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Walden Dissertations and Doctoral Studies

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The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy Jan 2022

The Perceptions Of Adult Patients Who Experience Needle Fear During Cosmetic Injections, Julia Hoy

Walden Dissertations and Doctoral Studies

Adult patients receiving cosmetic injections frequently experience needle fear symptoms which results in patient discomfort, suffering, and poor injection outcomes. The needle fear experience contributes to a decreased quality of life and possible avoidance behaviors involving other medical treatments requiring needles. Researchers have conducted quantitative studies which explored interventions on pain reduction but there are no qualitative studies from the perspectives of adults experiencing needle fear. The purpose of this research study was to explore the perceptions of needle fear in adult patients receiving cosmetic injections in a medical office setting. The interpretative phenomenological approach was used to provide an …


Exploring Nurse Leader Self-Efficacy, Burnout, And Intent To Leave, Donna Donova Johnson Jan 2022

Exploring Nurse Leader Self-Efficacy, Burnout, And Intent To Leave, Donna Donova Johnson

Walden Dissertations and Doctoral Studies

Nurse leader turnover is an emerging issue in healthcare services. Considerable research has been done over the last decade revealing that nurse leaders are experiencing an increased rate of burnout with an intent to leave their jobs. Less research has been done to understand how to mitigate the rate of nurse leader burnout and retain nurse leaders in the workforce. Higher levels of self-efficacy have mediated the effects of work stress on job burnout in other service related fields. The purpose of this quantitative, non-experimental, cross-sectional study was to explore the possible mediating effect of leader self-efficacy between burnout and …


Junior High Teachers' Perception On Consistent Implementing Technology-Based Gamification, Ali Tootian Jan 2022

Junior High Teachers' Perception On Consistent Implementing Technology-Based Gamification, Ali Tootian

Walden Dissertations and Doctoral Studies

The problem investigated was many junior high teachers do not consistently implement technology-based gamification (TBG) within class activities despite evidence showing it as a useful learning tool for student engagement. This study aimed to explore why junior high teachers do not consistently implement TBG and identify the barriers and potential solutions from teachers' perspectives. A modified technology acceptance model and diffusion of innovation theory were combined with cultural and local aspects to generate a comprehensive gamification acceptance model. A basic qualitative approach was suitable for the study. The research questions sought junior high teachers' perceptions about consistently implementing TBG, the …


Stakeholder Success Measures Of A Safe Parking Pilot Program For Individuals Sheltering In Vehicles, Obiageri Constance Aginam Jan 2022

Stakeholder Success Measures Of A Safe Parking Pilot Program For Individuals Sheltering In Vehicles, Obiageri Constance Aginam

Walden Dissertations and Doctoral Studies

The Safe Parking Pilot Program was a crisis response to the recent increase in vehicular homelessness in a Northern Californian city. The city identified issues of unsheltered individuals due to the increase housing cost and unaffordable housing. The city partnered with faith-based organizations to provide safe locations for individuals sheltering in vehicles. The current research aimed to evaluate benchmarks and metrics to measure the safe parking pilot program. The purpose of the study was to help the city leaders and the key stakeholders identify measures of success and how they might improve the program in one Northern Californian city. Semistructured …


Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King Jan 2022

Title I Middle School Teacher And Principal Perspectives On Inquiry-Based Science Instruction, Kirsten R. King

Walden Dissertations and Doctoral Studies

Title I middle schools face challenges delivering effective inquiry-based science instruction within the framework of Title I requirements. The purpose of this basic qualitative study was to explore Title I middle school teacher and principal perspectives on and experiences with the challenges of delivering inquiry-based science instruction within the framework of Title I requirements. Dewey’s theories of experiential learning and Vygotsky’s theory of sociocultural constructivism provided the conceptual framework for this study. The research questions focused on teacher and principal experiences with inquiry-based science instruction and the impact Title I school policies and practices had on the delivery of inquiry-based …


