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2021

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Articles 19141 - 19170 of 24096

Full-Text Articles in Social and Behavioral Sciences

Exploring Barriers To Care: Provider Efforts To Improve Retention In Urban-Rural Clusters, Kenyata M. Fletcher Jan 2021

Exploring Barriers To Care: Provider Efforts To Improve Retention In Urban-Rural Clusters, Kenyata M. Fletcher

Walden Dissertations and Doctoral Studies

AbstractOver the years, the infection rates for HIV in the United States has changed partly due to lack of engagement and medication adherence which can lead to substantial declines in individual health. Factors that contribute to the individual’s adherence can include transportation cost, childcare, and lack of finances to name a few. These barriers can often be decreased with the help of supportive service providers and improvement in the patient-provider relationship. Currently, there is limited research that explores how to reduce patient barriers to care, specifically in rural areas. This qualitative study examines how Illinois health care providers help HIV-positive …

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Professional Administrative Study Discretionary Service Effects Within The Uscis Violence Against Women Act (Vawa) Petition Process, Albert Anthony Hill Jan 2021

Professional Administrative Study Discretionary Service Effects Within The Uscis Violence Against Women Act (Vawa) Petition Process, Albert Anthony Hill

Walden Dissertations and Doctoral Studies

The administration of the Violence Against Women Act (VAWA)-based petition process does not allow discretionary consideration for sponsoring U.S. citizen spouses. This policy is harmful to U.S. citizens. Further, such policy undermines the efforts of USCIS in an equitable delivery of immigration benefits. The purpose of this study was to explore the experiences and perceptions of U.S. spouses with the petition process. A qualitative phenomenological case-study design was used to gain direct knowledge from 13 U.S. citizen spouses about their experiences with the petition process. A conceptual framework approach was used to answer if the current process provides an equitable …

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Exploring Police Legitimacy Through Procedurally Just Policing Practices In Agencies Using Screen-In And Screen-Out Procedures, David William Justice Jan 2021

Exploring Police Legitimacy Through Procedurally Just Policing Practices In Agencies Using Screen-In And Screen-Out Procedures, David William Justice

Walden Dissertations and Doctoral Studies

Recently there have been widely publicized reports of distrust and a lack of perceived legitimacy in communities across the United States for the police agencies that serve them. Scholars have explored perceptions of police legitimacy and the role of procedural justice in police-community interactions; however, there is a dearth of information concerning the policies of law enforcement agencies using psychological assessments to screen-in or screen-out applicants and the manner in which those agencies serve the community. The purpose of this mixed-methods study was to explore the manner in which one police agency using psychological assessments to screen applicants in and …

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The Lived Experiences Of Muslim Americans Regarding Prejudice And Discrimination By Non-Muslims, Munder Abderrazzaq Jan 2021

The Lived Experiences Of Muslim Americans Regarding Prejudice And Discrimination By Non-Muslims, Munder Abderrazzaq

Walden Dissertations and Doctoral Studies

Opposition to Muslim Americans in the United States is openly expressed by majority members, which includes profiling and a recent presidential campaign proposing a “ban on Muslims.” There is a lack of qualitative studies in the United States that explore minorities’ point of view of about the tolerance displayed by majority members. Tolerance involves a degree of restraint about the disapproval and dislike of others of different religious, racial, political, and cultural backgrounds. This limits the ability to develop and implement appropriate policies that are needed to promote positive social change. In this phenomenological study, semistructured interviews were used to …

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Depression And Time Spent On Facebook Predicting Facebook Usage And Social Support, Donald W. Kincaid Jan 2021

Depression And Time Spent On Facebook Predicting Facebook Usage And Social Support, Donald W. Kincaid

Walden Dissertations and Doctoral Studies

Social media is a medium of communication worldwide, but it is not clear whether there is a relationship between depression and the use of social media. The purpose of this research was to explore this possible relationship. The stress generation hypothesis of depression (SGHD) states that people with depression encounter higher rates of stress than their nondepressed counterparts. In the context of social media, people with depressive symptoms may use social media in ways that increase their stress and worsen their depressive symptoms. To test this hypothesis, this study was designed to determine whether a higher level of maladaptive Facebook …

