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The Impact Of Turnover And Turnover Intentions On Nigeria's Public Health Administration, Albert Abani Uduma
The Impact Of Turnover And Turnover Intentions On Nigeria's Public Health Administration, Albert Abani Uduma
Walden Dissertations and Doctoral Studies
High turnover creates a vicious cycle that affects employees with further shortages and turnover. This study explored the lived experiences and perceptions of a government employer and employees about turnover, turnover intentions, and the government’s leadership effectiveness using Heidegger’s phenomenological research methods. The theoretical frameworks that grounded the study were Herzberg’s motivation-hygiene theory, public service motivation theory, and corporate social responsibility theory. The study questions focused on stakeholders’ perceptions and lived experiences of the government’s leadership effectiveness in addressing the impacts of high turnover, as well as the employees’ consequent reactions to the government’s leadership approach. Participant data were collected …
Predictors Of Work Styles And Transition Success From Military Service To The Civilian Workforce, Ryan Nicholas Schuler
Predictors Of Work Styles And Transition Success From Military Service To The Civilian Workforce, Ryan Nicholas Schuler
Walden Dissertations and Doctoral Studies
Upon leaving the armed forces, service members face challenges transitioning to the civilian workforce. The relationship between service members’ work styles and successfully transitioning to the civilian workforce is unknown. It is also unknown if military occupation (MO) affects the relationship between work styles and transition success. Although researchers have investigated the transition from active military service to the civilian workforce, they have not focused on identifying predictors of transition success. Three theories, positive psychology, transformational learning theory, and career decision-making theory, were used as the foundation of the study and to develop the research questions to determine the success …
Impact Of Covid-19 On Opioid Misuse, Mental Health, And Substance Abuse Treatment Of Adults, David Stephen Reed
Impact Of Covid-19 On Opioid Misuse, Mental Health, And Substance Abuse Treatment Of Adults, David Stephen Reed
Walden Dissertations and Doctoral Studies
The purpose of this quantitative cross-year comparison of two cross-sectional studies was to examine whether there is an impact of the COVID-19 pandemic on opioid misusers seeking mental health and substance abuse treatment, taking into consideration the social, ecological, and economic factors of age, gender, poverty status, and county of residence metropolitan status. The theoretical foundations of this study are the social-ecological framework in terms of the geographic and economic impacts, and the structural and social determinants of health framework to examine the influences of economic and community on individual behaviors, to answer the research questions while controlling for the …
A Clinical Practice Guideline On Dyslipidemia Screening In Children, Nadine Touayem Mbou
A Clinical Practice Guideline On Dyslipidemia Screening In Children, Nadine Touayem Mbou
Walden Dissertations and Doctoral Studies
Walden University College of Nursing This is to certify that the doctoral study by Nadine Mbou has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Deborah Lewis, Committee Chairperson, Nursing Faculty Dr. Elizabeth Diener, Committee Member, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2024 The burden of dyslipidemia among children has increased substantially, affecting approximately 7% of adolescents in the United States. Although pediatric dyslipidemia screening can promote early identification, a standardized clinical practice guideline (CPG) …
Primary School Teachers’ Perspectives On Parent-Teacher Engagement In A Rural Title I Charter School District In The Southeast, Deena K. Eberhardt
Primary School Teachers’ Perspectives On Parent-Teacher Engagement In A Rural Title I Charter School District In The Southeast, Deena K. Eberhardt
Walden Dissertations and Doctoral Studies
Children learn more effectively when parent-teacher engagement is high and home-school communication and collaboration are optimal. The problem addressed in this study was a lack of parent-teacher engagement in two Title I primary schools within a charter school system located in a rural area of the Southeast. The purpose of this basic qualitative study was to explore primary teachers’ perspectives on parent-teacher engagement in a rural Title I charter school system in the Southeast. Epstein’s parental involvement model and Vygotsky’s social constructivist theory formed the conceptual framework. Research questions focused on teachers’ perspectives on parent-teacher engagement and strategies encourage this. …
