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Benefits Of Prayer On Depression In Elderly Adults, Jared Errol Leet
Benefits Of Prayer On Depression In Elderly Adults, Jared Errol Leet
Walden Dissertations and Doctoral Studies
Depression in the elderly population is a growing concern in the United States. A decrease in depression in the elderly could lead to greater quality of life and reduced cost of healthcare services. The Sense of Coherence Theory was utilized as the theoretical foundation for this study. The purpose of this study was to use archival data to analyze differences in depression scores by groups based on prayer (yes/no) and over time (wave 1/wave 2 of data collection) when controlling for amount of time spent in prayer by category, gender, and ethnicity. The data were retrieved from the National Archive …
Affordable Care Act And Human Papilloma Virus Vaccine Among Adolescent Females, Eunice Odaku Nnakwe
Affordable Care Act And Human Papilloma Virus Vaccine Among Adolescent Females, Eunice Odaku Nnakwe
Walden Dissertations and Doctoral Studies
The human papilloma virus (HPV) is the most frequent cause of sexually transmitted diseases (STDs) and cancers for U.S. adults. The Affordable Care Act (ACA), enacted in 2010, eliminated copay expenses for childhood immunizations and expanded access to health care. The purpose of this secondary data analysis study was to determine if there was an association between ACA and the usage of HPV vaccine among adolescent females in Georgia. Data concerning HPV vaccinations from 2011 to 2015 were obtained from the National Immunization Survey-Teen dataset. Andersen's BM of health care use was applied to ascertain the factors that enhanced the …
Substance Abuse And Mental Illness Among Youth In The United States, Emmanuel Xavier Okoro
Substance Abuse And Mental Illness Among Youth In The United States, Emmanuel Xavier Okoro
Walden Dissertations and Doctoral Studies
Despite the trends showing a reduction in the use and abuse of drugs among American adolescents, the prevalence rates remain high. There is also comorbidity of mental illnesses among the adolescents using drugs. The aim of this study was to determine the presence and nature of the association between the use and abuse of marijuana and alcohol and mental illnesses among the American adolescent population. The noted comorbidities and the hypothesized association between the substance abuse and mental illnesses were explained using the expectancy theory. Using a quantitative research methodology, secondary data from the National Survey on Drug Use and …
Unmanned Aerial Vehicles In Counterterrorism Efforts And Implications For International Humanitarian Law, Kunle Adebamiji Olulowo
Unmanned Aerial Vehicles In Counterterrorism Efforts And Implications For International Humanitarian Law, Kunle Adebamiji Olulowo
Walden Dissertations and Doctoral Studies
The United States increasingly has resorted to the use of Unmanned Aerial Vehicles (UAVs) for targeted killings of terrorists as a counterterrorism strategy. More states and terrorist organizations also are acquiring UAVs and this development can lead to indiscriminate and unregulated use of UAVs. Previous researchers have indicated the surveillance ability and precise weapon delivery capacity of UAVs make them a weapon of choice for U.S. counterterrorism efforts. Although the U.S. government estimated the collateral damage involved in the use of UAVs at 3-5%, nongovernmental sources put it at 25-40%. A gap exists in the current literature regarding public perception …
Dispositional Optimism Effects On Stress And Police Task Performance, Roland Art Perez
Dispositional Optimism Effects On Stress And Police Task Performance, Roland Art Perez
Walden Dissertations and Doctoral Studies
The study of stress on police task performance is important as this relationship can positively or negatively impact encounters with the public. This study focused on protective factors of positive psychology within the measured construct of dispositional optimism as a possible mediator of stress effects on physical task performance. The cognitive processing models used were the performance efficiency theory and attentional control theory as they apply in perceptual motor skill. Using a mediation model, the research question asked whether dispositional optimism mediated the relationship between stress and a pistol performance accuracy task. This study used a limited data set collected …
Inclusion Teachers' Perspectives On Coteaching, Allison Nunes
Inclusion Teachers' Perspectives On Coteaching, Allison Nunes
Walden Dissertations and Doctoral Studies
The coteaching classroom has grown with the influx of special needs students in general education classrooms. New state and federal laws mandated the need for collaboration when instructing special education students, and middle school teachers in a Northern New Jersey school district are experiencing challenges with the implementation of coteaching in inclusion classrooms. The purpose of this qualitative case study was to explore teachers' perceptions of collaboration challenges that resulted from coteaching in the classroom. The key research question of this study involved general and special education teachers' lived experiences in relation to the inclusion classroom and their attitudes and …
