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Social and Behavioral Sciences Commons™

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Family, Life Course, and Society

Walden University

2019

Articles 1 - 17 of 17

Full-Text Articles in Social and Behavioral Sciences

Reintegration Process Of Previously Incarcerated African American Women Older Than 50 Years, Eva Carol Brent Jan 2019

Reintegration Process Of Previously Incarcerated African American Women Older Than 50 Years, Eva Carol Brent

Walden Dissertations and Doctoral Studies

Successful reintegration of ex-offenders is difficult for most, evidenced by high recidivism rates. Ex-offenders face a broad range of obstacles once released from prison, including personal, social, and employment barriers. This study was an examination of the issues that contributed to a successful or unsuccessful reintegration as reported by ex-offenders. Participants included 10 ex-offenders who participated in interviews regarding the conditions that they believed were necessary for successful community reintegration. The conceptual framework for this study came from the ecological perspective, also known as the person-in-environment theory. Data collection involved one-on-one interviews with the participants. Data analysis was conducted through …

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Exploring The Challenges Non-Clinical Departments Encounter During Eden Alternative Implementation, Keith George Jan 2019

Exploring The Challenges Non-Clinical Departments Encounter During Eden Alternative Implementation, Keith George

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services recommends new guidelines that shift healthcare delivery in nursing homes and long-term care facilities from an institutional model to a person-centered care model. Although clinical outcomes are measured and tracked, there was limited literature about the challenges non-clinical departments face in a nursing facility during implementation of a person-centered model. The purpose of this qualitative study was to explore the challenges non-clinical staff experience while transitioning to an Eden Alternative philosophy, a person-centered care model. The theoretical foundation of this study relied upon Bressers' Contextual Interaction Theory. The research questions for this study …

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Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond Jan 2019

Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond

Walden Dissertations and Doctoral Studies

This study explored the separation of twins in foster care and examined how their lived experiences relate to their interpersonal relationships as adults. Many researchers have studied the long-term impact of nontwin sibling separation in foster care, but little is known about the separation of twins, leaving a significant gap in existing literature. The purpose of this study was to examine the lived experiences twins who were separated in foster care as relates to their interpersonal relationships during adulthood. A qualitative, narrative approach was used to gather the lived experiences of one set of twins. The research questions examined how …

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Caregiver Review Of Nonpharmacological Interventions For Behavioral Symptoms Associated With Dementia, Karla Chaney Ballew Jan 2019

Caregiver Review Of Nonpharmacological Interventions For Behavioral Symptoms Associated With Dementia, Karla Chaney Ballew

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is the most common form of dementia and affects an individual’s overall cognitive function, including orientation, memory, and executive function. Most AD patients in the United States reside in residential care facilities or private homes under the care of individuals with little education on the challenges of the AD patient. Among the challenges faced by caregivers are behavioral and psychological symptoms related to dementia (BPSD). Education has been shown to improve caregivers’ treatment of BPSD in AD patients and to improve caregiver retention. The purpose of this project was to develop an evidence-based education module guided by …

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A Comparison Of Motivational Differences Among Older Marathon Runners And Their Injury Status, Marsha Renee Kaufman Jan 2019

A Comparison Of Motivational Differences Among Older Marathon Runners And Their Injury Status, Marsha Renee Kaufman

Walden Dissertations and Doctoral Studies

Despite the high occurrence of running-related injuries, master level runners, those aged 40 years and older, account for 50% of all marathon finishers. What is not known is the common motive sustaining participation, especially among this age demographic. The self-determination theory was the theoretical framework to support how behavior is regulated by the individual. The purpose of this quantitative research was to identify a difference in the motives (psychological, physical, social, and achievement) and their subcategorical motives (health orientation, weight concern, affiliation, recognition, psychological coping, life meaning, self-esteem, competition, and personal goals) via the Motivations of Marathoners Scales by master …

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Reducing Antipsychotic Medication Use In Long-Term Care Settings, Martha Ofeibea Agbeli Jan 2019

Reducing Antipsychotic Medication Use In Long-Term Care Settings, Martha Ofeibea Agbeli

