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Weight Management Clinical Practice Guidelines For The Obese, Pre-Diabetic, And Diabetic Population, Dawn Williams Jan 2022

Weight Management Clinical Practice Guidelines For The Obese, Pre-Diabetic, And Diabetic Population, Dawn Williams

Walden Dissertations and Doctoral Studies

AbstractDiabetes is among chronic or lifestyle-related illnesses posing health care challenges at epidemic proportions, pressuring health care systems infrastructure for positive outcome-driven practices and sustainable costs, as continued research suggests that obese people are up to 80 times more likely to develop type 2 diabetes. In June 2021, a weight-loss and wellness center serving this high-risk population established recommended guidelines for Hemoglobin A1C (HbA1C) screening and education. During the initial 3 months of implementation, data findings captured 37% in a total of 220 with elevated HbA1C levels. The gap in practice is that the Wellness Center did not have a …

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Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson Jan 2022

Exploring The Behavioral Health Clinician Shortage At A Rural Midwestern U.S. Agency, Tracy L. Wilson

Walden Dissertations and Doctoral Studies

Behavioral health clinician shortages are a significant and ongoing problem in the United States, especially in rural areas, which have higher rates of homelessness, suicide, substance use, and violence rates than urban areas. The purpose of this qualitative case study was to explore factors contributing to the behavioral health clinician shortage in a rural midwestern U.S. public health department. The goal was to gain a better understanding of this shortage and explore strategies and solutions for recruiting and retaining behavioral health clinicians at the agency’s facilities. The Baldrige excellence framework undergirded the investigation. Data sources included interviews with three administrative …

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Allied Health Professionals’ Lived Experiences Concerning Organizational Justice And Inclusion, Jozette A. Wood Jan 2022

Allied Health Professionals’ Lived Experiences Concerning Organizational Justice And Inclusion, Jozette A. Wood

Walden Dissertations and Doctoral Studies

AbstractThe lived experiences of allied health assistants (AHAs) are not well understood regarding organizational justice (OJ) and their sense of inclusion within their workplace. Although, OJ and inclusion have been an area of study among scholars for over a decade; the amount of literature supporting AHAs perceptions of these constructs is limited. The purpose of this phenomenological study was to gain a deeper understanding of AHAs’ perceptions of the components of OJ (i.e., distributive, and procedural) and the potential implications for their sense of inclusion. Justice judgment theory provided the theoretical framework for this study. Three primary research questions were …

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Fidelity Of Implementation Of A Balanced Literacy Program In The Elementary Classroom, Shalonda Young Jan 2022

Fidelity Of Implementation Of A Balanced Literacy Program In The Elementary Classroom, Shalonda Young

Walden Dissertations and Doctoral Studies

AbstractThe local problem is that literacy in the target school district continues to rank below the state average and the fidelity of implementation (FOI) of balanced literacy (BL) has not been addressed since BL was initiated in 2014 to address student literacy achievement. Teachers reported limited professional development (PD) and lack of motivation to implement BL as designed. The purpose of this basic qualitative research study was to explore elementary English language arts (ELA) teachers’ and support staff personnel’s perceptions of the FOI of a BL program in the target school district ELA classrooms to determine in what ways the …

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Employee Engagement In A Clinical Ambulatory Setting, Paulette Zolicoffer Jan 2022

Employee Engagement In A Clinical Ambulatory Setting, Paulette Zolicoffer

Walden Dissertations and Doctoral Studies

Low employee engagement can result in adverse business outcomes. Healthcare managers who lack strategies to increase employee engagement risk lower employee productivity and overall profitability. Grounded in organizational support theory, the purpose of this qualitative single case study was to explore strategies healthcare ambulatory managers use to increase employee engagement successfully. The participants were four mobile clinic managers from one organization in the northwest suburban region of Illinois who successfully implemented strategies to increase employee engagement. Data were collected using semistructured interviews and reviewing company documents and reports related to employee engagement. Through thematic analysis, three themes were identified: perceived …

