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2023

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Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga Jan 2023

Traditional Healing And Biomedicine Use In Urban American Indians Living With Diabetes, Elin Elise Kambuga

Walden Dissertations and Doctoral Studies

The purpose of this interpretative qualitative study was to describe influences that affect the use of traditional healing and biomedical health services for type 2 diabetes to help health educators develop more culturally competent diabetes education programs for urban American Indian/Alaska Native (AI/AN) communities in the United States. The theoretical framework used for this study was the social ecological model (SEM). Using the SEM, the research questions were crafted to explore experiences of participants connected to personal, interpersonal, community, institutional, policy, and educational factors that influenced the use of traditional healing and biomedical health services. Urban AI/AN adults living in …

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Marketing Efforts To Reengage Consumers In Cancer Screenings During The Covid-19 Pandemic, Angela M. Kasel Jan 2023

Marketing Efforts To Reengage Consumers In Cancer Screenings During The Covid-19 Pandemic, Angela M. Kasel

Walden Dissertations and Doctoral Studies

In 2020, U.S. hospitals became overwhelmed by patients with the viral illness COVID-19. Health systems were advised by the U.S. Surgeon General and Centers for Disease Control and Prevention to suspend elective procedures, including mammograms, colonoscopies, and lung computed tomography scans. The purpose of this quantitative study was to investigate whether there was a significant difference in completed appointments, cancer screenings, and cancer diagnoses in consumers receiving targeted direct mail and email communications during the COVID-19 pandemic, based on age, gender, and geographic location. The elaboration likelihood model of persuasion, which emphasized the use of marketing to change consumer behaviors …

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Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt Jan 2023

Exploration Of Nurses' Knowledge About Healthcare For Transgender Patients, Elizabeth Kempt

Walden Dissertations and Doctoral Studies

AbstractThe transgender population is growing, and along with the population growth, the healthcare needs for gender transitioning of both medical and surgical procedures. Registered nurses (RNs) who care for hospitalized transgender patients are required to be knowledgeable about their care, yet little is known about what nurses know about the healthcare of the transgender patient. The purpose of this basic qualitative study, guided by Benner’s novice to expert theory, was to explore the knowledge and perceptions of RNs regarding healthcare of transgender persons undergoing transition to the opposite gender. Social media and snowball sampling were used to recruit 10 RNs …

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Association Of Socioeconomic Status And Marital Status With Genuine Halitosis Among Dental Patients In Sudan, Eiman Abd Almonim Khidir Jan 2023

Association Of Socioeconomic Status And Marital Status With Genuine Halitosis Among Dental Patients In Sudan, Eiman Abd Almonim Khidir

Walden Dissertations and Doctoral Studies

AbstractThe prevalence of halitosis has been rising in recent years and has become a social and public health problem worldwide. People’s concerns about halitosis can influence their psychological, social, and professional lives and lead to social isolation and anxiety. The purpose of this quantitative cross-sectional study was to examine the association of socioeconomic status and marital status with genuine halitosis after adjusting for age, gender, and smoking among patients attending dental clinics in Khartoum, Sudan. The social-ecological model grounded the study. Secondary data from dental clinics in Khartoum, Sudan, were used with a sample size of 340. Data analysis included …

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Factors Influencing Newly Licensed Nurse Position Selection And Retention, Melinda S. Kidder Jan 2023

Factors Influencing Newly Licensed Nurse Position Selection And Retention, Melinda S. Kidder

Walden Dissertations and Doctoral Studies

Newly licensed nurse turnover can be costly, causing a mismatch between supply and demand for nurse staffing needs, lowering quality outcomes, and decreasing patient satisfaction. This quantitative study was conducted to identify the relationship between why newly licensed nurses selected their first position and their retention in that initial position. Other factors examined in relation to retention were unit most worked, age, race, sex, and education level. Irvine and Evans’s theory of job satisfaction and Maslow’s hierarchy of needs guided the analysis of the data. Secondary data used were the Newly Licensed Registered Nurse New Cohort 3 Survey from 2016 …

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The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler Jan 2023

The Reconciliation Of Cognitive Dissonance Among Social Workers In Substance Use Treatment Settings, Miranda Ashley Kieler

Walden Dissertations and Doctoral Studies

Although harm reduction (HR) and abstinence-based treatment approaches are both useful in addiction treatment, the former is less accepted and integrated into practice. Social workers who embrace an HR approach but who work at substance abuse treatment facilities that are abstinence based may experience cognitive dissonance because they perceive their work role to be incompatible with social work practice values and education. Little was known regarding how practitioners with a Master of Social Work (MSW) degree experience and reconcile cognitive dissonance related to their HR education and abstinence-only practice in substance use treatment centers. To address this gap in the …

