Digital Commons Network^™

Readmissions And Death Rates In Patients With Chronic Obstructive Pulmonary Disease At Veterans Affairs Medical Centers, Adam Ikli

Walden Dissertations and Doctoral Studies

Readmissions and death rates can serve as indicators of performance in healthcare organizations and can reflect a lapse in staff performance particularly for patients with chronic obstructive pulmonary disease (COPD). The purpose of this quasi-experimental quantitative study was to determine the extent to which readmissions and death rates within 30 days of discharge for patients with COPD at selected Veterans Affairs (VA) medical centers, differed between 2015 and 2018. The transitions theory served as the theoretical framework for this study. The research questions evaluated readmissions and death rates for patients with the chronic obstructive pulmonary disease at VA medical centers …

Teachers’ Feedback Literacy Practices At An International Baccalaureate Diploma Program In Turkey, Sabrina Ann Schongalla

Walden Dissertations and Doctoral Studies

Feedback (FB) literacy refers to both student capacity to find, create, interpret, and implement FB as well as teacher capacity to use FB to guide their instructional decisions, plan FB opportunities within formative learning cycles, and offer appropriate types and levels of FB that satisfy diverse learning needs. The problem that was investigated through this study was that International Baccalaureate Diploma Programme (IBDP) teachers at a private Turkish high school (THS) struggle with FB literacy necessary for leveraging effective practices to enhance student learning. The purpose of this qualitative study was to examine FB practices that supported student learning at …

Readmissions And Death Rates In Patients With Chronic Obstructive Pulmonary Disease At Veterans Affairs Medical Centers, Adam Ikli

Walden Dissertations and Doctoral Studies

Readmissions and death rates can serve as indicators of performance in healthcare organizations and can reflect a lapse in staff performance particularly for patients with chronic obstructive pulmonary disease (COPD). The purpose of this quasi-experimental quantitative study was to determine the extent to which readmissions and death rates within 30 days of discharge for patients with COPD at selected Veterans Affairs (VA) medical centers, differed between 2015 and 2018. The transitions theory served as the theoretical framework for this study. The research questions evaluated readmissions and death rates for patients with the chronic obstructive pulmonary disease at VA medical centers …

K-8 Teachers’ Experiences Using Trauma-Informed Strategies, Nichelle Ahmaddiya

Walden Dissertations and Doctoral Studies

K–8 teachers struggle to implement trauma-informed instructional strategies (TII) in their classrooms. A lack of TII can affect student learning, attendance, disciplinary referrals, and suspension rates and is related to adverse social-emotional and behavioral outcomes. Grounded in the National Child Traumatic Stress Network framework for understanding TII strategies and Bandura's social cognitive learning theory, the purpose of this basic qualitative study was to explore 12 K–8 teachers’ experiences using TII strategies in instruction. Teachers who received TII training and currently use TII in their classrooms in the northeast United States were purposefully selected to participate in semistructured interviews. Interview data …

Focused Education On The Roles And Responsibilities Of The New Nurse During A Patient Emergency, Jeanette Canderozzi

Walden Dissertations and Doctoral Studies

Staff Education Project aimed to measure the knowledge and self-efficacy gained from a comprehensive telemetry educational program as part of the onboarding process for nurses. Purpose of this project was to evaluate the effectiveness of the focused training for the novice nurse as it relates to their knowledge and confidence of their roles and responsibilities in a clinical emergency by using the pre-and postsurvey.

Mitigating Compassion Fatigue, Sylvia Lee Christian-James

Walden Dissertations and Doctoral Studies

Compassion fatigue is the physical, emotional, and spiritual result of chronic self-sacrifice and/or prolonged exposure to difficult situations that renders a person unable to love, nurture, care for, or empathize with another’s suffering. The attributes that led nursing leadership to believe compassion fatigue (CF) was an issue for registered nurses (RN) at the project site facility included increased RN turnover, vacancy rates, absenteeism, and dissatisfaction. The project was to develop a clinical practice guideline (CPG) for the RN staff of an inpatient psychiatric hospital. The practice question was as follows: Does the evidence support usability of a standardized practice guideline …

