Digital Commons Network^™

Personal Hardiness As An Unexamined Component Of The Healthy Volunteer Effect, Angelique E. Blann

Walden Dissertations and Doctoral Studies

Clinical trials are the standard for approving medicines for public use. To conduct trials, researchers depend on a declining number of volunteers. The healthy volunteer effect, a phenomenon in which participants demonstrate better outcomes than their peers, limits the generalizability of trial outcomes. The healthy volunteer effect does not fully explain the outcome difference between volunteers and nonvolunteers. The purpose of this cross-sectional quantitative study was to examine personal hardiness as an unexplored component of the healthy volunteer effect and determine whether personal hardiness is associated with willingness to participate. Hardiness was a personality construct that represented resilience to stress. …

Secondary Teacher Needs To Support Social And Emotional Learning In The Classroom, Ryeneshia Antreanna Hutchinson

Walden Dissertations and Doctoral Studies

Survey data from students in Grades 9–12 at L High School (a pseudonym) in an urban district in the southeastern United States suggested that students lack social and emotional learning (SEL) competencies. Efforts to address SEL at the study site have been ineffective. The purpose of this basic qualitative study was to explore secondary teachers’ perceptions of why the efforts to address SEL have been ineffective and to determine what supports teachers believe are needed to address SEL at L High School. The research questions were used to explore teachers’ views on the implementation of SEL, support needed for SEL, …

Enrollment In Science, Technology, Engineering, And Math Courses After Enactment Of Texas' House Bill 5, Carlana Cla'shette Allen

Walden Dissertations and Doctoral Studies

Student participation and performance in science, technology, engineering, and math (STEM) have been an education concern in the United States for years. In 2013, Texas lawmakers passed House Bill 5 (HB5) to support increases in STEM awareness, particularly among ethnic minority and female students. To date, no studies have been conducted on the impact, if any, of HB5 on Texas high school students’ course selections in STEM areas. Further, it is unknown whether the impact that does exist is equally distributed across socioeconomic status (SES), race/ethnicity, and gender groups. The purpose of this nonexperimental correlational quantitative study was to determine …

Outsourcing Interruptions And The Emergence Of Reshoring, Enrico Castillo Santos

Walden Dissertations and Doctoral Studies

Over the last 25 years, offshore outsourcing has been accepted as a standard business practice, primarily for the cost advantage of operating in lower costs offshore locations. Lately, the trend is reversing; business leaders are moving their manufacturing operations back home despite the near-term negative impact of the reversal decision. This qualitative multiple case study aimed to understand the factors that influenced manufacturing business leaders of U.S.-based companies to reverse previously made offshoring decisions and reshored at a high reversal rate. In this study, I applied the conceptual framework proposed by Fratocchi et al. (2016). Data were collected from five …

Understanding The Lack Of Communication Between Communities And Law Enforcement Through A Community Policing Program, Patrick B. Skoczek

Walden Dissertations and Doctoral Studies

Abstract

Inequitable treatment by law enforcement officers has deeply impacted minority communities in the United States. Public incidents of abuse of power, discriminatory treatment, and excessive use of force have received increased attention, creating increased community mistrust of law enforcement officers. To help bridge the gap between communities and law enforcement agencies, this qualitative phenomenological study was conducted to examine the use and impact of the Policing and Public Safety Problem-Solving Programs. Data were collected through interviews with 12 retired police officers and 12 community members. Interview questions were related to participants’ perceptions regarding a breakdown in trust between law …

Associations Of Stress, Health Behaviors, And Obesity Among African American Immigrants, Wole David Akinsola

Walden Dissertations and Doctoral Studies

AbstractObesity has been identified as a predisposing factor that poses a serious threat for the development of chronic diseases and contributes to health disparities affecting both minority and vulnerable populations. Though previous studies reported the association of stress with health status and behavior, there is little or no research on the heterogeneity of obesity predictors in specific minority populations in the United States. The purpose of this study was to examine the predictors of obesity among adult African American immigrant populations in the United States. Studying obesity in this population may help policymakers tailor interventions that could reduce obesity prevalence. …

