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2021

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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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Evaluation Of A Telehealth Program For Heart Failure Patients, Virginia Elizabeth Lucas Jan 2021

Evaluation Of A Telehealth Program For Heart Failure Patients, Virginia Elizabeth Lucas

Walden Dissertations and Doctoral Studies

AbstractHeart failure (HF) is a progressive and life -threatening disease that places a large burden on the health care systems worldwide with increased rates of re-hospitalization, readmissions, and outpatient visits. With the use of telehealth monitoring and support from nursing case managers, HF patients are able to manage this disease at home. The focus of this project was to evaluate a home health agency (HHA) telehealth program, exploring if there was an improvement in 30-day readmission rates, and patient satisfaction scores for the HHA telehealth program one year after revising the program incorporating nursing virtual case managers. This project used …

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Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna Jan 2021

Effects Of Cultural And Lived Experiences On Health Access Of Chamorro People On Saipan, Esther Lizama Muna

Walden Dissertations and Doctoral Studies

More than half of the population of the Commonwealth of the Northern Mariana Islands had not visited their primary care provider for a year in 2016. The Chamorro people are less willing to seek or access care than other ethnic groups. This qualitative study aimed to understand the Chamorro people's access and utilization of Saipan's health care services to improve their access and, ultimately, their health. The theoretical frameworks included Penchansky and Thomas's theory of access to explore the Chamorro people of Saipan's lived experiences with availability, accessibility, accommodation, affordability, and acceptability of health care services, as well as Spector's …

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Relationship Between Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, And Employee Turnover Intentions, Taran Pawan Bhagwandeen Jan 2021

Relationship Between Intrinsic Job Satisfaction, Extrinsic Job Satisfaction, And Employee Turnover Intentions, Taran Pawan Bhagwandeen

Walden Dissertations and Doctoral Studies

Employee turnover can cost business owners up to 200% of an employee’s annual salary to recruit, hire, and train a replacement in the insurance industry. Understanding employee intent to leave is vital for insurance leaders to help reduce turnover. The purpose of this quantitative correlational study was to examine the relationship between intrinsic job satisfaction, extrinsic job satisfaction, and employee turnover intentions of casualty insurance professionals in the southeast region of the United States. The study was grounded in Herzberg’s 2-factor theory. Data were collected from 83 participants using an online survey with questions from the Minnesota Satisfaction Questionnaire and …

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Relationship Between Immigration And Violent Crime In Nontraditional Immigrant Destinations, Shane Frazer Jan 2021

Relationship Between Immigration And Violent Crime In Nontraditional Immigrant Destinations, Shane Frazer

Walden Dissertations and Doctoral Studies

AbstractSeveral recent debates have occurred about the effects that immigration has on crime in the United States, and although most studies indicate that increased immigration does not increase crime, some research indicates that immigration affects crime in some ways. With some noted recent attacks by immigrants on U.S. citizens, politicians and citizens are calling for lawmakers to implement more laws that will reduce immigration. The purpose of this quantitative study was to bridge this gap in literature by comparing the number violent crimes to the number of immigrants from 1970 through 2010 in Georgia. The goal of this study was …

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Managers’ Strategies For Leading Innovative Followers, Keturah Hallmosley Jan 2021

Managers’ Strategies For Leading Innovative Followers, Keturah Hallmosley

Walden Dissertations and Doctoral Studies

In hierarchical structured organizations, leaders often assume that innovation will happen randomly but lack an understanding of what leadership qualities contribute to employees’ innovativeness. Innovation is a requirement in the current business marketplace to stay relevant. The purpose of this exploratory qualitative case study is to explore how the convergence of leader behaviors, employees’ behaviors, organization structure, and organization culture influence employee innovativeness in a hierarchical organization. The overarching research question is from an employee and leader perspective how do leaders’ behaviors, organizational structure, and organizational culture influence employee innovation? Leveraging the conceptional framework of the innovative blueprint created by …

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Hotel Managers’ Motivational Strategies For Enhancing Employees’ Performance, Nickea Katherine Harris Jan 2021

Hotel Managers’ Motivational Strategies For Enhancing Employees’ Performance, Nickea Katherine Harris

