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Prison Medical Professionals’ Perspectives On Dignity In Death For End-Of-Life Inmates, Charlene Lupo
Prison Medical Professionals’ Perspectives On Dignity In Death For End-Of-Life Inmates, Charlene Lupo
Walden Dissertations and Doctoral Studies
Health care requirements of older persons in prison are complicated, and many may require palliative care before their term is completed. The purpose of this qualitative interpretative phenomenological analysis was to explore perspectives on dignity in death for end-of-life inmates through the lens of nine prison medical professionals. Concepts of dignity provided the conceptual framework for the study. Data were collected from one-to-one audio-recorded Zoom interviews and reflective literature articles. Axial coding and thematic data analysis were used to identify five themes: committed to their vocation, lack of services in administering proper health care, institutional barriers prohibiting death with dignity, …
Exploring Moral Distress, Ethical Climate, And Psychological Empowerment Among New Registered Nurses, Luz Bruel Mauro
Exploring Moral Distress, Ethical Climate, And Psychological Empowerment Among New Registered Nurses, Luz Bruel Mauro
Walden Dissertations and Doctoral Studies
Moral distress in nursing has been an issue for decades and has consequences on nurses’ physical, emotional, and psychological well-being. Nurses in different settings experience a high intensity and frequency of moral distress particularly in intensive care units (ICU), but few studies have examined the moral distress of non-ICU nurses. The purpose of this 3-manuscript dissertation was to assess the frequency and level of moral distress, ethical climate, and psychological empowerment among new registered nurses (NRNs) who work in non-ICU settings. The conceptual framework of Jameson's moral distress guided this study. Twenty-three NRNs with fewer than 3 years of experience …
Fiscal Capacity And Decision Making Flexibility And The Title Iv-E Waiver, Laura Ann Mayate-Deandreis
Fiscal Capacity And Decision Making Flexibility And The Title Iv-E Waiver, Laura Ann Mayate-Deandreis
Walden Dissertations and Doctoral Studies
Public managers must reconcile fiscal constraints within a confined decision-making environment. This study was conducted to examine the extent to which policy tools, such as the Title IV-E waiver demonstration, facilitate cost control and increased decision-making flexibility. The central question guiding the study was whether policy tools enable public managers to effectively meet policy goals within inelastic fiscal and regulatory environments. Choice theories provided a theoretical framework to examine the multidimensional aspects of decision making and policy prioritization. An exploratory case study approach was employed to compare the change in fiscal capacity and flexibility of California counties participating in the …
Relationships Among Burden, Quality Of Life, And Self-Efficcy In Careegivers Of An Older Family Member, Dr. Marietta Margaret Miller
Relationships Among Burden, Quality Of Life, And Self-Efficcy In Careegivers Of An Older Family Member, Dr. Marietta Margaret Miller
Walden Dissertations and Doctoral Studies
AbstractInformal caregivers of a family member who has been dementia diagnosed play a substantial personal, social, and economic role in the care of their family member. However, this type of caregiving can have detrimental effects on a caregiver’s psychological, financial, physical, social, and emotional well-being. This quantitative study addressed possible relationships between caregiver burden and quality of life, and caregiver burden and self-efficacy as measured by the Zarit Burden Interview, the World Health Organization Quality of Life-BREF, and the Caregiver Self-Efficacy Scale. The theory of transactional stress and the stress process model provided the theoretical foundation. The participants of this …
Understanding Marketers’ Strategy Development Processes Used For Behavior Change, Eunice Moseley
Understanding Marketers’ Strategy Development Processes Used For Behavior Change, Eunice Moseley
Walden Dissertations and Doctoral Studies
Studies support the concept that a show of concern by marketing leaders for the consumer equates to consumer loyalty, consumer satisfaction, and positive consumer behavior change. The problem was that processes marketing leaders rely on to develop strategies in California may not show consideration of the campaign’s influence on consumers’ behavior. The purpose of this narrative inquiry was to answer the research question probing for how the processes marketing leaders rely on to develop marketing strategies in California show consideration of the campaigns’ influence on consumers’ behavior. The research question asked about the processes marketing leaders rely on to develop …
