore the perceptions of immunizations held by Mexican immigrants who are mothers residing in Oklahoma. The aim of this study was to identify their perceived risk of contracting a vaccine-preventable disease if not immunized and knowledge of immunizations as a health prevention …

Strategies For Maintaining Credit Union Profitability In Grenada, Nadia Lisa-Adele Francis-Sandy

Walden Dissertations and Doctoral Studies

Nonbank financial institutions (NBFIs), of which credit unions comprise, constitute an important part of the financial sector because of their contribution to economic development, particularly in developing economies. This multiple case study explored strategies for maintaining credit union profitability against the backdrop of numerous closures in the past decade. The conceptual framework for this study was agency theory. Data were collected from 6 purposefully selected managers or directors representing individual credit unions in Grenada. Data were also collected from publicly available sources and used to conduct methodological triangulation. The interview data were coded using a computer-aided software package, and the …

Beyond Eureka: What Creators Want (Freedom, Credit, And Audiences) And How Intellectual Property Can Better Give It To Them (By Supporting, Sharing, Licensing, And Attribution), Colleen Chien

Michigan Law Review

In the theater of the courtroom or the rough and tumble arena of intellectual property policymaking, the day-to-day lives of creators are rarely presented. We often instead see one-dimensional vignettes, for example, “the new artist or band that has just released their [sic] first single and will not be paid for its success,” described on Taylor Swift’s Tumblr last summer when she initially withdrew from Apple’s music streaming service. While instructive, this description leaves out that Swift and other artists have long relied on “free play” mediums like radio and, more recently, YouTube to develop, not cannibalize, their audiences and …

Strategies For Growing And Sustaining Successful Small Businesses, Patrick Modilim Modilim

Walden Dissertations and Doctoral Studies

Small business manufacturing enterprises represent viable means of creating employment, stimulating economic growth, and accelerating development. Many newly formed small business enterprises do not continue beyond 5 years after formation. The purpose of this multiple case study was to explore the strategies used by small business manufacturing leaders in Lagos, Nigeria to sustain their businesses, using general systems theory as the conceptual framework. The sample comprised 3 small business leaders who have sustained their business enterprises beyond 5 years after formation in Lagos, Nigeria. The data collections were through semistructured, in-person interviews and the review of business feasibility and planning …

Adolescent Peer-Related Computer-Mediated Communication And Its Relationship To Social Anxiety, Neil Matthew Parker

Walden Dissertations and Doctoral Studies

Adolescents are adopting computer-mediated communication (CMC) at a higher rate than any other age group, with CMC becoming integral to their social relationships. This is particularly significant given the role peer relationships play in adolescent mental health. The purpose of this quantitative, quasi-experimental study was to explore the relationship between adolescent CMC and social anxiety. The research was guided by Erikson's theory of psychosocial development and Kock's media naturalness theory. This multiwave panel study included a convenience sample of 58 adolescents ages 11 to 18. Surveys were completed on participant's social skills and introversion, and daily data were gathered on …

Probationers' Quality Of Life Based On Their Perception Of Sibling Relationship, Katherine Sump

Walden Dissertations and Doctoral Studies

Abstract

The quality of life of probationers remains low when reestablishing life in society.

Research has been conducted on how siblings can provide support to juveniles, yet

minimal research supported how adult sibling relationships have affected probationers'

quality of life. The purpose of this study was to explore the phenomenon of the effect

sibling relationships may have on probationers' quality of life. Attachment theory was

used as a theoretical framework to support the factors relating to sibling relationship

types. This research study used a qualitative interview design in order to explore

probationers' perspective of their sibling relationship type and quality …

Correlations Of Race, Ethnicity, And Family Relations On The Developmental Outcomes Of Youth Raised In Single Mother Headed Households, Sabrina Blount Watson

Walden Dissertations and Doctoral Studies

Despite known risk factors associated with families headed by single mothers such as delinquency, substance abuse, and early unprotected sex, researchers have rarely focused on how family relations positively shape the developmental trajectories of youth living in nontraditional families. The purpose of this correlational study was to examine the relationship between the independent variables of ethnicity, parent-child relationship, and family interaction (including the relationship with important non-parental adults) and the dependent variables of developmental outcomes (social and emotional competence) for youth living in families headed by single mothers. The associations were investigated using data collected from the Project on Human …

