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The Impact Of Childhood Trauma And Personality On Kinkiness In Adulthood, Kaitlyn Hillier

Walden Dissertations and Doctoral Studies

Historically, kinky sexualities and sexual behaviors have been understood as pathological or perverse. Such misunderstandings and misrepresentations have contributed to the development and perpetuation of kink stigma. The aim of this retrospective, cross-sectional, correlational research study was to explore the potential relationship(s) between pathology, personality, and kinky sexual behaviors/roles in adulthood. Guided by queer-feminist theory, the research questions addressed whether personality traits, experiences of childhood trauma, or a combination thereof, were predictors for kinky behaviors/roles in adulthood. A multi measure, anonymous, and confidential survey was distributed online including the Childhood Traumatic Events Scale as a childhood trauma questionnaire, the Mini-IPIP, …

Efficacy Of A Va Residential Treatment Program For Co-Occurring Disorders, Kathrin Hohenstern

Walden Dissertations and Doctoral Studies

The problem of co-occurring substance abuse and mental health disorders among the veteran population can impact numerous aspects of a veteran's life, including self-esteem, relationships, employment, and legal issues. The Mental Health Residential Rehabilitation Treatment Program (MH RRTP) at the Saint Cloud, Minnesota VA Healthcare System is a program that provides residential treatment for this population. Identifying practical and beneficial treatment methods promotes better coping mechanisms for veterans and impacts social change by providing timely and cost-efficient care for veterans, while also leading the way for overall changes and improvements in other VA residential treatment programs. This study identified how …

Strategies To Mitigate Supply Chain Disruption Risks, Daniel G. Haloukas

Walden Dissertations and Doctoral Studies

Businesses with global supply chains typically have a minimum of 1 interruption to their supply chain annually, which can decrease profitability and affect overall company performance. The purpose of this multiple case study was to explore strategies personal care business supply chain managers used to mitigate supply chain disruption risk. The targeted population was 9 supply chain managers working in 5 different Fortune 500 consumer packaged goods personal care companies in the northeastern United States who have successfully used strategies to mitigate supply chain disruptions. Corporate risk management was used as the conceptual framework of the study to determine how …

Patients' Perceptions Of Diet-Only Therapy In The Prevention Of Diabetes Complications, Cornelia Emmanuel Inyang

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a chronic metabolic disorder and the seventh leading cause of death in the United States. Type 2 diabetes is linked to many chronic diseases, including cardiovascular disease, stroke, and chronic kidney failure. African American adults have a high prevalence of Type 2 diabetes with early onset of diabetes complications. Poor dietary behavior is the primary cause of Type 2 diabetes and its complications, changing dietary behaviors can prevent the onset of diabetes complications or impede existing ones. The purpose of this phenomenological study was to explore patients' perceptions of diet-only therapy in the prevention of diabetes …

Veteran Administration Disease Model To An Interdisciplinary Healthcare Model, Bertha J. Harris

Walden Dissertations and Doctoral Studies

There is a growing need for healthcare teams within the Veterans Administration (VA) healthcare system to effectively collaborate and communicate to improve patient outcomes. The need to improve patient care in the Patient Aligned Care Team (PACT) has been well established. The scholarly literature does not provide evidence whether using the primary care PACT model on communication and teamwork by an interdisciplinary medical team ameliorates these communication breakdowns. Bronstein's design for interdisciplinary collaboration provided the overarching framework for this study. The purpose of this qualitative case study was to investigate the use of the PACT model on communication and teamwork …

African American Female Clergy In Dual Clergy Marriage, Demetra Keyanna-Michelle Hutchinson

Walden Dissertations and Doctoral Studies

Burgeoning evidence has shown rapid growth of licensed and ordained female clergy within the Protestant church. Consequently, dual clergy couples have also increased in number. Research has suggested that African American female clergy have experienced greater challenges than male clergy in leadership roles in the church, including social isolation, sexism, and glass-ceiling barriers. Female clergy are also disproportionately affected by mental and physical health complications including depression, obesity, and burnout. Guided by adult personal resilience theory and its tenets of determination, endurance, adaptability, and recuperability, this interpretive phenomenological study focused on exploring the lived experiences of 13 African American female …