Appraisal Of Institutional Antimicrobial Stewardship In Selected Public Health Facilities In Nigeria, Joshua Olusegun Obasanya
Appraisal Of Institutional Antimicrobial Stewardship In Selected Public Health Facilities In Nigeria, Joshua Olusegun Obasanya
Walden Dissertations and Doctoral Studies
The misuse of antimicrobials (AM) constitutes a huge problem in developing countries, including Nigeria, posing severe public health threats to the populace’s health. Misuse contributes to the high consumption of AM, driving the emergence and spread of antimicrobial resistance (AMR). Establishing functional antimicrobial stewardship (AMS) programs at the health facility levels is recognized as an effective and efficient strategies to tackle AMR. Literature is replete with evidence of poor prescription practices, but few studies assessing the factors contributing to inappropriate use of AM in Nigeria exist. The purpose of this study was to improve the understanding of AMS practice at …
An Evaluation Of A Drug Policy At A Federal University In Southeastern Nigeria, Linus N. Okahia
An Evaluation Of A Drug Policy At A Federal University In Southeastern Nigeria, Linus N. Okahia
Walden Dissertations and Doctoral Studies
Drug abuse among university students has become a public health problem. The prevalence of drug abuse has negatively impacted the students, causing serious health outcomes. Finding a solution has the potential to benefit both students and society. Various intervention strategies have been adopted but the results have varied. The purpose of this qualitative case study was to evaluate the administrators’ and students’ perceptions of anti-drug-use policy at a federal university in Southeastern Nigeria to determine its effectiveness on drug abuse prevention among students. The policy feedback theory (PFT), which helps to understand and analyze the policy process, was the explanatory …
Perspectives Of Parents Of Black Head Start Graduates Regarding The Black-White Achievement Gap, Telisa Pitts
Perspectives Of Parents Of Black Head Start Graduates Regarding The Black-White Achievement Gap, Telisa Pitts
Walden Dissertations and Doctoral Studies
The problem of this study was the achievement gap that exists between Black and White children prior to kindergarten entrance. As children continue in school this gap grows substantially; therefore, it was important to understand perspectives of stakeholders regarding this gap. The purpose of this study was to explore perspectives of parents of Black Head Start graduates regarding the Black-White achievement gap, and how those perspectives shaped parents’ actions in promoting their children’s kindergarten readiness. The conceptual framework for this study was based on Bronfenbrenner’s ecological theory. The research questions focused on parents’ perspectives and how they believed those perspectives …
Strategies Small Businesses Use To Offer An Employer-Provided Tax-Advantaged Retirement Plan, Shawn R. Reinhart
Strategies Small Businesses Use To Offer An Employer-Provided Tax-Advantaged Retirement Plan, Shawn R. Reinhart
Walden Dissertations and Doctoral Studies
AbstractImproving employee productivity has the potential to improve small business outcomes. Small business owners are concerned with employee productivity, as it is a substantial determinant of the success of a small business. Grounded in Herzberg’s two-factor motivation-hygiene theory, the purpose of this qualitative multiple case study was to explore strategies small business owners use to offer employer-provided tax-advantaged retirement plans to employees to increase productivity. Participants were six small business owners who successfully increased productivity by offering employer-provided tax-advantaged retirement plans. Data were collected using semistructured interviews and reviews of organization financial reports. Using Yin’s five-step analysis, three themes emerged: …
Latino Pastors’ Perceptions Of Referring Intimate Partner Violence Victims To Secular, Esther M. Rios
Latino Pastors’ Perceptions Of Referring Intimate Partner Violence Victims To Secular, Esther M. Rios
Walden Dissertations and Doctoral Studies
Information about intimate partner violence (IPV) perceptions within the Latino clergy population is scarce. This research study investigated perceptions, experiences, and biases, precluding Latino clergy in referring church members to outside resources. The research question focused on Latino pastors’ perceptions about referring church members victims of IPV to secular organizations. Understanding clergy’s IPV perceptions provided an opportunity for scholars to explore ways for clergy to discover other organizations contributions to IPV. Historical oppression was used as the framework for the study because Latino women victims of IPV experience severe victimization and are afraid to report the abuse. Previous research does …