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Relationship Between Healthcare Provider Communication And Preventable 30-Day Copd Readmission Rates, Jonathan Butler Jan 2022

Relationship Between Healthcare Provider Communication And Preventable 30-Day Copd Readmission Rates, Jonathan Butler

Walden Dissertations and Doctoral Studies

AbstractThe Centers for Medicare and Medicaid Services implemented the Hospital Readmission Reduction Program in 2012. Ten years later, hospitals across the United States have had negligible improvement in reducing preventable 30-day hospital readmissions for COPD patients. Healthcare, specifically the hospital setting, consists of complex processes and procedures. Not one process or procedure is the sole cause of correcting excessive preventable 30-day readmissions of patients with COPD. The essential elements of provider communication were studied using the Complex Adaptive Systems theory in this quantitative study. Each fundamental element of provider communication was the independent variable, and the preventable 30-day COPD excessive …

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Equitable Strategies: Teachers’ Expectations And The Academic Achievement Of African American Males, Danielle R. Green Jan 2022

Equitable Strategies: Teachers’ Expectations And The Academic Achievement Of African American Males, Danielle R. Green

Walden Dissertations and Doctoral Studies

Many African American males in high school do not acquire the knowledge and information that can make them successful in their education goals. This study focused on African American male high school students regarding the instructional practices that could help them succeed academically, so that teachers can be more successful in their teaching of African American students. The purpose of the qualitative study was to explore teachers’ perspectives on the curriculum, instruction, and assessment practices they believe most influence the academic achievement of African American males. The findings may provide insights into the educational practices that most contribute to African …

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The Perspectives Of Former Csec On The Recruitment Process Through Online Platforms, Shawnte Beacham-Houston Jan 2022

The Perspectives Of Former Csec On The Recruitment Process Through Online Platforms, Shawnte Beacham-Houston

Walden Dissertations and Doctoral Studies

Commercial sexual exploitation of children (CSEC) is the sexual exploitation of children for financial gain and is a billion-dollar industry. The sexual exploitation of children is a serious form of sexual abuse and a violation of their human rights. Previous research has explored sex trafficking victimization but not pathways to sexual exploitation. Current research does not explain how online activities and specific internet platforms are involved in CSEC recruitment and entry into the commercial sex trade industry. In this study, the way in which social media platforms are used to recruit children into the sex trade industry was addressed. The …

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Lived Experiences Of Life Partners Of Police Officers Working In Crimes Against Children Units, Maria Beagle Jan 2022

Lived Experiences Of Life Partners Of Police Officers Working In Crimes Against Children Units, Maria Beagle

Walden Dissertations and Doctoral Studies

Police stress is an ongoing concern in law enforcement; however, limited research has demonstrated how work-related stress affected life partners of police officers. According to Selye’s stress theory, the occupational demands placed on individuals can negatively impact their personal lives and their relationships. Law enforcement officers, especially those working cases that are sexual in nature, experience significant emotional distress. This study sought to examine the lived experiences of the partners of those who work in Crimes Against Children (CAC) units. CAC units include investigative evidence that has been considered traumatic. Specific examination of stress that life partners experience was conducted …

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Fortitude, Spiritual Fortitude, And The Cancer Care Continuum In African American Breast Cancer Survivors, Karen Y. Boone Jan 2022

Fortitude, Spiritual Fortitude, And The Cancer Care Continuum In African American Breast Cancer Survivors, Karen Y. Boone

Walden Dissertations and Doctoral Studies

African American breast cancer survivors (AABCS) struggle with physical, emotional, psychological, spiritual, and financial challenges. Navigating these challenges can require the use of inner resources such as fortitude and spiritual fortitude. Using Folkman and Lazarus’ transactional model of stress and coping as the theoretical framework, the purpose of this study was to examine fortitude and spiritual fortitude as coping responses by African American women living with breast cancer and whether fortitude and spiritual fortitude were associated with phases of the cancer care continuum. A quantitative nonexperimental cross-sectional design was used for primary data collection that involved using Pretorius’ Fortitude Questionnaire …

