Digital Commons Network^™

Self-Care Practices, Work Experience, Educational Setting, And Burnout Among School Counselors, Paul Sylvester-Nwosu

Walden Dissertations and Doctoral Studies

AbstractSchool counselors should be well-adjusted in their personal and professional lives and possess a keen, accurate perception of their self-care practices. However, people drawn to careers in school counseling are often at risk of developing burnout due to high professional demands and limited resources supporting their self-care and well-being. The purpose of this quantitative correlational study was to investigate the relationship between the independent variables of self-care practices, years of work experience, and educational settings and the dependent variable of levels of burnout among practicing school counselors in K-12 suburban educational settings in the Mid-Atlantic region of the United States. …

A Systematic Review Of The Literature On Bedside Shift Reports, Dana Wickersheim

Walden Dissertations and Doctoral Studies

AbstractIn 2017, The Joint Commission issued a sentinel event alert regarding inadequate nurse hand-off communication. Inadequate hand-off communication can lead to medication errors, delay in treatment, falls, and wrong-site surgery. To help ensure safe handoff of care between nurses by involving the patient and family, bedside shift report was created. Bedside shift report was developed to help improve patient safety and quality, patient experience of care, nursing staff satisfaction and time management, and accountability between nurses. Despite the implementation of bedside shift report in nursing practice, it continues to be inconsistently applied, which poses risks to patients and can lead …

Strategies For Small Business Sustainability Beyond 5 Years In New Restaurant Industry, Alexandria Norma Wilhoite

Walden Dissertations and Doctoral Studies

More than half of small businesses in the United States are unsustainable within the first five years of existence. Small business owners who do not implement successful and sustainable strategies are at a high risk of failure. Grounded in the resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies that some small restaurant owners use to sustain business beyond five years. The participants included three small business owners in Connecticut who have been in business for five years. Data were collected from semistructured interviews, company websites, and company documents. Yin’s 5-step thematic analysis was …

Stroke Prevention Through Education, Laura Lee Ballance

Walden Dissertations and Doctoral Studies

AbstractThis project focused on two concepts: a need for a stroke prevention program and what should be included. The problem with early identification of stroke is not formally addressed at the project site, physician’s office. A physician’s office can play a beginning key role in minimizing the risk of stroke. The purpose of this project was to explore the evidence to support the need for and to determine ideal content for a stroke prevention education program. This program focused on early detection and identification of risk factors to prevent stroke occurrence. The theoretical framework of Pender’s health promotion model aligns …

Improving The Patient Experience With Communication, Pauline Adora Salmon

Walden Dissertations and Doctoral Studies

A quality patient experience is one of the highest priorities for hospitals as patients and families are looking to healthcare providers to meet their demands for quality service. The Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey measures the extent to which providers effectively communicate pertinent information such as communication about medications. On a 20-bed intermediate care unit, the HCAHPS item scores relating to nurse communication and communication about medicine were inconsistent and, on most occasions, were below the comparison benchmark of the 50th percentile when compared to other like hospitals. The purpose of this quality improvement project …

Pertussis Resurgence In Europe: Incidence And Epidemiologic Cycles In Immunization Required And Non-Required Countries, Sheryl Ann Duquet

Walden Dissertations and Doctoral Studies

Although pertussis vaccines have been available for over 7 decades, countries are experiencing a pertussis resurgence. This study sought to establish a relationship between the European pertussis immunization schedule designs (with and without the inclusion of adolescent boosters) and the immunization requirement (recommended or required), which potentially influences immunity waning, and thus the incidence rate and epidemiologic cycles of pertussis. The theoretical foundation for this study was the theory of herd immunity. A quantitative research method was used, supported by a secondary data source. The statistical analysis included the use of linear regression to evaluate the relationship between the requirement …

The Caregiver Advise Record And Enable (Care) Act And Compassion Fatigue In The United States, Karen Marie Johnson

Walden Dissertations and Doctoral Studies

The transition from hospital to home can be complicated, leaving family caregivers in stressful situations that they may not know how to handle. The burden that is placed on these individuals has led researchers to focus on the public health implications of caregiving in hopes of identifying at-risk caregivers. This quantitative analysis identified what relationships exist between caregiver compassion fatigue among family caregivers and training or education received per the Caregiver Advise Record and Enable (CARE) Act and if education influences readmission rates. A purposive sample of 385 family caregivers participated in this study. The Care Transitions Measure (CTM-15), the …

