Digital Commons Network^™

Trauma-Informed Practices For Behavioral Health Leaders Serving Sex-Trafficking Survivors And Personnel, Evelyn Cordero Molina

Walden Dissertations and Doctoral Studies

Trauma-informed practices are essential to successful treatment outcomes and employee wellness in the context of sex trafficking clinical intervention. This single case study described the trauma-informed practices developed in a residential program for biologically-female sex trafficking survivors in the Southwest United States. The Baldrige excellence framework and the trauma-informed framework informed the study to comprehend organizational key factors and principles in the context of the residential program. Data were collected through semistructured interviews with four leaders at the senior and middle management levels, and internal documentation such as procedures, protocols, strategic plans, and yearly reports were included in the analysis. …

Understanding Law Enforcement Counterterrorism Information Sharing In Homegrown Violent Extremism Cases, Danielle Corry

Walden Dissertations and Doctoral Studies

Local law enforcement agencies are charged with the responsibility to prevent terrorist events in the United States, including the emerging threat of homegrown violent extremism. Without the use of the terrorism prevention tool of information sharing, with other applicable state and federal law enforcement agencies, there continues to be a breakdown in the ability to prevent terrorist events, especially those associated with homegrown violent extremists, in the United States. This qualitative case study explores the information sharing process in law enforcement agencies by examining the recent Boston Marathon Bombing in Boston, Massachusetts that occurred in 2013. Five themes emerged from …

Staff Education Project: The Emergency Severity Index, Jo Crabtree

Walden Dissertations and Doctoral Studies

AbstractThe triage process is an important precursor to ensuring expeditious and appropriate medical care in the Emergency Department (ED). There is a positive correlation between proper triage technique and improved patient outcomes, making triage an essential issue for nursing practice. The purpose of this project addressed the results of a staff education program directed at teaching the Emergency Severity Index (ESI) Triage System to 42 triage nurses working in an ED in a critical access facility in the rural Midwest. The practice-focused problem for this project was as follows: Will a staff educational program improve understanding of the ESI triage …

Lived Experiences Of Employees Working With Homeless Veterans In Transitional Housing Programs In New Jersey, Ieshia C. Davis

Walden Dissertations and Doctoral Studies

Homelessness among veterans has been a widespread concern for over three decades. Individuals employed in transitional housing settings play a pivotal role in helping veterans overcome homelessness. There is a lack of qualitative studies that explores the experiences of these employees, which limits understanding of what is needed to help homeless veterans regain their place back in society and the ability to develop and implement better programs for the population. In this phenomenological study, semi-structured interviews were used to help understand and describe the lived experiences of employees who work directly with the homeless veteran population in transitional housing settings …

Strategies For Clinical Managers To Reduce Nosocomial Infections, Samisha Lynn Davis

Walden Dissertations and Doctoral Studies

Increasing nosocomial infection rates threaten patient safety when approximately 100 million patients annually acquire at least one nosocomial infection during their hospital stay. Some clinical managers lack strategies to reduce the incidence and costs of nosocomial infections. Clinical managers need training in proactive infection control guidelines that may reduce infection rates and increase profitability. Grounded in adaptive leadership theory, the purpose of this qualitative multiple case study was to explore successful strategies that clinical managers used to reduce incidence and costs associated with nosocomial infections. The participants were four clinical managers employed by health care organizations in the Southeast Texas …

Latinx Parents’ Mental Health Advocacy Efforts In School Settings, Christine R. Durfee

Walden Dissertations and Doctoral Studies

Latinx parents want to participate in their child’s education plan but are faced with increased challenges since the 2016 anti-immigrant policies amplified the disparities in utilizing mental health services. Latinx parents want to collaborate with school psychologists and mental health providers to help their children but do not readily trust them based on their negative past experiences. Therefore, Latinx parents struggle to receive academic accommodations for their children with mental health challenges. The purpose of this phenomenological study was to address this gap and explore the lived experience of Latinx parents who advocate on behalf of their children with mental …

