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The Experiences Of Black Parents In Choosing Intervention Programs For Juvenile Offenders, Deborah Hawkes
The Experiences Of Black Parents In Choosing Intervention Programs For Juvenile Offenders, Deborah Hawkes
Walden Dissertations and Doctoral Studies
Juvenile offense is a social problem that affects communities and families. Black juvenile offenses occur at a higher rate than White juvenile offenses. The parents of these offenders may engage in the intervention process of their juvenile offender with the intent to improve the intervention outcome. The literature on this topic, however, is primarily focused on the treatment outcomes of various types of intervention. The identified gap in the literature is research on Black parental input on the process used to select various types of intervention for their offending children. The high rate of incidence compounded by the racial disparity …
Effects Of Maternal Obesity On Preterm Birth And Birthweight, La Tosha Headley
Effects Of Maternal Obesity On Preterm Birth And Birthweight, La Tosha Headley
Walden Dissertations and Doctoral Studies
Obesity is one of the major risk factors for neonate low birthweight among reproductive women. The purpose of this quantitative study was to examine the association between 3 categories of obese status (moderate, severe, and very severe) and low neonate birthweight and preterm birth among women ages 18 to 39 years at all socioeconomic levels. Secondary data were obtained from 141,859 women ages 18-39 years living in the United States who had participated in the 2012-2015 Pregnancy Risk Assessment Monitoring System. Social-ecological theory was used to guide the study, and binary logistic regression was used for the analyses adjusting for …
Mergers And Acquisitions: Organizational Integration Strategies, Martha Jean Jordan
Mergers And Acquisitions: Organizational Integration Strategies, Martha Jean Jordan
Walden Dissertations and Doctoral Studies
Global merger and acquisition (M&A) transactions exceeded $4.7 trillion in 2015, yet more than 70% of M&As fail to meet postmerger performance expectations with unsuccessful organizational integration cited as the primary source of failure. The purpose of this qualitative multiple case study was to explore organizational integration strategies some business leaders use to achieve anticipated postmerger performance and growth expectations. The study population consisted of 10 executive and midlevel business leaders in 2 privately held companies, domiciled in Arizona and Iowa, who have contributed to successful organizational integration in M&A transactions in the last 5 years. The tenets of organizational …
Organizational Culture’S Moderating Relationship On Surface Acting And Psychological Distress, James A. Judd
Organizational Culture’S Moderating Relationship On Surface Acting And Psychological Distress, James A. Judd
Walden Dissertations and Doctoral Studies
There is a scarcity of research linking surface acting (SA) to psychological distress (PD) in employee-to-employee interactions. Research has demonstrated direct negative effects of SA causing the PD elements of occupational stress (OS), emotional exhaustion (EE), and burnout/depersonalization (DEP) in employee-to-customer interactions. Moreover, little research exists if organizational culture (OC) type plays any role in mitigating these negative effects. Therefore, there was a need to research if the negative effects in the employee-to-customer interactions manifest in the employee-to employee interactions and also, if OC type can possibly moderate this effect between SA and PD. This quantitative study used a cross-sectional …
Peer Support And Academic Resiliency For Recently Relocated High School Student, Melanie Marie Kennebeck
Peer Support And Academic Resiliency For Recently Relocated High School Student, Melanie Marie Kennebeck
Walden Dissertations and Doctoral Studies
Residential relocation requiring a change of school enrollment can negatively disrupt academic achievement, extracurricular participation, attendance, and ability to appropriately regulate emotions/behaviors. This disruption impacts military-affiliated students every 2 to 3 years. The purpose of this study was to quantitatively inform Student 2 Student’s (S2S’s) continued development and the Military Child Education Coalition’s (MCEC’s) pursuit of better serving newly relocated students. This will help the program to reach beyond good intentions and mitigate the perils of assuming that benefits occur without quantitative support. The three-factory model of Academic Resiliency was used as the theoretical framework guiding this study. Two American …
