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Predictors Of Mental Health Services Use Among Survivors Of Domestic Violence Emotional Abuse, Liseth Sales Jan 2020

Predictors Of Mental Health Services Use Among Survivors Of Domestic Violence Emotional Abuse, Liseth Sales

Walden Dissertations and Doctoral Studies

Domestic violence (DV) affects over 80,000 million individuals a year in the United States. DV survivors who do not use mental health services are often revictimized or pass on patterns of abuse and unhealthy behaviors of DV to future generations. However, research on factors that inhibit DV survivors from seeking mental health care is limited. Using the behavioral model of health services use, which helps predict health services use by identifying predisposing, enabling, and need factors, this study investigated which predisposing, enabling, and need factors predict the utilization of mental health services by DV survivors who were emotionally abused. In …


Fidelity Of Implementation Of Arts Integration In Middle School English Language Arts, Barbara A. Sanders Jan 2020

Fidelity Of Implementation Of Arts Integration In Middle School English Language Arts, Barbara A. Sanders

Walden Dissertations and Doctoral Studies

An urban middle school in the southern U.S. introduced an arts integration (AI) program, however, student achievement in the English language arts (ELA) has not improved. Therefore, the problem to be investigated through this study is that it has not been determined if AI was implemented into ELA classrooms with fidelity. The purpose of this study was to examine teachers’ and administrators’ perceptions of the fidelity of implementation (FOI) of the AI program in the ELA classrooms, as well as school documents and artifacts, to determine whether the delivery of instruction replicated the original instructional design. Guided by Rogers’s FOI …


Cash Conversion Cycle Strategies To Avoid Business Failure, Brian Savino Jan 2020

Cash Conversion Cycle Strategies To Avoid Business Failure, Brian Savino

Walden Dissertations and Doctoral Studies

At the end of 2018, the leading 2,000 U.S. and European companies had more than $2.5 trillion of cash unnecessarily tied up in working capital. The efficient management of working capital will lead to more cash invested in profitable projects leading to long term stability. This research will benefit chief financial officers (CFO) looking for strategies to manage working capital, which leads to higher profits and will help CFOs better manage economic downturns. Using the resource dependence theory as the conceptual framework, the purpose of this qualitative multiple case study was to explore cash conversion cycle (CCC) strategies used by …


Faith Leaders Strategies For Increasing Millennial Engagement, Jessica Hayley Schafer Jan 2020

Faith Leaders Strategies For Increasing Millennial Engagement, Jessica Hayley Schafer

Walden Dissertations and Doctoral Studies

Faith based organizations (FBOs) have failed to engage their millennial members at the same level they have engaged the previous generations. FBO leaders who fail to engage millennials are at risk of not fulfilling their mission. Grounded in the value cocreation model, the purpose of this qualitative multiple case study was to explore strategies FBO leaders used to engage millennials successfully. The participants comprised 7 leaders from 3 Western U.S. FBOs who have implemented successful strategies to engage millennials. Data were collected from interviews, observations, and online and offline documentation. The data were analyzed using Miller's guide to thematic analysis, …


Managerial Competencies Driving Successful Change Initiatives: A Multiple Case Study Of Healthcare Administrators, William King Selsor Jan 2020

Managerial Competencies Driving Successful Change Initiatives: A Multiple Case Study Of Healthcare Administrators, William King Selsor

Walden Dissertations and Doctoral Studies

Healthcare administrators’ competencies for driving successful strategic change initiatives in healthcare organizations remain outdated and limited in the management literature. The purpose of this qualitative, multiple case study was to explore the perceptions of healthcare administrators on the specific nature of management competencies needed to drive successful strategic change initiatives within healthcare organizations. To address the research problem and purpose of the study, qualitative data were collected from multiple sources of evidence, including semi-structured interviews with seven healthcare administrators, archival data, and reflective journaling notes. This study was framed by Kash, Spaulding, Johnson, and Gamm’s conceptual framework, the comparison of …