Community-Based Counselors’ Experiences Counseling Female Adjudicated Youth: A Basic Qualitative Study, Ericka Pinckney

Walden Dissertations and Doctoral Studies

Licensed professional counselors (LPCs) have encountered difficulties engaging at-risk youth in meaningful treatment. Youth who faced great stress such as abuse, neglect, truancy, family problems, homelessness, and traumatic events have presented with challenging behaviors. Literature suggested adjudicated youth engaged in relational and physical aggression; these behaviors increased the risk for out-of-home placement. Research on community based LPCs’ professional experiences in working with adjudicated female youth is scarce. The purpose of this basic qualitative study was to explore community-based counselors' experiences treating female adjudicated youth. Professional counselors' techniques and strategies were explored. The relational-cultural theory provided the conceptual lens through which …

Probation And Parole Officers’ Experiences Addressing Criminogenic Needs Of Adult Felony Offenders, Maria L. Stephenson

Walden Dissertations and Doctoral Studies

Probation and parole officers (PPOs) deviate from evidence-based practices implemented to reduce recidivism among adult felony offenders. PPOs fail to adhere to risk-need assessment results during case management, but prior research has not established the reasons for this deviation. This qualitative phenomenological study explored the lived experiences of PPOs implementing the risk needs responsivity (RNR) model by addressing the criminogenic needs of adult felony offenders. The theoretical framework for this study was based on Lipsky’s street-level bureaucracy theory, Becker’s labeling theory, and Andrews and Bonta’s RNR theory. This study involved in-depth, individual, semistructured interviews with 6 participants. The data were …

Information Security Ambassadors’ Perceptions Of Peer-Led Motivation In Phishing Detection, Kingkane Malmquist

Walden Dissertations and Doctoral Studies

Phishing rates are increasing yearly and continue to compromise data integrity. The need to guard business information is vital for organizations to meet their business objectives and legal obligations. The purpose of this phenomenological study was to explore security ambassadors’ perceptions of motivating their peers to adopt safe internet behaviors in a large medical campus in Minnesota. Hackman and Oldham’s job characteristic motivation theory was used to frame the study. Data were collected from semistructured interviews with 20 security ambassadors. Data coding and analysis yielded 7 themes: rewarding, value, personal interest, limited information security knowledge, increased interest, communication, and topics …

Obesity, Physical Activity, And The Place Of Residence Among Latinos, Chanda Mcneal

Walden Dissertations and Doctoral Studies

Obesity is one of the most costly chronic, but preventable, diseases that has increased in prevalence in the United States. Obesity is known to be related to a lack of physical activity and the conditions in which people are born and live. Although adult Latino men and women have the second highest obesity rate in the United States, researchers have not explored place of residence as a factor in understanding Latinos’ health status. Therefore, the purpose of this correlational quantitative study was to determine if there is a relationship between obesity and Latinos’ place of residence and physical activity, and …

Breast Cancer Knowledge, Attitude, And Screening Practices Among Hispanic/Latino Women, Harrindra Seepersaud

Walden Dissertations and Doctoral Studies

Nearly 1 out of every 8 women will develop breast cancer during her lifetime, making breast cancer the most common noncutaneous malignancy in women, particularly among the Hispanic/Latino population. Hispanic/Latino women are more likely than non-Hispanic/Latino women to be diagnosed with breast cancer after the disease has progressed to a fatal stage. This quantitative study measured how knowledge, attitude, and screening practices affect the prevalence and outcomes of breast cancer cases among Hispanic/Latino women while controlling for socioeconomic status factors, using social cognitive theory as a framework. This research uses secondary data analysis of a cross-sectional survey study, the 2014 …

Laughter Therapy And Coping Strategies For Dementia Patient Caregivers, Edith Ugwu

