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2020

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Improving The Patient Experience With Communication, Pauline Adora Salmon Jan 2020

Improving The Patient Experience With Communication, Pauline Adora Salmon

Walden Dissertations and Doctoral Studies

A quality patient experience is one of the highest priorities for hospitals as patients and families are looking to healthcare providers to meet their demands for quality service. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures the extent to which providers effectively communicate pertinent information such as communication about medications. On a 20-bed intermediate care unit, the HCAHPS item scores relating to nurse communication and communication about medicine were inconsistent and, on most occasions, were below the comparison benchmark of the 50th percentile when compared to other like hospitals. The purpose of this quality improvement project …

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Content Area Teachers’ Perspectives And Practices In Reading Instruction In Grades 9-12, Nedgra Abbs Jan 2020

Content Area Teachers’ Perspectives And Practices In Reading Instruction In Grades 9-12, Nedgra Abbs

Walden Dissertations and Doctoral Studies

A rural school district identified a problem among high school content classrooms of insufficient attention to instruction aimed at enabling students to comprehend content area text material. Concerns about attention to reading instruction in content classrooms are also evident on the national level. The purpose of this qualitative case study was to investigate the perspectives and reading instructional practices of secondary content area teachers in math, science, and history. The conceptual framework of self-efficacy guided the study, as the perspectives of the teachers revealed what motivated them to move beyond their pedagogical comfort zone to meet the needs all students. …

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Hiv-Positive Kenyan Women With A Disability: Social Support's Role In Treatment Seeking, Evelyn Williams Jan 2020

Hiv-Positive Kenyan Women With A Disability: Social Support's Role In Treatment Seeking, Evelyn Williams

Walden Dissertations and Doctoral Studies

Understanding social support from the context of disabled women living in conditions of extreme poverty may be useful in the development of effective interventions to advocate for and improve their likelihood of engagement in HIV-related treatment services. Thus, the purpose of this cross-sectional survey study was to examine the relationship between social support and treatment seeking among a sample of HIV-positive Kenyan women with physical disabilities. Correlations were examined between an individual’s source of social support (family, friend, significant other), type of social support (appraisal, tangible, self-esteem, belonging), and HIV-related treatment seeking. Age, marital status, income availability, and disability type, …

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Examining The Effect Of Substance Use Training On Registered Nurses’ Competency And Self-Efficacy, Myrtle Harrison Greene Jan 2020

Examining The Effect Of Substance Use Training On Registered Nurses’ Competency And Self-Efficacy, Myrtle Harrison Greene

Walden Dissertations and Doctoral Studies

Substance abuse and addiction among nurses remains a problem and can have lasting and sometimes fatal effects on patients. The purpose of this quantitative, quasi-experimental study is to examine the effect of substance use training on RNs’ post training competency about substance use impairment and level of self-efficacy to deal with impaired colleagues. Bandura’s self-efficacy theory (SET) which originated from Bandura’s social cognitive theory provided the theoretical foundation. Data were collected from a convenience sample of 118 registered nurses using the Perceived Competency with Impaired Nurses survey, the Methods for Dealing with Nurse Impairment Questionnaire (MDNIQ) and a demographic questionnaire. …

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Effects Of Race And Gender On Strengths And Difficulties Questionnaire Scores, Amanda Haas Jan 2020

Effects Of Race And Gender On Strengths And Difficulties Questionnaire Scores, Amanda Haas

Walden Dissertations and Doctoral Studies

Researchers can use the Strengths and Difficulties Questionnaire-Teacher Form (SDQ-TF) for ages 4 to 10 as a behavioral screening tool to determine the severity of a child’s problematic behaviors; however, SDQ-TF is subject to potential rater biases. Implicit bias refers to people remaining unaware of their biases, which may influence the ways that student behaviors are rated. Therefore, this study was conducted to measure the effect of race and gender congruency on teacher ratings of student problematic behaviors by the total difficulties score using the SDQ-TF 4-10. A nonprobability convenience sample of 98 teachers in the greater Phoenix, Arizona area …

