Digital Commons Network^™

The Cultural Construct Of Stress In Luganda-Speaking Women In Uganda, Courtney Skiera

Walden Dissertations and Doctoral Studies

Luganda, the primary language spoken in Uganda has no word for stress, but this does not necessarily preclude the Luganda-speaking population from experiencing stress. There is currently no research that reveals the stress phenomenon from a Ugandan’s perspective. The purpose of this study was to examine how Luganda-speaking Ugandans conceptualize stress. Two theoretical foundations formed the basis of this study: the cognitive appraisal of stress theory and the coordinated management of meaning. Using a qualitative interpretive design, this study examined the conceptualization of stress by Luganda-speaking women in terms of understanding, experiencing, and communicating the stress phenomenon. Participants were 7 …

Experiences, Reflections, And Applications Of Service-Learning Among Rookie Police Officers, Jacqueline Smith

Walden Dissertations and Doctoral Studies

Public safety is put at risk when police officers do not positively engage with community members. Though police officers learn how to deescalate volatile situations in police training, some officers still rely on use of force (UOF) and are not fully incorporating positive engagement to deescalate volatile situations. Service-learning provides one way to learn positive modes of engagement. The problem addressed in this project study was that service learning has not been adopted as a widespread teaching practice in criminal justice professional development in a Southeastern local setting. The purpose of this study was to explore the experiences, observations, conceptualizations, …

Small Business Leaders’ Strategies For Recruiting Veterans, Jamillah Deangela Stackhouse

Walden Dissertations and Doctoral Studies

Small business hiring managers who fail to implement recruitment strategies for

transitioning military veterans face hiring challenges with this population of workers.

Failed recruitment strategies are essential to small business leaders, as failure to attract

highly qualified military veterans places the organizations at a competitive disadvantage.

Grounded in recruitment theory, the purpose of this qualitative multiple case study was to

explore strategies used by leaders of small businesses to recruit, hire, and retain qualified

veterans. The participants included 3 purposefully selected hiring managers from 3 small

businesses in southeastern Virginia, who used successful strategies to recruit, hire, and

retain veterans. …

Factors Affecting Adherence To Diabetes Management Recommendations Among Afro-Caribbean Farm Workers, Aretha Meritian Townsend

Walden Dissertations and Doctoral Studies

Type 2 diabetes mellitus (T2DM) is a global epidemic, impacting the economy and quality of life of affected individuals. The treatment and management of the disease often rely heavily on self-efficacy and provider guidance. Adherence to provider treatment regimens can help to prevent T2DM-related complications. However, non-adherence to T2DM regimens is a growing concern among minority populations, where T2DM is highly prevalent. Limited research is available for the Afro-Caribbean migrant farmworker (ACMF) with high rates of diabetes and an alarmingly high rate of non-adherence to treatment recommendations which is further complicated by low literacy, common cultural practices, and poor diets. …

Evidence-Based Strategies For Improving Medication Adherence Among Psychiatric Patients: A Systematic Review, Omah S. Tsikada

Walden Dissertations and Doctoral Studies

Nonadherence to psychotropic medications among patients with serious and persistent psychiatric disorders, including bipolar disorder and schizophrenia, is approximately 70%. Nonadherence is a common barrier to the treatment of individuals with mental health disorders. However, there is limited awareness of evidence-based interventions and strategies to address this problem. Therefore, the question for this project asks whether a systematic review can identify strategies to improve adherence of psychotropic medications among individuals with serious and persistent mental illness. The purpose of this systematic review was to explore the evidence-based strategies that can aid in increasing medication adherence in patients with mental health …

Social Workers' Experiences With Pregnant And Parenting Teens In Alabama, Luanne Londria Washington-Woods

Walden Dissertations and Doctoral Studies

Among western industrialized countries, the United States has the highest teen birth rate; Alabama ranks 9th in the nation. Teen pregnancy and parenting often lead to financial, social, and health problems. The purpose of this action research project was to capture the experiences of social workers who work with pregnant or parenting teens in Alabama, including perceptions of Alabama’s opt-out policy for sexual education and strategies used to address teen’s beliefs, attitudes, and values about sexual behavior. Social learning theory was the theoretical framework. Data were collected through a focus group of 12 social workers with practice experience working with …

