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Walden Dissertations and Doctoral Studies

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Relational-Cultural Experiences Of Burnout By Mothers Of Color In Online Counseling Programs, Juliana Forrest-Lytle Jan 2019

Relational-Cultural Experiences Of Burnout By Mothers Of Color In Online Counseling Programs, Juliana Forrest-Lytle

Walden Dissertations and Doctoral Studies

Burnout permeates helping professions and is a concern in counselor education and training. The defining characteristics of burnout are depersonalization, emotional exhaustion, and reduced personal accomplishment. Data on burnout in diverse populations are notably limited. The primary goal of this qualitative grounded theory study was to understand the experiences of burnout in mothers of color (MoCs) who were enrolled in or recently (within the last 5 years) graduated from an online Council for the Accreditation of Counseling and Related Education Programs accredited clinical mental health counseling (CMHC) program. Another goal of this study was to investigate how MoCs managed burnout. …


Small Construction Business Owners' Strategies For Employee Retention, Charles H. Griner Jan 2019

Small Construction Business Owners' Strategies For Employee Retention, Charles H. Griner

Walden Dissertations and Doctoral Studies

Thirty-four percent of people in the United States of America work for businesses that employ fewer than 100 people. However, many small business owners lack the strategies necessary to retain their valuable employees. Businesses that fail to retain valuable employees are as much as 28% less efficient. The purpose of this qualitative multiple case study was to explore strategies small construction business owners use to retain their valuable employees. Contingency theory provided the conceptual framework. The participants were three owners of three small businesses in the construction industry located in Mississippi which implemented successful policies and procedures to retain their …


A Qualitative Assessment Of Professional Development In A Competency-Based Education Model, Kerry Hannah Jan 2019

A Qualitative Assessment Of Professional Development In A Competency-Based Education Model, Kerry Hannah

Walden Dissertations and Doctoral Studies

Competency-based education (CBE) is increasingly important in higher education, both in volume and pervasiveness, which increases the need for comprehensive, systematic, and effective program-based support and instruction for faculty and staff. The purpose of this qualitative Delphi study was to gather expert opinions about competency-based best practices in professional development, support, and training resources in order to effectively implement a CBE method at a university. The conceptual framework comprised of adult learning theory and competency-based education. Eight experts in competency-based education completed 2 rounds of anonymous questionnaires with open- and closed-ended questions. Data analysis involved a systematic process of coding …


Approved Victim Contact And Treatment Outcomes Among Domestic Violence Offenders, Brian Timothy Longworth Jan 2019

Approved Victim Contact And Treatment Outcomes Among Domestic Violence Offenders, Brian Timothy Longworth

Walden Dissertations and Doctoral Studies

Batterer intervention programs (BIPs) were developed to address high recidivism rates and low treatment completion rates in domestic violence offenders. Segregation between these offenders and their victims has been traditional in BIPs, but there has been no research exploring if this separation is related to treatment outcome. This research explored the relation between offender contact with their children or victims and outcomes including recidivism and treatment completion. Most domestic violence interventions are psychoeducational in nature and are based on the cognitive behavioral theory premise that if an individual'€™s thinking process can be changed, a change in actions can result. This …


Attitudes And Perceptions Among African Americans About Dating Individuals With Bipolar Disorder, Casey Michelle Johnson Jan 2019

Attitudes And Perceptions Among African Americans About Dating Individuals With Bipolar Disorder, Casey Michelle Johnson

Walden Dissertations and Doctoral Studies

Individuals who experience bipolar disorder may have difficulty acquiring and maintaining relationships due to the stigma associated with mental illness. The purpose of this generic qualitative study was to examine the attitudes and perceptions of African American men and women regarding their experiences of dating and relationships with individuals who suffer from bipolar disorder. The theory used in this study was equity theory. The research question for this study explored how African American adults experience relationship acquisition and maintenance with a partner who has been diagnosed with bipolar disorder. For this generic qualitative study, there were 12 respondents. Participants were …


