Digital Commons Network^™

Succession Planning Strategies For Nonprofit Organizations, Chandler Campbell

Walden Dissertations and Doctoral Studies

Nonprofit organizations are cornerstones in the community that contribute to improving environments, communities, persons, and life overall. However, some nonprofit organization senior leaders lack the succession planning strategies, resources, and funding to continue serving as positive social change agents in the community. Grounded in the general systems theory, the purpose of this qualitative single case study was to explore business strategies nonprofit leaders use for succession planning. The participants included three senior leaders in a nonprofit located in the northeastern region of the United States who have indirectly or directly implemented succession planning strategies. Data were collected through semistructured interviews, …

Pharmacy Manager System Implementation Strategies To Mitigate The Cost Of Prescription Errors, Tunde Abiodun Cardozo

Walden Dissertations and Doctoral Studies

AbstractOne of the most frequent medical errors in contemporary medicine is incorrect prescriptions, and the profits from retail pharmacy operations are adversely impacted by the costs associated with prescription errors. Independent pharmacy managers are interested in finding workable strategies to mitigate the cost of prescription errors and increase profit. Using the resource-based theory of competitive advantage (RBTCA), the purpose of this qualitative multiple-case study was to explore strategies some independent pharmacy managers in Texas use to mitigate the cost of pharmacy employee prescription errors and increase profitability. The participants were five independent pharmacy managers who implemented strategies to mitigate the …

Education On Protective Measures For Primary Care Staff During Covid Outbreaks, Lenina Ochioza Ukeju Chi-Ukpai

Walden Dissertations and Doctoral Studies

Since the emergence of COVID-19, healthcare workers have been in continuous risk of infection because of the way the disease is transmitted. Hence, the proper use of personal protective equipment (PPE) is important during the pandemic. The aim of this project was to increase healthcare workers’ and patients’ disease protection and prevention. This staff education project assessed the knowledge of proper PPE practice among healthcare workers who were in close contact with COVID-19 patients and provided lectures and practice in proper donning and doffing of PPE. Guided by the Lewin theory of change, the knowledge of the 9 health care …

Environmental Factors And Breast Cancer Mortality, Joel Collazo Rodriguez

Walden Dissertations and Doctoral Studies

Breast cancer is a public health problem in the United States that impacts diverse ethnic female groups in different ways regarding incidence and mortality. Much is known about the factors increasing the risk of developing breast cancer, but little is known about those that increase the chances of dying from it, other than access to health care, screening, and appropriate treatment. This study aimed to understand the association between exposure to Environmental Protection Agency-regulated air pollutants and breast cancer mortality, including how the interaction between these air contaminants impacts the outcome of interest, considering median income, education level, and percentage …

Relationship Between Employee Human Capital, Relational Capital, And Work Engagement, Royelle David Comer Sr.

Walden Dissertations and Doctoral Studies

Work engagement is a challenge for information technology leaders in the digital industry because employees with engagement concerns may exhibit decreased commitment and increased workplace incivility towards the organization, thereby impacting business profits. Grounded in the job demands-resource theory, the purpose of this quantitative correlational study was to examine the relationship between human capital, relational capital, and work engagement initiatives in technology companies in the United States. The participants were 125 supervisors and full-time personnel from the metropolitan region of Atlanta, Georgia, who completed an online-based survey. The results of the multiple linear regression were significant, F (18, 106) = …

Lived Experiences Of Job-Hopping Millennials During The Covid-19 Pandemic, Dottie Dancy

Walden Dissertations and Doctoral Studies

Millennials, also known as “the job-hopping generation,” are on the brink of becoming the largest generation in the workforce by 2025. In March 2020, a global pandemic was declared due to the spread of the virus known as COVID-19, which led to more than 5.3 million deaths globally. Prior research has been conducted concerning the job-hopping tendencies of Millennials, but previous studies have not incorporated the life-changing event of the global pandemic and how it may have changed the beliefs and attitudes of the Millennial generation. The purpose of this qualitative study was to explore the voluntary job-hopping beliefs and …

