Digital Commons Network^™

Nursing Knowledge And Breastfeeding Education, Mary Aguirre

Walden Dissertations and Doctoral Studies

According to the Centers for Disease Control and Prevention, the Healthy People 2020 breastfeeding goal immediately after birth of 81.9% was surpassed in 2016, with approximately 83.8% of babies breastfed shortly after delivery. However, by seven days post birth, this number decreased to 82.9%, reduced even more for infants who were exclusively breastfed to 64.7%. Local research has shown that breastfeeding decreases at one week after discharge, which may be due, in part, to the lack of nurses' knowledge related to breastfeeding. This lack of knowledge related to breastfeeding by the nurses, in turn, may negatively impact the support staff …

Community Perceptions Of Syringe Service Programs In Charleston, West Virginia: A Qualitative Socioecological Perspective, Kenya M. Burton

Walden Dissertations and Doctoral Studies

In rural areas of the United States, people who inject drugs (PWID) experience an array of obstacles to accessing adequate healthcare. Locations with high rates of drug use normally offer more healthcare options, including needle exchange programs but, in some communities, there is resistance to providing this kind of care. This increases mortality, morbidity, cost, and adds to the stigma experienced by this vulnerable group. The experiences of people with substance dependency, including PWID, has been widely explored throughout studies that reflect a need for increased support. However, the perspectives of the community, especially in rural areas, though equally important, …

Internal Population Displacement And Vaccination Completion, Malnutrition, And Respiratory Infections Among Children In The Central African Republic, Francois Xavier Batalingaya

Walden Dissertations and Doctoral Studies

Forced displacement in fragile and conflict-affected countries has the potential to disrupt access to basic primary healthcare services such as immunization. The purpose of this study was to assess the association between internal population displacement and vaccination completion, malnutrition, and acute respiratory infections (ARIs) while controlling for maternal characteristics of wealth index, education level, and residence status in the Central African Republic. The socioecological model underpinned this cross-sectional study that used a secondary dataset collected in 2018 – 2019 and maintained by UNICEF. Descriptive statistics and logistic regression tests were used to analyze the data. The findings of this study …

Self-Care And Psychosocial Factors That Predict Sickle Cell Disease-Related Outcomes Among African Americans In The Usa, Datonye Agina-Obu

Walden Dissertations and Doctoral Studies

Existing beliefs and conceptions regarding sickle cell disease (SCD) have had a significant impact on the appropriate management of the condition, including self-care and psychosocial factors, particularly among African Americans. The aim of this study was to examine the influence of self-care and psychosocial factors on SCD-related outcomes among African Americans in the United States. The study was grounded in the self-care management theory and employed a cross-sectional, quantitative design. Regression analyses were conducted to explore the associations between self-care and psychosocial factors and SCD-related outcomes sample of 180 individuals. The results indicated three factors showed significant relationships for sickle …

Organizational Continuity Planning For Small Nonprofit Organizations, Lucy Castro

Walden Dissertations and Doctoral Studies

Natural and manufactured disasters may negatively affect a nonprofit organization’s ability to meet its mission. Organizational continuity planning is one tool to help an organization remain practical and mission focused when faced with a natural or manufactured disaster. This qualitative case study explored the essential elements of organizational continuity planning for small nonprofit organizations. Disaster management theory and emergency management theory were used to frame the study. Three research questions guided the study exploring the internal organizational infrastructure challenges organizational leaders face during natural or manufactured disasters; the ways organizational continuity planning assisted nonprofit leaders in providing needed services during …

Low-Income Workers’ Perception Regarding Wage Theft And Barriers To Addressing Prevention In Southeast Florida, Marcia Carvlho-Donaldson

Walden Dissertations and Doctoral Studies

Many low-income workers are vulnerable to becoming victims of wage theft. Studies have shown that even when these workers know their rights, they still face certain obstacles should they complain or report such theft. Extensive research has been conducted at the federal level to establish the impact and consequences of wage theft, but few researchers have examined wage theft at the state and local level in states such as Florida. The experiences and perceptions of low-income worker participants in Southeast Florida were investigated in this phenomenological study, and rational choice theory was the conceptual framework used to investigate this phenomenon. …

Perceived Teacher Self-Care Influence On Beliefs About Teacher Persistence During Covid-19, Tamarah Lishawn Davis

Walden Dissertations and Doctoral Studies

Teaching has never been an easy profession, but the swift transition from in-person to digital instruction during the COVID-19 pandemic made it significantly more difficult. Between a global pandemic and a nation's racial reckoning, teachers were forced to juggle work, family, and student responsibilities. While there were suggested tips on how to practice self-care, the findings on self-care have been conflicting, and there is a scarcity of research on the role that teacher self-care played in persistence for classroom teachers during the COVID-19 pandemic. The purpose of this basic qualitative study was to explore reported teacher self-care practices and how …