Developing A Preceptor Training Program For Registered Nurses In A Teaching Hospital, Persephone Annis Munnings Jan 2019

Developing A Preceptor Training Program For Registered Nurses In A Teaching Hospital, Persephone Annis Munnings

Walden Dissertations and Doctoral Studies

In a report on the nursing shortage, the American Association of Colleges of Nursing cited insufficient preceptors as one of the factors influencing the decreased intake of nursing students to registered nurse (RN) programs, thus compounding the shortage issue. The site selected for this project was a teaching hospital that annually facilitates hundreds of nursing students for clinical practice. Graduate nurses rotating through the hospital are assigned to work with RNs within their assigned units. The purpose of this doctoral project was to develop a preceptor training program for RNs in a teaching hospital. The practice-focused question examined whether RNs …


Impact Of Work-Related Electronic Communications Behavior Outside Of Normal Working Hours, Beulah Lavell Williams Jan 2019

Impact Of Work-Related Electronic Communications Behavior Outside Of Normal Working Hours, Beulah Lavell Williams

Walden Dissertations and Doctoral Studies

Employers' reliance on asynchronous electronic communications, connective technology devices, and remote work arrangements has led employees to feel preoccupied with staying connected after-hours to be responsive to work-related demands. The purpose of this transcendental phenomenological study was to describe the lived experiences of professional workers who coped with constant pressure to monitor and immediately respond to work-related electronic communications during nonwork hours. The conceptual framework was supported by boundary and border theory and the constructs of work-life balance, flexible work arrangements, information and communication technology. Data were collected using semistructured interviews with 16 professional workers near Washington, DC. Moustakas's modified …


Experiences Of Parents With Chronically Ill Children Regarding The Affordable Care Act, Kimberly Vaunterice Bracey Jan 2019

Experiences Of Parents With Chronically Ill Children Regarding The Affordable Care Act, Kimberly Vaunterice Bracey

Walden Dissertations and Doctoral Studies

Ways in which the implementation of the Patient Protection and Affordable Care Act (ACA) affect parents with chronically ill children are not well understood. The purpose of this phenomenographic study was to gain greater insight into the perceived experiences of parents of chronically ill children regarding implementation of the ACA in a southern state. Argyris's intervention theory provided the framework for the study. Face-to-face interviews were conducted with a purposeful sample of 12 female parents who are caregivers of chronically ill children. Data were analyzed and coded to identify categories and themes. Findings indicated that parents view physicians and policymakers …


Experiences Of Young Homeless Adults In Transitional Housing, Cornelia Edoh Jan 2019

Experiences Of Young Homeless Adults In Transitional Housing, Cornelia Edoh

Walden Dissertations and Doctoral Studies

Homelessness continues to be a major and a comprehensive issue facing the United States, and it is a broad concern when it affects young adults. Research on the way individuals who are homeless perceive shelters, transitional programs, and housing program in general has been limited. Transitional living programs deliver critically needed temporary services for vulnerable and disadvantaged populations and provide them with the skills and the experiences needed to become independent. The study used a phenomenological design to explore the experiences of young homeless adults who are using transitional housing. The findings of this study may help young adults to …


Thirty-Day Readmission Risk Factors Of African American Adult Copd Patients With Tracheostomies, Shekeita Gibson Jan 2019

Thirty-Day Readmission Risk Factors Of African American Adult Copd Patients With Tracheostomies, Shekeita Gibson

Walden Dissertations and Doctoral Studies

The purpose of this study was to assess the association between hospital readmission and demographic variables (age, BMI, gender, income, marital status, comorbidities, and smoking history), and size and type of tracheostomy among African American chronic obstructive pulmonary disease (COPD) patients with tracheostomies. The Andersen model was the theoretical framework for this quantitative study. Secondary data were obtained from a long-term acute care facility. The sample comprised 438 African American adult patients admitted between 2010 and 2017. Logistic regression was used to analyze each research question and assess the odds of 30-day hospital readmission. The results indicated that the odds …