Exploring Leadership Skills Needed To Implement Mergers And Acquisitions In Ghana, Akwasi Effah-Adu

Walden Dissertations and Doctoral Studies

There has been consideration of increased investment in the banking industry in Ghana through mergers and acquisitions. Data shows that the financial performance of the merged banks does not support the investment in the industry, at least within the first 3 years after the merger or acquisition. Grounded in Burn’s transformational leadership theory, the purpose of this qualitative single case study was to explore the leadership skills used to implement the successful merger of two commercial banks in Ghana. Data were collected from eight senior officers using semistructured interviews, a review of relevant publications, and a reflective journal. The data …

Technology Manufacturing Leaders’ Innovation Strategies To Improve Users’ Choice Capabilities In A Fast-Changing Markets, Magnus Ekwunife

Walden Dissertations and Doctoral Studies

Some leaders of technology manufacturing organizations lack strategies to educate their users on how to make the optimal cloud technology selection decisions for their organizations during rapidly evolving innovation, resulting in significant risk of wrong choices and loss of customer loyalty. Grounded in resource-based view theory, the purpose of this qualitative single case study was to explore strategies technology manufacturing leaders use to educate users on how to make optimal cloud technology selection decisions for their organizations. The participants were six executive-level leaders of the strategic sales division of a multinational technology organization based in the western United States who …

The Relationship Between Poverty And Hospital Readmission Rates For U.S. Patients With Chronic Obstructive Pulmonary Disease, Heart Failure, And Asthma, Gardel Benz Eliazaire

Walden Dissertations and Doctoral Studies

AbstractHospital readmissions have continuously been a concern to healthcare providers and policymakers because of their negative impacts on the economy and the well-being of patients. A gap in knowledge exists in the understanding of the factors that have led to increased readmissions due to chronic cardiovascular diseases (Heart Failure) and respiratory diseases (chronic obstructive pulmonary disease [COPD] and Asthma). The aim of this study was to examine the relationship between poverty rate and hospital readmission rates for patients with COPD, Heart Failure, and Asthma in the United States using secondary data from the Healthcare Cost and Utilization Project’s (HCUP’s) Nationwide …

Barriers, Challenges &Successes Among Human Service Professionals Stigma Reduction Treatment Among People With Mental Illness, Maureen Epps

Walden Dissertations and Doctoral Studies

According to the National Alliance on Mental Illness, over 9 million people in the United States suffer from a mental illness (MI). Although human service professionals seek the best practices to treat people with MI, people with MI sometimes struggle to seek treatment because of stigma. The purpose of this generic qualitative study was to explore the barriers and challenges of human service professionals who experienced using a stigma reduction treatment on a person with MI. The mental illness stigma framework and Goffman’s stigma theory provided the conceptual framework for the study. Data were collected through semistructured interviews with eight …

Help Seeking Behavior For Mental Health Issues Among College Students At A Southern University, Amanda Brooke Espinoza

Walden Dissertations and Doctoral Studies

The mental health of college students continues to decline, leading to increased suicide rates among young adults. College campuses provide mental health resources; however, many college students do not effectively utilize the resources. This quantitative research study allowed for a deeper understanding of why college students are not using mental health resources on their campus. A non-probability convenience sample was used. This sample of convenience was comprised of students who volunteered to complete the study survey sent via a university email. The survey was created for the purposes of this study using social cognitive theory constructs. The instrument contained four …

Critical Retention Issues Related To Social Skills In Ghanaian Universities, Samuel Essah-Hienwo

Walden Dissertations and Doctoral Studies

The specific problem addressed through this study is the need for more research examining the potential of poor social skills to influence low retention levels in Ghanaian universities. Reasons for low student retention in Ghanaian universities, including students with inadequate social skills to complete their degrees, were explored in this qualitative study. The first research question asked about the lived experiences of university students in Ghana as they relate to the extent of social development skills in higher education, and the second question asked about the lived experiences of university students in Ghana surrounding decisions to leave or stay in …

