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Lived Experiences Of Technology-Based Legal Resources, Michael Ray Stanley
Lived Experiences Of Technology-Based Legal Resources, Michael Ray Stanley
Walden Dissertations and Doctoral Studies
AbstractLack of access to United States civil courts by individuals who cannot afford or are otherwise unable to retain legal counsel has attracted the interest of policy makers and members of the legal community in recent years. The literature revealed a wide range of efforts and public and private resources that have been employed to address the problem. The purpose of this phenomenological study was to explore the experiences, perceptions, and insights of individuals in a medium-size Michigan city who had utilized services that deliver legal resources by technology-based platforms. Social construction of targeted populations and the technology acceptance model …
An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry
An Evaluation Of A Community-Based Children’S Bereavement Group Using A Resilience Model, Ada Terry Denone Terry
Walden Dissertations and Doctoral Studies
The death of a loved one can be an extremely painful process that can have detrimental consequences on the emotional well-being of individuals if they don’t receive grief intervention support. When it specifically comes to the emotional eudaemonia of children and teens experiencing the death of a loved one, research is limited on empirical-based bereavement intervention support to enhance their coping skills. Utilizing the theoretical framework of resilience theory, the purpose of this quantitative secondary research study was to evaluate the Sutter Sacramento Children’s Bereavement Art Group (CBAG) ten- week intervention for children and teens ages 5-12. The first question …
Hospital-Acquired Infections And Differences Between Magnet And Non-Magnet Hospitals, Linda Mary Valenti
Hospital-Acquired Infections And Differences Between Magnet And Non-Magnet Hospitals, Linda Mary Valenti
Walden Dissertations and Doctoral Studies
Hospital-acquired infections (HAIs), specifically clostridioides difficile (CDI) and methicillin-resistant staphylococcus aureus (MRSA) bacteremia, increase mortality and length of stay and cost the United States billions of dollars each year. Though preventable, continued incidence demonstrates that infection prevention interventions remain challenging for health system administrators. The purpose of this quantitative study was to identify whether there was a significant difference between Magnet accreditation and non-Magnet accreditation and the frequency of HAIs, specifically, CDI and MRSA bacteremia. The independent variable was Magnet accreditation status; the dependent variables were CDI and MRSA bacteremia. The foundation of the study focused on Donabedian’s framework of …
A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington
A Qualitative Study Of Moral Distress In Physicians During The Covid-19 Pandemic, William Washington
Walden Dissertations and Doctoral Studies
Abstract The spread of Coronavirus (COVID-19) created a pandemic and had a world-shattering effect on healthcare organizations. As a result, many healthcare professionals were exposed to health situations that stretched them beyond their professional ethics, mental health, and emotional capacity. Throughout the last 30 years, moral distress has been understood as the type of stress that medical professionals experience. Research has substantially grown regarding COVID-19 and moral distress, exposing gaps in the ability of experts to care as they should. Moral distress was a term created to define the emotional disruption that occurs when a professional cannot work within their …
Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin
Effective Strategies For Small Business Sustainability, Kathleen A. Watson-Wilkin
Walden Dissertations and Doctoral Studies
AbstractSmall businesses in the United States experience a higher failure rate than medium-sized and large corporations. Small business owners without successful strategies to sustain their businesses may fail. Grounded in the McKinsey 7S model, the purpose of this multiple case study was to explore strategies small general construction contractor business owners use to sustain their businesses beyond 5 years. The participants were three small general construction contractor business owners within Miami, Florida, who sustained businesses for 5 years. Data were collected using semistructured and audio-recorded face-to-face interviews. Through thematic analysis, four themes emerged: (a) creating strategies for a solid customer …
Educating Nursing Staff On Code Lavendar, Melanie Gumapas Webb
Educating Nursing Staff On Code Lavendar, Melanie Gumapas Webb
Walden Dissertations and Doctoral Studies
The role of the nurse has changed considerably over the past decade. Nurses are facing alarming rates of burnout that is causing them to leave the profession prematurely. The practice-focused question was to determine if a nurse staff education program on Code Lavender that focused on wellness and resiliency strategies helped to decrease nurse burnout. The purpose of this doctor of nursing practice project was to educate nurses on an 11-bed inpatient oncology unit at a hospital located in Maryland. A comprehensive literature review was conducted utilizing several databases and using inclusive terms such as nurse burnout, wellness, patient safety …
Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland
Issues Of Inmates Not Receiving Mental Health Treatment: A Prison-Based Counselor Perspective, Ashley Celestine Westmoreland
Walden Dissertations and Doctoral Studies
Mental illnesses in correctional facilities have been an issue for decades and have increased over time. According to recent studies, correctional facilities have become known as mental health institutions without access to treatment. It is unclear why correctional facilities have limited resources, but research indicates that offenders are not receiving the appropriate treatment. This qualitative phenomenological study aimed to explore how five prison-based counselors perceive the quality and quantity of mental health services provided to inmates. The data were analyzed and coded using the Interpretative Phenomenological Analysis (IPA). The current study’s findings further added to the base of knowledge that …
Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler
Strategies Call Center Managers Use To Reduce Employee Turnover, Sheena R. Wheeler
Walden Dissertations and Doctoral Studies
Excessive employee turnover can disrupt an organization's efficient operational performance. Call center managers remain concerned with excessive employee turnover due to the expense of lost productivity, recruiting, and training new employees. Grounded in Herzberg’s two-factor theory of motivation, the intent of this qualitative single case study was to explore strategies call center managers use to reduce employee turnover. The participants consisted of five managers in one financial service call center in Nebraska who used successful strategies to reduce employee turnover. Data was collected using semistructured interviews and a review of the employee handbook. Four themes emerged through Yin’s 5-step process: …
Oncology Nurses’ Experiences Dealing With And Managing Compassion Fatigue While Caring For Terminally Ill Patients, Stacey-Ann Mary Whyte
Oncology Nurses’ Experiences Dealing With And Managing Compassion Fatigue While Caring For Terminally Ill Patients, Stacey-Ann Mary Whyte
Walden Dissertations and Doctoral Studies
Compassion fatigue (CF) is a significant cause of nurse burnout (BO). Oncology nurses are particularly susceptible to CF because of the continual contact with terminally ill patients and recurrent experiences with patients’ death. A search of existing literature found no published studies that explicitly focused on interviewing oncology nurses to gain their expression of their lived experiences with CF while caring for terminally ill patients. This phenomenological qualitative study explored oncology nurses’ experiences dealing with and managing CF when caring for terminally ill patients. Figley’s compassion fatigue theory grounded this study. The research questions focused on the lived experiences of …
Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams
Preschool Teachers’ And Parents’ Perspectives Regarding Factors That Affect Kindergarten Readiness, Ebony Catrice Williams
Walden Dissertations and Doctoral Studies
When children enter kindergarten, they are expected to demonstrate an interrelated set of skills and competencies including pre-academic skills, cognitive abilities, socioemotional well-being, and physical health. The problem that was the focus of this study was that many students who complete prekindergarten are not ready for kindergarten. Guided by Garcia’s kindergarten readiness framework, the purpose of this basic qualitative study was to increase understanding of the perspectives of parents and prekindergarten teachers regarding their role in developing kindergarten readiness, and the factors they believe support or hinder their efforts. Eight prekindergarten teachers and 8 parents of prekindergarten students from one …
African American Men’S Lived Experiences Of Stigma Regarding Use Of Mental Health Services, Leon M. Wilson
African American Men’S Lived Experiences Of Stigma Regarding Use Of Mental Health Services, Leon M. Wilson
Walden Dissertations and Doctoral Studies
AbstractAfrican American men are disproportionately more likely to live with untreated mental health challenges; the incidence of mental illness in African Americans is, per capita, 30% higher than among non-Hispanic Whites. African American men experience significant barriers and deterrents to psychological help seeking, which are primarily due to internalized stigma. The purpose of this qualitative phenomenological study was to explore and describe African American men’s experiences that influenced internalized stigma regarding seeking and using traditional mental health services. The theoretical framework included the theory of social stigma and minority stress theory. Nine purposively selected African American men from the Mid-Atlantic …
Exploring Educators' Perception Of Remote Instructional Collaboration In Liberian Higher Education Classrooms, George Wah Williams
Exploring Educators' Perception Of Remote Instructional Collaboration In Liberian Higher Education Classrooms, George Wah Williams
Walden Dissertations and Doctoral Studies
