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2022

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Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek Jan 2022

Staff Education Program: Increasing Nursing Knowledge Of Exclusive Breastfeeding, Leigh Anne Panek

Walden Dissertations and Doctoral Studies

AbstractIn the initial postpartum period, exclusive breastfeeding (EBF) improves women's and children's health status and outcomes. Gaps in nursing practice that decrease the rate of EBF during hospitalization at this site were identified by the lactation consultant using a standard chart audit during the last two years. The purpose of this Doctor of Nursing Practice education project was to provide a comprehensive education program that included the purpose, philosophy, nursing practice, and evaluation tools for increasing the EBF rates to meet the Joint Commission’s standard of improvement for perinatal care core measures. A formal educational program that included didactic and …

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Risk Factors Associated With Access To Intermittent Preventive Treatment For Malaria Among Pregnant Women In Uganda, Mayanja Simon Peter Jan 2022

Risk Factors Associated With Access To Intermittent Preventive Treatment For Malaria Among Pregnant Women In Uganda, Mayanja Simon Peter

Walden Dissertations and Doctoral Studies

Intermittent preventive treatment of malaria in pregnancy (IPTp) is an intervention consisting of the full course of therapeutic antimalarial medicine administered to pregnant women during routine antenatal visits regardless of whether the woman is infected with malaria. The use of intermittent preventive treatment of malaria in pregnancy using sulfadoxine-pyrimethamine (IPTp-SP) has been reportedly low in most of the malaria endemic areas, including Uganda. The coverage of IPTp in Uganda has been estimated to be as low as 17%. An in-depth secondary data analysis using the 2016 Uganda Department of Health Services survey was conducted to understand the causal relationships between …

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Evaluation Of Action Plan Management Strategy To Improve Survey Readiness And Decrease Negative Accreditation Findings, Carla Pierson Jan 2022

Evaluation Of Action Plan Management Strategy To Improve Survey Readiness And Decrease Negative Accreditation Findings, Carla Pierson

Walden Dissertations and Doctoral Studies

This project was an evaluation of a quality improvement (QI) initiative conducted in a large medical enterprise to address the problem of poor performance of their hospitals in accreditation surveys. The desired outcome was to evaluate whether an innovative plan of correction process was impactful in reducing the negative outcomes of regulatory and accreditation surveys. The practice-focused question guiding this project addressed the effect of the pre-accreditation evaluation and a plan of correction process in this QI initiative on reducing requirements for improvement (RFI) and condition-level deficiencies (CLD) cited in a recent The Joint Commission survey review. This project was …

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Leadership Relationships And Advancement Opportunities Among African American Female Nurses, Kendra Pitts Jan 2022

Leadership Relationships And Advancement Opportunities Among African American Female Nurses, Kendra Pitts

Walden Dissertations and Doctoral Studies

A healthy work environment for nurses is critical to staff recruitment, retention, patient safety, and the financial sustainability and viability of a healthcare organization. The specific research problem under study was whether a lack of advancement opportunity or a lack of good leadership has an impact on African American female nurses leaving the nursing profession. Researchers have investigated the impact of leadership and advancement opportunity on the general population, but there is a dearth of research specific to African American female nurses and their reason for leaving the profession. Secondary quantitative data analysis was performed using survey data from the …

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A Phenomenological Exploration Of Young Adults Who Self-Identify With Primary Complex Motor Stereotypies, Vanja Maria Popovic Jan 2022

A Phenomenological Exploration Of Young Adults Who Self-Identify With Primary Complex Motor Stereotypies, Vanja Maria Popovic

Walden Dissertations and Doctoral Studies

Primary complex motor stereotypies (p-CMS) are repetitive, rhythmic, and predictable involuntary movements which occur in typically developing individuals. To date, research has focused on observational data involving parents, leaving a lack of first-hand information about the effect of p-CMS on experiencers’ quality of life and wellbeing in adulthood. This phenomenological study, grounded in Bronfenbrenner’s ecological theory, explored lived experiences of six young adults, ages 21 to 29 years, who self-identified with p-CMS, through in-depth telephone and Zoom interviews. I aimed to answer how p-CMS affected participants in academic, work, and social settings, what meaning participants assigned to their p-CMS, and …