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Assisted Living Transitions: Experiences Of Family Members Of Older African American Women, Carol A. Shaw Burns Jan 2021

Assisted Living Transitions: Experiences Of Family Members Of Older African American Women, Carol A. Shaw Burns

Walden Dissertations and Doctoral Studies

AbstractLong-term care, also known as aging services, is evolving to meet the needs of the aging population in the United States, which is increasingly ethnically and racially diverse. The objective of this qualitative multiple case study was to understand how immediate family members experienced the transition of older African American women as they moved into assisted living facilities. Black feminist theory provided a theoretical framework. Narrative interview data were collected from four adult children family caregivers who facilitated the move. Three themes emerged from the content analysis: (a) Transition is not planned in advance and does not happen until a …

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Challenges To Successful Health Care Transition Among Hiv Positive Youth With Perinatal Acquisition, Tyler Andrew Termeer Jan 2021

Challenges To Successful Health Care Transition Among Hiv Positive Youth With Perinatal Acquisition, Tyler Andrew Termeer

Walden Dissertations and Doctoral Studies

To ensure stability in the continuum of health care for HIV-positive youth with perinatal acquisition, there is a need for a successful transition from pediatric to adult primary care. However, there are a growing number of perinatally infected HIV-positive young persons remaining in pediatric care beyond the age of 21. Using Mohr’s program theory and a phenomenological approach, the lived experiences of Ohio HIV clinicians were examined to determine why many perinatally infected HIV-positive youths are remaining in pediatric care beyond the age of 21. Audio recorded video interviews via SKYPE were conducted with 12 participants, transcribed, underwent thematic analysis, …

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Prosecutors’ Perceptions Of Wrongful Convictions Of African American Men, Teaonna L. Watson Jan 2021

Prosecutors’ Perceptions Of Wrongful Convictions Of African American Men, Teaonna L. Watson

Walden Dissertations and Doctoral Studies

African American men are number one in the United States for wrongful convictions, despite being only 13% of the country’s population. Many wrongful convictions involve a prosecutorial error or Brady violations, which occur when evidence is withheld from the defense. Although wrongful convictions are caused due to several factors, prosecutorial involvement is one reason for false convictions. There is substantial research on wrongful convictions and the causes; however, the scholarly community does not know the perceptions prosecutors have of African American men’s wrongful convictions. The purpose of this qualitative study is to explore eight prosecutors’ perceptions, decision-making strategies, and what …

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Challenges, Practices, And Preferences Of Postsecondary Accessibility Service Providers In Alberta When Implementing Accommodations For Invisible Disabilities, Tara-Jean M. Wenc Jan 2021

Challenges, Practices, And Preferences Of Postsecondary Accessibility Service Providers In Alberta When Implementing Accommodations For Invisible Disabilities, Tara-Jean M. Wenc

Walden Dissertations and Doctoral Studies

Although the last few decades have seen an improvement in postsecondary opportunities for students with invisible disabilities in Alberta, service providers at postsecondary institutions continue to struggle to ensure they provide reasonable accommodations in a timely manner. Research questions explored the current practices and challenges of postsecondary accessibility services providers in Alberta, Canada, and their preferences for verification documentation for students requesting accommodations for invisible disabilities. The conceptual framework was based upon the medical and social models of disability, as well as the emerging justice theory of disability. Data were collected via semistructured interviews with 13 participants. A constant comparative …

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Examining Teachers’ School Wide Positive Behavioral Interventions And Support Practices To Improve The Behaviors Of Students With Disabilities, Lolita Michele Owens Jan 2021

Examining Teachers’ School Wide Positive Behavioral Interventions And Support Practices To Improve The Behaviors Of Students With Disabilities, Lolita Michele Owens

