Public Policy Commons^™

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, …

Canadian Policymaker Experiences On Reducing Syndemic Stigma For Hiv And Substance Use Disorder, Nickolas James Cherwinski

Walden Dissertations and Doctoral Studies

People living with HIV (PLWH) and substance use disorder (SUD) experience highly stigmatized lives fraught by influences such as criminal law and stigmatizing public policies. Despite free access to antiretroviral therapy (ART) and mental health services for all Canadian citizens, suboptimal adherence to ART and administratively cumbersome mental health interventions still exist. Many researchers have found the health services for both HIV and SUD to be dynamic, costly, and difficult to maintain; as such, the purpose of this study was to explore the knowledge gap related to the policy implications of syndemic stigma experienced by PLWH and SUD in Canada. …

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 …

A Photovoice Study On Growing Up Female In Foster Care, Kim Parker-Maneja

Walden Dissertations and Doctoral Studies

AbstractApproximately 440,000 children lived in state-supervised foster care across the United States in 2019; of those children, 48% were female. Many studies have examined how foster care impacts youth who age out of care, as many are ill-prepared to navigate the challenges of independence and make responsible adult decisions after transitioning. However, only a handful of studies prioritized the female youth's voice to understand their experiences growing up in the foster care system. This study introduced photovoice, a participatory methodology, to collect data from 11 former female youth 19-25 years old. Manchanda's upstream concept and Rappaport's empowerment theory were used …

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, …

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 …

Nonprofit Organizations’ Program Evaluation Of Education Toward Prevention Of Teens Using Electronic Cigarettes And Vaping, Paulette Scott

Walden Dissertations and Doctoral Studies

AbstractThe pervasiveness of electronic cigarettes (e-cigarettes) and vaping among teenagers has led to a need for effective interventions to address this problem. One type of intervention that nonprofit organizations (NPOs) such as the American Lung Association (ALA) have adopted is the use of educational programs. For instance, ALA introduced an educational program referred to as Nicotine Dependence: Education, Prevention, Tobacco, and Health (INDEPTH), which acts as an alternative to suspension and citation of teens engaged in e-cigarette smoking or vaping. Despite such interventions, the use of e-cigarettes persists, suggesting the need to determine the perceived effectiveness of such programs. This …

A Sese Uta, Ia Tonu Tai: Local Government Management For Climate Change Adaptive Practices, Casuallen Iulieta Atuatasi

Walden Dissertations and Doctoral Studies

American Samoa remains highly vulnerable to the effects of climate change and has not developed the adaptive capacity to ensure resiliency. The current regulatory system influences the policy decisions of local policy leaders and therefore affecting the territory’s adaptive capacity to climate change impacts. The purpose of this general qualitative interview-based study was to investigate the current governance framework and describe the factors in the territorial relationship that impact policy action of local policy leaders on climate change issues. The research question examined what major aspects of the current regulatory framework impact the policy action of local policy leaders on …

The Poverty-Conflict Nexus And The Activities Of Boko Haram In Northeast Nigeria, Emmanuel Tiku Agbormbai

Walden Dissertations and Doctoral Studies

Abstract:

In recent years Northeast Nigeria has experienced violence carried out by Boko Haram. Previous research studies on the conflict in Northeast Nigeria have not focused on the experiences and perceptions of those affected by the conflict. This study was an exploration of the poverty-conflict nexus and the activities of Boko Haram in Northeast Nigeria as seen through the experiences and perceptions of those impacted by the violence. Benet’s polarities of democracy was used as the theoretical framework to examine those experiences and perceptions. The research questions addressed how the people of Northeast Nigeria attacked by Boko Haram perceive the …

Applying The Narrative Policy Framework To The Usa Freedom Act Of 2015, Michael Sean Hall

Walden Dissertations and Doctoral Studies

The domestic security dilemma is a recurring problem whereby counterterrorism programs are continuously in a state of flux as demands for increased civil liberties and national security compete, as demonstrated by the USA PATRIOT Act of 2001 and USA FREEDOM Act of 2015. The National Security Agency bulk metadata collection program (NSA Surveillance Program) was created to identify terrorists and prevent terrorist attacks, but the USA FREEDOM Act prohibited the program in 2015. The NSA Surveillance Program's prohibition is problematic because the United States may not obtain the intelligence necessary to prevent a terrorist attack. The purpose of this qualitative …

