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Mental Health Outpatient Services And Hospital Readmissions Among Adolescent Patients In Louisiana, Whitney Walker
Mental Health Outpatient Services And Hospital Readmissions Among Adolescent Patients In Louisiana, Whitney Walker
Walden Dissertations and Doctoral Studies
Hospital admissions and readmissions among Medicaid patients significantly impact increased healthcare costs for the state of Louisiana and are associated with poor quality of care. The specific research problem under study was the relationships, if any, between mental health outpatient services in Louisiana, either individual therapy or home and community-based services post-hospital discharge, gender of the patient, and age of the adolescent patient with the number of hospital readmissions over 1 year. Secondary quantitative data analysis was performed using the Island Peer Review Organization Annual External Quality Review Technical Report and data from the managed care organization in Louisiana. No …
Comparing The Performance Of Initial Coin Offerings To Crowdfunded Equity Ventures, Elijah Joseph Turan
Comparing The Performance Of Initial Coin Offerings To Crowdfunded Equity Ventures, Elijah Joseph Turan
Walden Dissertations and Doctoral Studies
Uncertainty in markets increases the likelihood of market failure due to volatility and suboptimal functioning. While initial coin offerings (ICOs) and crowdfunded equity (CFE) offerings may improve functioning in growing markets, there is a lack of knowledge and understanding pertaining to the relative efficiency and behavior of ICO markets compared to CFE markets, potentially perpetuating and thwarting the various communities they are intended to serve. The purpose of this correlational study was to compare a group of ICOs with a group of CFE offerings to identify predictive factors of funding outcomes related to both capital offering types. Efficient market hypothesis …
Discrepancies In Race, Occupational Prestige Score, Socioeconomic Index, Income/Wealth, And Social Class Between Blacks And Whites, Queensley Udofia
Discrepancies In Race, Occupational Prestige Score, Socioeconomic Index, Income/Wealth, And Social Class Between Blacks And Whites, Queensley Udofia
Walden Dissertations and Doctoral Studies
An argument that has gained prominence recently is that race is/will no longer be a significant factor in explaining any Black - White gaps. The argument is that in the post-Civil Rights era, the implementation of affirmative action and antidiscrimination policies at local, state, and federal levels has closed, if not almost erased, the gaps between Blacks and Whites. Research, however, has disputed the claims of proponents of color-blindness that issues of race are on the decline and will no longer be a factor in explaining racial inequalities between Blacks and Whites. This study used General Social Survey 2021 data …
Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong
Association Between Psychosocial, Obstetric, And Lifestyle Factors And Antenatal Depression, Tomnema Xiong
Walden Dissertations and Doctoral Studies
Antenatal depression, or depression during pregnancy, is a mental health concern in the United States that impacts mothers and their infants. This study examined the associations between psychosocial, obstetric, lifestyle factors, and antenatal depression. This study was guided by social cognitive theory, specifically the reciprocal determinism construct. Secondary data from the 2007–2018 National Health and Nutritional Examination Survey (NHANES) were used in this quantitative cross-sectional study. Every participant of the NHANES completed the Patient Health Questionnaire-9 depression screening form. The study sample consisted of 274 women who were pregnant at the time of participating in the NHANES, approximately 28.8% of …
Retrospective Student Accounts Of Teacher Burnout Behaviors That Impact Social-Emotional Development, Erika Young
Retrospective Student Accounts Of Teacher Burnout Behaviors That Impact Social-Emotional Development, Erika Young
Walden Dissertations and Doctoral Studies
Teachers are the stability of the classroom where students are learning, making connections with peers, and preparing for their future. Teachers who are burnt out could make this difficult for some students. This qualitative, narrative study addressed the problem of discovering how teacher burnout behaviors impact social and emotional development among six public high school students through student retrospective stories. The theoretical foundation for this research was Bandura’s reciprocal determinism. Data were gathered through six semi-structured interviews and analyzed by thematic analysis, which provided four themes: 1) Variability in the impact of teacher burnout behavior, 2) The ways teacher burnout …
