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The Relationship Between “Speak Up” Culture Level, Team Effectiveness, And Organizational Performance Among Clinical Laboratory Professionals, Emmanuel Udasco
The Relationship Between “Speak Up” Culture Level, Team Effectiveness, And Organizational Performance Among Clinical Laboratory Professionals, Emmanuel Udasco
Walden Dissertations and Doctoral Studies
The clinical laboratory plays a crucial role in aiding physicians to diagnose disease. With numerous studies on “Speak Up” culture well-documented among providers and nurses surrounding patient safety, gaps in literature exist concerning “Speak Up” culture that address team effectiveness and organizational performance within the clinical lab setting. The purpose of this quantitative correlation study was to investigate the relationship between “Speak Up” culture level, team effectiveness, and organizational performance among health care workers employed in the clinical lab. The high-performance work practices model was utilized as the conceptual framework to ground this study. Research questions assessed the link between …
Perioperative Nurse Education For Undiagnosed Obstructive Sleep Apnea Screening, Juanita Turnipseed
Perioperative Nurse Education For Undiagnosed Obstructive Sleep Apnea Screening, Juanita Turnipseed
Walden Dissertations and Doctoral Studies
AbstractApproximately one third of surgical patients have undiagnosed obstructive sleep apnea (OSA), the most common form of sleep disordered breathing, which presents a risk in the perioperative setting. OSA is underdiagnosed and undertreated in the adult population and has an economic impact on limited healthcare resources. The need existed for nurses in the perioperative setting to be educated on OSA, including the introduction of the STOP-BANG screening questionnaire. The analysis, design, development, implementation, and evaluation model of instructional design informed this project. The purpose of this Doctor of Nursing Practice project was to plan, implement, and evaluate a perioperative nurse …
Appropriated Racial Oppression As A Moderator Of Sexual Satisfaction Among Black Women, Jillian Rochelle Watts
Appropriated Racial Oppression As A Moderator Of Sexual Satisfaction Among Black Women, Jillian Rochelle Watts
Walden Dissertations and Doctoral Studies
Researchers have named pleasure as a form of justice: a reclamation of the body and striving for happiness. For Black women, cultural messaging and lived experiences have led to sexual shame that can impact how individuals experience sexual satisfaction. This quantitative cross-section correlational study was conducted to assess the relationship between sexual shame and sexual satisfaction, the relationship between appropriated racial oppression and sexual satisfaction, and whether appropriated racial oppression moderated the relationship between sexual shame and sexual satisfaction in Black women. Moderating regression analysis was used to examine and understand the relationships between sexual shame and sexual satisfaction and …
Nigerian Women Entrepreneurs’ Narratives On Collective Action For Economic Empowerment And Gender Parity, Elizabeth Oyanu Ujah
Nigerian Women Entrepreneurs’ Narratives On Collective Action For Economic Empowerment And Gender Parity, Elizabeth Oyanu Ujah
Walden Dissertations and Doctoral Studies
While entrepreneurship has offered some potential for empowering subordinated women in urban areas of Nigeria, a literature gap exists on urban Nigerian women entrepreneurs' narratives to understand better how their collective action may further support economic empowerment and gender parity. The purpose of this qualitative, narrative inquiry study was to understand how women entrepreneurs in urban Nigeria view their work to gain economic empowerment and gender parity through collective action. The narrative inquiry method was used to address the problem and answer the research question using interview data from 10 urban female Nigerian entrepreneurs. This study was framed by two …
Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson
Religious Parents’ Awareness Of And Attitudes Toward Their Adolescent Children's Utilization Of Sexual Health Services, Ashley Thompson
Walden Dissertations and Doctoral Studies
Parents are a key influence on their adolescent children's sexual health care decisions. Few researchers have considered the impact of religious environments and parental expectations on adolescents’ use of sexual health services, and research on religious parents’ awareness of adolescents’ use of sexual health services in Christian environments is scarce. The purpose of this basic qualitative study was to explore religious parents' awareness of and attitudes toward their adolescents’ use of sexual health services. The social ecological theory provided the conceptual lens for this study. Eight Christian parents participated in in-depth virtual interviews to discuss their encouragement or discouragement of …
Parents’ Perceptions Of Hardships Associated With Transitioning Their Child With Disabilities From Early Intervention To The Local Education Agency, Chelsea Theria Taylor
Parents’ Perceptions Of Hardships Associated With Transitioning Their Child With Disabilities From Early Intervention To The Local Education Agency, Chelsea Theria Taylor
Walden Dissertations and Doctoral Studies