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The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo Jan 2023

The Association Between Working Habits And Hypertension Among First Generation African Immigrants, Olalekan Kilo

Walden Dissertations and Doctoral Studies

Even though hypertension affects people of all races, it is more prevalent among African Americans. However, recent research has revealed that the prevalence of hypertension is progressively increasing across Africa. African immigrants in the United States are the least-studied immigrant group prone to health inequalities when compared to their African American counterparts. To help bridge this gap, a secondary data analysis of a cross-sectional study was conducted to investigate the association between working habits (hours worked, diet at work), length of stay in the United States, and hypertension rates for first-generation African immigrants residing in the United States. The study …

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Lived Experience Of Caregiver Burden Among Black Family Caregivers Caring For Ill Family Members During Covid-19, Lisa King Jan 2023

Lived Experience Of Caregiver Burden Among Black Family Caregivers Caring For Ill Family Members During Covid-19, Lisa King

Walden Dissertations and Doctoral Studies

AbstractBlack family caregivers have had to deal with many challenges while caring for ill family members during COVID-19. Black family caregivers have been burdened with caring for family members for generations, often without proper supervision, training, or support. In December 2019 Coronavirus, also known as COVID-19, changed the world. The impact of COVID-19 on the American population has created many difficulties for Black family caregivers and their family members, including limited support, isolation, and financial disparities. The purpose of this qualitative phenomenological study was exploring the caregiver burden among Black family caregivers during COVID-19. The research question for this study …

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Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak Jan 2023

Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak

Walden Dissertations and Doctoral Studies

Family-owned businesses contribute to social and economic advancement, yet many business owners struggle with employing succession planning during intergenerational leadership transitions. Family business leaders are concerned with identifying effective succession planning strategies for the leadership transition to the next generation for business continuity. Grounded in Rothwell’s seven-step model for succession planning, the purpose of this qualitative multiple-case study was to explore succession planning strategies Polish family business leaders used for the leadership transition to the next generation. Three Polish family business leaders who successfully implemented succession planning in their organizations participated in the study. Data were collected through semistructured interviews, …

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The Underreporting Of Educator Sexual Misconduct In K-12 Schools, Nina Cordella Kornegay Jan 2023

The Underreporting Of Educator Sexual Misconduct In K-12 Schools, Nina Cordella Kornegay

Walden Dissertations and Doctoral Studies

Educator sexual misconduct continues to present a problem in U.S. K–12 schools. Asmandatory reporters, K–12 educators must report any suspicion of educator sexual misconduct, but despite state and federal laws regarding reporting, educator sexual misconduct often goes unreported. The purpose of this exploratory phenomenological study was to learn more about how U.S. K–12 educators perceive underreporting of educator sexual misconduct. The integrated change model served as this study’s conceptual framework. Semistructured interviews were conducted to collect data from eight educators in K–12 schools in two school districts in North Carolina. Coding analysis was used to identify themes. Five themes related …

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Staff Education On Workplace Violence And Prevention Measures, Fatu Koroma Jan 2023

Staff Education On Workplace Violence And Prevention Measures, Fatu Koroma

Walden Dissertations and Doctoral Studies

Forensic nurses are essential in helping forensic mental health patients at an inpatient/outpatient forensic psychiatric health care facility. The practice gap that the forensic psychiatric health care facility experienced was a deficit in knowledge among forensic nurses on the importance of workplace violence and prevention. The practice-focused question guiding the project was to determine if education on the American Nurses Association’s workplace violence and prevention measures would increase forensic nurses’ and staff’s education scores. The purpose of the project was to close the gap by educating nurses and staff on measures to increase a safer environment. The instructional design was …

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Survival Rates And Clinical Trial Participation Among Rural Cancer Patients, Tatiana Kurilo Jan 2023

Survival Rates And Clinical Trial Participation Among Rural Cancer Patients, Tatiana Kurilo

Walden Dissertations and Doctoral Studies

The literature indicates that cancer patients in rural areas lack adequate access to clinical trials and may experience more harmful consequences than patients residing in urban areas. The purpose of the study was to compare cancer survival rates among patients living in rural and urban counties in a southeastern U.S. state with breast cancer and lung cancer. Analysis was conducted using secondary data from the National Cancer Institute’s Surveillance, Epidemiology and End Results (SEER) Program tumor registry, Comprehensive Cancer Center (CCC) tumor registry, and CCC OnCore Subject Accrual Data. A series of independent samples t-tests and factorial ANOVA were conducted …

