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Stress, Anxiety, And Depression: Role Of Campus Connectedness, Social Support, And Coping Among Nepalese Nursing Students, Priscilla Samson

Walden Dissertations and Doctoral Studies

High levels of stress, anxiety, and depression (SAD) can adversely influence physical health, psychological well-being, and academic and clinical performance of nursing students. Numerous studies have identified the factors associated with SAD; however, a paucity of empirical research addresses the relationship of SAD with campus connectedness (CC), perceived social support (PSS), and coping. The purpose of this quantitative cross-sectional study, guided by Lazarus and Folkman's theory of stress, coping, and adaptation, was to determine the prevalence of SAD and examine its relationship with CC, PSS, and coping among undergraduate nursing students of Nepal. Survey research was conducted using depression anxiety …

Nursing Candidates' Perceptions Of The Greatest Challenges To Becoming A Professional Nurse, Lee Ann Williams

Walden Dissertations and Doctoral Studies

Nursing candidates' overall goal is to become a professional nurse. To reach this goal, the student must graduate from an associate or baccalaureate nursing program and pass the state board, National Council Licensure Examination (NCLEX). Student retention in nursing programs and passing the NCLEX continue to be a problem for educational institutions throughout the United States. The purpose of this study was to examine nursing candidates' perceptions of their greatest challenges in becoming a professional nurse. Wenger's social learning systems and the community of practice comprised the conceptual framework that guided this study. The research questions pertained to nursing students' …

Seat Belt Fit A Mechanism Of Injury During A Motor Vehicle Crash, Jacoba Hendrika Viljoen

Walden Dissertations and Doctoral Studies

Seat belts save lives; however, unintentional injuries are still the leading cause of death for those between 1 and 44 years in the United States. Seat belts also cause injuries during motor vehicle crashes (MVCs) and obesity changes how seat belts fit. The purpose of this retrospective causal inference quantitative study was to reduce the knowledge gap in scholarly research on seat belt fit in relation to blunt cerebrovascular injuries (BCVI) during MVCs and seat belt compliance. The theoretical framework used was based on H.W. Heinrich's domino theory. The research questions focused on the following dependent variables: BCVI, compliance, and …

Differences In Coping Strategies Of African American Children With Chronic Pain, Eddie Lee Coleman

Walden Dissertations and Doctoral Studies

Chronic pain is a significant problem in the U.S. pediatric population, conservatively estimated to affect 15% to 20% of children. Few studies have focused on coping strategies African American children use to manage chronic pain. The purpose of this study was to examine coping strategies used by African American children and adolescents ages 11 to 18 years suffering from chronic pain and to examine gender and age differences in this population. The gate control theory provided the framework for the study. The Pain Coping Questionnaire was used to measure coping strategies in a convenience sample of 44 children and adolescents …

Faculty Perspectives On Redesigning Classrooms With Active Learning Technology Tools, Zhanat Alma Burch

Walden Dissertations and Doctoral Studies

Effective integration of active learning technology tools in classrooms is a key component of 21st century higher education classrooms. Challenged with outdated technology access and traditional classrooms, a local university in North Carolina initiated a strategic plan to update classrooms and laboratories with the 21st century technology. The problem of the study was that limited information existed regarding faculty perceptions regarding benefits of and barriers to integrating active learning technology tools. The goal of this study was to uncover the faculty members' views and perceptions about redesigning classrooms with the active learning technology tools. The technology acceptance model (TAM) framework …

Strategies To Combat Tenant Fraud In The Rental Housing Market, Dr. Gwendolyn B. Dawson

Walden Dissertations and Doctoral Studies

Many business executives lack strategies to detect and eliminate tenant fraud in subsidized rental housing. The purpose of this multicase study was to explore strategies some business executives used to detect and eliminate tenant fraud in subsidized rental housing. The conceptual framework used to guide this study was the theory of planned behavior. Data were gathered using semistructured interviews with 6 purposively selected business executives of public housing authorities, supplemented with a review of policies and procedures that business executives used. Yin's 5-step analysis, which entails examining, categorizing, tabulating, creating a data display, and testing the data, guided the process …