Children with disabilities require services that are covered under the Individuals with Disabilities Education Act to be successful in school. Early intervention, which is made available to all who qualify, provides services with a team that works directly with the family. However, when the child turns three years of age, the family is transitioned to their local education agency (LEA). The level of support at this point lessens as the school takes over services for the child. The purpose of this qualitative study was to explore the experiences of parents with children with disabilities during the transition from early intervention …
Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc
Staff Education: Improving Hypertension Management Among African American Adults, Marie Survie Tunis-Blanc
Walden Dissertations and Doctoral Studies
AbstractHypertension (HTN) is a frequent diagnosis in primary care settings and is disproportionately higher among African Americans. Observed in the clinic were frequent office visits by patients with uncontrolled blood pressure and nonadherence to medication in an outpatient cardiology clinic in Northeast New Jersey. Also, a knowledge gap was noticed among clinical staff on current HTN guidelines. An awareness of evidence-based guidelines was necessary to combat poorly controlled BP in the clinic. The purpose of this Doctor of Nursing Practice project was to create an education program on current HTN guidelines to bridge the knowledge gap among clinic staff. The …
Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang
Nursing Staff Education Program On Using The Ask Suicide-Screening Questions Tool Kit, Camarita Titang
Walden Dissertations and Doctoral Studies
The absence of adequate knowledge, skills, and competencies in screening for suicide risk in adolescent and young adult patients is a significant problem facing nurses in outpatient settings. An evaluation of the project site facility’s main performance metrics revealed shortcomings in locating patients who pose a serious risk of self-harm and suicide. Staff dealing with the patients may, as a result, overlook preemptive measures that could stop a suicide event. The project aimed to create a training program to introduce the ask suicide-screening questions (ASQ) tool kit, an evidence-based suicide screening tool, to ambulatory nurses. The goal of the project …
Andragogical Methods And Teaching Strategies Used In Community College Composition Courses, Octavia Thorns-Jackson
Andragogical Methods And Teaching Strategies Used In Community College Composition Courses, Octavia Thorns-Jackson
Walden Dissertations and Doctoral Studies
A midwestern community college utilized a corequisite model to accelerate students’ developmental education that allows adult learners to take developmental writing and English composition simultaneously. First-year composition instructors had no formal training at the college on andragogical methods and teaching strategies to foster successful completion in developmental and first-year composition courses. The purpose of this basic qualitative study was to explore the andragogical methods and teaching strategies of six successful full-time and adjunct developmental writing and first-year composition instructors as well as what these instructors need to improve their approaches with these students. The study was grounded in a conceptual …
Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas
Role Of Racially Concordant Patient-Physician Relationships In Health Outcomes Among African American Women, Joy Thomas
Walden Dissertations and Doctoral Studies
Abstract There are gaps in the literature regarding how patient-physician racially concordant relationships affect African American women’s health. This quantitative study evaluated the effects of non-minority physician influence on the perceptions of medical mistrust, racial discrimination, and healthcare-specific racial discrimination on African American women. The behavioral model for vulnerable populations guided the study. Two research questions involved understanding the relationship between trust in the physician scale and medical mistrust and the association between racial discrimination and perceived healthcare-specific racial discrimination among African American women living in a Southern U.S. state. A stratified random sampling strategy was used to obtain a …
Exploring Dual Roles In Law Enforcement Officers Who Administer Naloxone, Regina Sullivan Wachenheim
Exploring Dual Roles In Law Enforcement Officers Who Administer Naloxone, Regina Sullivan Wachenheim
Walden Dissertations and Doctoral Studies
With the introduction of law enforcement-administered naloxone, officers are assuming the dual role of law enforcer and caregiver with opioid users. This study used cognitive role theory and Thorne’s interpretive approach to explore the dual roles experienced by officers. The purpose of this study was to understand (1) how officers who administer naloxone describe their experience of the dual role, and (2) how the officers describe the role expectations of law enforcer and caregiver. Seven officers completed semi-structured, one-on-one, telephone interviews. The eight themes that emerged were related to the officers’ views of (1) saving and changing opioid users’ lives; …
Faculty Perceptions Of Student Retention Strategies At A Career-Based University, Sheila Annette Williamson-Branch
Faculty Perceptions Of Student Retention Strategies At A Career-Based University, Sheila Annette Williamson-Branch
Walden Dissertations and Doctoral Studies