Exploring Leadership Skills Needed To Implement Mergers And Acquisitions In Ghana, Akwasi Effah-Adu
Exploring Leadership Skills Needed To Implement Mergers And Acquisitions In Ghana, Akwasi Effah-Adu
Walden Dissertations and Doctoral Studies
There has been consideration of increased investment in the banking industry in Ghana through mergers and acquisitions. Data shows that the financial performance of the merged banks does not support the investment in the industry, at least within the first 3 years after the merger or acquisition. Grounded in Burn’s transformational leadership theory, the purpose of this qualitative single case study was to explore the leadership skills used to implement the successful merger of two commercial banks in Ghana. Data were collected from eight senior officers using semistructured interviews, a review of relevant publications, and a reflective journal. The data …
Strategies Used By Small Traditional Retail Business Owners For Sustainability, Linda Ogbah Faas
Strategies Used By Small Traditional Retail Business Owners For Sustainability, Linda Ogbah Faas
Walden Dissertations and Doctoral Studies
Small businesses fail at an alarming rate, negatively affecting job creation because small business owners create a major portion of jobs in the United States. In March of 2020, 274,000 businesses failed in the United States, resulting in 76,000 lost jobs. Owners of small traditional retail stores are significantly challenged to avoid financial failure. Grounded in Schumpeter’s entrepreneurship theory, the purpose of this qualitative multiple-case study was to explore strategies owners of small traditional retail stores used to survive beyond the first 5 years of operations. Participants included five owners of small traditional retail stores in Missouri whose businesses survived …
Unvoiced Lgbt Individuals’ Perceptions And Experiences Of The School-To-Prison Pipeline, Dr. Deshaunt'e A. Burns
Unvoiced Lgbt Individuals’ Perceptions And Experiences Of The School-To-Prison Pipeline, Dr. Deshaunt'e A. Burns
Walden Dissertations and Doctoral Studies
Studies have shown that lesbian, gay, bisexual, and transgender (LGBT) individuals face discrimination, harassment, and bullying by different education and criminal justice system entities because of their sexuality. Research has also indicated that when it comes to the school-to-prison pipeline (STPP), children of color are often mistreated and face harsher penalties, and research must be done to see how LGBT individuals are treated because they are considered abnormal because of their sexuality. Little is known about the perceptions and experiences of LGBT individuals when they are punished for violating minor infractions in school. This study addressed the critical race theory …
Middle School Teachers’ Perceptions Of Using Multicultural Literature In Their Classroom To Teach Reading, Kearstin Jacobs
Middle School Teachers’ Perceptions Of Using Multicultural Literature In Their Classroom To Teach Reading, Kearstin Jacobs
Walden Dissertations and Doctoral Studies
The problem addressed in this study is that multicultural literature is not being used consistently to address the needs of the growing diverse population in the local middle school language arts classroom. The purpose of this basic qualitative study was to explore middle school teachers’ perceptions of using multicultural literature to teach language arts to address the needs of the increasing population of students. The conceptual framework that guided this study was Ladson-Billings' culturally relevant pedagogy and Austin et al.’s ideas about student representation in texts. For this basic qualitative study, I conducted 11 interviews with teachers who are teaching …
How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black
How Healthcare Big Data Analytics Information Asymmetry Influences Organizational Design Absorptive Choices, Neil Black
Walden Dissertations and Doctoral Studies
Although the relationship between big data analytics (BDA) organizational, firm, and financial performance is well supported, little attention has been paid in extant research to exploring the organizational design issues resulting from information asymmetry caused by BDA; in particular, organizational absorptive choices that include acquisitions, mergers, reorganization, executive changes, or board of director adjustments. The purpose of this qualitative single case study within a U.S. hospital was to explore the conditions and circumstances that influence absorptive organizational design choices of hospital administration. The theoretical base of this study is Pfeffer and Salancik’s resource dependence theory (RDT). Logic model data analysis …