Links Between Screen Time, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani Jan 2022

Links Between Screen Time, Montessori Preschool Exposure, And Working Memory, Paula Lyn Larsen Mamani

Walden Dissertations and Doctoral Studies

A high-quality, foundational education offers lifelong benefits for young children. The problem is that working memory in pre-school-aged children is declining and could be impaired by the extraneous cognitive load imposed during engagement with screen media apps and/or preschool programs. Although the pedagogical practices associated with Montessori preschool programs have been found supportive of cognitive load germane to learning and improved working memory, they have not been fully considered in relation to preschoolers' screen media use. The cognitive load created by screen media apps could affect their usefulness as learning tools. The purpose of this quantitative study was to discover …


Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi Jan 2022

Resource Development For Mission Achievement In Tanzania’S Rural Ngos, Aine Onesmo Robert Mushi

Walden Dissertations and Doctoral Studies

Failure of most rural-based nongovernmental organizations (NGOs) in Tanzania to accomplish their mission objectives effectively is a challenge that impacts most of the rural population. Researchers have yet been able to establish what resource development strategies could help rural-based NGOs accomplish their mission objectives. The purpose of this study was to examine resource development measures and management activities currently implemented by local NGOs in a rural district of Tanzania for mission achievement. The resource dependence perspective was applied to frame the research questions on what resource development measures and management activities support the local rural-based NGOs to achieve their mission …


The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario Jan 2022

The Effect Of Parental Socialization On The Postsecondary Plans Of Latino/Hispanic Students, Nilda Ivette Rosario

Walden Dissertations and Doctoral Studies

Latino/Hispanics are one of the largest ethnic minority groups in the United States, yet they are underrepresented in higher education. Grounded on the social cognitive theory and the Hoover-Dempsey and Sandler model, the purpose of this study was to examine the relationship between parental expectations, parental involvement, parental self-efficacy, and postsecondary planning of Latino/Hispanic students. The research questions were formulated to determine whether parental factors among Latino/Hispanic parents can predict postsecondary educational outcomes among Latino/Hispanic students. A quantitative correlational research study design was used. The target population was Latino/Hispanic parents residing in the United States with at least one child …


Perceptions Of English Language Arts Teachers Related To Low Student Performance On The Parcc Assessment, Melissa Smith Jan 2022

Perceptions Of English Language Arts Teachers Related To Low Student Performance On The Parcc Assessment, Melissa Smith

Walden Dissertations and Doctoral Studies

AbstractThe problem explored in this study was the low achievement of third grade students on the English Language Arts (ELA) Partnership for Assessment of Readiness for College and Careers Assessment (PARCC). The purpose of this basic qualitative study was to explore teacher perceptions about third grade students in one charter school who were consistently scoring low on the PARCC assessment in ELA. The conceptual framework for this study was Vygotsky's Social Constructivist Theory. Vygotsky's Social Constructivist theory suggests that when learners are engaged in the process of learning, they are able to learn from the person who is presenting the …


Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli Jan 2022

Experiences Of Critical Care Nurse Managers In Addressing Nurses' Work-Related Stress, Mariana Tsucuneli

Walden Dissertations and Doctoral Studies

AbstractNurses who work in the critical care unit are more likely to experience work-related stress, fatigue, understaffing, undesirable performance outcomes, and compromised workplace safety than general care nurses. Nurse managers in these units possess insights into nurses' stress-inducing challenges, in addition to managerial and administrative perspectives. Yet there is a lack of available knowledge about the experiences of critical care nurse managers in addressing nurses' work-related stress. The purpose of this study was to explore critical care nurse managers’ experiences of potential strategies to effectively address work-related stress among nurses. The job-demand resource model was the theoretical framework for the …


Equitable Strategies: Teachers’ Expectations And The Academic Achievement Of African American Males, Danielle R. Green Jan 2022

