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Self-Efficacy And Perceived Susceptibility As Predictors Of Condom Use Among African American Males, Karla Nash

Walden Dissertations and Doctoral Studies

AbstractHuman immunodeficiency virus (HIV/AIDS) is a disease that claims lives on a global scale, and correct condom use reduces the likelihood of infection by 10 to 20 times. African-American males are at increased risk for contracting HIV/AIDS compared to the general population. The purpose of this quantitative study was to determine the relationship between self-efficacy, susceptibility, and condom use in Californian African-American men using the health belief model as a theoretical guide. One hundred and five African American men between the ages of 18 and 35 years were recruited through local barber shops, sports and recreation centers, churches, and social …

Alzheimer's Disease: Risk And Protective Factors To Improve Detection And Prevention, Darryl Clay Nevels

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is a growing epidemic and is the sixth-leading cause of death in the United States. Individuals with AD often have comorbidities due to the aging process. There is a lack of research on comorbidities as associated risk factors for AD. The leading hypothesis indicates that cardiovascular health issues, environmental exposure, social isolation, and amyloid-beta plaques influence cognitive health and are associated with AD. This study, guided by Finch and Kulminski’s AD exposome, is a caveat to explore a patient’s physical history of cardiovascular health, modifiable behavior, social isolation, and an AD diagnosis. Participants provided health information collected …

Impact Of Religion On Mental Health Care Use Among African Immigrants In The United States, Mary Nganga

Walden Dissertations and Doctoral Studies

Mental health illnesses are the leading causes of disability worldwide with one in every five people suffering from mental illness in the United States. African Immigrants are the fastest growing immigrant group in the United States, yet their mental health care use remains relatively low. African immigrants face stressors that may lead them to be more prone to mental illness, yet they depend on religion and family support rather than formal mental health care. The purpose of this qualitative study was to understand the impact of religion on mental health care use among African immigrants in the United States. The …

Educating Nursing Staff Regarding African Immigrants And Mental Health Stigma, Kelly Ngenge

Walden Dissertations and Doctoral Studies

AbstractMental health stigma exists across multiple minority populations, especially among African immigrants in the United States. The purpose of this project was to increase staff knowledge at an outpatient mental health clinic by educating them on mental health stigma among African immigrants in the United States. The practice-focused question guiding this study was: Does nursing staff education on mental health stigmas among African immigrants increase knowledge? Two theories served as the theoretical framework for this doctoral project: social stigma theory and modified labeling theory. Seventeen staff members voluntarily participated in a 60-minute nursing staff education project based on the analysis, …

Perceived Stress Of Grandparents Parenting Their Grandchildren, Beverly Gale Nicholas

Walden Dissertations and Doctoral Studies

Parenthood responsibilities are changing in the United States. The overall research problem for this study was that grandparents are parenting their grandchildren when their adult children are incarcerated for alcohol abuse or use. The importance of this problem is that as adults age, they are taking on the responsibilities of being parents rather than grandparents. In this new role, grandparents may not have the coping strategies or social support to ensure that they have life satisfaction during their senior years. The purpose of this study was to assess the independent variables, age and perceived stress (low, medium, and high), as …

The Effectiveness Of Strategy Execution In The Regulatory Management Of The Nigerian Downstream Petroleum Industry., Michael Chinedu Nwonu

Walden Dissertations and Doctoral Studies

AbstractNigeria is Africa’s largest oil and gas producer; however, its petroleum industry has experienced mismanagement and a lack of coherent regulations. The general problem addressed in this study was that leaders and managers of Nigeria’s public sector did not have a strong system in place to create and implement regulatory strategies that effectively controlled the management of the petroleum sector. The purpose of this qualitative phenomenological study was to explore the lived experiences of managers in developing petroleum regulatory strategies defined by the Federal Ministry of Petroleum Resources, FMPR, in Abuja, Nigeria. The realization concept was applied as a conceptual …

The Relationship Between Housing/Living Arrangement And Admission To Drug Treatment Centers In Virginia, Odessa Ochoa