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Administrators’ Perspectives On Teacher Attrition In Large Urban Public School Districts, Carolyn Marsha Prato Jan 2022

Administrators’ Perspectives On Teacher Attrition In Large Urban Public School Districts, Carolyn Marsha Prato

Walden Dissertations and Doctoral Studies

Teacher attrition is higher than the national average in various large urban public school districts in the United States and some districts lose teachers every year, which makes teacher attrition a legitimate concern for many public school districts. The purpose of this study was to explore school administrators’ perspectives on why teachers leave large urban public school districts and to identify strategies and approaches that might be used to decrease teacher attrition. This study’s conceptual framework was Maslow’s hierarchy of needs, which explains human motivation and determination. The first research question focused on school administrators’ perspectives about the reasons for …

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Elementary Educators’ Perceptions Of Their Knowledge And Motivation To Support Struggling Readers, Ann Brazzel Price Jan 2022

Elementary Educators’ Perceptions Of Their Knowledge And Motivation To Support Struggling Readers, Ann Brazzel Price

Walden Dissertations and Doctoral Studies

AbstractDespite the implementation of district approved programs at Maplebrook Elementary, a Mid-Atlantic school district, students in third, fourth, and fifth grades continue to show reading comprehension below grade level as measured by standardized test scores and district-created assessments. The goal of this study was to gain teacher perceptions about knowledge and motivation when working with students who continue to struggle with reading. Bandura’s theory of self-efficacy was used to guide the research. The research questions addressed teachers’ perspectives regarding the role knowledge and motivation play when working with students struggling with reading comprehension and the teachers’ levels of confidence in …

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Strategies To Reduce Corrupt Practices At The Firm Level In Nigeria, Alexander Iloka Rajis Jan 2022

Strategies To Reduce Corrupt Practices At The Firm Level In Nigeria, Alexander Iloka Rajis

Walden Dissertations and Doctoral Studies

Corruption is harmful to businesses and impedes performance and growth. When business leaders fail to mitigate fraud and corruption, their business and the local economy suffer. Grounded in the principal-agent theory and the integrative social contract theory, the purpose of this qualitative multiple case study was to explore strategies business leaders in Nigeria use to reduce firm-level corrupt practices. The participants were six anticorruption officers at three firms who implemented successful strategies to reduce corrupt practices to enhance performance. Data collected came from semistructured interviews and company documents. Five themes emerged from the thematic analysis: bribery and corruption are part …

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Factors Associated With Accidental Drug Exposure In U.S. Adults Over 65 Years Of Age, Edwin Raj Jan 2022

Factors Associated With Accidental Drug Exposure In U.S. Adults Over 65 Years Of Age, Edwin Raj

Walden Dissertations and Doctoral Studies

Medication errors are a major public health issue and a leading cause of fatalities in the United States and globally. Older adults who rely on medications to address age-related health issues are at higher risk of medication errors. Accidental exposure to drugs is a major type of medication error that impacts older people more than other age groups. The purpose of this quantitative correlational study was to examine the association between patient gender, age group, and reporter type and accidental exposure to drugs in older people. The ecological model was used to guide the study. Logistic regression analysis was used …

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Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos Jan 2022

Situation-Background-Assessment-Recommendation During Hand-Off In A Mental Health Nursing Unit, Renel Ramos

Walden Dissertations and Doctoral Studies

AbstractCommunication failures, especially inadequate hand-off communication, in U.S. hospitals has accounted for 30% of malpractice claims, resulting in 1,744 deaths over 5 years. This prompted the Joint Commission to recommend utilizing standardized communication tools to reduce the number of medical errors related to miscommunication. The Situation-Background-Assessment-Recommendation (SBAR) Communication Tool has been used to improve the effectiveness of communication among health care providers. The partner organization noted failures to communicate patient-care-related information between psychiatric mental health nurses (PMHN) during hand-off, given the absence of standardized communication. This project aimed to develop a program to educate PMHNs on the SBAR Communication Tool. …

