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Introducing Exercise And Home Safety Check To Decrease Falls In Older Adults, Alie Theresa Massicot-Gray

Walden Dissertations and Doctoral Studies

The lack of education related to causes of, complications from, and interventions for falls is associated with the high rate of falls and fall-related injuries in older adults (OAs) beginning at age 65. The purpose of this project was to develop a fall prevention program that included components of the Stopping Elderly Accidents Deaths & Injuries Algorithm to increase fall prevention awareness and reduce falls in OAs at one community senior center. The project practice question asked whether introducing a fall prevention program that focused on exercise and home safety checks to educate OAs could decrease the rate of falls. …

Child Protection Workers' Experiences In Implementing Natural Mentoring With Older Foster Youth, Claudia Maxie

Walden Dissertations and Doctoral Studies

Emancipated foster youth are at risk for increased rates of unemployment, low educational attainment, reliance on public assistance, substance abuse, behavioral issues, homelessness, unplanned pregnancies, and illegal activities. Lack of connection to a caring adult when exiting foster care and emancipated foster youth's inadequate independent living skills are critical factors that could place young people at risk. Prior studies have shown that mentoring is a means of providing foster youth with protection against psychological stress and promoting well-being; however, mentoring is not a widely used intervention in the child welfare system. There is limited research on the process of implementing …

Hospitality Sector Employee Turnover, Michael Mcguire

Walden Dissertations and Doctoral Studies

Employee turnover in the hospitality sector is problematic, costly, and can affect morale.Hospitality business owners who struggle with employee turnover are at a high risk of failure. Grounded in the job embeddedness theory, the purpose of this qualitative multiple-case study was to explore strategies hospitality business owners use to reduce employee turnover. The participants comprised 5 small business owners in the hospitality industry, located in the northwest region of Florida, who effectively used strategies to decrease employee turnover. Data were collected through semistructured interviews, organizational documents, and a reflective journal. Thematic analysis was used to analyze the data. Three themes …

Access To Health Insurance And Health-Seeking Behavior In A Nigerian Suburban Community, Charles Olalekan Mensah

Walden Dissertations and Doctoral Studies

The purpose of this study was to understand the effects of access to health insurance on the healthcare-seeking behavior of the population in four suburban communities in Rivers State, Nigeria. The conceptual framework of the study is based on Anderson's behavioral model of health services use. The study looked at how access to health insurance affects the healthcare seeking behavior and the preventive care seeking behavior of the study population. Two-hundred and seventy participants were surveyed using the Health Care Access and Utilization Survey (HCAUS) questionnaire. Data were analyzed using descriptive statistics (frequencies and percentages) and bivariate logistic regression. Respondents …

Nurse-Driven Protocols In The Pediatric Emergency Department: A Systematic Review, Roberta Miller

Walden Dissertations and Doctoral Studies

Long wait times in emergency departments across the United States contribute to overcrowding, and adverse patient outcomes. Adult emergency departments use nurse-driven protocols to decrease time to treatment and wait times. However, nurse-driven protocols are not commonly used in the pediatric emergency department (ED). The purpose of this project was to evaluate and appraise current evidence to determine if nurse-driven protocols can be safely implemented to improve ED wait times, time to disposition, patient/family satisfaction, and patient outcomes in the pediatric emergency setting. The Iowa model of evidence-based practice (EBP) was used to guide the mixed methods systematic review. A …

Measuring Knowledge Of Chronic Kidney Disease (Ckd) Among Community College Students, Jacquelyn Caldwell Moore

Walden Dissertations and Doctoral Studies

Chronic Kidney Disease (CKD) once detected is easily treated; however, it has become a major health problem associated with increased morbidity and mortality rates, creating an economic burden worldwide. While approximately 24 million Americans over the age of 20 suffer from CKD, there is a lack of awareness among the general population. Using a pre/post assessment, this quantitative study measured the impact of a 75-minute workshop on 126 community college students' knowledge of kidney disease, perception of its severity, and perceived susceptibility. The theoretical framework for the study was the health belief model, which suggests that individuals will make positive …

