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Healthcare Providers Perception Of Their Ability To Recognize Boys As Victims Of Human Sex Trafficking In A Pediatric Emergency Room, Deborah Susan Mican
Healthcare Providers Perception Of Their Ability To Recognize Boys As Victims Of Human Sex Trafficking In A Pediatric Emergency Room, Deborah Susan Mican
Walden Dissertations and Doctoral Studies
The purpose of this dissertation was to explore the perceived barriers to pediatric emergency room (ER) providers’ identifying boys as victims of child sex trafficking (CST), to understand how providers working in a pediatric ER compared to a general ER believe they are better able to identify boys as CST victims, and to understand how the New Jersey-mandated human trafficking training affected the confidence of the healthcare providers’ to identify boys as CST victims using a grounded theory approach. In-depth interviews were conducted using a sample of 10 healthcare providers, including physicians, nurse practitioners, and physician assistants at a suburban …
Clinician Perspectives On Gender Bias In Diagnosis Of Borderline Personality Disorder, Carl N. Modeste
Clinician Perspectives On Gender Bias In Diagnosis Of Borderline Personality Disorder, Carl N. Modeste
Walden Dissertations and Doctoral Studies
Healthcare systems across the globe strive to provide equal treatment for all patients irrespective of their status; nevertheless, disparities occur. Gender-based prejudices are present in many cultures and often affect clinicians’ diagnostic and treatment practices. Borderline personality disorder (BPD) patients represent a category that is more prone to gender biases. With a focus on Canada, this study was designed to contribute to currently limited evidence on BPD gender biases by addressing the knowledge gaps in clinical gender-based studies. The study was an exploration of forensic psychologists’ and psychiatrists’ methodology leading to making a diagnosis of BPD and the factors that …
Influence Of Implicit Racial Bias On Police Officers’ Decision To Use Force, Billy L. Moffett
Influence Of Implicit Racial Bias On Police Officers’ Decision To Use Force, Billy L. Moffett
Walden Dissertations and Doctoral Studies
U.S. police administrators have embraced the implicit racial bias model to minimize the racial bias in their officers’ use-of-force decisions amid a public outcry on excessive police force and racism against African Americans. Although researchers have investigated whether officers have an implicit racial bias, they have not analyzed implicit bias from a police officer’s naturalistic perspective. The purpose of this qualitative phenomenology study was to describe what implicit racial bias perceptions emerged from a small sample of experienced officers when the officers were confronted with a use-of-force decision during an encounter with an African American man. The implicit racial bias …
Transformational Leadership And Fiscal Sustainability In African American Churches, James Munford
Transformational Leadership And Fiscal Sustainability In African American Churches, James Munford
Walden Dissertations and Doctoral Studies
African American church leaders often experience difficulty responding to financial crises, which ultimately increases their risk of organizational failure. Grounded in the transformational leadership theory, the purpose of this quantitative correlation study was to examine the relationship between transformational leadership and fiscal sustainability of African American churches in South Carolina, Pennsylvania, Delaware, New Jersey, Texas, North Carolina, Virginia, California, and the District of Columbia. Data were gathered from online surveys received from 92 adult church leaders who were responsible for the daily administration of their church’s duties and responsibilities. The results of the multiple regression analysis indicated the model significantly …
Challenges Of Human Resource Professionals Onboarding Generation Z Into The Federal Government, Flora Lawson Murphy
Challenges Of Human Resource Professionals Onboarding Generation Z Into The Federal Government, Flora Lawson Murphy
Walden Dissertations and Doctoral Studies
The U.S. labor market expects 83 million of the youngest generational cohort, known as Generation Z, to join the workforce with different attitudes towards work than previous generations. The methods used by human resource (HR) professionals to onboard Generation Z into organizational cultures are not well understood. The purpose of this qualitative single case study was to explore the challenges that federal HR professionals experience during the onboarding process for Generation Z employees. The data gathering and analysis were framed by Mannheim and Strauss-Howeâs theory on generational cohort and the conceptual framework developed by the Office of Personnel Management on …
