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The Relationship Between Infertility, Infertility Treatment, Psychological Interventions, And Posttraumatic Stress Disorder, Antoinette Corley-Newman

Walden Dissertations and Doctoral Studies

The number of women diagnosed as infertile continues to grow every year. The psychological impact of the infertility experience has been said to create distress equivalent to that associated with life-threatening illnesses and has been linked with posttraumatic stress disorder (PTSD). Using shattered assumption and stress-buffering theory, this quantitative causal comparative study explored the potential functional relationship between infertility and PTSD. The majority of the (all-female) participants were 24- to 34-year-old college graduates. A 2 X 3 factorial between-subjects ANOVA examined and compared the cause and effect of the independent variables, fertility treatment and psychological intervention, on the dependent variable, …

Individual And Socioeconomic Factors Associated With Childhood Immunization Coverage In Nigeria, Obinna Ositadimma Oleribe

Walden Dissertations and Doctoral Studies

Immunization remains one of the most successful and cost-effective public health interventions worldwide. The purpose of this study was to examine the individual and socioeconomic factors that influence childhood immunization coverage in Nigeria. The health belief model and the social ecological model were used as the theoretical framework for the study, which examined the effects of individual, parental, and socioeconomic factors on complete immunization among Nigerian children. Univariate, bivariate, and multivariate tests were conducted within a secondary analysis of 2013 Nigerian National Demographic and Health Survey was done. Of 27,571 children aged 0 to 59 months, 22.1% had full vaccination …

Self-Reported Health Status, Perceived Risk For Developing Breast Cancer, And Mammography Screening Use, Idara Sylvanus Mcpartling

Walden Dissertations and Doctoral Studies

Breast cancer is a widespread public health issue in the United States which affects all women. Although mammography is a proven screening tool, screening rates vary widely. Self-reported health status may play a role in how women perceive their risks for developing breast cancer, which may affect mammography use. The purpose of this cross-sectional survey study was to assess the association between self-reported health status and perceived risk for developing breast cancer, as well as perceived barriers towards mammography screening and use. Social action theory, which holds that social and the psychological factors influence health behaviors, served as the theoretical …

Facilitating Environmental Enrichment In Senior Care Activities With Professional Development, Celia Mary Ross

Walden Dissertations and Doctoral Studies

There is little known about the current state of professional development and continuing education practices for empowering activity professionals to better enhance environmental enrichment in long term care. The purpose of this qualitative study was to explore the activity professional's perceived role and best strategies for professional development to enrich the long-term care environment. The study used social cognitive theory as its theoretical framework to develop research questions focused on the views of activity professionals concerning professional development and continuing education to support care for long-term care residents. Using a narrative approach, 9 activity professionals were recruited through networking at …

Spirituality Among African American Christian Women Who Have Contemplated, Marilyn Wiley

Walden Dissertations and Doctoral Studies

The Centers for Disease Control and Prevention reported that African American women had the lowest recorded number of suicide completions among all ethnic and gender groups in the United States. In addition, the number of suicides among African American women continued to soar without a clear reason or understanding of their lowest completion rates. Further research in the area of spirituality among African American women may be critical in understanding why African American women's rates of completed suicides are statistically lower than other ethnic groups and how to prevent future rate increases. A phenomenological framework was used to examine the …

Leadership Attributes And Behaviors As Predictors Of Organizational Resilience In Academic Health Care Systems, Patti Lynn Besuner

Walden Dissertations and Doctoral Studies

Research intentionally addressing how leadership attributes and behaviors collectively contributed to the socioecological perspective of organizational resilience were not found. This is a problem for organizations who must hire without benefit of how a collective leadership effect might influence their psychological capital. The purpose of this study was to explore whether or not self-efficacy, psychological empowerment, personal resilience, and leadership style were associated with or predicted organizational resilience among clinical managers in an academic medical center setting. Metatheory of resilience and resiliency was used to frame the study. A quantitative correlational design was used. Self-reported data was collected via the …

Cardiovascular Disease Risk Factor Assessment And Lifestyle Adjustments In African Americans, Biruk Nigatu Nigatu