Reported Literacy Engagement Among Low-Income Parents And Their Children., Olugemi Ojo

Walden Dissertations and Doctoral Studies

Little is known about literacy engagement between low-income parents and their preschool children, although it may affect children's language development and later school achievement. The purpose of this qualitative study was to examine shared reading interactions among low-income parents and their children. The research questions addressed the lexical diversity of books read and the shared book reading experience of preschool children as reported by their low-income parents. The conceptual framework was based on the work of Hart and Risley, who proposed that the extent and value of literacy environment and collaboration during shared book reading are linked to the socioeconomic …

Social Responsibility Perceptions Of Community Flood Resilience In Nigeria, Reginald Olisa Oranye

Walden Dissertations and Doctoral Studies

Flooding is a severe threat to livelihoods and socioeconomic development in Ogbaru riverine communities of Anambra State, Nigeria. Limited success in the traditional approach of using predominantly structural measures, such as flood channels, to manage floods makes it imperative to explore nonstructural resilience initiatives that would potentially better protect vulnerable flood-prone communities. This study contributes to addressing the problems of ineffective flood management by developing vital social responsibility (SR) data and information that can enhance community flood resilience through individual and collective responsibilities for resilient action. The purpose of this quantitative correlational study was to explore SR perceptions of flood …

Education To Improve Health For Rural Africa American Women With Diabetes, Monique Deidre Pendleton

Walden Dissertations and Doctoral Studies

Diabetes (DM) is the 7th leading cause of death in the United States. Minorities like Hispanics and African Americans (AA) are at greater risk of developing DM. The prevalence and outcomes affecting diabetes are attributed to socioeconomic status, sex differences, ethnic, cultural, and religious status. Diabetes-related mortality is a major health problem in AA in rural America. The focus for this project was to identify the best evidence regarding educational counseling on lifestyle modifications that positively impact adult AA women with diabetes living in Rural America. The social-ecological theory and health belief model informed this project because these models incorporate …

Exploring The Impacts Of Workplace Loneliness On Criminal Justice Senior Leaders, Johanna Papa

Walden Dissertations and Doctoral Studies

This phenomenological qualitative study aimed to explore the impacts of workplace loneliness on senior leaders of various criminal justice organizations. The theoretical framework used was Descartes' views of the self-concept theory, which explained how individuals defined and described themselves within a social context. Using purposive sampling and semistructured telephone, and email interviews of 16 criminal justice senior leaders from the Washington, D.C. metropolitan area, this research was conducted to answer the overarching question of this study. Workplace loneliness was a professional hazard. The key findings revealed that at least 87% of the criminal justice senior leaders reported feeling or have …

Mediating Effects Of Workplace Sanctions On The Relationship Between Knowledge Work And Psychological Wellbeing, Selena Pitt

Walden Dissertations and Doctoral Studies

This quantitative associational correlational non-experimental study used multiple regression analysis with mediation to address the research question: To what extent employee perception of workplace sexual harassment sanctions mediate the relationship between the 4 modes of the SECI (socialization, externalization, combination, internalization) knowledge creation model and psychological wellbeing. The study was based on the theoretical underpinnings of knowledge creation theory and the precepts of knowledge work as a discretionary organizational behavior that requires intentionality from the knowledge worker. The study explored the direct and indirect effects of the intercorrelations between the predictors, mediator, and outcome variables with 109 participants. The model …

Clinical Practice Guideline: Maintaining Skin Integrity In The Surgical Patient, Erin Renne Price

Walden Dissertations and Doctoral Studies

The purpose of this project was to develop clinical practice guidelines for intraoperative positioning that will help prevent deep tissue injury and skin breakdown. Maintaining skin integrity in the surgical patient by preventing deep tissue injuries and skin breakdown is an identified gap in practice for surgical patients in the Operating Room environment that a clinical practice guideline could positively impact. To assist in achieving the development of a clinical practice guideline to maintain skin integrity, Benner's novice to expert theory addressing the educational needs for novice operating room nurses was applied. The clinical practice guideline, based on evidence, should …

