Digital Commons Network^™

Experience Of Burnout Among Psychiatric Hospital Staff, Cindy Cisneros

Walden Dissertations and Doctoral Studies

Negative experiences at work are common at inpatient psychiatric hospitals and can result in burnout. This is especially the case for psychiatric hospital staff, as they are commonly the first and most frequent line of contact for patients in acute psychiatric care. This study provided relevant insight into the factors that influence the experience of burnout among psychiatric hospital staff that care for patients in inpatient psychiatric hospitals. Research on how burnout affects psychiatric hospital staff apart from other medical professionals is not robust and lacking in qualitative analysis. The transactional model of stress and coping framework constituted the theoretical …

Mental Health Impacts Of Covid-19 And Clinical Services In Elementary Schools, Dr.Hannah Cobb

Walden Dissertations and Doctoral Studies

AbstractThe COVID-19 pandemic has negative effects on children, adolescents, and adults. Despite these effects, information about the nature of mental health concerns and services provided to address these concerns by elementary school counselors is unknown. The purpose of this generic qualitative study was to examine mental health concerns elementary school counselors observed among kindergarten through fourth grade students in urban Oklahoma during the COVID-19 pandemic, how they described clinical services provided to address these concerns, and how they decided to provide these services. The study was grounded in Bronfenbrenner’s ecological systems theory and Erikson’s theory of psychosocial development to explore …

The Employees’ Perspective: Situational Leadership Style Flexibility And Effectiveness And Employee Performance In A Technological Organization, Merari Cortes

Walden Dissertations and Doctoral Studies

Poor employee performance can have adverse effects on business outcomes. Business leaders are concerned with poor performance, which can minimize profitability and negatively impact business sustainability. Grounded in the Situational Leadership II® model, the purpose of this quantitative correlational study was to examine the relationship between situational leadership style flexibility, effectiveness, and employee performance as perceived by employees, controlling for employee gender, job location, and tenure. A random sample of 99 technology company employees completed the Leader Behavior Analysis II®– Other and the Employee Job Performance measurement tools. Using hierarchical multilinear regression, employee gender, job location, and tenure were entered …

Experiences And Perceptions Of Hospital Social Workers Regarding Discharge Planning And Readmission, Kenshara Cravens

Walden Dissertations and Doctoral Studies

The Centers for Medicare and Medicaid Services created the Hospital Readmission Reduction Program in 2010 to decrease the problem of hospital readmissions. This program reduces hospital reimbursements from Medicare or Medicaid when patients with specific diagnoses are readmitted within 30 days of discharge. This generic qualitative study explored hospital social workers’ experiences and perceptions of the impact of discharge planning on hospital readmission. Meleis’s transitions theory provided the conceptual framework for this study. Data were collected from semistructured interviews with 10 female medical social workers. Data analysis entailed categorizing and classifying the data into emerging themes to answer the research …

Effect Of Gender On The Relationship Between Leadership Style And Employee Engagement, Shawana Denise Davis

Walden Dissertations and Doctoral Studies

This study examined the degree to which the views of transformational and transactional leadership style, based on gender, influence leader-follower employee engagement. The study was conducted using a non-experimental quantitative research design, resulting in a proposed theoretical model that defines gender as a moderating variable on leadership style that predicts leader-follower employee engagement. The sample frame was drawn from entry-level front-line employees located in the Southeastern US region. Employing multiple regression analysis, this quantitative investigation analyzed participants utilizing MLQ-5X leadership scores and employees’ ISA Engagement Scale scores. Participants (N = 102) completed both survey instruments. The research examined one research …

An Analysis Of Client And Employee Satisfaction Surveys For A Public Organization, Jennifer Davidna Derisse

Walden Dissertations and Doctoral Studies

The need to analyze surveys to understand clients and improve services has been a focus of scholars. It is missing in literature the best methods to analyze surveys. Researchers have yet been able to establish the need of surveys in public organizations. The problem was that the Sunshine House (SH) needed to analyze surveys to understand clients and improve services. Surveys were analyzed to apply alignment, effectiveness, and action orientation. The purpose of this study was to analyze perceptions of clients and staff in surveys concerning the effectiveness of services. Research questions were the following: (a) employee satisfaction and employee …

