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Admission Timing, Age, Sex, Pain, And Disability As Outcome Predictors Of Short-Term Pain Programs, Nanesha Courtney
Admission Timing, Age, Sex, Pain, And Disability As Outcome Predictors Of Short-Term Pain Programs, Nanesha Courtney
Walden Dissertations and Doctoral Studies
Researchers have found that age, sex, education level, and pretreatment pain levels may be significant predictors of patient outcomes; however, it remained unknown whether the timing of treatment predicts pain and disability after a multidisciplinary short-term intensive pain treatment program. The purpose of this quantitative nonexperimental study was to use archival data to examine whether the timing of entry into a multidisciplinary short-term intensive pain treatment program predicted pain and functioning levels at posttreatment. Glasser’s choice theory was used to examine whether the combined effect of pretreatment pain, occupational disability level, age, sex, education level, and time of entrance predicted …
Student Perspective Of Alternative Education Characteristics Implemented By Public School Social Workers, Jennifer M. Fields
Student Perspective Of Alternative Education Characteristics Implemented By Public School Social Workers, Jennifer M. Fields
Walden Dissertations and Doctoral Studies
Public schools are facing increased challenges to address the needs of students with significant behavioral issues. In response, Alternative education (AE) programs are used to reengage students in learning and enhance personal development, through a combination of academic and therapeutic strategies. AE placement is intended to be short-term, with the goal of returning students to public school. However, the differences between these two settings make it difficult for students to sustain achievements made in AE upon reentry. The purpose of this qualitative research was to use the student perspective to identify the social-emotional characteristics of AE that have influenced change, …
The Hospital Consumer Assessment Of Healthcare Providers And Systems And Central-Line-Associated Bloodstream Infections, Mary Kerich
Walden Dissertations and Doctoral Studies
Central-line-associated bloodstream infections (CLABSIs) are common healthcare-associated infections (HAIs) contributing to extended hospital stays, morbidity, mortality, and healthcare costs. In 2011, the Centers for Medicare and Medicaid Services implemented the Hospital Value-Based Purchasing initiative, which links acute care hospitals' payments to quality performance. A gap in the literature existed regarding the relationship between hospital characteristics, patient experience, and CLABSI rates. This quantitative study aimed to explore the relationship between patient experience scores reported by the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) and CLABSI standardized infection ratio (SIR) in nonprofit acute care hospitals in the United States. Three …
Strategies For Sustaining Success In Small Businesses In Nigeria, Mina Johnson-Hart
Strategies For Sustaining Success In Small Businesses In Nigeria, Mina Johnson-Hart
Walden Dissertations and Doctoral Studies
Enterprise owners in Nigeria who need more entrepreneurial skills and an understanding of the business environment may need help sustaining their market share. Nigerian small business owners are concerned with the need for entrepreneurial growth strategies because it could reduce business profitability sustainability and lead to entity failure. Grounded in the entrepreneurial orientation theory, the purpose of this qualitative multiple case study was to explore strategies Nigerian small business owners implement for sustaining success beyond 5 years. The participants were three small business owners in the professional services sector who developed strategies for sustaining success beyond 5 years. Data were …
Doctoral Study Effects Of Mandatory Staffing Requirements On Quality Indicators In Long-Term Care, Melissa Reed
Doctoral Study Effects Of Mandatory Staffing Requirements On Quality Indicators In Long-Term Care, Melissa Reed
Walden Dissertations and Doctoral Studies
Long term care facilities continue to struggle to improve the quality of care, which affects publicly reported data and reimbursement. The purpose of this study was to evaluate if state-mandated staffing ratios affected Centers for Medicare and Medicaid Services (CMS) survey ratings for CMS Region 7, which consisted of Iowa, Kansas, Missouri, and Nebraska. The theoretical framework was grounded by Donabedian’s quality theory, which described quality is made up of the elements of structure, process, and outcomes. This study included two research questions evaluating if there was a correlation between minimum staffing ratios and quality of care in long-term care …
