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Moral Distress Among Master’S Counseling Students Attending A Cacrep Accredited Counselor Training Program, Matthew Stevens Jan 2022

Moral Distress Among Master’S Counseling Students Attending A Cacrep Accredited Counselor Training Program, Matthew Stevens

Walden Dissertations and Doctoral Studies

Moral distress, an understudied phenomenon among the counseling profession, has been defined as an experience of knowing the right thing to do but being institutionally prevented from doing what is believed to be right. This phenomenon often occurs in hierarchical relationships, such as those between student and teacher or supervisor and supervisee, and may lead to psychological impairment, deviation from ethical standards, and professional burnout, which threatens the ability of professional counselors to initiate and maintain healthy professional relationships. The purpose of this descriptive, phenomenological study was to explore the lived experiences of six master’s level students attending counselor training …

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Business Strategies For Reducing Professional Labor Shortages Within The U.S. Construction Industry, Leabert Stewart Jan 2022

Business Strategies For Reducing Professional Labor Shortages Within The U.S. Construction Industry, Leabert Stewart

Walden Dissertations and Doctoral Studies

The U.S. construction industry is faced with skilled labor shortages that have made it more challenging, especially amid the COVID-19 pandemic, for project and business managers to meet industry quality standards and complete projects within budget and on time. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to explore strategies staffing managers use to hire and retain skilled labor. The data were gathered through semi-structured interviews with six successful staffing managers within the southeastern United States and then analyzed using thematic analysis. The themes that emerged were (a) employee retention, (b) recruitment of skilled …

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U.S. High School Administrators’ Challenges In Creating Transgender Inclusive Policies, Kimberly Stilwill Jan 2022

U.S. High School Administrators’ Challenges In Creating Transgender Inclusive Policies, Kimberly Stilwill

Walden Dissertations and Doctoral Studies

A gap in practice exists regarding the lack of inclusive policies in U.S. schools for transgender students. U.S. high school administrators experience challenges in creating inclusive policies that could potentially protect transgender students from being bullied or harassed. Guided by empowerment of minority students theory and minority stress theory, the purpose of this basic qualitative study was to explore the challenges U.S. high school administrators face in creating inclusive policies that protect transgender students from being bullied or harassed. Data were collected using semistructured interviews with 12 current high school administrators across the United States who have implemented transgender-inclusive policies. …

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Investigating The Experiences Of Foster Youth On Community College Campuses, Jerrica Stimage Jan 2022

Investigating The Experiences Of Foster Youth On Community College Campuses, Jerrica Stimage

Walden Dissertations and Doctoral Studies

At the age of 18, foster youth are considered adults and typically released from the state’s custody and left alone to transition into adulthood with little to no support. The lack of support that these youth experience forces many of them to seek refuge at colleges and universities. Prior to completing this study, I discovered that there is no current research that explores the lived experiences of former foster youth in the state of Mississippi or the challenges that they may face when transitioning to a community college in the state of Mississippi. The focus of this research study was …

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Relationship In Alaska Native Corporations' Return On Equity From Sector, Gregory Stuckey Jan 2022

Relationship In Alaska Native Corporations' Return On Equity From Sector, Gregory Stuckey

Walden Dissertations and Doctoral Studies

In 1999, Stephen Colt studied the 12 regional corporations formed under the Alaska Native Claims Settlement Act of 1971 (ANCSA). Colt reviewed the financial data from 1973 to 1993 and found the regional corporations lost approximately $380 million in business operations. However, the regional corporations increased their revenue from $714 million in 1993 to $8.575 billion in 2014. No further study of those subsequent 20 years has been conducted, so a data set to see if Colt’s conclusions hold was created. This multivariate correlational study tested two theories on the regional corporations: the theory of the economic efficiency of lump-sum …

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Information Systems Management And Sustainable Urban Development: A Case Study, Endris A. Suraj Jan 2022

Information Systems Management And Sustainable Urban Development: A Case Study, Endris A. Suraj

