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Oncology Nurses’ Experiences Dealing With And Managing Compassion Fatigue While Caring For Terminally Ill Patients, Stacey-Ann Mary Whyte
Oncology Nurses’ Experiences Dealing With And Managing Compassion Fatigue While Caring For Terminally Ill Patients, Stacey-Ann Mary Whyte
Walden Dissertations and Doctoral Studies
Compassion fatigue (CF) is a significant cause of nurse burnout (BO). Oncology nurses are particularly susceptible to CF because of the continual contact with terminally ill patients and recurrent experiences with patients’ death. A search of existing literature found no published studies that explicitly focused on interviewing oncology nurses to gain their expression of their lived experiences with CF while caring for terminally ill patients. This phenomenological qualitative study explored oncology nurses’ experiences dealing with and managing CF when caring for terminally ill patients. Figley’s compassion fatigue theory grounded this study. The research questions focused on the lived experiences of …
Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams
Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams
Walden Dissertations and Doctoral Studies
When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …
Finding The High-Performance Border Enforcement Agent, Douglas Allen A'Hern
Finding The High-Performance Border Enforcement Agent, Douglas Allen A'Hern
Walden Dissertations and Doctoral Studies
There are well defined systemic challenges to managing, recruiting, and retaining the best border enforcement agents available amongst given candidates. The ability to identify and define specific attitudes and attributes within those agents who are considered high performers is something that could be of tremendous value to law enforcement agency managers. The need for information to cultivate the highest level of performance is magnified given the events in the United States that followed the death of George Floyd at the hands of law enforcement in May of 2020. In the effort to identify those attributes within high performance border agents, …
The Effects Of Vesico-Vaginal Fistula In The Lives Of Women In Southeastern Nigeria, Chioma Esther Amutaigwe
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 …
Preventing Nosocomial Infections In West Central Africa Through Nurse Education, Frida Ashu
Preventing Nosocomial Infections In West Central Africa Through Nurse Education, Frida Ashu
Walden Dissertations and Doctoral Studies
AbstractNosocomial infections are acquired after being hospitalized. Lack of nurses’ education pertaining to nosocomial infections increase the risk of infections. Nurses working in the target facility in West Central Africa were not knowledgeable about current evidence-based infection control practices. The purpose of this project was to educate nurses on how to reduce the rate of nosocomial infections. The analysis, design, develop, implement, and evaluate model was used to guide the development of this project. Three experts evaluated the education program for content validity and usability. The program was presented as a PowerPoint to 40 health care workers via Zoom. The …
The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez
The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez
Walden Dissertations and Doctoral Studies
AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …
Teachers’ Perceptions Of Technology Integration And Pedagogy In Kindergarten–Grade 5, Megan Alessandra Bailey
Teachers’ Perceptions Of Technology Integration And Pedagogy In Kindergarten–Grade 5, Megan Alessandra Bailey
Walden Dissertations and Doctoral Studies
At a small, suburban elementary school in the western United States, teachers in kindergarten through fifth grade (Grades K-5) were not consistently implementing technology within instruction. The purpose of this basic qualitative study was to explore the perceptions of Grades K-5 teachers at the elementary school regarding barriers and challenges of technology integration within classroom instruction. The study's conceptual framework consisted of Mishra and Koehler’s framework of technological pedagogical content knowledge (TPACK) and Bandura’s conceptualization of self-efficacy. The research questions concerned the perceptions of teachers who teach within a 1:1 classroom where there is one device for every student, regarding …
Increasing Knowledge Of Emergency Department Nurses On Recognizing Aggressive Patient Behavior, Kandee Barnes
Increasing Knowledge Of Emergency Department Nurses On Recognizing Aggressive Patient Behavior, Kandee Barnes
Walden Dissertations and Doctoral Studies
Emergency department (ED) nurses are exposed daily to workplace violence putting them at risk for injury from aggressive patients. A gap in practice was identified in an urban ED in a state in the Southeastern United States. ED nurses at this site do not have the knowledge to recognize and reduce aggressive patient behavior. The guiding practice-focused question addressed whether educating ED nursing staff on recognizing aggressive patient behavior would increase knowledge. To address the gap, an educational session was developed based on a comprehensive literature search, with the assistance of an expert panel and using the analyze, design, develop, …
A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch
A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch
Walden Dissertations and Doctoral Studies
Evidence from an urban hospital initially revealed that ethnicity had no bearing on treatment modalities or mortality among patients admitted and diagnosed with COVID-19 symptoms from January 1, 2020 to January 1, 2021. The purpose of this study was focused on answering three principal research questions concerning evidence at one hospital of differences in medication used, whether intubation was used, and mortality by ethnicity for those treated for COVID-19 while controlling for age, gender, and co-morbidities. The health belief model served as the theoretical framework. Data was collected from 1188 patient charts, and binary logistic regression was used to test …
