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2020

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Treating Hematologic Malignancies During A Pandemic: Utilizing Telehealth And Digital Technology To Optimize Care., Adam F Binder, Nathan R Handley, Lindsay Wilde, Neil Palmisiano, Ana Maria Lopez Jan 2020

Treating Hematologic Malignancies During A Pandemic: Utilizing Telehealth And Digital Technology To Optimize Care., Adam F Binder, Nathan R Handley, Lindsay Wilde, Neil Palmisiano, Ana Maria Lopez

Department of Medical Oncology Faculty Papers

In late January 2020, Severe Acute Respiratory Syndrome Coronavirus-2 (SARS CoV-2) was reported as an outbreak in Wuhan, China. Within 2 months it became a global pandemic. Patients with cancer are at highest risk for both contracting and suffering complications of its resultant disease, Coronavirus 19 (COVID-19). Healthcare systems across the world had to adapt quickly to mitigate this risk, while continuing to provide potentially lifesaving treatment to patients. Bringing care to the home through the use of telehealth, home based chemotherapy, and remote patient monitoring technologies can help minimize risk to the patient and healthcare workers without sacrificing quality …

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Family Rejection And Unprotected Sex Inlatino Gay Men, Juan Alejandro De Llano Montano Jan 2020

Family Rejection And Unprotected Sex Inlatino Gay Men, Juan Alejandro De Llano Montano

Walden Dissertations and Doctoral Studies

The present work explored the role of family rejection on the sexual behavior of Latino gay men under the guidance of the minority stress model. Family rejection was analyzed as a distal stressor, self-esteem as a proximal stressor, and unprotected sex as the outcome. The hypotheses were tested using regression, mediation, and multiple regression of secondary data from the Latino men who have sex with men (MSM) community involvement project. The results suggested that family rejection is a weak predictor of low self-esteem and engaging in receptive unprotected sex with more partners. Low self-esteem did not mediate the relationship between …

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Job Satisfaction, Work Environment, Job Stress, And Professional Identity Among Psychiatric Nurses, Tosin Rabiu-Akewusola Jan 2020

Job Satisfaction, Work Environment, Job Stress, And Professional Identity Among Psychiatric Nurses, Tosin Rabiu-Akewusola

Walden Dissertations and Doctoral Studies

Job satisfaction is one of the most complex issues in the healthcare industry in regard to employees. To boost employees' productivity and job satisfaction, nurse leaders must satisfy their employees' needs by providing the right working conditions, reducing job stress, and promoting professional identity development. This quantitative, cross-sectional correlational study guided by Herzberg et al.s two-factor theory investigated the relationship among work environment, job stress, professional identity, and job satisfaction among 105 registered nurses working in inpatient psychiatric hospitals in the United States. It was determined that the moderating effect of demographic factor (years of experience) on the extent to …

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Regime Gender Policies And Women's Political Participation In Post Conflict Liberia, Brima Sylla Jan 2020

Regime Gender Policies And Women's Political Participation In Post Conflict Liberia, Brima Sylla

Walden Dissertations and Doctoral Studies

Abstract Patriarchy has dominated political powers in many areas of the world. Until 2006, men overwhelmingly held the highest political positions in Liberia. Female political participation started to emerge in 2006 when women began to hold top political positions. The main purpose of this research was to examine the relationship between the gender policies of the administrations of Liberian Presidents Charles Taylor and Ellen Johnson Sirleaf and the political participation of women in Liberian politics, measured by the holding of political offices. The research question guiding this study examined the impact of the gender policies of the Charles Taylor and …

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Retaining African American Male Sophomore Students At A Historically Black University, Gourjoine M. Wade Jan 2020

Retaining African American Male Sophomore Students At A Historically Black University, Gourjoine M. Wade

Walden Dissertations and Doctoral Studies

Retention rate sophomore to junior year among African American male students is low at Academia State University (a pseudonym), a public Historically Black College and University (HBCU) located in the Southern United States. The purpose of this qualitative case study was to explore the perceptions of African American male students regarding what influenced their persistence to the junior year at the study site. Schlossberg's transition theory was the conceptual framework used to guide the inquiry. The research questions for this study addressed perceptions of African American male students regarding what programs, services, or experiences may improve sophomore year success. Three …