Walden Dissertations and Doctoral Studies

More than 87% of United States hotel employees are not engaged. Hotel general managers who struggle to engage employees are at risk of damaging organizational effectiveness. Grounded in Maslow’s hierarchy of needs, the purpose of this qualitative multiple case study was to explore the strategies general managers of full-service hotels used for enhancing employees’ performance. The participants consisted of general managers from 3 full-service hotels in Hawaii who have successfully developed and deployed strategies to enhance employees’ performance. Data were collected from semistructured interviews, company websites, advertisements, and observations. Yin’s 5-stage analysis was used to analyze the data, and 3 …

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Strategies For Integrating The Internet Of Things In Educational Institutions, Anthony Kofi Harvey Jan 2021

Strategies For Integrating The Internet Of Things In Educational Institutions, Anthony Kofi Harvey

Walden Dissertations and Doctoral Studies

The introduction of the Internet of Things (IoT) into educational institutions has necessitated the integration of IoT devices in the information technology (IT) infrastructural environment of educational institutions. Many IT leaders at educational institutions, however, lack strategies for integrating and deploying IoT devices in their institutions, which has resulted in numerous security breaches. The purpose of this study was to explore security strategies adopted by IT administrators to prevent data breaches resulting from the integration of IoT devices in their educational institutions. The diffusion of innovations theory served as the conceptual framework for this qualitative multiple case study. Eleven IT …

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Inside Out: Mask-Making And The Counseling Student Identity, Jil Hus Jan 2021

Inside Out: Mask-Making And The Counseling Student Identity, Jil Hus

Walden Dissertations and Doctoral Studies

At the field experience level, current research is limited on reflective expressive arts exercises as a modality to facilitate professional identity development in counseling students, with no mention of the effectiveness of mask-making. The purpose of this art-based hermeneutic phenomenological study was to examine the perceptions of master’s students’ counselor identity at the field experience level using research questions to explore participants’ lived experiences as they engaged in a mask-making expressive arts activity aimed at the enhancement of their self-awareness, insight, and reflection into their professional identity development. A qualitative design was utilized, and 5 students participated in this study …

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Hospital-Acquired Condition Ranking Score Among Types Of Safety-Net Hospitals, Jude C. Iruka Jan 2021

Hospital-Acquired Condition Ranking Score Among Types Of Safety-Net Hospitals, Jude C. Iruka

Walden Dissertations and Doctoral Studies

Abstract The Center for Medicare and Medicaid Services has been shifting from paying hospitals for the volume of services they delivered to paying them for the quality of those services, known as pay-for-performance, to incentivize hospitals to offer improved care at a lower cost. When a patient goes to the hospital to receive care for one condition and develops another condition during that hospital stay, the second condition is referred to as a hospital-acquired condition. It is anticipated that 1.7 million infections are acquired at some point in-hospital stay in the United States annually, resulting in nearly 100,000 deaths in …

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A Qualitative, Formative Evaluation Of Cultural Competencies In A Baccalaureate Nursing Program, Lorraine J. Mercado Jan 2021

A Qualitative, Formative Evaluation Of Cultural Competencies In A Baccalaureate Nursing Program, Lorraine J. Mercado

Walden Dissertations and Doctoral Studies

Abstract Nurses are often the first healthcare professionals that patients encounter in a healthcare environment; however, members of the lesbian, gay, bisexual, or transgender (LGBT) community and other diverse populations fail to seek medical attention due to feelings of discrimination and an unwelcoming environment. The focus of this qualitative, formative, program evaluation was that the baccalaureate nursing students at a private 4-year college in the Northeastern United States indicated a lack of academic preparation in cultural competency to properly care for members of the LGBT community and other diverse populations after graduation. Leininger’s theory of cultural care was used in …

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Treatment Providers’ Perspectives On Restraints And Seclusion For Children In Psychiatric Facilities, Calpurnia Chudi Adamma Okwuone Jan 2021

Treatment Providers’ Perspectives On Restraints And Seclusion For Children In Psychiatric Facilities, Calpurnia Chudi Adamma Okwuone

Walden Dissertations and Doctoral Studies

The use of restraints and seclusions in psychiatric treatment facilities for children and adolescents has caused major disputes in the healthcare field. Treatment providers determine the need to implement a restraint or seclusion depending on their perceptions of the situation and their responsibility to abide by the rules and regulations of the facility. The purpose of this research was to gain a deep understanding of how treatment providers are affected prior to, during, and following the use of a restraint or seclusion with a child or adolescent patient. Attribution theory was the theoretical framework used to examine this phenomenon. Data …

