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2021

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African American Females And Herpes Simplex Virus 2: A Basic Interpretive Qualitative Study, Cherlisa Jackson Jan 2021

African American Females And Herpes Simplex Virus 2: A Basic Interpretive Qualitative Study, Cherlisa Jackson

Walden Dissertations and Doctoral Studies

According to recent studies, African American females are most susceptible to HSV-2 and are often asymptomatically diagnosed. Yet, the perceived benefit of discussing sexual health as well as recognizing a need to discuss HSV-2 with a healthcare provider was an identified gap in the existing research and current study findings. The purpose of this qualitative interpretive study was to understand the experiences of African American females who received an asymptomatic HSV-2 diagnosis. The health belief model constructs guided this study. Outlined through semi-structured interviews were the experiences of seven African American females diagnosed with HSV-2 in Fulton County, GA, as …

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Demographics And 30-Day Readmissions For End-Stage Renal Disease Patients, Shelia Concepcion Perez Jan 2021

Demographics And 30-Day Readmissions For End-Stage Renal Disease Patients, Shelia Concepcion Perez

Walden Dissertations and Doctoral Studies

End-stage renal disease (ESRD) is increasingly a problem in the United States, and factors such as race/ethnicity and gender may not only worsen the risk of the disease but also correspond to worse treatment access. This is significant because ESRD is a heavy economic burden not only on patients, but on caregivers and the health care system, especially as disparities remain between different demographic groups. The purpose of this quantitative nonexperimental, historical, correlational design was to determine the extent to which gender and race/ethnicity predict 30-day readmission rates after hospitalization for ESRD patients. The theoretical framework for the current study …

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Transition Of Care To Decrease Hospital Readmission After Acute Mi, Patricia Yoon Jan 2021

Transition Of Care To Decrease Hospital Readmission After Acute Mi, Patricia Yoon

Walden Dissertations and Doctoral Studies

The time period after an acute myocardial infarction (AMI) can be overwhelming for patients; while glad to be discharged from the hospital, they may not have the knowledge nor resources to properly manage secondary prevention measures and treatment of residual coronary artery disease (CAD). The gap in nursing practice this project addressed is the lack of follow up of care leading to increased rates of readmission. The goal of this quality improvement (QI) initiative was to evaluate pre/post data and synthesize results to make recommendations for possible practice change whether a 30-day transition of care program could decrease readmission rates …

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Workplace Experiences Of Migrant Workers In Colorado, Lynann Holly Butler Jan 2021

Workplace Experiences Of Migrant Workers In Colorado, Lynann Holly Butler

Walden Dissertations and Doctoral Studies

AbstractMigrant workers often endure a variety of abuses in the workplace, including financial exploitation, exposure to toxins, isolation, and lack of access to health care. Although researchers have demonstrated that these circumstances exist for migrant workers in other parts of the world, there was a dearth of research on the lived experiences of migrant workers in Colorado. The purpose of this hermeneutic phenomenological study was to better understand the lived experiences of migrant workers in Colorado, who are a growing and impactful population in Colorado. The theoretical framework was Rawl’s social justice theory, which purports that no one group of …

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Vicarious Traumatization And Vicarious Resilience In Mental Health Professionals: An Investigation Of Group Differences, Marie Demchak-Buotte Jan 2021

Vicarious Traumatization And Vicarious Resilience In Mental Health Professionals: An Investigation Of Group Differences, Marie Demchak-Buotte

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to investigate individual differences between mental health professionals with varied levels of clinical experience and their personal levels of vicarious trauma (VT) and vicarious resilience (VR) as measured by the Secondary Traumatic Stress Scale (STSS) and the Connor-Davidson Resilience Scale (CD-RISC), respectively. A sample of 161 mental health professionals in New York State completed the scales and separate one-way between-subjects ANOVA tests examined the relationship between variables. A test for the moderating effect of the percentage of trauma clients on the clinician’s caseloads was also conducted between experience level of the clinician and their …

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Development Of A Clinical Guideline For An Emergency Department Fast Track Protocol, Cyrus C-Max Doe Jan 2021

