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Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay

Walden Dissertations and Doctoral Studies

In South Africa, diabetes is a serious problem where 1 in 9 adults has diabetes, making it the country with the highest diabetes prevalence on the African continent. Even though insulin is an absolute necessity for treating diabetes, it is unaffordable to millions. Biosimilar insulins, however, are innovative medicines that are similar but not exact copies of the originator insulin, making alternative treatment affordable to patients. The problem is that, in South Africa, it is still not known whether patients have access to biosimilar insulin in a country where diabetes is rampant. The diffusion of innovation theory was used to …

Formerly Incarcerated Women Describe Study Habit Challenges Within Adult Education Programs, Milan Kiana Williams

Walden Dissertations and Doctoral Studies

Transitioning back into society successfully after incarceration comes with its downfalls, but educational support could potentially address transitional success, especially for formerly incarcerated women. Previous research mainly focused on exploring education options and recidivism outcomes for formerly incarcerated men. There is limited research regarding formerly incarcerated women and their educational needs within adult education programs. The purpose of this qualitative inquiry study was to describe study habit challenges for formerly incarcerated women within adult education programs. A further aim was to develop educational recommendations to promote successful study habits and potentially further educational attainment for formerly incarcerated women. Malcolm Knowles’ …

Formerly Incarcerated Women Describe Study Habit Challenges Within Adult Education Programs, Milan Kiana Williams

Walden Dissertations and Doctoral Studies

Transitioning back into society successfully after incarceration comes with its downfalls, but educational support could potentially address transitional success, especially for formerly incarcerated women. Previous research mainly focused on exploring education options and recidivism outcomes for formerly incarcerated men. There is limited research regarding formerly incarcerated women and their educational needs within adult education programs. The purpose of this qualitative inquiry study was to describe study habit challenges for formerly incarcerated women within adult education programs. A further aim was to develop educational recommendations to promote successful study habits and potentially further educational attainment for formerly incarcerated women. Malcolm Knowles’ …

Relationships Between Parenting Styles And Oppositional Defiant Disorder In African American Families, Sierra Savedge

Walden Dissertations and Doctoral Studies

Oppositional defiant disorder (ODD) is a mental health disorder that is seen throughout adolescent populations; however, limited research has been conducted on African American adolescents. Based on the parenting theory, the purpose of this quantitative study was to examine relationships between parenting styles, African American cultural influences, and ODD. A sample of 125 parents with adolescents in Virginia was surveyed. The Parenting Styles Questionnaire was used to measure parenting styles. The African American Acculturation Scale Revised was used to measure African American cultural influences. Symptoms of ODD were measured using the Child and Adolescent Disruptive Behavior Inventory. Chi-square tests, independent …

Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan

Walden Dissertations and Doctoral Studies

The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …

Assessing The Uptake Of Biosimilar Insulin Glargine Among Physicians For The Treatment Of Diabetes In South Africa, Euganthri Pillay

Walden Dissertations and Doctoral Studies

In South Africa, diabetes is a serious problem where 1 in 9 adults has diabetes, making it the country with the highest diabetes prevalence on the African continent. Even though insulin is an absolute necessity for treating diabetes, it is unaffordable to millions. Biosimilar insulins, however, are innovative medicines that are similar but not exact copies of the originator insulin, making alternative treatment affordable to patients. The problem is that, in South Africa, it is still not known whether patients have access to biosimilar insulin in a country where diabetes is rampant. The diffusion of innovation theory was used to …

Corporate Social Responsibility, Job Satisfaction, And Company Performance, Teaira Melvin

Walden Dissertations and Doctoral Studies

Poor financial performance can have negative impacts on business sustainability. Banking and finance leaders are concerned about poor financial performance because it can lead to a decrease in investor confidence and lower share prices for publicly traded companies. Grounded in stakeholder theory, the purpose of this quantitative correlation study was to examine the relationship between corporate social responsibility, job satisfaction, and return on assets. The participants were 76 employees of the U.S. banking and finance industry who completed a job satisfaction survey. Financial performance and corporate social responsibility data were derived from the LSEG Data & Analytics database. The results …

Relationships Between Parenting Styles And Oppositional Defiant Disorder In African American Families, Sierra Savedge

Walden Dissertations and Doctoral Studies

Oppositional defiant disorder (ODD) is a mental health disorder that is seen throughout adolescent populations; however, limited research has been conducted on African American adolescents. Based on the parenting theory, the purpose of this quantitative study was to examine relationships between parenting styles, African American cultural influences, and ODD. A sample of 125 parents with adolescents in Virginia was surveyed. The Parenting Styles Questionnaire was used to measure parenting styles. The African American Acculturation Scale Revised was used to measure African American cultural influences. Symptoms of ODD were measured using the Child and Adolescent Disruptive Behavior Inventory. Chi-square tests, independent …

