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2022

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Strategies For Reducing Voluntary Employee Turnover In Small Business, Sherale Bell Jan 2022

Strategies For Reducing Voluntary Employee Turnover In Small Business, Sherale Bell

Walden Dissertations and Doctoral Studies

Small business owners who lack strategies to reduce high rates of voluntary employee turnover experience decreased organizational performance. Grounded in the two-factor theory, the purpose of this qualitative multiple case study was to explore strategies that small business owners use to reduce high voluntary employee turnover to increase organizational performance. Participants were four small business owners from Midwestern Illinois who successfully used strategies to reduce high voluntary employee turnover. Data were collected from semistructured interviews and internal documents and analyzed using thematic analysis. Four themes emerged: (a) employee turnover, (b) job satisfaction, (c) employee engagement, and (d) monetary incentives. A …

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Ethical Code Of Conduct And Its Impact In Decision Making Among Managers In Local Government In Zimbabwe, Mavis Bhehane Bordvik Jan 2022

Ethical Code Of Conduct And Its Impact In Decision Making Among Managers In Local Government In Zimbabwe, Mavis Bhehane Bordvik

Walden Dissertations and Doctoral Studies

This qualitative case study addressed a gap in administrative ethics literature and was aimed at exploring how leaders in local government make ethical decisions and to understand the impact of codes of ethics on ethical conduct and ethical decision making. Trevino’s interactionist model of ethical decision making was used as a theoretical lens to guide the study. Because the model explores contextual interactions and the moral compass of individuals, it illuminated whether managers in local government perceive ethics and codes of ethics as important in decision making. The research questions solicited information on how leaders in local government describe their …

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High School Teacher Self-Efficacy In Using Blended Learning And Tpack, Sharmain Brown Jan 2022

High School Teacher Self-Efficacy In Using Blended Learning And Tpack, Sharmain Brown

Walden Dissertations and Doctoral Studies

Blended learning helps to improve teaching and learning in high school classrooms; however, there is minimal understanding of how teacher self-efficacy influences their use of blended learning in their teaching. The purpose of this qualitative case study was to generate a more in-depth understanding of how high school teachers within a rural school district perceive their self-efficacy to influence their implementation of blended learning and how they apply the TPACK model to guide their pedagogy. Bandura’s self-efficacy theory and Koehler and Mishra’s TPACK framework served as the conceptual framework for this study. Research questions addressed how high school teachers perceive …

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Using Integrated Staff Education To Increase Medication Adherence In A Mentally Ill Population, Tiffany Dawn Burke-Lott Jan 2022

Using Integrated Staff Education To Increase Medication Adherence In A Mentally Ill Population, Tiffany Dawn Burke-Lott

Walden Dissertations and Doctoral Studies

Failure to adhere to medication regimens is a serious problem that affects both the patient and the health care system. Psychiatric patients have the lowest rates of adherence, as low as 24%. The evidence shows that nonadherence to medication is a global challenge in the field of mental illness and is linked with a poor prognosis. Patients who are nonadherent to medications experience exacerbations of their mental illness, which can lead to rehospitalization, poor psychosocial outcomes, relapse of symptoms, reduced effectiveness of subsequent treatment, wastage of limited health care resources, increased substance abuse, poor quality of life, and increased risk …

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Psychological Capital And The Relationship Between Authentic Leadership And Employee Well-Being, Bianca Cardenas Jan 2022

Psychological Capital And The Relationship Between Authentic Leadership And Employee Well-Being, Bianca Cardenas

Walden Dissertations and Doctoral Studies

It is not known whether authentic leadership predicts employee well-being, and whether psychological capital moderates the relationship between authentic leadership and employee well-being. The purpose of this correlational study was to determine the extent that authentic leadership predicted employee well-being and whether psychological capital had a moderating effect on the relationship between authentic leadership and employee well-being. The two theoretical frameworks that supported this study included the authentic leadership theory and social exchange theory. The research design consisted of a quantitative, correlational study using multiple and hierarchical regression analysis. The two research questions that guided this study examined whether perceived …