Perceptions Of Probation Officers Placing Juvenile Sex Offenders In Rural South Carolina, Anthony Rochell Nelson Sr
Perceptions Of Probation Officers Placing Juvenile Sex Offenders In Rural South Carolina, Anthony Rochell Nelson Sr
Walden Dissertations and Doctoral Studies
In the western world, juveniles move through the criminal justice system by the hundreds of thousands. The probation services for many juveniles, however, are lacking due to the limited amount of psychological counseling, mental health facilities, and available mentors. Probation officers face accelerated challenges for juvenile sex offenders, particularly those residing in rural areas where resources are even more limited. Using the attribution theory, this qualitative case study explored the perceptions and decision-making challenges facing four juvenile intensive supervision officers in rural South Carolina when placing youthful offenders. Interviews were coded and analyzed using thematic content analysis. Results showed that …
Why Do Mentors Stay? Exploring Mentor Experiences, Perceptions And Motivations Within Mentorship Programs, Ann Murphy
Why Do Mentors Stay? Exploring Mentor Experiences, Perceptions And Motivations Within Mentorship Programs, Ann Murphy
Walden Dissertations and Doctoral Studies
Youth mentorship has captured the attention of policymakers as a method of addressing societal issues. A review of the literature highlighted challenges that mentorship programs face regarding mentor sustainability. The purpose of this study was to explore and differentiate the experiences, perceptions, and motivations among paid and volunteer mentors within formal youth mentorship programs. This phenomenological study informs public policymakers how funding should be allocated within the nonprofit sector in order to optimize mentor retention. Structural functionalism and Kingdonâs multiple streams approach composed the conceptual framework for this study. Data were collected utilizing 14 semistructured interview questions. An analysis of …
Understanding School Climate, Chronic Absenteeism, And Effective Practices For Improving Absenteeism At A Private High School, Tiffany Nerveza-Clark
Understanding School Climate, Chronic Absenteeism, And Effective Practices For Improving Absenteeism At A Private High School, Tiffany Nerveza-Clark
Walden Dissertations and Doctoral Studies
Student absenteeism in high school continues to be a nationwide educational challenge. In manifestation of this problem, a private high school in Utah was identified as having a significant number of students with excessive absenteeism. Guided by Bronfenbrenner’s socio-ecological theory and Baumrind’s authoritative model, the purpose of this descriptive case study was to explore teacher and administrator perceptions about school climate and how to improve chronic absenteeism (CA). The research questions focused on how faculty perceived school climate, its effect on student absenteeism, and best practices being used to encourage attendance. The data collection included a) descriptive information from 13 …
Financial Management Strategies For Sustaining Small Entertainment Businesses, Michael Nana Nitto
Financial Management Strategies For Sustaining Small Entertainment Businesses, Michael Nana Nitto
Walden Dissertations and Doctoral Studies
Lack of effective financial management control strategies results in many small business entertainment owners (SBEOs) failing within their first 5 years of operations. Without strategies to develop and maintain adequate financial management controls, SBEOs may lose market share and potentially go bankrupt, which would result in the loss of jobs and income for employees. Grounded in the mental budgeting theory, the purpose of this qualitative multiple case study was to explore financial management strategies successful SBEOs use to improve productivity and profitability to sustain business operations beyond 5 years. The participants comprised 4 successful SBEOs in Northern Virginia who effectively …
Understanding The Impacts Of Military Unit Suicides On Fellow Soldiers As Witnessed By Battalion Commanders, Tom M. Noble
Understanding The Impacts Of Military Unit Suicides On Fellow Soldiers As Witnessed By Battalion Commanders, Tom M. Noble
Walden Dissertations and Doctoral Studies
The growing concern over the increase of suicides in the military remains a topic of discussion for senior leaders as they seek to provide services and resources to those in need. However, little research exists to address the impact of suicides on the soldiers who remain in units after suicides occur. The purpose of this thematic analysis study was to explore the observed experiences of battalion commanders who have witnessed the impact of suicide on their soldiers. Through the semistructured interviews of 4 battalion commanders, this research described the experiences of soldiers in military units where suicides had occurred. McCann …
