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Relationship Between Job Embeddedness And Turnover Intentions Among Municipal Law Enforcement Officers, William Alonzo Forrester
Relationship Between Job Embeddedness And Turnover Intentions Among Municipal Law Enforcement Officers, William Alonzo Forrester
Walden Dissertations and Doctoral Studies
Law enforcement organizations have been facing a challenge with maintaining an adequate level of personnel due to an increased rate of employee turnover, which has been shown to have a negative impact on an agency's ability to reduce both property and violent crimes. The purpose of this cross-sectional, quantitative study was to examine job embeddedness as a predictor of turnover intentions among municipal law enforcement officers by using the human capital theory as the theoretical foundation. To collect the data, a survey link was distributed to all personnel of a large, municipal law enforcement agency in the southeastern United States; …
Employee Absenteeism And Service Delivery At A Zambian Government Agency, Japhet Mwanamwalye Lishomwa
Employee Absenteeism And Service Delivery At A Zambian Government Agency, Japhet Mwanamwalye Lishomwa
Walden Dissertations and Doctoral Studies
Employee absenteeism is a global management problem that affects organizational productivity, profits, justice, and employee motivation. A Zambian government agency has little knowledge about absenteeism and the lived experiences of clients regarding staff absenteeism and service delivery. The purpose of this qualitative phenomenological study was to explore employee absenteeism and service delivery through the lens of McGregor's theory x. The research question was about the lived experiences of the agency's clients regarding absenteeism and service delivery. The data were collected through semistructured interviews of 22 purposefully selected clients of the Zambian government agency and were analyzed using the van Kaam …
Root Cause Of Medication Errors In A Pediatric Intensive Care Unit, Louis Gilbert Tingling
Root Cause Of Medication Errors In A Pediatric Intensive Care Unit, Louis Gilbert Tingling
Walden Dissertations and Doctoral Studies
Five to 27% of all pediatric medication orders lead to errors and play a significant role in the morbidity and mortality of the pediatric patients admitted to hospitals. The practice problem explored the high rate of medication errors in the pediatric intensive care unit (PICU) of the project site, where the population is particularly vulnerable due to their acute illnesses. The purpose of this project was to analyze the root causes of all cases of medication error in this hospital's PICU during the last 2 years. The literature review was used to categorize secondary data extracted from the hospital's quality …
Nursing Program Progression Requirements And Student Success At A U.S. Community College, Deborah Joleen Cipale
Nursing Program Progression Requirements And Student Success At A U.S. Community College, Deborah Joleen Cipale
Walden Dissertations and Doctoral Studies
Although licensed registered nurses (RNs) comprise a significant percentage of the U.S. health care workforce, there is a lack of qualified nurses to meet patient needs. This shortage is expected to intensify as practicing nurses leave the profession. The problem that prompted this study was that an attrition-reduction program implemented in the nursing program at a U.S. midwestern community college did not show a reduction in the average attrition rate. The academic integration construct of Tinto's theory of student departure was used to examine archival academic performance records of 145 students enrolled in the local program from 2010 to 2012. …
Hospital Admission From The Emergency Department For Patients Diagnosed With Heart Failure, Tammy Young
Hospital Admission From The Emergency Department For Patients Diagnosed With Heart Failure, Tammy Young
Walden Dissertations and Doctoral Studies
Approximately 25% of those hospitalized with congestive heart failure are readmitted within 30 days after discharge. Because researchers and policy makers consider hospital readmission within 30 days for patients with heart failure to be a quality of care issue, the Centers for Medicare and Medicaid Services has imposed financial penalties of up to 3% of a hospital's Medicare revenue for 1 year for excessive readmissions, potentially impacting the financial sustainability of some organizations. The purpose of the study was to address the research gap regarding the outcome quality measure of hospital admissions from the emergency department (ED) and 2 each …
Social Workers And Early Intervention With Diabetic Clients, Rievu Agiri
Social Workers And Early Intervention With Diabetic Clients, Rievu Agiri
Walden Dissertations and Doctoral Studies
Social workers are uniquely positioned to facilitate early intervention services that minimize the impact and burden of Type 2 diabetes. There is little evidence on the specific role that social workers play in addressing the psychosocial factors that exacerbate the condition or impact treatment outcomes. The purpose of the study was to examine the role of social workers in facilitating early interventions for clients with Type 2 diabetes. The theories of role and organizational systems provided the conceptual framework. Data was collected from interviews with eight participants with Master's degrees in Social Work in a large Southwestern state in the …
Prevention And Management Of Aggression And Violence In Mental Health Settings, Margaret Arotimi