Development Of A Clinical Guideline For An Emergency Department Fast Track Protocol, Cyrus C-Max Doe

Walden Dissertations and Doctoral Studies

AbstractDue to the large influx of patients, emergency departments (ED) across the United States strive to efficiently manage and improve workflow to increase the quality of care and reduce wait times for patients who present at the ED for care. Well-organized workflow is critical to providing efficient and time-sensitive care, beginning with the Fast Track (FT) area. The FT is a designated area of the ED where lower acuity or noncritical patients are seen and treated. Improving workflow in the FT area of the ED can help lessen wait times and overall length of patient visit and improve the delivery …

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Factors Predicting Counselor Education And Supervision Doctoral Student Career Choices, Lisa Corbin Jan 2021

Factors Predicting Counselor Education And Supervision Doctoral Student Career Choices, Lisa Corbin

Walden Dissertations and Doctoral Studies

Despite the increased need for counselor educators, less than half of graduates of counselor education and supervision (CES) programs enter into faculty positions after graduation. There is also a significant lack of diversity among counselor educators. Some researchers found that the quality of a mentoring relationship influences the mentee’s self-efficacy and career choice. The purpose of this quantitative survey research study was to explore the perceived quality of the participant’s mentoring relationship as measured by the Mentorship in Clinical Training Scale (MiCTS) and whether that score predicted the participant’s career choice or a change in career choice, investigate whether students’ …

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Employee Retention Strategy In The Hospitality Industry, Hauwa Dogonyaro Jan 2021

Employee Retention Strategy In The Hospitality Industry, Hauwa Dogonyaro

Walden Dissertations and Doctoral Studies

AbstractIneffective retention strategies can negatively impact employee productivity, which may hinder business profitability and sustainability. Hotel managers who struggle to improve employee retention are at high risk of not sustaining their business. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies hotel managers use to improve employee retention. The participants were three hotel managers from a hotel in Abuja, Nigeria, who used strategies to improve employee retention. Sources for data collection were semistructured interviews, company documents, observations, and field notes. Data analysis involved the use of thematic analysis. Four themes emerged: work …

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Relationship Between Nurses’ Perception Of Empowerment, Job Satisfaction, And Intent To Stay, Ma Leilani Hall Jan 2021

Relationship Between Nurses’ Perception Of Empowerment, Job Satisfaction, And Intent To Stay, Ma Leilani Hall

Walden Dissertations and Doctoral Studies

Retention of perioperative nurses who work in the operating room is critical to an organization's effectiveness and financial wellness. Factors that retain perioperative nurses are empowerment and job satisfaction. The purposes of this quantitative study, guided by Kanter's theory of structural empowerment, were to determine (a) the level of empowerment and job satisfaction among perioperative nurses and their intent to stay in the organization and (b) if age, gender, education, perioperative experience, and national nursing certification predict empowerment among perioperative nurses. Fifty-five perioperative nurses responded to the Conditions for Work Effectiveness Questionnaire-II, Nursing Workplace Satisfaction Questionnaire, and Intent to Stay …

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Approaches School Leaders Employ Regarding Students Who Experience Socioemotional Crises, Ronald Stephen Gorney Jan 2021

Approaches School Leaders Employ Regarding Students Who Experience Socioemotional Crises, Ronald Stephen Gorney

Walden Dissertations and Doctoral Studies

Many students in the local school district in a northeastern state suffer from socioemotional challenges that negatively influence their academic success. In the Adverse Childhood Experiences (ACEs) study, researchers found negative socioemotional outcomes resulting from ACEs. Risk factors associated with ACEs, and the influence of ACEs on poor school outcomes form the framework of this project study. To determine measures school leaders take to meet the needs of students in socioemotional crisis, a sample of semi-structured interview participants was selected based upon their roles in addressing students in socioemotional crisis, also forming the basis of this basic qualitative study. The …

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Strategies Managers Use To Increase Collaboration And Productivity Among Multigenerational Workers, Clarissa Miram Goins Jan 2021

