Digital Commons Network^™

Parents’ Perceptions Of Healthcare Influences On Their Decisions To Vaccinate Their Children, Patricia Frances Badiola Harris

Walden Dissertations and Doctoral Studies

Declining immunization rates are associated with higher incidents of vaccine-preventable diseases. The purpose of this qualitative phenomenological inquiry was to explore the perceptions of vaccine-hesitant parents regarding their healthcare experiences. Ajzen and Fishbein‘s theory of reasoned actions and its key concepts (the intention to perform behaviors, attitudes, subjective norms, and external variables) was used as a framework to understand influences on parents' decisions to vaccinate their children. The research questions for the study examined the healthcare experiences of vaccine-hesitant parents, how these experiences influenced their decisions to vaccinate their children, and how this group perceived the current strategies promoting vaccinations …

Experiences Of Long-Term Stay Among Homeless Millennials In New York City Shelters, Xellex Z. Rivera

Walden Dissertations and Doctoral Studies

The number of homeless millennials seeking shelter in New York City (NYC) increases

nightly. Aside from seeking shelter services, millennial adults are also staying in shelters longer than the time allotted by the city. Their extended stay places a burden on city resources and taxpayers. Although there is research on the millennial generation and homelessness in NYC, more research is needed on the experiences of single, millennial adults who stay in shelters for extended periods of time. The purpose of this qualitative, multiple case study was to explore the experiences of 4 long-term-stay millennials, 25 to 34 years of age, …

The Relationship Between Professional Quality Life, Coping Mechanisms, And Mental Fortitude, Nancy Lynn Sarcia

Walden Dissertations and Doctoral Studies

The health and mental fortitude of individuals enforcing policy and law is important to communities, agencies, and families. This helping profession is plagued by high suicide rates, maladaptive coping, and other negative health-related ailments. The present study used the DRS 15-R, ProQOL, RS-14, and BriefCOPE scales across 315 participants in order to investigate coping mechanisms and professional quality of life facets among individuals enforcing policy and law. It revealed multiple statistically significant relationships using multiple linear regression, hierarchical linear regression, and binary logistic regression. Emotion-focused coping techniques and compassion satisfaction both possessed statistically significant direct relationships with resilience and hardiness. …

Interprofessional Teams As A Strategy To Address Physician Shortages In North Dakota, Judy Ann Solberg

Walden Dissertations and Doctoral Studies

North Dakota health care and political leaders are facing pressure to revise health care delivery in the state. A chronic shortage of health care providers, retention issues, an aging population, and a recent population burst, as well as an abnormally high rate of physician retirement, have made health care access problematic for residents of the rural state. The purpose of this study was to explore and understand the main inhibitors and facilitators of employing interprofessional teams as a strategy to address rural physician shortages in North Dakota. Bandura’s social cognitive theory provided the framework for this phenomenological study of issues …

Leadership And End-Of-Life Planning Among Elderly Patients With End-Stage Renal Disease, Elizabeth R. Armstrong-Fears

Walden Dissertations and Doctoral Studies

More than 8-million people in the United States possess no kidney function. The purpose of this quantitative casual-comparative research study is to examine the relationship between ethnicity status of African American and European American patients suffering from end-stage renal disease, and advanced care planning and end-of-life decision-making among patients who are 55 years of age and older. The health belief model is the selected explanatory framework used to examine (a) whether ethnicity status is a significant predictor of whether decedents had written end-of-life care instructions, (b) whether ethnicity status is a significant predictor of whether treatment decisions were made, and …

A Study Of The Lived Experiences Of Ghanaian Women In Leadership, Dorothy Roseline Appiah

Walden Dissertations and Doctoral Studies

Underrepresentation, inequities, and career advancement to senior leadership positions continue to present obstacles for Ghanaian women, affecting their performance in organizations. This qualitative descriptive phenomenological study aimed to explore and understand the lived experiences of Ghanaian women leaders pursuit of professional careers in 5 different organizations and how best to improve them. The conceptual framework used was Eagly and Karau's role congruity theory of prejudice and Scheim's leadership and organizational culture theory. The research question explored the experiences of Ghanaian women leaders pursuit of professional careers in organizations. Fifteen purposefully selected Ghanaian women leaders with at least 10 years of …