Utilization Of Mental Health Services For Caregivers Of Hemophiliacs, Anna Maria Bell

Walden Dissertations and Doctoral Studies

The utilization of mental health services for caregivers of hemophiliacs is an underserved area. Andersen’s behavioral model of utilization was the conceptual framework in this generic qualitative study. I used surveys and semi-structured interviews to obtain 20 participants’ information for nonprobability sampling, specifically purposive sampling. Narrative analysis was used as the foundation of the coding process The study findings revealed seven themes: cultural impact/stigma of mental health services; normalizing mental health services in the hemophilia community (national impact); inconsistencies in hemophilia treatment centers’ (HTCs’) service delivery; clarity of the role of the HTC social worker; member organizations emphasis on mental …

Examining Mental Health Literacy As A Predictor Of Mental Health Service Utilization Among Florida Foster Parents, Adam Johnson

Walden Dissertations and Doctoral Studies

The focus of this study was to examine mental health literacy as a predictor of the mental health service utilization of foster parents after controlling for age. There is an absence of research addressing variables that contribute to the use of mental health services by foster parents. In this nonexperimental study, survey data were collected in an electronic format. Statistical analysis was performed through use of a logistic regression. A mental health literacy conceptual framework was the theoretical foundation of the study. The sample consisted of 42 foster parents from the northwest panhandle of Florida. The study yielded findings indication …

Exploring School Leadership To Improve Graduation Rates For High School Ell Students In A Northeastern State, Scott Matthew Jaquith

Walden Dissertations and Doctoral Studies

English languages learners (ELLs) are the fastest-growing student population in the United States. Federal mandates, including the Every Student Succeeds Act (ESSA) of 2015, provide guidance and resources to states and local school districts to remove barriers for ELL students. Despite guidelines from one northeastern state to increase professional development, improve metrics to assess proficiency growth, and provide family outreach to support ELLs, school leaders have not achieved this goal of raising graduation rates for ELLs so they are comparable with their non-ELL peers. This project study uses a transformational leadership framework to explore perceptions of principals, assistant principals, and …

Relationship Between Parental Attachment And Cyberbullying Within The Homeschooling Community, Jason King

Walden Dissertations and Doctoral Studies

Cyberbullying has been a focus of research and societal concern since the advent of the internet. Both perpetrators and victims of cyberbullying experience significant adverse effects including depression, anxiety, internalizing and externalizing problems, suicidal ideation, and suicide. Despite the broad understanding of the impact of cyberbullying on mental and physical health, research has not prioritized the exploration of cyberbullying within the homeschooled population. The purpose of this quantitative survey design was to identify the characteristics and relationships between cyberbullying victimization and perpetration, attachment security, and religiosity in homeschooled adolescents. Using a framework of Bowlby’s attachment theory, the Parental Attachment Questionnaire, …

Strategies To Reduce Employee Turnover In The Insurance Industry, Ebony Phillips

Walden Dissertations and Doctoral Studies

Employee turnover continues to increase in the insurance industry because no minimum skill or education level is required to enter the U.S. insurance industry. Insurance leaders are concerned with reducing employee turnover, as it creates a risk to employee productivity and profitability. Grounded in Herzberg’s two-factor theory of motivation, the purpose of this qualitative multiple-case study was to explore strategies five insurance leaders from central Kansas used to reduce employee turnover. Data were collected using semistructured virtual interviews and a review of company records. Data were analyzed using Yin’s five-step approach, and three themes emerged: (a) supportive leadership, (b) incentives/benefits, …

Mental Health Professionals’ Perceptions Of Referrals To School-Based Mental Services Among Elementary Students, Dr. Adrienne L. Stephens

Walden Dissertations and Doctoral Studies

AbstractBarriers exist to the referral process for mental-health services among elementary-school students from the perspective of school-based mental-health service professionals. The problem addressed in this study was that lack of mental-health referrals can delay or prevent treatment of mental-health issues, causing those mental-health problems to worsen over time. The purpose of this phenomenological study was to explore the lived experiences of school-based mental-health service professionals regarding these barriers to mental-health referrals. Pescosolido’s theory of the revised network model was the guiding conceptual framework for this study. The study was guided by research questions focused on how school-based mental-health professionals perceived …

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 …

Strategies To Mitigate Inappropriate Test Utilization By Physicians To Improve Efficiency In A Healthcare Setting, Christine C. Wood

Walden Dissertations and Doctoral Studies

Inappropriate test utilization by physicians for clinical decision-making in patient care is a significant problem facing some healthcare leaders. Healthcare leaders are concerned about inappropriate test utilization because it can increase healthcare costs and degrade patient outcomes. Grounded in the complex adaptive system and Lean Six Sigma conceptual frameworks, the purpose of this qualitative single-case study was to identify strategies seven hospital leaders in Maryland and Washington, DC. who implemented successful test utilization strategies for physicians. Data were collected from semistructured virtual interviews and organizational reports and analyzed using Yin’s 5 step process. Five themes emerged: (a) continuing physician education, …