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Lgbtq Patient Funding And Satisfaction On Patient Volume And Hospital Revenue, Kourtney Denise Carter Jan 2022

Lgbtq Patient Funding And Satisfaction On Patient Volume And Hospital Revenue, Kourtney Denise Carter

Walden Dissertations and Doctoral Studies

AbstractHistorically, the lesbian, gay, bisexual, transgender, and queer (LGBTQ) community has reported low patient satisfaction for health care. The purpose of this quantitative study was to examine the statistical relationship between patient satisfaction among LGBTQ patients (independent variable) and patient volume and hospital revenue (dependent variables) in the U.S. state of Georgia. The study was grounded on Andersen's model of healthcare utilization. Two research questions guided this study related to the statistical relationship between hospital revenue and patient satisfaction within health systems and the statistical relationship between patient satisfaction and patient volume. The study included 567 members of the LGBTQ …

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Strategies Physicians Apply To Value-Based Patient Care For Quality Reimbursement, Sadia Chaudhry-Zutshi Jan 2022

Strategies Physicians Apply To Value-Based Patient Care For Quality Reimbursement, Sadia Chaudhry-Zutshi

Walden Dissertations and Doctoral Studies

Low-quality value-based patient care negatively impacts physicians’ ability to maintain private solo practices. Physicians who lack strategies to apply value-based patient care may lose their ability to stay in a private solo practice. Grounded in the complex adaptive system theory, the purpose of this qualitative multiple case study was to explore strategies used by private solo physicians that provided value-based patient care. Participants were four physicians in solo private practice who successfully applied value-based patient care to maintain their private solo practice. Data were collected from semistructured interviews and organizational documents and analyzed using thematic analysis. Three themes emerged: (a) …

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Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka Jan 2022

Perceptions Of Hypertensive Adults With Low Health Literacy About Self-Management Of Hypertension, Ngozi Scholar Chukwuemeka

Walden Dissertations and Doctoral Studies

AbstractHypertension (HTN) is one of the most significant risk factors for morbidity and mortality worldwide and is responsible for the annual deaths of approximately 9 million people globally. A major problem with HTN self-management (SM) is low health literacy (HL), which is associated with poor health outcomes and self-care. The purpose of this explanatory sequential, mixed method study, guided by Pender’s health promotion model, was to explore the perceptions of adults with HTN and low HL about the SM of their HTN. A total of 32 adults with HTN were screened using the Newest Vital Sign health literacy screening tool. …

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Residents’ Perceptions Of Healthcare Disparities In Rural Sierra Leone, Joseph Gbanabom Conteh Jan 2022

Residents’ Perceptions Of Healthcare Disparities In Rural Sierra Leone, Joseph Gbanabom Conteh

Walden Dissertations and Doctoral Studies

Limited or lack of access to essential healthcare services affects the social and economic wellbeing of residents in most remote, neglected, and underserved rural communities of Sierra Leone. The ability of residents to embark on productive activities is directly connected to poor health conditions resulting in high mortality rates, increasing levels of poverty, and prevalence of disease and illness. The lived experience was explored of lack of access to essential healthcare services and resources for residents in the Bombali Sebora chiefdom of Sierra Leone. The theoretical framework guiding the research was the Levesque conceptual framework and model for healthcare access. …

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Influence Of Spirituality On University Students’ Emotional Intelligence, Perceived Stress, And Life Quality, Janette Cooke Jan 2022

Influence Of Spirituality On University Students’ Emotional Intelligence, Perceived Stress, And Life Quality, Janette Cooke

Walden Dissertations and Doctoral Studies

AbstractFirst-year university students are at risk for mental and physical health ailments due to maladaptive stress coping mechanisms. A gap in research remains as to whether there are health benefits for minority religious groups or students who have a spiritual (nonreligious) belief system. The purpose of this study was to explore the relationship between student spirituality and the level of emotional intelligence (EI), perceived stress (PS), and life quality (LQ), as moderated by different campus types (secular or religious). The theory of spirituality and the theory of individual psychology were used as frameworks to explain the psychological, emotional, and physical …

