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Strategies To Effectively Manage Hospital Energy Costs With Renewable Energy Technology, Nelli Holtz May 2024

Strategies To Effectively Manage Hospital Energy Costs With Renewable Energy Technology, Nelli Holtz

Walden Dissertations and Doctoral Studies

High energy costs and hospital financial solvency have become significant problems for hospitals and community leaders. Hospital managers are concerned with knowing the best uses of renewable energy technology to reduce energy expenditures effectively. Grounded in the diffusion of innovation theory, the purpose of this qualitative pragmatic inquiry study was to explore the strategies hospital leaders use to reduce costs using renewable energy technology effectively. The participants were eight hospital managers from four large and four small hospitals in North Rhine-Westphalia, Germany. Data were collected using semistructured interviews and a review of relevant public records, documents, and literature on renewable …


Early Childhood Teachers’ Experiences With Overrepresentation Of English Language Learners In Special Education Programs, Tiffeny Sharpton May 2024

Early Childhood Teachers’ Experiences With Overrepresentation Of English Language Learners In Special Education Programs, Tiffeny Sharpton

Walden Dissertations and Doctoral Studies

The population of English Language Learners (ELLs) enrolled in kindergarten to second grade (K-2) in the Southern region of the United States has increased. K-2 teachers are challenged to serve ELLs in the regular education classroom and students are often being referred for special education services. There needs to be more literature on the overrepresentation of ELL students in special education programs. The purpose of this basic qualitative study was to explore K-2 teachers’ experiences with the overrepresentation of ELL students in special education programs and what teachers need to facilitate appropriate interventions for ELL students within the general education …


Understanding Access To Preventive Health Screening For Working Women Through The Lens Of The Socioecological Model, Charlotte R. Bonner May 2024

Understanding Access To Preventive Health Screening For Working Women Through The Lens Of The Socioecological Model, Charlotte R. Bonner

Walden Dissertations and Doctoral Studies

Many U.S. working women lack access to routine preventive health screenings due to their 40-hr workweek, problems with transportation, and lack of workplace flexibility as clinic hours often coincide with their work schedules. Research is currently limited on how mobile health clinics (MHC) may enhance access to preventive health screenings for working women. The purpose of this qualitative study was to understand how working women experienced access to preventive health screenings through MHCs. The socioecological model served as the conceptual framework. The study population was working women over 21 years of age who were not homemakers, who worked 30 or …


Factors Influencing Donation Decisions To Environmental Nongovernmental Organizations, Fernando Alferd Crocheron May 2024

Factors Influencing Donation Decisions To Environmental Nongovernmental Organizations, Fernando Alferd Crocheron

Walden Dissertations and Doctoral Studies

While philanthropic studies have been conducted for centuries, little information exists regarding factors that impel donors to make financial donations to environmental nongovernmental organizations (ENGOs). The phenomena surrounding human motivation have been studied via numerous lenses providing information focused on various domains of interest e.g., poverty alleviation, provisioning of educational opportunity, disease eradication, disaster relief, etc. The theoretical framework for this study was Self-Determination Theory (SDT). This study focused specifically on U.S. citizens and the motivational factors that impel said citizens to make monetary contributions to ENGOs. Ten participants ages 18 and over who had donated to an ENGO in …


An Exploration Of The School Counselors’ Role In Providing Social-Emotional Support To Teen Mothers, Madalyn Tinia Caldwell May 2024

An Exploration Of The School Counselors’ Role In Providing Social-Emotional Support To Teen Mothers, Madalyn Tinia Caldwell

Walden Dissertations and Doctoral Studies

The purpose of this transcendental phenomenological qualitative study was to explore and bring understanding to the role of school counselors and their social-emotional work with adolescent mothers. Data were collected from six participants via video interviews and analyzed utilizing a transcendental phenomenological approach. The selection criteria of the study included licensed or certified middle or high school counselors working within the United States with experience working with teen mothers in the school setting. Transcendental phenomenology was used to address the detailed description of the experiences of school counselors who work with adolescent mothers. Three themes developed from the study: importance …


