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What Postpartum Depression Looks Like For Men: A Phenomenological Study, Clara Lee Barnes

Walden Dissertations and Doctoral Studies

Abstract

Postpartum depression (PPD) has been identified as a mental health condition that impacts women, men, and families. PPD has been shown to be prevalent in both women and men following the birth of a child; it has been associated with marital conflict, insecure attachment, and poor infant-child outcomes. While PPD has been studied extensively in women, paternal PPD often goes understudied, undetected, and untreated. The purpose of the present research was to explore the lived experiences of men who have experienced PPD through the lens of self-perception theory using a qualitative phenomenological study. Six men who have experienced PPD …

The Shortage Of Licensed Social Workers In Central Florida, Helen M. Burrows

Walden Dissertations and Doctoral Studies

For several decades, a national shortage of licensed clinical social workers has been growing in the United States. Licensed social workers provide counsel and advocacy for those affected by mental illness, addiction, abuse, and discrimination, among other economic difficulties, and are the largest group of providers of mental and behavioral health services. The research questions for this project addressed what challenges unlicensed social workers in central Florida identify as barriers to pursuing clinical licensure. This study also explored strategies that unlicensed social workers in central Florida reported to address these barriers and encourage the pursuit of clinical licensure. The purpose …

How Childcare Type And Disaster Recovery Funding Type Impact Childcare Recovery, Heather L. Beal

Walden Dissertations and Doctoral Studies

Childcare is critical community infrastructure, yet it is typically not eligible for recovery assistance postdisaster. The effect of disaster on children has been extensively studied and research indicates that the return to normalcy (e.g., through restoration of childcare programs) helps aid recovery. Despite this, little research has been conducted on how childcare programs recover. The purpose of this research was to investigate how the recovery times for childcare programs affected by Superstorm Sandy varied based on childcare typology and the recovery funding resources used. A quasi-experimental research design was selected and data from 76 surveys was evaluated using one-way and …

Decreasing Voluntary Employee Turnover In The Hospitality Industry, Andrew Anderson

Walden Dissertations and Doctoral Studies

The purpose of this qualitative multiple case study was to explore the strategies general managers of full-service hotels used to reduce voluntary frontline employee turnover. The conceptual framework for this study was Herzberg's motivation-hygiene theory. The 3 participants were hotel general managers in the midwestern region of the United States. Data were collected through semistructured interviews with 3 purposefully selected hotel general managers and by reviewing company documents. Data analysis consisted of gathering the data, coding for emergent themes, compiling the data into common codes, organizing the data into themes, interpreting the meaning, and reporting the themes. Four themes emerged …

Development Of An Interactive Game For Education Regarding Sexually Transmitted Infections, Sherri Arrington

Walden Dissertations and Doctoral Studies

Sexually transmitted infection (STI) prevalence rates are increasing in the United States and globally. Education has been found to be an important strategy for increasing STI testing and treatment rates among sexually active young adults. The goal of this project was to develop an interactive educational game suitable for young adults to decrease the social and economic burden of STIs. The health belief model informed the project. A moderated usability evaluation was conducted using the concurrent think-aloud technique. The participants (N = 5) were a purposive sample of professionals who played the interactive game and then completed Schnall, Cho, and …

Workplace Toxicity, Leadership Behaviors, And Leadership Strategies, Titin S. Atmadja

Walden Dissertations and Doctoral Studies

Workplace toxicity may negatively influence the well-being and work performance of employees. Best practices of successful leadership approaches and behaviors have been unidentified when addressing low-toxicity work environments. The purpose of this qualitative narrative case study was to develop a deeper understanding of how leaders selected and applied specific leadership strategies and behaviors in nontoxic workplace environments. Data were collected from 10 participants in New Hampshire using a purposive sampling technique and semistructured interviews based on Alvarado's triangular model of workplace toxicity. This study was structured using a narrative approach to explore ways positive leaders practically implemented styles and behaviors …

Perceptions, Lived-Experiences, And Environmental Factors Impacting The Crime-Reporting Practices Of Private College Students, Kelly Lynn Arney

Walden Dissertations and Doctoral Studies

The purpose of this study was assessing the perceptions of student's on how the campus climate impacts their likelihood of reporting crime. Victimization studies have been conducted at large universities and community colleges; however, there remains a lack of research regarding private colleges. This study was designed to examine the reasoning behind students' crime-reporting behaviors and the influencers that impact their decisions. Cohen and Felson's routine activity theory along with the collective-efficacy theory were used as frameworks to analyze the crimes that occur to college students as well as to explore the reasons for not reporting some crimes to law …