Walden Dissertations and Doctoral Studies

Multiple studies have indicated a higher burden of overweight/obesity and exposure to environmental toxins, such as alcohol and tobacco smoke, in association with higher prevalence of cardiovascular disease (CVD) in the African American population. Thus, the purpose of this research was to determine if there was a significant difference in the use of lifestyle adjustments such as moderating alcohol consumption, weight loss, and smoking cessation on the prevalence of CVD in the African American population. The theoretical foundation was social cognitive theory and the social ecological model that posits the interplay of individual, social, and environmental factors. This cross-sectional quantitative …

Principals As Instructional Leaders As Opposed To School Managers, Lolita Annette Rockette

Walden Dissertations and Doctoral Studies

In the Denver metropolitan area, many elementary school principals have been focused more on management than on instructional leadership issues, even though school administrators have been charged with overseeing academic achievement based on state and federal standards. According to research, participating in these 2 disconnected roles hinders principals' ability to achieve the academic and social success of their students. Guided by Bandura's self-efficacy theory and Hallinger's distributed leadership theories, this qualitative study explored factors that influenced 6 principals' adoption of the instructional leadership role to learn how principals might shift from managing the school to becoming its instructional leader. The …

Effective Educational Practices Regarding General Education Teachers And Inclusion Of Students With Autism, Chanda Rhodes Coblentz

Walden Dissertations and Doctoral Studies

Owing to the influx of students with autism to the general education classroom, the role of the educator has drastically changed. Limited training and negative perceptions among teachers of students with autism are concerning. A qualitative case study, based on Bandura's theory of self-efficacy as a conceptual framework, was used to gather information based on the preservice training and personal classroom experiences from 7 general education teachers who were purposefully selected based on their licensure in the state of Ohio and experience in teaching students with autism. Research questions for this study examined the types of training teachers received, perceptions …

Young Adult Narratives Of Sibling Loss And Bereavement During Adolescence, Kelly Lynn Collins-Colosi

Walden Dissertations and Doctoral Studies

Up to 90% of adolescents in the U.S. experience a loss of a family member or friend. However, prior research on loss of a family member has focused predominantly on the adult experience (e.g., loss of a spouse), parental bereavement (loss of a child), or grief counseling as an intervention for dealing with loss. Little is known about the sibling loss experience, particularly from the point of view of the surviving sibling who suffered the loss when they were young. Thus, the purpose of this qualitative study was to explore the narratives of young adults who experienced the loss of …

Essential Executive Coaching Competencies For Enhancing Executive On-The-Job Performance: A Modified Delphi Study, Arturo Small Maxwell

Walden Dissertations and Doctoral Studies

Approximately 93% of Fortune 1000 companies in the United States rely upon executive coaching to accelerate executive performance. However, there is a lack of empirical research identifying effective executive coaching competencies. In this modified Delphi study, a panel of 17 executive coaching experts was purposefully selected from the International Coach Federation and the Society for Industrial and Organizational Psychology. Participant selection criteria included training in executive coaching, executive coaching credentialing, and -?¥3 years practicing executive coaching or purchasing executive coaching services. Participants used a 5 point Likert-type questionnaire to provide their expert opinion regarding essential executive coaching competencies for enhancing …

Teachers' Perceptions On English Language Arts Proficiency Of English Learners, Elaine Michelle Nelson

Walden Dissertations and Doctoral Studies

English learners (ELs) at a middle school in California were not meeting federal accountability requirements in English language arts (ELA). ELs lacking proficiency in ELA often drop out of high school and live in poverty as adults. The purpose of the study was to examine teachers' perceptions of their self-efficacy to implement effective pedagogical strategies to help ELs develop ELA proficiency. A case study design was used to investigate the problem through the lens of second language acquisition theory. The purposeful sample included 11 middle school language arts teachers. Participants completed an online anonymous survey, and responses were analyzed using …