Walden Dissertations and Doctoral Studies

Homeless veterans with substance use disorders are among the most vulnerable and inaccessible populations in Virginia, which is evident by the lack of state and local resources. This cross-sectional study was conducted to present a retrospective assessment of the Treatment Episode Data Set (TEDS) to develop an understanding of the impact of housing arrangements on admission to long-term drug treatment centers among veterans in Virginia. To guide the study, the socioecological model was selected as the theoretical framework to better examine and understand the relationship between housing/living arrangement and admission to drug treatment centers among Virginia veterans. The aim of …

Second Victims In Nursing, Ofelia O'Donnell

Walden Dissertations and Doctoral Studies

Nurses involved with an unexpected adverse patient event can experience guilt, depression, stress, and anxiety and relive the incident, known as the second victim phenomenon. Nurses would benefit from education on the topic of the second victim. The project holds significance for nursing practice as implementing second-victim education increased knowledge and awareness while promoting a just culture that fosters a psychologically safe environment focused on process and system improvement. Use of the analysis design development implementation evaluation (ADDIE) model and the Walden Manual for Education guided the project planning and implementation. The sources of evidence were obtained through a combination …

Diabetes Distress Among Adults Living In Texas, Jenny Chinedu Ogadi

Walden Dissertations and Doctoral Studies

About 34.2 million Americans (approximately 10.5% of the total U.S. population) live with diabetes. African Americans are twice as likely to be diagnosed with diabetes and more likely to be less compliant with treatment medication regimens and suffer from related complications, compared to non-Hispanic Whites. Such disparities brought attention to the need to investigate and understand better the diabetes distress of diverse groups of diabetics. The purpose of this cross-sectional study was to examine the relationships between demographic factors (race, age, gender, and educational level), diabetes education, diabetes management, and diabetes distress of adult diabetics in Texas. The theory of …

Challenges Of Digital Privacy In Banking Organizations, Okechukwu Innocent Ogudebe

Walden Dissertations and Doctoral Studies

As the information and technology age becomes more advanced, digital privacy flaws have become more challenging. Information technology (IT) security managers, chief information security officers, and other stakeholders in banks are concerned with identity-based authentication attacks because identity-theft attacks cause data breaches. Grounded in the protection motivation theory, the purpose of this qualitative pragmatic study was to examine strategies IT security professionals working on internet banking platforms use to mitigate identity-based authentication attacks. The study participants comprised five IT security professionals currently working in the online banking industry from the northeastern United States with at least 5 years of experience …

The Experience And Perception Of Contraceptive Use Among Teenage Girls Living In Lagos, Nigeria, Kikelomo Omotoso

Walden Dissertations and Doctoral Studies

AbstractThere is a low level of contraceptive use among Nigerian teenagers, leading to unwanted pregnancies and subsequently unsafe abortions. Sexual activities among teenagers in Lagos, Nigeria, are a major public health problem. The principal factors leading to this health problem are poverty, peer pressure among university students leading to involvement in the sex trade, and early marriage in some cultures. There are myths and perceptions about the use of contraception in society, especially concerning the use of condoms, which Nigerian teenagers believe do not make intercourse interesting or satisfying; these ideas can lead to unwanted pregnancies, sexually transmitted infections (STIs), …

Successful Recruitment And Retention Strategies Used By Logistics Hiring Managers, Anna Ouattara

Walden Dissertations and Doctoral Studies

Employee turnover results in increased employers’ costs and a decrease in profitability. Transportation hiring managers who lack strategies to recruit and retain employees risk higher employee turnover, resulting in reduced profitability. Grounded in Herzberg’s two factory theory, the purpose of this qualitative multiple case study was to explore strategies transportation hiring managers use to recruit and retain employees to reduce employee turnover and improve profitability. The participants were three transportation hiring managers from three transportation companies in Eagan, Minnesota, who successfully implemented strategies resulting in employee retention. Data were collected using semi-structured interviews and a review of company documents. Data …

Non-Disclosure Of Child Sexual Abuse: The Lived Experience Of Victims In South Africa, Chima Obiora Ozor

