Digital Commons Network^™

Social Workers' Role In Treating Individuals With Neurological Impairments From Brain Trauma, Kimberly D. Thompson

Walden Dissertations and Doctoral Studies

Nearly 1 billion individuals worldwide are diagnosed with a neurological condition. Neurological conditions might harm an individual’s overall mental state and quality of life. This qualitative action research project examined the social worker’s role in treating individuals with neurological impairments due to brain trauma. Information was gathered using a focus group of 4 rehabilitation social workers in Dallas, Texas, about their experiences related to utilizing social work practice with patients who have neurological conditions. Data from this action research project revealed an understanding of the psychosocial benefits of social work services for individuals with neurological impairments due to brain trauma …

Impact Of District-Wide Free Lunch On Third-Grade Students’ Reading Comprehension, Rita A. Williams

Walden Dissertations and Doctoral Studies

Poverty has an enormous impact on children and their success in school. Children with low economic status often perform poorly in math and reading. Poor reading skills often lead to truancy, low rates of high school graduation, low-paying jobs, and cycles of illiteracy in generations of families. The fundamental cause theory was the theoretical lens used for this study. The purpose of this quantitative, comparative ANOVA quartile split study was to examine the impact of universal free and reduced lunch (FRL) policy changes on third grade reading normal curve equivalent (NCE) scores. The research design included data analysis for examining …

The Impact Of Technological Advances On Older Workers, Toni Mcintosh

Walden Dissertations and Doctoral Studies

The general problem addressed in this study was the treatment of older workers in the information technology industry that contributes to age discrimination in the workplace. Age discrimination is against the law irrespective of whether it is aimed at older workers in the workforce or becoming job candidates at an advanced age. Although previous research has shown that age discrimination is prevalent in work environments, little has been suggested to eradicate the issue in the workplace. The purpose of this qualitative case study was to investigate the issue of age discrimination as it relates to workers over the age of …

Investigating How Teachers Meet State Standards For Multicultural Curriculum, Richard Olufemi Adelani

Walden Dissertations and Doctoral Studies

The problem of this study was the lack of evidence on how teachers, who teach world languages and English language learners in middle and high schools in a local district, use multicultural resources to supplement state of New Jersey core curriculum students learning standards and meet the cultural and linguistic needs of students they teach. School library online circulation files showed that few world languages teachers checked out library resources for their classrooms between August 2014 and May 2018. The purpose of this case study was to investigate how teachers supplement core curriculum to meet state standards regarding cultural diversity. …

Amyotrophic Lateral Sclerosis Patients' Sociological Resilience, Self-Determination, And Decision-Making For Life-Sustaining Treatments, Jeremy Jon Van Tress

Walden Dissertations and Doctoral Studies

People with amyotrophic lateral sclerosis (ALS) suffer from a rare, progressive, untreatable, and fatal neuromuscular disease. Their decision-making for life-sustaining treatments may not be fully self-deterministic. While researchers have examined resilience and self-determination in people with mental health problems and chronic illness, none have researched these variables in ALS patients from a socioecological framework. The purpose of this study was to explore the relationships between people with ALS socioecological resilience, self-determination, and decision-making for life-sustaining treatments. A cross-sectional concurrent mixed-methods design was used, with online surveys completed by 197 people with ALS who were solicited through the National ALS Registry. …

Methamphetamine Screening And Brief Intervention In A Hospital Heart Failure Program, Tamra Chavez

Walden Dissertations and Doctoral Studies

AbstractThe efficacy of screening, brief, intervention, referral to treatment (SBIRT) in reducing or eliminating methamphetamine use has not been investigated and addressed among patients with heart failure. According to urine toxicology screens at admission at a county hospital, approximately 50% of patients in a heart failure program were positive for illicit substance use, and the majority of these tests (>60%) were for methamphetamine use, one of the most cardiotoxic drugs available. This quantitative study used an existing dataset to test the theory of intentional behavior by examining whether SBIRT intervention increases the patient’s ability to make a behavioral change …

Rural Counselors’ Use Of Technology To Address Professional Isolation, Jacqueline Dale Grantland

Walden Dissertations and Doctoral Studies

AbstractRural counselors experience high levels of stress and burnout because of increased job demands, a lack of professional resources, and professional isolation in rural community practice. Technology can be a useful tool for counselors to maintain connectivity and access resources not readily available. However, a gap in the literature exists on rural counselors’ experience with technology to remediate professional isolation. The purpose of this hermeneutic phenomenological framework with an interpretive phenomenological analysis (IPA) was to explore licensed professional counselors’ experiences with using technology to address professional isolation in rural community practice. The inclusion criteria included the counselors having 2 years …

Predicting Behavior To Engage In Fall Prevention Practices: The Role Of Interests And Basic Psychological Needs, Jan Fay Kress