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Nonpharmacological Pain Control Following Hip And Knee Replacements In Older Adults, Adraine Cox Jan 2022

Nonpharmacological Pain Control Following Hip And Knee Replacements In Older Adults, Adraine Cox

Walden Dissertations and Doctoral Studies

Abstract Over prescribing opioids after hip and knee replacements in older adults is closely linked to the opioid epidemic. Despite being a public health concern associated with increased mortality rates, opioids are the most frequently used method for controlling postoperative pain. Therefore is important to know whether nonpharmacological pain control methods may effectively reduce the burden of opioid addiction, thus reducing the risk of opioid-related fatalities. The purpose of this study was to determine whether a systematic review of the literature provided evidence supporting nonpharmacological methods of pain control following hip and knee replacements in older adults compared to use …

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How Social Workers In Long Term Care Facilities In The State Of Florida Assist Lgbt Aging Adults To Acclimate To Each Other And The Facility, Katherine Louise Curci-Degaro Jan 2022

How Social Workers In Long Term Care Facilities In The State Of Florida Assist Lgbt Aging Adults To Acclimate To Each Other And The Facility, Katherine Louise Curci-Degaro

Walden Dissertations and Doctoral Studies

The elderly LGBT community is growing in the State of Florida, and some members of this group face inequalities when accessing long-term care services. Social workers play an important role in assisting residents to acclimate to their settings, and without their involvement, LGBT older adults may be forced back into secrecy regarding their sexual orientation. For social workers in long term care facilities, understanding how discrimination, oppression, and stigma interacted in the lives of these LGBT older adults is important in understanding these adults and their experiences in long-term care facilities. This doctoral project used a qualitative research design. Fifteen …

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Gender Differences In The Mediation Between Childhood Abuse/Neglect And Trauma, Marc Samuel Cutler Jan 2022

Gender Differences In The Mediation Between Childhood Abuse/Neglect And Trauma, Marc Samuel Cutler

Walden Dissertations and Doctoral Studies

Childhood abuse/neglect is a consistent concern in the United States and is related to future physical and mental health concerns. Studies have shown that childhood abuse/neglect can result in negative trauma appraisal, difficulties in emotion regulation, and lower levels of self-compassion. However, less is known about how gender impacts the relationship between negative trauma appraisal, difficulties in emotion regulation, and self-compassion with trauma symptoms in those with a history of childhood abuse/neglect. The purpose of this quantitative cross-sectional correlational study was to measure the impact of gender on the mediating variables (negative trauma appraisal, difficulties in emotion regulation, and self-compassion) …

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The Association Of Suicidality With Video Gaming And Physical Inactivity Among U.S. Adolescents, Mary Colleen Cyrus Jan 2022

The Association Of Suicidality With Video Gaming And Physical Inactivity Among U.S. Adolescents, Mary Colleen Cyrus

Walden Dissertations and Doctoral Studies

Suicide represents a leading cause of death in U.S. young people, and the rate is increasing. Although young people are spending more time each day playing video or computer games, there is limited research on the association, if any, between playing video games and suicidality. The purpose of this study was to identify whether there is a statistically significant association between video gaming, physical inactivity, and suicidality (suicidal ideation, planning, and attempts). Age, race, gender, and being bullied electronically and in school were assessed as potential confounding variables. The interpersonal theory of suicidal behavior and the social-ecological theory served as …

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Processes And Skills Manufacturing Organizational Leaders Use To Implement Corporate Restructuring, Eric Darko Jan 2022

Processes And Skills Manufacturing Organizational Leaders Use To Implement Corporate Restructuring, Eric Darko