Comparison Of Rural Associate Degree Nursing Students’ Clinical Judgment After Curriculum Change, Karen Bowen
Comparison Of Rural Associate Degree Nursing Students’ Clinical Judgment After Curriculum Change, Karen Bowen
Walden Dissertations and Doctoral Studies
New graduate nurses often lack adequate clinical judgment skills to practice competent nursing care, which may result in increased risk of committing practice errors that threaten patient safety. To mitigate errors in patient safety, industry leaders have called for nursing program improvements in preparation of nursing students’ clinical judgement as they transition to professional practice. Guided by Tanner’s clinical judgment theory, the rural state nursing programs in this study implemented a concept-based curriculum to promote clinical judgment which includes thinking skills, priority setting, and management of care. The purpose of this three-part, quantitative, nonexperimental study was to compare the development …
Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico
Association Between Covid-19 Health Knowledge, Self-Efficacy And Preventive Behaviors Among Nursing Students, Josephine Miane Britanico
Walden Dissertations and Doctoral Studies
Abstract Nursing students possess valuable public health knowledge to prevent the spread of COVID-19 infection. They can provide health education to the public with reliable information and adequate resources. To better understand the role nursing students can take in prevention efforts, the purpose of this quantitative correlational study was to examine the association between COVID-19 health knowledge, self-efficacy, and preventive behavior among undergraduate nursing students. The health belief model was the theoretical framework that guided this study. The primary research questions assessed (a) if there was a statistically significant association between COVID-19 health knowledge and preventive behavior among nursing students, …
High School Teachers’ Experiences And Perceptions Facilitating Student Discourse And Collaborative Structures For English Language Learners In Biology, Chrissy Ann Brouwer
High School Teachers’ Experiences And Perceptions Facilitating Student Discourse And Collaborative Structures For English Language Learners In Biology, Chrissy Ann Brouwer
Walden Dissertations and Doctoral Studies
The problem that was addressed in this study was that the academic needs of English Language Learners (ELLs) were not being met in biology classes in high schools in the local district because teachers were not consistently facilitating instruction using the required strategies of student discourse and collaborative structures. The purpose of this qualitative study was to explore teachers’ successes, challenges, and need for supports when using the required strategies with their ELLs. Knowles’ theory of andragogy and Shulman’s theory of pedagogical content knowledge guided this study examining how the adults’ learning of the required strategies impacted their ability to …
Spiritual Care Visits During Palliative Care Predicting Discharge Location, Saundra Denise Casey
Spiritual Care Visits During Palliative Care Predicting Discharge Location, Saundra Denise Casey
Walden Dissertations and Doctoral Studies
AbstractSpiritual care has an important role in the caring of terminally ill patients and their families. However, there is little research demonstrating the relationship between spiritual care in palliative settings and discharge location of terminally ill patients. This study addressed spiritual care as a part of the palliative care services. A total of 186 records were reviewed from the spiritual care department at a hospital in Michigan. Kirkpatrick and Shaver’s attachment theory was used to evaluate the relationship between palliative care and discharge location. The research questions addressed the relationship between spiritual care visits, gender, age, religion, primary diagnosis, and …
School Administrators’ Perceptions Of Leadership Practices Promoting Culturally Responsive Learning Environments, Latasha M. Cook
School Administrators’ Perceptions Of Leadership Practices Promoting Culturally Responsive Learning Environments, Latasha M. Cook
Walden Dissertations and Doctoral Studies
A number of kindergarten through Grade 12 (K–12) administrators face challenges promoting culturally responsive learning environments. The purpose of this basic qualitative study was to explore K–12 administrators’ perceptions of the challenges faced in using leadership practices and strategies that promote culturally responsive learning environments in an urban school district. The conceptual framework was informed by the tenets of culturally responsive school leadership. Data were collected through semistructured interviews with seven middle school administrators in a southeastern U.S. school district. Participants were principals or assistant principals with at least 1 year of administrator experience working at a school where more …