Walden Dissertations and Doctoral Studies

AbstractThe problem at a high school in the southeastern United States is that students with disabilities struggle to demonstrate appropriate behaviors despite the implementation of School-Wide Positive Behavioral Intervention and Supports (SWPBIS). Current research findings have suggested that although SWPBIS includes strategies for students with disabilities, the behaviors of students with learning disabilities have not improved during SWPBIS implementation. There was a need to explore teachers’ implementation of SWPBIS for students with learning disabilities. In this basic qualitative study, how teachers at the research site high school were implementing SWPBIS for students with learning disabilities toward improving maladaptive behaviors was …

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Social Work Practice With Children Identified As Having Disabilities In Elementary School, Tamara Cindy Pierre Jan 2021

Social Work Practice With Children Identified As Having Disabilities In Elementary School, Tamara Cindy Pierre

Walden Dissertations and Doctoral Studies

School social workers provide services and resources for children with disabilities and protect their rights. The National Association of Social Work (NASW) Code of Ethics provides the school social workers’ responsibilities to clients in the promotion of well-being. The present research involved identifying the school social workers’ role in ensuring a conducive learning environment for students with disabilities. Bronfenbrenner’s ecological theory was used in this study to investigate the person-in-environment experiences of school social workers within an elementary class setting. Data consisted of six school social workers’ responses to semi-structured questions obtained in one-on-one interviews conducted via the Zoom web-based …

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Niger Delta Stakeholders’ Expectations Of Iocs’ Peacebuilding Programs: A Multiple Case Study, Sylvester Ikechukwu Ugwuanyi Jan 2021

Niger Delta Stakeholders’ Expectations Of Iocs’ Peacebuilding Programs: A Multiple Case Study, Sylvester Ikechukwu Ugwuanyi

Walden Dissertations and Doctoral Studies

Scholars within the business and peace literature domain identified a knowledge gap in the understanding of community stakeholders’ views and expectations about the specific strategies that support corporate peacebuilding in conflict-ridden host communities. The purpose of this qualitative, multiple case study is to gain a deeper understanding of host community stakeholders’ expectations of international oil companies’ (IOCs’) peacebuilding programs within the Niger Delta. To address the research problem and purpose of the study, qualitative data were collected from multiple sources of evidence including semistructured interviews with eight community stakeholders, archival data, and reflective journaling notes. This study was framed by …

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Lived Experiences Of Pakistani American Women Who Sought Mental Health Treatment, Marriam Ashraf Jan 2021

Lived Experiences Of Pakistani American Women Who Sought Mental Health Treatment, Marriam Ashraf

Walden Dissertations and Doctoral Studies

AbstractDespite the research on how mental illness manifests in the United States, there is more to be known about mental health in the Pakistani American population. The goal of this qualitative phenomenological study was to understand the lived experiences of Pakistani American women who sought mental health treatment. Ecological theory provided the framework for the study. Data were collected from semi structured interviews with 10 participants via telephone and face-to-face conversations. Data were analyzed using managing, reading, memoing, describing, classifying, interpreting, representing, and visualizing techniques. Findings indicated that seeking help for mental health played a positive role in participants being …

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Investigating The Needs Of Homeless Individuals Living In Transitional Housing, Tonya Hambrick-Mcclain Jan 2021

Investigating The Needs Of Homeless Individuals Living In Transitional Housing, Tonya Hambrick-Mcclain

Walden Dissertations and Doctoral Studies

Homeless individuals are a disadvantaged and vulnerable population. Some of the issues contributing to homelessness are mental illness, medical problems, substance abuse, domestic violence, and lack of education and affordable housing. Homelessness continues to be a major social issue in the United States, and it profoundly affects individuals ages 25–35 years old. There is limited research identifying the needs of homeless individuals between the ages of 25 and 35 who live in transitional housing in the Chicago area. The purpose of this generic qualitative research study was to explore how homeless individuals ages 25-35 years old describe their lived experiences …

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A Phenomenological Exploration Of How Nursing Experience Shapes The Transitional Performance Of Primary Care Nurse Practitioners, Helen Okeke Jan 2021

A Phenomenological Exploration Of How Nursing Experience Shapes The Transitional Performance Of Primary Care Nurse Practitioners, Helen Okeke

