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Understanding Police Decision-Making With Firearms: From Training To Real-Life Deployment, Alex S. Kondos
Understanding Police Decision-Making With Firearms: From Training To Real-Life Deployment, Alex S. Kondos
Walden Dissertations and Doctoral Studies
Modern efforts involving police reform have created a need for police administrators and policymakers to address various elements of policing. Administrative and punitive policy reforms have had little effect on decreasing police shootings. The purpose of this phenomenological study is to understand the experiences of officers who have been involved in deadly force encounters in order to identify where their past training methods led to success or failures in real-life situations. The theoretical framework for this study was Janis and Mann’s conflict model of decision-making. This study involved answering the question: From the perspectives of police officers involved in shootings, …
Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr
Gender And Risk Behaviors Association With Hepatitis-B Infections Among Liberia Military Personnel, Joseph B N Kowo Jr
Walden Dissertations and Doctoral Studies
The increasing number of hepatitis B-related deaths in the Armed Forces of Liberia was due to the lack of understanding of the associated risks with the disease. Gender, substance use, and condom use have been researched as related risk factors for hepatitis B virus infection (HBV). The goal of this study was to determine if gender (male or female) and risk factors (substance use, alcohol abuse, and condom use) predicted hepatitis B infections after adjusting for age, marital status, education, and military rank among Liberia military population. The theory that grounded this study was Bronfenbrenner’s socio-ecological model (SEM) which posits …
Covid-19 Ethical Decisions Encountered By Healthcare Professionals In Southwest Ohio, Joshua Lader
Covid-19 Ethical Decisions Encountered By Healthcare Professionals In Southwest Ohio, Joshua Lader
Walden Dissertations and Doctoral Studies
The COVID-19 coronavirus has wreaked havoc on the world and medical community. Treating individuals during a worldwide pandemic is nothing short of heroic. With limited supplies and treatment options, healthcare professionals were forced to make ethical considerations when treating patients with COVID-19. The pandemic exposed stress in the healthcare system, leading to difficult ethical decisions such as providing access or denying access to treatment. Knowing these ethical considerations can assist healthcare professionals with practical policies for future pandemics. The key research question in this study explored how healthcare professionals in Southwest Ohio made ethical decisions related to who and how …
Influence Of Medical Education Scholarships On Reducing Physician Shortages, Brendon L. La Grenade
Influence Of Medical Education Scholarships On Reducing Physician Shortages, Brendon L. La Grenade
Walden Dissertations and Doctoral Studies
For more than 44 years, the study site university and the Government of Grenada, a low- and middle-income country island, have collaborated to provide medical education scholarships for qualified citizens. These scholarships aim to provide an education pathway to medical school and a solution to the island’s physician shortage by having the scholarship recipients return to serve their country as physicians. However, the problem of a physician shortage persists because most recipients migrate to higher income countries, primarily the United States. The purpose of this basic qualitative study was to explore the perspectives of scholarship recipients and providers regarding how …
Officers' Perceptions Of The Ontario Provincial Police Framework For Police Preparedness For Indigenous Critical Incidents, Armand P. La Barge
Officers' Perceptions Of The Ontario Provincial Police Framework For Police Preparedness For Indigenous Critical Incidents, Armand P. La Barge
Walden Dissertations and Doctoral Studies
AbstractResponding to First Nation occupations and protests is one of the most challenging duties that police officers in Canada undertake. Over the last 30 years, these types of incidents have resulted in deaths and injuries to police and protesters, and millions of dollars’ worth of damage and financial loss. After the 1995 shooting death of an unarmed Indigenous protester by police at the Ipperwash occupation, the Ontario Provincial Police (OPP) introduced an unconventional operational approach for protests known as the OPP Framework policy. That approach was built on the concepts of peacekeeping, patient negotiation, mutual respect, and the minimal use …
