Digital Commons Network^™

Sustainable Building Certification In Healthcare And Patient Satisfaction, Brian Jay Goehner

Walden Dissertations and Doctoral Studies

Eco-friendly healthcare delivery concepts are becoming more accepted as hospital leaders seek to control energy costs, mitigate contributions to climate change, and preserve scarce resources. Leadership in Energy and Environmental Design (LEED) offers healthcare leaders a framework for designing and constructing sustainable facilities that meet efficiency goals. The purpose of this quantitative cross-sectional study was to build an understanding of whether LEED certification influences Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) ratings. Using complex systems theory as the framework, the research questions were focused on exploring if higher levels of LEED certification led to greater HCAHPS overall hospital …

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 …

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 …

Black American Adult Children Of Divorce, Aurielle C. Williams

Walden Dissertations and Doctoral Studies

While a plethora of studies have examined the effects of divorce on children, fewer have looked at young adults who have experienced parental divorce after they were 18 years of age, and even fewer have examined the experiences of Black American adult children. Using concepts from Social Identity Theory, the goal of this study was to understand the experiences of Black adult children whose parents have divorced and the phenomenon of their self-perception based on family identity. This was a phenomenological study conducted through guided face-to-face interviews and utilizing Photovoice with four Black adult children of divorce, whose parents divorced …

Experience Of Academic Motivation Among Disadvantaged High School Graduates, Jamaal Anthony Thomas

Walden Dissertations and Doctoral Studies

Impoverished students face obstacles that influence academic achievement and motivation. These young people are disadvantaged by their circumstances and are at risk for missing opportunities that could prepare them for meaningful careers and improved quality of life. The purpose of this qualitative study was to gain a deeper understanding of academic motivation in academic scholarship students who attended disadvantaged schools. Social identity theory provided the theoretical framework for a narrative analysis of the experience of academic motivation, academic achievement, and social identity. Five female and 4 male college students were interviewed. The thematic analysis revealed 4 themes: motivated by overcoming …

Improving Effective Pain Assessment And Management In Elderly Patients, Omotola A. Adebayo

Walden Dissertations and Doctoral Studies

Inadequate management of pain is common in the elderly, and the negative implications are often profound. Untreated pain has been associated with negative consequences such as depression, anxiety, sleep disruption, weight loss, and limitations in the performance of daily activities and functions. The purpose of this educational project was to improve the assessment and management of pain of elderly patients residing in long-term care facilities (LTCFs). The project question examined the effects of staff education on the nursing staff’s knowledge of pain assessment and management. Nonlicensed personnel are at the forefront of providing direct patient care in LTCFs. Knowles’s theory …

Strategies To Reduce Voluntary Employee Turnover, Patricia M. Alexander

Walden Dissertations and Doctoral Studies

High voluntary turnover negatively impacts an organization's profits, resulting in high expenses for businesses. The findings contribute to practical ways for small business leaders to maintain long-term employees, minimize operational costs, and enhance local economic stability. Grounded in the concept of transformational leadership theory, the purpose of this qualitative multiple case study was to explore the strategies small business leaders use to reduce voluntary employee turnover. The participants comprised 5 private industry leaders in the state of Virginia, who were successful in reducing voluntary employee turnover. Data collected through semistructured face-to-face interviews and analysis of company documents. Based on Yin's …

Treatment Providers’ Perceptions Of Effective Sexual Offender Treatment Modalities, Reta Alphin

Walden Dissertations and Doctoral Studies

The treatment of sex offenders is a controversial public policy issue, yet the research on what treatment providers perceive to be effective treatment modalities is limited. Using von Bertalanffy’s systems theory as the theoretical foundation, the purpose of this quantitative study was to examine and evaluate the treatment providers’ perceptions of effective treatment modalities. Data were collected from 101 treatment providers located within 6 states in the Midwest through a researcher developed survey. Data were analyzed using descriptive statistical analysis. A total of 55 treatment modalities were examined, which were condensed into 5 categories. Findings indicated that the psychoeducational modality …

Predictors Of The Health Effects Of Marijuana Use On The Hepatic Function, Makafui Kokou Gbogbo

Walden Dissertations and Doctoral Studies

The quantity of marijuana use, the length of time it was used, and the age of initiation of the drug are at the core of the discussions about the potential health effects of marijuana use on the liver. Results of recent studies regarding how the drug affects human health have resulted in a number of conflicting conclusions. Nevertheless, based on these findings, marijuana users are being denied liver transplants. The objective of this study was to identify predictors of the health effects of marijuana on the liver and provide guidance in the care management of marijuana users. To address the …

