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Walden Dissertations and Doctoral Studies

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The Use Of Dialectical Behavioral Therapy With The Native American Population In The Southwest, Joseph Elias Woodruff Jan 2019

The Use Of Dialectical Behavioral Therapy With The Native American Population In The Southwest, Joseph Elias Woodruff

Walden Dissertations and Doctoral Studies

Compared to other races, Native Americans have significantly higher rates of suicide and substance abuse. Dialectical behavioral therapy is an evidence-based program with efficacy for reducing suicidality and comorbid disorders within general populations but may not be effective for Native Americans because it is based in Western ideology. The purpose of this phenomenological study was to explore the lived experiences of Native American therapists who use DBT with Native American populations. Using biosocial theory, I investigated the perceptions and lived experiences of 8 Native American therapists through a phenomenological approach. The research questions encompassed the experiences, including the cultural appropriateness, …


Faculty And Administrator Perceptions Of The Attrition Of Female Expatriate Esl Teachers' In Saudi Arabia, Salisha Bhola Jan 2019

Faculty And Administrator Perceptions Of The Attrition Of Female Expatriate Esl Teachers' In Saudi Arabia, Salisha Bhola

Walden Dissertations and Doctoral Studies

Colleges in Saudi Arabia require students to take content classes in English. As the number of English learners in Riyadh continues to grow, it is important to retain quality English as Second Language (ESL) teachers. The problem investigated in this study was the high attrition of female expatriates teaching ESL at an all-female university. The purpose of this qualitative case study was to explore teacher and administrators' perceptions about the attrition of female expatriate ESL teachers at the university. The conceptual framework was Herzberg's motivation-hygiene theory, which focuses on influences that motivate or demotivate employees. The research questions explored why …


Esl Teachers' Perceptions Academic Performance Among Hispanic El Students Of Deported/Immigrant Parents, Osiris Ciminera Jan 2019

Esl Teachers' Perceptions Academic Performance Among Hispanic El Students Of Deported/Immigrant Parents, Osiris Ciminera

Walden Dissertations and Doctoral Studies

The sudden removal of immigrant parents by deportation can have lasting effects on children's overall wellbeing. While many studies demonstrate the impact parental deportation has on the child development, more research has been called for on how deportation and the removal of parents by deportation can affect school performance among ESL students. The purpose of this quantitative study was to examine the student factors that predict 5 domains of school performance among ELS students of undocumented parents as perceived by their ESL teachers. Sewell's duality of structures served as the theoretical framework. A quantitative correlational design using an online survey …


Health System Access To Maternal And Child Health Services In Sierra Leone, Alhassan Fouard Kanu Jan 2019

Health System Access To Maternal And Child Health Services In Sierra Leone, Alhassan Fouard Kanu

Walden Dissertations and Doctoral Studies

The robustness and responsiveness of a country's health system predict access to a range of health services, including maternal and child health (MCH) services. The purpose of this cross-sectional study was to examine the influence of 5 health system characteristics on access to MCH services in Sierra Leone. This study was guided by Bryce, Victora, Boerma, Peters, and Black's framework for evaluating the scaleup to millennium development goals for maternal and child survival. The study was a secondary analysis of the Sierra Leone 2017 Service Availability and Readiness Assessment dataset, which comprised 100% (1, 284) of the country's health facilities. …


Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook Jan 2019

Relationship Between Socialization Tactics, Military Cultural Competence, And Self-Efficacy Of Service Providers Serving Veterans, Dorothy Ann Seabrook

Walden Dissertations and Doctoral Studies

Military cultural competence has gained attention due to the past 15 years of military conflict and ongoing deployment of troops around the globe. Returning veterans, particularly those who go on to experience homelessness, have reported negative experiences and adverse treatment from programs that were designed to support them. Those experiences have resulted in perceived barriers to access or use of such services. Researchers have established the need for increased levels of military cultural competence to develop rapport with veterans and their families when delivering community-based social and healthcare services. Bandura's self-efficacy theory was the theoretical framework of this study. This …