The Sexual Experiences Of U.S. Married Black Evangelical Christian Women, Latisha Woods May 2024

The Sexual Experiences Of U.S. Married Black Evangelical Christian Women, Latisha Woods

Walden Dissertations and Doctoral Studies

When learning about sex, a person's cultural identity can include messages about how sex is to be experienced. For Evangelical Christians, those messages are connected to religious doctrine and beliefs. For women, in general, those messages can be tied to what is considered appropriate sexual behavior. The purpose of this phenomenological study was to explore the role that messages stemming from the intersecting identities of religion, gender, and race play in the sexual experiences of married Black evangelical Christian women. This study's theoretical framework and research design was Benner’s interpretive phenomenology. Upon use of convenience sampling, semistructured interviews were conducted …


Servant Leadership Impact On Generation Z Employees’ Workplace Engagement, Maria Helena Morrison May 2024

Servant Leadership Impact On Generation Z Employees’ Workplace Engagement, Maria Helena Morrison

Walden Dissertations and Doctoral Studies

Workplace engagement with the Gen Z cohort born between 1995 and 2012 continues to be a challenge within the United States. The specific research problem addressed through this study was that it remained unknown whether the servant leadership characteristics exhibited by organizational leaders impacted Gen Z employees’ workplace engagement in Florida. These seven servant leadership characteristics include: (a) emotional healing, (b) creating value for the community, (c) conceptual skills, (d) empowering, (e) helping subordinates grow and succeed, (f) putting subordinates first, and (g) behaving ethically. Greenleaf’s servant leadership theory, Blau’s social exchange theory, and Khan’s employee engagement theory grounded this …


The Concept Of Leadership During Climatological Crisis: A Comparative Case Study Of Puerto Rico Higher Education, Aniello Alberti May 2024

The Concept Of Leadership During Climatological Crisis: A Comparative Case Study Of Puerto Rico Higher Education, Aniello Alberti

Walden Dissertations and Doctoral Studies

During times of climatological crisis, leadership is a crucial component of postsecondary education administrators’ arsenal, specifically regarding their ability to execute strategies in action plans aimed at restoring the normal operations of institutions. This comparative case study aimed to examine how strategies in crisis leadership plans were implemented in Puerto Rico's higher education system, focusing on the experiences of key administrators in two higher education units who managed the response to the impacts of the 2017 Hurricane Maria. The conceptual framework for this investigation was grounded in Blanchard and Hersey's situational leadership theory and Bass’s transformational theory. In-depth interviews were …


Skill Bias Perceptions Of Unskilled Workers' Self-Perception And Self-Efficacy, Cheryl M. Jackson May 2024

Skill Bias Perceptions Of Unskilled Workers' Self-Perception And Self-Efficacy, Cheryl M. Jackson

Walden Dissertations and Doctoral Studies

A common phenomenon witnessed in the United States health care industry is a division between skilled and unskilled workforces. The division results from skill bias perceptions that strip the appreciation and value of certain job titles and responsibilities. The purpose of this quantitative nonexperimental study focused on the human capability approach theory was to ascertain the differences in perception between the two types of workers and whether skill bias perceptions predict self-perception and self-efficacy. The goal was to recognize and support the innate human capabilities of unskilled workers as valuable human capital resources. From stratified sampling, 172 skilled and unskilled …


The Experiences Of Post Secondary School Completion Of Academically Talented African American Teenaged Parents, Adrienne Denise Butler May 2024

The Experiences Of Post Secondary School Completion Of Academically Talented African American Teenaged Parents, Adrienne Denise Butler

Walden Dissertations and Doctoral Studies

Teen pregnancy and parenting are cited as the reasons 1 in 3 teens drop out of high school. For African American teenagers, the drop-out rate is slightly higher, with 38% of teen parents leaving high school without a diploma. Living in impoverished communities with substandard educational facilities and opportunities, academically talented African American teen mothers must make choices about education and parenting. Pregnant teens must consider their future and decide whether to keep their baby, to complete high school or dropout, and if to attend a postsecondary institute. The problem is the low college attendance and graduation rate for parenting …