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Prisoner Reentry And Recidivism: Access To Reentry Programs And Reducing Recidivism For African American, Male Ex-Offenders, Tracee Leigh Harvey Jan 2020

Prisoner Reentry And Recidivism: Access To Reentry Programs And Reducing Recidivism For African American, Male Ex-Offenders, Tracee Leigh Harvey

Walden Dissertations and Doctoral Studies

Research has primarily been centered around the reentry process and programs available to those incarcerated in prison; however, those incarcerated in jails and the reentry programs available has been underrepresented in the field of study. The Jails to Jobs initiative is intended to combat the reentry barriers faced by ex-offenders by offering reentry services while incarcerated as well as transitional services upon release to address the barriers to reentry. However, the problem exists due to the effectiveness of the reentry programs and their ability to provide adequate services that address the needs of African American, male ex-offenders, and, in turn, …

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Experiences Of Low Socioeconomic Community College Students Anticipating Transition To A 4-Year University, Richard Hayward Jan 2020

Experiences Of Low Socioeconomic Community College Students Anticipating Transition To A 4-Year University, Richard Hayward

Walden Dissertations and Doctoral Studies

Low socioeconomic status students in the United States are facing declining completion rates for the attainment of 4-year degrees, which may have consequences for their economic well-being. The purpose of this study was to understand lower socioeconomic status students’ experiences regarding a sense of belonging, academic advising, and college preparedness while attending community college and transitioning to a 4-year university. The conceptual framework for this study was grounded in Strayhorn’s findings pertaining to a sense of belonging, Bandura’s social cognitive theory, Adelman’s momentum theory, and Schlossberg, Waters, and Goodman’s transition theory. This basic qualitative study used interviews with 11 community …

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Understanding Impostor Phenomena In Hispanic Students From Three Different Learning Environments, Marie Hernandez-Seltz Jan 2020

Understanding Impostor Phenomena In Hispanic Students From Three Different Learning Environments, Marie Hernandez-Seltz

Walden Dissertations and Doctoral Studies

Hispanic college student retention and dropout rates are regarded as social and economic crises in the United States. Research studies with minority students suggest Hispanic students may feel out of place. Impostor phenomenon (IP) is a psychological pattern involving feeling like a fraud that may explain their experience. Several studies with minority students suggest IP and learning environment (LE) may be correlated. Other minority student studies indicate an association between ethnic identity (EI) and IP. The purpose of this quantitative correlational study was to examine the relationship between IP, EI, and LE in a Hispanic university student population. The theoretical …

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Texas Elementary Teachers’ Perceptions Of Data Chats, Candace Christina Hopkins Jan 2020

Texas Elementary Teachers’ Perceptions Of Data Chats, Candace Christina Hopkins

Walden Dissertations and Doctoral Studies

A gap in practice at CES Elementary School (pseudonym) was the lack of data driven instructional decision making. This lack has contributed to the problem of low school scores on the State of Texas Assessments of Academic Readiness (STAAR). Low STAAR scores have negatively impacted student, teacher, and administrator retention. Data chats were implemented to help overcome the problem and improve practice, but this did not work. Hence, the purpose of this study was to explore the perceptions of data chats that occurred within CES’s professional learning communities. The study was conceptually guided by the theory of action. Teachers’ perceptions …

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A Multiple Case Study Of School Administrators On Use Of Disciplinary Measures, Michele L. Jones-Pace Jan 2020

A Multiple Case Study Of School Administrators On Use Of Disciplinary Measures, Michele L. Jones-Pace

Walden Dissertations and Doctoral Studies

Disproportionately high rates of out-of-school suspension and expulsion of African American children represent an ongoing issue in the U.S. public school system. Bronfenbrenner’s ecological theory was used as the theoretical framework for this multiple case study. The research question focused on the perceptions, perspectives, and experiences of a purposeful sample of 7 high school principals and what they believed were the reasons for persistently high rates of out-of-school suspension for African American students. The principals represented Title I and non-Title I schools located in urban, rural, and suburban regions of a southern state. Data from individual interviews and archival data …

