Digital Commons Network^™

East African Refugee Women Seeking Health Care After Government Assistance Ends, Sylivia Chelimo

Walden Dissertations and Doctoral Studies

East African refugee women arrive as a vulnerable population in their host country. Before coming to the United States, refugee women may have experienced varying levels of trauma due to civil wars, genocide, sexual assault, deaths of loved ones, terrorist attacks, being taken hostage, and torture in their home country. The purpose of this generic qualitative study was to explore the experiences of refugee women from East African countries seeking health care in the Central United States when government assistance ends. The framework of the behavioral model of health was the guide for examining the experiences of the participant refugee …

School Counselors’ Perceptions And Descriptions Of Their Career Counseling Efforts For Non-Honor Roll Students In Career Management, Sherlette C. Burkhalter

Walden Dissertations and Doctoral Studies

High-quality career counseling is freely available at U.S. high schools. However, many students choose not to participate in career planning programs, despite being assigned to a school counselor for guidance. There is a projected increase in demand for school counselors; however, there needs to be more literature regarding whether high school students are taking advantage of career planning and how counselors cope with and manage their role in implementing career counseling programs. The purpose of this study was to explore school counselors’ perceptions and descriptions of their career counseling efforts for non-honor roll students in career management. The theoretical framework …

The Impact Of Liberia’S Post-War Public Housing Policy On Homelessness, Bofor Rahim Toh, Ii

Walden Dissertations and Doctoral Studies

There is an inadequacy in strategies to address homeless and vulnerable youth “Zogos” in post-war Liberia. Homelessness among youth is a severe problem in post-war Liberia, with many sleeping in Palm Groove Cemetery and other informal housing settings in Monrovia and other parts of the country. This qualitative study explored post-war Liberia’s public housing program policy roles that professional competency and human capacity play in effectively mitigating homelessness of youth in Monrovia. Glasser’s choice theory was the theoretical framework used for this study. The research question explored how human capacity, selection eligibility, and professional competency at the National Housing Authority …

Faculty’S Role In Creating A (Remote) Sense Of Community Among Faculty And Facilitating Contexts Of Care For Students, Jesus R. Nunez, Jesus Cisneros, Isela Pena

Higher Learning Research Communications

Objectives: This qualitative study employed a sensemaking approach to understand faculty members’ sensemaking of their roles during the COVID-19 pandemic and the emergency transition to remote teaching and learning.

Methods: An email invitation to participate in the study was sent to faculty who taught in an MBA program during both the 2019–2020 and 2020–2021 academic school years. Data were collected through in-depth, semi-structured interviews with 14 faculty members who self-selected to participate in the study.

Results: Two salient themes emerged from the research: creating a (remote) sense of community among faculty and facilitating contexts of care for students. These …

Criminal Justice Practitioners Perceptions On Collateral Consequence Policies Affecting Formerly Incarcerated African American Males, Ronnie Devon Williams

Walden Dissertations and Doctoral Studies

Formerly incarcerated African American males have a challenging time transitioning back into the community due to invisible barriers that impede their opportunities for successful reintegration. This generic qualitative study aimed to explore criminal justice practitioners' perceptions regarding collateral consequence policies for formerly incarcerated African American males. The theoretical framework for the study was labeling theory, which explained how others stigmatize individuals due to their social and environmental characteristics. The research question guiding this study was how criminal justice practitioners perceived the impact of collateral consequence policies on the successful reintegration of African American males. Ten criminal justice practitioners including probation …

A Staff Education Project For Administration Of Phq-9 To Adult Patients In The Emergency Department, Jessica Leigh Ionno

Walden Dissertations and Doctoral Studies

Depression is a global healthcare crisis impacting millions worldwide. In the United States, over 8% of adults experience depression, leading to significant disability and increased healthcare costs. Many individuals with depression seek initial treatment in emergency departments (EDs). This project aims to reduce the burden of depression by training ED nurses to identify at-risk patients early and provide timely interventions and referrals. Benefits include improved patient outcomes, decreased healthcare costs, and social change to address the mental health crisis. Utilizing Malcolm Knowles’ adult learning theory, the project emphasizes collaborative learning relevant to the clinical setting. The partner site is a …