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Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich Jan 2021

Reducing The Rate Of Physical Interventions By Increasing Staff Confidence When Using Verbal De-Escalation Techniques, Elizabeth Pavlesich

Walden Dissertations and Doctoral Studies

When working with patients who have the potential to become physically aggressive, verbal de-escalation is an important technique that can defuse a dangerous situation. At the project site in the mental health emergency department (MHED), workplace violence was on the rise based on the reported use of physical interventions (rates of brief holds and physical restraint use). The purpose of this quality improvement evaluation project was to determine whether an educational training program on verbal de-escalation techniques would increase staff’s confidence in the use of verbal de-escalation and decrease the rate of physical interventions used in the MHED. The change …

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Effects Of User-Generated Online Video Postings On Patrol Officers’ Behavior, Yarellys Perez Jan 2021

Effects Of User-Generated Online Video Postings On Patrol Officers’ Behavior, Yarellys Perez

Walden Dissertations and Doctoral Studies

Social media has become an important tool used by citizens to assess police officers’ activities through user-generated videos that are posted online. However, little is understood about how police officers, who are the main actors of these videos, feel about this phenomenon. Employing the Lazarus transactional theory and the emotional labor theory, this phenomenological study explored the perceptions of patrol officers regarding the history of user-generated postings of police activity. Data were collected using semistructured interviews with 8 police officers who patrol in metropolitan areas of Florida and Puerto Rico. The data obtained through these interviews were transcribed and coded, …

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The Relationship Between Cultural Competency And Hospital Quality Measure Outcomes, Linda Nguyen Quach Jan 2021

The Relationship Between Cultural Competency And Hospital Quality Measure Outcomes, Linda Nguyen Quach

Walden Dissertations and Doctoral Studies

Healthcare organizations have little evidence concerning how cultural competency impacts hospital quality outcomes of care transition and patients’ overall experience with care. Identifying if cultural competency translates into quality measures is important for healthcare administrators and could contribute to optimizing patient care. The purpose of this quantitative study was to explore the relationship between hospital cultural competency and hospital quality measures and compare California and other states’ acute care hospital cultural competency scores. Donabedian’s lasting framework for health care quality and Campinha-Bacote’s model of cultural competence in health care were used to frame this research. Hospital Consumer Assessment of Healthcare …

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Rape Myth Acceptance And Potential Impacts On Campus Policies And Programs, Jilleian K. Sessions-Stackhouse Jan 2021

Rape Myth Acceptance And Potential Impacts On Campus Policies And Programs, Jilleian K. Sessions-Stackhouse

Walden Dissertations and Doctoral Studies

Sexual assault has been a growing concern for many years, and researchers have used rape myth acceptance to understand how blame is assessed as well as to develop effective prevention programs to deter the crime. Rape myths are obstacles to successful program and prevention efforts. The purpose of this quantitative study was to explore potential connections between rape myth acceptance of collegiate level staff and the impact this knowledge can have on developing effective campus sexual assault prevention policies and programs. The theoretical framework of this study drew from evolution theory. The previously validated Illinois Rape Myth Acceptance Scale-Short Form …

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Operational Analysis Of Child Protection Investigations During Disasters, Derek Smith Jan 2021

Operational Analysis Of Child Protection Investigations During Disasters, Derek Smith

Walden Dissertations and Doctoral Studies

Two decades of research documents the lack of conclusive relationships between childprotective investigations and natural disasters. While trends regarding child abuse report generation and natural disaster have been previously explored, those results do not provide generalized conclusions. This study explores the relationship between the Hurricane Irma natural disaster and child abuse report generation of a child protection organization in the state of Florida, while introducing child maltreatment types and child protective investigator response times as contributing factors. Utilizing the emergency management conceptual framework, the purpose of this study is to provide an updated analysis of the child abuse report generation …

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Exploring Eco-Friendly Strategies In Early Learning Businesses, Henry Smith Jan 2021

