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Juvenile Probation Officers’ Perceptions Of The Effectiveness Of Evidence-Based Programs Among Gang-Involved Youth, Shacourtney Quantia Jackson

Walden Dissertations and Doctoral Studies

Gang activity has become widespread in the United States, totaling over 1.5 millionjuvenile gang members. Often, male African American youth join gangs at higher rates than any other race or ethnicity, and these juveniles are likely to reoffend. To reduce recidivism in Georgia, policy and lawmakers have attempted juvenile justice reform, but gang activity and recidivism among this population continues to persist. This qualitative study was conducted to determine probation officers’ perceptions of evidence-based programs effectiveness in reducing recidivism rates for gang-involved youth. Data were collected through interviews with 10 juvenile probation officers with at least 3 years of experience …

Lack Of Leadership Roles And Advancement Opportunities For Black Female Nurses, Mikela Jerilynn Jones

Walden Dissertations and Doctoral Studies

Underrepresentation is a significant issue for Black female nurses to secure nurse leadership positions in healthcare facilities. Leadership by Black female nurses is needed to provide culturally appropriate quality of care, to have a more diverse workplace, and to ensure that the needs of diverse patient populations are met. The purpose of this quantitative study was to explore the barriers and challenges faced by Black female nurses who failed to achieve their advancement goals into leadership roles.Using the National Sample Survey of Registered Nurses (NSSRN) database, the independent variables used were interpersonal differences with colleagues or supervisors, lack of good …

Small Business Internal Control System Strategies To Protect Business Assets And Profitability, Edward Gabriel Earl Kuupualeialoha Keaunui

Walden Dissertations and Doctoral Studies

The absence of financial expertise and internal control systems contributes to losing business assets and profitability. Small business leaders who lack internal control systems and strategies to protect against the financial loss of business assets and profitability may be vulnerable and suffer losses. Grounded in the Committee of the Sponsoring Organization of the Treadway Commission (COSO) internal control-integrated framework, this qualitative multiple-case study explores internal control system strategies that small business leaders use to protect business assets and profitability. The participants were five small business leaders from the Western region of the United States who have successfully operated for over …

How Supervisors Describe The Development Of Competence In Trainee School Counselors, Suen Yan Leung

Walden Dissertations and Doctoral Studies

AbstractSchool counselors serve an important role in providing frontline counseling services to students in local school districts. Professional associations and educational institutions emphasize the importance of professional competence. However, research on professional competence is fragmented, outdated, and unintegrated. This qualitative study explored the development of competence in trainee school counselors during supervision, from the supervisors’ perspectives. Using the conceptual frameworks of self-efficacy and professional identity development, 16 experienced supervisors were interviewed and asked to describe the development of competence in trainee school counselors and how they instructed the development of competence. Thorne’s interpretive description method was combined with a reality-testing …

Effect Of Managerial Conduct On Retention And Job Satisfaction In Criminal Justice Public-Sector Organizations, Alexis Makayla Mceady

Walden Dissertations and Doctoral Studies

Managers who lack support and training can exhibit conduct that leads to low rates of employee retention and job satisfaction. It is common in the United States for employees working government public service jobs to earn low wages. Managerial conduct impacts day-to-day operations for these low-wage positions. The purpose of this quantitative, nonprobability, correlational study was to examine whether there was a statistically significant relationship between managerial conduct, employee retention, and job satisfaction. Grounded in Herzberg’s two-factor theory, it was hypothesized that employees with bad managers were less likely to be retained and more likely to have low job satisfaction. …

California School Psychologists’ Advocacy Efforts Related To Contractual Caseloads, Tess A. Melendrez

Walden Dissertations and Doctoral Studies

Despite the evolving role of school psychologists, policies have failed to address the high student-to-school psychologist ratios. The purpose of this study was to determine the predictability of contractual caseload advocacy among California school psychologists and their use of resources to engage in policy-oriented learning strategies. A quantitative research design was used, and data were collected from school psychologists in California (N = 138) who completed an online questionnaire. The theoretical foundation was Sabatier and Jenkins-Smith’s advocacy coalition framework. Ordinal logistic regression indicated that school psychologists’ location and job were not statistically significant predictive factors for advocacy for contractual caseloads. …

