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Factors Associated With Harm Reduction Model Use Among Substance Abuse Counselors, Tiffany Madden

Walden Dissertations and Doctoral Studies

Drug overdose death rates in the United States have more than tripled since 1990 with more than 36,000 dying in 2008. In 2007 the estimated cost of drug use to U.S. society due to lost productivity, increased health care, and criminal justice costs was over $193 billion. Previous researchers have found that harm reduction is a viable treatment option within the field of addiction. The guiding premise in the harm reduction approach is that all people can achieve improved psychological and physiological health even if they are unable to be substance-free. However, there remains an important gap in the current …

The Role Of Problem Behaviors In The Pathway From Abuse To Prostitution, Shante Williams

Walden Dissertations and Doctoral Studies

Research has suggested that behaviors beginning in childhood or adolescence may play a mediating role in the relationship between childhood maltreatment and involvement in prostitution. It is currently unknown how poor self-concept and low self-efficacy play a mediating relationship in this association. The primary purpose of this correlational study was to evaluate early youth problem behaviors such as poor self-concept and reduced self-efficacy as possible mediators in the association between childhood abuse/neglect and participation in prostitution during young adulthood. The central research questions explored the association between childhood maltreatment and involvement in prostitution, as well as how self-concept and self-efficacy …

Preschool Educators' Roles In Creating Supportive Spaces For Gender Exploration And Expression, Shaun-Adrian Choflã¡

Walden Dissertations and Doctoral Studies

Children begin to develop their understanding of gender in preschool, yet there is a dearth of research focused on understanding how preschool teachers affect the gender identity development of young children. Guided by Rokeach's belief systems theory, this qualitative case study explored the pedagogical strategies and perceptions of 4 Sacramento County, California preschool educators related to the gender identity development of young children. Interview data were collected and coded to derive 12 participant-specific themes and 3 common intersecting themes, which showed that teachers' perspectives on gender identity development were influenced by social rules, biases, and a lack of pedagogical knowledge …

Title: Parents And Teachers’ Perceptions And Clinical Diagnosis Of Autism Among White And Non-White Groups, Margaret Gopaul

Walden Dissertations and Doctoral Studies

The pervasiveness of autism has significantly increased over the past 2 decades with the 2014 Center for Disease Control and Prevention report indicating 1 in 68 children are diagnosed with Autism Spectrum Disorder (ASD). Early intervention is recommended as the most effective treatment approach. Nevertheless, previous research has indicated that White children are diagnosed with ASD about 1.5 years earlier than are Non-White children. A current gap remains in literature regarding ASD and different racial groups, and evidence has been inconclusive regarding disparities in identifying and diagnosing ASD. To fill this gap, this study investigated the relationship between child race, …

Strategies For Reducing High Turnover Among Information Technology Professionals, Lawrence Roy Arnold

Walden Dissertations and Doctoral Studies

Organizations globally are spending millions of dollars replacing information technology (IT) professionals. IT professionals, who possess technical skills and competencies that interconnect business processes, are costly to replace. There are direct and indirect costs associated when an IT professional leaves, such as advertising fees, headhunting fees, and project delays. Lacking a firm understanding of the reasons why IT professionals leave their positions, many business leaders do not have strategies for reducing turnover rates. Building on Herzberg's motivation-hygiene theory and March and Simon's process model of turnover, this exploratory multiple case study sought to identify the strategies that business leaders view …

Addressing Internalizing Problems In Middle School Youth With Check In/Check Out, Malgorzata Borawska-Popielarz

Walden Dissertations and Doctoral Studies

More than 20,000 primary- and secondary-level schools, which represent 20% of all schools in the United States, are implementing school-wide positive behavior supports (SWPBS) to enhance socially desirable behavior and promote a decline of problematic behavior among students. The overall efficacy of the 3-tier SWPBS framework is well documented. However, a paucity of empirical research addresses the use of check in/check out (CICO), a Tier 2 intervention, for youth who present as quiet and withdrawn, and who are at risk of academic and social disengagement. Accordingly, this quasi-experimental, nonequivalent groups study assessed the overall effectiveness of CICO and considered the …

