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Prevention, Consultation, And Advocacy For Teen And Young Adult Opioid Use, Wanda Kirkland

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of opioid prevention is to target teens and young adults to reduce or eliminate opioid use, misuse, and overdose. Significant Findings: The population of focus is teens and young adults who use or misuse opioids. The problem is that doctors, pharmaceutical companies, and policing have led to the use, misuse, and overdose in teens and young adults. Some key findings are that doctors' overly prescribing controlled substances because of their lack of education in pain management and knowledge of controlled substance misuse and addiction have contributed to teens' and young adults' use, misuse, and overdose of …

Parents Of Children With Autism In Baltimore, Md., Aneah Young

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: My goal is to increase parents' awareness about the stress that comes with raising a child with ASD as well as provide parents with resources on how to navigate this new journey.

Significant Findings: Parents of children with Autism spend most of their focus on their children and less on their mental health. Parents of those children, who experience depression can impair their ability to be present with their child (Vital et. al., 2023). Parents might also have difficulty setting boundaries with their children, causing certain behaviors to be negatively reinforced (Vital et. al., 2023). The focus is …

Reconnecting The Disconnected Youth Of Pasco County, Florida, Patrick Storer

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: Enable more students to cross the achievement gap between high school and

college.

Significant Findings: The development of this portfolio emphasized issue of teens from 16 to 19 years of age that are not enrolled in school. Pasco County touts a 91% graduation rate for high school seniors during the 2020-2021 school year. Although this percentage represents a vast majority of teens graduating, it undermines not the percentage, but the actual numbers of teens who do not. When crunching the numbers there are over 2,000 teens not enrolled in high school and not employed. The state, nor the …

Effects Of Poverty On Children's Mental Health In Orlando, Fl, Everlee R. Ensminger

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Significant Findings: Poverty significantly impacts children's mental, physical, and cognitive development, especially during the first five years of life. Children of color living in poverty face higher risk factors, impeded self-regulation abilities, prejudice, and discrimination associated with seeking and obtaining mental health treatment. The stigma and obstacles in accessing treatment, particularly for underrepresented groups, are significant issues in Orlando, FL. Prevention starts with utilizing theories such as the Health Belief Model (HBM) and Social Cognitive Theory (SCT), which deepen the understanding of how personal, environmental, and human behavior influence each other in an ongoing process. Collaboration and advocacy efforts between …

Preventing Consequences Of Adverse Childhood Experiences (Aces) In Black Youths In Oakland, Ca, Althea M. O'Brien

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: The goal of this Social Change Portfolio is to create a prevention program that could be utilized by the counselor for Black youth in Oakland, California who have experienced adverse childhood experience (ACEs) in order to strengthen protective factors in Black youth, thus preventing future behavioral, mental, physical health, and downstream consequences (Bhushan et al., 2020).

Significant Findings: The population of focus are Black Youths, which are affected by ACES at disproportionate rates (Bhushan et al., 2020). According to the 2020 California Surgeon General’s Report, Adverse Childhood Experiences (ACEs) is a health crisis; more than 6 out of …

A Midwestern United States Latino Study Of Sexual Behaviors Among Latino Adolescents, Astrid Alejandra Cartagena Cabrera

Walden Dissertations and Doctoral Studies

Increasing rates of adolescent unwanted pregnancies can be detrimental to families and the health of the infant. Rates of teen pregnancy among Blacks, Whites, Asians, and other races has decreased; however, the Latino population has not seen similar declining numbers. The Hispanic population currently has the highest rate of teen pregnancy that continues to increase in comparison to any other racial–ethnic group. In this study involving data from the Youth Risk Behavioral Surveillance System, a sample of 17,303 was used. Chi-square analyses and descriptive frequencies were used to identify associations between teen pregnancy and sexual behaviors; and how existing programs …

Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey

Walden Dissertations and Doctoral Studies

AbstractJamaica has been listed among the most unfriendly nations for homosexual males. Previous research indicated that due to the biopolitical and sociocultural norms of the Jamaican society, homosexual males continued to be targets of various forms of discrimination based on their sexual orientation. However, research reflecting the lived experiences of homosexual males in Jamaica is sparse. The purpose of this phenomenological qualitative study was to provide details on the encounters of victimization due to homophobia of adult homosexual males in the parish of St. James, Jamaica. Data were collected through observations and in-depth interviews with eight men who identified as …

Teacher Strategies For Reducing The Achievement Gap For Ell Students, Stephanie Diane Collins

