Digital Commons Network^™

Caregivers' Challenges In Accessing Services For Children With Autism, Anita Payne Jones

Walden Dissertations and Doctoral Studies

The perspective of the caregiver is vital to understanding the experiences of raising a child with autism, including the challenges faced in accessing services. The purpose of this qualitative, transcendental phenomenological study was to examine the lived experiences of primary caregivers raising a school-age child with autism and to bring about an understanding of the challenges faced in accessing services. Resiliency theory provided the conceptual framework for the study. Semi-structured, in-depth interviews were conducted with 11 participants raising a child with autism in the Washington, DC metropolitan area. Data were analyzed using Moustakas's descriptive approach. Results yielded 5 themes: overall …

Effective Planning Of Urban Communities' Vulnerabilities For Mitigation Of Homelessness After A Natural Disaster, Tamara Michelle Lapsley

Walden Dissertations and Doctoral Studies

Urban communities often lack the ability to recover after disaster plans have been implemented because of a lack of coordinated resources among federal, state, and local agencies. As a result, economically marginalized citizens find themselves in risky conditions, particularly concerning finding and securing post-disaster housing. Using social conflict theory as a guide, the purpose of this exploratory case study of an urban area in a southern state was to better understand the specific vulnerabilities of urban communities and develop solutions for challenges related to emergency or temporary shelters to victims. Data were primarily collected through interviews with 10 residents who …

Military Sexual Trauma Survivors' Experiences And Perceptions Of Cognitive Processing Therapy, Sally A. Mead

Walden Dissertations and Doctoral Studies

Military sexual trauma (MST) has been associated with poor emotional and psychological well-being, less overall life satisfaction, and poorer health in general as well as higher rates of posttraumatic stress disorder (PTSD). The Department of Veterans Affairs provides treatment for veterans who experienced MST and recommends cognitive processing therapy (CPT) as a preferred treatment modality. Quantitative studies have shown that CPT can decrease symptoms of PTSD; however, a neglected area of study concerns the experiences of veterans who receive CPT for MST-related PTSD. In this generic qualitative study, the perceptions and experiences of female veterans who were survivors of MST …

First-Year Students' Reasons For Withdrawing From College, Margaret Ann Nelson

Walden Dissertations and Doctoral Studies

Retention of first-year students was a problem at a private 4-year university in the Southeastern United States. The purpose of this qualitative case study was to examine the reasons entering first-year students who were part of the Promise Program withdrew from the university during their first year. Tinto's model of student attrition provided the conceptual framework for the study. Research questions addressed students' rationale for selecting the school, their perspectives on the main causes of first-year attrition, their expectations of campus support services, and their recommendations for how to decrease student attrition. Data were collected from semistructured interviews with 7 …

Telehealth Implementation Strategies For Healthcare Providers, Ismaila Gbenga Olatinwo

Walden Dissertations and Doctoral Studies

The shift in the landscape of healthcare services from inpatient care to outpatient care prompts healthcare leaders to re-evaluate their strategies to boost declining revenue. Telehealth offers potential for increasing efficiency and access to care, and the acceptance of its modal quality is essential for its diffusion and adoption. The purpose of this single case study was to explore strategies that healthcare providers used to implement telehealth to increase profitability. The conceptual framework was the technology acceptance model. Data were collected through semistructured interviews and review of organizational documents. The research population comprised 4 healthcare leaders in 1 organization in …

Impact Of Food Insecurity On The Management Of Illness In Wayne County, Ohio, Bernadette Coleen Paul

Walden Dissertations and Doctoral Studies

The incidence of food insecurity coupled with poor management of illnesses poses a

public health challenge. Poor adherence to medication regimens is a contributor to poor

health outcomes, especially among the socioeconomically disadvantaged. Food insecurity

is a global health and nutrition problem that affects approximately 50 million people in

the United States. The number of food-insecure households in the United States has

increased by 12% since 1995, and so has the burden of management of illnesses. The cost

of healthcare has risen from 5% of the Gross Domestic Product (GDP) in 1960 to 20% of

the GDP currently. This quantitative …

A Narrative Study Focusing On Survivors Of Forced Labor Trafficking, Taras Nk Raggio