Assessing The Impact Of Domestic Violence Upon The Lives Of African American Women, Meleh Duarto

Walden Dissertations and Doctoral Studies

Domestic violence is a public health problem in the United States. It can be associated with physical, mental, emotional, and psychological problems for the victims. African American (AA) women experience this type of violence more than any other ethnicity or race. The purpose of this phenomenological qualitative study is to identify and report AA women’s lived experiences of domestic violence. Even though research devoted to understanding domestic/intimate partner violence’s consequences is limited, this problem has devastating consequences for AA women. This problem needs immediate attention. Likewise, there is limited empirical research done on the topic: Why do African Americans experience …

Strategies Used To Mitigate Voluntary Employee Turnover In Holistic Wellness Centers, Traci N/A Eisenberg-Rayburn

Walden Dissertations and Doctoral Studies

High voluntary employee turnover rates can be expensive for businesses since more than half of the U.S. workforce changed jobs or left their employers in 2020. Owners of holistic wellness centers who experience high voluntary turnover can experience issues involving maintaining workloads, keeping patients satisfied, and maintaining a competitive edge. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore strategies for holistic wellness center owners in the northeastern region of the U.S. to decrease voluntary employee turnover. Data were collected from semistructured interviews with three holistic wellness center owners and analyzed using thematic analysis. …

Effect Of Family Engagement On The Behavioral Health Of Mentally Ill Offenders, Jessica Rae Horn

Walden Dissertations and Doctoral Studies

In the United States, 40% of incarcerated individuals have been diagnosed with a mental health disorder, but they often lack the support system needed to navigate their incarceration. This study addressed ways to understand how family engagement opportunities can improve the behavioral health of mentally ill offenders. Specifically, five research questions were used to explore the degree to which the practice of family engagement was understood as a method for providing support to mentally ill incarcerated individuals. The study followed the Baldrige Framework of Excellence to identify current organizational leadership and management issues that can help reach its goals, improve …

Public Company Ceo Strategies For Navigating A Global Economic Shock, Trevor Lee Johnson

Walden Dissertations and Doctoral Studies

Covid-19 has been the most significant economic shock of the 21st century, evidenced by the S&P 500 index plunging over 30% in early 2020. Business leaders who fail to prepare for black swan events are at a high risk of failure. Grounded in Taleb’s black swan theory, the purpose of this qualitative multiple case study was to explore strategies some public market CEOs use to defend share price returns during economic shocks. The participants were five CEOs of five publicly traded companies listed on the Toronto Stock Exchange who generated positive investor returns since the pandemic began. Data were collected …

How Supervisors Describe The Development Of Competence In Trainee School Counselors, Suen Yan Leung

Walden Dissertations and Doctoral Studies

AbstractSchool counselors serve an important role in providing frontline counseling services to students in local school districts. Professional associations and educational institutions emphasize the importance of professional competence. However, research on professional competence is fragmented, outdated, and unintegrated. This qualitative study explored the development of competence in trainee school counselors during supervision, from the supervisors’ perspectives. Using the conceptual frameworks of self-efficacy and professional identity development, 16 experienced supervisors were interviewed and asked to describe the development of competence in trainee school counselors and how they instructed the development of competence. Thorne’s interpretive description method was combined with a reality-testing …

How Elementary School Principals Manage Their Workload, Cynthia Ann Mccabe

Walden Dissertations and Doctoral Studies

Elementary school principals in a suburban, Mid-Atlantic public school system may face challenges when balancing their workload. This problem is significant as an elementary school principal’s workload could contribute to ineffective leadership. The purpose of this basic qualitative study was to explore how these principals balance their workload and obtain their perceptions of the administrative support required to meet the daily challenges of their job. The conceptual framework is Gronn’s distributed leadership model which is based on the purposeful sharing and disseminating of leadership responsibilities. The research questions explored how elementary school principals describe the challenges they have in balancing …

Evacuation Emergency Management During Hurricane Katrina: A Decision-Making Analysis, Kimberli Roessing-Anderson