Neighborhood Factors, Cardiovascular Illness, Mental Health, And Aging In The United States, Brenda Billings
Neighborhood Factors, Cardiovascular Illness, Mental Health, And Aging In The United States, Brenda Billings
Walden Dissertations and Doctoral Studies
The inability to age in place among people 65 years old and older is a public health problem in the United States. However, it is unknown what neighborhood factors (i.e., trust, safety, shared values) impact the communities that are struggling to support individuals looking to stay in their homes as they age. The purpose of this quantitative correlational study was to examine the relationship between neighborhood factors (i.e., trust, safety, and shared values), cardiovascular illness (i.e., heart attack and stroke), mental health (i.e., depression), and aging in place, controlling for sex, age, marital status, educational level, employment status, and race. …
Personal Hardiness As An Unexamined Component Of The Healthy Volunteer Effect, Angelique E. Blann
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. …
Male Nursing Students In The Community College And The Struggle To Completion, Geri Ann Brewer
Male Nursing Students In The Community College And The Struggle To Completion, Geri Ann Brewer
Walden Dissertations and Doctoral Studies
AbstractDespite significant contributions to healthcare made by male nurses throughout the centuries, nursing is a female-dominated profession, creating challenges for male nursing students. The problem addressed in this study was that male nursing students experience challenges that impede their success toward completing their urban Midwest community college nursing program. Guided by the nursing undergraduate retention and success model, the purpose of this basic qualitative study was to explore male nursing students’ perceptions of the challenges they face that impede their success and their recommendations for the supports they need to overcome these challenges within two urban Midwest community college nursing …
Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis
Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis
Walden Dissertations and Doctoral Studies
Youth with intellectual disabilities have poorer outcomes during the transition period from school to adulthood. Very few studies were found that examine the perspective of the human service case manager. The perspectives of human service case managers were examined regarding the services that are needed to help youth with intellectual disabilities transition effectively. The study's purpose was to determine the services available and those needed to help support the transition from school to work, college, or in living independently for youth with intellectual disabilities. The theoretical framework for this study was Bronfenbrenner’s ecological systems theory used to explore the errors …
Vicarious Trauma And Elementary School Counselors, Erin M. Duduit
Vicarious Trauma And Elementary School Counselors, Erin M. Duduit
Walden Dissertations and Doctoral Studies
Vicarious trauma has been a focus of scholars for many years and demonstrates that vicarious trauma effects professional behaviorally, personally, and physiologically. This quantitative cross-sectional study explored the relationship between vicarious trauma and occupational exposure (caseload size) disrupting the cognitive structures of empathy, control, and esteem. The theoretical framework for this study was the constructivist self-development theory, which described how helping professionals develop vicarious trauma after exposure to traumatic stories. The social cognitive theory was also used for this study, explaining how elementary school counselors can increase their capacity for empathizing through modeling and experiencing empathy from others. The study …
Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey
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 …
Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans
Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans
Walden Dissertations and Doctoral Studies
Patients with exertional hypoxemia are often prescribed supplemental oxygen therapy to alleviate their symptoms and maintain adequate arterial oxygen saturation; however, little is known about how chronic obstructive pulmonary disease (COPD) patients with exertional hypoxemia experience the addition of supplemental oxygen on their lives. The purpose of this descriptive phenomenological study guided by Roger’s science of unitary human beings was to explore the lived experiences of COPD patients with exertional hypoxemia and who require supplemental oxygen. Purposive sampling was used to recruit participants using a query from the electronic medical records to identify patients prescribed supplemental oxygen for exertional, not …
Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim
Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim
Walden Dissertations and Doctoral Studies
The utilization of tuberculosis (TB) health care services in a Nigerian state has not been optimal. Many residents do not utilize available health care resources when they experience symptoms of TB. Although much is known about the determinants of health seeking behavior (HSB), there is a gap on how TB knowledge and TB related stigma among traders in one main market contribute to HSB. This study examined the effect of TB knowledge and TB related stigma on HSB among traders. The health stigma and discrimination and health belif models served as the theoretical foundation. A quantitative cross-sectional analytical survey design …
Facilitating Staff Education To Improve Effective Styles Of Nursing Leadership In An Orientation Setting, Tammy Melinda Finney