Strategies Used By Nonprofit Social Service Business Leaders To Retain Employees, Veronica Lashal Price

Walden Dissertations and Doctoral Studies

Low employee retention among nonprofit social service organizations results in decreased productivity and performance. Business leaders who fail to implement employee retention strategies risk increased employee turnover resulting in the loss of economic constancy and organizational profitability. Grounded in Herzberg's two-factor theory of motivation, the purpose of this qualitative multiple case study was to explore strategies nonprofit social service business leaders used to increase employee retention. A purposeful sampling of 4 leaders from 4 nonprofit social service organizations in the Washington, D.C. metropolitan area who successfully used strategies to increase employee retention participated in this study. Data were collected from …

An Exploration Of The Lived Experience Of Transgender Individuals In Prison, Allison Radice

Walden Dissertations and Doctoral Studies

This phenomenological study explored the lived experiences and challenges of transgender inmates through a Department of Corrections (DOC) in the Midwestern United States. These individuals are at a higher risk for self-harm actions and assault by other inmates. There are a unique set of issues and needs that current policies and procedures fail to address for transgender inmates. Participants were invited to tell their experiences of incarceration which provided a description of their transgender identity and their lived experience through DOC. The 11 participants described their lived experiences in DOC along with their thoughts, feelings, and themes as they related …

Parental Characteristics And Lead Knowledge In The Minimization Of Environmental Lead Exposure, Trina Yvette Redford

Walden Dissertations and Doctoral Studies

A method for guiding lead intervention and minimizing lead exposures in Philadelphia, Pennsylvania (PA) is through understanding the relationship between lead knowledge and parental characteristics such as gender, age, income, marital status, and education attainment. Parental characteristic may play a significant role in the identification of population groups where knowledge pertaining to lead exposure is inadequate. Through awareness and intervention, preventive measures can be implemented to minimize and eliminate lead exposure. The theoretical concept used in this quantitative study was Krieger ecosocial theory. The ecosocial theory provides guidance and analyzes differences in existing health relationships, especially those with biological and …

Secondary Traumatic Stress And Spiritual Practices Among U.S. Psychologists: A Quantitative Study, Luis R. Sanchez

Walden Dissertations and Doctoral Studies

Studies suggest that 8% to 20% of mental health providers struggle with secondary traumatic stress (STS), but the number of investigations evaluating psychologists' STS is limited. Furthermore, although literature on the effects of self-care practices on STS is vast, no studies have examined the role of such practices on U.S. psychologists' level of STS. Informed by Stamm's theory of professional quality of life, this study analyzed variations in 159 U.S. psychologists' STS and frequency of participation in spiritual-based self-care practices between different religious identity groups. This study also explored the effect of spiritual-based self-care on U.S. psychologists' STS. An exploratory …

Relationship Between Clostridium Difficile Testing Method, Antibiotic Treatment, And Clinical Symptoms, Jennifer L. Sanguinet

Walden Dissertations and Doctoral Studies

Clostridium difficile (C. difficile) infection is a leading cause of morbidity and mortality in the United States, making the infection a top public health priority. Early and accurate identification of disease is a critical factor in successful management, including clinical symptomology. The testing methods for C. difficile have improved in efficiency and sensitivity, which potentially causes over- or underprescribing behavior. Guided by the symbolic theory, the purpose of this study was to examine the association between C. difficile testing method by case year (2015 and 2018) and antibiotic treatment with the potential moderation of clinical symptoms. The secondary correlational analysis …

Strategies For Improving The Performance Of Multigenerational Cohorts In The Construction Industry, Jenean Harper Satterfield

Walden Dissertations and Doctoral Studies

Many small construction companies struggle to motivate Generation X (Gen X) and Generation Y (Gen Y) employees to improve performance. Small business owners who maximize multigenerational employee performance will experience an increase in productivity. Grounded in the generational theory, the purpose of this qualitative multiple case study was to explore strategies 3 small construction business owners in Northeastern Ohio used to improve the performance of multigenerational cohorts in the construction industry. Data were collected through semistructured face-to-face-interviews and a review of relevant internal organization documents. Thematic analysis was used to analyze the data. Key themes that emerged from the study …