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Relationship Experiences Of Long-Term Partners Of Individuals With Narcissistic Traits, Tamara Betty-Jean Knott Jan 2023

Relationship Experiences Of Long-Term Partners Of Individuals With Narcissistic Traits, Tamara Betty-Jean Knott

Walden Dissertations and Doctoral Studies

The phenomenon of narcissism is well-documented and has garnered much attention from the scientific community. However, a facet of this subject that has been largely unstudied involves the consequences that narcissistic relationships have on intimates. Typically, an individual with narcissistic traits (INT) most negatively affects the romantic partner. Still, there has been very little in the way of academic knowledge, understanding of partner experiences, or how to help from a mental health standpoint. Research has implied that partnering with an INT entails distinct forms of emotional abuse (EA), resulting in the development of unique psychological distress. This qualitative narrative study …

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Gang Diversion Programs In The Success Of Reducing Youth Gang Membership, Francis Songtiib Laari Jan 2023

Gang Diversion Programs In The Success Of Reducing Youth Gang Membership, Francis Songtiib Laari

Walden Dissertations and Doctoral Studies

AbstractThe rate of youth involvement in gang membership and crime has become a problem in Fairfax County, Virginia. It has increased violent crimes, drug trade, and incarceration rates for youths and decreased child school graduation rates. Youth gang membership is a significant public issue with broad mental and psychological implications for the child, family, and community because of the potential to commit a crime. Early exposure to gangs and violent neighborhoods can profoundly and negatively impact the residents. Researchers have explored why many children join gangs, but none have examined gang diversion programs' success in reducing youth gang membership. In …

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Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall Jan 2023

Strategies For Emotional Intelligence Training For Improving Employee Performance, Dale Elizabeth Laing-Hall

Walden Dissertations and Doctoral Studies

The nursing home industry's lack of emotional intelligence (EI) can negatively impact patient satisfaction and performance. Nursing home leaders who lack strategies to apply EI training to increase job satisfaction, reduce employee turnover, and improve interpersonal skills risk financial loss and business failure. Grounded in the EI framework, the purpose of this multiple qualitative case study was to explore strategies nursing home leaders use to apply EI training to reduce employee turnover, increase job satisfaction, and improve interpersonal skills for performance improvement. The participants comprised four nursing home leaders from multiple nursing homes in Florida who implemented strategies to reduce …

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Impact On Retention For Students Participating In Supplemental Instruction At A Community College, Jacqueline Ann Larry Jan 2023

Impact On Retention For Students Participating In Supplemental Instruction At A Community College, Jacqueline Ann Larry

Walden Dissertations and Doctoral Studies

AbstractTitle III Strengthening Institutions Program is a supplemental grant that was designed to help eligible higher education institutions improve and strengthen academic quality, institutional management, and fiscal stability of eligible institutions. A community college in the Midsouth region was the focus of this quantitative study. Graduation and retention rates have steadily declined, and there are significant achievement gaps in terms of ethnicity and race, program completion, and failure rates in high-enrolled courses among first-year students. Using the retention model, this study involved examining the impact on retention for students participating in supplemental instruction upon entering college during their freshman year. …

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Occupational Risk Perceptions Among Foreign-Born Construction Workers In Central Florida, Matthew Edison Law Jan 2023

Occupational Risk Perceptions Among Foreign-Born Construction Workers In Central Florida, Matthew Edison Law

Walden Dissertations and Doctoral Studies

Hispanic and Latino foreign-born construction workers in the United States experience higher rates of serious injuries and fatalities in the workplace than their native-born peers. Previous research has pointed to specific vulnerabilities among this population, including birthplace, age of the worker, language barriers, and education level, but little to no research has examined addressable risk factors, such as occupational risk perceptions, among this population. The purpose of this quantitative study was to determine the relationship between birthplace, number of years working in the United States, and occupational risk perceptions while controlling for age of the worker, language barriers, and education …

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Strategies For Sustaining The Profitability Of Small Businesses During Covid-19, Veronica Lee Jan 2023

Strategies For Sustaining The Profitability Of Small Businesses During Covid-19, Veronica Lee

Walden Dissertations and Doctoral Studies

AbstractThe covid-19 pandemic had a significant impact on small businesses. Small business leaders have been challenged to maintain profitability during a global crisis. Small business owners are concerned with the covid-19 pandemic because they faced profitability losses and business closures during the prolonged crisis. Grounded in authentic leadership theory, the purpose of this multiple case study was to explore strategies some small business leaders used to remain profitable during the Covid-19 crisis. The participants were four business leaders in Tampa, FL, who have remained profitable despite the pandemic. Data were collected using semi-structured interviews and analyzed using thematic analysis; five …

