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Walden Dissertations and Doctoral Studies

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High Functioning Females And Dating, Myla M. Streander Aug 2024

High Functioning Females And Dating, Myla M. Streander

Walden Dissertations and Doctoral Studies

The autism population in Southwest Florida does not have resources in the community to assist them with general living skills, social skills, job skills, and relationship skills. The research shows that autistic females have been ignored for years as they do not present autism the same as males. This means that instead of being independent and functional, they depend on the government for complete assistance. The study completed involved nine women with autism ages 18-35 to record their experiences and what gaps in the practice need to be addressed. This study was completed via Zoom and phone interviews, depending on …


Clinical Practice Guideline On Evaluating The Effectiveness Of Venipuncture Arm Simulation, Drena D. Belland Aug 2024

Clinical Practice Guideline On Evaluating The Effectiveness Of Venipuncture Arm Simulation, Drena D. Belland

Walden Dissertations and Doctoral Studies

Venipuncture is an integral process in clinical care, and it has an indispensable role in diagnostics and determining therapeutic interventions. The process of phlebotomy has faced several challenges that have compromised patients’ safety. The risk of incorrect venipuncture, or preanalytical errors, leading to severe patient complications of hematoma and thrombosis calls for training using current, evidence-based practices. The goal of this project was to develop a clinical practice guideline (CPG) to determine the efficacy of venipuncture simulation training using an arm task trainer to enhance the phlebotomy skills of nurses. Based on the outcome, present, state, test model and Nightingale’s …


Effects Of Nursing Faculty Incivility On Nursing Student Attrition, Amber Solheim Aug 2024

Effects Of Nursing Faculty Incivility On Nursing Student Attrition, Amber Solheim

Walden Dissertations and Doctoral Studies

Incivility in nursing academia can occur with various people in the role of the perpetrator or victim, including students, faculty, and healthcare professionals in clinical settings. Nursing faculty incivility towards students may lead to nursing student attrition in practical nursing or associate degree programs. The purposes of this study, guided by Bandura’s social learning theory and Tajfel’s social identity theory, were to determine if there is a (a) difference in perceived faculty incivility in nursing students who withdraw from nursing school and nursing students who do not withdraw and (b) the difference in the levels of perceived faculty incivility between …


Utilizing Effective Performance Management Strategies To Advance Towards Organizational Success, Raina Nicole Johnson-Smith Aug 2024

Utilizing Effective Performance Management Strategies To Advance Towards Organizational Success, Raina Nicole Johnson-Smith

Walden Dissertations and Doctoral Studies

Poor employee performance has a direct impact on business outcomes. Performance management leaders are concerned with identifying and implementing efficient strategies, as organizational performance is a primary predictor of the organization’s success and sustainability. Grounded in the transformational leadership theory, the purpose of this qualitative, pragmatic inquiry study was to explore effective performance management strategies to identify and remediate performance issues. The participants were seven dynamic performance management leaders in the northeastern United States who utilized effective strategies to identify and remediate performance issues. Data were collected using semistructured interviews, performance management websites, and public records. Through thematic analysis, four …


Caregivers’ Experiences Supporting The Transition To Adulthood Of Adolescents With Acquired Intellectual Disability, Melinda Rose Jordan Aug 2024

Caregivers’ Experiences Supporting The Transition To Adulthood Of Adolescents With Acquired Intellectual Disability, Melinda Rose Jordan

Walden Dissertations and Doctoral Studies

Transitioning to adulthood can be challenging for adolescents with acquired intellectual disability (caused through an accident, brain injury, neglect, or health condition) and their caregivers. The purpose of this study was to examine lived experiences of caregivers who cared for adolescents with acquired intellectual disability during their transition into adulthood. This study used the phenomenological qualitative design guided by the social support theory. Three research questions were asked: what do caregivers of an adolescent with acquired intellectual disability experience as they support the adolescent’s transition to adulthood, how do caregivers of an adolescent with acquired intellectual disability experience social support …


Experiences Of Queer Female Counselor Educators: An Intersectional Interpretive Phenomenological Analysis, Caryn Leonard-Wilde Aug 2024

