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2022

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An Integrated Care Transitions Program And 30-Day Readmission Rates For Heart Failure And Chronic Obstructive Pulmonary Disease, Kathryn J. Martinez Jan 2022

An Integrated Care Transitions Program And 30-Day Readmission Rates For Heart Failure And Chronic Obstructive Pulmonary Disease, Kathryn J. Martinez

Walden Dissertations and Doctoral Studies

The impact of hospital readmissions on an organization includes reimbursement penalties, elevated mortality and morbidity rates, increased health care expenditures, and poor quality of life for the community’s residents. This study examined the impact of an integrated care transitions program on the 30-day readmission rates for heart failure and chronic obstructive pulmonary disease (COPD) within an independent rural community health care organization in Middle America. The two research questions pertained to the relationships pre-and post-implementation of this program to the 30-day readmission rates for these two disease processes. The Donabedian model examined the structure and function of an integrated care …

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The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin Jan 2022

The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin

Walden Dissertations and Doctoral Studies

Stress results in many people altering their eating patterns, often consuming food high in sugar and fat. Such behavior is a factor in the growing obesity epidemic and can potentially cause the development of chronic diseases, resulting in employment problems and billions of extra dollars spent on national health care programs. Researchers have focused on the concept of “emotional eating” while overlooking the overarching research question of this study, which was about exploring the experience of individuals using eating behavior as a coping mechanism to deal with stress. All responses were viewed through the lens of social cognitive theory. Interviews …

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Student Nurses’ Senior Practicum Experience And Its Role In Transition To Practice, Trilla Mays Jan 2022

Student Nurses’ Senior Practicum Experience And Its Role In Transition To Practice, Trilla Mays

Walden Dissertations and Doctoral Studies

Newly graduated nurses (NGNs) are not prepared to transition to practice, often leaving practice within the first year. The purpose of this descriptive qualitative study, guided by Meleis’ transition theory, was to explore the NGN’s perceptions of their senior practicum experience and how the experience prepared them for transition to practice. The Covid-19 pandemic limited recruitment of participants. After extended recruitment efforts, three NGNs were recruited, interviewed using a semistructured interview guide, and recorded using Zoom, which was verified while listening to the recording. The Ravitch and Carl three-pronged coding approach and NVivo was used to assist with the manual …

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Strategies Information Technology Outsourcing Managers Use To Improve Business Performance And Employee Retention, Timothee Ntouba Mboule Jan 2022

Strategies Information Technology Outsourcing Managers Use To Improve Business Performance And Employee Retention, Timothee Ntouba Mboule

Walden Dissertations and Doctoral Studies

AbstractVoluntary employee turnover can result in adverse business outcomes. Information technology (IT) managers are concerned with voluntary turnover, which is the number one reason for actual turnover. Grounded in the transaction cost theory, the purpose of this qualitative multiple case study was to explore strategies IT managers use to improve business performance and employee retention. The participants comprised four IT managers from two firms in Arizona who effectively used strategies to improve business performance and employee retention. Data sources included semi-structured interviews, a review of archival company documents, and field notes. The data were thematically coded and analyzed, and four …

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Improving Nurses' Knowledge Of Patient Self-Management Of Sickle Cell Disease, Angel Amaura Mccullough Jan 2022

Improving Nurses' Knowledge Of Patient Self-Management Of Sickle Cell Disease, Angel Amaura Mccullough

Walden Dissertations and Doctoral Studies

Sickle cell disease (SCD) is a chronic illness affecting over 100,000 Americans annually. SCD causes severe pain, which may require frequent hospital admissions for pain control. A high level of patient self-care knowledge is needed to prevent readmissions. Patients usually receive self-care education at hospital discharge from nurses, who may not know about self-care in SCD. Inadequate patient education on self-management of SCD at hospital discharge can lead to hospital readmissions. There was a gap in knowledge among RNs regarding SCD self-care at the local facility. This doctoral project was intended to educate nurses about SCD self-management to increase their …