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Dispositional Joy As A Mediator Of Adverse Childhood Experiences And Parental Reflective Functioning, Mollie Brady Jan 2022

Dispositional Joy As A Mediator Of Adverse Childhood Experiences And Parental Reflective Functioning, Mollie Brady

Walden Dissertations and Doctoral Studies

Parental reflective functioning (PRF) is a critical contributor to positive parenting outcomes. Early adverse experiences are a significant risk factor for insensitive parenting practices and poor PRF. Researchers have found that positive emotions, such as dispositional joy (DJ), influence both parenting outcomes and building resilience to stressful events. Adverse childhood experiences (ACEs), DJ, and PRF have been studied extensively in the literature as separate or paired constructs. However, to date, no studies have examined how these variables interact with each other. The purpose of this quantitative study was to explore the relationship between ACEs, DJ, and PRF, and the mediating …

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Mothers’ Perceptions Of Quality Of Life After A Prison Nursery Program, Gwendolyn D. Burke Jan 2022

Mothers’ Perceptions Of Quality Of Life After A Prison Nursery Program, Gwendolyn D. Burke

Walden Dissertations and Doctoral Studies

AbstractRoughly 1,400 babies are born annually to incarcerated women in the United States. A few mothers keep their babies with them in a prison nursery program. Most incarcerated women return to living in a community setting. The purpose of this qualitative study was to explore the experience of mothers transitioning from a prison nursery program to a community-based program with their prison-born child and their perception of their quality of life (QOL) postincarceration. Sen’s capability approach of well-being, including a multidimensional measure of QOL, was the theoretical foundation for this study. In-depth semistructured interviews were used to explore the experience …

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Obesity's Impact Among Asian Americans In Southern California, Alyssa Mae Sunga Carlos Jan 2022

Obesity's Impact Among Asian Americans In Southern California, Alyssa Mae Sunga Carlos

Walden Dissertations and Doctoral Studies

Obesity continues to be an important public health issue in the United States, especially among minority populations. However, one minority group experiences the lowest obesity rate: Asian Americans. As a result, there is not much research available involving the impact of obesity and weight gain among this population. The purpose of this basic qualitative exploratory study was to improve the understanding of obesity’s impact on the Asian American population, specifically in Southern California, whose goals were to lose weight and become more informed about obesity’s impact on health. The study consisted of three main research questions. Twenty-five participants were interviewed …

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Understanding Effective Parental Involvement Activities Across Ses, Monique Antoinette Carrington Young Jan 2022

Understanding Effective Parental Involvement Activities Across Ses, Monique Antoinette Carrington Young

Walden Dissertations and Doctoral Studies

Parental involvement is pivotal for impoverished middle school students to achieve academic achievement. The purpose of this study was to evaluate the relationship of parental involvement activities and academic achievement for impoverished middle school students. Epstein’s six parental involvement types was the theoretical framework for the research study. The six independent variables of parental involvement were parenting, volunteering, learning at home, decision making, communicating, and collaborating with community The relationship for each parental involvement activated to academic achievement as measured by grade point average was evaluated. A quantitative research design was applied using archival data from the U.S. Department of …

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School Social Workers’ Perceptions Of Compassion Fatigue Syndrome, Gloria I. Collazo Cartagena Jan 2022

School Social Workers’ Perceptions Of Compassion Fatigue Syndrome, Gloria I. Collazo Cartagena

Walden Dissertations and Doctoral Studies

School social workers face domestic violence, trauma, social violence, and mental and emotional health problems in their work context. Indeed, compassion fatigue results from professionals’ continuous exposure to these problems. This study explored school social work professionals’ perceptions of compassion fatigue. For this, the following questions were explored:the perception of school social workers working for the Puerto Rico Department of Education about compassion fatigue.

