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Walden Dissertations and Doctoral Studies

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Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon May 2025

Trust-Related Health Beliefs In Medical Systems Among Black Americans Since Covid-19, Monique Johnson Dixon

Walden Dissertations and Doctoral Studies

COVID-19 highlighted the longstanding systemic and structural racism that produced poor health outcomes in Black communities. Black minorities in the United States were disproportionately affected by the COVID-19 pandemic, with less access to health resources, low vaccine rates, and mistrust of healthcare providers and organizations. This interpretative phenomenological analysis (IPA) explored trust-related health beliefs with medical systems among Black Americans since COVID-19. The study explored the trust-related health beliefs through the six constructs of the health belief model—perceived susceptibility, perceived severity, perceived barriers, perceived benefits, cues to action, and self-efficacy. Data was collected through semi-structured interviews of six participants who …


Teachers' Multiculturalism And Digital Learning Choices For Students With Limited Or Interrupted Formal Education, Jitka Nelsonova Brychtova May 2025

Teachers' Multiculturalism And Digital Learning Choices For Students With Limited Or Interrupted Formal Education, Jitka Nelsonova Brychtova

Walden Dissertations and Doctoral Studies

The English language learner environment in U.S. secondary schools is increasingly complex due to the growing numbers of students with limited or interrupted formal education (SLIFE) who require a culturally responsive approach. Teachers are not prepared to meet the needs of SLIFE, especially in the technology-enhanced classrooms. A gap in the literature exists regarding the culturally responsive use of digital learning resources (DLRs) with high school SLIFE. The purpose of this quantitative study was to examine whether the teachers’ self-reported multicultural teaching competencies (skills and knowledge) predict the choice of DLRs used with SLIFE. The study was grounded in Vygotsky’s …


Secondary Teachers’ Perspectives About Promoting Belongingness For Marginalized Students, Michelle Cottrell-Williams May 2025

Secondary Teachers’ Perspectives About Promoting Belongingness For Marginalized Students, Michelle Cottrell-Williams

Walden Dissertations and Doctoral Studies

Although school belonging supports well-being and academic achievement, marginalized students may experience less belongingness than their peers. Educators contribute to students’ sense of belongingness, but a gap in the literature existed about how secondary teachers perceive the promotion of belongingness for marginalized students. Guided by the ethic of care conceptual framework, the purpose of this basic qualitative study was to explore secondary teachers’ perspectives about promoting belongingness for marginalized students. The research question addressed secondary teachers’ perspectives about strategies, enablers, and barriers. The 11 participants were secondary teachers; members of the National Network of State Teachers of the Year or …


Early Childhood Teachers’ Perspectives On Challenges Using Developmentally Appropriate Practices In The Classroom, Tamesha Samone Parris May 2025

Early Childhood Teachers’ Perspectives On Challenges Using Developmentally Appropriate Practices In The Classroom, Tamesha Samone Parris

Walden Dissertations and Doctoral Studies

Early childhood teachers’ understanding of developmentally appropriate practice (DAP) is necessary to support children’s development and learning in early childhood settings. The problem was many early childhood teachers experience challenges using DAP to make informed decisions in the classroom to support birth to 3-year-old children’s development and learning. The purpose of this qualitative study was to explore early childhood teachers’ perspectives on challenges using DAP to make informed decisions to support birth to 3-year-old children’s development and learning in the classroom and what was needed to improve their use of DAP. The conceptual framework for this study was the National …


Grades 5–6 Mathematics Teachers’ Experiences Implementing Professional Learning Communities, Jamarc Rashad Crawford May 2025

Grades 5–6 Mathematics Teachers’ Experiences Implementing Professional Learning Communities, Jamarc Rashad Crawford

Walden Dissertations and Doctoral Studies

The problem addressed through this study was that in an urban Southeast Texas school district (SETSD), professional learning communities (PLCs) were implemented to provide support for mathematics teachers; however, Grades 5–6 teachers continued to struggle with providing mathematics instruction for their students in this Title I district. This ongoing challenge indicated a gap between the intended support mechanisms and their practical impact on teaching practices, necessitating a deeper investigation into the factors contributing to this persistent issue. The purpose of this basic qualitative study was to explore the SETSD Grades 5–6 teacher experiences with mathematics PLCs aimed at developing their …


