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Cultural Competence Of Public Health Nurses Who Care For Diverse Populations, Althea Michelle Otuata
Cultural Competence Of Public Health Nurses Who Care For Diverse Populations, Althea Michelle Otuata
Walden Dissertations and Doctoral Studies
Despite advances in health, science, and technology, U.S. healthcare lags in providing access to care and quality care to racial and ethnic minorities. Cultural competence has been noted as a strategy to improve access and quality. The purpose of this project was to assess public health nurses' cultural competence before and after participating in cultural competence informational modules. Two conceptual models were used in this project for theoretical guidance: Leininger's cultural care diversity and universality theory and Campinha-Bacote's process of cultural competence. To assess the nurses' cultural competence, the Cultural Competence Self-Assessment Checklist questionnaire was e-mailed to 57 public health …
Public Education/Public Health Perspectives On Collaboration-Influence On High School Completion, Claudette Virginia Campbell
Public Education/Public Health Perspectives On Collaboration-Influence On High School Completion, Claudette Virginia Campbell
Walden Dissertations and Doctoral Studies
The research problem focused on the use of collaboration by managers, supervisors, consultants, and professional staff in a department of public education and health to address disparities in on-time high school completion rates. The purpose of the study was to examine the perspectives of individuals in these public sectors on the use of collaboration as a means to improve on-time high school completion rates for African American and Hispanic students. The theoretical foundation and conceptual framework for the study were John Rawls's theory of justice and Amartya Sen's capability approach. The key research question involved how individuals in the public …
Health Care Determinants Of Cervical Cancer Screening In Harare Zimbabwe, Dominic Chifamba
Health Care Determinants Of Cervical Cancer Screening In Harare Zimbabwe, Dominic Chifamba
Walden Dissertations and Doctoral Studies
Cervical cancer is the second leading cause of cancer deaths among women of all age groups in Zimbabwe, and mortality and incidence continue to increase. The purpose of this quantitative cross-sectional study was to assess the factors that influence the utilization of cervical cancer screening services by Zimbabwean women living in Harare, Zimbabwe. Because personal beliefs influence screening, this study was guided by the health belief model (HBM). A total of 394 women whose ages ranged from 18 to 65 years were recruited from a health care facility in Harare. A 40-item closed-ended questionnaire was used to assess participants' knowledge, …
Teachers' Beliefs About Using A Growth Mindset When Teaching Special Education Students, Kimberly Nicole Hellthaler
Teachers' Beliefs About Using A Growth Mindset When Teaching Special Education Students, Kimberly Nicole Hellthaler
Walden Dissertations and Doctoral Studies
The purpose of this study was to examine general education teachers' knowledge and experiences regarding a growth versus a fixed mindset while teaching students with disabilities in Grades K-2. The conceptual framework that was used to guide this study was Dweck's implicit theories of mindsets. Research questions were developed to explore teachers' knowledge and experiences about teaching with a growth mindset versus fixed mindset and how they assessed themselves in terms of teaching with a fixed or growth mindset. The research design was a basic qualitative study that included semi structured interviews and a teacher assessment using a Mindset Quiz. …
Maintaining Confidentiality Among Hiv Infected Couples: Physicians' Patterns Of Decision In Nigeria, Francess Uju Ayaebene
Maintaining Confidentiality Among Hiv Infected Couples: Physicians' Patterns Of Decision In Nigeria, Francess Uju Ayaebene
Walden Dissertations and Doctoral Studies
Policies mandating HIV status disclosure to decrease incidence create ethical challenges for physicians on whether to breach or maintain infected patients' confidentiality. In Sub-Saharan Africa where HIV incidence is high, there is a need for clear guidelines/policies on making confidentiality decisions. The purpose of this quantitative quasi experiment was to determine whether the gender, gender orientation, and sexual relationship of an infected patient and physicians' demographics predicted physicians' decisions to breach confidentiality. In Plateau State, Nigeria, 222 physicians were given vignette questionnaires containing 6 different descriptions of gender, gender orientation, and sexual relationships of a hypothetical patient. Each physician decided …
Novice Nurse Respiratory Educational Component's Impact On Confidence And Knowledge, Peggy Lynn Cline
Novice Nurse Respiratory Educational Component's Impact On Confidence And Knowledge, Peggy Lynn Cline
Walden Dissertations and Doctoral Studies
The hospital-based novice nurse is presented daily with complex patients with multiple coexisting morbidities, which demands increasing responsibility for evidence-based clinical decision-making to prevent adverse health outcomes and associated high health costs. Knowledge and confidence of novice nurses in a medical-surgical unit in the assessment and clinic management of the respiratory system was identified as a gap during onboarding of new nurses. The purpose of this doctoral staff education project was to determine whether a respiratory educational component added to a medical-surgical novice nurse's orientation would impact the respiratory confidence and knowledge of respiratory assessment and clinical management. Benner's nursing …
