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Medicare Expansion And Access To Quality Care In A Rural Long-Term Care Hospital In Tennessee, Lashunda Shaw May 2024

Medicare Expansion And Access To Quality Care In A Rural Long-Term Care Hospital In Tennessee, Lashunda Shaw

Walden Dissertations and Doctoral Studies

The research problem addressed in this study is that it was not known whether differences in 30-day readmission rates among the elderly exist between urban and rural long-term care hospitals in Tennessee. The purpose of this quantitative descriptive study was to determine whether such differences exist. The conceptual framework that guided this study is the Donabedian framework. The research question was addressed that focused on the difference in the rate of potentially preventable hospital readmissions 30 days after discharge and on the difference in the potentially preventable 30-day readmission rates compared to the national preventable 30-day readmission rates. Data were …


Strategies For Building Supply Chain Resilience And Sustainability Within Law Enforcement, Vladimir Walter Jankov May 2024

Strategies For Building Supply Chain Resilience And Sustainability Within Law Enforcement, Vladimir Walter Jankov

Walden Dissertations and Doctoral Studies

Insufficient supply chain management expertise among law enforcement departments during black swan events may hurt the operationality, functionality, and effectiveness of their purpose to keep the communities safe. Grounded in black swan theory, the purpose of this multiple case study was to explore strategies for building supply chain resilience and sustainability within law enforcement. Data were collected from 11 command staff personnel from three law enforcement departments in South Carolina through semi-structured interviews, member checking, and assessments of organizational documents related to departmental supply chain policies and procedures. Data were analyzed using Braun and Clarke’s six-step thematic analysis framework. Six …


Human Service Professionals Perceptions About Support From Supervisors During The Covid-19 Pandemic, Ericka Booker May 2024

Human Service Professionals Perceptions About Support From Supervisors During The Covid-19 Pandemic, Ericka Booker

Walden Dissertations and Doctoral Studies

The United States Department of Human Services provided information about how to administer services remotely to human service organizations during the COVID-19 pandemic, but multiple challenges arose including lack of support, ethical concerns, and difficulty in building a rapport with clients remotely. The problem that was addressed in this study was the negative impacts on clients due to the issues with human service professionals providing virtual services during the pandemic. This generic qualitative study aimed to explore perceptions about the support human service professionals received from their supervisors during the pandemic. Bandura’s self-efficacy theory was used to explore participant perceptions …


Financial Strategies For The Survival Of Immigrant Latinx-Owned Small Businesses, Brenda Rios Brombacher May 2024

Financial Strategies For The Survival Of Immigrant Latinx-Owned Small Businesses, Brenda Rios Brombacher

Walden Dissertations and Doctoral Studies

Latinx small business owners have the lowest rates of financial access when starting and growing their businesses in the United States, hindering national economic resilience and growth. Grounded in the pecking order theory, the purpose of this qualitative multiple case study was to explore financial strategies that six Latinx small business owners in Houston, Texas, used to grow and sustain their small businesses. Data were collected using semistructured interviews and reviewing public and participant-supplied documents such as their business plan, financial statements, and budget forecast reports. Five themes emerged from thematic data analysis: (a) filling a market gap and leveraging …


Exploring The Relationship Between Emotional Intelligence And Self-Efficacy In Individuals Who Completed An Offender Intervention Program, Megan Eizabeth Caminos May 2024

Exploring The Relationship Between Emotional Intelligence And Self-Efficacy In Individuals Who Completed An Offender Intervention Program, Megan Eizabeth Caminos

Walden Dissertations and Doctoral Studies

Domestic abuse, which includes physical and sexual assault, stalking, and emotional abuse, presents profound social challenges. Current interventions often overlook how psychological attributes influence outcomes. This study explored the relationship between emotional intelligence and self-efficacy in domestic violence offenders after completing intervention programs. It aimed to assess the impact of these psychological dimensions on rehabilitation success and explore how enhancing them might improve intervention strategies. Grounded in the theories of emotional intelligence and self-efficacy, which are believed to be crucial for behavior change and rehabilitation success, this research employs a quantitative method. The study had 55 participants and measured emotional …


