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Self-Efficacy And Perceived Social Support As Predictors Of Academic Achievement Among First-Generation African American Females At A Historically Black College And University, Felicia Brown Kelly

Walden Dissertations and Doctoral Studies

African American, female, first-generation students face unique social and academic challenges due to their triple minority status of being Black, female, and first-generation and often perceiving low social support. The problem this study addressed is the role that self-efficacy and social support play for this group of students is insufficiently known. The purpose of this study was to explore the role that self-efficacy and perceived social support play for first-generation African American females at a Historically Black College and University. Theoretical frameworks for this study were Bandura’s self-efficacy theory which analyzes self-efficacy relating to mastery and Bandura’s social cognitive theory, …

Evidence-Based Approaches To Screening For Polypharmacy In Older Adults, Carmelo Maddy

Walden Dissertations and Doctoral Studies

AbstractPolypharmacy is the concomitant use of five or more medicines and is associated with a higher risk of being prescribed potentially inappropriate or interactive medications. Polypharmacy in adults over 60 years of age may correlate with adverse outcomes of multimorbidity such as functional impairment, low quality of life, high healthcare use, and increased costs. Health practitioners need to be aware of tools and methods to manage polypharmacy-related issues to optimize patient safety. The gap in practice is that a primary care practice did not have a comprehensive clinical guideline for a systematic and ongoing assessment of appropriateness of medication use …

Five-Year Cervical Cancer Survival Rates By Stage At Diagnosis, Race, And Place Of Residence In Georgia, Usa, Layal Mansour

Walden Dissertations and Doctoral Studies

Despite breakthroughs and improvement in cervical cancer (cercancer) management strategies over the years, racial and geographical disparities on 5-year relative survival rates (RSRs) persist. Studies showed black women have higher mortality rates than white women with the majority of deaths occurring among women above age 45. The aim of this cross-sectional study was to investigate the predicting abilities of race and residence on 5-year RSRs by stage at diagnosis and the potential effect on survival probability in the early stage of cercancer for women above 45 years living in Georgia. Anderson's behavioral model for inequalities in healthcare was the theoretical …

Designing A Standardized Workflow For Improved Contract Administration In Non-Profit Organizations, Shaneva D. Mcreynolds

Walden Dissertations and Doctoral Studies

This study explored a process that can help nonprofit organizations design and implement a new contract management system with a standardized workflow associated with administering their government contracts. The problem directly resulted in a decrease in efficiency and profitability for the organization. A mixed method study was conducted based on the business process reengineering (BPR) model. Previous studies have indicated that additional knowledge and development is required in the area of BPR implementation. Critical sources of evidence in the study included the partner organization’s stakeholders, its staff, including those of its subsidiaries, and peer-reviewed literature. Qualitative interviews with 10 participants …

Impact Of Islamic Financial Principles On Mitigating The Covid-19 Financial Crisis In Pakistan, Mohammed Monzur Murshid

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic caused a global financial crisis. Governments and central banks around the world took unprecedented measures to mitigate the effect of the pandemic-triggered financial crisis and maintain the stability of the financial system. The purpose of this cross-sectional quantitative study was to examine the capability of the Islamic financial system to mitigate the effect of the pandemic-induced financial crisis on the economy of Pakistan in 2020. The International Monetary Fund enhanced dynamic stochastic general equilibrium (IMF-DSGE) model provided the framework for this study. Data collection included conventional financial sector parameters, Islamic financial sector parameters, and country-level macroeconomic data …

Perceptions Of K-12 School Principals Regarding The Use Of Exclusionary Discipline Practices, Shalonda W. Adams

Walden Dissertations and Doctoral Studies

Exclusionary discipline practices (EDPs), including suspensions and expulsions, are used in public schools, from kindergarten to 12th grade (K–12). Excessive use of EDP can have a negative impact as students face delays in completion of their academic work. The problem of increasing use of EDPs at a suburban public school district located in a southern state was addressed in this study. Hallinger and Murphy’s instructional leadership model was used to examine the perceptions of K–12 school principals regarding their use of instructional leadership practices to reduce the use of EDPs. Purposeful sampling was used in this basic qualitative study to …