Effect Of Drug Medi-Cal Organized Delivery System Access To Substance Use Disorder Treatment, Ana Y. Davies

Walden Dissertations and Doctoral Studies

Drug addiction, mental health disorders, and homelessness has impacted communities nationwide increasing mortality and morbidity and is a public health threat. But access to substance use treatment has been a problem due to the lack of the ability by many to pay for services. This observational quantitative research design utilized administrative secondary data collected between July 2017 and June 2022. The key variables are Insurance Status, Number of Admissions, and Successful Discharges in outpatient substance use treatment. The purpose of the study and research questions involved evaluating the effects Drug Medi-Cal (DMC) Organized Delivery System program by analyzing program admissions …

The Relationship Between Adolescent Stress In Five Domains And Depression: Rumination As A Moderator, Crystal Victoria Lupo

Walden Dissertations and Doctoral Studies

Prior to this study, understanding the impact of rumination as a moderating factor in predicting the interaction between specific domains of stress and adolescent depression remained largely unknown. Guided by the theoretical frameworks of response style theory of depression, control mastery theory, and diasthesis stress model, the purpose of this quantitative nonexperimental study was to examine the link between five domains of adolescent stress (i.e., school, family, peers, appearance, and sports) and depression, the relationship between rumination and depression, and the moderating effect of rumination on these relationships. Participants included previously data collected from 635 adolescents from a midwestern U.S.city. …

Strategies For Improving Supply Chain Management In United Nations Peacekeeping Missions, Mirjana Mazar

Walden Dissertations and Doctoral Studies

Managers of the United Nation’s humanitarian operations are under rigid pressure to deliver their programs efficiently due to 75% of supply chains experiencing disruptions, accounting for 60 to 80% of the expenses due to limited funding and increasing scrutiny by member states. Humanitarian operations are inextricably linked to the performance of a supply chain. Therefore, if the supply chain managers in the United Nations (UN) fail to understand and adopt dynamic capabilities, they can experience operational underperformance, affecting trust from financial supporters. Grounded on dynamic capability theory, the purpose of this qualitative multiple-case study was to explore strategies that executive …

Technological And Pedagogical Challenges For Teachers During Covid-19, Suzanne Reaid

Walden Dissertations and Doctoral Studies

AbstractImplementation of a national contingency plan to mitigate the effects of a natural disaster or major health crisis for schools in the United States has been a focus of scholars since the polio epidemic in 1916. While examining the impact of the COVID-19 pandemic on education in the United States, researchers demonstrated that online remote instruction was adopted as a temporary answer to school closures, yet teachers were not prepared for this type of teaching. Researchers had yet to identify the technological and pedagogical challenges for teachers who taught remotely during the crises with little distance education experience. The purpose …

Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield

Walden Dissertations and Doctoral Studies

The problem addressed in this research was the inappropriate treatment of multicultural individuals by their immediate supervisors and the need for a thorough examination of cultural humility in organizational settings. This quantitative study used linear regression and moderation analyses to examine the relationship between cultural humility and intention to leave moderated by authentic leadership to determine how the participants’ perception of cultural humility in their immediate supervisor predicted their intention to leave. Another purpose was to examine whether authentic leadership moderated the relationship with intention to leave. The theoretical framework for this study included cultural humility, authentic leadership, and intention …

Strategies For Increasing Employee Engagement In Media Organizations, Mercedeez Porsché, Ellexus Byrd

Walden Dissertations and Doctoral Studies

Employee engagement is crucial for the success of any organization, and disengaged employees can reduce productivity and increase costs. Media leaders are concerned with the negative impact that employee disengagement can have on firms’ profitability and competitiveness. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies leaders use to increase employee engagement in media organizations. Participants comprised five leaders within media organizations with a local presence in Georgia who successfully implemented strategies to increase employee engagement. Data were collected through semistructured interviews and a review of online and public platforms. Data were analyzed …

Determining Strategies For Cost Effectiveness In Sustainable Healthcare Delivery – An Emerging Market Study, Francis Ikechukwu Igbo