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Relationships Between Stress, Family Support, And Resources Among Custodial Grandparents In Appalachia, Yvonne Sherii Lee Jan 2023

Relationships Between Stress, Family Support, And Resources Among Custodial Grandparents In Appalachia, Yvonne Sherii Lee

Walden Dissertations and Doctoral Studies

The Appalachian region has experienced a substantial increase in the number of grandparent-headed households providing care to grandchildren. Custodial parenting is not a typical responsibility for many grandparents and can be challenging. The specific problem addressed in this research study was the high level of stress experienced by many custodial grandparents. The theoretical foundation of the current study was based on Selye’s stress theory, which was introduced in 1936 and examined biological stress that he referred to as “the syndrome of being sick.” The purpose of this quantitative, nonexperimental, and correlational study was to examine the predictive relationship that custodial …

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Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente Jan 2023

Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente

Walden Dissertations and Doctoral Studies

The criminal justice system has established interventions for those who have mental illness and have been charged with criminal complaints. In New York State, the Mental Health Court has been established to address these issues and is to be used by all counties. However, the treatment and probation interventions vary from county to county. Saratoga County uses a Single Point of Access (SPOA) which receives referrals from the general court and probation officers. SPOA refers clients to a variety of treatment interventions available in the county. In Monroe County, the Mental Health Court refers the criminally involved/mentally ill individual to …

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I’M Ok: Black Women’S Perceptions Of Vulnerability And Coping, Bridget Lewis Jan 2023

I’M Ok: Black Women’S Perceptions Of Vulnerability And Coping, Bridget Lewis

Walden Dissertations and Doctoral Studies

Within the social work profession, there has been limited understanding of tailoring treatment and coping strategies specific to Black women. The parallelism of Black women and strength has created a generational, internal conflict with maintaining the cultural label known as the strong Black woman (SBW) and stigma related to seeking help to improve mental health. The stigma associated with seeking help has hindered Black women from communicating thoughts or behaviors that categorize vulnerability. Grounded in the SBW collective theory and Black womanist theory, this study explored how the SBW stereotype impacts the communication on vulnerability and coping strategies Black women …

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Strategies Organizational Leaders Use To Engage Employees, Latisha Valencia Lewis Jan 2023

Strategies Organizational Leaders Use To Engage Employees, Latisha Valencia Lewis

Walden Dissertations and Doctoral Studies

For many organizations, employee engagement is a major component that drives a business’s productivity, performance, and profitability. Some healthcare leaders lack strategies to engage employees. Grounded in Kahn’s employee engagement theory, the purpose of this qualitative single case study was to explore strategies healthcare leaders use to engage employees. The participants were eight healthcare leaders in a greater Atlanta, Georgia, healthcare facility who successfully implemented strategies to engage employees. Data were collected from Press Ganey quarterly engagement scores and semistructured interviews. Data were analyzed using Yin’s five-phase process, from which three themes emerged: (a) mentorship, (b) leadership, and (c) teamwork. …

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Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge Jan 2023

Association Between Antidepressant Adherence And Major Depressive Disorder Complications, Philip Lisinge

Walden Dissertations and Doctoral Studies

Despite evidence that antidepressants are more effective at treating major depressive disorder (MDD) symptoms, there is growing evidence that MDD management is still hampered by nonadherence to antidepressant treatment regimens. Researchers have suggested that MDD, if untreated, might lead to MDD-related complications, but other researchers have argued that adherence to antidepressants can lead to these same MDD-related complications. This quantitative cross-sectional study used primary data collected from 298 volunteers to examine the association between MDD-related complications and antidepressant adherence to clarify these diverging opinions. The study’s objective was to provide evidence to accept or reject the premise that antidepressant adherence …

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Stories Of Licensed Counseling Supervisors Who Identify As Wounded Healers, Carolyn Litteral Jan 2023

Stories Of Licensed Counseling Supervisors Who Identify As Wounded Healers, Carolyn Litteral

Walden Dissertations and Doctoral Studies

Although a large percentage of counselors who are wounded healers eventually become clinical counseling supervisors, little is known about the effects on clinical supervision. Counseling supervisors have the responsibility of gatekeeping, managing client care, and modeling counseling for counselors-in-training; the process is likely affected by woundedness as is the counseling process. The purpose of the current qualitative narrative study was to identify the stories of wounded healers as clinical counseling supervisors to recognize how supervision is affected and influenced by being a wounded healer. The data were analyzed using the theoretical lens of existentialism and the conceptual framework of the …