High School Assessment Program Interventions And Graduation Rates, Karin Roberts
High School Assessment Program Interventions And Graduation Rates, Karin Roberts
Walden Dissertations and Doctoral Studies
Graduating high school is a critical juncture for students to achieve. High School dropouts are more likely to have fewer job opportunities than high school graduates, increasing risk for poor health and incarceration. The target district used the academic learning class (ALC) as an intervention to support high school seniors classified as at risk due to failure on the High School Assessment Plan (HSAP). The purpose of this study was to determine the association between at-risk students who participated in the ALC and on-time graduation. Guided by action theory, an ex post facto design using secondary data, was employed to …
Women In Mississippi Undergoing Hysterectomies In Absence Of Comprehensive Informed Consent Law, Tammy Shaffer
Women In Mississippi Undergoing Hysterectomies In Absence Of Comprehensive Informed Consent Law, Tammy Shaffer
Walden Dissertations and Doctoral Studies
Only three states have enacted informed consent laws aimed at providing more information concerning any alternative treatments for women who undergo hysterectomy. This study attempted to fill the research gap regarding consent laws and perceptions of women who underwent hysterectomy in a state with no informed consent laws. Supported by the health belief model (HBM), the research questions focused on the perceptions of women and their lived experiences. The purpose of this qualitative study was to examine the beliefs and attitudes of women in a state with no informed consent laws. Interviews were the main data collection technique. The participants …
Elementary Educators' Knowledge, Beliefs, And Planned And Implemented Practices For Digital Citizenship, Meghan Gail Walters
Elementary Educators' Knowledge, Beliefs, And Planned And Implemented Practices For Digital Citizenship, Meghan Gail Walters
Walden Dissertations and Doctoral Studies
Limited research has focused on the knowledge, beliefs, and professional practices of elementary educators related to digital citizenship. The purpose of this study was to identify elementary educators' knowledge and beliefs about digital citizenship, as well as understand their plans and implemented practices, supports, and barriers related to digital citizenship instruction. This study was grounded in Mezirow's theory of transformative learning, Siemen's theory of connectivism, and Ribble's concept of digital citizenship. Descriptive statistics were used to analyze data collected from an original survey instrument developed from the literature by the researcher. Participants were recruited using publicly accessible email addresses and …
Student Perceptions Of Environmental Quality While Attending Accelerated Medical Technology College Courses, Ralph L. Westbrook
Student Perceptions Of Environmental Quality While Attending Accelerated Medical Technology College Courses, Ralph L. Westbrook
Walden Dissertations and Doctoral Studies
Regional weather patterns in the southwestern United States frequently test the engineering involved in indoor air handling equipment in college facilities. Although an adequate indoor thermal environment has been found to affect student learning, little is known about students' perceptions of classroom heating and ventilation and impacts on learning. The purpose of this phenomenological study was to explore how students in accelerated medical technology courses perceived the environmental quality in their classrooms and discern whether these conditions affected overall gains in knowledge, persistence, and retention in their learning. Fourteen participants from 2 local community colleges were interviewed using purposeful sampling. …
Queueing Variables And Leave-Without-Treatment Rates In The Emergency Room, Joy Jaylene Gibbs
Queueing Variables And Leave-Without-Treatment Rates In The Emergency Room, Joy Jaylene Gibbs
Walden Dissertations and Doctoral Studies
Hospitals stand to lose millions of dollars in revenue due to patients who leave without treatment (LWT). Grounded in queueing theory, the purpose of this correlational study was to examine the relationship between daily arrivals, daily staffing, triage time, emergency severity index (ESI), rooming time, door-to-provider time (DTPT), and LWT rates. The target population comprised patients who visited a Connecticut emergency room between October 1, 2017, and May 31, 2018. Archival records (N = 154) were analyzed using multiple linear regression analysis. The results of the multiple linear regression were statistically significant, with F(9,144) = 2902.49, p < .001, and R2 = 0.99, indicating 99% of the variation in LWT was accounted for by the predictor variables. ESI levels were the only variables making a significant contribution to the regression model. The implications for positive social change include the potential for patients to experience increased satisfaction due to the high quality of care and overall improvement in public health outcomes. Hospital leaders might use the information from this study to mitigate LWT rates and modify or manage staffing levels, time that patients must wait for triage, room placement, and DTPT to decrease the rate of LWT in the emergency room.