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Cybersecurity Using Risk Management Strategies Of U.S. Government Health Organizations, Ian Cornelius Wilkinson Jan 2020

Cybersecurity Using Risk Management Strategies Of U.S. Government Health Organizations, Ian Cornelius Wilkinson

Walden Dissertations and Doctoral Studies

Seismic data loss attributed to cybersecurity attacks has been an epidemic-level threat currently plaguing the U.S. healthcare system. Addressing cyber attacks is important to information technology (IT) security managers to minimize organizational risks and effectively safeguard data from associated security breaches. Grounded in the protection motivation theory, the purpose of this qualitative multiple case study was to explore risk-based strategies used by IT security managers to safeguard data effectively. Data were derived from interviews of eight IT security managers of four U.S. government health institutions and a review of relevant organizational documentation. The research data were coded and organized to …

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Talent Retention Strategies For Service Industry Managers Within Rust Belts, Tunisha Foley Jan 2020

Talent Retention Strategies For Service Industry Managers Within Rust Belts, Tunisha Foley

Walden Dissertations and Doctoral Studies

Human capital flight jeopardizes the future of rust belt organizations. Service industry managers within rust belt cities are at high risk of failure. Framed by the talent management model, the purpose of this qualitative multiple case study was to explore strategies rust belt managers used to reduce human capital flight. Participants were 1 health care manager and 1 social assistance manager from Detroit, Michigan, and Flint, Michigan, respectively, who successfully implemented strategies to reduce human capital flight. Data were collected from semistructured interviews and business documents. Data were analyzed with inductive content analysis, word frequency searches, and theme interpretation. Three …

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What’S Love Got To Do With Educational Leadership? A Case Study In Principal Practice, Dessynie Edwards, Israel Aguilar, Juan Manuel Nino Jan 2020

What’S Love Got To Do With Educational Leadership? A Case Study In Principal Practice, Dessynie Edwards, Israel Aguilar, Juan Manuel Nino

Organization and School Leadership Faculty Publications

The pressure to close the student achievement gap compounded by federal mandates and laws forces principals to hyper-focus on accountability as one of the major technical aspects of the profession; however, principals who can balance the technical (systems world) with the relational (lifeworld) and facilitate authentic care over aesthetic care, are warranted so that the achievement gap can be understood for what it really is, an opportunity gap. Thus, it’s important to document the processes, strategies, dispositions, or beliefs of school leaders who employ authentic care so that principal preparation programs can teach these as skill sets for preservice leaders …

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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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Prevention Of Sex Trafficking And Perspectives From Parents In Ogwa Community Edo State Nigeria, Nkechi Iwuoha Jan 2020

Prevention Of Sex Trafficking And Perspectives From Parents In Ogwa Community Edo State Nigeria, Nkechi Iwuoha

Walden Dissertations and Doctoral Studies

There is a high rate of trafficked girls and women from the Ogwa community in Edo state, Nigeria. The Edo government has developed a top-down centralized approach to the prevention of sex trafficking that has proved largely ineffective. The wholistic involvement of people in the decision-making regarding the strategies to prevent sex trafficking can directly create an impact through policy formulation and implementation. However, few studies have addressed the perspective of parents of vulnerable youth to positively impact the policy outcome on sex trafficking. Hence, the goal of this qualitative narrative inquiry study was to explore the perceptions of parents …

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Transformational Leadership Effects On Employee Engagement And Counterproductive Work Behavior's Influence As A Moderating Variable, Cybil M. Johnson Jan 2020

Transformational Leadership Effects On Employee Engagement And Counterproductive Work Behavior's Influence As A Moderating Variable, Cybil M. Johnson

Walden Dissertations and Doctoral Studies

Many organizations have the daunting task of dealing with counterproductive work behavior (CWB) at various levels in the workplace. This study sought to examine if transformational leadership (TFL) has an impact on employee engagement (EE) and if CWB has a moderating influence on this relationship in the U.S. Postal Service. This study’s intent was to address a gap in the literature regarding CWB exhibited by employees and the positive intentions of TFL on EE. A quantitative study was conducted utilizing an anonymous online survey to assess the relationship among employees of the U.S. Postal Service. The study was conducted using …