In 2008, a career-focused university implemented a set of faculty-led retention strategies to address a steady decline in retention. Yet, despite the implementation of this program, retention continued to decline. The purpose of this study was to examine the perceptions of full-time faculty and part-time faculty regarding what aspects of the existing student retention program were falling short in the university’s efforts to identify strategies to improve student retention. The conceptual framework used for this study was Tinto’s student retention theory promoting momentum to support the examination of the perceptions of faculty to improve student retention. The research questions examined …
Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman
Firefighters' Perceptions And Experiences Of Seeking Mental Health Treatment Services, Kimberly Whitman
Walden Dissertations and Doctoral Studies
Firefighters are repeatedly exposed to trauma on the job, which could result in the need for mental health services; however, many firefighters experience barriers that impede their access to available resources. Additional research is needed from a qualitative lens on firefighters' help-seeking behaviors to inform the development of treatment interventions. The purpose of this study was to explore firefighters’ perceptions and experiences of seeking professional mental health treatment services. A generic qualitative approach and interpretive lens were used for the investigation. Twelve active U.S. firefighters with a minimum of 2 years on the job participated in semistructured interviews. Thematic analysis …
Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White
Modus Operandi And Target Selection Criteria Of Child Sexual Predators In Protestant Churches, Joshua K. White
Walden Dissertations and Doctoral Studies
Although there has been much media focusing on child sexual abuse in the Catholic Church, in many cases Protestant church leaders who committed child sexual abuse were held to no level of accountability. The purpose of this qualitative phenomenological study was to explore the modus operandi of child sexual predators and their target selection criteria in Protestant churches. Hickey’s relational paraphilic attachment theory provided the framework for the study. Fifteen cases from the United States were analyzed using inductive coding to identify six themes: (a) Leaders from Protestant churches who were convicted of sexually abusing minors possessed gross psychological immaturity, …
African American Mothers’ Perceptions Of Trust Of Law Enforcement, Caisha Wilkes
African American Mothers’ Perceptions Of Trust Of Law Enforcement, Caisha Wilkes
Walden Dissertations and Doctoral Studies
AbstractFor many years, African American mothers have endured negative experiences with law enforcement (LE) involving themselves, their children, or both. These personal experiences with LE contribute to the lack of trust African American mothers have in LE. The purpose of this study was to explore African American mothers’ perceptions of LE in terms of trust. Social conflict theory was used as the conceptual framework for this study. Eight African American mothers residing in the United States were recruited by means of snowball sampling to participate in semistructured interviews. The resulting interview transcripts were coded via the six-steps method, and the …
Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield
Cultural Humility As A Predictor Of Intention To Leave Moderated By Authentic Leadership, Dennis Whitfield
Walden Dissertations and Doctoral Studies
The problem addressed in this research was the inappropriate treatment of multicultural individuals by their immediate supervisors and the need for a thorough examination of cultural humility in organizational settings. This quantitative study used linear regression and moderation analyses to examine the relationship between cultural humility and intention to leave moderated by authentic leadership to determine how the participants’ perception of cultural humility in their immediate supervisor predicted their intention to leave. Another purpose was to examine whether authentic leadership moderated the relationship with intention to leave. The theoretical framework for this study included cultural humility, authentic leadership, and intention …
Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto
Transitional Care For The End Stage Renal Disease Patient, Elaine Vitto
Walden Dissertations and Doctoral Studies
AbstractThe prevalence rates for end stage renal disease (ESRD) have continued to rise by approximately 20,000 cases per year, and the number of patients with kidney failure requiring dialysis in the United States had reached 554,038 at the end of 2018. Transition of care for patients between acute care facilities and other care facilities such as dialysis centers remains challenging for providers. Lack of clear communication between providers, poor patient understanding of post-hospital self-care, and gaps in healthcare scheduling contribute to a high rate of adverse events. This facility did not have a detailed clinical guideline for ESRD communication between …
Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton
Nurses’ Experiences With Trauma-Informed Care In Patients With Psychological Trauma, Ade J. Vinton
Walden Dissertations and Doctoral Studies
The COVID-19 pandemic increased the need for research and discussions about trauma, trauma-informed care (TIC), and care delivery processes. Little is known about how nurses recognize, assess, treat, and support patients who experience trauma although knowledge of TIC is important for delivering care to trauma survivors. The purpose of this qualitative descriptive study was to explore nurses’ perceptions of TIC principles and their experiences delivering care to patients with psychological trauma. Harris and Fallot’s TIC theory was used to guide the study. Purposeful sampling was used to recruit ten nurses for individual semi structured interviews using open-ended questions conducted via …