Staff Perceptions Of Data Collection And Analysis During Multitiered Systems Of Support In A Public Montessori Charter School, Luanna Lee Bellairs Salemi

Walden Dissertations and Doctoral Studies

A problem exists in NC Montessori schools with effective data analysis for specific learning disabilities (SLD) placement. The purpose of this study was to identify administrators’ and teachers’ perceptions of data collection and analysis within multitiered systems of support (MTSS) in a Montessori school. Fixsen’s implementation science theory was the framework for examining participants’ descriptions of MTSS methods. The first research question for this study sought to identify implementation methods administrators and teachers used during data collection and analysis within MTSS as a component of SLD eligibility in a public Montessori charter school. The second question explored the components of …

Compassion Satisfaction, Compassion Fatigue, Managerial Support, And Intent To Leave Among Mental Health Nurses, Victoria N. Duncan

Walden Dissertations and Doctoral Studies

The turnover rate among mental health nurses is consistently higher than other areas of nursing practice creating a shortage. Factors that contribute to nursing turnover, leaving the profession, and a subsequent shortage of mental health nurses include compassion satisfaction (CS), compassion fatigue (CF), managerial support, and intent to leave. The purpose of this study, guided by Stamm’s theory, was to determine if there was a relationship among CS, CF, managerial support, and intent to leave in mental health nurses. The Professional Quality of Life Scale was used to measure CS and CF, the Practice Environment Scale of the Nursing Work …

Staff Perceptions Of Data Collection And Analysis During Multitiered Systems Of Support In A Public Montessori Charter School, Luanna Lee Bellairs Salemi

Walden Dissertations and Doctoral Studies

A problem exists in NC Montessori schools with effective data analysis for specific learning disabilities (SLD) placement. The purpose of this study was to identify administrators’ and teachers’ perceptions of data collection and analysis within multitiered systems of support (MTSS) in a Montessori school. Fixsen’s implementation science theory was the framework for examining participants’ descriptions of MTSS methods. The first research question for this study sought to identify implementation methods administrators and teachers used during data collection and analysis within MTSS as a component of SLD eligibility in a public Montessori charter school. The second question explored the components of …

Leadership Strategies For Reducing Medical Errors, Jill Kitasato

Walden Dissertations and Doctoral Studies

Medical errors can be preventable with ongoing education and training. However, some health care leaders struggle to develop and implement new strategies for reducing medical errors. Healthcare leaders must develop and implement new strategies to reduce errors, as medical errors may lead to a decrease in patients seeking medical services, financial liability, and a lack of community trust. Grounded in transformational leadership theory and the define, measure, analyze, improve, and control process, the purpose of this qualitative single case study was to explore leadership strategies for reducing medical errors. The participants included six healthcare leaders with 5 years of experience …

Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White

Walden Dissertations and Doctoral Studies

Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …

Leadership Strategies For Reducing Medical Errors, Jill Kitasato

Walden Dissertations and Doctoral Studies

Medical errors can be preventable with ongoing education and training. However, some health care leaders struggle to develop and implement new strategies for reducing medical errors. Healthcare leaders must develop and implement new strategies to reduce errors, as medical errors may lead to a decrease in patients seeking medical services, financial liability, and a lack of community trust. Grounded in transformational leadership theory and the define, measure, analyze, improve, and control process, the purpose of this qualitative single case study was to explore leadership strategies for reducing medical errors. The participants included six healthcare leaders with 5 years of experience …

Hemoglobin A1c Values In Patients With Two Types Of Insurance, Patricia Ann White

Walden Dissertations and Doctoral Studies

Diabetes is the seventh leading cause of death for adults in the United States. Evidence suggests that not all patients receive the same level of care and discrepancies may be based on the type of health care coverage they have. Providers use Hemoglobin A1C (A1C) as the primary test to indicate treatment success for persons with diabetes. Providers may be ordering this critical lab value differently based on the patient’s insurance plan. In this project, A1C levels in diabetic patients receiving managed care versus traditional Medicare were evaluated. It is important to understand if potential disparities in care exist. The …

Perceptions Of Licensed Independent Social Workers On How Their Master Of Social Work Program Prepared Them To Work With Substance-Using Clients, Kelly A Vacca

Walden Dissertations and Doctoral Studies

Due to a lack of accreditation standards requiring Master of Social Work (MSW) degree programs to include substance use and addiction-related courses, many MSW graduates in the United States are unprepared to meet the needs of this growing population. The purpose of this qualitative study, which was underpinned by Bandura's self-efficacy theory, was to explore the perceptions and experiences of licensed independent social workers (LISW) regarding the role their MSW program education played in preparing them to work with substance use and addicted populations. The six participants identified as having graduated from an accredited MSW program, holding a bachelor’s degree …