Lived Experiences Of Congolese Women With Postpartum Family Planning Counseling In The United States, Lemba Dina Nshisso
Lived Experiences Of Congolese Women With Postpartum Family Planning Counseling In The United States, Lemba Dina Nshisso
Walden Dissertations and Doctoral Studies
Postpartum family planning counseling experience among immigrant women in the United States has primarily involved Latina immigrant women, with little focus on African immigrant women. To address this gap, a phenomenological study was conducted to examine lived experiences of Congolese immigrant women living in the United States (U.S.) with postpartum counseling and how this type of counseling influences their decision-making processes. Additionally, the study involved understanding Congolese immigrant women’s interactions with healthcare services for family planning procurement. Data were collected from 10 Congolese immigrant women who had given birth in the U.S. and attended a postpartum family planning counseling session. …
Healthcare Leaders’ Translation Of Patient Feedback To Quality Improvement In Integrated Care, Michele Renee Adams
Healthcare Leaders’ Translation Of Patient Feedback To Quality Improvement In Integrated Care, Michele Renee Adams
Walden Dissertations and Doctoral Studies
Healthcare inequalities impact patient impression of the healthcare quality provided by healthcare institutions. This qualitative phenomenology study examined healthcare leader experiences in using patient input to enhance the quality of care within an integrated healthcare system. The primary research question involved understanding the lived experiences of healthcare leaders on using patient feedback to improve the quality of care in an integrated healthcare system. The conceptual underpinning was the patient feedback response framework. Braun and Clarke’s six-step inductive thematic analysis was used to analyze transcripts. The findings from the participants’ responses suggest that providing caring, patient-centered care was the factor that …
A Qualitative Exploration Of Early Educator Retention And Within-Year Turnover, Elizabeth Ann Dupin
A Qualitative Exploration Of Early Educator Retention And Within-Year Turnover, Elizabeth Ann Dupin
Walden Dissertations and Doctoral Studies
Early childhood education and care (ECEC) programs are experiencing high turnover, resulting in lower teacher retention rates. High turnover hinders program quality, creates financial strain, and adversely affects program sustainability. Despite efforts to increase educator retention, a rural midwestern ECEC program’s administrative team continues to experience declining retention and high within-year turnover. This study aims to explore early educators’ perceptions of the organizational factors that contribute to teacher retention and within-year turnover in the selected ECEC site. The research study explores organizational factors using Herzberg’s two-factor theory of motivation. The qualitative data collected from current and previous early educators employed …
Experiences Of Outpatient Mental Health Counselors Building Relationships With Clients During Covid-19 In Michigan, Paulette Gaines
Experiences Of Outpatient Mental Health Counselors Building Relationships With Clients During Covid-19 In Michigan, Paulette Gaines
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic has had a significant impact on the mental health of many individuals and communities and their access to mental health counseling. This study explored the experiences of mental health counselors attempting to build online relationships with clients during the COVID-19 pandemic and how these workers experienced and interpreted relationships with their clients during that period. The transactional theory of stress and coping model provided theoretical foundation to this study. One limited licensed and eight fully licensed professional counselors participated in this study. A generic qualitative design was used, and data were collected by audio recording interviews via …
Examining Experiences And Perspectives Of Educators Teaching Employment Skills To Transitioning Students With Disabilities, Denise Michelle Frelot
Examining Experiences And Perspectives Of Educators Teaching Employment Skills To Transitioning Students With Disabilities, Denise Michelle Frelot
Walden Dissertations and Doctoral Studies
Examining Experiences and Perspectives of Educators Teaching Employment Skills to Transitioning Students With Disabilities Walden University April 2024 In an urban school district in a western state, the problem addressed through this study was that, despite available professional development (PD) training and resources, educators at a high school were not effectively implementing the strategies of the Campus 2 Community (C2C) initiative, which is designed to assist students with disabilities (SWDs). The purpose of this basic qualitative study was to investigate the experiences of educators using the C2C program; identify the challenges they encounter; and identify ways to improve the C2C …