Management Of Virtual Offices, Cheryl Donaldson Howard

Walden Dissertations and Doctoral Studies

Many organizational leaders manage virtual employees without the specific training and experience required for leading a virtual organization, which can lead to billions of dollars in lost productivity. The purpose of this multiple case study was to explore strategies managers used to manage a virtual office. The target population consisted of 4 managers located in the mid-Atlantic region of the United States who had a minimum of 2 years of experience managing virtual offices. The conceptual framework for this study was social exchange theory. Data were collected using semistructured interviews and a review of company documents. Data were analyzed using …

On Blasphemy: Immigrant Muslim Leaders In America, Angela Ewing

Walden Dissertations and Doctoral Studies

Some Muslim immigrants in the United States have difficulty reconciling American free speech rights with the blasphemy component of Islamic law, which often requires death for those who criticize Islam. Little academic literature addresses reconciliation of Islamic beliefs with the Constitutional right to free speech or information on Muslim political participation regarding free speech. Using policy feedback theory as the foundation, the purpose of this phenomenological study was to understand the experiences of Muslim immigrants who practice Islam in a free speech society. Data were collected from a sample of 10 immigrant Muslim imams, scholars, and community leaders in Virginia …

Effect Of Model Of Care And Comorbidities On Multiple-Drug-Resistant Tuberculosis Treatment In Nigeria, Oluremilekun Comfort Kusimo

Walden Dissertations and Doctoral Studies

Multidrug-resistant tuberculosis (MDR-TB) is a public health problem in several countries such as Angola, India, China, Kenya, and Nigeria. Due to the increasing high burden of MDR-TB, most of these countries do not have adequate capacities to manage MDR-TB patients effectively. This study investigated the effect of model of care; human immunodeficiency virus comorbidity; and demographic factors such as age, gender, and marital status on the treatment outcomes of MDR-TB patients in Nigeria. The study was based on the analysis of secondary data of 402 MDR-TB patients accessed from the data systems of the National Tuberculosis, Buruli Ulcer, and Leprosy …

Merging Pay-For-Performance And Technology To Impact Patient Outcomes, Daaiyah Nimat Akram

Walden Dissertations and Doctoral Studies

Pay-for-performance (P4P) programs improve the effectiveness, quality, and overall value of healthcare. In today's world of advanced technology and changing trends, physician organizations hesitate to adopt P4P program methodology. A gap in the literature was identified, as there were no guides found that explained how to implement P4P initiatives that improved quality of care. The purpose of this study was to gain a better understand-ing of P4P, and the phenomenology of practice theory was applied to obtain different perspectives about P4P programs and how incorporating technology improved quality of health provisions. Basic qualitative methodology was used, and semistructured telephone interviews …

Staff And Family Perspectives Regarding Person Centered Care For Adults With Intellectual Disability, Tasrina Khan

Walden Dissertations and Doctoral Studies

Individuals with intellectual disabilities often require additional support in performing daily activities as compared to individuals without intellectual disabilities. New York's Office for Developmental Disabilities developed the eight hallmarks of person centered planning to help individuals with intellectual disabilities understand the options available to them regarding care and support and to advocate for themselves and their rights. Researchers have yet to articulate how guardians and professional care providers of individuals with intellectual disabilities experience person centered planning in day habilitation. Thus, using a qualitative phenomenological approach, 5 direct care staff and 5 guardians of individuals with intellectual disabilities were interviewed …

Social Work Professionals' Strategies To Reduce Employee Turnover, Jamilla Jenkins Jenkins Nelson

Walden Dissertations and Doctoral Studies

Abstract

Some social work leaders in the United States lack strategies to successfully reduce employee turnover, which is detrimental to the profitability of an organization. The purpose of this qualitative single case study was to explore effective strategies that social work professionals used to reduce employee turnover. The targeted population included 10 social work managers from organizations in South Carolina who experienced employee turnover and implemented successful strategies to overcome it. The conceptual framework was Herzberg's motivation-hygiene theory. Triangulation was used to increase the reliability and validity of the data. Data were collected from semistructured in-depth interviews with managers who …

