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2018

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Experiences Of Interpersonal Interaction Between Nurse Educators And Minority Nursing Students, Debra Boldan Jan 2018

Experiences Of Interpersonal Interaction Between Nurse Educators And Minority Nursing Students, Debra Boldan

Walden Dissertations and Doctoral Studies

Changes in the cultural composition of the United States population are not reflected in the nursing workforce. The lack of diversity in nursing may be due to the unique interpersonal needs of minority nursing students remaining unmet in traditional nursing education programs, which might unintentionally lead to alienation, isolation, and lower graduation rates for minority students. The purpose of this phenomenological study was to explore interpersonal interaction experiences nursing educators have in teaching minority nursing students. Critical social theory provided the theoretical framework to explore the ways social inquiries may hinder learning and keep marginal groups from reaching their full …

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Small College Title Ix Coordinators' Response To Male Complainants, David Scott Chambers Jan 2018

Small College Title Ix Coordinators' Response To Male Complainants, David Scott Chambers

Walden Dissertations and Doctoral Studies

Male survivors of sexual assault face increased mental health concerns due to commonly held beliefs and lack of quality services. College and university administrators, under guidance provided by the Office for Civil Rights and the Department of Education, must respond to all incidents of sexual misconduct, no matter the gender identity of the complainant or respondent. The purpose of this multiple case study was to investigate how the Title IX Coordinators at small colleges understand and implement governmental guidelines to decrease the secondary victimization experienced by male survivors by analyzing current policies and programs. Critical theory provided the conceptual framework …

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Understanding Use Of Care For African Immigrants With Autistic Children, Leahnata Davies Jan 2018

Understanding Use Of Care For African Immigrants With Autistic Children, Leahnata Davies

Walden Dissertations and Doctoral Studies

The number of African immigrants in the United States is increasing. The incidence of children diagnosed with autism spectrum disorder in the United States is also on the rise. Despite these increases, little information exists about the adequacy of care for African immigrants with autistic children in the United States. The purpose of this grounded theory study was to understand the factors that affect use of care for African immigrants with autistic children in the United States. Using Aday-Anderson model of health care utilization framework, this study focused on African immigrants in the United States who had children with Autism …

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Public Service Announcements To Promote Physical Activity, Jennifer Erickson Jan 2018

Public Service Announcements To Promote Physical Activity, Jennifer Erickson

Walden Dissertations and Doctoral Studies

The World Health Organization (WHO) promotes physical activity as a primary way to maintain health, but many individuals do not participate in this health-promoting behavior. Despite the potential for public service announcements (PSAs) to communicate health information and promote behavioral change, no prior research on developing video PSAs to promote physical activity was found. The purpose of this quasi-experimental study was to examine how affective and information video PSAs for a public health campaign affect future levels of intention to engage in physical activity. The PSAs were developed and filmed specific for this study using the model of goal directed …

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Non-Nursing Courses' Impact On Nclex-Rn Pass-Rates In Associate Degree Nursing Programs, Nicole A. Garner Jan 2018

Non-Nursing Courses' Impact On Nclex-Rn Pass-Rates In Associate Degree Nursing Programs, Nicole A. Garner

Walden Dissertations and Doctoral Studies

Nurse educators make decisions regarding the inclusion or exclusion of non-nursing courses in a curriculum. The current literature lacks research regarding which courses have the most impact on first-time nursing licensing examination pass-rates. The purpose of this quasi-experimental study was to investigate if there is a specific combination of courses that enhance first-time licensing examination pass-rates, using 161 randomly selected accredited associate degree nursing programs. General systems theory applied to nursing education was the framework for the study. ANOVA and independent t-tests were used to address the questions of non-nursing courses or discipline-specific set of non-nursing courses' impact on first-time …

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Response To Intervention Implementation And Special Education Eligibility In Rural Wisconsin Schools, Jessica Golburg Jan 2018