Walden Dissertations and Doctoral Studies

AbstractSome South African healthcare managers and physicians find sustaining quality, cost-effective healthcare services challenging. Healthcare leaders are concerned about the high cost of healthcare as it can negatively impact sustainability and patient outcomes. Grounded in the cost-effectiveness theory and complex adaptive system theory, the purpose of this qualitative multiple-case study was to explore strategies some South African healthcare leaders use to sustain healthcare delivery in lower- and middle-income countries. The participants were five healthcare practitioners in rural areas of South Africa. Data were collected through semistructured interviews and secondary data sources. Thematic analysis of the data yielded four themes: patients’ …

A Qualitative Study Of Urban Male Perception And Definition Of Respect For Law Enforcement Officers, Kyla Duckworth Lurry

Walden Dissertations and Doctoral Studies

Among African American males, deaths are alarmingly high for reasons that cannot be completely pinpointed. The purpose of this study was to analyze the definition and perception of respect and law enforcement by an African American male and to determine if Goffman’s dramaturgical model is sufficient to explain the social acceptance respect phenomena. Micro-sociological assessments of everyday social interactions are often based on dramaturgy, a sociological perspective. In a dramaturgical model, social interaction is analyzed as an actor’s performance on stage. This study employed a qualitative design so that the research questions could be answered. Based on the findings of …

Human Service Professionals’ Experience With Vicarious Trauma, Saundra Mcglothan

Walden Dissertations and Doctoral Studies

The purpose of this generic qualitative study was to explore the vicarious trauma (VT)experiences of nonlicensed human service professionals (HSPs) between the ages of 30 and 65 from Central Texas who work with male intimate partner violence (IPV) victims. The conceptual framework that guided this study was the constructivist self-development theory. A purposive sample of 11 HSPs who experienced VT because of working with male IPV victims was obtained through flyers posted on social media. Huberman and Miles’s approach to thematic analysis was used to analyze the data and create codes, categories, and themes. The 13 themes that were identified …

First Responder And Veteran Yoga For Posttraumatic Stress, Coping, And Anxiety, Nicole M. Mckenna

Walden Dissertations and Doctoral Studies

Constant exposures to trauma and violence often impact the wellbeing of veterans and first responders. Related heavy tolls have created an urgent need for wellness programs and coping strategies. This study utilized organismic valuing process theory as a lens to explore two research questions with a purpose to describe participants’ lived experiences and related perceptions of effectiveness. Specifically, the research was an exploration of (a) how first responders and veterans using yoga for posttraumatic stress, anxiety, and coping described their lived experiences with the intervention and (b) how first responders and veterans perceived the effectiveness of yoga for symptom improvement, …

Strategies For Maximizing The Use Of Electronic Health Records Systems In Medical Clinics, Alexandra Nieves Rivera

Walden Dissertations and Doctoral Studies

Ineffective leadership can negatively impact the use of electronic health records (EHR) systems in medical clinics. Healthcare managers who fail to maximize the use of EHR systems are missing out on the opportunity to optimize the quality of medical care that their clinic provides. Grounded in complexity leadership theory, the purpose of this qualitative multiple-case study was to explore strategies healthcare managers use to maximize the use of EHRs systems. Participants comprised six healthcare managers who successfully implemented strategies to maximize the use of EHRs systems. Data were collected from semistructured interviews and publicly available information. Thematic analysis was used …

The Quality Of Life Of Menopausal Women With Polycystic Ovary Syndrome, Glendoria Stephens

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a severe public and clinical health issue that puts a strain on health care resources and adversely affects the health of women throughout their life span. The syndrome has adverse reproductive and metabolic features linked to infertility, heart disease, cancer, diabetes, and psychological problems. The literature provides evidence that the quality of life (QoL) and psychological well-being of PCOS reproductive-age women is compromised due to comorbidities related to both the reproductive and metabolic features of the syndrome. Little research has been conducted to investigate the QoL of menopausal women ages 48–65 who were diagnosed with …

