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Articles 61 - 90 of 160
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Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer
Rising Cost Of Medicare And Its Effect On Recipients 65 And Older, Williesa Toomer
Walden Dissertations and Doctoral Studies
The rising cost of Medicare is a growing concern for recipients. Beneficiaries are often forced to implement a host of strategies to meet rising out-of-pocket expenses. This qualitative study was conducted to address a research gap in methods used by senior citizens to manage rising Medicare coverage costs. Garmezy’s resilience theory was used to contextualize the rising costs of Medicare premiums and copays and strategies used to manage healthcare needs. The purposive sample of 12 socioeconomically diverse respondents included eight women and four men ranging in age between 65 and 77, for an average age of 70.2 years. Participants completed …
Early Hearing Screening Policy And Deaf Children’S Language Acquisition, Marla Hatrak
Early Hearing Screening Policy And Deaf Children’S Language Acquisition, Marla Hatrak
Walden Dissertations and Doctoral Studies
The federal Early Hearing Detection and Intervention Act (EHDI) guarantees medical and communication interventions for deaf children and audiological, medical, and language intervention data collection. However, the policy and its implementation have not been analyzed in regard to policy goal attainment of deaf children’s language acquisition. A qualitative case study was conducted to analyze seven federal- and state-level early hearing screening policy websites and implementation and intermediary documents to assess the federal and state policy formation and implementation of EHDI. In addition to the document assessment, data were collected from interviews to obtain the perspectives of two early childhood educational …
Teacher Perspectives Of Self-Injurious Behavior Among Preschool Students, Romney Matias
Teacher Perspectives Of Self-Injurious Behavior Among Preschool Students, Romney Matias
Walden Dissertations and Doctoral Studies
AbstractThe problem that was the focus of this study is that young children who exhibit self-injurious behavior (SIB) may not receive needed support from their childcare teachers. The purpose of this study was to understand early childhood teachers’ perspectives regarding SIB, their ability to distinguish SIB from ordinary misbehavior, and their responses to behavior that may indicate SIB. Attribution theory of Kahneman and Frederick formed the framework of this study. Research questions asked how teachers describe their experience with SIB, their ability to distinguish SIB from ordinary misbehavior, and their responses to the behavior that might indicate SIB. Seven teachers …
Stimulus Pairing To Condition Novel Reinforcers For Bermudian Participants With Autism, Jahnae Harvey
Stimulus Pairing To Condition Novel Reinforcers For Bermudian Participants With Autism, Jahnae Harvey
Walden Dissertations and Doctoral Studies
Reinforcement is crucial to an individual’s quality of life and acquisition/maintenance of novel skills, but a limited bank of reinforcers could lead to a reduction in engagement with pre-established reinforcers, reducing the motivational strength to contrive teaching opportunities, and increase maladaptive behaviors, self-stimulatory behaviors, or idle time. Though the stimulus-stimulus paring (SSP) method has been effective in establishing novel reinforcers for individuals who are diagnosed with autism, there is a gap in the literature on cross-cultural variations seen among responses when using SSP. This study was conducted to determine the generalizability of the effect when using the method of SSP …
Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne
Conceptualization Of Gender Variant Inclusive Healthcare Service Delivery, Tamesha Rhyne
Walden Dissertations and Doctoral Studies
Gender variant people experience a variety of health concerns for which they seek the assistance of healthcare providers. These concerns may range from chronic health conditions and psychological disorders to gender affirming concerns. Due to living in a heteronormative society, gender variant individuals are more susceptible to experiencing stigmatization, discrimination, and other forms of unfair treatment while accessing healthcare services, which contributes to poor health outcomes. This treatment may be attributed to the lack of knowledge, competency, and training of healthcare providers as it relates to trans-inclusive care. Grounded in minority stress theory and intersectionality theory, the purpose of this …
Innovation Strategies For Rural Micro And Small Businesses, Suzanne K. Larsen