The Implications Of Employee Turnover On Credit Unions, Jason Carreno

Walden Dissertations and Doctoral Studies

A lack of managerial responses to employee needs contributes to an increased rate of employee turnover in credit unions. Some managers do not possess the skills and strategies necessary to reduce employee turnover. This case study explored what strategies managers used to successfully reduce employee turnover. The population for this study was managers of a financial institution in Northeast Kansas with at least 1 year of leadership experience using methods to reduce employee turnover. Theory X and theory Y theory was the conceptual framework for this study. Data collection included semistructured face-to-face interviews with 10 managers and an exploration of …

Muliple Roles As Predictors Of Subjective Well-Being In African American Women, Sha-Rhonda Michea Green-Davis

Walden Dissertations and Doctoral Studies

The role strain caused by the multiple roles of some women can impact their stress levels and health outcomes, which negatively affects reported subjective well-being (SWB). The culture and race of African American women has a complex effect on how they experience stress and manage their health. Some research shows the harmful rippling effect of stress for African American women is distinct from other racial groups and men. The purpose of this quantitative archival study was to understand how the SWB of African American women can be predicted by their age, years of education, household income, number of children, and …

Associations Between Leadership Style And Employee Resistance To Change In A Healthcare Setting, Tanisha Garcia

Walden Dissertations and Doctoral Studies

. Abstract

Health reform is forcing healthcare administrators to make rapid changes. A tendency to resist change can present problems for these organizations, including the large, not-for-profit Catholic healthcare systems. In order to make positive contributions towards healthcare, it's important to recognize the nature of the organization's involvement to change. The transformational leadership style has been shown to be positively correlated with change however, the relationship among leadership styles, employees' behaviors, and motivation to change are still not well understood and require further study. Further, although Oreg's Resistance to Change (RTC) approach has been researched in direct patient care areas, …

The Exposure Of Workplace Conflict On Residential Mental Health Clients, Shawna Deann Stoneking

Walden Dissertations and Doctoral Studies

Individuals who receive residential mental health services rely on caregivers for support, supervision, and a safe living environment. Residential clients exposed to workplace conflict among staff may feel insecure and mistrust their caregivers, which in turn could negatively impact quality of life and treatment outcomes. The theory of therapeutic alliance proposed by Zetzel, emphasizing the client's perception of the therapist as a nurturing beneveolent figure, was used as the conceptual framework for this phenomenological study. Semi-structured interviews were conducted with 6 adults, recruited with homogenious sampling, who had experienced conflict among staff members and who had been discharged from residential …

Perceptions Of Stroke Risks Among West African Male Immigrants In San Diego, Lawrence Agi

Walden Dissertations and Doctoral Studies

The incidence and knowledge of the risk factors of stroke across ethnic groups in the United States have been examined in multiple studies. However, it is not well known if the foreign-born African immigrants who constitute about 4% of the U.S. immigrant population are at a higher risk of the incidence of stroke than are other nonimmigrant population in the U. S. This ethnographic study explored the perceptions of Anglophone African male immigrants residing in San Diego on the risk factors of stroke. The theoretical framework for this study included the health belief model and the health promotion model. Data …

Job Satisfaction, Organizational Culture, And British Nurses' Intention To Leave Employment, Brendan Edward Williams

Walden Dissertations and Doctoral Studies

In spite of decades of research, concerning nurse's intention to leave their employer (ITL), in 2011, 31.2% of the British nurses surveyed indicated they had formed an ITL. Grounded in reasoned action theory as developed by Ajzen and Fishbein, the purpose of the correlational study was to provide hospital managers with information regarding the relationship among nurse's job satisfaction (JS), organizational culture (OC), and ITL. The archival data from the 2011 NHS Staff Survey included responses from nurses (n = 21,257) across the British National Health Service. The Spearman's rho correlates rs (21,257) indicated relationships among nurse's job satisfaction, organizational …