Mediators Between Job Stress And Health Quality Of Life Among Adults With Irritable Bowel Syndrome, Aida M. Benitez-Rexach

Walden Dissertations and Doctoral Studies

Irritable bowel syndrome (IBS) is a functional gastrointestinal affliction that affects millions around the globe, impacting health-related quality of life (HRQoL). The biopsychosocial model, Folkman and Lazarus’ transactional model of stress, Leventhal’s common sense model of self-regulation health and illness, and Bronfenbrenner’s human ecology theory are relevant to conceptualize interactions among environmental factors, biopsychosocial responses, and health-related quality of life (HRQoL). This quantitative, cross-sectional, complex correlational study sought to provide more understanding of how and whether IBS symptoms of pain, cognitive functioning, and interpersonal functioning serve as mediators between work stress and HRQoL. A total of 133 English-speaking volunteers from …

Junior High Teachers’ Perceptions Of Differentiating Instruction For Students With Trauma, Olawanle Victoria Lawson

Walden Dissertations and Doctoral Studies

The problem for this study was that junior high school teachers faced challenges involving differentiating their pedagogy to meet academic needs of students with trauma. The purpose of this qualitative study was to explore junior high school teachers’ perceptions of this topic. The conceptual framework for this study was the trauma-informed care and practice framework that is influenced by six key principles and four elements of trauma-informed care approach. Two research questions were focused on perceptions of junior high school teachers regarding differentiating instruction to meet needs of students with trauma, and supports needed to address their pedagogical challenges involved …

Teachers’ Use Of Game-Based Technology Assessment Tools In United Arab Emirates Middle Schools, Simone Saad

Walden Dissertations and Doctoral Studies

Using technology in the 1:1 classroom has been a focus of scholars and has become the educational standard for many schools, especially those in the United Arab Emirates (UAE). However, researchers have demonstrated that even though access to laptops is no longer an issue in many schools, there remains low integration of engaging activities in the 1:1 classroom. The problem addressed in this study was the lack of adopting and incorporating game-based technology assessment tools at two middle schools in Abu Dhabi, UAE, both of which are 1:1 schools. The purpose of this basic qualitative project study was to better …

Effects Of Social Determinants On Access To Care Among Patients With Diabetes In Florida, Nekeisha Latoya Walker

Walden Dissertations and Doctoral Studies

Diabetes imposes a major burden on society, especially in the state of Florida, in the form of increased medical costs, lost productivity, early mortality, and intangible costs in the form of diminished quality of life. Access to diabetic care affects health administration in Florida by impacting the overall cost of treating the condition. Limited access to care can lead to an increased risk of complications resulting in a higher cost of treatment. The purpose of this quantitative study was to determine whether access to care dependent variables (access to doctors and length of time since last routine checkup) were associated …

Middle School Teacher Perceptions Of The Use Of Serious Games For Students With Attention Deficit Hyperactivity Disorder, Latoyia R. Stewart

Walden Dissertations and Doctoral Studies

Attention deficient hyperactivity disorder (ADHD) is the most common childhood neurodevelopment disorder, and digital serious game use has recently shown significant promise in this psychotherapeutic area. Digital serious games have also been used as an innovative teaching and learning approach. The purpose of this study was to explore middle school teachers’ perceptions of the use of digital serious games for students with ADHD. The conceptual framework for this study was Sherry’s model of game engagement. The two research questions for this basic qualitative study focused on middle school teacher perceptions regarding the benefits and challenges related to the use of …

Increasing Organizational Value Of A Private Healthcare Education Academy, Diana Skaff

Walden Dissertations and Doctoral Studies

Amid the dynamic changes and innovations of the healthcare field, healthcare providers seek educational activities that enhance their growth and decrease their knowledge gap. Healthcare education organizations responsible for providing high-quality healthcare education, have opportunities to differentiate their programs to acquire, attract, activate, and retain healthcare providers. Grounded in the five forces of competition and the value chain theories, this mixed method formative program evaluation aimed to improve the business development program by developing a differentiation by quality strategy that will increase its competitive advantage. Participants included three decision-makers and nine leaders in a healthcare education organization in the Kingdom …