Response To Intervention Implementation And Special Education Eligibility In Rural Wisconsin Schools, Jessica Golburg

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to investigate differences among special education enrollments for specific learning disabilities (SLD) and other disabilities within districts using school-wide response to intervention (RTI). Differences between rural and suburban school districts during the phases of the insufficient criterion rollout for SLD identification were explored as were environmental factors' impact on RTI implementation. Systems theory framed how concerns in rural districts impact the ability to use RTI data for special education enrollment. The research questions examined prevalence rates of SLD and other disabilities, compared RTI implementation fidelity in rural and suburban districts, and explored environmental …

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Fall Reduction Among The Geriatric Population In Assisted Living Facilities, Marylyn A. Hagerty Jan 2018

Fall Reduction Among The Geriatric Population In Assisted Living Facilities, Marylyn A. Hagerty

Walden Dissertations and Doctoral Studies

Incidents of falls among the elderly increase with age. About $31 million is spent annually in the United States on medical costs related to fall injuries in the elderly. This project evaluated the outcomes of a fall reduction program implemented in an assisted living facility (ALF). The Stop Elderly Accidents, Death & Injury program developed by the Centers for Disease Control and Prevention was implemented by the ALF for 60 days prior to the outcome evaluation project. The program included a convenience sample of 62 residents and involved medication evaluation, exercises, assistive devices, environmental risk reduction, and evaluation of blood …

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Human Immunodeficiency Virus Disparity In Black Men Who Have Sex With Men, Valencia L. Beckley Hildreth Jan 2018

Human Immunodeficiency Virus Disparity In Black Men Who Have Sex With Men, Valencia L. Beckley Hildreth

Walden Dissertations and Doctoral Studies

The HIV/AIDS epidemic continues to be a challenge in the men who have sex with men (MSM) population. Initiatives to decrease rates of new HIV infections have proven less than optimal. Despite evidence-based interventions to curtail the prevalence and incidence rates of HIV infection, Black MSM have been most impacted with increased HIV incidence. The purpose of this quantitative correlational study was to explore the relationship, if any, between age, online and physical venues attended by participants within the last thirty days, neighborhood's perceived social environment, and HIV incidence in the non-Hispanic Black MSM population in a metropolitan statistical area …

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Scenario-Based Communication Simulation Curriculum And Plan, Sandra Imperial Jan 2018

Scenario-Based Communication Simulation Curriculum And Plan, Sandra Imperial

Walden Dissertations and Doctoral Studies

The Joint Commission reported that communication failures in United States hospitals contribute to 30% of all malpractice claims, and in 2008, The Joint Commission listed the improvement of effective communication among healthcare providers as a National Patient Safety Goal. The purpose of this practice-focused project was to develop a scenario-based communication simulation for implementation approval by a panel of experts. The approved curriculum was designed to integrate a communication-based simulation scenario into the nurse residency program of a large, urban medical center to improve new graduate nurse communication skills, increase nurse communication competency and self-efficacy, and decrease communication errors. Kolb's …

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Impact Of Palliative Care On Patients With Severe Chronic Obstructive Pulmonary Disease, Celena Romero Jan 2018

Impact Of Palliative Care On Patients With Severe Chronic Obstructive Pulmonary Disease, Celena Romero

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) requiring long-term oxygen therapy (LTOT) is an incurable lung disease often complicated by other comorbidities. Research is limited for hospitalized COPD exacerbations with LTOT and palliative care services. The purpose of this quantitative research study was to determine the correlation between palliative care interventions and COPD patient outcomes specific to an intensive care unit (ICU) stay, invasive mechanical ventilator support, physician orders for cardiopulmonary resuscitation (CPR) code status, and hospital discharge to hospice care. The theoretical base for this study was Donabedian's quality improvement theory. The quasi-experimental, nonequivalent groups design divided COPD hospitalized patient sample …

