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Exploring Restorative Factors For Trafficked And Sexually Exploited Women, Carol C. Chilaka

Walden Dissertations and Doctoral Studies

Abstract

Many women who survived sex trafficking continue to suffer from severe and persistent psychological distress even after the traditional treatment and rehabilitation program. The lingering psychological symptoms that these survivors suffer make reintegration into their families and communities difficult. This phenomenological study identified the restorative factors that helped some women who were earlier engaged in sex trafficking to recover, readjust, and reintegrate into their families and communities. Six female survivors of human trafficking and six program directors/counselors at different rehabilitation centers were individually interviewed in in-depth with semi-structured questionnaires and audio recorded. I kept diary of my readings and …

Teacher Effectiveness With At-Risk Students In Alternative Education Settings, Natasha Conover

Walden Dissertations and Doctoral Studies

At-risk youth come to school with a variety of challenges that sometimes lead to voluntary or involuntary disengagement from traditional high schools. Alternative education programs are an alternate placement for students who have disengaged from traditional high schools. Although researchers have shown that teacher and staff approaches to the overall educational experience of a student contribute to student success in alternative education programs, they have also highlighted that the lack of teacher-student relationships contributes to student disengagement. These findings may indicate that not all teachers are willing or able to connect with at-risk students. The purpose of this qualitative case …

Predictive Relationship Between Anger And Violence In Canadian Secondary Students, Lawrence Alfred Deck

Walden Dissertations and Doctoral Studies

Violence among Canadian secondary students remains a concern for administrators, teachers, community members, and students. The purpose of this retrospective quantitative nonexperimental study was to examine the predictive relationship between anger and violence among secondary students in Canada using the Anger Regulation and Expression Scale (ARES). The general aggression model provided the framework for the study. Survey data were collected from 138 students using the ARES. Demographic data and archival data from students' school files were also collected. Results of receiver operator characteristic analysis and binary logistic regression indicated that the ARES total score provided fair to good predictive ability …

Parental Involvement In Individual Education Plan Development For Students With Significant Intellectual Disabilities, Tanya A. Dodge

Walden Dissertations and Doctoral Studies

Research indicates a connection between successful outcomes for students with significant intellectual disabilities and the individual education program (IEP) team's efforts in the IEP development process. However, little research has been conducted on the perceptions of parents and teachers of students with significant disabilities about parent participation in the IEP development process. Therefore, the purpose of this phenomenological study was to explore parent and teacher perceptions of parent participation in the IEP development process. The conceptual framework of this study was ecological design theory, based on Bronfenbrenner's theory of human development and Neal and Neal's theory of networked systems. Participants …

Nigerian Hospital-Based Interprofessional Collaborative Patterns And Organizational Implications, Osaeloka Christiandolus Ekwueme

Walden Dissertations and Doctoral Studies

Interprofessional collaboration is recognized as the innovative, evidence-based strategy that strengthens health systems and improves performance and health outcomes. While resource-rich countries have benefited much from the implementation of this initiative, literature is scarce regarding sub-Sahara Africa. This quantitative cross-sectional descriptive study described the extent of interprofessional collaborative practice at the tertiary care level in Nigeria and its implications on patient health outcomes, professionals' performance, satisfaction, and healthy practice environment. The relational coordination theory (RCT) provided the conceptual framework for the study. Key research questions were on the association between the extents of interprofessional practice and each of the outcome …

Strategies For Improving Technology Startup Capital, Inibehe Eno-Adams

Walden Dissertations and Doctoral Studies

Funding is one of the most critical resources high potential technology startup (HPTS) ventures need to achieve success. Some startup founders lack access to capital, a critical resource for HPTS founders to create value for customers and capture value for their organizations. Capital constraints can hinder business performance, endanger growth and the ability to grow and scale into the global markets. This multiple case study explored the strategies HPTS firms used to access capital to grow and scale into global markets. Mishra's venture capital investment model and Blank's customer development model served as the conceptual framework for this study. Data …