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The Influence On Employee Engagement Of Employee Negative Perceptions Of Leader Actions, Vickki Gamol Johnson Jan 2020

The Influence On Employee Engagement Of Employee Negative Perceptions Of Leader Actions, Vickki Gamol Johnson

Walden Dissertations and Doctoral Studies

In 2018, only 34% of U.S. workers reported that they were engaged in their jobs, up from 31.5% just 4 years prior. Employee engagement, organizational well-being, and leader actions are significant to companies and brands in a highly competitive, modern business environment. The alarmingly low rate of employee engagement resulted from negative perceptions of leaders. The purpose of this qualitative study was to explore the phenomenon of disengagement through the lived experiences of employees in the public sector who had negative perceptions of their leaders. The conceptual lens was Herzberg’s theory mapped onto Maslow’s hierarchy to address the research question …

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Strategies To Integrate Technological Innovations For Caribbean Small- And Medium-Sized Enterprises, Deborah J. Mahabir-Yearwood Jan 2020

Strategies To Integrate Technological Innovations For Caribbean Small- And Medium-Sized Enterprises, Deborah J. Mahabir-Yearwood

Walden Dissertations and Doctoral Studies

Up to 59% of managers in small and medium sized enterprises (SMEs) fail to integrate technological innovation (TI) strategies. Restricted access to sophisticated technology, limited capital, and discontinuous collaborations between SMEs and government organizations hamper the successful integration of TI by managers of Caribbean SMEs. Managers of SMEs in the Caribbean region must exploit strategies for improved efficiencies in operational capacity, continuous development in business profits and growth, and surviving hyper-competition. Grounded by the theories of diffusion of innovation and adopter-based instrumentalist, the purpose of this qualitative multiple case study was to explore strategies that 4 operation managers of SMEs …

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Strategies To Improve Employee Retention In The Small Retail Industry, Martin Anokwah Owusu Jan 2020

Strategies To Improve Employee Retention In The Small Retail Industry, Martin Anokwah Owusu

Walden Dissertations and Doctoral Studies

The high turnover rates of entry-level employees adversely affect the profits of small retail businesses. Small business owners in Ghana may benefit by retaining entry-level employees and reducing replacement and training costs. Grounded in Herzberg’s two-factor theory, the purpose of this descriptive, single-case study was to identify strategies some small retail business leaders in Accra, Ghana, used to reduce the high rate of entry-level employee turnover. The participants were 6 retail business leaders recommended by their director of human resources because of the participants’ experience implementing strategies to minimize entry-level employees’ high turnover rates. Data were collected from face-to-face interviews …

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Stress And Coping Methods In Law Enforcement Personnel, Brandon M. Sheard Jan 2020

Stress And Coping Methods In Law Enforcement Personnel, Brandon M. Sheard

Walden Dissertations and Doctoral Studies

A notable problem exists within law enforcement due to the lack of mental health assistance offered for police officers, as well as little to no literature available pertaining to officers in law enforcement who may have mental health issues. Without proper coping methods, there is a higher possibility of suicide among police officers. Therefore, the purpose of this phenomenological qualitative study was to investigate why officers were choosing to not seek mental and behavioral health assistance, as well as determine factors that could both prevent as well as encourage officers to seek mental health assistance if needed. Grounded in the …

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Human Resource Management Practices For Sustainability Of Ghanaian Small And Medium Enterprises, Charles Bandari Jan 2020

Human Resource Management Practices For Sustainability Of Ghanaian Small And Medium Enterprises, Charles Bandari

Walden Dissertations and Doctoral Studies

In 2018, the failure rate of small and medium enterprises (SMEs) in Ghana was approximately 75%. SME owners and managers who refuse to recognize HRM strategies as a way for business sustainability risk closure. Grounded in Blau's social exchange theory, the purpose of this qualitative multiple case study was to explore human resource strategies leaders of SMEs use to sustain their businesses. Participants were 4 SME leaders in the Tamale metropolitan area of Ghana who successfully used human resource management strategies to promote the sustainability of their businesses. Data were collected from semistructured face-to-face interviews, focus group discussions, and company …

