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Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady
Improving Veteran’S Care Outcomes With The Implementation Of Care Coordination, Katrina Ann Canady
Walden Dissertations and Doctoral Studies
AbstractAstute care coordination is essential to eliminating fragmented care, duplication of services, medication errors, and unnecessary emergency rooms visits. This Doctor of Nursing practice project was a quality improvement (QI) initiative that addressed the gap in practice regarding RN care managers who were not consistently performing care coordination as outlined by the office of community care at the project site. The purpose of the project was to evaluate the effectiveness that an educational intervention had on the RN care managers’ abilities to perform care coordination. The care coordination model (CCM) served as the project framework because it provides a systematic …
African American Women And Social Support Networks To Overcome The Strong Black Woman Schema And Depression, Teia Jelisia D. Clements
African American Women And Social Support Networks To Overcome The Strong Black Woman Schema And Depression, Teia Jelisia D. Clements
Walden Dissertations and Doctoral Studies
Mental illness disorders within the United States are on the rise. Researchers have indicated that African Americans are less likely to seek mental health compared to European Americans. The purpose of this basic qualitative study was to understand how social support networks influence African American women between the ages of 25 and 50 in addressing the strong Black woman (SBW) schema and depression. A conceptual framework consisting of the SBW collective theory guided the study. A purposive sample of 16 African American women who use social support networks to address the SBW schema and depression was obtained through flyers posted …
Strategies To Mitigate Nurse Turnover, James Edward Cooper Jr
Strategies To Mitigate Nurse Turnover, James Edward Cooper Jr
Walden Dissertations and Doctoral Studies
Registered nurse turnover is a severe problem for all healthcare organizations because it negatively affects financial growth, patient care, and reputation, ultimately resulting in financial losses. Grounded in Herzberg’ two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies hospital leaders use to mitigate RN turnover. The participants included three hospital leaders from three different hospitals in the southeastern United States who mitigated RN turnover. Data were collected from semistructured interviews and company documents and analyzed using Yin’s five-phase data analysis process. Three themes emerged: nurse engagement, job satisfaction, and trust in leadership mitigated RN turnover. A …
Relationship Between Food Insecurity, Depression, And Race/Ethnicity Among U.S. Adults Aged 60–69 Years, Patrick E. Crandon
Relationship Between Food Insecurity, Depression, And Race/Ethnicity Among U.S. Adults Aged 60–69 Years, Patrick E. Crandon
Walden Dissertations and Doctoral Studies
Abstract Food insecurity (FI) and depression among older populations in the United States are public health concerns. Although FI has declined in the United States, it is a psychosocial stressor prevalent among the growing population of adults over 60. It is unknown to what extent FI contributes to depression among racial/ethnic minorities in this population. The purpose of this quantitative cross-sectional study was to examine the relationships between FI and race and depression among U.S. adults aged 60–69 years when adjusting for other variables. The social-ecological model was used to understand the interplay between individual and environmental factors that may …
Influences On Influenza Vaccine Uptake Among Older Lebanese Adults, Doha D'Agostini
Influences On Influenza Vaccine Uptake Among Older Lebanese Adults, Doha D'Agostini
Walden Dissertations and Doctoral Studies
Influenza is a viral infection that is globally transmitted and that increases the risk for infectious diseases, hospitalization, and morbidity and mortality, especially among the older adult population. Although influenza vaccines are recommended in several countries, influenza vaccine hesitancy remains a challenge. In Lebanon, there is minimal research related to older adults’ attitudes and perceptions associated with influenza vaccination. To explore older Lebanese adults’ vaccination experiences and perceptions of the factors that affect their influenza vaccine uptake, a qualitative investigation was conducted. The theory of planned behaviors served as the theoretical framework for the study. A thematic analysis was conducted …
Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis
Case Manager Perspectives On Transition Services For Youth With Intellectual Disabilities, Alecha Davis
Walden Dissertations and Doctoral Studies
Youth with intellectual disabilities have poorer outcomes during the transition period from school to adulthood. Very few studies were found that examine the perspective of the human service case manager. The perspectives of human service case managers were examined regarding the services that are needed to help youth with intellectual disabilities transition effectively. The study's purpose was to determine the services available and those needed to help support the transition from school to work, college, or in living independently for youth with intellectual disabilities. The theoretical framework for this study was Bronfenbrenner’s ecological systems theory used to explore the errors …
Elementary Administrators' Perspectives And Experiences Of Supporting Students Through Nature-Based Learning, Amanda Marie Shelley Degoede