Professional Discretion Of Child Protective Services Investigators In Foster Care Placements, Leonard Fikes

Walden Dissertations and Doctoral Studies

Families of color in North Carolina have been disproportionately affected in the child welfare system, particularly in the foster care system. The purpose of this qualitative research study examined the discretionary powers of Child Protective Services (CPS) investigators and how they interpreted and applied child welfare policies that disproportionally impacted African American families from marginalized, underrepresented communities. Guided by Wallander and Molander’s professional discretion as the framework, this research expanded the current literature and increased awareness of racial disproportionality and the continued disproportionality of African American children in the child welfare system, especially foster care placements. The central research question …

The Barriers Social Workers Face During The Discharge Of Hospital Patients, Nykke Flaum

Walden Dissertations and Doctoral Studies

This study investigated the psychosocial barriers hospital patients face that would delay their discharge. A delay in discharge can stop new patient admissions, cause further illness to the patient, and cost the hospital money, amongst other issues. Social workers are there as part of the multidisciplinary team to reduce the barriers and length of stay. One of the ways to do this is to detect the psychosocial issue early on in a patient’s admission so that it does not delay the discharge. Social workers investigate these issues during the discharge planning process and while conducting assessments. This study utilized structured …

Head Start Teachers’ Perspectives On The Implementation Of Head Start Program Performance Standard 1302.17, Leslie Shumate Floyd

Walden Dissertations and Doctoral Studies

Federal Head Start Program Performance Standards (HSPPS) were revised in 2016 to strengthen and improve the quality of all Head Start (HS) programs. The problem addressed in this basic qualitative study is that teachers in a local urban HS program in the southwestern region of Virginia have decreased levels of job satisfaction and cannot support the social-emotional development of their students due to difficulty implementing the standard HSPPS 1302.17. The purpose of this basic qualitative study was to investigate the perspectives of HS teachers regarding their job satisfaction while supporting the implementation of HSPPS 1302.17. Lacey’s theory of social strategies …

A Community-Based Distribution Intervention For Family Planning Among Women In Northern Nigeria, Joy Matau Garba

Walden Dissertations and Doctoral Studies

In Northern Nigeria, inadequate information on family planning contributes to high mortality and morbidity rates in women of reproductive age due to multiple childbirths yearly. This study aimed to examine the relationship between the community-based distribution (CBD) strategy, religion, and attitudes toward family planning methods. Rosenstock’s health belief model, which can be an instrumental anchor for health promotion programs, was the theoretical framework for the quantitative cross-sectional study design. The data source was survey questionnaires administered by the U.S. Agency for International Development to 809 reproductive-age Nigerian women after implementing a CBD intervention. A multinomial logistics regression analysis showed that …

Testimonios From Latinas In Community College Administration In Nuestra Comunidad, Yessika Milines Garcia-Guzman

Walden Dissertations and Doctoral Studies

It is not known why Latina community college administrators are disproportionally underrepresented in higher education. Of all full-time faculty in postsecondary institutions, 3% are Hispanic females; 1% or less of full-time professors are Hispanic females, and 3% are full-time assistant professors. The purpose of this qualitative study was to describe the experiences of Latina community college administrators in their journey as college students and how these experiences informed their understanding of the academic and student support systems that either hinder or support Latinas. Phinney’s theory of racial and ethnic development was the theoretical foundation for the study. The research questions …

Impact Of Resilience On Quality Of Life In Spinal Cord Injured Clients, Crystal D. Glover

Walden Dissertations and Doctoral Studies

Abstract Impact of Resilience on Quality of Life in Spinal Cord Injured Clients by Crystal D. Glover

MSM, Troy University, 2006BSN, University of North Carolina at Greensboro, 1995

Dissertation Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Philosophy Public Health

Walden University August 2023

The Lived Experiences Of Homelessness Of Former Foster Youth Navigating Their Way Into Adulthood, Debra B. Hampton

