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Oromo Ethiopians Perceptions Of The Prevalence, Causes, Treatment And Prevention Of Trachoma, Linda L. Gross

Walden Dissertations and Doctoral Studies

In Ethiopia, one of the primary contributors to blindness is trachoma, which is an infectious ocular disease. There is no record of any prevention programs in rural Ethiopian villages of Oromia, where the prevalence of trachoma is high. The original purpose of this phenomenological study was to explore the perceptions of rural Oromo villagers in Ethiopia on the causes, treatment, and prevention of trachoma, using the health belief model and the social-ecological model as a theoretical framework. Due to a security situation in Ethiopia, final interviews were conducted with immigrant Ethiopians in the US, all of them from the trachoma-endemic …

Strategies To Reduce Job Dissatisfaction Within 911 Call Centers, Gary Marshall

Walden Dissertations and Doctoral Studies

In 2017, more than 6.9 million employees parted ways with their employer because of voluntary employee turnover, layoffs, or terminations. Emergency call center supervisors who fail to implement adequate job satisfaction strategies experience reduced productivity and increased voluntary turnover. The purpose of this multiple case study was to explore the strategies some southern Ontario 911 call center supervisors used to reduce job dissatisfaction. The conceptual framework supporting the study was the competing values framework. The population included 6 supervisors of 911 call centers in the province of Ontario, Canada, who successfully implemented job satisfaction strategies. Data were collected from interviews …

Factors Associated With Parental Involvement In Their Child's Education, John Joseph Trentalange

Walden Dissertations and Doctoral Studies

After 4 decades and a large body of research on children's academic success, there is still a need to understand how to increase children's academic performance. Researchers agree that the key component to elementary school children's academic success is parental involvement. However, little is known on how to increase parental involvement and the characteristics of the parents who participate in their children's education. This quantitative study examined 2 parental characteristics, parents' internal attachment patterns and parenting styles, and their relationship with parental involvement and children's academic success. Bowlby's theory of attachment and Baumrind's parenting typologies served as the theoretical framework. …

Education Program For Critical Care Nurses On Preventing Catheter-Associated Urinary Tract Infections, Olatunde Olatunji

Walden Dissertations and Doctoral Studies

Catheter-associated urinary tract infections (CAUTIs) are the most frequently reported hospital-acquired condition, affecting more than 560,000 patients each year. CAUTIs prolong hospital stays and increase health care costs, and they can result in patient morbidity and mortality. Nurses can be empowered by receiving education and knowledge to manage and identify urinary catheters that are not clinically indicated. The purpose of this project was to develop an education program on CAUTI prevention for critical care nurses using the teach-back method. The conceptual framework that guided this project was Knowles's adult learning theory. The theoretical model was based on 4 fundamental assumptions …

Parental Perception Of Physician Cultural Sensitivity And Adherence To Asthma Treatment, Narue Jaynelle Wright-Jegede

Walden Dissertations and Doctoral Studies

In the United States, asthma remains a major cause of frequent urgent care visits, hospitalizations, and preventable deaths among children. Nationwide, the chronic disease continues to fall disproportionately on minorities, mostly residing in urban localities. When a child is diagnosed with asthma, the parents are typically tasked with managing the child's condition. Establishing a collaborative partnership between parents and their child's primary physician is significant for improving asthma self-management among youth. Using the theory of reasoned action as a theoretical framework, this mixed-methods study examined whether a relationship exists between parental perceptions of physician cultural sensitivity and parental care in …

How People With Multiple Sclerosis Experience Web-Based Instructional Technologies, Gary Eugene Deroest

Walden Dissertations and Doctoral Studies

People with the autoimmune disease multiple sclerosis (MS) have few options for

educational activities. Although web-based instruction may be a viable option, little is known about how people with MS perceive this form of learning. The purpose of this qualitative study was to understand the experiences of people with MS regarding web- based instruction. The 3 learning structures--differentiated instruction, collaborative learning, and assistive technology--provided the conceptual framework for this research. Nine volunteers from the Pacific Northwest area of the United States who have MS were individually interviewed for this basic qualitative study. Transcripts were analyzed using open, axial, and selective …

Effect Of Hot Spot Policing On Reducing Officer Stress, Alfred Henry Hollie

Walden Dissertations and Doctoral Studies

Police officers endure various threats ranging from verbal abuse to physical attacks, which can escalate and lead to police officer stress. Despite the abundant research exploring the relationship between high-stress occupations and environmental health, adequate exploration of the relationship between officer stress and hot spot policing (HSP; area with an above-average level of crime) has yet to occur. The purpose of this correlational study was to use Cohen and McKay's conceptualization of the stress-buffering hypothesis to explore whether HSP mitigates the negative impact of job stress, leading to improved officer performance and ultimately improved relationships between the police and communities …