National Strategy Against Narcotics, Drug Control Policy, And Law Enforcement Experiences In Kosovo, Ferid Azemi

Walden Dissertations and Doctoral Studies

This research is focused on evaluation of National Strategy Against Narcotics (NSAN) enacted in 2012 in Kosovo. The purpose of this study was to understand the impact of NSAN through visualizing data and gaining deeper insight from experiences of antidrug experts. Convergent parallel mixed methods were used to answer the main research questions. The central research questions examined the impact of strategy implementation in juvenile drug arrest reduction, and its effectiveness on Kosovo criminal justice system. Markwood's comprehensive theory of substance abuse prevention (CTSAP) was used to assess and explore the NSAN. Deidentified juvenile arrest rates taken from Kosovo official …

Systematic Review Of Alternative Therapies To Treat Cancer Pain, Karla Michelle Bonilla Carmona

Walden Dissertations and Doctoral Studies

Cancer pain is a complex symptom that affects the quality of life of oncology patients, caregivers, and families. The limitations of pain management treatment for cancer patients can be attributed to the lack of knowledge and availability of nonpharmacological treatments. The purpose of this project was to identify and gather evidence on the effectiveness of nonpharmacological interventions in the treatment of cancer pain using the methodology of a systematic review. Watson's theory of human caring supported the project by incorporating the perception of treating the human being holistically during the illness process. The Johns Hopkins nursing evidence-based practice model provided …

Lived Experiences Of Women Receiving Substance Abuse Treatment From Male Counselors, Robert C. Bennett

Walden Dissertations and Doctoral Studies

The cost of the misuse of drugs is significant. The impact is felt across multiple systems across America and is covered mostly by federal, state, and local governments. Women comprise a significant portion of the persons using illicit drugs. Treatment is an effective way of reducing substance misuse. However, research into the efficacy of treatment for women lag that of men. The Substance Abuse and Mental Health Services Administration reported that women receiving substance abuse treatment from a man had shorter stays in treatment and poorer outcomes than those who had a female counselor while in treatment. Phenomenological and relational-cultural …

Importance Of Perceived Social Support For Black Mothers Of Preterm Babies, Anita Lynn Brentley

Walden Dissertations and Doctoral Studies

Social support represents a network that provides for family, relatives, and friends and is an important predictor of future health and well-being. A knowledge gap exists in the literature regarding a need for social support for Black mothers of preterm babies. This qualitative study explored the perception of social support for Black mothers of preterm babies in Southwest Ohio. The phenomenological method of inquiry was used to gain an in-depth understanding of social support Black mothers receive after preterm birth. The social ecological theory provided a framework for understanding how individual, interpersonal, community, organizations, and policy affect a Black mother's …

Exploring Leader Development Experiences To Inform Department Of Defense Leader Development Policy, Glenn J. Butler

Walden Dissertations and Doctoral Studies

Although there are several robust leader development programs in the U.S. Army, no standardized access to leader development is provided to all service members at the start of their career. Forty-four percent of the Department of Defense (DoD) active duty personnel are 25 years of age or less. Despite this known experience gap, there is a shortfall in policy that ensures standardized access to leader development during this foundational period. The purpose of this phenomenological study was to explore the experiences of service members who participated in the United States Army Pacific's Regional Leader Development Program-Pacific (RLDP-P) to inform DoD …

Relationship Between Race, Gender, And Elder Abuse Awareness, James Earl Burrell

Walden Dissertations and Doctoral Studies

Lack of elder abuse awareness and underreporting is an increasing problem in the United States in that only 1 in 14 cases of elder abuse is reported. The failure to report incidents of elder abuse and suspected elder abuse allows further abuse of elders and for elder abusers to go unpunished. The purpose of this quantitative nonexperimental study was to understand the relationship between race, gender, and elder abuse awareness and fill the gap in elder abuse literature. Research questions tested mean differences between race and gender, respectively, and elder abuse awareness. The theoretical frameworks for this study were the …

Factors Contributing To Military-Veteran Student Success, Charlene Sutton Cofield

Walden Dissertations and Doctoral Studies

The enrollment of military/veteran students at U.S. colleges and universities is growing steadily; however, factors affecting their academic success need further investigation. Guided by Tinto's student integration model and Bean and Metzner's model of nontraditional student attrition, the relationships between student characteristics and academic success for military/veteran, and civilian students were investigated. For this nonexperimental study, preentry characteristics (military/civilian status, race/ethnicity, age, gender, transfer credits) as well as 1st-year academic performance (total terms attended and grade point average [GPA]) archived in 393 students' records were examined to determine whether these variables predicted 4 student success measures: retention after 1 year, …