Equitable Strategies: Teachers’ Expectations And The Academic Achievement Of African American Males, Danielle R. Green

Walden Dissertations and Doctoral Studies

Many African American males in high school do not acquire the knowledge and information that can make them successful in their education goals. This study focused on African American male high school students regarding the instructional practices that could help them succeed academically, so that teachers can be more successful in their teaching of African American students. The purpose of the qualitative study was to explore teachers’ perspectives on the curriculum, instruction, and assessment practices they believe most influence the academic achievement of African American males. The findings may provide insights into the educational practices that most contribute to African …


Early Childhood Educators’ Perspectives On The Challenges Of Including Inclusive Literature And Implementing Culturally Informed Teaching Practices, Victoria Campbell Locane Jan 2022

Early Childhood Educators’ Perspectives On The Challenges Of Including Inclusive Literature And Implementing Culturally Informed Teaching Practices, Victoria Campbell Locane

Walden Dissertations and Doctoral Studies

Even though educators are being encouraged to use culturally informed teaching practices in early childhood classrooms with a focus on including culturally inclusive literature, due to homogenous classroom libraries and minimal training, early childhood educators are challenged to follow these practices. The purpose and research questions for this basic qualitative study explored early childhood educators’ perspectives of the challenges of these practices. Using current research and the conceptual framework of critical race theory in education, research and interview questions were developed. Ten early educators were interviewed using the developed interview protocol. Four themes emerged during open and axial coding that …


Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan Jan 2022

Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan

Walden Dissertations and Doctoral Studies

Approximately 21 million individuals suffer from typhoid fever (TF) globally, and most outbreaks occur in Southeast Asia. The incidence of TF is high in Pakistan, particularly in low socioeconomic areas, and a new drug-resistant strain makes it difficult to control the spread of TF. There is a pressing need for up-to-date and accurate data regarding the attitudes, beliefs, and habits leading to the spread of TF infection among individuals living in low socioeconomic areas of Pakistan. This qualitative, phenomenological study was grounded in the health belief model and explored factors that influence the spread of TF among women of childbearing …


Nurse Management Education To Improve Job Satisfaction And Nurse Retention, Motunrayo Omoloye Adegorusi Jan 2022

Nurse Management Education To Improve Job Satisfaction And Nurse Retention, Motunrayo Omoloye Adegorusi

Walden Dissertations and Doctoral Studies

Abstract Nurses play a critical role as primary care providers in correctional facilities, as well as custodians of security. However, there is a significant disparity in the supply of nurses in correctional settings relative to other practice settings, which is a major gap in practice. The current problem arises from the inability to retain nurses in the correctional settings. Prisons have a harsh work environment characterized by a difficult patient population and stringent policies that govern operations. Additionally, a high level of bureaucracy impedes system reforms and transformations. The purpose of the DNP project was to find out if the …


The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin Jan 2022

The Biopsychosocial Impact Of Racial Discrimination Among African Americans, Amy Renae Amin

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore the relationship between racial discrimination and anger, stress, and obesity. The stress-disease model provided a theoretical perspective of the biological, psychological, and social pathways from stress. Past research regarding the correlation between racial discrimination, anger, stress, and obesity reported a possible connection, but results have been mixed. This research expanded upon existing literature that proposed that blatant or subtle experiences of racial discrimination are pathways to mental and physical health consequences. The hypothesis was that there was a significant relationship between racial discrimination and the levels of stress, anger, and obesity. Racial …


Secondary School Administrators Coping With Overcrowded Classrooms Using Transformational Leadership Strategies, Daryl Anderson Jan 2022

Secondary School Administrators Coping With Overcrowded Classrooms Using Transformational Leadership Strategies, Daryl Anderson