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K-12 Administrators’ Perceptions Of Factors Contributing To Teacher Attrition In Rural Schools, Michelle Mcdonald Jan 2022

K-12 Administrators’ Perceptions Of Factors Contributing To Teacher Attrition In Rural Schools, Michelle Mcdonald

Walden Dissertations and Doctoral Studies

Teacher attrition is a debilitating problem that plagues education, contributes to the teacher shortage, and challenges administrators to staff schools with qualified teachers. The high teacher attrition rates in rural schools in the southeastern United States were the fundamental problem addressed in this qualitative case study. This qualitative case study's purpose was to explore how K–12 administrators perceived the factors influencing teacher attrition in a rural school district in the southeastern United States. Maslow's hierarchy of needs human motivation theory, emphasizing the concepts of the hierarchy of needs, provided support for the two research questions exploring K–12 school and district …

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Strategies To Encourage Innovative Employee Performance In The Automotive Industry, Derek Mcelrath Jan 2022

Strategies To Encourage Innovative Employee Performance In The Automotive Industry, Derek Mcelrath

Walden Dissertations and Doctoral Studies

The lack of innovative employee performance in the automotive industry leads to failure when it comes to the execution of organizational strategies. Senior automotive managers are concerned with innovative employee performance, as it has the potential loss of knowledge and the skillset by the employee. Grounded in Vroom’s expectancy theory, the purpose of this qualitative multiple case study was to explore strategies automotive managers use that encourage innovative employee performance. The participants were three senior automotive managers in Southeastern Michigan with at least three years of knowledge in employee work performance. Data were collected through semistructured interviews. Through thematic analysis, …

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Impact Of 9/11 Attacks And Federal Funding On The National Guard’S Organizational And Operational Focus, Michael Christopher Mcmahon Jan 2022

Impact Of 9/11 Attacks And Federal Funding On The National Guard’S Organizational And Operational Focus, Michael Christopher Mcmahon

Walden Dissertations and Doctoral Studies

There is a problem in the United States national security enterprise related to the National Guard’s organizational responsibilities to state and federal governments, and it was unknown whether this hybrid structure caused capabilities to diverge between pre-9/11 and post-9/11 national security priorities. This quantitative study’s purpose was to investigate the use of Congressional funding to determine how and to what degree the National Guard’s capabilities diverged from the United States national security priorities from pre-9/11 to post-9/11 periods. Organizational change and stream analysis conceptual frameworks identified organizational challenges in overcoming inertia and resistance to change. The statistical analysis included public …

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Equipment Rental Companies Leaders’ Customer Retention Strategies, Katrell Shalaine Mcneil Jan 2022

Equipment Rental Companies Leaders’ Customer Retention Strategies, Katrell Shalaine Mcneil

Walden Dissertations and Doctoral Studies

Equipment rental business leaders that employ inadequate customer retention strategies negatively impact organizations’ performance and profitability. Improved customer retention strategies might improve key customer retention and increase market share. Grounded in the customer retention management theory, the purpose of this qualitative multiple case study was to explore strategies rental leaders use to retain customers. Participants were 10 equipment rental leaders from the Southwest Region of the United States that successfully retained their key customers through effective customer retention strategies. Data were collected using semistructured interviews and a review of materials from organizational websites regarding customer order fulfillment and technology. Through …

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The Effects Of Stress Reduction For Healthcare Workers On Covid Units, Rosita Cynthia Mctaggart Jan 2022

The Effects Of Stress Reduction For Healthcare Workers On Covid Units, Rosita Cynthia Mctaggart

Walden Dissertations and Doctoral Studies

The rise of the COVID pandemic was a surprise to many. Since Florence Nightingale, society has suffered from various epidemic infectious diseases. This specific educational project was developed because of the stress and the aftereffects experienced by many healthcare workers coping with the working conditions related to COVID. This educational project is important because according to the World Health Organization, a healthy environment is a place for physical, mental, and social well-being, which supports optimal health and safety. Healthcare workers should be provided an educational program to assist them in minimizing stress. Havelock’s and Lewin’s theory of change was chosen …

