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The Relationship Between Socioeconomic Disparities In Alabama Hospitals And Patient Experience, Phillimena Ashley Hopkins
The Relationship Between Socioeconomic Disparities In Alabama Hospitals And Patient Experience, Phillimena Ashley Hopkins
Walden Dissertations and Doctoral Studies
Patient satisfaction has been utilized to measure healthcare quality and outcomes, which affects reimbursement. Some claim such measures could be biased as they do not consider the patient’s socioeconomic status. Measuring the quality of care, Area Deprivation Index (ADI), and patient experience has been captured and publicly reported; and the measuring indicator Hospital Consumer Assessment of Healthcare Providers and Systems (HCHAPS), however, hospitals serving patients in low ADI areas generally score poorly. Grounded in the theory of Donabedian, the purpose of this quantitative correlational study was to examine the relationship between patient experience associated with socioeconomic disparities and how patients …
English Language Arts Teachers’ Motivations And Experiences Related To Incorporating Digital Texts In Grades 6-12, Leah M. Marsh
English Language Arts Teachers’ Motivations And Experiences Related To Incorporating Digital Texts In Grades 6-12, Leah M. Marsh
Walden Dissertations and Doctoral Studies
Selecting text mediums that best support their curriculum needs is a critical task for English Language Arts (ELA) teachers, who also need to choose materials aligned with state standards and district requirements. Because 21st-century learning standards require students to have more technology skills, teachers are increasingly offering digital texts in classrooms. The problem under investigation in this study was the gap in understanding of the curricular choices U.S. teachers make when incorporating digital texts in ELA classrooms for Grades 6-12 to increase literacy. The purpose of this qualitative study was to examine ELA teachers’ motivation and experiences related to the …
Elementary Teachers’ Perceptions Of Evidence-Based Practices For Twice-Exceptional Students, Khadijah Muhammad
Elementary Teachers’ Perceptions Of Evidence-Based Practices For Twice-Exceptional Students, Khadijah Muhammad
Walden Dissertations and Doctoral Studies
Twice-exceptional students (2E) are identified as having high aptitude and a disability, as classified by their state of residence. However, elementary school teachers are not consistently implementing evidence-based practices (EBPs) for kindergarten through fifth-grade 2E students, creating a gap in practice. The purpose of this qualitative study was to understand teachers’ perspectives regarding the challenges with and needed supports for consistently implementing EBPs for 2E students. Universal design for learning was the conceptual framework and the foundation for the study. A basic qualitative research design was used in this study to address research questions regarding elementary teachers’ perspectives on challenges …
Health Education Needs For Mortality Surveillance In Machakos County, Kenya, James S. Mwanza
Health Education Needs For Mortality Surveillance In Machakos County, Kenya, James S. Mwanza
Walden Dissertations and Doctoral Studies
Reporting mortality information is the primary data source from which evidence can be drawn to monitor disease trends and inform public health policy to improve population health. Still, only two-thirds of expected annual deaths are reported globally. Health education and promotion play a significant role in empowering communities to uptake public health services such as mortality surveillance. This qualitative descriptive study aimed to understand health workers’ (HWs’) perspectives regarding the need for health education to support mortality surveillance in Machakos County, Kenya. The capabilities, opportunities, and motivation for the behavior change model guided the study. Semi-structured interviews were used to …
Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen
Staff Education Of Diabetic Foot Care In An Ambulatory Setting, Riza Grace Nielsen
Walden Dissertations and Doctoral Studies
One of the most important factors affecting the quality of diabetes care is the association between a patient’s knowledge and their practices. The practice gap in this primary care clinic was a lack of standardized diabetic foot care. The purpose of this DNP project was to provide nursing staff with an evidence- based, culturally congruent diabetic footcare curriculum that could help decrease inconsistencies in care. The practice-focused question for this project addressed whether an educational program for nursing staff on diabetic footcare would increase their knowledge and translate this knowledge into practice to prevent diabetic foot infections and its complications. …
Gender-Based Pay Inequality In The Canadian Insurance Companies, Mostafa Shayangogani
Gender-Based Pay Inequality In The Canadian Insurance Companies, Mostafa Shayangogani
Walden Dissertations and Doctoral Studies