Walden Dissertations and Doctoral Studies

AbstractIn a school district in the northeast United States, secondary schools are continuing to grow in the number of students enrolling compared to the previous 10 years. The problem is school administrators are challenged to implement transformational leadership practices to support overcrowded classrooms in three local secondary schools. The conceptual framework used in this study was based on the James M. Burns’ transformational leadership theory, which focuses on four components of leadership: intellectual stimulation, inspirational motivation, idealized influences, and individualized consideration. In order to understand how school administrators used transformational leadership to support overcrowded classrooms through specific practices, processes, and …


Impact Of Internal Control On Fraud In Ghana’S Cap 30 Pension Payment, David Annan-Bonny Jan 2022

Impact Of Internal Control On Fraud In Ghana’S Cap 30 Pension Payment, David Annan-Bonny

Walden Dissertations and Doctoral Studies

The Pensions Ordinance No. 42 of 1950 (Pensions Act 1950), coded as the Cap 30 pension system, provides for pensions, gratuities, and other allowances for public servants. But despite internal controls, Ghana’s Cap 30 pension payment system continues to suffer from corruption. The purpose of this study was to explore the impact of internal controls on fraud in the payment of Cap 30 pension gratuities and allowances at the national treasury in Ghana as well as the factors that inhibit the effective application of internal controls in the processing, computation, and payment of Cap 30 pension gratuities and allowances. The …


Relationship Of Mindfulness To Worldview Defense When Mortality Is Salient, Blake Ausmus Jan 2022

Relationship Of Mindfulness To Worldview Defense When Mortality Is Salient, Blake Ausmus

Walden Dissertations and Doctoral Studies

Humans value self-preservation, and therefore that which is perceived to threaten survival should cause stress. However, humans have also developed the understanding of their own mortality, meaning that they cognitively understand that death is inevitable. The conflict arising from these opposing constructs holds the potential to cause anxiety. Interestingly, this anxiety is not easily observed in most. Terror management theory posits that there are buffer systems in place that help to keep death anxiety at bay so that humans are able to continue to function in their daily lives. These buffers include becoming more stringent to one’s worldviews and less …


The Relationship Of Coaching On Quality Ratings In Early Childhood Care, Michelle Renee Burkhard Jan 2022

The Relationship Of Coaching On Quality Ratings In Early Childhood Care, Michelle Renee Burkhard

Walden Dissertations and Doctoral Studies

Early childhood educators serving children ages birth through 8 years seek to continuously improve the quality of the learning environment and curriculum practice. All 50 states created a Quality Rating Improvement System (QRIS) to assess childcare center program quality and provide coaching for teachers. Early childhood education programs with intentional coaching score higher on several measures of quality associated with better child outcomes. Research demonstrates that there is a gap in understanding the relationship of coaching to quality scores within one Northcentral state’s childcare centers. The purpose of this quasi experimental quantitative study was to determine the difference in mean …


Nurse Manager’S Leadership And Communication Skills And A Registered Nurse’S Organizational Citizenship Behavior, Satisfaction, And Intent To Leave, Emmitte J. Hall Jan 2022

Nurse Manager’S Leadership And Communication Skills And A Registered Nurse’S Organizational Citizenship Behavior, Satisfaction, And Intent To Leave, Emmitte J. Hall

Walden Dissertations and Doctoral Studies

The Veteran’s Health Administration (VHA) is the largest employer of registered nurses in the United States. The American Association of Colleges of Nursing predicts there will be a nursing shortage through the year 2030 and replacing and training each nurse is expensive and negatively impacts patient care. A review of the literature showed organizations with high levels of organizational citizenship behavior (OCB) had high levels of job satisfaction, which reduces turnover, but there was no research on the existence and impact of OCB in a federal health care facility, specifically the VHA. The purpose of this quantitative, correlational research was …


The Perceived Influence Of Value-Added Metrics On Urban Middle School Teachers’ Job Satisfaction And Motivation, Angela Jones Jan 2022

The Perceived Influence Of Value-Added Metrics On Urban Middle School Teachers’ Job Satisfaction And Motivation, Angela Jones

