Open Access. Powered by Scholars. Published by Universities.®

Digital Commons Network™

Open Access. Powered by Scholars. Published by Universities.®

Walden University

Discipline
Keyword
Publication Year
Publication
Publication Type
File Type

Articles 6031 - 6060 of 16851

Full-Text Articles in Entire DC Network

Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula Jan 2023

Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing …

Go to article

Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt Jan 2023

Factors Associated With Intent To Quit Smoking Among U.S. Adult Smokers, Patrese Ann Nesbitt

Walden Dissertations and Doctoral Studies

Smoking and tobacco use continue to be a public health issue for over 40 million Americans, which explains the appropriateness and abundance of smoking cessation programs throughout the United States. The purpose of this quantitative correlational study was to examine the associations between independent variables of marital status, advice from a medical clinician, and use of community smoking cessation resources and the dependent variable of intent to quit smoking, controlling for race, ethnicity, gender, and age. The theory of reasoned action was used to guide the study. Data from the National Adult Tobacco Survey (N = 12,357) were analyzed using …

Go to article

Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott Jan 2023

Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott

Walden Dissertations and Doctoral Studies

AbstractMexican immigrants are less likely to use psychiatric services compared to people from other race or ethnic groups in the United States, yet little is known about the reasons why the Mexican American population are less likely to seek mental health services. A qualitative descriptive study, guided by Leininger's culture care diversity and universality care theory, was used to explore the perceptions of mental health service use and barriers to psychiatric services for Mexican American immigrants living in the United States. After institutional review board approval was obtained, flyers were placed in five churches in a northwestern U.S state where …

Go to article

Logistics Leader Strategies For Retaining Employees, Sandra Northern Jan 2023

Logistics Leader Strategies For Retaining Employees, Sandra Northern

Walden Dissertations and Doctoral Studies

Low employee retention can lead to a lack of the knowledge, skills, and abilities required for sustainable logistics operations. Logistics leaders are concerned with employee retention because turnover increases business costs, reduces operational efficiency, and decreases profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies logistics leaders use to increase employee retention. The participants were three senior leaders from a logistics organization in the northeast region of the United States who possessed knowledge and experience of the research phenomena. Data were collected through semistructured interviews, company documents, publicly available data, and …

Go to article

A Meta-Analysis Of Higher Education On Professional Police Behavior Patterns, Augustine S. Nugba Jan 2023

A Meta-Analysis Of Higher Education On Professional Police Behavior Patterns, Augustine S. Nugba

Walden Dissertations and Doctoral Studies

Police misconduct has become an issue of concern among law enforcement officers and other stakeholders. Approximately, 10% of law enforcement officers commit 90% of misconduct problems, and as high as 45% of the misconduct generates citizen complaints. Thus, there has been an increasing debate on whether police officers should attain a college education or not. The purpose of this quantitative correlational study was to investigate the relationship between education level and the number of complaints filed against police officers for misconduct. This study was grounded on the cognitive development theory. The study was conducted by following the guidelines proposed by …

Go to article

Examining High School Teachers’ Perspectives With Culturally Responsive Teaching, Maria Victoria O'Brien Jan 2023

Examining High School Teachers’ Perspectives With Culturally Responsive Teaching, Maria Victoria O'Brien

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was teachers’ inconsistent use of culturally responsive teaching (CRT) in a high school in Northern Virginia (NVHS). The purpose of the study was to examine high school teachers’ perspectives on the successes, challenges and support needed to better implement CRT at the NVHS. Ladson-Billing’s and Gay’s culturally responsive teaching theory formed the conceptual framework that guided this study. The research questions focused on teacher perspectives about the successes, challenges, and support needed with CRT. A basic qualitative design was used to capture the insights of eight high school teachers through semistructured, individual …

Go to article

Local Leadership Strategies To Mitigate The Effects Of The Public Charge Rule And Covid-19 Among Undocumented Immigrants, Amos Onyango Oketch Jan 2023

Local Leadership Strategies To Mitigate The Effects Of The Public Charge Rule And Covid-19 Among Undocumented Immigrants, Amos Onyango Oketch