Post-Ebola Case Management Of Orphaned Young Adults In Rural Sierra Leone, Augustine Frazer

Walden Dissertations and Doctoral Studies

The 2014-2016 Ebola pandemic in Sierra Leone significantly increased the orphan population and the need for social support programs, especially for student-orphans in higher education. Poorly prepared disaster response managers have little knowledge about how college student-orphans experience social services. The purpose of this transcendental phenomenological study was to explore how post-Ebola student-orphans enrolled in an agricultural university in rural Sierra Leone experienced post disaster specialized case management to enhance student performance. Criterion sampling techniques including specific inclusion and exclusion criteria guided the recruitment, that included 10 research participants taking part in the semi structured interviews. Ecological system theory and …

Enhancing Comfort Care Techniques In The Pediatric Inpatient Setting, Nicole Rae Mansky

Walden Dissertations and Doctoral Studies

The benefits of pharmacological and nonpharmacological interventions for children undergoing painful medical procedures are well documented in extant nursing literature; however, such techniques continue to be underused in practice. Improving comfort during medical procedures is necessary to enhance the patient and family experience. The purpose of this project was to provide education to nursing staff about pediatric pain theories and evidence-based practice recommendations that support the use comfort interventions for pediatric patients of all ages. The practice-focused question addressed the development of an educational program designed to enhance staff knowledge of comfort intervention options and the benefits provided to patients. …

Strategies To Reduce Hospital-Acquired Conditions, Steven G. Littleson

Walden Dissertations and Doctoral Studies

Hospital-acquired conditions cause harm to patients and increase mortality. In addition to lowering the quality of patient care, hospital-acquired conditions also negatively affect financial performance, which makes them a business problem for hospital administrators. The purpose of this single case study, which was grounded in the theory of high reliability, was to explore strategies used to reduce the number of hospital-acquired conditions. The sample consisted of 13 senior leaders of a large academic medical center in the southeastern United States, who shared successful strategies used to reduce hospital-acquired conditions. Data collection took place through semistructured interviews and a review of …

Health And Nitrate-Contaminated Drinking Water In The Lower Yakima River Valley, Michael David Mcnickle

Walden Dissertations and Doctoral Studies

In the United States, many private wells are used as the only source of potable water. These wells, under current federal and state regulations, are neither monitored nor checked for water purity. The purpose of qualitative case study was to gain an understanding about how the documented nitrate contamination problem in the Lower Yakima Valley River Valley is perceived by members of the community and to measure their willingness to engage in collective action for social change. Purposive samples of 6 participants were interviewed using 10 questions derived from the drinking water disparities framework by Balazs and Ray. Additional historical …

Metropolitan Young Adult American Muslims Perceptions Of Discrimination Post American Patriot Act, Ronald Mcdaniel

Walden Dissertations and Doctoral Studies

Several researchers have identified discrimination and profiling as examples of oppression and threats to the democratic process. Scholarly literature provides little evidence on the experiences, beliefs, and attitudes of young adult Arab American Muslims post-9/11. This study addressed the attitudes and lived experiences of young adult Arab American Muslims between the ages of 18 and 25 regarding discrimination and profiling experienced in the District of Columbia Metropolitan area since the passage of the American Patriot Act. A phenomenological research study was conducted using Benet's polarities of democracy as the theoretical framework with a focus on diversity and equality. Data were …

Antibullying Definition, Policy, Surveillance, Education, And Training In The Healthcare Field, Adlene Jones Mcelroy