Understanding How Cte Educators Perceive That Professional Development Supports Educational Practices And Retention, Neyla Rivera May 2024

Understanding How Cte Educators Perceive That Professional Development Supports Educational Practices And Retention, Neyla Rivera

Walden Dissertations and Doctoral Studies

Career and technical education (CTE) educators are inconsistently supported with professional development (PD). The inconsistent support may limit advancing teaching and learning, serving the students, and retaining CTE educators in the field. How supported CTE teachers feel with PD to implement instructional practices that serve students and encourage teachers to remain in the field was explored in this study. A basic qualitative approach was used along with the theoretical foundation of the social cognitive career theory, specifically, the interest and choice model. Semistructured interviews were conducted with ten CTE educators nationwide, and MAXQDA was used for data analysis. The data …


Type 2 Diabetes As A Risk Factor For The Development Of Cognitive Dysfunction In U.S. Adults, Bobbi Johnson May 2024

Type 2 Diabetes As A Risk Factor For The Development Of Cognitive Dysfunction In U.S. Adults, Bobbi Johnson

Walden Dissertations and Doctoral Studies

There is no consensus as to whether having type 2 diabetes increases an individual’s risk for developing cognitive dysfunction. Though cognitive dysfunction is considered a risk factor for type 2 diabetes, it is also classified as a newly formed diabetes-related complication. The purpose of the study was to evaluate if self-reported healthcare – diagnosed diabetes has any association in the risk of the development of cognitive dysfunction in individuals living with type 2 diabetes. Self-determination theory served as the theoretical framework. The research questions concerned whether (a) an association exists between diabetes and cognitive dysfunction, (b) ethnicity plays a vital …


The Relative Strength Of Social Media Use, Social Comparison Orientation, And Materialistic Values On Self-Worth, Jeanine Frost May 2024

The Relative Strength Of Social Media Use, Social Comparison Orientation, And Materialistic Values On Self-Worth, Jeanine Frost

Walden Dissertations and Doctoral Studies

Excessive social media use is linked to psychological and emotional issues such as depression, anxiety, and low self-esteem. Social media may expose its users to idealized representations of others’ material success that, by comparison, makes individuals feel wanting. In the United States, where material possessions are often a measure of one’s value, the comparative lack of material possessions takes a toll on social media users’ self-worth. While researchers have investigated the potential for individual differences in social status seeking, malicious envy, and social media use to influence self-esteem/worth, none have examined the relative strength of social media use, social comparison …


Relationship Between Self-Concept And Self-Compassion Scores And Weight-Loss Surgery Outcomes In Women, Christine Curry-Tuthill May 2024

Relationship Between Self-Concept And Self-Compassion Scores And Weight-Loss Surgery Outcomes In Women, Christine Curry-Tuthill

Walden Dissertations and Doctoral Studies

Obesity is a global health concern associated with a multitude of psychosocial issues, including emotional dysregulation, depression, low self-esteem, social isolation, and economic issues related to bias. Weight loss surgery is generally considered to be an effective treatment; however, insufficient weight loss and weight regain are not uncommon. Because self-compassion and self-concept are psychological and social constructs that have been shown to influence obesity and health, the purpose of this study was to explore the relationship between weight loss surgery outcomes and these two concepts to obtain a deeper understanding of the mechanisms behind suboptimal weight loss. The theoretical framework …


Assessing The Effectiveness Of Treatment Programs Among Veterans With Opioid Use Disorder In New York State, Olatoye Oluwaseyi Itaniyi May 2024

Assessing The Effectiveness Of Treatment Programs Among Veterans With Opioid Use Disorder In New York State, Olatoye Oluwaseyi Itaniyi

Walden Dissertations and Doctoral Studies

New York State (NYS) is home to millions of veterans and has the fifth-largest veteran population in the country. Veterans represent a vulnerable population and are at higher risk for mental and physical health struggles. The focus of this quantitative study was to assess if there is any significant difference between pre- and post-OUD 24-hour detoxification treatment services, residential/rehabilitation treatment services, ambulatory outpatient treatment services, frequency of opioid use at discharge, and mental disorder among veterans with opioid use disorder in NYS when controlling for age, gender, race, and marital status. The study utilized the harm reduction framework and the …


Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee Jodean Jacobson May 2024

Instructor Characteristics That Increase Self-Efficacy In Nursing Students, Kaycee Jodean Jacobson

Walden Dissertations and Doctoral Studies

With the current nursing shortage, finding ways to increase nursing retention in graduate nurses can help ease the shortage. Self-efficacy is a factor that contributes to an individual’s well-being and can affect their professional accomplishments. The purpose of this study, guided by Bandura’s theory of self-efficacy, was to identify instructor characteristics that may impact student perceived self-efficacy in the clinical setting. Bandura identified self-efficacy as a factor that contributes to an individual’s well-being as a whole and can affect their professional accomplishments. A sample of 19 nursing students who were enrolled in a clinical course were recruited and completed the …


Secondary School Teachers’ Perceptions Of Professional Development In An Urban School District In Liberia, Moses Blonkanjay Jackson May 2024

Secondary School Teachers’ Perceptions Of Professional Development In An Urban School District In Liberia, Moses Blonkanjay Jackson

Walden Dissertations and Doctoral Studies

Due to the low academic performance of Liberian students, in 2013, the president of Liberia declared that the education sector needed to be overhauled. Consequently, the education minister launched a nationwide professional development (PD) program. Despite the PD initiatives, academic performance in an urban school district (USD, a pseudonym) has not improved. The purpose of this qualitative study was to explore Liberian secondary teachers' perceptions on the strength, weakness, and recommended improvements of the PD at USD. The theoretical framework that guided the study was Mezirow’s transformational learning theory. The key research questions were focused on the secondary school teachers’ …


Childcare Teachers’ Perspectives Of State-Required Training And Available Professional Development, Christina L. Kastl May 2024

Childcare Teachers’ Perspectives Of State-Required Training And Available Professional Development, Christina L. Kastl

Walden Dissertations and Doctoral Studies

The problem affecting Oklahoma’s child care teachers is that the required state trainings and available professional development (PD) are not meeting their needs. The purpose of this qualitative study was to obtain child care teachers’ perspectives of the state’s required training and available PD. The theoretical foundation of this study was based on project-based learning (PBL) theory. The PBL theory supports active in-class learning that allows teachers to continually learn new concepts for their students and provides in-class training and coaching. Three research questions guided the study: What are early child care teachers’ perspectives of the Oklahoma-mandated training. What are …


Routine Care Visits, Quality Of Diet, And Type 2 Diabetes Risk Perception Among Older Adults, Abigail Chenoa Delich May 2024

Routine Care Visits, Quality Of Diet, And Type 2 Diabetes Risk Perception Among Older Adults, Abigail Chenoa Delich

Walden Dissertations and Doctoral Studies

The rate of Type 2 diabetes (T2D) among older adults is expected to double within the next decade. Severe complications and health care costs for older adults with T2D are anticipated. In many cases, older adults have a low perceived risk for developing diabetes. Health behaviors such as routine care and improved quality of diet can be opportunities to address perceived risk for developing T2D in older adults. The purpose of this quantitative cross-sectional study was to investigate whether a relationship exists between routine care visits, quality of diet, and T2D risk perception in adults age 65 years and older …


African American Rural Pastors’ Perceptions Of Collaborations With Public Health Agencies, Richard Johnson May 2024

African American Rural Pastors’ Perceptions Of Collaborations With Public Health Agencies, Richard Johnson

Walden Dissertations and Doctoral Studies

Recent research has suggested that when public health agencies (PHAs) partnered with African American (AA) pastors to deliver and promote health education to their church members, improved health behaviors in the AA community were realized. Recent studies have also shown that collaborations of this nature have yielded increases in health screenings and improvements in disease management, preventative care, and public health outreach. Because most of the previous studies focused on the perceptions of pastors who oversaw churches in urban areas, a need for research focusing on the perceptions of rural pastors was warranted. The purpose of this qualitative phenomenological research …


