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Leadership Strategies To Engage Employees And Sustain Small Businesses, Donald Akah Ngwa Jan 2022

Leadership Strategies To Engage Employees And Sustain Small Businesses, Donald Akah Ngwa

Walden Dissertations and Doctoral Studies

Small businesses in the United States safeguard long-term employment opportunities, job security, and economic growth, yet only 50% of small business establishments survive beyond the first 5 years of startup. Small business survival is vital to the health of an economy, given the number of employees that depend on income generated from jobs created by small business owners. Grounded in the transformational leadership theory, the purpose of this multiple case study was to explore leadership strategies small retail store managers use to sustain business operations beyond the first 5 years. The participants comprised 6 small retail store managers in Columbia, …


Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh Jan 2022

Factors Affecting Fetal Death Among Women With Cesarean Section(S) In The United States, Iheanyi Emmanuel Nwosuh

Walden Dissertations and Doctoral Studies

AbstractThe United States has a higher rate of fetal death compared to other industrialized nations. Although many studies on the factors that contribute to fetal death have been conducted among women in general, little of this phenomenon is known among women who have had a previous Cesarean section (C-section). The purpose of this study was to explore the factors of fetal death among women with a previous C-section(s) and offer suggestions for interventions. The social determinants of health theory was used with other social constructs to provide a theoretical and conceptual framework for the study. As part of the cross-sectional …


Disparities In Cervical Cancer Survival Amongst White And African American Women, Lucius Amandi-Tasie Ogoke Jan 2022

Disparities In Cervical Cancer Survival Amongst White And African American Women, Lucius Amandi-Tasie Ogoke

Walden Dissertations and Doctoral Studies

Cervical cancer disproportionately impacts racial and ethnic minorities in the United States. The continuum in the disturbing morbidity and mortality trends declined markedly in 2020. However, there are more than 13,000 diagnosed cases, and almost 4,300 related deaths, and significant racial disparities in cervical cancer survival persist. The socio-ecological model served as the theoretical framework. Chi-square tests and binary logistic regression analyses were used to analyze data from the National Cancer Institute Surveillance, Epidemiology, and Ends Results Summary. The purpose of the study was to assess the association between race/ethnicity-related disparities in sociodemographic, histopathological, and treatment-related factors and cervical cancer …


Addiction Therapists’ Working Alliances With Battered Women With Substance Use Disorders, Lee O'Hara Jan 2022

Addiction Therapists’ Working Alliances With Battered Women With Substance Use Disorders, Lee O'Hara

Walden Dissertations and Doctoral Studies

AbstractIn the United States, 1 in 3 people with a substance use disorder is a woman who experienced domestic violence in her lifespan; yet only 1 of 5 people in treatment are women, which implies gender-specific difficulties to therapeutic engagement. There are documented inequalities and unmet needs among battered women with substance use disorders when therapists vary in their ability to form a working alliance with patients. The purpose of this study was to explore the lived experiences of addiction therapists’ working alliances with battered women with substance use disorders. The theoretical framework was based in transcendental phenomenology theory and …


Public Trust And Citizen Engagement As Tools Of Democrcay For Good Governance In Nigeria, Olukayode Gilbert Ojo Jan 2022

Public Trust And Citizen Engagement As Tools Of Democrcay For Good Governance In Nigeria, Olukayode Gilbert Ojo

Walden Dissertations and Doctoral Studies

AbstractSince Nigeria gained independence in 1960, political leaders' and elected officials' behavior and actions have contributed to a decline in public trust and people's engagement with the democratic system. It is currently unknown whether the concepts of public trust and citizen engagement can be democratic tools for good governance in Nigeria, with its diverse religions, ethnicities, and cultural values. The purpose of this qualitative case study was to explore the Yoruba people’s perceptions of the barriers to and facilitators of public trust and citizen engagement in the Nigerian democratic system. The theoretical framework was polarities of democracy theory, espoused by …


Management And Recycling Of Secondhand Electronic Devices Case Of Nigeria, Amos Kome Onokpise Jan 2022