Walden Dissertations and Doctoral Studies

AbstractPoor access to healthcare and a shortage of primary care providers in underserved communities paved the way for reliance on advanced practice registered nurses (APRNs). This increased reliance on APRNs as primary care providers necessitates expanded public policy on APRN practice; however, information on APRN transitional experiences remains inadequate to inform policymakers effectively. Illinois’ Nurse Practice Act requires APRNs to incorporate the scope of practice of registered nurses into their practice but does not describe what that experience should be. Using Kanter’s theory of organizational structural empowerment and Benner’s novice to expert nursing model as theoretical lenses to ground the …

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The Effect Of Victim’S Responses To Coercive Sexual Harassment On Bystander Intentions And Moral Perceptions, Inna M. Learn Jan 2021

The Effect Of Victim’S Responses To Coercive Sexual Harassment On Bystander Intentions And Moral Perceptions, Inna M. Learn

Walden Dissertations and Doctoral Studies

Female graduate students are targets of coercive sexual harassment (SH) three times more than female undergraduates; 67.8% of their harassers were university faculty. While SH victims expected peer support, peers often socially rejected female victims of coercive SH. Gray and Wegner’s theory of dyadic morality and Bowes-Sperry and O’Leary-Kelly’s bystander response model guided this quantitative study to examine the effect of victim response on helping intentions by peers. After reading the same vignette that described coercive SH, 207 student participants read one of four randomly assigned victim’s responses: victim did nothing, directly confronted the professor during the incident, sought peer …

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Emotional Intelligence, Resilience, And Stress Among Women In Treatment For Substance Disorders, Zummuna Zonzanna Davis Jan 2021

Emotional Intelligence, Resilience, And Stress Among Women In Treatment For Substance Disorders, Zummuna Zonzanna Davis

Walden Dissertations and Doctoral Studies

Emotional intelligence (EI) is the ability of an individual to perceive, use, comprehend, and regulate emotions. While relationships between EI and risk of drug abuse have been explored, possible mechanisms through which higher EI may serve as a protective factor remain undefined; there was a need to understand how EI was related to stress among women with substance use disorders. The purpose of this study was to examine resilience as a mediator between EI and stress, a risk factor, among women in treatment for chemical dependency. The theoretical framework for this study was based on Salovey and Mayer’s EI model. …

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Counselor Education And Supervision Students’ Stage Of Program And Intimate Relationship Investment, Rachel Dell Jan 2021

Counselor Education And Supervision Students’ Stage Of Program And Intimate Relationship Investment, Rachel Dell

Walden Dissertations and Doctoral Studies

The doctoral counselor education and supervision (CES) program has three stages (entry, integration, or candidacy), each involving specific challenges resulting in varying time requirements, workloads, and stress levels. Personal struggles may have consequences that influence the completion of students’ doctoral program and the outcomes of students’ research. Interdependence theory is the theoretical framework for this study. The purpose of this quantitative study was to determine CES doctoral students’ intimate romantic relationship investment as measured by the Investment Model Scale (IMS) and to investigate the relationship between CES doctoral students’ stage in the program and students’ intimate romantic relationship investment. The …

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Gender Equality And Equity Narratives Amongst Women In Nongovernmental Organizations, Barbara Etta Austin-Lucas Jan 2021

Gender Equality And Equity Narratives Amongst Women In Nongovernmental Organizations, Barbara Etta Austin-Lucas

Walden Dissertations and Doctoral Studies

Gender equality and equity narratives of women members of registered nongovernmental organizations (NGOs) have been largely unexamined relative to their lived experiences in healthcare, education, socioeconomic status, and political participation. The purpose of this study was to explore the narratives of women members of registered NGOs located in the Northeastern United States. The gender equality and equity narratives of women in registered NGOs related to their experiences with healthcare, education, socioeconomic status, and political participation were explored. For this qualitative narrative research, the conceptual framework was the narrative policy framework theory, which explores how narratives influence public opinion, policy dialogue, …

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Military Spouses' Lived Experiences During Reintegration After A Noncombat Deployment, Trenye Black Jan 2021

Military Spouses' Lived Experiences During Reintegration After A Noncombat Deployment, Trenye Black