Early Career Nurses’ Perceptions Of Quality And Safety In The Operating Room, Gilda H. Gilbert May 2024

Early Career Nurses’ Perceptions Of Quality And Safety In The Operating Room, Gilda H. Gilbert

Walden Dissertations and Doctoral Studies

With an ongoing shortage of operating room nurses, novices may be hired into circulator positions. Over 50 million people will undergo surgery in America this year, and many will be cared for by circulators with less than five years of experience. Little is known about how this burgeoning group of circulators perceive and experience quality and safety. In this qualitative descriptive study, the perceptions of quality and safety were explored in nurses who completed a postgraduate perioperative curriculum embedded with quality and safety competencies. Nurses were viewed through Benner’s characteristics of nurse competence and Bloom's domains of learning framed interpretations …


Perceptions Of Developmental Disability Service Providers, On How The Judicial System Responses To Persons With Developmental Disabilities., Donna Whilby May 2024

Perceptions Of Developmental Disability Service Providers, On How The Judicial System Responses To Persons With Developmental Disabilities., Donna Whilby

Walden Dissertations and Doctoral Studies

The situation or issue that prompted me to search the literature was observing the persons with developmental disabilities circling the judicial system due to multiple encounters with law enforcement. The purpose of this qualitative study was to understand how the Northeast Florida judicial system could improve the outcomes of persons with developmental disabilities by reducing and preventing multiple encounters. The empowerment theory was the most appropriate theory for my study. Empowerment theory indicates that it is imperative to encourage people, especially those who have a psychological deficit, to lean into their resources to gain and utilize their power in society. …


Small Business Owners’ Financing Strategies For Remaining Operational Beyond 5 Years, Kenneth Melvin Brown May 2024

Small Business Owners’ Financing Strategies For Remaining Operational Beyond 5 Years, Kenneth Melvin Brown

Walden Dissertations and Doctoral Studies

Small business owners are concerned with financing their organizations to remain operational beyond 5 years, as 50% of small businesses fail before reaching 5 years of operations. Grounded in the pecking order theory, the purpose of this qualitative pragmatic inquiry was to identify and explore financing strategies that six small business restaurant owners in the central Florida area of the United States use to remain operational beyond 5 years. Data were collected using semistructured interviews, public financial and annual reports, archival mission and vision statements, and the local Chamber of Commerce website. Through thematic analysis, three themes were identified: (a) …


Elementary School Counselors’ Experiences Using Restorative Practices In Bullying Prevention, Janelle H. Brooks May 2024

Elementary School Counselors’ Experiences Using Restorative Practices In Bullying Prevention, Janelle H. Brooks

Walden Dissertations and Doctoral Studies

Restorative practices provide alternatives to punitive practices, such as exclusionary discipline and zero-tolerance policies. Restorative practices are important for elementary school counselors because they help repair the harm students do to one another while building positive relationships between and among students. A lack of understanding exists in the educational community among teachers, parents, and administrators regarding the impact of restorative practices on elementary school bullying. This qualitative study involved addressing that knowledge gap. A hermeneutic phenomenological approach was used to address the research question, which focused on lived experiences of elementary school counselors regarding their experiences with using restorative practices …


White Clinical Social Workers’ Comfort With Black People’S Mental Illness, Lushunda Wood-Buckson May 2024

White Clinical Social Workers’ Comfort With Black People’S Mental Illness, Lushunda Wood-Buckson

Walden Dissertations and Doctoral Studies

Social workers constitute one of the largest clinically trained groups in the helping professions delivering mental health services in the United States. Most U.S. social workers are White and provide mental health services to diverse people. The social work literature has limited information about White clinical social workers’ comfort with delivering mental health services to Black people with mental illness. The aim of this study was to better understand how White clinical social workers who self-identify as culturally competent describe their perceptions of comfort when delivering mental health services to Black people with mental illness. This basic qualitative study was …