Cross-Functional Team Collaboration For Enhancing Timely And Effective Emergency Department Care, Osaigbovo Osemwegie
Cross-Functional Team Collaboration For Enhancing Timely And Effective Emergency Department Care, Osaigbovo Osemwegie
Walden Dissertations and Doctoral Studies
AbstractMany US hospitals report overcrowding in the emergency department (ED) with increased ambulance diversion. Operating at overcapacity risks staff members' ability to provide timely and effective emergency care to patients, exposing them to poor health outcomes. The purpose of this quantitative study was to evaluate whether a correlation exists between cross-functional team collaboration and timely and effective ED care for patients who left 548 national hospital EDs before being seen between 2020 and 2021. The study's independent variable was cross-functional team collaboration, and the dependent variables were Centers for Medicare and Medicaid Services (CMS) Quality Measure scores: left before being …
The Experience Of Social Support In Doctoral Dissertation Student Mothers, Melissa Anne Thomas
The Experience Of Social Support In Doctoral Dissertation Student Mothers, Melissa Anne Thomas
Walden Dissertations and Doctoral Studies
Women who are actively parenting and employed professionally comprise a significant number of the overall global doctorate population attempting to complete their dissertation. A Ph.D. in psychology requires years of commitment of which many women will never complete. The final dissertation phase of the degree process is infamous for being viewed by students as potentially isolative. There is a need to better understand how doctoral student mothers completing their dissertation in a Ph.D. psychology program experience social support. The research questions explored doctoral student mothers’ social support experiences as they completed their dissertation. Tinto’s social integration theory guided the overall …
Diabetes Self-Management Education, Jean David Thomas
Diabetes Self-Management Education, Jean David Thomas
Walden Dissertations and Doctoral Studies
AbstractAccording to the World Health Organization, Type 2 diabetes mellitus (T2DM) is a chronic, metabolic disease that can lead to damage throughout the body and development complications if self-care management is not implemented. Studies have demonstrated a lack of preparedness of nursing staff on T2DM self-care. At the federally qualified health clinic where this Doctor of Nursing Practice project occurred, a gap in practice existed related to the use of outdated American Diabetes Association (ADA) guidelines and lack of patient education documentation on self-care management of T2DM. The purpose of this staff education project was to plan, implement, and evaluate …
Exploring Strategies To Protect Nonprofit Organizations’ Assets From Fraud, Georjean W. Trinkle
Exploring Strategies To Protect Nonprofit Organizations’ Assets From Fraud, Georjean W. Trinkle
Walden Dissertations and Doctoral Studies
Community action agencies serve low-income individuals, families, and communities. Community action agencies may be at risk of fraud if they do not have board members with the knowledge to implement effective governance strategies to protect the organization's assets from fraud. Grounded in agency theory, the purpose of this qualitative multiple case study was to explore effective governance strategies that some community action board members use to protect their organization's assets from fraud. The participants were three board members of two community action agencies in New Jersey who implemented effective governance strategies to protect the organization's assets from fraud. Data were …
Leadership’S Impact On Employee Work Motivation And Performance, Tonia Marilu Joseph-Armstrong
Leadership’S Impact On Employee Work Motivation And Performance, Tonia Marilu Joseph-Armstrong
Walden Dissertations and Doctoral Studies
AbstractLeadership is a major factor in terms of motivating employees, leading to enhanced performance. A study was conducted to examine the influence of supervisory leadership style on employee work motivation and job performance in organizations, specifically in a K-12 school setting. The main goal was to determine if there is a relationship between type of leadership demonstrated by school administrators and its impact on the teaching staff’s motivation and performance. Data for this quantitative study were gathered and analyzed from various public and private schools and included a sample of 100 participants. The predictor variable leadership was assessed using the …
Barriers To The Successful Implementation Of Laws In Saint Lucia, Confia Samantha Jn Paul-Samuel
