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Exploring Patient Satisfaction Among Transgender And Non-Binary Identified Healthcare Users: The Role Of Microaggressions And Inclusive Healthcare Settings, Stevie Forbes-Roberts

Theses and Dissertations (Comprehensive)

Patient satisfaction is an important indicator of quality of healthcare delivery. Transgender and non-binary (TGNB) people regularly report experiencing discrimination when in healthcare settings and few TGNB-inclusive services are available. Researchers have not examined how discrimination and access to TGNB-inclusive services are associated with patient satisfaction among TGNB healthcare users. Among a convenience sample of TGNB people (n = 146) from Canada and the United States, I examined the relationship between patient satisfaction, experiencing microaggressions from primary healthcare providers, and receiving care in a TGNB-inclusive healthcare setting.

The results from a multivariable linear regression suggest that experiencing microaggressions is …

Gasping For Breath: Women’S Concerns And The Politics Of Community Development In Rural Ghana, Charles Gyan

Theses and Dissertations (Comprehensive)

This transnational feminist study described and interpreted the experiences of women within the context of community development in rural Ghana. The purpose of this study was to empirically ascertain the barriers faced by women within the community development processes in rural Ghana. With this goal, women from three randomly selected rural communities in Ghana were sampled and interviewed. A concurrent triangulation mixed method research design was adopted. The main instruments used were a questionnaire and an in-depth interview for the collection of the quantitative and qualitative data respectively. A total of two hundred women participated in the study.

The findings …

Ecological Ethics And Social Work Therapy Practice, Karma Guindon

Theses and Dissertations (Comprehensive)

This study sheds light on the meaning of ecological ethics from the perspectives of ecologically-informed therapy professionals. A qualitative methodology was used to explore the perspectives of therapists from Canada, England, and the United States. Thirteen professionals were interviewed and feedback on these interviews was obtained utilizing focus groups. The findings include themes of relational assumptions, ecological values and principles, practice ecologies, and challenges and solutions to embracing ecological ethics. The findings suggest ways social work therapists can integrate ecological ethics into their everyday practice and point to changes that can be made in the profession more broadly, including changes …

A Qualitative Study Of Families’ Experiences With Food Insecurity In Addis Ababa, Ethiopia, Elias Omer

Theses and Dissertations (Comprehensive)

Ethiopia has shown considerable progress in alleviating the decades-long food insecurity problem, but still, in the context of urban areas such as Addis Ababa families continue to struggle to make ends meet. The overall purpose of this research is to explore families’ lived experiences and coping mechanisms with food insecurity. Framed with the narrative-empowerment theoretical framework this ethnographic study outlines the findings of semi-structured interviews and focus group discussion of 35 adults and children and observational notes. Participants were able to tell their perception, causes, and impacts of food insecurity in their families. They outlined the daily strategies they employ …

Access To Justice: Accelerating The Abandonment Of Fgm/C, Gretchen Kail

Cardozo Journal of Conflict Resolution

This Note discusses the role comprehensive legislation traditionally plays through a top-down approach and proposes the use of bottom-up approaches to better leverage national laws and new legal norms to support collective societal action. The discussion views legislation and FGM/C through a social norm lens: "a comprehensive, multi-sectorial, culturally sensitive approach that incorporates a social perspective to impact collective change."

Section II of this Note defines FGMIC as a health issue, a human rights violation, and a social norm. Section III discusses relevant international and regional human rights frameworks; state obligations; divergent views on the effects and usefulness of national …

2018-2019 Lindenwood University Trimester Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Trimester Course Catalog

2018-2019 Lindenwood University Accelerated Degree Program Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Accelerated Degree Program Course Catalog

2018-2019 Lindenwood University Graduate Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Graduate Course Catalog

2018-2019 Lindenwood University-Belleville Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University-Belleville Course Catalog

2018-2019 Lindenwood University Undergraduate Course Catalog, Lindenwood University