Case Manager Perceptions Of Trauma-Informed Practice And Policy In Human Service Organizations, Lachandra Brooks Prim May 2024

Case Manager Perceptions Of Trauma-Informed Practice And Policy In Human Service Organizations, Lachandra Brooks Prim

Walden Dissertations and Doctoral Studies

One of the goals of human service organizations is to provide help to victims of trauma, but they are often the cause of retraumatization to those individuals. The problem that was addressed in this study was the negative repercussions of retraumatization such as feelings of being unsafe, anger, guilt, shame, depression, and secondary trauma due to human service organizations not being based in trauma-informed approaches. The purpose of this generic qualitative research study was to describe and understand case managers’ perceptions of trauma-informed practices and policies across organizations and services. Ecological systems theory served as the theoretical framework for this …


Influence Of Leader's Mental Health Skills On Emergency Call-Taker And Dispatcher Well-Being, Chenetra Washington May 2024

Influence Of Leader's Mental Health Skills On Emergency Call-Taker And Dispatcher Well-Being, Chenetra Washington

Walden Dissertations and Doctoral Studies

In 2021, researchers reported that nearly half of emergency responder personnel who are continuously exposed to traumatic incidents will test positive for one or more forms of mental illness. The purpose of this descriptive qualitative phenomenological study was to describe and identify the lived experiences of emergency call-takers and dispatchers by identifying how their leader’s mental health skills influence their well-being in the emergency management industry. This study was framed by Bertalanffy’s general systems theory and Husserl’s origins of consciousness concept. Using a qualitative research design, data were collected and triangulated from 10 semistructured interviews, reflective and descriptive fields notes, …


Physician Burnout And The Marital Relationship: Spouse Perspective, Lisa Anne Muehlenbein May 2024

Physician Burnout And The Marital Relationship: Spouse Perspective, Lisa Anne Muehlenbein

Walden Dissertations and Doctoral Studies

Physician burnout rates have consistently been higher than the general working population; however, recent literature suggested that after a steady decline in physician burnout rates, the COVID-19 global pandemic and additional organizational factors have caused physician burnout to reach an all-time high. Substantial research is available on physician burnout; however, little is known about how a physician’s burnout is experienced in the marital relationship through the spouse’s perspective. This basic qualitative study used purposive, convenience, and snowball sampling methods to recruit 10 female spouses of male physicians to participate in semi-structured interviews. The research question investigated the participants’ perceptions of …


Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo May 2024

Perception Of African Immigrants Living In The United States Towards Latent Tuberculosis Infection Treatment Hesitancy, Akinwale O. Obatayo

Walden Dissertations and Doctoral Studies

About 80% of active tuberculosis (TB) cases are caused by untreated latent tuberculosis infection (LTBI), with most being foreign-born United States residents. Despite the availability of preventive therapies, African immigrants living in the United States are hesitant to accept LTBI treatment. Although researchers have explored LTBI treatment hesitancy among foreign-born United States citizens, no study has explored the perspectives of African immigrants living in the United States. This generic qualitative study explored the perception of African immigrants living in the United States on LTBI treatment hesitancy. Participants’ inclusion criteria include those 18 years and older with a positive TB test, …


Pandemic Impact On Feedback Environments Among Remote And Traditional Office Workers, John Bryan Gianneschi May 2024

Pandemic Impact On Feedback Environments Among Remote And Traditional Office Workers, John Bryan Gianneschi

Walden Dissertations and Doctoral Studies

Research on feedback-seeking, a critical component of employee self-regulatory behavior, has heavily relied on conventional offices, laboratories, and classrooms. Researchers have called for studies in varied workplaces and remotely situated work locations, but opportunities were constrained by organizational limits on deploying workers beyond organizational offices. The COVID-19 pandemic’s forced dispersal of office workers to work remotely from their homes overcame these organizational limits. This quantitative survey study compared 232 employee ratings of feedback environments and leader-member exchange relationships to assess their relative effectiveness among employees dispersed by the COVID-19 pandemic to remote locations with those of employees remaining in conventional …


Dimensions Of Emotional Intelligence As Predictors Of Emotional Labor Strategies Among Ems Professionals, Joseph Mctaggart May 2024