Walden Dissertations and Doctoral Studies

AbstractScholars have focused on the effects of implementing the federal-level Public Charge Rule (PCR) and COVID-19 on undocumented immigrants' health and socioeconomic well-being. Researchers have demonstrated that many federal assistance programs that benefit the general population in the wake of the pandemic exclude undocumented immigrants due to PCR restrictions; thus, they are disproportionately affected and suffer social and socioeconomic disparity. Researchers have yet to establish consensus strategies and interventions at the local and state levels to fill the gap and support disadvantaged communities during the pandemic to ensure equitable care and mitigate harm. Thus, this study aimed to identify the …

Go to article

A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye Jan 2023

A Staff Education Project On The Administration Of Clinical Practice Guidelines For The Treatment Of Obesity And Overweight Children And Adolescents, Emilia Ochiabuto Okoye

Walden Dissertations and Doctoral Studies

AbstractObesity among children and adolescents has reached epidemic proportions in the United States (U.S). Nurses in pediatric settings have a critical role to play in assessing and managing childhood obesity. The partner site for this project has a childhood obesity rate of 35% compared to the national average of 19%. However, the nursing staff lacked adequate knowledge, competence, and confidence in assessing and managing childhood obesity in line with the recommended guidelines. The problem was addressed by implementing the Clinical Practice Guideline for the Treatment of Obesity and Overweight Children and Adolescents via an education program. The program’s content was …

Go to article

Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase Jan 2023

Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic's arrival in the United States restricted access and use of telemedicine in primary care providers (PCPs) settings. Addressing this issue is crucial since telemedicine is a confirmed method of encouraging patients and PCPs to promote quality health care. This quantitative study investigated the association between age, gender, and race, and PCPs offering telemedicine and U.S. household adults using telemedicine during COVID-19 pandemic in 2021. The Donabedian framework, which considers aspects of an organization's structure, process, and outcome, served as the study's foundation, incorporating age, race, and gender as independent variables, and PCPs and US adults as dependent …

Go to article

The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan Jan 2023

The Effects Of Gender, Age, And Year Of Study On Occupational Therapy Students’ Social Media Competency, Vikram Pagpatan

Walden Dissertations and Doctoral Studies

Occupational therapy students (OTSs) who misuse social media within academic and clinical learning environments may increase the instances of ethical health care violations and breaches of professional codes of conduct. The purpose of this quantitative, cross-sectional study was to assess the social media competency (SMC) scores of OTSs based on year of study, age, and gender. As a result, the research questions were developed to compare the SMC of OTSs based on year of study, age, and gender. The study was grounded by Bandura’s social learning theory and a rationale for allowing social media use in the curriculum. An archived …

Go to article

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski Jan 2023

Development Of A Standardized Novice Neonatal Nurse Orientation Program, Joanne Rau Pasinski

Walden Dissertations and Doctoral Studies

Abstract Neonatal intensive care units (NICUs) are fast-paced units requiring skilled nurses to care for a unique patient population. Orientation of new nurses to the NICU can be challenging for both the orientee and the preceptor. Offering an evidence-based practice orientation program by an accredited organization that is specific to NICU can be a valuable tool for both the preceptor and the orientee as well as enhance nurse, patient, and organizational outcomes. The project question explored if use of the Association of Women’s Health, Obstetric and Neonatal Nurses (AWHONN) 15-module nursing orientation program for RNs in a NICU increased their …

Go to article

Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce Jan 2023

Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce

Walden Dissertations and Doctoral Studies

AbstractThe absence of clinical practice guidelines (CPGs) and collaboration with significant stakeholders may lead to gaps in the delivery of patient care. Specimen handoff in the endoscopy unit plays a critical role in patient diagnosis and treatment plans; errors can compromise patient safety. The purpose of this project was to provide endoscopy nursing staff with a CPG to improve the accuracy of the specimen handoff process during the endoscopy procedure. The practice-focused question addressed the feasibility of developing a quality and usable CPG to improve the accuracy and efficacy of handling the specimen handoff process during endoscopy procedures. Walden University …

Go to article

Hiv Testing And Counseling Uptake Predictors Among University Students In Southwest Cameroon., Lilian Belole Motia Pencille Jan 2023

Hiv Testing And Counseling Uptake Predictors Among University Students In Southwest Cameroon., Lilian Belole Motia Pencille