Facilitating Staff Education To Improve Effective Styles Of Nursing Leadership In An Orientation Setting, Tammy Melinda Finney
Walden Dissertations and Doctoral Studies
Nursing leadership is the cornerstone of the ever-changing landscape of healthcare. Minimal courses are included in nursing curriculums to prepare nurses to become proficient and develop knowledge of nursing leadership styles. There is a direct correlation of evidence-based leadership styles that impact effective communication, improved patient outcomes, succession planning, nursing retention, and relationship management. In an effort to bridge the gap of knowledge, an educational face-to-face training was developed and presented to new nursing staff in an orientation setting. The project practice question focused on commitment from nursing staff to implement increased knowledge of nursing leadership styles into their practice. …
A Nursing Staff Education Module On Survivorship Care Plans In Primary Care, Janette Francis
A Nursing Staff Education Module On Survivorship Care Plans In Primary Care, Janette Francis
Walden Dissertations and Doctoral Studies
Survivorship care plans (SCPs) bridge the gap in the transition of care from oncology to primary care providers (PCPs) for breast cancer survivors. Despite strong recommendations for SCPs, their use remains limited. Guided by Knowles’ adult learning theory, the project focused on, first, determining whether a predeveloped staff education activity was valid using the Lynn model criteria for validation. Second, if in a rural clinic where SCP were not consistently used providers, nurses, and staff knowledge regarding the importance of SCP would increase following an educational program. An expert panel of 5 educational experts validated the educational module for appropriateness …
The Relationship Between Adverse Childhood Experiences, Hope, And Well-Being Among Rural Latine Adolescents, Danielle Moss Gettings
The Relationship Between Adverse Childhood Experiences, Hope, And Well-Being Among Rural Latine Adolescents, Danielle Moss Gettings
Walden Dissertations and Doctoral Studies
Considerable research has demonstrated that minority at-risk youth in rural environments experience more adverse childhood experiences (ACEs) and are more likely to suffer from poor academic performance and severe mental health issues. Results of recent studies of resilience and social support as potential mitigators of ACEs suggest that hope could also mediate these adverse effects. Hope is a component of motivation critical to goal attainment and coping with loss. This study was conducted to examine the role of hope as a mediator of the relationship between ACEs and well-being among rural Latine adolescents. Using Washington State Department of Health Healthy …
Challenges Teaching Emergent Bilingual Students In Rural Schools, Dana Marie Giddens
Challenges Teaching Emergent Bilingual Students In Rural Schools, Dana Marie Giddens
Walden Dissertations and Doctoral Studies
K-3 teachers face challenges in meeting the learning needs of their emergent bilingual (EB) students in rural southeastern schools in the United States. The purpose of this basic qualitative study was to explore K-3 teacher perspectives on challenges to meet the English language learning needs of their EB students and to identify what K-3 teachers believe they need to meet their students’ learning needs. Two research questions addressed teacher perspectives on the challenges they face to meet the learning needs of EB students in rural schools and what teachers believe they needed to successfully address EB students’ learning needs. The …
Nurse Perceptions Of Nonacademic Factors That Influence Undergraduate Nursing Student Retention And Persistence To Graduation, Marianne Gray
Nurse Perceptions Of Nonacademic Factors That Influence Undergraduate Nursing Student Retention And Persistence To Graduation, Marianne Gray
Walden Dissertations and Doctoral Studies
Having an adequate supply of nurses is critical to maintaining the health care system. The problem for this study was that undergraduate nursing students were leaving a local Midwest community college’s nursing program before obtaining a degree. The purpose of this qualitative study was to explore the perceptions of the program’s recent graduates, regarding nonacademic factors that they believe helped to facilitate their success. Jeffreys’s nursing universal retention and success model served as the conceptual framework. The research question was focused on identifying nurse graduate perceptions of nonacademic factors that contributed to their success. A basic qualitative research design was …
Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern
Relationship Between Maternal Language And Use Of Electronic Cigarettes In Pregnancy, Tara Halpern
Walden Dissertations and Doctoral Studies
Tobacco use has been a long-standing known modifiable risk factor to maternal health. Although there have been many efforts to encourage smoking cessation, use of electronic cigarettes in pregnancy has been increasing over the years. Understanding potential factors that may play a role in the increased use of electronic cigarettes is important to improve maternal and fetal health outcomes. The social ecological model provides the theoretical framework for this study. The purpose of this study is to determine whether a woman’s primary language and pregnancy health care factors (i.e., access to health care 12 months prior to pregnancy, access to …
Far-Right Extremist Influence On American Immigration Policy, Christopher Joseph Heinrich
Far-Right Extremist Influence On American Immigration Policy, Christopher Joseph Heinrich
Walden Dissertations and Doctoral Studies