Management And Recycling Of Secondhand Electronic Devices Case Of Nigeria, Amos Kome Onokpise

Walden Dissertations and Doctoral Studies

AbstractApproximately 60,000 tons of e-waste from new, secondhand, or used electrical electronics equipment/devices (UEEEDs) are disposed off at the end of their shelf life annually in Lagos, Nigeria. The purpose of this qualitative case study was to understand better how secondhand or UEEED e-waste was efficiently managed or recycled without resulting in environmental concerns. The study’s conceptual framework was based on Machiavellian and transactional conceptual theories. The research question focused on what influences the choice of management and recycling of electronic devices. Data were collected from 28 participants through semistructured interviews with 8 business owners and 20 focus group UEEED …


Associations Of Fast-Food Zoning Policy And Cardiovascular Disease In African American Communities, Starrlett Pena-Johnson Jan 2022

Associations Of Fast-Food Zoning Policy And Cardiovascular Disease In African American Communities, Starrlett Pena-Johnson

Walden Dissertations and Doctoral Studies

Cardiovascular disease (CVD) remains a major public health concern, causing one in every four deaths in the United States. Despite availability of effective disease management, African Americans bear the burden of incidence and mortality as CVD prevails as the primary cause of disparities in life expectancy, stroke, and heart failure. This cross-sectional study investigated fast-food restaurant (FFR) availability and socioeconomic status (SES; income, occupation, and education) to predict CVD risk scores in African Americans residing in Jackson, Mississippi. The social construction of target populations theory was used to inform this study. Using hierarchical multiple linear regression, a secondary data analysis …


Age And Pain Predicting Hospital Length Of Stay Among Individuals With Sickle Cell Disease, Tyanna Qualls Jan 2022

Age And Pain Predicting Hospital Length Of Stay Among Individuals With Sickle Cell Disease, Tyanna Qualls

Walden Dissertations and Doctoral Studies

Most patients with sickle cell disease (SCD), especially those from low socioeconomic status, experience financial constraints in meeting their hospital bills resulting from prolonged hospital stays. The research was guided by Andersen’s (1995) behavioral model of health services (BMHS) as the theoretical framework. The purpose of this retrospective quantitative correlational study was to evaluate whether and the extent to which age and pain crisis affect the length of hospital stay among patients with SCD in the United States. Secondary data were collected from the Healthcare Cost and Utilization Project (HCUP). A chi-square test was used to test the relationship between …


Association Of The Use Of Combination Therapy Self-Management Of Prediabetes And Type-2 Diabetes Mellitus In Adults, Celestina Reed Jan 2022

Association Of The Use Of Combination Therapy Self-Management Of Prediabetes And Type-2 Diabetes Mellitus In Adults, Celestina Reed

Walden Dissertations and Doctoral Studies

Diabetes is a long-lasting chronic health condition that encompasses three types: Type 1, Type 2, and gestational diabetes. The disease affects how the body breaks down food into energy. It is an insulin-deficient disease and causes heart disease, vision loss, and kidney disease. Investigators of the Centers for Disease Control and Prevention and the American Diabetes Association evaluated patient treatment preferences to determine the upsurge in patient health-related quality of life (HRQOL) and optimum health. The literature revealed that patients' preferences consisted of therapies and achievable goal setting using the health belief model (HBM) framework. This quantitative research aimed to …


Educating Nurses On Sbar Tool Implementation For End-Of-Shift Reporting, Doreen Rose-Park Jan 2022

Educating Nurses On Sbar Tool Implementation For End-Of-Shift Reporting, Doreen Rose-Park

Walden Dissertations and Doctoral Studies

Patient information transfer during nursing end-of-shift reporting remains a complicated process that lacks universal standardization. This lack of standardization was illustrated at the project site, a detention center in the northeastern United States. Deficiencies and gaps in the health care information of patients during end-of-shift reporting lacked consistence and congruency. This project was developed and implemented to educate the nursing staff at the project site on using the situation–background–assessment–recommendation (SBAR) tool during patient information transfer at cell-side in the facility infirmary. The practice-focused question that guided this project was whether a staff education on an SBAR communication tool designed to …


