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Walden Dissertations and Doctoral Studies

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Recruitment Strategies For A Sustainable Pipeline Of African American College Graduates As Civil Servants, Owen Wilbert Muldrow, Jr. Jan 2019

Recruitment Strategies For A Sustainable Pipeline Of African American College Graduates As Civil Servants, Owen Wilbert Muldrow, Jr.

Walden Dissertations and Doctoral Studies

Government leaders have not been successful in their strategies for developing a pipeline of African American college students to address the absence of African American representation in civil service management positions. Increasing African American representation among civil service personnel may produce a government workforce that reflects American society, which may promote equitable and responsive solutions in serving public interests. The purpose of this qualitative modified Delphi study was to build consensus among a nationwide expert panel of government-affiliated talent managers as to strategies for creating a sustainable civil service pipeline of annual graduating classes of African American collegians. The research …


Emotional Intelligence And Sociodemographic Status In Associate Degree Nursing Students, Melanie Renee Benington Jan 2019

Emotional Intelligence And Sociodemographic Status In Associate Degree Nursing Students, Melanie Renee Benington

Walden Dissertations and Doctoral Studies

Emotional intelligence (EI) is essential for providing quality and competent care in the nursing profession. Because nurses need to be competent in EI, it is important to determine if inherent factors and academic performance contribute to the development of EI. The purpose of this study, guided by the 4-branch ability model of EI by Mayer and Salovey, was to examine the relationship of EI levels and academic performance, gender, and ethnic background in associate degree nursing (ADN) students who attended a community college. Using convenience sampling, 110 ADN students completed the Schutte Self-Report Emotional Intelligence Test and sociodemographic data. Data …


Increasing Depression Screening And Treatment For Adults Living With Hiv/Aids, Velma Asneth Frasier Jan 2019

Increasing Depression Screening And Treatment For Adults Living With Hiv/Aids, Velma Asneth Frasier

Walden Dissertations and Doctoral Studies

The lifetime prevalence of clinical depression in patients living with human immunodeficiency virus/acquired immune deficiency syndrome (HIV/AIDS) is approximately 22% compared to 3% to 10% in the primary care population. The nursing practice problem at the project site concerned nurses' lack of knowledge and understanding of procedures to help ensure that all patients living with HIV/AIDS were properly screened for depression and referred for further evaluation and treatment. The purpose of this project was to implement a staff education module to address the use of the PHQ-9 screening tool to identify depression in people diagnosed with HIV/AIDS. The theoretical framework …


A Meta-Synthesis Of Adolescent Psychological Help-Seeking, Karen Barnes Jan 2019

A Meta-Synthesis Of Adolescent Psychological Help-Seeking, Karen Barnes

Walden Dissertations and Doctoral Studies

Although adolescents experience psychological difficulty at a rate higher than any other age group, most do not get the support they need. The purpose of this study was to explore perceptions about barriers, facilitating factors, and help-seeking preferences for psychological support among adolescents. This study involved Best, Gil-Rodriguez, Manktelow, and Taylor’s conceptual framework pathways to online help-seeking to help explain adolescents’ perceptions of factors that influence them seeking support as well as identify pathways for support. A qualitative meta-synthesis design was used to synthesize findings of individual qualitative studies into themes around the central phenomenon of adolescent help-seeking. Data were …


Resilience Experiences Of Navy Wives During Midyear School Transitions Of A Child, Alicia Brengman Jan 2019

Resilience Experiences Of Navy Wives During Midyear School Transitions Of A Child, Alicia Brengman

Walden Dissertations and Doctoral Studies

The social problem of school dropout is a well-researched issue that impacts students, schools, and the nation. The research problem of this study was how U.S. Navy wives experience resiliency during school transitions of their child(ren) midyear to a new school. The theoretical framework utilized for this study was resilience theory, as described by Rutter. The purpose of this hermeneutic phenomenological study was to gain insight into how U.S. Navy wives experience resilience when transitioning their students to a new school once the school year has begun. Semi structured interviews were conducted over the phone with 9 current wives of …