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Physician-Patient Relationships And Their Effect On T2dm Patient Treatment Adherence, Cindy Schmidt Jan 2018

Physician-Patient Relationships And Their Effect On T2dm Patient Treatment Adherence, Cindy Schmidt

Walden Dissertations and Doctoral Studies

Type 2 diabetes (T2DM) is a health epidemic that continues to worsen. A major concern is that treatment adherence rates hover around 50%, despite the introduction of new medications, treatments, and technology. Lack of adherence by patients can lead to complications like blindness, kidney disease, and amputations. While there have been many studies conducted to evaluate patient factors related to adherence, fewer studies have been conducted to evaluate the role of the physician-patient relationship. The purpose of this study was to examine the correlation between the physician-patient relationship and patient treatment adherence, and examine the moderators of age, education, ethnicity, …

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Development Of A Staff Education Module On Adolescent Obesity, Deborah Ann Stallworth Jan 2018

Development Of A Staff Education Module On Adolescent Obesity, Deborah Ann Stallworth

Walden Dissertations and Doctoral Studies

Adolescent obesity is a growing health concern in the United States due to its increasing prevalence and comorbidities that can reduce longevity and increase morbidity. Advanced practice nurses (APNs) providing care in school-based health centers (SBHC) located in marginalized communities are uniquely positioned to work with adolescent students challenged with obesity. The management of adolescent obesity requires advanced skills and knowledge to promote healthy lifestyles, prevent obesity, and to directly address the many factors that contribute to the condition. The purpose of this project was to develop an education program for APNs to prepare them to work with students in …

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Sustainability Strategies For Successful Small Businesses, Barbara Stovall Jan 2018

Sustainability Strategies For Successful Small Businesses, Barbara Stovall

Walden Dissertations and Doctoral Studies

Small businesses struggle to survive for longer than 5 years because owners lack knowledge of strategies to sustain financial capital. The purpose of this multiple case study was to explore strategies small business owners used to maintain financial capital to ensure survivability for longer than 5 years. The sample included 3 successful service- related small business owners located in the southeastern United States. Systems theory and the theory of entrepreneurship provided the conceptual framework for the study. Data collection involved face-to-face, semistructured interviews and a review of company websites and organizational documents. Member checking enhanced the credibility of the findings. …

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Role Strain Among Lesbian, Gay, Bisexual, Transgender, Queer Couples Diagnosed With Cancer, Lisa Aaron Thomason Jan 2018

Role Strain Among Lesbian, Gay, Bisexual, Transgender, Queer Couples Diagnosed With Cancer, Lisa Aaron Thomason

Walden Dissertations and Doctoral Studies

In society, individuals tend to be socialized into roles that take on characteristics of masculine and feminine. Studies exist on the role strain experienced by heterosexual couples dealing with a life-threatening illness due to this characterization. The scholarly literature lacks studies on the understanding of roles, as well as possible role strain, in lesbian, gay, bisexual, transgender, and queer (LGBTQ) couples when dealing a life-threatening illness. The purpose of this qualitative case study was to explore the role strain experiences of LGBTQ couples who are living with cancer diagnoses of a partner. Biddle's role strain theory provided the conceptual framework …

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Barriers To Daiy Blood Glucose Self-Monitoring In Type 2 Diabetes Mellitus, Sylvain N. Tientcheu Jan 2018

Barriers To Daiy Blood Glucose Self-Monitoring In Type 2 Diabetes Mellitus, Sylvain N. Tientcheu

Walden Dissertations and Doctoral Studies

Routine blood glucose monitoring by patients with Type 2 diabetes mellitus (T2DM) is needed for effective management of T2DM; however, 75% of monitoring logs are returned incomplete during monthly provider follow-up appointments. As a result, effective management of the patient's medical condition is limited. To better understand the reasons for noncompliance, a quality improvement project (QIP) was initiated between July 01, 2017 and September 30, 2017, to identify barriers that prevented patients from self-monitoring of blood glucose (SMBG). No formal assessment of the patients' responses had been done, and, as a result, the deidentified, qualitative responses from the QIP were …