Lived Experience Of Burnout And Self-Efficacy In Intensive Care Unit Registered Nurses Caring For Covid-19 Patients In U.S. Hospitals, Trixie Alohilani Harris May 2024

Lived Experience Of Burnout And Self-Efficacy In Intensive Care Unit Registered Nurses Caring For Covid-19 Patients In U.S. Hospitals, Trixie Alohilani Harris

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic has impacted the physical and mental health of intensive care unit registered nurses (ICU RNs). Burnout in ICU RNs existed long before the pandemic; however, the massive increase in critically ill patients and the scarcity of supplies and qualified staff to care for these patients put RNs in a dangerous situation. Research addressed this topic early in the pandemic but were primarily quantitative, with minimal qualitative studies appearing later. There remained a gap in examining ICU RNs in rural hospitals in the United States. The research question for this hermeneutic phenomenological study explored the interpretation of the …


Law Enforcement Public Administrators’ Emotional Intelligence And Transformational Leadership Behaviors, Larry Allen Jacobs May 2024

Law Enforcement Public Administrators’ Emotional Intelligence And Transformational Leadership Behaviors, Larry Allen Jacobs

Walden Dissertations and Doctoral Studies

Policing needs public administrators willing to implement the strategies and objectives of transformational leadership (TL) and emotional intelligence (EI) to integrate and effectively incorporate elements of the presidential Executive Order 14074 to address the public policy issues of policing in communities. This qualitative study aimed to explore the EI and TL behaviors of law enforcement public administrators through the lens of six subordinate personnel. The foundational constructs for this dissertation were TL theory, trait EI theory, and process theory. The research questions sought the experiences of subordinate personnel regarding law enforcement public administrators’ EI and TL behaviors. The study also …


Managing Obesity In Primary Care, Nkechi Okwara May 2024

Managing Obesity In Primary Care, Nkechi Okwara

Walden Dissertations and Doctoral Studies

Excess body weight has been shown to negatively impact morbidity and mortality in both developed and underdeveloped countries. Over two-thirds of U.S. adults are considered overweight or obese. Obesity and overweight present a pressing practice problem in primary care because many of these patients suffer from long-term consequences. Thus, the practice-focused question that guided this project was: Whether a clinical practice guideline (CPG) would be accepted for implementation in a primary care setting. The purpose of the Doctor of Nursing Practice (DNP) project was to develop a CPG for use in primary care and present the CPG to a panel …


Principal Literacy Leadership Perspectives And Practices, Megan Patricia Shay May 2024

Principal Literacy Leadership Perspectives And Practices, Megan Patricia Shay

Walden Dissertations and Doctoral Studies

Current elementary data from a large suburban district in the eastern part of the United States demonstrate that less than half of students in Grades 3 through 5 are demonstrating sufficient literacy achievement as measured by state assessments. This problem is of great concern since strong literacy achievement is fundamental to student success in school and preparation for college and career. The purpose of this basic qualitative study was to explore the perspectives of elementary principals from this district on their role and practices as leaders in their students’ literacy achievement. The conceptual framework for this study is Murphy’s model …


Racial Stressors, Resiliency, And African American Women Counselors, Barbara Ann Bazemore May 2024

Racial Stressors, Resiliency, And African American Women Counselors, Barbara Ann Bazemore

Walden Dissertations and Doctoral Studies

African American women therapists are the second largest group of counseling providers, with many displaying behavioral health symptoms differently than other cultures. This quantitative correlational cross-sectional study explored the resiliency of African American women counselors related to racial-specific stressors inclusive of self-identity, COVID-19 anxiety, and daily discrimination. Initially, three research questions were selected to investigate the relationship between demographic factors (age, education level, active years as a counselor), racial-specific stressors (self-identity, COVID-19 pandemic anxiety, and everyday discrimination), and resiliency in 112 African American women counselors. Emails and an online survey were sent to collect data to answer the research hypotheses. …