Risk Of Alzheimer's Disease Among Older Hispanic/Latinos With Diabetes, Kathy Bianco

Walden Dissertations and Doctoral Studies

Alzheimer's disease (AD) is the 6th leading cause of death in older Americans. Currently there is no cure for AD, and even though the specific cause is unknown, diabetes mellitus type 2 (DM2) is regarded as a risk factor. Hispanics have a higher incidence of DM2 and possibly AD. I chose a life course theoretical model for this quantitative cross-sectional study to illuminate the variables most pertinent to a pathway from good health to poor health. The variables chosen were hypertension (HTN), obesity, smoking, stroke, dyslipidemia, and lower educational attainment. The research questions were used to examine biologic, metabolic, sociologic, …

Attitudes Of Nigerian Mothers Toward Children With Autism Spectrum Disorder, Valentine Ntoo Chukwueloka

Walden Dissertations and Doctoral Studies

Autism spectrum disorder (ASD) is a form of developmental disability that affects many children in the U.S. and abroad. The Center for Disease Control (CDC) has indicated that 1 out of every 68 children is diagnosed with ASD in the United States. However, there was limited literature about the attitudinal dispositions of Nigerian mothers toward children with ASD and their lived experiences with a child with autism. The purpose of this qualitative study was to explore the attitudes of Nigerian mothers toward their children with autism. The theoretical foundation of this study was the variation of the social relational understanding …

A Qualitative Study On Female Opinions Of Female Bullying And Relational Aggression, Cindy Lee Stevenson Mcclure

Walden Dissertations and Doctoral Studies

According to the American Psychological Association, 160,000 children miss school each day because of a fear of bullying. Existing research indicates that the typical male style of bullying is distinctly different from the typical female style of bullying, which is referred to as relational aggression. This kind of aggression can cause damage to girls in the form of low self-esteem, eating disorders, and suicide. Research on female bullying has increased in the last five years, yet there is minimal research on relational aggression from the female perspective. The purpose of this qualitative study was to expand on the existing bullying …

Influence Of Teacher Participation On Student Fitness And Student Participation In Physical Education, Whitney Morris

Walden Dissertations and Doctoral Studies

Physical activity plays a key role in the health of children. Childhood obesity is increasing in the United States, and children are spending less time being physically active. Active participation by a physical education (PE) teacher in physical activities has been suggested as a means of promoting student fitness. The purpose of this quasi-experimental quantitative study was to determine whether modeling of physical activity by a PE teacher would increase student participation and physical fitness. Bandura's social learning theory provided the theoretical framework for the study. Participants included 311 4th and 5th grade elementary students enrolled in physical education classes. …

College Transition Experiences Of Homeschooled Women, Jeanine L. Sanclemente

Walden Dissertations and Doctoral Studies

During the past 40 years, the U.S. homeschooling population rose exponentially. The results of homeschooling need to be studied further so that parents, legislators, and higher education leaders can make prudent and well-informed decisions regarding homeschooled students. No studies have been completed that focus on the unique experiences of homeschooled women as they transition to college in terms of academics, forming new relationships, and individuating from their families. The purpose of this phenomenological study was to explore academic and relational processes during the transition to college. In this qualitative dissertation based on constructivist design and in the conceptual framework of …

Evaluation Of The Intervention Efficacy Of Lions Quest Skills For Adolescence, Jennifer Lee Switzer

Walden Dissertations and Doctoral Studies

Adolescence is characterized as a time of impulsivity, emotional decision-making, and peer influence; thus, interventions targeting the development of effective psychosocial skills are imperative. Improved psychosocial functioning can equip adolescents for successfully overcoming future life challenges. There are few studies that have examined how adolescents' psychosocial skills could be improved in the context of substance abuse prevention program participation. The purpose of this study was to examine changes in psychosocial skills in a group of adolescents who participated in 2 of 10 Lions Quest Skills for Adolescence (Lions Quest SFA) programs being used in central Virginia middle schools. This study …

A Multiple Case Study Qualitative Design On How Childhood Trauma Relates To The Child-Caregiver Relationship, Rochelle Von Hof