A Staff Education Program For Early Fall Detection And Fall Prevention In A Nursing Home Population, Andrew Akueteh Mensah-Sowah

Walden Dissertations and Doctoral Studies

Walden UniversityCollege of Nursing This is to certify that the doctoral study by Andrew Mensah-Sowah 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. Cheryl Holly, Committee Chairperson, Nursing Faculty Dr. Edna Hull, Committee Member, Nursing Faculty Dr. Tracy Andrews, University Reviewer, Nursing Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2023

A Staff Education Program for Early Fall Detection and Fall Prevention in a Nursing Home Population

by

Andrew Akueteh Mensah-Sowah

MS, Walden University, 2017

BS, Mountain …

Adaptive And Maladaptive Coping As Mediators Of The Relationship Between Impostor Phenomenon And Help Seeking Intention, Victor Mosconi

Walden Dissertations and Doctoral Studies

The modern workplace and public media have reported on the influence of the impostor phenomenon (IP) on leadership mental health and workplace effectiveness. The choice of coping strategy may influence leaders’ intentions to seek psychological help. Guided by the impostor cycle model, the purpose of this quantitative study was to examine the extent to which adaptive and maladaptive coping mediates the relationship between IP and help-seeking intention in a convenience sample of 162 participants in leadership positions. The Clance Impostor Phenomenon Scale assessed strength of IP, the Brief COPE measure assessed adaptive and maladaptive coping, and the Beliefs About Psychological …

The Relationship Between Socioeconomic Factors And Obesity In Adults (25-54 Years) In Guam In 2020, Perinne O'Brien

Walden Dissertations and Doctoral Studies

In Guam, a United States Pacific Island territory, the rate of obesity in adults continues to rise. Relationships between obesity and six socioeconomic factors (health care coverage, education level, employment status, home ownership, household income, and marital status) in adults 25 to 54 years of age living in Guam in 2020 were explored. Because obesity may be affected at multiple levels of influence, the socioecological model grounded this research. Secondary data from the Centers for Disease Control and Prevention’s Behavioral Risk Factor Surveillance System was used to carry out a quantitative, cross-sectional study. Complex samples binary logistic regression analyses were …

Providing Health Care To Patients With Intellectual And Developmental Disability During Covid-19, Pauline Andrea Park-Maxwell

Walden Dissertations and Doctoral Studies

AbstractThis project sought to enhance the care offered in a local clinic to individuals with an intellectual and developmental disability (IDD) during the COVID-19 pandemic. Individuals with IDD are faced with the challenges of coping with some social conditions. Mainly waiting for extended periods in a doctor’s office can be challenging. To reduce this population’s waiting time, a staff education program was developed to address this concern. Currently, this local clinic did not have a prescreening exercise that would meet the needs of this population. This DNP project aimed to develop a staff education program for staff in a primary …

Educational Material For Nurses In Managing Patients With Neurogenic Bladder, Simone Yamdaare Redboy

Walden Dissertations and Doctoral Studies

AbstractNeurogenic bladder (NB) is common in patients with traumatic brain injury, spinal cord injury, spinal bifida, and stroke. Many patients who have these diseases struggle to control their bladder. NB can be defined as the inability to completely empty the bladder. For managing the bladder, clinicians usually opt for using an indwelling urinary catheter for those patients. Indwelling urinary catheters are a source of infection and do not help the patient regain continence. Research findings showed that frequent toileting and monitoring with bladder scanning benefited patients with NB and helped patients restore continence. To address a knowledge gap, this new …

Uptake Of Plant-Based Nutrition And Awareness Among Lower Socioeconomic Status Populations In The United States, Tammy Frazier Renault