Walden Dissertations and Doctoral Studies

Emergency management policy is useful when it involves the stakeholders it serves in the decision-making process. The death toll for Hurricane Katrina in 2005 was almost 2,000 people. Many of the dead and injured lived in low-income communities. There were significant challenges with the evacuation of residents of the Ninth Ward of New Orleans during Hurricane Katrina. Like many public policies, emergency management has evolved over time. Periodically, a catalyst event, such as Hurricane Katrina, shapes public opinion and eventually public policy and its administration. Punctuated equilibrium theory was used to examine the decision-making process of Ninth Ward residents to …

Nonprofit Administrator Strategies To Procure And Retain Long-Term Donors, Dr. Maxine Rolle

Walden Dissertations and Doctoral Studies

Abstract Nonprofit sector administrators inability to procure and retain long-term donors can result in reduced revenue and possible organization failure. Nonprofit administrators who lack strategies to procure and retain long-term donors can negatively impact organizational performance and success. Grounded in network theory, the purpose of this qualitative multiple-case study was to explore strategies nonprofit administrators use to procure and retain long-term committed donors to remain operable. The participants comprised four administrators of four separate nonprofit organizations in Fort Lauderdale, Florida who procured and retained long-term committed donors to remain operable for at least 5 years. Data were collected through semistructured …

Effective Business Survival Strategies Among Women-Owned Small And Medium Enterprises After A Natural Disaster, Clorinda Valentina Sanders

Walden Dissertations and Doctoral Studies

Women business owners (WBOs) who experience natural disasters face significant challenges, such as disruption of business operations, damage, or detriment to infrastructure, decreased revenue, and low customer confidence. WBOs are concerned with business continuity and the social and economic impact of natural disasters in their communities. Grounded in the resource-based view and marketing entrepreneurship theories, the purpose of this qualitative multiple case study was to explore strategies WBOs of small and medium enterprises (SMEs) use to survive a natural disaster. The participants were four women SME owners in northeast Florida who implemented strategies to maintain business continuity during and after …

The Impact Of Social Media On Organ Donation, Miguel Enrique Sewer

Walden Dissertations and Doctoral Studies

Abstract

The organ-donor shortage remains a pressing issue facing the transplant community. There is a significant gap between supply and demand, which continues to broaden. This general qualitative study aimed to provide a road map to define the role of social media and its interrelationship with increasing organ donation. The study utilizes the potential of a communication framework to increase outreach and education, serving as an alternative to increasing organ donors’ participation. The conceptual underpinnings for this study are the Social Representations Theory, the Organ Donation Willingness Model, and the Theory of Planned Behavior. The data was collected using an …

Behavioral Health Leadership Strategies To Increase Telehealth Engagement, Ramona Singletary-Robertson

Walden Dissertations and Doctoral Studies

One of the challenges brought on by the recent COVID-19 pandemic has been the promotion and use of telehealth services. While recent data from Medicare has depicted an increase in this new service delivery modality (over 4,000%), there has been a stark disparity in the use of telehealth services in lower socioeconomic demographics, such as rural and underrepresented communities, and among Medicare recipients. Equitable, consistent, and optimal service expansion of the telehealth modality requires therapists and leaders of behavioral health organizations to develop and deploy creative tactics to remedy this disparity. In this case study, leaders of Miss Emma's Behavioral …

Informal Caregivers’ Experiences Of Caring For Older Adults Diagnosed With Urinary Tract Infections, Novelett M. Stennett-James

Walden Dissertations and Doctoral Studies

Informal caregivers’ experiences of caring for older adults diagnosed with a urinary tract infection (UTI) is a prevalent issue that affects adults as they age. The purpose of this generic qualitative study was to understand informal caregivers’ experiences observing and reporting to doctors observable changes of behavior in older adults that were later linked to unconventional symptoms of potential UTIs. Attribution theory was used as the theoretical framework for this study. This qualitative study addressed the research question of informal caregivers’ experiences observing and reporting to doctors observed changes in older adults associated with unconventional UTI symptoms. Data were collected …

Organizational Characteristics As Predictors Of Hospital Accreditation, Rebecca B. Graystone