Reducing Falls In The Vulnerable Elderly: Implementing An Inpatient Fall Prevention Program, Bibi Farida Khan
Reducing Falls In The Vulnerable Elderly: Implementing An Inpatient Fall Prevention Program, Bibi Farida Khan
Walden Dissertations and Doctoral Studies
Inpatient falls are a leading cause of fatal and serious injuries among hospitalized elderly patients, often with devastating consequences. This quality improvement project was conducted on a geriatric unit in a large southeastern U. S. hospital, following recognition of an increase in the number of falls with several sustained injuries. After an analysis of the previous fall prevention strategies, a panel of stakeholders who formed a falls prevention committee determined that implementing an evidence-based fall risk assessment tool to help identify risk factors, as well as implementing interventions to address those risk factors, would make fall prevention more patient specific …
Perceptions Of Lifestyle As Mental Health Protective Factors Among Midwestern Amish, Gregory Lantz
Perceptions Of Lifestyle As Mental Health Protective Factors Among Midwestern Amish, Gregory Lantz
Walden Dissertations and Doctoral Studies
The Amish are commonly known for horse-and-buggies, simple clothing, and refusal to use electricity. Less commonly known is their rate of mental illness, which is significantly lower than the non-Amish population. The literature that points to lower depression and anxiety among the Amish does not adequately explain what elements of their lifestyle contribute to this phenomenon. Depression and anxiety are a widespread problem in the United States, increasing the importance of understanding a lifestyle that can reduce these issues. The purpose of this study was to explore the Amish way of life through the words of its members. The three …
Effects Of Teach-Back On Children’S Treatment In Parents With Low Health Literacy, Marion Ines Kopulos
Effects Of Teach-Back On Children’S Treatment In Parents With Low Health Literacy, Marion Ines Kopulos
Walden Dissertations and Doctoral Studies
Health literacy (HL) skills are necessary to understand the context of medical information provided to patients in all settings including the emergency room. People with low health literacy (LHL) have difficulty comprehending and implementing basic tasks such as understanding medication administration. The purpose of this quasi-experimental study guided by Orem’s self-care theory was to determine the effect of using the teach-back method for discharge instructions compared to standard written instructions based on parents’ learning style and HL skills assessed during their visit to the emergency room. The Newest Vital Sign (NVS) tool was reworded to assess the parents’ HL. A …
Relationship Between Post-Resuscitation Debriefings And Perceptions Of Teamwork In Emergency Department Nurses, Kerri Lyman
Relationship Between Post-Resuscitation Debriefings And Perceptions Of Teamwork In Emergency Department Nurses, Kerri Lyman
Walden Dissertations and Doctoral Studies
Emergency department nurses are faced with traumatic patient events while functioning as members of multidisciplinary teams. Critical incident debriefing has been shown to benefit health care professionals and patient clinical outcomes. The purpose of this quantitative correlational study was to examine the relationship between the use of formal post-resuscitation debriefings and perceptions of teamwork in emergency department nurses. The study also addressed the type and timing of debriefing to determine whether these factors impacted perceptions of teamwork. The nurse as wounded healer theory served as the theoretical framework. Data from the Nursing Teamwork Survey were collected from 68 emergency department …
Law Enforcement Perception Of Social Media As An Influence In Mass Shootings, Jazma Mekelle Parker
Law Enforcement Perception Of Social Media As An Influence In Mass Shootings, Jazma Mekelle Parker
Walden Dissertations and Doctoral Studies
Mass shootings have been a persistent issue in the United States, and the underlying factors that continue to influence this crime are not yet evident. This study explored the effects of social media as an influence on mass shootings in the United States. Its purpose was to address the role of social media in spreading opinionated ideologies. The research question addressed the role of social media in influencing the actions of perpetrators of mass shootings in the United States. The study framework was based on the social-ecological model to facilitate classification of the susceptibilities of social media users to adverse …