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Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne Jan 2022

Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne

Walden Dissertations and Doctoral Studies

Gender variant people experience a variety of health concerns for which they seek the assistance of healthcare providers. These concerns may range from chronic health conditions and psychological disorders to gender affirming concerns. Due to living in a heteronormative society, gender variant individuals are more susceptible to experiencing stigmatization, discrimination, and other forms of unfair treatment while accessing healthcare services, which contributes to poor health outcomes. This treatment may be attributed to the lack of knowledge, competency, and training of healthcare providers as it relates to trans-inclusive care. Grounded in minority stress theory and intersectionality theory, the purpose of this …

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Improving Pediatric Nurses Knowledge About Palliative Care Services, Marilia M. Rivera Camacho Jan 2022

Improving Pediatric Nurses Knowledge About Palliative Care Services, Marilia M. Rivera Camacho

Walden Dissertations and Doctoral Studies

Palliative care knowledge is important for nursing staff caring for children with life-threatening and debilitating illness because it can provide comfort-based interventions to optimize their quality of life. Nurses in pediatric settings can support the patient and family by providing education and evaluate patients who can benefit from palliative care services. If nurses do not have the palliative care education to support this comfort care process, the quality of life for children with life-threatening and debilitating illness may be affected. The purpose of this DNP project was to educate pediatric nurses about pediatric palliative care standards. The educational program resulted …

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Human And Social Services Direct Service Professionals' Perception Of Late-Life Cumulative Grief And Loss, Deanna Robinson Jan 2022

Human And Social Services Direct Service Professionals' Perception Of Late-Life Cumulative Grief And Loss, Deanna Robinson

Walden Dissertations and Doctoral Studies

Globally, the adult population 65 and older is anticipated to grow, signaling the necessity of awareness of late-life issues and concerns. Although research has shown that losses and changes in late life are anticipated, there is very little empirical evidence of how HSPs direct care professionals understand, assess, or perceive the complexities of cumulative grief and loss in their 65 and older clients. Charmaz’s constructivist grounded theory (CGT) (2014) was used as the conceptual framework a qualitative methodology to explore the understanding, assessment, and perception of the complexities of late-life cumulative grief and loss of HSPs working with adults 65 …

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Perception Of Promotability Among Employees In Nonprofit Health And Social Impact Services, Victoria Leann Rodino Jan 2022

Perception Of Promotability Among Employees In Nonprofit Health And Social Impact Services, Victoria Leann Rodino

Walden Dissertations and Doctoral Studies

Many human resource departments are developing and improving their talent management systems to identify and develop employee talent within the organization. However, nonprofit organizations face unique challenges including under-developed human resource structures and limited resources or funds. As a result, many nonprofit organizations are unable to effectively communicate their promotability processes, resulting in negative employee behaviors including lack of motivation, decreased engagement, and enhanced turnover intention. The purpose of this study was to explore and understand the employee perception of promotability within the nonprofit sector. Social exchange and social cognitive theories were used to explore the perception of promotability among …

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Gaps In Immunization Prevention In The State Of Ohio, Audrey Shaw Jan 2022

Gaps In Immunization Prevention In The State Of Ohio, Audrey Shaw

Walden Dissertations and Doctoral Studies

In the United States, the total cost for vaccine preventable diseases was $8.95 billion in 2015. The unvaccinated accounted for 80% of the total costs. This quantitative study was conducted to investigate the success and/or gaps in the implementation of the measles, mumps, and rubella (MMR) vaccine through the Vaccine for Children (VFC) Program by the Ohio Department of Health. General systems theory was chosen as a theoretical framework due to the complicated nature of the healthcare system. Healthcare is a complex system composed of multidisciplinary units that have their own structure and purpose that interact to accomplish the mission …