Walden Dissertations and Doctoral Studies

AbstractDespite public health efforts to increase human immuno-deficiency virus testing and counseling (HTC) uptake, screening among college students remains low and understudied. The purpose of this cross-sectional correlational quantitative study was to explore the relationship between the constructs of the health belief model (perceived susceptibility, perceived severity, perceived benefits, perceived barriers, cues to action, and self-efficacy) and HTC uptake while controlling for age, sex settlement type, relationship status, area of residence, religious affiliation, and level of education. Four hundred and eighty-seven (N = 487) university students in Southwest Cameroon were recruited using a convenience sampling method. Data were collected using …

Go to article

Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez Jan 2023

Job Stress, Anxiety, And Depression In Mental Health Professionals: An Examination Of Experienced Vicarious Trauma And Gender Differences, Irma Perez

Walden Dissertations and Doctoral Studies

AbstractMental health professionals are susceptible to an increased risk of job stress, anxiety, and depression based on the very nature of their work. The study was quantitative, focusing on profile analysis. A two-way MANOVA was performed utilizing the independent variables of gender and vicarious trauma, and three dependent variables of job stress, anxiety, and depression. The population size was 88 mental health professionals with a Bachelor’s degree or higher who work in the behavioral health field, directly servicing clients in the capacity of supervision, case management, social work, counseling, or therapy. Participants completed four self-reported questionnaires: General Work Stress Scale …

Go to article

Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny Jan 2023

Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny

Walden Dissertations and Doctoral Studies

Jury nullification (JN) is when a jury knows a defendant is legally guilty, but states they are not guilty, believing that their verdict better serves justice in that case. The problem is the violation of the Constitution’s equal protection clause for all citizens, caused by the intentional omission in most judges’ instructions to juries of JN. The purpose of the study was to fill the gap in the literature on jury behavior and address the problem of JN. The study framework is chaos theory as applied by Horowitz to jury behavior. It describes judges and lawmakers mistrust of juries associated …

Go to article

Parents’ Perceptions Of Low Involvement In An Urban Secondary School, Stephanie Pounders Jan 2023

Parents’ Perceptions Of Low Involvement In An Urban Secondary School, Stephanie Pounders

Walden Dissertations and Doctoral Studies

Parent involvement is an important contributor to students’ academic and social success in school; however, parent involvement at an urban secondary school has lagged, specifically in activities that have been shown to have a positive influence on student achievement. The research problem focused on parents’ perceptions of their participation, reasons for and against engaging in school activities, and what the school under study could do to support their involvement. The purpose of this study was to explore parents’ perceptions about their involvement in school activities as a means of identifying strategies to increase their engagement. A conceptual framework based on …

Go to article

Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell Jan 2023

Public-School Superintendents’ Perceptions Of Trauma-Informed School Assumptions And Principles, Denise Gay Presnell

Walden Dissertations and Doctoral Studies

Research shows that trauma-informed practices in schools can increase student performance and well-being. School social workers are well-suited to bring these practices to their system but are most successful when partnering with public-school superintendents. The purpose of this generic qualitative study was to understand public-school superintendents’ perceptions of trauma-informed school assumptions and principles. The study was guided by four assumptions for trauma-informed care, six principles for trauma-informed schools, ecological systems theory, and empowerment theory. Research questions were designed to ask participants about their experiences of trauma in their schools, their perceptions of the assumptions and principles, the benefits and challenges …

Go to article

Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff Jan 2023

Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff

Walden Dissertations and Doctoral Studies

Abstract Some restaurant business owners lack food waste strategies to maintain or increase profits. Restaurant business owners are concerned with increases in food waste leading to a loss of business profitability and may lack food waste strategies to maintain or increase profits. Grounded in stakeholder theory, the purpose of this qualitative single case study was to explore strategies restaurant business owners used to decrease food waste to maintain or increase profit. Participants in this study comprised five restaurant owners in a metropolitan suburb on the United States east coast who successfully reduced food waste in their operations to maintain or …

Go to article

Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds Jan 2023

Cardiomems Staff Education To Improve Use Of Pulmonary Artery Sensor Data In An Emergency Department, Betty Sue Reynolds

Walden Dissertations and Doctoral Studies

Assessing volume status in patients with congestive heart failure (CHF) remains a difficult task. Newer technology, such as CardioMEMS, allows providers to download pulmonary artery pressure measurements from an implanted sensor. In a large rural emergency department (ED), lack of staff education on CardioMEMS made the device useless when a patient presented to the ED. The purpose of this project was to develop a staff education in-service to address the gap in practice. The theory used to guide development of an effective curricular program and instruction method was Knowles’ theory of andragogy. Application of the analysis, design, development, implementation, and …