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Improving Nutrition Among Supplemental Nutrition Assistance Program Recipients Using A Monetary Incentive Model, Jezabel Urbina Jan 2018

Improving Nutrition Among Supplemental Nutrition Assistance Program Recipients Using A Monetary Incentive Model, Jezabel Urbina

Walden Dissertations and Doctoral Studies

The Supplemental Nutrition Assistance Program (SNAP) is the United States' largest government assistance program that aims to alleviate food insecurity. The SNAP program allows low-income individuals and families the ability to purchase nutritious foods through a monthly benefit. However, the current body of literature presents evidence of the program's counterproductive effect. The purpose of this study was to determine whether incentivizing SNAP recipients to purchase additional fruits and vegetables was beneficial in increasing such purchases. Social cognitive theory was used as a theoretical framework to address research questions associated with shopping patterns and attitudes and beliefs. This quantitative study used …

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Strategies To Reduce Employee Turnover In The Durable Goods Industry, Mary Jane Burnett Jan 2018

Strategies To Reduce Employee Turnover In The Durable Goods Industry, Mary Jane Burnett

Walden Dissertations and Doctoral Studies

Some durable goods industry leaders lack strategies needed to successfully reduce voluntary employee turnover, which is detrimental to organizational performance and decreases an organization's competitive advantage. The purpose of this qualitative single case study was to explore the strategies durable goods industry leaders used to reduce employee turnover in their organizations. The population consisted of 4 durable goods industry leaders in the southeastern region of the United States who had at least 3 years of managerial experience in reducing employee turnover. The conceptual framework was the transformational leadership theory of Bass. Methodological triangulation was used to increase the validity and …

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Phenomenological Dynamic Of How Adhd Student Recidivism Affects Alternative Education Teacher Services, Lisa A. Charette Jan 2018

Phenomenological Dynamic Of How Adhd Student Recidivism Affects Alternative Education Teacher Services, Lisa A. Charette

Walden Dissertations and Doctoral Studies

The research problem in this study involved the student cycling, or recidivism, problem associated with specialized education environments. In particular, alternative education students with attention deficit hyperactivity disorder are cycling in and out of alternative and regular education at a concerning frequency. This student recidivism problem affects the services of teachers who are trying to transform them into permanent regular education learners. The purpose of this study was to obtain specific information from these teachers, via the research questions, as it applies to the theoretical foundation of Bandura's self-efficacy construct, and methodological design of the study. The qualitative method of …

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Effective Strategies To Reduce Employee Turnover In The Retail Industry, Robert Clayton Jan 2018

Effective Strategies To Reduce Employee Turnover In The Retail Industry, Robert Clayton

Walden Dissertations and Doctoral Studies

Employee turnover negatively affects retail organizations and can lead to poor financial performance, a decrease in competitive advantage, loss of productivity, deficiencies in retaining external customers, and economic failures. The purpose of this single case study was to explore strategies that retail store leaders from the Illinois area of the United States use to reduce frontline employee turnover. Herzberg's 2-factor theory provided the framework for the study. Data were collected from documents pertaining to retention methods and through face-to-face semistructured interviews with 7 leaders of a retail company in the Illinois area who had experience with effective employee retention strategies. …

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The Survival Of Healthcare In Rural Texas, Destin Cook Jan 2018

The Survival Of Healthcare In Rural Texas, Destin Cook

Walden Dissertations and Doctoral Studies

Over 80 rural hospitals have closed in the United States since 2010, representing about half of all hospital closures during this period, and another 600-700 rural hospitals are at risk of closing shortly. The purpose of this qualitative exploratory multiple case study, which was based on transformational leadership and diffusion of innovation theories, was to gain a common understanding of financial problems and operational inefficiencies that may be impacting rural hospital leaders in the state of Texas. Data collection involved semi-structured interviews with 4 senior healthcare leaders from 3 separate regions in Texas. Data analysis included compiling, sorting, fragmenting, and …