Polyfidelity And The Dynamics Of Group Romantic Relationships, Jeff R. Peterson

Walden Dissertations and Doctoral Studies

Monogamy is considered the romantic norm for establishing family and kinship. Alternative relationships such as polyfidelity, that is, a group romantic relationship, often face prejudice and social stigma resulting in a greater need for mental health counseling services compared to those who are not stigmatized. Yet counselors and counselor educators lack both understanding and cultural competency for serving this population. The purpose of this study was to better understand the dynamics of a polyfidelity relationship, as well as how a counselor might better serve the needs of individuals engaged in this type of relationship. In this study, 14 participants described …

The Attitudes, Beliefs, And Perceptions Of Classroom Teachers And School Administrators Regarding Corporal Punishment In Rural Texas Schools, Anthony D. Price

Walden Dissertations and Doctoral Studies

The purpose of this qualitative case study was to explore the perspectives that classroom teachers and school administrators have regarding corporal punishment as an alternative method to correct or change negative classroom behaviors. With the passage of the No Child Left Behind Act, schools have been forced to identify instructional and administrative practices that will increase student achievement while decreasing students' negative classroom behaviors. Negative classroom behaviors among students can interfere with the learning process and impede teachers' instructional delivery. The theories of Piaget and Kohlberg provided a conceptual basis for understanding the behaviors and developmental changes of school-age children. …

Public Health Implications Of Oil Pollution In Koluama: Nigeria, Esther Bridget Sako

Walden Dissertations and Doctoral Studies

As the global demand for oil increases, human health implications related to its discovery and transport remain a serious concern. The Niger Delta has been the site of severe environmental degradation since the oil boom of the 1970s. While some researchers have examined the environmental effects of oil procurement, few have explored human health implications in this region. This phenomenological study investigated the human physical and mental health consequences of oil-related environmental degradation through the perceptions and lived experiences of villagers in Koluama, Nigeria. The conceptual framework for the study was based on research conducted by Morello-Frosch, Zuk, Jerrett, Shamasunder …

Caregiver Burden And Emergency Room Utilization For Enhanced Recovery Surgery Cancer Patients, Mindy Sovel

Walden Dissertations and Doctoral Studies

Advances in surgical technique and medical management have led to fundamental changes in surgical care allowing for a paradigm shift from inpatient to outpatient surgery. Enhanced recovery pathways have moved surgical recovery from inpatient to outpatient settings requiring informal caregiver support. The purpose of this study was to determine the prevalence of caregiver burden in this patient population and to explore whether caregiver burden contributes to preventable use of emergency room services. The conceptual framework supporting this retrospective cross-sectional study was Andersen's behavioral model of health services utilization. Data collected from 28 urologic patient/caregiver pairs were analyzed using descriptive statistics …

The Influence Of Corporate Social Responsibility And Star Rating On Chinese Hotels' Occupancy Rates, Che Wang Wang

Walden Dissertations and Doctoral Studies

Some small business owners are unaware of the possible long-term benefits of engaging in corporate social responsibility (CSR). A business undertaking CSR can benefit from long-term financial benefits. Hotel businesses can benefit from developing long-term relationship with visitors and higher occupancy rates. The purpose of this causal-comparative study was to examine the potential influence of family-owned hotel owners' attitudes towards CSR and star ratings on hotel occupancy rates. The study's population comprised owners of family-owned hotels within Yanqing Zhen, Yanqing County, in Beijing, China. Bowen's formulation of CSR constituted the theoretical framework. Independent variables were hotels owners' attitudes towards CSR …

Differences In Perceived Constraints Of Telework Utilization Among Teleworkers And Office Workers, Yolanda West

Walden Dissertations and Doctoral Studies

Approximately 37% of the U.S. labor force currently works from a remote location. Costs and competition are driving organizations to increase the use of telework among remote workplaces. Increasing organizational knowledge of the perceptions of current teleworkers could increase its adoption by employees and improve its implementation by managers. The purpose of this research was to test hypotheses regarding the perceived levels of telework efficiency, social interaction, and technical support to determine in those perceptions differed between teleworkers and office workers. Goldratt's Theory of Constraints framed the quantitative research design. A purposive sample of 54 teleworkers and office workers in …