Assessing Breast Cancer Screening Among Cameroonian Women In The United States Of America, Jacqueline Batcha Jan 2019

Assessing Breast Cancer Screening Among Cameroonian Women In The United States Of America, Jacqueline Batcha

Walden Dissertations and Doctoral Studies

Breast cancer is the second leading cause of cancer death among women in the United States. Nonadherence to recommended screening guidelines and lack of screening contribute to late stage diagnosis and increased morbidity and mortality among racial and ethnic women in the United States. The purpose of this study was to assess breast cancer screening practices, knowledge, and beliefs among Cameroonian immigrant women who were 40 years and older living in the metropolitan Washington, D.C. region. This quantitative cross-sectional study was guided by the health belief model and used the revised version of Champion's health belief model scale. A convenience …


Emotional Intelligence And Sociodemographic Status In Associate Degree Nursing Students, Melanie Renee Benington Jan 2019

Emotional Intelligence And Sociodemographic Status In Associate Degree Nursing Students, Melanie Renee Benington

Walden Dissertations and Doctoral Studies

Emotional intelligence (EI) is essential for providing quality and competent care in the nursing profession. Because nurses need to be competent in EI, it is important to determine if inherent factors and academic performance contribute to the development of EI. The purpose of this study, guided by the 4-branch ability model of EI by Mayer and Salovey, was to examine the relationship of EI levels and academic performance, gender, and ethnic background in associate degree nursing (ADN) students who attended a community college. Using convenience sampling, 110 ADN students completed the Schutte Self-Report Emotional Intelligence Test and sociodemographic data. Data …


Undergraduate Nurse Educator Perceptions Of Preparation To Teach Interprofessional Collaboration, Tamara Powell Berghout Jan 2019

Undergraduate Nurse Educator Perceptions Of Preparation To Teach Interprofessional Collaboration, Tamara Powell Berghout

Walden Dissertations and Doctoral Studies

If nurse educators do not teach students to function in interprofessional teams, students may lack communication and teamwork skills, which can result in patient harm; however, nurse educators do not always understand the concept of interprofessional collaboration (IPC) and may, therefore, fail to teach it to students. The purpose of this multiple case study was to understand how undergraduate nurse educators prepared to teach IPC and how their preparation informed their teaching. The theory of transformative learning and the Interprofessional Education Collaborative core competencies of IPC framed this study. Data included semistructured interviews and associated documents from 9 nurse educators …


Leadership Practices Principals Believe Reduce Reading Achievement Gaps For Economically Disadvantaged Students, Andrew Richard Buchheit Jan 2019

Leadership Practices Principals Believe Reduce Reading Achievement Gaps For Economically Disadvantaged Students, Andrew Richard Buchheit

Walden Dissertations and Doctoral Studies

Evidence suggests that principals' practices influence student achievement. The purpose of this qualitative study was to examine the beliefs elementary school principals in the mid-Atlantic United States had about which leadership practices have been instrumental in reducing the achievement gap between economically-disadvantaged students and all other students at their schools. The leadership model that Kouzes and Posner developed, which identified 5 practices of exemplary leaders, served as the conceptual framework for this study. Eleven principals who were leaders at schools where the achievement gap in reading had been reduced compared with the state average were interviewed. A combination of a …


Increasing Depression Screening And Treatment For Adults Living With Hiv/Aids, Velma Asneth Frasier Jan 2019

Increasing Depression Screening And Treatment For Adults Living With Hiv/Aids, Velma Asneth Frasier

Walden Dissertations and Doctoral Studies

The lifetime prevalence of clinical depression in patients living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is approximately 22% compared to 3% to 10% in the primary care population. The nursing practice problem at the project site concerned nurses' lack of knowledge and understanding of procedures to help ensure that all patients living with HIV/AIDS were properly screened for depression and referred for further evaluation and treatment. The purpose of this project was to implement a staff education module to address the use of the PHQ-9 screening tool to identify depression in people diagnosed with HIV/AIDS. The theoretical framework …