National Narcotics Policy Influence On Youth Substance Abuse In Yendi, Ghana, Imran Abdel-Rahman Gomdah

Walden Dissertations and Doctoral Studies

Possession of small quantities of narcotics for personal use in Ghana could result in years in detention under the Narcotic Drugs Law of 1990, with youth constituting a large number of offenders. The government proposed a drug policy change in 2017 as the prevailing one failed to achieve its goals even with such stringency, resulting in Act 1019’s adoption in May 2020 as a new national drug policy to replace the Narcotic Drugs Law of 1990. The purpose of this generic qualitative study was to assess public perception of the impact of the new policy on the incidences of youth …

Adults With Avoidant Attachment Styles And Their Online Dating Experien, Amber Mae Nelson

Walden Dissertations and Doctoral Studies

Adult attachment style can influence how individuals communicate with each other and how they deal with conflict, both of which may influence the formation and maintenance of romantic relationships. Research suggested, that attachment style influenced the level of relationship security individuals experience and the level of intimacy in which they are comfortable engaging. The convenience and popularity of online dating may present unique struggles and benefits for adults with avoidant attachment styles; exploring their online dating experiences may provide insight into the benefits and pitfalls as avoidant individuals pursue romantic relationships. The purpose of this qualitative study was to explore …

Understanding The Perception Of Risk For Heart Disease In African American Women, Erica Hudson

Walden Dissertations and Doctoral Studies

Heart disease is a serious health condition and is one of the leading causes of death in the United States. African American women have the highest mortality rate from heart disease compared to any other racial group. The purpose of this research study was to assess knowledge of heart disease, by investigating two constructs of the health belief model: perceived susceptibility and perceived severity. A correlation design was used to analyze survey data from African American women from age 40 to 55 from the Atlanta, Georgia area. The participants completed the assessments on survey monkey. The assessments included a demographic …

Perceived Stress, Social Media Usage, And Sleep Quality In United States Adults, Justine P. Scott

Walden Dissertations and Doctoral Studies

The purpose of this quantitative study was to explore the intricate connections among perceived stress, sleep quality, and social media usage metrics, challenging prior assumptions by highlighting social media as a noteworthy stress coping mechanism. The research aimed to understand the relationship between sleep quality, perceived stress, and the frequency and quality of social media use, guided by the biopsychosocial model as the theoretical framework.The study involved adults aged 20-65. A questionnaire incorporated four validated instruments to assess these variables: the Epworth Sleepiness Scale (ESS), Internet Addiction Diagnostic Questionnaire (IADQ), Perceived Stress Scale (PSS), and Social Media Quality Measure (SMQM). …

African American Caregivers' Perceptions Of Ecological Factors Related To Hospice Utilization, Monica Prescott Lonon

Walden Dissertations and Doctoral Studies

African Americans remain an underrepresented demographic in hospice care because they underutilize the service at disproportionate rates compared to the total population. The research problem addressed African American perceptions of the microsystem, mesosystem, exosystem, macrosystem, and chronosystem factors that impacted their perceptions and utilization of hospice. The purpose of this generic qualitative study was to explore African American caregivers’ perceptions of environment-related factors that affected their utilization of hospice care. Data were collected from semistructured interviews with 10 African American family caregivers aged 18 and over, with at least 2 years of experience as hospice caregivers. Findings from coding and …

Experiences Of Food Insecurity Among Single Mothers Pursuing Secondary Education, Amber Bernard

Walden Dissertations and Doctoral Studies

The number of single mothers continues to grow across the nation, and many are at a socioeconomic disadvantage. Little research focuses, however, on how single mothers describe their experiences of balancing motherhood, work, and pursuing higher education, all while undergoing food insecurity. Lazarus and Folkman’s transactional theory of stress and coping was used to formulate the research design. Semistructured interview questions were used to answer the question of how single mothers with food insecurity describe their experiences pursuing higher education. A generic qualitative research approach was utilized in this study. Interviews were conducted with 10 single mothers pursuing postsecondary education …

Socioeconomic Status On The Management Of Type-2 Diabetes Among African Americans (Aged 26–64) In Rural Pennsylvania, Mariejo Joyce Constant