Walden Dissertations and Doctoral Studies

Sustainable Urban Development of Ethiopia lacks strategies to implement information systems management (ISM). Lacking appropriate ISM implementation has influenced the government’s plan on the four indicators of urban sustainability - Water, Air, Climate Change, and Population Growth. Grounded in the conceptual frameworks of Technology Acceptance Model (TAM) and Diffusion Of Innovation (DOI), the purpose of this qualitative single case study aims to explore ISM for sustainable urban development in Ethiopia. The participants were 12 Development Associates (DAs) who have been participating in implementing of ISM. Data was collected through a one-to-one interview, National documents, the Environmental Protection Office of Ethiopia, …

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Self-Identifying Latino/A/X Former Mental Health Therapy Clients’ Experiences Receiving Mental Health Therapy, Teresa Sypolt Jan 2022

Self-Identifying Latino/A/X Former Mental Health Therapy Clients’ Experiences Receiving Mental Health Therapy, Teresa Sypolt

Walden Dissertations and Doctoral Studies

The Latino/a/x population in the United States continues to increase as does the need for mental health professionals who are bilingual and knowledgeable on multicultural issues. Spanish is the native language spoken in approximately 13% of the households in the United States, with 36% of Spanish-speakers seeking mental health treatment. Research on therapists serving Latino/a/x clients indicated that therapists struggled to provide culturally sensitive and linguistic appropriate interventions. While therapists’ challenges and experiences have been explored, little is known on the therapeutic experiences of Latino/a/x former clients. The purpose of this interpretative phenomenological analysis was to explore the therapeutic experiences …

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Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili Jan 2022

Impact Of Poverty On Antibiotic Prescribing Rates In The United States Through Mediation Effects Of Underlying Health Conditions, Nato Tarkhashvili

Walden Dissertations and Doctoral Studies

Resistance to antibiotics among bacteria develops largely due to frequent use of antibiotics in human and animal medicine. Little is known about how patients’ socioeconomic factors, in conjunction with chronic health conditions, impact antibiotic prescribing rates in the United States. The research questions aimed to explore the relationship between poverty and antibiotic prescribing rates while also adjusting for confounders such as population aged ≥ 65, physician density, prevalence of obesity, diabetes, and chronic obstructive pulmonary disease (COPD). The relationships were evaluated using a quantitative, ecological study design using the ecosocial theory and mediation analysis of 2020 survey results provided by …

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Exploring Discretionary Practices Of Civilian Police Officers During Traffic Stop While Working In A Military Community, Lisa Michelle Tartt Jan 2022

Exploring Discretionary Practices Of Civilian Police Officers During Traffic Stop While Working In A Military Community, Lisa Michelle Tartt

Walden Dissertations and Doctoral Studies

The individuals who reside in military communities must abide by the rules of both the military and the civilian communities. When an individual is stopped for a traffic violation in a military community, their driver’s license is requested but the military- affiliated personnel often present their military identification card also. Some may expect leniency due to their military affiliation while others do not. However, there are no studies covering police discretion in a military community during traffic stops. Using social stratification theory, the purpose of this study was to understand officers’ perspectives on discretion during traffic stops and how their …

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Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis Jan 2022

Military Health Services Impact On Patient Understanding Of The Zika Virus Within A Military Community, Gabrielle Tellis

Walden Dissertations and Doctoral Studies

AbstractThe Zika virus does not have a known treatment, despite ongoing efforts since 2016 to develop a vaccine. The Zika virus has been labeled by World Health Organization and the Department of Defense as a threat to the readiness, resiliency, and preparedness of military service members and dependents that currently travel or serve in areas where high concentrations of the virus are present. As such, it is important to understand how the military community understanding of the Zika virus is impacted by military health services and education. A phenomenological qualitative approach was utilized to conduct this study. Twenty active-duty military …

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Factors Influencing The Effectiveness Of Managing Human–Robot Teams, Theodore B. Terry Jan 2022