Treatment-Seeking Behavior: A Quantitative Study Of Firefighters And Mental Health Literacy, Sarah Thompson May 2025

Treatment-Seeking Behavior: A Quantitative Study Of Firefighters And Mental Health Literacy, Sarah Thompson

Walden Dissertations and Doctoral Studies

The mental health of firefighters is a pressing concern, especially given the increasing suicide rates within this demographic. This quantitative nonexperimental study examined the impact of mental health literacy on the intention of firefighters to seek help for personal or emotional issues, employing the Mental Health Literacy Scale and the General Help-Seeking Questionnaire. Key variables, including years of service, rank, and age, were analyzed for their influence on this relationship. Grounded in the conservation of resources theory, the study aimed to answer two primary research questions: the predictive relationship between mental health literacy and help-seeking behavior, and the role of …


Experiences Of Bhutanese Refugees Receiving Services From Outpatient Mental Healthcare Centers In The United States, Kul B. Dahal Apr 2025

Experiences Of Bhutanese Refugees Receiving Services From Outpatient Mental Healthcare Centers In The United States, Kul B. Dahal

Walden Dissertations and Doctoral Studies

Refugees coming to the United States may encounter difficulties when receiving mental healthcare services from outpatient mental healthcare centers because of lack of awareness about services. The purpose of this phenomenological study was to explore experiences of Bhutanese refugees involving receiving services from outpatient mental healthcare centers in the United States. The health belief model was used as a conceptual framework to provide insights regarding Bhutanese refugees’ perceived benefits and barriers to increase awareness. Using convenience sampling, 10 Bhutanese refugees aged 18 or above who received outpatient mental healthcare services currently or in the past and lived in the midwestern …


African American’S Accessibility To Culturally Appropriate Mental Health Services, Latasha Martin Apr 2025

African American’S Accessibility To Culturally Appropriate Mental Health Services, Latasha Martin

Walden Dissertations and Doctoral Studies

Mental disorders are a major cause of disability in the United States, disproportionately affecting African Americans (AAs) since the Post-Civil War era (1865-1877). Despite prior studies on racial disparities in mental health care, evidence-based delivery protocols for racial and ethnic minority groups remain underdeveloped. The purpose of this study was to explore the lived experiences of AA when accessing culturally appropriate mental health services, using qualitative, phenomenological research methods. The theoretical framework for this investigation was based on social stress theory, which explored individual experiences and community change. Six AA males and females, from Gregg County, Texas, and the Louisiana …


Title 1 Third-Grade Teachers' Experiences With Writing Strategies To Improve Students' Writing Proficiency, Kim Robertson Apr 2025

Title 1 Third-Grade Teachers' Experiences With Writing Strategies To Improve Students' Writing Proficiency, Kim Robertson

Walden Dissertations and Doctoral Studies

Third-grade students are not meeting minimum proficiency in opinion and informational writing, as determined by scores from the annually mandated Georgia Milestones Assessment (GMAS) in the 19 elementary schools in a local school district in central Georgia. Guided by Vygotsky’s social-constructivist perspective, the purpose of this basic qualitative study was to explore Title 1 third-grade English Language Arts teachers’ experiences with using writing strategies designed to improve students’ writing proficiency on the GMAS in the Title 1 elementary schools in a local district in central Georgia. Data were collected using semistructured interviews with 10 third-grade teachers who were chosen from …


Enhancing Emergency Department Communication: Structural Requirements And Outcomes Of Standardized Handover Processes, Bridgette A. Moss-Sherman Apr 2025

Enhancing Emergency Department Communication: Structural Requirements And Outcomes Of Standardized Handover Processes, Bridgette A. Moss-Sherman

Walden Dissertations and Doctoral Studies

Effective communication during patient handovers is crucial for ensuring safe, quality care in the emergency departments (EDs) of small to medium-sized hospitals. The absence of standardized communication tools presents significant challenges, potentially leading to errors and hindering care coordination. This integrative review evaluates strategies for implementing standardized handover processes while examining their outcomes, underscoring the urgent need for enhanced communication practices. Grounded in the Donabedian quality conceptual framework, which encompasses structure, process, and outcomes as interconnected components of healthcare quality, the review identifies five key themes: (a) standardized communication protocols, advocating for the adoption of structured tools like SBAR and …