Teach-Back Program To Improve The Quality Of Patient Medication Education, Dawn Africa

Walden Dissertations and Doctoral Studies

AbstractInstitutions are invested in improving healthcare providers’ ability to enhance the quality of patient teaching. The teach-back method provides tools and strategies for promoting patient-focused learning and has the potential to increase nurses’ conviction and confidence in teaching patients about their medications. Nurses are not routinely taught how to teach patients, and they usually lack confidence in teaching about medications. This project was developed using the Donabedian model of structure, process, and outcomes. Studies and journal articles were searched through a variety of libraries and online sources, including the internet, using various teach-back and patient literacy combinations of search terms, …

Teacher And Administrator Perceptions Of Responsibilities During District-Mandated Changes To Curriculum, Hope Albritton-Terry

Walden Dissertations and Doctoral Studies

Systemic changes to curriculum are an inevitable part of education; however, understanding how teachers and administrators perceive their responsibilities in implementing district-mandated changes to curriculum is unclear. The purpose of this qualitative case study was to determine teachers’ and administrators’ perceptions related to their responsibilities in effective implementation of district-mandated changes to curriculum. The conceptual framework for this study was change theory to explore how teachers and administrators process district-mandated changes to curriculum. Data were collected through semistructured interviews with eight teachers and seven administrators who have implemented district-mandated changes in a public school in the mid-Atlantic region of the …

The Experiences Of Male Veteran Victims Seeking Help For Military Sexual Trauma/Assault, Natasha Blue

Walden Dissertations and Doctoral Studies

AbstractMilitary sexual trauma/assault (MST/MSA) among male survivors is significantly underreported. Male survivors continue to deal with the societal and personal stigmas and barriers that impeded their ability or desire to seek help for their trauma. The most prevalent barrier is the societal stigma that men cannot be raped or experience sexual trauma or assault. The primary goal of the current research was to illuminate the current barriers male MST/MSA veteran victims experience seeking help while on active duty. Qualitative analyses were used to examine the collected data from the semi-structured interviews conducted with 12 male veterans who experienced MST/MSA while …

Suicide Control In Charleston, South Carolina, Lynasyn Mckenzie Rogers

Selected Social Change Portfolios in Prevention, Intervention, and Consultation

Goal Statement: To reduce the rate of suicide attempts in Charleston, SC. Significant Findings: Suicide is a serious public health problem and is one of the leading causes of death in the United States. According to the Centers for Disease Control and Prevention (2021), 12.2 million Americans seriously thought about suicide and 1.2 million Americans attempted suicide in 2020. These numbers will only increase with Americas increase in mental health cases. There is not one single cause for suicide but occurs most often from undiagnosed and untreated depression. Stressors and health issues can converge with anxiety and substance problems creating …

Society’S Perception Of Former Offender’S Impact On Housing Accommodation Options, Fealita Kimbre Prunty

Walden Dissertations and Doctoral Studies

This study was designed to explore United States societal members’ perception of the term offender and crime type concerning post-incarceration housing accommodations in the United States. Housing is an essential need for offenders re-entering society and can contribute to recidivism rates. The purpose of this study was to explore United States adult societal members’ perception of the term offender and crime type concerning post-incarceration housing accommodations in the United States. This study included a parallel mixed-method design inspired by Teddlie and Tashakkori. The theoretical framework incorporated Becker’s labeling theory. This study examined the United States adult societal members’ perception of …

Lived Experiences Of Congenital Heart Defect Diagnosis In Adulthood, Jacklyn Sanders

Walden Dissertations and Doctoral Studies

Abstract

Congenital heart defects (CHD) are reported by the Centers for Disease Control and Prevention as the most common type of birth defect and can affect more than 30,000 infants each year. However, CHDs diagnosed in adulthood are becoming a growing public health concern. When the defect is not diagnosed in infancy or childhood, adult individuals may experience an array of signs and symptoms leading to the diagnosis of a CHD. CHDs that are undiagnosed until an individual reaches adulthood can cause many health complications. The purpose of this phenomenological study was to describe the lived experiences of adults diagnosed …