Elementary Administrators' Perspectives And Experiences Of Supporting Students Through Nature-Based Learning, Amanda Marie Shelley Degoede
Walden Dissertations and Doctoral Studies
Although nature-based learning (NBL) contributes to the development of students, itsinclusion in elementary schools is inconsistent. Researchers have established the benefits of nature to learning and child development, yet there is a gap in the literature on elementary administrators’ perspectives of and experiences with NBL. The purpose of this qualitative study was to explore elementary administrators’ perspectives of and experiences with NBL, its support of elementary student development, and its inclusion in elementary schools’ curricula and design. The research questions addressed elementary administrators’ perspectives of and experiences with NBL, how NBL supports student development, and how NBL is included in …
A Leadership Perspective On Preventing Counselor Burnout In A Behavioral Health Setting During Covid-19, Claudia P. De La Torre
A Leadership Perspective On Preventing Counselor Burnout In A Behavioral Health Setting During Covid-19, Claudia P. De La Torre
Walden Dissertations and Doctoral Studies
During the COVID-19 pandemic, there was a high need for mental health services, which resulted in a shortage of mental health clinicians. This shortage of mental health clinicians then resulted in a high burnout rate due to client intake. This doctoral case study was grounded in the Baldrige Excellence Framework and focused on how a behavioral health organization in South Texas managed burnout in clinicians during the COVID-19 pandemic. This study aimed to help behavioral health leaders find a solution to preventing burnout during a high demand pandemic. This doctoral study had several data sources, including semistructured interviews with three …
Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey
Homophobia In Jamaica And Its Impact On The Victimization Of Homosexual Adult Males In Montego Bay, St. James, Dr. Shahila D. Edwards-Grey
Walden Dissertations and Doctoral Studies
AbstractJamaica has been listed among the most unfriendly nations for homosexual males. Previous research indicated that due to the biopolitical and sociocultural norms of the Jamaican society, homosexual males continued to be targets of various forms of discrimination based on their sexual orientation. However, research reflecting the lived experiences of homosexual males in Jamaica is sparse. The purpose of this phenomenological qualitative study was to provide details on the encounters of victimization due to homophobia of adult homosexual males in the parish of St. James, Jamaica. Data were collected through observations and in-depth interviews with eight men who identified as …
Workplace Bullying On Human Resources Management Performance In Correctional Facilities, Oliver Onyeka Ehiahuruike
Workplace Bullying On Human Resources Management Performance In Correctional Facilities, Oliver Onyeka Ehiahuruike
Walden Dissertations and Doctoral Studies
AbstractWorkplace bullying, as part of a hostile work environment, impacts human resources management (HRM) work outcome metrics, employees' attitudes toward their job, organization, and behavioral intentions that collectively affect organizational goals. Addressed in this study are the problems of workplace bullying of corrections employees, which negatively affect HRM outcome measures of turnover intention, organizational commitment, and employee job satisfaction. The purpose of this quantitative correlational research study was to determine the relationship between workplace bullying and turnover intention, organizational commitment, and job satisfaction among corrections employees in Texas. Homans's social exchange and Bourdieu's social capital theories were used in this …
An Evaluation Of A School-Based School Connectedness Program, John G. Emmerich
An Evaluation Of A School-Based School Connectedness Program, John G. Emmerich
Walden Dissertations and Doctoral Studies
In the United States, approximately 45% of high school students are either not engaged (28%) or actively disengaged (17%) in the academic process. Increasing a school's average student engagement yields an increase in reading and math achievement. This study evaluates a school connectedness program, Promoting Positive School Engagement (PPSE) program using a convergent mixed methods model to determine the degree of effectiveness measured by the Hemingway measure of adolescent connectedness instrument in an Urban, Midwest public middle school. Quantitative data were collected from 20 students who participated in the program and 20 students who did not (control group). Analyzed using …
Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans
Lived Experiences Of Copd Patients With Exertional Hypoxemia Prescribed Supplemental Oxygen, Sarah Ann Evans
Walden Dissertations and Doctoral Studies
Patients with exertional hypoxemia are often prescribed supplemental oxygen therapy to alleviate their symptoms and maintain adequate arterial oxygen saturation; however, little is known about how chronic obstructive pulmonary disease (COPD) patients with exertional hypoxemia experience the addition of supplemental oxygen on their lives. The purpose of this descriptive phenomenological study guided by Roger’s science of unitary human beings was to explore the lived experiences of COPD patients with exertional hypoxemia and who require supplemental oxygen. Purposive sampling was used to recruit participants using a query from the electronic medical records to identify patients prescribed supplemental oxygen for exertional, not …