Effect Of Medication And Discharge Instructions On Heart Failure Readmission Rates, Jasio-Dane Bispott
Effect Of Medication And Discharge Instructions On Heart Failure Readmission Rates, Jasio-Dane Bispott
Walden Dissertations and Doctoral Studies
Heart failure (HF) remains a significant challenge for healthcare administration leaders, primarily due to the escalating rates of HF readmissions, necessitating the identification of factors contributing to decreased hospital readmissions. This quantitative study aimed to investigate the influence of communication and discharge information on HF readmission rates, guided by the health belief model. Research questions focused on understanding the relationship between quality measures, communication about medicines (independent variable), discharge information (independent variable), and HF readmission rates (dependent variable). Using a Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) secondary dataset encompassing 2911 acute care hospitals, a Kruskal-Wallis H analysis …
Investigating Burnout And Compassion Fatigue Among Dog Trainers And Behaviorists, Alexandra Malone
Investigating Burnout And Compassion Fatigue Among Dog Trainers And Behaviorists, Alexandra Malone
Walden Dissertations and Doctoral Studies
The prevalence of dog trainers and behaviorists experiencing burnout and compassion fatigue is a growing concern within the profession. These professionals face various challenges, such as exposure to traumatic cases and emotional pressures from clients, leading to emotional exhaustion and reduced job satisfaction. The lack of literature addressing this issue necessitates investigating specific actions contributing to burnout and compassion fatigue within the profession. This study explored the influence of years of experience on burnout and the potential relationship between burnout and the aggression levels of dogs being trained, and how compassion fatigue moderates the relationship between years of experience and …
Parents’ Perspectives Of Their Typically Developing Or Special Needs Child’S Inclusive, Barbara Ann Holmes
Parents’ Perspectives Of Their Typically Developing Or Special Needs Child’S Inclusive, Barbara Ann Holmes
Walden Dissertations and Doctoral Studies
The problem that was the focus of this study is that many parents, both children who are typically developing and those who have special needs, are unsure of the benefits of inclusive preschool classrooms. This study is important because it enhanced understanding of how parents make informed decisions about what is educationally best for their children and how they interpret the challenges and benefits of inclusive education for their children. The purpose of this qualitative study was to explore the perspectives of parents of typically developing students and parents of students with special needs enrolled in an inclusive preschool classroom …
The Relationship Between Ultrarunning Status, Subjective Well-Being, And Life Satisfaction, Raquel Ramirez Hernandez
The Relationship Between Ultrarunning Status, Subjective Well-Being, And Life Satisfaction, Raquel Ramirez Hernandez
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic resulted in a rise in mental health challenges across the United States. Consequently, two important well-being measures for Healthy People 2030—subjective well-being and life satisfaction—were negatively impacted. A plethora of evidence exists about the benefits of running for physical and mental health. Yet, there is no available evidence that shows the benefits of ultrarunning, subjective well-being, and life satisfaction. This quantitative cross-sectional study examined the relationship between ultrarunning status, subjective well-being, and life satisfaction among adult runners in the United States. The advanced triangle of epidemiology served as the conceptual framework. A convenience sample included 369 adult …
Parents Perceptions Of The Impact Of School Suspension On Black Boys, Christopher K. Kemp
Parents Perceptions Of The Impact Of School Suspension On Black Boys, Christopher K. Kemp
Walden Dissertations and Doctoral Studies
Due to the unintended impacts of out-of-school suspension that may occur to Black boys in middle school, all stakeholders, specifically school counselors, must fully comprehend how this type of discipline affects this population to better support them with best practices. The purpose of this qualitative phenomenological study was to gain a deeper understanding of how out-of-school suspension impacts middle school Black boys’ social and psychological well-being. The research population was individuals who met the following criteria for the study: (a) self-identify as Black, (b) have a son in middle school (grade 6-8), and (c) have a son who has been …