Mental Health-Medical Crisis Team Impact On First Responder Outcomes On Persons With Mental Illness, Mary Josephine Lakey
Mental Health-Medical Crisis Team Impact On First Responder Outcomes On Persons With Mental Illness, Mary Josephine Lakey
Walden Dissertations and Doctoral Studies
Persons with mental illness (PMIs) are 16 times more likely to experience harm when interacting with police than individuals without mental illness. This inequity has recently become prominent in American discourse due to the ubiquitous use of cell phones and social media, where videos of incidents between police and PMIs circulate. In this generic qualitative research, members of a collaborative mental health and emergency medical service professionals (EMSPs) team in an urban area were interviewed to assess the team members’ perceptions of the impact of the program on frequency of adverse outcomes during interactions with PMIs. The theoretical framework for …
Risk Factors Of Infant Mortality Among Sub-Saharan Immigrants In The United States, Roland Lankah
Risk Factors Of Infant Mortality Among Sub-Saharan Immigrants In The United States, Roland Lankah
Walden Dissertations and Doctoral Studies
While prepregnancy body mass index (BMI), gestational weight gain (GWG), and birthplace have been suggested to play a key role in predicting infant mortality outcomes, they have not been thoroughly investigated across all races/ethnicities. The purpose of this study was to examine the associations between prepregnancy BMI, GWG, birthplace as independent variables, and infant mortality as the outcome variable within the United States Sub-Saharan African Immigrants (SSAI). A quantitative cross-sectional study design grounded in the biopsychosocial model was used. Data were extracted from the 2017-2018 natality-linked birth/infant death file from the Centers for Disease Control and Prevention Wonder Database. It …
Innovation Strategies For Rural Micro And Small Businesses, Suzanne K. Larsen
Innovation Strategies For Rural Micro And Small Businesses, Suzanne K. Larsen
Walden Dissertations and Doctoral Studies
Facing many unique challenges compared to their urban counterparts, rural business owners rely on innovation strategies to successfully operate their businesses. Reflecting only 14% of the population but occupying more than 72% of the geographic United States, the failure of rural business owners jeopardizes the network of goods and services that feed and support the entire nation. Grounded in Castle’s rural capital framework and Van de Ven’s innovation framework, the purpose of this qualitative multiple case study was to explore the strategies rural small business owners use to ensure business innovation. The participants were eight successful rural small business owners …
Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender
Improving Patients' Engagement And Retention In Intensive Outpatient Substance Abuse Treatment, Leo W. Lavender
Walden Dissertations and Doctoral Studies
Substance use disorder continues to be a major health crisis in the United States. Thousands of people die yearly due to substance use and related criminal activity. Substance abuse treatment is a remedy to the disorder and treatment centers admit thousands of patients yearly to address the dilemma. Throughout the years retention has been an ongoing barrier to successful treatment. This study explored significant obstacles to retention: motivation and engagement. The Baldrige Excellence Framework was utilized to assess the training, supervision, procedures, and leadership roles at an intensive outpatient substance abuse treatment center. This study utilized a qualitative approach case …
Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble
Moral Distress Experienced By Behavioral Health Clinicians Who Have Worked With Maternal, Opioid-Using Clients, Jill Lee-Hubble
Walden Dissertations and Doctoral Studies
Moral distress (MD) is a concept that has been well studied in nursing and other medical fields as a precursor to provider burnout. Understanding how MD impacts behavioral health (BH) clinicians provides insights for counselor educators and supervisors to identify clinical situations that often lead to MD. This qualitative phenomenological study explored how MD was experienced by five BH clinicians who have worked in residential and hospital settings providing counseling to maternal, opioid-using clients. Interpretive phenomenological analysis (IPA) informed the research methodology and data analysis. Substance use during pregnancy is highly stigmatized in society; thus, a feminist conceptualization was integrated …
Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee
Effects Of Covid-19 On Maternal And Child Health In Haiti, Abbi M. Lee
