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Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern Jan 2023

Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern

Walden Dissertations and Doctoral Studies

Tobacco use has been a long-standing known modifiable risk factor to maternal health. Although there have been many efforts to encourage smoking cessation, use of electronic cigarettes in pregnancy has been increasing over the years. Understanding potential factors that may play a role in the increased use of electronic cigarettes is important to improve maternal and fetal health outcomes. The social ecological model provides the theoretical framework for this study. The purpose of this study is to determine whether a woman’s primary language and pregnancy health care factors (i.e., access to health care 12 months prior to pregnancy, access to …

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Social Media Marketing Strategies To Increase Customer Base, Kathryn Hauer Jan 2023

Social Media Marketing Strategies To Increase Customer Base, Kathryn Hauer

Walden Dissertations and Doctoral Studies

Accounting firm managers who fail to use social media marketing strategies effectively may lose market share for their firms and struggle as viable competitors. Business leaders are concerned with how managers at small businesses can use social media marketing strategies to increase sales. Grounded in relationship marketing theory, the purpose of this qualitative single case study was to explore social media marketing strategies accounting firm managers use to increase sales. The participants were three accounting managers at a small accounting firm in southeastern Massachusetts who used social media to communicate and connect with potential and ongoing clients. Data were collected …

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Managing Nurse Leader Stress To Promote Leader Retention, Rebecca Sue Hawkins Jan 2023

Managing Nurse Leader Stress To Promote Leader Retention, Rebecca Sue Hawkins

Walden Dissertations and Doctoral Studies

Nurse leaders are a health care group that has been provided limited support to managestress and burnout symptoms, yet the impact of leader stress burden on staff satisfaction, patient outcomes, and their own health is vital to the provision of safe, high-quality health care. The problem of leader fatigue and burnout is the ability to retain current leaders and recruit the next generation. The purpose of this staff education project was to address leadership burnout due to stress and the lack of knowledge of how to manage stress in the moment. A combination of Watson’s theory of caring and Ray’s …

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Middle And High School Administrators’ Perceptions Of Retention Factors At Title I Campuses, Creseda Hawk Jan 2023

Middle And High School Administrators’ Perceptions Of Retention Factors At Title I Campuses, Creseda Hawk

Walden Dissertations and Doctoral Studies

AbstractPrincipal turnover has a negative influence on the stability of a school’s culture and climate and on student achievement. Many U.S. principals leave their positions by the end of their 2nd year, and this number is disproportionately higher for low-income school districts. The purpose of this basic qualitative study was to investigate middle and high school principals’ perceptions of factors influencing administrator turnover at Title I schools across a southeastern U.S. state. Herzberg’s two-factor theory of motivation grounded this study. The research questions were focused on principals’ perceptions of motivation and hygiene factors. Semistructured interviews were conducted with 10 purposively …

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Experiences Of Women Faculty Using Meditative Practices Through Workplace Health Promotion In Ontario, Kelly Lynn Henley Jan 2023

Experiences Of Women Faculty Using Meditative Practices Through Workplace Health Promotion In Ontario, Kelly Lynn Henley

Walden Dissertations and Doctoral Studies

Workplace stress is pervasive and changes to the postsecondary teaching and learning environment have contributed to stress among women faculty and adversely impacted their personal well-being. The purpose of this qualitative study was to understand how the constructs in the health belief model (HBM) play a role in the use of worksite wellness initiatives to manage stress and promote wellness among women postsecondary faculty in Ontario. The research questions were designed based on the HBM to examine the participants’ perceptions of severity and susceptibility to workplace stress, perceived benefits and barriers to participation, motivation to participate, and self-efficacy. Women faculty …

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The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry Jan 2023

The Correlation Of Adverse Childhood Experiences And Pornography Consumption In Adulthood, Branden Henry

Walden Dissertations and Doctoral Studies

Over the past 25 years, significant research has gone into understanding how adverse childhood experiences (ACEs) correlate with a variety of negative health and behavioral outcomes, while at the same time, pornography consumption has increased dramatically. However, limited research has been done to understand whether a relationship exists between ACEs and pornography consumption. Attachment theory, which was used as the theoretical framework for this study, includes the idea that childhood experiences play a major role in a person’s development of various behaviors throughout life, including coping mechanisms like pornography consumption. The purpose of this quantitative, cross-sectional, correlational study was to …