Primary Teachers' Knowledge And Beliefs As Predictors Of Intention To Provide Evidence-Based Reading Instruction, Brandi Harrold Jan 2019

Primary Teachers' Knowledge And Beliefs As Predictors Of Intention To Provide Evidence-Based Reading Instruction, Brandi Harrold

Walden Dissertations and Doctoral Studies

Primary teachers in the United States accept responsibility for teaching children how to read, and the instruction they provide results in reading proficiency for approximately 37% of students. Although researchers have established a relationship between teacher-related factors and students' performance in reading, they have not yet been able to identify the combination of teacher characteristics that best predicts teachers' intention to provide evidence-based reading instruction. The purpose of this study was to examine the relationships among teacher knowledge, teacher beliefs, and intention to provide evidence-based reading instruction using a conceptual framework that integrated the theory of planned behavior with the …


Policy Implications Of Intentional Contamination Of The Retail Food Chain, James C. Mack Jan 2019

Policy Implications Of Intentional Contamination Of The Retail Food Chain, James C. Mack

Walden Dissertations and Doctoral Studies

The retail food safety chain is vulnerable to deliberate contamination, yet food safety professionals and emergency managers typically respond to intentional contamination in different ways. Little is known about the practices of environmental health food safety professionals (EHFSP) as compared to emergency managers and whether those approaches can be combined to more successfully impede intentional food contamination. The purpose of this narrative policy analysis was to use routine activity theory to compare the narratives of EHFSPs and emergency managers to determine whether there are opportunities to better understand the relationship between vulnerability and resiliency of the retail food safety chain. …


System Challenges For Bilingual Clinical Social Work In Forensic Settings, Roberto G. Arroyo Jan 2019

System Challenges For Bilingual Clinical Social Work In Forensic Settings, Roberto G. Arroyo

Walden Dissertations and Doctoral Studies

Little information exists about challenges that bilingual clinical social workers face when engaging individuals with Limited English Proficiency (LEP) in forensic settings, which may influence the efficacy of services provided. Bilingual clinical social workers in the U.S. state of South Carolina lack operational guidelines to assist people with LEP who are involved in forensic matters. The purpose of this study was to explore challenges that affect delivery of bilingual clinical social work to people with LEP in forensic settings. Ecological systems theory served as the conceptual framework for this study. Purposive and snowball sampling methods led to the participation of …


Relationship Between Self-Determination And Employee Retention, Tiffany Edwards Jan 2019

Relationship Between Self-Determination And Employee Retention, Tiffany Edwards

Walden Dissertations and Doctoral Studies

Retention of registered nurses (RNs) is essential to the sustainability of quality health care services. More than 55% of hospitals in the United States have not translated retention initiatives into a formal retention strategy. The purpose of this study was to examine the relationship between training programs, new hire onboarding processes, frozen positions, and nurse retention. The self-determination theory was the theoretical framework for this study. Secondary data were collected from the 2016 Texas Hospital Nurse Staffing Survey. Data were analyzed using multiple linear regression. The results of the multiple linear regression were statistically significant, with F(3, 251) = .602, …


Leadership Styles And Their Impact On Church Growth In Alexandria And Springfield, Virginia, Yera Keita Jan 2019

Leadership Styles And Their Impact On Church Growth In Alexandria And Springfield, Virginia, Yera Keita

Walden Dissertations and Doctoral Studies

Even though millions of Americans attend church, church worship practices have declined in recent years. Also, church leaders lack understanding of transformational, transactional, laissez-faire, and servant leadership styles and their potential to promote the growth of church membership. Gaps exist in the literature regarding the connection between development and efficacy, organizations and outcomes, and church leaders' styles and church membership growth. The purpose of this qualitative case study was to explore the perception of church leaders (pastors, deacons, ministers) and members of congregations regarding leadership styles and how the implementation of those styles influences the growth of church membership. The …