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Teachers' Perceptions Of Teaching In An Inclusive Classroom, Maya Johnstone Jan 2020

Teachers' Perceptions Of Teaching In An Inclusive Classroom, Maya Johnstone

Walden Dissertations and Doctoral Studies

Classroom teachers often experience feelings of ineffectiveness and struggle to meet the needs of students in the inclusion classroom setting within the local school district. Guided by Bandura’s self-efficacy theory, the purpose of this qualitative case study was to investigate elementary teachers’ perceptions of their confidence to teach in the inclusive classroom. Semistructured interviews with a purposeful sample of 7 elementary inclusion teachers (3 general education teachers; 4 special education teachers) from the local district were conducted. Data analysis using open and axial coding revealed 7 emergent themes: (a) need for inclusion-specific professional development and training on differentiated instruction, (b) …

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African American High School Graduates’ Perceptions Of Their African American Principal’S Leadership, Patricia Mitchell Marzett Jan 2020

African American High School Graduates’ Perceptions Of Their African American Principal’S Leadership, Patricia Mitchell Marzett

Walden Dissertations and Doctoral Studies

There is a need to increase high school graduation rates for African American students, decrease dropout rates, and narrow or close the achievement gap between African American students and White students. The purpose of this basic qualitative study was to determine the perceptions of African American students who graduated from high school regarding the leadership of their African American principal. Delgado and Stefancic’s critical race theory and Bass’s transformational leadership constitute the conceptual framework for this study. Nine participants who graduated from high schools led by an African American principal were interviewed, and transcripts were analyzed using in vivo coding. …

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Organizational Climate And Employee Engagement, Romie Mejalli Jan 2020

Organizational Climate And Employee Engagement, Romie Mejalli

Walden Dissertations and Doctoral Studies

Although research shows that disengaged employees contribute to increased health and hiring costs in for-profit organizations, there is a gap in the literature concerning the relationship between organizational climate (OC) and employee engagement (EE) in nonprofit organizations (NPOs). In this study, it was hypothesized that employee answers to the Utrecht Work Engagement Scale-17 (UWES-17) and OC surveys (for example, of management styles and innovation) would predict EE in a NPO. The study further addressed the question of whether age or the division in which the employees worked influenced the relationship between OC and EE. Kahn’s engagement theory served as the …

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How Older Nigerians View The Impact Of Migration On Their Health, Jayne Nwankwo Jan 2020

How Older Nigerians View The Impact Of Migration On Their Health, Jayne Nwankwo

Walden Dissertations and Doctoral Studies

Migration into the United States opens windows of opportunity, but also involves difficult experiences that impact the health of migrants. In this qualitative study, the meanings that Nigeria migrants (aged 65–80) placed on their migration experiences were explored in relation to their health and well-being. Literature revealed no prior migration study on this population. The social constructivist approach provided the framework for this study. Purposive sampling was used to recruit 13 participants that fell within the selection criteria. Face to face interview was used to obtain participants’ view of health; their challenges to adaptation to the United States; the impact …

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Sociopolitical Determinants Of Parental Acceptance Of Childhood Vaccination In Abuja, Nigeria, Lawrence Madu Ohammah Jan 2020

Sociopolitical Determinants Of Parental Acceptance Of Childhood Vaccination In Abuja, Nigeria, Lawrence Madu Ohammah

Walden Dissertations and Doctoral Studies

Despite the efficacy of vaccines, some parents still reject vaccination of their children, resulting in low vaccination coverage, a greater burden of vaccine-preventable diseases, and high infant mortality. The purpose of this study was to investigate the sociopolitical determinants of vaccination status among children, aged 0-24 months, and identify the factors that drive vaccine hesitancy. The social ecological model served as the theoretical framework. The study research design was a quantitative cross-sectional survey. An interviewer-administered questionnaire was used to collect primary data from parents and caregivers in 384 randomly selected households from 48 settlements in the Abuja Municipal Area Council. …

