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Walden Dissertations and Doctoral Studies

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Examination Of Exposure Types Association With Stigma And Impacts On Sharps Injury Reporting In Ambulatory Surgical Centers, Timothy William Lynch Jan 2023

Examination Of Exposure Types Association With Stigma And Impacts On Sharps Injury Reporting In Ambulatory Surgical Centers, Timothy William Lynch

Walden Dissertations and Doctoral Studies

Public health depends on the efficiency of work delivery among healthcare workers (HCWs) and their positive goal orientation in healthcare. Effective minimizing of needlestick and sharp injuries (NSSIs) and timely reporting are fundamental to meeting public health goals. The specific research problem addressed through this study is whether the independent variable of exposure type (needle stick injury, splash exposure injury, other sharp injuries) has an association with stigma associated with sharps injury reporting (dependent variable) among HCWs in ambulatory surgical centers. A quantitative, cross-sectional design involving secondary data analysis was used. Regression was used to analyze pre- and post-workshop survey …


An Examination Of The Impact Of Police Chaplain Programs And Spirituality On Police Officers’ Mental Health, Samuel Protel Maxwell Jan 2023

An Examination Of The Impact Of Police Chaplain Programs And Spirituality On Police Officers’ Mental Health, Samuel Protel Maxwell

Walden Dissertations and Doctoral Studies

Spirituality has been a fundamental aspect of treating post-traumatic stress disorder (PTSD) in many officers. PTSD affects a high percentage of officers and many of whom live a highly stressful and traumatic life even outside of work. The purpose of this qualitative study was to examine the impact of police chaplain programs and spirituality on police officers' mental health. The research question asked how a police chaplain program and spirituality impacted police officers. This study's theoretical framework was Pargament's theory. Qualitative research with a narrative analysis design was chosen to collect data from semi-structured interviews. The 10 participants, including six …


High School Teachers’ Perspectives On Formative Assessment In The Virtual Learning Environment, Tiffany Mcbean Jan 2023

High School Teachers’ Perspectives On Formative Assessment In The Virtual Learning Environment, Tiffany Mcbean

Walden Dissertations and Doctoral Studies

Formative assessment in the virtual learning environment is a beneficial complement to teacher pedagogy and student learning. But there is little research on high school teachers’ perspectives on the use of formative assessment in the virtual learning environment. The purpose of this basic qualitative study was to address this research gap. The conceptual framework was Black and Wiliam’s theory of formative assessment. Two research questions guided the study. The first addressed high school teachers’ perspectives on formative assessments in the virtual learning environment. The second addressed how teachers used formative assessment in the virtual learning environment. Semistructured interviews were conducted …


Referral Source, Visit Modality, And The Delivery Of Diabetes Education In Pennsylvania, Alan Minor Jan 2023

Referral Source, Visit Modality, And The Delivery Of Diabetes Education In Pennsylvania, Alan Minor

Walden Dissertations and Doctoral Studies

Diabetes education is a principal component of optimal diabetes care that is often underutilized despite the known benefits that include reductions in complications as well as improved glycemic control and self-management knowledge. The purpose of this quantitative study was to examine the association between the completion of diabetes education, referral source, and visit modality. Because the completion of diabetes education is multifaceted, Levesque’s theoretical framework of health access, which incorporates dimensions of the accessibility of services and the abilities of potential users in the utilization of health services, was used to ground the study. A retrospective chart review was conducted …


Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula Jan 2023

Age, Race/Hispanic Origin, And Covid-19 Mortality Among Sickle Cell Disease Patients In The United States, Joe Lamont Ndula

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic remains a global health challenge, with 6.7 million deaths worldwide as of January 2023. It has illuminated the health iniquities in underserved communities and populations like those with sickle cell disease (SCD). Researchers have associated the COVID-19 outcome among SCD patients in other regions of the globe. The purpose of this retrospective cross-sectional observational study was to investigate the relationship between age, race/Hispanic origin, and COVID-19 mortality among persons with SCD in the United States from January 2020 to March 2021. The Krieger ecosocial theory of disease distribution framed the study. Data were drawn from an existing …


Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott Jan 2023

Family Perceptions Of Mental Health Service Use Among Mexican Americans, Vickie Gayle Nethercott