Experiences Of Queer Female Counselor Educators: An Intersectional Interpretive Phenomenological Analysis, Caryn Leonard-Wilde

Walden Dissertations and Doctoral Studies

The Council for Accreditation of Counselor Education and Related Programs and the American Counseling Association require counseling programs (CPs) to recruit, employ, and retain diverse faculty. Queer sexual orientation and gender identity is considered an aspect of diversity with which counselors must gain competency and against which counselors should not discriminate yet little is known about queer female counselor educators (QFCEs) with intersecting minority identities. The purpose of this interpretive phenomenological analysis (IPA) with both hermeneutic and intersectionality theory frameworks was to explore the experiences and meaning making of QFCEs and to describe the impact of these experiences on QFCE’s …


Faith Leaders' Perceptions And Experiences Of Advancing Collaborative Health Care Partnerships Focused On Community Health, Paul Stephen Trotter Jr Aug 2024

Faith Leaders' Perceptions And Experiences Of Advancing Collaborative Health Care Partnerships Focused On Community Health, Paul Stephen Trotter Jr

Walden Dissertations and Doctoral Studies

Faith leaders [FLs] have launched interventions and partnerships to improve health care in rural communities in the United States, yet these areas still experience unfavorable health outcomes in comparison to other areas. The purpose of this study was to explore how a sample of nine FLs perceive and experience their roles as agents for social change in collaborative healthcare partnerships that focus on community health in the rural Delmarva region of the United States. The conceptual framework that informed the work was based on the social-ecological model [SEM] and transformational leadership theory. A qualitative, interpretative description research design was employed, …


Motivation And Treatment Readiness Of Those Participating In Correctional Educational Programming, Kelly Eileen O'Bryan Aug 2024

Motivation And Treatment Readiness Of Those Participating In Correctional Educational Programming, Kelly Eileen O'Bryan

Walden Dissertations and Doctoral Studies

This study examined what motivated male inmates in a private Oklahoma prison to participate in general education diploma or the Microsoft Office Specialist certification program. Research questions explored, what factors motivated program participants to participate in educational programs while incarcerated? Next, whether those who were eligible to participate in the program exhibited treatment readiness? Finally, were those who exhibited higher levels of treatment readiness and motivation were more likely to participate in and complete the program? A survey was used to collect demographic information and assess treatment readiness and motivation through the Corrections Victoria Treatment Readiness Questionnaire for 48 inmates. …


A Staff Education Program On Managing Covid-19 In A Correctional Setting, Mary Catherine Knight Aug 2024

A Staff Education Program On Managing Covid-19 In A Correctional Setting, Mary Catherine Knight

Walden Dissertations and Doctoral Studies

The medical departments of many correctional facilities were unprepared to manage the COVID-19 pandemic. The practice problem identified for this doctorate of nursing practice (DNP) project was the lack of knowledge of health staff on managing incarcerated individuals' care during a pandemic. The primary purpose of the project was to develop, implement, and evaluate a staff education program on evidence-based interventions for preventing and managing a pandemic in a correctional facility. This project was guided by David Kolb's experiential learning theory and the analysis, design, development, implementation, and evaluation (ADDIE) model. The practice setting was a local detention center in …


Leadership Innovation In Overcoming The Obstacles Of Workforce Shortages In Behavioral Health, Courtney Jade Smith Aug 2024

Leadership Innovation In Overcoming The Obstacles Of Workforce Shortages In Behavioral Health, Courtney Jade Smith

Walden Dissertations and Doctoral Studies

Adequate staffing in behavioral health treatment is essential to delivering safe, timely, and quality care. Frequently void of adequate staffing, treatment providers are eager to find solutions to overcome the negative impacts of the workforce shortage. The workforce shortage is a multifaceted issue with substantial negative consequences for treatment providers, clients, communities, and the county. This study partnered with a behavioral health organization (BHO) to examine the experienced impact of the workforce shortage and explore innovative solutions for leadership in overcoming the workforce shortage. This study employed a qualitative case study design, in combination with the Baldrige Excellence Framework, to …