Experiences Of College Freshmen Women Who Eat In A Social Environment, Kylie Cowens Blodgett

Walden Dissertations and Doctoral Studies

The social cognitive theory suggests that social surroundings influence health behaviors, and social modeling literature supports that eating behaviors are influenced by social norms. Eating decisions are especially vulnerable to social influence during the transition to college, although current interventions do not address social influence in the context of the eating environment itself or consider how men and women may experience this environment differently. This generic qualitative study explored how freshmen women perceived their experiences eating in a cafeteria setting. The research questions investigated freshmen women’s perceptions about social influence on self-efficacy, self-regulation, outcome expectations, and modeling of normative information …

Hispanic Nursing Students’ Perspectives On Student-Clinical Instructor Relationships And Learning, Inela Brito

Walden Dissertations and Doctoral Studies

Non-Hispanic students are more likely to be successful in their nursing school studies than Hispanic students. Facilitators and barriers to classroom success for Hispanic students has been studied; however, few studies have addressed the academic clinical experience and the clinical instructor’s role in Hispanic students’ success. The purpose of this descriptive phenomenological study was to explore the perspectives of undergraduate senior Hispanic nursing students regarding how student-instructor interactions in the clinical setting influenced students’ ability to learn and succeed in completing their studies. The research questions were guided by an adapted institutional support model and were used to explore how …

Strengthening Mental Health Awareness Of University Students Using An Online Training Module, Lavern Rosemarie Bourne

Walden Dissertations and Doctoral Studies

Canadian youth pursuing postsecondary education are facing a major mental health crisis. There are substantial gaps between the diagnosis and treatment of mental illnesses. The purpose of this study was to evaluate whether a web-based mental health educational intervention was an effective tool with which to increase mental health awareness and help-seeking behaviors of university students. The theory of planned behavior, the help-seeking model, and the technology acceptance model were the theories that guided this study. Using a quantitative quasi-experimental research design, data were collected from 329 undergraduate students in the Faculty of Health Sciences at a university in Eastern …

The Experience Of Latina Victims Of Domestic Violence In Seeking Support Services, Jeanine Chuya

Walden Dissertations and Doctoral Studies

The purpose of this study was to explore the factors that influence the decisions among Latina victims of domestic violence as to whether to seek support services after experiencing domestic violence. Various studies have found a higher rate of domestic violence among Latinas than other ethnic minority groups. A review of the contemporary literature demonstrated that little is known about factors influencing these women’s decisions about whether to seek support services post domestic violence experiences. Intersectionality and structural violence theory constituted this study’s framework. The research questions explored the lived experiences of Latina victims of domestic violence in seeking help …

Association Of Social Support And Depressive Symptoms Among African Americans, Jacketta Renee Cobbs

Walden Dissertations and Doctoral Studies

Depression affects over 120 million individuals worldwide; in the United States, depression is a leading cause of disability for individuals’ ages 15-44 years. Social support can affect both physical and depressive symptoms; therefore, most patients with heart failure (HF) need support from family and/or friends to effectively manage their health condition. This indicates family and/or friends are expected to be the core support system for long term care of those with HF. The purpose of this study was to determine whether social support contributes to depressive symptoms among African Americans with HF. The research questions examined the experience of different …

Employee Engagement And Job Satisfaction’S Impact On Productivity In The Distribution Industry, Jessica Copeland

Walden Dissertations and Doctoral Studies

Productivity deficiencies in distribution services are detrimental to profitability, annually causing billions of dollars in reporting losses industry-wide. Understanding employees’ motivating factors in meeting metric-based expectations is essential to enhancing overall performance. Grounded in the motivation-hygiene theory, the purpose of this correlational study was to examine the relationships among employee engagement, job satisfaction, and productivity within the distribution industry. Electronic survey data were analyzed for 47 participants who completed the Mensah Employee Engagement Survey, Mensah Job Satisfaction Survey, and Utrecht Work Employee Engagement Survey. The results of the multiple linear regression were significant, F(2, 44) = 36.84, p = .001, …

