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Parent/Patient Satisfaction And Physician/Nurse Interaction At A Children's Hospital, Veronica L. Givan

Walden Dissertations and Doctoral Studies

Walden University

College of Health Sciences

This is to certify that the doctoral dissertation by

Veronica Laviece Givan

has been found to be complete and satisfactory in all respects,

and that any and all revisions required by

the review committee have been made.

Review Committee

Dr. Diana Naser, Committee Chairperson, Health Services Faculty

Dr. Nicoletta Alexander, Committee Member, Health Services Faculty

Dr. Michael Brunet, University Reviewer, Health Services Faculty

The Office of the Provost

Walden University

2019

Parent/patient satisfaction surveys are important tools used to measure quality of health care provided by physicians, nurses, and hospitals. Research has been conducted …

Academic Advising Methods And First-Year Full-Time Community College Student Achievement, Bernard J. Gantt

Walden Dissertations and Doctoral Studies

Poor student achievement at some community colleges results in low retention and graduation rates. Addressing the problem of unpreparedness for college with good academic advising may help to improve student achievement. The purpose of this study was to determine whether there is a difference in the academic achievement of 1st year full-time (FYFT) community college students, based on having received 1 semester of any of 4 different academic advising methods (prescriptive, developmental, intrusive, proactive) while controlling for high school grade point average (GPA). Bandura's social learning theory was used as the theoretical framework. A quantitative research method, deploying 1 research …

Exploring The Challenges Non-Clinical Departments Encounter During Eden Alternative Implementation, Keith George

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services recommends new guidelines that shift healthcare delivery in nursing homes and long-term care facilities from an institutional model to a person-centered care model. Although clinical outcomes are measured and tracked, there was limited literature about the challenges non-clinical departments face in a nursing facility during implementation of a person-centered model. The purpose of this qualitative study was to explore the challenges non-clinical staff experience while transitioning to an Eden Alternative philosophy, a person-centered care model. The theoretical foundation of this study relied upon Bressers' Contextual Interaction Theory. The research questions for this study …

Development And Evaluation Of A Long-Term Care Skills Simulation Program, Tina Marie Gerovac

Walden Dissertations and Doctoral Studies

New graduate nurses often lack clinical skill competency. In a single year, a long-term care facility located in the midwestern region of the United States reported 25 clinical errors, each costing the facility approximately $10,000. Root-cause analysis revealed 85% of those errors were made by nurses in their 1st year of practice. The increase in clinical errors were attributed to insufficient clinical preparation prior to independent practice. A review of the current scholarly literature suggested simulation had demonstrated efficacy in the development and maintenance of clinical nursing skills and answered the practice-focused question: Development of a skills simulation program for …

Leadership And Employee Engagement, Kevin O'Brien Grant

Walden Dissertations and Doctoral Studies

Business leaders often encounter difficulties in achieving sustainable employee engagement in the work environment, yet employee engagement is critical to an organization's financial success. The purpose of this qualitative single case study was to explore strategies business leaders use to overcome or mitigate the challenges of employee disengagement. A purposeful sample of 6 leaders employed at an insurance company participated in the study based on their knowledge and experience in implementing successful employee engagement strategies. The conceptual framework for the study was Kahn's personal engagement theory. Data were collected using semistructured interviews, company documents, and archival information. Data were analyzed …

An Exploration Of Deaf Education Through The Experiences Of Culturally Deaf Adults, Stephanie Beatty

Walden Dissertations and Doctoral Studies

Deaf students have unique linguistic and cultural needs that are cultivated in social settings; however, these needs have received minimal consideration from school administrators and policy makers when designing and implementing educational programs. Inquiry regarding how Deaf people learn in social situations and whether these processes are present in formal educational settings is necessary to understand how to better serve this population in school. Observations were used to provide insight on how deaf people teach and learn from one another in social/informal settings. Individual interviews with 11 Deaf people ages 18 to 40 provided insight regarding personal experiences in formal …