Holistic Health And Hawaii's Renewable Energy Future, Richard M. Esterle

Walden Dissertations and Doctoral Studies

Collective efficacy, time urgency, and health literacy have been a focus of research since the 1970s. Researchers have demonstrated that these factors influence health and decision making. However, researchers have yet to establish how these factors may be connected to the achievement of policy aims that impact holistic or environmental health. This study utilized the health belief model, social cognitive theory, time urgency theory, health education and promotion theory, Bronfenbrenner's ecological systems theory, and the Meikirch model. The purpose of this quantitative study was to determine if the factors of collective efficacy, perceived time urgency, perceived health literacy, ethnicity, age, …

Nyc Administration For Children's Services Child Abuse And Neglect Prevention Polices, Program And Laws, Oluropo Abiodun Fele

Walden Dissertations and Doctoral Studies

Despite efforts and financial resources invested in the prevention of child abuse and neglect in New York City (NYC), many children are still in danger of being victimized by their parents or caregivers. The general public's assumption is that the NYC Administration for Children's Services (ACS) either does not have efficient policies, programs, or laws to protect at-risk children, or these are not being properly implemented. The purpose of this qualitative study was to provide a thorough analysis of ACS policies, programs, and laws based on information gained from interviews with child welfare experts. Newberger and Newberger's social support theory …

Use Of Facebook As A Social Support System To Maintain An Individual's Resource Pool, Michelle Fontaine

Walden Dissertations and Doctoral Studies

Stress affects individuals' physiology, mood, behavior, and cognitive abilities. Social support has been found effective in buffering stress. The social networking site Facebook allows individuals to connect to others to share stories, pictures, and general life events and, in so doing, offers a means of social support that bridges geographical distances for friends and family. There is limited research, however, on whether using Facebook buffers against stress. The purpose of this quantitative study was to examine the use of Facebook for social support using the conservation of resources theoretical model of stress management. Fifty-seven Facebook users over the age of …

Women's Experiences Using Health Facilities For Childbirth In South Sudan, Gillian Magda Garnett

Walden Dissertations and Doctoral Studies

There is low use of health facilities for childbirth in South Sudan despite the majority of households reporting access to a health facility. South Sudan has a high maternal mortality ratio with 789 maternal deaths for every 100,000 live births. The absence of a midwife during labor and delays in reaching health facilities for childbirth remain the leading contributing factors to the high maternal mortality. Little is known, however, about factors influencing use and non-use of health facilities for delivery in the country. This phenomenological study, therefore, seeks to build a body of evidence by describing the experiences of women …

Exploring Possibilities With Professionals On Youth Aging Out Of Placement, Karen L. Garrett

Walden Dissertations and Doctoral Studies

Homelessness with youth aging out the child welfare system has proportionally risen over the years. It is important that policy makers, professionals, and practitioners in the field of foster care understand the conditions youth find themselves in at the time of leaving placement. The purpose of this study was to describe problems that exist for youth aging out of foster care. Post placement outcomes have not generated results that suggest youth are thriving as they return to communities. Attachment Theory outlines relational bonds that form with caregivers when youth are entering and exiting placements. This qualitative study collected data from …

Socioeconomic Characteristics Of Farmers And Agrochemical Use In Grenada, Lindonne Marcia Glasgow

Walden Dissertations and Doctoral Studies

The World Health Organization classified carbaryl, glyphosate, and paraquat as hazardous to human health. In the Agriculture Health Study in the United States, health problems were associated with the use of these 3 agrochemicals 12 or more times per year. These 3 agrochemicals were commonly used in Grenada. The purpose of this quantitative cross-sectional study was to investigate the relationship between the social and economic characteristics of the farmers who participated in the 2012 agriculture survey and the use of agrochemicals at frequencies that could pose health risks. Five constructs of the social cognitive theory were used as the premise …

Preparing Novice Nurses For Early Recognition Acute Deterioration, Norma Patricia Harris