The Impacts Of Race, Residence, And Prenatal Care On Infant Mortality, Mary Christine Dorley
The Impacts Of Race, Residence, And Prenatal Care On Infant Mortality, Mary Christine Dorley
Walden Dissertations and Doctoral Studies
Tennessee ranks high for infant mortality (IM) in the United States. Despite public health efforts, the IM rate for Blacks is twice that of Whites mimicking what is observed nationally. Several risk factors for IM have been identified; however, it was still unclear how places of residence and prenatal care (PNC) affect IM for Tennesseans. The purpose of this study was to assess the relationship between places of residence (conceptualized by rurality and racial concentration), PNC, and IM among racial groups across Tennessee and to determine if race modified these associations. This was a cross-sectional study using data from the …
High School Drop Outs With Learning Disabilities In The U.S. Virgin Islands, Tanya M. Lockhart
High School Drop Outs With Learning Disabilities In The U.S. Virgin Islands, Tanya M. Lockhart
Walden Dissertations and Doctoral Studies
A decline in high school dropout rates of students with learning disabilities (SWLDs) has been reported in the U.S. Virgin Islands (USVI). Of the2 school districts in the USVI, St. STT/STJ and STX, the researcher examined high school experiences of SWLDs who dropped out and did not attain a high school diploma in STX. Utilizing the conceptual framework of Maslow's hierarchy of needs, participants' personal high school experiences were examined in an effort to understand factors leading to their choice to drop out. The researcher interviewed 12 participants who were drop out SWLDs, ages 18 years and older. Interview data …
Strategies To Reduce Employee Stress To Enhance Productivity In Credit Unions, Angela K. Love
Strategies To Reduce Employee Stress To Enhance Productivity In Credit Unions, Angela K. Love
Walden Dissertations and Doctoral Studies
Some credit union leaders experience a reduction in productivity when employee stress is significant in the workplace. Credit union leaders noted employee stress increases costs and decreaseproductivity. This study might be important for business leaders seeking to reduce employee stress to enhance productivity. The purpose of this multiple case study was to explore strategies credit union leaders use to reduce employee stress to enhance productivity. The population comprised of 11 credit union leaders in western and midwestern states in the United States who have implemented successful strategies to reduce employee stress to enhance productivity. Job demands-resources theory was the conceptual …
Career Pathways Of African-American Women Senior Executives At Predominantly White Institutions, Etheldria Amayah Bonnie Moulds-Greene
Career Pathways Of African-American Women Senior Executives At Predominantly White Institutions, Etheldria Amayah Bonnie Moulds-Greene
Walden Dissertations and Doctoral Studies
Research studies have revealed that African-American women are disproportionately underrepresented in senior and executive leadership positions compared to European-American female and male counterparts at public and private predominantly White institutions, despite their increased representation in university senior leadership positions. The purpose of this basic qualitative study was to discover the meaning and understanding of African-American women's career pathway experiences ascending to executive positions at these institutions. Critical race theory and Black feminist thought lenses were used as frameworks to understand participants' career pathways, barriers, and facilitating factors advancing toward leadership. LinkedIn recruitment and snowball sampling led to 9 participants who …
Funding Strategies For Smallholder Rice Farmers In Afadzato South District, Ghana, Faith S. Ababio-Twi
Funding Strategies For Smallholder Rice Farmers In Afadzato South District, Ghana, Faith S. Ababio-Twi
Walden Dissertations and Doctoral Studies
Agriculture revenue contributions to Ghana's gross domestic product have declined because of limited farm funding, which has constrained some smallholder rice farmers access credit to acquire necessary inputs, and to secure a stable market for their harvests. The purpose of this qualitative multiple case study was to explore successful strategies some smallholder rice farmers in the Afadzato South District of Ghana used in obtaining farm funding. Data collection included semistructured, face-to-face interviews with 9 smallholder rice farmers who successfully obtained farm funding. Previous research, reports, and policies of the Ghana Ministry of Food and Agriculture served as additional data collection …
Between-Group Differences Among Victim Age-Based Typologies Of Juvenile Sexual Offenders, Jennifer Short
Between-Group Differences Among Victim Age-Based Typologies Of Juvenile Sexual Offenders, Jennifer Short
Walden Dissertations and Doctoral Studies
Juveniles adjudicated for sexual offenses are often described as homogenous, collectively viewed as inherently dangerous, and subject to specialized legal and clinical interventions. However, empirical studies have identified several typologies suggesting that juveniles adjudicated for sexual offenses are a heterogeneous group with varying degrees of risk and treatment needs. The purpose of this non-experimental between-groups study was to compare family composition, abuse histories, mental health diagnosis, and offense type among a victim age-based typology of juvenile sexual offenders. The theoretical framework that guided this study was developmental-contextual theory. Archival data (N = 105) were collected from Alberta Health Services in …