Walden Dissertations and Doctoral Studies
Haiti has a history of natural disasters that have played a part in the country’s weak infrastructure, poor quality health care, and short life expectancy. The purpose of this qualitative case study was to understand the experiences of health care professionals providing prenatal, perinatal, and postpartum health care services before and during the COVID-19 pandemic in Haiti to gain an understanding of the gaps in disaster response in reproductive health care. The theoretical bases for this study were community resilience theory and reproductive justice theory. Data were collected from interviews with 10 health care professionals working in Haiti providing reproductive …
Influence Of Clinical Supervision On Licensed Clinical Social Workers’ Confidence In Implementing Trauma-Focused Cognitive Behavioral Therapy, Jamie Rebecca Leigh
Influence Of Clinical Supervision On Licensed Clinical Social Workers’ Confidence In Implementing Trauma-Focused Cognitive Behavioral Therapy, Jamie Rebecca Leigh
Walden Dissertations and Doctoral Studies
Licensed clinical social workers (LCSWs) require clinical supervision when they are new to the field or new to a treatment method. The supervision is meant to guide the LCSWs as they learn new skills and build confidence. The purpose of this basic qualitative study was to understand how LCSWs described the impact clinical supervision had on their confidence in implementing trauma-focused cognitive behavioral therapy (TF-CBT) with youths in a North Carolina intensive in-home program. Social cognitive theory was the framework for this study. Semistructured interviews were completed with 10 participants. Thematic coding was used to identify themes. All participants reported …
Parenting Practices And The Intergenerational Effect Concerning Oppositional Defiant Disorder In Children, David Little
Parenting Practices And The Intergenerational Effect Concerning Oppositional Defiant Disorder In Children, David Little
Walden Dissertations and Doctoral Studies
Children whose oppositional defiance behavior (ODD) is not amended during their formative years could contribute to their possible growth into a juvenile delinquent. Parents must be mindful of the impact of their childrearing practices, as most parents emulate family traditions considered adequate by their parents and grandparents. The reoccurrence of generational parenting practice is professionally referenced as the "intergenerational effect." This correlational study attempted to establish relationships between ODD, parenting practices, and the intergenerational effect. Using Bowen's family system theory, this study emphasized how the family structure could differentially shape adolescent emotional function and social development. Archival data results from …
Successful Allocation Of Funds In Managed Health Care Programs Revenue, Sherri Jean Loveall
Successful Allocation Of Funds In Managed Health Care Programs Revenue, Sherri Jean Loveall
Walden Dissertations and Doctoral Studies
Managed care leaders of independent physician associations (IPAs) lack strategies for allocating existing funds to avoid business closure. Medical providers are concerned with the quality of care for patients if the allocation of funding is not executed correctly. Grounded in the competing values framework (CVF), the purpose of this qualitative single case study was to explore strategies managed care leaders of IPAs use to allocate funds to avoid business closure. Participants were six executive leaders of an IPA in Los Angeles, the United States, who successfully managed the allocation of funds in a managed healthcare system. Data were collected from …
Human Services Professionals’ Perceptions Of Quality Care With Older Adults Experiencing Mild Traumatic Brain Injury, Frances Ludmer
Human Services Professionals’ Perceptions Of Quality Care With Older Adults Experiencing Mild Traumatic Brain Injury, Frances Ludmer
Walden Dissertations and Doctoral Studies
One-third of patients with chronic consequences from traumatic brain injury (TBI) are reported to receive inadequate care for their ongoing functional, cognitive decline, and advanced pathophysiology. The quality-of-life (QOL) for older adults living with TBI may be reduced due to unequal access to resources and a lack of coordinated, holistic treatment plans. Recently, authors suggested that QOL for older adults with TBI depends on feelings of autonomy and cognitive functioning and requires holistic approaches to care. This generic qualitative study explored the experiences and perceptions of human service professionals (HSPs) working in mild traumatic brain injury (mTBI) related to holistic, …