Characteristics Of Successful Early Childhood Educational Leaders, Darla Tucker Jan 2019

Characteristics Of Successful Early Childhood Educational Leaders, Darla Tucker

Walden Dissertations and Doctoral Studies

The problem that precipitated this study was the marked differences among early childhood education leaders in the quality of leadership for private early childhood entities as indicated by a voluntary quality rating improvement system in a Midwestern state. The scholarly literature lacks studies on characteristics of high-€quality leadership in early childhood education. The purpose of this qualitative descriptive case study was to explore characteristics of quality early childhood leadership based on examination of successful early childhood programs using leadership trait theory as a conceptual framework. Research questions were designed to examine characteristics of successful early childhood leaders based on the …


Rural Transgender And Gender-Nonconforming Individuals' Experiences With Social Media During Adolescence, Heather Lynn Anderson Jan 2019

Rural Transgender And Gender-Nonconforming Individuals' Experiences With Social Media During Adolescence, Heather Lynn Anderson

Walden Dissertations and Doctoral Studies

Suicide attempt and completion rates are significantly higher for the transgender and gender-nonconforming (TGNC) population. TGNC adolescents experience many challenges and adversities, which are compounded when they live in rural communities. The lived experiences of rural TGNC adolescents with social media were unknown and created a gap in the research. This study was grounded in transgender, gender minority stress, and resiliency theories, along with the conceptual frameworks of rural communities and grit. The purpose of this descriptive phenomenological qualitative research study was to explore the lived experiences of rural TGNC individuals (18-24-year-olds) with social media during adolescence. Data was collected …


Underrepresentation Of African American Female Community College Presidents In The United States, Nicole N. Tanner Jan 2019

Underrepresentation Of African American Female Community College Presidents In The United States, Nicole N. Tanner

Walden Dissertations and Doctoral Studies

African American women are significantly underrepresented in the role of community college presidents in the United States. Insufficient research has been conducted related to the reason behind the underrepresentation of African American female community college presidents in this nation, warranting an investigation that led to this study. The purpose of this qualitative study was to explore the lived experiences of 7 current and former African American women who are, or have held, the community college presidency role to gain an in depth understanding as to why, from their perspective, an underrepresentation of African American female community college presidents exists in …


Strategies To Lower Information Technology Employee Voluntary Turnover, Nelson Velez Jan 2019

Strategies To Lower Information Technology Employee Voluntary Turnover, Nelson Velez

Walden Dissertations and Doctoral Studies

For information technology (IT) professionals, the average turnover rate of voluntary employees is approximately 21.5% and occurs in fewer than 5 years. The purpose of this single case study was to explore strategies IT outsourcing business executives used to retain key IT employees in the New England region of the United States. Three IT business leaders from a single organization were selected to participate because they had implemented strategies to retain key IT employees. Herzberg's 2-factor theory of motivation was used as the conceptual framework for this doctoral study. Data were collected using semistructured interviews and review of company policies …


Health Disparities In Females With Rheumatic Heart Disease In Central Afghanistan, Ruhina Najem Jan 2019

Health Disparities In Females With Rheumatic Heart Disease In Central Afghanistan, Ruhina Najem

Walden Dissertations and Doctoral Studies

This study surveyed healthcare professionals and rheumatic heart disease (RHD) female participants in two hospitals located in central Afghanistan to examine the effects of communication among healthcare professionals, ethnicity and socioeconomic status, and the health quality of life. The social ecological models (SEM) of health promotion was utilized in the individual (communication between healthcare professionals), community (health quality of life), and societal factors (ethnicity and socioeconomic status). Three research questions were explored in this study: the significance of RHD healthcare professional's education to their RHD female patients ages 16 to 45 years; a correlation between ethnicity and socioeconomic status among …