An Interpretive Qualitative Study Of Idaho Head Start Families Facing Food Insecurity, Sherry Deiter

Walden Dissertations and Doctoral Studies

The purpose of this basic interpretive qualitative study was to examine food insecurity among Idaho Head Start enrolled families, focusing on barriers and deterrents to accessing available nutrition assistance programs. The social-ecological model (SEM) was used as the theoretical foundation for this study. Based on this model, the research questions were designed to explore experiences of participants related to individual, interpersonal, community, organizational, policy, and educational factors that influenced food insecurity. Parents who had children enrolled in Idaho Head Start programs that met purposeful sampling criteria were recruited for the study. A total of 11 parents, all who had experiences …

Examining The Impact Of An Afterschool Program On The Lives Of At-Risk Youth, Hazel Green-Dunston

Walden Dissertations and Doctoral Studies

The purpose of this phenomenological qualitative study was to examine the lived experiences, and the impact mentoring has on at-risk youths between the ages of 11-14 years of age in afterschool programs in the southeast region of the United States. It addresses if afterschool mentoring programs reduce juvenile delinquency in at-risk youths. The theoretical framework of this qualitative study is Bandura’s social learning theory in which individuals have a chance to reproduce a desirable behavior outcome. The social learning theory suggests that when exposing at-risk youths to positive behaviors, they have a lower probability of engaging in delinquent activities. The …

Instructor Perspectives On Case-Based Learning And Student Engagement In Occupational Therapy Curriculums, Pamela Lewis-Kipkulei

Walden Dissertations and Doctoral Studies

Students who are not engaged in the classroom become clinicians who are not successful in clinicals and entry-level work. This prompted occupational therapy (OT) educators to explore active teaching and learning strategies that have proven successful in various professional programs. This study explored OT instructors’ perceptions and experiences of case-based learning (CBL). This single case, qualitative study utilized content and thematic analysis to analyze interviews, brainstorming activities, and reflective journals from eight participants. Participants were OT professors who utilized CBL strategies. First and second cycle coding was used to categorize data then codes were reviewed for emerging themes. Content analysis …

Effectiveness Of An Educational Intervention To Reduce Preanalytical Specimen Errors, Carol Ann Lineberry

Walden Dissertations and Doctoral Studies

A rejected blood specimen can be very costly to a hospital as well as to the patient. Many errors occur in the preanalytical phase in which nurses and assistive personnel are often involved because they are usually not trained to do so. This staff education project was designed to decrease the number of laboratory rejections of blood specimens in a local hospital setting. Knowles’s adult learning theory was combined with the knowledge translation framework, proposed by Fredericks, Martorella, and Catallo, so that evidence-based changes in practice could occur more readily. There is a 20-minute in-service educational intervention followed by an …

Job Satisfaction And Turnover Among Millennial Nurses In Public Hospitals, Gwen Mancuso

Walden Dissertations and Doctoral Studies

This study addressed turnover of millennial generation behavioral health nurses (MGBHNs). Because retention strategies mitigate the consequences of turnover, the purpose of this quantitative, correlational study was to examine job satisfaction (JS) and anticipated turnover (AT) intention among MGBHNs employed in U.S. public hospitals. Research questions were focused on determining what, if any, correlation exists between AT and JS. The theoretical frameworks were Herzberg’s theory and person in environment theory. A multiple linear regression and 5 Spearman’s rho correlation analyses were used to analyze data from a convenience sample of 65 MGBHNs to understand the relationship between the independent variables …

Staff Education On Heart Failure Guidelines And Self-Care Management Practices, Mary Mitcheltree

Walden Dissertations and Doctoral Studies

Heart disease is the leading cause of death in the United States with heart failure (HF) being one of the more prevalent diseases associated with heart disease. HF is reported to have a high mortality rate and presents an economic burden to the U.S. healthcare system. To improve patient outcomes and reduce the costs of treatment for HF-related symptoms, infusion nurses need adequate education and training. The purpose of this project was to train home infusion nurses on self-care management practices based on current HF guidelines. The Donabedian model, known for quality assurance, provided the framework to support the educational …