The Perceptions Of The Effectiveness Of Family Reentry Programs And The Public Policies Governing Those Programs For African American Female Ex-Offenders, Yulonda Rhodes Aug 2024

The Perceptions Of The Effectiveness Of Family Reentry Programs And The Public Policies Governing Those Programs For African American Female Ex-Offenders, Yulonda Rhodes

Walden Dissertations and Doctoral Studies

The purpose of this generic qualitative study was to explore how African American female ex-offenders perceive the effectiveness of family reentry programs and the policies governing those programs. By providing additional information particular to African American female ex-offenders, this study has the potential to broaden the scope and depth of existing studies and enhance public policies governing family reentry programs. The theoretical framework concentrated on the four variables of Hirschi’s social control theory: attachment, commitment, involvement, and belief. The primary research question explored how African American female ex-offenders perceived the effectiveness of family reentry programs. Data were collected through in-depth …


Improving The Teaching Effectiveness Of South African Educators As Inclusive Primary School Education Practitioners, Rashika Matthews Aug 2024

Improving The Teaching Effectiveness Of South African Educators As Inclusive Primary School Education Practitioners, Rashika Matthews

Walden Dissertations and Doctoral Studies

In 1996, government policies in South Africa required all educational institutions to align with human rights and equality. Public schools now operate as inclusive institutions. Thus, there exists a problem that after 23 years of policy implementation, South African educators continue to acknowledge their need for knowledge, skills, and training to support effective inclusive education. There is an educational imperative to identify the South African educators’ gap in knowledge and skills to improve their effectiveness as active, inclusive practitioners. Mezirow’s transformational learning theory aligns with the South African educators’ need to build knowledge and inclusion skills. This research includes interviews …


Challenges Of Maintaining Sobriety For Adults In Recovery Returning To College, Rosalina Johns Aug 2024

Challenges Of Maintaining Sobriety For Adults In Recovery Returning To College, Rosalina Johns

Walden Dissertations and Doctoral Studies

Alcohol abuse is a prevalent problem among college students, with negative consequences on academic performance, social interactions, and well-being. The purpose of this qualitative phenomenological study was to explore the lived experiences and challenges of sobriety for recovering adults returning to college. Sociocultural theory was used to gain insights into participants’ experiences including resilience, risk and protective factors, and stress. Data were collected from semi structured interviews with three college students who were recovering adults. The data included participants’ responses regarding intervention or mediation techniques that eased their barriers and challenges during their academic journey. The findings revealed core themes …


Differences In Race And Gender Of Retired Servicemembers In The Decision To Reenlist, Samantha R. Loeza Aug 2024

Differences In Race And Gender Of Retired Servicemembers In The Decision To Reenlist, Samantha R. Loeza

Walden Dissertations and Doctoral Studies

The purpose of the study was to examine the race and gender differences among retired enlisted service members in work self-determination regarding the decision to reenlist. Existing research indicated little to no information regarding these factors. The independent variables are race and gender, and the dependent variable is work self-determination in the decision-making to re-enlist. This research utilized an adapted version of the Work Extrinsic and Intrinsic Motivation Scale, an 18-item assessment of work motivation theoretically grounded in self-determination theory. Only retired active-duty enlisted service members between the ranks of E-5 through E-9 were surveyed. Regarding race, this study only …


Effect Of Nurse Work Hours On Nursing Home Patients Antipsychotic Medication Usage, Danielle Tisdale Aug 2024

Effect Of Nurse Work Hours On Nursing Home Patients Antipsychotic Medication Usage, Danielle Tisdale

Walden Dissertations and Doctoral Studies

Antipsychotic medications used to treat and manage psychosis are sometimes prescribed inappropriately to nursing home patients. The purpose of this study was to determine the relationship between direct care (registered nurse [RN] and licensed practical nurse [LPN]) staffing hours in New York nursing homes (independent variable) and the rate of antipsychotic medication usage (dependent variable) as well as the issuance of antipsychotic (F-758) citations (dependent variable). Donabedian’s three-part model served as the theoretical framework and aligned this study concerning nursing homes’ capacity and processes concerning staffing and antipsychotic medication administration. The study consisted of a quantitative examination of a sample …