Factors Influencing The Effectiveness Of Managing Human–Robot Teams, Theodore B. Terry

Walden Dissertations and Doctoral Studies

Certain factors can influence the capabilities of a robot–human team by affecting their social and behavioral dynamics in a work environment. But these factors were not known due to the progressive nature of human–robot partnerships and a lack of peer-reviewed literature on the topic. This e-Delphi study aimed to identify and understand these unknown influential factors based on the participants’ insights. The overarching research question asked about the need to determine factors that might influence the effectiveness of managing human-robot teams. The basis for the conceptual framework for this study was the theory of communication used in organizational management. Twelve …

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Literacy Score Gains In Grades K-2 In A Response To Intervention Program, Diana Dawn Thill Jan 2022

Literacy Score Gains In Grades K-2 In A Response To Intervention Program, Diana Dawn Thill

Walden Dissertations and Doctoral Studies

Fewer than half of students demonstrated proficiency on Michigan state-administered summative assessments at the end of third grade at a rural, Title I school in Michigan. The purpose of this quantitative study was to compare reading fluency gains between grade levels (i.e., kindergarten, first, and second grades) in an effort to better understand which grade level demonstrates the most growth. The framework for this research study was the constructs of the variability of learning disabilities. Using a sample of 260 cases, this ex post facto pre-post quantitative study investigated the measurable fluency gains between grade levels in the Dynamic Indicators …

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Counselor Experience With Outcomes Of Telehealth And Substance Use Disorder, Shamarah Thomas-Hutchins Jan 2022

Counselor Experience With Outcomes Of Telehealth And Substance Use Disorder, Shamarah Thomas-Hutchins

Walden Dissertations and Doctoral Studies

Prior to 2020, telehealth, the remote delivery of health care via digital information and communication technologies, was rarely used in substance use disorder (SUD) treatment facilities. The onset of COVID-19 quickly created a shift to telehealth services for the safety and health of providers and patients. Researchers have explored many aspects of telehealth, including the client and counselor/client experience, but have not studied the counselor experience separately. The purpose of this qualitative study was to better understand counselors’ lived experiences pertaining to telehealth use; perceptions of how it impacts clinical performance, self-efficacy, and training; and beliefs about its effectiveness when …

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An Educational Program For Nurses To Incorporate Spiritual Care Into Clinical Practice, Alicia J. Thomas Jan 2022

An Educational Program For Nurses To Incorporate Spiritual Care Into Clinical Practice, Alicia J. Thomas

Walden Dissertations and Doctoral Studies

Spiritual well-being is associated with several positive outcomes, including a greater tolerance of the emotional and physical demands of illness. Spiritual care is a basic element of holistic nursing, yet nurses generally lack spiritual care knowledge and abilities and are often unable to satisfy patients’ spiritual care needs. Therefore, nurses are in urgent need of relevant training to enhance their abilities to provide patients with spiritual care. Evidence-based education was lacking at the project site, a privately owned long-term care facility. Primary care attention was focused on the patients’ physical care; however, insufficient attention was being paid to spiritual care, …

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Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones Jan 2022

Bmi Screening Tool To Identify Elementary School Children At Risk For Obesity, Talia S. Thompson-Jones

Walden Dissertations and Doctoral Studies

Obesity is a public health epidemic and is as relevant in the pediatric population as it is in adults. The purpose of this DNP project was to develop a clinical practice guideline (CPG) that would use existing evidence to support the development of body mass index (BMI) screening in primary schools for the early detection of childhood obesity. Globally, more than 41 million children were obese or overweight by 2018. Due to incidence rates, developing an effective strategy to address childhood obesity is critical. The practice-focused question asked whether the evidence supported the development of a CPG for implementing BMI …

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Leadership Strategies For Obtaining Employee Involvement In A Behavioral Health Organization, David Henry Thompson Jan 2022

Leadership Strategies For Obtaining Employee Involvement In A Behavioral Health Organization, David Henry Thompson