Barriers To The Successful Implementation Of Laws In Saint Lucia, Confia Samantha Jn Paul-Samuel
Walden Dissertations and Doctoral Studies
AbstractSaint Lucia experiences barriers to successfully implementing some of its enacted laws. As a developing country, when legislative efforts are hampered, the law enactment process is negatively impacted. The purpose of this qualitative study was to understand the potential barriers to the successful implementation of laws in Saint Lucia by examining any effective emerging practices to develop new and innovative approaches and methods in addressing the various issues involved. The conceptual framework for this study comprised parliamentary engagement, public participation and policy making in the law enactment process in similar parliamentary jurisdictions. The research questions focused on understanding the potential …
Experiences With Access To Seeking And Maintaining Home Health Care Services In Low-Income Communities, Staci Yvette Kennedy
Experiences With Access To Seeking And Maintaining Home Health Care Services In Low-Income Communities, Staci Yvette Kennedy
Walden Dissertations and Doctoral Studies
AbstractHome health care services (HHCS) are a cost-effective service option often underutilized by individuals living in low-income communities. For this population, barriers to care may result in higher health care costs and poor health outcomes. Gaps in literature indicated a need to explore experiences of accessing and maintaining home health care among individuals living in low-income communities. The purpose of this qualitative research study was to gain insight into how individuals living in low-income communities perceive their access to HHCS. The conceptual framework used for this phenomenological study was Penchansky and Thomas’s model of access, which addresses access from seven …
Relationship Between Parental Attachment And Cyberbullying Within The Homeschooling Community, Jason King
Relationship Between Parental Attachment And Cyberbullying Within The Homeschooling Community, Jason King
Walden Dissertations and Doctoral Studies
Cyberbullying has been a focus of research and societal concern since the advent of the internet. Both perpetrators and victims of cyberbullying experience significant adverse effects including depression, anxiety, internalizing and externalizing problems, suicidal ideation, and suicide. Despite the broad understanding of the impact of cyberbullying on mental and physical health, research has not prioritized the exploration of cyberbullying within the homeschooled population. The purpose of this quantitative survey design was to identify the characteristics and relationships between cyberbullying victimization and perpetration, attachment security, and religiosity in homeschooled adolescents. Using a framework of Bowlby’s attachment theory, the Parental Attachment Questionnaire, …
The Alignment Between The Algebra Curriculum At A Texas High School And The Mathematics Section Of The Texas Success Initiative Assessment, Kathryn Kober
Walden Dissertations and Doctoral Studies
The primary purpose of this qualitative study was to examine the Algebra I and Algebra II mathematics course curriculum documents at a local high school to determine alignment to the mathematics section of the Texas Success Initiative Assessment (TSIA) and to identify content necessary for students to demonstrate college readiness in mathematics on the TSIA. Revised Bloom’s Taxonomy (RBT) was used to analyze the curriculum documents for alignment to the TSIA content and answer the research question that look for alignment between the Algebra I and Algebra II curriculum documents and the TSIA for mathematics. This study used a qualitative …
Association Between Knowledge Of Human Papillomavirus, Related Cancers, And Barriers To Information, Joycelyn Larbie
Association Between Knowledge Of Human Papillomavirus, Related Cancers, And Barriers To Information, Joycelyn Larbie
Walden Dissertations and Doctoral Studies
Globally, over 250,000 women die every year from cervical cancer and human papillomavirus (HPV). The purpose of this quantitative study was to discover the relation between sociodemographic factors of age, educational attainment, socioeconomic status, personal belief, and knowledge about HPV and related cancers. A cross-sectional design was used to determine statistical relationships. Secondary de-identified data from the Health Information National Trends Survey 2018 was accessed from the National Center Institute and was employed in the study. The study used a simple random technique to select a sample of 3,504 women. Logistic regression was used to estimate the odds of knowing …
Effective Strategies For Using Telecommuting By Owners Of Small Businesses, Thomas Law