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Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange Jan 2023

Quality Improvement Initiatives And Interventions For Decreasing Falls In The Hospital Setting, Fredlyn Lolange

Walden Dissertations and Doctoral Studies

Patient falls in health care settings are a widespread and severe problem, and they often happen as a result of a complex set of causes. In the United States, between 3.3 and 11.5 falls occur per 1,000 patient days. Reducing the incidence of falls in a health care setting would bring significant positive change and decrease the incidence of harm to patients in the hospital setting. This staff education project’s purpose is based on addressing falls, a safety concern and a health issue that continues to put patients at an increased risk. Theories used to inform the project include the …

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Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León Jan 2023

Puerto Rican Retired Teachers’ Perceptions About Their Financial Sufficiency, Rossana López León

Walden Dissertations and Doctoral Studies

In Puerto Rico, the Teachers’ Retirement System, which has a membership of around 36,000 retired public-school teachers, is currently facing major restructuring and budget cuts, as part of a larger restructuring of all government agencies to meet the economic emergency they were facing. The recent retirement system reforms were focused mainly on cutting benefits, such as medications, Christmas and summer bonuses, and the cost-of-living adjustment. The purpose of this study was to explore the perceptions of retired teachers regarding their financial sufficiency, and to identify their attitudes, beliefs, and opinions/feelings in light of their socioeconomic profile. The research question focused …

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Examination Of Exposure Types Association With Stigma And Impacts On Sharps Injury Reporting In Ambulatory Surgical Centers, Timothy William Lynch Jan 2023

Examination Of Exposure Types Association With Stigma And Impacts On Sharps Injury Reporting In Ambulatory Surgical Centers, Timothy William Lynch

Walden Dissertations and Doctoral Studies

Public health depends on the efficiency of work delivery among healthcare workers (HCWs) and their positive goal orientation in healthcare. Effective minimizing of needlestick and sharp injuries (NSSIs) and timely reporting are fundamental to meeting public health goals. The specific research problem addressed through this study is whether the independent variable of exposure type (needle stick injury, splash exposure injury, other sharp injuries) has an association with stigma associated with sharps injury reporting (dependent variable) among HCWs in ambulatory surgical centers. A quantitative, cross-sectional design involving secondary data analysis was used. Regression was used to analyze pre- and post-workshop survey …

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The Impact Of Economic Uncertainty On Nonprofit Leaders’ Decision To Expand Services, Shawndra Maine Jan 2023

The Impact Of Economic Uncertainty On Nonprofit Leaders’ Decision To Expand Services, Shawndra Maine

Walden Dissertations and Doctoral Studies

Nonprofit organizations (NPOs) play a pivotal role in lower socioeconomic communities. Leaders of nonprofits are frequently faced with multiple, complex, and often-competing objectives. This qualitative case study was conducted to explore and understand how economic uncertainties impact an NPO and, specifically, how economic uncertainty has affected nonprofit executives’ development of strategies and decision making regarding expanding services. Data were collected through interviews and review of secondary data and the organization’s website from the executive director, president/chief executive officer, and funders. The Baldrige Framework of Excellence was used to support the foundations of this study. The collected data were analyzed, and …

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Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge Jan 2023

Locus Of Control, Mindfulness, And Perceived Caregiver Burden In Informal Caregivers Of People With Dementia, Tiffany Marinos-Sterge

Walden Dissertations and Doctoral Studies

AbstractAdult informal caregivers play an essential role in the care of people with dementia living in the community. Adult informal caregivers may experience a host of negative psychological, emotional, and physical effects because of their roles as caregivers. The purpose of this quantitative correlational study was to investigate the influence of locus of control and mindfulness on the perceived caregiver burden experienced by adult informal caregivers of people with dementia, controlling for relevant sociodemographic characteristics. Social determination theory and social learning theory provided the theoretical foundation for this study. Variables were measured using the Caregiver Burden Inventory, Mindfulness Attention Awareness …

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Well-Being Among Foster Parents Of Children With A History Of Sexual Abuse, Jelenny Marquez Jan 2023

Well-Being Among Foster Parents Of Children With A History Of Sexual Abuse, Jelenny Marquez

Walden Dissertations and Doctoral Studies

There are over half a million children and adolescents living in foster care in the United States, and many of them endure frequent disruptions to their placements. Disruptions are more common among children with a history of sexual abuse. The disruption of placement increases the likelihood of undesirable outcomes for both the children and their foster parents. Foster parents who are willing to offer a home that is safe and stable for a child in the foster care system are more important than ever. This qualitative study explored foster parents’ experiences of well-being after having fostered children with a history …

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