Walden Dissertations and Doctoral Studies

The prescription rate of antipsychotics in patients with dementia varies between 20% and 50% for the common and troubling neuropsychiatric symptoms experienced by patients with dementia. The use of these antipsychotic medications has been linked with increased risk of morbidity and mortality due to associated Parkinsonism, over sedation, gait disturbances, cognitive decline, and cardiovascular adverse events. The purpose of this project was to assess whether development of an evidence-based clinical practice guideline (CPG) for a long-term care facility would increase awareness about issues that govern the safe use of antipsychotic medications. The conceptual framework for the project was Watson's model …

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African American Sibling Relationships When Caring For An Alzheimer’S Parent, Cynthia M. Smith Jan 2019

African American Sibling Relationships When Caring For An Alzheimer’S Parent, Cynthia M. Smith

Walden Dissertations and Doctoral Studies

Alzheimer’s disease (AD) is the most commonly occurring form of dementia that affects African Americans at 2 to 3 times higher rate than other ethnic or racial groups in the United States. As the number of older African Americans with AD grows rapidly so will the need for daily supports; therefore, informal caregivers, such as an adult offspring, often assume the role of filial caregiver. Focusing on the unique patterns of caregiving among African Americans, this generic qualitative study may help explain the adult offspring’s perspective on sibling relationships as they function in the role of primary filial caregiver. Equity …

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The Nurse And Certified Nursing Assistant Perception Of Person-Centered Care, Latonya Dickerson Hughes Jan 2019

The Nurse And Certified Nursing Assistant Perception Of Person-Centered Care, Latonya Dickerson Hughes

Walden Dissertations and Doctoral Studies

Over the last decade, long-term care facilities have transitioned from institutional care models that focus on person-centered care, in which the resident is the center of the care. The purpose of this study is to explore the nurse and certified nursing assistant perception of the person-centered care services they deliver. Jean Watson's theory of human caring is the theoretical framework that guided this study. The theory focusing on the human caring experiences and person-centered care is being characterized as a caring feeling. The carative factors of Watson's theory, the fundamental concept of caring, has been associated with improved outcomes for …

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Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond Jan 2019

Separated By The Child Welfare System: The Journey Of One Set Of Fraternal Twins, Jocelyne Coan Bond

Walden Dissertations and Doctoral Studies

This study explored the separation of twins in foster care and examined how their lived experiences relate to their interpersonal relationships as adults. Many researchers have studied the long-term impact of nontwin sibling separation in foster care, but little is known about the separation of twins, leaving a significant gap in existing literature. The purpose of this study was to examine the lived experiences twins who were separated in foster care as relates to their interpersonal relationships during adulthood. A qualitative, narrative approach was used to gather the lived experiences of one set of twins. The research questions examined how …

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Cancer Treatment Decision Making In Aging Minorities, Patrice Kemp Jan 2019

Cancer Treatment Decision Making In Aging Minorities, Patrice Kemp

Walden Dissertations and Doctoral Studies

Cancer incidence is high for aging minority and underserved populations, yet research is limited about patient-provider communications with aging racial and ethnic minority populations. Achieving high-quality cancer care is crucial to reducing health disparities for this population. However, potential shortages in professional health personnel, the cost to treat cancer, a strained health care system, and large aging populations contribute to the problem. The purpose of this qualitative study was to understand the personal experiences of aging minorities during cancer treatment decision making when communicating with their cancer care providers. Purposive sampling methods were used to recruit 10 minority women and …

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Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders Jan 2019

Unmet Support Needs Of Informal Caregivers Of Older Adults, Julie Ann Smith Hinders

Walden Dissertations and Doctoral Studies

Due to projected growth of the 65-and-older population and concerns of an impending care gap, reliance on informal caregivers is expected to increase. Improving support for informal caregivers is viewed as a national priority, yet research related to the unmet support needs of informal caregivers is limited. The purpose of this cross-sectional correlational study was to examine predictive relationships between contextual factors (caregiving relationship and type of illness) and environmental factors (rurality) and the unmet support needs (classes, service access, support groups, counseling, and respite) of informal caregivers of older adults. The theoretical framework was Bronfenbrenner's ecological systems theory. Archival …

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Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook Jan 2019

Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook

Walden Dissertations and Doctoral Studies

Military cultural competence has gained attention due to the past 15 years of military conflict and ongoing deployment of troops around the globe. Returning veterans, particularly those who go on to experience homelessness, have reported negative experiences and adverse treatment from programs that were designed to support them. Those experiences have resulted in perceived barriers to access or use of such services. Researchers have established the need for increased levels of military cultural competence to develop rapport with veterans and their families when delivering community-based social and healthcare services. Bandura's self-efficacy theory was the theoretical framework of this study. This …

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Exploring Social Worker Knowledge, Conceptualization, And Use Of Cultural Humility In Hospice, Shelby L. Schiller Jan 2019

Exploring Social Worker Knowledge, Conceptualization, And Use Of Cultural Humility In Hospice, Shelby L. Schiller

Walden Dissertations and Doctoral Studies

This capstone project examined social workers’ knowledge, values, and beliefs as related to the concept of cultural humility to determine how hospice care professionals treat patients’ cultural preferences and traditions with respect and sensitivity at the end of life; as such practices have the ability to improve the hospice experience. Research questions addressed in the study (a) how social workers in Nevada define cultural humility in the context of hospice social work practice, (b) the values or principles hospice social workers in Nevada consider most important in providing culturally appropriate care to hospice patients, and (c) the ways hospice social …

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Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali Jan 2019

Body Weight Self-Perceptions And Experiences Of Nigerian Women Immigrants, Fatimah Binta Ali

Walden Dissertations and Doctoral Studies

Low-income immigrants in the United States experience declining health with increasing length of stay in the country. Their declining health over time has been associated with increased smoking, obesity prevalence, and higher risk for developing diabetes and heart disease. How immigrants perceive their body weight and size, influenced by social interaction, culture, gender, and acculturation is also significant to healthy weight maintenance. Not knowing one's healthy weight could result in body weight misperception and resistance to attaining a healthy weight. The aim of this qualitative study, based on the social constructivist framework, was to understand Nigerian women immigrants' (NWI's) body …

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African American Aged Adults' Attitudes And Perceptions About Assisted Living Facilities, Delois Ann Wilson Jan 2019

African American Aged Adults' Attitudes And Perceptions About Assisted Living Facilities, Delois Ann Wilson

Walden Dissertations and Doctoral Studies

In comparison with the national U.S. population, African American aged adults are less likely to reside in assisted living facilities (ALFs). At present, little qualitative data exist concerning how African American aged adults perceive living at home as opposed to living in an ALF. Using a phenomenological approach, this study explored how African American aged adults who live at home feel about residing in ALFs. The research questions focused on aged adults' perceptions, beliefs, and attitudes about ALFs and the conditions that may prevent African American aged adults from living in ALFs. A conceptual framework based on the Purnell Model …

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Intergenerational Caregiver Loss And Successful Aging Opportunity Disruption Of Bulgarian Elderly, Daniel Georg Habermann Jan 2019

Intergenerational Caregiver Loss And Successful Aging Opportunity Disruption Of Bulgarian Elderly, Daniel Georg Habermann

Walden Dissertations and Doctoral Studies

Identified by European research as an aging crisis, vulnerabilities in the rural Bulgarian elderly population such as intergenerational caregiver loss, are sociohistorical consequences and barriers to successful aging. This transcultural study investigated the aging crisis in rural Bulgaria to create a contextual definition of successful aging and to address successful aging and the identification of challenges and barriers faced by social workers and elders to support successful aging. Guided by continuity theory in aging and contextualized by overarching ecological systems theory, the research questions examined Bulgarian social workers' perceptions and expectations of successful aging and barriers to it. A collaborative …

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Staff Education Intervention To Enhance Care Planning For Older Adults, Mozhgan Peiravi Jan 2019

Staff Education Intervention To Enhance Care Planning For Older Adults, Mozhgan Peiravi

Walden Dissertations and Doctoral Studies

The increased prevalence of cognitive deterioration has increased the challenges of caring for older adults. This study's project site offers a psychiatric program for older adults with customized care for complex geriatric mental health patients. Clinical assessment and care management are often overlooked in geriatric mental health patients diagnosed with behavioral and psychological symptoms of dementia (BPSD). The purpose of this project was to deliver an education program developed from the Staff Training in Assisted Living Residences-Veterans Administration, P.I.E.C.E.S model and the Castle framework to 42 nursing and allied health staff of the project site. The project question explored whether …

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