Reducing Hospital Noise Levels Through Nursing Staff Education, Althea Sanders

Walden Dissertations and Doctoral Studies

AbstractNoise levels can negatively affect a patient’s hospital experience. Increased noise levels in the hospital can trigger sleep disturbance and affect the length of recovery for patients; the increased noise levels can also cause increased anxiety and exhaustion for nursing staff members. Due to a gap in nursing practice related to nurses’ knowledge to safely reduce noise levels, this project addressed if nursing staff education on noise reduction could increase the knowledge among nursing staff members to use specific strategies to reduce noise levels in an intensive care unit (ICU) setting. The purpose of this project was to educate eight …

African American Women’S Body Image Perceptions And The Built Environment, Andrea Denise Smith

Walden Dissertations and Doctoral Studies

African American (AA) women have a 54.8% overall obesity rate in the United States. This quantitative cross-sectional study’s aim was to determine what factors may have an impact on body image perceptions of AA women in Alabama and New Jersey. A gap in research this study addressed is sociodemographic and geographic differences that may impact obesity rates among AA women. The theoretical framework used for this study was the social cognitive theory. Secondary data were obtained from the 2018 Behavioral Risk Factor Surveillance System. Linear regression (LR) analyses results showed that none of the sociodemographic variables (education level, employment status, …

Relationship Between Capital Structure And Financial Performance Of U.S. Retail Bank, Nelson Jonah Usoro

Walden Dissertations and Doctoral Studies

AbstractThe decision to fund the operations of a company through debt or equity has implications for the long-term sustainability of the organization. The purpose of this quantitative causal-comparative study was to evaluate the impact of capital structure on the financial performance of U.S. retail banks and to observe the behavior of the banks during a time of crisis to determine whether capital structuring decisions could support the bank in surviving financial distress. The research questions focused on the effects of capital structure, including common stock equity with preferred stock compared to common stock equity with secured debt, on earnings, profitability, …

Retention Of Female Single Parents After The First Year Of Higher Education, Victoria Vannest

Walden Dissertations and Doctoral Studies

The problem this study addressed is that undergraduate, female, single parent students are less likely than other groups of women to complete college. The purpose of this basic qualitative study was to explore perceived challenges of persistence to degree completion of undergraduate, female, single parent students in a Southern state, at a suburban community college. The research question used in this basic qualitative study determined what perceived challenges undergraduate female single parents in higher education face during their first year as a student in a community college regarding persistence to degree completion. Using Tinto’s theory of student integration as a …

Health Educators’ Perspectives On Black And Latin@ College Students’ Health Literacy, Desiree Williams Brown

Walden Dissertations and Doctoral Studies

AbstractEmerging adulthood is a critical life stage when participation in higher education can facilitate the transition of young individuals into adulthood and independence. The barriers associated with low health literacy levels are higher among racial or ethnic groups facing health inequalities, including those enrolled in higher education institutions. The purpose of this basic qualitative study was to explore how health educators promoted the health literacy of Black and Latino emerging adult college students. The theoretical framework was based on Bandura’s social cognitive theory. Eight health professionals who served to promote health literacy across diverse college campuses and different states in …

Capacity-Building Strategies Leaders Of Nonprofit Organizations Use To Improve Performance, Ashley Williams

Walden Dissertations and Doctoral Studies

Capacity-building strategies to improve nonprofit organizational performance are essential, as 60% of nonprofit organizations are experiencing increased service demands while struggling to maintain adequate operational funds and fulfill their mission. Leaders of nonprofit organizations who fail to implement capacity-building strategies risk their organization’s ability to adapt, maintain solvency and relevance. Grounded in the strategic agility framework, the purpose of this qualitative multiple case study was to explore strategies leaders of nonprofit organizations implemented to build capacity and positively impact organizational performance. The participants comprised four leaders of nonprofit organizations in Texas who successfully used strategies to improve growth, capacity, and …

Effects Of Perpetrator Types And Gender-Based Violence On Condom Use Among Tanzanian Female Sex Workers, Lashonda Hall