Walden Dissertations and Doctoral Studies

There is a lack of knowledge on hardly-reached patients’ socioeconomic status (SES). This quantitative study examined the extent to which SES moderated or impacted the relationships of African American status, rural status, or insurance status with type-2 diabetes mellitus (T2DM) management outcomes (testing for elevated glucose levels, patient education, and regular doctor visits) for African American individuals of low SES living in rural areas. The theoretical foundation for this study was the ecological systems theory (EST). Secondary data were from the publicly available Behavioral Risk Factor Surveillance System (BRFSS) 2021 dataset. Binary and linear regression analyses showed insufficient results to …

Exploring Teacher Practices Used To Support Black Students In Two Early College High School Programs, Raquel Hairston

Walden Dissertations and Doctoral Studies

Early college high schools (ECHS) have contributed to the increased number of Black students earning associate degrees. However, data show that students considered college and career-ready upon entering the ECHS/dual enrollment program are underperforming in college classes, hindering their acceptance into higher education institutions and bachelor’s degree attainment. This qualitative exploratory study aimed to understand the academic and social practices teachers used to support Black students in college classes and to see if additional resources were needed. Tinto’s student integration theory examined the connection between social and academic integration and student retention. Data were collected through semistructured interviews with seven …

Training Nurse Practitioners And Providers In Primary Care To Screen For Bipolar Disorder, Jane Ngozi Iwebo

Walden Dissertations and Doctoral Studies

The global spotlight on mental illness has challenged healthcare providers to enhance their assessment and diagnosis of various mental health conditions like Bipolar Affective Disorder. Bipolar Affective Disorder (BPAD) is a serious mental illness characterized by severe mood swings ranging from depression to mania, often leading to high rates of suicide and disability. There is a significant gap of 8-10 years between the initial primary care visit and the diagnosis of BPAD leading to delayed treatment and worsening outcomes. The lack of use and/or knowledge of primary care providers on the use of assessment tools, such as the mood disorder …

Nursing Staff Education On Enhanced Recovery After Surgery Related To Nurse-Patient Pain Communication, Kathleen Ranne

Walden Dissertations and Doctoral Studies

Perioperative pain is a significant challenge in terms of care of surgical patients which requires effective communication by nurses to improve patient outcomes and satisfaction. The communication component of the Enhanced Recovery after Surgery protocol is a foundation for improved patient outcomes and pain management. The problem that was identified in this Doctor of Nursing Practice project was lack of staff education during the perioperative period related to nurse-patient communications regarding pain management. Using the analysis, design, development, implementation, and evaluation model of instructional design, the purpose of this DNP project was to plan, implement, and evaluate a staff education …

Prelicensure Baccalaureate Nursing Faculty’S Experiences Of Providing Incivility Awareness Education To Students, Emily Vanessa Pappa

Walden Dissertations and Doctoral Studies

This study investigated prelicensure baccalaureate nursing faculty’s lived experiences of providing incivility awareness education to students. The problem was that previous research regarding incivility awareness education to prelicensure baccalaureate nursing students focused on pilot studies to find effective strategies and students’ receptiveness to educational approaches, but it lacked the nurse educators’ experiences of delivering the education. The purpose was to explore the lived experiences of nurse educators providing incivility awareness education to prelicensure baccalaureate nursing students. with at least 1 year of teaching experience in prelicensure baccalaureate nursing programs and had taught the topic of incivility awareness. Using the qualitative …

Examining Psycho-Social Factors Of Foster Parents Who Engage In Contact Sexual Abuse, Heather Lee Manning

Walden Dissertations and Doctoral Studies

Previous work has been done to identify psych-social factors of criminals, although no work currently exists to identify the specific type of sexual offender identified within this study- foster parents who sexually offend foster children. This qualitative study focused on pre-determined psycho-social factors of both male and female offenders. The study reviewed nine cases which met the inclusion criteria and where sufficient data was able to be collected. Results of the study revealed that most offenders were male, most were married or in an otherwise committed relationship with a consenting adult during the time of their offending behaviors. These finding …

Impact Of Parental Attachment On Family Communication Patterns About Sex And Intimacy, Trish Mook