School Administrators’ Perceptions Of Possible Reasons Contributing To High Rates Of Disciplinary Exclusion For Special Education Students, Lauren Mackenzie Hooks May 2024

School Administrators’ Perceptions Of Possible Reasons Contributing To High Rates Of Disciplinary Exclusion For Special Education Students, Lauren Mackenzie Hooks

Walden Dissertations and Doctoral Studies

The application of exclusionary discipline practices among students with disabilities (SWDs) receiving special education (SPED) services is a widespread concern. In a local school district in Texas, SWDs receiving special education services are experiencing higher rates of disciplinary exclusions than the state’s acceptable total disciplinary removals rate. The purpose of this basic qualitative project study was to investigate the possible reasons for higher rates of disciplinary exclusions among SWDs receiving special education services. The conceptual framework was Skinner’s operant conditioning theory. The research questions focused on local school administrators’ perceptions of the possible reasons for higher rates of disciplinary exclusions …


Influence Of Social Media On Mothers’ Decision-Making Regarding Vaccinations, Wendy Michele Patterson May 2024

Influence Of Social Media On Mothers’ Decision-Making Regarding Vaccinations, Wendy Michele Patterson

Walden Dissertations and Doctoral Studies

This study involved determining why mothers hesitate to vaccinate their children and where they get their information about vaccinations. This descriptive qualitative study guided by the health belief model explored the influence social media has on mothers’ perceived barriers to vaccinating their children. A descriptive qualitative approach was used, and one-on-one audio interviews were conducted via Zoom or in person with 19 participants. Participants were mothers 19 or older, had children between zero and 18, made medical decisions for their children who resided in their household, and sought information about vaccinations via healthcare providers, social media platforms, friends, or family. …


Effects Of Mckinney Vento Act Of 1987 With Homeless Students In Mississippi, Denetra Jackson May 2024

Effects Of Mckinney Vento Act Of 1987 With Homeless Students In Mississippi, Denetra Jackson

Walden Dissertations and Doctoral Studies

Services for students who are homeless allows students and their families to deal with their living situation psychologically and offer them resources need to succeed educationally. The purpose of this research was to examine how services to homeless students in one area of Mississippi inform policy makers of the needs that are addressed with the McKinney Vento Act. The McKinney Vento Act was passed to benefit homeless students because they deserve the same quality of education, transportation to and from school, access to meals as well as various needed academic support as those that are not homeless. Being homeless places …


College Students’ Experiences And Perceptions Of Mental Health In A Campus Culture, Elizabeth Remick Fait May 2024

College Students’ Experiences And Perceptions Of Mental Health In A Campus Culture, Elizabeth Remick Fait

Walden Dissertations and Doctoral Studies

Mental health issues among college students are increasing, and a better understanding of the issues may lead to more effective solutions. The purpose of this generic qualitative study was to explore mental health culture at a college setting for first-year students by exploring communication methods used by students. Ajzen’s theory of planned behavior was the theoretical framework that guided this study. Data were collected from personal artifacts shared by 12 participants followed by interviews to explore their mental health experiences, perceptions, beliefs, and behaviors. The findings from coding and thematic analysis were put into context by participant definitions of mental …


Strategies To Reduce Truck Driver Turnover, Thomas Antoine Streeter May 2024

Strategies To Reduce Truck Driver Turnover, Thomas Antoine Streeter

Walden Dissertations and Doctoral Studies

Professional truck driver turnover is a massive problem for the leaders of trucking organizations. Business owners are concerned with driver turnover, as it is the number-one predictor of business stability and net income. Grounded in Maslow’s hierarchy of needs, this qualitative multiple case study was conducted to identify and explore effective strategies trucking company leaders use to reduce driver turnover. The participants included six trucking company leaders from six different organizations located in the United States. Data were collected using semistructured interviews and archival documents. Three themes emerged using Yin’s five-step analysis: (a) competitive driver pay, (b) improving work-life balance, …