Walden Dissertations and Doctoral Studies

Chronic disease accounts for 86% of the annual health care expenditures in the United States. Lower socioeconomic status groups are vulnerable to the effects of nutritional deficiencies, and the connection between chronic disease and nutrition may be central to public health initiatives. The current study provided insight into the behaviors of nutritional choice for at-risk populations for many of the chronic diseases associated with nutritional education and policy which influence healthy eating patterns across multiple settings. The purpose of this quantitative study with a retrospective cross-sectional design was to observe any differences for the uptake of plant-based compliant nutrition and …

Evacuation Emergency Management During Hurricane Katrina: A Decision-Making Analysis, Kimberli Roessing-Anderson

Walden Dissertations and Doctoral Studies

Emergency management policy is useful when it involves the stakeholders it serves in the decision-making process. The death toll for Hurricane Katrina in 2005 was almost 2,000 people. Many of the dead and injured lived in low-income communities. There were significant challenges with the evacuation of residents of the Ninth Ward of New Orleans during Hurricane Katrina. Like many public policies, emergency management has evolved over time. Periodically, a catalyst event, such as Hurricane Katrina, shapes public opinion and eventually public policy and its administration. Punctuated equilibrium theory was used to examine the decision-making process of Ninth Ward residents to …

Effective Business Survival Strategies Among Women-Owned Small And Medium Enterprises After A Natural Disaster, Clorinda Valentina Sanders

Walden Dissertations and Doctoral Studies

Women business owners (WBOs) who experience natural disasters face significant challenges, such as disruption of business operations, damage, or detriment to infrastructure, decreased revenue, and low customer confidence. WBOs are concerned with business continuity and the social and economic impact of natural disasters in their communities. Grounded in the resource-based view and marketing entrepreneurship theories, the purpose of this qualitative multiple case study was to explore strategies WBOs of small and medium enterprises (SMEs) use to survive a natural disaster. The participants were four women SME owners in northeast Florida who implemented strategies to maintain business continuity during and after …

The Impact Of Social Media On Organ Donation, Miguel Enrique Sewer

Walden Dissertations and Doctoral Studies

Abstract

The organ-donor shortage remains a pressing issue facing the transplant community. There is a significant gap between supply and demand, which continues to broaden. This general qualitative study aimed to provide a road map to define the role of social media and its interrelationship with increasing organ donation. The study utilizes the potential of a communication framework to increase outreach and education, serving as an alternative to increasing organ donors’ participation. The conceptual underpinnings for this study are the Social Representations Theory, the Organ Donation Willingness Model, and the Theory of Planned Behavior. The data was collected using an …

Informal Caregivers’ Experiences Of Caring For Older Adults Diagnosed With Urinary Tract Infections, Novelett M. Stennett-James

Walden Dissertations and Doctoral Studies

Informal caregivers’ experiences of caring for older adults diagnosed with a urinary tract infection (UTI) is a prevalent issue that affects adults as they age. The purpose of this generic qualitative study was to understand informal caregivers’ experiences observing and reporting to doctors observable changes of behavior in older adults that were later linked to unconventional symptoms of potential UTIs. Attribution theory was used as the theoretical framework for this study. This qualitative study addressed the research question of informal caregivers’ experiences observing and reporting to doctors observed changes in older adults associated with unconventional UTI symptoms. Data were collected …

Directors’ Perceptions Of Supplementing Clinical Requirements With Simulation-Based Education In Paramedic Education, Kimberly Whitten-Chung

Walden Dissertations and Doctoral Studies

The problem for this study was limited clinical site access for paramedic students causing delays in completion and exacerbating critical staffing shortages in healthcare. The purpose of the study was to explore perceptions of paramedic program directors (PD) in Colorado regarding use of simulation-based education (SBE) to supplement program-determined clinical requirements. Kolb’s experiential learning theory was the conceptual framework that guided this study. Research questions focused on Colorado paramedic PDs’ perceptions about advantages, disadvantages, and barriers involved with replacing program-determined clinical education with SBE. A basic qualitative design was used to capture insights of 6 Colorado paramedic PDs through semistructured …