Local Stakeholders' Involvement In Community Development Projects In Kenya, Charles Wanjue
Local Stakeholders' Involvement In Community Development Projects In Kenya, Charles Wanjue
Walden Dissertations and Doctoral Studies
Local residents can provide valuable input on the design, implementation, review, and assessment of development projects, but many community development organizations do not involve these individuals in decision-making. There was inadequate knowledge about why community members are not engaged in community development projects in Kenya. With this study, I sought to improve the understanding of why community members are not fully involved in implementing and managing community development projects in Kenya. Stakeholder theory served as the theoretical foundation for this study. Data were collected through interviews with 13 management and program staff members working with an NGO in Kenya. The …
Exploring Social Workers And Self-Care, Justyna Wawrzonek
Exploring Social Workers And Self-Care, Justyna Wawrzonek
Walden Dissertations and Doctoral Studies
First responder social workers are exposed to a stressful work environment, which puts them at risk for burnout. Burnout increases turnover rates, which negatively impacts both social workers and the clients they serve. The use of self-care practices mitigates the harmful effects of burnout. Because first responder social workers in southern California have an average turnover rate of 6 to 12 months after hire, this study explored southern California first responder social workers’ experiences with self-care practices. A basic qualitative design using semistructured interviews was applied through the purposeful sampling of eight first responder social workers. The study was grounded …
Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West
Effective Strategies To Sustain Small African American Food Service Businesses Beyond 5 Years, Alvin West
Walden Dissertations and Doctoral Studies
AbstractAfrican American small food service business owners contribute to national and local economies; however, only 45% of them sustain their businesses beyond 5 years. African American small food service business owners are concerned with the lack of effective business strategy implementation, as it is the number one predictor of actual business failure. Grounded in the general systems theory, the purpose of this qualitative multiple case study was to explore strategies African American small food service business owners used to sustain their businesses beyond 5 years. The participants were seven African American small food service business owners in the southeastern United …
Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker
Addressing Conflict-Related Sexual Violence In Liberia, Nathaniel Benjamin Walker
Walden Dissertations and Doctoral Studies
The phenomenon of sexual violence against women in Liberia is a disturbing problem. Despite the significant number of individuals who have faced sexual assault in this country, little is known about the roots and long-term implications of this phenomenon within the context of Liberia, as well as the instruments that could be effective in remedying its effects. This study was conducted to understand how conflict-related sexual violence affects women in Liberia and suggest ways to help address it. The research questions addressed the effect of war-related sexual violence against women in Liberia and the strategies that are necessary to remedy …
Experiences Of Elementary School Counselors Treating Anger Issues In Elementary School-Aged Foster Children, Dr. Clarissa Y. Alderman
Experiences Of Elementary School Counselors Treating Anger Issues In Elementary School-Aged Foster Children, Dr. Clarissa Y. Alderman
Walden Dissertations and Doctoral Studies
The purpose of this study was to examine in detail the experiences of school counselors with treating anger issues in school-age children from foster care homes. In particular, the study determined the counselors’ experiences using cognitive behavioral therapy (CBT) to treat anger and whether the interventions were effective. The aim was to shape policy regarding handling children in foster care and overall child social services. Using two methods, the study employed a generic qualitative research design to cover the topic. One method was the narrative literature review, and the other was collecting data using interviews with five counselors adept at …
Strategies That Reduce Nurse Turnover, Trueman Chukwuemeka Atughonu
Strategies That Reduce Nurse Turnover, Trueman Chukwuemeka Atughonu
Walden Dissertations and Doctoral Studies
Nurse turnover is a significant problem that hospital managers and administrators face in delivering high-quality patient care while ensuring organizational profitability. In the United States, the average cost of replacing a nurse ranges from $40,000 to $100,000. Hospital managers are significantly challenged to reduce nurse turnover and keep costs down. Grounded in the Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore the strategies hospital managers use to reduce nurse turnover. The participants included five hospital managers at five medical centers in Arizona with successful experience in reducing nurse turnover. Data were collected from semistructured interviews …
Former Juvenile Delinquents’ Perceptions Of Community Resources In Reducing Juvenile Recidivism, Mardochee Terese Casimir
Former Juvenile Delinquents’ Perceptions Of Community Resources In Reducing Juvenile Recidivism, Mardochee Terese Casimir