Digital Strategies To Improve The Performance Of Pharmaceutical Supply Chains, Manish Shashi
Digital Strategies To Improve The Performance Of Pharmaceutical Supply Chains, Manish Shashi
Walden Dissertations and Doctoral Studies
Some supply chain managers at pharmaceutical companies lack strategies to digitalize integrated supply chain systems impacting their profitability. Digitalized supply chain management in a pharmaceutical company can help reduce operation costs, improve assets, enhance shareholders’ value, positively respond to customer demand, and generate profits. Guided by the theory of constraints, the purpose of this qualitative multiple case study was to explore strategies some pharmaceutical managers use to digitalize integrated supply chain systems to increase their profitability. The participants were five managers from four pharmaceutical companies in New Jersey with strategies to digitalize their integrated supply chain systems. Data collection included …
Association Between Parental Socioeconomic Status And Childhood Obesity In The Southwest Geopolitical Zone Of Nigeria, Omatsola Aboyowa Sifo
Association Between Parental Socioeconomic Status And Childhood Obesity In The Southwest Geopolitical Zone Of Nigeria, Omatsola Aboyowa Sifo
Walden Dissertations and Doctoral Studies
AbstractGlobally, childhood obesity is a major social and public health concern characterized by complications such as high cholesterol and high blood pressure. The purpose of this quantitative cross-sectional study was to examine the association between childhood obesity in children age 6–12 years and the socioeconomic status of their parents in the Southwest geopolitical zone of Nigeria. Social cognitive theory served as the theoretical framework for the study. Questionnaire data were collected from 384 parents/guardians of children age 6–12 years across three states in the Southwest geopolitical zone of Nigeria. Data were analyzed using descriptive statistics and multiple logistic regression at …
Nurse Staffing And Leadership Support On In-Patient Hospital Safety, Kearia Deresa Watson-Orr
Nurse Staffing And Leadership Support On In-Patient Hospital Safety, Kearia Deresa Watson-Orr
Walden Dissertations and Doctoral Studies
In-patient hospital safety relates to healthcare facilities protecting patients from medical errors. The “problem of many hands” exists, where there is a gap in understanding who is responsible for in-patient hospital safety, nurse staffing, or leadership support. The purpose of this quantitative study was to determine the association between nurse staffing (nurse-to-patient ratios and hours worked) and in-patient safety (perception of in-patient safety by nurses) as well as the association between leadership support (work climate promotes patient safety and actions of hospital management to show that patient safety is a top priority) and in-patient safety (perception of in-patient safety) based …
Substance Abuse Disorders And Veteran Homelessness, Donald Rufus Williams
Substance Abuse Disorders And Veteran Homelessness, Donald Rufus Williams
Walden Dissertations and Doctoral Studies
AbstractVeterans constitute a significant proportion of the homeless population in the United States. Studies indicate that substance abuse is a major issue these veterans face that can result in homelessness. Despite improvement since 2009, substance abuse among this population remains a significant problem. The objective of this study was to gain a better understanding of the experiences of homeless and substance-abusing veterans to provide information to government agencies that may help them develop a practical approach for addressing the issue. The social cognitive theory and Lowry's dimension on federalism provided the theoretical framework for this study. A general qualitative research …
The Social Worker’S Experience Regarding Social Isolation In Middle Schools, Jeanne Williams
The Social Worker’S Experience Regarding Social Isolation In Middle Schools, Jeanne Williams
Walden Dissertations and Doctoral Studies
AbstractMiddle school is a time when adolescents struggle with social challenges, self-identity, and self-esteem. Social workers are critical stakeholders to support families in schools; these professionals serve in a unique capacity to assist with attendance, provide medical and behavioralsupport and connect families with resources to mitigate barriers to students’ success. Little is known, however, about the role social workers play in preventing and addressing the social isolation of middle school students. The purpose of this project was to explore the role of the social worker as it relates to preventing and addressing the social isolation of middle school students. Self-determination …