Mitigating Compassion Fatigue, Sylvia Lee Christian-James

Walden Dissertations and Doctoral Studies

Compassion fatigue is the physical, emotional, and spiritual result of chronic self-sacrifice and/or prolonged exposure to difficult situations that renders a person unable to love, nurture, care for, or empathize with another’s suffering. The attributes that led nursing leadership to believe compassion fatigue (CF) was an issue for registered nurses (RN) at the project site facility included increased RN turnover, vacancy rates, absenteeism, and dissatisfaction. The project was to develop a clinical practice guideline (CPG) for the RN staff of an inpatient psychiatric hospital. The practice question was as follows: Does the evidence support usability of a standardized practice guideline …

Mitigating Compassion Fatigue, Sylvia Lee Christian-James

Walden Dissertations and Doctoral Studies

Compassion fatigue is the physical, emotional, and spiritual result of chronic self-sacrifice and/or prolonged exposure to difficult situations that renders a person unable to love, nurture, care for, or empathize with another’s suffering. The attributes that led nursing leadership to believe compassion fatigue (CF) was an issue for registered nurses (RN) at the project site facility included increased RN turnover, vacancy rates, absenteeism, and dissatisfaction. The project was to develop a clinical practice guideline (CPG) for the RN staff of an inpatient psychiatric hospital. The practice question was as follows: Does the evidence support usability of a standardized practice guideline …

Readmissions And Death Rates In Patients With Chronic Obstructive Pulmonary Disease At Veterans Affairs Medical Centers, Adam Ikli

Walden Dissertations and Doctoral Studies

Readmissions and death rates can serve as indicators of performance in healthcare organizations and can reflect a lapse in staff performance particularly for patients with chronic obstructive pulmonary disease (COPD). The purpose of this quasi-experimental quantitative study was to determine the extent to which readmissions and death rates within 30 days of discharge for patients with COPD at selected Veterans Affairs (VA) medical centers, differed between 2015 and 2018. The transitions theory served as the theoretical framework for this study. The research questions evaluated readmissions and death rates for patients with the chronic obstructive pulmonary disease at VA medical centers …

Childless Mothers: Lived Experiences Of Black Mothers Who Lost An Only Child, Arielle Jordan

Walden Dissertations and Doctoral Studies

This qualitative study, grounded in hermeneutic phenomenology, explores the experiences of Black mothers who have lost their only child, addressing a topic often overlooked in counseling training programs. Many counselor educators and supervisors are unprepared to train counselors on how best to support these mothers through their unique grief journeys. This study outcomes fill that gap by providing a deeper understanding of their experiences, intending to shape better counseling practices. The central question guiding this research is: What are the lived experiences of Black mothers who have survived the loss of their only child? To answer this, in-depth interviews were …

Teaching Motivational Interviewing To Staff In A Mental Health Clinic To Improve Retention Rates Among The Homeless, Barry Godwin, Chinemerem Uzoechi

Walden Dissertations and Doctoral Studies

Summary Poor treatment retention rates are significant problems in mental health, with adverse outcomes being more profound for vulnerable populations, such as individuals experiencing homelessness. The current project was vital because the lack of engaging strategies in working with individuals experiencing homelessness contributes to high rates of treatment dropout. The purpose of the project was to equip mental health clinical staff with knowledge and skills in motivational interviewing (MI) to use MI in clinical settings to improve treatment retention for homeless populations. The practice-focused question that guided the project was: For staff in a mental health clinic, will training on …

Intrinsic Motivation And Career Satisfaction Among Immigrant Health Care Workers, Michelle Marie Henderson-Darling

Walden Dissertations and Doctoral Studies

Caribbean immigrants are vital to the U.S. health care workforce, yet they face barriers that often hinder their career satisfaction and well-being. This qualitative study aimed to explore how intrinsic motivations, specifically competence, autonomy, and relatedness, shape the career experiences of Caribbean immigrants in health care. Using self-determination theory as the theoretical framework, this study addressed the research question of how these intrinsic motivations shape immigrant experiences in the U.S. health care sector. Data were collected from 10 Caribbean immigrants who were naturalized U.S. citizens using semistructured, audio-recorded interviews. The data were thematically analyzed to detect patterns and themes. The …