Relationship Between Regulatory Compliance Cost, Operation Cost, And Profitability Of Credit Unions, Maher Shbaita
Relationship Between Regulatory Compliance Cost, Operation Cost, And Profitability Of Credit Unions, Maher Shbaita
Walden Dissertations and Doctoral Studies
The decline in the profitability of credit unions with less than $10 million in assets harms the number of small credit unions available to serve local communities. Grounded in the financial intermediation theory, the purpose of this quantitative correlational study was to examine the relationship between regulatory compliance costs, operation costs, and profitability. The population of this study consisted of federally insured credit unions with less than $10 million in assets and located in the state of Texas. Archival data from the National Credit Union Administration database were collected and analyzed. Multiple regression was used to identify a statistically significant …
Director Of Nursing Role Conflict And Ambiguity, Commitment, And Intent To Stay, Amy Elizabeth Thiesse
Director Of Nursing Role Conflict And Ambiguity, Commitment, And Intent To Stay, Amy Elizabeth Thiesse
Walden Dissertations and Doctoral Studies
High rates of turnover and the limited tenure of directors of nursing (DONs) in long-term care creates instability in the nursing workforce and the quality of care provided. Organizations, industry, and stakeholders have made little progress to change this turnover crisis. The purpose of this quantitative study, guided by organizational role and social exchange theories, was to determine if there was a difference in levels of affective organizational commitment and intent to stay mediated by leader-member exchange in long-term care DONs with different levels of role conflict and role ambiguity. The key variables were measured with the Role Questionnaire, Leader-Member …
Reducing Cost Of Healthcare Facilities By Decreasing Nursing Turnover, Valour Akia Richardson
Reducing Cost Of Healthcare Facilities By Decreasing Nursing Turnover, Valour Akia Richardson
Walden Dissertations and Doctoral Studies
Registered Nurse (RN) turnover is costly for hospitals and healthcare facilities. The problem that healthcare administrators face today is their inability to retain nurses for long periods of time and the detrimental effects that come from the lack of retention. The purpose of this quantitative secondary data analysis is to explore the relationship between the retention of RNs and the geographic regions in which they work. The theoretical framework for this study was Barney's concept of viewing people as resources. Deidentified secondary data of RNs was utilized from the Healthforce Center at the University of California San Francisco to probe …
Mental Health Service Providers' Engagement Experiences Of Homeless Individuals, Tarsha Thomas-Richardson
Mental Health Service Providers' Engagement Experiences Of Homeless Individuals, Tarsha Thomas-Richardson
Walden Dissertations and Doctoral Studies
Limited literature exists regarding best engagement practices of mental health service providers in encouraging the homeless individuals to participate in clinical mental health services in New York City. New York City has a population of more than 8.5 million, and in 2017 more than 129,803 homeless individuals slept in shelters. The purpose of this phenomenological qualitative study was to gain more insight and knowledge about the best engagement practices and experiences of mental health service providers in encouraging homeless individuals to participate in clinical mental health services. The conceptual framework used to guide this study comes from Kearsley and Shneiderman's …
A Conflictive Triuvirate Consruct Of Epidemiologic Systems Failure, Ngozi Lois Ulinwa
A Conflictive Triuvirate Consruct Of Epidemiologic Systems Failure, Ngozi Lois Ulinwa
Walden Dissertations and Doctoral Studies
Epidemiologic systems failure (ESF) is a major hurdle in minimizing the spread of infectious diseases during outbreaks. The reasons for ESF include the technical limitation of personnel handling epidemic crises, strictly defined health policies that limit the actions of epidemiologists, and personal perspective's reservations towards the intentions of health agencies. The purpose of this triumvirate mixed-methods case study was to examine factors of infectious disease control mechanisms useful for determining ESF. Three juxtaposed pre-emptive factors (technical [T], organizational [O], and personal [P] perspectives were used to determine how the multiple perspectives inquiring systems and fuzzy logic revealed factors causing ESF …
Health Awareness On High Blood Pressure, High Cholesterol, And Risk For Cardiovascular Disease, Innocent Bibi