Perceptions Of Licensed Independent Social Workers On How Their Master Of Social Work Program Prepared Them To Work With Substance-Using Clients, Kelly A Vacca

Walden Dissertations and Doctoral Studies

Due to a lack of accreditation standards requiring Master of Social Work (MSW) degree programs to include substance use and addiction-related courses, many MSW graduates in the United States are unprepared to meet the needs of this growing population. The purpose of this qualitative study, which was underpinned by Bandura's self-efficacy theory, was to explore the perceptions and experiences of licensed independent social workers (LISW) regarding the role their MSW program education played in preparing them to work with substance use and addicted populations. The six participants identified as having graduated from an accredited MSW program, holding a bachelor’s degree …

Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall

Walden Dissertations and Doctoral Studies

Childhood obesity (CHO) rates have increased significantly worldwide over the last decade. The magnitude of CHO extends beyond physical health to include economic stability, social connections, and access to daily living resources. CHO is complex and requires a multifaceted approach that may differ from traditional prevention approaches and treatment. Over the years, interventions have focused on maintaining a balance of healthy eating and active living to reduce weight and promote lifelong behavior change. Body mass index (BMI) surveillance studies have been conducted in Cherokee County, South Carolina since 2012 to assess and inform CHO interventions. However, the data have not …

Perception Of Pre-Existing Dm2 Management Among Pregnant Asian Indian Immigrants During Covid-19, Sanya Bedi Grewal

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a chronic disease that exerts a significant burden among communities by increasing healthcare costs, reducing productivity, higher rates for premature mortality, and tangible socioeconomic burden, which overall reduces the quality of life. The purpose of the study was to explore the perception of pregnant Asian Indian immigrants regarding diabetes self-management strategies during the COVID-19 pandemic. Five women were recruited via purposive sampling from Facebook groups. Data were collected via individual interviews using Facebook groups. The health belief model was used to help understand and interpret the findings. Clarke and Braun’s thematic analysis method was used to …

The Lived Experiences Of Counselors Trained In Brainspotting With Clients Who Have Experienced Trauma, Tina Deveau

Walden Dissertations and Doctoral Studies

Exposure to trauma continues to be a significant issue for many individuals and is one of the leading reasons why clients seek counseling. Therefore, more trauma-informed and effective counseling interventions are needed to address the impact of trauma. Brainspotting has begun to rise in recognition as an intervention to treat trauma. The purpose of this qualitative transcendental phenomenological study was to explore the lived experiences of counselors trained in brainspotting with clients who have experienced trauma. The phenomenological study followed Husserl’s framework to understand the essence of the lived experiences of 12 counselors who integrate brainspotting with clients who have …

Effective Leadership For Supply Chain Management In The Big Data Era, Tianshu Wu

Walden Dissertations and Doctoral Studies

The diffusion of big data technology undergirds a fast and far-reaching digitalization process that has posed challenges for many supply chain organizations. Big data refers to large volumes of data from various sources in real time. Although the literature indicates the benefits and challenges of deploying big data within supply chain operations, there is a lack of research on the problem of lag-behind and the impact of digital disruption. The purpose of this study was to examine the impact of big data and leadership strategy on supply chain management. The research questions focused on the current perceptions of big data …

Impact Of Telehealth On Type 2 Diabetes Self-Management During The Covid-19 Pandemic, Nancy Olivo Marshall

Walden Dissertations and Doctoral Studies

The incidence of Type 2 diabetes mellitus (T2DM) is on the rise, particularly among adults aged 18 years and older. Glycosylated hemoglobin (HbA1c) levels are commonly used by healthcare professionals to assess glucose variability; fluctuations are associated with an increased risk of adverse effects. The COVID-19 pandemic highlighted the importance of self-directed management of HbA1c levels through telehealth. The purpose of this retrospective quantitative study was to investigate the effectiveness of self-directed management of HbA1c levels using telehealth among T2DM diagnosed adults at a community health service organization in the northeastern U.S. from December 2018 to 2022. Using multivariate regression …

Social Media Marketing Strategies To Increase Revenue In The Health And Fitness Industry, Guy Danhoff

Walden Dissertations and Doctoral Studies

Health and fitness business owners are challenged with using effective social media marketing strategies to grab the attention of their target audience and engage them versus viable competitors. Small business owners in the health and fitness industry are concerned about leveraging social media strategies to improve business goal achievement. Grounded in the social exchange theory, the purpose of this qualitative multiple case study was to explore strategies that small business owners use for effective social media marketing to increase customer engagement. Participants were three small business owners of health and fitness businesses within Saint Charles County, Missouri who used social …

Digital Technological Strategies To Reduce The Impact Of A Crisis On Supply Chain Business Operations, Roderick Williams Sr.