Lgb Help-Seeking For Mental Health And Substance Abuse Services In Rural Northern Michigan, Jennifer Towns
Lgb Help-Seeking For Mental Health And Substance Abuse Services In Rural Northern Michigan, Jennifer Towns
Walden Dissertations and Doctoral Studies
Lesbian, gay, and bisexual (LGB) individuals are often exposed to stressors based on their nonheterosexual status; they may have unique needs related to help-seeking for mental health in a rural area where more people identify as religious or as politically conservative. To date, there have been no studies on the mental health help-seeking experiences of LGB individuals in rural Northern Michigan. This qualitative, single case study was completed to explore the help-seeking experiences of 10 LGB individuals who were recruited through criterion and snowball sampling. In-depth, semi structured interviews were conducted. Transcribed interview data were entered into Nvivo software for …
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Differential Treatment Outcome Factors For Custodial And Noncustodial Mental Health Care Programs, Sheila Fay Waters
Walden Dissertations and Doctoral Studies
Researchers have suggested that jails and prisons in the United States are becoming the new mental health clinics, contributing to the phenomenon of mass incarceration and costing upwards of $15 billion per year in public revenue. The problem is no conclusive evidence exists that treatment in these custodial environments is more effective than that provided by noncustodial programs; especially for substance users. Additionally, the continuing incarceration of people with mental health problems by the hundreds of thousands poses a difficult ethical dilemma regarding why this population does not receive noncustodial or hospital treatment instead. The study addressed the research question …
Predictive Relationships Between Cultural Coping Strategies, Intimate Partner Violence, And Depression In African American Women, Tiffany Wiggins
Predictive Relationships Between Cultural Coping Strategies, Intimate Partner Violence, And Depression In African American Women, Tiffany Wiggins
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) against women has been linked to long-term, negative health consequences such as depression, PTSD, and suicidal ideation. There is a growing perception that African American women are the most affected by IPV, but the current literature does not confirm this perception. The purpose of this nonexperimental, correlational study was to examine the predictive relationships between the independent variables (spiritual coping, religious coping, and levels of IPV) and the dependent variable (level of depression). The ecological systems theory provided the framework for the study. The research question addressed how well variables such as religious coping, spiritual coping, …
Crisis Intervention Team Training Among Cit-Trained Police Officers, Monique Allen
Crisis Intervention Team Training Among Cit-Trained Police Officers, Monique Allen
Walden Dissertations and Doctoral Studies
The problem addressed in this phenomenological study was the lack of documentation that supported the lived experiences of crisis intervention team (CIT) trained police officers related to their encounters with persons with mental illnesses (PwMI). The purpose of the study was to explore the lived experiences of officers among CIT-trained police officers to address the problem. Using the Giles's communication accommodation theory and Rogers's protection motivation theory (PMT), the purpose of this study was to examine the perceptions of CIT-trained police officers of PwMI during CIT encounters. Rogers's PMT was aligned closest with the teachings of CIT training as described …
Impact Of Gamification On Student Engagement In Graduate Medical Studies, Ralai Andriamiarisoa
Impact Of Gamification On Student Engagement In Graduate Medical Studies, Ralai Andriamiarisoa
Walden Dissertations and Doctoral Studies
Rapid technological advances have created major societal changes, transformed business sectors, and revolutionized enterprises. In contrast, the curricular structure of medical education has remained unchanged for the last 100 years, and, for the most part, medical education has been reluctant to embrace the use of technology. The prevalent pedagogical model is reliant on rote memorization. The conceptual framework that informed this study was the user-centered framework for meaningful gamification. This framework's components are organismic integration theory, situational relevance, situated motivational affordance, and the universal design for learning. This quantitative study focused on key research questions related to identifying whether significant …
Life Chaos As A Predictor Of Diet Quality In U.S. Adults, Heidi Barbara Buchert Egan
Life Chaos As A Predictor Of Diet Quality In U.S. Adults, Heidi Barbara Buchert Egan
Walden Dissertations and Doctoral Studies