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Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility, Stephanie Marie Stansell Jan 2020

Treatment Interventions For Tobacco Cessation At An Inpatient Mental Health Facility, Stephanie Marie Stansell

Walden Dissertations and Doctoral Studies

Tobacco use is the leading cause of preventable death and disease in the United States. According to the Centers for Disease Control and Prevention, 36.5% of adults with any mental illness use tobacco compared to 25.3% of adults without a mental illness; however, there are limited data to determine the best approaches for tobacco cessation among the mentally ill. The purpose of this quantitative, quasi-experimental study was to investigate the differences among 1-on-1 counseling versus group counseling in tobacco cessation rates among psychiatric patients aged 18 years old and older who were identified as a tobacco user upon admission to …

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Intercultural Communication Between African American Managers And Hispanic Workers With Esl, Reva Ann Stanton Jan 2020

Intercultural Communication Between African American Managers And Hispanic Workers With Esl, Reva Ann Stanton

Walden Dissertations and Doctoral Studies

By 2050, individuals of Hispanic descent will represent nearly 30% of the total American population with English as a second language (ESL). The problem addressed the lack of strategies being used by African American Managers on communicating with Hispanic workers with ESL. The purpose of the study was to explore what communication strategies African American managers can use when managing Hispanic workers with ESL in a government agency in Illinois. The importance of this study is exemplified in the findings; the results provided a new way of thinking about the social world that is interwoven in an intercultural environment. The …

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Perceptions, Potholes, And Possibilities Of Using Digital Voice Assistants To Differentiate Instructions, Adrian A. Weir Jan 2020

Perceptions, Potholes, And Possibilities Of Using Digital Voice Assistants To Differentiate Instructions, Adrian A. Weir

Walden Dissertations and Doctoral Studies

Access to technologies and understanding the potential uses of technology to differentiate instruction have been a concern for the teachers and students in a local school district located in the southeastern United States. Despite the emergence of digital voice assistants (DVAs) as tools for instructions, teachers lack knowledge and strategies for using DVAs to differentiate instruction in their classrooms. The purpose of this qualitative study was to identify teacher knowledge and strategies employed among special education (SPED) teachers using DVAs to differentiate instruction in their classrooms. The concepts of Carol Tomlinson’s differentiation theory and Mishra and Koehler’s TPACK framework served …

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Special Education Teacher Retention In The Early Years, Caroll Brant Jan 2020

Special Education Teacher Retention In The Early Years, Caroll Brant

Walden Dissertations and Doctoral Studies

The intent of this qualitative study was to examine the impact of intrinsic motivators and extrinsic workplace experiences on the retention of beginning special education teachers of students with low incidence disabilities (LIDs). This study was designed in response to district leaders’ shared concerns of the continuous turnover experienced annually in several districts in a region of a southern state. Two research questions were developed to gain a deeper insight into the influence intrinsic and extrinsic factors have on beginning special education teachers’ decisions to stay in the self-contained, LID classroom. Ten beginning special education LID teachers participated in interviews …

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Alternative Therapy For Veterans Diagnosed With Post-Traumatic Stress Disorder, Shannon Rae Hill Jan 2020

Alternative Therapy For Veterans Diagnosed With Post-Traumatic Stress Disorder, Shannon Rae Hill

Walden Dissertations and Doctoral Studies

An increasing number of veterans diagnosed with post-traumatic stress disorder (PTSD) has led to an increased demand for treatment within the Veteran Affairs health care system. Presently, veterans diagnosed with PTSD receive psychotropic medications and intermittent therapy sessions. Nurses are challenged to educate veterans about other health care issues based on verbalized side effects from prescribed PTSD medications limiting veterans’ ability to focus. Identifying alternative treatment options may improve treatment choices, reduce side effects, and promote positive outcomes for veterans with PTSD. This systematic review provided evidence-based practice information by addressing whether alternative therapy such as biofeedback would improve the …