Walden Dissertations and Doctoral Studies

Risky sexual behaviors in adolescence continue to be a social problem that impacts individuals, families, and communities across the United States. Previous research showed that parents who actively talk with their adolescents about sex and intimacy topics reduce their likelihood of engaging in these behaviors. Still, less is known about what motivates a parent to engage in these discussions. This correlational quantitative research study aimed to apply Bowlby’s attachment theory and McLeod and Chaffee’s family communication patterns theory to identify if a relationship exists between parental attachment style and the family communication patterns that a parent employs when discussing sex …

Leadership Strategies For Small Business’ Sustainability, Abhay Arora

Walden Dissertations and Doctoral Studies

Small business leaders are concerned with the lack of effective leadership strategies for sustaining their businesses, which can jeopardize their long-term operational and financial success. Grounded in systems theory, the purpose of this qualitative pragmatic inquiry was to explore leadership strategies small business leaders use to sustain their financial performance. The participants were comprised of four business leaders operating businesses in local malls in Manchester, Connecticut who implemented successful leadership strategies for sustainability. Data were collected using semistructured interviews. Five key themes emerged from the thematic analysis: (a) customer focus and service, (b) community engagement, (c) employee collaboration and engagement, …

Exploring Teacher Perceptions On The Effectiveness Of The Freshman Academy, Renee C. Goode-Boyd

Walden Dissertations and Doctoral Studies

A Southeastern school district created freshman academies to assist freshman students with strategies and support they need to combat ninth-grade failure successfully, but little change was observed. The purpose of the study was to explore teachers' perceptions of the freshman academy's transition program structure, benefits, challenges, and effectiveness. The conceptual framework for this study encompassed elements of constructivist theory, which explains how children adapt to their environments and learn how to process information successfully. The research questions examined teachers' perceptions regarding the benefits, challenges, and perceived effectiveness of the freshman academy intervention program. The data for this basic qualitative study …

Exploring Parent Engagement In School-Based Behavioral Health Programs, Tina Marie Wehner Hickman

Walden Dissertations and Doctoral Studies

It is important to address the concept of parental involvement in school-based mental health counseling in order to address the presence of mental health issues in students. In school-based mental health services, enlisting parent engagement in adolescent interventions can be difficult and can, therefore, inhibit positive adolescent mental health outcomes. This case study examined an educational organization in the southwestern United States to identify barriers inhibiting parent involvement in adolescent school-based mental health and to explore strategies to encourage parent engagement. The Baldrige performance excellence framework was utilized as a guide to inform an understanding of the organization’s mission, strategic …

Social Media Presence And Innovation In Minority-Owned Small- And Medium-Sized Enterprises, Lionel Alexander Edlam Jr

Walden Dissertations and Doctoral Studies

Minority-owned (e.g., Asian, Black/African American, Hispanic, and women) small- and medium-sized enterprises (SMEs) account for a small percentage of U.S. businesses in this sector. In this context, owners and managers of these businesses need to capitalize on social media to increase their marketplace survivability within the first 18 months of operation. The purpose of this quantitative correlation study, which was based on the technology acceptance model and absorptive capacity theory, was to examine whether the number of social media platforms presences predicts social strategy, customer involvement in innovation, and knowledge gained from customers for innovation in the United States. The …

Intersectional Analysis Of Vaccination Inequity Among Individuals With Disabilities In The United States During Covid-19 Pandemic, Philip Ndoki Ndoki

Walden Dissertations and Doctoral Studies

This study was an investigation of how disability status, types, sociodemographic indicators, and reasons for not receiving vaccinations influenced COVID-19 vaccination rates among individuals with disabilities in the United States. Despite efforts, vaccination disparities persisted, necessitating an understanding of barriers to uptake. Using intersectionality theory and the social determinants of health framework, this study examined the impact of marginalized identities and structural inequalities. Key questions included the association between disability status and vaccination uptake, differences among disability types moderated by sociodemographic factors, and the interaction between disability status and reasons for not vaccinating. Household Pulse Survey data from the US …

The Relationship Between Operating Efficiency, Credit Score, And Small Business Sustainability, Garfield Henry