Teaching Environment, Instructional Coaching, And Perceived Organizational Support On Educators’ Quality Of Work-Life, Patrick Terrell Hall
Teaching Environment, Instructional Coaching, And Perceived Organizational Support On Educators’ Quality Of Work-Life, Patrick Terrell Hall
Walden Dissertations and Doctoral Studies
In the field of education, work-life challenges are becoming a source of concern, especially during the recent global pandemic. This study sought to identify relationships between teaching environment, instructional coaching, perceived organizational support, and work-life quality. The variables in the study were measured using the following validated instruments: classroom environment scale; coaching evaluation scale; perceived organizational support scale; and the work-related quality of life scale. This research was informed by the ecological system theory, which served as the theoretical basis for the investigation. Elements of the ecological systems theory express a complex system of relationships that affects multiple levels of …
Forgiveness Therapy And Complex Trauma: Secular Therapists’ Perspectives, Andrea Hardman
Forgiveness Therapy And Complex Trauma: Secular Therapists’ Perspectives, Andrea Hardman
Walden Dissertations and Doctoral Studies
Treatment-seeking survivors of complex trauma pursue normality and resiliency in their everyday lives. Forgiveness therapy is one treatment modality for such trauma. However, studies linking complex trauma and forgiveness therapy are minimal. The purpose of this generic qualitative inquiry was to improve treatment interventions of secular therapists’ use of forgiveness therapy, specifically, Worthington’s REACH forgiveness model with complex trauma clients. Two research questions guided this study: “What are secular therapists’ perspectives on the use of forgiveness therapy with complex trauma clients” and “What are secular therapists’ perspectives on the use of Worthington’s REACH forgiveness model with complex trauma clients.” For …
Educators’ Perception Of Their Psychosocial Support Of Elementary Students In Gabon, Africa, Michel Ikamba
Educators’ Perception Of Their Psychosocial Support Of Elementary Students In Gabon, Africa, Michel Ikamba
Walden Dissertations and Doctoral Studies
Although educators internationally have often provided care to vulnerable students who struggle to meet the needs of nutrition, health, protection, and access to essential social services, no formal social systems exist in Gabon to aid educators who work with these students. In the absence of relevant local research and drawing on Dewey’s theory of progressive education as a conceptual model, this basic qualitative study asked about educators’ perceptions in limited resource elementary schools in Gabon of the social needs and strategies employed with students who demonstrated signs of disengagement and alienation. Qualitative data collection included semi-structured recorded interviews with 12 …
Perspectives Of Girls, Families, And Healthcare Workers On Accessing Services For Adolescents With Perinatal Hiv In Nigeria, Joseph Fabian Inyang
Perspectives Of Girls, Families, And Healthcare Workers On Accessing Services For Adolescents With Perinatal Hiv In Nigeria, Joseph Fabian Inyang
Walden Dissertations and Doctoral Studies
Adolescents living with Human Immunodeficiency Virus (HIV) include those who were infected from their mother perinatally (PHIV) and those who were infected through sexual behaviors or drug use. Nigeria contributes the largest burden of children born with HIV globally, due to poor implementation of its prevention of mother-to-child transmission program. With advances in antiretroviral therapy (ART), more children and adolescents with HIV survive into adulthood. However, there are challenges to ART including access, uptake, adherence, and risks of long-term exposure. Using the social ecological model and a phenomenological approach, this qualitative study was designed to understand the experiences of adolescent …
Association Of Myplate Diet And Exercise With Diabetes In African American Women, Brandi Jones
Association Of Myplate Diet And Exercise With Diabetes In African American Women, Brandi Jones
Walden Dissertations and Doctoral Studies
Lifestyle choices such as diet and physical activity have been described as significant predictors of preventable disease, such as Type 2 diabetes mellitus. African American women disproportionately develop Type 2 diabetes and are at greater risk, compared to Caucasian/European Americans. The purpose of this study was to examine the association of physical activity and adherence to the MyPlate diet plan with the occurrence of Type 2 diabetes among African American women. The health belief model was the theoretical foundation for this study. Research questions were designed to examine the extent to which diet and physical activity predict Type 2 diabetes. …