Walden Dissertations and Doctoral Studies

AbstractMexican immigrants are less likely to use psychiatric services compared to people from other race or ethnic groups in the United States, yet little is known about the reasons why the Mexican American population are less likely to seek mental health services. A qualitative descriptive study, guided by Leininger's culture care diversity and universality care theory, was used to explore the perceptions of mental health service use and barriers to psychiatric services for Mexican American immigrants living in the United States. After institutional review board approval was obtained, flyers were placed in five churches in a northwestern U.S state where …


Logistics Leader Strategies For Retaining Employees, Sandra Northern Jan 2023

Logistics Leader Strategies For Retaining Employees, Sandra Northern

Walden Dissertations and Doctoral Studies

Low employee retention can lead to a lack of the knowledge, skills, and abilities required for sustainable logistics operations. Logistics leaders are concerned with employee retention because turnover increases business costs, reduces operational efficiency, and decreases profitability. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative single case study was to explore strategies logistics leaders use to increase employee retention. The participants were three senior leaders from a logistics organization in the northeast region of the United States who possessed knowledge and experience of the research phenomena. Data were collected through semistructured interviews, company documents, publicly available data, and …


A Meta-Analysis Of Higher Education On Professional Police Behavior Patterns, Augustine S. Nugba Jan 2023

A Meta-Analysis Of Higher Education On Professional Police Behavior Patterns, Augustine S. Nugba

Walden Dissertations and Doctoral Studies

Police misconduct has become an issue of concern among law enforcement officers and other stakeholders. Approximately, 10% of law enforcement officers commit 90% of misconduct problems, and as high as 45% of the misconduct generates citizen complaints. Thus, there has been an increasing debate on whether police officers should attain a college education or not. The purpose of this quantitative correlational study was to investigate the relationship between education level and the number of complaints filed against police officers for misconduct. This study was grounded on the cognitive development theory. The study was conducted by following the guidelines proposed by …


Examining High School Teachers’ Perspectives With Culturally Responsive Teaching, Maria Victoria O'Brien Jan 2023

Examining High School Teachers’ Perspectives With Culturally Responsive Teaching, Maria Victoria O'Brien

Walden Dissertations and Doctoral Studies

The problem that was addressed through this study was teachers’ inconsistent use of culturally responsive teaching (CRT) in a high school in Northern Virginia (NVHS). The purpose of the study was to examine high school teachers’ perspectives on the successes, challenges and support needed to better implement CRT at the NVHS. Ladson-Billing’s and Gay’s culturally responsive teaching theory formed the conceptual framework that guided this study. The research questions focused on teacher perspectives about the successes, challenges, and support needed with CRT. A basic qualitative design was used to capture the insights of eight high school teachers through semistructured, individual …


Successful Innovation Strategies Of Ugandan Small And Medium Enterprises, Fidelis W. Oketch Jan 2023

Successful Innovation Strategies Of Ugandan Small And Medium Enterprises, Fidelis W. Oketch

Walden Dissertations and Doctoral Studies

Uganda’s small and medium enterprises (SMEs) face high business failure rates. Fifty percent of SMEs in Uganda fail during the first year of operations due to poor business performance stemming from the lack of innovative strategies and consistent policies for SMEs to guide their growth and development. Grounded in disruptive innovation theory, the purpose of this qualitative multiple-case study was to explore the innovation strategies leaders of SMEs in Uganda use to improve business performance. The participants included five leaders of five SMEs in Uganda with successful experience implementing innovation strategies to improve business performance. Data were collected from semistructured …


Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase Jan 2023

Evaluating U.S. Household Telemedicine Use In Primary Care Settings, Robert Osobase

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic's arrival in the United States restricted access and use of telemedicine in primary care providers (PCPs) settings. Addressing this issue is crucial since telemedicine is a confirmed method of encouraging patients and PCPs to promote quality health care. This quantitative study investigated the association between age, gender, and race, and PCPs offering telemedicine and U.S. household adults using telemedicine during COVID-19 pandemic in 2021. The Donabedian framework, which considers aspects of an organization's structure, process, and outcome, served as the study's foundation, incorporating age, race, and gender as independent variables, and PCPs and US adults as dependent …


Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce Jan 2023

Nursing Guideline For Specimen Handoff, Kathleen Marie Pearce

Walden Dissertations and Doctoral Studies

AbstractThe absence of clinical practice guidelines (CPGs) and collaboration with significant stakeholders may lead to gaps in the delivery of patient care. Specimen handoff in the endoscopy unit plays a critical role in patient diagnosis and treatment plans; errors can compromise patient safety. The purpose of this project was to provide endoscopy nursing staff with a CPG to improve the accuracy of the specimen handoff process during the endoscopy procedure. The practice-focused question addressed the feasibility of developing a quality and usable CPG to improve the accuracy and efficacy of handling the specimen handoff process during endoscopy procedures. Walden University …


Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny Jan 2023

Exploring Jury Nullification: Its Political History, Current, And Potential Impact On Policy, David Harold Penny

Walden Dissertations and Doctoral Studies

Jury nullification (JN) is when a jury knows a defendant is legally guilty, but states they are not guilty, believing that their verdict better serves justice in that case. The problem is the violation of the Constitution’s equal protection clause for all citizens, caused by the intentional omission in most judges’ instructions to juries of JN. The purpose of the study was to fill the gap in the literature on jury behavior and address the problem of JN. The study framework is chaos theory as applied by Horowitz to jury behavior. It describes judges and lawmakers mistrust of juries associated …


Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff Jan 2023

Strategies To Reduce Food Waste In Restaurants, Andrea L. Ratliff

Walden Dissertations and Doctoral Studies

Abstract Some restaurant business owners lack food waste strategies to maintain or increase profits. Restaurant business owners are concerned with increases in food waste leading to a loss of business profitability and may lack food waste strategies to maintain or increase profits. Grounded in stakeholder theory, the purpose of this qualitative single case study was to explore strategies restaurant business owners used to decrease food waste to maintain or increase profit. Participants in this study comprised five restaurant owners in a metropolitan suburb on the United States east coast who successfully reduced food waste in their operations to maintain or …


Perceptions Of Veteran Middle And High School Stem Teachers On Integrating Tablets Into The Classroom, Joanie Marie Rice Jan 2023

Perceptions Of Veteran Middle And High School Stem Teachers On Integrating Tablets Into The Classroom, Joanie Marie Rice

Walden Dissertations and Doctoral Studies

Abstract Despite the availability of technology for instruction, veteran science, technology, engineering, and mathematics (STEM) teachers are still reluctant to incorporate recent technologies, such as tablets, into the classroom. This qualitative case study was conducted to explore the perceptions of eight middle and high school veteran STEM teachers integrating tablets into the classroom. This study focused on how veteran STEM teachers viewed the integration of tablets into the school, the challenges experienced when integrating tablets into the classroom, and the opportunities that experienced STEM teachers observed when integrating tablets into the classroom based on the technological pedagogical content knowledge (TPACK) …


Postsecondary Education, Self-Efficacy, And Organizational Commitment Impact On Previously Incarcerated Employee Job Satisfaction, Elizabeth Sadler Roney Jan 2023

Postsecondary Education, Self-Efficacy, And Organizational Commitment Impact On Previously Incarcerated Employee Job Satisfaction, Elizabeth Sadler Roney

Walden Dissertations and Doctoral Studies

A study was conducted to determine if previously incarcerated employee age, postsecondary education (PSE) attainment, prior incarceration status, and assessed self-efficacy predict job satisfaction. It also considered if organizational commitment had a moderating effect on the predictors ability to forecast the criterion. Two underlying theories considered in this study are Bandura’s social learning theory and Vroom’s expectancy theory. The obtained sample of 22 participants included seven previously incarcerated individuals. Demographic data used as predictors were employee age, PSE attainment, and prior incarceration status. Three instruments used included the New General Self-Efficacy Survey to assess self-efficacy as a predictor, the Job …


Elementary Teachers’ Perceptions Of Instructional Strategies For Reading, Erin Sponaugle Jan 2023

Elementary Teachers’ Perceptions Of Instructional Strategies For Reading, Erin Sponaugle

Walden Dissertations and Doctoral Studies

The problem investigated in this study was decreasing annual reading proficiency among students in intermediate elementary grades (Grades 3-5). Deficiencies in reading proficiency can negatively impact overall student achievement. The purpose of this study was to investigate intermediate elementary teachers’ perceptions of their instructional strategies to improve students’ reading proficiency and potentially increase Generalized Summative Assessment scores. The conceptual framework was Vygotsky’s zone of proximal development theory. The key research questions were about elementary reading teachers’ perceptions of effective instructional practices used to increase students’ reading proficiency and elementary reading teachers’ perceptions about teachers’ instructional strengths and challenges associated with …


Exploring Barriers To Accessing Funding For Individuals With Dementia Who Reside In Long-Term Care Facilities, Gwendolyn Cox Smith Jan 2023

Exploring Barriers To Accessing Funding For Individuals With Dementia Who Reside In Long-Term Care Facilities, Gwendolyn Cox Smith