Walden Dissertations and Doctoral Studies

Maintaining a stable and engaged workforce is essential in providing quality treatment to individuals with behavioral health disorders. Soliciting and accepting input and feedback from workforce members is vital in ensuring that competent staff is available to this vulnerable population. Behavioral health leaders can facilitate this goal by cultivating environments that support employee involvement in organizational decision-making. This case study focused on identifying strategies for obtaining employee involvement by examining organizational culture and perceptions, with specific attention to existing opportunities for engaging the workforce in corporate decisions. Using the Baldridge Excellence Framework conceptually, data collection comprised five leadership interviews, organizational …

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The Veteran Administration’S Appointment Scheduling Processes’ Effect On The Homeless Women Veteran’S Phenomenon, Vicki Ann Thompson Jan 2022

The Veteran Administration’S Appointment Scheduling Processes’ Effect On The Homeless Women Veteran’S Phenomenon, Vicki Ann Thompson

Walden Dissertations and Doctoral Studies

Concealed numbers of homeless women veterans could be exposed in the Veterans Administration (VA) appointment scheduling data. The challenges of scheduling healthcare or mental health appointments with the VA could prevent homeless women veterans from gaining access. Studies have shown the problems that male veterans have with scheduling appointments. However, not much research exists on the issues homeless female veterans face in scheduling appointments with the VA. This quantitative study examined the correlation between the number of women and men veterans on the VA’s electronic wait list and the percentages of unsheltered women and men veterans at the Continuum of …

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Vitamin K Deficiency And Ischemic Stroke In Atrial Fibrillation Patients On Warfarin, Kimberly Therese Thompson Jan 2022

Vitamin K Deficiency And Ischemic Stroke In Atrial Fibrillation Patients On Warfarin, Kimberly Therese Thompson

Walden Dissertations and Doctoral Studies

Individuals with poor nutritional vitamin K status can suffer from atrial fibrillation (AF) due to misinterpretation of warfarin instructions by healthcare providers. The purpose of this quantitative study was to determine if there was an association between inadequate dietary vitamin K intake in AF patients and stroke outcomes to address the lack of research surrounding stroke outcomes in patients with true vitamin K deficiency. Grounded in the health belief model, this study assessed if individual beliefs from health education influenced the nutritional quality of their diet and health outcomes. The study is a secondary data analysis of the Framingham Heart …

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Systematic Literature Review Of Residency Program For Transition To Intensive Care, Sonja Marguerite Thornton Jan 2022

Systematic Literature Review Of Residency Program For Transition To Intensive Care, Sonja Marguerite Thornton

Walden Dissertations and Doctoral Studies

The purpose of the systematic literature review project is to present the benefits of a nurse residency program (NRP) to assist new graduate nurses (NGNs) in transition to intensive care nursing. A theory-to-practice gap in knowledge and experience results in the need to support these nurses during their transition to professional practice. This project focused on compiling a systematic review of existing literature to provide evidence and insights into the optimal structure and process of transitioning new graduate nurses to intensive care nursing practice. The American Associations of Critical Care Nurses synergy conceptual model and Patricia Benner's novice to expert …

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Clinical Practice Guideline For Preventing Falls In Geriatric Patients, Rachida Abboud Todd Jan 2022

Clinical Practice Guideline For Preventing Falls In Geriatric Patients, Rachida Abboud Todd

Walden Dissertations and Doctoral Studies

AbstractFalls among geriatric patients within the acute care setting constitute significant threats to their physical and mental health and quality of life. Falls, with or without injuries, can prolong the length of stay at the hospital and cause early placement in an aged care institution. The etiology of falls is a multifactorial phenomenon involving cumulative risks shared by many adults. In answering the practice focused question, the purpose of this doctorate project was to develop an evidenced-based clinical practice guideline (CPG) to provide a standardized guide to provide ready access to the evidence-based interventions found to be most effective in …

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Depression Among Older Immigrant African Women In Metro West Massachusetts, Bi Toh Jan 2022