Strategies Managers Use To Increase Collaboration And Productivity Among Multigenerational Workers, Clarissa Miram Goins

Walden Dissertations and Doctoral Studies

Age differences within the workforce continue to challenge employers because they must create environments that enhance collaboration among multigenerational workers. Grounded in emotional intelligence theory, the purpose of this single case study was to explore strategies business leaders in the financial services industry use to manage a multigenerational workforce. The participants comprised six business leaders from one financial institution headquartered in Dutchess County, New York, who successfully created strategies to promote collaboration. Data collection involved the use of semistructured face-to-face interviews and phone interviews. Data analysis included a coding process to identify themes and member checking to ensure the findings’ …

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Strategies Uber Drivers Use To Enhance Competitive Advantage For Increased Profits And Incomes, Richard Atemie Samuel Hart Jan 2021

Strategies Uber Drivers Use To Enhance Competitive Advantage For Increased Profits And Incomes, Richard Atemie Samuel Hart

Walden Dissertations and Doctoral Studies

AbstractUber drivers are usually from economically disadvantaged groups, with most drivers reporting lower incomes than typical workers. Uber drivers who fail to improve their profits and incomes lower their families’ standard of living. Grounded in transaction cost theory, the purpose of this qualitative multiple case study was to explore the strategies that Uber drivers use to enhance competitive advantage for increasing their profits and incomes. The participants were six Uber drivers in Lagos, Nigeria who successfully used strategies to enhance competitive advantage and increase their profits and incomes. Data were collected from semistructured interviews, financial transactions with Uber, transactions from …

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Health Care Leaders Strategies And Patient Satisfaction, Aaronn Haerr Jan 2021

Health Care Leaders Strategies And Patient Satisfaction, Aaronn Haerr

Walden Dissertations and Doctoral Studies

Ineffective patient satisfaction strategies can negatively impact patient satisfaction scores and overall organizational performance. Health care leaders who struggle to increase patient satisfaction are at high risk of diminished organizational performance and long-term sustainability. Grounded in the transformative learning theory, the purpose of this qualitative single case study was to explore strategies health care leaders implemented to improve patient satisfaction. The participants were five health care leaders in Ohio who effectively implemented strategies to increase overall patient satisfaction. Data were collected from semistructured interviews, organizational documents provided by the participants, and the company website. Yin’s five-step method was used to …

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Pk–12 District Administrator Perceptions About Career Readiness And Workforce Preparation Programs And Activities In Schools, Shawn Lee Dilly Jan 2021

Pk–12 District Administrator Perceptions About Career Readiness And Workforce Preparation Programs And Activities In Schools, Shawn Lee Dilly

Walden Dissertations and Doctoral Studies

The lack of student career preparedness has increased the number of youths facing negative personal, economic, and social implications and have led to increased calls for public education to find solutions. The purpose of this generic qualitative study was to explore West Virginia district administrators’ perceptions about career readiness and workforce programs. Underpinning the study’s conceptual framework was educational leadership. The two research questions focused on district administrator perceptions about the value and importance and the barriers, limitations, and successes of career readiness and workforce programs. A qualitative survey and semistructured interview were employed to provide data for an iterative, …

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Positive Perceptions Of Mentoring Influences On African American Male Public High School Students, Jazzmea Houghton Jan 2021

Positive Perceptions Of Mentoring Influences On African American Male Public High School Students, Jazzmea Houghton

Walden Dissertations and Doctoral Studies

Many African American males face challenges due to historical and current negative viewpoints of this population. However, urban communities also play a vital role in the obstacles encountered, which impacts this population’s well-being. The purpose of this project was to gain knowledge from mentors on how a mentoring program positively affected the cognitions, behaviors, and academic progress of African American, male, public high school students residing in urban communities and effective ways mentorships foster resilience. This qualitative research study used a cognitive behavioral theoretical framework and a resilience theory conceptual framework, and narrative semistructured interviews were conducted. The mentors’ positive …

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Attitudes Toward Seeking Counseling Of Women Residing In Public Housing, Belinda M. Newkirk Jan 2021

