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Socioeconomic And Sociocultural Factors Associated With Parenting Choice And Fertility Experience Among Lesbian And Nonlesbian Women, Annette Silvia

Walden Dissertations and Doctoral Studies

Minorities including lesbians may face disparities that contribute to minority stress, which leads to adverse health outcomes. The purpose of this social epidemiology study was to examine the association between insured status, perceived stress, and parental status among lesbians and nonlesbians. The theoretical foundation was minority stress, and the design was quantitative with a convenience sample of women aged 18 years and older. Data on demographics, perceived stress, fertility quality of life, and lesbian identity disclosure were collected via online survey. Among the 314 respondents, 102 self-selected as lesbian (49% parents), and 212 self-selected as nonlesbian (73.1% parents). More than …

The Experiences Of Noncustodial Fathers Enrolled In The Georgia Fatherhood Program, Patricia Ann Smith

Walden Dissertations and Doctoral Studies

The federal child support program was designed in the United States in 1975 to reduce the amount of public assistance that is needed by collecting child support from noncustodial fathers. Due to financial barriers, many noncustodial fathers face challenges in paying their child support consistently. Noncustodial fathers are referred to Fatherhood Programs when they are delinquent in paying their child support. While extensive research was conducted on the impact of child support delinquency on families, very little focus has been placed on the challenges that noncustodial fathers face when attempting to complete Fatherhood Programs. The purpose of this generic qualitative …

Food Advertisements And Access To Primary Care And The Impact On Family Food Decisions Made By Women, Linda Soriano-Copelin

Walden Dissertations and Doctoral Studies

Women are responsible for preparing family meals in 71% of American households. The meal choices that women make has an impact on lifestyle choices for themselves and their family. The purpose of this research was to evaluate the extent to which food advertisements and access to primary care influence a woman’s food-making choices. The first question focused on how exposure to food advertisements on television may impact the food choices of women. The second question asked how food advertisements affect women’s eating habits. The third question asked how access to primary care impacts food decisions. The theoretical framework integrated the …

Effective Strategies Processing Companies Use To Sustain Business Operations Beyond 5 Years, Travis C. Souders

Walden Dissertations and Doctoral Studies

Some small food processing businesses in the United States lack strategies to remain financially viable beyond 5 years of operation. Owners and managers of small food processing businesses could benefit from an improved understanding of the importance of effective strategies to improve small business sustainability. Grounded in systems theory, the purpose of this qualitative single case study was to explore strategies small food processing companies use to sustain operations beyond 5 years. The participants were 1 small-business owner and 8 managers in Lexington, Kentucky, who used effective strategies to sustain business operations beyond 5 years. Data collected came from semi-structured …

Primary Payer Status And 30-Day Readmission Rates Among U.S. Diabetes Patients, Christina Marie Swilling

Walden Dissertations and Doctoral Studies

Diabetes is a leading cause of hospitalization and readmission in the United States. The 30-day readmission rate for diabetic patients represents substantial costs to the nation’s health care system. The purpose of this quantitative study was to examine the relationship between primary payer status and hospital readmission rates among individuals whose primary or secondary reason for admission was Type 2 diabetes mellitus (T2DM). Secondary data from the Healthcare Cost Utilization Program Nationwide Database of the 2015 National Readmission Database was analyzed. Participants in the data set included 41,068 diabetes patients, 53.8% of whom were female. The average age was 67.26, …

Improving The Ethical Use Of E-Health And Emr, Josephine Tafie

Walden Dissertations and Doctoral Studies

Improving the Ethical Use of E-health and EMR

by

Josephine Tafie

MS, Walden University

BS, Washington Adventist University

Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Nursing Practice

Walden University

August 2020

Abstract

The healthcare industry is experiencing ethical problems with the integration of new technological applications, such as e-health and electronic medical records (EMRs) in service delivery. Thus, the purpose of this capstone project was to conduct a systematic literature review to determine the best practices that are well suited to a large urban hospital, to ensure patients’ privacy with the continued use …