Perceptions Of Women With Cardiovascular Disease Who Chose Conservative Therapy Over Advanced Therapy, Vanessa Pugh

Walden Dissertations and Doctoral Studies

Cardiovascular disease is the leading cause of death for women. Women with cardiovascular diseases are less likely to receive the available advanced therapies such as defibrillators, pacemakers, and left ventricular assist devices as part of their cardiovascular care plan when compared to their male counterparts. Kelly’s theory of personal constructs and his11 corollaries were used as the theoretical foundation for this basic qualitative study to help explore and understand the perceptions of women who chose a conservative therapy instead of a more advanced therapy for their cardiovascular disease. Social media platforms and snowballing technique were used to recruit the six …

Transformative Interactions: Chatgpt’S Role In Facilitating Professional Development Among Vietnamese English As A Foreign Language Teachers, Thi Thuy Tran, Trut Thuy Pham, Thanh Thao Le

Higher Learning Research Communications

Objective: This study delved into the integration of ChatGPT as a medium for English teacher professional development among Vietnamese English as Foreign Language (EFL) teachers.

Methods: Rooted in the Constructivist Learning Theory and the Technological Pedagogical Content Knowledge (TPACK) framework, the qualitative exploration employed semi-structured interviews with nine teachers categorized into novice, mid-career, and near-end career stages. The objective was to understand teacher experiences, perceptions, and insights regarding the role of ChatGPT in their professional journey.

Results: Key findings illuminated that ChatGPT facilitated enhanced personalized learning, bridged the gap between theoretical knowledge and its practical application, and even indirectly spurred …

The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to explore law enforcement officers’ perceptions in combating carjacking and auto theft during the COVID-19 pandemic in the southeast region of Louisiana. The framework selected to guide the study was the crime pattern theory by Brangtingham and Brangtinham. Using the purposive sampling method and snowballing sampling method, 10 active law enforcement officers were recruited from agencies across the Southeast region of Louisiana until data saturation occurred. The research questions focused on perceptions of law enforcement officers in combating carjacking and auto theft during the COVID-19 pandemic. Strategies used and preparedness to combat carjacking …

Moderating Effect Of Urban/Rural Status, State Of Residence, And Health Risk Factors On Maternal Mortality Among Different Races, Emmanuel Agubata

Walden Dissertations and Doctoral Studies

Maternal mortality in the United States is significantly higher than in most developed nations and has been increasing since 2000. Persistent between-group disparities among White, Black, and Hispanic women occur in terms of maternal mortality; however, the reason for this is largely unknown. Using the intersectionality theory, this quantitative study examined if racial groups predicted maternal mortality and to what extent relationships were moderated by geographic area and health risk factors. This nonexperimental correlational historical research design addressed three research questions. The Healthcare Cost and Utilization Project dataset was used for the analysis. The minimum sample size was 988 cases, …

Patrol-Level Law Enforcement Experiences With Gray Area Mental Health Crises, Stephanie Louise Schilling

Walden Dissertations and Doctoral Studies

Law enforcement officers (LEOs) often find themselves responding to mental health crises that are gray area situations that neither clearly warrant arrest nor hospitalization but still require intervention. This qualitative study involved addressing the critical issue of how patrol-level officers in California manage such crises despite limited mental health training and restrictive legal frameworks. The study involved filling a gap in literature by focusing on nuanced challenges officers face in these situations, rather than use of force or racial disparities. Grounded in Bronfenbrenner’s bioecological model, the research involved exploring lived experiences of six patrol-level officers using interpretative phenomenological analysis (IPA). …

The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to explore law enforcement officers’ perceptions in combating carjacking and auto theft during the COVID-19 pandemic in the southeast region of Louisiana. The framework selected to guide the study was the crime pattern theory by Brangtingham and Brangtinham. Using the purposive sampling method and snowballing sampling method, 10 active law enforcement officers were recruited from agencies across the Southeast region of Louisiana until data saturation occurred. The research questions focused on perceptions of law enforcement officers in combating carjacking and auto theft during the COVID-19 pandemic. Strategies used and preparedness to combat carjacking …