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Strategies For Improving The Interoperability Of Private Practices’ Electronic Health Care Systems, Anasa N. Holden Jan 2023

Strategies For Improving The Interoperability Of Private Practices’ Electronic Health Care Systems, Anasa N. Holden

Walden Dissertations and Doctoral Studies

AbstractCommunication of data exchange is essential for all healthcare service lines to ensure the highest quality of care. For a long time, private practices and small businesses have needed help implementing electronic healthcare systems interoperability. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore strategies private practices and small businesses use to sustain electronic healthcare systems with interoperability effectively. The participants were six CEOs, managers, and leaders of private practices and small businesses in Detroit, Michigan, with direct healthcare service lines that effectively sustained electronic healthcare systems with interoperability. Data were collected …

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Occupational Stress In Long Term Care In Georgia And Virginia During The Covid-19 Pandemic, Lacountess Renee Hooks Jan 2023

Occupational Stress In Long Term Care In Georgia And Virginia During The Covid-19 Pandemic, Lacountess Renee Hooks

Walden Dissertations and Doctoral Studies

Nursing staff working in long-term care settings experience high levels of occupational stress related to many factors that can lead to poor outcomes for the nursing staff and the residents. In 2020, the World Health Organization declared severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), also known as COVID-19, a pandemic which over the course of 3 years, has added an additional source of work-related stress for long-term care nursing staff. This quantitative cross-sectional study was guided by the job demand-control-support model to explore perceived stress and nursing stress among nursing staff working in the long-term care setting in Georgia and …

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The Relationship Between Socioeconomic Disparities In Alabama Hospitals And Patient Experience, Phillimena Ashley Hopkins Jan 2023

The Relationship Between Socioeconomic Disparities In Alabama Hospitals And Patient Experience, Phillimena Ashley Hopkins

Walden Dissertations and Doctoral Studies

Patient satisfaction has been utilized to measure healthcare quality and outcomes, which affects reimbursement. Some claim such measures could be biased as they do not consider the patient’s socioeconomic status. Measuring the quality of care, Area Deprivation Index (ADI), and patient experience has been captured and publicly reported; and the measuring indicator Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS), however, hospitals serving patients in low ADI areas generally score poorly. Grounded in the theory of Donabedian, the purpose of this quantitative correlational study was to examine the relationship between patient experience associated with socioeconomic disparities and how patients …

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Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou Jan 2023

Understanding The Impact Of Special Education Programs On African American Males, Jacques Houssou

Walden Dissertations and Doctoral Studies

AbstractAfrican American males placed in special education programs their entire time in high school often experience stigmatizing feelings of lack of self-worth and self-esteem as adults. The purpose of this qualitative case study was to explore and better understand the influence special education programs may have on African American males’ self-esteem and self-worth. Becker’s and Lemert’s labeling theory and Baumgartner and Jones’s and Gould and Eldredge’s punctuated equilibrium theory guided this study. The focus of the research questions was the influence of special education programs on African American males’ learning experiences and the changes needed. Purposive and snowball sampling techniques …

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A Phenomenological Exploration Of Academic Mediation And Modifiability: The Progression From Ged® To Phd, Heather E. Hoyt Jan 2023

A Phenomenological Exploration Of Academic Mediation And Modifiability: The Progression From Ged® To Phd, Heather E. Hoyt

Walden Dissertations and Doctoral Studies

Researchers have identified the importance of academic mediation and modification within a student’s thought process as it encourages academic achievement in early education, college, and advanced degrees. However, there is a gap in the research regarding the academic mediation and modification in individuals who have progressed from GED to PhD. The purpose of this study was to (a) explore the personal experiences of doctoral alumni on their achievement during the progression from GED to PhD; (b) to understand what experiences, if any, related to receiving academic mediation and modification which led to doctoral success; and (c) to contribute to the …

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Implementation Of A Staff Education Project On Human Trafficking For Emergency Department Staff, Monica Rena Hunt Jan 2023