The Relationship Between Social Support And Resilience Among School Nurses, Kathryn Vargo Hsu Jan 2019

The Relationship Between Social Support And Resilience Among School Nurses, Kathryn Vargo Hsu

Walden Dissertations and Doctoral Studies

Research exploring the relationship between social supports and resilience among hospital-based nurses and teachers has offered little to illuminate how school nurses identify and access social support and the impact it may have on their ability to manage ongoing daily stressors or develop resilience. The social networks and social support model suggest that access to social support may underscore the development of effective coping. This study explored the relationship between social supports as measured by a self-report questionnaire, and resilience as measured by the Conner-Davidson Resilience Scale (CD-RISC). It was hypothesized that a positive correlation would exist between use of …


Small Business Restaurant Owners' Financing Strategies For Sustainability, Cecilia Tobias Vasquez Jan 2019

Small Business Restaurant Owners' Financing Strategies For Sustainability, Cecilia Tobias Vasquez

Walden Dissertations and Doctoral Studies

Owners of small business restaurants experience a high failure rate. Many small business restaurants fail within 5 years of inception because of inadequate business plans, ineffective strategies for changing markets, and a lack of financial capital to achieve profitability, growth, and long-term survivability. The purpose of this multiple case study was to explore the financial strategies that some owners of small business restaurants used to sustain operations for longer than 5 years. The resource-based view was the conceptual framework for this study. Participants in this study consisted of 5 owners of small business restaurants in northern California who implemented successful …


Associations Between Healthcare Utilization Factors And Diabetic Retinopathy Among Adult African Americans, Olusina Adesanya Jan 2019

Associations Between Healthcare Utilization Factors And Diabetic Retinopathy Among Adult African Americans, Olusina Adesanya

Walden Dissertations and Doctoral Studies

African Americans are disproportionately affected by diabetes mellitus (DM) and complications that include diabetic retinopathy and its disease and socioeconomic burdens. This study examined the relationships between diabetic retinopathy and health care utilization factors, such as gender, DM comorbidities of hypertension and hyperlipidemia, and health care access, among sampled African Americans with DM in the United States. The Andersen health care utilization model was the framework for the study. In this correlational cross-sectional study, data from the 2011-2016 National Health and Nutrition Examination Survey datasets were analyzed. Results of complex samples logistic regression showed that there were no significant associations …


The Effect Of Income On Stroke Recovery In Urban Ghana, Ida Dawsome Amuah Jan 2019

The Effect Of Income On Stroke Recovery In Urban Ghana, Ida Dawsome Amuah

Walden Dissertations and Doctoral Studies

Stroke recovery is a crucial public health issue in Ghana due to the high rate of mortality and morbidity associated with stroke. The significant role income plays in the onset of stroke has been empirically proven using quantitative research. However, the in-depth insights on the role income plays in stroke recovery are less known and less appreciated, particularly, in middle-income countries such as Ghana. The phenomenological study was purposed to provide in-depth insight into the effect which might exist between income earned by Ghanaian-families and stroke recovery. The theoretical framework underlining this qualitative study was a combination of the Dahlgren-Whitehead …


Issues That Prevent Students Of Color From Majoring In Teacher Education, Elizabeth Joann Napier Jan 2019

Issues That Prevent Students Of Color From Majoring In Teacher Education, Elizabeth Joann Napier

Walden Dissertations and Doctoral Studies

As the student population in public schools throughout the United States continues to increase in ethnic diversity, the number of college students of color majoring in teacher education have remained stagnant. The local problem addressed in the study is that despite intentional recruitment efforts, college students of color are not majoring in teacher education at a university in Ohio. Bell's critical race theory was used throughout this basic qualitative study to explore what issues influence students of color to choose majors other than teacher education. Individual student interviews with 8 students of color were conducted to answer the research question …