Sociodemographic Factors Associated With Abortion Rates Among Black Women In The United States, Lincoln Don Washington

Walden Dissertations and Doctoral Studies

Abortion has been a public health issue since the procedure became legal 47 years ago and, clinicians have performed 60,069,971 abortions from 1973 to 2017 in the United States. In 2014, a significant decline in abortion rates has been recorded in almost every state, as well as across different subpopulations when segregated by age, race/ethnicity, education, income, or geographic locations. However, abortion rates were still significantly higher among Black women relative to the U.S. average, prompting the need to examine the causes of this disparity. The main purpose of this quantitative study was to investigate and determine the sociodemographic causing …

Grit And Female Graduates’ Experiences In Engineering And Computer Science Programs, Jennifer Ilene Watson

Walden Dissertations and Doctoral Studies

Institutions have implemented recruitment and retention initiatives in science, technology, engineering, and mathematics (STEM) degree programs; however, gender disparity of women in engineering and computer science programs persists. The purpose of this qualitative phenomenological study was to explore the lived experiences of female graduates from engineering and computer science programs. The conceptual framework was the theory of grit to explore how female students sustained their passion and perseverance through obstacles and adverse situations. Data were gathered through semistructured interviews with 17 female participants who graduated from engineering and computer science programs in the United States. Data were analyzed through a …

Black Women's Voluntary Use Of Mental Health Services, Dr. Natasha Wright

Walden Dissertations and Doctoral Studies

According to the American Psychiatric Association, Black women engage in formal mental health services at a lower rate than White men and women. In addition, the issues faced by Black women engaging in mental health services are multiplicative, major, and often divisive. Much of the research to date has centered on the barriers to, and negative experiences of, Black women in mental health. Grounded in critical race theory and Black womanist thought, this study investigated the lived experiences of Black women who voluntarily engaged in mental health services. The study included a purposive sample of 6 Black women from 2 …

Offender Participation In Multiple Rehabilitation Programs To Reduce Recidivism, Jonathan Michael Yearwood

Walden Dissertations and Doctoral Studies

Rehabilitation programs are critical for reducing recidivism rates and reintegrating offenders into the community. Despite the recognition that offenders face many challenges, few scholars have investigated the relationship between prisoners who receive more than 1 rehabilitation program and recidivism. The purpose of this quantitative, correlational cross-sectional study using archival data from a correctional facility in Barbados was to assess the relationship between age, education, employment, and multiple rehabilitation programs on recidivism. The conceptual framework of this study was grounded in the lifecycle theory, the social learning theory, the social cognitive theory, and the social disintegration theory. The primary research question …

Systematic Review Of Family Nurse Practitioner Utilization Within School Environments, Luz Elena Zapien

Walden Dissertations and Doctoral Studies

The American Academy of Pediatrics and the Institute of Medicine recommend school health screening programs to detect problems that might interfere with a student’s education and general well-being, and many U.S. states require compliance with enrollment requirements such as updated immunizations and physical exams prior to attendance. In low-income areas, however, there is often a shortage of physicians available to meet the healthcare needs of the population. Family nurse practitioners (FNPs) can be utilized in school health settings to deliver health care services that support school attendance and the well-being of school students, yet little is known about their impact. …

Disparities In The Qulaity Of Bariatric Care Among African American Women, Tracey S. White

Walden Dissertations and Doctoral Studies

Improving the quality of health care in the United States has been an ongoing challenge for decades. As health care providers seek to provide unsurpassed levels of health care, disparities continue to exist among races. Racial and ethnic disparities in the quality of health care persist that affect African American women disproportionally. The purpose of this study was to explore the lived experiences of African American women with regard to quality health care following bariatric surgery. Using a phenomenological approach, semistructured interviews were conducted with 10 African American women who had suboptimal weight loss outcomes following bariatric surgery. Data from …