The Influence Of Food Choices, Eating Habits, And Body Image Of African American Mothers On Childhood Obesity, Debrua Perniece Coleman

Walden Dissertations and Doctoral Studies

The food decisions, dietary patterns, physical activity, and weight-related convictions of African American mothers are affected by their self-perceptions and views of body weight. The gap in the literature regarding the impact of these perceptions on children's food choices, eating habits, and body image is significant. Using the health belief model as the theoretical foundation and a cross-sectional survey as the research design, this study assessed the potential relationship between mothers' and children's eating habits and whether mothers' perceptions of their children's body image were reliable indicators of childhood obesity. Eighty-six mothers provided demographic information and completed the Child Feeding …

Qsen Competency Confidence Levels In Two Groups Of New Registered Nurses, Yvonne A. Davila

Walden Dissertations and Doctoral Studies

Healthcare agencies and stakeholders expect registered nurses to be competent at all times. When nurses are not confident in competencies, negative patient outcomes can occur. The purpose of this quantitative quasiexperimental with posttest only study was to investigate Quality and Safety Education for Nurses (QSEN) competency confidence levels of 2 groups of new nurses who had 5-6 months of clinical experience. Framed by the Duchscher theory and the QSEN framework, the research question was developed to examine the differences between QSEN competency confidence levels of new nurses who participated in a prelicensure program plus a residency program and nurses who …

The Impact Of Congressional Attention And Policy Mood On Public Health Funding, Evelyn Denise Dunn

Walden Dissertations and Doctoral Studies

Congressional appropriations for federal public health agencies are subjected to external factors throughout the congressional appropriations process, resulting in fluctuations in funding. Recent literature has focused on externals factors, such as political attention and public attitudes, that could influence government funding levels; however, the impact of these factors on federal public health funding was not addressed. The purpose of this study was to determine whether a relationship exists between these external factors and federal public health appropriations. A quantitative study was used to examine congressional attention, policy mood, and the influence on the change in the level of federal public …

Residential Counselor Turnover: The Effects Of Burnout, Vicarious Trauma, Environment, And Self-Care, Kristine Edmonds

Walden Dissertations and Doctoral Studies

Most youth receiving care in residential treatment centers (RTCs) have experienced significant childhood trauma and require intensive mental health treatment to recover from their traumatic childhood experiences. Staff turnover is one factor that can negatively affect outcomes for these children and adolescents. Understanding factors that predict the turnover of professional counselors providing counseling to youth in RTCs can help counselors, supervisors, and counselor educators address barriers to staff retention. The purpose of this quantitative cross-sectional study was to explore the relationship between the turnover of professional counselors providing counseling to youth in RTCs and their perception of the work environment, …

Relationships Between Vocational Identity, Substance Use And Criminal Thinking Among Emerging Adults, Eileen Marie Delzell

Walden Dissertations and Doctoral Studies

Successful formation of a self-chosen, purposeful identity in personal, social, educational and vocational areas is a primary task for emerging adults, with failure to do so often resulting in cycles of substance use, unemployment, and delinquent/criminal behavior. The purpose of this quantitative study was to examine relationships between vocational identity, substance use, and criminal thinking within the population of emerging adults. The expectancy value theory of motivation, which states that identity may be a motivational construct between self-efficacy and subjective self-values, provided the foundation for the study. The online inventory platform PsychData was used to garner data from a sample …

Nurses' Perceptions Of Patient Encounters During Bariatric Weight Loss Surgery Education, Traci Edwynne Cullins-Clark

Walden Dissertations and Doctoral Studies

Many researchers have suggested positive patient-health provider relationships can positively impact patient outcomes. A few focused explicitly on bariatric weight loss surgery (BWLS) professional-patient interactions. This study is significant because BWLS is a recommended tool to combat obesity. The purpose of this study was to analyze the perceptions of BWLS education nurses regarding their patient encounters. This mixed methods research study used an online survey combining quantitative Likert scale questions and open-ended qualitative questions, with social cognitive theory as the theoretical foundation. These explored viewpoints relate to their patient relations expressed by a health professional. Health professional beliefs incorporated into …

Educating Nurses About Nurse Residency Program, Tammy Lea Franklin

Walden Dissertations and Doctoral Studies

Educating Nurses About a Nurse Residency Program

by

Tammy Lea Franklin

MSN, Walden University, 2012

BSN, Oklahoma City University, 2010

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

May 2019

The problem addressed in this project was the challenges related to retention of new graduate nurses. This includes Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Bachelor of Science Nurses (BSNs) on two medical/surgical units in an acute care facility. The purpose was to work with a project team to develop an education module and accompanying resources to present to …