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Hispanic Nursing Students’ Perspectives On Student-Clinical Instructor Relationships And Learning, Inela Brito Jan 2020

Hispanic Nursing Students’ Perspectives On Student-Clinical Instructor Relationships And Learning, Inela Brito

Walden Dissertations and Doctoral Studies

Non-Hispanic students are more likely to be successful in their nursing school studies than Hispanic students. Facilitators and barriers to classroom success for Hispanic students has been studied; however, few studies have addressed the academic clinical experience and the clinical instructor’s role in Hispanic students’ success. The purpose of this descriptive phenomenological study was to explore the perspectives of undergraduate senior Hispanic nursing students regarding how student-instructor interactions in the clinical setting influenced students’ ability to learn and succeed in completing their studies. The research questions were guided by an adapted institutional support model and were used to explore how …

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Lived Experience Of Parenting Nurses Pursuing A Doctorate: A Phenomenological Inquiry, Jaimee Feldstein Jan 2020

Lived Experience Of Parenting Nurses Pursuing A Doctorate: A Phenomenological Inquiry, Jaimee Feldstein

Walden Dissertations and Doctoral Studies

The need for more doctoral prepared nurses is evident; data indicate that less than 1% of nurses hold doctoral degrees, yet, little is known about student persistence in doctoral nursing programs. Even less is known about doctoral nursing students navigating an online learning environment while balancing parenthood. The purpose of this phenomenological study, guided by Rovai’s composite persistence model, was to explore the embedded meanings in the experiences of parenting nurses pursuing their doctoral degrees at an online university. Ten female parenting nurses who completed a doctorate within the last 2 years were interviewed and shared the key factors that …

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Strategies To Implement A Material Management Information System For Medical Device Recalls, Paul Leo Lafrance Jan 2020

Strategies To Implement A Material Management Information System For Medical Device Recalls, Paul Leo Lafrance

Walden Dissertations and Doctoral Studies

Health care business executives lack strategies to implement material management information systems (MMIS) related to medical device recalls. Lacking sufficient MMIS, health care business executives face insufficient product tracking related to medical devices affecting operational efficiency. Grounded in the conceptual frameworks of the technology acceptance model and diffusion of innovation, the purpose of this qualitative single case study was to explore health care business executives’ strategies for implementing an MMIS related to medical device recalls. The participants were 6 health care executives who implemented an MMIS in an urban hospital in the northeast region of the United States. Data were …

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Relationship Between Pm2.5 Levels And Cancer Incidences In Interior Alaska, Sandra G. Lewis Jan 2020

Relationship Between Pm2.5 Levels And Cancer Incidences In Interior Alaska, Sandra G. Lewis

Walden Dissertations and Doctoral Studies

Exposure to high levels of ambient air particulates < 2.5 microns in diameter (PM2.5) in the Fairbanks North Star Borough (FNSB) and the resulting impact on cancer incidence is the focus of this study. Climate, geography, and culture influence PM2.5 levels, particularly during the long cold season. While this study considers lung cancer incidences from PM2.5 exposure, the primary focus of the study is the incidences of all other types of cancers from exposure to PM2.5, because of the limited research done on this topic. This quantitative, retrospective, cohort study considered the incidences of new cancer diagnoses in the population during a 10-year period (January 1, 2008-December 31, 2017). The 2 FNSB Zip Codes, designated “hot spots,” frequently see spikes in PM2.5 during the long cold season. These areas are densely populated and contain the EPA-regulated air quality monitors. Cancer diagnoses in the hot spot Zip Codes were compared to cancer diagnoses in outlying Zip Codes (non-hot spots) that experience less PM2.5 and are more consistently within the EPA air quality guidelines. EPA monitors are not yet located in the non-hot spots. Cancer patient data were obtained from the Fairbanks Memorial Hospital Cancer Center. The results demonstrated that a strong association was found between PM2.5 exposure and non-lung cancers (OR = 1.37; RR = 1.36; p < 0.001); and between PM2.5 exposure and lung cancer (OR = 1.87; RR = 1.88; p < 0.001). These findings may be used to promote an increased awareness among FNSB residents of the potential impact on cancer diagnoses from inhaling high levels of PM2.5, so residents may change their behavior in favor of alternatives to biomass burning to improve air quality.