Walden Dissertations and Doctoral Studies

Throughout history, the media's rendering of slavery depicts vulnerable groups caught in a network of trafficking looking for a better life. Scholars of trafficking cite challenges in understanding the health care needs of domestic forced labor trafficking survivors in the United States. Seminal trafficking findings have shown that variations of trafficking affect the survivors' health after surviving trafficking. Therefore, in this qualitative, narrative inquiry I sought to understand how 8 survivors of forced labor trafficking, ages 25 years and older, described their health following trafficking beyond 5 years. The theory of social constructionism constituted the theoretical foundation, and the salutogenic …

Toxic Air Discharge And Infant Mortality: Effects Of Community Size And Socioeconomics, Khabira Salter

Walden Dissertations and Doctoral Studies

Living in counties where manufacturers release environmental toxins, such as those tracked by the Environmental Protection Agency's (EPA) toxic release inventory (TRI), may elevate infants' health risks. Because infant mortality (IM) is a strong indicator of a population's health status, it is an important topic in public health research. The purpose of this research was to examine the potential relationships between IM, community size, and factors related to mothers' SES in counties where more than 25,000 pounds of annual toxic air releases occur. The dependent variable was IM per 1,000 live births in a given community for each of the …

Risk-Taking Behaviors Of First-Generation Sub-Saharan African-Born U.S. Resident Men, Henry K.J. Sinyangwe

Walden Dissertations and Doctoral Studies

African-born residents of the United States have a higher incidence of HIV than African Americans. Factors such as lifestyle, habits, behavior practices, and activities may predispose African-born residents to behave sexually in ways that place them at risk of becoming infected with HIV. This study used a qualitative narrative approach to understand the lived experiences first generation Sub-Saharan African-born men who are U.S. residents to analyze the behaviors that expose them to HIV. To analyze data, the study used the health-belief model as the conceptual framework and NVivo for data analysis to assist in identifying, categorizing, and analyzing common themes …

Embracing Ujima: A Grounded Theory Of African Americans Choosing The Counseling Profession, Rashida Karriem Fisher

Walden Dissertations and Doctoral Studies

Racial and ethnic diverse populations experience discrimination in educational and career attainment and remain underrepresented in the counseling profession. The current literature provides limited guidance for the counseling profession and academic institutions for successfully recruiting racial and ethnic minority students in a master's level counselor training program. Social Constructivist theory and Adlerian/ Individual Psychology are the theoretical foundations of the study. This constructivist grounded theory study sought to understand the career decision-making process of African Americans choosing to enter in the counseling profession and the influence of racial and ethnic identity on this decision-making process. Utilizing semistructured interviews via video-conferencing; …

Compassion Fatigue In Registered Dietitians Who Treat Patients With Eating Disorders, Caryn Alyce Honig

Walden Dissertations and Doctoral Studies

Registered dietitians who treat patients with eating disorders may be at risk for developing compassion fatigue due to exposure to patients' chronic complications. Dietetic courses and programs do not comprise coping and resilience training, therefore, dietitians who work with these patients may need additional education. The purpose of this basic qualitative research study was to investigate the perceptions of practicing registered dietitians and dietetic educators on the risk of compassion fatigue, investigate ways to manage and prevent the development of compassion fatigue, and explore the possible need for professional education. Knowles's theory of andragogy provided the conceptual framework as perceptions …

Strategies Used By African American Women To Secure Financial Capital To Start New Businesses, Lisa Lipkins