The Rural Inpatient Behavioral Health Delivery System’S Challenges To Access, Catherine L. Williams

Walden Dissertations and Doctoral Studies

Readmissions occurring in rural areas are an operational problem for administrators of state-owned facilities. The number of state-owned psychiatric beds have decreased by more than 96% nationwide. Georgia has 954 state-owned psychiatric beds (9.3 beds per 100,000 people) and ranks 48th in the United States. This is important as health administrators must ensure quality care for patients. The purpose of this study was to understand the relationship between readmission rate, discharge disposition, and rural access for patients who were admitted to an inpatient state-owned behavioral health center with a diagnosis indicating the patient is seriously mentally ill. The theoretical framework …

The Recidivism Rate In Correlation To The Effectiveness Of The Bridges To Life Reentry Program In Texas, Steven Steen

Walden Dissertations and Doctoral Studies

This research explored the relationship between reentry programs and recidivism in the state of Texas. One program in particular, Bridges To Life (BTL), has had an impact on recidivism in the state, and this research analyzed how the overall organization of BTL correlated to recidivism. Recidivism is the repeated or habitual relapse into crime. The purpose of this quantitative research study was to determine whether there was a direct correlation between the reduction of recidivism and the effectiveness of reentry programs through BTL in the state of Texas. The research question for this study explored the correlation between BTL and …

Lived Experiences Of Technology-Based Legal Resources, Michael Ray Stanley

Walden Dissertations and Doctoral Studies

AbstractLack of access to United States civil courts by individuals who cannot afford or are otherwise unable to retain legal counsel has attracted the interest of policy makers and members of the legal community in recent years. The literature revealed a wide range of efforts and public and private resources that have been employed to address the problem. The purpose of this phenomenological study was to explore the experiences, perceptions, and insights of individuals in a medium-size Michigan city who had utilized services that deliver legal resources by technology-based platforms. Social construction of targeted populations and the technology acceptance model …

Incorporating Mind-Body Therapies In Behavioral Health To Improve Patient Outcomes, Silvia Stark

Walden Dissertations and Doctoral Studies

AbstractMental health disorders are a global epidemic that continue to drain society of money, resources, and overall human life expectancy. The purpose of this qualitative case study was to analyze how a behavioral health organization that provides mind body therapies, such as yoga and meditation, in conjunction with clinical interventions to treat mental health disorders contributed to providing quality care and better patient outcomes. Currently, the behavioral health organization included mind body therapies within a clinical session and their goal was to separate yoga and meditation from a clinical session as reimbursable and evidence-based treatment for individuals with mental health …

Moral Injury Themes Involving Criminal Recklessness Among Adults With Alcohol Use Disorder, Sandra Starch

Walden Dissertations and Doctoral Studies

Moral injury (MI) can emerge following transgressive acts against one’s deeply held moral beliefs. Its symptomology involves individual psychological, spiritual, behavioral, and social spheres. It has primarily been studied within the military and in a few select civilian populations. This descriptive phenomenological study involved exploring MI themes among adults with alcohol use disorder (AUD) who had engaged in criminally reckless acts. Data collected from semi-structured interviews with eight participants were coded and analyzed, leading to six major themes revealing the symptomology of MI. Responses from study participants supported Festinger’s theory of cognitive dissonance via their descriptions of alcohol abuse cycles …

Exploring Barriers To Accessing Funding For Individuals With Dementia Who Reside In Long-Term Care Facilities, Gwendolyn Cox Smith

Walden Dissertations and Doctoral Studies

AbstractMedicare and Medicaid are the most used funding sources for long term care (LTC); however, they are insufficient to pay for all social activities needed by individuals with dementia who reside in LTC facilities in the United States. Barriers in accessing funding to provide social activities for these individuals were explored though the theoretical lens of a logic model related to funding. A qualitative exploratory case study design was used to find not only the barriers of accessing funding but also the type of available funding and the eligibility criteria for receiving funds for social activities for those with dementia …