Walden Dissertations and Doctoral Studies

AbstractAn influx in Hispanic English language learners (ELLs) in Atlanta public schools has led to a broadening of the achievement gap between ELLs and native English speakers, causing higher failure rates and fewer career possibilities for Hispanic ELLs upon school completion. The purpose of this basic qualitative study was to investigate the kinds of strategies K through eighth grade teachers use to reduce this achievement gap, specifically in English and math. Vygotsky’s social learning theory guided this study, a key aspect of which is the role dialect and language play in determining a student’s development. The study focused on how …

Examining The Relationship Between Undergraduate Female Students Marijuana Use And Gpas, Darrel E. Hicks

Walden Dissertations and Doctoral Studies

Marijuana use has been linked to poor undergraduate student academic performance, yet cannabis continues to be the substance most often used by college students. The purpose of the current research was to add to the limited body of literature about the relationship between female undergraduate marijuana use and lower GPAs. The study explored how marijuana use impacted the GPAs of undergraduate African American females. The research question addressed whether a significant relationship exists between marijuana use and lower GPAs for this population. Complex adaptive systems theory was the lens used to better understand the phenomenon during a time of rapid …

Risk Factors Associated With The Development Of Type Ii Diabetes-Related Complications, Jessica Danielle Lucas Williams

Walden Dissertations and Doctoral Studies

By 2040, it is estimated that 642 million people ages 20 to 79 will have Type II diabetes, thereby making it a heavily studied topic among scholars. As more people are diagnosed with Type II diabetes each year, the literature is slowly shifting to long-term complications. However, the many risk and protective factors that exist have created gaps in the literature. The purpose of this study was to determine the relationship between participation in diabetes self-management classes, mental health, physical health, BMI, smoking status, exercise, and possible diabetes complications (diabetes-related retinopathy and diabetes-related kidney disease). The gap in the literature …

Preincarceration Collaborative Religious Coping Strategies Of Black Males With A History Of A Criminal Offense, Pearlette E. Springer

Walden Dissertations and Doctoral Studies

African Americans are 56% of the incarcerated population in the United States. Black males spend an average of 13.4% of their working lives incarcerated and 82.6% of their working lives addressing the stigma and restrictions associated with incarceration. The purpose of this study was to address a gap in research by exploring the preincarceration collaborative religious coping strategy experiences of Black males with a history of criminal offenses. Pargament’s theory of collaborative religious coping strategy guided the research, interview questions, and data analysis. The qualitative narrative approach with purposeful and snowball sampling was used to recruit and collect data from …

Strategies To Retain Employees In The Mental Health Workplace, Chauncey Janielle Strange

Walden Dissertations and Doctoral Studies

Employee turnover continues to be an issue in the mental health community as mental health business leaders lack strategies to retain employees. Retention strategies are essential to promote continuity, funding, and profitability for mental health agencies and quality service care for patients. Grounded in Bass’s transformational leadership theory, the purpose of this qualitative single case study was to explore strategies mental health business leaders use to retain employees. Participants comprised three mental health center managers from a state agency in northern Louisiana who contributed to employee retention. Data were collected using semistructured interviews and a review of organization performance evaluations, …

Moderators Of Peripheral Neuropathy On Overall And Cardiovascular Mortality In People Without Diabetes, Adeoye Muideen Adenekan

Walden Dissertations and Doctoral Studies

Peripheral neuropathy (PN), a group of common heterogeneous disorders with varied etiologies, is associated with substantial morbidity and mortality. PN presents both as a diagnostic and therapeutic challenge to physicians and other healthcare providers. Socioeconomic moderators of PN in adults without diabetes in the United States have not been well studied. The consequences of PN can be devastating and include foot ulcers, amputations, a general decline in the quality of life, and death. The overall prevalence of PN in the United States is 13.5% in adults with diabetes and 11.6% in adults without diabetes. Clearly, these statistics indicate a public …

Educating Nurses On Failure To Rescue Due To Treatment Delay, Ganiyu Olasheni Adewale

Walden Dissertations and Doctoral Studies

Studies have found a shortfall in nurses' skills in caring for patients with a significant risk of failure to rescue in an acute care setting. The practice gap the healthcare facility was experiencing today was a gap in relation to failure to rescue with an increased rate of sentinel cases. There was a knowledge deficit among critical care nurses. The importance of educating nursing staff is to increase their knowledge and help decrease the occurrence of failure to rescue in an acute care setting. The practice-focused question for this education project asked if educating nursing staff with a medical-surgical competency …

Enrollment In Science, Technology, Engineering, And Math Courses After Enactment Of Texas' House Bill 5, Carlana Cla'shette Allen