Attitudes Toward Seeking Counseling Of Women Residing In Public Housing, Belinda M. Newkirk

Walden Dissertations and Doctoral Studies

Women living in public housing projects experience adverse outcomes because they do not seek treatment for mental illness. It is unclear whether such women have attitudes toward voluntarily accessing mental healthcare services affected by their optimism, experienced stigma, self-efficacy, and resilience. The purpose of this quantitative study was to determine whether the individual determinants of resilience, self-efficacy, experienced stigma, and optimism predicted attitudes toward seeking professional mental health services of women living in public housing based on the self-efficacy, resilience, stigma, optimism, and help-seeking behavior theories. The first research question focused on bivariate correlations among resilience, self-efficacy, experienced stigma, and …

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Organizational Factors Contributing To Mental Health And Wellness In Behavioral Health Leaders, Julie Johnson Jan 2021

Organizational Factors Contributing To Mental Health And Wellness In Behavioral Health Leaders, Julie Johnson

Walden Dissertations and Doctoral Studies

According to recent studies, a behavioral health leader’s (BHL’s) mental health and wellness is an important factor in an organization's ability to effectively provide mental healthcare. Mental health and wellness in BHLs lead to sustainability in their organization. Researchers have demonstrated that mental health and wellness in BHLs are factors contributing to an organization’s sustainability but have not established the factors contributing to mental health and wellness in BHLs. The purpose of this qualitative single case study was to examine the organizational factors contributing to the mental health and wellness in the BHL of the organization. The Baldrige excellence framework …

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Predictors Of Stunting In Children Under 5 Years Of Age In Zimbabwe, Ranganai Matema Jan 2021

Predictors Of Stunting In Children Under 5 Years Of Age In Zimbabwe, Ranganai Matema

Walden Dissertations and Doctoral Studies

Stunting is the most common form of undernutrition globally and is a major public health concern. Child stunting has both short-term negative effects on children’s health and long-term negative effects on adult health and human capital. Zimbabwe has a high prevalence of stunting, 27% in 2015. Although some of the factors associated with stunting are known, there is a gap on comprehensive evidence on the significant factors associated with persistent high levels of child stunting. The UNICEF conceptual framework for malnutrition was used to guide a cross-sectional study using the 2015 Zimbabwe Demographic and Health Survey data to identify and …

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A Sense Of Hope: Parents Treating Their Epileptic Child With Cannabidiol, Jennifer Nguyen Potage Jan 2021

A Sense Of Hope: Parents Treating Their Epileptic Child With Cannabidiol, Jennifer Nguyen Potage

Walden Dissertations and Doctoral Studies

Epilepsy is the most common neurological condition in the world. Of those affected, about 30% are treatment-resistant, making it difficult for symptom relief. Children are also among those affected by epilepsy, and the unpredictable epileptic symptoms often induce stress, anxiety, confusion, depression for the parents/caretakers. Furthermore, epilepsy is a condition that can impair cognitive abilities, social interaction, and physical ailments. Antiepileptic drugs are the common medical treatment for epileptic symptoms. However, parents have often reported minimal positive change, ineffectiveness, and negative side effects that included nausea, fatigue, rash, insomnia, change in personality, cognitive impairment, and diarrhea. A review of the …

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Familial Challenges Of Women Emergency Managers For No-Notice Activations, Linda Josephine Gonzalez Jan 2021

Familial Challenges Of Women Emergency Managers For No-Notice Activations, Linda Josephine Gonzalez

Walden Dissertations and Doctoral Studies

Women employed as emergency response personnel have faced familial challenges during the COVID-19 pandemic. The goals of this research were to identify the perceived underlying causes of work-life conflict for women serving in emergency response roles and how such work-life conflict can be addressed. In-depth interviews were used to collect data in this qualitative research study. The snowball method was used to recruit the nine study participants; inclusion criteria focused on a distinct group of emergency response professionals. Transcription analysis was applied to the data collected from the interviews. Thematic analysis uncovered five themes from the data: (a) more women …