Educator Preparedness In The Use Of Simulation In Nursing Education, Marcelene E. Hart
Educator Preparedness In The Use Of Simulation In Nursing Education, Marcelene E. Hart
Walden Dissertations and Doctoral Studies
AbstractNurse educators lack preparation when using simulation as a teaching modality in educating nurses and nursing students within their clinical environment. The purpose of this basic qualitative study was to understand nurse educators’ perceptions of the challenges in preparing for simulation-based training experiences for nurses and nursing students. Vygotsky’s constructivist theory was used as the conceptual framework for the study to emphasize students’ innate ability to learn using active and hands-on processes through simulation experiences. Questions were developed to explore the challenges nurse educators encounter when preparing for simulation activities. Survey questionnaire invitations were sent through email to hundreds of …
How Supply Standardization Affects Non-Emergent Laparoscopic Cholecystectomy Costs And Length Of Stay, Marc Lopez
How Supply Standardization Affects Non-Emergent Laparoscopic Cholecystectomy Costs And Length Of Stay, Marc Lopez
Walden Dissertations and Doctoral Studies
This study was conducted to identify if there were practices that could be implemented to decrease costs in the operating room without negatively effecting patient outcomes. With the cost of healthcare in the United States consistently increasing, studies that focus on cost-reduction measures such as this one are crucial to ensure health systems continue to operate with a neutral or positive margin to remain available to provide patient care. This was a retrospective quantitative research study built on the diffusion of innovation theory. It focused on motivating factors such as differences in cost between surgical cases that used a standardized …
Adult Learning And Motivation Of Students Previously Involved In The U.S. Criminal Justice System, Saudia Krystal Mohammed
Adult Learning And Motivation Of Students Previously Involved In The U.S. Criminal Justice System, Saudia Krystal Mohammed
Walden Dissertations and Doctoral Studies
Motivation is an important factor in the overall success, achievement potential, and capabilities of students, especially adult learners. For individuals who are currently in the criminal justice system, motivator is a key factor in degree obtainment, research shows. However, there is limited research on adult learners who have previously been involved in the U.S. criminal justice system and the motivational factors that led to their academic reengagement. The purpose of this study was to gain a better understanding of those motivational factors. The theoretical framework that underpinned this study was the transformative learning theory, which centers on how learners make …
Nonprofit Social Service Employees’ Perceptions Of Barriers Or Facilitators To Voting Registration Among Previously Incarcerated Individuals, Anthony J. Nixon
Nonprofit Social Service Employees’ Perceptions Of Barriers Or Facilitators To Voting Registration Among Previously Incarcerated Individuals, Anthony J. Nixon
Walden Dissertations and Doctoral Studies
Most U.S. states have applied permanent restrictions on incarcerated individuals in custody for crimes more serious than misdemeanors. After the time is served and limitations are removed, the right to vote may not be restored to previously incarcerated individuals. The purpose of this basic qualitative study was to explore what nonprofit social service employees perceive to be barriers or facilitators to voter registration among previously incarcerated individuals. The social acceptance model provided the theoretical framework to support the study. Data collection was completed through a brief demographic survey and individual interviews with 15 nonprofit organizers in Ohio. Data were analyzed …
Strategies For Improving The Interoperability Of Private Practices’ Electronic Health Care Systems, Anasa N. Holden
Strategies For Improving The Interoperability Of Private Practices’ Electronic Health Care Systems, Anasa N. Holden
Walden Dissertations and Doctoral Studies
AbstractCommunication of data exchange is essential for all healthcare service lines to ensure the highest quality of care. For a long time, private practices and small businesses have needed help implementing electronic healthcare systems interoperability. Grounded in the technology acceptance model, the purpose of this qualitative multiple case study was to explore strategies private practices and small businesses use to sustain electronic healthcare systems with interoperability effectively. The participants were six CEOs, managers, and leaders of private practices and small businesses in Detroit, Michigan, with direct healthcare service lines that effectively sustained electronic healthcare systems with interoperability. Data were collected …