Perspectives Of Middle School Teachers About The Use Of Virtual Reality For Learning Spanish, Betty N. Ukera-Kajoh

Walden Dissertations and Doctoral Studies

Foreign language education in the United States has historically produced poor outcomes, with very few language learners achieving communicative competence. The increasing global demand for multilingual professionals makes the issue a salient one. The purpose of this basic qualitative study was to explore the perspectives of U.S. middle school Spanish teachers about the use of virtual reality (VR) as an instructional tool for developing communicative competence in Spanish language. The research question, which was informed by Canale and Swain’s communicative competence theory, and educational technology theory by Huang, et al., addressed middle school Spanish teachers’ perspectives regarding their use of …

Comparing Accelerated Bachelor Of Science In Nursing Rns’ And Traditional Bachelor Of Science In Nursing Rns’ Professional Socialization, Motivation, Resilience, And Intent To Stay, Dorothy Uhurebor

Walden Dissertations and Doctoral Studies

AbstractProfessional socialization is an adaptation process during which RNs learn new roles and adapt to becoming members of the nursing profession, which creates a significant effect on the RN’s professional development. Demographic factors such as prior work-related experience, gender, and education affect an RN’s intent to stay in the nursing profession. The purposes of this three manuscript study, guided by the London career motivation model and Grotberg’s resilience theory, were to determine (a) if there are differences in accelerated Bachelor of Science in Nursing (ABSN) RNs’ and traditional Bachelor of Science in Nursing (TBSN) RNs’ professional socialization process as measured …

The Effect Of Community Health Linkages On Suicide Rates In Veterans, Erica Anderson

Walden Dissertations and Doctoral Studies

Suicide risk is a public health issue. It is a complex and poorly understood mental health and societal threat. This study examined veteran suicide rates and their relationship to family and social support, as measured by the social association rate, mental health funding per capita, and the lethality of the method rate. The interpersonal-psychological theory of suicide and the social-ecological model are the theoretical frameworks that guided the study. Both theories emphasize the complexity surrounding suicide at the state level as it is related to the individual, social, environmental, and political landscape related to veteran suicide. The quantitative bivariate correlation …

A Phenomenological Study On Protective Factors Preventing College-Aged Criminal Activity During Cameroon’S Anglophone Crisis, Melvis N. Asongwed

Walden Dissertations and Doctoral Studies

The Anglophone crisis, in which marginalization of the English-speaking regions in Cameroon began in October 2016 and has become one of the most prominent social problems in the nation’s history. It has led to loss of lives, infrastructure damage, displacement of families, incidents of mass violence, unemployment, and a rise in criminal activity in the Anglophone regions. Grounded in the phenomenological approach and guided by the general strain theory (GST), this qualitative inquiry explored the protective factors that have reduced or prevented criminal activity for college students in the Anglophone regions during the crisis. Semi structure interviewing guided participant responses. …

Educating Registered Nurses On Interventions To Alleviate Compassion Fatigue, Andre Sabrina Castor

Walden Dissertations and Doctoral Studies

Walden University

College of Nursing

This is to certify that the doctoral study by

Andre Sabrina Castor

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 CommitteeDr. Marilyn Losty, Committee Chairperson, Nursing Faculty Dr. Cheryl Holly, Committee Member, Nursing Faculty Dr. Susan Fowler, University Reviewer, Nursing Faculty

Chief Academic Officer and Provost Sue Subocz, Ph.D.

Walden University2022

Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros

Walden Dissertations and Doctoral Studies

Negative experiences at work are common at inpatient psychiatric hospitals and can result in burnout. This is especially the case for psychiatric hospital staff, as they are commonly the first and most frequent line of contact for patients in acute psychiatric care. This study provided relevant insight into the factors that influence the experience of burnout among psychiatric hospital staff that care for patients in inpatient psychiatric hospitals. Research on how burnout affects psychiatric hospital staff apart from other medical professionals is not robust and lacking in qualitative analysis. The transactional model of stress and coping framework constituted the theoretical …

Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb

Walden Dissertations and Doctoral Studies

AbstractThe COVID-19 pandemic has negative effects on children, adolescents, and adults. Despite these effects, information about the nature of mental health concerns and services provided to address these concerns by elementary school counselors is unknown. The purpose of this generic qualitative study was to examine mental health concerns elementary school counselors observed among kindergarten through fourth grade students in urban Oklahoma during the COVID-19 pandemic, how they described clinical services provided to address these concerns, and how they decided to provide these services. The study was grounded in Bronfenbrenner’s ecological systems theory and Erikson’s theory of psychosocial development to explore …

Effect Of Gender On The Relationship Between Leadership Style And Employee Engagement, Shawana Denise Davis

Walden Dissertations and Doctoral Studies

This study examined the degree to which the views of transformational and transactional leadership style, based on gender, influence leader-follower employee engagement. The study was conducted using a non-experimental quantitative research design, resulting in a proposed theoretical model that defines gender as a moderating variable on leadership style that predicts leader-follower employee engagement. The sample frame was drawn from entry-level front-line employees located in the Southeastern US region. Employing multiple regression analysis, this quantitative investigation analyzed participants utilizing MLQ-5X leadership scores and employees’ ISA Engagement Scale scores. Participants (N = 102) completed both survey instruments. The research examined one research …

Analyzing Veterans Affairs Telehealth Services Between Rural And Urban Centers In West Virginia, Vicki J. Dix

Walden Dissertations and Doctoral Studies

Veterans often have difficulty accessing health care within the Veterans Affairs (VA) system, contributing to the growing need for health care services in rural communities. The increasing demand for health care services in rural communities is driven by the aging population, an increase in life expectancy, and an increase in chronic disease. This quantitative study aimed to explore the relationship between the type of appointment and patient location on initial primary care and telehealth primary care wait times for veterans in West Virginia. The two research questions addressed the independent variables, type of appointment (telehealth or face to face) and …

Diabetes Self-Care Management Education For Advanced Practice Registered Nurses In Primary Care Setting, Rebecca Anne Griggs-Galyean

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus is a preventable chronic condition that affects many members of the U.S. population. Diabetes is associated with comorbidities including cardiovascular disease, end-stage renal disease, hypertension, neuropathy, and lower limb amputations, leading to increased mortality. Patient self-care education has been shown to improve adherence to diabetes self-care (DSC) in the primary care setting. However, advanced practice registered nurses (APRN) in the local primary care setting lacked knowledge of DSC. Therefore, nursing knowledge of DSC was needed. The project question asked whether staff education on the use of the Association of Diabetes Care and Education Specialists 7 (ADCES7) …

Native American Registered Nurses Experience In Failing The Nclex-Rn On The First Attempt, Kristine Hilton

Walden Dissertations and Doctoral Studies

Nursing school graduates must pass the National Council Licensure Examination for Registered Nurses (NCLEX-RN) to become licensed and work as a registered nurse. Nurse educators do not understand the experiences of Native American nursing graduates in preparing for the NCLEX and must understand how to support and mentor Native American nursing students to have more success in taking the NCLEX-RN. The purpose of this qualitative descriptive study, guided by Roy’s adaptive model, was to understand the experiences of Native American nurses who failed the NCLEX-RN on the first attempt. The participants in this study were nine Native American nurses who …

Arkansas Teachers’ Perspectives And Experiences Implementing Stem In Kindergarten Classrooms, Aranda House

Walden Dissertations and Doctoral Studies

Kindergarten teachers in one large district in Arkansas are inconsistently implementing science, technology, engineering, and mathematics (STEM)-integrated lessons into their curriculum despite a systemic plan for increasing equitable access to high-quality STEM-focused education for all students by the state department of education. While researchers suggest that barriers for lower elementary teachers in implementing STEM include low STEM content and pedagogical efficacy, few studies explore how kindergarten teachers implement STEM lessons with their students. Hence, the purpose of this descriptive-interpretive study was to explore Arkansas teachers’ experiences with and perspectives on implementing STEM lessons in their kindergarten classrooms within the context …