The Lived Experiences Of African-American Male Exoffenders In The Northeast United States, Jacqueline Grant

Walden Dissertations and Doctoral Studies

Discrimination, racism, and class bias affects the accessibility of resources available to African American males who are exoffenders. The purpose of this phenomenological study was to explore the lived experiences of African American, male exoffenders' ability to access resources postincarceration. Guided by Bell and Freeman's critical race theory, a purposeful sample of 6 African American, male exoffenders were recruited from 2 reentry programs in the Northeast United States. A semistructured interview approach was employed to examine the life history, details of experience, and reflection on the meaning of the lived experience from the participants. The modified Stevick, Colaizzi, and Keen …

The Relationship Between Certified Registered Nurse Anesthetists' Emotional Intelligence And Burnout, Dianna Marie Heikkila

Walden Dissertations and Doctoral Studies

Certified Registered Nurse Anesthetists (CRNAs) administer more than 43 million anesthetics within the United States and practice in every setting where there is anesthesia. Stress and burnout can be a common problem for CRNAs. The purpose of this correlation study was to examine the relationship between emotional intelligence (EI) and burnout syndrome among CRNAs. The research questions assessed CRNAs and the relationship between EI and burnout syndrome, the burnout score and the four dimensions of EI, and EI and the three dimensions of burnout. Certified and recertified CRNAs (N = 506) completed the Wong and Law Emotional Intelligence Scale, the …

Decreasing Operating Room Delays For Surgical Orthopedic Patients, Jacqueline P. Ogunjulugbe

Walden Dissertations and Doctoral Studies

The operating room (OR) at the project site was experiencing surgical delays for orthopedic surgical patients due to unavailable instruments, which led to a decrease in the efficiency of OR utilization. The purpose of this project was to decrease operating room delays for the orthopedic surgical patients. The practice-focused question explored whether a multidisciplinary approach to the procurement of instruments and supplies for the orthopedic surgical patient would help to ensure an on-time surgery start, resulting in increased efficiency in the utilization of the OR from 42% to 65% within a 9-month period. Lewin's change model was used to guide …

Meta-Analysis Of The Effectiveness Magnitude Of Hypnosis On Posttraumatic Stress Disorder Treatment, Gueorgui Klissourov

Walden Dissertations and Doctoral Studies

The increased intensity of modern life and the experiences in combat situations has brought on enormous stress and has led many individuals to develop posttraumatic stress disorder (PTSD). Hypnosis is one of the treatment methods available to professionals and has been proven to provide fast, reliable results in multiple studies. Despite these results, the lack of understanding of the physiological effects of hypnosis on the brain has prevented its use as a common treatment method for PTSD. By examining the differences between the effectiveness of hypnosis in military and civilian populations, the aim of this meta-analysis was to isolate the …

Exploring Strategies Leaders Use To Engage Employees, Eric L. Gholz

Walden Dissertations and Doctoral Studies

The purpose of this qualitative, single case study was to explore strategies that leaders used to engage employees. The conceptual framework for this study was Saks's multidimensional approach to employee engagement. Semistructured interviews were conducted with 5 leaders from an office design company in the midwestern region of the United States who had a minimum of 2 years of experience of engaging employees. Company archival documents related to employee engagement were also collected. Data analysis consisted of compiling the data, coding for emergent and a priori codes, disassembling the data into common codes, reassembling the data into themes, interpreting the …

Parents Perceptions Of Social Inclusion Of Adults With Intellectual Disabilities, Jacqueline Green

Walden Dissertations and Doctoral Studies

Researchers have shown that the voices of parents of adults with intellectual disabilities can help build supports in the community. Research regarding the perceptions and lived experiences of these parents regarding social inclusion of adults with intellectual disabilities is limited. Guided by positive psychology, the purpose of this interpretive phenomenological study was to examine parents' lived experiences of social inclusion of adults with intellectual disabilities. Research questions were framed to understand and describe the meaning of how parents experience social inclusion with their adult children with intellectual disabilities. Data were elicited through 6 individual interviews with parents of adults with …