Exploring Eco-Friendly Strategies In Early Learning Businesses, Henry Smith

Walden Dissertations and Doctoral Studies

Some early learning business owners (ELBOs) lack implementation strategies for eco-friendly programs. ELBOs that can successfully implement eco-friendly programs in their organizations can promote long-term sustainability. Grounded in Freeman’s stakeholder theory, the purpose of this qualitative multiple case study was to identify ELBOs’ implementation strategies for eco-friendly programs. The participants comprised of three ELBOs from three certified eco-friendly organizations. Data were collected using semistructured interviews and analyzed using thematic analysis. Five themes emerged: (a) managing stakeholders’ expectations, (b) health and wellness for sustainability, (c) business sustainability, (d) environmental sustainability, and (e) partnerships and community involvement. A key recommendation is for …

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Academic Advising For Students’ Success At The Community College Level In The West Indies, Delores Imelda Stapleton Harris Jan 2021

Academic Advising For Students’ Success At The Community College Level In The West Indies, Delores Imelda Stapleton Harris

Walden Dissertations and Doctoral Studies

Community colleges expect their employees to promote academic success and propel students to graduation by providing a range of services, including academic advising. Increasingly, advising professionals continue to extoll the benefits of effective academic advising. The problem of the lack of enough trained advisers and information about the effects of academic advising on students’ success at a college in the West Indies was addressed in this study. Schlossberg’s transition theory and Bloom et al.’s appreciative advising theory were used in this basic qualitative study to explore the perceptions of 8 former students who graduated up to 3 years prior to …

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Merger And Acquisitions: Effects Of Cultural Adaptation On Burnout Over Time Among Middle Managers, Perian Nora Stavrum Jan 2021

Merger And Acquisitions: Effects Of Cultural Adaptation On Burnout Over Time Among Middle Managers, Perian Nora Stavrum

Walden Dissertations and Doctoral Studies

Merger and acquisition (M&A) actions are common; however, research on cultural adaptation over time leading to burnout is scarce. The purpose of this quantitative, nonexperimental study was to evaluate the relationships between independent variables defined as organizational and group adjustment, and the criterion variables operationalized as emotional exhaustion and cynicism, and to determine if the adjustment factors and time interact, affecting burnout in middle managers working in a target organization of U.S.-based M&As. The theoretical framework used was organizational socialization, conceptualized as newcomer adaptation, suggesting that individuals must traverse through an adjustment period regardless of the context of the change. …

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Safety Professional Perceptions Of Executive Leadership Interventions On Safety Culture, Tamara Walters Jan 2021

Safety Professional Perceptions Of Executive Leadership Interventions On Safety Culture, Tamara Walters

Walden Dissertations and Doctoral Studies

Nearly 20 employees are killed and 20,000 injured in the United States each day, with a contributing cause in nearly all being unsafe behavior. Unsafe behaviors are the result of a negative organizational safety culture, which includes the attitudes and beliefs toward safety transmitted from executives and front-line leaders to shop floor employees. While previous research indicated that front-line leaders have great impact on employee’s perception of safety culture, how executives impact the development of safety culture was less understood. The theory of planned behavior and social exchange theory were used in this descriptive phenomenological research study to address the …

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Impact Of The Internet On Young Adult’S Perceptions Of Childhood Vaccinations, Hollie Leigh Xu Jan 2021

Impact Of The Internet On Young Adult’S Perceptions Of Childhood Vaccinations, Hollie Leigh Xu

Walden Dissertations and Doctoral Studies

The internet and social media have transformed the way people receive information and connect, but the impact on society is still unknown. The purpose of this study was to examine the impact of indirect exposure to vaccine messages via the internet on young adults’ perceptions of childhood vaccinations. The health belief model and the social marketing theory were used as the theoretical framework. Research questions explored the relationship between exposure to anti and pro-vaccination messages and perceptions of participants as well as the relationship between perceptions of vaccination and intent to vaccinate. A quantitative correlational study design was used, with …

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The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier Jan 2021

The Impact Of Socioeconomic Status And Ethnicity On Chronic Obstructive Pulmonary Disease Patients, Donald Garret Abshier

Walden Dissertations and Doctoral Studies

Chronic obstructive pulmonary disease (COPD) is a progressive and debilitating respiratory condition that leads to significant medial and financial burdens. For many patients with COPD, multiple socioeconomic factors contribute to health disparities, including income, education, employment status, and race/ethnicity. The purpose of this study was to examine the impact of SES and race/ethnicity on COPD patients. For this cross-sectional study, using secondary data analysis, the Social-Ecological Model (SEM), which discusses five levels of influence, was utilized. Data from over 3,222 participants aged 18 and over, living in Nevada were obtained from the 2018 Behavioral Risk Factor Surveillance System (BRFSS) study. …

