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2023

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Gender Disparities: 5 Year Survival Rates Of Elderly Colorectal Cancer Patients With Depression, Riya Joshi Jan 2023

Gender Disparities: 5 Year Survival Rates Of Elderly Colorectal Cancer Patients With Depression, Riya Joshi

Walden Dissertations and Doctoral Studies

AbstractColorectal cancer (CRC) is a life-threatening health condition known to greatly affect the elderly than younger populations. CRC, if comorbid with mental condition such as depression, can seriously affect patients’ quality of life with a direct influence on the survival rate. There is a connection between depression and worsened cancer progression and survival rate of CRC, little is known on gender differences in survival rates on elderly CRC patients with pre-existing depression (PD). A socioeconomic model study was used to evaluate gender, initial diagnostic stage, and marital status (MS) at diagnosis as major independent variables and 5-years survival rate (5-YS) …

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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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Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham Jan 2023

Factors Leading To Alcohol Relapse During The Covid-19 Pandemic, Robert Michael Ibraham

Walden Dissertations and Doctoral Studies

Little research has been conducted exploring contributing stressors from the COVID-19 pandemic that may have led to alcohol relapse among individuals diagnosed with alcohol use disorders (AUDs). Prior to the pandemic, alcohol use was at an all-time high; during the pandemic, the rates of substance use rose significantly more. AUDs are a leading mental health problem with over 32.6 million meeting diagnostic criteria in the United States. This study was conducted to explore self-identified factors leading up to relapse during the COVID-19 pandemic among individuals diagnosed with AUDs, with a focus on the circumstances and events leading up to relapse. …

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Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita June Jarvis-Isaac Jan 2023

Exploring Relationships Between Psychological Capital And Perceived Stress Among Newly Graduated Nurses, Rita June Jarvis-Isaac

Walden Dissertations and Doctoral Studies

Stress among the newly graduated nurses has been linked to physical and emotional distress, high turnover rates, and the quality of patient care. Psychological capital is a positive state of mind that consists of four components (hope, efficacy, resilience, and optimism). Higher levels of psychological capital have been linked to improvements in the work environment and the psychological and emotional state of nurses. Despite the extensive work of researchers exploring psychological capital among nurses, its relationship to stress among new graduate nurses has not been well studied. The purpose of this quantitative, correlational study was to explore the relationship between …

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Influence Of Conspiracy Mindset, Trust In Science, And Political Affiliation On Covid-19 Reactance, Bonnie L. Rinato Jan 2023

Influence Of Conspiracy Mindset, Trust In Science, And Political Affiliation On Covid-19 Reactance, Bonnie L. Rinato

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic exposed extreme divisions in the social and political structure of the United States. When health organizations recommended strategies such as physical distancing, hand hygiene, sanitation of surfaces, and isolating when sick to slow the spread of the disease, Americans appeared to divide into two factions; those who followed the public health guidance and those who persistently ignored it, often voicing perceptions of loss of freedom due to the guidance. The purpose of this quantitative study was to examine the extent to which political affiliation moderated the relationship between conspiracy mindset, trust in science, and reactance responses to …

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The Experiences Of Female Sexual Minority Service Members After 2013, Ada I. Rivera Jan 2023

The Experiences Of Female Sexual Minority Service Members After 2013, Ada I. Rivera

Walden Dissertations and Doctoral Studies

In 2010, the United States Armed Forces ended the policy Don’t Ask, Don’t Tellthat excluded sexual minorities from being able to serve openly in the military. Full military benefits were extended to them and their family members in 2013. Despite these changes, victimization, stigma, and discrimination have continued to impact the lives of service members who identify as a sexual minority, as the result of microaggressions due to their sexual orientation. Past literature has examined experiences of sexual minorities, but little research has focuses on sexual minority women whose minority gender identity creates greater risk to experience micro assaults with …

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Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts Jan 2023

Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts

Walden Dissertations and Doctoral Studies

Researchers have conducted studies on the benefits of premarital counseling. However, little was known about the experiences of African American couples. The purpose of this generic qualitative study was to explore African American couples’ perceptions and experiences concerning the benefits of premarital counseling. Social learning theory provided the framework for the study. Data were collected from semistructured interviews with eight heterosexual African American couples. Colaizzi’s seven-step method of coding was used to analyze participants’ responses. Four themes emerged: couples’ expectations of premarital counseling, influences regarding participation, quality and structure of sessions, and overall experience. Findings could impact social change by …

