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Counselors' Knowledge And Attitudes Of The Recovery Paradigm, Kathleen Ruscitto
Counselors' Knowledge And Attitudes Of The Recovery Paradigm, Kathleen Ruscitto
Walden Dissertations and Doctoral Studies
As of 2014, an estimated 18.1% or approximately 43.6 million adults, 18 years of age or older in the United States experienced a form of mental illness. Professional counselors subscribe to a wellness or holistic paradigm; however the recovery paradigm, using collaborative strategies and unique treatment planning is the directed approach of mental health services in the United Stated. The purpose of this quantitative study was to understand what factors contribute to counselors' knowledge and attitudes of the recovery paradigm. Survey methodology was used to examine whether, among professional counselors, years of experience, gender, professional setting, and licensure status, as …
Dementia-Spcific Education In An Assisted Living Facility, Sharon Dianne Samarin
Dementia-Spcific Education In An Assisted Living Facility, Sharon Dianne Samarin
Walden Dissertations and Doctoral Studies
Providing competent, high-quality, and person-centered care is important in the healthcare environment, including the care for the aging and training of those who provide care. A knowledge gap in dementia-specific training was identified at an assisted living facility. The purpose of this project was to answer the question whether a dementia-specific educational staff training program would improve staff members' knowledge and application of dementia-specific competencies as well as caring behaviors. Watson's theory of human caring, the theory of planned behavior, and Leininger's framework of culture care were used to inform this project. The educational project evaluated the success of implementing …
Educational Outcomes Of Online Registered Nursing To Bachelor Of Science In Nursing Students, Shuba Samuel
Educational Outcomes Of Online Registered Nursing To Bachelor Of Science In Nursing Students, Shuba Samuel
Walden Dissertations and Doctoral Studies
The projected nurse workforce shortage and the need for nurses with bachelor's degree has increased the number of accelerated and online programs in nursing education. The evolving healthcare system demands registered nurses (RNs) to demonstrate critical thinking skills and evidence-based practice in varied healthcare settings. The purpose of this quantitative study was to analyze if academic variables, such as preadmission grade point average (GPA), predicted evidence-based skills and research utilization skills among students enrolled in the online RN to Bachelor of Science in nursing program. The theoretical foundations of this study was comprised of Knowles's adult learning theory, Benner's stages …
Supply Chain Strategies To Ensure Delivery Of Undamaged Goods, Oluwaseun A. Sanusi
Supply Chain Strategies To Ensure Delivery Of Undamaged Goods, Oluwaseun A. Sanusi
Walden Dissertations and Doctoral Studies
Supply chain leaders in the oil and gas industry face significant logistical challenges regarding the efficient and safe delivery of undamaged products to their customers. Within the conceptual framework of business process orientation theory, the purpose of this multiple case study was to explore the strategies that supply chain leaders used to ensure delivery of undamaged goods to their customers. Four supply chain leaders in the oil and gas industry in Texas were purposefully selected as participants because they had successfully implemented strategies to ensure the delivery of undamaged goods. Data were collected through semistructured interviews and review of publicly …
Student Perspectives On Application Of Theory To Practice In Field Practicums, Anne Marie Scaggs
Student Perspectives On Application Of Theory To Practice In Field Practicums, Anne Marie Scaggs
Walden Dissertations and Doctoral Studies
The field practicum is designed to offer students the opportunity to integrate knowledge and practice prior to graduation; however, students continue to lack the ability to connect theory to practice within the field practicum. The purpose of this qualitative case study was to explore the beliefs, attitudes, and perspectives of social work students regarding the application of theory to practice within the field practicum. The conceptual framework included concepts of empowerment, empowerment theory, and social constructivism. The research question addressed how social work students at a local university described the issues related to connecting theory to practice within the field …
Nursing Students Experiences Of Career And Technical Education Health Science Programs, Precious Simmons
Nursing Students Experiences Of Career And Technical Education Health Science Programs, Precious Simmons
Walden Dissertations and Doctoral Studies
The state of education in the United States faces many challenges in preparing students for the workforce and postsecondary education. These challenges are heightened at the postsecondary level for schools of nursing. The current shortage of nurses will continue to rise if recruitment and retention strategies are not employed. The purpose of this qualitative hermeneutic phenomenological study was to understand and explore the experiences of former health science program students enrolled in nursing school. Research questions focused on the experience of career and technical education (CTE), motives and perceived benefits of CTE, nursing experience, career choice, and academic interests. The …