Career Attainment In The Workforce Innovation And Opportunity Act Program, Asia Jones
Career Attainment In The Workforce Innovation And Opportunity Act Program, Asia Jones
Walden Dissertations and Doctoral Studies
People who do not have a high school diploma or equivalent often find it difficult to financially provide for themselves and their family. The Workforce Innovation and Opportunity Act (WIOA) of 2014 provides career counseling to U.S. youth ages 16-24 as they obtain job training and work on their general equivalency diploma (GED). Although researchers have examined different aspects of the program, they have not yet explored the experiences of participants. The purpose of this generic qualitative study was to understand the experiences of WIOA participants who earned their GED and worked with their career counselor to achieve their goals. …
The Difference In Compliance When Visual Education Is Present, Jamie Lenee Joseph
The Difference In Compliance When Visual Education Is Present, Jamie Lenee Joseph
Walden Dissertations and Doctoral Studies
Lack of patient compliance is a dangerous, widespread problem, often linked to a patient’s misunderstanding of their diagnosis or treatment plan. This project’s practice questions pertained to exploring the impact of a staff education update on visual presentation and patient evaluation with patients taking factor Xa inhibitors in oral anticoagulants and how the staff education increased patient compliance while taking these medications. A combination of the ADDIE model and Kirkpatrick model were used in the planning, development, and evaluation of this project. A pre and post evaluation survey was used to determine the efficacy of the changes made within the …
The Experiences Of Teenage Mothers About The Socioeconomic Aspects Of Teen Pregnancy In A Low-Income Community, Sunday Kerobo
The Experiences Of Teenage Mothers About The Socioeconomic Aspects Of Teen Pregnancy In A Low-Income Community, Sunday Kerobo
Walden Dissertations and Doctoral Studies
Teenage pregnancy has adverse social, economic, and health consequences for adolescents. Pregnancy in adolescence is linked to high school dropout, high unemployment, stigma, low income, financial hardships, anxiety, and depression.. The purpose of this phenomenological research study was to understand the socioeconomic factors that impact young mothers aged 17 years and younger in low-income communities. Schlossberg's transition theory guided this study. Fifteen young women ages 18 and 24 who were either pregnant or had given birth before age 17 years and under were recruited through purposive sampling and interviewed using in-depth key informant interviews. Audio recordings of interviews were transcribed, …
Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen
Perceived Health/Safety Risks And Critical Thinking Skills In College Students Using Social Media Networking, Denise Mary Makri-Werzen
Walden Dissertations and Doctoral Studies
AbstractThe 21st century has brought about an increase in the popularity of social media networking usage on a global level, especially among college students. Social connectivity has become a vital part of the daily lives of college students, providing connections with their educational, personal, and social lives. The purpose of this qualitative study was to explore the actual experiences and self-reported perceptions of health/safety risks in college students using social media networking sites and to assess whether critical thinking skills were employed. The sample size of the targeted population was 23 volunteer college students, recruited from the Walden University Participant …
An Evidenced-Based Nursing Education Discharge Plan For Prescription Opioids, Josephine J. Messelmani
An Evidenced-Based Nursing Education Discharge Plan For Prescription Opioids, Josephine J. Messelmani
Walden Dissertations and Doctoral Studies
The reported number of prescription opioid overdoses justifies the need for providing patients with opioid discharge information and follow-up care as recommended. To prevent any misuse of prescription opioid drugs, it was critical for patients to receive a thorough review of their medications prior to being discharged. The purpose of the project was designed to educate nurses on the importance of delivering essential information to patients prescribed opioids. Implementation of an opioid discharge plan integrated with the teach back method increased patients’ understanding of how to properly take prescription opioids compared to the patients who did not receive opioid education …