Walden Dissertations and Doctoral Studies

The number of children exposed to a traumatic event seems to be continuously growing. Currently there is no research that has examined specifically how a child's traumatic experience is understood in the context of the child-caregiver relationship. The purpose of this study was to understand the dynamics of the relationship between the child and caregiver after a child's traumatic event, from the caregiver's perspective. The research design for this study was a multiple case study qualitative design involving 9 participants, recruited through criteria sampling. These participants provided data obtained through semi-structured interviews. Based on the methodology and the research question, …

Impact Of Potable Water Availability On Economic Development Of North Benue State, Stephen Saaondo Akange

Walden Dissertations and Doctoral Studies

The socioeconomic progress of developing nations, states, and rural communities largely depends on the development and management of their water resources. Rural communities of the North Senatorial District (NSD) of Benue, Nigeria do not have adequate access to potable water. The purpose of this correlational study was to evaluate the statistical relationship between availability of potable water and the economic development of the NSD and Benue state. The primary theoretical framework included Omamegbe's theory of migration and brain drain. A quantitative, cross-sectional design was employed using a modified version of the World Health Organization (WHO) Laboratory Assessment Checklist. Participants consisted …

Using Cultural Cognition For Learning English: A Mexican Immigrant Family's Perspective, Cherri Louise Brown

Walden Dissertations and Doctoral Studies

The research problem focused on the 11 million Mexican immigrant families in the United States who speak little or no English. Their stated needs for English literacy, socioeconomic and academic success, and the increasing calls for xenophobic legislation throughout the nation indicated a need to investigate alternative pedagogies to compel positive social change through language fluency. In this case study, Mexican immigrant second-language learners and their descendants were asked how they wanted to learn English and if using native culture as a learning tool would help in achieving their literacy goals. Prior researchers had not asked those questions. Three adults …

Exploring An African American Principal's Cultural Leadership Effects On Closing The Achievement Gap, Doristine Cornelius

Walden Dissertations and Doctoral Studies

Closing the achievement gap is a key concern for educational leaders. Research has indicated that principals’ actions directly and indirectly influence student learning. The purpose of this case study was to explore cultural leadership in an urban Mississippi high school from an African American’s racialized perspective. The cultural competency/proficiency theory provided the conceptual framework for this study. Successful leadership practices of this African American principal were examined through the principal and through the perceptions of teachers and the assistant administrator. A researcher-developed questionnaire was content validated and given to a purposeful sample of 17 individuals: the principal, assistant principal, and …

A National Mixed Methods Research Study: Defining Reasonable Accommodations In Higher Education For Adult Students With Disabilities, Anita Schwartz

Walden Dissertations and Doctoral Studies

The purpose of this study was to examine the perceptions that differ among university personnel and students with disabilities regarding the vagueness in the legal definition of the term reasonable accommodations. The theoretical framework that guided this study was the social model of disability. Using a sequential mixed-method design, the first strand surveyed 98 students and 93 personnel; then 10% of each group participated in an interview or focus group. The main research questions explored the different accommodations offered by university personnel versus those that were used by students and the different perceptions of the term reasonable accommodations in accordance …

Promoting Diabetes Self-Managment Eduaction And Training In Out-Patient Clinics, Inemesit Godwin Udo

Walden Dissertations and Doctoral Studies

Abstract

Type 2 diabetes mellitus (T2DM) is a long term metabolic disorder characterized by high blood sugar, insulin resistance, and relative lack of insulin. T2DM is a leading cause of cardiovascular disease, blindness, kidney failure, lower-limb amputation, and other complications that are costly to patients and the U.S. health care system. Lack of knowledge and underdeveloped skills for self-management of diabetes continues to be the biggest problem for patients with T2DM. Using a team approach and Rosswurm and Larrabee's (1999) conceptual model as a framework, the purpose of this doctorate of nursing practice quality improvement project was to develop an …

Impact Of Medicare And Medicaid Beneficiaries With Selected Conditions On Emergency Department Utilization, John K. Amoh

Walden Dissertations and Doctoral Studies

Chronic Obstructive Pulmonary Disease (COPD) and Congestive Heart Failure (CHF) are conditions that represent significant and ongoing medical costs, including frequent emergency department (ED) visits, hospitalizations, work absences, and disability. This retrospective cross-sectional study, examined the effects of the frequent ED visits due to COPD and CHF on the beneficiaries of Medicare and Medicaid in Maryland. The goal was to identify the factors that led these patients to visit the ED, the impact of these visits on Medicare utilization and costs across Maryland, and preventative intervention strategies to control this population's costs of care. Secondary data were analyzed from 2010-2012 …