Effects Of Government Regulations And Reimbursement Policies On Home Health Administration In Illinois., Sally Nwafor
Effects Of Government Regulations And Reimbursement Policies On Home Health Administration In Illinois., Sally Nwafor
Walden Dissertations and Doctoral Studies
Recent changes in government regulations and reimbursement policies threaten the financial viability and the ability of home health agencies to provide the necessary services. There is a gap in knowledge about the effect of the changes in healthcare policies on the administration of home health businesses in Illinois. The purpose of this study was to bridge the knowledge gap by investigating the effect of the regulatory and policy changes on home health administration in Illinois. The research question focused on the challenges that home health administrators face due to the changes in government regulation and reimbursement policies, and the strategies …
Evaluating Successful Corporate Social Responsibility Initiatives Of Multinational Corporations In The Niger Delta Region, Chukwuemeka Theophilus Omeoga
Evaluating Successful Corporate Social Responsibility Initiatives Of Multinational Corporations In The Niger Delta Region, Chukwuemeka Theophilus Omeoga
Walden Dissertations and Doctoral Studies
The communities in the Niger Delta region of Nigeria and the multinational companies perceive the contribution and success of their corporate social responsibility (CSR) activities differently, which cause conflicts. There is a lack of consensus with the evaluation of successful CSR initiatives by the multinational corporations in the Niger Delta region. The purpose of this qualitative classical Delphi study was to determine how a panel of 32 global experts of CSR practices in multinational corporations in Africa view the desirability, feasibility, and importance of elements of a framework for evaluating the success of CSR initiatives in the Niger Delta. The …
Firearm Restriction And Its Impact In Reducing Violent Crimes In California, Sampson C. Onwuka
Firearm Restriction And Its Impact In Reducing Violent Crimes In California, Sampson C. Onwuka
Walden Dissertations and Doctoral Studies
There have been recurring incidents of gun violence, murder, and mass shootings that have raised public concern on the dangers of guns, and people have demanded government regulation on firearms usage. Studies have attributed these incidents to non-strict laws on guns; however, it was unclear whether firearm restrictions affected California's violent crime reduction. This quasi-experimental, quantitative study was focused on finding out the impact of gun violence restraining orders (GVROs) on violent crime reduction in California. Four research questions addressed the changes in the variables after the establishment of the GVRO. Secondary data from the California Department of Justice were …
Accuracy Of Death Certificate Data In Reporting Suicide In The United States, Miland Ned Palmer
Accuracy Of Death Certificate Data In Reporting Suicide In The United States, Miland Ned Palmer
Walden Dissertations and Doctoral Studies
Suicide is one of the leading causes of death in the United States. Death certificates are currently being used by public health professionals and policy makers as a main source of public health surveillance data on suicide. The accuracy of death certificates in tracking and reporting suicides has not been well quantified or evaluated in the United States. Death certificates from other countries have been found to under-report suicide. The purpose of this study was to evaluate the accuracy of death certificates in reporting suicides in the United States. The National Violence Death Reporting System (NVDRS) collects information on all …
Readmissions Of Heart Failure Patients: The Caregiver’S Perception, Jill Pansini
Readmissions Of Heart Failure Patients: The Caregiver’S Perception, Jill Pansini
Walden Dissertations and Doctoral Studies
Heart failure patients account for 27% of readmissions within 30 days of discharge, which is an indicator of poor quality of care. Additionally, heart failure patients report that they do not receive adequate discharge planning, pointing to a need for improved discharge planning and practitioner follow-up. As the severity of heart failure increases, caregivers may be the key to decreasing readmissions. The purpose of this qualitative, hermeneutic phenomenological study was to explore the lived experiences and challenges faced by caregivers of heart failure patients ages 65 and over readmitted within 30 days of discharge. The transitional care model guided the …