Implementation Of A Staff Education Project On Human Trafficking For Emergency Department Staff, Monica Rena Hunt

Walden Dissertations and Doctoral Studies

Evidence demonstrates that people who are being trafficked will seek medical attention, especially in emergency departments, which presents a rare opportunity to identify and support them. This Doctor of Nursing Project (DNP) was designed to evaluate if educating emergency department nurses on using an adult screening tool for human trafficking improves knowledge in a local emergency department in Texas. The participants were 11 registered nurses. The Maslow hierarchy of needs theory and the adult learning theory were used as a framework, and the models used to construct the educational project were Gagne’s nine levels of learning and the use of …

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Effect Of The Mathematics Workshop Model On Middle School English Language Learners’ Achievement, Khethiwe Hudson Jan 2023

Effect Of The Mathematics Workshop Model On Middle School English Language Learners’ Achievement, Khethiwe Hudson

Walden Dissertations and Doctoral Studies

AbstractMost English learners (ELs) face challenges upon entering schools in the United States. The problem addressed in this study was that more than half of middle school ELs did not reach basic proficiency on their mathematics inventory in a Mid-Atlantic school district between 2017 and 2022. The purpose of this quantitative study was to investigate the differences in the Spring mathematics inventory scores between low-English functioning middle school ELs (Level 1 entering and Level 2 emerging) and medium functioning middle school ELs (Level 3 developing and Level 4 expanding) who were instructed in the mathematics workshop model for 18 weeks …

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Respiratory Therapists’ Perceptions Of Their Roles In A Copd Multidisciplinary Care Team, Iheako Charles Ike Jan 2023

Respiratory Therapists’ Perceptions Of Their Roles In A Copd Multidisciplinary Care Team, Iheako Charles Ike

Walden Dissertations and Doctoral Studies

AbstractThe purpose of this study was to explore respiratory therapists’ (RTs') perceived roles and responsibilities in a COPD multidisciplinary care team, and how those roles and responsibilities were affected when RTs were monitored and evaluated by a team member. Accountability theory was used to guide the development of this study. The study’s goal was to provide needed information on the specific roles and responsibilities of RTs in a COPD multidisciplinary care team because RTs knowing their roles and responsibilities could improve the quality of care and enhance the delivery of healthcare services for patients with COPD. The study’s research method …

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Employee Engagement Strategies In Manufacturing Organizations In Nigeria, Mofoluwaso Ilevbare Jan 2023

Employee Engagement Strategies In Manufacturing Organizations In Nigeria, Mofoluwaso Ilevbare

Walden Dissertations and Doctoral Studies

Employee engagement is a major concern for business leaders in the manufacturing sector due to the constantly shifting labor market and the demanding nature of the manufacturing work environment. Manufacturing leaders who lack effective strategies to improve employee engagement risk losing valuable employees, which can pose significant threats to productivity and business profitability. Grounded in Kahn’s engagement and disengagement theory, the purpose of this qualitative multiple-case study was to explore strategies manufacturing leaders in Nigeria use to increase employee engagement. Using semi-structured interviews, company business reports, and employee survey action plans and reports, data were collected from eight manufacturing leaders …

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Diversification Strategies Business Managers Use To Improve Profitability, Kayode Itiola Jan 2023

Diversification Strategies Business Managers Use To Improve Profitability, Kayode Itiola

Walden Dissertations and Doctoral Studies

A lack of diversification strategies can negatively impact business profitability. Business managers of small and medium-sized enterprises who implement appropriate diversification strategies can improve business profitability, ensuring the firm’s sustainability. Grounded in the modern portfolio theory, the purpose of this qualitative single case study was to explore diversification strategies business managers use to improve profitability. The participants were five business managers who successfully used diversification strategies to enhance business profitability. Sources for data collection were semi-structured interviews, company archival documents, and field notes. Data were analyzed using thematic analysis. Four themes emerged: concentric diversification strategy, horizontal diversification strategy, customer needs …

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African Public Leadership On Technology Readiness And Diffusing The Circular Economy In Sub-Saharan Africa, Evans Jakpa-Johns Jan 2023