Effects Of Two Years Of Blended Learning On High School Students’ Mathematics Growth In An International School In Kuwait, Maya Bilal Hashisho Apr 2025

Effects Of Two Years Of Blended Learning On High School Students’ Mathematics Growth In An International School In Kuwait, Maya Bilal Hashisho

Walden Dissertations and Doctoral Studies

Blended learning using a learning management system was implemented in a gender-segregated American school in Kuwait but not evaluated to determine instructional effectiveness. Thus, the purpose of this quantitative study was to compare student performance to determine to what extent there were differences in mathematical growth from Grade 8 to Grade 10 between male and female students who were taught with the traditional classroom approach versus those taught with blended learning in an international school in Kuwait where education is segregated by gender. Grounded in the substitution, augmentation, modification, and redefinition model, this quasi-experimental study involved using pre and post …


Staff Update On Type 2 Diabetes Education, Toochukwu Endaline Mba Apr 2025

Staff Update On Type 2 Diabetes Education, Toochukwu Endaline Mba

Walden Dissertations and Doctoral Studies

The current rise in Type 2 diabetes among middle-aged individuals poses significant risks of health complications such as kidney damage, heart disease, stroke, nerve damage, vision loss, and skin problems. Research has shown that proper education on the causes and risk factors of Type 2 diabetes would increase people’s knowledge about the medical problem, helping promote positive health outcomes. This project was a staff education program using didactic and interactive case studies.


Fulltime Faculty Perspectives On Engagement In Distributed Leadership At A Technical College, Jacinda Halene Lay Apr 2025

Fulltime Faculty Perspectives On Engagement In Distributed Leadership At A Technical College, Jacinda Halene Lay

Walden Dissertations and Doctoral Studies

The problem that was addressed in this basic qualitative study was that fulltime college faculty was not sufficiently engaged in distributed leadership at a technical college in a western state. The purpose of this study was to explore fulltime college faculty members’ perspective about their engagement in distributed leadership at a technical college in a western state. The research questions explored how fulltime faculty described their engagement in, and knowledge of, faculty leadership, at a technical college, and recommendations for increasing engagement. Using Spillane’s leader plus paradigm as the conceptual framework, semistructured interviews of 14 purposively sampled fulltime college faculty …


Acculturation, Social Support, And Immigration-Related Stressors: Impact On Depression Among Single Mother Immigrants In The United States, Comfort Payne Apr 2025

Acculturation, Social Support, And Immigration-Related Stressors: Impact On Depression Among Single Mother Immigrants In The United States, Comfort Payne

Walden Dissertations and Doctoral Studies

Depression is a prevalent mental health condition that disproportionately affects immigrant single mothers in the United States, whose risk is heightened by unique vulnerabilities. The interplay between acculturation, social support, and economic burden in this population is underexplored. This quantitative, cross-sectional study examined the relationship between various factors and depression using 2020–2022 National Health Interview Survey data. Inclusion criteria were single immigrant mothers aged 19–60 years, who had lived in the U.S. for at least one year, had one or more dependent children, and self-reported depression status. The socioecological model provided a lens for identifying how individual, interpersonal, and structural …


A Qualitative Examination Of Probationary Police Candidate Success And Attrition, Joseph Eugene Roy Apr 2025

A Qualitative Examination Of Probationary Police Candidate Success And Attrition, Joseph Eugene Roy

Walden Dissertations and Doctoral Studies

Law enforcement has undergone significant changes, requiring modern officers to embody a complex blend of traditional values and adaptive capabilities. Despite rigorous selection and training processes, some police recruits leave the profession prematurely, often during their probationary or field training phases. This early attrition represents a costly challenge for law enforcement agencies, with training expenses sometimes exceeding $200,000 per recruit. This qualitative study explored the lived experiences of police recruits who successfully completed field training and compared them to the observations of FTOs who trained recruits who left law enforcement early. The research used Edwin Sutherland’s differential association theory and …