Bullying On A College Campus: A Qualitative Study, Arnita D. Walls-Pickett Jan 2019

Bullying On A College Campus: A Qualitative Study, Arnita D. Walls-Pickett

Walden Dissertations and Doctoral Studies

Bullying in higher education has become a global concern on college campuses and is occurring there in face-to-face encounters and through social media. Bullying contributes to hundreds of thousands of students dropping out of their higher education programs annually. This study brings more awareness to the uncivil behaviors occurring on college campuses. It uses for its conceptual framework the fourth of the Seven Vectors of Identity Development articulated by Chickering and Reisser: developing mature interpersonal relationships. This study's 2 guiding questions investigated whether bullying took place on a single college campus and how the bullying revealed itself. Further, this study …


Hiv/Aids And Behavioral Risk Factors Among Former Texas Prison Inmates, Scarlett Lusk-Edwards Jan 2019

Hiv/Aids And Behavioral Risk Factors Among Former Texas Prison Inmates, Scarlett Lusk-Edwards

Walden Dissertations and Doctoral Studies

As of the end of 2010, .9% (20,093) of the inmate population under the care of the U.S. Federal Bureau of Prisons and 1.7% (2,394) of the inmate population under the care of the Texas Department of Criminal Justice were living with HIV/AIDS. The purpose of this quantitative correlational study was to analyze the relationships between HIV/AIDS status and former inmate demographic characteristics, intravenous drug use (IDU), and social support networks. The behavior models of importation and deprivation formed the theoretical frameworks used to explore the relationship between HIV/AIDS and behavioral risk factors for released Texas prison inmates. Fifty former …


Program Evaluation Of The Employee Health And Wellbeing Program, Alicia Carmen Marlena Perez Jan 2019

Program Evaluation Of The Employee Health And Wellbeing Program, Alicia Carmen Marlena Perez

Walden Dissertations and Doctoral Studies

Health promotion and disease prevention are a focus of population health management. Without ongoing and rigorous evaluation, these programs may be in jeopardy of continuing. The purpose of this project was to conduct a descriptive population health- focused evaluation of a large-scale health system's employee health and wellbeing program. Guided by the Center for Disease Control and Prevention (CDC) framework for program evaluation in public health and National Center for Organization Development guidelines, a nurse-led evaluation was conducted using 5 specific data sets emphasizing organizational structure, employee health offerings, employee surveys, Pathway to Excellence survey, and program contributions. A descriptive …


Parental Needs Regarding The Future Of Their Adult Intellectually Disabled Child, Jeannie Brown Jan 2019

Parental Needs Regarding The Future Of Their Adult Intellectually Disabled Child, Jeannie Brown

Walden Dissertations and Doctoral Studies

The problem examined in this study was the lack of policy in New York State regarding the provision of prioritized residential services for intellectually disabled individuals who are being cared for by an aging caregiver. The purpose of this qualitative phenomenological study was to explore and document the needs experienced by aging parents regarding securing the future of their intellectually disabled adult child. The theoretical framework for this study was based on Sabatier’s advocacy coalition framework. The research questions examined the lived experiences of aging parents caring for an adult child with an intellectual disability what parents perceive their needs …


Analysis Of Nurses’ Perceptions Of Their Role In A Multidisciplinary Team, Jessica Ann Dempsey Jan 2019

Analysis Of Nurses’ Perceptions Of Their Role In A Multidisciplinary Team, Jessica Ann Dempsey

Walden Dissertations and Doctoral Studies

A better understanding of task allocation for the registered nurse (RN) within the scope of the multidisciplinary care team model is required. Patients, healthcare staff, and medical facilities that utilize RNs in multidisciplinary care teams will benefit from improved role identification. A multidisciplinary care team consists of a variety of health care professionals and without role identification, confusion, miscommunication, and negative patient outcomes can occur. A literature review demonstrated that a gap in knowledge existed related to task allocation and role identification of RNs within a multidisciplinary care team. The purpose of this study was to evaluate RNs’ scope of …