The Lived Experiences Of Emotionally Forgiving Abusive Parents, Chelsea Bryant

Walden Dissertations and Doctoral Studies

The subject of forgiveness has been heavily explored during the past few decades; however, limited research has been conducted on the phenomenology of emotional forgiveness, the internal process of replacing negative feelings with positive feelings. This study explored the emotional forgiveness experiences of 7 adult men who were previous victims of abuse by their parents. Using Moustakas's phenomenological research approach, the participants were interviewed about their experiences of emotional forgiving their abusive parents. The recall, empathize, altruism, commitment, and holding on, REACH forgiveness model and family systems theory were the conceptual frameworks to explore the central research question, which addressed …

Ethnic Minority Young Adult Perspectives On Health Literacy Readiness For Adulthood, Selwyn A. B. Carrington

Walden Dissertations and Doctoral Studies

Health literacy is a social determinant of health and health disparity and low health literacy contributes to poor health outcomes in ethnic minority young adults (EMYAs). There is a gap in the literature regarding the health literacy readiness (HLR) of EMYAs transitioning to adulthood. The overarching research question concerned the perspectives of EMYAs on HLR for the transition to adulthood. A phenomenological study design was used with a theoretical framework that integrated concepts from the socioecological and health belief models. Twelve purposefully selected EMYAs ages 18-22 from a southern U.S. county participated in the study. Data were collected by telephone …

Exploring Strategies For Reducing Patient Failure To Keep Scheduled Appointments, Charlene Denise Kesee

Walden Dissertations and Doctoral Studies

High no-show rates in the ambulatory setting lead to underutilized resources, decreased clinic revenue, and lower productivity. The purpose of this single case study was to explore strategies that administrators used to maintain acceptable no-show rates and maintain the sustainability of the healthcare practice. The target population for this study included local chapter members of a professional healthcare organization that provided access to practice managers and administrators in the Las Vegas, Nevada regional area where there are a large number of practices that are not part of a health system; the sustainability of these practices is dependent on allocation of …

A Quantitative Analysis Of Re-Offense Among Delinquent Foster Care Youth In Georgia, Brian Keith Jones

Walden Dissertations and Doctoral Studies

Nationwide more than 2 million youth are placed in custody annually, approximately 80,000 children return home, and more than 70% have a diagnosable mental disorder. The purpose of this quantitative study was to examine the outcomes of 311 youth released from secure residential facilities in Georgia between January 2012 thru May 2017. In the dataset, 136 youth returned to regular homes, 128 returned to group homes (GC), and 47 returned to traditional foster homes (TFC). The goal of the study was to examine the differences in probation outcomes based on the type of placement. For the purpose of the study, …

Help-Seeking Experiences Of African American Men With Depression, Tiffany Coleman

Walden Dissertations and Doctoral Studies

Research indicated that depression is now the leading cause of disability globally. Depression and help-seeking experiences among African American men have not been adequately studied. The purpose of this phenomenological study was to explore the help-seeking experiences of African American men with depression. The theoretical framework was Andersen's Behavioral Model of Health Services. Purposive sampling was used to recruit participants. Inclusion criteria were (a) African American men, (b) aged 18 through 65, (c) having a medical diagnosis of depression or symptoms of depression, (d) not currently in treatment, and English speaking. Six African American men with depression or depressive symptoms …

African American Women's Perceptions Of Self-Value In The Transition To Natural Hair, Tekeilla Darden

Walden Dissertations and Doctoral Studies

Scholars have reported on the upsurge of African American women wearing their kinky, or natural, hair and the issues surrounding their choices. The wearing of natural African American hair has not been fully accepted in mainstream society. The purpose of this phenomenological study was to explore how African American women understand self-value in the process of wearing their natural hair. The ethnic and racial identity model, critical race theory, and the strong Black woman collection were the conceptual frameworks used to connect identity, race and racism, and a collective vulnerability to the African American woman's hair journey. The study included …