Course Catalogs

Lindenwood University Undergraduate Course Catalog

Implementation Of The Crafft Cannabis Screening Tool, Barbara Loeprich

Walden Dissertations and Doctoral Studies

Cannabis use among teenagers in Canada is a concern because of the long-term and irreversible effects cannabis has on the developing body and mind. Nurses can be instrumental in screening for cannabis abuse by implementing a tool to assess for substance use disorder (SUD) and triage drug users to appropriate treatment. This project focused on how to implement the CRAFFT screening tool while gaining insight of the practitioner's knowledge base about the tool and how SUD is being screened for, currently. The CRAFFT screening tool aligns with the DSM-IV's SUD diagnosis criteria, allowing for efficient identification of those at risk …

The Novice Licensed Professional Counselor's Perceived Preparedness To Use Self-Disclosure, Nicole Pfaff

Walden Dissertations and Doctoral Studies

Self-disclosure is used by feminist, humanistic, client-centered, and a variety of other counselors to build therapeutic alliances with clients. However, little research has been conducted on counselors' perceptions of their preparedness to use self-disclosure. This exploratory multiple-case study used attachment theory as a framework to explore the perceptions of novice licensed professional counselors' preparedness to use self-disclosure. The 12 participants who participated in face-to-face interviews practiced as licensed professional counselors in Delaware, New Jersey, or Pennsylvania. The participants described how they learned, practiced, and used self-disclosure. After analyzing interview data through cycle coding and peer review, themes emerged showing participants' …

Employee Turnover And Its Effect On Remaining Colleague Motivation, Glenn Eric Windom

Walden Dissertations and Doctoral Studies

Voluntary employee turnover is damaging to the sustainability of child protective services (CPS) organizations, as 60% of social workers who contemplated leaving their organizations quit during the year of consideration. The purpose of this exploratory case study was to examine the strategies CPS leaders used to reduce voluntary employee turnover and motivate employees. The conceptual framework for this study included the motivational hygiene theory and the behavior engineering model. The target population consisted of 9 CPS leaders from a large metropolitan area in Southern California who had specific knowledge of voluntary employee turnover. Data collection involved face-to-face semistructured interviews, company …

Religious Orientation And Communication As Predictors On Military Spouses' Perception Of Marital Happiness After A Second Deployments, Stephanie Santana

Walden Dissertations and Doctoral Studies

Military spouses are often left at home when their service member deploys to areas outside the United States. These deployments can have a lasting impact on the military spouses' perception of marital happiness. Communication problems can occur within the marriage and military spouses may use their religious orientation to alleviate the stress that comes from deployments. This quantitative study used an online survey method to conduct bivariate correlations and multiple regression analysis from a sample of 128 military spouses. This study focused on the family stress theory and used the Kansas Marital Satisfaction Scale, Extrinsic and Intrinsic Religious Orientation Scale, …

Relational Aggression Among Adolescent African American Females, Latoshia S. Daniels

Walden Dissertations and Doctoral Studies

Relational aggression includes manipulative behaviors such as gossiping, spreading rumors, or practicing exclusion to intentionally destroy a peer's social reputation. Aggressive behaviors such as those found in relational aggression contribute to unsafe school environments. Research on relational aggression has increased in recent years, yet there is minimal research on relational aggression among African American adolescent females. The research questions were What is social workers' understanding of relational aggression? and How do social workers' cultural awareness and general understanding of African American females' relationships and interpersonal connections impact their ability to connect with their clients in the therapeutic relationship? The purpose …

Therapists' Comfort Level In Providing Psychotherapy In Home-Based Therapy Settings, Jacqueline A. Ramirez

Walden Dissertations and Doctoral Studies

Home-based psychotherapy has expanded in the mental health community; however, little was known about the therapists' comfort level in a home-based venue. The purpose of this quantitative study was to assess therapists' comfort level (TCL) in providing psychotherapy in a home-based setting and how therapeutic competency (TC), therapeutic relationship (TR), and advanced therapeutic training (ATT) related to the comfort level. The social-ecological systems theory and the theory of comfort served as the theoretical frameworks. The present study used the Therapist Comfort Scale, Counseling Competencies Scale-Revised, the Scale to Assess Therapeutic Relationship in Community Mental Health Care-Clinician, and a demographic questionnaire. …