Walden Dissertations and Doctoral Studies

The purpose of this research was to address a gap in the literature concerning the experiences of dementia caregivers who use laughter therapy as a coping strategy to manage their caregiving stress. Dementia caregiving involves high levels of stress, depression, and anxiety, which can cause both psychological and physical health problems for caregivers. It is, therefore, critical to identify effective coping strategies to mitigate caregiving stress. Laughter therapy is an inexpensive and readily available coping strategy that can help manage this stress. The current study used a phenomenological qualitative approach to address the research question. The transactional model of stress …

Hiv-Positive Kenyan Women With A Disability: Social Support's Role In Treatment Seeking, Evelyn Williams

Walden Dissertations and Doctoral Studies

Understanding social support from the context of disabled women living in conditions of extreme poverty may be useful in the development of effective interventions to advocate for and improve their likelihood of engagement in HIV-related treatment services. Thus, the purpose of this cross-sectional survey study was to examine the relationship between social support and treatment seeking among a sample of HIV-positive Kenyan women with physical disabilities. Correlations were examined between an individual’s source of social support (family, friend, significant other), type of social support (appraisal, tangible, self-esteem, belonging), and HIV-related treatment seeking. Age, marital status, income availability, and disability type, …

Collaboration In Corporate Social Responsibility Programs In Nigeria’S Oil Industry, Amuzie Ernest Akpaka

Walden Dissertations and Doctoral Studies

The inability of some corporate social responsibility (CSR) managers to satisfy stakeholders’ expectations to deliver on corporate social responsibility outcomes has led to protests, unrest, threats, and shutdowns of operations of companies in Nigeria’s oil and gas industry. CSR program managers who do not establish strategies to improve stakeholder engagement may experience business failure. Grounded in stakeholder theory, the purpose of this qualitative multiple case study was to explore strategies CSR managers use to improve CSR outcomes. Participants for the study were 8 CSR managers who formulate policy, initiate and implement CSR programs in companies operating in Nigeria’s oil and …

Effects Of Emotional Labor On Philippine Tourism Staff’S Job Burnout, Maria Paz Rosales Alberto

Walden Dissertations and Doctoral Studies

The tourism industry in the Philippines is a significant contributor to the country’s gross domestic product. As members of the service sector, its employees use their labor and skills to yield positive experiences by understanding their target customers so that they can offer them what they need quickly while incurring minimal cost. It is common for service-sector employees to expend emotional labor by hiding their emotions to meet a company’s standards. Unfortunately, the pressure experienced by these employees leads to a higher risk of burnout. The purpose of this quantitative, cross-sectional study was to assess the impact of emotional labor …

Strategies Business Managers Use To Improve Employee Performance, Moustaph Boubacar Fall

Walden Dissertations and Doctoral Studies

Poor employee performance is detrimental to an organization’s success and may dictate a company’s failure. Therefore, business managers are concerned with developing employee performance because poor employee performance may dictate a company’s collapse. Grounded in Vroom’s expectancy theory, the purpose of this qualitative single-case study was to identify strategies business managers use to improve employee performance. Participants included 3 central Massachusetts business managers who have used successful strategies to improve employee performance. Data were collected through semistructured face-to-face interviews and review of company documents. Yin’s 5-step approach was used for data analysis, and 3 themes were identified: setting clear expectations …

Moderate-Intensity Risk Reduction Counseling And Acquisition Of Sexually Transmitted Infection, Cindy M. Farina

Walden Dissertations and Doctoral Studies

Sexually transmitted infections (STIs) are a public health problem in the United States, with adolescents and young adults to age 25 bearing a disproportionate burden of infection. Risk reduction counseling (RRC) as a strategy to decrease STI incidence has been a focus of scholars. Research examining RRC efficacy has suggested that RRC is effective for 6 to 12 months after treatment. However, study samples have varied by age, ethnicity, race, gender, and geographic location. Whether RRC is effective for more than 1 year is unknown. The purpose of this post hoc chi-square study was to examine the efficacy of moderate-intensity …

Incivility Among Nurses, The Influence Of Structural Empowerment: A Systematic Review, Jennifer Gardner