Resilience As A Mediating Factor In Depression And Posttraumatic Stress For Hongkongers Experiencing Political Oppression, Sairong Lu
Walden Dissertations and Doctoral Studies
AbstractPolitical oppression has been associated with mental health issues in refugee populations. The goal of this research was to measure the correlational relationship between political oppression, levels of depressive and trauma symptoms, and resilience as a mediating variable among Hongkongers. Three models of resilience formed the theoretical framework for this study. The mediating model was applied to determine if resilience mediated the relationship between political oppression and levels of depressive and trauma symptoms. The Beck Depression Inventory II, the PTSD-Checklist-Civilian, the Oppression Questionnaire, and the Resilience Scale for Adults were used to measure levels of depressive and trauma symptoms, the …
Healthcare Literacy Strategies To Mitigate Healthcare Utilization And Rising Costs, Stella Obiageli Maduka
Healthcare Literacy Strategies To Mitigate Healthcare Utilization And Rising Costs, Stella Obiageli Maduka
Walden Dissertations and Doctoral Studies
Low health literacy can adversely affect individuals and groups without access to health information. Health insurance leaders who lack strategies to decrease low health literacy may lose their ability to provide quality health services and control care costs. Grounded in the health belief model and the Andersen health service model, the purpose of this qualitative multiple case study was to identify the strategies private health insurance leaders use to increase medical utilization to reduce healthcare costs. The three participants were from two private insurance companies in Las Vegas, Nevada. Data were gathered through semistructured, open-ended interviews via videoconferencing, a review …
How Do Social Relationships With Parole Officers Impact Parolee Experiences While On Community Supervision?, April Lynn Maeschen
How Do Social Relationships With Parole Officers Impact Parolee Experiences While On Community Supervision?, April Lynn Maeschen
Walden Dissertations and Doctoral Studies
The relationship between parolees and parole officers can be complicated, as parole officers often have dual functions. Parole officers try to encourage positive behavior while still enforcing rules and regulations on parolees in an attempt to help a parolee make pro-social decisions. Many challenges can arise during community supervision that can make it difficult for a parole officer to help guide the parolee. In this study, parole officers’ perceptions were examined regarding supportive communication and how this can affect parolees’ behavior during community supervision. Minimal research exists about parole officers and how effective communication styles can impact parolees. Two theoretical …
Strategies To Manage Overhead Costs In Social Service Nonprofit Organizations, Wheatonia Malekebu
Strategies To Manage Overhead Costs In Social Service Nonprofit Organizations, Wheatonia Malekebu
Walden Dissertations and Doctoral Studies
Social service nonprofit organizations (SSNPOs) with poor management of overhead costs face serious risks of failure. Leaders of SSNPOs are accountable for the effective management of overhead costs. Grounded in Fiedler’s contingency theory, the purpose of this multiple case study was to explore strategies leaders of SSNPOs use to manage overhead costs effectively. Participants were executive leaders from five SSNPOs in Portland, Maine, who successfully used strategies to manage overhead costs. Data were collected using semistructured interviews and reviews of company documents, then analyzed using Yin’s five-step thematic data analysis. Four themes emerged: effective communication, modification of strategies, circular leadership …
Teacher Perceptions Of Their Readiness For Teaching Social Skills To Students With Autism Spectrum Disorder, Victoria Marcheski
Teacher Perceptions Of Their Readiness For Teaching Social Skills To Students With Autism Spectrum Disorder, Victoria Marcheski
Walden Dissertations and Doctoral Studies
The purpose of this study was to explore how special and general education teachers in New Jersey struggle to implement social skills instruction to students with moderate to severe autism spectrum disorder (ASD). The problem addressed in this study was that K-12 teachers in New Jersey are challenged to implement instructional strategies to support the social development of students with moderate to severe ASD. The conceptual framework guiding this work was the universal design for transition, based upon blending universal design for learning tenets and transitional outcomes for students with disabilities. The research question explored how K-12 special and general …