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Effectiveness Of An Educational Intervention To Reduce Preanalytical Specimen Errors, Carol Ann Lineberry Jan 2020

Effectiveness Of An Educational Intervention To Reduce Preanalytical Specimen Errors, Carol Ann Lineberry

Walden Dissertations and Doctoral Studies

A rejected blood specimen can be very costly to a hospital as well as to the patient. Many errors occur in the preanalytical phase in which nurses and assistive personnel are often involved because they are usually not trained to do so. This staff education project was designed to decrease the number of laboratory rejections of blood specimens in a local hospital setting. Knowles’s adult learning theory was combined with the knowledge translation framework, proposed by Fredericks, Martorella, and Catallo, so that evidence-based changes in practice could occur more readily. There is a 20-minute in-service educational intervention followed by an …

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Firearm Restriction And Its Impact In Reducing Violent Crimes In California, Sampson C. Onwuka Jan 2020

Firearm Restriction And Its Impact In Reducing Violent Crimes In California, Sampson C. Onwuka

Walden Dissertations and Doctoral Studies

There have been recurring incidents of gun violence, murder, and mass shootings that have raised public concern on the dangers of guns, and people have demanded government regulation on firearms usage. Studies have attributed these incidents to non-strict laws on guns; however, it was unclear whether firearm restrictions affected California's violent crime reduction. This quasi-experimental, quantitative study was focused on finding out the impact of gun violence restraining orders (GVROs) on violent crime reduction in California. Four research questions addressed the changes in the variables after the establishment of the GVRO. Secondary data from the California Department of Justice were …

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Understanding The Lived Experiences Of Traumatic Brain Injury Students In Online Courses, Rebecca Lynn Owens Jan 2020

Understanding The Lived Experiences Of Traumatic Brain Injury Students In Online Courses, Rebecca Lynn Owens

Walden Dissertations and Doctoral Studies

Many combat veterans are returning with what has been labeled the signature injury of nearly 2 decades of wars, traumatic brain injury (TBI). TBI injuries can alter cognitive abilities, memory, behavior, and emotions, all of which can vary in intensity and can affect learning. The purpose of this phenomenological study was to gain additional insight from the perspective of the veteran student on the learning challenges experienced in online classrooms when suffering from TBI. The conceptual framework for this study was (a) Bandura’s theory of self-efficacy, (b) Zimmerman’s theories on the relationship between TBI and learning, and (c) Schlossberg’s transition …

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Social Responsibility Perceptions Of Community Flood Resilience In Nigeria, Reginald Olisa Oranye Jan 2020

Social Responsibility Perceptions Of Community Flood Resilience In Nigeria, Reginald Olisa Oranye

Walden Dissertations and Doctoral Studies

Flooding is a severe threat to livelihoods and socioeconomic development in Ogbaru riverine communities of Anambra State, Nigeria. Limited success in the traditional approach of using predominantly structural measures, such as flood channels, to manage floods makes it imperative to explore nonstructural resilience initiatives that would potentially better protect vulnerable flood-prone communities. This study contributes to addressing the problems of ineffective flood management by developing vital social responsibility (SR) data and information that can enhance community flood resilience through individual and collective responsibilities for resilient action. The purpose of this quantitative correlational study was to explore SR perceptions of flood …

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Effect On Health Literacy On Medication Adherence In Older Latina Women With Type 2 Diabetes Mellitus, Cecilia S. Trinidad Jan 2020

Effect On Health Literacy On Medication Adherence In Older Latina Women With Type 2 Diabetes Mellitus, Cecilia S. Trinidad

Walden Dissertations and Doctoral Studies

The level of health literacy (HL) can have a significant impact on an individual's ability to understand how to care for themselves. Limited HL reduces access to healthcare having limited HL is associated with poor self-management of Type 2 Diabetes Mellitus (T2DM), which is common among vulnerable populations and further contributes to increased morbidity and mortality, especially in which is true in Latina/Hispanic adults who have T2DM. The purpose of the study, guided by the health belief model, was to determine what effect an educational intervention had on blood glucose levels, health literacy, and medication adherence in older Latina/Hispanic women …