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African American Male Ex-Offenders’ Experiences Of Housing Support And Other Postincarceration Services, Joyce Denise Mcphee Jan 2022

African American Male Ex-Offenders’ Experiences Of Housing Support And Other Postincarceration Services, Joyce Denise Mcphee

Walden Dissertations and Doctoral Studies

Abstract Many male African American ex-offenders lack resources that would allow them to become successful in reentering society. The purpose of this study was to explore the experiences of male African American ex-offenders regarding homelessness and the search for housing after release from incarceration. Schneider and Ingram’s theory of social construction of target populations was the framework for the investigation. Data were collected by conducting semistructured interviews with 12 adult African American male ex-offenders from the South Florida region of the United States who were experiencing homelessness. Participants self-selected by responding to a flyer posted at a shelter. Data analysis …

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The Effects Of Acculturative Stress On The Physical/Mental Health Of Immigrant Mexican Women, Maria Del Carmen Mendoza Griego Jan 2022

The Effects Of Acculturative Stress On The Physical/Mental Health Of Immigrant Mexican Women, Maria Del Carmen Mendoza Griego

Walden Dissertations and Doctoral Studies

AbstractImmigrants may experience acculturative stress as they adapt to their host country's dominant culture, which previous research has indicated may affect their physical and mental health. The purpose of this quantitative study utilizing a random sample was to examine the effect of acculturative stress and age on the mental and physical health of adult women of Mexican origin living in the United States, considering the moderation of perceived discrimination. The theoretical framework of acculturation by John W. Berry guided this study. The three research questions involved understanding whether immigrant Mexican women experienced a negative effect on their mental and physical …

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Strategies To Improve Quality Of Care And Increase Medicare Payments In Hospitals, Emmanuel Mendoza Jan 2022

Strategies To Improve Quality Of Care And Increase Medicare Payments In Hospitals, Emmanuel Mendoza

Walden Dissertations and Doctoral Studies

The difficulty that nurse leaders experience in administrating quality of care while increasing Medicare payments threatens the hospital's patient well-being and financial stability. Health care administrators should be concerned about these issues to ensure their hospitals meet patient and community needs. Grounded in the performance improvement model, the purpose of this qualitative single case study was to explore strategies that hospital managers use to improve the quality of care and increase Medicare payments. The participants were six nurse leaders of a medium size hospital based in Houston, Texas. Data were collected using semistructured virtual interviews and a review of company …

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Manufacturing Managers’ Strategies To Implement Successful Change, Simon Mendy Jan 2022

Manufacturing Managers’ Strategies To Implement Successful Change, Simon Mendy

Walden Dissertations and Doctoral Studies

Approximately 70% of successful reengineering implementations and process design change initiatives within organizations fail to achieve expected results. Business leaders in manufacturing organizations are concerned that the low success rate hurts process improvement, business growth, and survival. Grounded in Lewin’s three-step model of change, the purpose of this qualitative multiple case study was to explore strategies manufacturing managers use to implement and maintain reengineering and design change initiatives. Participants were four managers who successfully implemented and maintained reengineering and process design change initiatives in the south region of the United States. Data were collected from face-to-face semistructured interviews and various …

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Diabetes Self-Management Education For Nurses In The Primary Care Setting, Emilea Emade Mfortow Jan 2022

Diabetes Self-Management Education For Nurses In The Primary Care Setting, Emilea Emade Mfortow