Cybersecurity Strategies To Protect Information Systems In Small Financial Institutions, Johnny Fadel Rawass Jan 2019

Cybersecurity Strategies To Protect Information Systems In Small Financial Institutions, Johnny Fadel Rawass

Walden Dissertations and Doctoral Studies

Leaders of financial institutions face challenges in protecting data because of the increased use of computer networks in the commerce and governance aspects of their businesses. The purpose of this single case study was to explore the strategies that leaders of a small financial institution used to protect information systems from cyber threats. The actor-network theory was the conceptual framework for this study. Data were collected through face-to-face, semistructured interviews with 5 leaders of a small financial institution in Qatar and a review of company documents relevant to information security, cybersecurity, and risk management. Using thematic analysis and Yin'€™s 5-€step …


Principals’ Leadership Practices For Sustaining Music In K-3 Education, Ivone Fraiha Clark Jan 2019

Principals’ Leadership Practices For Sustaining Music In K-3 Education, Ivone Fraiha Clark

Walden Dissertations and Doctoral Studies

Public school principals who provide and sustain music in elementary programs are often confronted with budgetary cuts and reduced funding for music education. There is a dearth of research regarding music as an essential element in K-3 education in low-income rural schools. The purpose of this generic qualitative inquiry was to explore and describe leadership practices of principals, who despite fiscal challenges, include and sustain music in the K-3 curriculum in a low-income rural area of a small county in North Carolina. Elliott and Silverman’s concept of praxial music education and Leithwood and Riehl’s philosophy of instructional leadership practices were …


Funding Strategies For Smallholder Rice Farmers In Afadzato South District, Ghana, Faith S. Ababio-Twi Jan 2019

Funding Strategies For Smallholder Rice Farmers In Afadzato South District, Ghana, Faith S. Ababio-Twi

Walden Dissertations and Doctoral Studies

Agriculture revenue contributions to Ghana's gross domestic product have declined because of limited farm funding, which has constrained some smallholder rice farmers access credit to acquire necessary inputs, and to secure a stable market for their harvests. The purpose of this qualitative multiple case study was to explore successful strategies some smallholder rice farmers in the Afadzato South District of Ghana used in obtaining farm funding. Data collection included semistructured, face-to-face interviews with 9 smallholder rice farmers who successfully obtained farm funding. Previous research, reports, and policies of the Ghana Ministry of Food and Agriculture served as additional data collection …


Examining K-6 Teachers' Stages Of Concerns Related To Implementation Of I-Ready, Cristy Mckinley Jan 2019

Examining K-6 Teachers' Stages Of Concerns Related To Implementation Of I-Ready, Cristy Mckinley

Walden Dissertations and Doctoral Studies

Low reading proficiency rates have been observed throughout the United States including a rural school in southwestern New York State. Although the Outstanding School District (pseudonym) purchased i-Ready, an adaptive diagnostic and instructional program, only 35% of students in Grades 3 through 8 demonstrated proficiency in reading in 2018. The problem is that i-Ready has not been implemented as intended. The purpose of this case study was to investigate teachers' concerns related to implementation and use of i-Ready. The guiding research questions examined the teacher's most common concerns and challenges faced during implementation. The Concerns-Based Adoption Model served as the …


Implementing Guidelines To Improve Hand Hygiene Compliance, Doreen Millicent Currie Jan 2019

Implementing Guidelines To Improve Hand Hygiene Compliance, Doreen Millicent Currie

Walden Dissertations and Doctoral Studies

Hand hygiene is the term for removing microorganisms with disinfecting agents, alcohol-based rub, or soap and water. Evidence supported the low rates of hand hygiene compliance among health care workers. This project addressed this gap in practice at a large acute care facility through an educational training program. Data from the facility on hand hygiene compliance revealed a compliance rate of 63%. The problem question explored whether an educational program on hand hygiene improve compliance. The focus of the program was to provide education on the World Health Organization's My 5 Moments for Hand Hygiene and the 7-step technique for …