AbstractThe problem in this study was gender-based pay inequality among women at Canadian insurance companies. The purpose of this hermeneutic phenomenological study was to understand gender-based pay inequality for women at Canadian insurance companies. Aigner's, Cain's, Arrow's, and Phelps' statistical discrimination theory guided the study. The theoretical foundation also included the human capital theory by Becker and Schultz. The research questions focused on understanding C-suite and V-level executives’ lived experiences of gender-based pay inequality and identifying effective strategies that should be adopted to overcome the problem at Canadian insurance companies. This study used purposeful sampling to recruit 15 C-suite and …
Educating Nursing Staff On Code Lavendar, Melanie Gumapas Webb
Educating Nursing Staff On Code Lavendar, Melanie Gumapas Webb
Walden Dissertations and Doctoral Studies
The role of the nurse has changed considerably over the past decade. Nurses are facing alarming rates of burnout that is causing them to leave the profession prematurely. The practice-focused question was to determine if a nurse staff education program on Code Lavender that focused on wellness and resiliency strategies helped to decrease nurse burnout. The purpose of this doctor of nursing practice project was to educate nurses on an 11-bed inpatient oncology unit at a hospital located in Maryland. A comprehensive literature review was conducted utilizing several databases and using inclusive terms such as nurse burnout, wellness, patient safety …
Food Safety And Free Trade Area In East Africa, Diana Ogwal Akullo
Food Safety And Free Trade Area In East Africa, Diana Ogwal Akullo
Walden Dissertations and Doctoral Studies
Africans experience high incidences of foodborne diseases annually leading to poor public health, yet there is limited information on implementation of food laws in Uganda, Ethiopia, and Kenya from the perspectives of public officials with knowledge of and experience with implementing food laws, policies, and regulations to inform policy on food security and safety and help mitigate foodborne diseases and associated trade concerns between countries. The study’s research question involved identifying the perceptions of public officials on the impact of food laws on the food safety delivery systems in Uganda, Ethiopia, and Kenya. The study applied complex adaptive system theory …
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 …
Sexually Transmitted Disease Awareness Amongst Adolescents 13 To 18 Years Of Age, Ngwanma Nwokoro
Sexually Transmitted Disease Awareness Amongst Adolescents 13 To 18 Years Of Age, Ngwanma Nwokoro
Walden Dissertations and Doctoral Studies
Abstract Sexually transmitted infections or diseases (STIs/STDs) acquired through sexual activities lead to compromised sexual health. The adolescent population is at high risk of acquiring STIs/STDs due to their lack of knowledge. The gap in practice was that the nurse practitioners (NPs) were deficient in standard of care; adolescent patients lacked consistent evaluation, education, or documentation of the education in their medical records. The practice-focused question focused on the evaluation of the effectiveness of a quality improvement (QI) initiative that incorporated the use of the American Association for Pediatrics screening and Center for Disease Prevention and Control (CDC) treatment guidelines …
Integrating The Pedagogy Of United States’ Fourth-Grade Math Teachers With International Approaches, Dennis Francis Tierney
Integrating The Pedagogy Of United States’ Fourth-Grade Math Teachers With International Approaches, Dennis Francis Tierney
Walden Dissertations and Doctoral Studies
Standardized testing results in fourth-grade math have shown that students in the United States continually score below students in many other nations, despite funding education at levels well above the global average. The problem addressed in this study was that fourth-grade math students in the United States were not performing as well on standardized tests as students of other nations and international cities. Guided by Vygotsky’s social learning theory, the purpose of this qualitative, exploratory case study was to investigate the perceptions of teachers from U.S. and international settings about different approaches to effective fourth-grade math instruction, inherent obstacles to …
Colonial Legacy, Education, And Employment Opportunities: The Case Of Cameroon, Frantz Batoh
Colonial Legacy, Education, And Employment Opportunities: The Case Of Cameroon, Frantz Batoh
Walden Dissertations and Doctoral Studies
AbstractThe history of colonialism is one of the most powerful factors affecting the development of newly independent African states and limiting their chances for successful evolution. This research involved Cameroon and employment and educational issues associated with colonialism. The division between France and Britain contributed to the establishment of bilingualism within its territories, which is a source of multiple problems today. The study involved investigating the current situation in Cameroon through the lens of colonialism and its influence on countries. Theoretical foundations for this study were the colonial and postcolonial theory, neocolonialism, and concept of postcolony. They are used to …