Walden Dissertations and Doctoral Studies

Workplace bullying in the healthcare field has contributed to decreasing productivity, decreasing employee morale, increasing workplace lawsuits, overall dissatisfaction in the workplace, and potentially compromising care to patients. Little, however, is known about how public policies related to workplace bullying impact the experiences of healthcare workers. Using Cornell and Limber's conceptualization of bullying, the purpose of this general qualitative study was to better understand the experiences of healthcare leaders and workers related to workplace bullying of a single health care facility. Data were principally collected from 9 participants representing three organizational leaders, three nurses, and three ancillary members staff. These …

Cultivating Cultural Competence To Address Childhood Obesity In Ethnic Minority Youth, Tia Knight-Forbes

Walden Dissertations and Doctoral Studies

Obesity is an increasingly prevalent health issue, especially among children who live in high poverty, low income, and low education areas that lack needed resources and health care to promote quality of life. African American youth have a higher rate of obesity than other populations. The purpose of this project was to address an identified gap in practice by improving health care professionals' ability to provide culturally competent care to African American youth. An educational intervention framed by the Purnell model for cultural competence was developed to address the question, Will cultural competency staff education improve knowledge to prevent and …

Psychological Characteristics Of Sex Offenders, Patrick Mcmunn

Walden Dissertations and Doctoral Studies

Current therapeutic treatment methods are ineffective in identifying at-risk sex offenders and reducing recidivism of known offenders, likely due to inadequate identification of specific traits of sex offenders. Previous research and prominent theories in the area of sex offender treatment, in terms of the biological foundation of substance abuse, behaviors of sex offenders, and the presence of aggression, helped to guide this research. Data about sex offenders were collected, as reported by mental health professionals who treat them and focused on three characteristics: maladaptive interpersonal behaviors, impulsivity, and antisocial behaviors, on which the research questions were formed to detect commonality. …

Strategies To Reduce High Employee Turnover In Retail Grocery Store, Olasunkanmi Sola Mustapha

Walden Dissertations and Doctoral Studies

Employee turnover costs an employer 21% of the employee's salary for replacement at all levels except for executives and physicians. The purpose of this single case study was to explore strategies to reduce high employee turnover in the retail grocery store, with the use of Maslow's motivational theory as the conceptual framework. Participants were selected based on their demonstrated use of successful strategies to reduce high employee turnover. Data were collected using semistructured interview with 3 managers in a retail grocery store chain in the south-central region of the United States. Observations were conducted company's documents such as policy handbooks, …

Venous Thromboembolism Prevention Education For Practitioners In The Acute Care Setting, Eppie Ann Labiche

Walden Dissertations and Doctoral Studies

During the last several decades, venous thromboembolism (VTE) has been identified as a preventable health condition. The gaps in clinical practice have led to an increased incidence of VTE. The lack of using existing evidence-based VTE prevention guidelines in practice has limited the implementation of VTE risk assessment stratifications and affected the appropriateness and timeliness of addressing pharmacologic and mechanical prophylaxis. The purpose of the scholarly project was to educate practitioners on existing VTE prevention practice guidelines. The practice-focused question explored whether an educational learning activity on evidence-based VTE prevention guidelines improved the awareness, knowledge, and compliance with existing evidence-based …

Community Engagement And Diverse Representation In Planning For An Immigrant Neighborhood In A U. S. Pacific Northwest City, Christopher Amba Ndifon

Walden Dissertations and Doctoral Studies

Traditional avenues of influencing planning decisions are not intuitive for diverse, historically underrepresented community residents in many neighborhoods and many immigrant residents come from societies where engaging in public discourse is discouraged or dangerous. The focus of this study, the Planning Outreach and Engagement Liaison (POEL) program, was designed to address these discrepancies, yet whether the program was successful is unknown. Using participatory democracy as the theoretical framework, the purpose of this case study was to explore whether the POEL program brought diverse residents together to participate in the neighborhood planning process. Data were collected through semi structured interviews with …

Management Strategies For Reducing Voluntary Employee Turnover In Small Professional Service Firms, David B. Morgan