Transportation Electrification And Hospital Emergency Planning, Nathaniel Winfield Skinner
Transportation Electrification And Hospital Emergency Planning, Nathaniel Winfield Skinner
Walden Dissertations and Doctoral Studies
Because transportation in the San Francisco Bay Area is increasingly dependent on electricity, factors such as limited electricity storage capacity and nontransferability of batteries between vehicles need to be considered by emergency response planners (ERPs). The purpose of this study was to investigate planning for providing the power to provide emergency transportation for hospital staff/administration and those injured after earthquakes. The research questions of transportation need of emergency staff and patients after an earthquake and differences between Bay Area cities and counties in considering transportation needs were addressed in this qualitative study utilizing a collective case study to assess electric …
Dynamics Of Special Education Teacher Collaboration On Bullying, Velma P. Smith
Dynamics Of Special Education Teacher Collaboration On Bullying, Velma P. Smith
Walden Dissertations and Doctoral Studies
Bullying has plagued U.S. public schools: special education students become victims on a consistent basis and their academic outcomes may be adversely affected. Few studies have focused on the collaboration of teachers to reduce bullying. The purpose of the qualitative study of 12 special education teachers and counselors was to understand the process they use when they collaborate on reducing the bullying problem in a small Midwestern school in the United States. Montiel-Overall's theory of collaboration and Shulman's model of pedagogical content knowledge reflected the focus of the 2 research questions that informed this study. Participants described their collaboration and …
Generalization Of Social Skills Based On Instructional Setting, Monica St.Amand - Santos
Generalization Of Social Skills Based On Instructional Setting, Monica St.Amand - Santos
Walden Dissertations and Doctoral Studies
Children with social skills deficits in verbal and nonverbal communication can face a variety of social challenges in many aspects of their lives. Given the increasing social needs of many students in today's classrooms, there is a need for increased social skills instruction and support in public schools. Inclusion opportunities in public schools can have a positive impact on the development of social skills and can increase peer understanding and empathy for students with special needs. Although there is research in the area of inclusion and its benefits, there is little known about the impact of the instructional setting on …
Reducing Home Health Copd-Related 30-Day Hospital Readmissions Using Telehealth Technology, Steven Eric Stammer
Reducing Home Health Copd-Related 30-Day Hospital Readmissions Using Telehealth Technology, Steven Eric Stammer
Walden Dissertations and Doctoral Studies
Chronic obstructive pulmonary disease (COPD) is a collection of chronic conditions that results in irreparable lung damage and stress to patients. COPD also has considerable financial impacts on health care entities due to frequent hospital readmissions of COPD patients. The Centers for Medicare and Medicaid Services penalize care entities for 30-day hospital readmissions. Many rehospitalizations attributed to COPD are due to exacerbations, often preceded by physiologic and emotional changes that can be monitored, allowing action to be taken to prevent readmissions. The practice problem for this quality improvement project explored whether the use of remote home monitoring of COPD patients …
Education Plan To Empower Wound Care Nurses For Evidence-Based Practice, Patricia Stevenson
Education Plan To Empower Wound Care Nurses For Evidence-Based Practice, Patricia Stevenson
Walden Dissertations and Doctoral Studies
Non-healing wounds can claim thousands of lives and costs billions of dollars each year, and nurse-led wound clinics are becoming necessary to fill a gap in care for patients with wounds. Even among certified wound nurses using evidence-based clinical protocols, key considerations of care are being missed. Therefore, this project was focused on developing and validating a new biofilm education module for certified or certification eligible wound care nurses. The aim of the module was to boost clinical assessment knowledge and improve patient outcomes. Benners skill acquisition model informed the development of this project. The design of the project also …
Project Manager Strategies For Strengthening Communications Within Project Teams, Christine Taylor
Project Manager Strategies For Strengthening Communications Within Project Teams, Christine Taylor
Walden Dissertations and Doctoral Studies
Communication inefficiencies are among the reasons for poor or substandard performances in project teams. The purpose of this multiple case study was to explore the strategies used by project managers in the health care industry to strengthen communication within project teams. The conceptual framework for the study was McQuail's mass communication theory and Craig's communication theory. Participants of the study were 4 project managers from 2 leading medical supply companies located in the mid-Atlantic region of the United States. Data were collected using semistructured interviews and a review of company documents. The summarized interview responses were validated by participants through …
Organizational Size's Effect Strategic Service Innovation And Strategic Service Delivery Innovation, Sheikh Tejan
Organizational Size's Effect Strategic Service Innovation And Strategic Service Delivery Innovation, Sheikh Tejan