Innovation Strategies For Rural Micro And Small Businesses, Suzanne K. Larsen
Walden Dissertations and Doctoral Studies
Facing many unique challenges compared to their urban counterparts, rural business owners rely on innovation strategies to successfully operate their businesses. Reflecting only 14% of the population but occupying more than 72% of the geographic United States, the failure of rural business owners jeopardizes the network of goods and services that feed and support the entire nation. Grounded in Castle’s rural capital framework and Van de Ven’s innovation framework, the purpose of this qualitative multiple case study was to explore the strategies rural small business owners use to ensure business innovation. The participants were eight successful rural small business owners …
Exploration Of Cybersecurity Managers’ Experiences Protecting Users’ Privacy, Emmanuel Abayomi Segun
Exploration Of Cybersecurity Managers’ Experiences Protecting Users’ Privacy, Emmanuel Abayomi Segun
Walden Dissertations and Doctoral Studies
The protection of individual privacy and personal data in cyberspace continues to be a problem. The research problem was that cybersecurity managers must constantly navigate between the adoption of new security laws, new applications, and the internet of things (IoT) to protect the privacy of individual users. The purpose of this descriptive phenomenological study was to explore the lived experiences of cybersecurity managers who have adopted new security laws, new applications, and the IoT to protect users’ privacy. The conceptual framework that grounded this study was protection motivation theory and cybersecurity awareness. Data were collected through telephone and web-based interviews …
Parole Officers’ Perspective On The Needs Of Indigenous Offenders On Conditional Release, Ritesh Dalip Narayan
Parole Officers’ Perspective On The Needs Of Indigenous Offenders On Conditional Release, Ritesh Dalip Narayan
Walden Dissertations and Doctoral Studies
Indigenous offenders are overrepresented in all aspects of the Canadian criminal justice system, including corrections. Indigenous offenders are overrepresented in the prison population and are least likely to be granted an early release from prison. Indigenous offenders also disproportionately breach their conditional release orders and consequently spend more time incarcerated than non-Indigenous offenders. To understand the reasons behind the breaches, need-based theoretical lenses were used to analyze data. Sixteen parole officers were interviewed using a narrative design where participants shared their accounts on supervising Indigenous offenders while highlighting the needs which they felt were not being met by their Indigenous …
Stories Of Learning And Instructional Practices In Traditional Hawaiian Hula Education, Lynn Kaleihaunani Melena
Stories Of Learning And Instructional Practices In Traditional Hawaiian Hula Education, Lynn Kaleihaunani Melena
Walden Dissertations and Doctoral Studies
Teachers of traditional hula have preserved Native Hawaiian cultural knowledge despite societal changes that led to cultural suppression in Hawaii. However, little is known about how these teachers accomplished this feat. The purpose of this study was to understand how hula instruction has evolved to transmit cultural knowledge and how past methods influenced current instructor practices in sustaining a vibrant culture. Research questions explored the instructional approaches and innovations of hula teachers past and present in one traditional hula school. The conceptual framework integrated the Native Hawaiian worldview and a Western theory of participatory creativity. A qualitative study using Indigenous …
The Perceptions Of Bank Employees On Performance Target, Yusuf Abubakar Ibrahim
The Perceptions Of Bank Employees On Performance Target, Yusuf Abubakar Ibrahim
Walden Dissertations and Doctoral Studies
AbstractPerformance target is one of the tools of performance management used to influence bank employees’ performance in the Nigerian banking sector. Bank managers may have exerted pressure on employees due to recent pressure in Nigeria’s economy, which has a reciprocal effect on Nigeria’s banking sector. The research problem addressed issues related to performance targets, disparity in job satisfaction, and stress-related issues in the workplace. The purpose of this qualitative phenomenological study was to explore the lived experiences of workplace-related stress of permanent bank employees working under the current performance targets in the Nigerian banking sector. The research questions focused on …
Cyberattacks Strategy For Nonprofit Organizations, Yawo Obimpe Kondo