Factors Influencing Newly Licensed Nurse Position Selection And Retention, Melinda S. Kidder
Factors Influencing Newly Licensed Nurse Position Selection And Retention, Melinda S. Kidder
Walden Dissertations and Doctoral Studies
Newly licensed nurse turnover can be costly, causing a mismatch between supply and demand for nurse staffing needs, lowering quality outcomes, and decreasing patient satisfaction. This quantitative study was conducted to identify the relationship between why newly licensed nurses selected their first position and their retention in that initial position. Other factors examined in relation to retention were unit most worked, age, race, sex, and education level. Irvine and Evans’s theory of job satisfaction and Maslow’s hierarchy of needs guided the analysis of the data. Secondary data used were the Newly Licensed Registered Nurse New Cohort 3 Survey from 2016 …
Digital Citizenship And Adolescents Online Risk Behaviors, Soushira Liverpool-Morrisa
Digital Citizenship And Adolescents Online Risk Behaviors, Soushira Liverpool-Morrisa
Walden Dissertations and Doctoral Studies
Adolescents now have greater access to digital resources and spaces and are more likely to engage in risky online behaviors for which they are unprepared. The study's purpose was to examine the little-understood online behaviors of adolescents to better educate and prepare them for safe online interactions. The study was framed by two theories: digital citizenship— the ability to engage in digital environments competently and responsibly, and problem behavior theory—an understanding of what encourages problem behavior. This research asked if there was a relationship between adolescents’ digital citizenship and online risk behaviors using a quantitative correlational design. Teachers from three …
Parent Perspectives On How The Covid-19 Pandemic Affected Symptoms Of Autism Spectrum Disorder In Their Children, Desiree Marie Vanderlick
Parent Perspectives On How The Covid-19 Pandemic Affected Symptoms Of Autism Spectrum Disorder In Their Children, Desiree Marie Vanderlick
Walden Dissertations and Doctoral Studies
Autism is a disorder that is characterized by struggles with socialization anddevelopmental delays that often involve much guidance and support. The purpose of this study was to explain the experience of parents as they attempted to manage behaviors related to symptoms of autism during the worldwide quarantine prompted by COVID-19. This study aimed to close the gap in literature and explore to see if there were any concerns that could be addressed by future studies. The study was framed around Bowen’s theory, which addresses emotions within a family unit, and the interdependence theory, which addresses how humans thrive to be …
Educating Nurses On Failure To Rescue Due To Treatment Delay, Ganiyu Olasheni Adewale
Educating Nurses On Failure To Rescue Due To Treatment Delay, Ganiyu Olasheni Adewale
Walden Dissertations and Doctoral Studies
Studies have found a shortfall in nurses' skills in caring for patients with a significant risk of failure to rescue in an acute care setting. The practice gap the healthcare facility was experiencing today was a gap in relation to failure to rescue with an increased rate of sentinel cases. There was a knowledge deficit among critical care nurses. The importance of educating nursing staff is to increase their knowledge and help decrease the occurrence of failure to rescue in an acute care setting. The practice-focused question for this education project asked if educating nursing staff with a medical-surgical competency …
Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian
Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian
Walden Dissertations and Doctoral Studies
Adolescents with autism spectrum disorder (ASD) often struggle with comorbid disorders like anxiety. However, special education teachers may lack the training to implement specific interventions in the classroom setting for adolescents with ASD and anxiety. This qualitative action research study was conducted to examine how special education teachers work with adolescents diagnosed with both ASD and anxiety. Bandura’s reciprocal determinism concept guided this study by explaining that the classroom environment and adolescents’ cognition and behavior should be considered when implementing cognitive–behavioral therapy (CBT) for students with ASD and anxiety. The two research questions asked participants to describe their ability to …