Walden Dissertations and Doctoral Studies

Supply managers are concerned with effective strategies to minimize the impact on operations and profitability during unprecedented occurrences because they can incur millions of dollars in losses, interrupt flows of goods, and face customers’ dissatisfaction. Grounded in the resource dependence theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective digital technological strategies supply chain managers in the southeast region of the United States used to reduce the impact of crises on business operations and profitability. Data were collected using semistructured interviews with seven supply chain managers who had successfully digitalized their operations and a …

Exploring Associations Between Poverty, Race/Ethnicity, Gender, And Childhood Obesity In Cherokee County, South Carolina, Lillie Mae Hall

Walden Dissertations and Doctoral Studies

Childhood obesity (CHO) rates have increased significantly worldwide over the last decade. The magnitude of CHO extends beyond physical health to include economic stability, social connections, and access to daily living resources. CHO is complex and requires a multifaceted approach that may differ from traditional prevention approaches and treatment. Over the years, interventions have focused on maintaining a balance of healthy eating and active living to reduce weight and promote lifelong behavior change. Body mass index (BMI) surveillance studies have been conducted in Cherokee County, South Carolina since 2012 to assess and inform CHO interventions. However, the data have not …

Effective Leadership For Supply Chain Management In The Big Data Era, Tianshu Wu

Walden Dissertations and Doctoral Studies

The diffusion of big data technology undergirds a fast and far-reaching digitalization process that has posed challenges for many supply chain organizations. Big data refers to large volumes of data from various sources in real time. Although the literature indicates the benefits and challenges of deploying big data within supply chain operations, there is a lack of research on the problem of lag-behind and the impact of digital disruption. The purpose of this study was to examine the impact of big data and leadership strategy on supply chain management. The research questions focused on the current perceptions of big data …

The Lived Experiences Of Counselors Trained In Brainspotting With Clients Who Have Experienced Trauma, Tina Deveau

Walden Dissertations and Doctoral Studies

Exposure to trauma continues to be a significant issue for many individuals and is one of the leading reasons why clients seek counseling. Therefore, more trauma-informed and effective counseling interventions are needed to address the impact of trauma. Brainspotting has begun to rise in recognition as an intervention to treat trauma. The purpose of this qualitative transcendental phenomenological study was to explore the lived experiences of counselors trained in brainspotting with clients who have experienced trauma. The phenomenological study followed Husserl’s framework to understand the essence of the lived experiences of 12 counselors who integrate brainspotting with clients who have …

Effective Fiscal Strategies To Attain Operations Targets: A Pragmatic Inquiry, Gerard White

Walden Dissertations and Doctoral Studies

Ineffective fiscal strategies to attain operations targets may hurt business outcomes and place unnecessary tax burdens on residents. Municipal administrators are concerned with effective fiscal strategies to achieve annual operations targets. Grounded by the value proposition budgeting theory, the purpose of this qualitative pragmatic inquiry was to identify and explore the effective fiscal strategies used by municipal administrators to attain their annual operations targets. The participants were seven municipal administrators who used effective fiscal strategies to achieve the targets of their annual operations. Data were collected using semistructured interviews, public documentation, artifacts, and testimonials. Through thematic analysis, six themes were …

Perception Of Pre-Existing Dm2 Management Among Pregnant Asian Indian Immigrants During Covid-19, Sanya Bedi Grewal

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a chronic disease that exerts a significant burden among communities by increasing healthcare costs, reducing productivity, higher rates for premature mortality, and tangible socioeconomic burden, which overall reduces the quality of life. The purpose of the study was to explore the perception of pregnant Asian Indian immigrants regarding diabetes self-management strategies during the COVID-19 pandemic. Five women were recruited via purposive sampling from Facebook groups. Data were collected via individual interviews using Facebook groups. The health belief model was used to help understand and interpret the findings. Clarke and Braun’s thematic analysis method was used to …

How Faculty And Students Understand And Experience The Development Of Critical Thinking In The Online Classroom, Katarzyna Peoples, C. Todd Correa, Gary J. Burkholder

Higher Learning Research Communications

Objectives: There are essentially three schools of thought regarding critical thinking—humanistic, cognitive, and behavioral. Given the disagreement among them, confusion continues about what critical thinking means, and how it can be taught to students.

Methods: In this qualitative phenomenological study, researchers interviewed students and faculty in a distance education master of public health program about their perceptions and experiences of what critical thinking means and how it is developed in the online classroom.

Results: Themes emerging from student interviews included (a) differing thoughts on the meaning of critical thinking; (b) learning and meeting course requirements as students’ …