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Perspectives On Motor Skills Necessary For Kindergarteners’ Formal School Readiness, Allyson M. Schildt Jan 2023

Perspectives On Motor Skills Necessary For Kindergarteners’ Formal School Readiness, Allyson M. Schildt

Walden Dissertations and Doctoral Studies

Researchers have noted that before children can learn academics, they must first have developed motor skills. Motor skills are foundational to learning and integrated into other domains of learning as a child develops. The problem addressed through this basic qualitative study is that some kindergarten students in the northeastern United States lack motor skills necessary for formal school readiness, and kindergarten teachers are challenged to support students’ development of motor skills necessary for formal school readiness. The purpose of this study was to explore kindergarten teacher perspectives on kindergarten students’ motor skills necessary for formal school readiness. Thelen’s dynamic systems …

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The Relationship Between “Speak Up” Culture Level, Team Effectiveness, And Organizational Performance Among Clinical Laboratory Professionals, Emmanuel Udasco Jan 2023

The Relationship Between “Speak Up” Culture Level, Team Effectiveness, And Organizational Performance Among Clinical Laboratory Professionals, Emmanuel Udasco

Walden Dissertations and Doctoral Studies

The clinical laboratory plays a crucial role in aiding physicians to diagnose disease. With numerous studies on “Speak Up” culture well-documented among providers and nurses surrounding patient safety, gaps in literature exist concerning “Speak Up” culture that address team effectiveness and organizational performance within the clinical lab setting. The purpose of this quantitative correlation study was to investigate the relationship between “Speak Up” culture level, team effectiveness, and organizational performance among health care workers employed in the clinical lab. The high-performance work practices model was utilized as the conceptual framework to ground this study. Research questions assessed the link between …

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Oncology Nurses’ Experiences Dealing With And Managing Compassion Fatigue While Caring For Terminally Ill Patients, Stacey-Ann Mary Whyte Jan 2023

Oncology Nurses’ Experiences Dealing With And Managing Compassion Fatigue While Caring For Terminally Ill Patients, Stacey-Ann Mary Whyte

Walden Dissertations and Doctoral Studies

Compassion fatigue (CF) is a significant cause of nurse burnout (BO). Oncology nurses are particularly susceptible to CF because of the continual contact with terminally ill patients and recurrent experiences with patients’ death. A search of existing literature found no published studies that explicitly focused on interviewing oncology nurses to gain their expression of their lived experiences with CF while caring for terminally ill patients. This phenomenological qualitative study explored oncology nurses’ experiences dealing with and managing CF when caring for terminally ill patients. Figley’s compassion fatigue theory grounded this study. The research questions focused on the lived experiences of …

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Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams Jan 2023

Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams

Walden Dissertations and Doctoral Studies

When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …

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The Relationship Between Poverty And Hospital Readmission Rates For U.S. Patients With Chronic Obstructive Pulmonary Disease, Heart Failure, And Asthma, Gardel Benz Eliazaire Jan 2023

The Relationship Between Poverty And Hospital Readmission Rates For U.S. Patients With Chronic Obstructive Pulmonary Disease, Heart Failure, And Asthma, Gardel Benz Eliazaire

Walden Dissertations and Doctoral Studies

AbstractHospital readmissions have continuously been a concern to healthcare providers and policymakers because of their negative impacts on the economy and the well-being of patients. A gap in knowledge exists in the understanding of the factors that have led to increased readmissions due to chronic cardiovascular diseases (Heart Failure) and respiratory diseases (chronic obstructive pulmonary disease [COPD] and Asthma). The aim of this study was to examine the relationship between poverty rate and hospital readmission rates for patients with COPD, Heart Failure, and Asthma in the United States using secondary data from the Healthcare Cost and Utilization Project’s (HCUP’s) Nationwide …

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The Lived Experiences Of Homelessness Of Former Foster Youth Navigating Their Way Into Adulthood, Debra B. Hampton Jan 2023

The Lived Experiences Of Homelessness Of Former Foster Youth Navigating Their Way Into Adulthood, Debra B. Hampton

Walden Dissertations and Doctoral Studies

AbstractYouth exiting the U.S. foster care system can experience a complicated process as well as lack of support and resources to help in their transition. Also, despite federal policies in place, these youth can face socioeconomic challenges that lead to homelessness. The purpose of this qualitative, hermeneutic, phenomenological study was to explore the lived experiences of homelessness of adults who age out of the foster care system without continued support when they turn 18. Social capital theory provided a theoretical foundation for the study. Participants were 10 individuals 18 years of age and over who exited out of foster care …