Walden Dissertations and Doctoral Studies

AbstractDiabetes is a chronic disease that can be controlled by self-management to reduce the risk of acute or long-term complications. Healthcare might encounter many challenges for patients’ lack of adherence to diabetes self-management education. For this reason, lifestyle modification can be applied as a tool in the nursing field to manage adult patients with type 2 diabetes mellitus. This doctoral project addressed the gap in nursing practice for adult patients with type 2 diabetes regarding diabetes self-management education. This project focused on improving the nursing staff’s knowledge to promote evidence-based diabetes self-management education with their patients. The goal was to …

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The Relationship Between Team Engagement And Physician Engagement, Lynne Miles Jan 2022

The Relationship Between Team Engagement And Physician Engagement, Lynne Miles

Walden Dissertations and Doctoral Studies

AbstractWhile physician engagement has previously been shown to be related to both turnover and burnout, there are no studies that focus primarily on the relationship between the physician and team. The purpose of this quantitative study was to examine the relationship between team engagement and physician engagement. The theoretical framework used to guide this research study is the neoclassical organizational theory. The secondary data source was from an engagement survey taken by employed team members and physicians. The independent variable is team engagement. The dependent variable is physician engagement. The instrument for the study is valid and reliable and was …

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Strategic Management Practices For Responsible Mining In Artisanal And Small-Scale Mining Projects, Cornelius Mireku-Antwi Jan 2022

Strategic Management Practices For Responsible Mining In Artisanal And Small-Scale Mining Projects, Cornelius Mireku-Antwi

Walden Dissertations and Doctoral Studies

Irresponsible management practices in the Artisanal and small-scale mining (ASM) industry result in wasteful mineral resource recovery and utilization. The lack of ASM managers' ability to implement responsible mining inhibits the ability to grow revenues and profits. Grounded in Mckinsey’s 7S framework, the purpose of this qualitative multiple case study was to explore strategies ASM managers use to establish responsible mining while also improving revenues and profits. The participants were five ASM managers from five ASM companies in Ghana. Data were collected using semistructured interviews and company public documents such as published annual reports. The four themes from the thematic …

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Effective, Efficient, And Fair Conduct In Fire Department Special Assignment Selection Procedures, Eric Mitchell Jan 2022

Effective, Efficient, And Fair Conduct In Fire Department Special Assignment Selection Procedures, Eric Mitchell

Walden Dissertations and Doctoral Studies

The client agency’s special assignment promotions do not have transparent recruitment processes, resulting in artificial barriers within the noncompetitive ranks. The purpose of this professional administrative study was to explore the limitations associated with artificial barriers to the noncompetitive opportunities within fire departments and whether the removal of the barriers would add to job satisfaction. Data were collected from interviews with ten firefighters ranging from captains to chiefs in competitive and noncompetitive positions within the client agency. The findings from coding and thematic analysis indicated artificial barriers are present in the client agency and are classified as political, constraining systems …

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Influence Of Gender, Age, And Ethnicity On Student-To-Teacher Bullying In Community Colleges, Keira Mitchell Jan 2022

Influence Of Gender, Age, And Ethnicity On Student-To-Teacher Bullying In Community Colleges, Keira Mitchell

Walden Dissertations and Doctoral Studies

Student-to-teacher bullying occurs in higher education, including community colleges. The purpose of this quantitative cross-sectional study was to determine whether community college instructors’ self-reported experiences of student incivility/bullying, aggression, and unwanted sexual attention varied based on their gender and ethnicity while controlling for age. The theory of humiliation, which explains that victims experience unjustified treatment from a bully who chooses to humiliate them, was used to guide the study. The independent variables were gender and ethnicity, the covariate was age, and the dependent variables were frequency of student incivility/bullying, aggression, unwanted sexual attention, and levels of distress instructors would feel …

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Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell Jan 2022

Overeating As A Coping Response To Workplace Gender Discrimination: The Role Of Resilience And Social Support, Rosemarie Charmain Mitchell