Correctional Officers' Perspectives On Cellphone Contraband Introduction By Fellow Officers, Kamaria Taylor-Mccune

Walden Dissertations and Doctoral Studies

Occupational deviance in the form of cellphone contraband introduction poses a serious threat to the safe and secure operations of correctional facilities across the United States. More importantly, security staff members who participate in this form of unethical and illegal behavior undermine and impair both staff-inmate relationships as well as collegial relationships among officers. The purpose of this study was to explore the perspectives of correctional officers who have experienced contraband introduction by fellow correctional officers and to understand the overall impact within the correctional environment. Based on ethical climate theory, this qualitative phenomenological study sought to describe the contributions …

Examining The Relationship Between Rural African-American Adolescents’ Self-Perception And Their Academic Performance, Vincent Dewayne Tompkins

Walden Dissertations and Doctoral Studies

Poverty, crime, and the need for public assistance are associated with dropping out of high school in the United States. African American adolescents have a higher dropout rate than their White peers, especially in the rural south. Moreover, racial discrimination toward African American adolescents is more prevalent in the rural south compared with the urban areas of United States. Academic self-perception and experienced racial discrimination are probable factors that influence African American adolescents to leave school before they graduate. This study was conducted to determine a relationship between the combination of rural African American adolescent’s academic self-perception as measured by …

Small Business Owners’ Strategies To Mitigate Employee Theft, Aurora Jacquese Trigg

Walden Dissertations and Doctoral Studies

Ineffective strategies and a lack of internal controls to address employee theft can negatively impact small businesses. For most small business owners impacted by employee theft, the loss of resources could be detrimental, and in some cases, force the business closure. Grounded in Cressey’s fraud triangle theory, the purpose of this qualitative multiple case study was to explore strategies successful small business owners use to deter employee theft behaviors. The participants comprised 8 small business owners in southeast Florida who successfully used strategic internal controls to deter employee theft and enhance employee trust in the workplace. Data were collected from …

Principal And Teacher Perceptions Of How Principal Motivational Leadership Practices Influence School Climate, Emily Harber Williams

Walden Dissertations and Doctoral Studies

Research indicates that school leadership influences the success of student outcomes through school climate. However, little is known about how principals and teachers perceive principals’ motivational leadership practices and how these leadership practices influence school climate. The purpose of this qualitative study was to gain a better understanding of seventh and eighth grade principal and teacher perceptions of principal motivational leadership practices influence on school climate. This study was based upon Sullivan’s motivational language theory and Deci and Ryan’s self-determination theory by way of the utilization of the conceptual framework on charismatic leadership. The research questions focused on principal and …

Exploring Health Literacy In The Acute Care Setting In A Rural Border Region, Shiloh Williams

Walden Dissertations and Doctoral Studies

Health literacy is important to ensuring patients have the necessary knowledge and skills needed to actively participate as a member of their own healthcare team. Patients with low health literacy are at increased risk for poor outcomes and limited participation in decisions affecting their health or treatment plan. Using the Social Ecological Model (SEM) as a framework, the purpose of this study was to determine the relationship between medical-surgical registered nurses, medical-surgical patients and the registered nurse’s (RN) assessment of their patient’s health literacy of those who live in a rural-border region. The study’s sample consisted of 84 pairs of …

Social Workers' Perceptions Of Exercise In Treating Chronic Mental Illnesses: Action Research, Carlene Battiste-Downie

Walden Dissertations and Doctoral Studies

Social Workers' Perceptions of Exercise in Treating Chronic Mental Illnesses: Action Research

by

Carlene Battiste-Downie

MSW, Fordham University, 2000

BS, Oneonta State University, 1993

DSW Research Project Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Social Work

Walden University

July 2020

Though social workers are an integral part of the mental health profession, there is a fundamental gap in the clinical mental health social workers' practice. This gap is a lack of physical exercise as part of the routine regimen in treating clients suffering from chronic mental illnesses such as post-traumatic stress disorder (PTSD), depression, …