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The Impact Of Interprofessional Collaboration On Diabetes Outcomes In Primary Care Settings, Charette Coleman Deloach Jan 2018

The Impact Of Interprofessional Collaboration On Diabetes Outcomes In Primary Care Settings, Charette Coleman Deloach

Walden Dissertations and Doctoral Studies

Inadequate interprofessional collaboration (IPC) and communication among health care professionals are associated with medical errors and mortality. Guided by the theory of goal attainment and the chronic care model, a systematic review was conducted to explore the evidence related to whether interprofessional collaborative primary care can have a positive effect on health outcomes for patients living with diabetes (PLWD). The systematic review followed the Joanna Briggs Institute method for systematic reviews and results were complied with the PRISMA evidence-based minimum set for reporting. Data were analyzed to identify if IPC positively impacted the health outcomes of PLWD, as evidenced by …

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Recidivism Rates Among Biological Fathers And Parental Figures Who Commit Child Sexual Abuse In Hawai'i, Stephanie Dixon Dixon Jan 2018

Recidivism Rates Among Biological Fathers And Parental Figures Who Commit Child Sexual Abuse In Hawai'i, Stephanie Dixon Dixon

Walden Dissertations and Doctoral Studies

Sex offenders are commonly grouped into categories based on the characteristics (e.g., victim age, relationship to offender) of their victims for criminal sentencing and treatment purposes. The purpose of this quantitative, quasi-experimental study was to address the gap in the lack of literature comparing recidivism rates among biological fathers and male parental figures who committed incestuous child sexual abuse in Hawai'i against children 15 years or younger. This study was the first attempt in the state to examine the number of inmates who had completed their maximum sentences and were later returned to prison for new felony incest offenses. Secondary …

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Successful Strategies Of Small Business Owners To Recruit Veterans, Michelle Duncan Jan 2018

Successful Strategies Of Small Business Owners To Recruit Veterans, Michelle Duncan

Walden Dissertations and Doctoral Studies

Approximately 300,000 highly skilled veterans leave military service every year, yet some small business owners lack strategies to recruit these skilled workers. The specific business problem addressed in this multiple case study was that some small information technology business leaders lack strategies to recruit military veterans. The research sample included 3 owners of small businesses serving the information technology industry in the mid-Atlantic region of the United States who developed and implemented successful strategies for recruiting veterans. Data were collected from interviews and review of documents. Data analysis resulted in the identification of 3 major themes: understanding of veterans as …

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Human Resources Strategies For Retaining Employees In St. Lucian Banks, Thecla Fitz-Lewis Jan 2018

Human Resources Strategies For Retaining Employees In St. Lucian Banks, Thecla Fitz-Lewis

Walden Dissertations and Doctoral Studies

Retention issues have been a challenge for human resources (HR) leaders for years. Organization HR leaders face employee retention challenges that lead to the loss of talented employees and a decline in the organization's quality of service, which negatively affects profitability. Based on Schultz's human capital theory, the purpose of this multiple case study was to explore strategies HR leaders used to retain employees. Data collection included company archival documentation review and face-to-face semistructured interviews with 11 purposefully selected HR leaders from 3 banks in the northern region of St. Lucia. Data analysis included using Yin's 5-step method, coding the …

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Intrinsic And Extrinsic Job Motivators Predicting Likelihood Of Employee Intent To Leave, Rachara Jefferson Jan 2018

Intrinsic And Extrinsic Job Motivators Predicting Likelihood Of Employee Intent To Leave, Rachara Jefferson