Cyberattacks Strategy For Nonprofit Organizations, Yawo Obimpe Kondo
Walden Dissertations and Doctoral Studies
Information system security managers (ISSM) in nonprofits face increased cyberattack cases because nonprofits often use basic technology to save on costs. Nonprofit owners and managers need solutions to secure their data from cyberattacks. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies ISSMs at nonprofit organizations employ to protect against cyberattacks. Participants included five IT managers and directors of information technology in charge of security management in nonprofit organizations in Maryland, the District of Columbia, and Virginia. Data was generated through interviews and reviews of archival documents. The data analysis technique …
Vicarious Trauma As Experienced By Male Therapists, Michael Felt
Vicarious Trauma As Experienced By Male Therapists, Michael Felt
Walden Dissertations and Doctoral Studies
Vicarious trauma (VT) is a recently focused on phenomenon that describes the negative effects of treating trauma victims. VT causes pervasive and permanent changes to the self-image and worldview of the therapist. Research is sparse regarding the ways male therapists experience VT. The purpose of this study was to explore the male therapist’s experience with VT and is crucial for developing a greater understanding of VT in order to enhance awareness, resilience, and prevention. The study was based on the constructivist self-development theory because VT was developed through the lens of this theory and is primarily defined as the intrapsychic …
Exploring Cultural Experiences Of African American Recipients Of Healthcare, Christopher Steven Hairfield
Exploring Cultural Experiences Of African American Recipients Of Healthcare, Christopher Steven Hairfield
Walden Dissertations and Doctoral Studies
Culturally competent care is widely accepted as a strategy to address healthcare disparities based on the perceptions of the individual provider, yet this approach lacks the voice of the African American (AA) communities intended to benefit from the strategy. Individuals in AA communities have been shown to suffer higher incidence of disease, disproportionately poorer health outcomes, and inequitable healthcare treatment. Framed by Leininger’s culture care theory, the purpose of this interpretive phenomenological study was to explore the lived cultural experiences of AA recipients of care when interacting with the healthcare system in an effort to contribute evidence to improve the …
Elementary Administrators’ Perceptions Of Support For Novice Alternatively-Certified Teachers In High-Poverty Schools, Kelle Wilson Lofton
Elementary Administrators’ Perceptions Of Support For Novice Alternatively-Certified Teachers In High-Poverty Schools, Kelle Wilson Lofton
Walden Dissertations and Doctoral Studies
Novice alternatively-certified teachers are hired to teach in high-poverty schools at a higher rate than traditionally-certified peers. These teachers are often unprepared to teach in challenging environments and struggle to manage their classrooms and achieve student academic success. The purpose of this exploratory qualitative case study was to investigate elementary school administrators’ perceptions of support for novice alternatively-certified teachers in high-poverty schools in a southern U.S. state. Burns’s transformational leadership paradigm informed the study. The research questions focused on how elementary principals and assistant principals perceived transformational practices to support novice alternatively-certified teachers in high-poverty schools. Data were collected using …
Disruptive Mood Dysregulation Disorder In The Classroom, Gizelle Edith Tircuit
Disruptive Mood Dysregulation Disorder In The Classroom, Gizelle Edith Tircuit
Walden Dissertations and Doctoral Studies
Researchers have identified emotional disturbance (ED) as the fastest growingdiagnosed disability among school-age children. The National Institute of Mental Health estimated that of the 473,000 school-aged students who would qualify as having an ED, the school systems formally identify only 1%. Disruptive mood dysregulation disorder (DMDD) is the most recent depressive disorder added to the Diagnostic and Statistical Manual of Mental Disorders (5th ed.) and the newest subcategory of ED. There have been few studies on student populations with DMDD, and a significant gap exists in the literature supporting this population in the classroom. The purpose of the study was …
The Cultural Construct Of Stress In Luganda-Speaking Women In Uganda, Courtney Skiera
The Cultural Construct Of Stress In Luganda-Speaking Women In Uganda, Courtney Skiera
Walden Dissertations and Doctoral Studies