Prevention And Management Of Aggression And Violence In Mental Health Settings, Margaret Arotimi
Walden Dissertations and Doctoral Studies
Aggression and violence in healthcare settings can lead to severe psychological, physical, and economic consequences for the victims, institutions, and society in general. Empirical evidence indicated that patient-initiated physical and verbal aggression is a longstanding problem affecting nurses working in psychiatric hospital settings. At the project site, approximately 88% of the staff members reported having been assaulted by mental health patients in the admission units at some point in the provision of care between 2015 and 2017. The purpose of this project was to develop an educational program for nurses at the site to use as preventive strategies in managing …
Training Satisfaction Of Behavioral Health Providers Treating Older Adult Substance Use, Claudia Lpc Crosse-Wynn
Training Satisfaction Of Behavioral Health Providers Treating Older Adult Substance Use, Claudia Lpc Crosse-Wynn
Walden Dissertations and Doctoral Studies
Substance use disorders among the baby boomer generation are steadily increasing, but knowledge and training satisfaction regarding older adult substance use disorders among behavioral health providers (BHPs) has not been explored. Using the Kirkpatrick evaluation model, this quantitative study involved an examination of the knowledge and training satisfaction of four behavioral provider groups: addiction counselors, licensed professional counselors, marriage and family therapists/social workers, and psychologists. Each participant (N = 154) completed a demographic questionnaire, satisfaction questionnaire, and the Alcohol and Older Adult Questionnaire to measure knowledge level on older adult substance use disorders. The results showed that licensed professional counselors …
Targeted Education For The Prevention Of Vaccine Refusal, Catina Lashawn Davis
Targeted Education For The Prevention Of Vaccine Refusal, Catina Lashawn Davis
Walden Dissertations and Doctoral Studies
Vaccinations are important factors in the eradication of most communicable diseases. Tetanus, diphtheria, and pertussis (Tdap) vaccine has been found to decrease the incidence and further spread of pertussis, and even nullify its existence, yet many postpartum mothers opt not to receive the vaccination even if eligible to do so. It was unknown whether clinical nursing staff at the project site had sufficient knowledge about Tdap vaccine to educate postpartum mothers to accept the vaccine. The practice-focused question explored whether an educational program and a toolkit implemented for nursing staff members on the postpartum nursing unit would improve Tdap vaccination …
Advancing Diversity In Nonprofit Boards, Barbara Doyle
Advancing Diversity In Nonprofit Boards, Barbara Doyle
Walden Dissertations and Doctoral Studies
Nonprofit organizations play an important role in improving their communities. Their ability to meet community needs can be limited due to lack of diversity in their boards of directors, which can also affect equity, performance, and social justice. Procedures for harmonizing the diversity of nonprofit boards with their served community demographics are not well understood. This Delphi study investigated what strategies and practices nonprofit organizations could employ to promote greater diversity in their boards of directors. The study's conceptual framework was based on the theory of diversity management. Twenty-five participants from various nonprofit boards answered open-ended questions in a 3-round …
Social Workers' Experiences With Deaf And Hard Of Hearing People With Mental Illness, Makoto Ikegami
Social Workers' Experiences With Deaf And Hard Of Hearing People With Mental Illness, Makoto Ikegami
Walden Dissertations and Doctoral Studies
The social work practice problem for this study was a lack of knowledge about social workers' experiences of working with deaf and hard of hearing people with mental illness. This study was needed to fill a practice gap by increasing an understanding of the experiences of social workers to inform best practices and address the needs of deaf and hard of hearing population through culturally and linguistically competent mental health services. The research questions focused on the experiences and challenges of social workers working with deaf and hard of hearing people and best practices identified by these social workers. Ecological …
Community Health Worker's Perceptions Of Integration Into The Behavioral Health Care System, Juliette Swanston Jenkins
Community Health Worker's Perceptions Of Integration Into The Behavioral Health Care System, Juliette Swanston Jenkins
Walden Dissertations and Doctoral Studies
Mental illness in the United States is a major public health problem. According to the Substance Abuse and Mental Health Services Administration, in 2017, 18.9% of adults in the United States had a mental illness. The purpose of this study was to gain insight into the perceptions held by community health workers (CHWs) regarding their integration into the behavioral health care system in Maryland. Using a social constructivism paradigm and phenomenological approach, a purposive sample of 11 CHWs who supported patients with behavioral health conditions in 17 counties in the state were interviewed. Howlett, McConnell, and Perl's five stream confluence …
The Effect Of Early Childhood Abuse On Educational Attainment, Onzie Luke