Association Of Social Support And Patient-Provider Communication And Medication Adherence, Laquasha Arenese Gaddis Jan 2019

Association Of Social Support And Patient-Provider Communication And Medication Adherence, Laquasha Arenese Gaddis

Walden Dissertations and Doctoral Studies

The prevalence of hypertension in African Americans is the highest of any population in the United States, and this population also demonstrates lower rates of adherence to mediation. Social support and patient-provider communication have been considered as reinforcing factors to help hypertensive patients achieve optimal blood pressure control. The purpose of this study was to examine the association of social support and patient-provider communication and medication adherence for hypertensive African American men and women. The study was guided by the theory of reasoned action. This study was conducted to determine whether social support and patient-provider communication was associated with medication …


Compass Placement Assessment And Student Attrition At A Community College, Leslie Morris Samuel Griffiths Ii Jan 2019

Compass Placement Assessment And Student Attrition At A Community College, Leslie Morris Samuel Griffiths Ii

Walden Dissertations and Doctoral Studies

Considerable research has been conducted regarding the usefulness of placement testing in community colleges. Many stuides show that using the COMPASS exam may lead to students' unsuccessful course completion. To better identify the factors that may result in reduced attrition, the relationship between attrition and placement testing was studied. Using Tinto's student retention model and employing qualitative methodology, this study explored the perceptions of students and faculty regarding whether COMPASS placement assessment predicted future student success in first year courses at a community college that reports higher rates of attrition when compared to other area community colleges. After completing interviews …


The Nurse And Certified Nursing Assistant Perception Of Person-Centered Care, Latonya Dickerson Hughes Jan 2019

The Nurse And Certified Nursing Assistant Perception Of Person-Centered Care, Latonya Dickerson Hughes

Walden Dissertations and Doctoral Studies

Over the last decade, long-term care facilities have transitioned from institutional care models that focus on person-centered care, in which the resident is the center of the care. The purpose of this study is to explore the nurse and certified nursing assistant perception of the person-centered care services they deliver. Jean Watson's theory of human caring is the theoretical framework that guided this study. The theory focusing on the human caring experiences and person-centered care is being characterized as a caring feeling. The carative factors of Watson's theory, the fundamental concept of caring, has been associated with improved outcomes for …


The Effects Of Common Core State Standards In Mathematics On Inclusive Environments, Byron S. Jordan Jan 2019

The Effects Of Common Core State Standards In Mathematics On Inclusive Environments, Byron S. Jordan

Walden Dissertations and Doctoral Studies

The Common Core State Standards for Mathematics (CCSSM) require students with learning disabilities in mathematics to use a range of cognitive, skills, and foundational numerical competencies to learn and understand complex standards. Students with learning disabilities in mathematics experience deficits in cognitive processes skills and foundational numerical competencies which have emerged as underlying barriers associated with mastering CCSSM. Examining the impact of high-stakes assessments on readiness for college and careers and student achievement may provide evidence that deficits in cognitive processing skills and numerical competencies can impact achievement levels. Using the cognitive theoretical frameworks of Bandura and Gagné, along with …


Factors Affecting Health Care Access And Utilization Among U.S. Migrant Farmworkers, Melinda R. Kelly Jan 2019

Factors Affecting Health Care Access And Utilization Among U.S. Migrant Farmworkers, Melinda R. Kelly

Walden Dissertations and Doctoral Studies

There are over 3 million seasonal and migrant farmworkers in the U.S. agricultural industry with a significant percentage of farmworkers documented or native to the United States. Migrant farmworkers live below the federal poverty levels at high rates and experience low health care access and utilization. Guided by the fundamental cause theory, the purpose of this phenomenological study was to examine the lived experiences of migrant farmworkers and identify the factors impacting their health care access and utilization. Face-to-face interviews were conducted with 12 migrant farmworkers who had worked in Southwest Texas agricultural stream. Data were analyzed and coded to …