Luganda, the primary language spoken in Uganda has no word for stress, but this does not necessarily preclude the Luganda-speaking population from experiencing stress. There is currently no research that reveals the stress phenomenon from a Ugandan’s perspective. The purpose of this study was to examine how Luganda-speaking Ugandans conceptualize stress. Two theoretical foundations formed the basis of this study: the cognitive appraisal of stress theory and the coordinated management of meaning. Using a qualitative interpretive design, this study examined the conceptualization of stress by Luganda-speaking women in terms of understanding, experiencing, and communicating the stress phenomenon. Participants were 7 …
Homelessness And Hiv Risk: Experiences, Perceptions, And Beliefs Of Transgender Youth, Darcia Bryden-Currie
Homelessness And Hiv Risk: Experiences, Perceptions, And Beliefs Of Transgender Youth, Darcia Bryden-Currie
Walden Dissertations and Doctoral Studies
Human ImmunodeficiencyVirus (HIV) continues to be a public health concern in the United States, with increased rates of infection among transgender youth. The phenomenon of homelessness is also a significant challenge for transgender youth. Gender expression often results in stigma, and discrimination, many trans youth experience poverty, rejection, and low self-esteem, which are precursors to homelessness. The purpose of this qualitative phenomenological study was to explore the influence that homelessness has on sexual risk associated behaviors in transgender youth. The theoretical framework that guided this study was Bandura’s social cognitive theory. The research questions sought to explore how this population …
Child Welfare Workers' Perceptions Of The Effective Black Parenting Program, Kharmynn M. Bullock
Child Welfare Workers' Perceptions Of The Effective Black Parenting Program, Kharmynn M. Bullock
Walden Dissertations and Doctoral Studies
The child welfare system (CWS) serves around half a million families each year in America. Of those, in Texas, hundreds of thousands of African American families represent the greatest percentages of families in the CWS when compared with their respective numbers in the general population. In 2013, African American children made up about 13.9% of the overall population of children in the United States; however, these children represented close to 26% (or 101,938) African American children in the system with CWS. Child Protective Services (CPS) has various programs and services, including parent education referrals to social services agencies that carry …
Job Self-Efficacy, Alexithymia And Secondary Traumatic Stress Among Correctional Officers, Paulette Andrea Gayle
Job Self-Efficacy, Alexithymia And Secondary Traumatic Stress Among Correctional Officers, Paulette Andrea Gayle
Walden Dissertations and Doctoral Studies
Correctional officers work in a volatile environment and are regularly exposed to inmates’ violence or cruelty. These factors negatively affect their job performance, contribute to physiological and mental health issues that could result in secondary traumatic stress (STS) symptoms. Researchers have identified job self-efficacy and alexithymia traits as mitigating factors against elevated stress. Other researchers have identified the traits as strongly associated with mental health illnesses. The purpose of this quantitative study, using a convenience sampling strategy, was to determine whether job self-efficacy and alexithymia traits were predictors of STS among a sample of 79 correctional officers working for Her …
The Function Of Cultural Dimensions In For-Profit Higher Education Marketing, Yeşim Gül Clark
The Function Of Cultural Dimensions In For-Profit Higher Education Marketing, Yeşim Gül Clark
Walden Dissertations and Doctoral Studies
Despite allocating budgets to attract and grow worldwide student market share, increasing enrollments from targeted market international student pools remains a concern for private for-profit schools. The purpose of this qualitative multiple case study was to explore the country-specific and culture-specific marketing strategies that for-profit university business marketing leaders use to increase the enrollment of online Brazilian students. The first group with three participants was based in the United States and the second group, in Brazil, contained two participants. Cultural dimensions theory was the conceptual framework of this study. Data were collected in the form of interviews, website presence, social …
Collectivism And Uncertainty Avoidance In Narrative Oral Histories Of Resettled Syrian Refugees, Suzy S. Ismail
Collectivism And Uncertainty Avoidance In Narrative Oral Histories Of Resettled Syrian Refugees, Suzy S. Ismail