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The Lived Experiences Of Black Women With Hysterectomy For Benign Fibroids, Clarise M. Jackson-Hall Jan 2023

The Lived Experiences Of Black Women With Hysterectomy For Benign Fibroids, Clarise M. Jackson-Hall

Walden Dissertations and Doctoral Studies

Black women are more likely than women of any other race in the United States to undergo an abdominal hysterectomy instead of a less invasive and less damaging laparoscopic or robotic procedure for benign fibroids. Although Black women are the population most disparately affected by benign fibroids, as evidenced by higher morbidity and mortality rates due to complications, they are often excluded in clinical research. The purpose of this qualitative phenomenological study was to explore the lived experiences of Black women who decided to undergo an invasive abdominal hysterectomy for benign fibroids. Semistructured interviews were conducted with 14 Black women, …

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Part-Time Clinical Nursing Instructors’ Experiences Of Seeking Peer Support, Janet L. Thorson-Mador Jan 2023

Part-Time Clinical Nursing Instructors’ Experiences Of Seeking Peer Support, Janet L. Thorson-Mador

Walden Dissertations and Doctoral Studies

A well-documented shortage of nursing faculty is a key contributor to the ongoing shortage of nurses in the United States. Part-time clinical nursing faculty play a key role in preparing prelicensure nursing students for clinical practice. These part-time faculty have reported a perceived lack of peer support in the academic workplace. The purpose of this qualitative phenomenological study was to explore the perceptions of novice part-time prelicensure clinical nursing faculty as they sought peer support to transition into the educator role. Husserl’s transcendental phenomenology, as applied by Moustakas, and Illeris’s three dimensions of learning model informed this study. A sample …

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Utilization Of An Opioid Antagonist And Comprehensive Medication-Assisted Treatment In Correctional Settings, Amanda K. Trent Jan 2023

Utilization Of An Opioid Antagonist And Comprehensive Medication-Assisted Treatment In Correctional Settings, Amanda K. Trent

Walden Dissertations and Doctoral Studies

Many people brought into the U.S. criminal justice system have substance abuse problems that served as the primary or secondary catalyst for offending. To treat substance use disorder in these individuals, medication-assisted treatment (MAT) is being evaluated as a viable option in the criminal justice system. The purpose of this quantitative study was to evaluate the effectiveness of a MAT treatment program by reviewing existing data regarding offenders who were receiving the opioid antagonist naltrexone, other supplemental medications, and cognitive behavior therapy in a therapeutic community inside a correctional setting. Biological and social learning theoretical frameworks guided the study. Secondary …

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Young Adults’ Romantic Relationships: The Relation Between Perceived Pressure To Disclose And Disclosure To Romantic Partners, Jessica Truscott Jan 2023

Young Adults’ Romantic Relationships: The Relation Between Perceived Pressure To Disclose And Disclosure To Romantic Partners, Jessica Truscott

Walden Dissertations and Doctoral Studies

AbstractThe most personal level of communication is intentional self-disclosure of one’s feelings or thoughts with another individual. Within the context of romantic relationships, disclosure between partners has implications for the relationships and for individual well-being. However, less is known about whether perceived pressure to disclose is related to young adults’ amount of disclosure to their partners. The theoretical frameworks applied to this study included social penetration theory, self-disclosure theory, and Reis and Shaver’s intimacy process model. The primary purpose of this quantitative secondary analysis of previously collected data by Rose was to test whether young adults’ perceived pressure from their …

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Perspectives Of Teachers On The Use Of Technology Within The Preschool Experience, Cynthia L. Basse Jan 2023

Perspectives Of Teachers On The Use Of Technology Within The Preschool Experience, Cynthia L. Basse

Walden Dissertations and Doctoral Studies

Due to the increased use of technology in people’s lives, digital media literacy has become increasingly more important in young children’s early experiences. When used appropriately, children discover how to use digital media in ways that enhance their learning, preparing them for the positive benefits of technology use across their lifetime. The problem investigated in this study is that preschool teachers reported they did not use technology within the preschool experience. The purpose of this study was to explore teachers’ perspectives on technology use within the preschool experience. The conceptual framework for this qualitative study was developmentally appropriate practice. The …

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Self-Efficacy Facilitated Sleep, Physical Activity, Towards Regulating Bmi Of Permanent 12-Hour Shift Registered Nurses, Veronica Brock Jan 2023

Self-Efficacy Facilitated Sleep, Physical Activity, Towards Regulating Bmi Of Permanent 12-Hour Shift Registered Nurses, Veronica Brock