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New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou Jan 2021

New Graduate Nurses’ Transfusion Training Views: Reflection On Experiences With Adverse Reactions, Hind Jaber-Daou

Walden Dissertations and Doctoral Studies

Abstract:New graduate nursing students transitioning to becoming professionals undergo education and training to gain knowledge and competence about transfusions. Nonetheless, new graduate nurses experience stress during a blood transfusion adverse reaction, which can be associated with lack of knowledge and inadequate training. The purpose of this qualitative study was to gather data from new graduate nurses who described their lived experiences with patients exhibiting symptoms of adverse reactions, how they reflected on their emotional effects, and the influences of the training on their knowledge and confidence. The research was grounded in social cognitive theory that centers on the concept of …

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Nontransferability Of The Skills And Qualifications Among The Caribbean Diaspora In Toronto, Canada, Carla Lucia Ibanzo Jan 2021

Nontransferability Of The Skills And Qualifications Among The Caribbean Diaspora In Toronto, Canada, Carla Lucia Ibanzo

Walden Dissertations and Doctoral Studies

About 35% of the Canadian labor market is made up of highly skilled immigrants, yet they have the highest unemployment rates. This study filled a gap in knowledge related to reasons Caribbean credentials are not more widely recognized and accepted in Canada and why their skills and qualifications are nontransferable. The purpose of this qualitive research was to identify the barriers to the successful integration of Caribbean immigrants into the Canadian job market and to obtain strategies to remove them. The theoretical framework that underpinned this study was Rawls Social Justice theory. Data were collected through semi structured interviews with …

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The Impact Of Inpatient Boarding In North Carolina Emergency Departments, Miracle Howard Jan 2021

The Impact Of Inpatient Boarding In North Carolina Emergency Departments, Miracle Howard

Walden Dissertations and Doctoral Studies

Currently, emergency department overcrowding has negatively impacted hospitals' financial, operational, and organizational performance globally. A contributing factor to emergency department overcrowding includes the delay of the throughput process for patients who have a time-sensitive diagnosis and are admitted to the emergency department. This causes adverse hospital outcomes such as longer length of stays and increase hospitalization cost. This study utilized secondary data to address a relationship between admitted patients who have time-sensitive diagnoses such as chest pain and chronic obstructive pulmonary disease within North Carolina emergency departments and length of stay, utilization of services, and overall hospital cost. The conceptual …

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College And University Accessibility For Students With Visual Disabilities, Robbie S. Huff Jan 2021

College And University Accessibility For Students With Visual Disabilities, Robbie S. Huff

Walden Dissertations and Doctoral Studies

The problem addressed by this project study was the lack of understanding by faculty and administrators of accommodations affecting the academic environment in higher education required for success by Georgia students with visual disabilities. The purpose of this qualitative descriptive study was to explore how Georgia students with visual disabilities describe their experiences in higher education. Guided by the framework of the social model of disability by Oliver, which holds that people with a disability are restricted by the barriers in their community and not by the disability; the research question was used to explore of how Georgia students with …

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Chief Officers’ Perspectives Of Traffic Incident Management Standards Following A Line-Of-Duty Fatality, Charles David Hughes Jan 2021

Chief Officers’ Perspectives Of Traffic Incident Management Standards Following A Line-Of-Duty Fatality, Charles David Hughes

Walden Dissertations and Doctoral Studies

AbstractAccording to the United States Fire Administration, an average of five firefighters are killed annually at scenes of roadway incidents. The purpose of this study was to explore chief fire officers’ perceptions of incident management policies and standards for the prevention of firefighter line-of-duty deaths resulting from secondary collisions. Their perceptions may contribute to the efficacy and appropriateness of incident management policies and standards and may also lead to recommendations to improve compliance. The research question was to understand what chief fire officers’ perceptions of incident management policies and standards for preventing firefighter line-of-duty-deaths from secondary collisions. The theoretical framework …

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Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton Jan 2021

Staff Education On Fall Prevention For Inpatient, Geriatric, Psychiatric Patients, Shannon C. Hampton