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Leadership Styles And Rn Turnover Intentions In Long-Term Care Facilities, Kelli M. Casey Jan 2022

Leadership Styles And Rn Turnover Intentions In Long-Term Care Facilities, Kelli M. Casey

Walden Dissertations and Doctoral Studies

Employee turnover is a concern for leaders in the nursing home industry because employees with turnover intentions may negatively impact the continuity of operations and strategic plans, resulting in poor quality of care for residents. Grounded in House's path-goal theory, the purpose of this quantitative, correlational study was to examine the relationship among idealized attributes, idealized behaviors, inspirational motivation, intellectual stimulation, individualized consideration, contingent reward, management by exception-active management by exception-passive, and turnover intentions in RNs. The independent variables were the subcategories of transformational and transactional leadership. The dependent variable was turnover intentions. Participants included 110 nonmanagement RNs working in …

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Small Construction Business Owners’ Strategies To Reduce Voluntary Employee Turnover., Joel Chagadama Jan 2022

Small Construction Business Owners’ Strategies To Reduce Voluntary Employee Turnover., Joel Chagadama

Walden Dissertations and Doctoral Studies

Voluntary employee turnover has caused considerable damage to small construction businesses, significantly affecting productivity, profitability, and sustainability. Small construction business owners who lack strategies to reduce voluntary employee turnover may lose experience and valuable knowledge among their employees, negatively impacting the team’s ability to perform. Grounded in the job embeddedness theory, the purpose of this qualitative multiple case study was to explore strategies small construction business owners use to reduce voluntary employee turnover. Participants were four successful small construction business owners in Virginia who successfully implemented strategies that reduced voluntary employee turnover by 75% over 5 years. Data were collected …

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Caregiver Perceptions Of The Helping Families In Mental Health Crisis Act, Odinakachi Chigewe Jan 2022

Caregiver Perceptions Of The Helping Families In Mental Health Crisis Act, Odinakachi Chigewe

Walden Dissertations and Doctoral Studies

Caregivers often experience increased stress when raising children who have a mental illness. Awareness of the various challenges caregivers face enables the offering of improved support. The Helping Families in Mental Health Crisis Act of 2016 (HR2646) improves and raises the profile of mental health within the government chart. This qualitative phenomenological study was guided by questions aimed at identifying caregiver perceptions of The Act and understanding caregiver input and opinions on the impact of this policy. Howlett’s five stream framework of the policy process and Kingdon’s multiple streams model provide the theoretical framework for this study. Individual telephonic interviews …

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Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen Jan 2022

Experiences Of Mechanical Circulatory Support Patients With Primary Implant Education, Dawn Michelle Christensen

Walden Dissertations and Doctoral Studies

Advancement in mechanical circulatory support (MCS) device therapy has led to increased use in heart failure therapy and relies on optimized patient education for successful support. The purpose of this 3-manuscript study, guided by the Husserlian transcendental phenomenological method, was to explore the lived experiences of (a) patients with primary mechanical circulatory support education (PMCSE), (b) patients who undergo unplanned MCS implantation with PMCSE, and (c) patients who undergo planned MCS implantation with PMCSE. Eleven participants were recruited (eight planned, three unplanned) from MCS targeted social media sites and interviewed using a semistructured open-ended question format. Data were analyzed using …

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Physician Authentic Leadership As Health Care Managers And Its Impact On Subordinates’ Ethical Strength, Eddie M. Christian Jan 2022

Physician Authentic Leadership As Health Care Managers And Its Impact On Subordinates’ Ethical Strength, Eddie M. Christian

Walden Dissertations and Doctoral Studies

Physicians exercising the characteristics of authentic leaders may be better equipped to affect the ethical strength of health care staff and provide a vehicle for reducing corruption in the health care industry. This position suggests that physicians practicing with these particular qualities are more effective than those who are not genuine, transparent, or committed to maintaining emotional balance in their work relations. The purpose of this quantitative correlational study was to determine whether physician authentic leadership (AL) moderated the relationship between physician emotional intelligence (EI) and the moral potency of their billing and codes managers. Survey data were collected from …

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The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark Jan 2022