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Effects Of A Developmental English Program Redesign On Underprepared Students’ Academic Success, Susan Jean Konantz Jan 2020

Effects Of A Developmental English Program Redesign On Underprepared Students’ Academic Success, Susan Jean Konantz

Walden Dissertations and Doctoral Studies

The study explored first-year composition (FYC) success by students who were initially enrolled in developmental English at a public university in the western United States. The study site redesigned its developmental English program to increase time to completion and completion rates of FYC and minimize time to completion of that course by developmental students, yet no evaluation had been conducted to determine the effects of the redesigned program. The framework that supported this study was Adelman’s theory of academic momentum. Using a quantitative nonexperimental, causal-comparative design and census sample, the research question explored two dimensions of FYC completion, including (a) …

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Teachers’ Perceptions Of Culturally Responsive Pedagogy’S Influence On Instructional Strategies, Dr. Lynn Marie Love-Kelly Jan 2020

Teachers’ Perceptions Of Culturally Responsive Pedagogy’S Influence On Instructional Strategies, Dr. Lynn Marie Love-Kelly

Walden Dissertations and Doctoral Studies

Urban high school literacy teachers are concerned with being prepared to teach incoming, culturally diverse ninth-grade students. More specifically, teachers have difficulty with implementing culturally responsive instructional strategies (CRIS) in urban high school literacy classrooms. The purpose of this qualitative case study was to explore the challenges of using CRIS in urban high school literacy classrooms. Vygotsky’s social constructivist theory was the conceptual framework that informed this study, suggesting that students learn, and teachers instruct based on social experiences in thinking and interpreting the world. The guiding research question was concerning how high school teachers apply CRIS to address the …

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Examining Teacher Decision Making And Instructional Practice In Data Teams, Kelly Jo Moffett Jan 2020

Examining Teacher Decision Making And Instructional Practice In Data Teams, Kelly Jo Moffett

Walden Dissertations and Doctoral Studies

Administration in a mid-Atlantic elementary school in the United States mandated implementation of the Data Wise improvement process (DWIP) to address accountability and student achievement concerns. Leaders were unsure if elementary educators used the approved DWIP within their data teams and how the data were used to support instructional practices. The purpose of this bounded qualitative descriptive single case study was to explore teachers’ collaboration and planning using DWIP in data teams, teachers’ perceptions of the influence of data team participation on their instructional practices, and how teachers demonstrated the use of data in planning for classroom instruction. The data-driven …

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Improving Care Of Patients With Asthma Through Staff Education, Nicholas Moscatelli Jan 2020

Improving Care Of Patients With Asthma Through Staff Education, Nicholas Moscatelli

Walden Dissertations and Doctoral Studies

Chronic asthma is a health epidemic and an increasing problem in the pediatric population. The purpose of this project was to raise nursing staff awareness of symptom recognition, treatment protocols, preventive measures, and detrimental effects of asthma for children. Adult learning theory provided the framework to support the staff education program on asthma. The project site stakeholders and the DNP student identified educational opportunities to assist staff in meeting caregiver needs, improving symptom recognition, and improving asthma outcomes. Prior to presentation of the educational program to the clinic nursing staff, it was reviewed by an expert panel including the clinic …

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Risk Perception Of Terrorism And Individual Preparedness In Thailand, Pinida Neenlapathna Jan 2020

Risk Perception Of Terrorism And Individual Preparedness In Thailand, Pinida Neenlapathna

Walden Dissertations and Doctoral Studies

Since 2001, terrorist incidents in Thailand have caused more than 6,600 deaths and nearly 13,000 people have been injured. The Thai government has employed various counterterrorism measures, but there is little attention paid to terrorism awareness and preparedness. Following the tenets of social cognitive theory, the purpose of this quantitative study was to examine the predictive relationship between the risk perception of terrorism (i.e., perceived probability, perceived seriousness, perceived impact, perceived coping efficacy, perceived government preparedness, and perceived frontline responder preparedness) and individual preparedness among Thai people. The study was conducted with a convenience sample of 327 Thai adults who …