Strategies For Developing Sustainable Supply Chain Links With Local Producers, Edwin Che Ngwa
Strategies For Developing Sustainable Supply Chain Links With Local Producers, Edwin Che Ngwa
Walden Dissertations and Doctoral Studies
Failure to sustain agriculture supply chain links with local producers may lead to supply chain disruptions affecting the flow of products and materials. Successful strategies are essential for agribusiness supply chain managers to maintain profitability. Grounded in the value-based supply chain model, the purpose of this qualitative multiple case study was to explore strategies agribusiness managers used to develop sustainable supply chain links with local producers to maintain profitability. Semistructured online interviews were conducted with six Cameroon agribusiness managers who developed sustainable supply chain links with local producers for more than 5 years. Data analysis of the interviews and administrative …
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
Educating Providers About Integrated Treatment For Individuals With Co-Occurring Disorders, Ihuarulam Chidiebere Okoroji
Walden Dissertations and Doctoral Studies
AbstractThe problem identified by this staff education project was the providers’ lack of knowledge on integrated treatment for individuals with co-occurring disorders (CODs). Integrated treatment is the gold standard for working with individuals with CODs. Providers knowledge gap and barriers were addressed by educating them on integrated treatments. This project used the analysis, design, development, implementation, and evaluation (ADDIE) model in planning, implementation, and evaluation. The participants were 20 providers in a residential addiction treatment facility which include one physician, three nurse practitioners, eight counselors, one registered nurse, and seven licensed practical nurses. This project used a pretest to determine …
Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater
Strategies For Retaining Nurses In Rural Healthcare Settings, Michelle Lee Pratt Yeater
Walden Dissertations and Doctoral Studies
Rural healthcare leader deficiency in implementing successful strategies to retain nurses can deleteriously impact the quality of patient care and impede the organization's financial performance. Grounded in Herzberg’s two-factor theory, the purpose of this qualitative multiple-case study was to explore successful nurse retention strategies used by rural healthcare leaders. Data were collected from semistructured interviews with eight pastoral healthcare leaders in the eastern region of the United States who improved nurse retention and a review of relevant supporting documentation from company websites. Coding was used for data analysis and theme determination. Three themes emerged: effective nurse retention incentives, meaningful relationships …
How Community-Based Solutions Affect Households Headed By Single Mothers In An Urban Food Desert, Christie Will Ross
How Community-Based Solutions Affect Households Headed By Single Mothers In An Urban Food Desert, Christie Will Ross
Walden Dissertations and Doctoral Studies
Limited access to affordable and nutritious foods is a growing problem in the United States, leading to a rise in obesity, diabetes, and heart disease as well as poor academic performance. With this has come the rise of urban food deserts, specific geographic areas with limited access to affordable, healthy, and nutritious foods within a 1-mile radius, which impacts low-income and minority communities at a greater rate than the rest of US society. Single mothers represent the largest demographic impacted by urban food deserts yet are the least represented in research. The purpose of this narrative study, using the human …
Perceived Diabetes Susceptibility Among African American Female College Students, Khaliah India Wilson
Perceived Diabetes Susceptibility Among African American Female College Students, Khaliah India Wilson
Walden Dissertations and Doctoral Studies
Type 2 diabetes is a leading cause of death among African American women ages 20-44 years, and African American female college students are at high risk. Research shows that college students tend to underestimate their susceptibility to Type 2 diabetes, despite their existing risk factors. There is a gap in knowledge concerning African American female college students and their perception of diabetes susceptibility, despite their increased risk. The purpose of this quantitative nonexperimental, correlational study was to identify the factors associated with perceived personal susceptibility to Type 2 diabetes and Type 2 diabetes-related health behavior among African American female college …