Walden Dissertations and Doctoral Studies

Shift workers with obesity-related comorbidities have reduced health and lifespan. Registered nurses (RNs) are ranked fifth among the most obese professionals in the United States, according to recent studies. Researchers have not examined the relationship between self-efficacy, physical activity, sleep, and 12-hour night shift RNs despite demonstrating that self-efficacy inspires confident health habits in the general population. For this quantitative study, the social cognitive theory was applied to study the interrelationships among the independent variables, sleep self-efficacy, self-efficacy for physical activity, and body mass index (BMI), with multiple dependent demographic variables, quality and quantity of sleep, and the level and …

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Administrator Experiences With Placement Of Transgender Women In Coed Residential Homeless Facilities, Monica Lee Discolo Jan 2023

Administrator Experiences With Placement Of Transgender Women In Coed Residential Homeless Facilities, Monica Lee Discolo

Walden Dissertations and Doctoral Studies

Researchers have found that transgender women have difficulty accessing appropriate and inclusive services due to inadequate housing placements. The purpose of this generic qualitative study was to explore the experiences of administrators of coed homeless facilities when making housing placement decisions for transgender women. Queer theory provided the theoretical lens for the study. As part of the qualitative generic study design, 10 interviews were conducted via telephone with participants selected through snowball sampling. The interviews were transcribed, and several iterations of thematic analysis were conducted to construct codes, categories, and themes. The findings revealed that there is (a) a lack …

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Associations Between Mindfulness Meditation, Health Status, And Activity Limitation Among United States Armed Forces, Bettie J. Dubose Jan 2023

Associations Between Mindfulness Meditation, Health Status, And Activity Limitation Among United States Armed Forces, Bettie J. Dubose

Walden Dissertations and Doctoral Studies

A ready military force is essential for the safekeeping of the United States and the well-being of United States Armed Forces personnel. Today, healthcare professionals report disproportionately high rates of chronic disease and substance abuse among United States Armed Forces personnel and disabling mental health disorders that often go untreated. This quantitative research aimed to determine if there was a relationship between United States Armed Forces personnel using mindfulness meditation and their health status. The study used Bandura's social cognitive theory as its framework and theoretical foundation. Also, a quantitative experimental research design examined the causal relationships between the predictor, …

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Using Multi-Theory Model (Mtm) To Predict Intention To Promote Physical Activity By Primary Care Providers, Shirley Mcclendon Jan 2023

Using Multi-Theory Model (Mtm) To Predict Intention To Promote Physical Activity By Primary Care Providers, Shirley Mcclendon

Walden Dissertations and Doctoral Studies

Physical inactivity persists as a public health concern worldwide and results in more than a million deaths per year. This modifiable behavior can result in improved health when primary care providers (PCPs) communicate recommendations to patients and behavior change is supported. In this study, a quantitative cross-sectional design was used to investigate the intentions of PCPs in providing physical activity counseling, using the constructs of the multi-theory model (MTM) of health behavior change as the theoretical framework. An anonymous 37-item electronic survey was administered to participants practicing primary care and family medicine from rural areas in the Southeastern region of …

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Gender Transitioning In Childhood: A Hermeneutic Study Of Parental Reactions, Ashley Rosenberg Jan 2023

Gender Transitioning In Childhood: A Hermeneutic Study Of Parental Reactions, Ashley Rosenberg

Walden Dissertations and Doctoral Studies

The visibility of the transgender community has grown in recent years. The purpose of the hermeneutic phenomenological study was to understand and provide context to the experiences of parents whose children have transitioned from their assigned birth sex to their authentic gender identity. The theoretical framework used was Kubler Ross’ “Five Stages of Grief.” Participants were interviewed by using semi structured interviews on Zoom. A total of 6 people participated in my study. Common themes emerged as a result of my study, which parallel previous research studies. These themes included shock and denial, a sense of grief and loss, feelings …

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Patterns Of Parent Behavior Related To Childhood Physical And Mental Abuse, Cassondra J. Widrick-Phillips Jan 2023

Patterns Of Parent Behavior Related To Childhood Physical And Mental Abuse, Cassondra J. Widrick-Phillips

Walden Dissertations and Doctoral Studies

The issue of child abuse is a growing concern in society. However, the limited amount of research available on parent–child relationships poses a challenge in terms of developing effective prevention strategies. The aim of the study was to analyze the connection between a parent who is abusive and their child who is being abused. The main objective of the study was to identify if the gender of the parent had a relationship with abusing the child of the same or different gender. Bowen’s family systems theory was used to support the study because of the assumption that family relationships are …