Impact Of Race-Related Stress And Intraracial Microaggressions On Self-Efficacy Of African Descendants, Samina Long

Walden Dissertations and Doctoral Studies

Race-related stress such as ancestral trauma and experiences of out- and in-group microaggressions can be intergenerationally transmitted from parent to child. The current study was conducted to address the need for research on race-related trauma and out- and in-group discrimination by providing evidence-based research on whether African descendants experiencing and witnessing race-related stress and intraracial microaggressions results in low self-efficacy. The purpose of this quantitative, multiple regression design was to explore the relationships among race-related stress, intraracial microaggressions, and self-efficacy, which may provide clarity on the psychological impact of these stressors. This study addressed the question of whether race-related stress …

Youth Overcoming Barriers Through Multiple Adult Mentoring Relationships, Faraji Martin

Walden Dissertations and Doctoral Studies

African American youth may face several problems that may hinder their positive growth into adulthood. These individuals may not have adults in their lives who aid in overcoming difficulties that halt positive youth development. Mentoring may provide a young person with an adult or several people that can assist youth with problems and help them find the appropriate solutions to overcome them. Numerous studies have provided research on negative influences on youth development, but authors noted that further research on positive youth development among disadvantaged African American youth is necessary. The current study provides information about informal mentoring and the …

The District Of Columbia And Gun Control Laws: Homicides And Social Impacts, Richard Ghislain Mbakop

Walden Dissertations and Doctoral Studies

Abstract

The District of Columbia has one of the toughest gun laws in the United States, yet the city has one of the highest homicide rates in the nation and much of this gun violence is concentrated in the southeastern part of the city. The framework for the study was comprised of (a) the psychological theory based on many arguments, such as labeling weapons as symbols of male superiority and power, and (b) the social contract theory. Finding the perceptions about the relationship between gun control laws and homicide rates in Washington D.C. was the essential aim of the study. …

Achieving Profitability In Global Small Business Supply Chain Management, Cheryl A. Mccloud

Walden Dissertations and Doctoral Studies

Supply chain managers of small and medium-sized enterprises face cost inefficiencies in meeting human, physical, and technology capital requirements. Small and medium-sized enterprise supply chain managers who fail to implement cost-efficiency strategies risk jeopardizing profitability. Grounded in the chaos theory, the purpose of this qualitative single case study was to explore the successful strategies SME supply chain managers used to create cost efficiencies to remain profitable. Participants were 3 corporate supply chain managers of a small and medium-sized international enterprise located in central Florida who were successful at creating cost efficiencies to remain profitable. The data collection process included face-to-face …

Qualitative Inquiry Of Resilience In Veterans Transitioning To Civilian Life, Brenda D. Nicholson

Walden Dissertations and Doctoral Studies

This qualitative phenomenological research focused on the resilience of 10 veterans transitioning back to civilian life. An increase in suicide rates among veterans over the last 10 years has become a major concern for the U.S. Congress and Department of Defense (DoD). The theoretical frameworks guiding the study are Durkheim’s suicide theory, Lindenberg and Frey’s social production function theory, and Diener’s deindividuation theory. Many veterans have no self-awareness of their need for psychological and transitional assistance, leaving them vulnerable during a time of potentially increased and unfamiliar stress. Understanding the need for effective psychological adjustment and resilience in military members …

Female Small Business Owners: Strategies For Success, Betsy J. Peterson

Walden Dissertations and Doctoral Studies

In 2015, 30.2 million small businesses existed in the United States; the Small Business Administration predicted that only half would survive beyond 5 years. Female business owners who do not establish practices to gain a competitive advantage in the small business marketplace may experience poor business performance. Grounded in trait theory, the purpose of this qualitative multiple case study was to explore the business strategies female small business owners use to succeed in a small business beyond 5 years. Participants included 3 female owners of successful small businesses in Northern California who have been in continual operation for more than …

Strategies To Sustain Funding In The Nonprofit Sector, Mark Sami

Walden Dissertations and Doctoral Studies

Nonprofits provide much needed services to communities, especially to the poor and

vulnerable population, but the majority are operating in an environment of uncertainty

because of scarcity of resources. It is imperative that nonprofit managers implement

strategies to ensure the sustainability of their organizations. Grounded in the general

systems theory, the purpose of this qualitative multiple case study was to explore

strategies that nonprofit managers use to sustain funding in the nonprofit sector. The

study participants were 3 nonprofit managers, including 2 from the Caribbean, and 1

from the United States. Data were collected from semistructured interviews and a review …