Walden Dissertations and Doctoral Studies

AbstractA fall is associated with adverse outcomes that include occupational, physical, cognitive, and psychological decline together with economic and caregiving burden. Despite the continued increase in prevalence of falls globally, most studies address the well-known risk factors of falls but exclude the behavioral risk factors associated with human actions, emotions, and everyday choices. Following the theory of self-determination and person object of interest framework, this quantitative, nonexperimental study was conducted using face-to-face and web surveys to examine the relationship between motivational, relational, and sociodemographic/medical conditions to predict engagement in fall prevention practices in a sample of 75 community dwellers, 65 …

Adolescent Suicidal Ideation And Parental Perception, Parenting Style, And Parental Denial, Julie Mann

Walden Dissertations and Doctoral Studies

Adolescent suicidal ideation is a substantial health concern in the United States, from both mental and physical perspectives. Parent-child connectedness (PCC) ostensibly plays a considerable role in reducing the problem. Along with parents of youth who are struggling with suicide, mental health care providers and school administrators would appreciate understanding more effective strategies for eliminating adolescent suicidal ideation. This cross-sectional, quantitative study sought a statistically significant relationship between PCC measured as parental perception, parenting style, and parental denial (independent variables) and the dependent variable of adolescent suicidal ideation. Bandura’s social cognitive theory, Baumrind’s parenting style theory, and Mowder’s parent development …

Health Literacy And Discharge Planning In Social Work Practice, Michele Munzner

Walden Dissertations and Doctoral Studies

Low health literacy is a public health crisis, currently, there is limited research on social worker engagement with the low health literate patient. The research questions for this study examined health literacy knowledge in medical social workers and how their MSW curricula built their knowledge of health literacy. It also explored challenges that arise when discharge planning for patients with low health literacy. It also asked what social workers can do to aid patients with limited health literacy during the discharge planning process. This basic qualitative research study used criterion sampling and was informed by the socioecological model. Data collection …

Inclusive Education: Related Services Providers' Perceptions Of Their Roles And Responsibilities, Nina L. Jordan

Walden Dissertations and Doctoral Studies

Studies that expressly define the roles of related service providers in inclusive schools are limited. The purpose of this phenomenological study was to examine the lived experiences of related service providers, specifically occupational therapists, physical therapists, and speech and language pathologists, who practice in an inclusive education setting. An objective was to examine their attitudes and beliefs toward inclusion. This study used role theory as the theoretical framework. Tenets of role theory were used to explain how related service providers have come to understand their roles and responsibilities in the inclusion setting. Purposeful and snowball sampling yielded 10 participants who …

Prayer As A Predictor For Burnout Among Psychiatric Nursing Assistants, James Michael Rose Ii

Walden Dissertations and Doctoral Studies

The psychiatric nursing assistants who care for psychiatric patients in inpatient hospitals, like others who work in the human service field, experience some degree of burnout during their careers. This research used Pargament’s theory of religious coping to examine prayer as a predictor variable for a decrease in burnout experienced by psychiatric nursing assistants. The Maslach Burnout Inventory-Human Services Survey and the Prayer Functions Scale were used to examine the predictor variables of prayer, gender, and years of service in correlation to the 3 dimensions of burnout. An N = 97 was obtained from the psychiatric nursing assistant population from …

Experiences Of Police Officers Who Have Received Crisis Intervention Team Training, Ashley D. Yinger

Walden Dissertations and Doctoral Studies

Police officers are often the frontline responders to calls involving people in mental distress. The lack of specialized mental health training can influence stigmatization and criminalization of people with a serious mental illness (SMI). Crisis intervention team (CIT) training is a tool to provide law enforcement with specialized mental health training to enhance their skills and comfort level when responding to crisis calls. There is a gap in the research examining officers' experiences with CIT training and how they apply that training when encountering people who have a SMI. The purpose of this qualitative case study was to explore a …

Effects Of Intimate Partner Violence On Academic Motivation Among Emerging Adult Women, Cristela Maria Thorne Mitchell

Walden Dissertations and Doctoral Studies

For women who are victims of intimate partner violence (IPV), one avenue to gaining independence from their partners is enhanced employment opportunities from obtaining a college degree. The purpose of this study was to investigate the relationship between IPV and academic motivation among emerging adult women, and whether depressive symptoms mediate the relationship. Bandura's social learning theory, Deci and Ryan's theory of self-determination, and Seligman's theory of learned helplessness were the theoretical frameworks of the study. The study sample consisted of 225 women 19-29 years of age who were enrolled in higher education and who had experienced violence from an …