Exploring Security Strategies To Enable The Adoption Of Internet Of Things Devices In The Manufacturing Sector, Joy Chamoun May 2024

Exploring Security Strategies To Enable The Adoption Of Internet Of Things Devices In The Manufacturing Sector, Joy Chamoun

Walden Dissertations and Doctoral Studies

Many information technology (IT) leaders lack the strategies to protect IoT devices from information security threats in the manufacturing sector, which puts IoT devices and modern manufacturing systems at risk of external threats and introduces security risks to organizations and workers. Grounded in the diffusion of innovation (DOI) theory, the purpose of this qualitative multiple-case study was to determine strategies that IT leaders use to implement security for IoT devices in the manufacturing sector. The participants were three IT leaders from three separate manufacturing facilities in the Los Angeles area of the United States. The data were collected from semistructured …


Hiv Preventive Care Services For Pregnant Women In Kenya Before And During The Covid-19 Pandemic, Modesta Vesonder May 2024

Hiv Preventive Care Services For Pregnant Women In Kenya Before And During The Covid-19 Pandemic, Modesta Vesonder

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic significantly affected access to prenatal and postnatal care services for pregnant women living with HIV (PWLHIV) in counties in the Central, Eastern, and Rift Valley regions of Kenya. Many PWLHIV in some counties in Kenya faced challenges in accessing treatment services. In urban counties such as those in the Central region, HIV preventive care services were accessed with minimal disruption. Counties in the semi-arid of Eastern and Central regions experienced some disruptions in the provision of HIV preventive care services for PWLHIV. The periods under consideration were before the COVID-19 pandemic (2019) and during the COVID-19 pandemic …


Experiences Of Online Faculty When Peer-To-Peer Incivility Is Observed, Juliet Lockwood May 2024

Experiences Of Online Faculty When Peer-To-Peer Incivility Is Observed, Juliet Lockwood

Walden Dissertations and Doctoral Studies

Incivility in the college classroom distracts from the learning process. Students who are uncivil to their peers often shame and embarrass them in front of others, and uncivil students distract from learning opportunities by arguing with professors and coercing them for grades that were not earned. Incivility by students is counterintuitive to the goals of higher education which include offering a space for meaningful learning. The literature describes incivility by students in the physical classroom, yet lacking from current research is how peer-to-peer incivility in the online classroom affects student learning. The purpose of this basic qualitative study was to …


Sex Offenders’ Cognitive Self-Change In Group Treatment: A Pre-/Posttest Study, Malinda Rae Peterson May 2024

Sex Offenders’ Cognitive Self-Change In Group Treatment: A Pre-/Posttest Study, Malinda Rae Peterson

Walden Dissertations and Doctoral Studies

Wisconsin policy makers implement sex offender treatment programs with the purpose of decreasing reoffending while increasing safety for victims and communities. Research has suggested that the cognitive behavioral therapy group curriculum, Thinking for a Change (T4C), has been effective for offenders; however, this program’s key component of cognitive self-change among sex offenders has yet to be researched. The purpose of the current study was to fill a gap in T4C research and, specifically, explore whether sex offender probationers gained the T4C component of cognitive self-change as compared to non-sex offender probationers from Wisconsin. Beck’s cognitive behavioral theory was used as …


Open Educational Resources For Community College Health Career Instruction: Identifying Best Practices For Distance Learning, Marybeth Cregger May 2024

Open Educational Resources For Community College Health Career Instruction: Identifying Best Practices For Distance Learning, Marybeth Cregger

Walden Dissertations and Doctoral Studies

The problem explored in this study is the limited use of Open Educational Resources (OER) by health career community college faculty. The purpose of this qualitative study was to investigate local community college faculty members’ perceptions about the use of OER in their program classrooms, the barriers to its use, and what resources they need to overcome the barriers. The unified theory of acceptance use and technology (UTAT) pertains to attitude, performance, expectancy, technology self-use efficacy, and facilitating conditions; it will be used as the conceptual framework for this basic qualitative study. This study explored community college faculty perceptions about …