Barriers To Respite Care Among African Immigrant Mothers, Yewande T. Richards
Barriers To Respite Care Among African Immigrant Mothers, Yewande T. Richards
Walden Dissertations and Doctoral Studies
African immigrant children living in the United States (US) are highly susceptible to medically complex, life-limiting, and life-threatening conditions, including rheumatic heart disease, congenital heart disease, autism, and other neurodevelopmental disabilities. As primary caregivers, mothers frequently need a break from their caregiving responsibilities to experience normalcy, rest, and regenerate their reserves, which is critical to their families’ long-term stability. The purpose of this study was to understand access barriers to respite care services for these mothers and the role of race in potential disparities in access using a critical race theoretical lens. The generic qualitative research design was used with …
Relationship Between Community College Students’ Socioeconomic Status, Completing Reading Strategies Courses, And English Achievement, Renee Bothwell
Relationship Between Community College Students’ Socioeconomic Status, Completing Reading Strategies Courses, And English Achievement, Renee Bothwell
Walden Dissertations and Doctoral Studies
Although academic success among diverse community college students requires effective reading skills, providing support for struggling readers is becoming increasingly more difficult. The problem addressed in this quantitative study was that due to Assembly Bill 705, prohibiting colleges from offering remedial courses without data to substantiate their effectiveness, students at a Southern California community college may have no avenue to learn reading comprehension strategies that are necessary to be successful in college. The purpose of this quantitative study was to determine the predictive value of taking a reading strategies course (RSC) and socioeconomic status (SES) on final grades in English …
Nursing Students’ Perceptions Of Concept-Based Curriculum, Michelle Cleggett
Nursing Students’ Perceptions Of Concept-Based Curriculum, Michelle Cleggett
Walden Dissertations and Doctoral Studies
Nursing curriculum that focuses on lectures and non-learner-centered approaches may not prepare students for the level of nursing care needed to address the needs of patients. To address this issue, one community college in the southern United States integrated a new concept-based curriculum (CBC) called the outcome logic model into their nursing curriculum. The purpose of this basic qualitative study was to examine nursing students’ perceptions of CBC within the context of their nursing program to determine how the revised curriculum influenced students’ perceived learning and preparedness for the nursing licensure examination (i.e., the National Council Licensure Examination [NCLEX]). Benner’s …
Police Officers’ Coping Styles And Occupational Stressors Impacting Self-Regulation In Adult Offspring, Dannie Analese Garcia
Police Officers’ Coping Styles And Occupational Stressors Impacting Self-Regulation In Adult Offspring, Dannie Analese Garcia
Walden Dissertations and Doctoral Studies
Police work, a high stress occupation with increased risks and adverse events, often leads to strain between work and family. Work-family conflict (WFC) has been shown to mediate coping with stress. In addition, offspring of law enforcement officers (LEOs) may learn self-regulation by observing parental stress coping and attempting to alleviate stress for their parent. Three theoretical frameworks were used in this study: WFC, spill-over cross-over model, and family systems theory. Using a quantitative design, surveys were completed by 35 parent-adult offspring pairs, with more LEO parent respondents (N = 71) than adult offspring respondents (N = 43). Linear regression …
Challenges Faced By Early Childhood Teachers (K-2) As Schools Emerge From The Covid-19 Pandemic, Julie Christine Wright
Challenges Faced By Early Childhood Teachers (K-2) As Schools Emerge From The Covid-19 Pandemic, Julie Christine Wright
Walden Dissertations and Doctoral Studies
Researchers have studied stress and burnout in the field of education for decades. The problem addressed in this study was that early childhood (EC) teachers of kindergarten through second grade in a large, northeastern, suburban public school district have returned to in-person instruction with many challenges related to the COVID-19 pandemic. The purpose of this basic qualitative study was to explore the personal and professional challenges experienced by EC teachers and investigate the support they need to remain in the classroom. Jennings and Greenberg’s prosocial classroom model was the conceptual framework of the study. Two research questions explored the challenges …