The Impact Of Palliative Care On Health Status In Hiv-Positive Children, Aabid Abdulmajid Ahmed

Walden Dissertations and Doctoral Studies

HIV-positive children in sub-Saharan Africa have numerous challenges to overcome. These challenges increase psychosocial stress as well as symptom burden including fatigue, weight loss, pain, and mental changes. The symptoms may persist even after initiation of antiretroviral therapy, so such children need additional care. Palliative care lays emphasis on holistic patient-centered care, including physical, psychological, social, and spiritual symptoms, alongside antiretroviral therapy. There is limited data on the impact of integrating palliative care with standard HIV care and treatment in children. The purpose of this study was to fill the gap in the literature by investigating the impact of palliative …

The Relationship Between Ethical Leadership And Sustainability In Small Businesses, David Amisano

Walden Dissertations and Doctoral Studies

Since the 2008 financial crisis, business leaders' ethical behaviors have been under scrutiny. These leaders face uncertainty regarding ethical leadership behaviors and their impact. Because small business leadership involves multiple facets of behavior and decision-making, small business leaders may have an insufficient understanding of the impact of ethical leadership behaviors on the sustainability of their businesses. The purpose of this correlational study was to examine the relationship between ethical leadership and financial, social, and environmental sustainability in small businesses. Integrated social contracts theory was the theoretical framework. The participants consisted of 80 members of a chamber of commerce located in …

Sexual Harassment Experience, Psychological Climate, And Sex Effect On Perception Of Safety, Kenneth C. Barker

Walden Dissertations and Doctoral Studies

Sexual harassment has significant adverse psychological and physical effects on employees and can negatively impact the workplace, and overall business operations. A gap in current research was identified concerning whether the employee's sex affects employee's perceived workplace sexual harassment climate, sexual harassment experience, and perceived safety from sexual harassment. This study examined the effects of employee workplace sexual harassment experience and perception of workplace sexual harassment psychological climate on employee's perceived safety from sexual harassment moderated by sex. Results showed that perceived workplace sexual harassment climate and employee workplace sexual harassment experience were both significant predictors of perceived safety from …

Employee Lived Experiences And Initiative Success In Arkansas Quality Award Recipient Organizations, Carol Barton

Walden Dissertations and Doctoral Studies

Businesses with failed quality initiatives lose revenue, experience high expenses, and have fewer market opportunities. Researchers attribute failed quality initiatives to human and social factors. The purpose of this phenomenological study was to explore the lived experiences of employees in companies that received an Arkansas Governor's Quality Award between 2010 and 2015. No one knows how employees' experiences contribute to successful quality initiatives, or how their stories about their experiences influence quality management and continuous improvement. The conceptual framework consisted of Weick's theory of sense-making and Deming's system of profound knowledge. Data were collected via semistructured interviews with 11 participants …

The Use Of Humor With Families During Pediatric Trauma Intake Assessments, Letitia Batton

Walden Dissertations and Doctoral Studies

Traditionally from a positive psychological view, humor is regarded as an adaptive force, a vital aspect of healing, and possibly a beneficial coping tool when faced with traumatic circumstances. Despite these beliefs, little is known about how humor relieves stress with parents in the initial intake assessment when their child has been traumatically injured. The purpose of this phenomenological study was to explore social workers' use of humor during pediatric trauma assessments. A sample of 6 parents were from pediatric parent trauma support groups to participate in this study, which employed a subject-intensive theoretical framework. Face-to-face interviews and participant observation …

The Educational Aspirations Of Barbadian Adolescent Mothers And Their Perceptions Of Support, Kathy-Ann Bellamy

Walden Dissertations and Doctoral Studies

Adolescent girls often face barriers to fulfill their educational aspirations after childbearing. Unfulfilled goals tend to be associated with low educational attainment and other adverse outcomes for the young mothers, their children, and society. The purpose of this qualitative phenomenological study was to explore the lived experiences of Barbadian young women who parented as adolescents and struggled to graduate from formal secondary school. The goal was to understand their perceptions of support for their educational aspirations by their peers and significant others. Social constructionism was the conceptual framework. Moustakas’ transcendental method guided data collection and analysis. Data were collected by …