Walden Dissertations and Doctoral Studies
Empirical research has established that the service sector is the engine of growth in global economies. Despite the contributions of the service sector to global economies, research in service innovation has been neglected. There are still empirical research gaps especially on the predictors of strategic service delivery innovation (SSDI). The problem statement addressed in this study was that no research used the resource advantage theory to investigate the nature of the relationship between SSI and SSDI with OS as a possible moderator variable. Using resource advantage theory as the foundation, the purpose of this correlational study was to determine whether …
Educating Nurse Managers To Create A Culture Of Nurse Retention, Stacey Trotman
Educating Nurse Managers To Create A Culture Of Nurse Retention, Stacey Trotman
Walden Dissertations and Doctoral Studies
Nurse managers are stakeholders in creating a culture of nurse retention. The purpose of this staff education project was to identify evidence-based best practices that promote nurse retention and to educate nurse managers about these strategies. Knowles's theory of adult learning was the theoretical framework for the project. The practice-focused question addressed whether an education program for nurse managers would increase their understanding of evidence-based strategies to create a culture of nurse retention. The education program centered on 4 themes: professional development, communication and relationships, culture and work environment, and organizational structures and support. The concepts of 5 domains-- status, …
Memory In Adult Female Victims Of Intimate Partner Violence, Jill Waite
Memory In Adult Female Victims Of Intimate Partner Violence, Jill Waite
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is a national and global health problem. Recent data from the Centers for Disease Control and World Health Organization suggest that 1 in 3 women will become a victim of violence by an intimate partner in her lifetime. Memory and learning have been shown to be affected in in-vivo animal studies under acute and chronic stress conditions. Using Bertalanffy's general systems theory, this study examined the impact of IPV on short-term memory in adult female survivors by comparing their performance to a control group (adult females with no IPV in the past 5 years) on measures …
Inclusion Of Social Workers In End-Of-Life Discussions In Intensive Care Units, Olivett D. Underwood-Mobley
Inclusion Of Social Workers In End-Of-Life Discussions In Intensive Care Units, Olivett D. Underwood-Mobley
Walden Dissertations and Doctoral Studies
Clinical social workers have roles in providing end-of-life care in the United States. Although clinical social workers are present in the intensive care unit (ICU) setting and have expertise to address end-of-life care dynamics, social workers are not consistently included in end-of-life discussions in the ICU setting. The purpose of this action research study was to explore the barriers that prevent clinical social workers from being included in end-of-life discussions in the ICU and how clinical social workers perceive their roles in end-of-life discussions in the adult ICU setting. Open-ended questions were used to gather data by facilitating 4 focus …
The Relationship Between Religious Practices And Delusional Content Of Christians With Schizophrenia, Latasha Michelle Williams
The Relationship Between Religious Practices And Delusional Content Of Christians With Schizophrenia, Latasha Michelle Williams
Walden Dissertations and Doctoral Studies
Religious beliefs and practices are an important source of symptom relief for individuals with schizophrenia; however, it can also be a debilitating source of symptom exacerbation. This quantitative study examined the cognitions and religious life orientations of Christian individuals both with and without a diagnosis of schizophrenia, as measured by the Rust Inventory of Schizotypal Cognitions (RISC) and the Religious Life Inventory (RLI) to examine a baseline for healthy religious cognitions. The aberrant-salience and attribution theories were used to explore the relationship between psychotic stimuli and religious attributions. One hundred and thirty Christian individuals from an outpatient mental health facility, …
Health Care Facilities As A Predictor Of Breast Cancer Survival Rates, Elizabeth Natalie Webster
Health Care Facilities As A Predictor Of Breast Cancer Survival Rates, Elizabeth Natalie Webster
Walden Dissertations and Doctoral Studies
The disparity between survival rates for Black and White women with breast cancer is well documented and has been examined in terms socioeconomics, environment, tumor type, and genetics. However, there is little examination of the role of health care facilities in cancer disparities. Health care facilities are representative of societal norms and beliefs that include location, quality of care, finance, policies, and staffing; therefore, they are a proxy for social justice and social change. The purpose of this study was to examine correlations between health care facility type; social determinants of cancer such as poverty, culture, and social justice; and …
Teaching Heart Failure Patients A Low-Sodium Diet, Karen Faye Wright
Teaching Heart Failure Patients A Low-Sodium Diet, Karen Faye Wright
Walden Dissertations and Doctoral Studies