Walden Dissertations and Doctoral Studies

Hospitalized patients increasingly present with complex health issues that place them at risk for acute patient deterioration (APD). Novice nurses are ill-equipped with the critical clinical skills to function competently in recognizing APD, placing patients at risk for negative health outcomes. This project addressed the need to educate novice nurses to recognize APD and answered the project focused questions that asked if an educational intervention with high-fidelity simulation (HFS) would improve nurse knowledge and clinical confidence in recognizing APD. Benner's novice-to-expert and the constructivism theory were used to guide the project. Based upon a review of the literature, the HFS …

Staff Educational Program To Prevent Medication Errors, Rita Chinyere Hawthorne-Kanife

Walden Dissertations and Doctoral Studies

Medication administration errors (MAEs) may lead to adverse drug events, patient morbidity, prolonged hospital stays, and increased readmission rates, and may contribute to major financial losses for the health system. MAEs are the most common type of error occurring within the health care setting leading to an estimated 7,000 patient deaths every year. Interventions have been designed to prevent MAEs including education for nurses who administer medications; however, little effort has been made to design systematic educational programs that are based on local needs and contexts. The purpose of this project was to identify internal and external factors related to …

Public Policies Involving Pregnant And Parenting Secondary Students From Perspectives Of Educators, Tomecole Hilliard-Carlton

Walden Dissertations and Doctoral Studies

Despite a significant drop in the number of pregnant adolescents and reforms to fight

gender discrimination under Title IX, teen pregnancy and risk factors including poverty,

stigma, and substance abuse, which may lead to different negative outcomes, such as

depression, social isolation, and lowered self-esteem remain a persistent problem in the

United States. Due to these factors, pregnant and parenting teens have been noted to drop

out of high school prematurely. Using incrementalism as a theoretical framework, the

purpose of this qualitative exploratory case study was to explore and describe Title IX

compliance and local policies and practices of educators …

Country Girls Fight, Too: The Relationship Between Social Support And Rural Female Youth Violence, Redhonda Vanessa Malone

Walden Dissertations and Doctoral Studies

This study was conducted to explore the relationship between social support and youth violence by testing the relationships between violence victimization, violence exposure, violence perpetration, delinquency, and the moderating variable of social support for rural female adolescents in the United States. This research, guided by the social disorganization theory, involved analyses of data from Wave 3 of the National Survey for Children's Exposure to Violence. The logistic regression analyses (n = 278; female; rural area; mean age 13.5) showed no moderating effect of social support on youth violence perpetration. However, there was a positive association between delinquency and violence perpetration, …

Online And Hybrid Graduate Student And Advisor Preferences, Melody Mayo

Walden Dissertations and Doctoral Studies

The focus of this study was the advising style preference of graduate-level students and advisors in online and hybrid programs at a university in rural Arkansas. Students and advisors will benefit from the results because the advisors will have a greater understanding of expectations during an advising session. The problem stems from the fact that graduate level advising is not considered important by administrators at the study institution. The purpose of this study was to determine how graduate level advisors can better serve students and to use the results as a tool for advisor training. The study was guided by …

Life Stress, Coping, Perceived Health, And Health Outcomes Among Eastern Orthodox, Athina-Eleni Goudanas Mavroudhis

Walden Dissertations and Doctoral Studies

Clergy exhibit higher stress and mortality rates in relation to their nonclergy counterparts. Despite current research on clergy stress and mortality rates, health perceptions and health outcomes of Western religious oriented clergy have been understudied. Even less is known about health perceptions and health outcomes of Eastern religious oriented clergy. The role of stress, coping, and health perceptions in predicting actual health outcomes is important to study in clerical populations because of the impact their health might have on serving their parishioners. The purpose of this nonexperimental correlational study was to determine the relative strength of life stress, coping styles, …

Individual Understanding Of The Risks Associated With Polypharmacy, Michelle Patricia Mchenry