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 …

Practitioners’ Perceptions Of Medical Compliance Among Homeless Clients With Hiv And A Mental Health Diagnosis, Kyle Samuel Berkley

Walden Dissertations and Doctoral Studies

Previous research on HIV medical adherence has focused on incentive-based interventions, while previous research with the chronically homeless has focused on substance abuse, mental illness, and health disparities. This qualitative study focused on the experiences and perceptions of medical providers in a metropolitan area who work on medical adherence with homeless people living with HIV and mental illness. Ecological systems theory provided foundation to explore how medical providers form interventions based on clients’ ecosystems. The data were collected via audio-recorded, semi-structured interviews with 15 case managers, mental health therapists, nurses, and primary care physicians who worked at outpatient medical centers. …

Effects Of Depression And Health Habits On Diabetes Outcomes, Yvonne Marie Chapa

Walden Dissertations and Doctoral Studies

Diabetes mellitus outcomes are intensified by the lack of screening and awareness for depressive symptoms, alcohol consumption, cigarette use, and gender difference. The purpose of this quantitative survey study, grounded in biopsychosocial theory, was to investigate the best predictor (alcohol consumption, cigarette use, and the exploratory variable gender) of diabetes outcome in a Mexican American population. Data were collected using the Patient Health Questionnaire-9 with 120 Mexican American patients from a diabetic clinic in Southern Texas. Results from a multiple regression analysis indicated that gender was the best predictor. A series of Pearson correlations revealed a significant positive relationship between …

The Efficacy Of Ghana’S Business Interest In The Global Economy, Sandra Mateko Elikplim Dankwa

Walden Dissertations and Doctoral Studies

Small-to-medium enterprises (SMEs) are drivers of economic growth and development worldwide. SMEs in the Greater Accra region of Ghana have not been able to innovate and sustain competition. The problem in this phenomenological study was that leaders of SMEs in this region have not fully understood the contributions of the transformational leadership model to the capacity of organizations to innovate and sustain competitiveness. The purpose of this study was to explore and describe the lived experiences of leaders of SMEs in Ghana in leveraging organizational capabilities for innovation and competitiveness. The study’s conceptual framework was grounded in transformational leadership. The …

Perceptions Of Nurses’ Abilities To Provide Safe Care In Unhealthy Work Environments, Jacqueline Flannery

Walden Dissertations and Doctoral Studies

As many as 90% of nurses report working in an environment where their peers engage in passively and overtly violent activities against other nurses. Working in such an environment is unhealthy and has consequences for the career trajectory of nursing. There is a lack of literature available that specifically addresses nurses’ perceptions of their abilities to provide safe patient care in unhealthy work environments. The purpose of this phenomenological study was to explore the lived experiences of nurses who have experienced lateral violence and their perceptions of their ability to provide safe care. Husserl’s philosophy of phenomenology was used as …

First Generation African American College Student-Athletes And Their Lived Experiences, Ikenna Martin

Walden Dissertations and Doctoral Studies

First-generation African American male student-athletes are faced with challenges when attending a four-year institution of higher education. Many of these individuals are leaving their family and hometown for the first time, which can cause them to feel lonely and as if they are an impostor. Using the imposter syndrome lens as the conceptual framework, this case study sought to understand the experiences of first-generation African American male student-athletes at a primarily Caucasian NCAA Division III campus. Three participants responded to recruitment flyer for the face to face interviews. Themes derived from the analysis of individual interviews with 3 participants and …

Masculine Ideals, Acculturation, And Attitudes Toward Seeking Psychological Help Among Mexican American Adult Males, Innocent Affam Obuah

Walden Dissertations and Doctoral Studies

There is a paucity of published research identifying the relationships between masculine ideals, acculturation, and attitudes toward seeking professional psychological help among adult Mexican American men. The purpose of the current study was to examine how masculine ideals and acculturation can negatively affect attitude toward seeking psychological help among Mexican American adult males, a fast-growing population in the U.S. that is vulnerable to poor mental health outcomes. Among those factors reported to account for mainly negative perceptions in this population are masculine ideals, machismo, and acculturation; however, the effects of these factors on Mexican American males have not been quantitatively …

Ebola Outbreak In Liberia And Sierra Leone: Role Of Nonmedical Emergency Management Agencies, Eugene Owusu Afrifa