Promotion And Personality In Military Officers As Moderated By Race, Margaret Raia Aug 2024

Promotion And Personality In Military Officers As Moderated By Race, Margaret Raia

Walden Dissertations and Doctoral Studies

Career progression of U.S. military officers into the senior officer corps remains a difficult objective. Current research focuses on the lack of diversity in the senior officer corps and systematic factors inhibiting officers from promotions. This study was grounded in McCrae and Costa’s five-factor model of personality, to examine U.S. military officers’ personality characteristics and their relation to promotion while moderating for race. This quantitative study used binary logistical regression of survey data to establish whether the personality characteristics of openness, conscientiousness, extraversion, agreeableness, and neuroticism predict promotion. U.S. Army and Naval officers in ranks O4–O10 were sampled from social …


Competition In The Banking Industry: An Empirical Study, Angela Smith Mcgee Aug 2024

Competition In The Banking Industry: An Empirical Study, Angela Smith Mcgee

Walden Dissertations and Doctoral Studies

According to recent studies, U.S. bank customers have been dissatisfied with banks and bank fees; therefore, some bank CEOs need to understand the relationship between the rise of cryptocurrencies, third-party payment services, and traditional bank startups. Using Porter’s five forces theory, the purpose of this quantitative, ex post facto, study was to determine if the dollar value of U.S. cryptocurrency startups, and U.S. third-party payment service startups predict U.S. bank startups. The sample of twenty-four records consisted of initial public offerings (IPO’s) within each month of the two-year period aggregated by variable dollars publicly listed in the Securities and Exchange …


The Role Of Middle Management In Influencing Corporate Culture Change Success, Robert Aaron Parsons Aug 2024

The Role Of Middle Management In Influencing Corporate Culture Change Success, Robert Aaron Parsons

Walden Dissertations and Doctoral Studies

Failure of organizations’ strategic change initiatives typically leads to continued mitigated financial performance. Grounded in transformational leadership theory, the purpose of this qualitative multiple case study was to identify and explore strategies and processes middle managers use to support and implement organizational culture change initiatives to increase organizational financial performance. The participants were four middle managers from two transportation companies in Ohio that experienced thriving organizational culture changes to increase organizational financial performance. Data were collected using semistructured interviews and reviewing public financial statements. Data were analyzed using thematic analysis, and three principal themes emerged: participating in organizational culture change …


Stakeholders’ Perspectives On Motivational Support For Economically Disadvantaged High School Students, Jenny Evans Aug 2024

Stakeholders’ Perspectives On Motivational Support For Economically Disadvantaged High School Students, Jenny Evans

Walden Dissertations and Doctoral Studies

A discrepancy in high school graduation rates for low socioeconomic students has been a historical trend. Despite evidence that reduced high school completion rates limit these students' career options and earning potential, state and national data consistently show a higher failure-to-graduate rate for them despite government interventions to reduce it. Studies have investigated various contributing causes for the gap in completion rates, but few studies have focused on schools that have filled that gap. The purpose of this study was to explore stakeholders’ perspectives on motivational support in schools that have successfully created graduation equality for economically disadvantaged students and …


Secure Implementation Of Sip Trunks For Voice: A Qualitative Study, Mary C. Kiser Aug 2024

Secure Implementation Of Sip Trunks For Voice: A Qualitative Study, Mary C. Kiser

Walden Dissertations and Doctoral Studies

Organizations managing their own multi-line phone system are concerned about their telecommunication engineer’s ability to secure the SIP trunks properly. Billions of dollars are lost globally each year through exploited security vulnerabilities in Session Initiation Protocol (SIP) trunks. Grounded in the knowledge-based view of the firm as the theoretical framework, the purpose of this qualitative multiple case study was to explore strategies used by telecommunications engineers to implement SIP trunks for voice communications securely. Six voice professionals in the United States volunteered as participants, having completed their own successful, secure SIP implementations for their organizations. Data were collected using semistructured …