Walden Dissertations and Doctoral Studies

Abstract Hospital accreditation has had wide and longstanding acceptance as a key quality tool to drive efficient, effective healthcare. Researchers have more recently questioned factors commonly related with accreditation achievement given accreditation’s general association to better patient care, risk management, and cost reduction. Even less information was known about predictors of accreditation failure, which could be addressed by hospital administrators in advance of seeking application. Accordingly, the purpose of this cross-sectional study was to examine if hospital structures and processes were predictors of accreditation failure. The research questions explored hospital size, ownership status, geographic location, hospital leadership, empowerment, practice, and …

Socio-Environmental Factors Related To Prevalence Of Childhood Uncontrolled Asthma In Marion County, Indiana, Haoua Chaoueye

Walden Dissertations and Doctoral Studies

AbstractDespite the availability of effective asthma control, the prevalence of uncontrolled asthma continues to increase worldwide, particularly among children. Marion County children experience more uncontrolled asthma than the Indiana state averages. Exposure to socioenvironmental factors may play a pivotal role in childhood uncontrolled asthma; however, there is still limited recent research about this relationship. The purpose of this study was to determine whether there is a relationship between the specific socioenvironmental factors (income, tobacco smoke, indoor mold, household pets, and pests) and the prevalence of childhood uncontrolled asthma in Marion County, IN. This study used secondary data collected between 2018, …

Increasing Self-Awareness In Nursing, Adrienne Irene Abbot

Walden Dissertations and Doctoral Studies

Nursing self-awareness is essential for nurses to develop relationships with co-workers and patients. In the local organization, the practice problem for this doctoral project is a perceived low level of self-awareness in nursing. This Doctor of Nursing project aimed to determine if an educational intervention focused on self-awareness and the benefit of self-awareness increased knowledge among nurses working on a medical-surgical unit. A comprehensive literature review of peer-reviewed evidence provided evidence to support this project. A total of 26 individuals (N = 26) participated in the educational intervention. Eighty-nine percent (89%) of the participants (n = 23) were female, and …

Improving The Care Of Neonates With Hyperbilirubinemia, Kellie Busse Kainer

Walden Dissertations and Doctoral Studies

AbstractProviders at a community-based pediatric hospital in the southern region of the United States have traditionally transferred otherwise healthy neonates with hyperbilirubinemia requiring inpatient treatment to a tertiary care facility. The question addressed was whether the implementation of an evidence-based, organizational protocol increases the quality and decreases the cost of caring for neonates with hyperbilirubinemia in the community-based, pediatric acute care hospital. The main goal of the organization’s quality improvement (QI) project was to facilitate the provision of high-quality, cost-effective care to neonates with hyperbilirubinemia using an evidence-based approach as evidenced by a reduction in the number of neonates with …

Narrative Inquiry Into Postsecondary Transition Outcomes For Young Adults With Intellectual & Developmental Disabilities, Eric R. Sarrett

Walden Dissertations and Doctoral Studies

Young adults with intellectual and developmental disabilities (IDD) continue to struggle with community engagement despite decades of research and policy initiatives addressing postsecondary transition. Evidence shows that persons with IDD are engaging in employment, postsecondary education, independent living, socialization, and other roles at significantly diminished rates, yet little data exists describing this participation in the voices of those affected. The purpose of this narrative inquiry was to describe community integration of persons with IDD in the decade following postsecondary transition in their own words. Critical disability theory was used as a lens to explore the successes and failures of public …

Barriers To Blood Availability Within The New Orleans Area, Tishawn Francis

Walden Dissertations and Doctoral Studies

An adequate and reliable supply of blood and blood components is becoming an increasing public health concern. Over the past decade, researchers have indicated a continued decline in the collection of blood products. An insufficient blood supply may present a risk to both patients and reserves for emergencies and disasters. The purpose of this quantitative, cross-sectional study was to determine whether gender, age group, ethnicity, year, serological tests, and discard factors were associated with the availability of the donated blood supply throughout the New Orleans region. The donated blood supply chain model guided this study. Secondary data were retrieved from …