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Strategies For Improving Customer Retention For Medical Imaging Devices, Guillermo Sander Jan 2022

Strategies For Improving Customer Retention For Medical Imaging Devices, Guillermo Sander

Walden Dissertations and Doctoral Studies

Some sales managers of medical imaging devices lack strategies to improve long-term customer retention. Increasing retention can save these sales managers up to 50% of their customer acquisition costs. Grounded in the service profit chain theory, the purpose of this qualitative multiple case study was to explore strategies sales managers of medical imaging devices use to improve long-term customer retention. The participants comprised seven sales managers of medical imaging devices from three companies who successfully achieved long-term customer retention. Data were collected using semistructured interviews and public documents. Thematic analysis was used to analyze the data. Three themes emerged: value-added …

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Phenomenology Of How The Doctor-Patient Relationship Plays A Role In Cardiovascular, Sanam Sarahbi Jan 2022

Phenomenology Of How The Doctor-Patient Relationship Plays A Role In Cardiovascular, Sanam Sarahbi

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) is the leading cause of death in men and women for most racial and ethnic groups in the United States. Physicians are the most frequently sought-after source of support for self-management of chronic diseases of patients. Social support from physicians may help facilitate patient resiliency. This phenomenological study involved using the social support theory as the theoretical lens and health literacy as the conceptual framework to explore how CVD patients perceive experiences with their physicians foster resiliency. Semi-structured interviews were used to collect rich descriptions of CVD patient experiences. Data were analyzed by using Moustakas’ modification of …

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The Statistical Significance Of Juvenile Delinquency And Learning Disabilities, Collette Erica Scandrett Jan 2022

The Statistical Significance Of Juvenile Delinquency And Learning Disabilities, Collette Erica Scandrett

Walden Dissertations and Doctoral Studies

Juvenile delinquency and recidivism have been consistent issues that seem to continually produce substantial numbers. The purpose of this quantitative study was to examine learning disabilities among juveniles and determine their statistical significance to delinquency and recidivism. Durkheim’s theory of anomie and Merton’s anomie/strain theory were used as the theoretical framework to guide the study. Archived cases for 15,900 juveniles, 2,633 of whom were learning disabled, were collected from the South Carolina Department of Juvenile Justice and the South Carolina Department of Education. To provide additional context, age, race, and sex were also analyzed. Chi-square tests were used to analyze …

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Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga Jan 2022

Factors That Influence Seeking Prostate Cancer Preventive Care In African Immigrants, Millicent N. Seilenga

Walden Dissertations and Doctoral Studies

AbstractProstate cancer is a major public health problem, being the second leading cause of cancer deaths in U.S. men, but mortality can be prevented with the use of early detection strategies. African American men are more than twice as likely to die of prostate cancer as compared to Hispanic and White men. African immigrant men as compared to African American men born in the United States have higher mortality rates of prostate cancer due to not seeking preventive care. However, little is known about the factors that prevent African immigrant men living in the United States from seeking prostate cancer …

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Florida’S Courts System Funding After Article V Revision 7, Joseph Ernest Smith, Sr. Jan 2022

Florida’S Courts System Funding After Article V Revision 7, Joseph Ernest Smith, Sr.

Walden Dissertations and Doctoral Studies

The state of Florida approached the topic of funding for the courts system from a policy equilibrium position. The process used to fund Florida’s courts system was changed in 2004 to promote an equitable system of funding. However, a gap in knowledge remains regarding whether this new funding scheme improved the financial health of the courts system. This quantitative study, which involved using the punctuated equilibrium theory (PET) as its theoretical framework, examined funding associated with counties before (1998–2003) and after (2005–2018) the 2004 implementation of Revision 7 to Article V of the Florida Constitution. Revision 7 was examined as …

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Impact Of Exercise On Depression And Anxiety In Adolescents With Complex Trauma Living In Residential Treatment Centers, Candace Snodgrass Jan 2022