Poor diet quality is a source of morbidity and mortality within the United States. Previous researchers have examined psychosocial influences on diet; however, the relationship between life chaos, a psychosocial measure, and diet quality was not known. The purpose of this cross-sectional survey study was to use the Life Chaos Scale and the Healthy Eating Index-2010 to collect data on life chaos and diet quality, consistent with the biopsychosocial model of health, from a sample of 103 U.S. adults. Regression analysis was used to construct a predictive model. According to the study results, life chaos was not a significant predictor …
Financial Strategies For Sustaining Small Businesses, Jennifer Cummings
Financial Strategies For Sustaining Small Businesses, Jennifer Cummings
Walden Dissertations and Doctoral Studies
A failure of a small business has a negative impact on the economic health of the community where the small business operates. Small businesses are significant entities in economies around the world, but small businesses have a high failure rate. The purpose of this multiple case study was to explore what financial strategies small business manufacturing leaders use to increase productivity and profitability to sustain the business for longer than 5 years. The population for this study was three small manufacturing business owners in Pennsylvania who have been in business over 5 years and have used financial strategies to increase …
Policy Addressing Family Presence During Resuscitation, Crystal Emanuel-Hayes
Policy Addressing Family Presence During Resuscitation, Crystal Emanuel-Hayes
Walden Dissertations and Doctoral Studies
When hospitals became the primary care setting for very ill patients, visiting hours and restrictions related to family presence during resuscitation (FPDR) became common. During medical crises that occur in hospital settings, families are separated from loved ones because family members may impair resuscitation efforts or such efforts might psychologically traumatize family members. Various national health care organizations have endorsed family presence during resuscitation; however, practices preventing family presence persist. This project used evidence from the peer-reviewed literature to develop a healthcare institution policy that addresses family presence during resuscitation. Theories, concepts, and models that guided this DNP project included: …
Teacher's Perceptions Of Bullying In A Rural School District, Rutha Mae Jackson
Teacher's Perceptions Of Bullying In A Rural School District, Rutha Mae Jackson
Walden Dissertations and Doctoral Studies
Bullying is a serious problem that can interfere with children's developmental and learning processes but can be difficult to manage and diffuse. The purpose of this qualitative case study was to examine teachers' perceptions and experiences with managing student bullying in a middle school in central Georgia. Olweus's effective classroom management model served as the conceptual framework to guide this study. The research questions focused on teachers' perceptions of their current practices of diffusing bullying situations and their experiences with bullying occurrences. A case study design was used to capture the insights of 10 middle school teachers through interviews, and …
Administrator And Staff Perceptions Of A Secondary School Antibullying Program, Suasn Kazmierczak
Administrator And Staff Perceptions Of A Secondary School Antibullying Program, Suasn Kazmierczak
Walden Dissertations and Doctoral Studies
Despite the increase in bullying behavior that has occurred among high school students, there is a lack of age appropriate intervention programs available to assist secondary administrators and staff with this problem. The purpose of this case study in 1 high school in a suburb of a major Mid-Atlantic city in the United States was to determine the perceptions held by secondary administrators and staff of an adapted antibullying program, originally created for use in elementary schools, in reducing the incidences of bullying behavior and feelings of strain. This study was also designed to explore how administrators and staff perceived …
Nursing Pain Management In An Emergency Room With Hallway Overflow, Zaida Ruiz
Nursing Pain Management In An Emergency Room With Hallway Overflow, Zaida Ruiz
Walden Dissertations and Doctoral Studies
Overcrowded emergency rooms (ERs) decrease the flow of nursing care creating a delay in nurse-administered pain management leaving patients in pain. The project-focused question asked if ER nurses felt that overcrowding in the ER led to inadequate pain management and if a clinical practice guideline (CPG) could be developed to promote effective pain management in the setting. Callista Roy's theory of human adaptation was used to guide the project. To prepare for CPG development, data from a simple random selection of 10 nurses who had worked in the ER for a minimum of 6 months was obtained from the practice …
Nurses' Perception Of Their Role In Patient Safety, Janeane Walker
Nurses' Perception Of Their Role In Patient Safety, Janeane Walker
Walden Dissertations and Doctoral Studies
Despite efforts to ensure patient safety in the United States, patients are being harmed by preventable errors. There is a gap in the literature from the nurse's perspective as to why medical errors continue to occur despite having evidence-based safety strategies available. The purpose of this constructivist grounded theory study was to develop a theory explaining nurses' perception of their role in patient safety and why medical errors are still occurring despite implementation of evidence-based safety strategies. The systems engineering initiative for patient safety (SEIPS) model provided the conceptual framework for the study. Data collection included interviews with 11 nurses …