Public higher education institutions in Liberia have employed various mitigating measures to improve instruction quality and increase learning outcomes; however, little was known about remote instructional collaboration as a strategic approach in Liberian higher education classrooms. This qualitative study, based on Everett Rogers’ Diffusion of Innovation theory, explored the Liberian educators’ perceptions of and disposition to RIC in public tertiary classrooms in Liberia. Seeking Liberian educators’ perception of and disposition to remote instructional collaboration in public tertiary classrooms drove this investigation. Two groups of 17 educators based in the United States and Liberia were interviewed using a semi-structured protocol facilitated …
Correctional Officers’ Perceptions Of Punitive Force In Solitary Confinement, Megan Crista Oberholtzer
Correctional Officers’ Perceptions Of Punitive Force In Solitary Confinement, Megan Crista Oberholtzer
Walden Dissertations and Doctoral Studies
Solitary confinement in United States prisons is a common practice influenced by legal and human rights discussions. Physical conditions of the prison environment can cause somatic and psychological distress among correctional officers. The research problem is how lived experiences of solitary confinement correctional officers may influence punitive force perceptions. A positive outcome for inmates may be influenced by correctional officers who are unbiased in confinement, interventions, and treatment management. Positive inmate outcomes also rely on institutional functions. The purpose was to explore correctional officers’ lived experiences and perspectives. The supporting theoretical framework is Weiner’s attribution theory. The research question involved …
The Impact Of The Spinning Babies Method On Labor Duration And Delivery Outcome, Darlene Sears
The Impact Of The Spinning Babies Method On Labor Duration And Delivery Outcome, Darlene Sears
Walden Dissertations and Doctoral Studies
Proper maternal positioning has been studied for many years and identified as a critical factor in reducing the risk of labor dystocia and Cesarean births. The Spinning Babies method is a nonpharmacological technique that helps to support a physiological delivery by assisting women with position changes throughout labor. However, there was no literature on the difference between the duration of labor or Cesarean section rates when utilizing the Spinning Babies exercises. This quantitative comparative study examined whether the Spinning Babies method was associated with the duration of the first and second stages of labor and the delivery outcome in low-risk …
Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee
Marijuana Cultivation Laws And Admissions For Cannabis Use Disorder In Us Substance Abuse Treatment Facilities, Nada Al-Rubaiee
Walden Dissertations and Doctoral Studies
With approximately 4.4 million Americans addicted to cannabis, it is considered a dominant non-medical drug that is common in the US. The purpose of this study was to investigate the possible contribution of the state laws that allow the cultivation of marijuana to Marijuana Medical (MM) program cardholders on cannabis addiction. This study was conducted to address the issue of the increase in demand for cannabis-related admissions that contribute to an upsurge in the unmet treatment needs. The study is founded on the Ecological Models proposed by Urie. The key research question explored the association between state laws that allow …
The Effects Of Vesico-Vaginal Fistula In The Lives Of Women In Southeastern Nigeria, Chioma Esther Amutaigwe
The Effects Of Vesico-Vaginal Fistula In The Lives Of Women In Southeastern Nigeria, Chioma Esther Amutaigwe
Walden Dissertations and Doctoral Studies
Vesico-vaginal fistula (VVF) is a maternal health problem faced by women in developing countries. VVF is one of the most devastating consequences of prolonged obstructed labor and is still prevalent in resource-poor countries like Nigeria where fertility is high, the status of women is low, and obstetric services are often inadequate. The objective of this study was to enrich our understanding of the effects of VVF as it relates to women’s experiences in southeastern Nigeria. I adopted the Transactional Model of Stress and Coping in this study; this theory posits that people, when contending with any kind of stressors, are …
Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian
Special Education Teachers’ Perceptions Of Cognitive–Behavioral Interventions In The Classroom For Adolescent Autistic Students With Anxiety, Kasey Jane Aposhian
Walden Dissertations and Doctoral Studies
Adolescents with autism spectrum disorder (ASD) often struggle with comorbid disorders like anxiety. However, special education teachers may lack the training to implement specific interventions in the classroom setting for adolescents with ASD and anxiety. This qualitative action research study was conducted to examine how special education teachers work with adolescents diagnosed with both ASD and anxiety. Bandura’s reciprocal determinism concept guided this study by explaining that the classroom environment and adolescents’ cognition and behavior should be considered when implementing cognitive–behavioral therapy (CBT) for students with ASD and anxiety. The two research questions asked participants to describe their ability to …
Preventing Nosocomial Infections In West Central Africa Through Nurse Education, Frida Ashu
Preventing Nosocomial Infections In West Central Africa Through Nurse Education, Frida Ashu
Walden Dissertations and Doctoral Studies