The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green

Walden Dissertations and Doctoral Studies

While programs and procedures are in place in the US Military to increase diversity and inclusion of minorities and women in senior level positions, the problem is African Americans continue to remain below the relative national percentage rate compared to their White male counterparts. The purpose of this qualitative multiple case study was to explore African American veteran Military officers' experiences with promotion and access to career opportunities, and to identify how their social and cultural relationships influenced those opportunities. Khawaja’s theory of workplace relationships provided a lens into the key role of relationships in organizational conflict, teamwork, and inclusion …

The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green

Walden Dissertations and Doctoral Studies

While programs and procedures are in place in the US Military to increase diversity and inclusion of minorities and women in senior level positions, the problem is African Americans continue to remain below the relative national percentage rate compared to their White male counterparts. The purpose of this qualitative multiple case study was to explore African American veteran Military officers' experiences with promotion and access to career opportunities, and to identify how their social and cultural relationships influenced those opportunities. Khawaja’s theory of workplace relationships provided a lens into the key role of relationships in organizational conflict, teamwork, and inclusion …

Teaching Sbirt To Nurses In A Mental Health Setting For Improved Assessment And Management Of Patients With Substance Use Disorders, Kifle Gashie Jikamo

Walden Dissertations and Doctoral Studies

Addressing the knowledge gap is essential in nursing practice, as RNs are the first point of contact for patients in mental health settings where substance use significantly influences overall health and recovery. This Doctor of Nursing Practice project focused on the need for staff education in an inpatient mental health unit regarding the assessment and triage of patients with substance use disorders (SUDs). The guiding question for this project was: “In nurses working within an inpatient mental health setting, does the implementation of Screening, Brief Intervention, and Referral to Treatment (SBIRT) training improve knowledge in assessing, managing, and providing care …

The Perceptions Of Law Enforcement Officers In Combating Carjacking And Auto Theft During The Covid-19 Pandemic, Daniel L. Gray

Walden Dissertations and Doctoral Studies

The purpose of this qualitative study was to explore law enforcement officers’ perceptions in combating carjacking and auto theft during the COVID-19 pandemic in the southeast region of Louisiana. The framework selected to guide the study was the crime pattern theory by Brangtingham and Brangtinham. Using the purposive sampling method and snowballing sampling method, 10 active law enforcement officers were recruited from agencies across the Southeast region of Louisiana until data saturation occurred. The research questions focused on perceptions of law enforcement officers in combating carjacking and auto theft during the COVID-19 pandemic. Strategies used and preparedness to combat carjacking …

The Experiences Of Veteran African American Military Officers With Social Influences On Promotions And Career Opportunities, Veronica Denise Green

Walden Dissertations and Doctoral Studies

While programs and procedures are in place in the US Military to increase diversity and inclusion of minorities and women in senior level positions, the problem is African Americans continue to remain below the relative national percentage rate compared to their White male counterparts. The purpose of this qualitative multiple case study was to explore African American veteran Military officers' experiences with promotion and access to career opportunities, and to identify how their social and cultural relationships influenced those opportunities. Khawaja’s theory of workplace relationships provided a lens into the key role of relationships in organizational conflict, teamwork, and inclusion …

Relationship Of Cyber Threat Intelligence And Critical Infrastructure Assets On Information Technology Critical Infrastructure Attacks, Albert Su

Walden Dissertations and Doctoral Studies

Ransomware cyberattacks on critical infrastructure can disrupt critical services with the capacity to impact human lives. Some security operations center (SOC) analysts feel overwhelmed by the influx of threat indicators of compromise (IoC), making it challenging to discern which alerts are significant for their organization. Grounded in John Boyd's OODA (Observe, Orient, Decide, Act) theoretical framework, the purpose of this quantitative correlational study was to examine the relationship between cyber threat intelligence (CTI) and critical infrastructure assets on information technology critical infrastructure attacks. Data were collected by ingesting information from a U.S. CTI vendor and alerting IoCs related to critical …