African American Baby Boomers’ Lived Experiences In Skilled Nursing Facilities For Post-Acute Care Admissions, Dr. Charles A. Fraiser
African American Baby Boomers’ Lived Experiences In Skilled Nursing Facilities For Post-Acute Care Admissions, Dr. Charles A. Fraiser
Walden Dissertations and Doctoral Studies
AbstractPrevious studies have examined the quality of elderly healthcare offered in skilled nursing facilities (SNFs) among older adults, in general, but the studies have not emphasized ex-periences unique to African America baby boomers and the factors they consider when making SNF-related decisions for post-acute care. The purpose of the study was to exam-ine the lived experiences of African American baby boomers who are currently in or have been treated in SNFs for post-acute care to learn about their decisions to select an SNF. Andersen’s behavioral model of health services served as the conceptual framework. A descriptive phenomenological qualitative design was …
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 …
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 …
Teachers’ And Education Leaders’ Perspectives On Using Technology To Develop Vocabulary Among Kindergarten English Learners, Nelsy J. Jackson
Teachers’ And Education Leaders’ Perspectives On Using Technology To Develop Vocabulary Among Kindergarten English Learners, Nelsy J. Jackson
Walden Dissertations and Doctoral Studies
AbstractResearch has shown that technology-mediated interventions in education can increase students’ understanding of academic vocabulary. However, it is not known how teachers provide opportunities for kindergarten English learners (ELs) to learn vocabulary using technology, and school leaders support teachers in this endeavor. The purpose of this basic qualitative study was to understand teachers' and school leaders’ perspectives on opportunities for kindergarten ELs to use technology to develop vocabulary in an urban school in the southwest United States. The theoretical framework for this study was based on Cummins’s theory of basic interpersonal communication skills and cognitive academic language proficiency. Using purposeful …
Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak
Succession Planning Strategies In Polish Family-Owned Businesses, Jan Marcin Klaczak
Walden Dissertations and Doctoral Studies
Family-owned businesses contribute to social and economic advancement, yet many business owners struggle with employing succession planning during intergenerational leadership transitions. Family business leaders are concerned with identifying effective succession planning strategies for the leadership transition to the next generation for business continuity. Grounded in Rothwell’s seven-step model for succession planning, the purpose of this qualitative multiple-case study was to explore succession planning strategies Polish family business leaders used for the leadership transition to the next generation. Three Polish family business leaders who successfully implemented succession planning in their organizations participated in the study. Data were collected through semistructured interviews, …
A Phenomenological Study On Protective Factors Preventing College-Aged Criminal Activity During Cameroon’S Anglophone Crisis, Melvis N. Asongwed
A Phenomenological Study On Protective Factors Preventing College-Aged Criminal Activity During Cameroon’S Anglophone Crisis, Melvis N. Asongwed
Walden Dissertations and Doctoral Studies
The Anglophone crisis, in which marginalization of the English-speaking regions in Cameroon began in October 2016 and has become one of the most prominent social problems in the nation’s history. It has led to loss of lives, infrastructure damage, displacement of families, incidents of mass violence, unemployment, and a rise in criminal activity in the Anglophone regions. Grounded in the phenomenological approach and guided by the general strain theory (GST), this qualitative inquiry explored the protective factors that have reduced or prevented criminal activity for college students in the Anglophone regions during the crisis. Semi structure interviewing guided participant responses. …
Improving Nurse-Patient Communication Through Motivational Interviewing In A Step-Down Unit, Ana G. Becker
Improving Nurse-Patient Communication Through Motivational Interviewing In A Step-Down Unit, Ana G. Becker
Walden Dissertations and Doctoral Studies
AbstractPatient satisfaction is an essential component in assessing the quality of nursing care. Often monitored through patient satisfaction surveys, this doctorate in nursing practice project (DNP) was developed to improve the problem of low Press Ganey nurse-patient communication scores for a medical-surgical step-down unit. The aim of the project was to develop a staff education program for the purpose of introducing motivational interviewing as an intervention to improve nurse-patient satisfaction scores. Lewin’s change model, Knowles’ adult learning theory, and the analysis, design, develop, implement, and evaluate (ADDIE) model were used to guide the development of the DNP project. Conducted over …
A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker
A Clinical Practice Guideline For Managing Behavioral Problems In Persons With Dementia, Ken J. Brinker
Walden Dissertations and Doctoral Studies
AbstractAs the baby boom generation ages, the demand for effective nursing care for patients diagnosed with dementia has greatly increased. The challenges associated with dementia include a patient’s inability to focus, pay attention, and follow conversations. Patients often become forgetful, angry, frustrated, and aggressive with family members and caregivers. The medical providers and administrators at a long-term care facility needed assistance in developing a clinical practice guideline for managing behaviors demonstrated by patients with dementia. The project question centered on the identification of current evidence supporting a clinical practice guideline for nursing practice for unpredictable behaviors demonstrated by residents diagnosed …
Perceived Multicultural Self-Efficacy As A Predictor Of Competency In Social Justice Advocacy Among U.S. School Counselors, Damon D. Chambers
Perceived Multicultural Self-Efficacy As A Predictor Of Competency In Social Justice Advocacy Among U.S. School Counselors, Damon D. Chambers
Walden Dissertations and Doctoral Studies
School counselors who engage in advocacy work may experience barriers when attempting to challenge oppression; hence, they need specific skills to advocate efficiently and effectively. Despite the trend in conceptual articles surrounding school counselor advocacy, little is known about how school counselors’ multicultural self-efficacy predicts school counselors’ social justice advocacy practices. This study addressed this gap in the literature by exploring factors related to school counselor social justice advocacy; that is, multicultural self-efficacy. Multicultural self-efficacy and advocacy competence have had an integral role in fostering school counselors’ abilities to identify and support the needs of diverse student populations within the …
Staff Education Program To Reduce Burnout Among Health Care Professionals On A Long-Term Care Unit, Emelda Mati Che
Staff Education Program To Reduce Burnout Among Health Care Professionals On A Long-Term Care Unit, Emelda Mati Che
Walden Dissertations and Doctoral Studies
AbstractBurnout negatively impacts the performance of health care providers, decreasing the quality of care provided to patients and affecting patients’ experience. This problem is evident in health care staff on long-term care units (LTCUs) as they strive to meet their patients’ chronic and acute care needs. Health care professionals often lack adequate knowledge on how to manage work-related stress and reduce the issue of burnout in this work environment. The health care professionals working on the LTCU at the local continuing care retirement facility were identified as lacking knowledge to manage work-related stress and burnout. Addressing this problem is essential …
Sociodemographic Predictors Of Veterans’ Health-Related Quality Of Life, Tamala Jones Choice
Sociodemographic Predictors Of Veterans’ Health-Related Quality Of Life, Tamala Jones Choice
Walden Dissertations and Doctoral Studies
Health-related quality of life (HRQoL) is a theoretical concept that intertwines physical, mental, emotional, and social functioning, with a focus on the impact that health status has on quality of life. Although sociodemographic factors are associated with lower HRQoL, how these factors influence HRQoL in military veterans is less understood. The study’s purpose was to examine the relationships between sociodemographic characteristics (gender, military pay grade, military branch, and geographic location) and perceived HRQoL measured by the SF-8 survey among veterans living in a metropolitan community in the Mid-Atlantic region of the United States. A cross-sectional recruitment study design yielded 90 …
Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros
Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros
Walden Dissertations and Doctoral Studies
Negative experiences at work are common at inpatient psychiatric hospitals and can result in burnout. This is especially the case for psychiatric hospital staff, as they are commonly the first and most frequent line of contact for patients in acute psychiatric care. This study provided relevant insight into the factors that influence the experience of burnout among psychiatric hospital staff that care for patients in inpatient psychiatric hospitals. Research on how burnout affects psychiatric hospital staff apart from other medical professionals is not robust and lacking in qualitative analysis. The transactional model of stress and coping framework constituted the theoretical …
Predictive Factors Of Bullshit Receptivity Among Adults, Gregory Coffing
Predictive Factors Of Bullshit Receptivity Among Adults, Gregory Coffing
Walden Dissertations and Doctoral Studies