Depression Screening For Bariatric Surgical Patients, Cova Teresa Stidham Jan 2019

Depression Screening For Bariatric Surgical Patients, Cova Teresa Stidham

Walden Dissertations and Doctoral Studies

Obesity in the United States has increased to epidemic numbers over the last decade. Practitioners need to reverse the trend. To address the problem of depression in obesity, a practice guideline from a bariatric clinic for under-served populations was proposed to an expert panel. The Spell Out on First Use (PHQ-9) screening is a valid and reliable self-screening tool to assist the practitioner in determining the level of depression if any. The PHQ-9 has nine questions. No formal screening existed at the bariatric clinic, and the practice guideline (with algorithm and revised workflow) was proposed for use at the clinic. …


Relationships Between Sle Disease Activity And Damage, Depression And Work Productivity Impairment In The Georgians Organized Against Lupus Study, Karen Mancera-Cuevas Jan 2019

Relationships Between Sle Disease Activity And Damage, Depression And Work Productivity Impairment In The Georgians Organized Against Lupus Study, Karen Mancera-Cuevas

Walden Dissertations and Doctoral Studies

Systemic lupus erythematous (SLE) is an autoimmune and inflammatory disease that can affect all organs of the body. The purpose of this quantitative cross-sectional study was to examine SLE-related issues associated with depression and work-productivity impairment, and to assess if depression mediated the relationship between SLE disease activity and damage and work-productivity impairment. Participants were 257 residents of the state of Georgia in the United States with SLE and were recruited from the Georgians Organized Against Lupus study. Bandura'€™s social cognitive theory was the guiding theoretical framework of the study. Findings showed that the majority of participants worked full time …


Parenting Styles And Children's Usage Of The Internet In The Digital Age, Micere Sidi Oden Jan 2019

Parenting Styles And Children's Usage Of The Internet In The Digital Age, Micere Sidi Oden

Walden Dissertations and Doctoral Studies

Research is limited on the differences between mothers and fathers on traditional and Internet parenting styles, particularly fathers' Internet parenting styles. Baumrind's parenting styles typology guided this quantitative, cross-sectional assessment of mothers and fathers of children age 6-13 years old on 4 dimensions of the Parenting Style Scale; 6 subscales of the Internet Parenting Style Instrument, hours a child spent on the Internet for school versus entertainment, and several key demographics to examine canonical correlation dimensions relating traditional and Internet parenting styles and to examine differences in styles between mothers and fathers. A convenience sample (N =129) was collected from …


Foster Care System Effectiveness In Assisting Young Adults' Transition To College, Vivienne Mitchell Jan 2019

Foster Care System Effectiveness In Assisting Young Adults' Transition To College, Vivienne Mitchell

Walden Dissertations and Doctoral Studies

Research suggests that the relatively low rates of former foster youth enrolling in and graduating from a postsecondary institution may be related to lack of foster care system support. This study examined whether perceived support from the foster care system was related to the postsecondary enrollment and academic performance of former foster youth, and whether males and females differed in perceived support from the foster care system. Forty-five former foster youth aged 18-24 years who had transitioned from a southeastern state completed a measure of social support and reported whether they had attended a postsecondary institution and, if so, their …


Discipline Policy And Preschool Special Education Students' Social Skills, Amanda Lee Tamagni Jan 2019

Discipline Policy And Preschool Special Education Students' Social Skills, Amanda Lee Tamagni

Walden Dissertations and Doctoral Studies

Preschool special education students lack of personal-social skills is affecting their kindergarten readiness and placing them at risk for exposure to school discipline in a large school district in the Southeastern United States. The purpose of this quantitative study was to examine the relationship between the quality of school discipline policies and personal-social skills of preschool special education students within the focus district. Ecological systems theory provided the framework for the study. Data collection included archived personal-social skills scores, as measured by the Battelle Developmental Inventory 2 (BDI 2), of 354 preschool special education students. Four trained educators rated the …


Stress And Burnout: Empathy, Engagement, And Retention In Healthcare Support Staff, Burnette Vidal Jan 2019

