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Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh Jan 2022

Staff Education On Hepatitis C Screening Guidelines, Duy Le Trinh

Walden Dissertations and Doctoral Studies

Hepatitis C virus (HCV) is found worldwide, but the burden is much higher in correctional settings compared to general populations. In a detention centered located in Washington, the nurses at booking do not know who are at risk for Hepatitis C. This Doctor of Nursing (DNP) project attempted to answer the question of if educating nursing staff at the detention facility in Washington increase their knowledge of the importance of screening inmates for hepatitis C.The purpose of this project was to educate nursing staff about the risk factors for HCV so that proper screening can be done. Knowles’s adult learning …


Correlation Of Meaning Making And Complex Trauma In Women Trafficked For Sex, Brenda Louise Tracey Jan 2022

Correlation Of Meaning Making And Complex Trauma In Women Trafficked For Sex, Brenda Louise Tracey

Walden Dissertations and Doctoral Studies

AbstractThe trafficking of women and girls into the sex industry is one of the world’s fastest growing crimes against humanity. The psychological impact of human trafficking for the purpose of sexual exploitation on survivors has not been widely studied, creating a gap in the literature that merits further research to understand the processes of survivor rehabilitation and community. The purpose of this study was to analyze the relationship between complex posttraumatic stress disorder and having purpose in life among U.S. female citizens who were trafficked into the sex industry. Frankl’s theory of finding meaning was paired with Park’s theory of …


A Phenomenological Study Of Mental Health Providers' Cultural Sensitivity Towards Latinx Clients, Nohemi Vasquez Jan 2022

A Phenomenological Study Of Mental Health Providers' Cultural Sensitivity Towards Latinx Clients, Nohemi Vasquez

Walden Dissertations and Doctoral Studies

AbstractThis hermeneutic phenomenological study explored the lived professional experiences involving mental health providers’ cultural sensitivity towards Latinx clients in the context of mental health service delivery. Pedersen and Essadoh’s multiculturalism framework, known as the “fourth force” of psychology, was used as a guiding framework. Fifteen mental health providers were recruited. Data were collected using semi-structured interviews via Skype, in-person, or phone interviews with participants who had from two to over thirteen years of working experience with Latinx populations. Interviews were examined using an interpretive phenomenological analysis. Four themes emerged from participant responses. Findings revealed that cultural competence and cultural awareness …


Stress On Correctional Officers In High Demand And Low Control Work Environments, Amy Whiting Jan 2022

Stress On Correctional Officers In High Demand And Low Control Work Environments, Amy Whiting

Walden Dissertations and Doctoral Studies

Many major health concerns can be caused due to stress that stems from the demands put upon a person from their job. Correctional officers can experience high demands from their job as well as little control due to on-the-job experiences, such as being assaulted by an inmate, witnessing an assault by an inmate on another correctional officer, or having a complaint filed against them by an inmate. The purpose of this study was to determine if there is a relationship between these experiences and stress-related symptoms, such as gastrointestinal issues, headaches, neck or back pain, difficulty concentrating, and more while …


Assessment Of Multidrug Resistance Among Tuberculosis Patients In Lesotho, Jerry Yakubu Yahaya Jan 2022

Assessment Of Multidrug Resistance Among Tuberculosis Patients In Lesotho, Jerry Yakubu Yahaya

Walden Dissertations and Doctoral Studies

The emergence of multidrug-resistant tuberculosis (MDR-TB) jeopardizes the tremendous efforts in the fight against tuberculosis in Lesotho. To understand the occurrence of MDR-TB, it is important to identify the associated risk factors and how to address them. There is a literature gap on the sociodemographic risk factors associated with MDR-TB in Lesotho. This study assessed whether there is any significant association between age, employment, income, sex, education, place of residence and MDR-TB. The association between HIV and MDR-TB was also evaluated. Guided by the health belief model and social cognitive theory, a retrospective case-control study design and a proportionate stratified …


Predictors Of Homelessness Among Female Veterans And Civilians, Victoria Caridad Justiniano Quinones Jan 2022

Predictors Of Homelessness Among Female Veterans And Civilians, Victoria Caridad Justiniano Quinones

Walden Dissertations and Doctoral Studies

Homelessness among female veterans is a problem that is likely to increase as growing numbers of women in the U.S. military reestablish themselves into their communities as veterans. There has been increasing concern about the greater risk for homelessness found among female veterans when compared to their nonveteran counterparts, so further investigation of homeless incidence by gender is also warranted. This quantitative, exploratory study was grounded in the social ecological theory, the Balshem and colleagues conceptual model of risk factors for veteran homelessness, and the Susser, Moore, and Link conceptual model which investigated causal pathways that are possible risk factors …


Technological Employees’ Experiences Of Psychological Contract Breach: A Phenomenological Study, Dr. Uganda Knapps, Ph.D. Jan 2022

Technological Employees’ Experiences Of Psychological Contract Breach: A Phenomenological Study, Dr. Uganda Knapps, Ph.D.