The Perceptions And Experiences Of Intensive In-Home Counselors Regarding Vicarious Trauma, Tara Ross Jan 2022

The Perceptions And Experiences Of Intensive In-Home Counselors Regarding Vicarious Trauma, Tara Ross

Walden Dissertations and Doctoral Studies

The purpose of the study was to explore intensive in-home counselors’ perceptions and experiences with vicarious trauma when providing in-home services to children. The constructivist self-development theory was used to explain how helpers develop vicarious trauma after exposure to traumatic stories of clients. A generic qualitative inquiry was the methodology for this study because it focused on illuminating the participants’ experiences, and offered a highlighted description of the participants’ awareness, consciousness, and understanding, which explored those personal experiences. The study consisted of 10 adults between the ages of 31 and 62. The participants were all African American. Semi structured interviews …


Why Some Cancer Patients Chose Fasting Instead Of, Or With, Conventional Treatments, Richard Alvin Sacks Jan 2022

Why Some Cancer Patients Chose Fasting Instead Of, Or With, Conventional Treatments, Richard Alvin Sacks

Walden Dissertations and Doctoral Studies

Abstract Conventional cancer treatment consists of some combination of three therapies: chemotherapy, surgery and radiation. The purpose of this study was to understand why some individuals diagnosed with cancer elected to follow an alternative course of treatment, consisting of fasting on juices or water only rather than, or in addition to, conventional cancer treatment. The theory chosen to guide this study was the Markula Center for Applied Ethics framework for ethical decision making. Research questions were designed to understand the decision-making process of study participants in choosing fasting on juice or water only, rather than, or in addition to, the …


The Growth Of Online Retailing In India, Srinivas Samprathi Jan 2022

The Growth Of Online Retailing In India, Srinivas Samprathi

Walden Dissertations and Doctoral Studies

Industrial experts have agreed that India’s small-scale industries are intensely competitive due to globalization, domestic economic liberalization, and digitization. The purpose of this quantitative correlational study was to evaluate the relationship between transaction costs, customer satisfaction, and customer trust in online shopping with the growth of online retailing in India. The theoretical foundation for this research study was the theory of planned behavior, and the unified theory of acceptance and the use of technology. The research questions examined India’s online retailing growth due to transaction costs, customer satisfaction, and customer trust. The study used a quantitative correlational research design. The …


Diabetes Self-Management Education In The Urban Low Socioeconomic Status Senior Population, Heather Santa Barbara Jan 2022

Diabetes Self-Management Education In The Urban Low Socioeconomic Status Senior Population, Heather Santa Barbara

Walden Dissertations and Doctoral Studies

This exploratory quantitative study used a survey design to address a gap in the literature concerning primary care team perceptions about diabetes care for urban low socioeconomic status seniors with diabetes. Diabetes is a chronic health problem that is often managed in primary care offices, and primary care teams are often the first source of education and support for patients. Standards of management for seniors with diabetes has changed to eliminate tight control of glucose levels, and primary care team members may have differing perceptions about diabetes care depending upon their role in the primary care team and years of …


Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric Sarrett Jan 2022

Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric Sarrett

Walden Dissertations and Doctoral Studies

Young adults with intellectual and developmental disabilities (IDD) continue to struggle with community engagement despite decades of research and policy initiatives addressing postsecondary transition. Evidence shows that persons with IDD are engaging in employment, postsecondary education, independent living, socialization, and other roles at significantly diminished rates, yet little data exists describing this participation in the voices of those affected. The purpose of this narrative inquiry was to describe community integration of persons with IDD in the decade following postsecondary transition in their own words. Critical disability theory was used as a lens to explore the successes and failures of public …


Investigation Of The Relationship Between Interoception, Cognitive Flexibility, And Posttraumatic Growth, Sheaneh Sattari Jan 2022