African Public Leadership On Technology Readiness And Diffusing The Circular Economy In Sub-Saharan Africa, Evans Jakpa-Johns

Walden Dissertations and Doctoral Studies

Sub-Saharan Africa is not yet ready to embrace the digital and the fourth industrial revolution, and there remains a literature gap about technology readiness and effective technology diffusion to support a circular economy transition in West and East African countries. The purpose of this qualitative, multiple case study was to describe African public leadership experts' views on how sub-Saharan African leaders can enable technology readiness and the technology diffusion needed for a successful transition to a circular economy. A multiple case study design was used to collect data from a purposeful sample of 14 African public leadership experts. Semistructured interviews, …

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Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson Jan 2023

Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson

Walden Dissertations and Doctoral Studies

Resilience characteristics in law enforcement officers have been a focus of scholars for several decades. Repetitive trauma requires officers to establish coping mechanisms and manufacture varying resilience factors. Researchers have demonstrated that interventions to improve resilience may result in a higher demand for psychoeducation, training and well-being, and stress management. Researchers have yet to establish what shared characteristics are among law enforcement officers that promote resilience. The purpose of this study was to examine the lived experiences of law enforcement officers’ experiences, beliefs, and knowledge about their exposure to repetitive traumatic events. The resilience theory supported the research. A qualitative, …

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Associations Between Substance Use And Obesity Among Native American Adolescents, Joseph Jude Janosky Jan 2023

Associations Between Substance Use And Obesity Among Native American Adolescents, Joseph Jude Janosky

Walden Dissertations and Doctoral Studies

Obesity and substance use are two significant public health issues among Native American adolescents. Despite much evidence linking obesity and substance use during adolescence to several long-term health conditions and increased morbidity and mortality, evidence describing the relationship between current substance use and obesity among Native American adolescents is lacking. The purpose of this quantitative study was to investigate associations between current substance use – specifically alcohol, marijuana, and tobacco products – and obesity among Native American high school students, when adjusted for sex, soda consumption, and physical activity. Rosenstock’s health belief model served as the theoretical foundation for this …

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Barriers To The Successful Implementation Of Laws In Saint Lucia, Confia Samantha Jn Paul-Samuel Jan 2023

Barriers To The Successful Implementation Of Laws In Saint Lucia, Confia Samantha Jn Paul-Samuel

Walden Dissertations and Doctoral Studies

AbstractSaint Lucia experiences barriers to successfully implementing some of its enacted laws. As a developing country, when legislative efforts are hampered, the law enactment process is negatively impacted. The purpose of this qualitative study was to understand the potential barriers to the successful implementation of laws in Saint Lucia by examining any effective emerging practices to develop new and innovative approaches and methods in addressing the various issues involved. The conceptual framework for this study comprised parliamentary engagement, public participation and policy making in the law enactment process in similar parliamentary jurisdictions. The research questions focused on understanding the potential …

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Early Childhood Teachers’ Perspectives On Referring Black Students For Disciplinary Action, Adriuna Johnson Jan 2023

Early Childhood Teachers’ Perspectives On Referring Black Students For Disciplinary Action, Adriuna Johnson

Walden Dissertations and Doctoral Studies

Schools have reported disparities in the use of discipline on a nationwide scale. The problem for this study was that early childhood teachers referred Black students for disciplinary action or exclusionary discipline at higher rates than their peers.The purpose of this basic qualitative study was to explore early childhood teachers’ perspectives of referring Black students for disciplinary action. Weinstein, Curran, and Tomlinson-Clarke’s model of culturally responsive classroom management formed the conceptual framework that guided this study. The research question focused on teacher perspectives about referring Black students for disciplinary action. A basic qualitative design was used to capture the insights …

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Kindergarten Through Second Grade Teachers’ Collaboration On Reading Instruction Through Virtual Communities Of Practice, Nakaydria Johnson Jan 2023

Kindergarten Through Second Grade Teachers’ Collaboration On Reading Instruction Through Virtual Communities Of Practice, Nakaydria Johnson