Strategies For Pharmacy Managers To Increase Profit By Reducing Prescription Errors, Alphonsus I. Nwambie

Walden Dissertations and Doctoral Studies

The costs attributed to prescription errors negatively affect the profits of retail pharmacy businesses. The U.S. prescription error rate since 2010 was 0.1%, yet with more than 3.5 billion prescriptions filled annually in the United States, the outcome is more than 3.5 million prescription-dispensing errors and an annual cost of more than $16 billion. Using the performance prism theory, the purpose of this multiple case study was to explore strategies retail pharmacy managers used to increase profit by reducing prescription errors. Using purposeful sampling, 5 retail pharmacy managers in Miami, Florida, were selected as participants because they had implemented strategies …

Factors Impacting The Financial Independence Of Women Who Were Teenage Mothers, Jeanette Parker

Walden Dissertations and Doctoral Studies

Teenage pregnancy in the United States is a national concern because of negative outcomes for teen mothers and their children of teen mothers. There is ample research on the negative outcomes associated with teen pregnancy: however, there is little research on the success of teenage mothers. This transcendental, phenomenological study examined how former teenage mothers overcame challenges of teen pregnancy to become financially independent adults. The research question for this study was: What factors enabled former teen mothers to overcome challenges of teen pregnancy to become financially independent adults? Principles from social learning theory and resilience theory provided the conceptual …

Leadership Communications Strategies For Enhancing Virtual Team Performance, Rachel Oludolapo Agbi

Walden Dissertations and Doctoral Studies

The fast-growing trend of using virtual teams comes with challenges including the lack of knowledge by some virtual team leaders for managing virtual teams. The purpose of this single case study was to explore the communication strategies that leaders use to manage virtual teams in real time to enhance team performance. The sample was composed of 4 successful virtual team leaders of a multinational accounting firm whose headquarters is in the northeastern region of the United States of America. The conceptual framework that guided this study was Tuckman's small group developmental model. Data consisted of semistructured interviews and the review …

Strategies To Sustain Small Businesses Beyond 5 Years, Kayaso Cosmas Wani

Walden Dissertations and Doctoral Studies

According to the U.S. Small Business Association, the failure rates for small businesses in 2014 were as high as 50% to 80% within the first 5 years of establishment. The purpose for this multiple case study was to explore the strategies that small business owners have used to sustain their businesses beyond 5 years. Guided by entrepreneurship theory as the conceptual framework, and a purposive sampling method, this qualitative case study used semistructured interviews with 3 successful, small, ethnic grocery business owners in Anchorage, AK to better understand small business strategies for survival. Member checking and triangulation with field notes, …

Academic Entitlement And The Decision-Making Of Tenured Professors, A. Roland Chambers

Walden Dissertations and Doctoral Studies

Academic entitlement is a concern in higher education because of the potential societal and market driven influences on credible scholarship. Most of the research has focused on negative attitudes and behaviors attributed to students. The considerations of tenured professors who interact with academically entitled students and strategies for effective classroom management has not been fully explored. Constructivism provided the theoretical framework for the qualitative case study. Data were collected from open-ended, semistructured interviews with a purposeful sample of 10 tenured professors from a state college in the Southeastern United States to explore (a) the meanings participants attributed to academic entitlement, …

Strategies For Employee Turnover Of Southeastern Wisconsin Manufacturing Workers, Jonathan Singer

Walden Dissertations and Doctoral Studies

Voluntary employee turnover is a challenging problem for manufacturing leaders. Leaders today are challenged to find and retain human capital to remain competitive. The lack of strategies to reduce voluntary turnover among manufacturing leaders has contributed to high turnover rates and increased costs for manufacturing firms. The purpose of this multiple case study was to explore the strategies that some southeastern Wisconsin manufacturing leaders used to reduce voluntary turnover. The conceptual framework supporting the study was Herzberg's 2-factor theory. Results for the study were derived from the analysis of semistructured interviews of 6 manufacturing leaders across 4 manufacturing locations, as …