There is little information on the increase in far-right extremist influence on policymakers’ ideology that affect immigration law. The purpose of this qualitative study was to understand how far-right extremists influence American policymakers in supporting the perspective that immigrants are replacing White Americans and how that affects non-White and/or non-Christian immigration. The framework for this study was based on policy feedback theory by Mettler and SoRelle. Research questions focused on federal legislation that supports anti-immigration between 2017 and 2021 and far-right extremist ideology. Document analysis was done through purposive sampling to select public records of individuals, groups, and laws. Data …
Effect Of The Mathematics Workshop Model On Middle School English Language Learners’ Achievement, Khethiwe Hudson
Effect Of The Mathematics Workshop Model On Middle School English Language Learners’ Achievement, Khethiwe Hudson
Walden Dissertations and Doctoral Studies
AbstractMost English learners (ELs) face challenges upon entering schools in the United States. The problem addressed in this study was that more than half of middle school ELs did not reach basic proficiency on their mathematics inventory in a Mid-Atlantic school district between 2017 and 2022. The purpose of this quantitative study was to investigate the differences in the Spring mathematics inventory scores between low-English functioning middle school ELs (Level 1 entering and Level 2 emerging) and medium functioning middle school ELs (Level 3 developing and Level 4 expanding) who were instructed in the mathematics workshop model for 18 weeks …
Predictors Of Psychoactive Substance Abuse Among Eastern Nigeran Youth, Kingsley Chidiebere Izuka
Predictors Of Psychoactive Substance Abuse Among Eastern Nigeran Youth, Kingsley Chidiebere Izuka
Walden Dissertations and Doctoral Studies
AbstractPsychoactive substance (PAS) abuse is a major public health problem leading to increased morbidity and mortality. In Nigeria, the incidence rate of PAS abuse has remained high, particularly in the youth population. The purpose of this study was to examine the influence of social factors and school enrollment status on PAS abuse in youth in Southeast Nigeria. The social ecological model and the theory of reasoned action were the theoretical frameworks used for this study; they were selected due to their focus on multiple levels of factors that influence behavior. A quantitative cross-sectional study design approach was used to determine …
Developing A Governance Framework For A Commercially Successful, Inclusive, And Safe Metaverse, Hamady Dia
Developing A Governance Framework For A Commercially Successful, Inclusive, And Safe Metaverse, Hamady Dia
Walden Dissertations and Doctoral Studies
This study aimed to fill a significant gap in the literature on empirical research on the governance structure of the Metaverse. The purpose of this study was to describe Metaverse strategy and innovation management experts’ views on how business leaders and policymakers may collaborate on shaping a governance structure for the Metaverse. This study used a multiple case study design to collect data from a purposeful sample of eight Metaverse experts using a semistructured interview format. This study was framed by three key concepts: Rogers’s concept of diffusion of innovations, Ball’s concept of the Metaverse, and Fernandez and Hiu’s concept …
Exploring Perspectives Of African American Pentecostal Clergy Scripture Teachings Regarding Mental Illness, Phyllis Bethea Foye
Exploring Perspectives Of African American Pentecostal Clergy Scripture Teachings Regarding Mental Illness, Phyllis Bethea Foye
Walden Dissertations and Doctoral Studies
Previous literature has noted that African American Pentecostals (AAP) avoid seeking secular care for mental health concerns. The purpose of this phenomenological qualitative study was to explore the lived experiences of AAP pastors’ beliefs and teachings associated with mental health care as well as stigmas regarding that care, using Niebuhr’s synthesis theory, Arnheim’s convergence theory, and Bronfenbrenner’s ecological system theory of human development. Sixteen AAP senior pastors were interviewed to explore four research questions regarding their beliefs about secular mental health care, Bible Scripture teachings, seeking support from clergy, and mental health education that may impact the acceptance of secular …
A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch
A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch
Walden Dissertations and Doctoral Studies
Evidence from an urban hospital initially revealed that ethnicity had no bearing on treatment modalities or mortality among patients admitted and diagnosed with COVID-19 symptoms from January 1, 2020 to January 1, 2021. The purpose of this study was focused on answering three principal research questions concerning evidence at one hospital of differences in medication used, whether intubation was used, and mortality by ethnicity for those treated for COVID-19 while controlling for age, gender, and co-morbidities. The health belief model served as the theoretical framework. Data was collected from 1188 patient charts, and binary logistic regression was used to test …
Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris
Teachers’ Perceptions Of Social Emotional Learning Instruction And High Residential Mobility Students’ Reading Literacy, Janel Dorene Morris
Walden Dissertations and Doctoral Studies
Based on recommendations from research, leaders in a north Texas public school district implemented social emotional learning (SEL) to address academic gaps among high residential mobility (HRM) students. Incorporating SEL instruction improves academic achievement 11 percentile points on average; however, in Adoniram School District (ASD), 2021 passing rates fell 8% from 2019 despite adopting SEL curriculum. The purpose of this qualitative case study was to explore how ASD elementary teachers instructed SEL, and their perceptions of how SEL techniques influenced HRM elementary students’ reading literacy development. The study on social and emotional skills (SSES) conceptual framework guided this study because …