Stress And Burnout: Empathy, Engagement, And Retention In Healthcare Support Staff, Burnette Vidal

Walden Dissertations and Doctoral Studies

Research on stress and burnout and their influence on empathy, engagement, and retention, in healthcare support staff is scarce in the literature. The theoretical framework for this study was the conservation of resources (COR) theory which claims that when people are stressed, emotionally exhausted, and experiencing burnout, they protect and preserve their physical and mental resources from becoming depleted by reducing their effort and withdrawing from work. The key research question was: Does burnout mediate the relationship between stress and empathy, engagement, and turnover intentions in healthcare support staff working in a Federally Qualified Health Center (FQHC)? This quantitative, non-experimental, …


Social Workers'/Case Manager's Knowledge Deficits Of Adults With Precomorbid Attention Disorders, Denise Ford Brown Jan 2019

Social Workers'/Case Manager's Knowledge Deficits Of Adults With Precomorbid Attention Disorders, Denise Ford Brown

Walden Dissertations and Doctoral Studies

There is a lack of knowledge about how to provide services for adults with attention deficit hyperactivity disorders (ADHD) among healthcare professionals, particularly for adults with precomorbid ADHD. The purpose of this qualitative, multiple case study was to explore the knowledge deficits of social workers and case managers regarding adults with precomorbid ADHD and their perception of obstacles in providing medication and counseling referrals. Participants' perceptions of obstacles was assessed through the framework of social problem-€solving theory. The sample included 10 participants: 6 case managers and 4 social workers. There were three codes that represented participants' perceptions of knowledge deficits …


Faith Leaders' Experiences On Health Counseling Provided To Their Congregation, Latangee Degrace Dickens Jan 2019

Faith Leaders' Experiences On Health Counseling Provided To Their Congregation, Latangee Degrace Dickens

Walden Dissertations and Doctoral Studies

Numerous faith-based organizations (FBOs), denominations, and religious groups are represented in the United States. Faith leaders have the responsibility of addressing the spiritual needs of the congregation; however, the health needs of parishioners may be a point of discussion faith leaders should address. Communities surrounding FBOs may have limited health care services, lack transportation, and have serious health issues. The purpose of this phenomenological qualitative study was to explore the experiences of faith leaders on giving health counseling to their congregation. Faith leaders play an essential role in providing health counseling on various health topics to their congregation and community. …


The Ferguson Effect On Police Officers' Culture And Perceptions In Local Police Departments, Rarkimm K. Fields Jan 2019

The Ferguson Effect On Police Officers' Culture And Perceptions In Local Police Departments, Rarkimm K. Fields

Walden Dissertations and Doctoral Studies

The Ferguson effect is a recent hypothesis that suggests police officers have been influenced by negative media coverage of police conduct. The problem this study addressed is how policing continues to deal with perception, civil liability, and accountability issues related to police misconduct when interacting with Latino and African-American communities. The research was conducted to examine influence the Ferguson effect may have had on the culture and perceptions of police officers in local police departments. With a phenomenological qualitative approach, the research data were collected from interviews with 7 police officers across 3 police departments. The theoretical background of Merton's …


Leadership Style And Smes Sustainability In Nigeria: A Multiple Case Study, Vincent Ikechukwu Okeke Jan 2019

Leadership Style And Smes Sustainability In Nigeria: A Multiple Case Study, Vincent Ikechukwu Okeke

Walden Dissertations and Doctoral Studies

Leadership in small and medium enterprises (SMEs) has remained an under-researched area in the management literature, especially in developing countries such as Nigeria. SME owner-managers in Nigeria lacked in-depth understanding of their leadership style to objectively evaluate its implication on long-term performance and growth of their enterprise. The purpose of this qualitative multiple-case study was to explore the experiences of SME owner-managers in Nigeria to gain an in-depth understanding of their leadership style and its implication for long-term performance and growth of their enterprise. The conceptual framework for this study was anchored in two key concepts; leadership styles and leadership …


Post-Ebola Case Management Of Orphaned Young Adults In Rural Sierra Leone, Augustine Frazer Jan 2019