Walden Dissertations and Doctoral Studies

Child sexual assault (CSA) has been reported all over the world. Studies indicated that South Africa has one of the highest incidences with far reaching social, physical and emotional consequences. However, non-disclosure is common, which increases the risk of revictimization. Understanding the complexities surrounding the low reporting and non-disclosure will provide guidance for better intervention of CSA in South Africa. This study explored the past experiences of adults who were sexually abused as minors, and how their experiences and outcomes may have been influenced by factors at the micro, meso, macro, and chrono-system levels of Bronfenbrenner’s social ecological model. The …

Improving Advance Care Planning Among Native Americans, Jasjit Kaur Pataria

Walden Dissertations and Doctoral Studies

A staff education project was created in a tribal health system of primary care clinics to improve advance care planning (ACP) conversations between care providers and Native American tribal patients. ACP conversations and advance directive documentation occurrences were found to be low or negligible in the project site despite primary care clinics being an ideal place to start these conversations. The purpose of the staff education project was to improve the knowledge and attitudes of providers toward initiating ACP conversations in a rural underserved community of Native Americans. The knowledge-to-action model was used to frame the project. Pretests and posttests …

Relationship Between Nursing Staffing Hours (Rns & Lpns) And Covid-19 Mortality In Indiana Nursing Homes, Chirag Chandrakant Patel

Walden Dissertations and Doctoral Studies

During the COVID-19 pandemic, many nursing homes struggled to meet the needed staffing levels, compromising service delivery in health institutions across the United States. The disproportionate effect of COVID-19 on various health care institutions and staff-patient ratios rejuvenated discussions on the longstanding workforce challenges on quality care and outcomes. The purpose of this quantitative study was to evaluate the relationship between registered nurse (RN) staffing hours and COVID-19 deaths in Indiana private and public nursing home residents based on the data obtained in the Care Compare database and Indiana Department of health COVID-19 portals. The independent study variables were RN …

Health Responsibility In Community College Students, Christine Phillips

Walden Dissertations and Doctoral Studies

Community college students are less healthy than 4-year college students, and they tend to have a higher allostatic load than their 4-year counterparts. Although research demonstrated that community college students are at greater risk for physical and mental illness, a better understanding of how community college students perceive their health responsibility was needed. A basic qualitative approach was employed to study how community college students experience health responsibility. Self-determination theory and the health belief model were used to guide the development of a semistructured interview and analysis plan. Thirteen adult credit-seeking students were interviewed. Data were analyzed using a top-down …

Teacher Perceptions Of Technology-Enhanced, Collaborative, Project-Based Learning On Students In Mixed-Ability Classrooms, Amy Lauren Pierson

Walden Dissertations and Doctoral Studies

The skill of collaboration is fundamental for every student as a future participant of a global society. Students with learning disabilities feel excluded amongst peers in a traditional classroom setting, specifically elementary students with learning disabilities in the area of collaboration. The overall purpose of this basic qualitative study was to explore elementary teacher perceptions of how students in mixed-ability classrooms collaborate using technology in a project-based learning (PBL) environment. Vygotsky’s social constructivism theory informed this study by providing a framework for learning in social groups, specifically collaborative learning practices in a PBL environment. The research question in this study …

Resilience Of Former Offenders Released From A Halfway House, Tasha Andrea Pritchett

Walden Dissertations and Doctoral Studies

Former offenders confront a myriad of obstacles that often lead to re-offending and return to prison. Re-offending also creates financial and social burdens for taxpayers. There is some evidence that the consequences of incarceration for offenders can be buffered through resilience. Factors that promote resilience can be personal (internal) and environmental (external), and may directly or indirectly affect offenders’ adaptation, well-being, and development as they transition out of prison. The purpose of the study was to explore the narratives of resilience in adult males who have transitioned from halfway houses to mainstream society. Richardson’s metatheory of resilience and resiliency was …

Stories Of Adults Experiencing Overweight Or Obesity With Histories Of Childhood Adversities, Megan Propps