Health Awareness On High Blood Pressure, High Cholesterol, And Risk For Cardiovascular Disease, Innocent Bibi
Walden Dissertations and Doctoral Studies
Cardiovascular disease (CVD) is responsible for 25% of the annual deaths in the United States and represents a major public health burden, as patients often require screening and lifestyle changes related to multiple risk factors such as high blood pressure and high cholesterol. The purpose of this quantitative correlational study was to determine if there was a statistically significant association between high blood pressure and high cholesterol awareness (prevention and management) and cardiovascular health outcomes (angina pectoris, coronary heart disease, and heart attack). The theoretical framework that guided this study was the health belief model. Data from adults over the …
Strategies Middle Managers Of Nonprofit Health Care Organizations Use To Motivate Their Administrative Workforce, Chastidy Elliott
Strategies Middle Managers Of Nonprofit Health Care Organizations Use To Motivate Their Administrative Workforce, Chastidy Elliott
Walden Dissertations and Doctoral Studies
Despite the awareness of employee motivation among scholars and business leaders, many American workers attest to being unmotivated. A lack of employee motivation can lead to negative business outcomes. Therefore, middle managers may experience challenges in identifying strategies to motivate their staff. Grounded in the path-goal theory, the purpose of this qualitative multiple case study was to explore nonprofit health care organization middle managers' motivational strategies for the administrative workforce. The participants were comprised of 13 middle managers in the United States who supervised administrative teams of 4 or more members for over 2 years and effectively implemented motivational strategies. …
Successful Strategies For Increased Dental Practice Competitiveness, William Eyster
Successful Strategies For Increased Dental Practice Competitiveness, William Eyster
Walden Dissertations and Doctoral Studies
The rapid expansion of dental service organizations (DSOs) continues to disrupt the traditional dental practice model and there was a 12.2% increase in DSOs between 2015 and 2016. Some solo and small group dental practice owners lack strategies to adapt their businesses to be successful in newly competitive markets including DSOs. Grounded in systems theory, the purpose of this qualitative multicase study was to explore strategies dental practice owners use to adapt their businesses to be successful in newly competitive markets. The participants included 3 solo and 2 small group dental practice owners in central Kentucky who demonstrated success in …
Embracing Ujima: A Grounded Theory Of African Americans Choosing The Counseling Profession, Rashida Karriem Fisher
Embracing Ujima: A Grounded Theory Of African Americans Choosing The Counseling Profession, Rashida Karriem Fisher
Walden Dissertations and Doctoral Studies
Racial and ethnic diverse populations experience discrimination in educational and career attainment and remain underrepresented in the counseling profession. The current literature provides limited guidance for the counseling profession and academic institutions for successfully recruiting racial and ethnic minority students in a master's level counselor training program. Social Constructivist theory and Adlerian/ Individual Psychology are the theoretical foundations of the study. This constructivist grounded theory study sought to understand the career decision-making process of African Americans choosing to enter in the counseling profession and the influence of racial and ethnic identity on this decision-making process. Utilizing semistructured interviews via video-conferencing; …
Destination Arrival And Discharge Unit To Improve Patient Flow, Shelia Celeste Jeter
Destination Arrival And Discharge Unit To Improve Patient Flow, Shelia Celeste Jeter
Walden Dissertations and Doctoral Studies
The increase in patients presenting to the emergency department (ED) for primary care poses a serious safety issue in the care that can be provided. In a care area that is overcrowded, physicians, nurses, ancillary department staff, and other care team members may have a difficult time delivering care. Poorly managed flow in the ED leads to overcrowding, and patients with life-threatening illnesses are less likely to be transitioned to designated specialized areas in a safe and efficient manner. The practice-focused question was whether processes to improve the flow of patients entering the ED decreased the number of patients leaving …