Strategies To Improve Small Business Sustainability, Tywon Guy

Walden Dissertations and Doctoral Studies

Small businesses are considered the backbone of the U.S. economy with significant contributions in the areas of job creation and economic development. However, 79% of small businesses fail within the first 5 years. This multiple case study aimed to explore strategies and knowledge of resources that owners of small businesses used to sustain business operations for longer than the first 5 years. The population included 5 minority owners of small businesses in Texas. Chaos theory formed the conceptual framework. The data collection process included semistructured interviews, member checks, field notes, company artifacts, and archival documents. Data were analyzed using Yin's …

Predictive Relationship Between Socio-Demographics, Medication, And Treatment Completion Among Persons Experiencing Homelessness Treated For Tuberculosis, Sophia Ajoku

Walden Dissertations and Doctoral Studies

Approximately 80% of people who contract tuberculosis (TB) in the United States are first infected with untreated latent tuberculosis infection (LTBI). LTBI is an ongoing public health concern in people who experience homelessness. Because of the transient nature of this population, it is often difficult for them to adhere to and complete treatment for LTBI. In this quantitative, correlational of a cross-sectional study, secondary data was from a public health clinic in southern U.S. The theoretical framework used for the study was the social ecological framework. Multiple logistic regression was used to determine if a statistically significant predictive relationship existed …

Improving Care For Transgender Veterans Through Staff Education, Stephanie C. Henrickson

Walden Dissertations and Doctoral Studies

The VHA Directive 1341 (2018a): Providing Health Care for Transgender and Intersex Veterans, outlines care for transgender patients. Staff members at the project site lacked knowledge of the directive and available resources, making their care of transgender veterans inefficient. The purpose of the project was to implement staff education about the directive and resources to increase transgender patient visits and access to care. The practice-€focused question asked whether the development and implementation of staff education about the national directive and transgender services would affect the number of transgender patient visits in a 2-€month period. The Iowa and Community Readiness Models …

Transgender An At-Risk Population During And Following Emergencies And Disasters, Joshua Aaron Fontanez

Walden Dissertations and Doctoral Studies

The experiences and needs of transgendered individuals immediately following a natural or human-caused disaster are largely ignored in practice and absent from previous academic literature. Using Schneider and Ingram's conceptualization of the social construction of target populations as a theoretical framework, the purpose of this study was to investigate the experiences and perspectives of transgendered people who sought shelter in the aftermath of a natural disaster in 2018. Data were collected through interviews with 12 displaced, transgendered individuals to explore their experiences while staying at shelters in 2018. Interview data were transcribed, inductively coded, and then a thematic analysis procedure …

Considering Gender In Intimate Partner Violence Prevention For Youth, Lori Ann Hertel

Walden Dissertations and Doctoral Studies

Intimate partner violence (IPV) is considered a pressing public health concern. Adolescent victims of IPV are at risk of a number of severe consequences which can lead to poorer academic performance, relationship problems, and being revictimized by or perpetrating IPV later in life. The purpose of this study was to conduct a qualitative case study on the Love Doesn’t Hurt (LDH) program run in 100 schools in Kansas to understand the professional viewpoints of the counselors/teachers who led the program, determine whether they saw improvements among the male adolescent population, obtain knowledge of ways the program worked or did not …

Exploring Healthcare Transitions And Health Equity: An Integrative Review, Susan Ann Jordan

Walden Dissertations and Doctoral Studies

Compared to their typically developing peers, adolescents, and emerging adults with special healthcare needs (AEA-SHCN) disproportionately experience healthcare transition (HCT) disparities and poor access to adult care. Theoretical models that describe how access gaps develop and strategies to address unmet HCT needs are not well understood. While HCT researchers describe both system and patient healthcare barriers, a comprehensive approach that discovers how these factors interact and interfere remains misunderstood. An integrative review (IR) was conducted to understand the multiplicity of these factors. An intersectional theory (IT) provided further clarity on how key findings influence patient HCT experiences. Several themes were …

Staff Education On Metabolic Syndrome In Patients Taking Antipsychotic Medications, Juliana Ifeoma Omile

Walden Dissertations and Doctoral Studies

Second-generation antipsychotics (SGAs) are prescribed for treatment of psychosis. A major side effect of SGAs is an increased risk of metabolic syndrome (MetS) with symptoms of hypertension, hyperlipidemia, hyperglycemia, and truncal obesity. A clinic in the northeastern United States was not screening patients for MetS when being treated with SGAs. The purpose of this project was to educate staff on MetS risk factors, signs, symptoms, and patient management with a goal to improve their knowledge of MetS. Lewin's change theory provided a conceptual framework for the project. The project question explored the development and evaluation of an educational module on …