Congestive heart failure (CHF) is a progressive medical condition affecting more than 7 million people in the United States (US) with 700,000 new cases reported annually. More than half of those treated for CHF are readmitted at least once a year. The problem addressed by this quality improvement initiative was lack of adherence to low sodium diet (LSD) among CHF patients, knowledge and skill deficit, and excessive 30-day CHF readmissions. The health belief model and the self-care deficit theory guide nurses in acquiring the skills needed to teach LSD. Twelve months of data were selected from 93 CHF readmissions from …
Juvenile Correctional Officers' Experience Using De-Escalation Strategies, Tania Yvette Appling
Juvenile Correctional Officers' Experience Using De-Escalation Strategies, Tania Yvette Appling
Walden Dissertations and Doctoral Studies
Juvenile direct-care officers working in juvenile correctional facilities historically responded to critical and potentially aggressive incidents using nontherapeutic strategies. The purpose of this study was to examine and to understand the lived experiences of direct-care officers' use of de-escalation skills for managing violent and disruptive behaviors in juvenile correctional facilities. The findings from this study may add to the existing literature by describing juvenile correctional officers' experiences as well as to better understand their perceptions and attitude using de-escalation strategies in correctional environments. The social learning and self-efficacy theories provided the conceptual framework to examine and understand their experiences. The …
Causes Of Recidivism Among Mentally Ill Prerelease Offenders From The Perspective Of Former Correctional Mental Health Professionals, Rina Desiree Deneice Bradley Brown
Causes Of Recidivism Among Mentally Ill Prerelease Offenders From The Perspective Of Former Correctional Mental Health Professionals, Rina Desiree Deneice Bradley Brown
Walden Dissertations and Doctoral Studies
The move toward reducing the prison population was driven by an increase in the number of reentry programs that focused on the needs of the offender, such as the provision of stable housing, employment, education, and sustaining strong familial bonds. While the literature supported these areas as being effective in reducing recidivism, there was no consensus that they were effective for offenders with mental illness (OMI). The purpose of this qualitative study was to analyze the impact of prerelease services for the OMI population from the perspective of former correctional mental health professionals who provided these services. The research questions …
Strategies Of Minority Female Technology Entrepreneurs To Obtain Venture Capital Funding, Tamu Petra Browne
Strategies Of Minority Female Technology Entrepreneurs To Obtain Venture Capital Funding, Tamu Petra Browne
Walden Dissertations and Doctoral Studies
Less than 1% of minority women receive venture capital funding for technology enterprises. The purpose of the multiple case study was to explore the strategies used by Black female entrepreneurs to obtain venture capital funding for their technology businesses in the United States. The conceptual framework for the study was the social network theory of entrepreneurship. Data were collected through semistructured interviews with 5 Black female entrepreneurs who founded technology ventures in the United States. Journaling before and after each interview aided the methodological triangulation, which ensured validation. Yin's data analysis process was used, and the data were reviewed, codes …
Relationship Between Employee Wages, Number Of Employee Referrals, And Employee Turnover Intention, Robert Brown
Relationship Between Employee Wages, Number Of Employee Referrals, And Employee Turnover Intention, Robert Brown
Walden Dissertations and Doctoral Studies
Employee turnover is a significant contributor to the overall loss of hundreds of billions of dollars in profitability for many business organizations in the United States and abroad combined. Grounded in Maslow's theory of human motivation, the purpose of this correlational study was to examine the relationship between employee wages, number of employee referrals, and employee turnover intentions. The population was composed of employees working in the Southeastern region of the United States. A convenience sample of 92 participants answered questions regarding their wages, number of employee referrals, and completed the Turnover Intention Scale. Results of the multiple regression analysis …
Factors Potentially Influencing Suspensions At An Affiliated Charter High School, Debra Bryant
Factors Potentially Influencing Suspensions At An Affiliated Charter High School, Debra Bryant
Walden Dissertations and Doctoral Studies
Federal government agency reports have documented concerns regarding the use of school discipline and suspension indicating that Black students are referred for discipline and/or suspended at a higher rate than students of other ethnicities. Available data from the local school district involved in this study reflected similar troubling patterns of discipline referral and suspension. The purpose of this study was to determine if variables such as ethnicity, socioeconomic status, and gender predict the likelihood of receiving discipline referrals or being suspended at an affiliated charter high school in the local school district. Guided by Bandura's social learning theory, this correlational …
Training For Advanced Practice Providers In A Heart Failure Unit, Merlyn Chua
Training For Advanced Practice Providers In A Heart Failure Unit, Merlyn Chua
Walden Dissertations and Doctoral Studies