Obesity Awareness Among Pregnant Hispanic Women In Urban New Jersey, Cloris Bustamante Mar 2025

Obesity Awareness Among Pregnant Hispanic Women In Urban New Jersey, Cloris Bustamante

Walden Dissertations and Doctoral Studies

The rising prevalence of obesity among pregnant women presents significant health risks for mothers and children, beginning as early as intrauterine life throughout adulthood. The purpose of this quantitative cross-sectional study was to investigate whether demographic factors influenced obesity awareness as a personal issue in pregnant Hispanic women. The precaution adoption process model guided the study, a theoretical framework focusing on stages of health behavior change, including awareness, decision making, and action. A purposive sample of 134 pregnant Hispanic women aged 18 years or older receiving prenatal care in urban New Jersey was surveyed using the English (15) and Spanish …


Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac Mar 2025

Effective Strategies To Increase Workplace Inclusivity In The Oil And Gas Industry, Patricia Lindsey Isaac

Walden Dissertations and Doctoral Studies

Some oil and gas industry leaders face challenges in implementing effective strategies to increase workplace inclusivity, which can result in lower profits, decreased employee engagement, and reduced productivity. Executive leaders and managers, responsible for organizational performance and workforce retention, are particularly concerned about addressing these challenges to sustain business success and competitiveness. Grounded in the leader-member exchange theory, the purpose of this qualitative pragmatic inquiry was to explore strategies executive leaders use to enhance inclusivity in the oil and gas industry. The participants were nine executives, leaders, and managers from the oil and gas sector who had previously implemented effective …


Effective Strategies Call Center Managers Use To Develop And Sustain Team Collaboration In A Virtual Work Environment., Daivon M. Bruce Mar 2025

Effective Strategies Call Center Managers Use To Develop And Sustain Team Collaboration In A Virtual Work Environment., Daivon M. Bruce

Walden Dissertations and Doctoral Studies

Some small business virtual call center managers struggle to implement effective remote communication strategies, leading to inefficient team collaboration. As a result, decreased productivity and poor communication can negatively impact customer service, employee engagement, and overall business performance. Grounded in Tuckman's group development theory, the purpose of this qualitative pragmatic study was to explore communication strategies that five virtual call center managers used to develop and sustain team collaboration in Northern New Jersey. The data collected from semistructured interviews were thematically analyzed, revealing three key themes: (a) communication, (b) teamwork, and (c) challenges with the use of technology. A primary …


Racialization Of Urban Black Middle School Students From The Perspective Of Middle School Teachers: A Phenomenological Study In Central And Southeast Michigan, Bryan L. Spencer Mar 2025

Racialization Of Urban Black Middle School Students From The Perspective Of Middle School Teachers: A Phenomenological Study In Central And Southeast Michigan, Bryan L. Spencer

Walden Dissertations and Doctoral Studies

Walden University College of Education and Human Sciences This is to certify that the doctoral dissertation by Bryan L. Spencer has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Michael Langlais, Committee Chairperson, Psychology Faculty Dr. Matthew Hertenstein, Committee Member, Psychology Faculty Chief Academic Officer and Provost Sue Subocz, Ph.D. Walden University 2025   Racialization of Urban Black Middle School Students from the Perspective of Middle School Teachers: A Phenomenological Study in Central and Southeast Michigan by Bryan L. Spencer MPhil, Walden …


Parent-Teacher Communication In The Infant-Toddler Setting, Shaquonna A. Alston Mar 2025

Parent-Teacher Communication In The Infant-Toddler Setting, Shaquonna A. Alston

Walden Dissertations and Doctoral Studies

There is a lack of understanding in terms of how to support effective parent-teacher communications in infant and toddler education programs. Early childhood educators are necessary to communicate with parents about what occurs in classrooms as parents are vital sources about what occurs in homes. The purpose of this study was to explore parent and teacher perspectives on parent-teacher communication to determine ways to improve and support home-school communication and support early learners. Bronfenbrenner's theory of ecological systems, particularly the mesosystem, which involves interactions between two or more settings such as homes and schools, guided the research. For this basic …