Walden Dissertations and Doctoral Studies

With many individuals experiencing multimorbidity, individuals are being prescribed more medications. Although there are benefits to taking medications to manage symptoms and treat disease processes, there are also risks to taking multiple medications. The purpose of this phenomenological study was to explore participants' understanding of the risks associated with practicing polypharmacy. Game theory, credibility theory, and belief bias were the conceptual frameworks used to explain how individuals experienced their care and being prescribed 5 or more medications. Eight participants residing in subsidized housing in a small Midwest city, who were taking 5 or more medications volunteered to take part in …

Achieving Glycemic Control In Rural Clinics, Gayla Diane Mclaughlin

Walden Dissertations and Doctoral Studies

Diabetes is the 7th leading cause of death in the United States and is the main cause of chronic kidney failure, nontraumatic limb amputations, blindness, myocardial infarction, and stroke. Many patients with diabetes do not meet goals for at least 1 control measure of blood sugar, blood pressure, or cholesterol. The purpose of the project was to implement a template for documentation--a toolkit for patient care management-to improve blood glucose and blood pressure levels in a rural health clinic in central Texas for 33 patients with diabetes during a 6- to 8-week timeframe. The practice-focused question asked whether management of …

Laughter Frequency, Pain Perception, And Affect In Fibromyalgia Patients, Deidre Gayl Molchan

Walden Dissertations and Doctoral Studies

Fibromyalgia syndrome (FMS), a common chronic pain condition, is often incompletely treated by conventional medical therapies. It can cause disability, psychological distress, work-related absenteeism, increased use of healthcare resources, and result in the inability to carry out the tasks of daily living. The purpose of this quantitative, correlational study was to investigate the potential influence of laughter on affect and pain in individuals with FMS. Laughter produces beneficial effects on acute pain and on chronic pain in general and has been found to improve temporary affective states, but there have been no studies testing the effects of laughter on the …

United States-Mexico Dual Resident's Perceptions Of Heritage And Acculturation, Alisia N. Muir

Walden Dissertations and Doctoral Studies

United States' policy makers have been challenged creating understandable nutrition labels and effective healthy food campaigns for consumers of mixed heritage. Previous studies explored the sociocultural factors that influence Hispanics' abilities to navigate consumer food education programs, but little was known about how Mexican culture impacts those programs. The purpose of this study was to better understand those factors. Research questions focused on the experiences of residents of a west Texas town regarding their food decision-making process about food choices and their understanding of food education information. The purpose of this phenomenological research was to explore how Mexican culture effected …

Predictive Relationship Between Treatment Adherence, Glycated Hemoglobin And Diabetic Complications Among Jamaicans, Christian Anaba Nwaukwa

Walden Dissertations and Doctoral Studies

Patient nonadherence to physicians' prescribed therapeutic regimen is the greatest challenge in the effective treatment of patients with diabetes worldwide. Scientific evidence has revealed that nonadherence to prescribed medication could result in diabetic complications such as cardiovascular disease, retinopathy, nephropathy, and neuropathic diabetic foot ulcers. The purpose of this study was to explore predictive relationships between levels of adherence to antidiabetic medications, patient HbA1c levels, and diabetic complications among Jamaicans, an understudied population. The research question that guided this study was: Do the patient level of adherence and HbA1c levels have any predictive relationship with the severity of diabetic complications …

Countering Expansion And Organization Of Terrorism In Cyberspace, Sunday Oludare Ogunlana

Walden Dissertations and Doctoral Studies

Terrorists use cyberspace and social media technology to create fear and spread violent ideologies, which pose a significant threat to public security. Researchers have documented the importance of the application of law and regulation in dealing with the criminal activities perpetrated through the aid of computers in cyberspace. Using routine activity theory, this study assessed the effectiveness of technological approaches to mitigating the expansion and organization of terrorism in cyberspace. The study aligned with the purpose area analysis objective of classifying and assessing potential terrorist threats to preempt and mitigate the attacks. Data collection included document content analysis of the …