Post-Ebola Case Management Of Orphaned Young Adults In Rural Sierra Leone, Augustine Frazer

Walden Dissertations and Doctoral Studies

The 2014-2016 Ebola pandemic in Sierra Leone significantly increased the orphan population and the need for social support programs, especially for student-orphans in higher education. Poorly prepared disaster response managers have little knowledge about how college student-orphans experience social services. The purpose of this transcendental phenomenological study was to explore how post-Ebola student-orphans enrolled in an agricultural university in rural Sierra Leone experienced post disaster specialized case management to enhance student performance. Criterion sampling techniques including specific inclusion and exclusion criteria guided the recruitment, that included 10 research participants taking part in the semi structured interviews. Ecological system theory and …


Substance Use And Romantic Attachment Among African American And Black Caribbean Adult Males, Shaun Faith Hutton Jan 2019

Substance Use And Romantic Attachment Among African American And Black Caribbean Adult Males, Shaun Faith Hutton

Walden Dissertations and Doctoral Studies

Individuals from unfavorable environments tend to carry maladaptive patterns of attachment from infancy through adulthood. Empirically, these styles have been shown to be intergenerational. Substance use disorder has been linked to maladaptive patterns of attachment among adults. However, limited data exists regarding this phenomenon with African American and Black Caribbean males. Bowlby's attachment theory and Ainsworth's patterns of attachment were the theoretical frameworks applied to this quantitative study. The purpose was to determine the effect of ethnicity and alcohol use on anxious and avoidant attachment patterns among a sample of 151 adult males. Using the Experience in Close Relationship and …


Late-Stage Breast Cancer Diagnosis Among Haitian Women In The United States, Marie-Hortence Prosper Jan 2019

Late-Stage Breast Cancer Diagnosis Among Haitian Women In The United States, Marie-Hortence Prosper

Walden Dissertations and Doctoral Studies

Breast cancer is the 2nd leading cause of death among women. While a significant amount of research has been done to understand the different disparities related to this disease, there is still more to learn about the relationship between a person's nationality and the staging of breast cancer. Using the Surveillance, Epidemiology, and End Results Program as the data source, this retrospective cohort study was aimed at assessing late-stage breast cancer among Caribbean immigrants, specifically comparing Haitian women with Americans and other immigrant populations in the United States. The research questions addressed the link between nationality and the likelihood of …


The Influence Of Obstetrician And Gynecologists' Avoidance Behaviors On Maternal Morbidities, Nakisha Rene'e Boulware Jan 2019

The Influence Of Obstetrician And Gynecologists' Avoidance Behaviors On Maternal Morbidities, Nakisha Rene'e Boulware

Walden Dissertations and Doctoral Studies

The prevalence of maternal morbidities continues to increase in U.S. women of lower socioeconomic status and non-Hispanic Black women despite the efforts of health care practitioners to reduce the disparities. Two decades of research has shown that physicians avoid patients based on insurance and socioeconomic status or their malpractice history. Reducing maternal illness and complications is one of the federal government's top 10 maternal health indicators in the Healthy People 2020 initiative. The purpose of this study was to evaluate the influence of malpractice allegations on patients at high-risk for maternal morbidity. Supported by the theoretical foundation of human factor …


Factors Associated With Maternal Mortality In Greater Accra Ghana 2016: Case-Control Study, Edmund Sekyi Eghan Jan 2019

Factors Associated With Maternal Mortality In Greater Accra Ghana 2016: Case-Control Study, Edmund Sekyi Eghan

Walden Dissertations and Doctoral Studies

Maternal mortality is a critical area of concern globally, despite the availability of accessible preventive measures. The role of sociodemographic and service delivery factors in maternal mortality in the Accra Metropolitan Area of Ghana are important to examine. As part of the United Nations (UN) Millennium Campaign, the UN implemented 8 Millennium Development Goals (MDGs); maternal mortality reduction by 75% between 1990 and 2015 was among the fundamental MDGs to be achieved by 2015. The purpose of this case-control study was to use secondary data to assess the relationships between sociodemographic variables, service delivery factors, and maternal mortality among 8,171 …