Counselor Educators' Social Justice And Advocacy Beliefs And Relationship To Their Actions, Marcia Colantha Davis

Walden Dissertations and Doctoral Studies

Using Bandura's social learning theory as a frame, this quantitative survey study examined the relationship between attitudes and beliefs of counselor educators and the importance they placed on taking social justice as well as advocacy action in their personal and professional lives. Two survey instruments, the Social Issues Advocacy Scale and the Social Justice Scale, were given to faculty members of graduate counselor education programs to examine the question of whether a statistically significant relationship exists between faculty attitudes and beliefs regarding the value of social justice and advocacy, and faculty taking action in social justice and advocacy initiatives in …

Stigma, Help-Seeking Behaviors, And Use Of Services Among College Students With Self-Reported Posttraumatic Stress Disorder, Angelina Marie Feagin

Walden Dissertations and Doctoral Studies

People experiencing mental health illnesses such as posttraumatic stress disorder (PTSD) who do not receive mental health treatment services (MHTS) are at a higher risk of committing crimes. The research problem of this study was to fill the gap in the literature concerning gender, sex at birth, and gender identity differences as predictors of attitudes toward perceived stigma in help-seeking behavior (HSB) and use of MHTS. The sample size included 5,000 participants in the de-identified secondary data set of students from 26 universities and colleges across the United States. The Healthy Minds Study collected these data in 2016-2017 using the …

Involving Patient/Family Advisors And Advisory Councils With Patient And Family Engagement, Cortney D. Forward

Walden Dissertations and Doctoral Studies

Health care consumers are under-represented in literature when defining patient and family engagement. The proportion of people living longer is rapidly growing. Future research is needed to evaluate which strategies of patient and family engagement are most useful in real-world health care settings for patient and families. The purpose of this study was to describe the lived experiences of patient/family advisors working within patient family advisory councils at an academic medical center in the Midwestern United States. The conceptual framework is based on Greenleaf's servant leadership and Bass's transformational leadership. The research questions examined how patient/family advisors describe patient and …

Associations Between Income, Acculturation, Country Of Origin, And Type Ii Diabetes Among African Immigrants To Ontario, Canada, Girma Aman Goshe

Walden Dissertations and Doctoral Studies

Diabetes has become a longstanding public health challenge around the world. Over the last 3 decades, the number of people with Type II diabetes (T2DM) has grown to an epidemic level in Canada. Prior research indicated African immigrants residing in Ontario, Canada experienced a 2-4 times higher prevalence of T2DM than Canadian-born individuals. The social determinants of health theoretical framework guided this study assessing the relationship of the risk factors with T2DM. A quantitative, cross-sectional design was employed using the 2007-2014 Canadian Community Health Survey data. The random sample included 1,526 African immigrants residing in Ontario, Canada. Descriptive, bivariate, and …

Marijuana Legalization And Traffic Fatalities Involving Cannabinoids, Mark Lewn Hake

Walden Dissertations and Doctoral Studies

Washington State and Colorado were the first states to legalize recreational marijuana. According to the Washington Traffic Safety Commission, the number of drivers who tested positive for marijuana in traffic fatalities increased 48% from 2013 to 2014, and marijuana legalization may have influenced this increase. Since marijuana legalization is new to the United States, the effects of this change in policy are untested in the literature. The purpose of this quantitative study using a regression point displacement design was to examine the relationship between traffic fatalities involving cannabinoids in Washington State before and after marijuana legalization. Rational choice theory and …

User-Centered Design Strategies For Clinical Brain-Computer Interface Assistive Technology Devices, Geraldine Light

Walden Dissertations and Doctoral Studies

Although in the past 50 years significant advances based on research of brain-computer interface (BCI) technology have occurred, there is a scarcity of BCI assistive technology devices at the consumer level. This multiple case study explored user-centered clinical BCI device design strategies used by computer scientists designing BCI assistive technologies to meet patient-centered outcomes. The population for the study encompassed computer scientists experienced with clinical BCI assistive technology design located in the midwestern, northeastern, and southern regions of the United States, as well as western Europe. The multi-motive information systems continuance model was the conceptual framework for the study. Interview …