Walden Dissertations and Doctoral Studies

Corporate restructuring implementation failure has the potential for adverse business outcomes. Business owners are concerned with corporate restructuring implementation failure, as it is the number one predictor of the collapse of businesses. Grounded in transformational leadership theory and business process reengineering model, the purpose of this qualitative multiple case study was to explore the processes and skills business owners use to minimize corporate restructuring implementation failure. The participants comprised 10 business owners of the manufacturing sector who minimized corporate restructuring implementation failure. Data were collected using semistructured interviews and a review of the organization’s corporate restructuring information on social media …

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Elementary Principal Leadership Practices To Enhance Academic Achievement Of English Language Learners, Toi Okema Davis Jan 2022

Elementary Principal Leadership Practices To Enhance Academic Achievement Of English Language Learners, Toi Okema Davis

Walden Dissertations and Doctoral Studies

English Language Learners (ELLs) struggle in many schools in the United States. Instructional leaders and their communities need greater understanding of the leadership practices of principals that can enhance the achievement of ELLs. The purpose of this qualitative exploratory case study was to examine the leadership practices that elementary principals used to increase the achievement of ELLs in their schools. The conceptual framework that grounded this study was culturally responsive school leadership. The two research questions were designed to explore the leadership practices employed by principals to increase the achievement of the ELL population at their schools. Eight elementary principals …

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Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin Jan 2022

Alternative Diet Practices As Predictors For Vaccine Confidence, Nancy Dolin

Walden Dissertations and Doctoral Studies

Perceived risks and side effects have left some with a lack of confidence in the safety and efficacy of vaccines. This may lead to not adhering to the recommended vaccination schedule and result in outbreaks that have the potential to harm those who are unable to get vaccinated due to age or infirmity. It is vital to seek and address the characteristics that may predict one’s confidence in vaccines. The aim of this study was to identify whether an individual’s alternative diet behavior may be able to predict their confidence in the measles, mumps, and rubella (MMR) vaccine. The theoretical …

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The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer Jan 2022

The Outcome Of Stroke Education And Management On Cerebrovascular Accident Patients In Bermuda, Antoinette Simone Dyer

Walden Dissertations and Doctoral Studies

AbstractIncidence of cardiovascular accident (CVA), also referred to as a stroke, has increased in Bermuda. Understanding key contributing factors is necessary to reduce incidences that are associated with this disease process. This dissertation examined the outcome of stroke education and management on CVA patients in Bermuda. The health belief model, incorporating a reflection of the public health framework, guided the analysis of a quantitative dataset obtained through Bermuda Hospitals Board’s Neurology Department. A cross-sectional study design was used to sample 253 stroke patients over a 2-year period (2019 -2021). The Wilcox test was employed to compare two groups – stroke …

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Staff Education On Effective Communication In Long-Term Care, Alexandra Cl Dzikowski Jan 2022

Staff Education On Effective Communication In Long-Term Care, Alexandra Cl Dzikowski

Walden Dissertations and Doctoral Studies

The dynamic and ever changing world of health care depends on bedside nurses to exercise effective leadership skills, including communication, to provide safe quality care. At the long-term health care facility where this project took place, there was a lack of effective communication between team members, especially at change of shift. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the purpose was to plan, implement, and evaluate a staff education program on handoff report communication using the TeamSTEPPS 2.0 for Long Term Care program. Sources of evidence included validation of the pre- and posttest items …

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Conceptions Of Service Provider Preparedness, Aaron Engstrom Jan 2022

Conceptions Of Service Provider Preparedness, Aaron Engstrom

Walden Dissertations and Doctoral Studies

Victims of human trafficking often need a variety of services to recover from their experiences. Service providers are organizations that aim to meet the personal and environmental needs of survivors by providing resources and guidance. However, the efficacy of services offered to survivors has not been robustly studied, which could leave unsuccessful survivor outcomes unnoticed. The purpose of this case study was to learn how service provider employees prepared to meet survivors’ needs. The combination of social cognitive theory and social constructionist theory served as the lens through which service provider employee conceptions of preparedness were explored. Four service provider …

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Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit Jan 2022

Length Of Stay In A Homeless Shelter And Mitigating Homelessness, Uwemedimo S. Etteyit