Closing The Knowledge Gap For Advanced Practice Nurses On Medical Cannabis, Regina Bernice Askew-Gibbs
Closing The Knowledge Gap For Advanced Practice Nurses On Medical Cannabis, Regina Bernice Askew-Gibbs
Walden Dissertations and Doctoral Studies
AbstractSince cannabis, also called marijuana, has been decriminalized or legalized as a prescription for medical purposes, more patients are using cannabis recreationally for medical purposes or as a holistic therapeutic approach in contrast to Western medicine. With increased use among patients, it has become important for the advanced practice nurse (APN) to have a basic knowledge of the therapeutic benefits of marijuana. The goal of this DNP project was to supply APNs with education on marijuana and cannabis to prevent poor patient assessment and education. Pre-and posttest data from 6 participants who work at a medical, ambulatory clinical site, were …
Training Strategies To Improve Salesperson Confidence And Production, William B. Bronson
Training Strategies To Improve Salesperson Confidence And Production, William B. Bronson
Walden Dissertations and Doctoral Studies
Many sales leaders need strategies to improve the productivity and confidence of their sales personnel. Ineffective sales training programs cost organizations billions of dollars in annual revenue and profits. Grounded in adaptive leadership theory, the purpose of this qualitative mini-ethnographic multiple-case study was to explore successful strategies used by sales leaders that combine and balance virtual and online resources with traditional face-to-face training methods to increase the productivity and confidence of sales personnel. Data were collected by interviewing eight salespeople and two sales managers spanning two Texas insurance companies and reviewing company documents. Data were analyzed using Yin’s five-step process …
Education Program To Increase Nurses' Knowledge Of Faith Community Nursing, Lovell Thurmon Sweeten Cartwright
Education Program To Increase Nurses' Knowledge Of Faith Community Nursing, Lovell Thurmon Sweeten Cartwright
Walden Dissertations and Doctoral Studies
AbstractThe practice problem was a group of nurses practicing as faith community nurses (FCNs) who had no training in FCN practice, a specialty recognized by the American Nurses Association. This problem was important to address within the context of nursing practice because the nurses could have acted outside of their scope of practice and caused harm. The practice-focused question addressed whether a staff education program for FCNs would increase their knowledge of their role in a church setting with the goal of developing independent FCNs. The model guiding the project was the health promotion model. Eleven registered nurses were recruited …
A Phenomenological Examination Of Single Mothers Rising Out Of Poverty, Shaunta Hemingway
A Phenomenological Examination Of Single Mothers Rising Out Of Poverty, Shaunta Hemingway
Walden Dissertations and Doctoral Studies
Transitional factors that help mothers to acquire higher education, community resources, and stable employment and the family dynamics that impact their success are often shadowed by domestic violence, chronic poverty, substance use, mental health, and public assistance. There are 12 million single-parent households in the United States, of which 80% represent single mothers as primary caregivers to children; the majority of which are living below the poverty level. Few extant studies have employed a strengths-based approach to investigate how single mothers rise out of poverty. The purpose of this qualitative phenomenological study was to gain an understanding of the lived …
Stigma Associated With Invisible Disabilities And Its Effect On Intended Disclosure In The Workplace, Jessica Lynne Hicksted
Stigma Associated With Invisible Disabilities And Its Effect On Intended Disclosure In The Workplace, Jessica Lynne Hicksted
Walden Dissertations and Doctoral Studies
Disability discrimination is a long-standing issue that, despite protections, continues to result in unemployment, underemployment, and lack of advancement for disabled persons. Visible stigma is researched substantially; however, less is known about the impact of stigma associated with identities that can be concealed. Although researchers have investigated this issue, currently there is no tool to measure this phenomenon. The purpose of this quantitative study was to create and validate a new tool to measure stigma associated with invisible disabilities. The study is grounded by Roberts’ conceptual model of professional image construction integrating social identity, impression management, and organizational behavior; Meisenbach’s …