Walden Dissertations and Doctoral Studies

Women-owned businesses continue to drive economic growth in the United States. However, some African American businesswomen lack strategies to obtain capital to start their business. Strategies to obtain funds for a startup is vital to African American women seeking to start and sustain their businesses. Guided by entrepreneurial theory, the purpose of this qualitative multiple case study was to explore strategies African American women use to secure financial capital to start new businesses. The participants included 6 African American women business owners in Atlanta, Georgia, with successful experience in utilizing strategies to secure financial capital to start new businesses. Data …

Correlating Personality Types And Educational Attainment, Nicole Marie Orcutt

Walden Dissertations and Doctoral Studies

There was a gap in the current literature examining degree attainment, in that there was no research found on personality type and the highest degree level someone attains. The goal of this study was to understand if there was a correlation to an individual's personality classification as determined by their Myers Briggs Personality Inventory (MBTI) and the highest education level they achieve for the 225 people in the entire sample and 95 in the subsample (participants raised in poverty). The MBTI's theoretical foundation is based upon Dr. Carl Jung's personality typology and was later expounded upon by the tool's creators. …

Examining Family Hierarchy Through The Eyes Of Former Mac Baller Gang Members, Jerome Lee Rice

Walden Dissertations and Doctoral Studies

Criminal gang membership is growing, which corresponds to a continued breakdown of the family unit in the United States. Most of the young people who form gangs come from broken families or single-parent-headed households. This study explored the role of family hierarchy on gang membership. A qualitative case study approach was used to gather information on what motivates young people to join criminal gangs. A random sampling technique was used to recruit seven former members of the Mac Baller Brim gang. Ethical concerns were addressed to minimize the risks to the participants. The collected data from interviews were analyzed using …

Drugs, Alcohol, And The Community College Student-Athlete: A Narrative Study, Kevin A. Berg

Walden Dissertations and Doctoral Studies

Research shows that student-athletes, whether at the high school or collegiate ranks, experience higher rates of alcohol consumption than their non-athlete student counterparts. However, one population that has not been studied is the community college student-athlete. Traditional community college students have different risk categories and needs than traditional 4-year university students. In this study, community college student-athletes provided their views and perceptions on drugs and alcohol. To obtain data, a qualitative narrative analysis was completed by interviewing 13 community college student-athletes to identify their views and opinions on drugs and alcohol. Once the interviews were completed, transcription and coding were …

Financial Accountability In U.S. Nonprofit Organizations, Evangeline Asafor Ngwashi

Walden Dissertations and Doctoral Studies

Financial accountability is a pressing issue in United States NPOs because there is a demand, by donors and the public they serve, to implement clear accountability practices. The purpose of this study was to explore and document the financial oversight and accountability policies and procedures that successful NPOs employ to maintain clear financial accountability practices. The theoretical framework underlining this qualitative phenomenological study was a combination of social construction theory and institutional rational choice theory. The research question was focused on understanding essential financial oversight and accountability policies and procedures that should be designed for NPOs to create and maintain …

Best Practice Hostage Negotiator Stress Debriefings €“ A Step Toward Ptsd Symptom Reduction, Michael R. Salter

Walden Dissertations and Doctoral Studies

After a hostage negotiation incident, it is common practice for either no debriefing to occur or a formal, administration-attended debriefing to discuss issues and possible emotional as well as, psychological stressors with the hostage negotiation team members. However, many times negotiators are reluctant to be honest in front of administrators or supervisors about their weaknesses as they feel this will lead to termination or loss of service weapon. Little is known about what effect, if any, best practice hostage negotiation after incident debriefings would have given regarding possible psychological distresses on the negotiators as well as effects on team bonding. …

Strategies Small Business Leaders Use To Reduce Employees' Resistance To Change, Mary Erekiye Tombiri

Walden Dissertations and Doctoral Studies

Small business operations contribute to economic growth and account for 110 million new jobs in the United States. Despite the increase in the number of businesses created in the United States, some business leaders fail to manage change effectively. The purpose of this multiple case study was to explore the strategies that some leaders of small businesses used to reduce employees' resistance to change. Lewin's 3-phase change theory served as the conceptual framework. The target population consisted of 3 successful leaders of small businesses in the central and southern region of Texas. Each participant had more than 5 years of …