The Role Of Parents In Literacy Development During Kindergarten, Jason Eugene Harris
The Role Of Parents In Literacy Development During Kindergarten, Jason Eugene Harris
Walden Dissertations and Doctoral Studies
Parental involvement contributes to the improvement of student achievement. Although children entered kindergarten with varying levels of literacy development, parents might perceive kindergarten literacy instruction as a panacea for any lacking skills, therefore lessening their involvement in their children's literacy development. Thus, there was a need to understand parents' perceptions of the importance of (a) their involvement in the education of their children, (b) their role in their children's literacy development during kindergarten, and (c) their role in their children's early literacy development as influencing their children's overall literacy development. Bronfenbrenner's bioecological model of human development served as a guide …
Women's Experiences Of Mindfulness In Romantic Relationships, Melissa Jay
Women's Experiences Of Mindfulness In Romantic Relationships, Melissa Jay
Walden Dissertations and Doctoral Studies
Mindfulness has been found to enhance romantic relationships through the practice of remaining open, calm, and emotionally regulated during times of struggle. There was a gap in the literature, however, related to how the practice of mindfulness is subjectively experienced in women's romantic relationships. The purpose of this heuristic study was to understand how women's practice of mindfulness effects their romantic relationships. The conceptual framework for this study was mindfulness-to-meaning theory, which highlights that wellbeing is supported through 2 main mechanisms of mindfulness: savoring and reappraisal. The nature of this study was a qualitative approach using Moustakas's heuristic method. After …
Medication-Assisted Therapy Interventions And Prescription Opioid Misuse, Stella Kiah Jefferies
Medication-Assisted Therapy Interventions And Prescription Opioid Misuse, Stella Kiah Jefferies
Walden Dissertations and Doctoral Studies
Opioid drug misuse and dependence are a social and public health problem in the United States. Prescription opioid abuse and misuse have been associated with substantial morbidity and mortality rates as well as social and economic costs. The purpose of this project was to provide a systematic review of literature on the effectiveness of medication-assisted therapy interventions in addressing the problem of prescription opioid misuse in health care settings. The systematic review was completed through a literature search conducted across five electronic databases. The review was guided by the health belief model and eligible studies were rated using Johns Hopkins …
Differentiating Theists And Nontheists By Way Of A Sampling Of Self-Reported Sexual Thoughts And Behaviors, Kelli Callahan
Differentiating Theists And Nontheists By Way Of A Sampling Of Self-Reported Sexual Thoughts And Behaviors, Kelli Callahan
Walden Dissertations and Doctoral Studies
Numerous researchers have addressed the impact of individual religiosity or spirituality on psychological well-being. However, studies addressing the possible relationship between religiosity and sexuality, specifically in the form of deterrence of certain sexual thoughts or behaviors based upon religious dictates, remain sparse. Individual religiosity may be related to individual sexual self-expression. Built on the framework of cognitive-dissonance theory and self-determination theory, this quantitative, correlational study was designed to examine the relationships between religiosity and sexual attitudes and behaviors of both theist and nontheist population samples comprised of approximately 400 subjects throughout the United States. Study participants completed the Derogatis Sexual …
Third-Party Logistics' Hiring Manager Strategies To Recruit Supply-Chain Professionals, Beth D'Alessandro
Third-Party Logistics' Hiring Manager Strategies To Recruit Supply-Chain Professionals, Beth D'Alessandro
Walden Dissertations and Doctoral Studies