Walden Dissertations and Doctoral Studies
Emotional resilience among resettled refugees is an indicator of cultural integration and adaptation into a host country which in turn impacts schools, resettlement agencies, and refugee service organizations in how they can best meet the needs of refugees. The documented decline in emotional resilience among resettled Syrian refugees during the past decade is linked to the problem of cultural value disparities causing a resultant decline in mental health and socioemotional wellbeing. The purpose of this narrative qualitative study was to explore expressions of cultural value dimensions such as collectivism and uncertainty avoidance in oral histories of resettled Syrian refugees. Applying …
Motivations And Experiences Of Female Expatriate Educators Teaching In Saudi Arabia, Tahira Hoke
Motivations And Experiences Of Female Expatriate Educators Teaching In Saudi Arabia, Tahira Hoke
Walden Dissertations and Doctoral Studies
There is a significant gap in the literature regarding women's lived experiences and work motivation in Saudi Arabia. In order to address this gap, this qualitative study explored the lived experiences of female expatriates who chose to teach and live in Saudi Arabia for longer than 1 year. Using Moustakas' phenomenological method, a purposive sample of 10 female educators who worked in Saudi Arabian higher education institutions were recruited and interviewed. Although English teachers were not targeted, all of the participants recruited were primarily English teachers (5 North Americans, 5 Europeans). With Deci and Ryan's self-determination theory as the conceptual …
Relationship Between Parental Involvement And 4th-5th Grade Students’ Academic Motivation, Charla Williams
Relationship Between Parental Involvement And 4th-5th Grade Students’ Academic Motivation, Charla Williams
Walden Dissertations and Doctoral Studies
The achievement gap between African American and White students has been well documented. The purpose of this quantitative study was to examine whether parental involvement in academics predicted academic motivation of fourth- and fifth-grade African American students in the Southwest United States. Social development theory provided the framework for the study. Survey data were collected from 43 students and 43 parents using the Parental Involvement Scale and the Children’s Academic Intrinsic Motivation Inventory. A t test, linear regression, and multiple regression were used to analyze the data. Findings indicated no significant difference between how parents and students perceived parental involvement …
Comparison Of Work-Related Values And Leadership Preferences Of Mexican Immigrants And Caucasians, Alonso Raul Duarte
Comparison Of Work-Related Values And Leadership Preferences Of Mexican Immigrants And Caucasians, Alonso Raul Duarte
Walden Dissertations and Doctoral Studies
Globalization has made it easier for people to migrate, thus increasing diversity within organizations. One problem with this migration is that 1st and 2nd generation immigrants may prefer different leadership styles than those of the mainstream culture. The purpose of this survey-based quantitative comparative study was to investigate the effects of acculturation on the work-related cultural values and leadership style preferences of Mexican immigrants living in the United States. The research question that guided this study focused on the differences in work-related cultural values and preferred leadership styles between 2 generations of Mexican immigrants, Mexicans, and U.S.-born Caucasians. Two hundred …
Cross-Cultural Communication Strategies That Engage Employees And Increase Productivity., Alvin Sidney Moton
Cross-Cultural Communication Strategies That Engage Employees And Increase Productivity., Alvin Sidney Moton
Walden Dissertations and Doctoral Studies
AbstractLow employee engagement can negatively impact productivity for small fast-food restaurants in the United States. Small fast-food restaurant managers who do not engage employees experience decreased employee productivity. Grounded in Hofstede's cross-cultural dimensions theory, the purpose of this qualitative multiple case study was to explore strategies managers of small fast-food restaurants managers use to improve employee engagement. Participants were four small fast-food restaurants manager within the southern region of the United States who used cross-cultural strategies to successfully engage employees. Data were collected through semistructured interviews and internal company documents and were analyzed using thematic analysis. Four themes emerged: (a) …
Exploring Subcultural Perceptions That Influence Change Success Within A Hybrid Organization, Kevin Morgan Sorbello