Employee Retention Strategies In U.S. College And Universities, Michael Louis Simmons Jan 2020

Employee Retention Strategies In U.S. College And Universities, Michael Louis Simmons

Walden Dissertations and Doctoral Studies

Employee turnover in U.S. colleges and universities negatively affects productivity, resources, employee morale, and job satisfaction. The failure of U.S. colleges and universities’ leaders to retain a viable and productive workforce negatively affects students’ educational success and learning opportunities. Grounded in the motivation-hygiene theory, the purpose of this qualitative multiple case study was to explore strategies college and university leaders used to retain employees. Data were collected through semistructured interviews with 5 university leaders in 5 higher-education institutions in the Midwest region of the United States, and a review of publicly available organizational documents and university websites. Data were analyzed …


Jaquan's Seat At The Table: Breaking Down The Barriers To Academic Success, Dianne F. Small-Jordan Jan 2020

Jaquan's Seat At The Table: Breaking Down The Barriers To Academic Success, Dianne F. Small-Jordan

Walden Dissertations and Doctoral Studies

African American boys who graduate from high school and college increase their chances of success in society and greatly decrease their chances of being incarcerated. The gap in academic proficiency for African Americans is concerning due to low graduation rates and high school dropout risks when compared to boys of other ethnicities. The purpose of this qualitative case study was to explore teachers’ perceptions and to gain insight into the causes of the poor performances leading to the academic achievement gap of high school African American boys. The policy feedback theory and ecological model theory were used to determine what …


Postpartum Depression Education And Screening In A Hospital Setting, Amanda Snyder Jan 2020

Postpartum Depression Education And Screening In A Hospital Setting, Amanda Snyder

Walden Dissertations and Doctoral Studies

It is estimated that 24.3% of women in Florida who have recently given birth experience postpartum depression (PPD), which approximates the national percentage. Perinatal nurses are often not provided specific education relating to PPD nor provided reliable methods to screen patients in the hospital setting. The focus of this project was to increase the number of mothers identified as needing follow-up for PPD by formally educating perinatal staff members on the signs and symptoms of depression, while including validated methods of screening patients compared to the current practice of general assessment and verbal interviewing. The approach was supportive of the …


Job Satisfaction, Engagement, And Motivation For Nursing Leadership Among Millennial Registered Nurses, Oluwaseyi Stover Jan 2020

Job Satisfaction, Engagement, And Motivation For Nursing Leadership Among Millennial Registered Nurses, Oluwaseyi Stover

Walden Dissertations and Doctoral Studies

There is a shortage of nursing leaders because current nursing leaders who are in the baby boomer generation are retiring. Millennial RNs are needed to fill vacant nursing leadership positions, but millennial RNs are not satisfied in their jobs and lack motivation and engagement, which impedes their interest in nursing leadership positions. The purposes of this quantitative, descriptive, correlational study, guided by King’s theory of goal attainment, were to examine the relationship between job satisfaction, motivation, engagement, and the aspiration of millennial RNs for nursing leadership positions in the acute care hospital setting, and the combined effects of job satisfaction, …


Optimizing The Use Of Antibiotics:Evaluation Of A Quality Improvement Project, Elaine Marie Summers Jan 2020

Optimizing The Use Of Antibiotics:Evaluation Of A Quality Improvement Project, Elaine Marie Summers

Walden Dissertations and Doctoral Studies

The overuse and inappropriate use of antibiotics for residents in long-term care facilities (LTCFs) is associated with significant unintended treatment harm with 50% to 70% of residents prescribed an antibiotic at least once in 12 months. The purpose of this project was to evaluate data from a quality improvement quality improvement initiative conducted at a 168-bed LTCF to implement a protocol of an antibiotic stewardship program (ASP) to reduce the overuse of antibiotics. The John Hopkins nursing evidence-based practice model guided this project to analyze health care provider compliance with implementation of protocol guidelines before and after the ASP program …