Walden Dissertations and Doctoral Studies

AbstractMedicare and Medicaid are the most used funding sources for long term care (LTC); however, they are insufficient to pay for all social activities needed by individuals with dementia who reside in LTC facilities in the United States. Barriers in accessing funding to provide social activities for these individuals were explored though the theoretical lens of a logic model related to funding. A qualitative exploratory case study design was used to find not only the barriers of accessing funding but also the type of available funding and the eligibility criteria for receiving funds for social activities for those with dementia …


Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson Jan 2023

Effective Revenue Planning For Small Minority-Owned Mental Health Organizations, Beonko Alejandro Sampson

Walden Dissertations and Doctoral Studies

AbstractRevenue planning for minority-owned organizations is vital for sustainability. This is a significate concern for behavioral health practitioners who must deal with the changing landscape of mental health and the financial worries of sustaining a successful organization. This case study examined effective revenue planning for a minority-owned behavioral health organization located in the mideastern part of the United States. The organization provides several different behavioral treatment services for children, adolescents, and adults. The Baldrige excellence framework for healthcare guided a system-based approach to assessing the minority-owned organization. The systems approach identified noted organizational components of leadership, strategy, and operations. Themes …


Leading A Motivated Home Healthcare Company, Jekea Scott Jan 2023

Leading A Motivated Home Healthcare Company, Jekea Scott

Walden Dissertations and Doctoral Studies

The lack of employee engagement and increase in employee turnover adversely affect the healthcare industry’s business outcomes. Home healthcare leaders need engagement strategies to retain experienced employees as failure to engage employees results in decreased productivity and increased expenses associated with recruiting and training new hires. Grounded in Blau’s social exchange theory, the purpose of this qualitative multiple case study was to explore strategies that home healthcare leaders use to increase employee engagement and decrease employee turnover. The participants comprised eight current and former leaders and employees of home healthcare companies in Charlotte, North Carolina. The data collection processes included …


Exploring Care Recipients’ Health Conditions Influence On Caregivers And Caregivers’ Meaning Of Care Dependence, Yolanda Suarez-Calvo Jan 2023

Exploring Care Recipients’ Health Conditions Influence On Caregivers And Caregivers’ Meaning Of Care Dependence, Yolanda Suarez-Calvo

Walden Dissertations and Doctoral Studies

Little is known about the ways in which caregivers are affected or influenced by their care recipients’ health conditions. Additionally, the meaning of care dependence for caregivers is also understudied. The purpose of this generic qualitative study was to examine caregivers’ affection/influence due to the physical and psychosocial health conditions of the individuals for whom they care. Further, the meaning of care dependence, from the perspectives of the caregivers, was sought. The theoretical framework to further this research was Montgomery and Kosloski’s (2009) caregiver’s identity theory The research question addressed the ways caregivers are affected or influenced by the care …


The Recidivism Rate In Correlation To The Effectiveness Of The Bridges To Life Reentry Program In Texas, Steven Steen Jan 2023

The Recidivism Rate In Correlation To The Effectiveness Of The Bridges To Life Reentry Program In Texas, Steven Steen

Walden Dissertations and Doctoral Studies

This research explored the relationship between reentry programs and recidivism in the state of Texas. One program in particular, Bridges To Life (BTL), has had an impact on recidivism in the state, and this research analyzed how the overall organization of BTL correlated to recidivism. Recidivism is the repeated or habitual relapse into crime. The purpose of this quantitative research study was to determine whether there was a direct correlation between the reduction of recidivism and the effectiveness of reentry programs through BTL in the state of Texas. The research question for this study explored the correlation between BTL and …


Understanding Teachers’ Perceptions Of Pedagogy In Teaching Mathematics To English Language Learners, David Suh Jan 2023

Understanding Teachers’ Perceptions Of Pedagogy In Teaching Mathematics To English Language Learners, David Suh

Walden Dissertations and Doctoral Studies

The number of socially and linguistically varied students at two local high schools in a southwestern state located in the United States has greatly increased. Since the 2018-2022 school years, English language learners (ELLs) scored low on the state achievement mathematics test scores. The problem was teachers were challenged to support the mathematics achievement of Grade 9-12 ELLs. The purpose of this qualitative study was to explore the perceptions of the teachers’ challenges in supporting the mathematics achievement of Grade 9-12 ELLs. The conceptual framework for this study was Vygotsky’s sociocultural theory, which helped to inform the study in giving …


Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate Jan 2023

Strategies To Reduce Turnover Among Black Home Healthcare Aides, Diane Allen Tate

Walden Dissertations and Doctoral Studies

Many individuals prefer to remain in their homes as they age instead of entering a long-term care facility. As the proportion of older Americans rapidly grows, the demand for delivery of nonmedical services by home healthcare aides (HHAs) is expected to increase. However, the national and local supply of HHAs is insufficient and must be rectified to meet a projected increase of older Americans by 2050. This research study involved exploring this problem for one small home healthcare organization in the Maryland suburbs outside of Washington, DC with an HHA workforce that was comprised predominantly of Black/African American and African …


Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson Jan 2023

Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson

Walden Dissertations and Doctoral Studies

Parents are a key influence on their adolescent children's sexual health care decisions. Few researchers have considered the impact of religious environments and parental expectations on adolescents’ use of sexual health services, and research on religious parents’ awareness of adolescents’ use of sexual health services in Christian environments is scarce. The purpose of this basic qualitative study was to explore religious parents' awareness of and attitudes toward their adolescents’ use of sexual health services. The social ecological theory provided the conceptual lens for this study. Eight Christian parents participated in in-depth virtual interviews to discuss their encouragement or discouragement of …


Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade Jan 2023

Impact Of Family Health Outcomes And Work Balance On Health Services Organizations’ Workplace Attendance, Marcus Levinsky Wade

Walden Dissertations and Doctoral Studies

Work-life balance (WLB) is employees’ ability to effectively manage between job obligations and everyday life activities involving family, health, and social life. Successful WLB has become increasingly important to healthcare administrators due to staff shortages and essentials of job performance, attendance, and satisfaction. The purpose of this quantitative study was to determine if there was a correlation between WLB, workplace stress, and employee workplace attendance. The two research questions were correlational; the dependent variable was workplace attendance, and the independent variables were workplace stress and WLB. The compensation theory served as the foundation for the study, in which both family …


Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin Jan 2023

Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin

Walden Dissertations and Doctoral Studies

AbstractSmall businesses in the United States experience a higher failure rate than medium-sized and large corporations. Small business owners without successful strategies to sustain their businesses may fail. Grounded in the McKinsey 7S model, the purpose of this multiple case study was to explore strategies small general construction contractor business owners use to sustain their businesses beyond 5 years. The participants were three small general construction contractor business owners within Miami, Florida, who sustained businesses for 5 years. Data were collected using semistructured and audio-recorded face-to-face interviews. Through thematic analysis, four themes emerged: (a) creating strategies for a solid customer …


Exploring Social Workers And Self-Care, Justyna Wawrzonek Jan 2023

Exploring Social Workers And Self-Care, Justyna Wawrzonek

Walden Dissertations and Doctoral Studies

First responder social workers are exposed to a stressful work environment, which puts them at risk for burnout. Burnout increases turnover rates, which negatively impacts both social workers and the clients they serve. The use of self-care practices mitigates the harmful effects of burnout. Because first responder social workers in southern California have an average turnover rate of 6 to 12 months after hire, this study explored southern California first responder social workers’ experiences with self-care practices. A basic qualitative design using semistructured interviews was applied through the purposeful sampling of eight first responder social workers. The study was grounded …


Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland Jan 2023

Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland

Walden Dissertations and Doctoral Studies

Mental illnesses in correctional facilities have been an issue for decades and have increased over time. According to recent studies, correctional facilities have become known as mental health institutions without access to treatment. It is unclear why correctional facilities have limited resources, but research indicates that offenders are not receiving the appropriate treatment. This qualitative phenomenological study aimed to explore how five prison-based counselors perceive the quality and quantity of mental health services provided to inmates. The data were analyzed and coded using the Interpretative Phenomenological Analysis (IPA). The current study’s findings further added to the base of knowledge that …


Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler Jan 2023

Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler

Walden Dissertations and Doctoral Studies

Excessive employee turnover can disrupt an organization's efficient operational performance. Call center managers remain concerned with excessive employee turnover due to the expense of lost productivity, recruiting, and training new employees. Grounded in Herzberg’s two-factor theory of motivation, the intent of this qualitative single case study was to explore strategies call center managers use to reduce employee turnover. The participants consisted of five managers in one financial service call center in Nebraska who used successful strategies to reduce employee turnover. Data was collected using semistructured interviews and a review of the employee handbook. Four themes emerged through Yin’s 5-step process: …