Walden Dissertations and Doctoral Studies

The aim of this study was to understand the importance of employee relations, ethics, and values; how psychological contracts form through the lenses of ethics, values, organizational justice, and perceptions; and how a psychological contract breach (PCB) may occur in certain situations. The psychological contract is imperative for positive employee relations. The foundation on how psychological contracts form and how psychological contracts may be breached and, in extreme circumstances, violated is based in theory by Argyris and in Rousseau’s theory to differentiate between psychological contract breaches and violations. An interpretive phenomenological analysis approach was used in this study to understand …


Exploring Systemic Reform In Criminal Justice For Afro-Americans Based On Critical Policy Ethnography, Cozetta Butts Lamore Jan 2022

Exploring Systemic Reform In Criminal Justice For Afro-Americans Based On Critical Policy Ethnography, Cozetta Butts Lamore

Walden Dissertations and Doctoral Studies

The persistent disproportionate rates of Afro-American involvement within the criminal justice system at all levels have resulted in historic levels of unexplained mass incarceration. Despite federal guidance, the pandemic of unexplained mass incarceration persists. Some studies have noted that the lack of academic attention may be one of the primary reasons for the lack of change. Others have noted the need for centering and lifting the perspective of those who have been most impacted by these racial disparities. The intent of this study was to offer a qualitative close-up examination and analysis from the perspective of impacted populations. The ecological …


The Factors Urban African American Men Perceive As Preventing Early Prostate Cancer Screening, Joel Mongo Jan 2022

The Factors Urban African American Men Perceive As Preventing Early Prostate Cancer Screening, Joel Mongo

Walden Dissertations and Doctoral Studies

Prostatic carcinoma, or prostate cancer, is the leading cause of death among adult males in the United States. The highest rate of prostate cancer is found in males of African American ethnicity, as males within this cohort are 50% more likely to develop prostate cancer than other ethnicities. African Americans men are 1.6 times more likely to develop prostate cancer and 2.4 times more likely to die from it than Caucasians. The purpose of this qualitative study was to examine the perceptions of urban African American men about factors that prevent them from seeking and receiving prostate cancer screening, and …


Alzheimer's Disease: Risk And Protective Factors To Improve Detection And Prevention, Darryl Clay Nevels Jan 2022

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

Walden Dissertations and Doctoral Studies

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


Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh Jan 2022

Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh

Walden Dissertations and Doctoral Studies

AbstractThe United States has a higher rate of fetal death compared to other industrialized nations. Although many studies on the factors that contribute to fetal death have been conducted among women in general, little of this phenomenon is known among women who have had a previous Cesarean section (C-section). The purpose of this study was to explore the factors of fetal death among women with a previous C-section(s) and offer suggestions for interventions. The social determinants of health theory was used with other social constructs to provide a theoretical and conceptual framework for the study. As part of the cross-sectional …


Strategies For Small Business Sustainability Beyond 5 Years, Wendy M. Allen Jan 2022

Strategies For Small Business Sustainability Beyond 5 Years, Wendy M. Allen

Walden Dissertations and Doctoral Studies

Small businesses are the backbone of the economy in the United States, but they often do not have growth and sustainability strategies. Small business owners who fail to use a strategic plan to focus on growth and sustainability can experience business failure. Grounded in the systems theory, the purpose of this qualitative multiple case study was to explore strategies small business retail owners used to sustain their businesses beyond 5 years. The participants were five small business owners from central Alabama who successfully used strategies for business sustainability. Data were collected via semistructured interviews and reviews of organizational documents and …


Successful Ethical Reporting Strategies In The Technology Industry, Frances Aida Billingsley Jan 2022

Successful Ethical Reporting Strategies In The Technology Industry, Frances Aida Billingsley

Walden Dissertations and Doctoral Studies

AbstractTechnology employees can feel restricted if there is an inability to report unethical behaviors safely, resulting in disengagement and reduced work performance. Technology managers need effective, ethical reporting strategies to improve work performance. Grounded in stakeholder theory, the purpose of this multiple case study was to explore the ethical reporting strategies that three technology managers used to improve work performance in New Jersey. The data sources were semistructured interviews and company documents from the companies’ websites, annual reports, professional association biographies, and the LinkedIn profiles of participants. The three primary themes that emerged using thematic analysis were documenting incidents immediately, …