Walden Dissertations and Doctoral Studies

HIV status among female sex workers (FSWs) continues to be a significant public health concern. Condom use is associated with HIV cases among FSWs. Gender-based violence (GBV) plays a role in FSWs HIV status. While studies have investigated the relationship between GBV and condom use, little is known about the impact of factors such as perpetrator type and substance use. I aimed to examine whether perpetrator type and substance use affect the relationship between GBV and condom use among FSWs in Tanzania. Secondary data analysis was performed on 1,502 FSWs extracted from the 2020 Tanzanian, John Hopkins Program for International …

Role Of Intravenous Access Support In Novice Nurses’ Job Satisfaction And Intent To Stay, Shaji Kurian

Walden Dissertations and Doctoral Studies

The nursing shortage is a growing concern across the country, especially due to the Covid-19 pandemic. Novice nurse retention is essential to solving this national problem. The purpose of this study was to examine whether intravenous (IV) access support influences job satisfaction and retention among novice nurses to improve their retention. Herzberg’s two-factor theory guided this research; IV access support acts as the hygiene factor. The absence of IV access support can result in dissatisfaction among novice nurses, contributing to higher turnover rates. This quantitative nonexperimental causal-comparative research design utilized a nurse work satisfaction questionnaire and intent to stay scale …

Correlational Study: Relationship Between Religiosity/Spirituality, Work Engagement, And Job Satisfaction., Peninah Kavengi Kyengo

Walden Dissertations and Doctoral Studies

AbstractEmployees desire self-fulfillment through meaningful work and look for ways to express their religiosity and spirituality experiences enhances their work engagement and job satisfaction. The problem is that limited understanding of these relationships prevents leaders and managers from implementing policies and procedures that develop or sustain an organizational culture to support employees' religiosity and spirituality. This study aimed to investigate the relationship between religiosity and spirituality (predictor variables) and employees' work engagement and job satisfaction (criterion variables); the research questions addressed these relationships. The theories of religiosity and spirituality formed the framework. The sample included 110 U.S. working adults recruited …

Cost-Containment Strategies Used By Hospital Business Leaders For Pharmaceutical Inventory, Julie Carlene Mccaughan

Walden Dissertations and Doctoral Studies

Ineffective strategies to contain the costs of medical supply inventory can result in financial loss and are a significant challenge for hospital leaders. Grounded in complex adaptive systems theory, the purpose of this qualitative single case study was to explore the cost-containment strategies that private hospital business leaders use to reduce the expense of pharmaceutical inventory. The participants comprised six private hospital business leaders in one healthcare organization in Myanmar. Data were collected from semistructured interviews, internal company documents, and publicly available annual reports. Four themes emerged from Yin’s five-step data analysis method: (a) management controls, (b) specialist engagement and …

Perspectives Of Law Enforcement Officers In A Suburban Community On Use Of Body Cameras, Todd Samuel Nagbe

Walden Dissertations and Doctoral Studies

Abstract

As law enforcement in the United States struggles to improve relationships with the communities they serve, especially in the wake of unprecedented police use of deadly force incidents, police community relations continue to deteriorate. With advancements in technology and the creation and introduction of the Internet, footage of police misconduct including the use of deadly force has been shared on social media in real time. This has made situations between the community and police fragile to a point where it sometimes results in rioting and other public disturbances. Many have asked if the introduction of police worn-body camera systems …

Evaluation Of An Orientation Program For Graduate Nurses Transitioning Into Professional Practice, Kristy Patrick-Lewis

Walden Dissertations and Doctoral Studies

The transition from student nurse to practicing professional is extremely challenging. The local organization experienced increases in turnover among new graduate hires and determined that adjustments to their orientation program to better meet the needs of new graduates were warranted. The problem that this doctoral project addressed is the lack of evaluation of the effectiveness of the new orientation program. The practice-focused question examined the effectiveness of the new orientation program at reducing turnover and improving satisfaction with the quality of the orientation program among new graduate nurses. The framework used to guide this study was Patricia Benner’s novice to …