Factors Of Black Transgender Ex-Offender Women That Contribute To Recidivism, Brittany Shakir

Walden Dissertations and Doctoral Studies

Black female transgender ex-offender recidivism rates continue to rise at a higher percentage than males. This has resulted in transgender female ex-offender unemployment and homelessness, which in turn creates opportunities to commit crimes. However, there are no programs that advocate for creating resources to ensure successful reentry of transgender ex-offenders into their communities. The purpose of this qualitative phenomenological study was to understand contributing factors to recidivism among Black transgender women ex-offenders while addressing an under-researched group of people, the transgender community. The theoretical framework for this study was McGuire's inoculation theory. The research question focused on what experiences affected …

How Feminist Beliefs Relate To Self-Objectification In African American Females, Ashton Shelby

Walden Dissertations and Doctoral Studies

Sexual objectification has consistently been found to significantly influence self-objectification in women. Self-objectification has been linked to a number of adverse effects in women including depression, sexual dysfunction, and disordered eating. All females are vulnerable to sexually objectifying experiences and thus, developing self-objectifying behaviors and issues. Although extensive research explores both forms of objectification with Caucasian females, less is known about females in minority groups. In addition, little research has explored potential moderating variables. In other research related to investigating women's mental health, feminism is one variable that has been found to have a positive effect on women's issues. This …

Mothers With Diabetes And The Effects Of The Disease To Their Offspring, Rachel Smart-Fadairo

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological was to understand the lived experiences of mothers who were diagnosed with gestational diabetes mellitus and had a child who had been diagnosed with a speech disorder. Despite educational and medical interventions having increased to reduce gestational diabetes, the growing incidence of gestational diabetes signals a disconnect between education, intervention, and prevention. Previous studies have shown that mothers with gestational diabetes mellitus can experience high- risk pregnancies. The long-term effects of the disease on the mother and her newborn child in terms of soaring healthcare cost, loss of work productivity, education, and the emotional health …

Relationship Between Parent Asthma Knowledge, Parental Control Of Child's Asthma, And Parent Qol, Glori Sommerer

Walden Dissertations and Doctoral Studies

The long-term responsibility of caring for a child with asthma can result in parents

experiencing a lower quality of life (QoL), especially if the child's asthma is not well

controlled. Asthma knowledge can enhance asthma control practices among parents.

However, research has not explored these variables together to determine whether

parental control of child's asthma mediates the relationship between parent asthma

knowledge and parent QoL. This quantitative research study explored whether parental

control of child's asthma mediated the relationship between parent asthma knowledge

and parent QoL. The theoretical foundation was asthma self-regulation theory, focused

on the importance of asthma knowledge …

Risk Factors For Sexual Assault Victimization On A College Campus, Josh Studeny

Walden Dissertations and Doctoral Studies

In the United States, sexual assaults are becoming increasingly prevalent on college campuses. This study addressed the problem of increasing sexual assaults at a Northeastern university in the United States. The purpose of this qualitative study was to understand the risk factors that led to sexual assault victimization on a college campus through the students', campus police officers', and counselors' perspectives. This study incorporated Cohen and Felson's theoretical framework of the routine activity theory. The focus of the study was on perceptions of (a) risk factors that motivate offenders to commit sexual assault in a university setting, (b) risk factors …

Compassion Satisfaction, Burnout, And Intent To Stay Among Nurse Leaders, Lisa Denile Surby

Walden Dissertations and Doctoral Studies

Nurses in leadership roles have a substantial influence on the quality of the work environment and on safety, quality, and patient outcomes. However, compassion satisfaction (CS) and burnout (BO) have historically been understudied, and evidence is lacking regarding the existence of a relationship between CS, BO, and intent to stay among nurse leaders. The purpose of this cross-sectional descriptive study, guided by Stamm's theory of CS and compassion fatigue (CF), was to determine if there was a relationship between CS and BO and intent to stay among nurse leaders. An anonymous online survey was conducted using the Professional Quality of …