Walden Dissertations and Doctoral Studies

More than half the population in and outside of the United States experience childhood adversity, which is associated with the risk of developing obesity and overweight problems across the life span. In the United States, overweight affects 73.6% of adults, obesity affects 42.5% of adults, and both are considered a major public health concern. With this qualitative study, 18 adults with early life adversities were explored as to how experience weight loss treatment within their primary care. This narrative inquiry was designed to answer the research questions intended to explore physical health, mental health, and socio-environmental aspects of their stories, …

Beliefs, Skill Sets, And Behaviors Of Police Officers Regarding Mental Health Treatment, Kareem C. Puranda

Walden Dissertations and Doctoral Studies

Current law enforcement training assumes that police officers can manage their mental health with minimal support. This cultural attitude creates a fear of being unfit if police officers seek assistance for their mental health. Law enforcement suicide rates have outnumbered duty-related deaths in recent years. Statistics show that police officers are twice as likely to die by suicide for reasons related to stress. Mental health treatment is the ideal solution, but research has shown that police officers often reject treatment due to stigma. This qualitative study aimed to examine factors that hindered law enforcement officers from obtaining mental health treatment. …

The Experiences Of Female Survivors Of Sexual Assault When They Make A Police Report, Tracy L. Rainey

Walden Dissertations and Doctoral Studies

Nearly 20% of all women will be the victim of an attempted or completed sexual assault within the United States, yet less than one quarter of victims will report their experienced crime to law enforcement (LE). Many survivors of sexual violence experience apprehension about reporting sexual assault, due to fear of social consequences, relational consequences, and fear of the reprisal from LE officers. The purpose of this interpretive descriptive qualitative study was to describe and interpret the experiences of adult, female sexual assault survivors when they make a LE report about their victimization. Resilience theory, which is the study of …

Staff Nurses Lack Of Knowledge And Opioid Use At The Veteran Administration, Cathy J. Ramey

Walden Dissertations and Doctoral Studies

AbstractStaff Nurses’ Lack of Knowledge and Opioid Use at the Veteran Administration By Cathy Ramey

MS, University of Phoenix, 2014BS, Chamberlain University, 2008

Dissertation Submitted in Partial Fulfillment Of the Requirements for the Degree of Doctor of Nursing Practice

Walden University November 2022

Abstract Opioids are often prescribed for pain management, which may have led to high rates of opioid addiction among veteran populations. The problem identified in this DNP project was the nurses’ lack of knowledge regarding pain management and the use of opioids in the veteran’s (VA) hospital where the project commenced. Using the Analyse, Design, Develop, Implement, …

The Relationship Between Work Engagement, Burnout, And Employee Turnover Intention, Lannita J. Randle

Walden Dissertations and Doctoral Studies

Employee turnover can cost an organization 30% to 250% of a worker’s annual compensation to replace and train an employee. Understanding employee intent to leave is vital for human resource managers in the field service industry to help reduce turnover. Grounded in Alderfer’s Existence, Relatedness, and Growth (ERG) theory, the purpose of this quantitative correlation study was to examine the relationship between work engagement, employee burnout, and employee turnover intention in the field service industry. The participants were 169 full-time service repair employees residing in the metropolitan Houston, Texas area who completed the Utrecht Work Engagement Scale, Maslach Burnout Inventory, …

Work-Life Balance And Job Satisfaction For Older (55+) African American Men, Anthony B. Redic

Walden Dissertations and Doctoral Studies

Corporate work-life balance (WLB) strategies help workers achieve psychological, physical, and emotional stability and contribute to organizational success. Most of the current literature centers on female workers, however, leaving the experiences of a sizable segment of workers, African American men aged 55 and older, unexplored. The purpose of this quantitative study was to examine whether WLB predicted job satisfaction among African American men aged 55 and older. A secondary purpose was to examine whether work hours and age moderated the relationship with job satisfaction. The theoretical framework included the boundary and border theories. The sample consisted of 126 African American …

Improving Employee Productivity Using Effective Leadership Strategies, Candice Nicole Rodgers