Emergency Medical Service Career Longevity: Impact Of Alignment Between Preemployment Expectations And Postemployment Perceptions, Michael Joseph Belotto

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to investigate whether there were differences between the preconceived notions of emergency medical technicians and paramedics prior to entering the profession and their notions of the vocation after facing the realities of the job. The contribution of alignment or misalignment to job satisfaction and the intention to leave the profession was also further investigated. This research is important as there currently is a gap in the literature pertaining to the factors affecting career longevity of emergency medical service (EMS) professionals. The degree of fit between individual and occupational characteristics guided this phenomenological study …

Impact Of Audio Feedback Technology On Writing Instruction, Martha Marie Bless

Walden Dissertations and Doctoral Studies

High school writing teacher self-efficacy has suffered because the workload and emotional energy of grading papers is arduous, and despite their efforts to provide formative written feedback, many teachers believe students ignore or misunderstand it. Although audio feedback holds promise for improving the clarity of instructor feedback and the self-efficacy of writing instructors in higher education, its usefulness for improving high school teacher self-efficacy has remained unexplored. This multiple case study investigated how high school teachers believed Kaizena, a digital audio feedback technology, influenced their writing instruction and self-efficacy. Participants, who were drawn from the global Kaizena user base, included …

Emotional-Social Intelligence: Development During Online And On-Campus Holistic Healthcare Programs, Bradley J. Boute

Walden Dissertations and Doctoral Studies

As with traditional healthcare providers, emotional-social intelligence (ESI) plays a role in the holistic practitioner-client relationship. It is important to determine if students in holistic healthcare programs increase their ESI, and subsequently better serve their clients. The purpose of this quantitative, quasi-experimental study was to determine if online education can develop students' ESI at levels similar to that of traditional programs. This study is based on the theory of ESI and transformative learning theory. The sample consisted of 95 students in an online program and 61 in a traditional program. Multiple linear regression, ANCOVA, and Pearson Correlation's were used to …

Using Music Intervention To Reduce Anxiety And Agitation For Dementia Residents In Long Term Setting, Sonia Brown

Walden Dissertations and Doctoral Studies

Abstract

Dementia is one of the degenerative conditions that present in old age with a decline in cognitive function resulting in changes in personality and the ability to carry out activities of daily living and social functions. Dementia is usually associated with behavioral disturbances that include anxiety and agitation that pose a challenge for family members or caregivers in an alternate home or care-related facility. The purpose of this project was to design and implement a quality improvement program to evaluate music therapy intervention for residents in a long-term care who have dementia. The aim was to evaluate if music …

Perceived Threats To Food Security And Possible Responses Following An Agro-Terrorist Attack, Lamesha Lashal Craft

Walden Dissertations and Doctoral Studies

The September 11, 2001 terrorist attacks exposed vulnerabilities to U.S. homeland security and defense, leading U.S. officials to analyze threats to domestic and international interests. Terrorist attacks against food and water supplies (agro-terrorism), were deemed a national security threat because of the assessed fear, economic instability, and social instability that could occur following a food shortage. Research indicated a comprehensive response plan does not exist across the federal, state, and local levels of government to mitigate the public's possible responses to a perceived threat to food security and food shortages following an agro-terrorist attack. This ethnographic case study analyzed the …

Factors Contributing To Business Process Reengineering Implementation Success, Mary Elizabeth Dell'aquila

Walden Dissertations and Doctoral Studies

Organizational leaders continue to use business process reengineering (BPR) as a process improvement methodology even though BPR implementations have had low success rates. To increase BPR success rates, organizational leaders must understand what specific factors contribute to successful BPR implementations. Grounded in Lewin's field theory, the purpose of this nonexperimental, cross-sectional study was to examine the impact of gender and education on BPR. Data collection consisted of nonprobability convenience sample of 122 members from the professional networking website LinkedIn and the professional organizational website American Society for Quality. Data were gathered from a 6-point Likert-type scale survey instrument based on …