Evaluating Integrated Treatment On Recidivism For Female Offenders In Criminal Justice System, Oyin T. Popoola

Walden Dissertations and Doctoral Studies

The burden of co-occurring disorders (CODs) among offenders in the criminal justice system (CJS) in the United States, particularly among the female population, is threatening the communities. About 80% of women in the CJS were diagnosed and treated for CODs, and 63% tend to be rearrested. The study examined the possible influence of CODs, integrated treatment of CODs, and gender, on recidivism while controlling for other demographic factors. The study was based on the conceptual framework of integrated dual disorder treatment (IDDT) and feminist criminology theory. Cross-sectional quantitative study design was applied on a secondary dataset from the 2017 Treatment …

Case Analysis Of Acute Care Guidelines For The Prevention Of Pressure Ulcers, Carle Ray

Walden Dissertations and Doctoral Studies

Prevention of pressure ulcers (PUs) in acute care settings is an attempt to avoid adverse events (AE). Literature shows that wounds such as PUs are the most prevalent complication for spinal cord injury patients (SCI) including quadriplegic individuals (QI). SCI and QI bring important pressure ulcer (PU) prevention knowledge to the hospital which involves teamwork and participation by nurses, organizations, and patients. The purpose of this qualitative study was to examine the effectiveness of acute care guidelines for PUs by drawing insights from multiple sources including interviews with QI, healthcare clinicians, care providers, family members, and an online search of …

Evaluating The Impact Of Nurse Leader Professional Development, Celeste Rogers Romp

Walden Dissertations and Doctoral Studies

A health care organization’s success is impacted by its leaders’ knowledge, confidence, and training. A quality improvement (QI) project was undertaken by a 300-bed acute care medical center to determine the impact of providing nurse leaders with education and training in increasing the leader’s knowledge and confidence in their role and in improving nursing satisfaction, catheter-associated urinary tract infection (CAUTI) rates, and fall rates. The FOCUS-PDSA QI model and the nurse manager leadership collaborative learning domain framework were used to guide the QI project and its evaluation. There were four primary sources of evidence. A nurse leader professional development pre- …

Use Of Managerial Epidemiology By Healthcare Leaders In Ambulatory Settings, Chantelle Schenning

Walden Dissertations and Doctoral Studies

Despite many health reforms, the United States continues to struggle with limited healthcare access, exponential healthcare costs, and poor quality of care. Overcoming these challenges requires healthcare leaders’ effective navigation of industry transformation towards population health and a shift in patient volume to ambulatory healthcare settings. Research has demonstrated that the use of managerial epidemiology, an application of epidemiology tools and principles to management decision-making within healthcare organizations, can better serve the health of the population and could improve the triple aim of inadequate access, high costs, and poor quality. However, the adoption of this practice is weak and its …

Relationship Between Burnout And Academic Teaching Level Among Nursing Faculty, Erica Lynn Sciarra

Walden Dissertations and Doctoral Studies

Nursing faculty function as healthcare providers, educators, mentors, advisors, and researchers, which contributes to the development of emotional exhaustion or burnout due to role overload. Symptoms of burnout may vary among nursing faculty depending on academic teaching level, tenure status, and educational preparation and may influence the physical and psychological health of nursing faculty, potentially affecting work productivity, career longevity, and the number of future nurses educated. The purposes of this study, guided by Maslach’s multidimensional burnout theory and the job demands resources model, were to determine (a) if there was a difference in level of burnout between graduate and …

Media Exposure To Crime, Fear Of Crime, And Social Interaction Anxiety, Genea Shoulders

Walden Dissertations and Doctoral Studies

In 2000, approximately 30% of all news stories in mass media focused on crime. According to research, increased exposure to the media directly correlates to an increased fear of crime; however, little research has been conducted into this influential relationship and the extent of which it could affect a person’s social interaction anxiety. Therefore, the study’s purpose was to examine the relationship and consequential impact of media exposure and the extent of which the fear of crime had on individuals’ social interaction anxiety levels. Through a quantitative approach, this study used the theory of cultivation. Question one examined the effect …