Blended Value Accounting And Social Enterprise Success, John Anner

Walden Dissertations and Doctoral Studies

Social enterprises (SEs) are businesses managed by entrepreneurs who seek to improve society, and they represent an important trend in social change work. However, there is little empirical knowledge about which blended value accounting (BVA) methods are used by SE managers, and whether the use of BVA is perceived by SE managers as a critical success factor. Blended value accounting is a conceptual framework for measuring combined social and financial outcomes in SEs, and some believe that the use of BVA may be a critical success factor for SEs. This research was based on Covin and Slevin's conceptualization of entrepreneurial …

Wilson Reading System's Impact On Third-Grade Dibels Scores, Shakerra Bowe

Walden Dissertations and Doctoral Studies

Many schools throughout the United States are struggling to address student deficiencies in reading. Empirical evidence demonstrating the efficacy of reading intervention programs is often lacking. This study examined the effectiveness of an 8-week reading intervention program, the Wilson Reading System (WRS), that was implemented in a local elementary school in Washington D.C. to address the reading deficiencies of 75 third-grade students. Guided by Vygotsky's Zone of Proximal Development (ZPD), a quasi-experimental pre/post research design was used to examine differences in reading proficiencies following the completion of the WRS program, as measured by the Dynamic Indicator of Basic Literacy Skills …

Assessing Information Technology And Business Alignment In Local City Government, Leslie Milbourne D'Anjou

Walden Dissertations and Doctoral Studies

Top executives are interested in more transparent and formalized structures, applicable measurements, and clear justification of alignment. Limited or improper information technology governance (ITG) affects the business strategy that will ultimately influence the overall business alignment in local city government agencies (LCGAs). The problem addressed in this study was the lack of information regarding LCGAs IT/business strategic alignment maturity model (SAMM) level and the LCGAs' employment size. The purpose of this survey study was to evaluate 48 LCGA participants in the Southwestern part of the United States and compare their alignment perceptions with their cities' employment size. The theoretical framework …

Evidence-Based Alternative Therapy To Reduce Anxiety In Ambulatory Mental Health Patients, Renee Ann Denobrega

Walden Dissertations and Doctoral Studies

Evidence-Based Alternative Therapy to Reduce Anxiety in Ambulatory Mental Health Patients

by

Renee Denobrega

MS, Widener University, 2013

BS, Alvernia University, 2007

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

January 2016

The Association Of Smoking With Low Back Pain In Adult Americans: Analysis Of The 2012 National Health Interview Survey, Bart Green

Walden Dissertations and Doctoral Studies

Back pain is a chronic disease epidemic and the most common chronic painful condition in Americans. It is associated with human suffering and enormous financial and social burdens. Smoking is a prevalent and harmful health behavior and is the greatest modifiable risk factor for many chronic diseases. Cigarette smoking is associated with back pain, but there is little research on this relationship among adults in the United States. Using biopsychosocial theory, this study examined (a) the prevalence of back pain (dependent variable) among smokers, former smokers, and never smokers (independent variable), and (b) the influence of age, sex, race, body …

Developing Generation-Based Volunteer Management Practices, Tonya Renee' Howard

Walden Dissertations and Doctoral Studies

Many nonprofits seek a volunteer base that includes the experience and maturity of the Silent and Baby Boomer Generations as well as the creativity and advanced technological knowledge of Generations X, Y, and Z. Published literature recommends implementing multigenerational volunteer programs to increase the representation of multiple generations. However, there is no literature providing guidance to create volunteer management practices that simultaneously recruit and retain those generations. The purpose of this qualitative study was to explore the lived experiences of 5 generations of volunteers. The research questions for this phenomenological study addressed perspectives that may contribute to developing generation-based volunteer …