The Relationship Between Spirituality And Mental Health Among Kidney Dialysis Patients, Eddy Darcy Perez
The Relationship Between Spirituality And Mental Health Among Kidney Dialysis Patients, Eddy Darcy Perez
Walden Dissertations and Doctoral Studies
The 9th leading cause of death in the United States is kidney disease. An estimated 37 million Americans in the United States, or about 15% of the adult population, have some level of chronic kidney disease. Kidney disease is multifaceted and has implications for both physical and psychological health of a patient. However, research on kidney dialysis patients has primarily focused on physical health. Grounded in social learning theory, this quantitative study used a correlational research design to examine the relationship between spirituality and mental health in 128 kidney dialysis patients with end-stage renal disease. Kidney dialysis patients at kidney …
Antecedents To Customer Satisfaction For U. S. Health Insurance Customers, Vivian Phillips Husband
Antecedents To Customer Satisfaction For U. S. Health Insurance Customers, Vivian Phillips Husband
Walden Dissertations and Doctoral Studies
Customer satisfaction in the health insurance industry remains low compared to other industries, resulting in financial losses for health insurers. Increasing customer satisfaction has a positive effect on financial performance in other industries, indicating that the health insurance industry may also benefit from increasing customer satisfaction. The theoretical foundation for this study was relationship-marketing, a principle of the social exchange theory. The purpose of this quantitative correlational study was to test the effects of health insurance literacy, customer engagement, and relationship-marketing as independent variables on customer satisfaction as the dependent variable. The research question examined the influence of the factors …
Head Start Teachersâ Self-Efficacy And Experiences Teaching Children With Autism Spectrum Disorders, Leronda Phillips
Head Start Teachersâ Self-Efficacy And Experiences Teaching Children With Autism Spectrum Disorders, Leronda Phillips
Walden Dissertations and Doctoral Studies
Autism spectrum disorders are pervasive developmental disorders in which a studentâs inability to communicate, undeveloped social skills, and restricted interests require intervention from trained professionals. Autism spectrum disorder is an eligibility for special education where students can be affected by the presence of a lack of qualified teachers. Teachers who work with students with special needs experience more frustration and burnout than do teachers of typical students; research has suggested that teachers with higher self-efficacy have more success than do teachers with lower self-efficacy. The studyâs theoretical basis was derived from Banduraâs self-efficacy theory. This phenomenological qualitative research study explored …
Leadership Experiences Of Secondary School Principals In Trinidad And Tobago, Asha Ramraj-Sookdeo
Leadership Experiences Of Secondary School Principals In Trinidad And Tobago, Asha Ramraj-Sookdeo
Walden Dissertations and Doctoral Studies
Meeting the leadership needs of principals poses a challenge globally. This problem is exaggerated in Trinidad and Tobago, as certification in leadership is not a requirement to become a principal. Additionally, the lack of empirical data about principal leadership in this country poses a major challenge in developing principals. The purpose of this transcendental phenomenological qualitative study was to explore principal leadership in secondary schools in this context. The conceptual lens incorporated Neumerski’s angle on instructional leadership theory developed from Hallinger’s model and Theoharis’s social justice leadership theory. The research questions addressed the nature of the principals’ leadership experiences in …
Perceptions Of Fruits And Vegetables Amongst Supplemental Nutrition Assistance Program Recipients, Latasha Shanelle Reddick
Perceptions Of Fruits And Vegetables Amongst Supplemental Nutrition Assistance Program Recipients, Latasha Shanelle Reddick
Walden Dissertations and Doctoral Studies
Supplemental Nutrition Assistance Program (SNAP) benefits are the primary source of food for Georgians with an annual income under the federal poverty level. This program provides monthly monetary benefits to allow the purchase of food through an Electronic Benefits Transfer (EBT) card. Georgia SNAP beneficiaries do not receive nutrition counseling or have purchasing restrictions associated with their benefits. Previous research has indicated that there is a significant benefit to eating fruits and vegetables. The purpose of this qualitative study was to apply the health belief model theory to understand the viewpoint of Georgia SNAP beneficiaries regarding fruits and vegetables. Data …