Custodial Parental Perceptions And Experiences Of Noncustodial Parents And Child Support, Breanne Marie Nguyen

Walden Dissertations and Doctoral Studies

Child support is a means to financially support children, yet fewer than half of children eligible for child support receive full payment, with many receiving none. Child support nonpayment is a national concern that has led to negative repercussions for non-intact families, the community, and economic system. In some cases, noncustodial parents have an inability to pay. The purpose of this descriptive, phenomenological study was to understand custodial parental perceptions and experiences of noncustodial parent's inability to pay their child support. Social learning theory served as the conceptual framework for the study. In-depth interviews were conducted with a sample of …

Understanding Social Workers' Knowledge Of Foster Care Drift, Joey Gardner

Walden Dissertations and Doctoral Studies

Foster care drift is the extended stay in foster care without attaining family reunification or permanency with another placement. When foster care youth experience foster care drift, they face the possibility of aging out of the foster care system. Interventions and policies have been implemented to aid family service workers during the process of permanency planning; however, a great number of foster care youth remain in care. This study explored the perceptions of social work professionals regarding foster care drift regarding issues and challenges that social workers engaged in foster care placement face regarding foster care drift. The ecological system …

"Strategies For Inclusive And Responsive Police Accountability", Lonzale Ramsey (Sr.)

Walden Dissertations and Doctoral Studies

In the United States of America today, there are concerns regarding the appropriate functioning of the police service and a lack of effective police accountability. African Americans have often been victims of unprofessional police conduct; however, their views have rarely been found adequately represented in the literature on the subject. The purpose of this case study was to fill this identified gap in the academic literature. A conceptual framework composed of the afrocentric, environmental contingency, and conflict theories was used to guide and inform this inquiry. The main research question focused on discovering which form of police oversight is seen …

Factors Impacting The Financial Independence Of Women Who Were Teenage Mothers, Jeanette Parker

Walden Dissertations and Doctoral Studies

Teenage pregnancy in the United States is a national concern because of negative outcomes for teen mothers and their children of teen mothers. There is ample research on the negative outcomes associated with teen pregnancy: however, there is little research on the success of teenage mothers. This transcendental, phenomenological study examined how former teenage mothers overcame challenges of teen pregnancy to become financially independent adults. The research question for this study was: What factors enabled former teen mothers to overcome challenges of teen pregnancy to become financially independent adults? Principles from social learning theory and resilience theory provided the conceptual …

Generational Homelessness In New York City Family Homeless Shelters, Deborah Johnson

Walden Dissertations and Doctoral Studies

Homelessness has been a problem in New York City (NYC) for decades. Part of the problem is children who grew up in the shelter system and then returned as adults, a phenomenon known as 2nd-generation homelessness. Literature indicates that no researchers have interviewed second-generation homeless adults about their experiences. The purpose of this study was to explore the experience of 2nd-generation homelessness from the perspective of homeless adults returning to the shelter system. The sample included 1 second-generation homeless adult and 10 case managers at Tier II homeless shelters. Interviews were conducted and data were analyzed using hand coding to …

The Impact Of Caseworkers' Educational Background And Placement Outcomes For Foster Children, Katrina Haynes

Walden Dissertations and Doctoral Studies

Decades of data document that permanent placements of children in the welfare system has been a concern in Mississippi. As foster care rates increase, more children are awaiting placement. Researchers have linked child welfare workers' educational background to placement outcomes for foster care children; however, researchers have not addressed the relationship between child welfare workers' educational backgrounds and foster care placement outcomes in Mississippi. This quantitative study examined the educational backgrounds of social work and nonsocial work child welfare caseworkers and other factors such as children's gender and race as predictors in placement outcomes for children in welfare custody. Attachment …

Insight Into Unexplained Infertility: How Do Women Make Sense Of Their Experience Of Unexplained Infertility Followed By Spontaneous Conception, Fabienne Michea