Effective Strategies For Using Telecommuting By Owners Of Small Businesses, Thomas Law
Walden Dissertations and Doctoral Studies
Small business owners who lack effective strategies to incorporate telecommuting may be unable to retain teleworking employees, create a flexible working environment, or improve workforce morale, negatively impacting company productivity and profitability. Grounded in transformational leadership theory and sociotechnical systems theory, the purpose of this qualitative multiple case study was to explore strategies small business owners use to incorporate telecommuting to retain teleworking employees. Data were collected from five small business owners in Texas with at least 1 year of management experience and created and maintained remote working strategies. Data collection included semistructured interviews and company documents. Three themes emerged …
Discipline Without Punishment For African American Male Juveniles: From The Eyes Of A Mental Health Professional, Mia Nichole Lee
Discipline Without Punishment For African American Male Juveniles: From The Eyes Of A Mental Health Professional, Mia Nichole Lee
Walden Dissertations and Doctoral Studies
Juvenile rehabilitation and incarceration among African Americans are not equal and up to the standards and recommendations of society. This study focused on identifying the differences between the juvenile rehabilitation and incarceration punishment among African American offenders, with the goal of helping improve the way that the society looks at African Americans. The paper followed qualitative research methodology, which provided social evidence and helped in breaking down information. Data were collected from focus groups, observations, questionnaires, and interviews. The research highlights issues regarding juvenile rehabilitation and incarceration of African Americans, which can encourage change.
The Relationship Between Adolescent Stress In Five Domains And Depression: Rumination As A Moderator, Crystal Victoria Lupo
The Relationship Between Adolescent Stress In Five Domains And Depression: Rumination As A Moderator, Crystal Victoria Lupo
Walden Dissertations and Doctoral Studies
Prior to this study, understanding the impact of rumination as a moderating factor in predicting the interaction between specific domains of stress and adolescent depression remained largely unknown. Guided by the theoretical frameworks of response style theory of depression, control mastery theory, and diasthesis stress model, the purpose of this quantitative nonexperimental study was to examine the link between five domains of adolescent stress (i.e., school, family, peers, appearance, and sports) and depression, the relationship between rumination and depression, and the moderating effect of rumination on these relationships. Participants included previously data collected from 635 adolescents from a midwestern U.S.city. …
Association Of Income, Education, Employment And Covid-19 Mortality In Brazil, Marcelina Machado
Association Of Income, Education, Employment And Covid-19 Mortality In Brazil, Marcelina Machado
Walden Dissertations and Doctoral Studies
The increased mortality rates from COVID-19 in Brazil have adversely affectedvulnerable populations and placed a severe burden on its public health system as compared to other nations. Focusing on socioeconomic status as a risk factor in this retrospective cohort study, I investigated the association between Brazilian COVID-19 mortality rate, income, school enrollment rate, and employment rate after controlling for the demographics and immunization rate. This is an important issue as an increase in incidence and mortality rates affects how governmental and public health leaders can effectively control and prevent disease spread. Using the fundamental causes of disease theory as the …
Educators' Perspectives Of How To Support The Reading Needs Of Grade 3 Through Grade 6 Students With Low Ses Resources, Antoinette Laura Matthews
Educators' Perspectives Of How To Support The Reading Needs Of Grade 3 Through Grade 6 Students With Low Ses Resources, Antoinette Laura Matthews
Walden Dissertations and Doctoral Studies
In an urban school district in a southwestern state, the problem investigated was that elementary educators are struggling to support the reading needs of Grade 3 through Grade 6 students from families having limited access to economic resources. Students with higher socioeconomic status (SES) outperform students with low SES backgrounds. Students with proficient reading skills demonstrate higher overall academic performance and more post-secondary opportunities. The purpose of this basic qualitative study was to investigate educators’ perspectives of why current reading interventions have not been successful for Grade 3 through Grade 6 students at the target site. Using Bandura’s social learning …