Adolescent Substance Abuse Screening, Wesley W. Lynch
Adolescent Substance Abuse Screening, Wesley W. Lynch
Walden Dissertations and Doctoral Studies
Adolescent substance use is a key public health problem in rural Ohio. Primary care nurses lack substance use screening knowledge and skills. Early screening and detection of possible substance use issues aids in directing patients to appropriate health services. This project involved the implementation of an educational intervention on the CRAFFT screening tool for primary care nurses in rural Ohio. Guided by Kurt Lewin's 3-step model to emphasize prevalence of substance use and need for screening among adolescents, the purpose of this project was to provide training on the CRAFFT screening approach and share guidelines to implement routine substance abuse …
Nonprofit Church Leaders’ Perceptions And Lived Experiences Involving Innovation Competency And Change Management: A Phenomenological Study, Charity R. Addai-Duah
Nonprofit Church Leaders’ Perceptions And Lived Experiences Involving Innovation Competency And Change Management: A Phenomenological Study, Charity R. Addai-Duah
Walden Dissertations and Doctoral Studies
Innovation competency among religious leaders has been an area of study as nonprofit researchers continue to discover that conventional ways of managing change are no longer effective when tackling present issues. Discussions regarding using innovation competency to manage change among religious leaders are vague, despite benefits to the nonprofit sector. The purpose of this qualitative phenomenological study was to explore the lived experiences of nonprofit church leaders to better understand how innovation competency has shaped organizational change results. Boyatzis’ effective job performance model was the conceptual framework that guided this study. Interview data were gathered from 14 participants who met …
Association Between Maoa U Vntr Genetic Polymorphism And Aggression, Gender, And Race In Adolescents, Almaz Adair Johnson
Association Between Maoa U Vntr Genetic Polymorphism And Aggression, Gender, And Race In Adolescents, Almaz Adair Johnson
Walden Dissertations and Doctoral Studies
A genetic polymorphism found in the upstream region of the monoamine oxidase A (MAOA) gene upstream variable number tandem repeat (u VNTR) has been shown to have an influence on aggression with mixed results. The purpose of this quantitative study was to examine the association between the u VNTR genetic polymorphism of the MAOA gene and aggression in an adolescent population 13–18 years of age. The conceptual framework was based on the biosocial model of antisocial behavior that indicates genes can influence aggressive behaviors with or without environmental influences. Data (N = 2506) from the National Longitudinal Adolescents and Adult …
The Effects Of A Clinical Coaching Education On Clinical Faculty’S Coaching Behaviors, Kara L. Kaldawi
The Effects Of A Clinical Coaching Education On Clinical Faculty’S Coaching Behaviors, Kara L. Kaldawi
Walden Dissertations and Doctoral Studies
New graduates’ readiness to provide safe nursing care is a goal of nursing programs and employers. However, new graduate nurses do not always have the skills to make decisions in the clinical setting during a patient situation, which can result in poor patient outcomes. But clinical coaching is a faculty teaching framework that promotes the development of clinical reasoning through the deliberate practice of questioning and feedback after a patient situation. Thus, the purpose of this study was to determine whether participation in a clinical coaching education program improved the coaching behaviors of clinical nurse educators. Knowles’ theory of adult …
Perceptions And Beliefs Of African American Men And Women 30 Years And Older About The Health Care System In The United States, Jacqueline Chadwick Mcnair
Perceptions And Beliefs Of African American Men And Women 30 Years And Older About The Health Care System In The United States, Jacqueline Chadwick Mcnair
Walden Dissertations and Doctoral Studies
This qualitative study described perceptions and beliefs of African American men and women ages 30 and over regarding their experiences with the health care system in the United States. The health belief model was the theory that drove this research, and it was grounded in the concept of cultural competency. The study used grounded theory methodology as well as phenomenology to describe the lived experiences of the participants and ethnography to describe the cultural characteristics of African American men and women ages 30 and over as related to their perceptions and beliefs about health care in the United States. The …