Walden Dissertations and Doctoral Studies

Gender discrimination in the workplace continues to be a persistent source of stress for women even after 5 decades of antidiscrimination legislation in the United States. Women are more likely than men to cope with stress by overeating, which is a risk factor for chronic illnesses and obesity. Much less is known about the protective factors that could weaken the association between perceived stress and overeating. The purpose of this quantitative study was to address this gap in the literature by examining whether resilience and social support are moderators of the overeating response for women who have experienced gender discrimination …

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School Lunch Timing And Student Body Mass Index, Megan Monteith Jan 2022

School Lunch Timing And Student Body Mass Index, Megan Monteith

Walden Dissertations and Doctoral Studies

Obesity continues to be a leading public health issue in the United States. Many chronic diseases are associated with obesity, including hypertension, diabetes, and several forms of cancer. There are multiple known contributing factors to obesity; however, historically, there has been little research focusing on time of day eating as a possible risk factor for obesity, especially childhood obesity. Childhood obesity is a significant risk factor for adult obesity. Obese children and adolescents are five times more likely to be obese in adulthood. The theoretical foundation for this study was the social ecological model. In this secondary correlational analysis using …

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Educating Nurse Practitioners On Factors Associated With Compassion Fatigue, Alicia Moonesar Jan 2022

Educating Nurse Practitioners On Factors Associated With Compassion Fatigue, Alicia Moonesar

Walden Dissertations and Doctoral Studies

Nurse Practitioners (NPs) across Canada continue to endure the escalating demands of increasing patient workloads, the deficiency of inadequate resources, and the paucity of leadership support. The ongoing exposure to these and other challenges often contributes to a complex work environment that may result in compassion fatigue (CF). CF can be operationally defined as a state of exhaustion and dysfunction because of prolonged exposure to compassion stress and all that it evokes. The need for education and prevention of CF is critical as the prevalence of CF is on the rise. Guided by Watson’s Theory of Human Caring and Benner’s …

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Exploring The Experiences Of Black Male School Counselors In Us Public Schools, Torrenzo Moore Jan 2022

Exploring The Experiences Of Black Male School Counselors In Us Public Schools, Torrenzo Moore

Walden Dissertations and Doctoral Studies

The problem associated with this research inquiry is that Black males are underrepresented in school counselor positions in K-12 schools. Although studies exist in the literature that highlight their importance in the education arena, the impact of Black males working in the school counseling profession has not been well-researched. The purpose of this qualitative descriptive, phenomenological study was to understand the unique experiences of Black male school counselors regarding their underrepresentation in the school counseling profession. The conceptual framework guiding this study is Giorgi’s descriptive phenomenological psychological method and social constructivist theory was the theoretical framework. Procedural processes associated with …

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Optimal Domotic Systems Based On Archival Data Trend Analysis, Bettina Yvette Moore Jan 2022

Optimal Domotic Systems Based On Archival Data Trend Analysis, Bettina Yvette Moore

Walden Dissertations and Doctoral Studies

Domotics is the integration of technology into building systems. Due to the rapid growth in the use of domotic systems in recent years, the industry is struggling to establish consistency and standardization. The purpose of this archival-based qualitative case study was to identify current trends and patterns in scholarly domotic research to create an instrument to evaluate domotic systems and domotic interrelationships using bibliometric searches. The facilities management and modeling system provided the framework for the study. Archival research data were examined to identify trends and patterns in domotic research and provide visualization of domotic relationships through technology trajectory mapping …

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Financial Recordkeeping Strategies For Small Businesses, Dominique Latrice Moore Jan 2022

Financial Recordkeeping Strategies For Small Businesses, Dominique Latrice Moore

Walden Dissertations and Doctoral Studies

Small retail business owners with inadequate record-keeping strategies struggle with the success of their businesses. Business owners who do not have the requisite financial knowledge may not have the skills required to manage the financial affairs of their business. Grounded in the theory of planned behavior, the purpose of this qualitative multiple case study was to investigate strategies small retail business owners use to adopt financial record-keeping strategies to sustain a small retail business beyond 5 years. Data were collected from a review of organizational artifacts and semistructured interviews with three retail small business owners who successfully adopted financial record-keeping …