Bullshit receptivity is a relatively new concept in the field of psychology and refers to people’s susceptibility to providing meaning to meaningless claims. Ascribing meaning to meaningless claims is a way to make inaccurate judgments regarding the behaviors, events, and interactions around each person. The research on bullshit receptivity is scant. The purpose of this quantitative cross-sectional survey design study was to investigate whether critical thinking, individualism–collectivism, political ideology, religiosity, right-wing authoritarianism, social–dominance orientation, and need for closure predict bullshit receptivity. These variables were selected to represent a greater conglomeration of daily internal and external factors that affect a person’s …
Perceptions Of Preservice And Mentor Teachers Of Gaining Pedagogical Content Knowledge In Phonics And Phonemic Awareness, Penelope Maureen Montfort
Perceptions Of Preservice And Mentor Teachers Of Gaining Pedagogical Content Knowledge In Phonics And Phonemic Awareness, Penelope Maureen Montfort
Walden Dissertations and Doctoral Studies
Research has shown that, although phonics and phonemic awareness predict reading success, a majority of early learners still lack these skills. Research also showed that a majority of preservice teachers (PSTs) in early childhood education teacher (ECTE) may not have gained adequate pedagogical content knowledge (PCK) in phonics and phonemic awareness during their mentored practicums. This may have contributed to kindergarten students’ poor performance in phonics and phonemic awareness on the national literacy assessments between 2015 and 2018 in one education district in Guyana. These students are not prepared for reading success. Using a basic qualitative design, semistructured interviews were …
Evacuation Emergency Management During Hurricane Katrina: A Decision-Making Analysis, Kimberli Roessing-Anderson
Evacuation Emergency Management During Hurricane Katrina: A Decision-Making Analysis, Kimberli Roessing-Anderson
Walden Dissertations and Doctoral Studies
Emergency management policy is useful when it involves the stakeholders it serves in the decision-making process. The death toll for Hurricane Katrina in 2005 was almost 2,000 people. Many of the dead and injured lived in low-income communities. There were significant challenges with the evacuation of residents of the Ninth Ward of New Orleans during Hurricane Katrina. Like many public policies, emergency management has evolved over time. Periodically, a catalyst event, such as Hurricane Katrina, shapes public opinion and eventually public policy and its administration. Punctuated equilibrium theory was used to examine the decision-making process of Ninth Ward residents to …
Organizational Characteristics As Predictors Of Hospital Accreditation, Rebecca B. Graystone
Organizational Characteristics As Predictors Of Hospital Accreditation, Rebecca B. Graystone
Walden Dissertations and Doctoral Studies
Abstract Hospital accreditation has had wide and longstanding acceptance as a key quality tool to drive efficient, effective healthcare. Researchers have more recently questioned factors commonly related with accreditation achievement given accreditation’s general association to better patient care, risk management, and cost reduction. Even less information was known about predictors of accreditation failure, which could be addressed by hospital administrators in advance of seeking application. Accordingly, the purpose of this cross-sectional study was to examine if hospital structures and processes were predictors of accreditation failure. The research questions explored hospital size, ownership status, geographic location, hospital leadership, empowerment, practice, and …
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett
Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett
Walden Dissertations and Doctoral Studies
Young adults with intellectual and developmental disabilities (IDD) continue to struggle with community engagement despite decades of research and policy initiatives addressing postsecondary transition. Evidence shows that persons with IDD are engaging in employment, postsecondary education, independent living, socialization, and other roles at significantly diminished rates, yet little data exists describing this participation in the voices of those affected. The purpose of this narrative inquiry was to describe community integration of persons with IDD in the decade following postsecondary transition in their own words. Critical disability theory was used as a lens to explore the successes and failures of public …
Barriers To Blood Availability Within The New Orleans Area, Tishawn Francis
Barriers To Blood Availability Within The New Orleans Area, Tishawn Francis
Walden Dissertations and Doctoral Studies
An adequate and reliable supply of blood and blood components is becoming an increasing public health concern. Over the past decade, researchers have indicated a continued decline in the collection of blood products. An insufficient blood supply may present a risk to both patients and reserves for emergencies and disasters. The purpose of this quantitative, cross-sectional study was to determine whether gender, age group, ethnicity, year, serological tests, and discard factors were associated with the availability of the donated blood supply throughout the New Orleans region. The donated blood supply chain model guided this study. Secondary data were retrieved from …