Perinatal Nursing Education Related To Opioid Use Disorder, Britney Taniguchi

Walden Dissertations and Doctoral Studies

Opioid use disorder (OUD) contributes to severe perinatal and neonatal morbidity and mortality in the United States, leading to alarming complications for pregnant women, mothers, and newborns. Complications the mother experiences with OUD include increased mortality, overdose, infections, endocarditis, narcotic bowel syndrome, and accident-related injury. Complications the newborn can suffer include neonatal abstinence syndrome, respiratory depression, microcephaly, and sudden infant death syndrome. Framed within the analysis, design, development, implementation, and evaluation model of instructional design, this project aimed to plan, implement, and evaluate a staff education program on opioid use disorder. The staff education program was presented to 13 perinatal …

Respiratory Treatments In Post-Covid Patients To Improve Physical Activity, Pamela Gordon Tarver

Walden Dissertations and Doctoral Studies

November 2022Abstract A significant number of individuals affected by the coronavirus (COVID) developed severe acute respiratory syndrome (SARS), causing respiratory dysfunction which led to decreased functional capacity. This project aimed to evaluate the project site’s archival data for post-COVID patients to determine whether respiratory treatments improved physical activity, as evidenced by the results of the pre and post 6-minute walk test (6MWT) and oxygen saturation (SpO2) levels. The Donabedian quality model was utilized to evaluate the resources, the interventions, and the outcomes of post-COVID patients. Sources of evidence used were peer-reviewed articles retrieved from the Walden Library and CINAHL databases …

Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate

Walden Dissertations and Doctoral Studies

AbstractMany individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …

Parents’ Perceptions Of Hardships Associated With Transitioning Their Child With Disabilities From Early Intervention To The Local Education Agency, Chelsea Theria Taylor

Walden Dissertations and Doctoral Studies

Children with disabilities require services that are covered under the Individuals with Disabilities Education Act to be successful in school. Early intervention, which is made available to all who qualify, provides services with a team that works directly with the family. However, when the child turns three years of age, the family is transitioned to their local education agency (LEA). The level of support at this point lessens as the school takes over services for the child. The purpose of this qualitative study was to explore the experiences of parents with children with disabilities during the transition from early intervention …

Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas

Walden Dissertations and Doctoral Studies

Abstract There are gaps in the literature regarding how patient-physician racially concordant relationships affect African American women’s health. This quantitative study evaluated the effects of non-minority physician influence on the perceptions of medical mistrust, racial discrimination, and healthcare-specific racial discrimination on African American women. The behavioral model for vulnerable populations guided the study. Two research questions involved understanding the relationship between trust in the physician scale and medical mistrust and the association between racial discrimination and perceived healthcare-specific racial discrimination among African American women living in a Southern U.S. state. A stratified random sampling strategy was used to obtain a …

Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang

Walden Dissertations and Doctoral Studies

The absence of adequate knowledge, skills, and competencies in screening for suicide risk in adolescent and young adult patients is a significant problem facing nurses in outpatient settings. An evaluation of the project site facility’s main performance metrics revealed shortcomings in locating patients who pose a serious risk of self-harm and suicide. Staff dealing with the patients may, as a result, overlook preemptive measures that could stop a suicide event. The project aimed to create a training program to introduce the ask suicide-screening questions (ASQ) tool kit, an evidence-based suicide screening tool, to ambulatory nurses. The goal of the project …

Parenting Skills Of African American Young Mothers Who Transitioned From Foster Care, Tamesha Yvonne Townsend-Simmons

Walden Dissertations and Doctoral Studies

Prior research indicated there is an ongoing social issue in the United States for young single mothers with foster care experiences and their children. This group of women face poor economic and parenting outcomes without assistance from government resources in the form of effective parenting programs. Yet programming lags and there are ongoing assumptions about young mothers' in foster care parenting skills and abilities. The purpose of this qualitative multiple-case study was to better understand the development of parenting skills among a selected group of African American adult young mothers who transitioned from foster care to independence and motherhood between …