Experiences Of Refugee Women With Different Physical Abilities In Kenya, Grace Faraja Nkundabantu
Experiences Of Refugee Women With Different Physical Abilities In Kenya, Grace Faraja Nkundabantu
Walden Dissertations and Doctoral Studies
Refugee populations worldwide increase every day as a result of social and political wars. Women and children, particularly those with different physical abilities, are the most vulnerable populations affected by atrocities in their home countries and in their countries of refuge. In Africa, it is believed that women with different abilities bring shame to their families. The purpose of this descriptive phenomenological study was to explore the lived experiences of refugee women with different physical abilities, specifically regarding challenges related to accessing services in Kenya. The research question that guided this study focused on the lived experiences of refugee women …
Physician–Patient Communication: Association With Health Literacy In African Americans Living With Type 2 Diabetes Mellitus, Brittany Egeh
Physician–Patient Communication: Association With Health Literacy In African Americans Living With Type 2 Diabetes Mellitus, Brittany Egeh
Walden Dissertations and Doctoral Studies
Health literacy is needed throughout care to understand basic health, prevent diseases, understand diagnoses, and treatment and management of complicated diseases, such as Type 2 diabetes mellitus (T2DM). Inadequate physician–patient communication is related to medication errors and overall understanding of basic health information in chronic condition such as T2DM. The purpose of this study was to examine the association between physician–patient communication and health literacy, glycemic control, diabetic knowledge, and demographics. The target population consisted of African Americans, ages 18-75, diagnosed with T2DM. Primary data were collected from a family medicine clinic using 4 questionnaires: s-TOFHLA (short form of functional …
Strategies For Sustaining Minority-Owned Small Businesses, Taha Seid
Strategies For Sustaining Minority-Owned Small Businesses, Taha Seid
Walden Dissertations and Doctoral Studies
Minority small businesses play a significant role in the development of the United States economy. Minority small business owners who do not implement successful and sustainable strategies are at a high risk of failure. Grounded in entrepreneurship theory, the purpose of this qualitative multiple case study was to explore strategies that minority small business owners used to sustain their business beyond 5 years of beginning operations. The participants included 3 minority small business owners in Alexandria, Virginia, who have been in business for 5 years. Data were collected from semi-structured interviews, field notes, company websites, and financial, marketing, strategy, and …
Familial Caregivers’ Perceptions Of Alcohol Use Among Mature Adults Residing In Assisted Living Communities, Lemeshia Meshana Agee Chambers
Familial Caregivers’ Perceptions Of Alcohol Use Among Mature Adults Residing In Assisted Living Communities, Lemeshia Meshana Agee Chambers
Walden Dissertations and Doctoral Studies
Research suggests that alcohol abuse is among the 8 primary causes of death for mature adults, which includes individuals age 65 and older. Alcohol use is a growing, unaddressed, public health concern among this referent population. Additionally, as mature adults enter the retirement phase of their lives, many of them transition to residing in assisted living communities. The purpose of this study was to explore mature adults’ alcohol use in assisted living communities and how such use, as perceived by the familial caregivers, affected the mature adults’ ability to age successfully. The population under study consisted of 8 familial caregivers, …
Factors Affecting Seatbelt Use Among The Deaf And Hard-Of-Hearing, Deidre G. Mott
Factors Affecting Seatbelt Use Among The Deaf And Hard-Of-Hearing, Deidre G. Mott
Walden Dissertations and Doctoral Studies
In the United States, despite the proven significant economic, health, and social benefits of seatbelt use, millions of Americans do not use seatbelts. It is known that some factors, including obesity, reduce the rates of seatbelt use; however, a lack of research exists regarding whether individuals who are deaf or hard-of-hearing (HOH) have different rates of seatbelt use. The purpose of this study was to examine the difference in seatbelt use between deaf or HOH individuals and hearing individuals after adjusting for individual-level factors (BMI, marital status, education, and access to health care). The theoretical foundation for this study was …