College Students And Their Decisions To Disclose Disabilities, Matthew A. Christian

Walden Dissertations and Doctoral Studies

Legislation in the United States mandates support services to assist students with disabilities in postsecondary settings, and research literature includes legislation and case law dealing with access rights to higher education and studies in areas of transitioning to postsecondary settings, including perceptions of support services and barriers to attainment. Yet, the processes that require students to divulge increasingly personal information related to their disabilities can discourage the students who need services. There is a gap in research and practice concerning the factors leading these students to decide to disclose; therefore, the purpose of this narrative inquiry was to explore the …

Recidivism In The U.S. Criminal And Military Justice Systems, Dameian Cooper

Walden Dissertations and Doctoral Studies

Recidivism in the U.S. Criminal and Military Justice Systems

by

Dameian J. Cooper

MA, American Military University, 2015

BS, Columbia Southern University, 2012

Dissertation Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Philosophy

Criminal Justice

Walden University

August 2020

The purpose of the U.S. criminal and military justice systems is to deliver justice for all and protect public safety. However, “tough on crime” legislation has contributed to mass incarceration and high rates of recidivism. The purpose of this qualitative study was to understand which justice system (criminal or military) is more effective in reducing recidivism. …

Managing Energy As Experienced By Female Federal Senior Managers, Gwendolyn Jones Crimiel

Walden Dissertations and Doctoral Studies

Senior managers experience a drain on personal energy while trying to meet the demands of work. The purpose of this hermeneutic phenomenological study was to explore how female senior managers describe lived experiences of managing and renewing personal energy while at work. The theoretical framework included conservation of resources theory and effort recovery theory. Data were collected from semi-structured interviews with 14 female senior managers who experienced managing and renewing their personal energy at work. Data analysis involved coding to capture the essence of the experiences and to identify common themes. Findings indicated that insufficient energy affected participants’ mental and …

Predictive Factors Of Risky Sexual Behaviors Of Emerging Adult Women, Corey Dabney

Walden Dissertations and Doctoral Studies

This study offered a predictive model to better understand the social dynamics of risky sexual behavior through examining how reproductive coercion, self-esteem, and peer relationships that present with risky sexual behaviors correlate to unintended pregnancy. The participants were 104 emerging adult women between the ages 18-25 who resided in the United States and were proficient in the English language. Using the theoretical lens of reciprocal determinism, direct logistic regression was performed to assess the likelihood that the variables reproductive coercion, peer relationships, and self-esteem would impact unintended pregnancy. The full model containing all predictors was statistically significant, indicating that the …

Communication Strategies Used To Improve Employee Performance In A Diverse Workforce, Dr. Sharine Denise Daniel

Walden Dissertations and Doctoral Studies

Ineffective communication strategies can negatively affect employee performance in a diverse workforce, which may hinder business growth. Top-level managers in the telecommunication sector who struggle to improve employee performance are at high risk of their businesses failing. Grounded in organizational information theory, the purpose of this qualitative multiple case study was to explore the communication strategies top-level managers in the communication sector use to improve employee performance in a diverse workforce. The participants were 5 top-level managers in 2 telecommunication companies in St. Maarten, who effectively used communication strategies to improve employee performance in a diverse workforce. Sources for data …

Perceptions Of Organizational Support Among Social Workers Exposed To Vicarious Trauma, Paula Denise Downie

Walden Dissertations and Doctoral Studies

Repeated exposure to clients’ trauma has led to secondary or vicarious emotional distress for social workers, which has negatively impacted their professional and personal lives. The purpose of this qualitative action research study was to explore social workers’ perceptions of organizational support of social workers with symptoms of vicarious trauma. Ecological systems theory provided the framework for the study. The sample consisted of 6 clinical licensed social workers who participated in 2 focus group sessions, one with 4 participants and one with 2 participants. Data were inductively coded and analyzed to identify patterns and themes. Findings indicated that social workers …