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 …

Interpersonal Conversations In The Restaurant Industry, Erik Michael Ivey

Walden Dissertations and Doctoral Studies

Managers in the restaurant industry continue to struggle with workplace engagement and turnover at a rate of 31.8% greater than other industries. The general problem is that interpersonal relationships between employees and managers is a leading cause of issues related to job turnover and employee engagement. The specific problem is that some hospitality managers lack strategies to establish appealing interpersonal relationships with employees that reduces turnover and improves employee engagement. The purpose of this qualitative critical instance case study was to explore strategies hospitality managers use to establish appealing interpersonal relationships with employees that reduces turnover and improves employee engagement. …

The Effectiveness Of The Ethics Officer’S Influence: An Interpretive Phenomenological Analysis Exploration, Cheryl K. Douthitt

Walden Dissertations and Doctoral Studies

The position of ethics officer was created to watch over corporate behavior. However, scandals have continued to demonstrate unethical leadership involving government officials, sports heroes, religious organizations, and corporate leaders. The research problem was that despite the adoption of corporate ethics programs and government oversight, there is a lack of understanding of ethics officers’ experiences, perceptions of effectiveness, and whether they effectively influence executive-level ethical conduct. The purpose of this qualitative phenomenological study was to explore the lived experiences of ethics officers regarding their interactions with executives. Shaped by Brown and Treviño’s ethical leadership theory, the research question concerned the …

Treatment-Seeking Experiences Of Ethiopian Women With Pelvic Organ Prolapse, Frehiwot Derso

Walden Dissertations and Doctoral Studies

AbstractPelvic organ prolapse (POP) is a gynecological health issue that negatively affects women’s lives globally and specifically in countries like Ethiopia where health care-related resources and infrastructures are limited. In remote areas of Ethiopia, women lack basic knowledge of POP and do not have the resources to access care and treatment that might be available. As a result, seeking treatment typically happens after years of suffering. Using a qualitative phenomenological method, this study addressed the treatment-seeking experiences for POP among women aged 30-60 in North Ethiopia. Fifteen women with POP were selected using purposive sampling at the University of Gondar …

Associations Between Mindfulness Meditation, Health Status, And Activity Limitation Among United States Armed Forces, Bettie J. Dubose

Walden Dissertations and Doctoral Studies

A ready military force is essential for the safekeeping of the United States and the well-being of United States Armed Forces personnel. Today, healthcare professionals report disproportionately high rates of chronic disease and substance abuse among United States Armed Forces personnel and disabling mental health disorders that often go untreated. This quantitative research aimed to determine if there was a relationship between United States Armed Forces personnel using mindfulness meditation and their health status. The study used Bandura's social cognitive theory as its framework and theoretical foundation. Also, a quantitative experimental research design examined the causal relationships between the predictor, …

Post-School Transition Experiences Of Individuals With Intellectual Disabilities, Christine Marie Lindh

Walden Dissertations and Doctoral Studies

The post-school transition phenomenon has been examined using educational and vocational viewpoints. However, despite evidence-based practices and policies, individuals with intellectual disabilities (ID) often experience unfavorable outcomes. This population needs a voice in existing literature because it tends to be aggregated with other participant groups. This qualitative study involved understanding how young adults with mild to moderate ID described their lived experiences regarding the post-school transition to adulthood, specifically in terms of their personal expectations of employment and functional independence. The social cognitive career theory was used to explore individual and environmental factors related to adulthood transitions. Semi-structured interviews were …

The Lived Experiences Of Elders’ Age-Related Changes In Emotional And Social Factors, Sheneze Thiffiny Valencia Madramootoo

Walden Dissertations and Doctoral Studies

There is a need for more studies examining elderly’s perspective of age-related changes in emotional (anxiety, depression, hope and optimism) and social (interpersonal relationships, social support and level of engagement or activity) factors. There is an increase in psychological needs for older adults, and it is important to explore and enhance knowledge in this field to better serve this population. The purpose of this qualitative research was to describe the lived experiences of elders’ age-related changes in emotional and social factors. The theories and concepts that grounded this study included the activity theory of aging and the continuity theory of …

Improving Access To Diagnostic Medical Services For Children With Autism: Caregiver Perspective, John Nkemakolam Nkwocha