A Practice Guideline For Triaging Mental Health Patients In The Emergency Setting, Florence Nguh
A Practice Guideline For Triaging Mental Health Patients In The Emergency Setting, Florence Nguh
Walden Dissertations and Doctoral Studies
Today's emergency departments (EDs) are challenged with increasing numbers of patients with behavioral health (BH) issues and associated management problems. Patients presenting in the ED are increasingly in need of BH services due to a lack of available services in the community. The implication is that ED staff are faced with conducting a comprehensive review of their systems and processes for BH care delivery to ensure that the needs of this population are safely met. Specifically, this DNP project addressed the lack of evidence-based screening tools for the ED triage area for patients with BH issues. The purpose was to …
A Systematic Review Of Nurse Staffing Models, Elizabeth Ndidi Ubochi
A Systematic Review Of Nurse Staffing Models, Elizabeth Ndidi Ubochi
Walden Dissertations and Doctoral Studies
Appropriate nurse staffing is essential to the delivery of high-quality patient care. Nursing leadership identifies nurse staffing model as an evidence-based staffing model following problems with nursing staff retention on 4 acute care units in a recently opened hospital. The linkage model guided the review of evidence on nurse staffing models and the relationship to nurse job satisfaction and nurse retention and to explore strategies that could lead to recommendations to nursing leadership. The 466 articles found were reduced to 7 articles, 2 at Level 1 (systematic review), 4 at Level VI (quantitative descriptive), and 1 at Level VII (expert …
Strategies Healthcare Managers Use To Reduce Employee Turnover, Christopher Sean Atkins
Strategies Healthcare Managers Use To Reduce Employee Turnover, Christopher Sean Atkins
Walden Dissertations and Doctoral Studies
Healthcare managers who are unaware of the various strategies that exist for reducing turnover could adversely affect patient care, organizational morale and performance, and the achievement of organizational goals. The purpose of this qualitative multiple case study was to explore strategies healthcare supervisors used to reduce employee turnover. The participants comprised 3 senior healthcare managers located in central Texas responsible for hiring, firing, training, supervising, and successfully using strategies to reduce employee turnover. Herzberg's motivation-hygiene theory provided the conceptual framework. Data were collected from semistructured interviews and a review of company documents. Thematic analysis of the data resulted in 5 …
Response To Intervention For English Language Learners, Robin Adele Rivas
Response To Intervention For English Language Learners, Robin Adele Rivas
Walden Dissertations and Doctoral Studies
Researchers in schools have had differing interpretations of effective implementation of response to intervention (RTI) models that have resulted in educators' confusion and misperceptions of the programs, especially with elementary English language learner (ELL) students. The purpose of this case study of 4 schools in an urban school district in the midwest was to explore how teachers used experiential, linguistic, and culturally responsive research-based instructional strategies in their classes to meet the needs of ELLs. Additionally, the RTI team process was explored to discover what experiential, linguistic, and culturally responsive research-based indicators they considered during the RTI decision making process …
Depression With Peripartum Onset (Postpartum) And Mother’S Perceptions Of Social Support And Self-Efficacy For Parenting, Shenetha Carmise Ramsey
Depression With Peripartum Onset (Postpartum) And Mother’S Perceptions Of Social Support And Self-Efficacy For Parenting, Shenetha Carmise Ramsey
Walden Dissertations and Doctoral Studies
Depression with peripartum onset, which was previously called maternal depression, or postpartum depression, is common among many pregnant women. The condition increases impairment in maintaining relationships, self-esteem, and parenting skills. The purpose of this phenomenological qualitative study was to explore how mothers who have experienced peripartum onset (postpartum) depression perceive their social support and their ability to parent effectively. The conceptual framework was based on Albert Bandura’s self-efficacy theory. Convenience and snowball sampling were both used to obtain 6 research participants who were interviewed face-to-face or by telephone. Participants shared their experiences with depression, perceptions of social support, and how …
Parental Perspectives Of Permanency Planning And Staffing Barriers In Child Welfare, Linda S. Sanders