A Reflection Of Adults As Child Participants In Commercial Activities, Janette Angella Williams

Walden Dissertations and Doctoral Studies

Children are being used as marketers and consumers for the purpose of financial gain. Although much research exists about children's stance as consumers, very little is known about their role as marketers. Such lack of information indicates that children's authentic voices about their experiences are seldom articulated, heard, listened to, and acted on. The purpose of this qualitative phenomenological heuristic study was to explore the lived experiences of former child participants in commercial activities in order to understand their perceptions as well as, the meaning, and impact of the experiences on their childhood development. The theoretical framework used included the …

Patient Self-Assessment For Older Adult Fall Prevention, Deborah Brennan

Walden Dissertations and Doctoral Studies

Falls and falls with injury are a leading contributor to decreased quality of life for adults aged 65 and older. Complications associated with fall occurrences include death, long term disability, decreased mobility, decreased quality of life, and psychological effects.

The practice focused question addressed in the project asked if the use of a standardized publicly available assessment for falls risk will assist registered nurses in learning more about the patient's fall risk. To address the question, the Stay Independent Check Your Risk for Falling Questionnaire (SICRFQ), obtained from the CDC website, was used as the basis for an education program …

Quantitative Assessment Of Psycho-Social Factors Associated With Alcoholics Anonymous Involvement, Dianne Bentley

Walden Dissertations and Doctoral Studies

Alcohol use disorders are a major health problem in the United States; approximately 7.4% of the population meets the criteria for alcohol abuse or dependence. However, Reed, Levin, and Evans (2012) reported a lack in research regarding alcoholism's risk factors and how these influence Alcoholics Anonymous involvement. Though there is evidence for several risk factors, researchers have found mixed results regarding gender and impulsivity. Social learning theory was the theoretical foundation of this study and guided the exploration and interpretation of these risk factors. Therefore, the purpose of this quantitative, nonexperimental study was to understand the relationship that impulsivity (as …

Evaluation Of An Opioid Risk-Assessment Screening Tool, Jacquelyne Guerra

Walden Dissertations and Doctoral Studies

According to the Centers for Disease Control and Prevention, prescribers should evaluate risk factors related to opioid use prior to initiation of opioid medication. The practice problem in this DNP project was that providers failed to consistently assess patients with complaints of pain for risk of opioid misuse and/or abuse prior to initiating opioid medication. An opioid risk-assessment screening tool (ORAST) has the potential to identify patients at high risk for opioid misuse and/or abuse. The purpose of this Doctor of Nursing Practice project was to identify and introduce an ORAST and then develop a policy to guide providers in …

The Relationship Between The Big Five Personality Traits And Authentic Leadership, Bronti Baptiste

Walden Dissertations and Doctoral Studies

Effective leadership, ethical leadership, and leadership emergence have been extensively researched, but there remains a lack of research on the relationship between the big 5 personality traits and authentic leadership. This quantitative study was based on the empirical principles of the big 5 model and guided by the big 5 theory. In addition, this research asked if there was a relationship between the big 5 model and authentic leadership, and which combination of the 5 personality traits best predict authentic leadership. Fifty-five adult participants, employed in various corporations, were recruited from a convenience sample. They rated their leaders by completing …

Mentoring Experience Perceptions Of Career Changing Teachers On Guam, Ronald A.S Canos

Walden Dissertations and Doctoral Studies

Teacher attrition continues to impact public schools that seek to retain teachers in the classroom and meet rising enrollment rates. The recruitment of experienced career changing professionals into the educational workforce is a viable option to address teacher shortages. In addition, while the use of mentorship may support teacher retention and job satisfaction for novice teachers, inconsistencies in mentoring practices have limited the effectiveness of mentoring programs and support systems. The problem of limited research that examines the needs of career changing teachers (CCTs) and their initial mentoring experiences was addressed in this study. The social learning theory and Maslow's …

Generational Homelessness In New York City Family Homeless Shelters, Deborah Johnson