Information from anecdotal interviews at a practicum site indicated a lack of training for advanced practice providers (APPs) in core competencies critical for effective practice in a heart failure (HF) unit. The goal of this project was to assess the APPs' verbal reports and develop HF unit-specific training for APPs. The practice-focused question examined whether unit-specific training for HF APPs improved knowledge and skills in HF management. The Johns Hopkins nursing evidence-based practice model and Knowles's adult learning theory were used to create a survey, a focus group, and a pre/posttest assessment of knowledge and skills gap. Descriptive and inferential …
Strategies For Identifying And Selecting Performance Measures Of Effectiveness For Nonprofit Organizations, Suzanne Andrea Collins
Strategies For Identifying And Selecting Performance Measures Of Effectiveness For Nonprofit Organizations, Suzanne Andrea Collins
Walden Dissertations and Doctoral Studies
There is a growing demand for accountability of nonprofit organizations, and nonprofit business leaders are increasingly under pressure to demonstrate operational effectiveness. The problem is that some business leaders of nonprofit organizations lack strategies for identifying and selecting actionable performance measures of operational effectiveness. Using the plan-do-study-act conceptual framework, this single case study of a nonprofit organization located in the mid-Atlantic region of United States was conducted to explore strategies that 3 of its business leaders used to identify and select actionable performance measures of operational effectiveness. Using thematic analysis of data collected from semistructured interviews, documents, and public sources, …
Strategies To Improve The Youth Programs Of Nonprofit Organizations, Joseph Conteh
Strategies To Improve The Youth Programs Of Nonprofit Organizations, Joseph Conteh
Walden Dissertations and Doctoral Studies
Leaders of nonprofit organizations and researchers who focus on organizational performance affirm that improved youth programs are a crucial component of performance excellence and organizational sustainability. As seen through the lens of transformational leadership theory, the purpose of this single-case study was to explore the strategies used by 3 executive-level leaders/managers of a nonprofit organization in the southwestern region of the United States to equip families to overcome poverty, conquer homelessness, and achieve self-sufficiency. Data collected from semistructured interviews, organizational documents, and publicly available resources were manually coded and then analyzed. The 2 key themes that emerged were effective collaboration …
Physical And Psychological Health Outcomes Of Pregnancy-Related Intimate Partner Violence, Darrlyn Waynette Cornelius-Averhart
Physical And Psychological Health Outcomes Of Pregnancy-Related Intimate Partner Violence, Darrlyn Waynette Cornelius-Averhart
Walden Dissertations and Doctoral Studies
Intimate partner violence (IPV) is a public health issue that transcends cultures and nationalities. Women and men have been impacted by sexual violence through rape and other types of IPV. Each year, women experience IPV before and during pregnancies and are impacted by physical and psychological outcomes as a result. The purpose of the study was to examine the impact of IPV on the health outcomes of diabetes (Types 1, 2, and gestational), high blood pressure before pregnancy, and depression/anxiety among adult women before and during pregnancy. The social ecological model provided the framework for this quantitative cross-sectional study that …
Association Between Androgen Deprivation Therapy For Prostate Cancer And Alzheimer's Disease, Gina Giannantoni-Ibelli
Association Between Androgen Deprivation Therapy For Prostate Cancer And Alzheimer's Disease, Gina Giannantoni-Ibelli
Walden Dissertations and Doctoral Studies
Alzheimer's disease (AD) is the most common progressive, neurodegenerative disease and form of dementia. The hallmarks of AD are extracellular accumulation of amyloid beta protein, resulting in neuritic, senile plaques and intracellular accumulation of tau protein. AD mainly arises from imbalance of amyloid beta protein production and its clearance in the brain. Testosterone modulates production of amyloid beta protein by decreasing its accumulation. Prostate cancer remains a substantial public health challenge in the United States. While androgen deprivation therapy (ADT) is an effective treatment for prostate cancer, it may be associated with cognitive impairment due to decreased levels of testosterone. …
Using Parent-Identified Strengths Of Autistic Children To Advance Strength-Based Intervention, Angelique Francesca Trigueros
Using Parent-Identified Strengths Of Autistic Children To Advance Strength-Based Intervention, Angelique Francesca Trigueros
Walden Dissertations and Doctoral Studies
Questions remain about the range of abilities autistic children possess and what constitutes effective treatment. Strength-based intervention contrasts with traditional autistic intervention approaches that focus on children's deficits. Studies on strength-based intervention approaches have not revealed how children's strengths are identified and have not used the insights of parents for this purpose. Neurodiversity serves as the conceptual framework because the tenets of neurodiversity align with those of strength-based approaches and hold that autism is a variation of the human condition rather than a disability. The purpose of this qualitative interpretive phenomenological study was to explore how the parent-identified strengths of …