Exploring Subcultural Perceptions That Influence Change Success Within A Hybrid Organization, Kevin Morgan Sorbello
Walden Dissertations and Doctoral Studies
Global change-failure rates remain over 70%, despite over a half-century of research, theory development, and mitigation strategies. Although researchers studying the problem of change failure recognize that subcultural perceptions influence change success, especially in hybrid organizations where subcultural differences are more profound, the perceptions that predispose a subculture to support or resist organizational change remain relatively unknown. The purpose of this exploratory case study was to address the problem of the high cost of change failure by identifying perceptions that influence change success within a maritime organization. The study's conceptual framework was founded on the interpretive paradigm and social constructivist …
Attitudes Of Black Americans, Towards Police Misconduct In An Urban Area, Demetric Rayshawn Armstead
Attitudes Of Black Americans, Towards Police Misconduct In An Urban Area, Demetric Rayshawn Armstead
Walden Dissertations and Doctoral Studies
Little is known about Black Americans' experience with and attitudes toward the police. For Black Americans and the police to improve their relationship, police need to understand the factors that influence Black Americans' perceptions. Asante's concept of Afrocentric theory assisted with exploring the attitudes of Black Americans about police misconduct in a Southeastern United States urban area. The purpose of the qualitative ethnographic study was to understand the attitudes of Black Americans towards the police and the factors that influence those perceptions. This study precisely addresses three main questions: (1) how has media coverage impacted Black Americans' perceptions of officer …
Physician Collaboration And Improving Health Care Team Patient Safety Culture: A Quantitative Approach, Jay J. Spitulnik
Physician Collaboration And Improving Health Care Team Patient Safety Culture: A Quantitative Approach, Jay J. Spitulnik
Walden Dissertations and Doctoral Studies
Studies have found links between physician relationships with nurses, patient safety culture, and patient outcomes, but less is known about a similar link between physician relationships with allied health professionals (AHPs), patient safety culture, and patient outcomes. The purpose of this exploratory quantitative, survey study was to investigate whether physician interactions with AHPs contribute to improved patient-safety culture, AHP empowerment, and self-efficacy. Based on a theoretical framework consisting of structural empowerment, psychological empowerment, and self-efficacy, it was hypothesized that self-efficacy is predicted by structural and psychological empowerment and self-efficacy predicts a positive patient safety culture. The AHP Survey of Physician …
Strategies Small Business Owners Use To Remain Sustainable, Desire Luamba
Strategies Small Business Owners Use To Remain Sustainable, Desire Luamba
Walden Dissertations and Doctoral Studies
In the United States, 41% of small retail businesses fail to succeed for longer than 5 years. The purpose of this multiple case study was to explore strategies small retail business owners used to remain sustainable for more than 5 years. The conceptual framework that grounded this study was Schumpeter's innovation theory. The sample size of this research included 4 successful retail business owners located in the southeastern region of the United States who have successfully started and managed their business activities for more than 5 years. Data were collected using semistructured face-to-face interviews with successful owners of small retail …
Understanding Of Self-Confidence In High School Students, George Ballane
Understanding Of Self-Confidence In High School Students, George Ballane
Walden Dissertations and Doctoral Studies
Students at a private high school in New Jersey exhibited low academic self-confidence as compared to other indicators on the ACT Engage exam. The purpose of this qualitative case study was to gain an understanding of academic self-confidence, academic performance, and learning within a sample of students. This research explored students' and teachers' perceptions of self-confidence and their impact on academic performance. The research was guided by Weiner's attribution and Bandura's self-efficacy theories. The research questions focused on 3 areas: students' and teachers' perceptions of academic self-confidence as factors impacting students' academic performance; and the perceived relationship between academic self-confidence, …