Mental Health Professional Perceptions Of Barriers To Fidelity For Empirically- Supported Treatments, Chris Streidl Jan 2020

Mental Health Professional Perceptions Of Barriers To Fidelity For Empirically- Supported Treatments, Chris Streidl

Walden Dissertations and Doctoral Studies

It is estimated that one in five adults in the United State of America experience mental illness in a given year. When mental health organizations implement empirically-supported treatments but fail to maintain them, it can result in individuals not being provided the services that they need. The purpose of this study was to identify perceived barriers to maintaining fidelity for empirically-supported mental health treatments. The study utilized a quantitative cross-sectional correlational research design (N = 154) and the Perception of Barriers Scale (PBS) was developed to measure perceived barriers to maintaining fidelity for empirically-supported treatments. Bandura’s social cognitive theory as …


New Graduate Residency Programs, Shareen Estelle Taylor Jan 2020

New Graduate Residency Programs, Shareen Estelle Taylor

Walden Dissertations and Doctoral Studies

Nurses are the largest group of healthcare providers in most acute care hospitals, and the demand for registered nurses is expected to grow by 15% by 2026. The new graduate registered nurse (NGRN) is the supply that will fill the shortage; however, NGRNs are reportedly lacking in the ability to connect the lessons learned in the classroom with real patient care, unprepared for necessary skills, emotionally stressed, and have a high first-year turnover rate. Strategies such as nurse residency programs are needed to support NGRNs as these new nurses’ transition from academics to clinical practice. The purpose of this project, …


Exploring Teacher Confidence Using Behavioral Interventions In The Classroom, Etoile Denise Swift Jan 2020

Exploring Teacher Confidence Using Behavioral Interventions In The Classroom, Etoile Denise Swift

Walden Dissertations and Doctoral Studies

The original purpose of this study was to conduct a quantitative quasi-experimental study to compare a treatment group of teachers with training in the cognitive behavioral ABC model to a control group and examine differences in the average count of referrals to school counselors for students who exhibited disruptive behaviors. However, due to lack of participation, this study examined teacher perceptions of their confidence to use behavioral interventions with students who are disruptive in the classroom and the relationship to the number of referrals teachers made to the school counselor. This study included 99 teachers from pre-K through 12th grade …


Socio-Economic Determinants Of Risky Sexual Behavior In Sub-Saharan Africa, Frida Tende Jan 2020

Socio-Economic Determinants Of Risky Sexual Behavior In Sub-Saharan Africa, Frida Tende

Walden Dissertations and Doctoral Studies

Risky sexual behavior (RSB) is a major public health concern due to health outcomes, such as HIV/AIDS, sexually transmitted infections, and unwanted pregnancies. RSB has been identified as 1 of the main components contributing to the high HIV incidence rate in sub-Saharan Africa. The purpose of the current research was to investigate RSB and its association with education and economic status among men and women in 3 sub-Saharan African countries (i.e., Rwanda, Zimbabwe, and Cameroon) while controlling for gender, age, religion, and place of residence. The social cognitive theory provided the framework for this cross-sectional study that included data from …


Effect Of Positive Behavioral Interventions And Supports On Middle School Students’ Discipline, Ricky Lamont Thomas Jan 2020

Effect Of Positive Behavioral Interventions And Supports On Middle School Students’ Discipline, Ricky Lamont Thomas

Walden Dissertations and Doctoral Studies

Research has documented that a pervasive problem affecting today’s schools is disruptive student behavior and the long-term, negative outcomes associated with the use of out-of-school suspensions (OSS) to address it. The program, Positive Behavioral Interventions and Supports (PBIS), was implemented in a local middle school with a diverse student population at which there was a history of student discipline problems in an effort to improve student behavior and reduce discipline referrals. Guided by Skinner’s theory of behaviorism, the purpose of this quantitative study was to examine the effect that PBIS had on the following discipline-related variables: number of office discipline …