Walden Dissertations and Doctoral Studies

Low employee productivity has the potential to impact small business outcomes negatively. Small business leaders who can develop and use strategies to increase employee productivity, improve employee morale, and lower employee turnover rates can help a business succeed and grow. Grounded in the decision-making model of leadership theory, the purpose of this qualitative, multiple case study was to identify strategies some small business leaders use to increase employee productivity. The participants consisted of one leader from five different small businesses who had experience implementing leadership strategies to improve employee productivity. Data were collected using semistructured interviews, a review of documents, …

Integrating Social Justice Advocacy In Clinical Supervision, Mary Rodgers

Walden Dissertations and Doctoral Studies

A research gap exists on the process for how supervisors effectively address social justice advocacy (SJA) in clinical supervision within the counseling profession. The purpose of this constructivist grounded theory (CGT) study was to increase understanding of the process by which SJA can be integrated into clinical supervision and thus generate a theory for teaching supervisors to effectively integrate SJA into clinical supervision. A constructivist grounded theory approach provided direction on the structure of this study to identify how professors who are social justice advocates and provide clinical supervision to doctoral students in Council for Accreditation of Counseling and Related …

Social Distance Compliance And Perceived Importance Of Online Youtube Diabetes Prevention Programs, Bettyann Rogers

Walden Dissertations and Doctoral Studies

This quantitative, nonexperimental survey was designed using a five-point Likert scale to measure the differences in the perceived importance scores for enrollment practices into nationally accredited YouTube diabetes prevention programs, or YouTube DPP, among online U.S. adult participants during the COVID-19 pandemic based on the social cognitive framework and was validated with Cronbach’s alpha. G* Power analysis for alpha level = 0.05, standard power = 0.08, and the effect size = 0.25 was calculated for a target population of over 100,000. Responses (i.e., N = 258) from the COVID-19 Blood Sugar Wellness Survey were uploaded from SurveyMonkey. The perceived important …

Middle School Teachers’ Perceptions Of Student Disengagement And Its Role In Low Academic Achievement, Georgia Ross-Holmes

Walden Dissertations and Doctoral Studies

AbstractDisengaged students display boredom, low achievement, and high dropout rates. The problem addressed in this study was the need for a better understanding of teachers’ perceptions about disengaged students, which is essential in developing interventions to support students’ school completion. This basic qualitative study explored teachers’ perceptions of the underlying reasons for student disengagement and explored how teachers perceived the role of disengagement in student academic achievement. The self-system motivational theory lens was the framework used to guide the research and address the research questions, which asked about middle school teachers’ perceptions of the underlying reasons for student disengagement and …

Job Embeddedness, Professional-Identity, And Employee Turnover Intentions In Higher Education Foodservice Operations, Amanda Rotondi

Walden Dissertations and Doctoral Studies

The total annual separation rate for the accommodations and food services industry for 2021 was 86.3%. Food service leaders care about high turnover intentions as it leads to increased turnover, negatively impacting service, and profitability. Grounded in job embeddedness theory, the purpose of this quantitative correlational study was to examine the relationship between fit, sacrifice, link, professional identity, and turnover intentions. The participants were 122 food service workers from New England colleges and universities who were 20 years and older with operational, supervisory, and managerial roles in college dining services and holding various levels of education. The results of the …

Roles, Responsibilities, And Contributions Of Medical Social Workers In An Interdisciplinary Team, Jacqueline Jeanette Ruffin

Walden Dissertations and Doctoral Studies

In the field of social work, roles, responsibilities, and contributions of social workers within an interdisciplinary team are often undefined. The purpose of this qualitative study was to explore and describe medical social workers’ perceptions of their roles, responsibilities, and contributions to an interdisciplinary team. The theoretical frameworks that guided this study are Bronstein’s model of interdisciplinary collaboration, Luhmann’s systems theory, and Slater’s role differentiation. Interviews were conducted with 10 medical social workers who currently or previously worked within an interdisciplinary team to explore medical social workers’ perceptions of their roles, responsibilities, and contributions to an interdisciplinary team. Deductive coding …