Barriers To Nigerian Community Members In The United States Seeking Mental Health Treatment, Chinwendu Ejekwu Feb 2025

Barriers To Nigerian Community Members In The United States Seeking Mental Health Treatment, Chinwendu Ejekwu

Walden Dissertations and Doctoral Studies

Nigerian immigrants in the United States face significant challenges in accessing mental health care due to various cultural and systemic barriers. This generic qualitative study, guided by Vygotsky’s sociocultural theory, was conducted to explore the barriers encountered by Nigerian community members in seeking mental health treatment in the United States. Data were obtained through semistructured interviews where nine Nigerian immigrants presented their perceptions and experiences concerning barriers to Nigerian community members seeking mental health treatment in the United States. Thematic analysis followed the six-step data analysis method, leading to three themes. The themes identified are: (a) mental health is a …


Factors Affecting The Educational Status Of Children In Nigeria, Ayima Lott Feb 2025

Factors Affecting The Educational Status Of Children In Nigeria, Ayima Lott

Walden Dissertations and Doctoral Studies

The problem addressed in this study is that irrespective of active involvement of Nigeria in Universal Basic Education, the nation still records the highest number of out-of-school children globally. The purpose of this quantitative study was to determine how geopolitical location, socio-economics of the household, parental education, role of the child, age of the child, and gender of the child predict the educational status of children in Nigeria. This study is grounded in conflict and social systems theories. The most recent national secondary data on education from the 2015 Nigerian Education Data Survey was used. Univariate, bivariate, and multivariate logistic …


Association Between The Lack Of Health Insurance, Income, And The Severity Of Negative Perinatal Outcomes Among Native Spanish- And English-Speaking Women Living In Florida, Khadijeh Ashktorab Feb 2025

Association Between The Lack Of Health Insurance, Income, And The Severity Of Negative Perinatal Outcomes Among Native Spanish- And English-Speaking Women Living In Florida, Khadijeh Ashktorab

Walden Dissertations and Doctoral Studies

Evidence indicates that non-English-speaking mothers, particularly Spanish-only speakers, experience worse maternal health outcomes compared to their mainstream counterparts. Language barriers often hinder communication and negatively affect perinatal care. This study used data from the Centers for Disease Control and Prevention Pregnancy Risk Assessment Monitoring System from Florida (2019–2020) to examine associations between health insurance, income, and perinatal outcomes among Spanish and English-speaking women. Krieger’s eco-social theory guided this cross-sectional, quantitative analysis. Chi-square tests were used for bivariable analysis, and multivariable models were used to adjust for confounders. Results showed that native language alone significantly predicted specific outcomes such as large-for-gestational-age …


Teachers' Perceptions Of Response To Intervention Implemented In Grades 3 – 5 For Minority Males, Wanda Jordan Stidom Feb 2025

Teachers' Perceptions Of Response To Intervention Implemented In Grades 3 – 5 For Minority Males, Wanda Jordan Stidom

Walden Dissertations and Doctoral Studies

The Individuals with Disabilities Education Improvement Act (IDEIA) added Response to Intervention (RTI) to its policy to close the social and economic disadvantages that suppress the academic achievement of minority students. The problem that was addressed through this study is that teachers struggle to implement RTI to support minority male students in Grades 3 – 5 at four local elementary schools in the Central United States. The purpose of the study was to explore the perceptions of Grades 3 – 5 teachers for implementing RTI to support minority males and the training and resources available and needed at four elementary …


Teachers’ Instructional Strategies In Teaching English Language Learners English Writing In A Dual Language School, Courtney Mae Henson Feb 2025

Teachers’ Instructional Strategies In Teaching English Language Learners English Writing In A Dual Language School, Courtney Mae Henson

Walden Dissertations and Doctoral Studies

It is the responsibility of educators to provide quality instruction for all students, including English language learners,. The problem that was addressed through this study is that teachers at Missionary Elementary School were struggling to implement appropriate instructional practices when teaching English writing to English language learners (ELLs) enrolled in a dual language program. The purpose of this study was to examine the instructional methods and to understand the support and/or resources needed for teachers to be successful. The writing observation framework provided the conceptual framework that guided this research. Data for this qualitative case study were collected through observations …