Faculty-Student And Student-Student Connections Amidst The Covid-19 Pandemic, Fatma Ouled Salem

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic expedited the shift toward distance education by forcing institutions to adapt to the limitations of social distancing mandates. This resulted in a general sense of disconnection and isolation, compounding the other adverse effects of the pandemic. Since faculty-student and student-student connections are consistently identified as best practices in distance counselor education, the aim of this descriptive phenomenological study was to describe the lived experiences of counselor educators during the COVID-19 pandemic relating to faculty-student and student-student connections. A phenomenological framework was used to suspend presuppositions of the phenomenon and to describe the lived experiences of participants. In-depth …

Providing Diabetes Education To Improve Staff Nurses' Knowledge, Marcia A. Patterson

Walden Dissertations and Doctoral Studies

Diabetes mellitus is a chronic metabolic disease that affects over 34.2 million or 10.5% of the U.S. population and ranks as the seventh leading cause of death. Tennessee's diabetes prevalence rate is ranked 45th overall in the nation, with 14.9% of the population affected, and in the local area for this project, the rate is greater than 15%, creating a public health concern. Despite its prevalence, there is still a wide gap in knowledge among nurses on diabetes management. The practice-focused question for this project addressed whether a staff education program would improve nurses' knowledge regarding diabetes. The significant gap …

Strategies For Revitalized Immigrant-Owned Small Businesses To Sustain Growth Following Emergencies, Goi Jooyul Yol

Walden Dissertations and Doctoral Studies

AbstractThe COVID-19 pandemic revealed obstacles for immigrant small business owners (ISBOs) to sustain growth. ISBOs need strategies for growth sustainability following emergencies because United States immigrant-owned small businesses accounting for 28% of the main street businesses, declined by 36% in revenues between January to April 2020 due to the pandemic. Grounded in the entrepreneurial ecosystem framework and business continuity management model, the purpose of this qualitative multiple-case study was to explore strategies four South Dakota ISBOs used to revitalize their businesses to ensure sustainable growth after the COVID-19 emergency. Data were collected by conducting semistructured interviews and reviews of organization …

Implementation Of A Staff Education Project On Human Trafficking For Emergency Department Staff, Monica Rena Hunt

Walden Dissertations and Doctoral Studies

Evidence demonstrates that people who are being trafficked will seek medical attention, especially in emergency departments, which presents a rare opportunity to identify and support them. This Doctor of Nursing Project (DNP) was designed to evaluate if educating emergency department nurses on using an adult screening tool for human trafficking improves knowledge in a local emergency department in Texas. The participants were 11 registered nurses. The Maslow hierarchy of needs theory and the adult learning theory were used as a framework, and the models used to construct the educational project were Gagne’s nine levels of learning and the use of …

Upper Elementary School Teachers’ Perceptions Of Using Audiobooks For Reluctant Readers, Richard Michael Joseph

Walden Dissertations and Doctoral Studies

The problem that prompted this study was that educators’ perceptions were unknown regarding the use of audiobooks in classroom settings to help reluctant readers develop independent reading habits at a suburban elementary school in Southeast Michigan. This lack of awareness represents a gap in practice that reflects a potential need for increased understanding about how the use of audiobooks in classroom settings may help reluctant readers develop independent reading habits. The purpose of this basic qualitative project study was to examine third through fifth grade educators’ perceptions on the use of audiobooks in classroom settings to help reluctant readers develop …

Impact On Retention For Students Participating In Supplemental Instruction At A Community College, Jacqueline Ann Larry

Walden Dissertations and Doctoral Studies

AbstractTitle III Strengthening Institutions Program is a supplemental grant that was designed to help eligible higher education institutions improve and strengthen academic quality, institutional management, and fiscal stability of eligible institutions. A community college in the Midsouth region was the focus of this quantitative study. Graduation and retention rates have steadily declined, and there are significant achievement gaps in terms of ethnicity and race, program completion, and failure rates in high-enrolled courses among first-year students. Using the retention model, this study involved examining the impact on retention for students participating in supplemental instruction upon entering college during their freshman year. …