Experiences Of Cisgender Mental Health Professionals Providing Services To Transgender Or Gender Nonconforming Individuals Who Voluntarily Engage In Sex Work, Rachel Renee Johnson
Experiences Of Cisgender Mental Health Professionals Providing Services To Transgender Or Gender Nonconforming Individuals Who Voluntarily Engage In Sex Work, Rachel Renee Johnson
Walden Dissertations and Doctoral Studies
Understanding mental health needs and increasing awareness of services is critical for the wellbeing of populations served in mental health treatment, including minority subpopulations such as transgender or gender nonconforming sex workers. Further exploration of this topic is needed and the lack of it is a critical gap in multicultural mental health service provision. The purpose of this heuristic study was to explore the meaning of cisgender mental health professionals’ experiences while working with transgender or gender nonconforming sex workers, identifying themes for potential education, training, and supervision topics to increase cultural competency when providing services to the population. Six …
Perceptions And Experiences Of Black Young Adults Regarding Depressive Symptoms And Strategies Used To Cope With Adverse Experiences During Adolescence, Sherral Harding
Perceptions And Experiences Of Black Young Adults Regarding Depressive Symptoms And Strategies Used To Cope With Adverse Experiences During Adolescence, Sherral Harding
Walden Dissertations and Doctoral Studies
Adversity has been a topic of study among scholars who have highlighted the relationship between stress and depressive symptoms increasing over time because of childhood experiences and exposure to traumatic situations. The purpose of this generic qualitative study was to explore the perceptions and experiences of Black young adults age 18–35 regarding depressive symptoms and strategies used to cope with adverse experiences throughout their teenage years growing up in a low-income community and later in life. The perspectives were examined through a retrospective lens of the young adults’ adolescent years. Bronfenbrenner’s ecological systems theory was used as the framework to …
The Relationships Among Economic Support And Hypertension And Diabetes Among The Adult Jamaican Population, Andrea Wolfe
The Relationships Among Economic Support And Hypertension And Diabetes Among The Adult Jamaican Population, Andrea Wolfe
Walden Dissertations and Doctoral Studies
A significant number of adult Jamaicans have been diagnosed with diabetes and hypertension, and individual socioeconomic status (SES) has been linked to these health outcomes. SES included income, education and employment. Income may directly influence health; however, some individual’s income may not be sufficient to cover all financial obligations and income support may be necessary. Local or overseas family members may significantly augment an individual’s income and financial situation that could affect health outcomes. This quantitative cross-sectional study was used to examine whether there were relationships between health outcomes (hypertension and diabetes) and economic support (governmental and familial). The Jamaica …
Strategies Broadcast Television Producers Use To Retain Subscribers, Robert Ivkovic
Strategies Broadcast Television Producers Use To Retain Subscribers, Robert Ivkovic
Walden Dissertations and Doctoral Studies
Diminished network subscriber retention can have devastating consequences on the financial sustainability and profitability of television production companies. When the problem of reduced subscriber retention occurs, television producers become concerned about financial losses and operational sustainability. Grounded in Thaler and Sunstein’s nudge theory, the purpose of this qualitative multiple case study was to explore strategies television producers use to increase subscriber retention. The participants were five senior television producers from three production companies in the southeastern region of the United States, who possessed relevant experience and knowledge on how to retain subscribers. Data were collected through semistructured interviews, archived records, …
Effects Of 3d Visualization Tables On Students’ Learning Outcomes In Gross Anatomy, Jorge Eduardo Sarmiento
Effects Of 3d Visualization Tables On Students’ Learning Outcomes In Gross Anatomy, Jorge Eduardo Sarmiento
Walden Dissertations and Doctoral Studies
Higher learning institutions teaching gross anatomy are implementing 3D technology, such as the Anatomage Table, to supplement cadaveric dissection. However, the literature is scant about the effects of introducing 3D technologies on students’ learning outcomes in the study of gross anatomy. The purpose of this quantitative study was to determine the difference in written exam scores and laboratory exam scores between Doctor of Physical Therapy (DPT) students who participated in gross anatomy instruction using Anatomage Table technology for one semester and PT students who participated in gross anatomy with traditional only instruction at a local university. The study was guided …