Walden Dissertations and Doctoral Studies

Value-added metrics or models (VAMs) are an important component of the teacher evaluation process that evaluators use to determine the value teachers add to their students’ academic achievement. VAMs are used to arrive at a score that is derived from the number of the teachers’ students who pass and/or fail a standardized assessment. While prior research has focused on VAMs with respect to impact on student success and performance, little is known about how teachers experience the implementation of these metrics and how those experiences may influence teachers’ job satisfaction and motivation. The purpose of this interpretive qualitative study was …


Job Demands That Influence Organizational Commitment Of Public Safety Telecommunicators, Andre Jones Jan 2022

Job Demands That Influence Organizational Commitment Of Public Safety Telecommunicators, Andre Jones

Walden Dissertations and Doctoral Studies

High job demands mean high turnover for public safety telecommunicators (also known as “9-1-1 call operators” or “emergency dispatch”). Personnel turnover place 9-1-1 call centers in an understaffed situation, which reduces operational effectiveness and increases risk to communities. Though public safety telecommunicators experience work-related stress due to job demands, organizational commitment, and operational impacts, the impact of job demands and its influence on organizational commitment is under-researched. The purpose of this qualitative study was to understand job demands and the resources that influence organizational commitment of public safety telecommunicators. The classical organizational theory of scientific management, or Taylorism, was theoretical …


Primary Care Provider Education On Behavioral Interventions For Management Of Adult, Rose Chinasa Kajuru Jan 2022

Primary Care Provider Education On Behavioral Interventions For Management Of Adult, Rose Chinasa Kajuru

Walden Dissertations and Doctoral Studies

The high prevalence of obesity continues to pose significant health challenges globally. According to the U.S. Preventive Service Task Force, obesity affects more than 35% of men and 40% of women in the United States. The national annual cost of medical care related to obesity is estimated at $147 to $210 billion. Intensive behavioral interventions in adults with obesity can lead to clinically sufficient improvements. The project aimed to determine if the current evidence-based clinical guideline of behavioral weight loss interventions to prevent obesity-related morbidity and mortality in adults would improve primary care providers’ knowledge of adult obesity management. The …


Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan Jan 2022

Typhoid Fever Among Low-Income Women Living In Gujranwala, Pakistan., Tehmina S. Khan

Walden Dissertations and Doctoral Studies

Approximately 21 million individuals suffer from typhoid fever (TF) globally, and most outbreaks occur in Southeast Asia. The incidence of TF is high in Pakistan, particularly in low socioeconomic areas, and a new drug-resistant strain makes it difficult to control the spread of TF. There is a pressing need for up-to-date and accurate data regarding the attitudes, beliefs, and habits leading to the spread of TF infection among individuals living in low socioeconomic areas of Pakistan. This qualitative, phenomenological study was grounded in the health belief model and explored factors that influence the spread of TF among women of childbearing …


Racial Differences Of Patient Satisfaction And Quality Of Care In Nursing Homes, Marie Chantal Lamothe Jan 2022

Racial Differences Of Patient Satisfaction And Quality Of Care In Nursing Homes, Marie Chantal Lamothe

Walden Dissertations and Doctoral Studies

AbstractLong Term Care (LTC) facilities are a vital contributor to the elderly community regarding their dependent care. However, less is known about how racial disparity impacts patient satisfaction and quality of care in LTC facilities. This non-experimental retrospective quantitative study compared the racial differences of patient satisfaction levels quality of care in LTC facilities (nursing homes that include predominately non-White patients versus predominately White patients). The theoretical framework used for this study the consumer multidimensional model of nursing home care quality to analyze quality of nursing home in the view of providers and consumers. Long Term Care: Fact on Care …