Walden Dissertations and Doctoral Studies

The first 5 years of a small business (SB) life are critical because 50-60% fail. SB leaders are concerned about the inability of many SBs to attain sustainability within 5 years, given their pivotal role in owner and community financial viability. Grounded in the resource-based view theory, the purpose of this quantitative correlational study was to examine the relationship between SB operating efficiency, credit score, and sustainability. Secondary data for 211 closed and 211 companies still operating from 2013 to 2023 were collected from the Data Axle website for analysis. The results of the binary logistic regression were significant, X2 …

Relationship Between Respect, Trust, And Turnover Intentions, Christina Love Harmon

Walden Dissertations and Doctoral Studies

Leaders in the U.S. federal government are concerned with employee intent to leave, as it is the number one predictor of actual employee turnover. Grounded in social exchange theory, the purpose of this quantitative ex-post facto correlation study was to examine the relationship between social exchange and employee intent to leave. The participants were 256 employees from all agencies within the U.S. federal government who completed the 2022 Federal Employee Viewpoint Survey, including the Intent to Leave Scale. The results of the multinomial logistics regression were significant, χ² (4) = 87.875, p = <.001. In the final model, two predictors were significant, respect for department leaders, χ² (12) = 43.631, p = <.001, and trust in direct supervisor, χ² (12) = 32.513, p = 001. A key recommendation is for business leaders to model positive attitudes and behaviors by fostering a culture of trust, respect, and integrity to contribute to employee satisfaction and retention significantly. The implications for positive social change include the potential to retain valued employees who are committed to achieving organizational goals and improving productivity for organizational success

Depression Screening For Nursing Home Residents, Victor Chukwuocha

Walden Dissertations and Doctoral Studies

The project focused on depression among nursing home residents, an underrecognized and undertreated condition that affects quality of life. Few studies have been conducted on the subject of depression screening for nursing home residents, resulting in a lack of understanding among the nursing profession on managing specific conditions. At a nursing home, there was a need to address depression. The practice-focused question used in this project addressed the process of the translation of evidence to develop a staff education project for depression to enhance the knowledge of nurses working with nursing home residents. The project followed an evidence-based approach to …

Ecological Factors And Minority Young Adults’ Trust In Law Enforcement, Jason Boswell

Walden Dissertations and Doctoral Studies

Throughout the past decade, studies have shown that the relationship between police organizations and community members has developed mistrust as more citizens begin to document misconduct by law enforcement officers. Studies have also proven that community members trust the police when they feel the police are fair and just. Distrust of law enforcement undermines the legitimacy of police officers, and without this trust legitimacy, police officers lose their ability and authority to perform their jobs effectively. To help bridge the gap between minority communities and law enforcement agencies, this qualitative phenomenological study was conducted to examine the trust within law …

Neonatal Nurses’ Intention To Stay In The Nicu, Carolyn Penn-Griffin

Walden Dissertations and Doctoral Studies

Neonatal nursing leaders and national health care organizations within the United States are concerned about the recent shortage of skilled and experienced neonatal intensive care unit (NICU) nurses that may reduce the quality of care delivered to NICU patients. NICU nurses are passionate about caring for premature and ill full-term infants and providing educational and emotional support for their parents, some NICU nurses remain in the NICU long-term, yet others contemplate leaving the specialty. The purpose of this qualitative interpretative phenomenological research guided by Martin Fishbein and Ajezen’s theory of reasoned action was to explore the lived experiences of NICU …

Predicting Distance Learning Counselor Education Doctoral Students’ Research Self-Efficacy, Jennifer Patrice Edwards

Walden Dissertations and Doctoral Studies

Distance learning is a growing educational delivery method for Counselor Education and Supervision (CES) doctoral students. At the time of this study, no research existed regarding the research self-efficacy (RSE) of distance learning CES doctoral students. Historically, the lack of RSE among counselor educators has been a chronic issue. However, research addressing contributors to improving RSE among distance learning CES doctoral students is unknown. The purpose of this study was to assess and provide data on current perceptions and predictors of RSE among distance learning CES doctoral students. Two theories were used to conceptualize the key variables which were Lent …