Walden Dissertations and Doctoral Studies

The 2014 Ebola crisis killed 11,315 people across 6 countries, making it the deadliest crisis globally since the virus was discovered in 1976. However, the roles played by nonmedical emergency management agencies (EMAs) in Liberia and Sierra Leone during that crisis remain unknown. The purpose of this study was to bridge the gap in knowledge by documenting the roles which were played or should have been played by EMAs in Liberia and Sierra Leone in responding to the 2014 Ebola crisis involving policymaking in emergency management (EM). The research questions focused on the roles that were played or should have …

Understanding The Increase In Military Couples Seeking Counseling Throughout The Military Lifecycle, Ellen F. Saccoia

Walden Dissertations and Doctoral Studies

Since the start of military operations following the terrorist attacks on September 11, 2001, the nation has experienced the longest sustained war in its history. Military couples are at an increased risk of experiencing relationship stressors due to supporting long-term global military operations. Most of the research literature identifying the difficulties experienced by active-duty military couples was conducted over the past two decades following September 11, 2001. Missing from the literature are present-day problems facing military couples seeking counseling following the drawdown of overseas military operations (see United States Government Accountability Office [U.S. GAO], 2016). The purpose of this action …

High School Teacher And Librarian Perspectives Regarding Teaching Digital Media Skills, Tammy Turner

Walden Dissertations and Doctoral Studies

The problem addressed in this qualitative project study was the inconsistency in media literacy instruction provided by high school teachers and librarians when teaching students how to curate and create digital media. With the increase in technology and social media platforms in the 21st century, educators are expected to instruct students in the use of these new literacies. However, many are ill-prepared to teach media literacy. The study was grounded in the conceptual framework of critical media literacy pedagogy and research questions were designed to reflect teachers’ perspectives about and use of elements of critical media literacy pedagogy. A purposeful …

Subjective Well-Being And Life Satisfaction Among Midlife Former Division Iii Student- Athletes, David Alfred Bayer

Walden Dissertations and Doctoral Studies

People in midlife, age 35-50, often reach a state of generativity wherein they feel a need to enhance the well-being of younger generations. Although midlifers enjoy the potential for their highest lifetime levels of subjective well-being (SWB) and contributions to the social good, they also often experience decreased SWB and life satisfaction (LS). The purpose of this qualitative phenomenological study was to develop an understanding of the lived experiences of SWB and LS among a purposively selected group of 10 midlife former National Collegiate Athletic Association (NCAA) Division III collaborative sport student-athletes. Although participants in NCAA Division I athletics have …

Canadian Postsecondary Leaders’ Understanding And Promotion Of Social Justice And Educational Equity, Pamela Jacqueline Cawley

Walden Dissertations and Doctoral Studies

Canadian universities are educating an increasingly diverse student body and have a role in rectifying inequities and educating students to contribute to a democratic and inclusive society, but little is known about how mainstream leaders understand such leadership. The purpose of this study was to examine how mainstream Canadian postsecondary leaders in Canada describe and understand their leadership related to social justice and educational equity. Critical social theory and applied critical leadership theory guided this study. This basic qualitative study using semistructured interviews explored how 11 mainstream postsecondary leaders have understood and promoted social justice and educational equity. Data analysis …

Dispositional Self-Control And Motherhood: An Investigation Into Recidivism, Corliss Crawford-Bayles

Walden Dissertations and Doctoral Studies

The goal of many female offenders when released from prison is reunification with their children. However, resumption of motherhood is a gendered challenge that may increase the risk of recidivism. The purpose of this research was to investigate whether resuming custody of minor children would increase the risk of recidivism or support and maintain desistence. This research is grounded in feminist theory, identity theory, and self-control theory with a quasi-experimental design. The key research question, whether motherhood increased the risk of recidivism, was investigated using a researcher-generated, 18-question research questionnaire. Additionally, the Dispositional Self-Control (DSC) scale consisted of 17 questions …

Perceptions Of Influence Of The Wage Gap On Immigrant Ghanaian Women’S Career Aspirations, Daniel Otoo Kwasi Djan

Walden Dissertations and Doctoral Studies

Wage inequality and gender-based career advancement barriers have plagued immigrant women in the United States since world war II. The Equal Pay Act was enacted to address wage inequalities but did little to fix the concerns of the wage gap and promotional barriers for women in the United States. This generic qualitative study addressed a research gap about perceptions of influence of the wage gap on immigrant women’s career aspirations to address the documented problem of income disparity. The theoretical framework guiding the study consisted of feminist and conflict theories . The main research question concerns immigrant Ghanaian women’s perceptions …