Impact Of Exercise On Depression And Anxiety In Adolescents With Complex Trauma Living In Residential Treatment Centers, Candace Snodgrass

Walden Dissertations and Doctoral Studies

Depression and anxiety disorders are two of the most frequently reported mental healthproblems for adolescents entering Residential Treatment Centers (RTCs). Many adolescents in RTCs also have a higher rate of traumatic experiences than their peers. Traumatized children frequently develop mental illness disorders of depression and anxiety. Based on the theoretical foundations provided by attachment theory and social cognitive theory, this pilot study, using secondary data, observed the relationship between exercise participation, depression, trauma, and anxiety for 11 youth in an upper Midwest RTC. Adolescents with higher initial depression and anxiety scores tended to exercise less during RTC than those with …

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Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes Jan 2022

Education For Ltach Nurses On Clinical Monitoring Systems, Deneen Stokes

Walden Dissertations and Doctoral Studies

Alarm fatigue is a patient safety issue. The gap identified in practice is that nurses did not know how to navigate the monitoring system properly such that improper use of the alarm system was the result, which compromised patient safety. The goal of this project aimed to fill the gap in knowledge and skill among the staff and improve the confidence level among nurses by providing an educational program. The practice-focused question focused on whether knowledge, skills, and confidence would increase among nurses after receiving education on the clinical monitoring system. The model to facilitate organizing and analyzing this project …

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Combating Firefighter Line Of Duty Injuries, Anthony Stowers Jan 2022

Combating Firefighter Line Of Duty Injuries, Anthony Stowers

Walden Dissertations and Doctoral Studies

AbstractFirefighter injuries add significant costs to fire department budgets and negatively impact operational readiness. Fire service leaders who lack strategies to minimize firefighter injury risk increased department costs and reduced operational readiness. Grounded in transformational leadership theory, the purpose of this multiple case study was to explore strategies fire service leaders use to minimize firefighter injuries. The participants included fire chiefs in New Hampshire and Massachusetts who successfully implemented strategies to minimize firefighter injuries. Data were collected from semistructured interviews and a review of fire department policies and records concerning firefighter injuries and injury prevention. Thematic analysis of the data …

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Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese Jan 2022

Clinical Practice Guidelines For Type 2 Diabetes Patients, Rajeena Varghese

Walden Dissertations and Doctoral Studies

In the United States, Type 2 diabetes mellitus (T2DM) is a public health concern and a primary cause of readmissions to hospitals. Many patient readmissions may be avoided if quality, evidence-based clinical practice guidelines (CPGs) are developed and followed using a comprehensive approach. The project site’s retrospective analysis of electronic health records indicated a lack of consistency in following best practice recommendations, as shown by higher readmission rates. The purpose of this project study was to create a current evidence-based CPG that nurses can use to educate T2DM patients before being discharged from the hospital. The practice-focused question addressed whether …

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Predictors Of Social And Psychological Functioning Among Participants In The Copdgene Cohort, Shandi Watts Jan 2022

Predictors Of Social And Psychological Functioning Among Participants In The Copdgene Cohort, Shandi Watts

Walden Dissertations and Doctoral Studies

This study addressed the relationship among longitudinal smoking status, depression, anxiety, health-related quality of life, and psychological and social functioning due to airflow limitations among adult patients with COPD who are enrolled in the COPDGene Cohort Study. The purpose of this research was to address the gap in the literature concerning the relationship among these variables at two time points, 5 years apart. A cognitive approach was used suggesting that as disease progresses and physical ability becomes more limited, then depression and anxiety will increase, and quality of life will decrease. This was a quantitative, longitudinal, nonexperimental study using archived …

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The Impact Of Funding On Organizational Sustainability Of Mental Health Nonprofits In The County Of Orange, California, Sophia E. Valdez Jan 2022

The Impact Of Funding On Organizational Sustainability Of Mental Health Nonprofits In The County Of Orange, California, Sophia E. Valdez