Policy Expectations And Care-Provider Perceptions For Hospital Emergency Preparedness, Kathleen Joy Hirsch-Lanute

Walden Dissertations and Doctoral Studies

AbstractMaintaining preparedness for a disaster is a patient and provider safety issue that is often not a priority for hospital planning; however, the inability to implement and evaluate disaster/emergency preparedness programs may render hospitals and the overall healthcare system fragile and dysfunctional amidst such crises. Priorities such as emergency-department overcrowding and lack of funding emerge daily and contribute to the inability of hospitals to respond appropriately to unexpected events. This study was conducted with the aim to assess the correlation between disaster/emergency preparedness and related problems, policy, and politics. A cross-sectional survey design was used to determine whether problems, policy, …

Community-Based Hiv Prevention Strategies For African American Men Who Have Sex With Men, Dean Michael Aguon

Walden Dissertations and Doctoral Studies

The success of community-based organizations (CBOs) that provide HIV prevention services depends on strong evaluations to ensure the effective use of resources for HIV prevention strategies. However, there is lack of frameworks or process models to provide best practices for implementing HIV interventions by CBOs, and there is a gap in understanding regarding interventions focused on reducing HIV among African American men who have sex with men (MSM). This study addressed CBO employees’ lived experiences within a single organization in Las Vegas, examining program creation, implementation, and measurable outcomes for the African American MSM population, which the research question was …

Exploring Citizen Security In The Nigeria Federated State: Lagos State Neighbourhood Safety Agency In Perspective, Adesoji Olaitan Ogunsanya

Walden Dissertations and Doctoral Studies

AbstractThe research problem of this study was centered on the state of insecurity in Lagos State and the intervention of the Lagos State Neighbourhood Safety Agency. Evidence from previous studies supported the use of community policing, police reform, training of security personnel, and collaboration amongst security agencies as measures to address issues of insecurity in Lagos State. The purpose of this qualitative research was to examine the impact of the Lagos Neighbourhood Safety Agency on the security challenges of the state and generate additional discourse. Institutional theory was used as the theoretical foundation for this research with a purposive sampling …

The Effectiveness Of Rehabilitation And Educational Programs For African American Men With Cocaine Addiction, Hira Chaudhary

Walden Dissertations and Doctoral Studies

Drug addiction, especially cocaine addiction is a major problem in the United States. There is a problem in Michigan regarding drugs and a high recidivation rate, especially among individuals with cocaine addiction. Evidence shows that at least 56% of the African American adults in Michigan who are being arrested for cocaine usage had been released from a rehabilitation facility in the past 3 years. Various researchers have investigated the prevalence of drug abuse among the African American population in the United States. Still, there is limited evidence on reducing the recidivation rate among African American men with cocaine addiction. Therefore, …

The Glass Ceiling: Effects Of Motivation And Morale On Women In Emergency Management, Becky Bernat

Walden Dissertations and Doctoral Studies

Large emergency management organizations are organizations in which women are known to be hindered from becoming leaders. However, the effects that lack of opportunities for advancement has on women’s motivation and workplace attitude have not been thoroughly addressed. The purpose of this qualitative study was to explore the experiences of women working at a large emergency management organization, specifically how perceptions of the glass ceiling affected their motivation and attitude in the workplace. The research questions were focused on gender limitations in career advancement, motivational factors, including extrinsic and intrinsic, and the morale of women who had experiences with gender …

Perspectives Of Syrians In The Diaspora On The Foundational Factors Contributing To The Assad Regime Of State Repression (2000-2011), Ribhi I. Salhi

Walden Dissertations and Doctoral Studies

Researchers from different social science backgrounds have studied the various practices of state repression but seldom acknowledge that state repression is a rival system between the government regimes and their dissidents. However, rival systems can lead to competing forces that will serve either the interest of the regime or their dissidents. Researchers also have not often used the perspectives of opposition groups in the diaspora to study state repression. Focusing on the rise and entrenchment of the Assad regime in Syria (from 2000-2011), this study aimed to discover and explore the various perspectives of Syrians in the United States about …

Addressing Work-Induced Stress And Depressive Symptoms In Police Officers, Demetrius Markey Latham Jr