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Association Of Working Therapeutic Alliance And Psychopathy In Civilly-Confined Sex Offenders, Kearie Ann Newman Jan 2020

Association Of Working Therapeutic Alliance And Psychopathy In Civilly-Confined Sex Offenders, Kearie Ann Newman

Walden Dissertations and Doctoral Studies

Over the past decade, researchers have focused attention on the therapeutic alliance (TA) and its impact in treatment outcomes. The literature on TA has been focused primarily on its impact on the client’s participation, the accomplishment of goals, and treatment completion. However, very little of this research includes individuals who have psychopathy. Therefore, the purpose of this quantitative survey study was to explore the relation between the level of psychopathy (high versus low) and TA ratings of 16 therapists and 64 clients in the population of convicted civilly-confined male sex offenders. Bordin’s theory grounded the study. Data were gathered from …

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Exploring Gender Dysphoria Among Active-Duty Transgender Service Members In A Right-To-Serve-Openly Military, Ralph Ogburn Jan 2020

Exploring Gender Dysphoria Among Active-Duty Transgender Service Members In A Right-To-Serve-Openly Military, Ralph Ogburn

Walden Dissertations and Doctoral Studies

The U.S. Department of Defense’s June 2016 directive-type memorandum 16-005 permitting transgender service members to serve openly in the U.S. military disqualifies transgender personnel with a history of gender dysphoria from serving in the military unless a licensed medical doctor certifies that they have been free from significant distress for 18 months. Research has illuminated the prevalence of gender dysphoria among military veteran transgender members due to their military experiences, but not in active-duty military. Informed by role theory and minority stress theory, the purpose of this interpretive phenomenological analysis study was to explore role conflict and stress in the …

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Program Evaluation Of A Black Barbershop Health Outreach Campaign, Berkina Denise Porter Jan 2020

Program Evaluation Of A Black Barbershop Health Outreach Campaign, Berkina Denise Porter

Walden Dissertations and Doctoral Studies

Black-owned barbershops in the Black community lack barber administered interventions to provide education and health screenings to Black men. Increasing knowledge of health assessments in a black barbershop setting increases the number of health screenings and preventative care among Black men. Grounded in general systems theory, the purpose of this qualitative summative program evaluation was to explore the extent to which a nonprofit Black barbershop health program aligns with the Health Research (HR) program objectives. The evaluation was performed for a nonprofit organization located in Maryland, 6 years after the organization implemented the HR Program Network of barbers and salon …

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Culture And Hiv/Aids-Related Psychological Distress, Ndayiziveyi Constance Scott Jan 2020

Culture And Hiv/Aids-Related Psychological Distress, Ndayiziveyi Constance Scott

Walden Dissertations and Doctoral Studies

The over-representation of HIV infections among Black populations relative to the mainstream population continues to be documented in Canada. Previous research has implicated cultural factors in the transmission of HIV in addition to linking HIV/AIDS to psychological distress. Some studies established a link between awareness of increased HIV/AIDS risk and vulnerability to distress, and others indicated cultural differences in the experiences of cognitive dissonance as a function of cultural variations in beliefs and practices. The purpose of this quantitative study was to examine cultural variables associated with cognitive dissonance (dependent variable) arousal as a function of cultural sexual gender-role socialization …

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Differences In Financial Literacy Across Generations, Audra R. Sherwood Jan 2020

Differences In Financial Literacy Across Generations, Audra R. Sherwood

Walden Dissertations and Doctoral Studies

The United States federal government allocates $670 million annually towards financial literacy despite the fact 73 million adults are struggling financially, and over 65% of Americans are financially illiterate and unable to manage their finances. The specific management problem addressed in this study was the awareness of the differences in financial literacy between Millennials and Generation Xers who have and have not taken personal finance courses in high school in the United States. The purpose of this quantitative, nonexperimental, causal-comparative study was to test the self-efficacy theory and goal-setting theory in determining the differences between the two generational groups of …

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