Mitigating Loss Of Cash Flow From Disruptive Technologies, Shenita Boudreaux Martin
Mitigating Loss Of Cash Flow From Disruptive Technologies, Shenita Boudreaux Martin
Walden Dissertations and Doctoral Studies
New technologies continually disrupt the financial service sector by providing products and services faster than traditional financial service institutions. Financial service leaders are concerned with losing market share to disruptive technologies. Grounded in disruptive innovation theory, the purpose of this qualitative, single holistic case study was to explore the strategies some financial service leaders use to mitigate the loss of cash flow from disruptive technologies introduced by fintech companies. The participants were eight financial service leaders who helped develop competitive strategies to mitigate the loss of cash flow introduced by disruptive technologies. Data were collected using semistructured interviews and a …
The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin
The Lived Experience Of Individuals Thinking About Food And Coping With Stress, Tobi Martin
Walden Dissertations and Doctoral Studies
Stress results in many people altering their eating patterns, often consuming food high in sugar and fat. Such behavior is a factor in the growing obesity epidemic and can potentially cause the development of chronic diseases, resulting in employment problems and billions of extra dollars spent on national health care programs. Researchers have focused on the concept of “emotional eating” while overlooking the overarching research question of this study, which was about exploring the experience of individuals using eating behavior as a coping mechanism to deal with stress. All responses were viewed through the lens of social cognitive theory. Interviews …
Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield
Experiences Of Individuals With Opioid Use Disorder In Medication Assisted Treatment Programs, Lynda M. Maxfield
Walden Dissertations and Doctoral Studies
AbstractOpioid use accounts for many deaths each day in the United States. Although research has shown that retention in medication assisted treatment (MAT) programs increases quality of life for those individuals with opioid use disorder (OUD) and decreases premature death, there has been limited research on the perspectives of individuals with OUD in MAT programs and why they remained in or left the programs. The purpose of this qualitative phenomenological study, guided by Merleau-Ponty’s theory of perception, was to explore the lived experiences of those with OUD treated in a MAT program. An algorithm type interview was conducted to ask …
Student Nurses’ Senior Practicum Experience And Its Role In Transition To Practice, Trilla Mays
Student Nurses’ Senior Practicum Experience And Its Role In Transition To Practice, Trilla Mays
Walden Dissertations and Doctoral Studies
Newly graduated nurses (NGNs) are not prepared to transition to practice, often leaving practice within the first year. The purpose of this descriptive qualitative study, guided by Meleis’ transition theory, was to explore the NGN’s perceptions of their senior practicum experience and how the experience prepared them for transition to practice. The Covid-19 pandemic limited recruitment of participants. After extended recruitment efforts, three NGNs were recruited, interviewed using a semistructured interview guide, and recorded using Zoom, which was verified while listening to the recording. The Ravitch and Carl three-pronged coding approach and NVivo was used to assist with the manual …
Strategies Information Technology Outsourcing Managers Use To Improve Business Performance And Employee Retention, Timothee Ntouba Mboule
Strategies Information Technology Outsourcing Managers Use To Improve Business Performance And Employee Retention, Timothee Ntouba Mboule
Walden Dissertations and Doctoral Studies
AbstractVoluntary employee turnover can result in adverse business outcomes. Information technology (IT) managers are concerned with voluntary turnover, which is the number one reason for actual turnover. Grounded in the transaction cost theory, the purpose of this qualitative multiple case study was to explore strategies IT managers use to improve business performance and employee retention. The participants comprised four IT managers from two firms in Arizona who effectively used strategies to improve business performance and employee retention. Data sources included semi-structured interviews, a review of archival company documents, and field notes. The data were thematically coded and analyzed, and four …