Go to article

Influence Of Conspiracy Mindset, Trust In Science, And Political Affiliation On Covid-19 Reactance, Bonnie L. Rinato Jan 2023

Influence Of Conspiracy Mindset, Trust In Science, And Political Affiliation On Covid-19 Reactance, Bonnie L. Rinato

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic exposed extreme divisions in the social and political structure of the United States. When health organizations recommended strategies such as physical distancing, hand hygiene, sanitation of surfaces, and isolating when sick to slow the spread of the disease, Americans appeared to divide into two factions; those who followed the public health guidance and those who persistently ignored it, often voicing perceptions of loss of freedom due to the guidance. The purpose of this quantitative study was to examine the extent to which political affiliation moderated the relationship between conspiracy mindset, trust in science, and reactance responses to …

Go to article

Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa Jan 2023

Nurse Education Regarding Hypertension And Use Of A Follow-Up Call Protocol In Primary Care, Edwin Omar Rivera-Figueroa

Walden Dissertations and Doctoral Studies

AbstractMany patients whose primary or secondary chronic condition is hypertension present to their first follow-up appointment in a primary care facility in the north of Puerto Rico with uncontrolled high blood pressure. Nurses’ knowledge of hypertension is vital to addressing a gap in practice for this patient population and patient quality of life and the prevention of cardiovascular diseases. The practice-focused question guiding this project focused on a nurse educational session for increasing hypertension management knowledge as well as a follow-up phone call protocol that aimed to improve patient care. The theoretical framework guiding this project was Pender’s health promotion …

Go to article

Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson Jan 2023

Influence Of Staffing Shortages On Safety And Communication In Behavioral Health, Raven Brittany Robinson

Walden Dissertations and Doctoral Studies

At the selected behavioral health organization (BHO), leaders desire to improve patient safety and staff communication to provide quality mental health services. They need strategies to achieve these goals. The Baldrige Excellence Framework was used to identify the workforce challenges and practices that facility leaders can potentially use to improve performance to help achieve success, sustainability, and the mission of the BHO. The data sources consisted of (a) semistructured interviews with the CEO, the leader of the intake department, an intake therapist, an intake coordinator, and an RN and (b) reviews of the BHO’s website, and pertinent academic literature. Data …

Go to article

Adult Learners With Learning Disabilities’ Motivation To Succeed In Higher Education Online Learning During Covid19, Sara Michelle Rodriguez Jan 2023

Adult Learners With Learning Disabilities’ Motivation To Succeed In Higher Education Online Learning During Covid19, Sara Michelle Rodriguez

Walden Dissertations and Doctoral Studies

Many students had to transition to online learning due to the COVID-19 pandemic while other students were already enrolled in online education. Online study may hold additional struggles for students with learning disabilities. The problem addressed in this qualitative, phenomenological study was the motivating factors of online higher education students who have a learning disability during the COVID-19 pandemic. The theoretical foundation was Maslow’s hierarchy of needs. Data were gathered through 10 semistructured interviews and then analyzed through the thematic analysis yielding five themes: (a) lack of professional support, (b) resources, (c) support system, (d) consistent motivation, and (e) low …

Go to article

Postsecondary Education, Self-Efficacy, And Organizational Commitment Impact On Previously Incarcerated Employee Job Satisfaction, Elizabeth Sadler Roney Jan 2023

Postsecondary Education, Self-Efficacy, And Organizational Commitment Impact On Previously Incarcerated Employee Job Satisfaction, Elizabeth Sadler Roney

Walden Dissertations and Doctoral Studies

A study was conducted to determine if previously incarcerated employee age, postsecondary education (PSE) attainment, prior incarceration status, and assessed self-efficacy predict job satisfaction. It also considered if organizational commitment had a moderating effect on the predictors ability to forecast the criterion. Two underlying theories considered in this study are Bandura’s social learning theory and Vroom’s expectancy theory. The obtained sample of 22 participants included seven previously incarcerated individuals. Demographic data used as predictors were employee age, PSE attainment, and prior incarceration status. Three instruments used included the New General Self-Efficacy Survey to assess self-efficacy as a predictor, the Job …

Go to article

Race As A Predictor Of Co-Rumination In Friendship Among Adolescents, Jendayi A. Stafford Jan 2023

Race As A Predictor Of Co-Rumination In Friendship Among Adolescents, Jendayi A. Stafford