A Context-Sensitive Approach To The Implementation Of Performance Measurement Systems, Wisdom Eyoh
A Context-Sensitive Approach To The Implementation Of Performance Measurement Systems, Wisdom Eyoh
Walden Dissertations and Doctoral Studies
AbstractPerformance measurement systems (PMS) exist to help public managers assess and improve decision-making related to programs, policies, processes, and personnel. However, challenges in implementing PMS have resulted in underutilization in the public sector. While critical success factors for successful implementation are known, little research exists on how public organizations can successfully implement PMS in individual organizations. This qualitative case study aimed to explore participants' experiences dealing with PMS, using contingency and goal-setting theories to analyze the influence of organizational contexts on PMS design, adoption, and implementation. Data were collected from five staff and top-level management at a large state agency …
Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim
Tuberculosis-Associated Knowledge, Stigma, And Health Seeking Behavior Among Traders In Onitsha Main Market, Anambra State, Nigeria, Benedeth N. Ezeosim
Walden Dissertations and Doctoral Studies
The utilization of tuberculosis (TB) health care services in a Nigerian state has not been optimal. Many residents do not utilize available health care resources when they experience symptoms of TB. Although much is known about the determinants of health seeking behavior (HSB), there is a gap on how TB knowledge and TB related stigma among traders in one main market contribute to HSB. This study examined the effect of TB knowledge and TB related stigma on HSB among traders. The health stigma and discrimination and health belif models served as the theoretical foundation. A quantitative cross-sectional analytical survey design …
Probationer Officer Experiences: Dual Role Decision-Making For Probationers With Mental Illness, Myra A. Fields
Probationer Officer Experiences: Dual Role Decision-Making For Probationers With Mental Illness, Myra A. Fields
Walden Dissertations and Doctoral Studies
Probation officers play a major role in maintaining public safety by balancing their dual roles of care and control. The number of individuals within the United States community corrections system is significantly growing. This has increased the need for probation officers to make decisions for probationers with mental illness. However, there is a gap in understanding how active-duty probation officers make decisions for probationers. This study examined how probation officers balance their dual roles while decision-making for probationers with mental illness. An interpretative phenomenological analysis design was used. Semi-structured interviews were conducted with six participants who met inclusion criteria to …
Sustainability Strategies For Nonprofit Organizations, Ramchand Francisco
Sustainability Strategies For Nonprofit Organizations, Ramchand Francisco
Walden Dissertations and Doctoral Studies
Nonprofit leaders face the challenges of ensuring their organizations are financially healthy while navigating economic and organizational issues that require strategies to support program growth with limited financial resources. Grounded in Markowitz’s modern portfolio theory, the purpose of this qualitative single case study was to explore strategies nonprofit leaders used to support program growth and sustainability with limited financial resources. The study participants were three leaders of a nonprofit organization in the northwest region of the United States who had expertise related to the focus of the research. Data were collected through semistructured interviews, analyses of the client organization’s internal …
Best Practice Strategies To Prevent Suicide In Behavioral Health, David Solomon Gamble
Best Practice Strategies To Prevent Suicide In Behavioral Health, David Solomon Gamble
Walden Dissertations and Doctoral Studies
AbstractThe capacity for mental health clinicians to provide culturally relevant suicide prevention services has become an issue within current society, given the complexity and impact of the circumstances that have disrupted everyday life. Thus, this became a problem for the organization and the target population used for this study. The current capacity of leadership and clinicians who provided prevention services was developed to address the underlying mental health disorders and not directly address the environmental impact. The approach for the study adhered to Yin's work on case studies. The case study research provided the process and outcome data by introducing …
Nonprofit Ceos’ Learned Skills And Strategies For Leadership, Julie Gallanty
Nonprofit Ceos’ Learned Skills And Strategies For Leadership, Julie Gallanty
Walden Dissertations and Doctoral Studies
AbstractNonprofit organization Chief Executive Officers (CEOs) bring their unique experiences to their executive positions but are often unprepared for new responsibilities and challenges, which require a broad skill set. The problem identified was the gap in professional development in unexpected and acute areas. This study aimed to explore the on-the-job learning of nonprofit CEOs and the professional development training needed to support them in their position. Kolb’s experiential learning framework was used to develop the study that examined the strategies used to gain the knowledge needed to perform effectively in their CEO roles. The research questions focused on understanding how …