Participant Experiences In Christian-Based Recovery, Joshua Mjolsness

Walden Dissertations and Doctoral Studies

Health care leaders are challenged with addressing addiction and the treatment of addiction. Many studies have been conducted around addiction treatment; however, no studies have been conducted on Christian-based recovery programs that use the same approach regardless of the addiction. The purpose of this phenomenological study was to explore the experiences of participants in a Christian-based recovery program that uses the same approach for all addictions. The social learning theory provided the framework for this study. Data were collected by interviewing participants of the Christian-based recovery program Free Grace Recovery (FGR). Eight participants selected had a variety of reasons for …

Understanding Coping Strategies And Behaviors Of Employees Affected By Toxic Leadership, Jerry A. Morris, Jr.

Walden Dissertations and Doctoral Studies

Toxic leaders affect nearly half of the U.S. employee base and create environments in which followers, peers, and staff might be less effective due to stress, devaluation, and potential job loss. A multiple case study approach was used to understand what coping strategies employees use to reduce the negative effects of toxic leadership on themselves, other employees, and the overall workplace; and to understand the behaviors that result from these strategies. The purposeful and snowball sample consisted of 29 participants within the United States, ages 30 to 65, who worked within two or more organizations and who either directly experienced …

A Case Study On Social Media As An Effective Management Tool, Appolloh Omolloh

Walden Dissertations and Doctoral Studies

In small businesses in the United States, specifically those with fewer than 10 employees,

leaders may be skeptical of and resistant to the use of social media in their management

operations. Management literature does not indicate clear and effective guidelines and

policies detailing small marketing firms use of social media. The purpose of this

qualitative case study was to explore the perceptions of small marketing firm leaders

about the resources and knowledge needed for effective use of social media as a

management tool. Emerson's social exchange theory grounded the study. The study

targeted owners and managers of small marketing firms …

Reducing Child Maltreatment Through Prevention, Chantel Marie Eckert

Walden Dissertations and Doctoral Studies

Child maltreatment is a public health problem directly linked to poor outcomes across the lifespan, including chronic health conditions and even death. The local population served by the agency in which the project took place experienced an increase in reports of child maltreatment. Agency leadership identified deficiencies in parental knowledge about positive parenting practices as a contributing factor to the problem. To address the problem, the agency implemented a quality improvement evidence-based home visiting pilot initiative. The evaluation of that initiative was the purpose of this project. Bandura's social cognitive learning theory provided the theoretical framework for the project, and …

Strategies For Providing Loans To Small Businesses, Linda Faye Evans

Walden Dissertations and Doctoral Studies

Between 2007 and 2013, the number of loans banks provided to small and medium-sized enterprises (SMEs) declined. The purpose of this single case study was to explore the strategies that senior bank lending officers used to improve lending to SMEs. The sample size consisted of 4 senior small business lending officers who have in lending for 5 or more year in Houston, Texas. The conceptual framework used was agency theory. Data were collected using semistructured interviews with 4 senior bank lending officers from a bank in the Houston, Texas area, a review of documents from lending officers, and other artifacts …

Sources Of Financial Education And Use Of Alternative Financial Services, Stefan Ignatovski

Walden Dissertations and Doctoral Studies

As the lending practices of the alternative financial services (AFS) industry harm many consumers and consumers' access and use of traditional credit are restricted, the use of AFS is a growing concern. The financial education of consumers determines their financial behavior, which may be inadequate to make effective financial decisions regarding high-cost borrowings. The purpose of this quantitative study was to examine if and to what extent the sources of financial education is related to the use and frequency of use of AFSs among U.S. consumers. The theory of planned behavior and the transtheoretical model of change shaped the theoretical …

Reintegration Process Of Previously Incarcerated African American Women Older Than 50 Years, Eva Carol Brent