Comparative Study Of Risky Sexual Behaviors In African American Adolescents Who Use Drugs And Alcohol, Angela Matthew

Walden Dissertations and Doctoral Studies

Sexually transmitted infections (STIs) are a major public health problem in the United States. Adolescents are a high majority of these cases, with African American adolescents being affected disproportionally. Previous research has shown that risky sexual behaviors, such as non-condom use, multiple sexual partners, early initiation of sexual intercourse, and alcohol or marijuana use before sexual intercourse put adolescents at a higher risk of contracting an STI when they are sexually active. These behaviors can be observed through the theoretical framework of the problem behavior theory that describes the constructs of why individuals engage certain behaviors. How alcohol and drug …

Registered Nurses’ Perceptions Regarding Postoperative Pain Management And Opioids For Adolescents, Susan Miller

Walden Dissertations and Doctoral Studies

More than 2.4 million children undergo surgery annually in the United States and many experience postoperative pain. Poor pain management causes negative outcomes to both the individual and society. Increased rates of prescription drug misuse and rising death rates for adolescents from drug overdoses underscore the need for improvements in pain management. However, there is a lack of research, limited guidelines, and significant provider variability in managing adolescents’ acute postoperative pain. The purpose of this qualitative study was to explore the topic of acute postoperative pain management for adolescents through the lens of registered nurses (RNs). Nurses play an essential …

Examining The Relationship Of Social Inclusion On Job Satisfaction And Turnover Intentions Of Us Post-9/11 Veterans, Sheree' L. Peters

Walden Dissertations and Doctoral Studies

Many American veterans return to the civilian workforce and report having problems reintegrating into society, as well as finding their role in the new corporate social realms. Over 80% leave their civilian jobs within the first two years of employment, and over 70% report experiencing feelings of loneliness. Recently, the World Health Organization reported that the lack of perceived social inclusion also has a significant economic impact on both individuals and societies. A quantitative, nonexperimental methodology was used to examine the moderating relationship of social inclusion on the relationship between job employee turnover intentions of post-9/11 enlisted veterans. This study …

Teachers' Perspectives Of Implementing Language Modeling In Pre-Kindergarten Classrooms, Gena R. Puckett

Walden Dissertations and Doctoral Studies

Teachers’ language modeling skills are important for children’s language development and school readiness. However, 34% of pre-kindergarten (pre-K) classrooms score in the low range on the language modeling dimension of the CLassroom Assessment Scoring System (CLASS) observation tool within the instructional support domain in a southern state. For this basic qualitative study, the purpose and research questions explored pre-K teachers’ perspectives on the challenges of implementing language modeling and the type of support they need to improve language modeling skills in a southern state. The conceptual framework that guided the study was Vygotsky’s sociocultural theory, specifically the concepts of the …

Oncology Nurses, Compassion Fatigue And General Health: A Mixed-Methods Study, Michelle Rampersad

Walden Dissertations and Doctoral Studies

Current literature on compassion fatigue is expansive, but there is a lack on the relationship between compassion fatigue and general health complaints in oncology nurses; how they perceive compassion fatigue and its relation to their general health. Using Pender’s health promotion model, this mixed methods study addressed how oncology nurses perceive compassion fatigue and whether a correlation exists between compassion fatigue and general health complaints. Data were collected from a sample of 55 oncology nurses through two separate Survey Monkey links. All 55 participants completed quantitative data points including a demographic questionnaire, the Professional Quality of Life 5 tool, and …

Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey

Walden Dissertations and Doctoral Studies

AbstractJamaica has been listed among the most unfriendly nations for homosexual males. Previous research indicated that due to the biopolitical and sociocultural norms of the Jamaican society, homosexual males continued to be targets of various forms of discrimination based on their sexual orientation. However, research reflecting the lived experiences of homosexual males in Jamaica is sparse. The purpose of this phenomenological qualitative study was to provide details on the encounters of victimization due to homophobia of adult homosexual males in the parish of St. James, Jamaica. Data were collected through observations and in-depth interviews with eight men who identified as …