Walden Dissertations and Doctoral Studies

AbstractYouth exiting the U.S. foster care system can experience a complicated process as well as lack of support and resources to help in their transition. Also, despite federal policies in place, these youth can face socioeconomic challenges that lead to homelessness. The purpose of this qualitative, hermeneutic, phenomenological study was to explore the lived experiences of homelessness of adults who age out of the foster care system without continued support when they turn 18. Social capital theory provided a theoretical foundation for the study. Participants were 10 individuals 18 years of age and over who exited out of foster care …

Maternal Folate Status And Risk Factors For Autism Spectrum Disorders, Michael M. Haniff

Walden Dissertations and Doctoral Studies

Autism spectrum disorders (ASD) are thought to be influenced by environmental, genetic, and maternal factors, including potential links to periconceptional folic acid. This quantitative case-control study, guided by the life course theory, explored the association of maternal risk factors (age, race, education, income, folate status, gestational diabetes, gestational hypertension, and MTHFR mutation) on the precipitation of ASD in offspring. The sample comprised 96 mothers of children with ASD and 143 mothers of children without ASD. Logistic regression analysis indicated no significant association between maternal folate status and ASD (OR = 1.00, 95% CI [1.000, 0.001], p = .755). Mothers with …

Psychological Manipulation And Cluster-B Personality Traits Of Cult Leaders, Jennifer Henderson

Walden Dissertations and Doctoral Studies

Cults, thousands of which exist in the United States, present a societal problem due to their ability to rob followers of free will, sever familial ties, and even incite violence, such as the case of the Manson Family. Their leaders' manipulation of followers can be dangerous, resulting in emotional and physical abuse. There is a lack of meaningful literature on how personality traits may affect cult leaders’ abilities to recruit and maintain members. The purpose of this study was to examine how Cluster-B personality traits (narcissism, borderline, antisocial, and histrionic) relate to cult leaders’ abilities to manipulate. The qualitative case …

Stress And Wellness Among Correctional Officers In The State Of Oregon, Dewayne Hendrix

Walden Dissertations and Doctoral Studies

It remained unknown if the effects of the employee wellness policy implemented in Oregon in 2018 were reducing stress and improving the health of correctional officers which if it does may benefit the local communities to help enhance social stability. The purpose of this study was to explore the effects of the employee wellness policy, as implemented in the state of Oregon in 2018, in reducing stress and improving the health of correctional officers. This study was guided by the perceived organizational support theory, which holds that employees develop existential views about how much their employer values their contributions and …

Strategies For Reducing Occupational Stress And Increasing Productivity, Dr. Bradley J. Irby

Walden Dissertations and Doctoral Studies

Some business leaders lack strategies to reduce occupational stress and increase productivity. Occupational stress can reduce productivity, damage an organization’s image, and incite a toxic work environment. Grounded in social exchange theory, the purpose of this qualitative single case study was to explore strategies leaders of a Texas based land-management service company use to decrease occupational stress and increase productivity. The participants consisted of five senior leaders with a record of reducing occupational stress and maintaining a profitable portfolio of work. Data were collected via a review of existing literature, semistructured interviews, and a review of company resources. Using Yin’s …

The Lived Experiences Of Black Women With Hysterectomy For Benign Fibroids, Clarise M. Jackson-Hall

Walden Dissertations and Doctoral Studies

Black women are more likely than women of any other race in the United States to undergo an abdominal hysterectomy instead of a less invasive and less damaging laparoscopic or robotic procedure for benign fibroids. Although Black women are the population most disparately affected by benign fibroids, as evidenced by higher morbidity and mortality rates due to complications, they are often excluded in clinical research. The purpose of this qualitative phenomenological study was to explore the lived experiences of Black women who decided to undergo an invasive abdominal hysterectomy for benign fibroids. Semistructured interviews were conducted with 14 Black women, …

Middle School Teachers’ Perceptions Of Using Multicultural Literature In Their Classroom To Teach Reading, Kearstin Jacobs