Organizational Strategies To Better Serve The Behavioral Health Needs Of Teachers, Caterina Antonietta Viscomi

Walden Dissertations and Doctoral Studies

Since the COVID-19 pandemic, many teachers have faced increased mental health challenges and insufficient administrative support. Effective behavioral health care is essential for organizations aiming to enhance teachers' mental well-being. However, there is a need to explore strategies that best meet the current mental health needs of educators. This qualitative case study used interviews and documentation to assess the needs of a small New Jersey behavioral health organization and to develop strategies addressing the growing mental health crisis among teachers. Data sources included four informal interviews with behavioral health leaders, secondary data from the host agency, and a review of …

Interactive Educational Program For Purposeful Leader Rounding, Gina Lupi

Walden Dissertations and Doctoral Studies

This education project was to introduce nurse managers to the evidence-based practice of daily purposeful leader rounding on all staff in this acute care facility. The need for practice change was evidenced by low all employee survey and the Survey of Healthcare Experience of Patients (SHEP) results; low retention rates throughout the inpatients units; and an increase of patient safety events in fiscal year 2023. Leadership rounding is an evidence-based practice that increases staff retention by supporting and engaging staff. The purpose of the interactive education was to increase the knowledge and self-confidence of the participants to assist in hardwiring …

African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake

Walden Dissertations and Doctoral Studies

African American women in Georgia die during the perinatal period at almost three times the rate of other ethnic groups. Adverse maternal outcomes demonstrate a disparity among African American women. In this phenomenological qualitative study, the lived experiences of African American women receiving obstetrical and gynecological (OB/GYN) care in the Atlanta, Georgia, Metropolitan area were explored. The study included women who identified as African American, ages 18 – 45 years old, receiving OB/GYN care in Georgia. No income limits were applied, allowing women across income levels to be included. Feagin’s systemic racism theory, along with Greenwald and Krieger’s implicit bias …

African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake

Walden Dissertations and Doctoral Studies

African American women in Georgia die during the perinatal period at almost three times the rate of other ethnic groups. Adverse maternal outcomes demonstrate a disparity among African American women. In this phenomenological qualitative study, the lived experiences of African American women receiving obstetrical and gynecological (OB/GYN) care in the Atlanta, Georgia, Metropolitan area were explored. The study included women who identified as African American, ages 18 – 45 years old, receiving OB/GYN care in Georgia. No income limits were applied, allowing women across income levels to be included. Feagin’s systemic racism theory, along with Greenwald and Krieger’s implicit bias …

How Secondary Disciplinary Teachers Integrate Literacy Strategies To Improve Outcomes On State Assessments, Miracle T. Brewington

Walden Dissertations and Doctoral Studies

According to recent research, secondary disciplinary teachers’(DTs) role in increasing disciplinary literacy skills is vital. The problem in this urban school district in the Southern United States was that middle school DTs acknowledge they struggle to integrate literacy strategies in their specific disciplines to improve reading outcomes on state assessments. Guided by Shanahan and Shanahan’s disciplinary framework and Knowles’s theory of andragogy, the purpose of this study was to investigate DTs’ perceptions on integrating literacy strategies to improve reading outcomes on state assessments. A basic qualitative design was used with 10 purposefully selected secondary DTs using one-to-one, semistructured interviews. Data …

African American Women’S Lived Experiences With Obstetrics/Gynecology Services In Atlanta, Georgia, Audrey M. Blake

Walden Dissertations and Doctoral Studies

African American women in Georgia die during the perinatal period at almost three times the rate of other ethnic groups. Adverse maternal outcomes demonstrate a disparity among African American women. In this phenomenological qualitative study, the lived experiences of African American women receiving obstetrical and gynecological (OB/GYN) care in the Atlanta, Georgia, Metropolitan area were explored. The study included women who identified as African American, ages 18 – 45 years old, receiving OB/GYN care in Georgia. No income limits were applied, allowing women across income levels to be included. Feagin’s systemic racism theory, along with Greenwald and Krieger’s implicit bias …