The Longevity Of A Law Enforcement Career Post Critical Incident, Alyce E. Clark

Walden Dissertations and Doctoral Studies

Law enforcement officers experience traumatic events that can have an impact on their health and their career. Regardless of the continued research on police and mental health, challenges persist. The stigma is that law enforcement officers are tough and keep their emotions to themselves; however, they are human, like the community they serve. Due to possible consequences related to officers discussing having mental health problems after critical incidents, police officers may be reluctant to seek help due to backlash. Interviews were completed in a two-tier format that led to follow-up questions with surveys specifically related to alcohol and burnout found …

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Work Engagement In A Changing Nonprofit Environment, Shukura Crevelle Jan 2022

Work Engagement In A Changing Nonprofit Environment, Shukura Crevelle

Walden Dissertations and Doctoral Studies

Employee engagement is defined as a positive, fulfilling, work-related state of mind and describes work team members who gain a sense of connection in what they do. This has an impact on the physical, mental, and emotional health of the employee and the health of the organization. There was a need to explore contributing factors to employee engagement in a changing remote organization because there was a current gap in the literature regarding employee engagement and organizational change. The purpose of this qualitative study was to explore causes to low engagement among employees in a nonprofit organization located in the …

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Parenting Style Influence On Future Criminal Behaviors Among Adopted Children In Mozambique, Neidi De Carvalho Jan 2022

Parenting Style Influence On Future Criminal Behaviors Among Adopted Children In Mozambique, Neidi De Carvalho

Walden Dissertations and Doctoral Studies

Adoption is the process by which an adult legally becomes the parent of a child. This results in the child having the protection of a family and the same rights as a biological child. In Mozambique, there is a lack of research concerning the parenting practices of adoptive parents. This study was conducted to identify the parenting styles of Mozambican adoptive parents to determine if these parenting practices affect the well-being of the adopted child. In this qualitative study, data were collected through virtual interviews with four adoptive parents. Interviews were transcribed manually, and participants confirmed the accuracy of the …

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Compassion Fatigue And Resilience In Long-Term Care Nurses, Dierdre C. De Gravina Jan 2022

Compassion Fatigue And Resilience In Long-Term Care Nurses, Dierdre C. De Gravina

Walden Dissertations and Doctoral Studies

The purpose of this study was to investigate the association between CF and resilience in LTC nurses. Watson’s caring theory was the theoretical foundation for the study. A survey containing demographic questions and items from the Professional Quality of Life Measure and the Connor-Davidson Resilience Scale survey was administered online to 111 LTC nurses from 10 states across the Eastern Seaboard. A simple linear regression analysis was performed to identify if there was an association between CF and resilience. The results indicated that the model was significant (p<.001). Results revealed an inverse relationship that with higher resilience scores, CF scores were lower and when CF was high, resilience was lower. The study may promote positive social change by highlighting the need for LTC facility managers to identify strategies that foster increased LTC nurse resilience such as improving work environments and developing programs that promote mental and emotional health of LTC nurses. Implementation of these strategies may reduce CF and promote nurse job retention and ultimately improve patient care. Recommendations for future research include quantitative studies to consider the effect of age, length of time in practice, and education level on resiliency and CF and qualitative studies on strategies for increasing resiliency among nurses in LTC facilities.

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How Social Workers Contribute To Outcomes Of Adolescent Participants In Wilderness Programs, Tracy Dockler Jan 2022

How Social Workers Contribute To Outcomes Of Adolescent Participants In Wilderness Programs, Tracy Dockler

Walden Dissertations and Doctoral Studies

The wilderness environment has become recognized as a viable treatment modality for addressing the psychosocial and behavioral needs of treatment-resistant adolescents. Even though social workers provide services in these specialized programs, little is known about how they perceive the contributions they make to the outcomes of the adolescent participants. The conceptual framework of wilderness treatment with a focus on the wilderness experience, as well as on the physical, social, and psychosocial aspects of participant functioning guided this study. In this qualitative study, a semistructured interview guide was used to elicit the thoughts of five master’s level social workers (MSWs) regarding …