Walden Dissertations and Doctoral Studies

Kindergarten through second grade (K–2) teachers have different experiences with support when teaching beginning reading. However, there is a problem with K–2 teachers having access to virtual collaboration to support beginning reading instruction. The purpose of this qualitative study was to understand the experiences and perceptions of K–2 teachers collaborating virtually on Google Platforms to support beginning reading instruction within a community of practice (CoP). The research questions were used to understand the interaction and accountability of K–2 teachers collaborating within a CoP. The conceptual framework was constructed from elements of CoPs and the social theory of learning because of …

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Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson Jan 2023

Professional Staffing Small Business Strategies For Reducing Voluntary Employee, Gwendolyn L. Johnson

Walden Dissertations and Doctoral Studies

Some small business owners need help reducing voluntary employee turnover, often putting the business at risk for performance failure. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies professional staffing small business owners used to decrease voluntary employee turnover. The participants were five professional staffing small business leaders in the Washington, D.C., area with successful strategies to retain talented employees. Data were collected through semistructured interviews and analyzed using Yin’s five-step process. Three themes emerged: (a) employee recognition, (b) communication, and (c) advancement and training. A key recommendation for small business owners …

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Relationship Between Screentime And Depressive Symptoms And Associated Mediators For African American Adolescents In The United States, Brittney Jones Jan 2023

Relationship Between Screentime And Depressive Symptoms And Associated Mediators For African American Adolescents In The United States, Brittney Jones

Walden Dissertations and Doctoral Studies

The prevalence of adolescent depression in the United States is increasing as adolescents’ use of electronic screen devices increases. Some studies have found associations between screentime and adolescent depression, and other researchers have posited that screentime is not intrinsically harmful. High screentime in African American adolescents may place them at risk for worse depressive symptom outcomes, but the relationship between screentime and depressive symptoms for this population is unknown. The three research questions of this study addressed whether there is a relationship between screentime and depressive symptoms in African American adolescents, and whether sleep duration and the frequency of physical …

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Leadership's Impact On Employee Work Motivation And Performance, Tonia Marilu Joseph-Armstrong Jan 2023

Leadership's Impact On Employee Work Motivation And Performance, Tonia Marilu Joseph-Armstrong

Walden Dissertations and Doctoral Studies

AbstractLeadership is a major factor in terms of motivating employees, leading to enhanced performance. A study was conducted to examine the influence of supervisory leadership style on employee work motivation and job performance in organizations, specifically in a K-12 school setting. The main goal was to determine if there is a relationship between type of leadership demonstrated by school administrators and its impact on the teaching staff’s motivation and performance. Data for this quantitative study were gathered and analyzed from various public and private schools and included a sample of 100 participants. The predictor variable leadership was assessed using the …

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Upper Elementary School Teachers’ Perceptions Of Using Audiobooks For Reluctant Readers, Richard Michael Joseph Jan 2023

Upper Elementary School Teachers’ Perceptions Of Using Audiobooks For Reluctant Readers, Richard Michael Joseph

Walden Dissertations and Doctoral Studies

The problem that prompted this study was that educators’ perceptions were unknown regarding the use of audiobooks in classroom settings to help reluctant readers develop independent reading habits at a suburban elementary school in Southeast Michigan. This lack of awareness represents a gap in practice that reflects a potential need for increased understanding about how the use of audiobooks in classroom settings may help reluctant readers develop independent reading habits. The purpose of this basic qualitative project study was to examine third through fifth grade educators’ perceptions on the use of audiobooks in classroom settings to help reluctant readers develop …

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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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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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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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Experiences With Access To Seeking And Maintaining Home Health Care Services In Low-Income Communities, Staci Yvette Kennedy Jan 2023

Experiences With Access To Seeking And Maintaining Home Health Care Services In Low-Income Communities, Staci Yvette Kennedy

Walden Dissertations and Doctoral Studies

AbstractHome health care services (HHCS) are a cost-effective service option often underutilized by individuals living in low-income communities. For this population, barriers to care may result in higher health care costs and poor health outcomes. Gaps in literature indicated a need to explore experiences of accessing and maintaining home health care among individuals living in low-income communities. The purpose of this qualitative research study was to gain insight into how individuals living in low-income communities perceive their access to HHCS. The conceptual framework used for this phenomenological study was Penchansky and Thomas’s model of access, which addresses access from seven …

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