Improving Advanced Practice Registered Nursing Knowledge Of Shingles Management, Kyla Gilbert
Improving Advanced Practice Registered Nursing Knowledge Of Shingles Management, Kyla Gilbert
Walden Dissertations and Doctoral Studies
AbstractShingles is a viral infection that can adversely impact patients if not promptly treated. In the project facility, a gap in practice was identified when a 6-month facility chart review noted a delay in shingles diagnosis 60% of the time. It is important for the Advanced Practice Registered Nursing (APRN) to be knowledgeable regarding diagnoses and best practices for treatment of shingles. However, the local facility had no available education on shingles. The practice-focused question asked whether APRN knowledge of shingles could be improved through staff education. The doctoral project provided shingles education to address the identified knowledge gap. The …
The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant
The Relationship Between Preterm Birth Rates, Sociodemographic Factors, And Prenatal Care, Natasha Grant
Walden Dissertations and Doctoral Studies
Reducing preterm births is a local, national, and global public health priority. Preterm birth rates continue to rise with evident racial and ethnic differences. The purpose of the quantitative study was to analyze the Mississippi Pregnancy Risk Assessment Monitoring System (PRAMS) Phase 8 data to investigate the association between preterm births, timing of prenatal care, insurance types, and marital status among 5,666 women who gave birth in Mississippi between 2016 - 2020 using logistic regression. The social-ecological model was used to explain the impact of preterm births at the individual, interpersonal, and policy levels. Marital status was shown to be …
Perceived Factors Of Intimate Partner Violence On Women Diagnosed With Post-Traumatic Stress Disorder, Angela M. Halcovich
Perceived Factors Of Intimate Partner Violence On Women Diagnosed With Post-Traumatic Stress Disorder, Angela M. Halcovich
Walden Dissertations and Doctoral Studies
Post-Traumatic Stress Disorder (PTSD) is a prevalent diagnosis, and many human and social services professionals strive to understand its components, to ensure that they serve the population properly. However, little is known about how PTSD may influence women’s vulnerabilities to and future experiences of intimate partner violence (IPV). Emphasizing relationship coaching, which provides tools to foster healthy relationships, within the therapeutic curricula on rehabilitation for women with PTSD may result in reduced chances to experience IPV as women integrate back into their everyday life after being diagnosed and treated for PTSD. The purpose of this generic qualitative study was to …
Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall
Social Work's Unremitting Identity Crisis: Can The Dsw Provide Answers?, Debra Joyce Hall
Walden Dissertations and Doctoral Studies
AbstractThis study is centered on a long-standing professional identity dilemma that poses potential problems for the future of the field of social work. Current literature points to specific shortcomings in the field that threaten the future of the profession. Some researchers also suggest that the reemergence of the Doctorate of Social Work (DSW) may be used to solve some of the identity concerns with the profession. The study further asserts that practicing licensed clinical social workers (LCSW) have not been a part of the conversation regarding the identity issues or the remedies that the field is considering. Using both a …
Practice Size And Geographical Location And Annual Merit-Based Incentive Payment System Scores In Dermatology, Issam H. Harmouch
Practice Size And Geographical Location And Annual Merit-Based Incentive Payment System Scores In Dermatology, Issam H. Harmouch
Walden Dissertations and Doctoral Studies
Despite the transition to value-based care in the healthcare industry using the Merit-Based Incentive Payment Systems (MIPS), small and rural physician practices still score in the poor category annually. These poor performances negatively impact funding for staffing and service availability; further, little research has focused on the factors behind these poor performance scores. The purpose of this study was to examine the relationship between practice size and organization geographical location on annual MIPS scores among dermatologists in the South-Central United States. The Donabedian model was used as the theoretical framework for this study that focused on the three qualities of …
The Relationship Between College Credits Earned In A Community College Dual Enrollment Program And First-Year Grade Point Average, Johnesa Hodge
The Relationship Between College Credits Earned In A Community College Dual Enrollment Program And First-Year Grade Point Average, Johnesa Hodge
Walden Dissertations and Doctoral Studies
The increased number of college credits earned in dual enrollment programs initiated concern by educators, researchers, and policymakers regarding college readiness. However, data are scarce and inconsistent across governing states and community colleges to measure college readiness and dual enrollment’s effectiveness. The purpose of this quantitative study examined early college credits earned in general education, career and technical education, college orientation disciplines, and first-year grade point average (GPA) to measure college readiness. Conley’s key dimensions of college and career readiness model grounded the study. Archival transcript data were collected from a Michigan community college for 524 former dual enrollment students. …