Mentoring Underrepresented Black Male Students In Science, Technology, Engineering, And Math, Keith A. Carter Jan 2022

Mentoring Underrepresented Black Male Students In Science, Technology, Engineering, And Math, Keith A. Carter

Walden Dissertations and Doctoral Studies

AbstractUnderrepresented Black men entering the science, technology, engineering, and math (STEM) career fields are expected to receive fewer than 6% of all bachelor’s degrees awarded in these fields. In addition, a lack of attention has been given to social capital as a function related to increased self-efficacy obtained through minority mentoring and enrichment programs. This phenomenological study aimed to show the lived experiences of Black male undergraduate students who used STEM mentoring and enrichment programs to increase their self-efficacy and development of social capital. The theoretical framework for this study was Bandura’s theory of self-efficacy and Putman’s theory of social …


The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez Jan 2022

The Relationship Between Types Of Workplace Trauma Exposure, Burnout, And Ptsd In Mental Health Workers, Armando Dominguez

Walden Dissertations and Doctoral Studies

Work-related traumatic exposure has been studied but has not been concisely defined in the widest range of research studying trauma exposure. Specifically, it is not known from previous research whether direct, indirect, and vicarious trauma exposure predict burnout and PTSD in acute care mental health care workers. The emotional processing theory was used as theoretical foundation informing this study as the habituation of response to stress and trauma has been shown to occur incidentally and cumulatively; the theory supports the concept of dichotomous and continuous type of trauma exposure over time. The purpose of this study was to use a …


The Impact Of Telemedicine Availability On Fatal Opioid Overdose Rates In Texas, 2020, Cara W. Hall Jan 2022

The Impact Of Telemedicine Availability On Fatal Opioid Overdose Rates In Texas, 2020, Cara W. Hall

Walden Dissertations and Doctoral Studies

AbstractSubstance use disorders (SUDs) and fatal overdoses are a significant problem in the United States. A viable and effective method for treating SUDs is through telemedicine (tele-SUD) visits. Tele-SUD visits are an effective means of meeting with patients virtually, especially in the post-COVID-19 environment; however, a problem in health care exists concerning the availability of tele-SUD services in middle America. The purpose of this study was to investigate the impact of tele-SUD availability on rates of opioid overdose deaths in the state of Texas. Donabedian’s model of health care quality evaluation was used as the theoretical framework. A quantitative, independent …


The Impact Of The Involvement Of African- American Female’S In Extra-Curricular Activities On Future Prosocial Decision-Making, Janine-Naisha Shante Jackson Jan 2022

The Impact Of The Involvement Of African- American Female’S In Extra-Curricular Activities On Future Prosocial Decision-Making, Janine-Naisha Shante Jackson

Walden Dissertations and Doctoral Studies

It is important to understand what protective factors might be developed in order to prevent Black adolescent females from becoming involved in the juvenile justice system. The focus of this study was identifying the perceptions of adult Black women who grew up in an urban setting and who participated in organized sports during their adolescence. The primary research question focused on whether ten adult Black females perceived their participation in sports during adolescence served as a protective factor, thereby preventing or minimizing the participant’s involvement in criminal behavior. The data was analyzed through MAXQDA software. The predominant themes from this …


Community College Faculty’S Self-Efficacy In Teaching Students With Hidden Disabilities, Phyllis D. Lawhorn Jan 2022

Community College Faculty’S Self-Efficacy In Teaching Students With Hidden Disabilities, Phyllis D. Lawhorn

Walden Dissertations and Doctoral Studies

AbstractColleges use academic success strategies to improve the retention rates of students with disabilities. The purpose of this qualitative case study was to investigate community college faculty’s perceptions of their level of self-efficacy in meeting the learning needs of students with hidden disabilities (SHD) in higher education. Bandura’s theory of self-efficacy provided the framework for the study. The purposeful sample included three full-time professors teaching SHD in any subject and one staff member from the student disabilities office. Each faculty participant completed a telephone or email interview, a demographic survey, and a qualitative self-efficacy survey. The staff member completed an …


Generational-Cohorts And Mental Health Help-Seeking Behavior Intentions In Law Enforcement Officers, Victoria Mccann Jan 2022

Generational-Cohorts And Mental Health Help-Seeking Behavior Intentions In Law Enforcement Officers, Victoria Mccann