Walden Dissertations and Doctoral Studies

Student participation and performance in science, technology, engineering, and math (STEM) have been an education concern in the United States for years. In 2013, Texas lawmakers passed House Bill 5 (HB5) to support increases in STEM awareness, particularly among ethnic minority and female students. To date, no studies have been conducted on the impact, if any, of HB5 on Texas high school students’ course selections in STEM areas. Further, it is unknown whether the impact that does exist is equally distributed across socioeconomic status (SES), race/ethnicity, and gender groups. The purpose of this nonexperimental correlational quantitative study was to determine …

Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee

Walden Dissertations and Doctoral Studies

With approximately 4.4 million Americans addicted to cannabis, it is considered a dominant non-medical drug that is common in the US. The purpose of this study was to investigate the possible contribution of the state laws that allow the cultivation of marijuana to Marijuana Medical (MM) program cardholders on cannabis addiction. This study was conducted to address the issue of the increase in demand for cannabis-related admissions that contribute to an upsurge in the unmet treatment needs. The study is founded on the Ecological Models proposed by Urie. The key research question explored the association between state laws that allow …

Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian

Walden Dissertations and Doctoral Studies

Adolescents with autism spectrum disorder (ASD) often struggle with comorbid disorders like anxiety. However, special education teachers may lack the training to implement specific interventions in the classroom setting for adolescents with ASD and anxiety. This qualitative action research study was conducted to examine how special education teachers work with adolescents diagnosed with both ASD and anxiety. Bandura’s reciprocal determinism concept guided this study by explaining that the classroom environment and adolescents’ cognition and behavior should be considered when implementing cognitive–behavioral therapy (CBT) for students with ASD and anxiety. The two research questions asked participants to describe their ability to …

Preventing Nosocomial Infections In West Central Africa Through Nurse Education, Frida Ashu

Walden Dissertations and Doctoral Studies

AbstractNosocomial infections are acquired after being hospitalized. Lack of nurses’ education pertaining to nosocomial infections increase the risk of infections. Nurses working in the target facility in West Central Africa were not knowledgeable about current evidence-based infection control practices. The purpose of this project was to educate nurses on how to reduce the rate of nosocomial infections. The analysis, design, develop, implement, and evaluate model was used to guide the development of this project. Three experts evaluated the education program for content validity and usability. The program was presented as a PowerPoint to 40 health care workers via Zoom. The …

The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez

Walden Dissertations and Doctoral Studies

AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …

Thirty-Second Mindful Body Scan Meditation For Bedside Nurses, Shruti Balwalli-Udyawer

Walden Dissertations and Doctoral Studies

Compassion fatigue, or secondary traumatic stress, is a state of physical and mental exhaustion caused by an inability to cope with the everyday environment that reduces the ability of the nurse to provide high-quality health care to a patient. The purpose of this staff education project, guided by Selye’s general adaption syndrome , was a 6-week, 30-second mindfulness exercise program to promote stress reduction for cardiac step-down and medical-surgical nurses. In this quantitative, pre- and posttest study, the Perceived Stress Scale was completed by a sample of 24 nurses who met the inclusion criteria. The practice focused whether educating nurses …

Increasing Knowledge Of Emergency Department Nurses On Recognizing Aggressive Patient Behavior, Kandee Barnes

Walden Dissertations and Doctoral Studies

Emergency department (ED) nurses are exposed daily to workplace violence putting them at risk for injury from aggressive patients. A gap in practice was identified in an urban ED in a state in the Southeastern United States. ED nurses at this site do not have the knowledge to recognize and reduce aggressive patient behavior. The guiding practice-focused question addressed whether educating ED nursing staff on recognizing aggressive patient behavior would increase knowledge. To address the gap, an educational session was developed based on a comprehensive literature search, with the assistance of an expert panel and using the analyze, design, develop, …

A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch

Walden Dissertations and Doctoral Studies

Evidence from an urban hospital initially revealed that ethnicity had no bearing on treatment modalities or mortality among patients admitted and diagnosed with COVID-19 symptoms from January 1, 2020 to January 1, 2021. The purpose of this study was focused on answering three principal research questions concerning evidence at one hospital of differences in medication used, whether intubation was used, and mortality by ethnicity for those treated for COVID-19 while controlling for age, gender, and co-morbidities. The health belief model served as the theoretical framework. Data was collected from 1188 patient charts, and binary logistic regression was used to test …