Experiences Of A Loss Of A Parent To Aids During Adolescence On Young Adults, Angela Thorpe-Moss

Walden Dissertations and Doctoral Studies

Acquired immunodeficiency syndrome (AIDS) continues to be a major healthcare issue for many countries, including the United States. Millions of adolescent children under the age of 18 have lost 1 or both parents to AIDS-related complications. The death of a parent to AIDS-related complications is severe; however, limited data describes how this type of death affects adolescents after they have become young adults. It is important to determine how these adolescents are affected by exploring their lived experiences of losing a parent to AIDS-related complications. The purpose of this qualitative phenomenological study was to understand the lived experiences associated with …

Effect On Health Literacy On Medication Adherence In Older Latina Women With Type 2 Diabetes Mellitus, Cecilia S. Trinidad

Walden Dissertations and Doctoral Studies

The level of health literacy (HL) can have a significant impact on an individual's ability to understand how to care for themselves. Limited HL reduces access to healthcare having limited HL is associated with poor self-management of Type 2 Diabetes Mellitus (T2DM), which is common among vulnerable populations and further contributes to increased morbidity and mortality, especially in which is true in Latina/Hispanic adults who have T2DM. The purpose of the study, guided by the health belief model, was to determine what effect an educational intervention had on blood glucose levels, health literacy, and medication adherence in older Latina/Hispanic women …

Racial Profiling In Northern Virginia Against Hispanic Males, Abe Vasquez

Walden Dissertations and Doctoral Studies

Racial profiling is a trending topic today against the Black community. In contrast, there is little to no literature referencing racial profiling against Hispanic males. This paper discusses racial profiling against Hispanic males in Northern Virginia. The purpose of this study was to understand the relationship between local law enforcement in Northern Virginia and the Hispanic community. I implemented a conceptual framework with a focus on the critical race theory using a qualitative approach. This study identified the relationship make up between the police and the Hispanic community, how they interacted, and if the Critical Race Theory was present. The …

Lecture Versus Collaborative Learning Methods In Community College Classrooms, Gwendolyn A. Vaughn

Walden Dissertations and Doctoral Studies

Abstract

Educational scholars have recommended using collaborative learning in higher education classrooms to improve the learning outcomes of community college students. The problem is that many community college instructors continue to use traditional lecture methods, which might be due to instructors not being convinced of the merits of collaborative learning. The purpose of this quasi-experimental, causal-comparative, repeated measures, research study was to examine the difference between pre- and posttest change scores on the Personal Community Health assessment of students who were taught with the collaborative method and students who were taught with the lecture method. The theoretical foundation for this …

Efficacy Of Preventions And Interventions For At-Risk Students In Disciplinary Alternative Education Programs, Helga Venus

Walden Dissertations and Doctoral Studies

Students, who are repeatedly referred to Disciplinary Alternative Education Programs (DAEPs), are at risk for future school dropout and for feeding the pipeline from schools to prison. In the United States, this is true especially for minority students, and regardless of referral reasons or intervention efforts. The purpose of this explanatory sequential mixed methods study was to examine attitudes of DAEP students and teachers regarding the influence of mandatory versus discretionary referrals, frequency and duration of referrals, and punitive versus creative interventions on positive behavioral outcomes. Data for the quantitative phase were collected via an online survey from public high …

Administrators' And Teachers' Perceptions Of Leadership Behaviors And Impacts On Student Outcomes, Kenya Walker

Walden Dissertations and Doctoral Studies

Despite more than 4 decades of school leadership research, a significant knowledge gap remains on how school leaders provide instructional practices to improve student outcomes. The purpose of this qualitative research study was to identify administrators' and teachers' perceptions of school leaders' instructional practices and the key characteristics that influence student outcomes. Weber's model of instructional leadership was the conceptual framework for the descriptive case study. The research questions centered on principals' and teachers' perceptions of how school leaders provide instructional leadership to improve student outcomes. Data collection occurred through interviews and document reviews. Four principals and six teachers were …