Leaders of third-party logistics companies face a critical talent shortage because of the global deficiency of supply-chain professionals. The lack of trained supply-chain professionals negatively affects business and market performance. The purpose of this multiple case study was to explore the strategies used by third-party logistics hiring managers to recruit supply-chain talent to meet industry demands. The resource-based view theory was used as a lens for this study. Data were collected from 5 Pennsylvania third-party logistics hiring managers from interviews, organizational documents, and company websites. Member checking occurred after transcription and summarization of the interview data. Data analysis occurred using …
Reentry Practitioners' Perceptions Of Constraints During Ex-Offenders' Job Search Process, Crystal Raquel Francis
Reentry Practitioners' Perceptions Of Constraints During Ex-Offenders' Job Search Process, Crystal Raquel Francis
Walden Dissertations and Doctoral Studies
Unemployment among formerly incarcerated citizens is a complex problem that continues to grow. Previous reentry studies describe the collateral effects of incarceration on employment from the perspective of formerly incarcerated individuals, yet little academic research exists regarding reentry practitioners' perceptions of constraints during the job search process. Using Goldratt's theory of constraints as the foundation, the purpose of this case study of reentry and employment in a mid-Atlantic state was to explore from the perspective of practitioners, the types of constraints individuals with criminal records face during the job search process, the most difficult phase of the job search process, …
Strategies Department Store Managers Use To Increase Employee Engagement, Samara Desir
Strategies Department Store Managers Use To Increase Employee Engagement, Samara Desir
Walden Dissertations and Doctoral Studies
Business leaders are challenged with sustaining an engaged workforce to achieve economic prosperity in their organizations. The implementation of effective strategies to increase employee engagement can mitigate the challenges of employee disengagement. The purpose of this qualitative, single case study was to explore the strategies that department store managers used to increase employee engagement. The conceptual frameworks selected for the research were Vroom's expectancy theory of motivation and Kahn's engagement theory. The research participants consisted of 5 department store managers, from the northeastern United States, who successfully used strategies to increase employee engagement. Data were collected from the participants in …
Data-Driven Decision-Making In Urban Schools That Transitioned From Focus Or Priority To Good Standing, Danielle Ware
Data-Driven Decision-Making In Urban Schools That Transitioned From Focus Or Priority To Good Standing, Danielle Ware
Walden Dissertations and Doctoral Studies
Despite the importance an urban school district places on data-driven decision-making (DDDM) to drive instruction, implementation continues to remain a challenge. The purpose of this study was to investigate how support systems affected the implementation of DDDM to drive instructional practices in three urban schools that recently transitioned from priority or focus to good standing on the State Accountability Report. The study aligned with the organizational supports conceptual framework with an emphasis on data accessibility, collection methods, reliability and validity, the use of coaches and data teams, professional development, and data-driven leaders. Through the collection of qualitative data from one-on-one …
Social Work Practice With Older Adults, Carley Yvonne Vailu'u
Social Work Practice With Older Adults, Carley Yvonne Vailu'u
Walden Dissertations and Doctoral Studies
Social workers working for adult protective services (APS) face many clinical challenges to ensure the safety and well-being of older adult clients. APS social workers often interact with older adults who engage in self-neglecting behaviors that compromise their ability to function in a healthy and independent manner. The purpose of this research study was to explore challenges in direct social work practice to identify how APS services can be improved when working with the older adult population, particularly individuals who engage in hoarding behaviors. Using action research methodology, 2 focus groups were conducted to explore the experiences and knowledge of …
The Impact Of Shared Governance On Nursing Satisfaction And Retention, Melanie Wetmore
The Impact Of Shared Governance On Nursing Satisfaction And Retention, Melanie Wetmore
Walden Dissertations and Doctoral Studies