Emotional Intelligence And Safety Culture In Business Aviation, Sonnie Bates

Walden Dissertations and Doctoral Studies

With a lack of research regarding the relationship between emotional intelligence and safety culture in the aviation industry, safety professionals have inadequate information to reduce human error, the leading cause of tragic aircraft accidents. The purpose of this study was to determine the extent to which there is a relationship between emotional intelligence and safety culture in the business aviation industry. This study was grounded on Reason’s theoretical model for safety culture, enhanced by Wang and Sun, and the emotional intelligence framework by Salovey and Mayer, enhanced by Jordan and Lawrence. A quantitative descriptive correlational approach was used with convenience …

Colonial Legacy, Education, And Employment Opportunities: The Case Of Cameroon, Frantz Batoh

Walden Dissertations and Doctoral Studies

AbstractThe history of colonialism is one of the most powerful factors affecting the development of newly independent African states and limiting their chances for successful evolution. This research involved Cameroon and employment and educational issues associated with colonialism. The division between France and Britain contributed to the establishment of bilingualism within its territories, which is a source of multiple problems today. The study involved investigating the current situation in Cameroon through the lens of colonialism and its influence on countries. Theoretical foundations for this study were the colonial and postcolonial theory, neocolonialism, and concept of postcolony. They are used to …

Screening For Depression In Immigrants In Their Host Country, Hortense Bissila

Walden Dissertations and Doctoral Studies

AbstractThe initial need for care for depression is greater for immigrants, who encounter linguistic, cultural, structural, and attitudinal hurdles to mental health care that render them more susceptible to increased levels of depressive symptoms compared to populations of hosting country. The aim of this Doctor of Nursing Practice project was to educate frontliners in the community on how to assess for depression in immigrants in culturally congruent ways. This project addresses gap in mental health care practice that needs urgent redress in promoting self-cultural competence and raising awareness to assess for depression on immigrants. To meet the aims of the …

Mortgage Broker Strategies To Overcome The Volatility Of Inconsistent Sales, Marissa Blackwell

Walden Dissertations and Doctoral Studies

Many mortgage brokers leave the mortgage industry because of unforeseen changes andvolatility. Mortgage brokers are concerned with adequate strategies to mitigate industry volatility and inconsistent sales, which is important to successful sustainability during challenging times. Grounded in relationship marketing theory, the purpose of this qualitative single case study was to explore the strategies seven mortgage brokers from a single organization used to sustain sales during volatile times. Data were collected using semistructured interviews by telecommunication, a reflective journal, LinkedIn, Facebook, and broker websites. Through thematic analysis, three themes emerged: maintaining a presence with new and existing clients, understanding client needs, …

How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black

Walden Dissertations and Doctoral Studies

Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …

An Evaluation Of Community-Based Juvenile Firesetting Programs Through The Custodial Lens, Peter William Blaich

Walden Dissertations and Doctoral Studies

Using general strain theory and social learning theory as the foundation, this generic qualitative study addressed whether interventions and prevention services for juvenile firesetters in the City of Charlotte–Mecklenberg County met needs from the perspectives of critical stakeholders. Data were collected through in-depth interviews with 12 parents/guardians of justice-involved adolescent fire offenders. Interviews were transcribed and analyzed using a six-step procedure for thematic analysis by Braun and Clarke. The study's results revealed that the current juvenile firesetters intervention and prevention program is perceived as inadequate when applied without input from the adolescent’s parent or guardian. The participants perceived the need …

Personal Hardiness As An Unexamined Component Of The Healthy Volunteer Effect, Angelique E. Blann

Walden Dissertations and Doctoral Studies

Clinical trials are the standard for approving medicines for public use. To conduct trials, researchers depend on a declining number of volunteers. The healthy volunteer effect, a phenomenon in which participants demonstrate better outcomes than their peers, limits the generalizability of trial outcomes. The healthy volunteer effect does not fully explain the outcome difference between volunteers and nonvolunteers. The purpose of this cross-sectional quantitative study was to examine personal hardiness as an unexplored component of the healthy volunteer effect and determine whether personal hardiness is associated with willingness to participate. Hardiness was a personality construct that represented resilience to stress. …

Neighborhood Factors, Cardiovascular Illness, Mental Health, And Aging In The United States, Brenda Billings

Walden Dissertations and Doctoral Studies

The inability to age in place among people 65 years old and older is a public health problem in the United States. However, it is unknown what neighborhood factors (i.e., trust, safety, shared values) impact the communities that are struggling to support individuals looking to stay in their homes as they age. The purpose of this quantitative correlational study was to examine the relationship between neighborhood factors (i.e., trust, safety, and shared values), cardiovascular illness (i.e., heart attack and stroke), mental health (i.e., depression), and aging in place, controlling for sex, age, marital status, educational level, employment status, and race. …