Hand Hygiene Education For Nursing Homes, David La Rosa-Presume Jan 2022

Hand Hygiene Education For Nursing Homes, David La Rosa-Presume

Walden Dissertations and Doctoral Studies

In the health care sector, hand hygiene has been identified as one of the most appropriate approaches to preventing health-associated infections or nosocomial infections. A nursing home in the western United States had repeated survey findings showed that their hand hygiene compliance rates did not meet the expectations of the Long-Term Care Institute. This project was aimed to develop and implement an education program to improve hand hygiene compliance in a nursing home setting. The project practice question asked whether an education program would increase staff’s knowledge of hand hygiene methods within a skilled nursing facility. The Joint Commission’s Targeted …


Rural Title I School Teachers' And Parents' Perspectives On Parent Involvement At Home During The Covid-19 Pandemic, Delceina Anita Layne Jan 2022

Rural Title I School Teachers' And Parents' Perspectives On Parent Involvement At Home During The Covid-19 Pandemic, Delceina Anita Layne

Walden Dissertations and Doctoral Studies

AbstractParent involvement has a positive influence on academic performance of students. However, the level and experiences of parent involvement in rural Title I schools serving kindergarten through third (K-3) grade students during the COVID-19 pandemic was unknown. The purpose of this basic qualitative study was to explore early childhood teachers’ and parents’ perspectives on parent involvement in the home during the COVID-19 pandemic for two rural Title I schools serving K-3 students in the southern United States. Bronfenbrenner's bioecological systems theory of human development and two of Epstein's six types of parent involvement (communication, learning at home) framed this study. …


Emerging Adults' Lived Prenatal Care Experiences As First-Time Mothers: An Interpretive Phenomenological Study, Linda Mcclerklin Jan 2022

Emerging Adults' Lived Prenatal Care Experiences As First-Time Mothers: An Interpretive Phenomenological Study, Linda Mcclerklin

Walden Dissertations and Doctoral Studies

AbstractPrenatal care is fundamental in the lives of expectant mothers. Studies have highlighted the prenatal care experiences of mothers ranging from adolescents to older women, which included the experiences of emerging adults. However, emerging adults bring particular social, emotional, and developmental concerns to pregnancy experiences that are distinct from those of their counterparts. This study explored these experiences to answer the question of what are emerging adults’ lived prenatal care experiences are as first-time mothers. Interpretive phenomenology and assumptions from critical race, feminist, communication, and intersectionality theories helped frame the study. Through purposive and snowball sampling, nine participants were selected …


Early College High School, Dual Enrollment, Traditional College, And Time To Obtain A 2-Year Degree, Christopher D. Mccraw Jan 2022

Early College High School, Dual Enrollment, Traditional College, And Time To Obtain A 2-Year Degree, Christopher D. Mccraw

Walden Dissertations and Doctoral Studies

Early college high school (ECHS) and dual enrollment programs offer opportunities for students to work toward their 2-year degree while still in high school. The problem for this study was that the ECHS and dual enrollment programs had not been compared to see if they facilitated 2-year college degree completion compared to one another and to a traditional college program. The problem was urgent because there was a need to evaluate two different ECHS screening methods, assuming significantly less time to degree completion for the ECHS students. The purpose of this quantitative project study was to determine if the time …


Elementary And Middle School Administrators’ Decisions About Professional Development For Bilingual Educators, Enid Montalvo Jan 2022

Elementary And Middle School Administrators’ Decisions About Professional Development For Bilingual Educators, Enid Montalvo

Walden Dissertations and Doctoral Studies

K–8 school administrators are expected to provide professional development (PD) to bilingual teachers that will enhance instructional practices. PD is an important factor that may lead to student academic achievement. However, it was unclear in what ways K–8 administrators provided PD for bilingual teachers to enhance instructional practices for Latino English-language learners (ELL). The purpose of this basic qualitative study was to explore how K–8 administrators used reflective practices to identify ELL-focused PD for bilingual teachers within two Midwestern school districts. The conceptual framework for the current study was Schön’s theory of reflective practice. The guiding questions asked how K–8 …