Depression Among Older Immigrant African Women In Metro West Massachusetts, Bi Toh

Walden Dissertations and Doctoral Studies

AbstractThis study addressed depression among older immigrant African Women in Metro West Massachusetts to better understand the causes and prevalence of depression among older women coming from Africa to live in the United States. The study situated older women to be above the age of 55 and focused on exploring the views of social workers in relation to issues of depression among these women. It addressed the factors that influence older immigrant African women’s adaptive capacity in Metro West Massachusetts, the mental health service social workers offer to older women from Africa living in the United States, how social workers …

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Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo Jan 2022

Evangelical Families’ Experiences Of Mental Health Challenges, Elom Togbi-Wonyo

Walden Dissertations and Doctoral Studies

Evangelical Christians with mental distress in the family face stigma, adverse psychological and physical health effects, and financial hardships. They often mistrust professional counselors, preventing them from accessing much-needed support. The purpose of this descriptive phenomenological study was to gain knowledge about Evangelical Christians’ everyday life with a family member experiencing mental distress and their perceptions of the faith community’s responses. After collecting accounts from eight participants through one-on-one interviews, Giorgi’s psychological phenomenological method was used for data analysis, resulting in the identification of seven themes and 19 subthemes. The results showed that living with a family member experiencing mental …

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African American Male College Graduates’ Paternal Incarceration Experiences, Natassia Toxey Askew Jan 2022

African American Male College Graduates’ Paternal Incarceration Experiences, Natassia Toxey Askew

Walden Dissertations and Doctoral Studies

Various public polices contributed to the significant increase of parent incarceration in the United States among African Americans. The purpose of this transcendental phenomenological study was to gain an understanding of the perspective of African American male college graduates who experienced paternal incarceration during childhood and/or adolescence about the role of family and persevering to obtain a college degree by the age of 30. Utilizing a transcendental phenomenological approach to describe the essence of paternal incarceration as experienced by 12 participants, emergent themes were uncovered to build the characteristics of success relative to the role of family. The modified van …

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The Perception And The Perceived Readiness Of Individuals While Working Remotely During The Covid-19 Pandemic, Argyro Tsampis-Tripodis Jan 2022

The Perception And The Perceived Readiness Of Individuals While Working Remotely During The Covid-19 Pandemic, Argyro Tsampis-Tripodis

Walden Dissertations and Doctoral Studies

AbstractAt the beginning of the Covid-19 pandemic, some individuals were sent home to work remotely to honor social distancing measures. Individuals were challenged to create a workspace, obtain the technology needed, and create a balance between work and private life. Emotional distress may have been caused by overlapping work into personal life or psychological problems due to social distancing for some individuals. The current research aimed to understand the lived experiences of the individuals sent home to work remotely during the Covid-19 pandemic. A transcendental phenomenon methodology captured the insights, adaptations, and perspectives of individuals working remotely during the Covid-19 …

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Strategies Small-And Medium-Sized Enterprise Leaders Use For Sustainability Beyond 5 Years In Rivers State, Olawe Alaba Tula Jan 2022

Strategies Small-And Medium-Sized Enterprise Leaders Use For Sustainability Beyond 5 Years In Rivers State, Olawe Alaba Tula

Walden Dissertations and Doctoral Studies

Small and medium-sized enterprise (SME) leaders lacking sustainability strategies experience high rates of business failure through loss of profit. A high rate of SME failure is linked to a lack of competitive advantage, resulting in decreased productivity and profitability. Grounded in resource-based view theory, the purpose of this qualitative multiple case study was to explore strategies that three SME leaders in Rivers State used to sustain their businesses beyond 5 years. Data were collected from semistructured interviews and company documents, including employee handbooks and annual reports. The three themes that emerged through thematic analysis were strategic management, stakeholder management strategies, …

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Physical Activity Assessment And Staff Education For Oncology Nurses, Laurie Jean Tyer Jan 2022