Walden Dissertations and Doctoral Studies

Workplace nurse-on-nurse bullying is a well-known phenomenon in health care organizations at both national and global levels. Healthcare organizations struggle to find effective solutions to help nurses to mitigate bullying and incivility and create safer work environments. The purpose of this systematic literature review doctoral project was to critically appraise the literature to find the best research evidence to show that higher levels of structural empowerment lead to lower levels of incivility and increase nurses’ ability to create safer and more positive work environments. Kanter’s theory of structural empowerment served as the theoretical framework for this review. The evidence-based question …

Job Satisfaction And Retention Of Middle School Teachers, Rebecca Jane Gault

Walden Dissertations and Doctoral Studies

The problem investigated in this study was the high turnover rates of experienced, quality, and highly effective middle school teachers, which has a negative effect on student learning and achievement. The purpose of this qualitative study was to discover what specific support and professional development middle school teachers need to remain teaching. The conceptual framework that grounded this study was Herzberg’s two-factor theory of motivation. The research questions explored what experienced middle school teachers need in terms of support and professional development in order to improve their job satisfaction and increase their retention. Nine teachers, one from each middle school …

Barcode Medication Administration In The Emergency Department To Mitigate Medication Errors, Holly Gauthier-Wetzel

Walden Dissertations and Doctoral Studies

Electronic health record systems (EHRs) have been adopted in healthcare facilities to unify the workflow process of healthcare professionals. Studies have demonstrated the addition of barcode medication administration (BCMA) software technology within the EHR has decreased medication errors within hospitals and long-term care facilities. However, limited research has been conducted to establish whether using BCMA in outpatient areas has had an influence on medication error rates. Literature reveals that many facilities have not adopted BCMA in outpatient areas. The purpose of this study was to investigate whether medication errors were mitigated after BCMA was implemented in the emergency department (ED). …

Tetanus Immunity Among Adults In The Democratic Republic Of The Congo, Sue K. Gerber

Walden Dissertations and Doctoral Studies

Although tetanus is not a contagious disease, it can be deadly for people who are exposed and do

not have protective immunity against tetanus, which can be acquired only through vaccination.

Most studies on adult tetanus protective immunity are from high-income countries; limited

studies occur in Africa, and none has been reported from the Democratic Republic of the Congo

(DRC). This study sought to determine protective immunity against tetanus among adults in

DRC in relation to their age, sex, place of residence, and for women, antenatal care. The primary

purpose of this observational cross-sectional study using a nested serosurvey within …

Examining The Effect Of Substance Use Training On Registered Nurses’ Competency And Self-Efficacy, Myrtle Harrison Greene

Walden Dissertations and Doctoral Studies

Substance abuse and addiction among nurses remains a problem and can have lasting and sometimes fatal effects on patients. The purpose of this quantitative, quasi-experimental study is to examine the effect of substance use training on RNs’ post training competency about substance use impairment and level of self-efficacy to deal with impaired colleagues. Bandura’s self-efficacy theory (SET) which originated from Bandura’s social cognitive theory provided the theoretical foundation. Data were collected from a convenience sample of 118 registered nurses using the Perceived Competency with Impaired Nurses survey, the Methods for Dealing with Nurse Impairment Questionnaire (MDNIQ) and a demographic questionnaire. …

Effects Of Race And Gender On Strengths And Difficulties Questionnaire Scores, Amanda Haas

Walden Dissertations and Doctoral Studies

Researchers can use the Strengths and Difficulties Questionnaire-Teacher Form (SDQ-TF) for ages 4 to 10 as a behavioral screening tool to determine the severity of a child’s problematic behaviors; however, SDQ-TF is subject to potential rater biases. Implicit bias refers to people remaining unaware of their biases, which may influence the ways that student behaviors are rated. Therefore, this study was conducted to measure the effect of race and gender congruency on teacher ratings of student problematic behaviors by the total difficulties score using the SDQ-TF 4-10. A nonprobability convenience sample of 98 teachers in the greater Phoenix, Arizona area …

Community-Based Workers’ Treatment And Relationship With African American Men With Dual Diagnosis, André V. Haley

Walden Dissertations and Doctoral Studies

Helping professionals have a role as service providers when working with African American men with dual diagnosis and incarceration histories. The purpose of this qualitative single case study was to understand how helping professionals provided community-based treatment and established a helper/helpee relationship with this population of African American men. Hirschi’s social control theory provided the framework for the study. Semistructured interviews were used to collect data from 9 helping professionals who worked with this population in the Northeast United States. Yin’s 5-step model for case studies was used for data analysis and thematic coding. Findings indicated that professionals lacked competency …