Walden Dissertations and Doctoral Studies

Police officers across the nation face a significant issue as it relates to work-induced stress and depressive symptoms. Specifically, the problem is the lack of preventative mental health services available to officers. This study aims to explore the perceived presence of work-induced stress and depressive symptoms in patrol officers employed by the Field Police Department (Pseudonym; FPD). To gather these data, the potential research participants were offered the ability to take an online anonymous survey. The results indicated that many of the survey participants were suffering from work-related stress and depressive symptoms. The research results further displayed many of the …

Operation Enduring Freedom And Operation Iraqi Freedom Veterans In The Veterans Health Administration, Exekiel Montoya Aranez

Walden Dissertations and Doctoral Studies

The Veterans’ Health Administration (VHA) has faced critical issues regarding the deaths of war veterans, the result of which stakeholders raised questions about the quality of health care given within the VHA. Through patient-centered care standards of health care, the VHA worked diligently to end such horrific events that more than 300,000 veterans may have died while waiting for health care service. This study examined five core concepts of the health care system and whether VHA has utilized its five core concepts of patient-centered care to deliver proper health care to war veterans. This study used qualitative research in the …

Catalysts To Transformational Leadership Between Managers And Analysts In Public Service, Eugene Davis Stevenson Iii

Walden Dissertations and Doctoral Studies

Transformational leadership (TL) is the ability of a leader to convince a subordinate or follower to adopt organizational goals as their goals. Transformational leaders utilize intellectual stimulation, individualized consideration, inspirational motivation, and idealized influence to engage and mold their employees. Within the sphere of public management, current leadership research acknowledges the effect of TL but is still incomplete or inconsistent on how to catalyze TL consistently. The focus of this study was how TL is used between managers and analysts within California state public service. The theoretical framework for this study is complexity theory. Complexity theory states that the world …

The Impact Of Community Churches And Barbershops On Preventive Care Utilization Among African American Men, Quiante Chappell Hager

Walden Dissertations and Doctoral Studies

Preventive health care screening plays an essential role in reducing chronic diseases and mortality rates; yet, even as health care access has increased, African American men’s utilization of preventive screenings remains low in rural areas. The purpose of this qualitative case study was to investigate why African American men are not utilizing preventive care services and ascertaining the impact that social determinants may have on their utilization of these services. The theoretical framework of this research study comprised the social-ecological modal and health belief model to investigate the barriers to preventive care utilization in the African American community. Twelve African …

Gun Control: Republican Views For Common Ground, Ruth Yazmin Molina

Walden Dissertations and Doctoral Studies

AbstractPublic and political opinion regarding gun regulation in the United States are sharply split across the political divide. The purpose of this research was to determine the common ground among the Republican Party supporters concerning gun control legislations in the United States. The frame for the study poised into determining in what ways does an affiliation to the Republican Party influence a supporters’ views on state and federal gun laws and if members of the Republican Party believe that a common ground may exist with Democrats for passable gun control legislation. Partisan motivated reasoning theory was used to frame the …

Intelligence Readiness And Operational Capability Of The National Guard Within The U.S., Jose Felipe Perez

Walden Dissertations and Doctoral Studies

The National Guard has a highly specialized and operable intelligence force that can be useful to the communities it serves, and how that intelligence can be best used has been the focus of scholars in recent years. Researchers have demonstrated, however, that such integration of intelligence is a daunting task due to many barriers and misconceptions. Researchers have as yet been unable to establish how this might best be accomplished and those barriers diminished. The purpose of this qualitative case study was to define the National Guard’s potential roles and examine their possible integration into the domestic Intelligence Community. Theories …

Impact Of Intersectionality Of School Discipline And Race On Boys Of Color, Melvin Lewis Shepard

Walden Dissertations and Doctoral Studies

Disciplinary practices in California result in minority boys receiving a high rate of disproportionate discipline in the public-school system requiring those students to decide whether to return to school to achieve their high school diploma. The purpose of this case study was to explore what impacts the expelled student’s education decisions from the perspective of individuals who have experience with the California disciplinary system and counseling students who were expelled. The theoretical foundation used was critical race theory by Derick Bell and a conceptual framework of intersectionality and race context developed by the Combahee Initiative and Crenshaw. The study used …

Evaluating Compliance With The Produce Safety Rule And Managing Mycotoxins, Yvette May Molajo