Unsheltered Homelessness On Oahu, Hawaii, Erik Gray

Walden Dissertations and Doctoral Studies

According to a recent national estimate of homelessness in the United States, between 2016 and 2017, the number of people experiencing homelessness increased by 0.7 %. This study was focused on the issue of unsheltered homelessness in the context of Oahu, Hawaii. There is a gap within the available scholarly literature that directly addresses the unsheltered homeless populations and why it is that they are unsheltered rather than living in a shelter or utilizing other transitional services. Using the generic qualitative approach and a purposive sampling method, 12 service provider professionals who work directly with the unsheltered homeless on the …

Parental Perceptions Of Family Communication Within The Context Of Modern Technology, Litermin Joseph

Walden Dissertations and Doctoral Studies

The increasing dependence or reliance on the usage of technology to connect with each other is influencing family communication today. Face-to-face family communication is becoming more and more devalued. Considering the value of family communication, parents should play the most important role of sustaining it to enhance family relationship. Using the family systems theory as a foundation, the purpose of this generic qualitative study was to understand parental experiences concerning family communication within the context of modern technology. This study used purposeful sampling and semi-structured interviews from 7 U.S. citizens, men and women aged 30-55, from St Lucie County, Florida. …

Guidelines For Chronic Back Pain: An Education Module For Health Providers, Ron Pascual

Walden Dissertations and Doctoral Studies

Effective chronic back pain management and patient self-care guidelines are necessary for healthcare providers treating patients with complaints of low back pain (LBP). The purpose of this doctoral project was to provide an evidence-based educational program aimed at improving the knowledge and skills of healthcare professionals regarding the Center for Disease Control (CDC) and American Chronic Pain Association (ACPA) guidelines, emphasizing alternative pain management treatments. The staff education project was supported by the biomedical pain model and chronic care model. A panel of 3 experts including the clinic’s board-certified anesthesiologist and pain management specialist, clinical manager, and leading medical director …

Transgender Protection And Best Practices In The Prison Setting, Jessica Renee Byrd

Walden Dissertations and Doctoral Studies

While the importance of equal protection for all offenders has been established, prison officials often do not provide adequate protection for or effectively address the unique needs of transgender inmates. In this qualitative action research study, prison officials' perceptions regarding their responsibility to provide protection and equal treatment to transgender offenders were evaluated as well as to what extent they are congruent with those stated in policies and procedures. The expectation was that linkages could be drawn between prison officials' level of knowledge regarding their responsibilities and the various types of maltreatment that transgender offenders experience as well as the …

High-Performance Organizational Culture And Corporate Success, Alexander Lapshun

Walden Dissertations and Doctoral Studies

Some Singapore global corporation business leaders experience difficulties building a high-performance culture. Building a high-performance culture encourages high performance, promotes excellence, and nurtures a continuous improvement climate. Grounded in Gilbert's behavioral engineering model, the purpose of this qualitative mini ethnography single case study was to explore strategies midlevel managers in Singapore use to create a high-performance organizational culture. Six midlevel managers representing a Fortune 500 information technology firm in Singapore participated in the study. Data collection included semistructured interviews followed by member checking, direct observations, and a review of the company's documents. Marshall and Rossman's 5-step data analysis process identified …

Adult Attachment Functioning Of Former Foster Youth Initially Placed In Early Adolescence, Adrienne Miller

Walden Dissertations and Doctoral Studies

Child attachment has been an area of study among scholars for several decades; however, early adolescent attachment is a specific age period that few scholars have examined, especially pertaining to child welfare where placement is a necessary but forced attachment disruption. The purpose of this nonexperimental study was to examine the likelihood of early adolescent attachment during initial placement and to explore the frequencies of this population securely attaching postplacement based on the added variables of placement setting (foster home/kinship home/group home/institution) and sibling accessibility. Attachment theory was the lens through which to analyze the 83 results received via anonymous …

Social Workers' Perceptions Of Exercise In Treating Chronic Mental Illnesses: Action Research, Carlene Battiste-Downie

Walden Dissertations and Doctoral Studies

Social Workers' Perceptions of Exercise in Treating Chronic Mental Illnesses: Action Research

by

Carlene Battiste-Downie

MSW, Fordham University, 2000

BS, Oneonta State University, 1993

DSW Research Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Social Work

Walden University

July 2020

Though social workers are an integral part of the mental health profession, there is a fundamental gap in the clinical mental health social workers' practice. This gap is a lack of physical exercise as part of the routine regimen in treating clients suffering from chronic mental illnesses such as post-traumatic stress disorder (PTSD), depression, …

Relationship Between Nonprofit Leadership Intention, Leadership Development Programs, And Succession Planning Documentation, Denise March