Epidemiology Of Marijuana Use And Mental Health In The Context Of Changing Policies, David G. Harvey Ii

Walden Dissertations and Doctoral Studies

There is a growing body of evidence supporting the association between cannabis use and the development of mental health disorders, but few studies have addressed this association following the recent increase in marijuana legalization laws. Therefore, using the social ecological model and the self-medication theory of addiction as theoretical frameworks, the purpose of this retrospective database study was to assess the relationship between marijuana use and major depression and suicidal ideation in both adults and adolescents in 2008 and 2017. Data from the National Survey on Drug Use and Health were analyzed using logistic regression at the p < .05 threshold for statistical significance. Results demonstrated positive, statistically significant relationships between marijuana use and both major depression and suicidal ideation for both adults and adolescents in both 2008 and 2017. Further, the strengths of these relationships generally increased between 2008 and 2017, coincident with the increase in marijuana legalization laws. These findings provide empirical support to the association between cannabis use and the development of mental health disorders, and that the strength of these associations is increasing following the increase in marijuana legalization laws. This study has important implication for positive social change by identifying significant relationships between cannabis use and the development of mental health disorders and revealing that these relationships are strengthening over time, coincident with the increase in marijuana legalization laws.

Perceptions Of Clinical Adjunct Instructor Preparedness In Nurse Education, Melissa Ann Harvey

Walden Dissertations and Doctoral Studies

This project study addressed the perceptions of novice adjunct clinical instructors as they transition from clinician to novice educator within an associate degree nursing program in Ohio. Lack of formal training in educational preparation has caused the disorientation of effective supervisory practices in the clinical setting and prevents the optimal transfer of knowledge from educators to nursing students. Mezirow’s transformative adult learning theory and Schoening’s nurse educator transition model were the two conceptual frameworks that guided this study. A qualitative exploratory research design was used to study the role transition process and perceptions of supervision, challenges, and strategies or support. …

Prisoner Reentry And Recidivism: Access To Reentry Programs And Reducing Recidivism For African American, Male Ex-Offenders, Tracee Leigh Harvey

Walden Dissertations and Doctoral Studies

Research has primarily been centered around the reentry process and programs available to those incarcerated in prison; however, those incarcerated in jails and the reentry programs available has been underrepresented in the field of study. The Jails to Jobs initiative is intended to combat the reentry barriers faced by ex-offenders by offering reentry services while incarcerated as well as transitional services upon release to address the barriers to reentry. However, the problem exists due to the effectiveness of the reentry programs and their ability to provide adequate services that address the needs of African American, male ex-offenders, and, in turn, …

Experiences Of Low Socioeconomic Community College Students Anticipating Transition To A 4-Year University, Richard Hayward

Walden Dissertations and Doctoral Studies

Low socioeconomic status students in the United States are facing declining completion rates for the attainment of 4-year degrees, which may have consequences for their economic well-being. The purpose of this study was to understand lower socioeconomic status students’ experiences regarding a sense of belonging, academic advising, and college preparedness while attending community college and transitioning to a 4-year university. The conceptual framework for this study was grounded in Strayhorn’s findings pertaining to a sense of belonging, Bandura’s social cognitive theory, Adelman’s momentum theory, and Schlossberg, Waters, and Goodman’s transition theory. This basic qualitative study used interviews with 11 community …

Understanding Impostor Phenomena In Hispanic Students From Three Different Learning Environments, Marie Hernandez-Seltz

Walden Dissertations and Doctoral Studies

Hispanic college student retention and dropout rates are regarded as social and economic crises in the United States. Research studies with minority students suggest Hispanic students may feel out of place. Impostor phenomenon (IP) is a psychological pattern involving feeling like a fraud that may explain their experience. Several studies with minority students suggest IP and learning environment (LE) may be correlated. Other minority student studies indicate an association between ethnic identity (EI) and IP. The purpose of this quantitative correlational study was to examine the relationship between IP, EI, and LE in a Hispanic university student population. The theoretical …