Relationship Between Job Embeddedness And Turnover Intention Of High School Math Teachers, Cynthia Davis Osowski

Walden Dissertations and Doctoral Studies

Teacher turnover has been a problem in U.S. public schools, especially among math teachers, and is more prevalent in schools that have a majority of students from low-income families. Teacher turnover has been shown to have a negative effect on student performance. The purpose of this quantitative, nonexperimental study was to investigate on-the job and off-the job embeddedness and its dimensions of links, fit, and sacrifice to determine effects on math teacher turnover intention. The theory of job embeddedness provided the framework for the study. Data were collected from 152 high school math teachers from 17 counties in a western …

Measuring Self-Perceived Clinical Preparedness With Lesbian, Gay, Bisexual, And Transgender Clients, Kimerly D. Patterson

Walden Dissertations and Doctoral Studies

Counselors and counselor educators must serve clients regardless of culture, race, disability, sexual orientation, and age. Counselor educators have attempted to stay abreast of new methods to enhance counselor competencies to adequately counsel lesbian, gay, bisexual, and transgender (LGBT) clients. The purpose of this quantitative study was to determine the extent of the relationship between self-perceived clinical preparedness of working with LGBT clients and self-perceived attitudinal awareness towards LGBT clients as moderated by levels of religious commitment of licensed professional counselor (LPC) using a feminist and multicultural theory framework. Statistical Package for the Social Sciences (SPSS) quantitative analysis software program …

An Evidence-Based Clinical Practice Guideline For Childhood Obesity, George Peterson

Walden Dissertations and Doctoral Studies

Childhood obesity is a national problem in the United States and has known implications as a potential cause of chronic illnesses as the child transitions into adulthood. A primary care clinic in the southwestern United States had a high percentage of obese Hispanic children within its population; therefore, the nurses and the pediatrician needed an evidence-based clinical practice guideline (CPG) to manage Hispanic children with a body mass index greater than the 95th percentile for their age. The purpose of the project was to develop a culturally competent CPG to manage childhood obesity in this primary care practice. The social …

Perspectives Among Successful Adult Learners In Two Diploma Completion Programs, Cheryl Rice

Walden Dissertations and Doctoral Studies

More than 24,000 U.S. high school students drop out each year, contributing to the approximate 1.1 million U.S. adults who have not earned the high school diploma or General Education Development. This failure in educational attainment contributes significantly to the lack of economic and workforce development opportunities as well as the standard of living for more than 10% of the statewide population of a midwestern state. In response to this problem, the state entered into model programming in 2015 with 2 new approaches for adult education to diploma programs. The purpose of this basic qualitative interpretive research study was to …

Tobacco Cessation Education For Primary Care Nurses And Advanced Practice Providers, Stephanie Scammell

Walden Dissertations and Doctoral Studies

Tobacco use is the leading cause of premature and preventable death in the United States, yet millions of Americans continue to use tobacco. Nursing professionals comprise the largest health care provider group and can help improve tobacco cessation among their patients. The purpose of this doctoral project was to increase nursing staff and advanced practice providers knowledge, skills, and confidence related to tobacco cessation interventions. The project took place in a family medicine clinic in Central Texas. The nursing staff (which included 1 registered nurse and 3 licensed vocational nurses) and advanced practice providers (which included 3 nurse practitioners and …

Strategies To Reduce Hospital Readmission Rates After Bariatric Surgery, Catherine Scarlett

Walden Dissertations and Doctoral Studies

Bariatric surgery is a major surgery that has become a frequent procedure in North America; growth in the number of bariatric surgery procedures has resulted in an increase in readmissions after the procedure. A systematic review of the literature using the shifting processes model as a guide was used to answer the practice-focused questions regarding reasons for hospital readmissions for postoperative bariatric surgery patients and strategies that reduce complications of the procedure. Providing Innovative Service Models and Assessment chart (PRISMA) was used to quantify 17 studies that met the inclusion criteria. Results demonstrated that the reasons for readmissions after bariatric …