Retail Employee Motivation And Performance, Angela Michelle Addair

Walden Dissertations and Doctoral Studies

Retail industry leaders seek effective strategies to improve employee motivation to increase levels of workforce productivity. The purpose of this single case study was to explore the strategies successful retail industry leaders used to motivate their employees to achieve higher levels of workforce productivity. The conceptual framework for the study was Vroom's expectancy theory of motivation. The research participants consisted of 2 retail store managers from the same retail store located in southeastern mid-Atlantic region of the United States who successfully motivated their employees. Data collection consisted of semistructured interviews, direct observation, and review of company documents. Data analysis included …

Evaluating The Effectiveness Of Counter-Narrative Tactics In Preventing Radicalization, Ellen Berman

Walden Dissertations and Doctoral Studies

The U.S. Department of State disseminates counter-radicalization information through social media but has been unable to reach users due to an inability to create engaging posts due to a lack of understanding of the interests of the general population. The purpose of this quantitative study was to assess the utility of data analytics when administering counter-radicalization social media campaigns. The population for this study were social media posts published on the Quilliam Facebook page between 1 January 2018 and 31 December 2018. The nonexperimental quantitative descriptive research design sought to examine the correlation between the independent variables (topic of a …

Key Performance Indicators' Effects On Public Sector Infrastructure Project Efficiency In Grenada, Kelvin Michael George

Walden Dissertations and Doctoral Studies

Grenada is 1 of 15 developing countries in Caribbean Community known as CARICOM. The infrastructure capital projects in these developing countries are plagued with an array of issues: unethical practices, inadequate supervision, lack of transparency and accountability, inadequate monitoring and evaluation, cost overruns, and inefficiencies. In the 1980s and 1990s, the International Monitory Fund and World Bank introduced a balanced scorecard engineered under the structural adjustment program, but it was unable to improve infrastructure project efficiencies. This qualitative case study sought to understand the role of management key performance indicators (KPIs) on public sector infrastructure capital project efficiency on the …

Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook

Walden Dissertations and Doctoral Studies

Military cultural competence has gained attention due to the past 15 years of military conflict and ongoing deployment of troops around the globe. Returning veterans, particularly those who go on to experience homelessness, have reported negative experiences and adverse treatment from programs that were designed to support them. Those experiences have resulted in perceived barriers to access or use of such services. Researchers have established the need for increased levels of military cultural competence to develop rapport with veterans and their families when delivering community-based social and healthcare services. Bandura's self-efficacy theory was the theoretical framework of this study. This …

Female Victims' Perceptions Of Civil Protection Order Effectiveness In Rural Tennessee, Thomas Warren Tharpe

Walden Dissertations and Doctoral Studies

Domestic violence is a serious social issue that affects victims across all spectrums of life. While domestic violence crosses all geographical boundaries, researchers have found that women residing in rural areas experience increased severity and more extended periods of abuse than their urban counterparts. Existing literature focusing on rural female domestic violence victims and their subjective perceptions of civil order protection is limited and little is known about abuse victims' satisfaction with civil protection orders in keeping them safe from future incidents of violence. The purpose of this qualitative study was to examine the effectiveness perceptions of rural female victims …

Perceptions Of Residents In Rural Areas Toward Law Enforcement, Joseph James Wagner

Walden Dissertations and Doctoral Studies

Negative public perceptions toward law enforcement officers (LEOs) have increased in recent years as the result of police shootings of unarmed men. Researchers have focused on urban residents' perceptions toward LEOs, but have not examined the perceptions of rural residents. The purpose of this quantitative study was to examine the relationship between the dependent variable (DV) of rural citizens' perceptions toward LEOs and the independent variables (IVs) of age, gender, ethnicity, religion, marital status, sexual orientation, income, employment status, educational attainment, and immigration status. The social judgment theory and the primary socialization theory were used as the theoretical foundations to …