The Effect Of Early Childhood Abuse On Educational Attainment, Onzie Luke
Walden Dissertations and Doctoral Studies
The purpose of this study was to fill a gap in the literature regarding survivors of child abuse and their capacity to continue their educational pursuits beyond high school. Thus, this study explored the lived experience of self-identified abuse survivors who were enrolled in higher education. The theoretical bases for this study included Bandura's social cognitive theory, Rotter's theory of locus of control and Heider's and Weiner's theory of attribution. Open-ended interviews were conducted with 15 survivors of child abuse enrolled in an undergraduate or graduate degree program at an online or brick and mortar university. The interviews were then …
The Benefit Of Leadership Using First Choice For New Graduate Nurse Retention, Jodie Marie Lyons
The Benefit Of Leadership Using First Choice For New Graduate Nurse Retention, Jodie Marie Lyons
Walden Dissertations and Doctoral Studies
The United States has a nursing shortage that is projected to grow to over 500,000 by the year 2030. This is an issue for leaders because the nursing shortage affects health care organizations sustainability. The purpose of this qualitative descriptive phenomenological study was to identify and report the lived experiences of new graduate nurses (NGNs) in oncology and whether unit of first choice (UFC) effected their intention to remain after 2 years of practice. The research question considered the lived experiences of NGNs in oncology units who either had oncology as their UFC or were placed on an oncology unit …
Addresing Challenges In Caring For Morbidly Obese By Learning About Bariatric Care, John Abayomi Makanjuola
Addresing Challenges In Caring For Morbidly Obese By Learning About Bariatric Care, John Abayomi Makanjuola
Walden Dissertations and Doctoral Studies
Obesity is a public health issue linked to high morbidity and mortality among critically ill patients. There are approximately 15.5 million morbidly obese adults in the United States. The purpose of the project was to develop and implement an educational program using evidence-based protocols for bariatric care to educate nurses and caregivers regarding best practices when attending to obese patients. The practice-focused question examined whether learning about evidence-based bariatric care would improve the knowledge of nurses and caregivers caring for morbidly obese patients in an acute care setting. The theoretical foundation was Bandura's self-efficacy theory. A questionnaire using a Likert …
A Quality Improvement Evaluation Of Patient Experience Through The Enhanced Recovery Program, Sarah Orozco
A Quality Improvement Evaluation Of Patient Experience Through The Enhanced Recovery Program, Sarah Orozco
Walden Dissertations and Doctoral Studies
The purpose of this project was to evaluate the effectiveness of adopting clinical care bundles for the enhanced recovery program (ERP) at the project site. The practice-focused questions explored whether care bundles from the enhanced recovery program (ERP) would achieve positive postoperative patient care experiences when compared to the traditional surgical care pathways. The concepts, models, method, and theories used for this project include the Iowa model, the plan-do-study-act model, lean methodology, Donabedian's framework, and Watson's theory of caring. The sources of evidence included the facility site analysis report to evaluate surgical inpatient complications, morbidity, and mortality rates. Over 100 …
Efficacy, Risks, And Ethics Of Aversive Or Positive Therapy In Identical Twins, Jacqueline Salerno
Efficacy, Risks, And Ethics Of Aversive Or Positive Therapy In Identical Twins, Jacqueline Salerno
Walden Dissertations and Doctoral Studies
Aversion therapy has reemerged as a treatment for self-injurious behavior (SIB) but remains unpopular, as it is perceived to be unethical. The purpose of this mixed-methods sequential explanatory study was to investigate the effectiveness of positive therapy and aversion therapy in the treatment of twins with SIB as well as to understand the lived experiences of their caretakers regarding treatment ethics. The frameworks used included classical and operant conditioning as well as utilitarian ethics theory. Quantitative research questions focused on changes in SIB, aggressive and prosocial behaviors with treatment, while the qualitative research question focused on the perceptions of caretakers …
Social Networks And Sense Of Community Effects On Psychological Distress Among Community X Residents, Marci A. Salone
Social Networks And Sense Of Community Effects On Psychological Distress Among Community X Residents, Marci A. Salone
Walden Dissertations and Doctoral Studies
A certain community within the southern region of Texas has consistently been linked to escalating poverty, high crime rates, low educational achievement, and poor physical and mental health. For the purpose of this research, this community will be referred to as Community X. Although some researchers have found that sense of community and supportive social networks are associated with healthy mental and physical functioning, others have suggested that in a debilitated community social networks can facilitate psychological distress and a strong sense of community is difficult to develop. Guided by Bronfenbrenner's ecological model, the purpose of this quantitative correlational study …
Evaluating The Discharge Process Improvement Initiative In Reducing The Length Of Stay, Maria Reina Ventura Siazon