Generalized Anxiety Disorder Symptoms Stratified By Age In Primary Care, Robin E. Mccoy
Generalized Anxiety Disorder Symptoms Stratified By Age In Primary Care, Robin E. Mccoy
Walden Dissertations and Doctoral Studies
Little is known as to the age-related presentation of somatic complaints of those diagnosed with generalized anxiety disorder in primary care settings. A retrospective medical records review sought to identify the affective symptoms of generalized anxiety disorder (GAD) by age as recorded by primary care providers and to test the association of these symptoms by age. Guided by Engle’s (1977) biopsychosocial (BPS) model, a large administrative claim database system was used to derive a sample of 1,336, including 500 patients diagnosed with generalized anxiety disorder between 2018 to 2021. Binary logistics regression, one-way ANOVA, chi-square, correlation, and logistical regression with …
Primary Teachers’ Perceptions Of The Wilson Reading Fundations Program For Struggling Readers, Kianga Tene Mckinney
Primary Teachers’ Perceptions Of The Wilson Reading Fundations Program For Struggling Readers, Kianga Tene Mckinney
Walden Dissertations and Doctoral Studies
Despite 3 years of implementation, educators at McKinnley Elementary School (pseudonym) did not know teachers’ perceptions about whether the Wilson Reading Fundations Program (WRFP) was helping K-3rd grade teachers assist struggling readers with becoming proficient in reading in the elementary grades. The purpose of this qualitative single case study was to obtain primary teachers’ perceptions regarding how instructional components of the WRFP challenged or strengthened their instructional practices with assisting struggling readers gaining proficiency. Engelmann’s theory of instruction, Orton-Gillingham’s approach, and Engestrom’s activity theory were the theoretical frameworks that guided this study. Fifteen K-3rd grade teachers who implemented WRFP and …
Registered Nurses’ Perceptions Regarding Postoperative Pain Management And Opioids For Adolescents, Susan Miller
Registered Nurses’ Perceptions Regarding Postoperative Pain Management And Opioids For Adolescents, Susan Miller
Walden Dissertations and Doctoral Studies
More than 2.4 million children undergo surgery annually in the United States and many experience postoperative pain. Poor pain management causes negative outcomes to both the individual and society. Increased rates of prescription drug misuse and rising death rates for adolescents from drug overdoses underscore the need for improvements in pain management. However, there is a lack of research, limited guidelines, and significant provider variability in managing adolescents’ acute postoperative pain. The purpose of this qualitative study was to explore the topic of acute postoperative pain management for adolescents through the lens of registered nurses (RNs). Nurses play an essential …
Referral Source, Visit Modality, And The Delivery Of Diabetes Education In Pennsylvania, Alan Minor
Referral Source, Visit Modality, And The Delivery Of Diabetes Education In Pennsylvania, Alan Minor
Walden Dissertations and Doctoral Studies
Diabetes education is a principal component of optimal diabetes care that is often underutilized despite the known benefits that include reductions in complications as well as improved glycemic control and self-management knowledge. The purpose of this quantitative study was to examine the association between the completion of diabetes education, referral source, and visit modality. Because the completion of diabetes education is multifaceted, Levesque’s theoretical framework of health access, which incorporates dimensions of the accessibility of services and the abilities of potential users in the utilization of health services, was used to ground the study. A retrospective chart review was conducted …
Assessing Fire Station Response And Coverage Ability In A Pennsylvania Town, Timothy Moore
Assessing Fire Station Response And Coverage Ability In A Pennsylvania Town, Timothy Moore
Walden Dissertations and Doctoral Studies
AbstractThere was a gap in fire station response times in a Pennsylvania township. Although there were two fire stations located in the township, one area was contractually serviced by a nearby borough. Stations are staffed by volunteers, which creates problems with coverage and timely responses. The “nine-minute-90%-of-the-time” National Fire Protection Association standard was not always achieved. The purpose of the study was to determine what gaps in fire station response times or coverage existed. A risk-based methodology was used to develop a baseline in standards of coverage. Using a risk methodology with historical data helped in informing issue identification. This …
Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz
Mindfulness Skills And Retention Risk In First-Generation Undergraduate Students, Tim Morenz
Walden Dissertations and Doctoral Studies
First-generation college students experience more negative emotional states and higher stress levels than their continuing generation peers, take approximately two years longer to complete undergraduate degree programs, and are less than one percent likely to re-enroll in college. Mindfulness skills have been reported to alleviate anxiety and stress, improve adjustment to college, and improve academic performance, but a gap in the literature existed specific to first-generation college students. Guided by the theory of planned behavior and the monitor and acceptance theory, the purpose of this quantitative study was to examine the relationship between trait mindfulness skills and retention risk in …
Comparison Of Cultural Self-Efficacy Between Urban And Rural Nurse Educators, Denise Rene Morris
Comparison Of Cultural Self-Efficacy Between Urban And Rural Nurse Educators, Denise Rene Morris
Walden Dissertations and Doctoral Studies
Integration of an inclusive educational environment requires nursing faculty to embrace a transformational change in academics. The cultural interactions of an educator teaching in an urban district may differ from the relations experienced by a rural nurse educator. The purpose of this quantitative study, guided by Bandura’s social cognitive theory, was to determine whether there is a difference between the cultural self-efficacy scores of nurse faculty teaching in a rural location compared to those in an urban location as well as whether the demographics of age, ethnic background, and years in the nursing profession predict cultural self-efficacy scores. Nursing faculty …
Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton
Microaggressions Against Ethnic Individuals From Minorities In Counseling, Joan Morton
Walden Dissertations and Doctoral Studies
AbstractEven though the current literature addresses racial microaggressions among ethnic minority people and implications for counseling, no qualitative research that included the voices of ethnic minority individuals was found. Researchers have not fully addressed the prevalence of racial microaggressions in counseling sessions. The purpose of this qualitative narrative study was to explore the lived encounters of ethnic minorities concerning racial microaggressions in counseling. The study issue was analyzed through the lens of critical race theory. Four participants were recruited from the Walden University participation pool. Data were selected through semi-structure interviews and narrative analysis was used to analyze data to …
Impact Of Type 2 Diabetes And Hypertension On Allocation Of Grant Funds In Federally Qualified Health Centers, Rhonda Mullins
Impact Of Type 2 Diabetes And Hypertension On Allocation Of Grant Funds In Federally Qualified Health Centers, Rhonda Mullins
Walden Dissertations and Doctoral Studies
Limited resources exist for managing the increasing cases of hypertension and type 2 diabetes, which underlines the need to continuously review reimbursement plans to ensure care affordability for chronic illness. The purpose of this quantitative study was to determine whether a correlation existed between the number of patients with type 2 diabetes, hypertension, and demographic characteristics (independent variables) seen at Federally Qualified Health Centers (FQHCs) and the allocation of grant funds from Health Resources and Service Administration (HRSA) (dependent variable) from 2016 – 2020 among adults 18 years old and older in the United States. Guided by the Transaction Cost …
Health Education Needs For Mortality Surveillance In Machakos County, Kenya, James S. Mwanza
Health Education Needs For Mortality Surveillance In Machakos County, Kenya, James S. Mwanza
Walden Dissertations and Doctoral Studies
Reporting mortality information is the primary data source from which evidence can be drawn to monitor disease trends and inform public health policy to improve population health. Still, only two-thirds of expected annual deaths are reported globally. Health education and promotion play a significant role in empowering communities to uptake public health services such as mortality surveillance. This qualitative descriptive study aimed to understand health workers’ (HWs’) perspectives regarding the need for health education to support mortality surveillance in Machakos County, Kenya. The capabilities, opportunities, and motivation for the behavior change model guided the study. Semi-structured interviews were used to …