Walden Dissertations and Doctoral Studies

Foodborne diseases are the cause of many illnesses that occur from foods that contain mycotoxins. Mycotoxins are produced from fungi and are environmental and carcinogenic agents that contaminate agricultural foods during preharvest and postharvest conditions. While researchers have conducted many studies on mycotoxin occurrence and production, there is a significant gap in the current literature regarding which environmental factors could put farmers’ ability to remain in compliance with the Food Safety Modernization Act’s Produce Safety Rule at risk. Therefore, the purpose of this quantitative study was to investigate which environmental factors could put farmers’ ability to remain in compliance with …

Juvenile Probation Officers’ Perspectives On The Success Factors Of Youth Diversion Programs, Kya Tanique Robertson

Walden Dissertations and Doctoral Studies

The goal of youth diversion programs includes reducing recidivism while granting opportunities for youth to refocus their paths. Although juvenile probation officers' role is vital to supervised probation in youth diversion programs, the problem is that there is a lack of literature that assesses the success of the factors of mentoring, education, and mental health treatment that directly connect youth with social services. The purpose of this qualitative case study was to explore the perceptions of juvenile probation officers on the success factors of youth diversion programs as they relate to mentoring, education, and mental health treatment. Becker's labeling theory …

Perspectives Of Key Court Personnel On The Prosecution Of Domestic Violence Cases, Crystal M. Schoeder

Walden Dissertations and Doctoral Studies

Domestic violence (DV) continues to be a public health and criminal justice problem. Several criminal justice system changes have been made to combat DV, such as mandatory arrest policies, no-drop prosecution policies, and specialized DV courts. Perspectives on these policies, DV, and the criminal justice system have been obtained from the victims, police officers, and victim advocates. However, perspectives from those within the criminal justice court system are missing. The purpose of this qualitative phenomenological study was to obtain the perspectives of key court personnel in small rural communities regarding the prosecution of DV cases. Narrative policy framework was used …

Mobile Forensics: The Perception Of Privacy, Charlsea Young

Walden Dissertations and Doctoral Studies

Technology companies like Apple pride themselves on protecting its consumers’ data, which they express within their mission statement and by also encrypting their mobile devices. This encryption stalled an investigation conducted by the Federal Bureau of Investigation in 2016, resulting in them taking Apple to court. There has been a lack of information about mobile forensic examiners perceptions on issue they face in the mobile forensic field. The purpose of this research study was to address the perceptions mobile forensic examiners experience when dealing with encryption, privacy, and national security concerns. This qualitative phenomenological study included interviews with 10 mobile …

Indigenous Women: Violence, Vulnerability And Cultural Protective Factors, Christina M. Agloinga

Walden Dissertations and Doctoral Studies

The disproportionate rates of violent crimes, historical oppression, and cultural assimilation disrupted the traditional practices and belief system within Alaskan Native communities, thus changing the influence of protective factors that support balance and equality for women. Identifying protective factors provided by cultural practices that support resiliency provides an increased understanding of how cultural strengths can combat distorted stereotypes within the criminal justice system. This study included characteristics of a phenomenological, narrative, and ethnographic study. The social constructionist framework and the social construction of target populations theory was used to explore how traditional cultural practices can influence the current gender identity, …

Nonprofit Employees’ Responsibility To Provide Ethical Solutions To Prevent Workplace Bullying, Tionette M. Burton

Walden Dissertations and Doctoral Studies

AbstractWorkplace bullying is not illegal in the United States and is not classified with other forms of harassment, making it hard for organizations to adopt appropriate prevention and solution methods. Human resource employees have been identified as key contributors in preventing workplace bullying in organizations by using ethics-based strategies. The purpose of this case study was to explore the perceptions of human resource employees or employees with human resource duties regarding their responsibility to use duty-based ethical approaches to prevent workplace bullying and the practicality of its implementation. Duty-based ethics formed the theoretical approach for this study. Duty-based ethics, founded …

Exploring The Employability Of Ex-Offenders: Employer Perspectives, Carolyn Diane Smith

Walden Dissertations and Doctoral Studies

Due to an increase in the number of convictions for minor crimes in Tennessee, a larger number of people are reentering society with the ex-offender label; there is a general lack of awareness among employers regarding their role in enhancing employability of ex-offenders with minor offenses, which limits employment opportunities for this population. Three main theories that explain the integration of ex-offenders into society underpinned this study: avoidance theory, social control theory, and labelling theory. The purpose of this general qualitative study was to explore the perceptions and practices of 10 human resource managers of middle-to-large companies in Tennessee related …