Implementation Of A Transcultural Nursing Education Program To Improve Nurses' Cultural Competence, Ann Marie Elizabeth Edwards

Walden Dissertations and Doctoral Studies

The exponential growth of culturally diverse populations in the United States has led to a multicultural patient population while the nursing workforce remains predominantly White. At the project site, managers identified that staff nurses struggled to deliver culturally competent care. The purpose of this project was to improve the cultural competence of registered nurses (RNs) through a transcultural nursing education program. Leininger's transcultural nursing theory guided the project. Sources of evidence used to develop a face-to-face educational program included peer-reviewed journals, credible websites, and the Inventory for Assessing the Process of Cultural Competence Among Healthcare Professionals-R tool. Aggregate pretest and …

Impact Of The Prophecy Job Fit Predictor On New Graduate Nurse Satisfaction, Joi Alesha Johnson

Walden Dissertations and Doctoral Studies

Research has shown that job satisfaction influences retention of nurses, and policies focused on nursing satisfaction are more beneficial for retaining new nurses than adjusting work hours and wages. The prophecy job fit predictor is a quality improvement initiative designed to identify where a nurse should be assigned based on behavior, clinical capabilities, and personality assessment. The practice-focused question for this project focused on whether satisfaction rates of recently graduated registered nurses were influenced by their unit placement. The conceptual frameworks that guided this project were the plan, do, study, and act method and Herzberg's 2-factor theory. Data were obtained …

Lived Experiences Of Homeless Adults With Companion Animals In Utilizing Community Services, Sandra Harp

Walden Dissertations and Doctoral Studies

Over 71% of American homeless individuals are adults over 25 years of age, and the numbers are increasing. Approximately 25% of homeless individuals own a companion animal (CA). Because most service providers do not allow CAs within their facilities, the current $60.2 billion dollar national budget for homeless resources may be underutilized or forfeited altogether by homeless adults with a CA. The purpose of this study was to explore community service utilization by homeless adults with a CA through the lens of attachment theory. The research question addressed the lived experiences and perceptions of homeless adults who own CAs regarding …

Lived Experiences With Social Networking Technology To Improve Physical Activity, Paula Nobles Eubanks

Walden Dissertations and Doctoral Studies

Research suggests that Black women living in the United States are not engaging in sufficient physical activity, which is a major factor negatively impacting their health outcomes. Black Girls Run (BGR) is a targeted national health movement using the capacity of social networking technology as a tool to interact with and inspire Black women to live healthy through running. Literature lacked the voice and perspective of Black women who were embracing the innovation of technology to positively improve their health behaviors. The purpose of this qualitative phenomenological study was to gain a better understanding of the composite experiences of women …

Public Sector Employees' Experiences Executing Strategic Management In A Political Environment, Aarion Lynn Franklin

Walden Dissertations and Doctoral Studies

Public sector organizations have practiced strategic management for more than 30 years. Strategic management in the public sector is subjected to political influence, as resources and major decisions are typically managed by elected and appointed officials. The purpose of this descriptive phenomenological study was to identify and report the lived experiences of public sector employees who have been subjected to political influence while engaged in the strategic management of their organizations in the State of Maryland. The study's conceptual framework was based on stakeholder theory and economic theory of the firm. A purposeful sample of 15 Maryland State Government employees …

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 …

Relationship Between Employee Development, Employee Burnout, And Employee Turnover Intentions, Marvin D. Hall

Walden Dissertations and Doctoral Studies

Employee turnover is a concern for the highway maintenance leaders in the construction

industry because employees with turnover intentions may exhibit decreased commitment and increased cynicism towards the organization, which may affect business profits. The purpose of this correlational study was to examine the relationship between employee development, employee burnout, and employee turnover intentions in highway maintenance organizations in the United States. Hobfoll's conservation of resources theory was the framework for this study. A convenience sampling of participants, which included a target audience who accessed the paper-based surveys from 6 field offices and the central office building within the northwestern …

Strategies To Mitigate Supply Chain Disruption Risks, Daniel G. Haloukas

Walden Dissertations and Doctoral Studies

Businesses with global supply chains typically have a minimum of 1 interruption to their supply chain annually, which can decrease profitability and affect overall company performance. The purpose of this multiple case study was to explore strategies personal care business supply chain managers used to mitigate supply chain disruption risk. The targeted population was 9 supply chain managers working in 5 different Fortune 500 consumer packaged goods personal care companies in the northeastern United States who have successfully used strategies to mitigate supply chain disruptions. Corporate risk management was used as the conceptual framework of the study to determine how …