AbstractNosocomial infections are acquired after being hospitalized. Lack of nurses’ education pertaining to nosocomial infections increase the risk of infections. Nurses working in the target facility in West Central Africa were not knowledgeable about current evidence-based infection control practices. The purpose of this project was to educate nurses on how to reduce the rate of nosocomial infections. The analysis, design, develop, implement, and evaluate model was used to guide the development of this project. Three experts evaluated the education program for content validity and usability. The program was presented as a PowerPoint to 40 health care workers via Zoom. The …
The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez
The Perceived Impact Of Childbirth Related Ptsd And Maternal Bonding, Sheila Baez
Walden Dissertations and Doctoral Studies
AbstractChildbirth has been increasingly viewed as a potentially traumatic event and process impacting both mother and infant. Previous research on childbirth has concentrated on the development of postpartum depression and its impact; research on posttraumatic stress disorder (PTSD) after childbirth has been limited. However, the results of this research study suggested that the development of childbirth-related PTSD may be a far more common phenomenon than previously suggested. Bowlby’s attachment theory and Ainsworth’s further development and expansion of the theory served as a framework which investigated the experiences of 10 biological females, aged 21 and over previously diagnosed with PTSD after …
Increasing Knowledge Of Emergency Department Nurses On Recognizing Aggressive Patient Behavior, Kandee Barnes
Increasing Knowledge Of Emergency Department Nurses On Recognizing Aggressive Patient Behavior, Kandee Barnes
Walden Dissertations and Doctoral Studies
Emergency department (ED) nurses are exposed daily to workplace violence putting them at risk for injury from aggressive patients. A gap in practice was identified in an urban ED in a state in the Southeastern United States. ED nurses at this site do not have the knowledge to recognize and reduce aggressive patient behavior. The guiding practice-focused question addressed whether educating ED nursing staff on recognizing aggressive patient behavior would increase knowledge. To address the gap, an educational session was developed based on a comprehensive literature search, with the assistance of an expert panel and using the analyze, design, develop, …
A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch
A Comparison By Ethnicity Of Usage Of Medication, Intubation Use, And Mortality Rates Of Covid-19 Patients In An Urban Hospital, Howard Rubin Baruch
Walden Dissertations and Doctoral Studies
Evidence from an urban hospital initially revealed that ethnicity had no bearing on treatment modalities or mortality among patients admitted and diagnosed with COVID-19 symptoms from January 1, 2020 to January 1, 2021. The purpose of this study was focused on answering three principal research questions concerning evidence at one hospital of differences in medication used, whether intubation was used, and mortality by ethnicity for those treated for COVID-19 while controlling for age, gender, and co-morbidities. The health belief model served as the theoretical framework. Data was collected from 1188 patient charts, and binary logistic regression was used to test …
Neighborhood Factors, Cardiovascular Illness, Mental Health, And Aging In The United States, Brenda Billings
Neighborhood Factors, Cardiovascular Illness, Mental Health, And Aging In The United States, Brenda Billings
Walden Dissertations and Doctoral Studies
The inability to age in place among people 65 years old and older is a public health problem in the United States. However, it is unknown what neighborhood factors (i.e., trust, safety, shared values) impact the communities that are struggling to support individuals looking to stay in their homes as they age. The purpose of this quantitative correlational study was to examine the relationship between neighborhood factors (i.e., trust, safety, and shared values), cardiovascular illness (i.e., heart attack and stroke), mental health (i.e., depression), and aging in place, controlling for sex, age, marital status, educational level, employment status, and race. …
Personal Hardiness As An Unexamined Component Of The Healthy Volunteer Effect, Angelique E. Blann
Personal Hardiness As An Unexamined Component Of The Healthy Volunteer Effect, Angelique E. Blann
Walden Dissertations and Doctoral Studies
Clinical trials are the standard for approving medicines for public use. To conduct trials, researchers depend on a declining number of volunteers. The healthy volunteer effect, a phenomenon in which participants demonstrate better outcomes than their peers, limits the generalizability of trial outcomes. The healthy volunteer effect does not fully explain the outcome difference between volunteers and nonvolunteers. The purpose of this cross-sectional quantitative study was to examine personal hardiness as an unexplored component of the healthy volunteer effect and determine whether personal hardiness is associated with willingness to participate. Hardiness was a personality construct that represented resilience to stress. …
Covid-19 And Its Impact On Nursing Care Facility Business Operations: A Phenomenological Inquiry, Lashonda Bonsu
Covid-19 And Its Impact On Nursing Care Facility Business Operations: A Phenomenological Inquiry, Lashonda Bonsu
Walden Dissertations and Doctoral Studies