Strategies For Retaining Bedside Nurses, Desmond Chuma Duru

Walden Dissertations and Doctoral Studies

Health care organizations incur high costs because of the increase in voluntary turnover of nursing staff. Grounded in the social exchange theory, the purpose of this qualitative single case study was to explore strategies to reduce the voluntary turnover of bedside nurses. The participants comprised 6 senior health care leaders in the southeastern United States who successfully implemented strategies to reduce bedside nurses’ voluntary turnover. Data were collected from face-to-face, semistructured interviews, member checking interview summaries, reflexive journal notes, and reviewing the available digital documentation from the health care system’s websites. Data were analyzed using thematic analysis. Three themes emerged: …

Nurses’ Aesthetic Responses And Emotional Judgements To Senior Leaders’ Symbolism, Lucinda A. Easler

Walden Dissertations and Doctoral Studies

Stress can be heightened during a merger; understanding how acute care nurses who work in a hospital undergoing a merger, experience senior leaders’ use of symbolism may help to promote hospital and leader sustainability. Executive symbolism unfolds into aesthetic experience, normally considered a response to art, with few studies of its existence and benefit to organizational life. The purpose of this phenomenological-hermeneutic study guided by Parker’s aesthetic theory was to examine acute care nurses’ emotional responses and experiences with senior leaders’ use of executive symbolism in the midst of the organizational change. Interviews with 11 acute care registered nurses were …

Strategies For Automating Pharmacovigilance Adverse Event Case Processing, Mythily Easwar

Walden Dissertations and Doctoral Studies

Business leaders who fail to implement innovative technology solutions in their companies face economic distress in these organizations. Guided by the task technology fit model as the conceptual framework, the purpose of this qualitative single case study was to explore strategies used by pharmacovigilance (PV) systems leaders to implement innovative technology solutions. The participants were 4 PV systems managers working in a pharmaceutical company in the Boston area of Massachusetts, United States, who used successful strategies to implement innovative technology solutions to automate adverse events case processing. Data were collected using semistructured interviews and company documents. The collected data were …

Perceptions Of Health Care Professionals Providing Smoking Cessation In Health Care Settings, Dr. Tenishia Tamika Edwards

Walden Dissertations and Doctoral Studies

Tobacco use affects many individuals in the United States and around the world, particularly those who have existing health disparities. Smoking cessation therapy is a process used by health care professionals (HCPs) to help aid in the reduction or elimination of tobacco use. HCPs providing this service in health care settings can reach patients directly while helping to decrease the mortality rate in those who use tobacco. The purpose of this phenomenological qualitative study was to identify HCPs’ perceptions of patient barriers to adherence to smoking cessation services and what can be done to improve smoking cessation in health care …

Group Education Program To Increase Obesity Knowledge In Cardiac Care Nurses, Ethel Emenogu

Walden Dissertations and Doctoral Studies

Obesity increases the severity of cardiac disease, leading to increased mortality and morbidity. The need to address obesity is critical in reducing obesity-associated complications such as heart failure, strokes, heart attacks, and even death. Obesity is also a risk factor for many chronic diseases such as heart disease, cancer, diabetes, hypertension, and depression. Evidence has shown that obese individuals with cardiac disease are at increased risk of developing complications. The practice-focused question for this doctoral project asked whether a group educational program could increase obesity knowledge among cardiac care clinic nurses. The purpose of this DNP project was to provide …

An Exploratory Study To Identify Strategies For Retaining Laboratory Professionals In Hospital Setting, Ambrose E. Ewane

Walden Dissertations and Doctoral Studies

Medical laboratory professionals have faced more than 20 years of workforce shortages. The causes of these workforce shortages include poor retention of new professionals and an insufficient number of new graduates who enter the workforce. The purpose of this qualitative case study was to explore the strategies that are used by managers in hospitals for the retention of laboratory professionals. The theoretical framework comprised Mobley’s theory of turnover and Porter’s organizational commitment theory. The research questions for this study addressed what managers perceived as the biggest challenges for the retention of laboratory professionals and what effective strategies they thought could …