Investigation Of The Relationship Between Interoception, Cognitive Flexibility, And Posttraumatic Growth, Sheaneh Sattari

Walden Dissertations and Doctoral Studies

Experiencing a traumatic event is a common occurrence within the world population. Researchers have found post-traumatic growth (PTG) occurs in individuals who grow, adapt, and change after experiencing a trauma. Through the lens of adaptation and neuroplasticity frameworks, cognitive flexibility and interoception can be regarded as forms of change and growth. However, scholarly literature was deficient in the investigation of the possible associations between interoception, cognitive flexibility, and PTG in individuals with histories of trauma. The purpose of this nonexperimental cross-sectional correlation study was to find the combined effect and relative importance of cognitive flexibility and interoception in accounting for …


Postsecondary Faculty Perceptions Of Social And Emotional Learning Professional Development On Instructional Practice, Kurt Victor Spady Jan 2022

Postsecondary Faculty Perceptions Of Social And Emotional Learning Professional Development On Instructional Practice, Kurt Victor Spady

Walden Dissertations and Doctoral Studies

Mental health distress for students is prevalent on postsecondary campuses, which negatively affects students’ psychological well-being and academic success. The purpose of this basic qualitative study was to examine the influence that social and emotional learning (SEL) professional development focused on respect had on the instructional practice of full-time faculty at a community college in Western Canada. Mezirow’s theory of transformative learning was the conceptual framework that grounded this study. The research question explored faculty perceptions of the influence of Respect-focused training on their instructional practice. This study used purposeful sampling of 12 full-time faculty members who had taken the …


The Meaning Of Spiritual Care For Behavioral Health Nurses, Rowan Sirri Teboh Jan 2022

The Meaning Of Spiritual Care For Behavioral Health Nurses, Rowan Sirri Teboh

Walden Dissertations and Doctoral Studies

Patients with mental and substance use disorders who are under the care of behavioral health nurses (BHNs) frequently present with spiritual needs. However, there is no information related to how these needs are addressed. It was relevant to explore the lived experiences of the BHNs as they attend to the spiritual needs of this patient population. Therefore, this qualitative study explored the meaning of spiritual care and the lived experiences for BHNs as they attend to the spiritual needs of patients with mental and substance use disorders. Using the descriptive phenomenological design, open-ended interview questions were administered via telephone and …


The Efficacy Of Juvenile Treatment Program Services As Evidenced By Posttreatment Re-Offenses, Michelle R. Valenzuela Jan 2022

The Efficacy Of Juvenile Treatment Program Services As Evidenced By Posttreatment Re-Offenses, Michelle R. Valenzuela

Walden Dissertations and Doctoral Studies

AbstractThe determination of whether juvenile intervention programs are effective in the reduction of future delinquency has been an ongoing research concern among scholars for over a century. Researchers have established that intervention programs are helpful for some juveniles but have not determined if intervention treatment outcomes continued beyond adolescence. The purpose of this quantitative study was to address the efficacy of services provided within juvenile intervention programs. This study addressed these gaps in previous research, focusing on the services provided within the intervention program and outcomes of continued delinquent behaviors beyond 3 years using multiple regression analysis. Social control theory …


Employee Training Strategies For New Technology Implementation In Small Business, Eddy Varela Jan 2022

Employee Training Strategies For New Technology Implementation In Small Business, Eddy Varela

Walden Dissertations and Doctoral Studies

Failure to implement new technology creates a barrier to success for small businesses. Small business owners must create competitive advantages by implementing new technology as there is a need to maintain an advantage when competing in the local market economy. Grounded in the human capital theory, the purpose of this qualitative multiple case study was to explore the employee training strategies small business owners use to implement new technology. The participants were five small business owners in Central Florida who used employee training strategies to implement new technologies Data were collected using (a) semistructured interviews, (b) member checking interviews, (c) …


Developing An Economic Value Model For Delinquent Tax Auctions In South Carolina, James D. Wacker Jan 2022