Physical Activity Assessment And Staff Education For Oncology Nurses, Laurie Jean Tyer

Walden Dissertations and Doctoral Studies

Physical activity and mobility are key indicators of treatment and disease tolerance in cancer patients. Patients are living longer during and after cancer treatment, and staying active prevents many side effects of the disease and the treatment. Staying mobile also prevents some conditions from occurring including bone and muscle loss. A nursing educational platform was identified as a need in the facility site’s cancer center on the importance of patients staying physically active throughout cancer treatment. Nurses did not feel confident to coach patients on their activity levels which was an identified gap in their nursing practice. A nursing educational …

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Barriers To The Implementation Of Effective Sustainable Development Plans In Sierra Leone: Stakeholders’ Perspectives, Mohamed Nabie Turay Jan 2022

Barriers To The Implementation Of Effective Sustainable Development Plans In Sierra Leone: Stakeholders’ Perspectives, Mohamed Nabie Turay

Walden Dissertations and Doctoral Studies

Abstract:Stakeholders’ competing positions with elected officials created barriers to the effective implementation of sustainable environmental policies. This study aimed to explore the barriers to implementing the National Environmental Policies (NEP), passed by the parliament of Sierra Leone in the 1990s. Sabastier and Jenkin-Smith’s advocacy coalition framework model provided the theoretical foundation for this study. The key research question explored is stakeholders’ perceptions of the barriers to effectively building coalitions to implement sustainable development policies like the NEP in Sierra Leone. A case study research approach was used to understand the barriers to implementing the NEP in Sierra Leone. Data were …

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Exploring The Role Of Attachment Trauma In The Complex Ptsd Victim’S Self-Concept, Sadia Upright Jan 2022

Exploring The Role Of Attachment Trauma In The Complex Ptsd Victim’S Self-Concept, Sadia Upright

Walden Dissertations and Doctoral Studies

Complex posttraumatic stress disorder is a very serious mental health condition with long-term side effects that impact a victim’s quality of life. Many studies have been conducted that explore various aspects of complex posttraumatic stress disorder. However, there is a gap in research exploring the role of attachment trauma in the development of self-concept for complex posttraumatic stress disorder victims. This gap is relevant because treatment of this population has been decisively limited and attachment trauma has been found to be a correlate among many psychiatric groups. By identifying how attachment trauma develops self-concept, researchers and clinicians can be better …

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Development And Validation Of A Clinical Practice Guideline For Telemedicine, Jennifer Johnell Upton Jan 2022

Development And Validation Of A Clinical Practice Guideline For Telemedicine, Jennifer Johnell Upton

Walden Dissertations and Doctoral Studies

Access to healthcare necessitated the utilization of telemedicine during the international pandemic of COVID 19. Telemedicine use surged in family practice in 2020 with limited resources for appropriate telemedicine patients. The problem identified for this DNP project was the lack of resources for telemedicine guidelines in family practice. The purpose of this project was to create a clinical practice guideline (CPG) to initiate screenings for appropriate patients for telemedicine. The Plan, Do, Study, Act (PDSA) concept and framework were utilized to develop the CPG. The project question identified was whether the development of a CPG on telehealth delivery in a …

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Exploring Business Strategies For Assuring Compliance To Changes In Employment Law, Kyla M. Vanchieri Jan 2022

Exploring Business Strategies For Assuring Compliance To Changes In Employment Law, Kyla M. Vanchieri

Walden Dissertations and Doctoral Studies

Noncompliance with employment and labor laws can result in compensatory and punitive damages, adversely impacting business profitability. Human Resources (HR) personnel who lack strategies to anticipate and react to changes in employment laws risk penalties for noncompliance, resulting in reduced profitability. Grounded in the top-down model of adaptation and political risk management, the purpose of this qualitative multiple case study was to explore strategies some HR personnel use to anticipate and react to changes in employment laws to avoid compensatory and punitive damages. The participants included nine HR personnel from nine organizations in the District of Columbia, Maryland, and Virginia …

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