Innovation And Market Leadership In A Technology Industry, Wilson Zehr

Walden Dissertations and Doctoral Studies

According to the Abernathy-Utterback (A-U) model, firms focus on technological product innovation early in the product lifecycle and then shift to process innovation as markets mature. However, there is no consensus on the forms that non-technological innovation can take. In addition, the A-U model, which guides innovators, does not include forms of non-technological innovation that are generally accepted by experts. In this study, a hybrid e-Delphi technique with an AHP decision model was used to evaluate the forms of innovation used to establish market leadership over the historical lifecycle of the personal computer industry in the United States. In Phase …

Strategies For It Product Managers To Manage Microservice Systems In Enterprises, Walter Zrzavy

Walden Dissertations and Doctoral Studies

Many information technology (IT) product managers have experienced significant challenges in adopting microservice architecture (MSA) systems successfully in their organizations. Inefficiencies resulting from MSA system adoption are of concern to IT product managers as these inefficiencies increase the cost of maintenance and increase the time to deliver software updates to the business. Grounded in the technology-organization-environment theory, the purpose of this qualitative multiple case study was to explore the strategies used by IT product managers for the domain-driven design and development and operations practices to reduce the inefficiencies during the MSA system adoption. The participants were 18 IT product managers …

Successful Strategies To Address Disruptive Innovation Technologies In The Digital-Media Industry, Latronya M. Acevedo-Berry

Walden Dissertations and Doctoral Studies

Digital media executives lack strategic solutions for the preparation and response to changing media innovation technology. The lack of innovative technological strategies threatens digital-media corporations’ ability to maintain marketplace sustainability for addressing disruptive innovation technologies. Grounded in Christensen’s disruptive innovation theory and Roger’s diffusion of innovation theory, the purpose of this qualitative multiple case study was to explore innovative technological strategies some executives of digital-media corporations used to maintain marketplace sustainability for addressing disruptive innovation technologies. The participants were 7 digital-media executives in New York and California, who used effective strategies to innovate technology and maintain marketplace sustainability. Data were …

Skin Bleaching Among Female University Students, Adegboyega Abayomi Adewoyin

Walden Dissertations and Doctoral Studies

In Nigeria, skin bleaching, a practice that can create significant health problems, represents a persistent social issue. The behavior has become widespread due to unfettered access to various brands of bleaching creams. The purpose of this study was to gather data to (a) seek an understanding of the deeper motivations underlying the decision to engage in skin bleaching or skin whitening among female tertiary students and (b) examine the awareness among such students of public policy on skin bleaching creams. The case study qualitative research design was employed to enable skin bleaching cream users to share their motivations and experiences. …

Medication Nonadherence Among African American Male Psychiatric Patients: Healthcare Providers’ Perspectives, Felix O. Agoye

Walden Dissertations and Doctoral Studies

African American men show less adherence toward maintenance pharmacotherapy for psychiatric disorders than Caucasian men. However, studies that specifically investigated the sociodemographic determinants of medication nonadherence in African American psychiatric patients based on healthcare providers’ perspectives are limited. Therefore, this study explored the viewpoints of healthcare workers in a Chicago-area hospital network about medication nonadherence among psychiatric African American male patients. This qualitative case-study is guided by the health-communication model and theory of planned behavior. Interview sessions were conducted with providers who met the inclusion criteria and NVivo 11 was used to store and organize the data in order to …

Nursing Home Caregivers’ Knowledge Of Decubitus Ulcer Prevention Strategies, Shola Akinfiresoye

Walden Dissertations and Doctoral Studies

Decubitus ulcers (DUs) were a constant concern among the residents of the nursing home in this project. Prolonged immobility, sensory impairment, and urinary incontinence are some of the factors found in the literature as the causes of the disease. However, the lack of useful knowledge regarding evidence-based practices (EBPs) to prevent and treat DUs also contributed to the higher incidence rates at the nursing home. The purpose of this DNP- project was to evaluate the caregivers’ knowledge of EBPs to prevent and treat DUs at the facility. The IOWA Model of Evidence-Based Practice, which healthcare practitioners use to guide clinical …