Walden Dissertations and Doctoral Studies

AbstractHomelessness is a major public health issue in the United States. Every night, thousands of people have no residence to call their own. Most homeless persons turn to homeless shelters for help. Despite the homeless shelters, the problem of homelessness persists. This study examined the concept that the length of time spent at a homeless shelter is related to the homeless persons mitigating their homelessness through home placement, jobs, and healthcare access. Homelessness was examined using the socioecological model with its attendant levels of influence. On the intrapersonal level, socioeconomic status, education, old age, veteran status, and disability were factors. …

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Closing The Black And Hispanic High School Graduation Gap In A Central Florida School District, Terra Ewing Jan 2022

Closing The Black And Hispanic High School Graduation Gap In A Central Florida School District, Terra Ewing

Walden Dissertations and Doctoral Studies

To resolve the graduation gap among Black and Hispanic students in Central Florida, the development of equity-centered practices to improve high school graduation rates is essential. The purpose of this study was to determine the impact of incorporating methods such as the self achievement theory, self-determination methodology, and equity educational policies in all eight of the Central Florida School District schools to improve the graduation rates of the Black and Hispanic students in the Central Florida School District as well as to develop recommendations for implementation and training across the district. All data gathered was secondary and gathered from the …

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Coherence-Based Resilience Effects On Antenatal Autonomic Nervous System Stress Markers Controlled, Patrice Fortune Jan 2022

Coherence-Based Resilience Effects On Antenatal Autonomic Nervous System Stress Markers Controlled, Patrice Fortune

Walden Dissertations and Doctoral Studies

AbstractAntenatal stress disrupts autonomic nervous system (ANS) equilibrium within the neuro-cardio-utero-placental (NCUP) structure perpetuating treatable conditions of depressive-based gestational hypertension disorders. The present ANS-based study of the NCUP system investigated the effect of coherence-based stress resilience (CBSR) post-4-week intervention. This quasi-experimental research design involved experimental (n = 8) and waitlist control (n = 3) conditions. Controlling for pretest values, quantitative pre-post methodology was used to assess the effect of CBSR to evaluate change in variables. Resultant of small sample size, significant findings are considered tentatively. Heart rate variability (p = 0.044), dehydroepiandrosterone/ dehydroepiandrosterone sulfate (p = 0.142), Pregnancy Experience Scale …

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Clinical Practice Guideline For Post Discharge Primary Care Follow-Up Program For Copd, Stephanie Frimpong-Badu Jan 2022

Clinical Practice Guideline For Post Discharge Primary Care Follow-Up Program For Copd, Stephanie Frimpong-Badu

Walden Dissertations and Doctoral Studies

AbstractApproximately 15.7 million individuals throughout the United States have been diagnosed with chronic obstructive lung disease (COPD), with 700,000 individuals hospitalized annually in the United States. An estimated one in five patients are readmitted within 30 days, raising the costs above $15 billion annually. The gap in practice was a lack of adequate clinical practice guidelines associated with discharge to primary care in this acute care facility. The purpose of this project was to use the expertise of the multidisciplinary team of pulmonologists, acute care nurse practitioners, respiratory therapists, and pharmacists to develop a clinical practice guideline using evidence-based literature …

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Staff Education To Improve Safe Use Of Antipsychotic Medication In An Outpatient Clinic, Marinette Nyangono Garrison Jan 2022

Staff Education To Improve Safe Use Of Antipsychotic Medication In An Outpatient Clinic, Marinette Nyangono Garrison

Walden Dissertations and Doctoral Studies

AbstractThe use of antipsychotic medications is growing in an outpatient clinic despite the increased risk of mortality and morbidity such as falls, fractures, stroke in adults, neurological adverse effects, weight gain, and cardio-metabolic abnormalities in pediatric populations. The purpose of this project was to develop an educational program to enhance clinic staff knowledge about pharmacologic and nonpharmacologic means to manage patients’ care and improve outcomes. The conceptual framework for the project was Knowles’s adult learning theory supported by the Kirkpatrick model of training evaluation. The practice-focused question asked whether an educational program would increase staff knowledge related to the safe …