Walden Dissertations and Doctoral Studies

Successful reintegration of ex-offenders is difficult for most, evidenced by high recidivism rates. Ex-offenders face a broad range of obstacles once released from prison, including personal, social, and employment barriers. This study was an examination of the issues that contributed to a successful or unsuccessful reintegration as reported by ex-offenders. Participants included 10 ex-offenders who participated in interviews regarding the conditions that they believed were necessary for successful community reintegration. The conceptual framework for this study came from the ecological perspective, also known as the person-in-environment theory. Data collection involved one-on-one interviews with the participants. Data analysis was conducted through …

Logistical Resource Capability During A Mass Casualty Event In Washington State, Todd Devin Brauckmiller

Walden Dissertations and Doctoral Studies

The need for increasing efficiencies for medical resource delivery during a mass casualty incident/event is a paramount logistical planning factor that could mean life or death to the citizens affected by a disaster. As such, Washington State has prioritized emergency management and preparedness. Using the just-in-time system by way of Baghbanian' s complex adaptive decision-making theory as the foundation, gave purpose to this qualitative study. This was accomplished by analysis of emergency management professional responses, and to what degree, improvements can be made to the medical resource delivery system during a mass casualty incident/event. Data were collected through semi structured …

Admission Members' Perceptions Of Predictive Validity Of The Graduate Record Examinations, Janet Thompson

Walden Dissertations and Doctoral Studies

Disparate student academic outcomes and program access is a problem at Master of Public Administration (MPA) programs in the Northeast United States The current admission committee members at the case university did not know institution leaders' rationale for eliminating the Graduate Records Examination (GRE) criterion. The decision to exclude the GRE as an MPA admission requirement was enacted prior to their respective tenures. The program leadership expressed interest in exploring research-based admission criteria to enhance student access and predictive outcomes. Supported by critical pedagogy and humanist theories, the purpose of this case study was to investigate admission committee members' viewpoints …

The Impact Of Exercise During Radiation Therapy For Breast Cancer Patients, Diane Yu

Walden Dissertations and Doctoral Studies

Breast cancer is one of the leading causes of death among women. In 2017, breast, lung and bronchus, prostate, and colorectal cancers accounted for almost 50% of all new cancer cases in the United States. Breast conservation therapy with lumpectomy (i.e., surgery) and adjuvant radiation therapy is commonly used as treatment for early stage breast cancer. However, side effects such as pain and poor sleep quality can affect quality of life for breast cancer patients undergoing radiation treatment. The main purpose of this quantitative study, using the health belief model (HBM) theoretical framework, was to investigate the correlations between the …

Teachers' Perceptions Of Academic Performance And Student Engagement Among Ninth-Grade Students, Enock Alcine

Walden Dissertations and Doctoral Studies

Lack of academic proficiency in ninth grade is a serious concern because of its associations with subsequent grade retention and dropout risk. The purpose of this qualitative single case study was to explore teachers' perceptions of the prospective causes of poor academic performance of ninth-grade students, with particular attention to cognitive, behavioral, and emotional barriers to student engagement. Self-determination theory provided the interpretative framework for this study. Data were collected through semistructured interviews with 10 ninth-grade teachers, observation of teachers' classrooms, and review of archival documents. Results of 6-phase thematic analysis indicated 8 themes: (a) no or little student engagement, …

Education Of Clinic Providers To Promote Improved Diabetes Management, Olubunmi Roseline Awe

Walden Dissertations and Doctoral Studies

Diabetes is one of the most common major illnesses in the United States population and can lead to severe complications if not properly managed. Research has shown that over the past 2 decades there has been an increase in the prevalence of prediabetes, Type 2 diabetes, and associated complications and chronic diseases. Diabetes management is an ongoing challenge faced by providers nationally and it is the focus of this staff education development project at the outpatient clinic site. The purpose of this project was to ensure that clinic staff used an evidence-based approach to identify patients with diabetes, manage patients …