Evaluating The Discharge Process Improvement Initiative In Reducing The Length Of Stay, Maria Reina Ventura Siazon
Walden Dissertations and Doctoral Studies
Extended hospital length of stay (LOS) causes increased health care costs and incidence of never events, such as hospital-acquired infections, pressure ulcers, and falls, which are not reimbursed by Medicare. This study examined if there would be a statistically significant decrease in the LOS of patients after the implementation of a discharge process improvement initiative (DPII), The model for improvement and small tests of change concept were used to guide the DPII at a hospital in northern California. Sources of data included archival data obtained from the hospital's quality improvement department that showed LOS prior to and after the implementation …
Mentoring And Retention Of First Year College Students At Brown Community College, Valrey Dawn Francis
Mentoring And Retention Of First Year College Students At Brown Community College, Valrey Dawn Francis
Walden Dissertations and Doctoral Studies
Retention of first year college students has been problematic in many U.S. colleges, and different mentoring frameworks have been explored to help resolve the issue. The purpose of this qualitative multiple case study was to examine how the mentoring program at Brown Community College (BCC; pseudonym) positively increased retention of first year college students. BCC is a community college located in a metropolitan urban area in a southern state. Tinto's model of social integration and academic success was used to undergird the study. Research questions were developed to understand how BCC's mentoring program was supporting first year students' retention and …
Framing Islamophobia And Civil Liberties: American Political Discourse Post 9/11, Lama Hamdan
Framing Islamophobia And Civil Liberties: American Political Discourse Post 9/11, Lama Hamdan
Walden Dissertations and Doctoral Studies
Rhetorical frames are used to support political agendas, define problems, diagnose causes, make policy judgments, and suggest solutions. Following the attacks on September 11, 2001, politicians and media pundits used Islamophobia as a fear-mongering tactic to justify public policy formation. The purpose of this study was to analyze public discourse on Islamic terrorism in arguments advocating government surveillance, restrictive immigration policies, and other erosions of U.S. constitutional protections of its citizens. This study drew on the postmodern theories of Lakoff, Lyotard, and Said to critically examine U.S. political discourse on Islam and terrorism. Three conceptual rhetorical frames were examined: Clash …
Stress Of College Students And Memory With The Implementation Of Brief Mindfulness, Rebecca Lopez
Stress Of College Students And Memory With The Implementation Of Brief Mindfulness, Rebecca Lopez
Walden Dissertations and Doctoral Studies
College students are faced with stressors which can negatively impact memory function, thereby, negatively affecting academic performance. This study used a field experiment design to investigate the effects of brief mindfulness on levels of distress and memory functioning between first-year community college students engaging in a brief mindfulness intervention (n = 29) and a control group (n = 28) by using ANCOVA, MANOVA, correlations, and descriptive statistics. Research questions examined whether a brief mindfulness intervention lowered levels of distress in a treatment group. Second, the study examined whether the intervention of brief mindfulness in a treatment group improved memory function. …
Successful Strategies For Retaining Profitability In An Education-Sector It Project, Cassandra Romae Middleton
Successful Strategies For Retaining Profitability In An Education-Sector It Project, Cassandra Romae Middleton
Walden Dissertations and Doctoral Studies
Many information technology (IT) project managers (PMs) and other business leaders lack effective strategies for enhancing communication among their project team members, thereby reducing profitability and organizational cohesion. The purpose of this multiple case study was to explore communication strategies that IT PMs used to successfully complete IT mobile device projects. The conceptual framework for this study was McQuail's mass communication, Craig's communication, and Deming's profound knowledge theory. Purposive sampling method was used to identify 6 successful IT PMs and leaders who worked at 2 leading educations settings located in southeastern South Carolina. Data gathered from the semistructured interviews and …
Experiences And Attitudes Of Older Homeless Women Toward Healthcare Access, Mary Ann Mueller
Experiences And Attitudes Of Older Homeless Women Toward Healthcare Access, Mary Ann Mueller
Walden Dissertations and Doctoral Studies
Homelessness among older women is a growing problem in many metropolitan areas of the United States. Researchers have indicated that health issues and problems accessing basic care are connected. Older homeless women face increased health issues, multiple challenges related to accessing basic care, and low incomes which put them at higher risk of becoming homeless, staying homeless, and delaying medical treatment. The homeless who lack fulfillment of social support and timely medical care are considered repetitive users of the emergency department and hospital stays. The purpose of this phenomenological study was to explore the experiences and beliefs of older homeless …