Adult Literacy Program Evaluation For First Year Traditional College Students, Yvette Joyce Mccauley

Walden Dissertations and Doctoral Studies

First year traditional college students required to register in a sequence of remedial courses prior to enrollment in credit-bearing courses often get discouraged by the financial burden and time commitments of this additional work and, subsequently, decide to drop out. The purpose of this qualitative program evaluation was to examine the effectiveness of the remedial adult literacy program being used at a 4-year urban college in the northeast and assess the curriculum alignment with the Council for Higher Education Accreditation (CHEA) standards. Knowles theory of andragogy, which suggests that adults are self-directed and expect to take responsibility for their own …

Knowledge Sharing In Multicultural Organizations, Stephen Joseph Mcgrane

Walden Dissertations and Doctoral Studies

Knowledge management is critical to achieving competitive advantage in the marketplace. The prominence of multicultural organizations also requires an understanding of knowledge-sharing behavior in multicultural teams. In spite of the need to accommodate these new conditions, a gap exists in the research on knowledge sharing in multicultural organizations. The purpose of this study was to examine factors that affect knowledge sharing in a multicultural context. In the research questions I examined the role that culture, monetary rewards, social units, and diversity play in knowledge sharing in a multicultural environment. This study used Hofstede's cultural dimension theory, Sveiby's knowledge-based theory, and …

The Experiences Of High School Teachers Who Have Encountered Burnout, Jimmie Lee Mckinley

Walden Dissertations and Doctoral Studies

This qualitative case study addressed the impact of administration and school leadership on teachers who encounter burnout. The purpose of this project study was to examine this phenomenon through the experiences of Grades 9-12 classroom teachers, which ultimately could reduce the amount of early retirees, reduce the amount of illnesses among teachers, and increase the enthusiasm and vitality of educators. The conceptual framework was based on Bandura's social learning theory. Interview data were collected from four high school educators using purposive sampling, through semi structured face-to-face inter-views, and were coded using a line-by-line content analysis for emergent themes. Findings included …

Expatriate Retention: A Challenging Goal For Global Corporations, Lydia Eileen Nicks

Walden Dissertations and Doctoral Studies

Towers Watson Media stated that multinational organizations will grow by 45% in 2014 increasing expatriate assignments; however, global organizations lose billions of dollars yearly financing expatriate assignments due to unsuccessful retention efforts during the repatriation process. Fifty percent of expatriates consider leaving the organization within the first year of returning to their home country. The aim of this single descriptive case study was to explore the retention strategies organizational leaders need to retain expatriates employees during repatriation. Two managers from the compensation benefits department of a multinational organization in Tennessee participated in the study. Career self-management theory framed the study. …

Barriers To Breast Cancer Prevention And Screening Among African American Women, Abosede Francisca Obikunle

Walden Dissertations and Doctoral Studies

Breast cancer is a serious illness that often has fatal consequences. Adherence to the recommendations for breast cancer surveillance is poorly practiced among African American women. The purpose of this phenomenological study was to seek individual professed barriers to breast cancer screening among African American women to better understand why breast cancer continues to be one of the principal basis of mortality among African American women. The theoretical framework for this study was the behavioral model of health services use. Purposeful selection was used to invite 14 African American women to participate in the in-depth interview process. Interview data were …

Human Trafficking: The Health Of Men Forced Into Labor Trafficking In The United States, Christina Omole

Walden Dissertations and Doctoral Studies

Human trafficking is a criminal act that occurs globally. It affects both women and men, but most studies have focused on female victims; few have explored trafficked men or their related health issues. Though there are many forms of trafficking, it is believed that most male victims are trafficked as forced labor. Using gender schema theory as a framework, this quantitative study examined archival data to identify the types of trafficking men are subjected to, their health ailments, and how these differ from the health ailments of trafficked women. Archival data from 124 individuals subjected to human trafficking in Florida …