Diversity Gap In Healthcare Leadership, Percival Vera Jan 2020

Diversity Gap In Healthcare Leadership, Percival Vera

Walden Dissertations and Doctoral Studies

The rapid change of the U.S. population has prompted many organizations in both the private and public sectors to adjust their C-Suite leadership to reflect the population that they serve. Unfortunately, healthcare seems to be the exception to this. Several studies have been done to explore the issue of diversity in general; however, limited research has been done to address the diversity gap in the U.S. Healthcare System C-Suite. The purpose of this qualitative case study is to explore the reasons behind the lack of diversity in the U.S. Healthcare C-Suite. The C-Suite is defined as the group of executives …


African American Men's Perceptions Of Colorism, Naeemah A. Young-Jones Jan 2020

African American Men's Perceptions Of Colorism, Naeemah A. Young-Jones

Walden Dissertations and Doctoral Studies

Colorism bias related to skin complexion is a persistent phenomenon within the African American community and often shapes the family dynamics and results in noteworthy adverse psychosocial impacts for African Americans. Researchers have examined colorism or the preference for lighter skin over darker skin primarily as it pertained to women, but little research existed regarding men. The purpose of this phenomenological study was to explore the lived experiences of African American men with respect to their attitudes toward skin complexion and how those attitudes inform their dating habits and self-esteem. Understanding how this group of men managed living this phenomenon …


Human Resources' Capacity To Drive Organizational Change In Ghana, Harriet Bani Jan 2020

Human Resources' Capacity To Drive Organizational Change In Ghana, Harriet Bani

Walden Dissertations and Doctoral Studies

Human Resource Management Departments (HRMDs) drive organizational change by implementing effective and efficient policies. This study explored staff perceptions in Ghana's Nursing and Midwifery Council (N&MC), a public-service institution, regarding the extent to which their HRMD could stimulate change by implementing the Human Resource Management Policy Framework and Manual (HRMPF&M). May and Finch's theory of normalization propelled this qualitative case study, which consisted of interviewing 23 purposively selected participants and examining secondary data from the N&MC, the Public Services Commission, HRMPF&M, other relevant legal documents, as well as relevant literature on the subject. The data analysis generated themes which were …


Funding Impacts On Existing Social Workers Providing Services To African American Battered Women, Dalicia Victorica Watson Jan 2020

Funding Impacts On Existing Social Workers Providing Services To African American Battered Women, Dalicia Victorica Watson

Walden Dissertations and Doctoral Studies

Social workers who work in domestic violence shelters have many different impacts that can affect their ability to provide services to battered women. Research is lacking on how funding impacts the abilities of existing social workers to provide services to African American battered women who are at domestic violence shelters in Columbia, South Carolina. The purpose of this study was to examine how a lack of funding impacts the abilities of existing social workers who work at domestic violence shelters to provide services to African American battered women. Conflict theory was used to gain an understanding of how funding issues …


Relationship Between Nurse Job Satisfaction Variables And Voluntary Turnover Intention, Mmayen Monday Nnah Jan 2020

Relationship Between Nurse Job Satisfaction Variables And Voluntary Turnover Intention, Mmayen Monday Nnah

Walden Dissertations and Doctoral Studies

Increased turnover among hospital nurses has adverse business outcomes. Hospital nurse managers are concerned with minimizing turnover to reduce hospital costs, lower risk to patients, and positively impact hospital performance. Grounded in motivation-hygiene theory, the purpose of this quantitative correlational study was to examine the relationship among nurses' views of the quality of work environments, level of management support, opportunities for promotion, and nurses' voluntary turnover intentions. Data were collected from nurses with registered nurse status or a bachelor of science in nursing degrees working in hospital settings in the United States (N = 82), who completed the Job Satisfaction …