Developing An Economic Value Model For Delinquent Tax Auctions In South Carolina, James D. Wacker

Walden Dissertations and Doctoral Studies

Government-administered public auctions of private property to recoup unpaid taxes represent a common tool to collect funds while representing an investment vehicle for tax sale attendees. The problem was that factors such as starting bids, high bids, redemption timing, taxes due from prior years, possible interest earned, assessed land value, property structures, and possible economic gain were not widely understood by tax sale participants. The purpose of this correlational study was to examine the existence of relationships between or among the aforementioned attributes and the interest earned by a bidder or the odds of acquiring a tax deed. Quantitative theory, …


Factors Influencing Human Papillomavirus Vaccination Among Hispanic Youth In Bexar County, Texas, Timothy Edward Wallum Jan 2022

Factors Influencing Human Papillomavirus Vaccination Among Hispanic Youth In Bexar County, Texas, Timothy Edward Wallum

Walden Dissertations and Doctoral Studies

A high number of Hispanic youth in Bexar County, Texas, face morbidity and mortality related to human papillomavirus (HPV) infection due to inadequate vaccination coverage youth. A better understanding of the factors that influence vaccination might help public health authorities to increase coverage. The aim of this quantitative, cross-sectional study, which was based on the socioecological model and involved analysis of weighted survey data from the 2016 to 2018 National Immunization Survey-Teen, was to better understand the multilevel factors influencing HPV vaccine use among Hispanic youth. The weighted sample was representative of the study population in terms of survey characteristics …


Guidelines For Managing Dysautonomia Dysfunction, Angela Coleman Webb Jan 2022

Guidelines For Managing Dysautonomia Dysfunction, Angela Coleman Webb

Walden Dissertations and Doctoral Studies

Dysautonomia dysfunction (DD) is a disorder of the autonomic nervous system. Over 70 million people suffer from some type of DD, and the average length of time from symptoms to diagnosis is 6 years. Most facilities and providers choose not to treat DD due to the number of symptoms and the difficulty of being able to diagnose correctly. The purpose of this project study was to create guidelines for the diagnosis, treatment, and management of DD. The research question addressed the effectiveness of these guidelines to help nurses and providers caring for patients with DD provide better care. Watson’s theory …


The Connection Between Positive Coping Skills And Cutting For Young Adults In Adolescence, Nicoletta Weide Jan 2022

The Connection Between Positive Coping Skills And Cutting For Young Adults In Adolescence, Nicoletta Weide

Walden Dissertations and Doctoral Studies

According to recent studies, the instances of non-suicidal self-injury (NSSI) in adolescents have sharply risen in recent years. Cutting is the most prevalent form of NSSI in adolescence which leads to scarring, social stigma, and an increased risk of suicide. NSSI and cutting are considered maladaptive coping skills. The purpose of this general qualitative study is to explore how positive coping skills and self-regulation impacted their instances of cutting. Self-regulation theory was used to analyze if having positive alternative skills was enough to regulate the behavior and have an impact on their instances of cutting. This general qualitative research study …


Annual Financial Performance, Efficiency, And Quality Of Care In Accountable Care Organizations In Florida And Texas, Tony Lavance White Jan 2022

Annual Financial Performance, Efficiency, And Quality Of Care In Accountable Care Organizations In Florida And Texas, Tony Lavance White

Walden Dissertations and Doctoral Studies

The association between efficiency and quality of care among accountable care organizations is not fully understood. Therefore, the purpose of this quantitative study was to examine the relationships between ACO efficiency, ACO financial performance, and ACO quality scores in the states of Florida and Texas. Guided by structural contingency theory, the research questions explored whether there was a statistically significant relationship between ACO efficiency and financial performance, as well as ACO efficiency and the quality of care among ACOs in the states of Texas and Florida in 2018 using all ACOs located in those states. The results of the study …


Pink Bamboo Ceiling: Barriers And Breakthroughs For Asian American Women Leaders, Mele W. Kramer Jan 2022