Gestational Age, Birth Weight, And Incidence Of Adult Type 2 Diabetes Among Southeast Alaska Natives, Renee Elaine Crawford

Walden Dissertations and Doctoral Studies

American Indian and Alaska Native adults are 2.6 times more likely to have adult onset diabetes resulting from higher weight at birth. Pregnant women, providers, and Indian Health Service administrators may benefit from timely information during pregnancy to intervene and prevent Type 2 diabetes. The purpose of this study was to examine the role of birth weight in the development of Type 2 diabetes among Southeast Alaska (SEA) Natives. Guided by the socioecological model, this study examined the extent to which birth weight and gestational age predict the incidence of Type 2 diabetes. The study used a quantitative research design …

Effects Of Gender And Spirituality On Adults' Resilience To Daily Non-Traumatic Stressors, Lois S. Harris

Walden Dissertations and Doctoral Studies

Researchers have conducted several studies of spirituality as it relates to individuals' coping strategies and resilience when facing life trauma. There is less research, however, on spirituality as it relates to adults' resiliency to daily non-traumatic stressors. The purposes of the current study were to examine the relationship between spirituality and adults' resilience to daily, non-traumatic stressors and assess whether gender has a moderating effect on this relationship. A quantitative correlational study based on Lazarus's transactional model of stress and coping using convenience sampling, an online survey (N= 94) was administered. Of the 94 participants ages 19 to 68, 66 …

Health Care Provider Perceptions Of High Blood Pressure Screening For Asymptomatic African American Teens, Juanita Braxton

Walden Dissertations and Doctoral Studies

Health care provider perceptions of typical practices play a significant role in evaluating the efficacy of screening and diagnosis of teen high blood pressure in African Americans. African American adults are more likely to develop high blood pressure than are any other ethnic group; however, there is a gap in the literature concerning high blood pressure in teens. Approximately 1 to 5 of every 100 children has high blood pressure. This purpose of this phenomenological study was to explore the perspectives of health care providers on high blood pressure screening and diagnosis of African American asymptomatic teens. The health belief …

Hostility Toward Dominant Culture Individuals And The Perceived Stability Of Power, Anne Kristine Pihl Gaddis

Walden Dissertations and Doctoral Studies

Racism in the United States is persistent and its negative effects are widespread. The social hierarchy in the United States positions White people as the dominant culture and Black people, among other races, as a minority culture. Current literature provides insight into explicit and implicit individual expressions of racism; however, very little research clarifies the effects racism has on the continuance and structure of the social race hierarchy. This study utilizes social gender hierarchy research to investigate how racism-induced hostility toward the dominant culture relates to an individual's perception of the stability of the race hierarchy. This quantitative survey study …

Impact Of Regulatory Burden On Small Community Banks In Pennsylvania, Teresa L. Gregory

Walden Dissertations and Doctoral Studies

Community bank managers are struggling with the implementation of the many new regulations promulgated over the past several years. The purpose of this qualitative multiple case study was to explore strategies community bank managers in Pennsylvania use to implement new financial regulations. The population of interest included all community banks in Pennsylvania. For purposes of this study, a community bank was defined in terms of an asset size less than $500 million. Two community banks in Pennsylvania were selected, and 3 participants at each bank were interviewed. The participants included the chief executive officer, the compliance manager, and a mortgage …

Effects Of A Positive Psychological Intervention On Happiness In At-Risk Students, Pamela Harlan

Walden Dissertations and Doctoral Studies

Researchers have suggested an increased focus on positive psychological interventions to enhance college students' happiness levels; however, few studies have addressed positive interventions on at-risk college students. Based on the theoretical framework of positive psychology and impact of positive exercises on happiness, this study addressed whether a positive intervention would increase happiness as evidenced by scores on the Satisfaction with Life Scale (SWLS) and the Positive and Negative Affect Scale (PANAS). The experimental design included random group assignment and pre- and posttest surveys to collect data from 135 at-risk community college students in Southeast Texas. The experimental group participated in …