Walden Dissertations and Doctoral Studies

Falls among hospitalized, geriatric patients are a leading cause of injury. Geriatric patients with psychiatric illnesses are at an even greater risk of falls. The project site was experiencing an increase in the number of patient falls and identified a need for staff education on fall risk assessment and implementation of interventions specific to the hospitalized, geriatric, psychiatric patient. Thus, the practice-focused question for this project was whether an educational program on evidence-based assessment and fall prevention strategies would improve nurses’ knowledge and skills to assess risk for falls and implement appropriate interventions for inpatient, geriatric, psychiatric patients. Knowles’s adult …

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Novice Secondary Teachers’ Perceived Efficacy And Projected Responses To Bullying Behaviors, Jennifer L. Greineder Jan 2021

Novice Secondary Teachers’ Perceived Efficacy And Projected Responses To Bullying Behaviors, Jennifer L. Greineder

Walden Dissertations and Doctoral Studies

This study was a quantitative exploration of the relationship between novice secondary teachers’ perceived levels of self-efficacy and their projected responses to specific bullying behaviors. The theoretical foundation was Bandura’s self-efficacy theory. The relationship between novice teachers’ perceived levels of self-efficacy, their reported ability to recognize different types of bullying behaviors, their responses to these bullying behaviors, and importance of a mentoring program were explored in this quantitative study. The sample was a convenience sample consisting of 159 teachers in different school settings in Pennsylvania. Vignettes about different types of bullying behaviors were presented to the participants. Likert scale questions …

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Exploring Cultural Experiences Of African American Recipients Of Healthcare, Christopher Steven Hairfield Jan 2021

Exploring Cultural Experiences Of African American Recipients Of Healthcare, Christopher Steven Hairfield

Walden Dissertations and Doctoral Studies

Culturally competent care is widely accepted as a strategy to address healthcare disparities based on the perceptions of the individual provider, yet this approach lacks the voice of the African American (AA) communities intended to benefit from the strategy. Individuals in AA communities have been shown to suffer higher incidence of disease, disproportionately poorer health outcomes, and inequitable healthcare treatment. Framed by Leininger’s culture care theory, the purpose of this interpretive phenomenological study was to explore the lived cultural experiences of AA recipients of care when interacting with the healthcare system in an effort to contribute evidence to improve the …

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Expectations And Outcomes Of Choosing Reiki For Rheumatoid Arthritis, Theresa Jimenez Jan 2021

Expectations And Outcomes Of Choosing Reiki For Rheumatoid Arthritis, Theresa Jimenez

Walden Dissertations and Doctoral Studies

Little was known about the use of Reiki as an alternative medical treatment for Rheumatoid Arthritis (RA) symptoms and/or side effects. The current study addressed how sufferers of RA made their decision to use Reiki, their experiences using Reiki to treat their symptoms, and changes in their symptoms or side effects from RA. Two sets of in-depth interviews were conducted with 13 participants. The first interview addressed how decisions to use Reiki were made and the second interview addressed participants’ experiences with Reiki to treat their symptoms and side effects. Psychological attribution theory and the covariation attribution model were used …

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Social Determinants Of Maternal And Neonatal Birth Outcomes Among Syrian Refugees In Lebanon, Mona Charbel Kiwan Jan 2021

Social Determinants Of Maternal And Neonatal Birth Outcomes Among Syrian Refugees In Lebanon, Mona Charbel Kiwan

Walden Dissertations and Doctoral Studies

Neonatal and maternal health indicators have been impacted due to Syrian refugees’ displacement in Lebanon and an increase in child marriage rates from 13% in pre-conflict Syria to 41%. Using the causal continuum framework, the retrospective cross-sectional study’s purpose was to examine whether there is a statistically significant association between adverse maternal and birth health outcomes among Syrian refugees in Lebanon and social determinants of health. The sample size drawn from UNHCR database included 48,083 maternal and 4,288 neonatal refugees admitted to the secondary health care in 2018. Pearson chi-square and binomial logistic regression results showed that employed, newcomers mothers …

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