Amputee Social Support: A Quantitative Investigation Of Peer-To-Peer And Group Influence, Dirrick Anthony Williams
Amputee Social Support: A Quantitative Investigation Of Peer-To-Peer And Group Influence, Dirrick Anthony Williams
Walden Dissertations and Doctoral Studies
Previous research has indicated that vascular disease, trauma, and cancer lead to amputations and that 1.7 million Americans are living with an amputation. The social problem of this study is that amputees have limited places to obtain social support. Alderfer's Existence, Relatedness, and Growth Theory provided the foundation for this research. The current study examined the following questions. First, does type of social support impact amputee perceived social support satisfaction? Second, does type of social support impact life satisfaction? Survey methodology was used following attendance at either peer-to-peer or group support. A purposeful sample of 184 participants were assessed using …
Declining Enrollment Among Extra School Time Programs For Adult Students, Melanie Maniekee
Declining Enrollment Among Extra School Time Programs For Adult Students, Melanie Maniekee
Walden Dissertations and Doctoral Studies
In a Midwest school district, school personnel and students are concerned that the Extra School Time (EST) program student enrollment is declining. The purpose of this qualitative case study was to explore teacher, administrator, and adult age student perceptions to gain a deeper understanding of the problem leading to declining enrollment in the EST program. Using Lewin's holistic model of systemic leadership and evaluation of programs, teachers', students' and administrators' perceptions of factors, processes for support, curriculum needs, and actions to improve implementation of the EST program were explored. Using a qualitative case study, data were collected via semi-structured interviews …
Patient Satisfaction Management In Office Visits And Telehealth In Health Care Technology, Todd Price
Patient Satisfaction Management In Office Visits And Telehealth In Health Care Technology, Todd Price
Walden Dissertations and Doctoral Studies
Telehealth and remote medical treatments have begun to be more commonly used in healthcare systems. Researchers have theorized that providers' abilities to treat patients are not directly tied to the proximity of the patient to the doctor, but by the identification and treatment of the patient's symptoms. Although the treatment and cure rates are being established within individual health systems and professional medical associations, empirical research is lacking regarding patient satisfaction with this remote treatment situation. The purpose of this quantitative study was to address this gap by examining satisfaction ratings of patients between virtual provider visits and face-to-face provider …
A Study Of Groupthink In Project Teams, John Reaves
A Study Of Groupthink In Project Teams, John Reaves
Walden Dissertations and Doctoral Studies
Project teams advance a common goal by working together on projects that require a diverse set of skills and are difficult for 1 person to complete. In this study, there was an exploration of the antecedents to groupthink in project teams from the perspectives of project managers. Many companies use project managers to complete critical objectives; avoiding groupthink is crucial to their success. The purpose of this research was to understand why project teams are susceptible to groupthink and what precautions managers can take to avoid it. The conceptual framework utilized in this study was Janis' concept of groupthink, which …
Long-Term Survivors' Coping And Resiliency Strategies After Leaving An Abusive Relationship: A Phenomenological Inquiry, Denise Monet White
Long-Term Survivors' Coping And Resiliency Strategies After Leaving An Abusive Relationship: A Phenomenological Inquiry, Denise Monet White
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is a serious social problem and a noteworthy health issue internationally. In the United States, approximately 1.3 million women and 835,000 men experience a combination of cruel and violent treatment by an intimate partner. This phenomenological study used lived experiences from both men and women ranging in various ages from 40-70 years to understand their coping and resiliency strategies post-separation from an abusive relationship for 10 or more years. The conceptual framework was guided by Lazarus' transactional theory of coping and psychological stress and the theory of psychological resiliency, which is linked to understanding the ways …
Exploring Collaborative Learning Methods In Leadership Development Programs, Mary F. Woods
Exploring Collaborative Learning Methods In Leadership Development Programs, Mary F. Woods
Walden Dissertations and Doctoral Studies
Collaborative learning as it pertained to leadership development was an obscured method of learning. There was little research addressing the attributes contributing to collaborative learning for leadership development in leadership development programs. By completing this manuscript, scholarly learners may have additional information on knowledge-based practicing organizations. The purpose of this qualitative study was to understand how collaborative learning influenced leadership development within leadership development programs within high performing organizations. Data collection included semistructured interview questions and a review of training documentation with a combination of dramaturgical coding and purposive sampling from 20 participants that attended leadership development programs within a …