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Leadership Strategies To Motivate And Retain Employees In Small And Medium Enterprises, Shirley Jean Doescher Jan 2022

Leadership Strategies To Motivate And Retain Employees In Small And Medium Enterprises, Shirley Jean Doescher

Walden Dissertations and Doctoral Studies

Organizational leaders find it challenging to determine what leadership strategies motivate and retain employees in their company, especially during a pandemic. Not knowing which leadership strategies would successfully motivate employees leads to higher turnover, less profitability, and higher costs to replace employees. Grounded in transformational leadership theory, the purpose of this multiple case study was to explore strategies corporate leaders use to motivate and retain employees in small and medium businesses (SMEs) in southeastern Wisconsin (WI). Data were collected from semi-structured interviews with eight participants from eight SMEs of southeast WI, as well as analyzing company documents. Yin’s 5-step process …

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Strategies For Improving The Effectiveness Of Internal Control Processes In Nonprofit Organizations, Annie Selorm Dumoga Jan 2022

Strategies For Improving The Effectiveness Of Internal Control Processes In Nonprofit Organizations, Annie Selorm Dumoga

Walden Dissertations and Doctoral Studies

Some leaders of nonprofit organizations (NPOs) lack financial strategies to develop and implement effective internal controls for their financial health and the continuation of their organizations’ provision of humanitarian services. The failure of leaders in NPOs to implement adequate internal controls results in insolvency, the inability to pay off debts, and threatens the ability to provide needed social services. Grounded in the Committee of Sponsoring Organization's internal control integrated framework, the purpose of this qualitative multiple case study was to explore strategies NPO leaders used to develop and implement effective internal controls for their organization's financial health and ability to …

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A Qualitative Examination Of Single-Parent Matriarchal Homes’ Influence On Gang Membership, Darryl Edwards Jan 2022

A Qualitative Examination Of Single-Parent Matriarchal Homes’ Influence On Gang Membership, Darryl Edwards

Walden Dissertations and Doctoral Studies

There is a problem in the city of Chicago. Gangs are responsible for a substantial percentage of violent crimes in most jurisdictions. This study examined how and to what extent single-parent matriarchal households influenced African American men between 18 and 25 to join gangs in Chicago. This study’s theoretical foundations were matriarchal theory and critical race theory. This qualitative study’s research design is heuristic phenomenology design. An in-depth interview method was employed using purposeful and snowball sampling of 20 participants; in-depth interviews were conducted using telephone technology. This study, which investigated the connection between being raised in a single-parent matriarchal …

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The Correlation Between Staffing Hours And Nursing Home Resident Fall Rate, Nduka Ikpo Eke Jan 2022

The Correlation Between Staffing Hours And Nursing Home Resident Fall Rate, Nduka Ikpo Eke

Walden Dissertations and Doctoral Studies

AbstractHealthcare administrators and researchers have had the burden of determining best practice protocols that minimize falls among older adults living in nursing homes for several years. Several studies have investigated, and identified intrinsic and extrinsic factors that lead to falls among other adults and made recommendations along the lines of their findings. However, researchers are yet to establish the impact of staffing hours on nursing home resident fall rate. The purpose of this study was to determine the correlation if any, between nursing home residents fall rate and the staffing hours they receive daily from certified nursing assistants (CNAs), licensed …

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The Need For Belonging For Previously Incarcerated Probationers, Alaina Elam Jan 2022

The Need For Belonging For Previously Incarcerated Probationers, Alaina Elam

Walden Dissertations and Doctoral Studies

Research on offender rehabilitation has primarily focused on providing those who are incarcerated with programs and resources to mitigate the circumstances that would lead to recidivism. There is an absence of research on how the need for belonging could reduce recidivism in probationers. Recidivism remains a social problem for many U.S. communities, as those being released are not properly equipped for their transition. The purpose of this qualitative phenomenological study was to explore the lived experiences of probationers regarding their transition into their community, recidivism, and their need for belonging. As individual fulfillment and human motivation were examined, Maslow’s self-actualization …

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