Walden Dissertations and Doctoral Studies

The reintegration of a military service member into family life after a deployment can beexciting, but the reintegration process can also prove difficult. The difficulties associated with reintegration can be compounded when there is lack of acknowledgment of challenges faced by military spouses. The purpose of this transcendental phenomenological study was to explore the lived experiences of military spouses following the reintegration of military personnel returning from noncombat deployment. In-depth face-to-face interviews were completed with 9 military spouses. The resiliency model of stress, adjustment, and adaptation was used as the conceptual framework to provide understanding for factors common in the …

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Exploring The Parenting Styles In Juvenile-Facilitated Parricide, Justess Jacobson Jan 2021

Exploring The Parenting Styles In Juvenile-Facilitated Parricide, Justess Jacobson

Walden Dissertations and Doctoral Studies

Juvenile-facilitated parricide is a rare crime when a juvenile child murders their parent. Parricide cases are unique in that the offender defies the normal parent-child relationship when they kill their own parent. The purpose of this study was to explore the parenting styles that occur in juvenile-facilitated parricide. By using a qualitative case study analysis methodology, this study examined the effect of parenting styles on the bonds between a parent and child, which creates the necessary tension for a child to be able to kill their parents. Attachment theory was used to understand how a child bonds through parenting styles …

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Motivational Interviewing: A Strategy To Improve Health Professional's Communication, Lanita James Jan 2021

Motivational Interviewing: A Strategy To Improve Health Professional's Communication, Lanita James

Walden Dissertations and Doctoral Studies

Miscommunication between patients and healthcare professionals is common in U.S. hospitals and is considered one of the chief factors in reduced patient satisfaction with care. Collaboration with the nurse researcher who reviewed the Hospital Consumer Assessment of Healthcare Providers and Systems Survey (HCAHPS) data for a local hospital noted that negative ratings were directly related to the miscommunication between the patient and care providers. Further identified that the nursing staff was not knowledgeable about evidenced-based strategies needed to communicate effectively with the patients. The purpose of this DNP project was to develop an education program to increase nurses' knowledge about …

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Service Providers' Perceptions Of Stigma And Its Impact On Mental Health Services, Arthur Gabriel Montes Jan 2021

Service Providers' Perceptions Of Stigma And Its Impact On Mental Health Services, Arthur Gabriel Montes

Walden Dissertations and Doctoral Studies

Stigma is one of the most significant barriers to access and utilization of mental health services in the United States. Delays in receiving mental health services significantly contribute to health disparities and poor health outcomes. Social workers play an integral part in implementing best practices within health care settings and reducing health inequities impacting vulnerable populations. The purpose of this qualitative action research study was to explore social work service providers perceptions' toward stigma and how it affects mental health services among patients in California's Medicaid program. Stigma theory was applied to gain an understanding of how stigma interacts and …

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Evidence-Informed Health Care Transition Policy In California’S Title V Programs For Medical Complexity, Anthony Pallitto Jan 2021

Evidence-Informed Health Care Transition Policy In California’S Title V Programs For Medical Complexity, Anthony Pallitto

Walden Dissertations and Doctoral Studies

Inadequate health care transition policy continues to cause interruptions or setbacks in the continuity of medical care and lapses in health insurance coverage for adolescents in California's Title V programs for individuals with medically complex cases. Yet, there is a paucity of empirical health care transition research to develop an effective health care transition policy for children with medical complexity who are enrolled in California’s Title V program. The purpose of this explanatory case study was to explore the potentiality of translating evidence from a quasi-experimental health care transition primary research project into evidence-informed health care transition policy. The research …

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Experiences Of Counselors Providing Therapy To Transgender Veterans, Breanne Thomas Jan 2021

Experiences Of Counselors Providing Therapy To Transgender Veterans, Breanne Thomas

Walden Dissertations and Doctoral Studies

This research study question focused on licensed mental health counselors’ experiences when providing therapy to transgender veterans. The purpose of this qualitative research study was to gain insight into the experiences of counselors providing treatment to transgender veteran clients to improve the retainability of transgender veterans seeking mental health care. This study used the research design of hermeneutics to analyze and interpret data gained from in-person interviews. The study sample included eight licensed professional counselors (LPC) who actively see clients and have seen transgender veteran clients. Interviews were recorded, reviewed by the researcher, transcribed using a transcription service; NVivo software …