Using Transformational Leadership To Reduce Employee Turnover In Hospital Organizations, Sylvia Mcmanus
Using Transformational Leadership To Reduce Employee Turnover In Hospital Organizations, Sylvia Mcmanus
Walden Dissertations and Doctoral Studies
Employee turnovers have been challenging and costly for most organizations. Organization leaders are concerned with employee turnover due to the high cost of training replacements. Grounded in Burns's model of transformational leadership, the purpose of this qualitative multiple case study was to identify strategies hospital managers used to reduce Environmental Services (EVS) employee turnover. The participants consisted of 5 EVS managers with recruiting and hiring responsibilities from the Piedmont Triad and Research Triangle Park of North Carolina who experienced EVS turnover, yet implemented effective leadership strategies to retain workers. Yin's 5 stages of data analysis were used to analyze data …
The Lived Experiences And Perceptions Of African American Women In Federal Senior Leadership, Latonya Michelle Mitchell
The Lived Experiences And Perceptions Of African American Women In Federal Senior Leadership, Latonya Michelle Mitchell
Walden Dissertations and Doctoral Studies
In the United States, African American women remain underrepresented in senior leadership positions in many workforce sectors, including the federal sector. Despite this challenge, a few African American women have successfully attained senior leadership responsibilities in a public health service agency. Using intersectionality and social cognitive career theory as the theoretical frameworks, the purpose of this study was to explore the lived experiences of African American women leaders in their career advancement to senior leadership positions in a health service agency of the Department of Health and Human Services in the United States. The research questions explored the experiences and …
Noncompliance With Follow-Up Visits In Primary Care, Amanda Michelle Northern
Noncompliance With Follow-Up Visits In Primary Care, Amanda Michelle Northern
Walden Dissertations and Doctoral Studies
No-show appointments, also referred to as missed appointments, occur 23% to 34% annually in general practice care settings. Missed appointments can lead to reduction in appointment availability, decrease in provider/staff productivity, patient/provider discordance, disruption in continuity of care, and reduced quality of care. There is a gap in the nursing literature regarding effective interventions to reduce missed appointments. The purpose of this quality improvement, secondary analysis project was to determine whether implementation of an evidence-based no-show, nurse-led intervention would reduce missed appointment rates in a family medicine practice. The health belief model and the plan, do, study, act model guided …
Mentorship Programs, Depression Symptomatology, And Quality Of Life, Tiesha L. Scott
Mentorship Programs, Depression Symptomatology, And Quality Of Life, Tiesha L. Scott
Walden Dissertations and Doctoral Studies
Depression is a debilitating mental health disorder that has the potential to affect an individual's lifespan adversely; adolescents who reside in low-income urban environments are more at risk of developing the disorder. The purpose of this quantitative ex post facto study was to compare depression symptomatology and quality of life rates among emerging adults who enrolled and emerging adults who did not enroll in a mentorship program as an adolescent while in high school. Beck's cognitive model of depression was used as a theoretical foundation to determine how negative schemas are formed in adolescents who show symptoms of depression. The …
African American Masculinity And Its Influence On Hypertension-Related Behaviors, Tangee Denise Thomas
African American Masculinity And Its Influence On Hypertension-Related Behaviors, Tangee Denise Thomas
Walden Dissertations and Doctoral Studies
High blood pressure (hypertension) is known to be one of the leading factors that directly contributes to heart disease and stroke, which are the first and third leading causes of disabilities and death in the general U.S. population. The prevalence of high blood pressure among African American men in the United States ranks as one of the highest in the world. Research indicates the roots of this phenomenon are found in physiological, psychosocial, cultural, and socioeconomic factors differentially affecting the African American population. The purpose of this study was to examine the interaction between African American males' masculine perspective and …
Early Childhood Education Trainers' Knowledge And Use Of Andragogical Principles, Kimberly Thornton
Early Childhood Education Trainers' Knowledge And Use Of Andragogical Principles, Kimberly Thornton
Walden Dissertations and Doctoral Studies
Early childhood education (ECE) teachers often lack the experience and skills to provide children with supports necessary to foster academic and social skill development. Professional development can improve ECE teachers' skills, but ECE trainers often lack understanding of adult learning principles, known as andragogy. Knowles' conceptual framework of andragogy was used to explore the knowledge and use of andragogical principles of 8 ECE trainers selected via criterion-based purposive sampling. The research questions focused on ECE trainers' knowledge and use of andragogical principles. Three cases, each consisting of 2 or 3 live professional development trainings for early childhood educators, were used …