Theses

The causes of infertility are diverse and broadly fall under four categories: male, female, combined or unexplained (Wynter et al., 2013, p. 285). Treating infertility is usually associated with an often medically invasive procedure and fertility clinics have been expanding globally in the last thirty years (Krisak, 2013). Furthermore, medical research and treatment for this condition have allowed for considerable progress to be made, allowing a greater number of couples to have children despite their difficulty or inability to conceive at some time in their life (Bushnik, Cook, Hughes, & Tough, 2012). The focus of this study will be the …

Evaluating The Relationship Between Phq9 And Global Pain Scale (Gps) Scores In Opioid Dependent Adults: A Retrospective Correlational Study, Lori Nolan

DNP Projects

Background: Depression, chronic pain and opioid dependence are conditions commonly encountered in primary care settings. These comorbidities create treatment challenges while negatively influencing outcomes of care. The Patient Health Questionnaire (PHQ9) and Global Pain Scale (GPS) are valid screening tools used to score depression and pain symptoms. The purpose of this study was to determine the relationship between the PHQ9 and Global Pain Scale (GPS) scores in opioid dependent adults with chronic pain to determine whether both tools are necessary.

Methods: This was a descriptive study using a retrospective correlational research design. Data was obtained from the electronic medical records …

Tne Effect Of In Our Own Voice On Stigma In Bsn Students, Stephanie Steele

DNP Projects

Stigma regarding mental illness is common throughout the world, and can lead to social isolation, low self-esteem, loss of income and employment, deterioration of life quality, impeded access to medical care, and a shorter lifespan for people diagnosed with a mental illness (Cleary, Deacon, Jackson, Andrew, & Chan, 2012; Corrigan et al., 2013). The purpose of this DNP project was to provide an evidence-based intervention called In Our Own Voice (IOOV) to first semester sophomore nursing students and assess its impact on their perceptions of mental illness stigma. Alterations in stigma were assessed through the Attribution Questionnaire-27 administered to students …

Coverage And Prior Authorization Policies For Medications For Opioid Use Disorder In Medicaid Managed Care, Michael S. Spencer, Karina L. Walters, Heidi L. Allen, Christina M. Andrews Ph.D., Audrey Begun, Teri Browne Ph.D., Msw, John D. Clapp, Diana Dinitto, Peter Maramaldi, Darrell P. Wheeler, Bradley J. Zebrack, Edwina Uehara

Faculty Publications

More than 60 million Americans experience devastating one-two punches to their health -- they have inadequate access to basic health care while also enduring the effects of discrimination, poverty, and dangerous environments that accelerate higher rates of illness. Innovative and evidence-based social strategies can improve health care and lead to broad gains in the health of our entire society.

Modernizing Disability Income For Cancer Survivors, Ann C. Hodges

Law Faculty Publications

The medical progress in cancer treatment is worthy of celebration, as survivors of many cancers are living longer. This good news, however, comes with challenges for those survivors. Empirical evidence from researchers at cancer centers demonstrates the devastating impact that cancer has on employment, resulting in serious financial stress for survivors and their families. My previous research used this empirical data to recommend changes in employment laws to meet the need of survivors to maintain employment. This article builds on the prior research by using the empirical evidence of the employment effects of cancer to recommend changes in the disability …

Online Social Media And Applications Use Engaing In Sexual Risk Behaviors Among Hiv Infected Men Who Have Sex With Men In Bangkok, Thailand, Sasithorn Bureechai

Chulalongkorn University Theses and Dissertations (Chula ETD)

The purpose of this study is to identify the pattern of social media use and risky sexual behavior of men who have sex with men in Bangkok, Thailand by using a mixed method.This is a cross-sectional study based upon quantitative and qualitative data collection. The target population is Bangkok MSM aged over 15 who visit a research institute for consultancy. The data collection took 6 months from June to November 2018, and the subjects participating in this study total at 201. All subjects respond to a set of close-end and open-end questions. The data is analyzed with SPSS V.22 with …

Emoji: The Caricatured Lawsuit, Jonathan Geneus

Colorado Technology Law Journal

No abstract provided.

Predictors Of Sun Protective Behaviors Among Latino Day Laborers, Javier Boyas, Vinayak K. Nahar

Faculty and Student Publications (Open Access)

No abstract provided.