Barriers To Implementing Urban Plans In Kenya, Rose Chelangat Kitur Jan 2019

Barriers To Implementing Urban Plans In Kenya, Rose Chelangat Kitur

Walden Dissertations and Doctoral Studies

Despite a long history of urban planning, Kenyan towns are still characterized by informality, uncoordinated development, urban sprawl, and congestion. Government documents and reports acknowledge that, despite planning, no deliberate effort has been made to implement plans. Little is known about what impedes plan implementation in Kenya. This study sought to develop an in-depth understanding of the barriers to plan implementation from the perspectives of public officials responsible for planning. Using path dependency theory, forwarded by Pierson, and force field analysis, advanced by Lewin, the research questions focused on legal and institutional development, as well as on the nature of …


Stakeholder Perspectives On Teacher Attrition In Private Early Childhood Schools In India, Swathi Sandesh Menon Jan 2019

Stakeholder Perspectives On Teacher Attrition In Private Early Childhood Schools In India, Swathi Sandesh Menon

Walden Dissertations and Doctoral Studies

Teacher attrition is a problem that has consequences for children and schools in many countries; children are affected negatively both emotionally and intellectually, while schools suffer setbacks, such as financial stress and disruption of the learning environment. This multiple case study explored the perspectives of stakeholders in India regarding how teacher attrition in private early childhood schools influenced students, teachers, parents, school leaders, and schools, as well as the factors that stakeholders identified as important for teacher retention in private early childhood education. The conceptual framework was Bronfenbrenner's ecological systems theory. Data were collected through interviews with teachers and school …


Predictors Of Poor Pregnancy Outcomes Among Pregnant Women In Island Maternity, Nigeria, Letam Nwi-Ue Jan 2019

Predictors Of Poor Pregnancy Outcomes Among Pregnant Women In Island Maternity, Nigeria, Letam Nwi-Ue

Walden Dissertations and Doctoral Studies

Pregnancy outcomes have improved tremendously in developed countries. Notwithstanding, it is still a huge challenge in developing countries, especially Sub-Saharan Africa. In 2015 in Nigeria, about 145 women died daily from pregnancy-related causes. Similarly, nearly 2,300 children under 5 years were lost in the same year. Nigeria consistently underperformed in some of the critical pregnancy indicators such as maternal and neonatal mortality, second worst only to India in the world. Studies on poor pregnancy outcomes are scarce in Nigeria. The purpose of this quantitative, retrospective cross-sectional study was to use local evidence to ascertain the risk factors that predict poor …


Educational Program For New Nurses Dealing With The Death Of Patients, Diana Vazquez Jan 2019

Educational Program For New Nurses Dealing With The Death Of Patients, Diana Vazquez

Walden Dissertations and Doctoral Studies

The exposure of newly graduated nurses to the death of their patients causes a significant emotional impact that may affect the nurses' job performance and social interaction with the patients' families. Therefore, it is necessary to explore the clinical circumstances, the impact, the challenges and rewards of the nurses' first experiences with the death of a patient. This education program focuses improving knowledge and decreasing negative feelings of newly graduated nurses towards death and supporting their understanding of this phenomenon as one that is part of nursing professional practice. Knowles' theory of adult learning informed this project. Fifteen newly graduated …


Information Sources That Influence The Financial Literacy Of Puerto Rican College Students, Enid Alvarez Jan 2019

Information Sources That Influence The Financial Literacy Of Puerto Rican College Students, Enid Alvarez

Walden Dissertations and Doctoral Studies

Researchers agree that Puerto Ricans lack basic financial knowledge that would allow them to participate in the financial system actively. However, the literature did not provide any data about the knowledge transmission practices that Puerto Ricans use to gather and transmit financial knowledge. As a result, there was a limited understanding of the social learning processes used by Puerto Rican college students to make financial decisions. Using consumer socialization and family financial socialization models as the theoretical framework, the purpose of this quantitative, nonexperimental study was to identify the information sources that Puerto Ricans use to gather financial knowledge. A …