A Case Study Of Forensic Interviewing Of Antisocial Personality Disorder Diagnosed Inmates, Markus Michael Bressler

Walden Dissertations and Doctoral Studies

Interview strategies applied in adult criminal justice settings focus on the interviewer and concentrate on obtaining information for the courts, while simultaneously neglecting a forensic understanding of interviewees, including the interviewee's decision-making and behavioral health impairments. As a consequence, there is a deficiency of evidence-based research regarding interview practices with persons diagnosed with antisocial personality disorder (ASPD). Using social control and neutralization theories as the foundation, the purpose of this case study of a single justice system in the United States was to better understand the perspectives and experiences of ASPD diagnosed inmates (n =5) compared to incarcerated participants without …

Retention Strategies For Oil And Gas Industry Managers, Faye Gerard

Walden Dissertations and Doctoral Studies

The turnover cost of specialized employees in the oil and gas industry can exceed 400% of an employee's annual salary. The purpose of this multiple case study was to explore successful strategies that oil and gas company managers used to retain specialized employees. The specific population for the study was 8 managers from 4 oil and gas companies in a metropolitan city in the southern United States, which included 5 hiring managers and 3 engineering managers who had demonstrated success in retaining specialized employees. The conceptual lens used in this research study was the job embeddedness theory. Study data were …

Patients' Perceptions Of Quality Of Life And Resource Availability After Critical Illness, Michelle Mcmoon

Walden Dissertations and Doctoral Studies

Physical, psychological, and social debilities are common among survivors of critical illness. Survivors of critical illness require rehabilitative services during recovery in order to return to functional independence, but the structure and access of such services remains unclear. The purpose of this qualitative study was to explore the vital issues affecting quality of life from the perspective of critical illness survivors and to understand these patients' experiences with rehabilitative services in the United States. The theoretical framework guiding this study was Weber's rational choice theory, and a phenomenological study design was employed. The research questions focused on the survivors' experiences …

Role Of Stand-Alone Business Entities In Sustaining Newly Established Nonprofit Organizations, Sharif S. Shamroukh

Walden Dissertations and Doctoral Studies

Thousands of newly established nonprofit organizations (NPOs) with long-lasting and needed missions disappear annually, which negatively impacts the nonprofit sector in general and the potential recipients of the discontinued NPOs' services. The purpose of this quantitative study was to examine the possible influence that the presence of a strategic resource development plan and the establishment of a stand-alone business entity have on the persistence of newly established NPOs that have long-lasting and needed missions in the United States within the context of the theoretical framework resource dependence theory. Research questions focused on the role of commercial activities, particularly the stand-alone …

Perceptions Of Persistence In A Community College English Composition Class, Starr Watson

Walden Dissertations and Doctoral Studies

Abstract

The purpose of this bounded qualitative case study was to explore students' perceptions

of factors that influenced their success or failure in an online English composition course

at a community college located in the southeastern United States and to understand how

these factors affected their persistence in coursework. Retention rates in online for online

English composition courses are lower compared to face-to-face English composition

courses. Rapid expansion of online learning has led to increased concern regarding

student persistence in courses and degree or certification completion. Tinto's

interactionalist theory and Kember's model of student success framed the course of

inquiry …

The Effect Of Income On Stroke Recovery In Urban Ghana, Ida Dawsome Amuah

Walden Dissertations and Doctoral Studies

Stroke recovery is a crucial public health issue in Ghana due to the high rate of mortality and morbidity associated with stroke. The significant role income plays in the onset of stroke has been empirically proven using quantitative research. However, the in-depth insights on the role income plays in stroke recovery are less known and less appreciated, particularly, in middle-income countries such as Ghana. The phenomenological study was purposed to provide in-depth insight into the effect which might exist between income earned by Ghanaian-families and stroke recovery. The theoretical framework underlining this qualitative study was a combination of the Dahlgren-Whitehead …