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Burnout Among Child Protective Services Social Workers In Georgia, Lakeita Arrington-Judkins Jan 2021

Burnout Among Child Protective Services Social Workers In Georgia, Lakeita Arrington-Judkins

Walden Dissertations and Doctoral Studies

CPS (child protective services) social workers are critical to the social service community. Due to the responsibilities of this role, CPS social workers encounter multiple stressors and high demands in the workplace. Burnout is prominent in the social service profession, specifically among CPS social workers. This qualitative action research study was conducted to explore CPS social workers’ experiences of burnout and organizational issues related to those burnout experiences. Maslach’s multidimensional theory on burnout was the theoretical framework. Data collection involved individual interviews facilitated online. The sample consisted of 8 experienced CPS social workers from the Georgia Department of Human Services. …

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Fairness, Emotional Intelligence, And Ethical Decision-Making In Customer Evaluations Of Providers, Tameka Austin Jan 2021

Fairness, Emotional Intelligence, And Ethical Decision-Making In Customer Evaluations Of Providers, Tameka Austin

Walden Dissertations and Doctoral Studies

Customer satisfaction is a topic that organizations must focus on for the success and continued sustainability of their organizations. Emotional intelligence, fairness, and ethical decision-making are areas that businesses must address to identify how their businesses are impacted by the choices that customers make when working with corporations. The gig economy (short- or long-term project in which a contract worker is hired to perform a specific task or long-term consultant assignment) is an area that has not been addressed to a great extent by psychology researchers. The purpose of this study was to examine the relationships between emotional intelligence, ethical …

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Formative Assessment And Academic Performance As Predictors Of National Physical Therapy Examination Success, Tobi Fox Baldwin Jan 2021

Formative Assessment And Academic Performance As Predictors Of National Physical Therapy Examination Success, Tobi Fox Baldwin

Walden Dissertations and Doctoral Studies

Physical therapy educational researchers have studied various factors that may or may not predict success on the National Physical Therapy Examination (NPTE). One factor that has not been studied extensively is the use of the Academic Practice Examination and Assessment Tool (APEAT) as a formative assessment. The purpose of this study was to determine the predictive power of the APEAT as a formative assessment along with Doctor of Physical Therapy (DPT) program grade point average (GPA) on success on the NPTE. Carless’s learning-oriented assessment theory was used as the theoretical foundation for this study and to guide the analysis of …

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Lived Experiences Of African American Women Coping With Breast Cancer In Rural Northeastern North Carolina, Denise Germaine Belle Jan 2021

Lived Experiences Of African American Women Coping With Breast Cancer In Rural Northeastern North Carolina, Denise Germaine Belle

Walden Dissertations and Doctoral Studies

This qualitative study examined the phenomenology of breast cancer among seven African American female participants who reside in rural, medically underserved communities in Northeastern North Carolina. The aim of this descriptive study was to explore the answers to the overarching question of how African American women with breast cancer self-manage the emotional, physical, financial, and social issues associated with the diagnosis and treatment. The transactional model of stress and coping provided the theoretical framework for examining the role of social reinforcements, beliefs, attitudes, and intentions on the health behavior of African American women with breast cancer in some rural, resource-stricken …

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Job Satisfaction And Retention Among Direct Care Workers In Times Of Covid-19, Emma Boone Jan 2021

Job Satisfaction And Retention Among Direct Care Workers In Times Of Covid-19, Emma Boone

Walden Dissertations and Doctoral Studies

AbstractLow employee satisfaction and retention have been identified as major challenges in the American mental health workforce. High turnover rates and the growing demand for direct care workers necessitates further research regarding satisfaction and retention. The purpose of this generic qualitative study was to determine how direct care workers employed by mental health organizations describe what motivates their satisfaction and retention during the COVID-19 pandemic. Herzberg’s theory of job satisfaction was the theoretical framework. Research questions explored job satisfaction and retention among a group of 8 direct care workers. Semi-structured interviews were used to collect participants’ perceptions of their work …

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