Walden Dissertations and Doctoral Studies

Replacing an employee can cost a firm as much as 200% of that employee's annual salary, and small business owners may be especially sensitive to voluntary employee turnover due to their limited resources. The purpose of this multiple case study was to explore the strategies that some owners of small professional services businesses in the midwestern region of the United States used to reduce voluntary employee turnover in their firms. The conceptual framework for this doctoral study was Barney's resource-based theory. Data were collected from 4 participants whose firms were at least 5 years old and had experienced lower turnover …

Successful Billing Strategies In The Hospital Industry, Samirah Merritt

Walden Dissertations and Doctoral Studies

Failure to collect reimbursement because of changing regulations negatively impacts hospital profitability. A multiple case study approach was used to explore the successful strategies billing managers employed to collect reimbursement for all legitimate Medicare claims. The target population for this study included 5 hospital billing managers from 3 organizations in the Northern New Jersey region. The complexity theory was used as a framework for assessing changing Medicare regulations and how the managers adapted to them. The data collection process for this study involved gathering data from participant interviews, documentation from the organizations of the participants, and government documented regulations and …

The Lived Experiences And Perceptions Of African American Women In Federal Senior Leadership, Latonya Michelle Mitchell

Walden Dissertations and Doctoral Studies

In the United States, African American women remain underrepresented in senior leadership positions in many workforce sectors, including the federal sector. Despite this challenge, a few African American women have successfully attained senior leadership responsibilities in a public health service agency. Using intersectionality and social cognitive career theory as the theoretical frameworks, the purpose of this study was to explore the lived experiences of African American women leaders in their career advancement to senior leadership positions in a health service agency of the Department of Health and Human Services in the United States. The research questions explored the experiences and …

Improving The General Education Development (Ged): Retention And Completion Rates Of Low Income Adults, Kimberly Mashaun Rice

Walden Dissertations and Doctoral Studies

Retaining adult education students has been a growing concern. The new GED requirements have generated low completion rates for a free GED program in a 3-year period, in a non-profit agency in a Southeastern state. Instructors are concerned about this problem and need to understand the factors that are inhibiting adult learners from successfully attaining their GED. This qualitative research design was the most appropriate to answer the research questions to determine the experiences that caused the adult learners to not complete the program and identify potential educational strategies needed to improve retention. Sticht's functional context theory was the conceptual …

Investigation Of Posttraumatic Growth On Health Behaviors With Self-Efficacy As A Mediator, Annissa Pellicano

Walden Dissertations and Doctoral Studies

Research has been accumulating on the positive outcomes that people may experience following trauma. However, scholarly literature is deficient in the area of investigating the association among centrality of event (CE), posttraumatic growth (PTG), and health behaviors of women with histories of sexual trauma. The purpose of this quantitative cross-sectional study was to (a) determine the extent of the relationship between CE and PTG, (b) explore the relationship between PTG and health behaviors (i.e., drug, alcohol, and tobacco use, and physical activity), and (c) to determine whether general self-efficacy (SE) mediated these relationships. The theoretical frameworks used to inform this …

Psychiatric Medical Care And Safe Housing For Mentally Ill Homeless, Georgann Easley Owens

Walden Dissertations and Doctoral Studies

Due to the deinstitutionalization movement, many mentally ill individuals have left asylum treatment centers and have had no safe housing. The purpose of this grounded theory study was to explore the attitudes and opinions of homeless, mentally ill people regarding the community resources they consume and how they perceive and navigate those resources. The research questions focused on homeless, mentally ill individuals' shared experiences accessing health care, psychiatric care, and housing services as well as, barriers that impacted homeless, mentally ill individuals' use of these services, and their needs to address these barriers. Data were collected using face to face, …

African American Women's Experiences And Understanding Of Secondary Infertility, Claudelle Parchment

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological study was to describe the lived experiences of African American women with secondary infertility, defined as an inability to conceive or carry a baby to term after a previous conception. Research on secondary infertility has ignored the prevalence of the condition in African American women. The implications of secondary infertility in African American women have immediate and far-reaching health and psychosocial consequences. African American women rely on interconnectedness and social networks; therefore, social networks and social support served as the key concepts underwriting the study's conceptual framework. Social networks and social support underscore the connection …