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 …

Cyberbullying Victimization: The Lived Experiences Of Parents, Brittny Shanice Herring

Walden Dissertations and Doctoral Studies

Cyberbullying continues to be a rising problem facing many households. As teenagers are the primary victims of cyberbullying, it is ultimately up to victims' parents to mediate and address cyberbullying incidents. The purpose of this qualitative inquiry was to explore the lived experiences of parents who had addressed and/or mediated an incident following their adolescent's cyberbullying victimization. Bandura's self-efficacy theory was the theoretical framework that guided this study. Participants were recruited using purposeful sampling. Individual semistructured telephone interviews were held with 9 participants who were parents of adolescent cyberbullying victims. Themes were generated and data were analyzed using Colaizzi's method …

Veteran Administration Disease Model To An Interdisciplinary Healthcare Model, Bertha J. Harris

Walden Dissertations and Doctoral Studies

There is a growing need for healthcare teams within the Veterans Administration (VA) healthcare system to effectively collaborate and communicate to improve patient outcomes. The need to improve patient care in the Patient Aligned Care Team (PACT) has been well established. The scholarly literature does not provide evidence whether using the primary care PACT model on communication and teamwork by an interdisciplinary medical team ameliorates these communication breakdowns. Bronstein's design for interdisciplinary collaboration provided the overarching framework for this study. The purpose of this qualitative case study was to investigate the use of the PACT model on communication and teamwork …

Patient Satisfaction With Nursing Care Related To Hospital Magnet Designation, Sharon Haylett

Walden Dissertations and Doctoral Studies

Many U.S. hospitals have historically failed to recognize nursing as essential to quality of care. Given the relationship between the patients' experiences, measured by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS), and government reimbursement, stakeholders now value the role of nurses in the care experience. Some hospitals have pursued Magnet designation, which is a rigorous and costly process, in order to promote patient satisfaction through nurse autonomy and retention. The purpose of this study was to understand whether non-Magnet hospitals received similar HCAHPS scores. Expectancy disconfirmation theory provides a framework to understand the components of patient satisfaction …

Teach-Back Process As A Best Practice In Patient Education, Laura Hoffman

Walden Dissertations and Doctoral Studies

Limited health literacy is a national problem. Nurses are in a position to address patients' limited health literacy skills using a universal precautions approach through the teach-back process. The purpose of this project was to plan a program to educate nurses on best practices in patient education. The theoretical framework informing this work was Bandura's social cognitive theory, which asserts that increases in knowledge and self-efficacy are precursors to affecting behavior change. The logic model was used to guide the project planning processes. Evidentiary sources included literature obtained online and through database searches, input from a team of experts and …

Management Of Virtual Offices, Cheryl Donaldson Howard

Walden Dissertations and Doctoral Studies

Many organizational leaders manage virtual employees without the specific training and experience required for leading a virtual organization, which can lead to billions of dollars in lost productivity. The purpose of this multiple case study was to explore strategies managers used to manage a virtual office. The target population consisted of 4 managers located in the mid-Atlantic region of the United States who had a minimum of 2 years of experience managing virtual offices. The conceptual framework for this study was social exchange theory. Data were collected using semistructured interviews and a review of company documents. Data were analyzed using …

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 …

Patients' Perceptions Of Diet-Only Therapy In The Prevention Of Diabetes Complications, Cornelia Emmanuel Inyang

Walden Dissertations and Doctoral Studies

Type 2 diabetes is a chronic metabolic disorder and the seventh leading cause of death in the United States. Type 2 diabetes is linked to many chronic diseases, including cardiovascular disease, stroke, and chronic kidney failure. African American adults have a high prevalence of Type 2 diabetes with early onset of diabetes complications. Poor dietary behavior is the primary cause of Type 2 diabetes and its complications, changing dietary behaviors can prevent the onset of diabetes complications or impede existing ones. The purpose of this phenomenological study was to explore patients' perceptions of diet-only therapy in the prevention of diabetes …

African American Female Clergy In Dual Clergy Marriage, Demetra Keyanna-Michelle Hutchinson

Walden Dissertations and Doctoral Studies

Burgeoning evidence has shown rapid growth of licensed and ordained female clergy within the Protestant church. Consequently, dual clergy couples have also increased in number. Research has suggested that African American female clergy have experienced greater challenges than male clergy in leadership roles in the church, including social isolation, sexism, and glass-ceiling barriers. Female clergy are also disproportionately affected by mental and physical health complications including depression, obesity, and burnout. Guided by adult personal resilience theory and its tenets of determination, endurance, adaptability, and recuperability, this interpretive phenomenological study focused on exploring the lived experiences of 13 African American female …