Improving Nurses' Knowledge Of Patient Self-Management Of Sickle Cell Disease, Angel Amaura Mccullough
Improving Nurses' Knowledge Of Patient Self-Management Of Sickle Cell Disease, Angel Amaura Mccullough
Walden Dissertations and Doctoral Studies
Sickle cell disease (SCD) is a chronic illness affecting over 100,000 Americans annually. SCD causes severe pain, which may require frequent hospital admissions for pain control. A high level of patient self-care knowledge is needed to prevent readmissions. Patients usually receive self-care education at hospital discharge from nurses, who may not know about self-care in SCD. Inadequate patient education on self-management of SCD at hospital discharge can lead to hospital readmissions. There was a gap in knowledge among RNs regarding SCD self-care at the local facility. This doctoral project was intended to educate nurses about SCD self-management to increase their …
K-12 Administrators’ Perceptions Of Factors Contributing To Teacher Attrition In Rural Schools, Michelle Mcdonald
K-12 Administrators’ Perceptions Of Factors Contributing To Teacher Attrition In Rural Schools, Michelle Mcdonald
Walden Dissertations and Doctoral Studies
Teacher attrition is a debilitating problem that plagues education, contributes to the teacher shortage, and challenges administrators to staff schools with qualified teachers. The high teacher attrition rates in rural schools in the southeastern United States were the fundamental problem addressed in this qualitative case study. This qualitative case study's purpose was to explore how K–12 administrators perceived the factors influencing teacher attrition in a rural school district in the southeastern United States. Maslow's hierarchy of needs human motivation theory, emphasizing the concepts of the hierarchy of needs, provided support for the two research questions exploring K–12 school and district …
Strategies To Encourage Innovative Employee Performance In The Automotive Industry, Derek Mcelrath
Strategies To Encourage Innovative Employee Performance In The Automotive Industry, Derek Mcelrath
Walden Dissertations and Doctoral Studies
The lack of innovative employee performance in the automotive industry leads to failure when it comes to the execution of organizational strategies. Senior automotive managers are concerned with innovative employee performance, as it has the potential loss of knowledge and the skillset by the employee. Grounded in Vroom’s expectancy theory, the purpose of this qualitative multiple case study was to explore strategies automotive managers use that encourage innovative employee performance. The participants were three senior automotive managers in Southeastern Michigan with at least three years of knowledge in employee work performance. Data were collected through semistructured interviews. Through thematic analysis, …
Hospital Ownership And Type As Predictors Of 30-Day Psychiatric Readmissions And Follow-Up, Zacquia Mckinley
Hospital Ownership And Type As Predictors Of 30-Day Psychiatric Readmissions And Follow-Up, Zacquia Mckinley
Walden Dissertations and Doctoral Studies
Studies have suggested that differences in hospital ownership structures impact the rates of 30-day hospital readmission and 30-day hospital follow-up in patients with psychiatric diagnoses. The purpose of this quantitative study was to examine the relationship between hospital ownership, hospital type, rates of 30-day psychiatric readmission, and rates of 30-day follow-up for psychiatric patients. This study drew on Donabedian's conceptual model of hospital quality assessment and used ANOVA testing for the four research questions concerning whether there is a significant relationship between 1) hospital ownership and inpatient psychiatric patient readmission within 30 days of discharge, 2) hospital type, and inpatient …
The Experience Of Meditation And Healing In Practitioners Of The Wim Hof Method, Chad David Mckinney
The Experience Of Meditation And Healing In Practitioners Of The Wim Hof Method, Chad David Mckinney
Walden Dissertations and Doctoral Studies
The practice of meditation for the purpose of increasing mental clarity, health, and healing has grown steadily over the past 50 years or more. While meta-analyses and literature reviews of hundreds of studies have shown that individuals who meditate improve neuro-biopsychosocial functions and recover from illness, few studies have examined these benefits within specific systems of practice. This qualitative study explored the experience of meditation and healing in adults who have trained in the Wim Hof Method (WHM). Transpersonal psychology and placebo theory served as the conceptual framework of this research. Narrative analysis was used to guide data collection and …