An Educational Activity For Primary Care Providers Treating Older Veterans With Sexually Transmitted Infections, Beatrice Fannie Grant Jan 2020

An Educational Activity For Primary Care Providers Treating Older Veterans With Sexually Transmitted Infections, Beatrice Fannie Grant

Walden Dissertations and Doctoral Studies

AbstractComprehensive sex education is an effective method of promoting sexual health. Because primary care providers conduct the initial health need assessment of veterans, it is important that providers understand how to approach the subject of sexual health and the prevention of sexually transmitted infections. The purpose of this evidence-based project was to implement and evaluate an educational activity for primary care providers. The health belief model was used as theoretical framework. This project was introduced to a federal primary care clinic in the Mid-Atlantic United States. Twenty-five participants completed a pretest prior to the start of the educational activity that …


Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares Jan 2020

Effects Of Group Play In Sand On Obese Women’S Self-Perceptions, Marianezoi Antares

Walden Dissertations and Doctoral Studies

Obesity poses an escalating threat to public health in many countries. A better understanding of the psychological construct of obesity and alternative approaches for treating it are needed. The purpose of this study was to examine secondary data to measure the effects of a program using group play in sand on self-perceptions of obese Danish women. The framework was based on elements from the Bandura’s social learning theory and conception of self-efficacy integrated with the concept of body image perception. Participants (N = 34) were obese women in Copenhagen, Denmark, who used group play in sand as their therapy program. …


Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze Jan 2020

Perceptions On Maternal Mortality Among The Ekpeye Community, Theresa Tenim Ogide-Alaeze

Walden Dissertations and Doctoral Studies

In Africa, especially Nigeria, maternal mortality is a public health issue among women of childbearing age (WCBA). WCBA living in the Ekpeye community located in Rivers state in Nigeria are at high risk of maternal deaths during pregnancy and labor or delivery. Data were obtained through key informant interviews with 9 relatives, friends, and health workers. The purpose of the key informant interviews was to identify perceived barriers that result in high maternal deaths and facilitators seen as promoters to reduce pregnancy-related deaths. The participants identified 11 core themes as contributors to maternal death: (a) postpartum death, (b) financial insecurity, …


Perception Of Parents And Teachers About Social Media Communication Effecting Children’S Attitudes Toward Schooling In Deployed Military Families, Luther Mike Robinson Jan 2020

Perception Of Parents And Teachers About Social Media Communication Effecting Children’S Attitudes Toward Schooling In Deployed Military Families, Luther Mike Robinson

Walden Dissertations and Doctoral Studies

Military families represent an under-researched and unique population in U.S. society. Little is known about the effects that extended separations have on military families and/or about the daily challenges such families face. This basic qualitative inquiry examined military spouses’ perception of how social media and digital face-to-face communication with deployed parents influenced their children’s behaviors and attitudes toward school. It also examined the perceptions of teachers who teach or taught military children whose parents were deployed. The study’s conceptual framework consisted of Bandura’s social cognitive theory of self-efficacy and Ainsworth and Bowlby’s attachment theory. The research questions for this study …


Quality Of Life For Patients Who Have Undergone Hip Replacement Surgery With And Without An Enhanced Recovery Program, Patrick Servat Jan 2020

Quality Of Life For Patients Who Have Undergone Hip Replacement Surgery With And Without An Enhanced Recovery Program, Patrick Servat

Walden Dissertations and Doctoral Studies

The World Health Organization considers hip replacement one of the main public health concerns of this 21st century. An enhanced recovery after surgery (ERAS) approach has proved to be an effective and efficient approach to treat patients in need of a hip replacement. The quality of life (QOL) of patients who have undergone a hip replacement surgery with an ERAS approach has not been documented due to its recent development as a possibility for hip surgery. The objective of this study was to compare QOL, length of stay (LOS), and surgery risks of patients undergoing hip replacement surgery with or …


The Beliefs Of Sex Education Instructors In The Classroom, Denise Stewart Jan 2020