AbstractThe research problem was the lack of knowledge regarding how nursing care facility leaders sustained business operations within the climate of adversity created by the COVID-19 pandemic. The purpose was to explore and understand the essence of nursing care facility leaders’ perceptions and experiences in maintaining business operations during the COVID-19 pandemic. The conceptual framework was based on resiliency theory. The central research question and subquestion for this qualitative transcendental, phenomenological study focused on what strategies nursing care facility leaders use to sustain business operations during the COVID-19 pandemic, as well as their perceptions and experiences regarding their response to …
Male Nursing Students In The Community College And The Struggle To Completion, Geri Ann Brewer
Male Nursing Students In The Community College And The Struggle To Completion, Geri Ann Brewer
Walden Dissertations and Doctoral Studies
AbstractDespite significant contributions to healthcare made by male nurses throughout the centuries, nursing is a female-dominated profession, creating challenges for male nursing students. The problem addressed in this study was that male nursing students experience challenges that impede their success toward completing their urban Midwest community college nursing program. Guided by the nursing undergraduate retention and success model, the purpose of this basic qualitative study was to explore male nursing students’ perceptions of the challenges they face that impede their success and their recommendations for the supports they need to overcome these challenges within two urban Midwest community college nursing …
Pharmacy Manager System Implementation Strategies To Mitigate The Cost Of Prescription Errors, Tunde Abiodun Cardozo
Pharmacy Manager System Implementation Strategies To Mitigate The Cost Of Prescription Errors, Tunde Abiodun Cardozo
Walden Dissertations and Doctoral Studies
AbstractOne of the most frequent medical errors in contemporary medicine is incorrect prescriptions, and the profits from retail pharmacy operations are adversely impacted by the costs associated with prescription errors. Independent pharmacy managers are interested in finding workable strategies to mitigate the cost of prescription errors and increase profit. Using the resource-based theory of competitive advantage (RBTCA), the purpose of this qualitative multiple-case study was to explore strategies some independent pharmacy managers in Texas use to mitigate the cost of pharmacy employee prescription errors and increase profitability. The participants were five independent pharmacy managers who implemented strategies to mitigate the …
Strategies For Sustaining Leisure And Hospitality Small Businesses, Kip Cheruiyot
Strategies For Sustaining Leisure And Hospitality Small Businesses, Kip Cheruiyot
Walden Dissertations and Doctoral Studies
Disruptive events, such as the COVID-19 pandemic, impact leisure and hospitality businesses by disrupting customer patronage and business operations. Small business owners in the leisure and hospitality industry risk revenue loss and business failure when they cannot remain operational during disruptive events. Grounded in the blue ocean theory, the purpose of this qualitative multiple-case study was to explore strategies leisure and hospitality small business owners used to sustain their businesses during the COVID-19 pandemic. The participants comprised five leisure and hospitality small business owners in the central region of Texas who had successful business operations before the COVID-19 pandemic in …
Environmental Factors And Breast Cancer Mortality, Joel Collazo Rodriguez
Environmental Factors And Breast Cancer Mortality, Joel Collazo Rodriguez
Walden Dissertations and Doctoral Studies
Breast cancer is a public health problem in the United States that impacts diverse ethnic female groups in different ways regarding incidence and mortality. Much is known about the factors increasing the risk of developing breast cancer, but little is known about those that increase the chances of dying from it, other than access to health care, screening, and appropriate treatment. This study aimed to understand the association between exposure to Environmental Protection Agency-regulated air pollutants and breast cancer mortality, including how the interaction between these air contaminants impacts the outcome of interest, considering median income, education level, and percentage …
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 …
Strategies For Sustaining Small Family Restaurant Businesses, Charlotte Lynell Cumbo
Strategies For Sustaining Small Family Restaurant Businesses, Charlotte Lynell Cumbo
Walden Dissertations and Doctoral Studies
AbstractThe restaurant business is a highly competitive industry in which 30% of small restaurant businesses fail within the first year of operations. Grounded in Porter’s five forces analysis conceptual framework, the purpose of this qualitative case study was to explore strategies that small family restaurant business owners used to sustain their business beyond five years of beginning operations. The purposive sample for this study included five small family restaurant business owners located in the southwest region of Texas who used key strategies to achieve sustainability beyond five years of beginning operations. Data were collected from semistructured interviews, restaurant owners’ documentation, …