Judicial Perspectives On Sentencing Mentally Ill Violent Offenders In New York, Vinita Puri Aug 2024

Judicial Perspectives On Sentencing Mentally Ill Violent Offenders In New York, Vinita Puri

Walden Dissertations and Doctoral Studies

Mass incarceration is a public health crisis in the United States. Scholarly research has shown that incarceration may lead to exacerbated psychiatric conditions and increased recidivism risk. Lawmakers and policymakers have turned toward therapeutic jurisprudence (TJ) to develop and implement trauma-informed crime prevention and intervention strategies that focus on diverting individuals from prisons and into community-based treatment. New York legislators have expanded problem-solving courts (e.g., mental health courts), psychiatric treatment facilities, public housing supports, and law enforcement training. In this generic qualitative study, five criminal court judges in New York shared their perspectives on TJ and trauma-informed approaches to sentencing …


Concussions And Their Relationship With Cheerleading, Jazmin Hampton Aug 2024

Concussions And Their Relationship With Cheerleading, Jazmin Hampton

Walden Dissertations and Doctoral Studies

Concussions are a major public health issue that impacts a variety of persons. Cheerleading is an emerging popular sport that has seen increased participation. Minimal information about cheerleading and concussions is known. This study aimed to investigate sustaining a concussion as a cheerleader while accounting for demographics (age, race, and gender), mechanism of injury, and injury setting. The precaution adoption process model was the theoretical framework for this study. Chi-square analysis and binary logistic regression were applied to address research questions. Data from 3,536 patients were obtained from the 2018-2022 National Electronic Injury Surveillance System. Findings indicated there were associations …


Prekindergarten Teacher Experiences With Professional Development For Inclusive Practices, Clory D. Walker Aug 2024

Prekindergarten Teacher Experiences With Professional Development For Inclusive Practices, Clory D. Walker

Walden Dissertations and Doctoral Studies

Teachers in inclusive prekindergarten (PK) settings often serve children with special learning needs without having had professional preparation or development (PD) for using inclusive practices. The problem addressed in this basic qualitative study was that many PK teachers have not received the PD they needed to promote inclusive practices to teach young children within inclusive early childhood classrooms. The purpose of this basic qualitative study was to explore PK teachers’ perspectives on the PD they need to promote inclusive practices to teach all young children, including children with special learning needs, in inclusive early childhood classrooms. The conceptual framework used …


Parental Experiences And Health Education Perceptions Raising Children With Orofacial Clefts, Ama Agyeibea Amuasi Aug 2024

Parental Experiences And Health Education Perceptions Raising Children With Orofacial Clefts, Ama Agyeibea Amuasi

Walden Dissertations and Doctoral Studies

Congenital abnormalities, such as cleft lip and/or palate (CL/P), are a significant global public health issue that contribute to newborn morbidity and mortality, difficulties in social integration, psychological problems for affected persons, parents, and families. Available health education information and resources on CL/P care for parents and families in Ghana are however minimal. The purpose of this qualitative study was to explore the health education perceptions of parents of children born with CL/P to identify and understand experiences of common psychosocial challenges, potential risk, and protective factors used by parents. Five research questions were designed to examine the health education …


Successful Strategies Of Small Business Owners Of Coffee Shops, Tom Gates Aug 2024

Successful Strategies Of Small Business Owners Of Coffee Shops, Tom Gates

Walden Dissertations and Doctoral Studies

Many small business owners of U.S. coffee shops lack effective strategies to sustain their business beyond the first 5 years. Small business owners are concerned that the use of ineffective strategies can negatively impact the coffee shop’s profitability and competitiveness. The purpose of the qualitative multiple case study was to explore what type of skills, business acumen, and strategies small business owners of coffee shops use to be successful within the first 5 years of operation. The conceptual framework that grounded this study was von Bertalanffy’s general systems theory. The participants were five small business coffee shop owners in the …


The Impact Of The Covid-19 Pandemic On Depression And Anxiety Among Idaho Adults, Melissa Marie Henbest Aug 2024

The Impact Of The Covid-19 Pandemic On Depression And Anxiety Among Idaho Adults, Melissa Marie Henbest