The Lived Experiences Of Adult Male Trauma Survivors With Dance Movement Therapy, Jeanne Langston Jan 2019

The Lived Experiences Of Adult Male Trauma Survivors With Dance Movement Therapy, Jeanne Langston

Walden Dissertations and Doctoral Studies

In the United States, approximately 7.7 million individuals are affected by posttraumatic stress disorder (PTSD) at any given time. Though women are likelier to develop PTSD symptoms, men are exposed to more traumatic events in their lifetimes. Empirically- supported PTSD options exist, however clinical application of these treatments may not consistently culminate in beneficial outcomes. Dance Movement Therapy (DMT) has demonstrated positive treatment outcomes for a variety of mental and physical disorders. Nonetheless, there is a lack of robust research related to the treatment experiences of men who have participated in DMT for trauma-related symptoms. The purpose of this phenomenological …


The Meaning Of Instagram Use For Rheumatoid Arthritis Information, Deborah Lewis Jan 2019

The Meaning Of Instagram Use For Rheumatoid Arthritis Information, Deborah Lewis

Walden Dissertations and Doctoral Studies

Social media use related to chronic disease has become pervasive, yet few researchers have examined the influence of social media on health care message dissemination and health care outcomes. In this study, the use of Instagram, an image-rich social media platform, for sharing health information was examined. Nurses, as key providers of patient information, need to understand the relative effectiveness of different types of social media for health information, how social media is currently used by health care consumers, and how to best use various social media platforms to improve patient outcomes. The purpose of this study was to gain …


Funding And Allocation In School Districts Educating Children With Impact Aid, Jamee M. Lynch-Moore Jan 2019

Funding And Allocation In School Districts Educating Children With Impact Aid, Jamee M. Lynch-Moore

Walden Dissertations and Doctoral Studies

Budgeting and allocation decisions made by school districts have a direct impact on education in local communities. Little, however, is known about budgetary allocation and decision-making practices involving federal Impact Aid received by military-connected districts as no national guidelines exist to guide the allocation of this funding source. Using Sielke's garbage can decision model as the foundation, the purpose of this multiple case study of 5 school districts located throughout the United States was to explore how school districts use Impact Aid to achieve educational adequateness for military-connected children. Research questions focused on how school districts make budgetary decisions in …


Analyzing Small Businesses' Adoption Of Big Data Security Analytics, Henry Mathias Jan 2019

Analyzing Small Businesses' Adoption Of Big Data Security Analytics, Henry Mathias

Walden Dissertations and Doctoral Studies

Despite the increased cost of data breaches due to advanced, persistent threats from malicious sources, the adoption of big data security analytics among U.S. small businesses has been slow. Anchored in a diffusion of innovation theory, the purpose of this correlational study was to examine ways to increase the adoption of big data security analytics among small businesses in the United States by examining the relationship between small business leaders' perceptions of big data security analytics and their adoption. The research questions were developed to determine how to increase the adoption of big data security analytics, which can be measured …


Educational Technology Use In Neurodiagnostic Clinical Skills Training, Margaret Ann Marsh-Nation Jan 2019

Educational Technology Use In Neurodiagnostic Clinical Skills Training, Margaret Ann Marsh-Nation

Walden Dissertations and Doctoral Studies

The current shortage of clinical sites for neurodiagnostic technology (NDT) students is limiting enrollments and subsequently limiting graduates from NDT schools in the U.S. A lack of knowledge or consensus concerning the use of educational technology in NDT clinical skills training prompted this investigation. The purpose of this study was to explore the use of educational technology in providing NDT clinical skill training. This qualitative Delphi study was guided by experiential learning theory and cognitive constructionist epistemology. Thirty expert panelists were recruited to rate the effectiveness of educational technology methods in addressing neurodiagnostic competencies for electroencephalography. Twenty-four completed round one, …