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that multicultural literature is not being used consistently to address the needs of the growing diverse population in the local middle school language arts classroom. The purpose of this basic qualitative study was to explore middle school teachers’ perceptions of using multicultural literature to teach language arts to address the needs of the increasing population of students. The conceptual framework that guided this study was Ladson-Billings' culturally relevant pedagogy and Austin et al.’s ideas about student representation in texts. For this basic qualitative study, I conducted 11 interviews with teachers who are teaching …

Relationships Between Racial Diversity Of Counties And Police Departments And Disproportionate Minority Contact At The Referral-Level In The State Of Georgia, Jacquelyn D. Johnson

Walden Dissertations and Doctoral Studies

The existence of disproportionate minority contact (DMC) is a serious problem throughout the juvenile justice systems in every state in the United States. The DMC phenomenon is well documented in the 159 counties in the State of Georgia juvenile justice system. Although numerous researchers have investigated the role of county-level variables in the creation of these racial disparities, these researchers have not discovered any explanations for differences in outcomes from one county to another county within the same state based on the diversity of the county population or police departments in each county. The purpose of this quantitative study was …

Comparing Motivation And Ambition Between Adolescent Mothers And Child-Free Women, Deirdre Lynn Jones Lowman

Walden Dissertations and Doctoral Studies

Recent studies have concluded that adolescent pregnancy and subsequent motherhood can contribute to mental health stressors, acting as potential barriers to ambition and motivation. Researchers have explored motivation and ambition; however, there is little or no research comparing motivation and ambition between adolescent mothers and child-free women. The purpose of this casual-comparative study was to compare motivation levels and ambition values between adolescent mothers, age 18-24, and women of the same age range who are child-free. Deci and Ryan's self-determination theory as the theoretical lens, and the Intrinsic Motivation Inventory and Aspirations Index, were used as data collection instruments. Recruitment …

Associations Between Depression, Social Support, And Sexual Risk-Taking Behaviors Among Hiv-Infected Adult Black Women In The Southeastern United States, Joy Ireri Kagendo

Walden Dissertations and Doctoral Studies

African Americans continue to carry the burden of new HIV cases and sexually transmitted infections and other comorbidity health problems more than any other social group in the United States. Except for New York; Washington, DC; and Maryland, 65% of all new HIV cases are in the Southern states. The U.S. Southern states make up 38% of the U.S. population, yet approximately 51% of annual HIV diagnoses are from the Southern U.S. states. In the Southern states, AIDS is among the leading cause of death for African American women. A gap exists in the associations of depression, social support, and …

Disenfranchisement Laws Affecting Voting Rights Of Black Americans In Mississippi, April Masha Jones

Walden Dissertations and Doctoral Studies

From Black individuals being enslaved and freed to being incarcerated in modern-day society more frequently than White individuals, the desire to have a voice in the decision-making process has been challenging. Black voters in Mississippi may be underrepresented because of felony disenfranchisement laws. The purpose of this general qualitative study was to examine the lived experiences of Black Mississippians about felony disenfranchisement laws and voting rights. The first research question addressed perceptions of Black Americans in Mississippi regarding the felony disenfranchisement laws. The second research question addressed the experiences related to any political implications among the electorate in Mississippi. The …

Stories Of Sacred Healing In Adults Through The Covid-19 Pandemic, Kimberly D. Key

Walden Dissertations and Doctoral Studies

The intersection of sacred healing and medicine was pronounced during the COVID-19 pandemic as researchers found that physicians experienced more difficulty during medical encounters when they did not understand and collaborate with patients’ sacred healing beliefs. As such, the purpose of this narrative qualitative study was to gain an understanding of people’s descriptions of sacred healing by asking participants to share their sacred healing stories at different stages of the COVID-19 pandemic. Antonovsky’s salutogenic model was selected as the theoretical framework, as it described people with a higher sense of coherence tend to have higher health outcomes in the face …