Shared governance is a practice model that supports shared decision making between direct care nurses and their leaders. Developed from Kanter's theory of structural empowerment, shared governance allows employees to influence decisions made in an organization. Shared governance has been shown to increase nursing satisfaction, positively impact outcomes, and reduce nursing turnover. The purpose of this project was to examine the relationship between implementation of a system-wide, multihospital shared governance structure and registered nurse (RN) satisfaction, turnover, and perceptions of shared governance. The 3 sources of evidence used in the study were 2016-2017 organizational RN engagement survey results, 2016-2017 organizational …
Medication Reconciliation In The Elderly, Munjanja Yvonne Litell
Medication Reconciliation In The Elderly, Munjanja Yvonne Litell
Walden Dissertations and Doctoral Studies
Medication therapy is the most prevalent and critical intervention of health delivery and the source of most errors in healthcare. Medication errors and associated adverse drug events (ADE) have serious health and economic ramifications, and in elderly patients ADE are the leading cause of morbidity and mortality. Medication reconciliation is the process of evaluating current medication treatment to manage the risk and optimize the outcomes of medication treatment by detecting, solving, and preventing ADEs. This education project answered the question whether education provided to long term care staff would improve knowledge of medication reconciliation and be retained over time. The …
The Need For De-Escalation Techniques In Civil Disturbances, George Raymond Mccord Jr
The Need For De-Escalation Techniques In Civil Disturbances, George Raymond Mccord Jr
Walden Dissertations and Doctoral Studies
The response to civil disturbances has historically been the aggressive use of force or escalation with tactics such as the use of police dogs, armed federal troops during war protests, and police field forces. These types of tactics can escalate tensions between protestors and police and only add to the violence and destruction of the incident. To reduce the violence between protestors and the police and the destruction often associated with civil disturbances, it is necessary to examine the need to include de-escalation techniques in the responses. This study utilized 3 theoretical frameworks, the chaos theory, the behavioral decision theory …
A Clinical Practice Guideline For Pain Management In The Post Anesthesia Care Unit, Susan Mogan
A Clinical Practice Guideline For Pain Management In The Post Anesthesia Care Unit, Susan Mogan
Walden Dissertations and Doctoral Studies
Ineffective pain management in the post anesthesia care unit (PACU) increases patients' risk of adverse effects including decreased mobility, infection, chronic pain, depression, cardiopulmonary complications, increased length of stay, insomnia, fatigue, and overall decrease in quality of life. The PACU in a community hospital did not provide an evidence-based pain management guideline for nurses treating postoperative patients, resulting in nurses' concerns about providing pain management. The purpose of this project was to translate evidence on pain management into an evidence-based guideline for improved nursing practice in a PACU. Evidence was obtained from a detailed literature search using multiple databases and …
Counselors' Perceptions On Adolescent Access And Use Of School-Based Mental Health Services, Samuel C Godwin Okeorji
Counselors' Perceptions On Adolescent Access And Use Of School-Based Mental Health Services, Samuel C Godwin Okeorji
Walden Dissertations and Doctoral Studies
The role of school-based mental health counselors (SBMHCs) is essential in addressing the mental health needs of U.S. adolescents. The purpose of this phenomenological study was to examine SBMHCs' perceptions about factors that affect the use of SBMH services by adolescents from a school district in Connecticut. SBMHCs were chosen for this study because they provide direct mental health services to adolescents. Mechanic's general theory of help-seeking provided the framework to interpret research findings using the 10 interrelated constructs. Fifteen SBMHCs participated in face-to-face semistructured interviews. Colaizzi's 6-steps-guide was used to organize, code, and identify common themes. The following themes …