Parental Perspectives Of Permanency Planning And Staffing Barriers In Child Welfare, Linda S. Sanders
Walden Dissertations and Doctoral Studies
Caseworker turnover in child welfare agencies has been a problem for many years. The turnover negatively impacts the agency, and the staff left behind by their departing peers, and continuity of services provided to clients. The purpose of this basic qualitative study was to explore parental experiences with child welfare staff turnover to determine how clients perceived that turnover impacted their child welfare case. The research questions for this study focused on (a) how clients perceived that child welfare turnover impacted their case and (b) how the turnover impacted their case plan and (c) recommendations for child welfare to enhance …
Bullying And Resilience In Elementary School Children And Mitigating Pro-Social Behaviors, Suzette A. Bean
Bullying And Resilience In Elementary School Children And Mitigating Pro-Social Behaviors, Suzette A. Bean
Walden Dissertations and Doctoral Studies
The purpose of this study was to examine the relationship between bullying behaviors, as measured by the Personal Experiences Checklist (PECK), and resilience, as measured by the Social Emotional Assets and Resilience Scales (SEARS), as well as whether the prosocial behaviors of controling anger, solving problems, and cooperating with others during activities mitigated the effects of bullying behaviors. A relationship between bullying behaviors and resiliency in children has been shown in past research. The theoretical framework for this study was social learning theory. The foundation of social learning theory is that children learned behaviors by imitating the behaviors of others. …
The Effect Of Mindfulness Techniques On Teacher Resilience As Moderated By Conscientiousness, Aundrea T. Harris
The Effect Of Mindfulness Techniques On Teacher Resilience As Moderated By Conscientiousness, Aundrea T. Harris
Walden Dissertations and Doctoral Studies
Unmanaged stress in teachers often triggers burnout, which leads to a rise in healthcare costs and absenteeism. Therefore, teachers' resiliency needs improvement to lower the risk of burnout. The purpose of this cross-sectional design study was to examine the relationship between mindfulness techniques and resilience in high school teachers. An additional purpose of this study was to examine if the personality trait, conscientiousness, moderates the relationship between mindfulness techniques and resilience. The frameworks for this study were based on the self-awareness, -regulation, and -transcendence (S-ART) framework, theory of planned behavior, and the concepts of resilience and job burnout. Four surveys …
African American Women's Experiences And Understanding Of Secondary Infertility, Claudelle Parchment
African American Women's Experiences And Understanding Of Secondary Infertility, Claudelle Parchment
Walden Dissertations and Doctoral Studies
The purpose of this phenomenological study was to describe the lived experiences of African American women with secondary infertility, defined as an inability to conceive or carry a baby to term after a previous conception. Research on secondary infertility has ignored the prevalence of the condition in African American women. The implications of secondary infertility in African American women have immediate and far-reaching health and psychosocial consequences. African American women rely on interconnectedness and social networks; therefore, social networks and social support served as the key concepts underwriting the study's conceptual framework. Social networks and social support underscore the connection …
Improving The General Education Development (Ged): Retention And Completion Rates Of Low Income Adults, Kimberly Mashaun Rice
Improving The General Education Development (Ged): Retention And Completion Rates Of Low Income Adults, Kimberly Mashaun Rice
Walden Dissertations and Doctoral Studies
Retaining adult education students has been a growing concern. The new GED requirements have generated low completion rates for a free GED program in a 3-year period, in a non-profit agency in a Southeastern state. Instructors are concerned about this problem and need to understand the factors that are inhibiting adult learners from successfully attaining their GED. This qualitative research design was the most appropriate to answer the research questions to determine the experiences that caused the adult learners to not complete the program and identify potential educational strategies needed to improve retention. Sticht's functional context theory was the conceptual …