Understanding Health Behavior In Caribbean Americans, Keva Alleyne

Walden Dissertations and Doctoral Studies

There has been a significant increase in the number of Caribbean immigrants to the United States with the population being over 4 million in 2014 and over 1 million of the immigrants residing in New York State. Among this population, there has been an increase in chronic diseases that has been linked to unhealthy eating behavior. Caribbean immigrants’ approach to their health behavior was examined in this qualitative, phenomenological study. With a focus on the different aspects of the acculturation theory as the theoretical foundation, 9 participants from across the United States were interviewed about their approach to health, cultural …

Staff Education On Fall Reduction Strategies For Residents Of A Long-Term Care Facility, Olivia C. Anaele-Nwogu

Walden Dissertations and Doctoral Studies

Fall-reduction programs are frequently ineffective in reducing falls among geriatric patients in long-term care (LTC) facilities. Multicomponent strategies have proved to be effective in reducing these falls. However, these strategies require staff education to ensure their success. The purpose of this project was to support the integration of multicomponent fall prevention strategies into practice by providing staff education focusing on the appropriateness use of hourly rounding and the 4Ps (pain, position, prompted voiding and placement) in addition to bed alarms to prevent falls among geriatric patients in the local LTC facility. The Johns Hopkins Nursing Evidence-based model was the conceptual …

Performance Evaluation Criteria For Project Managers, Nestor Briones Aquino

Walden Dissertations and Doctoral Studies

Supervisors of business project managers lack strategies to effectively evaluate the work of project managers, increasing the probability of project failure, and costing organizations billions of dollars in losses each year. Effective evaluation of the work of project managers is essential to avoid project failure. Grounded in Kaplan and Norton’s balanced scorecard theory, the purpose of this qualitative single case study was to explore strategies supervisors of business project managers use to evaluate the project managers’ work. The participants comprised 3 supervisors of project managers in the Rocky Mountain area of the United States with successful experience in evaluating the …

Exploring Challenges And Management Of Multicultural Workforce Organization In Nigeria, Henry Uko Ationu

Walden Dissertations and Doctoral Studies

The increasing globalization of businesses presents the need for increased understanding of cultural differences in the work place. The central problem addressed in this study was the challenges and management of multicultural workforce organization in Nigeria. The purpose of this qualitative exploratory single case study was to explore misunderstandings and workplace inefficiency related to cultural differences, often resulting in decreased company profitability, and how these can be managed. Social learning theory and the cultural competence framework constituted the theoretical foundation and conceptual framework. Participants consisted of 10 managers of a multicultural insurance company in Nigeria, selected using a combination of …

Strategies To Grow And Expand A Nonprofit Business, Olusegun Abimbola Awode

Walden Dissertations and Doctoral Studies

Nonprofit organizations make significant contributions to individuals, organizations, communities, the environment, and societies, but many do not survive in the long run. This study is important to business leaders in for-profit and nonprofit organizations who want to implement strategies for the long-term survival of their business, improve business performance, and effect positive social change. Grounded in Penrose’s theory of growth, the purpose of this qualitative single-case study was to explore strategies leaders used to grow and expand a nonprofit business in the midwestern region of the United States. The participants comprised 5 nonprofit leaders with recorded success at growing and …

Organizational Capacity-Building To Battle Addiction In The Oneida Community, Anita F. Barber

Walden Dissertations and Doctoral Studies

Oneida Nation community members created a new and developing organization The Healing Society (fictious name) operated by a volunteer board. The board needed strategic direction to build organizational capacity and sustainability to address the lack of awareness in the community about the increase in opioid and heroin abuse after a well-known community member died from an overdose. The purpose of this postpositivist constructionist qualitative case study was to gather empirical data from the perspectives of internal and external stakeholders through a SWOT analysis focused on their perspectives. Their answers addressed: (a) the organizational strengths and weaknesses of The Healing Society …