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Effects Of Posttraumatic Stress Disorder For U.S. Women Veterans, Bobbi N. L. Mount, Phd Jan 2022

Effects Of Posttraumatic Stress Disorder For U.S. Women Veterans, Bobbi N. L. Mount, Phd

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to explore the lived postdeployment experiences of U.S. women veterans with posttraumatic stress disorder (PTSD) and their perception of the impact their diagnosis had on their immediate families. The theoretical framework was Heider’s causal attribution theory. The first two research questions directly addressed the purpose of the study, and the third research question addressed each participant’s experience with accessing mental healthcare services. NVivo was used to transcribe, code, and analyze data derived from semistructured interviews with six U.S. women veterans who were diagnosed with PTSD by a licensed mental health professional postdeployment. …

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Business Strategies For Small Business Survival In Competitive Environments, Wangtzu Moualawtoua Jan 2022

Business Strategies For Small Business Survival In Competitive Environments, Wangtzu Moualawtoua

Walden Dissertations and Doctoral Studies

The majority of small business auto dealerships in the United States close due to business failure within the first 3 years of operation. Small business auto dealership owners who lack business strategies risk financial loss resulting in business failure. Grounded in the resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies small business auto dealership owners used to sustain organizations beyond 5 years. There were six participants, including owners and managers from three small business auto dealerships in Sacramento, California, who used strategies to sustain business operations beyond five years. Data were collected through …

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Association Between Therapeutic Interventions And Quality Of Life In People With Autism, Taline Movsessian Jan 2022

Association Between Therapeutic Interventions And Quality Of Life In People With Autism, Taline Movsessian

Walden Dissertations and Doctoral Studies

Research exploring the impact of autism interventions on the quality of life (QoL) of adults with autism is scarce. This correlational, cross-sectional survey study was conducted to determine the association between seven interventions—behavioral, social, mental health, daily living skills, vocational, mindfulness, and medications—and the QoL and mental health of adults 18 years and older with autism with no intellectual disability living in Canada. A national sample of 182 autistic adults completed the survey that used the WHOQOL-BREF and Depression, Anxiety, and Stress Scale to measure subjective QoL and mental health, respectively. Behavioral, mental health, and medications were the mostly used …

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Exploring Challenges School Social Workers Face When Advocating Services For Childhood Trauma And Abandonment, Danielle Mozie Jan 2022

Exploring Challenges School Social Workers Face When Advocating Services For Childhood Trauma And Abandonment, Danielle Mozie

Walden Dissertations and Doctoral Studies

School social workers focus on the growth and development of school-age youth by connecting students with resources in the school and community. One population that school social workers provide services for is youth with childhood traumatic backgrounds. This population may have increased behavioral problems, absenteeism, and lower academic achievement. The purpose of this generic qualitative study was to better understand what challenges school social workers face when advocating services for school-aged youth experiencing trauma due to neglect from being abandoned. Bronfenbrenner’s ecological system theory was the conceptual framework. Ten licensed master social workers employed as school social workers in the …

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Perceptions Of Hiv Testing Among African-Born Immigrants In Washington State, Phoebe Kirigo Mugo Jan 2022

Perceptions Of Hiv Testing Among African-Born Immigrants In Washington State, Phoebe Kirigo Mugo

Walden Dissertations and Doctoral Studies

African born immigrants (ABIs) face challenges associated with HIV testing. As a result, many ABIs are not tested for HIV, and this population is among some of the most diagnosed at late stages of HIV/AIDS. The purpose of this qualitative phenomenological study was to explore and seek to understand the lived experiences of ABI adults ages 25 to 49 living in Washington State. I gathered data to gain their perceptions of HIV testing through in-depth interviews. The study was informed by the health belief model, which helped to understand the complex nature of healthcare-seeking behaviors among this population and how …

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