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First Year Teachers’ Perspectives Of Their Self-Efficacy To Teach Writing In Elementary, Angelica Felicia Givler Jan 2022

First Year Teachers’ Perspectives Of Their Self-Efficacy To Teach Writing In Elementary, Angelica Felicia Givler

Walden Dissertations and Doctoral Studies

AbstractWith the introduction of Common Core State Standards in 2009, there has been an increase in the expectations for writing instruction in the United States. Writing instruction standards are now part of language arts and other content areas, but many teachers feel unprepared to teach writing. There is limited research on teachers’ perspectives of their abilities to teach writing upon completion of a teacher preparation program. The purpose of this basic qualitative study was to examine teachers’ perspectives of their ability to teach writing in elementary school and identify coursework they deem useful for enhancing their abilities to teach writing. …

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Assessing Violence And Mental Health With The 2019 Nevada Youth Risk Behavioral Survey, Samantha Graham Jan 2022

Assessing Violence And Mental Health With The 2019 Nevada Youth Risk Behavioral Survey, Samantha Graham

Walden Dissertations and Doctoral Studies

The effects from childhood trauma can interfere in all aspects of a child’s life, including their education. School delivery systems need to be trained to identify these risks and how to reduce further risks of re-traumatization by applying trauma-informed practices. This study addressed the impact of adverse childhood experiences (ACEs) on mental health and behavioral issues. The study was guided by Bandura’s social cognitive theory and the socioecological model. The correlation between ACEs and mental health as well as ACEs and physical violence were examined based on data from the 2019 Nevada Youth Risk Behavioral Survey, which was a high …

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Teachers’ Perceptions Of Their Roles And Challenges With Inclusion, Nini Asheki Greenidge Jan 2022

Teachers’ Perceptions Of Their Roles And Challenges With Inclusion, Nini Asheki Greenidge

Walden Dissertations and Doctoral Studies

AbstractMany schools have employed inclusion practices as an instructional framework, meaning general and special educators are expected to coteach students with disabilities in the general education classroom. The research problem at the local study district was that inclusion as an instructional framework challenged the roles of general and special education coteachers as well as the students they were intended to benefit. The conceptual framework for this project study was the social constructivist theory. The purpose of this basic qualitative study was to gain an understanding about inclusion as an instructional framework. The research questions addressed how the experiences of the …

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Hysterectomy And Self-Esteem Among African American Women, Gibson T. Green Jan 2022

Hysterectomy And Self-Esteem Among African American Women, Gibson T. Green

Walden Dissertations and Doctoral Studies

AbstractOver 600,000 hysterectomies are performed each year in the United States. Studies have shown that African American women are disproportionately impacted by hysterectomy and that most African American women treated with hysterectomy are young and of childbearing age. As a result, some African American women’s spouses have negative perceptions about the surgery. The purpose of this study was to examine the impact of hysterectomy on self-esteem or satisfaction among African American women and feelings of partner rejection after a hysterectomy. Sociometer theory (the study of self-esteem) was used to examine an association between hysterectomy and self-esteem or satisfaction. The study …

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Effects Of Foster Care Trauma On Foster Care Alumni’S Mental Health In Adulthood, Adrian W. Green Jan 2022

Effects Of Foster Care Trauma On Foster Care Alumni’S Mental Health In Adulthood, Adrian W. Green

Walden Dissertations and Doctoral Studies

Child welfare system involvement leads to foster care more for racial minority children than White children, and after exiting foster care racial minority alumni face disparate outcomes. The purpose of this generic qualitative study was to explore the effects of trauma experienced in foster care on racial minority foster care alumni’s mental health in adulthood. Trauma theory and information processing theory provided the frameworks for the study. Data were collected from semistructured interviews with eight racial minority foster care alumni age 18 and older. Findings from coding analysis indicated three themes and two subthemes. The adult mental health effects of …

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