The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson
The Social Construction Of Performance Enhancing Steroid Policies And Their Impact On U.S. Army Service Members, Trevor Scott Jackson
Walden Dissertations and Doctoral Studies
The United States military has seen a continued rise in the use of illicit performance enhancing substances, particularly androgenic-anabolic steroids (AAS), by service members in highly demanding occupational specialties. Despite these rising trends, there remains a lack of understanding of how U.S. Army substance abuse policy impacts service members’ motivations to use banned performance enhancing drugs. The purpose of this qualitative study was to better understand the motivations of service members who use performance enhancing AAS, as well as the impacts of substance abuse policies on those individuals. This study’s questions asked how social constructs and Army policy impacted service …
The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski
The Linear Evolution Of Local Emergency Management Training In Response To Domestic Terrorism, Jeffrey Januchowski
Walden Dissertations and Doctoral Studies
AbstractThis paper presents a research study in the field of emergency management. The study aims to identify training or educational needs for the emergency manager at the local level of government to effectively handle disasters. The study uses phenomenon theory with semi-structured interviews that gather data from emergency managers that have experience with major disasters and training requirements. Participants were experts in the emergency management profession with the ability to speak appropriately about the phenomenon. Research questions identified the training methods that produce the best results along with the specific hazards emergency managers may encounter. The research design used questionnaires …
Help-Seeking Behaviors And Employment Hope Among Depressed Black Male Foster Care Alumni, Vanessa Jennings
Help-Seeking Behaviors And Employment Hope Among Depressed Black Male Foster Care Alumni, Vanessa Jennings
Walden Dissertations and Doctoral Studies
Traumatic depression is a system of experiences where the mind, heart, and gut track happenings lingering among systemic models of prevention and intervention and personal stories. This nonexperimental correlational study aimed to provide insights into mental help-seeking and employment hope among depressed Black/African American foster care male alums. The central research question was to what degree, if any, a positive relationship exists between employment hope and seeking access to mental health-related services among male foster care alums who identify with depression. It was hypothesized that a statistically significant relationship exists. The social cognitive career theory and theory of planned behavior …
Occupational Risk Perceptions Among Foreign-Born Construction Workers In Central Florida, Matthew Edison Law
Occupational Risk Perceptions Among Foreign-Born Construction Workers In Central Florida, Matthew Edison Law
Walden Dissertations and Doctoral Studies
Hispanic and Latino foreign-born construction workers in the United States experience higher rates of serious injuries and fatalities in the workplace than their native-born peers. Previous research has pointed to specific vulnerabilities among this population, including birthplace, age of the worker, language barriers, and education level, but little to no research has examined addressable risk factors, such as occupational risk perceptions, among this population. The purpose of this quantitative study was to determine the relationship between birthplace, number of years working in the United States, and occupational risk perceptions while controlling for age of the worker, language barriers, and education …
Relationships Between Stress, Family Support, And Resources Among Custodial Grandparents In Appalachia, Yvonne Sherii Lee
Relationships Between Stress, Family Support, And Resources Among Custodial Grandparents In Appalachia, Yvonne Sherii Lee
Walden Dissertations and Doctoral Studies
The Appalachian region has experienced a substantial increase in the number of grandparent-headed households providing care to grandchildren. Custodial parenting is not a typical responsibility for many grandparents and can be challenging. The specific problem addressed in this research study was the high level of stress experienced by many custodial grandparents. The theoretical foundation of the current study was based on Selye’s stress theory, which was introduced in 1936 and examined biological stress that he referred to as “the syndrome of being sick.” The purpose of this quantitative, nonexperimental, and correlational study was to examine the predictive relationship that custodial …
Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente
Mental Health Treatment And The Criminal Justice System, Susana Lehan-Trasente
Walden Dissertations and Doctoral Studies
The criminal justice system has established interventions for those who have mental illness and have been charged with criminal complaints. In New York State, the Mental Health Court has been established to address these issues and is to be used by all counties. However, the treatment and probation interventions vary from county to county. Saratoga County uses a Single Point of Access (SPOA) which receives referrals from the general court and probation officers. SPOA refers clients to a variety of treatment interventions available in the county. In Monroe County, the Mental Health Court refers the criminally involved/mentally ill individual to …