Walden Dissertations and Doctoral Studies

Law enforcement is a high-stress, high-risk occupation that can lead to mental health issues. These issues can affect law enforcement officers and the level of service they provide to the public. Traditionally, officers have been found to be resistant to seeking help for their mental health. It was hypothesized that generational turnover may be impacting this positive change found in recent research. The purpose of this quantitative study was to explore the effect of generational cohorts on officers' mental health help-seeking behaviors. The core concepts of the Theory of Planned Behavior (attitudes, subjective norms, internal perceived behavioral control, external perceived …


Effective Strategies To Reduce Information Overload In The Workplace, Calvin Mcdowall Jan 2022

Effective Strategies To Reduce Information Overload In The Workplace, Calvin Mcdowall

Walden Dissertations and Doctoral Studies

Healthcare organizations may incur significant costs from information overload on employees. The high workload and information overload in healthcare can increase burnout, stress, depression, and aggression and reduce productivity and motivation. Grounded in cognitive load theory conceptual framework, the purpose of this qualitative single case study was to explore strategies operational healthcare leaders in the Southeast region of the United States used to reduce information overload in the workplace. Data were collected through phone conferencing from semistructured interviews with five leaders and a focus group discussion with three leaders working in a healthcare organization. Four themes emerged from the thematic …


Successful Information Technology Project Process Management Best Practices, Jude Oderaa Orazulike Jan 2022

Successful Information Technology Project Process Management Best Practices, Jude Oderaa Orazulike

Walden Dissertations and Doctoral Studies

Globally, most information technology projects (ITPs) are reported as unsuccessful. Poor project management practices have consistently been identified as the leading cause of ITP failures. However, ITP practitioners manage project processes in diverse ways without clear guiding principles in terms of what does or does not work in practice for success. Process management practices in projects were explored in this grounded theory qualitative study from a systems theory perspective. The purpose was to understand from project practitioners' experiences what guiding principles potentially influenced ITPs to success. These experiences were then analyzed to develop a theory describing how to best use …


Factors Influencing The State Of Texas’S Policies Toward Business Activity In The Covid-19 Pandemic: A Case Study., Gregory E. Parker Jan 2022

Factors Influencing The State Of Texas’S Policies Toward Business Activity In The Covid-19 Pandemic: A Case Study., Gregory E. Parker

Walden Dissertations and Doctoral Studies

The novel coronavirus, also known as Severe Acute Respiratory Syndrome Coronavirus 2 and causing a disease called COVID-19, reached the United States in January 2020. In the United States, some state and local governments-imposed lockdowns on citizens and businesses in the name of public safety and health, while other governments prioritized avoiding disruptions to economic activity in their states and localities. The purpose of this qualitative case study was to explore the factors that influenced the State of Texas’s policies toward business activity during the COVID-19 pandemic. Guided by the theory of regime values, a nonintrusive approach was employed to …


Lived Experiences Of Support Among Parents Of Children With Acute Lymphoblastic Leukemia During The Covid-19 Pandemic, Laxmi Seth Jan 2022

Lived Experiences Of Support Among Parents Of Children With Acute Lymphoblastic Leukemia During The Covid-19 Pandemic, Laxmi Seth

Walden Dissertations and Doctoral Studies

AbstractReceiving a cancer diagnosis for one’s child is a traumatic experience for any parent. Acute lymphoblastic leukemia (ALL) is the most prevalent form of leukemia in children. Treatment-related issues can negatively affect quality of life and cause long-term emotional, social, and financial stress for the parents. The world faced the COVID-19 pandemic in 2020. While professional support was available for the parents caring for their children undergoing ALL treatment during the pandemic, how these parents experienced support, including through social media, was unknown. Investigating parents’ lived experiences of support, including social media support, during COVID-19 pandemic, was the focus of …


Comprehensive Sex Education, Religious Affiliated Organizations, And Std Knowledge Among Young Adults, Leslie Marie Shaffer Jan 2022

Comprehensive Sex Education, Religious Affiliated Organizations, And Std Knowledge Among Young Adults, Leslie Marie Shaffer

Walden Dissertations and Doctoral Studies

AbstractEvery year there are approximately 20 million new cases of sexually transmitted diseases (STDs) in the United States, and half of these are among young adults. Stark County, Ohio recently experienced an increase in chlamydia, gonorrhea, and syphilis cases among 18- to 24-year-old individuals. Public health practitioners have since called for research regarding factors that affect STD knowledge and perceptions in this population. This cross-sectional study was guided by the social-ecological model and assessed the association between attendance at a religious-affiliated institution, access to comprehensive sex education, and STD knowledge. One hundred thirty-eight (n=138) participants, aged 18 to 24 years, …