Teacher Perceptions Of Math Professional Development In A Small Vocational School, Nisha Woody

Walden Dissertations and Doctoral Studies

Abstract The vocational math teachers at a vocational secondary school lack the adequate skills needed to be effective in math classrooms. The vocational teachers who teach math at the local vocational school have been identified as noncertified teachers based on their certification with the state department of education. The purpose of this project study was to determine the best professional development sessions needed to improve the instructional practice of untrained math teachers at the school. Their work is critical to the academic and career development of students. The social development theory of Vygotsky, which states that social interaction has an …

Beliefs And Opinions Of Low-Income Residents Living In A Food Desert In A Gulf Coast State, Kimberly Lakeidra Willis

Walden Dissertations and Doctoral Studies

This study was an investigation of the access problem to fresh and affordable fruits and vegetables and how limited access influenced the beliefs and opinions of residents of a food desert as designated by United States Department of Agriculture. Many researchers have documented that price, availability, and transportation are barriers to fruit and vegetable consumption, particularly among low-income individuals. Researchers in other studies have concluded that these barriers are further exacerbated by an individual's distance from a supermarket or grocery store. However, much less information is available regarding the beliefs and opinions about life in a food desert and how …

Posttraumatic Growth In Omani Women With Breast Cancer, Nashat Shams Ali

Walden Dissertations and Doctoral Studies

Researchers have begun to focus on how traumatic experiences, such as breast cancer, can lead to positive psychological outcomes or posttraumatic growth. However, the positive dimensions in Omani breast cancer survivors were not known because most research on posttraumatic growth has been conducted mainly in Western countries. The purpose of this phenomenological study was to explore the lived experiences of Omani women diagnosed and treated with breast cancer to understand posttraumatic growth in this population. Posttraumatic growth served as the theoretical foundation for the study and referred to positive experiences stemming from traumatic situations. The study included a convenience sample …

Perceptions Of Higher Education Health Science Faculty On Debriefing After Simulation-Based Activities, Maureen Ellen Johnson

Walden Dissertations and Doctoral Studies

Health science faculty striving to be academically competitive can adopt debriefing after simulation-based activities to help transition occupational therapy and physical therapy students from classroom skills to clinical competence. The purpose of this qualitative study was to discover the perceptions and experiences of health science faculty during and after their adoption of debriefing after simulation-based activities. The theory of diffusion and experiential learning theory were used as a conceptual framework. The research questions related to the perceptions and experiences of faculty from their training sessions and implementing debriefing sessions after simulation-based activities in their courses and how these experiences related …

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 …

Staff And Family Perspectives Regarding Person Centered Care For Adults With Intellectual Disability, Tasrina Khan

Walden Dissertations and Doctoral Studies

Individuals with intellectual disabilities often require additional support in performing daily activities as compared to individuals without intellectual disabilities. New York's Office for Developmental Disabilities developed the eight hallmarks of person centered planning to help individuals with intellectual disabilities understand the options available to them regarding care and support and to advocate for themselves and their rights. Researchers have yet to articulate how guardians and professional care providers of individuals with intellectual disabilities experience person centered planning in day habilitation. Thus, using a qualitative phenomenological approach, 5 direct care staff and 5 guardians of individuals with intellectual disabilities were interviewed …

The Relationship Between Race-Related Stress And Coping Strategies Of African American Men, Rynata Trevyce Leach

Walden Dissertations and Doctoral Studies

The purpose of this research was to identify coping mechanisms that African American men use when they perceive race-related stressors. Race-related stress derives from the occurrence of racism and discrimination that individuals, generally African Americans in the United States, experience in addition to daily life stress. Race-related stress may involve cultural racism, individual racism, or institutional racism. The coping mechanisms used by African American men when perceiving race-related stress were identified through the use of an online survey that consisted of 3 instruments: The Index of Race-Related Stress-Brief Version (IRRS-B), Brief Coping Orientation to Problems Experienced Inventory (Brief COPE), and …

Jail Administrators' Compliance With The Prison Rape Elimination Act, Leone M. Lee

Walden Dissertations and Doctoral Studies

Correctional institutions across the United States continue to experience prisoner sexual assault despite the enactment of the Prison Rape Elimination Act of 2003 (PREA). The purpose of this correlational study was to examine the association between jail administrators' difficulty complying with the PREA and their transformational leadership styles. The theories of punctuated equilibrium theory and general strain theory formed the theoretical framework of the study. The data were collected through an Internet-based survey from 22 local and regional jail administrators from the East Coast. Data analysis using Pearson's correlation coefficient was performed on leadership scores to test the hypotheses. There …