Walden Dissertations and Doctoral Studies

Understanding the importance of efficient and effective leadership transition to retain organizational intelligence can mitigate the risks of significant disruption. The problem for nonprofits is the potential loss of organizational intelligence, funding, and continuity as baby boomers retire and transition out of their leadership roles without effectively addressing leadership transition and an impending leadership deficit. The purpose of this quantitative descriptive correlational study was to examine the relationship between leadership intention factors, succession planning documentation, and leadership development programs. The research questions pertained to the relationship between leadership intention factors, succession planning documentation, and leadership development programs. Ajzen’s theory of …

Integrating Technology In Improving Communication To Reduce Discharge Cycle Time, Julieta Fajardo

Walden Dissertations and Doctoral Studies

One of the most important milestones during a patient’s transition to care is discharge from hospital. Consequently, delays in the discharge process can lead to patient dissatisfaction and affect outcomes in intensive care and emergency rooms. The purpose of the project was to evaluate the tools built into the electronic system to improve communication and reduce the discharge cycle time. The focus of the project is to enter the expected date of discharge (EDD) and identify discharge barriers within 24-48 hours of admission to reduce this time. Evidence was from the project site’s discharge initiative dashboard. Analysis of the problem …

A Systematic Review Of The Literature On Bedside Shift Reports, Dana Wickersheim

Walden Dissertations and Doctoral Studies

AbstractIn 2017, The Joint Commission issued a sentinel event alert regarding inadequate nurse hand-off communication. Inadequate hand-off communication can lead to medication errors, delay in treatment, falls, and wrong-site surgery. To help ensure safe handoff of care between nurses by involving the patient and family, bedside shift report was created. Bedside shift report was developed to help improve patient safety and quality, patient experience of care, nursing staff satisfaction and time management, and accountability between nurses. Despite the implementation of bedside shift report in nursing practice, it continues to be inconsistently applied, which poses risks to patients and can lead …

The Long-Term Biopsychosocial Effects Of Children Reared In Blended Families, Kerene T. Brown

Walden Dissertations and Doctoral Studies

Family dynamics have experienced an immense transformation in the last 4 decades. Children are less likely to live in a 2-parent household with parents that are both biologically related to them due to various factors. Blended families (especially the children) face many adversities during the initial stages of formation and rarely receive specialized intervention when compared to nuclear families. The purpose of this basic qualitative study was to understand the long-term biopsychosocial effects experienced by young adults who lived in a blended family household. In addition, what services or interventions were offered to newly established blended family systems were also …

Rural Teacher Perceptions Of Trauma On Youth, Tracey Faye Whetstone

Walden Dissertations and Doctoral Studies

This study was an exploration of teacher experiences and perceptions in working with trauma-exposed students in a rural school district and what is needed to best support student academic and psychosocial success. The substantial long-term effects of trauma exposure cause many children to face behavioral and academic challenges in school, yet teachers are often unaware or untrained concerning trauma-informed care. There is little research regarding how teacher experiences with trauma-exposed students are perceived. This study explored teacher insight with rural trauma-exposed youth in terms of awareness and how they narrate these experiences in response to trauma-related issues. Grounded in trauma …

The Lived Experiences Of Online Therapists Maintaining Ethical Boundaries, Talia Singer

Walden Dissertations and Doctoral Studies

The provision of counselling and psychotherapy using technology, also referred to as telecounselling or e-therapy, is a burgeoning area of mental health care that has garnered much enthusiasm. Many professional health organizations have developed ethical guidelines to specifically address this unique style of treatment. Skepticism remains in the area of applying standards into practice. Ethical guidelines are meant to be broad principles that can be applied to a range of unique practice experiences. The problems is that these principles have been developed over a century of practice-based experiences and designed to address situations that the clinician faces when their client …

Sudden Leadership Loss And The Importance Of Succession Planning In Behavioral Health Care, Angela R. Dawson

Walden Dissertations and Doctoral Studies

This study examined sudden leadership loss and the importance of succession planning in behavioral health. The organization at the center of the study is located in the midwestern United States and is known for providing stellar services to its clients and fostering a quality workspace for its employees. The findings provided the organization with a clear and specific understanding of the value of succession planning for sustainability. The study was conducted using a qualitative research method. Semistructured interviews with 5 senior-level leaders from a single site location provided the primary source of data. Additional data were collected from the organization’s …

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 …

Social Work Supervisors As Gatekeepers, Camielle Call

Walden Dissertations and Doctoral Studies

Abstract

Supervision in social work is a long-held tradition chiefly regarding completing required supervisory hours for clinical licensing by state licensing boards. Social work supervision is a process wherein supervisors provide oversight to new social workers through supporting, managing, developing, and evaluating their work. The purpose of this qualitative study was to gain an understanding of how supervision is conducted and how social work supervisors view their position as gatekeepers to the profession. Using an interpretivism framework, in the context of the vital nature of supervision, symbolic interactionism was used to look at the reactions of social work supervisors and …