A Phenomenological Study Of Christian Conversion And Recidivism In Ex-Prisoners, Christopher Featherstone

Walden Dissertations and Doctoral Studies

Recidivism rates are high in the United States. According to the Bureau of Justice

Statistics, within 5 years of being released, 77% of ex-prisoners are arrested, with 37%

arrested within the first 6 months and 57% arrested within the first year. Past research has

indicated that religiosity functions as a protective factor in relation to criminal behaviors

that is consistent across genders and developmental periods. The purpose of this

qualitative study was to examine Christianity as a protective factor against offending. The

theoretical framework of the study, self-determination theory, with its focus on

individuals’ growth tendencies based on self-motivation and …

Lived Experience Of Parenting Nurses Pursuing A Doctorate: A Phenomenological Inquiry, Jaimee Feldstein

Walden Dissertations and Doctoral Studies

The need for more doctoral prepared nurses is evident; data indicate that less than 1% of nurses hold doctoral degrees, yet, little is known about student persistence in doctoral nursing programs. Even less is known about doctoral nursing students navigating an online learning environment while balancing parenthood. The purpose of this phenomenological study, guided by Rovai’s composite persistence model, was to explore the embedded meanings in the experiences of parenting nurses pursuing their doctoral degrees at an online university. Ten female parenting nurses who completed a doctorate within the last 2 years were interviewed and shared the key factors that …

Motivators That Influence Canine Handlers To Volunteer In Animal Assisted Activities, Gina Marie Fisher

Walden Dissertations and Doctoral Studies

Animal-assisted activity (AAA) programs support various mental health or health-related concerns. Little research has studied why individuals are motivated to volunteer in animal-assisted therapy programs; no studies have addressed what motivational factors influence individuals to become an AAA volunteer. This quantitative investigation used functional motivational theory and attachment theory to uncover the motivations of these volunteers. Certain motives were primed with cues to understand key influences among the 186 individuals selected by convenience sampling through a therapy animal organization. Data were collected through an online survey in which the participants answered a series of essay type questions, some of which …

The Socialization And Academic Engagement Of Black Males In A Christian High School, David Flowers

Walden Dissertations and Doctoral Studies

Black males in a metropolitan private Christian high school (PCHS) in the Midwest encounter unique sociocultural experiences that may be associated with racial microaggressions and the struggles of fitting in that can negatively impact academic success. The problem that was addressed in this study was the need for more specific information on how Black males fit socially into the local PCHS, and their attitudes towards academic achievement. Bandura’s self-efficacy theory and Tajfel’s social identity theory were used in this case study to explore the sociocultural experiences of 6 former Black male students and 5 members of the school staff. The …

Single Mothers’ Perceptions Of Police Encounters And Effectiveness Related To Youth Gun Violence, Janay M. Gasparini

Walden Dissertations and Doctoral Studies

Single mothers and their children residing in high-crime communities (HCCs) in the United States are disproportionately exposed to crime, and therefore, the criminal justice system. Specific challenges of single motherhood in HCCs compound the link between juvenile offending and single-female-headed households. Little is known, however, about how single mothers in HCCs perceive and use the police as a resource to help prevent juvenile offending, specifically gun violence. The purpose of this study was to explore the lived experiences of single mothers with police as they related to the arrest of their children for a gun crime. The research questions focused …

Job Self-Efficacy, Alexithymia And Secondary Traumatic Stress Among Correctional Officers, Paulette Andrea Gayle

Walden Dissertations and Doctoral Studies

Correctional officers work in a volatile environment and are regularly exposed to inmates’ violence or cruelty. These factors negatively affect their job performance, contribute to physiological and mental health issues that could result in secondary traumatic stress (STS) symptoms. Researchers have identified job self-efficacy and alexithymia traits as mitigating factors against elevated stress. Other researchers have identified the traits as strongly associated with mental health illnesses. The purpose of this quantitative study, using a convenience sampling strategy, was to determine whether job self-efficacy and alexithymia traits were predictors of STS among a sample of 79 correctional officers working for Her …