Improving Health Literacy With Clear Communication, Carol Barbara Wilson

Walden Dissertations and Doctoral Studies

Health literacy is demonstrated when individuals can obtain, process, and understand basic health information and services needed to make appropriate health decisions. Veteran health literacy is believed to be lower than the general population due to the aging and culturally diverse population. Veterans require adequate health literacy to manage their diverse high acuity physical injuries, psychological conditions, and chronic diseases. Clear communication between the clinician and veteran patient is essential to provide high quality health services. The objective of this quality-improvement project was to evaluate the ability of nurses in the ambulatory environment to identify low health literacy patients and …

Attitudes Of Males About Teaching Grades K-12 In A Public School District, Jonathan Matthew Bracewell

Walden Dissertations and Doctoral Studies

According to the National Education Association, the number of teachers in the United States has decreased over the last 100 years and only 25% are currently male. Finding effective ways to increase the number of male teachers has remained challenging at the local level. This study compared the perceptions of male teachers and non-teachers regarding their motivation for entering their current professions and their perceptions of gender equivalence in the workplace. Popper's post positivism and Schutz's social constructivism were used as the theoretical frameworks. The study instrument was first piloted at a liberal arts university where a sample of 187 …

The Relationship Between Physical Fitness And School Performance In Middle School Girls, Jamie Anne Donnelly

Walden Dissertations and Doctoral Studies

Past research has indicated a significant relationship between physical fitness and standardized test scores; however, the relationship between physical fitness and other aspects of school performance has yet to be empirically examined in a population specifically composed of middle school girls. This study examined several factors that contribute to school success, such as classroom behavior, attendance, and grades, in relation to physical fitness among a group of adolescent girls. It was specifically designed to examine the statistical relationship between physical fitness, as measured by the Fitnessgram, and quantitative data on school performance including grades, standardized test scores, school behavior, and …

Issues Affecting Sexual Decisions Among Black Women In The Era Of Hiv/Aids, Saecilia Jackson

Walden Dissertations and Doctoral Studies

HIV/AIDS became a significant concern in the United States (U.S.) during the 1980s and in recent years has increased the most among people living in underserved urban areas, particularly impacting Black women ages 24-35. Guided by the social learning theory, this phenomenological study explored the lived experiences and behaviors of Black women in the south in order to understand their sexual health decisions and how those decisions impact the spread of HIV/AIDS among this group. The central research question focused on understanding the sexual decision making of Black women in Georgia, from the perspective of the client and provider. Convenience …

Meaningfulness Of Work As Perceived By Women From Diverse Social Classes: A Grounded Theory Exploration, Jennifer L. Hutmire

Walden Dissertations and Doctoral Studies

Despite research connecting the meaningfulness of work with positive organizational outcomes, such as increased employee well-being, job satisfaction, engagement, and retention, there remains a lack of adequate, inclusive research explaining differences in women's perceptions of the meaningfulness of work. The purpose of this qualitative grounded theory study was to address this gap in the literature by developing a theory about the formation of perceptions of the meaningfulness of work and about the impact of those perceptions. Research questions explored perceptions that women from diverse social classes have of the meaningfulness of work, what influenced those perceptions, the impact of those …

Experiences Of African American Young Women In Science, Technology, Engineering, And Mathematics (Stem) Education, Yovonda Ingram Kolo

Walden Dissertations and Doctoral Studies

African American women are underrepresented in science, technology, engineering, and mathematics (STEM) fields throughout the United States. As the need for STEM professionals in the United States increases, it is important to ensure that African American women are among those professionals making valuable contributions to society. The purpose of this phenomenological study was to describe the experiences of African American young women in relation to STEM education. The research question for this study examined how experiences with STEM in K-10 education influenced African American young women's academic choices in their final years in high school. The theory of multicontextuality was …