Walden Dissertations and Doctoral Studies

AbstractThe rising prevalence of autism among children in the United States has remained a challenge to caregivers, researchers, and healthcare providers. Medical diagnostic services struggled with inaccurate outcomes, misdiagnosis, inaccessibility, long waitlists, poor coordination, and a lack of expertise and knowledge for early intervention. There are limited studies on problems associated with diagnosing children with autism and the caregivers’ perspective on improving the services. In this qualitative phenomenological study, 10 caregivers’ perspectives on barriers to accessing medical diagnostic services, treatment, and management of children with autism and possible improvement of the services were explored. Resilience and health utilization models provided …

Implementation Of Corruption Mitigation Strategies By Public Sector Leadership In Sierra Leone, Samuel B. Sam

Walden Dissertations and Doctoral Studies

AbstractCorruption is an elusive phenomenon, and it directly or indirectly impacts the daily lives of people globally. In Africa, leaders are partly blamed for persistent corruption due to poor leadership. Corruption persists in developing countries despite various strategies put in place to fight it. Sierra Leone has specifically struggled to implement mitigation strategies to reduce levels of corruption, and few studies have been conducted on lived experiences of public sector leaders pertaining to implementing corruption mitigation strategies in Sierra Leone. The purpose of this qualitative transcendental phenomenological study was to identify and report on those lived experiences. The two conceptual …

Public Participation In Georgia’S Environmental Permitting Process, Joyce A. Stanley

Walden Dissertations and Doctoral Studies

There is no meaningful way for Georgia residents to participate in the environmental decision-making process before environmental permits are approved. As a result, hazardous waste facilities are disproportionately placed in African American communities, exposing them to poor air quality and a higher prevalence of heart and respiratory diseases than Whites. The purpose of this qualitative case study was to explore and better understand how African American residents living in Stonecrest, Georgia felt about the hazardous waste site being placed in their community without an opportunity to provide input into the Georgia Environmental Protection Division’s (GEPD) decision-making process before a decision …

African American Experiences Of Racism When Operating A Small Business, Sheliza Thompson

Walden Dissertations and Doctoral Studies

The problem addressed in this study was the racism that African Americans experienced when operating a small business. African Americans are more likely to start a business than members of other minority groups. However, African Americans are also less likely to succeed. Low success rates relate to the racial inequities that contribute to systemic racism. The racism that African Americans experience is deeply rooted in societal constructs that have been ingrained for many years. General racism and systemic racism are societal constructs that work against the socioeconomic status of African Americans and their communities. The purpose of this phenomenological study …

How To Support Secondary School Teachers After Emergency Remote Teaching, Julia Howard Tortorice

Walden Dissertations and Doctoral Studies

AbstractThe forced use of emergency remote teaching (ERT) during COVID-19 school closures was sudden, disruptive, and difficult for teachers, leading to a minimal understanding of how to support secondary school teachers’ use of online educational technology after the ERT experience. The purpose of this qualitative study was to understand how to support secondary school teachers’ use of online educational technology after the ERT experience. The technology acceptance model was the framework used in this study. The research questions explored the framework by asking about teacher perspectives of support, usefulness, and ease of use of online educational technology. The data collection …

Social Worker Perspectives On Implementation Of Harm Reduction Into Abstinence-Based Substance Abuse Programs, Susan Woomer

Walden Dissertations and Doctoral Studies

Opioid addiction is a growing epidemic in the United States and was declared a public health emergency by the Department of Health and Human Services in October of 2017. There is a growing recognition that the current treatment for heroin and opioid addiction, abstinence-based treatment programs, is not readily available and has minimal success in addressing the epidemic. Harm reduction therapy is recognized as an effective way to address the opioid epidemic. This study aimed to develop further insight and understanding of how to integrate harm reduction therapy in abstinence-based treatment programs. The theoretical framework for this study was the …

Relationship Between Type Of Health Insurance And Access To Care Among African American Males, Tiffani Simmons

Walden Dissertations and Doctoral Studies

Insurance based discrimination is a bias that has the potential to harm patients by limiting their access to care and widen health disparities between patients with private and public insurance. The purpose of this study was to examine whether there is a relationship between type of health insurance (private and public) and access to care factors (acceptability and availability) among African American males ages 25–64 with chronic conditions. The Andersen healthcare utilization model framework supported this research in focusing on the determinants that influences a patient’s ability to access to health care. The research questions examined whether a relationship existed …

Understanding The Lack Of Communication Between Communities And Law Enforcement Through A Community Policing Program, Patrick B. Skoczek

Walden Dissertations and Doctoral Studies

Abstract

Inequitable treatment by law enforcement officers has deeply impacted minority communities in the United States. Public incidents of abuse of power, discriminatory treatment, and excessive use of force have received increased attention, creating increased community mistrust of law enforcement officers. To help bridge the gap between communities and law enforcement agencies, this qualitative phenomenological study was conducted to examine the use and impact of the Policing and Public Safety Problem-Solving Programs. Data were collected through interviews with 12 retired police officers and 12 community members. Interview questions were related to participants’ perceptions regarding a breakdown in trust between law …