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Differences In Criminal Behavior Based On Experiences Involving Parental Incarceration, Brooke Bowie Fitzgerald Jan 2023

Differences In Criminal Behavior Based On Experiences Involving Parental Incarceration, Brooke Bowie Fitzgerald

Walden Dissertations and Doctoral Studies

Parental abandonment, a form of abuse and neglect, can be experienced due to various factors, including incarceration. When parents are incarcerated, children may face factors such as housing instability, financial strain, behavioral problems, mental health issues, and criminal justice involvement. Due to little research that is available, there are challenges in terms of providing programs to children in this position that could focus on preventing negative impacts of parental incarceration in order to combat substance abuse and criminal behaviors, promote better adjustment to stressors, and support mental health treatment. The attachment theory, developed by Bowlby, Ainsworth, and Blatz was used …

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Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico Jan 2023

Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico

Walden Dissertations and Doctoral Studies

Abstract Nursing students possess valuable public health knowledge to prevent the spread of COVID-19 infection. They can provide health education to the public with reliable information and adequate resources. To better understand the role nursing students can take in prevention efforts, the purpose of this quantitative correlational study was to examine the association between COVID-19 health knowledge, self-efficacy, and preventive behavior among undergraduate nursing students. The health belief model was the theoretical framework that guided this study. The primary research questions assessed (a) if there was a statistically significant association between COVID-19 health knowledge and preventive behavior among nursing students, …

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Call Center Managers’ Strategies To Address Employee Turnover, Kimberly Dickens Jan 2023

Call Center Managers’ Strategies To Address Employee Turnover, Kimberly Dickens

Walden Dissertations and Doctoral Studies

Employee turnover is a threat to call center sustainability. Call center leaders who lack strategies to reduce employee turnover have an increased risk of business failure. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies call center leaders use to reduce employee turnover in insurance call centers. The three participants were call center leaders from three different call centers in Raleigh, North Carolina, who implemented strategies to reduce employee turnover. Data were collected from semistructured interviews and reviews of public documents from participants’ company websites and analyzed using thematic analysis. Two themes emerged: …

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The Impact Of Using A Financial Advisor On Financial Success, William Lance Hocutt Jan 2023

The Impact Of Using A Financial Advisor On Financial Success, William Lance Hocutt

Walden Dissertations and Doctoral Studies

Planning for retirement is a practical approach to preparing for an excellent financial quality of life post career. However, individuals do not have the human capital to make optimal financial decisions or know whom to turn to for financial advice when they obtain human capital. This quantitative, correlational study examined the relationship between having a financial advisor, income, education, age, gender, marital status, racial status, employment status, the number of children under 19 years old in the household, and perceived financial success. The chosen theoretical foundation for this study was human capital theory. They used 944 data sets from the …

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The Lived Experience Of Lung Cancer Patients With Psychological Health And Physical Activity, Donna Leeann Homkes Jan 2023

The Lived Experience Of Lung Cancer Patients With Psychological Health And Physical Activity, Donna Leeann Homkes

Walden Dissertations and Doctoral Studies

AbstractPhysical activity (PA) is recognized as a treatment protocol for lung cancer patients that improves physical impairments and reduces symptoms of psychological stress. This qualitative interpretive phenomenological analysis (IPA) study was conducted to explore the lived experience of lung cancer patients and how PA is influenced by anxiety, depression, and fatigue. This study was guided by Bandura’s self-efficacy theory and Engel’s biopsychosocial model. In-depth semi structured interviews were conducted with seven lung cancer participants over Zoom and in person. The data were analyzed using manual hand coding. The analysis revealed themes in patients’ experiences about how PA participation is influenced …

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Recruitment And Retention Of Health Care Workers In Rural Areas, Robbie Marie Julian Jan 2023

Recruitment And Retention Of Health Care Workers In Rural Areas, Robbie Marie Julian

Walden Dissertations and Doctoral Studies

Health care worker shortage is a global problem and is challenging for human resources managers. Human resource managers need more strategies to recruit and retain healthcare workers in rural areas to decrease healthcare worker shortages, unemployment rates, patient morbidity, and mortality rates. Grounded by Maslow’s hierarchy of needs theory, the purpose of this qualitative multiple case study was to explore strategies human resource managers use to recruit and retain healthcare workers in rural areas. The participants were three managers from Southern Louisiana rural area medical facilities with at least 5 years of experience developing and implementing successful recruitment and retention …

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