Pharmacists’ Responses To Medication Management Following Disasters, Rellamichelle W. Tyree

Walden Dissertations and Doctoral Studies

Disasters, both natural and human made, can cause emerging health threats in the United States and the Caribbean. The disasters that pharmacists experienced and reported for this study included hurricanes, snowstorms, ice storms, flooding, and a pandemic. The purpose of this research was to investigate the challenges and outcomes associated with pharmacists’ medication management practices during and following disasters. This generic qualitative study focused on pharmacists’ experiences and their responses to disaster planning and medication management activities. The ecological model of disaster management was the conceptual framework used to investigate the pharmacists and their responses and actions used to address …

Oil Rig Trainees’ Perspectives On The Influence Of Drilling Simulation On Their Learning And Motivation, Adel Mohamed Hassanein Abdelaziz

Walden Dissertations and Doctoral Studies

Low enrollment levels in vocational drilling training programs in the Arabian Gulf area have resulted in a talent gap, with little success in building and retaining national crews. With current simulation technology, it is believed that trainees' learning, motivation, and achievements will increase; however, further study is needed to determine if these conclusions hold. The purpose of this basic qualitative study was to explore how using simulation technologies influences trainees' learning, motivation, and perspectives about completing their education at an oil-field drilling rig’s vocational training facility. Davis’s technology acceptance model concerning user reception of information systems formed the conceptual framework. …

Rehabilitation Counselor Competency When Working With Sci And Physical Disabilities, Denise M. Anderson

Walden Dissertations and Doctoral Studies

The purpose of this qualitative phenomenological study was to address the gap in knowledge of the perceived competency of rehabilitation counselors when working with patients with a spinal cord injury (SCI) and/or a physical disability. The factors that influence the mental health needs of person with SCI and the understanding of how rehabilitation counselors view their competency levels with supporting this population were explored. Selection criteria included licensed or certified rehabilitation counselors actively providing care for persons with SCI and/or a physical disability applying a theoretical framework. A qualitative descriptive phenomenological approach was used to address the central research question …

Parents’ And Teachers’ Perceptions Of Collaborative Relationships To Support Kindergarten Students’ Academic Achievement In Jamaica, Kasia Janae Archer-Howell

Walden Dissertations and Doctoral Studies

Parental involvement is a long-standing challenge that has impeded educational progress for students in the Caribbean region. The purpose of this qualitative study was to explore the perceptions of parents and teachers about collaborative relationships that support kindergarten students' academic achievement in Jamaica. The parent and family intervention framework and the ecological systems theory served as the conceptual framework. Research questions addressed how teachers and parents think collaborative relationships can be established to support kindergarten students’ academic achievement in Jamaica and the perceptions parents and teachers have about benefits and barriers to collaborative relationships that support kindergarten students’ academic achievement …

Increasing Knowledge Of A Weekend Staffing Policy Among Nurses Working Weekends, Fatima Bah

Walden Dissertations and Doctoral Studies

Abstract

The relationship between adequate nurse staffing and patient outcomes is well documented. The local organization identified a concern with appropriate weekend staffing due to repeated callouts by nurses. The purpose of this DNP project was to determine whether an educational intervention on the relationship between adequate staffing and positive patient outcomes, coupled with a review of the organization’s policy regarding weekend staffing, increases knowledge and awareness among nurses working weekends. Benner’s novice to expert theory and systems theory were used to ground this project. Following an invitational email, 20 individuals participated in the educational intervention. Most participants (n = …

Strategies For Succession Planning And Sustained Business Profitability For Small Business, Icy Mae Barton

Walden Dissertations and Doctoral Studies

Baby boomers are retiring rapidly and vacating prominent small business positions, leaving no one to replace them, which may result in business failure. When a small business fails, all stakeholders, including small business owners (SBOs), investors, employees, customers, and the community, suffer emotional and financial distress. Grounded in Argyris and Schön's organizational learning theory and Burns's transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies SBOs use to develop an effective succession plan. The participants were seven SBOs in the Washington, DC/Baltimore, MD metropolitan area who had been in business for more than 5 …