Strategic Succession Planning - Executive-Level Leadership In A Government Agency, Tajah Adams May 2024

Strategic Succession Planning - Executive-Level Leadership In A Government Agency, Tajah Adams

Walden Dissertations and Doctoral Studies

The Candidate Development Program (CDP) is responsible for the training, development, and succession planning of government senior executive service (SES) members. While not all SES must go through this program, the CDP initiative is operational in 10 out of 24 federal agencies governed by the Chief Financial Officer Act. In this quantitative study, the client organization wanted to know the strategies a government agency may use to increase executive-level employee development to prepare them for executive appointments. In the current study, a self-administered web-based survey was distributed to CDP Current Trainees, CDP Graduates, and CDP Agency Representatives. The findings led …


Nontraditional, African American Women College Students’ Lived Experiences, Cheryl Yvonne Jackson May 2024

Nontraditional, African American Women College Students’ Lived Experiences, Cheryl Yvonne Jackson

Walden Dissertations and Doctoral Studies

Nontraditional African American women continue seeking degrees in higher education graduating despite the challenges they face oftentimes displaying resilience in doing so This qualitative study explored the lived experiences of four nontraditional African American women college students. The theoretical foundation for this study was Garmezy’s resilience theory. The theory capitalizes on the positive aspects or in this case protective factors which foster success in overcoming negative circumstances. This narrative, thematic analysis included data from in-depth interviews to identify key themes related to resilience to determine protective factors used by this population to succeed in college. The results show each participant …


Symbolic Play And Imagination In Child-Centered Play Therapy, Stephanie Anderson May 2024

Symbolic Play And Imagination In Child-Centered Play Therapy, Stephanie Anderson

Walden Dissertations and Doctoral Studies

Child-centered play therapy (CCPT) is based on the theory that a child’s natural means of communication is through play. However, there is a lack of research into how this communication occurs in CCPT sessions. This grounded theory study explored the processes utilized by child-centered play therapists and their clients to communicate with each other using symbolic play and imagination. Data were gathered through semi structured interviews with six child-centered play therapists and three archival videos of CCPT sessions to gain a holistic understanding of how communication occurs in sessions. This study’s data analysis revealed 20 selective and six subcodes associated …


Parents’ Perceptions Of Bullying In A Local Middle School, Clifphene Reid May 2024

Parents’ Perceptions Of Bullying In A Local Middle School, Clifphene Reid

Walden Dissertations and Doctoral Studies

Bullying is known to have far-reaching negative implications for students and the school community. One important first step toward successfully preventing and addressing school bullying is to ensure that all members of the school community have a common understanding of the nature of bullying. The problem investigated in this study was the significant disparity between substantiated and unsubstantiated bullying reports made by parents, students, and staff in the local middle school. Given that parents at the local middle school had not received ongoing bullying prevention training, the purpose of this study was to investigate parents’ perceptions of bullying and the …


Corporate Governance Strategies And Survivability Of Microfinance Banks In Nigeria, Dachi Augustine Dajau May 2024

Corporate Governance Strategies And Survivability Of Microfinance Banks In Nigeria, Dachi Augustine Dajau

Walden Dissertations and Doctoral Studies

Corporate governance practices are vital for the survival of microfinance banks (MFBs) in Nigeria. MFBs perform a crucial role in providing financial services to underserved communities and contributing to the country’s economic development. As a result, it is essential to comprehend the governance mechanisms that support their resilience and sustainability. A qualitative exploratory multiple-case study was conducted, and 20 in-depth interviews occurred with industry experts who are directors of 20 MFBs located throughout Nigeria. I used Braun and Clarke’s model in the deductive data analysis leading to coding, categorization, and themes identification. The results indicate that a robust corporate governance …