Factors That Influence Place Of Delivery Choice Among Expectant Mothers In Ghana, Baba Ibrahim Mahama Jan 2019

Factors That Influence Place Of Delivery Choice Among Expectant Mothers In Ghana, Baba Ibrahim Mahama

Walden Dissertations and Doctoral Studies

Several factors may affect the choice of place of delivery among expectant mothers in Ghana and few studies have examined the choice of place of delivery with a focus on differences between rural and urban areas. In this study, the factors that influence the choice of place of delivery among expectant mothers in both rural (Tolon District) and urban (Tamale) settings in the northern part of Ghana were identified and compared using the conceptual framework provided by Thaddeus and Maine. A mixed-method study was used to examine expectant mothers and their responses related to factors that affect their choice of …


Effects Of Nonadherence To Hiv/Aids Drugs On Hiv-Related Comorbidities In Eastern Nigeria, Chizomam Laura Ojukwu Jan 2019

Effects Of Nonadherence To Hiv/Aids Drugs On Hiv-Related Comorbidities In Eastern Nigeria, Chizomam Laura Ojukwu

Walden Dissertations and Doctoral Studies

Developing countries like Nigeria continue to have HIV epidemic challenge due to the scarcity of evidence-based information and lack of resources to boost HIV education. The study population, Owerri, is one of the states in Nigeria with a high incidence rate of HIV. The purpose of this phenomenological study was to explore the experiences of people living with HIV/AIDS regarding the effects of nonadherence to HIV/AIDS drugs. The integrated theory of health behavior model provided the framework for the study. I collected, transcribed, and analyzed interview data to identify clusters and themes. Results showed that various factors influenced and (e.g., …


Examining The Lived Experiences Of Divorce Among Hispanic Parents, Maria Rosa Perez Jan 2019

Examining The Lived Experiences Of Divorce Among Hispanic Parents, Maria Rosa Perez

Walden Dissertations and Doctoral Studies

Parental divorce does not have the same effect on all children, and the cultural background of families may have an impact on children's experience of divorce. The purpose of this research was to investigate the lived experiences of Hispanic parents of school-aged children who are divorced or are going through the divorce process in order to examine how their children adjust to this family change. Crisis theory and critical race theory were used as theoretical frameworks, and a phenomenological approach was used to collect data from 13 parents through semi-structured interviews. Twenty-seven themes (six minor, five major, 14 subthemes, and …


Risk Factors Associated With The Contraction Of Ebola Virus Disease In Liberia, Beyan Yancy Sana Jan 2019

Risk Factors Associated With The Contraction Of Ebola Virus Disease In Liberia, Beyan Yancy Sana

Walden Dissertations and Doctoral Studies

Ebola virus disease (EVD) is a highly transmittable disease with high mortality rate. The purpose of this study was to examine risk factors associated with the contraction of EVD in Liberia. A retrospective cross-sectional design was used to analyze secondary data collected on 1,658 patients admitted to Ebola treatment units in Liberia, using the social ecological model as a theoretical framework. Descriptive statistics and the chi-square test for association and logistic regression were used to analyze the data. The findings of this study revealed that funeral attendance, exposure to body fluids, and contact with a living sick person were associated …


Acculturation And Diabetes Among New York's Bangladeshi Immigrants, Renee Mehrra Jan 2019

Acculturation And Diabetes Among New York's Bangladeshi Immigrants, Renee Mehrra

Walden Dissertations and Doctoral Studies

There are more than 3.4 million South Asians in the United States. Among this subgroup, Bangladeshis in New York have a high prevalence of Type 2 diabetes ranging from 15 to 24% compared to the general population. This study examined the effect of acculturation through length of stay in the United States and understanding of the English language, and the role of gender on self-efficacy (SE) and diabetes self-management among 336 New York Bangladeshi immigrants between the ages of 21 and 75 who had been diagnosed with type 2 diabetes with A1C -‰¥ 6.5%, as verified by their medical record …