Third-Grade Content Area Teachers Instructing Students With Dyslexia, Jennifer Waxman Jan 2022

Third-Grade Content Area Teachers Instructing Students With Dyslexia, Jennifer Waxman

Walden Dissertations and Doctoral Studies

AbstractResearchers have found that teachers do not always understand how to educate students with dyslexia. The research problem addressed in this study was this gap in knowledge leading to a gap in practice regarding teaching students with dyslexia. The purpose of this basic qualitative study was to examine how and if third-grade general education content area teachers were providing interventions and instruction to meet the needs of third-grade students with dyslexia. The fundamental intervention with the strongest causal model in improving phonological abilities and reading development is the Orton-Gillingham methodology, which served as the conceptual framework for this study. This …


Capacity-Building Strategies Leaders Of Nonprofit Organizations Use To Improve Performance, Ashley Williams Jan 2022

Capacity-Building Strategies Leaders Of Nonprofit Organizations Use To Improve Performance, Ashley Williams

Walden Dissertations and Doctoral Studies

Capacity-building strategies to improve nonprofit organizational performance are essential, as 60% of nonprofit organizations are experiencing increased service demands while struggling to maintain adequate operational funds and fulfill their mission. Leaders of nonprofit organizations who fail to implement capacity-building strategies risk their organization’s ability to adapt, maintain solvency and relevance. Grounded in the strategic agility framework, the purpose of this qualitative multiple case study was to explore strategies leaders of nonprofit organizations implemented to build capacity and positively impact organizational performance. The participants comprised four leaders of nonprofit organizations in Texas who successfully used strategies to improve growth, capacity, and …


Nursing Staff Education On Depression And Screening In The Perinatal Period, Lenora Dianne Woolary Jan 2022

Nursing Staff Education On Depression And Screening In The Perinatal Period, Lenora Dianne Woolary

Walden Dissertations and Doctoral Studies

AbstractPerinatal depression is among the most common of mental illnesses a woman experiences during pregnancy and postpartum. Currently, in the Federally Qualified Health Center, patients are only screened at the postpartum visit while the evidence-based literature recommends screening in the prenatal period as well thus creating a gap in practice. The purpose of this project was to address this gap through the planning, implementation, and evaluation of a staff education project on perinatal depression and screening. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, the project was guided by two questions: (a) What evidence in …


Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen Jan 2022

Evaluation Of A Public School District Nutrition Education Program In Southern California’S San Diego County, Donielle Cohen

Walden Dissertations and Doctoral Studies

The prevalence of obesity among children and adolescents has markedly increased in several developed countries in recent years. Researchers have examined different factors that contribute to overweight and obesity in children and adolescents but have not fully explored the psychological impact of obesity on this population. The effectiveness of nutrition education programs in addressing the effects of obesity is also understudied. The primary purpose of this evaluative case study was to examine the impact of the Harvest of the Month nutritional educational program, which was adopted by San Diego County public schools in 2005, on the nutritional habits and psychosocial …


Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates Jan 2022

Clinical Practice Guideline For Treating Depression In Lgbtq+ Patients In Primary Care, Shantrice Bernice Nichols-Bates

Walden Dissertations and Doctoral Studies

The lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ+) population is at increased risk for depression, poor mental health outcomes, and higher instances of suicidality and reluctance to seek care for mental health issues in comparison to their non-LGBTQ+ peers. The identified gap in practice was the need for an evidence-based clinical practice guideline (CPG) for managing mild to moderate depressive disorder in the LGBTQ+ patient at a primary care clinic located in the southeastern United States. The purpose of this project was to develop a CPG to aid primary care providers in screening for, identifying, and managing mild to moderate …


Why Congress Has Not Passed Facial Recognition Technology Legislation For Public Spaces, Kecia Treviri Robertson Jan 2022

Why Congress Has Not Passed Facial Recognition Technology Legislation For Public Spaces, Kecia Treviri Robertson

Walden Dissertations and Doctoral Studies

AbstractFacial recognition technology (FRT) in public spaces has been a political and social concern for more than 30 years. Conflict exists between the use of FRT for safety and security measures and its possible violation of the First, Fourth, and Fourteenth Amendments. Additional controversial issues surrounding the use of FRT in public spaces include technological development without standardization or regulations; biometric algorithms developed with bias; and the social issues of privacy intrusion, gender and racial bias, data security, accuracy, and privacy concerns. Researchers have concurred a national policy is needed to address FRT issues but have not explained why Congress …