Walden Dissertations and Doctoral Studies
AbstractJuvenile recidivism is a concern for human service professionals who are dedicated to developing policies aimed at addressing and reducing such recidivism. The purpose of this generic qualitative study was to explore the perceptions of former juvenile delinquents as to how community institutions and resources prevented them from recidivating. Social learning theory was used to frame this study. Data were collected through semistructured interviews with nine former juvenile delinquents who had experience with community institutions and resource use. Saldana’s inductive coding process was used for data analysis. Nine themes were identified: (a) behavior modification contributed to prevention of recidivism, (b) …
Strategies For Improving Performance Through Diversity And Inclusion In The Workplace, Satari Kay Durrah
Strategies For Improving Performance Through Diversity And Inclusion In The Workplace, Satari Kay Durrah
Walden Dissertations and Doctoral Studies
A lack of diversity and inclusion policies can lead to the perception of exclusion in the workplace and cause some employee groups to underperform. Some hospital leaders lack strategies for developing and implementing effective diversity and inclusion policies to improve business performance. Grounded in transformation leadership theory, the purpose of this multiple case qualitative study was to explore strategies for improving performance through diversity and inclusion in the healthcare field. The participants included four leaders from hospitals located in the southeastern region of the United States. Data were collected using semistructured interviews and review of company documents. Data were analyzed …
Adverse Childhood Experiences, Internalized Homophobia, Alcohol Use, And Suicide Ideation And Attempts Among Sexual Minority Msm Of Color, Odion Clunis
Walden Dissertations and Doctoral Studies
Sexual minority men of color who engage in sexual activity with men (MSM) are twice as likely to experience a psychological episode contributing to suicide ideation or attempts when compared to White MSM. These MSM are underserved in health systems, underrepresented in research, and limited in their access to health care services and interventions. The purpose of this quantitative study was to examine relationships between adverse childhood experiences, internalized homophobia, alcohol use, and suicide ideation and attempts while controlling for age, income, education, and employment among sexual minority men of color (Asian, Black/African American, Hispanic/Latino, Middle Eastern, Native Hawaiian/Pacific islanders, …
Local Anesthetic Systemic Toxicity Education For Perianesthesia Nurses, Rachelle Lynn Dix
Local Anesthetic Systemic Toxicity Education For Perianesthesia Nurses, Rachelle Lynn Dix
Walden Dissertations and Doctoral Studies
Local anesthetic systemic toxicity (LAST) is a potentially life-threatening event following a local anesthetic bolus into the circulatory system. Because LAST is a low-volume, high-risk event, clinical exposure is lacking, creating a knowledge gap among perianesthesia nurses. A knowledge gap regarding LAST among perianesthesia nurses was identified at the project site, an ambulatory surgery center in south Mississippi. The practice-focused question was: Whether a web-based education intervention would increase perianesthesia nurses’ knowledge about LAST. The doctoral project aimed to provide perianesthesia nurses with the clinical knowledge essential for early detection of LAST symptoms. A LAST education module was developed using …
Organizational Engagement Strategies Used By Midlevel Managers In The Energy Industry, Joni Hoxsey
Organizational Engagement Strategies Used By Midlevel Managers In The Energy Industry, Joni Hoxsey
Walden Dissertations and Doctoral Studies
Company employees often see an organizational engagement breakdown when managers do not combine processes and knowledge transfer strategies to achieve goals. Some midlevel managers lose communication and collaboration among business departments as well as with their subordinates, leading to a breakdown in organizational performance. The purpose of this qualitative single case study was to explore organizational engagement strategies midlevel managers use to encourage organizational performance. The theory of organizational learning provided the conceptual framework for the study. Six midlevel managers from various departments in an energy company in the midwestern and southern regions of the United States independently participated in …
Fostering Electricity Access In Cameroon: Impeding Factors And Cost-Effective Model, Jean-Jacques A. Enow
Fostering Electricity Access In Cameroon: Impeding Factors And Cost-Effective Model, Jean-Jacques A. Enow
Walden Dissertations and Doctoral Studies
Abstract Due to irregularities and shortages in electricity generation and distribution, 95% of Cameroon’s population suffers from debilitating effects on national economic security, public health, education, safety, and quality of life. Cameroon needs a sustainable, efficient, and innovative electricity source and policy system. Failure to meet this demand forestalls the much-needed socio-economic and political development of the country. The purpose of the present study was to explore inadequacies of the current hydroelectric supply system in Cameroon, putting into perspective factors that impeded the development of a sustainable electricity supply system, strategies to alleviate these impediments, and the most cost-effective framework …