Walden Dissertations and Doctoral Studies

An employee's intent to leave an organization is the most common predictor of employee turnover. Employee turnover can cost an organization 150% to 250% of a worker's annual compensation to replace and train an employee. Understanding employee intent to leave is vital for federal agency leaders to help reduce turnover. Grounded in Herzberg's 2-factor model, the purpose of this correlational study was to examine the likelihood of employee perceptions regarding work experience, leadership practices, and supervisor relationships with employees predicting employee intent to leave. Archival data were analyzed for 297 employees who completed the 2015 Federal Employee Viewpoint Survey. The …

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Curricular, Instructional, And Co-Curricular Factors Perceived To Influence Students Dropping Out, Kimberly Jones Jan 2018

Curricular, Instructional, And Co-Curricular Factors Perceived To Influence Students Dropping Out, Kimberly Jones

Walden Dissertations and Doctoral Studies

District administrators face concerns over students dropping out of school without a high school diploma. District personnel in a Mississippi urban school district identified specific curricular, instructional, and co-curricular factors that prompted students to leave school. The purpose of this bounded qualitative case study was to explore perceptions of principals, teachers, and counselors regarding factors that influenced students' disengagement and dropping out of school. Battin-Pearson's theory of academic mediation, which attributes poor academic performance and student-centered learning to students dropping out, framed this study. The research questions focused on how district personnel identified and monitored at-risk students and provided interventions …

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Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly Jan 2018

Antibiotic Overuse In The Geriatric Population, Kimberley Allison Kelly

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid are requiring long-term care facilities (LTCFs) to implement antibiotic stewardship programs (ASPs) to alleviate overuse of antibiotics in the nursing home population. Current research shows that the benefits of ASPs include improved patient outcomes, reduced adverse events related to Clostridium difficile (C-diff) infection, improvement in rates of antibiotic susceptibilities, and optimized resource utilization. This project addressed the problem of antibiotic overuse and misuse in the geriatric population and whether the implementation of an ASP reduced the overuse of antibiotics, C-diff infection, and resistance rates in the LTCF. Application of the Johns Hopkins nursing model …

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Management Strategies In Elementary Inclusion Classrooms, Ron Lilie Jan 2018

Management Strategies In Elementary Inclusion Classrooms, Ron Lilie

Walden Dissertations and Doctoral Studies

The increasing popularity of inclusion classrooms has placed a large number of students with special needs with the ones without disabilities. Often, general education teachers lack sufficient training in proven inclusion practices that is necessary to cope with the increase in diverse learning needs. The absence of sufficient training can lead to disruptive behavior and also, induce more stress in the classroom for the educator and the students. The qualitative case study aimed to explore the strategies and techniques used by elementary school teachers to successfully manage inclusion classrooms and to learn how the teachers handled stress. Vygotsky's sociocultural theory …

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Reducing Internal Theft And Loss In Small Businesses, Eric L. Luster Jan 2018

Reducing Internal Theft And Loss In Small Businesses, Eric L. Luster

Walden Dissertations and Doctoral Studies

Every year, several documented data breaches happen in the United States, resulting in the exposure of millions of electronic records. The purpose of this single-case study was to explore strategies some information technology managers used to monitor employees and reduce internal theft and loss. The population for this study consisted of 5 information technology managers who work within the field of technology in the southwestern region of the United States. Participants were selected using purposeful sampling. The conceptual framework for this study included elements from information and communication boundary theories. Data were collected from semistructured interviews, company standard operating procedures, …

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Males' Spouses Experiences Of Deployed Wives, Pamela Morales-Garcia Jan 2018

Males' Spouses Experiences Of Deployed Wives, Pamela Morales-Garcia

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological research study was to determine the psychological and emotional effects of female deployment on male spouses. The current research was designed to study the emotional and psychological experiences of male spouses of deployed women. The research question was focused on understanding the lived experience of the male spouses of their deployed active duty wives. The intent was to describe male spouses' lived experiences, focusing on mental health, physical health, marital problems, caregiving, and other reintegration related problems as well as the role transfer stress experienced by these male spouses of deployed wives. Gender role …

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