Walden Dissertations and Doctoral Studies

There is a gap in literature regarding sustainment of mental health programs following budget reductions. Customarily, decreases in budgets have been presumed to be connected to decreases in sustainability. The purpose of this quantitative correlational study was to describe the impact that a decrease in Proposition 63 funding had on nonprofit sustainability in the County of Orange, California. In 2004, California lawmakers enacted Prop 63 to revitalize the public mental health system. The Consolidated Framework for Implementation Research was used as the conceptual framework for this study. This tool can be used to measure data in five categories; intervention, inner …

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Boost Tool Implementation And Sepsis Readmissions, Length Of Stay, And Patient Satisfaction, Jane Venus-Nocentelli Jan 2022

Boost Tool Implementation And Sepsis Readmissions, Length Of Stay, And Patient Satisfaction, Jane Venus-Nocentelli

Walden Dissertations and Doctoral Studies

Sepsis is a global concern because it contributes to high mortality rates, increased healthcare costs, and poor patient outcomes. Health care organizations have used risk stratification tools such as the Better Outcomes by Optimizing Safe Transitions (BOOST) tool to reduce unnecessary readmissions, decrease length of hospital stays, and improve patient health outcomes. But there is limited data on the use of the BOOST tool in the sepsis population and the impact on readmissions and length of stay. The purpose of this quantitative study was to investigate the relationship between BOOST tool implementation, readmissions, and length of stay in patients with …

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The Relationship Between Nephrologist Characteristics And Home Dialysis Usage, Meagan Marie Wilson Jan 2022

The Relationship Between Nephrologist Characteristics And Home Dialysis Usage, Meagan Marie Wilson

Walden Dissertations and Doctoral Studies

Home dialysis is a cost-effective and efficient means of treating end-stage renal disease. Under-utilization of home dialysis results in higher than necessary Medicare spending and loss of quality of life for patients. The purpose of this study was to understand the relationship between a nephrologist's length of time in practice, a nephrologist's belonging to a Joint Venture (JV) financial arrangement with a home modality program, and the use of home dialysis and home modality education using a quantitative, correlational design. Roger's diffusion of innovation theory explains the varying willingness of individuals to accept innovation. Secondary data were collected from Medicare …

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Health Belief Effects On Preventive Health Among Hispanic Migrant And Seasonal Farmworkers, Angela M. Trawick Jan 2022

Health Belief Effects On Preventive Health Among Hispanic Migrant And Seasonal Farmworkers, Angela M. Trawick

Walden Dissertations and Doctoral Studies

Migrant and seasonal farmworkers (MSFWs) are the unhealthiest workers in the United States and experience barriers to preventive healthcare. While faced with numerous health risks, many Hispanic MSFWs may not seek preventive health services or have access to them when they need them. The purpose of this study, guided by the rural nursing theory, was to understand the beliefs/health seeking behaviors of MSFWs and how they described usage of preventive health services. Fourteen Hispanic farmworkers volunteered to do telephone or in person interviews. The codes and categories were reviewed to identify patterns and make connections between the data using Saldana’s …

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The Postintervention Return To Traffickers By Minor Victims Of Domestic Sex Trafficking, Angela Denise Washington Jan 2022

The Postintervention Return To Traffickers By Minor Victims Of Domestic Sex Trafficking, Angela Denise Washington

Walden Dissertations and Doctoral Studies

Domestic minor sex trafficking (DMST) is a human rights problem that plagues all sizes of U.S. communities. The phenomenon of young sex trafficking victims returning to their trafficker after intervention by law enforcement and social services professionals exacerbates the DMST problem. The purpose of this qualitative study was to learn the perceptions of professionals who work with DMST youths to help understand (a) The reasons DMST victims return to their traffickers after intervention and (b) strategies that might reduce the likelihood of such returns. The study had three conceptual frameworks: social learning theory, routine activities theory, and anomie theory. Data …

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