Impact Of Violent Rapes Among Women In Eastern Democratic Republic Of Congo, Benoit Munganga Mirindi
Impact Of Violent Rapes Among Women In Eastern Democratic Republic Of Congo, Benoit Munganga Mirindi
Walden Dissertations and Doctoral Studies
For the last 22 years, systematic rapes and punitive violence against women in the Democratic Republic of Congo (DRC) were utilized as weapons of war and a control strategy. This quantitative study built upon the ecological model of impact of sexual assault on women's mental health to investigate the relationship between the health impacts and chronic pain and depression among women survivors of sexual rape in eastern DRC. The sample included 156 female rape survivors, between 18-80 years old, and raped between 2010 and 2014 while residing in the conflict area. The research questions focused on the association between fistulas, …
Strategies To Mitigate Information Technology Discrepancies In Health Care Organizations, Oluwatosin Tolulope Oluokun
Strategies To Mitigate Information Technology Discrepancies In Health Care Organizations, Oluwatosin Tolulope Oluokun
Walden Dissertations and Doctoral Studies
Medication errors increased 64.4% from 2015 to 2018 in the United States due to the use of computerized physician order entry (CPOE) systems and the inability to exchange information among health care facilities. Healthcare information exchange (HIE) and subsequent discrepancies resulted in significant medical errors due to the lack of exchangeable health care information using technology software. The purpose of this qualitative multiple case study was to explore the strategies health care business managers used to manage computerized physician order entry systems within health care facilities to reduce medication errors and increase profitability. The population of the study was 8 …
Leadership Strategies For Implementing Quality Improvement Initiatives In Primary Care Facilities, Jose A. Poncevega
Leadership Strategies For Implementing Quality Improvement Initiatives In Primary Care Facilities, Jose A. Poncevega
Walden Dissertations and Doctoral Studies
Health care spending accounts for 17.7% of the gross domestic product in the United States, and it is expected to continue rising at an annual rate of 5.3%. Despite high costs, health care quality lags behind other high-income countries; yet, over 70% of change initiatives fail. The purpose of this multiple case study was to explore strategies primary care leaders use for implementing quality improvement initiatives to improve patient outcomes and reduce waste in primary care facilities. The target population consisted of 3 health care leaders of 3 primary care facilities in southern California who successfully implemented quality improvement initiatives. …
Evaluation Of Use Of Teach-Back For Patient Education, Tamara J. Orr
Evaluation Of Use Of Teach-Back For Patient Education, Tamara J. Orr
Walden Dissertations and Doctoral Studies
The focus of this quality improvement doctoral project was the evaluation of an organization's standardized use of the teach-back process for patient education implemented in February 2018. Teach-back is a process in which the patient restates the key concepts for self-management, so the nurse can assess the effectiveness of the teaching and learning process. The practice-focused question compared 4 questions on the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey with literature and recommendations from major health care organizations. The Iowa Model was used to guide the project. The literature review was completed using the Cumulative Index to …
Perceptions Of An Ebp Module Mobile Application By New Graduate Nurses, Kristin Wilson Carlson
Perceptions Of An Ebp Module Mobile Application By New Graduate Nurses, Kristin Wilson Carlson
Walden Dissertations and Doctoral Studies
Evidence-based practice (EBP) is a key driver of care and advancements within nursing. It is essential to emphasize EBP early in a nurse's career to promote inquisitive minds and enthusiasm for seeking evidence. The purpose of this project was to implement an EBP mobile app into a nurse residency program (NRP) to improve the process of providing EBP information and resources to new graduate nurses. The intent of the project was to leverage mobile technology to engage new graduate nurses in evidence-based practice. Roger's diffusion of innovation framework guided the project. The target audience for the project was 16 new …