Walden Dissertations and Doctoral Studies

Research indicates that the COVID-19 pandemic had negative repercussions on the mental health of U.S. citizens. The purpose of this study was to explore the impact the COVID-19 pandemic had on depression and anxiety on a population aged 18 years and older. Using a quantitative correlational repeated design, archival data were analyzed to evaluate the change in depression (as measured using the Patient Health Questionnaire-9) and anxiety (as measured using the Generalized Anxiety Disorder-7 [GAD-7]) indices from a non-pandemic year (2019) to the 1st pandemic year (2020) among patients of an outpatient community health care center. The study took into …


Co-Occurring Disorders In The Juvenile Justice System: Clinicians’ Attitudes, Skills, And Knowledge, Wendi Watson Aug 2024

Co-Occurring Disorders In The Juvenile Justice System: Clinicians’ Attitudes, Skills, And Knowledge, Wendi Watson

Walden Dissertations and Doctoral Studies

Co-occurring mental health and substance use disorders have been found to contribute to delinquent and criminal behavior leading to higher rates of incarceration. Although this problem is increasingly recognized within the juvenile justice system and the social work profession, very little is known about how knowledgeable social workers are with respect to treating co-occurring disorders. The purpose of this study was to explore the relationship between social workers' clinical experience (i.e., years of experience), level of education, and type of licensure and perceived clinical competence when serving youth with co-occurring mental health and substance use disorders in the juvenile justice …


American Samoa High School Teachers’ Perceptions Of Fidelity Using Achieve 3000, Penelope Mareko Aug 2024

American Samoa High School Teachers’ Perceptions Of Fidelity Using Achieve 3000, Penelope Mareko

Walden Dissertations and Doctoral Studies

American Samoa, a U.S. territory, has grappled with low reading scores similar to other mainland schools. As a result, different reading interventions were implemented over the years. The problem studied was that despite using Achieve 3000 as a reading intervention for students in the local high school in American Samoa, reading scores had remained the same as expected, which suggested that there might have been issues with the instructional fidelity of the program implementation. This qualitative study explored teachers’ perceptions about the instructional fidelity of implementing Achieve 3000 in the local high school in American Samoa. Knowles’s theory of andragogy …


Education For Nursing And Primary Care Providers On Nonpharmacological Management Of Chronic Pain, Ma Teresita Gonzales De Jesus Aug 2024

Education For Nursing And Primary Care Providers On Nonpharmacological Management Of Chronic Pain, Ma Teresita Gonzales De Jesus

Walden Dissertations and Doctoral Studies

Chronic pain is one of the leading causes of disability worldwide, with a significant financial burden on those individuals affected, the communities, the healthcare systems, and the government. Chronic pain also interferes with individuals’ daily activities and alters the quality of life. The treatment for chronic pain includes a variety of medications, including prescription opioids and nonprescription such as NSAIDS, acetaminophen, and muscle relaxants. Pharmacological treatments can result in untoward effects. The CDC has recommended nonpharmacological alternative treatment modalities that promote self-management but are not emphasized or utilized in the primary care setting. The staff education program was framed within …


Adhd And Chronic Anhedonia: Antecedents Of Treatment-Resistant Depression And Suicidality In Adults, Tia Sternat Aug 2024

Adhd And Chronic Anhedonia: Antecedents Of Treatment-Resistant Depression And Suicidality In Adults, Tia Sternat

Walden Dissertations and Doctoral Studies

Depression is a chronic and debilitating disorder. Approximately 280 million people live with depression, and more than 700,000 lives are lost due to suicide each year. Treatment-resistant depression (TRD) is a severe form of depression which is highly correlated with comorbid psychiatric disorders such as attention deficit hyperactive disorder (ADHD) and associated with increased suicidality. Anhedonia, the reduced ability to experience pleasure, is associated with various psychiatric conditions, including ADHD. The theoretical framework for this study was the biopsychosocial model. Depression may be diagnosed in accordance with a defined cluster of symptoms, and/or how symptoms are experienced vary by individuals …