Leaders And At-Risk Students' Perceptions Of Online Credit Recovery Opportunities And The Role Of Efficacy, Angelo Mitsuo Barcinas

Walden Dissertations and Doctoral Studies

Although online credit recovery opportunities are available to high school students enrolled in a United States of America territory credit recovery school, the inability of students to access these courses outside of the school is difficult because students do not have online access. This study examines the role self-efficacy plays on students successfully completing high school through taking advantage of online credit recovery opportunities. The purpose of this general qualitative interview study was to examine at-risk students’ perceptions of online credit recovery opportunities and the role of efficacy for students enrolled in online credit recovery school. Using the social cognitive …

Living With Killing: The Lived Experiences Of Young Black Men In South Chicago, Ponda Barnes

Walden Dissertations and Doctoral Studies

Homicide is a serious public health crisis in the United States, and it has long-term health, psychological, economic, and social implications to society, including disproportionately impacting one group. Among young African American males between the ages 15–24, homicide is the leading cause of death,. Much has been written about this phenomenon, but the voices of the young men directly involved are rarely heard. The purpose of this qualitative phenomenological study was to investigate youth violence and homicide through the lens of male African Americans aged 18-24 living in one low-income community in Chicago, with the objective of understanding why Black …

The Lived Experiences Of Caregivers Of Children With Reactive Attachment Disorder, Abby Baumgart

Walden Dissertations and Doctoral Studies

Parents of children with Reactive Attachment Disorder (RAD) encounter challenges in parenting and parent-child relationship development that are not typical to most parental situations. The purpose of the qualitative study was to explore the lived experiences of caregivers of children with RAD, to identify current met and unmet needs, to explore the experiences the caregivers of children with RAD have and the resources available to them. The study included a hermeneutic phenomenological foundation and incorporated the conceptual frameworks of family systems theory and attachment theory. A nonprobability, self-selection sampling strategy was utilized with recruitment through Facebook support groups. Methods included …

Strategies Small Business Owners Use To Access Working Capital To Fund Operations, Michael Patrick Belleman

Walden Dissertations and Doctoral Studies

Many small business owners encounter a lack of access to traditional bank funding that limits the owner’s ability to meet working capital shortages to sustain operations. Grounded in the resource-based view, the purpose of this qualitative multiple case study was to explore strategies that small, home health care agency owners use to access working capital lending sources to finance their operations. The participants comprised 3 owners of small home health agencies in Wayne County, Macomb County, and St. Clair County, Michigan, who developed and implemented successful strategies to obtain working capital. Data were collected through semistructured interviews using open-ended questions, …

Physician Assistant Burnout And Fulfillment Related To Career Development And Physician Relationship, Kari Sue Bernard

Walden Dissertations and Doctoral Studies

Physician workforce shortages are driving increased clinical and administrative use of non-physician healthcare providers. As a result, physician assistants (PAs) may experience role expansion in a positive or negative manner. The purpose of this study was to determine if aspects of PA career development related to role expansion interacted with the quality of the collaborative physician (CP) relationship to predict PA well-being. The job demands-resources (JD-R) model was used as the theoretical foundation and the National Academy of Medicine’s conceptual model of clinician well-being was used as the conceptual framework. Research questions addressed whether PA experience level predicted well-being, and …

Mothers' Knowledge, Clinic Staff, Community Support, And Breastfeeding Practices, Ubong Usua

Walden Dissertations and Doctoral Studies

Among low-income mothers enrolled in the Women Infant and Child (WIC) program and Medicaid, the rate of initiating breastfeeding immediately after delivery is low (57%) compared to high-income mothers (74%). Among the many factors contributing to this are low-income mothers' poor knowledge of the benefits of breast-feeding and lack of support and encouragement from clinical staff, family, and community. However, few studies have singled out the role of community and family support in improving maternal knowledge and breastfeeding practices. Using the Theory of Planned Behavior framework, this quantitative study used WIC data from the Texas Department of Health and Human …