Walden Dissertations and Doctoral Studies

Co-rumination refers to the excessive and extensive discussion and revisiting of problems and negative feelings within dyadic relationships. Differences in friendships concerning co-rumination have found that girls co-ruminate more than boys, however, researchers have not examined the relations between the racial composition of friend dyads and co-rumination in the friendships of adolescents. Theoretical frameworks included response styles theory and fictive kin theory. The study involved secondary analyses of an archival data set in which adolescents responded to surveys about co-rumination and their same-sex friendships. The population used for the study consisted of 265 adolescent friend dyads from a town in …

Go to article

Elementary Teachers’ Perceptions Of Instructional Strategies For Reading, Erin Sponaugle Jan 2023

Elementary Teachers’ Perceptions Of Instructional Strategies For Reading, Erin Sponaugle

Walden Dissertations and Doctoral Studies

The problem investigated in this study was decreasing annual reading proficiency among students in intermediate elementary grades (Grades 3-5). Deficiencies in reading proficiency can negatively impact overall student achievement. The purpose of this study was to investigate intermediate elementary teachers’ perceptions of their instructional strategies to improve students’ reading proficiency and potentially increase Generalized Summative Assessment scores. The conceptual framework was Vygotsky’s zone of proximal development theory. The key research questions were about elementary reading teachers’ perceptions of effective instructional practices used to increase students’ reading proficiency and elementary reading teachers’ perceptions about teachers’ instructional strengths and challenges associated with …

Go to article

Exploring Barriers To Accessing Funding For Individuals With Dementia Who Reside In Long-Term Care Facilities, Gwendolyn Cox Smith Jan 2023

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 …

Go to article

An Exploration Of The Lived Experiences Of Special Education Teachers Engaged In Mentoring Programs For Novice Teachers, Donna M. Sowerby Jan 2023

An Exploration Of The Lived Experiences Of Special Education Teachers Engaged In Mentoring Programs For Novice Teachers, Donna M. Sowerby

Walden Dissertations and Doctoral Studies

Abstract Beginning special education teachers often leave the field within the first 3–5 years of employment. There is ample research available on mentoring programs for beginning teachers. However, limited research exists on mentoring programs for beginning special education teachers. The purpose of this qualitative study was to explore the lived experiences of novice special education teachers in urban schools to broaden the current understanding regarding their perceptions of mentoring. Self-determination theory was the conceptual framework for examining the mentoring relationships and the participants’ perceptions. Using a phenomenological approach, in-depth face-to-face interviews were used with a purposeful sample of 10 novice …

Go to article

Professional Counselor Identity Development Relative To Professional Recognition, Brandon Shurn Jan 2023

Professional Counselor Identity Development Relative To Professional Recognition, Brandon Shurn

Walden Dissertations and Doctoral Studies

This descriptive phenomenological study was conducted to explore how professional counselors described their professional identity development and if professional recognition from psychologists, social workers, psychiatrists, and other professional organizations contributed to professional identity development. Phenomenology was developed by Edmund Husserl and explores insights from others based on their experiences. Licensed clinical professional counselors in Maryland formed the purposive sample that included six participants; each participated in a semi-structured interview. Thematic coding highlighted themes that emerged and included (a) the importance of the Council for Accreditation of Counseling and Related Educational Programs (CACREP), (b) licensure as a stressful process, (c) professional …

Go to article

Cultural Competence: Minoritized Student Experiences With Faculty In Counselor Education And Supervision Programs, Mariangelly Sierra Jan 2023

Cultural Competence: Minoritized Student Experiences With Faculty In Counselor Education And Supervision Programs, Mariangelly Sierra

Walden Dissertations and Doctoral Studies

Minoritized students face additional challenges that contribute to poor experiences in higher education when compared to dominant populations. Multiculturally-competent faculty behaviors positively influence minoritized students’ lived experiences in higher education and promote culturally-responsive learning environments. This study investigated minoritized students’ experiences working with faculty teaching in Counselor Education and Supervision (CES) programs accredited by the Council for Accreditation of Counseling and Related Educational Programs (CACREP) guided by the principles of Heidegger’s hermeneutic philosophy and Crenshaw’s theory of intersectionality. The specific research question of this study was about minoritized students lived experiences with faculty teaching in CACREP-accredited CES programs. Data were …

Go to article

First Prev Next Last