Hospital-Acquired Pressure Ulcer Prevention, Druscilla Willis Jones Jan 2019

Hospital-Acquired Pressure Ulcer Prevention, Druscilla Willis Jones

Walden Dissertations and Doctoral Studies

Hospital-acquired pressure ulcers (HAPUs) represent a significant challenge in the care provided for hospitalized patients. HAPUs impact morbidity, mortality, and quality of life. At the local practice site, the incidence of HAPUs increased in the perioperative setting. The practice-focused question for this project asked if an education program for staff nurses working in a perioperative care setting with high HAPU incidence can advance nurse knowledge regarding prevention, early assessment, symptoms, and treatment of HAPUs. The purpose of this educational project was to develop a pretest and posttest designed education program on HAPU prevention and care for perioperative nurses. The Iowa …


Change Management Implementation Strategies For Small Businesses, Oneeka Rena' Rivers Jan 2019

Change Management Implementation Strategies For Small Businesses, Oneeka Rena' Rivers

Walden Dissertations and Doctoral Studies

Most organizational change initiatives fail because managers lack effective change management strategies. The purpose of this single case study was to explore change management strategies that outpatient care facility managers used to positively affect process improvements. The population consisted of 6 managers who completed change initiatives at a military, outpatient medical facility in Texas and 6 of their team members. Data were collected using semistructured interviews and organization documents, then analyzed based on the conceptual framework of Lewin’s change theory. Rowley’s 4-step process for analysis—organizing; getting acquainted with; classifying; coding and interpreting; and presenting and writing up the data—was used …


Prison Nurseries And Social Work Practice, Brooke Sheehan Jan 2019

Prison Nurseries And Social Work Practice, Brooke Sheehan

Walden Dissertations and Doctoral Studies

This study sought to examine what gaps existed in practice through the perspectives of correctional social workers in terms of helping incarcerated mother–infant dyads bond. Additionally, it examined whether a prison nursery was viewed as a possible option within a smaller correctional facility. Theories used to guide this study included attachment theory and separation-individuation theory, which align with the research questions that sought to explore gaps in services, supports that could be established, and program feasibility. Action research, using an anonymous online survey, resulted in N = 6 social work participants who worked as prison social workers in the northeast …


Accessibility Of Innovative Services In Radiation Oncology, Patricia Sansourekidou Jan 2019

Accessibility Of Innovative Services In Radiation Oncology, Patricia Sansourekidou

Walden Dissertations and Doctoral Studies

The field of radiation oncology (RO) involves the use of highly advanced techniques to treat cancer and safely spare healthy organs. The discipline has experienced rapid growth in the past 25 years, with technological advancement as the driving force. Available data and an instrument to effectively measure the accessibility of innovation in the field were lacking. The purpose of this study was to investigate the accessibility of innovative services in RO in the United States and assess possible diffusion patterns. Two hundred and forty medical physicists practicing in RO in the United States completed a custom Internet-based survey. The diffusion …


Project Managers’ Communication Strategies For Team Collaboration In Software Development, John Rubena Wani Jan 2019

Project Managers’ Communication Strategies For Team Collaboration In Software Development, John Rubena Wani

Walden Dissertations and Doctoral Studies

Effective communication among team members in software development projects is increasingly significant for the success of the project. Successful software projects are the catalyst for achieving profitability objectives and creating shareholder value in organizations. The purpose of this single case study was to investigate communication strategies information technology (IT) project managers used for successful team collaboration in software development. The population for this study comprised senior IT project managers. The project managers had supervision responsibilities from a midsized IT company in Alberta, Canada. The sociotechnical theory guided this study as the conceptual framework. Data were collected from semistructured interviews with …