Public Elementary School Counselors’ Experiences Serving Military-Connected Students With Active-Duty Parents, Tiffany Archer Taylor
Public Elementary School Counselors’ Experiences Serving Military-Connected Students With Active-Duty Parents, Tiffany Archer Taylor
Walden Dissertations and Doctoral Studies
Most military-connected students (MCS) with active-duty parents attend public schools in the United States. Due to the highly mobile military lifestyles of MCS, some are at risk for academic, emotional, and social challenges. School counselors are often charged with supporting and advocating for MCS; therefore, it is vital to understand elementary school counselors’ experiences with these students. The purpose of this qualitative hermeneutic phenomenological study was to explore the lived experiences of elementary school counselors who work with MCS with active-duty parents in U.S. public-schools. Heidegger’s hermeneutic phenomenological approach served as a theoretical framework for this study. Semistructured interviews were …
Community College Women’S Perceptions Of Hpv And Cervical Cancer, Odella Dianne Hagan
Community College Women’S Perceptions Of Hpv And Cervical Cancer, Odella Dianne Hagan
Walden Dissertations and Doctoral Studies
Community college women do not obtain the HPV vaccine at the same rate as university women. The aim of this study was to discover the perceptions of community college women in relation to the human papillomavirus (HPV) and associated cancers, the perceived barriers and benefits of obtaining the HPV vaccination, and how health behavior decisions may be impacted by self-concept. A qualitative research design incorporating thematic analytic was used to analyze interviews whose questions were specifically guided by the health belief model. Student volunteers aged 18 to 45 years were recruited from a large urban community college. An inductive thematic …
Parental Knowledge Of Signs, Symptoms, And Risk Factors Associated With Sudden Cardiac Arrest In Adolescent Athletes, Lisa A. Lattera-Hughes
Parental Knowledge Of Signs, Symptoms, And Risk Factors Associated With Sudden Cardiac Arrest In Adolescent Athletes, Lisa A. Lattera-Hughes
Walden Dissertations and Doctoral Studies
Exercise is associated with unmasking underlying cardiac disorders and increasing an athlete’s risk for experiencing a sudden cardiac arrest (SCA) event during sports. Parental knowledge is an important component of health education in relation to the future of their child’s health. The purpose of this quantitative research study was to assess the relationship between parental knowledge about warning signs, symptoms, and risk factors associated with SCA in adolescent athletes and parental willingness to participate in an educational intervention to learn about SCA. The theoretical framework was based on Nutbeam’s conceptual model of health literacy. Eightyone parents whose adolescent children participated …
Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters
Toxicological Impacts Of River Chemical Spills In Affected West Virginia Counties, Janice Lorraine Taylor Peters
Walden Dissertations and Doctoral Studies
Factors such as geographical location/proximity and exposure to external environmental events, as well as poor regulatory processes, are known to increase the risk for cancers among affected populations. There is still a gap in the literature related to the incidence of cancers in specific regions with heavy industrialization and environmental health hazards. In West Virginia, chemical contamination events have occurred in or near water systems. The goal of this quantitative, retrospective study was to discover whether there were any differences in the incidence of disease or adverse health effects and cancers due to chemical contamination in four counties (Kanawha, Mingo, …
The Lived Experience Of New Graduates Transitioning Through The Nclex, Kristie Lynn Harrison
The Lived Experience Of New Graduates Transitioning Through The Nclex, Kristie Lynn Harrison
Walden Dissertations and Doctoral Studies
Every year, thousands of seemingly qualified nursing candidates are unsuccessful at taking the National Council Licensure Examination (NCLEX). Given the ongoing nursing shortage and instability in healthcare personnel created by COVID-19, it is important to ensure that all qualified candidates enter practice promptly. Research related to the lived experience of the graduate nurse is limited. The purpose of this qualitative study was to extend the current understanding of graduate nurses’ experience in graduating from nursing school and preparing to take the NCLEX. This study is a thematic analysis of the graduate nurses’ lived experience as they transition from school to …