Associate Degree Nursing Graduates’ Experiences Of The Transition From Student To Nurse, Katherine Margaret Slusser

Walden Dissertations and Doctoral Studies

Attrition among newly graduated nurses remains a top concern among nursing leaders in the United States. Many published studies about new graduate nurses focus on bachelors-prepared nurses or on mixed populations of nurses that include both associate and baccalaureate degree graduates. No published studies were located that focused specifically on the Associate Degree Nursing (ADN) graduate. The purpose of this qualitative, interpretive phenomenological study was to understand the experiences of transition after graduation and into professional nursing of newly employed nurses who graduated from an ADN program. The theoretical basis for this study was Meleis’s transition theory. The research question …

Enterprise Resource Planning Implementation In Higher Education: Cost Containment Strategies, Tysha K. Tolefree

Walden Dissertations and Doctoral Studies

Lack of effective cost containment strategies to support enterprise resource planning (ERP) system implementations within higher education institutions (HEIs) result in budget overruns 50% of the time. Grounded in Gartner’s IT cost containment techniques, the purpose of this qualitative multiple case study was to explore strategies HEI project directors use to support a successful ERP implementation on time and within budget. The participants comprised 5 project directors and managers from HEIs and another public organization in the state of Washington. Data were collected from semistructured interviews, archival data, and organization documents. Thematic analysis was used to analyze the data, and …

Perceptions And Test Results Of Spatial-Temporal Math In Middle School, Lilian Uneojo Zekeri

Walden Dissertations and Doctoral Studies

The spatial-temporal math (ST Math) technology program was developed to address mathematics deficiencies experienced by students. However, the advantages and challenges of implementing ST Math for middle school students and teachers had not been examined. This single case study of 7th and 8th grade students’ performance after using the program had 2 purposes. The 1st was to ascertain teachers’ and administrators’ perceptions of the advantages and challenges of implementing the ST Math program. The 2nd was to see what a descriptive analysis of students’ test results indicated about performance of students using the program. Vygotsky’s activity theory, Mayer’s cognitive theory …

Learned Helplessness Among Acute Care Nurses And Its Influence On Inpatient Fall Incidence, Jennifer Glendening

Walden Dissertations and Doctoral Studies

Over one million inpatient falls with injury are reported across the United States annually resulting in harm which are consistently linked to the quality of nursing care delivery in acute inpatient settings. Learned helplessness (LH) emerges as a behavioral concept to consider among acute care nurses, specifically medical-surgical nurses, because the effects of LH may include an overall decrease in efforts, persistence, and learning due to the repeated exposure to the challenges of balancing complex patients and working environments. The purpose of this study, guided by Donabedian’s model, was to determine if there was a relationship between acute care nurses’ …

Strategies For Cultural Integration Following Cross-Border Mergers And Acquisitions, Kimihiro Iwao

Walden Dissertations and Doctoral Studies

Ineffective cross-border merger and acquisition (M&A) strategies can negatively impact value creation. Global information and communications technology (ICT) company leaders who do not effectively manage M&As risk eventual divestiture of their acquired targets. Guided by Haspeslagh and Jemison’s acquisition integration approach model and Hofstede’s 5 dimensions of national cultural theory, the purpose of this qualitative multiple case study was to explore strategies that leaders of global ICT companies use to integrate diverse workers following cross-border M&As. The participants were 8 IMs from low context cultures who supervised acquired foreign workers primarily from high context cultures. Data were collected through semistructured …

Identifying Intrinsic Needs And How They Effect Millennials’ Organizational Commitment, William Norman Jacobs

Walden Dissertations and Doctoral Studies

By 2025, 75% of the U.S. labor workforce will be composed of Millennials as Generation X managers leave the workforce. The influx of Millennials in the workforce has led to leaders of organizations encountering a serious challenge in terms of how to retain and motivate Millennials who on average change jobs every 2 years. The purpose of this qualitative phenomenological study was to explore the lived experiences of Millennials in the workforce in relation to their intrinsic needs in the workplace and organizational commitment. The research question that guided the research was: What are the lived experiences of Millennials in …