The Beliefs Of Sex Education Instructors In The Classroom, Denise Stewart

Walden Dissertations and Doctoral Studies

Data-driven research is an ethical precept for nearly every profession, and it holds a particular importance within any human-services field, including public health education. This research study used a phenomenological methodology and Brofenbrenner’s theoretical framework to construct descriptive themes, investigating how public school instructors' personal beliefs impact teaching practice. Ten in-depth face-to-face interviews were conducted with public high school teachers who self-identified as being involved with sex education instruction. Participants were selected from several public Minnesota high schools responsible for providing sex education to public school students in Grades 9 to 12. The findings revealed several themes relating to how …


Experiences And Perspectives Of High School Teachers Regarding Technology Integration, Tamara Turner Jan 2020

Experiences And Perspectives Of High School Teachers Regarding Technology Integration, Tamara Turner

Walden Dissertations and Doctoral Studies

A local school district adopted technology initiatives with the goal of transforming pedagogy to create 21st-Century learning experiences. The problem addressed in this study was high school teachers from 1 of the district's 4 high schools did not integrate technology in ways that transformed pedagogy and enhance students’ learning experiences. The purpose of this qualitative case study was to explore teachers' perspectives of and experiences and challenges with integrating technology in transformational ways. Mishra and Koehler’s technological pedagogical and content knowledge framework guided this study. The research questions were designed to understand teachers’ experiences, perspectives, and challenges integrating technology in …


Effects Of A Blended Basic Telemetry Course On The Telemetry Reading Proficiency Of Newly Licensed Registered Nurses, Joan Yankalunas Jan 2020

Effects Of A Blended Basic Telemetry Course On The Telemetry Reading Proficiency Of Newly Licensed Registered Nurses, Joan Yankalunas

Walden Dissertations and Doctoral Studies

Telemetry interpretation is a common skill required by registered nurses (RNs) to take care of patients in an acute care setting. Telemetry education guidelines are needed because there are no established standards for the amount, type, or scope of education needed for RNs who take care of patients on continuous telemetry monitoring. The purpose of this retrospective analysis design study, guided by Benner’s skill acquisition model and Kirkpatrick’s learning outcomes measurement theory, was to (a) determine the effect of a blended telemetry course, which is a combination of eLearning and an instructor-led class, on the telemetry reading proficiency of RNs …


Teachers’ Perspectives On Positive Behavior Intervention And Support In The Classroom, Corlett Pinnock Jan 2020

Teachers’ Perspectives On Positive Behavior Intervention And Support In The Classroom, Corlett Pinnock

Walden Dissertations and Doctoral Studies

Positive behavior intervention and support (PBIS) is a data-driven approach to promoting productive student behaviors and learning. A key facet of sustainable success when using PBIS is evaluation. More insight is needed on the perspectives that teachers have about PBIS and as well as details about whether and why it is accepted. The purpose of this phenomenological study was to examine the perceptions of teachers at 3 high schools in Western Jamaica as it relates to a PBIS pilot program. Twenty-six teachers from 3 schools in Region 4 in Jamaica were interviewed with the aim of understanding how teachers received …


Age Differences In Effect Of Collaboration Of Care Activities On Student Behaviors, Ronda Lynn Stevens Jan 2020

Age Differences In Effect Of Collaboration Of Care Activities On Student Behaviors, Ronda Lynn Stevens

Walden Dissertations and Doctoral Studies

Over 18 million children in the US have mental health problems and 70% receive the care in the education sector. The Collaboration of Care (CoC) approach is widely used to address these needs. However, the body of knowledge to date does not focus on relationships between the use of a CoC in a school environment nor examines school-based outcomes. This study examined a specific CoC, called the Collaboration of Services for Youth (COSY), to see if there was a positive association between participation in COSY and changes in attendance, behavior, and academic performance among 52 public-school students, ages 5-16, and …