Pink Bamboo Ceiling: Barriers And Breakthroughs For Asian American Women Leaders, Mele W. Kramer

Walden Dissertations and Doctoral Studies

AbstractAsian Americans are the most diverse and fastest-growing minority group in the U.S. and have the highest average level of education of all minority and dominant groups in America making up 6.2 % of the labor market. However, Asian Americans overall hold one percent of the executive leadership roles in Fortune 500 organizations. Low leadership representation leaves this demographic without a decision-making voice and without power in society. The purpose of this qualitative study was to learn about the lived experiences of Asian American women (AAW) leaders and potential leaders as it pertains to race, gender, and stereotypes in the …


Juvenile Recidivism Risk Factors From The Juvenile Justice Professional Perspective, Fotini Stamidis Jan 2022

Juvenile Recidivism Risk Factors From The Juvenile Justice Professional Perspective, Fotini Stamidis

Walden Dissertations and Doctoral Studies

Juvenile crime and recidivism have devastated Baltimore City, Maryland, especially in the quality of life and social bond, producing fear in the city’s communities. The current situation is increasing the need to promote a better understanding of juvenile recidivism and delinquency of the risk factors causing juveniles to re-offend. The purpose of this qualitative case study was to add to the knowledge base on juvenile recidivism risk factors from the perspectives of juvenile justice professionals. Hirschi’s social bond theory was used to explore juvenile justice professionals’ experiences and perspectives on recidivism risk factors. Research questions focused on the perceptions of …


Human Services Caseworkers’ Experiences Working Remotely During Covid-19, Sandra Lachelle Brown Jan 2022

Human Services Caseworkers’ Experiences Working Remotely During Covid-19, Sandra Lachelle Brown

Walden Dissertations and Doctoral Studies

Human services caseworkers have shifted from traditional means of providing services to their clients since the onset of COVID-19. Providing services and/or resources to clients from the home environment leads to work responsibilities and family demands that may affect work-life balance. Researchers have studied working remotely, but they have not explored human services caseworkers and their experiences of providing remote services during a pandemic. The purpose of this qualitative generic study was to explore human services caseworkers’ experiences with work-life balance while providing remote services versus face-to-face services to clients during a pandemic. Semistructured interviews were conducted with 12 human …


The Mother-Daughter Attachment-Bond In Adulthood After Childhood Sexual Abuse, Dionne Carla Dauphin Jan 2022

The Mother-Daughter Attachment-Bond In Adulthood After Childhood Sexual Abuse, Dionne Carla Dauphin

Walden Dissertations and Doctoral Studies

AbstractChildhood sexual abuse (CSA) may have a significant impact on the attachment bond between adult women and their mothers when CSA is disclosed during childhood. When CSA is known by the mother during the period of abuse, and she failed to intervene on behalf of her daughter, there can be long-lasting effects on the mother-daughter attachment bond in the future. There is a gap in the research literature regarding the attachment bond between the mother-daughter dyad in adulthood influenced by CSA known by the mother during the period of abuse. The purpose of this phenomenological study was to understand the …


Educators' Perspectives On Coordination Of Transition Programming For Early Childhood Students With Asd In Inclusive Settings, Lashundra Dees Jan 2022

Educators' Perspectives On Coordination Of Transition Programming For Early Childhood Students With Asd In Inclusive Settings, Lashundra Dees

Walden Dissertations and Doctoral Studies

Coordination of special education prekindergarten (PK) to kindergarten (K) transition programming for children with autism spectrum disorder (ASD) represents significant changes for students within inclusive school environments. The problem addressed by this basic qualitative study involved barriers, challenges, supports, and successes in the coordination of transition programming from PK to K for students with ASD. This study addressed a gap in the literature on educators' perspectives on the coordination of transition programming. Bronfenbrenner’s ecological systems theory framed this study that explored the perspectives of 11 educators. Data were collected from semistructured digitally audio recorded interviews conducted with six PK and …