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The Impact Of Public Consultation On Business Growth In The Virgin Islands, Arliene T. Penn Jan 2020

The Impact Of Public Consultation On Business Growth In The Virgin Islands, Arliene T. Penn

Walden Dissertations and Doctoral Studies

Consistent public consultation in the making of policies and regulations is a problem in the Virgin Islands, affecting small businesses across the territory. Small business owners and the public have challenged the government to be more accountable and transparent in drafting and implementing legislation and regulations. The stakeholders are mainly concerned with those pieces of legislation and regulations that have a behavioral, social, or economic impact on their business, and, in turn, society. There is a lack of research on how the presence or absence of public input in the rulemaking process of business regulations impacts the economic growth and …

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Child Marriage: Parents' Lived Experience Of Decision-Making Processes And Consequential Health Effects, Hadiza Yakub Jan 2020

Child Marriage: Parents' Lived Experience Of Decision-Making Processes And Consequential Health Effects, Hadiza Yakub

Walden Dissertations and Doctoral Studies

Child or early marriage is increasingly recognized as a public health concern that poses significant health challenges for a young bride. This qualitative research explored child marriage among Hausa-Fulani ethnolinguistic communities in Northeastern Nigeria. Qualitative interviews were conducted with parents who married off their underage children. The central research questions relied on a theoretical foundation of social values theory and interpretative phenomenological analysis. The study results provide an in-depth understanding of the child marriage phenomenon by exploring parents' lived experiences and the role of a child bride's health in the decision-making process and illustrates how social values and norms drive …

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Association Of State Tobacco 21 Law With Tobacco Consumption Among Youth, Rebecca Adamson Jan 2020

Association Of State Tobacco 21 Law With Tobacco Consumption Among Youth, Rebecca Adamson

Walden Dissertations and Doctoral Studies

The study is an investigation of the association between the Tobacco 21 Law and youth tobacco usage rates in Hawaii. Researchers have documented a gap in the research regarding the effectiveness of such laws. Several studies that have been conducted have shown mixed results. The purpose of this study was to better understand any association that may exist in Hawaii. The social ecological model (SEM) of health is the theoretical foundation for the study. The SEM of health includes five sources which influence health, and these consist of intrapersonal factors, interpersonal factors, institutional factors, community factors, and public policy. Tobacco …

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Mortality Disparities Among Puerto Rican Infants In 2015, Maria Del Carmen Medina Jan 2020

Mortality Disparities Among Puerto Rican Infants In 2015, Maria Del Carmen Medina

Walden Dissertations and Doctoral Studies

There is a well-established disparity between infant mortality rates among women residing in rural areas in Puerto Rico in comparison with woman residing in urban areas of Puerto Rico. There is a significant amount of research that connects infant mortality to low birth weight, congenital malformations, and premature births. The purpose of this study was to determine infant mortality and its relationship with the geographical location of Puerto Rican mothers. The study also examined whether there is a relationship between infant mortality and the area of residence (rural/urban) of the mother, marital status, race, and education level of the mother. …

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Evaluating The Relationship Between Financial Inclusion, Social Inclusion And Multidimensional Poverty Reduction, Rotimi Mathew Nihinlola Jan 2020

Evaluating The Relationship Between Financial Inclusion, Social Inclusion And Multidimensional Poverty Reduction, Rotimi Mathew Nihinlola

Walden Dissertations and Doctoral Studies

The problems of high levels of poverty, financial exclusion and social exclusion are well documented in literature; a large population of poor people lack adequate access to financial services and social services including healthcare, electricity, education and water. Globally there are over 700 million people living in extreme poverty and in Ghana, over 6 million face this challenge. Progress is being recorded but there is no research that has examined the relationship between financial inclusion, social inclusion and poverty reduction in a country where multidimensional poverty is high. The purpose of this within-subject quasi-experimental correlational study is to determine the …

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