Walden Dissertations and Doctoral Studies

Homelessness has been a problem in New York City (NYC) for decades. Part of the problem is children who grew up in the shelter system and then returned as adults, a phenomenon known as 2nd-generation homelessness. Literature indicates that no researchers have interviewed second-generation homeless adults about their experiences. The purpose of this study was to explore the experience of 2nd-generation homelessness from the perspective of homeless adults returning to the shelter system. The sample included 1 second-generation homeless adult and 10 case managers at Tier II homeless shelters. Interviews were conducted and data were analyzed using hand coding to …

The Impact Of Caseworkers' Educational Background And Placement Outcomes For Foster Children, Katrina Haynes

Walden Dissertations and Doctoral Studies

Decades of data document that permanent placements of children in the welfare system has been a concern in Mississippi. As foster care rates increase, more children are awaiting placement. Researchers have linked child welfare workers' educational background to placement outcomes for foster care children; however, researchers have not addressed the relationship between child welfare workers' educational backgrounds and foster care placement outcomes in Mississippi. This quantitative study examined the educational backgrounds of social work and nonsocial work child welfare caseworkers and other factors such as children's gender and race as predictors in placement outcomes for children in welfare custody. Attachment …

Understanding Teachers' Perceptions Of Bullying For Developing Teacher Detection And Intervention, Christopher Samuel Hazeltine

Walden Dissertations and Doctoral Studies

Bullying behaviors can have lasting adverse consequences for teachers, victims, offenders, and bystanders. Teachers are often not prepared with the knowledge required for appropriate interventions. The purpose of this study was to understand teachers' perceptions of bullying in one of the largest urban school districts in the United States. Guided by Bronfenbrenner's ecological systems theory, which holds that individuals impact and should be impacted by various environmental systems around them, the study was focused on teachers' understanding of detection and intervention of bullying in the school setting. A qualitative single case study design was used. Fifteen urban, middle school teachers …

Perceptions Of Chiropractors In Mississippi Regarding Obesity, Phelesia Nakita Foster

Walden Dissertations and Doctoral Studies

Obesity continues to be a growing problem across the United States. Chiropractors have made claims of providing health promotion services within their treatment protocol; however, there is a lack of empirical research regarding a need for the chiropractic profession to train chiropractors to address Healthy People 2020 public health initiatives. The purpose of this qualitative study was to examine the perceptions of Mississippi Delta Region chiropractors regarding their role in obesity management as nonmedical practitioners that implement public health objectives in their practice. The research questions aimed at addressing possible barriers and limitations that influenced chiropractors' perceptions regarding their role …

Behavioral Outcomes Of The Boss Teaching Program With Adults With Intellectual Disabilities, Mick Needham

Walden Dissertations and Doctoral Studies

Despite an abundance of research on interventions to improve social skills of young children with intellectual disabilities (ID), there is limited research on interventions aimed at improving social skills of adults with ID. The purpose of this single-subject study was to evaluate the outcomes of the Behavioral Opportunities for Social Skills (BOSS) teaching program for adults with ID. The theoretical framework for this study was Skinner's operant conditioning which incorporates the principles of applied behavior analysis, reinforcement, and operant extinction. After direct support professionals were trained in the BOSS teaching program, research questions were used to determine (a) changes in …

Homeowner's Equity, Rental Cash Flow, And Recourse As Predictors Of Default Mortgage Status, William Callian Iii

Walden Dissertations and Doctoral Studies

In the aftermath of the Great Recession of 2007-2009, banking executives feared the impact of increased capital reserve requirements for losses from mortgage defaults. One reason was that home price declines during the Great Recession precipitated mortgage defaults, which increased the percentage of foreclosures as well as accelerated negative equity, and default. The purpose of this correlational study, grounded in Fishbein's expectancy of value and Vroom's expectancy theories, was to examine the relationship between the independent variables of homeowner's equity, rental cash flow value, and recourse, and the dependent variable, default mortgage status. Archival data comprised a sample of 408 …