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Dynamics Of Male-On-Male Penetrative Sexual Assaults In The United States Army, Nicole Cunningham Jan 2021

Dynamics Of Male-On-Male Penetrative Sexual Assaults In The United States Army, Nicole Cunningham

Walden Dissertations and Doctoral Studies

Male-on-male sexual assaults are a challenge for prevention and response personnel, law enforcement, and the military justice system. Limited research has been conducted on the military sex offender population, and none has been done specifically on military male-on-male assaults resulting in a gap in the research on offenders, what factors make their victims vulnerable, and the situational dynamics of the assaults. In this quantitative exploratory study, 171 cases of penetrative male-on-male sexual assaults were examined through the lens of the routine activity theory. The results of this exploration found that both victims and offenders were most likely to be 18-24 …

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Strategies Worker-Owned Cooperatives Use To Remain Profitable During Economic Downturns, Termaine Davis Jan 2021

Strategies Worker-Owned Cooperatives Use To Remain Profitable During Economic Downturns, Termaine Davis

Walden Dissertations and Doctoral Studies

New managers of worker-owned cooperatives who fail to adapt to changing conditions can threaten the organization’s viability. Some new managers of worker-owned cooperatives may lack the strategies they need to maintain consistent employment levels during economic downturns. Grounded in the expected utility theory, the purpose of this qualitative multiple case study was to explore the strategies used by managers of worker-owned cooperatives to maintain consistent employment levels during sustained periods of low revenue. Participants comprised seven managers of worker-owned cooperatives with a minimum of 5 years’ experience in the Midwest of the United States managing cooperatives during sustained periods of …

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College Readiness Of Freshman Students From Inner-City Schools, Shanitra Jones Barnes Jan 2021

College Readiness Of Freshman Students From Inner-City Schools, Shanitra Jones Barnes

Walden Dissertations and Doctoral Studies

A problem that exists in higher education is that many students are not college and career ready. Many students enter college without being academically prepared to succeed. The purpose of this study was to explore the academic college readiness barriers and supports of freshmen college students from a Midwestern inner-city college. The conceptual framework of this study was Bourdieu’s social capital theory. The research questions address what college freshmen who graduated from inner-city public high schools perceive to be the barriers and necessary supports to reaching their academic goals. The basic interpretive research design was used to investigate the problem …

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Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland Jan 2021

Examining Clinicians' Perspectives Screening For Depression In Patients With Type 2 Diabetes Mellitus, Vickie Lavette Bland

Walden Dissertations and Doctoral Studies

The United States has a significant diabetes problem. This chronic disease affects the body physically and mentally. One of the emotional effects of diabetes is depression. Depression is often present in individuals with diabetes, chiefly in those with type 2 diabetes mellitus (T2DM). While depression is common in T2DM and can interfere with treatment adherence, clinician screening for depression in T2DM patients is low. The purpose of this study was to examine clinicians' attitudes, behaviors, and perceptions concerning screening patients with T2DM for depression. Through a qualitative case study approach centered on reasoned action theory, 3 physicians and 5 nurse …

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Effect Of Professional Exclusion Among Respiratory Therapists In The Icu, Tiffany Lubken Jan 2021

Effect Of Professional Exclusion Among Respiratory Therapists In The Icu, Tiffany Lubken

Walden Dissertations and Doctoral Studies

This study was conducted to test how social exclusion, experienced through a culture of healthcare hierarchy, influenced the feelings/attitudes of respiratory therapists (RTs) who are excluded from discussions of end-of-life (EOL) care. Data analysis was conducted using a multivariate analysis of variance to address the research questions. A quantitative nonexperimental survey research design incorporating four evidence-based surveys was used. There was no significance found between professional exclusion from EOL care discussions and the abilities of RTs to collaborate with intensive care unit (ICU) team members within the shared decision-making model as it relates to providing care in the ICU. There …

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