Dimensions Of Emotional Intelligence As Predictors Of Emotional Labor Strategies Among Ems Professionals, Joseph Mctaggart

Walden Dissertations and Doctoral Studies

Emergency medical service professionals face frequent demands of emotional labor, requiring them to regulate their emotions to best provide patient care in critical situations and handle emotional upset in the public they serve. Surface acting (faking emotions to meet work expectations) is associated with outcomes like burnout, increased turnover intent, and reduced job satisfaction. Emotional intelligence has been identified as a factor influencing emotional labor strategies; however, more research is needed. This research examined the extent to which dimensions of emotional intelligence (self-emotion appraisal, others’ emotion appraisal, use of emotion, and regulation of emotion) predict emotional labor strategies among emergency …


Impact Of Institutional Memory Loss On Novice Labor And Delivery Nurses’ Quality Of Care Delivery, Anthea Irene Thomas May 2024

Impact Of Institutional Memory Loss On Novice Labor And Delivery Nurses’ Quality Of Care Delivery, Anthea Irene Thomas

Walden Dissertations and Doctoral Studies

The social phenomenon institutional memory loss (IML) negatively impacts patient safety and quality of care. As experienced labor and delivery (L&D) nurses retire, incoming novice nurses lack expert knowledge and are challenged with a more complex patient population. Unresolved, the vulnerabilities from IML will impact the healthcare organization’s competitive edge and hamper progression of the sustainable development goals regarding maternal, infant, and child health. IML in the labor and delivery unit has not been covered in the current literature. In this phenomenological study the perspectives of labor and delivery nurse managers on the impact of IML on care delivery of …


Developing Business Strategies For Native American Businesses, Jessica Lynn Burghart May 2024

Developing Business Strategies For Native American Businesses, Jessica Lynn Burghart

Walden Dissertations and Doctoral Studies

The problem that was the focus of this research was that Native American businesses face numerous obstacles in successful and sustainable enterprises like professional training, lack of funding, shortage of professionals, and lack of tribal support. This has caused many businesses to close and has affected the economy of various tribes. The purpose of this qualitative, modified Delphi study was to determine how a panel of Native American business leaders view the desirability, feasibility, and importance of forward-looking solutions to the problems that Native American business owners face when trying to sustain their businesses. The research question addressed forward-looking solutions …


The Relationship Between Social Risk Factors And Pre-Term Births In Hawai’I, Rina Therese Ramos Amposta May 2024

The Relationship Between Social Risk Factors And Pre-Term Births In Hawai’I, Rina Therese Ramos Amposta

Walden Dissertations and Doctoral Studies

Premature birth remains the leading cause of neonatal death and is associated with birth defects and long-term health morbidities. Hawai’i, with dominant Pacific Islander, Asian, and White populations, ranks 18th amongst the states with the highest rate of preterm birth. Guided by the social ecological model, the purpose of this quantitative, cross-sectional research study was to determine the extent of the association of social risk factors and preterm birth in the state of Hawai’i for the years 2012-2015 using the Hawai’i Pregnancy Risk Assessment and Monitoring Systems (PRAMS). Preterm birth in Hawai’i from 2012- 2015 was found to be 17% …


U.S. Female Military Spouses' Experiences Of Careers And Self-Esteem After Frequent Military Relocations, Jennifer Lynn Gonzalez May 2024

U.S. Female Military Spouses' Experiences Of Careers And Self-Esteem After Frequent Military Relocations, Jennifer Lynn Gonzalez

Walden Dissertations and Doctoral Studies

U.S. female military spouses experience a number of challenges in sustaining their personal employment, career development, and career progression due to frequent military relocations. Previous studies have revealed that sustained employment provides individuals with a sense of purpose and identity, which significantly impacts overall well-being. The purpose of this generic qualitative study was to explore experiences of U.S. female military spouses seeking employment after multiple relocations due to military reassignments and their perceived self-esteem post relocation. Self-determination theory provided the theoretical framework for this study. A generic qualitative approach and data from 13 participants’ individual interviews were collected and analyzed …