Policy Sustainability Issues: Case Study Of Cassava Farmers In Ikorodu. Lagos, Nigeria, Medinat Oluwatoyin Adetunji

Walden Dissertations and Doctoral Studies

The inconsistency and lack of continuity of Nigeria's agricultural policies impact the cassava sector. Despite being the world's biggest producer, the country is yet to benefit from the advantage due to a lack of sustainable growth. The situation manifests in terms of low productivity, low production level, and poor income to the farmers. The purpose of this qualitative study was to investigate the experiences and perceptions of the cassava farmers on cassava policies and the effect on their income and livelihoods in the Ikorodu local government of Lagos State. This qualitative study adopted a case study research design using participatory …

Improving Nurses' Knowledge On The Assessment And Documentation Practices In The Pediatric Settings Of A Jamaican Hospital, Binol Rajesh Balachandar

Walden Dissertations and Doctoral Studies

AbstractThere have been anecdotal reports from the on-site Quality Assurance team, administrators, and educators that a theory-practice gap exists in pediatric nursing practice settings relating to the specific assessment and documentation. A deidentified chart review confirmed the reported practice gaps in 80% of the patient records. Therefore, in collaboration with the in-service unit, this staff education project and the educational interventions were implemented, and the knowledge improvement was appraised using a pre and posteducation survey. Mozirow’s reflective learning theory formed the basis for staff education, utilizing adult learning principles. Twenty-five consenting nurses completed the preeducation survey (N = 25); however, …

The Association Of Suicidality With Video Gaming And Physical Inactivity Among U.S. Adolescents, Mary Colleen Cyrus

Walden Dissertations and Doctoral Studies

Suicide represents a leading cause of death in U.S. young people, and the rate is increasing. Although young people are spending more time each day playing video or computer games, there is limited research on the association, if any, between playing video games and suicidality. The purpose of this study was to identify whether there is a statistically significant association between video gaming, physical inactivity, and suicidality (suicidal ideation, planning, and attempts). Age, race, gender, and being bullied electronically and in school were assessed as potential confounding variables. The interpersonal theory of suicidal behavior and the social-ecological theory served as …

The Effects Of Transformational Leadership Coaching On Player Mental Toughness, Richard Anthony James Finch

Walden Dissertations and Doctoral Studies

Mental health in adolescents is a growing concern, with between 10 and 20% experiencing problems globally. In this study, transformational leadership coaching was assessed to determine if it effectively reduced the prevalence of mental health issues in adolescents by assessing their mental toughness. No previous studies have examined the relationship between these variables in this population. Transformational leadership theory is the theoretical framework for this study which empowers individuals, developing confidence and producing leadership qualities. Mental toughness is a six-factor construct consisting of life and emotional control, commitment, challenge, interpersonal confidence, and confidence in one's abilities and assessed using the …

Servant Leadership On Burnout Among Physicians In Residency Training, Karen Grant-Hewitt

Walden Dissertations and Doctoral Studies

Physicians in residency training (PIRTs) in the United States are facing extreme burnout. The prevalence of burnout among physicians in residency training may cause adverse consequences such as medical malfeasance, alcoholism, or suicide due to physical and mental exhaustion. The purpose of this study was to analyze the servant leadership style of physician trainers and burnout among PIRTs in academic medical centers in the United States to ultimately increase wellness and thereby mitigate burnout. Servant leadership was the theoretical foundation for this study. This research investigated whether servant leadership characteristics of physician trainers played a statistically significant role in burnout …

The Impact Of Staff Sexual Misconduct On U.S. Federal Prison Inmates’ Mental And Physical Health, Wanwisa Grover

Walden Dissertations and Doctoral Studies

Prison staff sexual misconduct is an ongoing issue in the United States, but little is known about how inmates’ perceptions of staff sexual misconduct influence their mental and physical health. The purpose of this quantitative research study was to examine the relationship between staff sexual misconduct with federal prison inmates and prisoner mental health and rates of injury, and why inmates are not reporting sexual misconduct encounters. Ecological theory provided the theoretical foundation. The three research questions were designed to examine the relationships between nonconsensual sexual misconduct of prison inmates with prison staff and (a) serious mental health illnesses and …