The Effects Of Vesico-Vaginal Fistula In The Lives Of Women In Southeastern Nigeria, Chioma Esther Amutaigwe

Walden Dissertations and Doctoral Studies

Vesico-vaginal fistula (VVF) is a maternal health problem faced by women in developing countries. VVF is one of the most devastating consequences of prolonged obstructed labor and is still prevalent in resource-poor countries like Nigeria where fertility is high, the status of women is low, and obstetric services are often inadequate. The objective of this study was to enrich our understanding of the effects of VVF as it relates to women’s experiences in southeastern Nigeria. I adopted the Transactional Model of Stress and Coping in this study; this theory posits that people, when contending with any kind of stressors, are …

Recently Graduated U.S. High School Students’ Perspectives Of Critical Standards In Languages Other Than English, Diane Bosilevac

Walden Dissertations and Doctoral Studies

The national world language standards created in 1996 to represent critical concepts in world languages were modified in 2015 to include real-world applications but were not developed with student input. Guided by a framework of critical theory and critical pedagogy, which gave voice to the people most affected by the standards, the purpose of this basic qualitative study was to explore the perspectives of recently graduated high school students regarding the critical concepts and needed changes to the national world language standards. Interviews with nine recently graduated high school students from a Midwest U.S. public school district regarding the critical …

Teachers’ Perceptions Of Student Performance On The Advanced Placement English Language And Composition Exam In Department Of Defense Schools, Tracee Nichole Fisher

Walden Dissertations and Doctoral Studies

The problem that guided this study was the low proportion of students scoring 3 or more on the Advanced Placement English Language and Composition (APELC) exam at one Department of Defense (DoD) school. Moreover, the qualifying ratios were lower than students attending all DoD and U.S. schools. The need for teachers to examine the performance of military-connected students has become a critical element of high-stakes accountability in all schools, most importantly at military-connected schools. The aim of this research was to explore DoD teachers’ insights into the factors influencing military-connected students’ low scores on the APELC exam and the instructional …

Instructional English As A Second Language Practices For Oral Proficiency Development In Chinese English As A Second Language Classrooms, Wallace C. Norwood

Walden Dissertations and Doctoral Studies

AbstractForeign language instructors inconsistently implement instructional practices to support Chinese high school students’ learning of oral English language. Although China has several programs to enhance English second language related competencies and assist students in completing mandatory exams, instructional methodologies do not always allow for achievement of these goals. The purpose of this basic qualitative study was to explore the perceptions of foreign language teachers working in the Hangzhou region of China, specifically regarding their implementation of instructional strategies to support Chinese high school students’ learning of oral English language. Sato and McNamara’s general-purpose second-language oral competency theory served as the …

The Effect Of Federal And State-Level Policy On Undocumented Childhood Arrivals, Kim Kaczmarowski

Walden Dissertations and Doctoral Studies

Deferred Action for Childhood Arrivals (DACA) provides a 2-year reprieve from deportation and a work permit for eligible undocumented childhood arrivals. It does not provide a pathway to citizenship or confer rights or protections enjoyed by those with permanent legal status leaving recipients in a constant state of legal limbo. State-level policy can mitigate or exacerbate obstacles faced by this population. The purpose of this generic qualitative study was to explore how federal and state-level policy in a conservative location shaped experiences of membership or exclusion. Responses were examined using segmented assimilation theory to identify layered contexts of reception. The …

Perceptions Of Teachers Regarding Instructional Strategies For Low Ses Students, Lesley Legere

Walden Dissertations and Doctoral Studies

Low socioeconomic status (SES) students tend to have poorer academic achievement in language arts and mathematics. One of the biggest influences for the academic success of low SES students is the use of varying instructional strategies. This problem is important because all students should receive an equitable education regardless of status. The purpose of the study was to investigate teachers’ perceptions regarding how they support low SES students in their academic achievement in language arts and mathematics. The conceptual framework for this study was based on Hersey and Blanchard’s situational leadership theory, which suggested that teachers are leaders who modify …