The Role Of Leadership In Improving Discharge Planning For Complex Cases In A Healthcare System, Philmaris Miranda Rodriguez Feb 2025

The Role Of Leadership In Improving Discharge Planning For Complex Cases In A Healthcare System, Philmaris Miranda Rodriguez

Walden Dissertations and Doctoral Studies

Behavioral health organizations face significant challenges in managing psychiatric hospital readmissions, often influenced by social determinants of health (SDOH) such as poverty, education, social support, housing, and food security. This study examines the perspectives of behavioral health leadership on discharge planning in psychiatric hospitals in the southeastern United States, exploring how leadership strategies impact patient readiness for discharge and reduce the risk of readmission. Using the Baldrige Performance Excellence Framework, key performance categories, including leadership, strategy, measurement, and operations, were evaluated to inform actionable improvements in discharge planning and transitional care. Evidence was collected through interviews with healthcare leaders and …


Staff Education On Medication Adherence Teaching For Psychiatric Patients In The Outpatient Setting, Ernestina Akosua Ohene-Agyakwah Feb 2025

Staff Education On Medication Adherence Teaching For Psychiatric Patients In The Outpatient Setting, Ernestina Akosua Ohene-Agyakwah

Walden Dissertations and Doctoral Studies

Summary The type of doctoral project was staff education. The aim was to address the practice gap of lack of standardized staff education on medication adherence in the outpatient psychiatric care setting. The practice-focused question was "Will staff education on medication adherence for psychiatric patients in the outpatient setting result in an increase in staff knowledge?" To provide staff with the information and abilities they needed to consistently deliver patient education that supported evidence, the project created, carried out, and assessed a structured staff education program. Knowledge changes among the 10 participants were evaluated and measured using the mean difference …


Comparison Of Levels Of Usage Of Summit K-12 And Language Acquisition Of Emergent Bilingual Students, Paula Cushanick Feb 2025

Comparison Of Levels Of Usage Of Summit K-12 And Language Acquisition Of Emergent Bilingual Students, Paula Cushanick

Walden Dissertations and Doctoral Studies

School districts are required to identify emergent bilingual (EB) students, provide appropriate bilingual education programs, and assess language acquisition progress to ensure equal educational opportunity. The problem investigated in this study was that, in 2022, only 38% of the EB student population in Southwestern School District (SSD, a pseudonym) demonstrated progress in achieving English language proficiency in the composite scores of the TELPAS assessment that included listening, speaking, reading, and writing language domains. The Summit K-12 computerized intervention program was instituted by SSD to address EB student language development. Guided by Sparrow’s holistic biliteracy framework, the purpose of this quasi-experimental, …


Hispanic Family Caregivers’ Experiences With Dementia Patients During The Covid-19 Emergency, Vivian Arroyo Feb 2025

Hispanic Family Caregivers’ Experiences With Dementia Patients During The Covid-19 Emergency, Vivian Arroyo

Walden Dissertations and Doctoral Studies

The COVID-19 pandemic significantly impacted caregiving dynamics, particularly for Hispanic family caregivers of dementia patients. This qualitative study explored the experiences, challenges, and coping strategies of these caregivers during the pandemic. The theoretical framework was systems theory. Semistructured interviews were conducted with 12 participants to collect data. Participants were recruited through purposive sampling and responded to open-ended questions regarding their caregiving experiences. The collected data were analyzed using Braun and Clarke’s six-step thematic analysis The findings revealed four themes: (a) caregiving strategies, including time management, collaboration, and reliance on religious faith; (b) self-care experiences, which highlighted the balance between personal …


Perceptions And Role Of Cultural Competency In Clinical Social Work Practice, Vivian Adelaide Aba Dadzie Feb 2025

Perceptions And Role Of Cultural Competency In Clinical Social Work Practice, Vivian Adelaide Aba Dadzie

Walden Dissertations and Doctoral Studies

In practice, social workers are expected to translate cultural competency skills and knowledge they have acquired to handle diverse clients whose gender, racial, ethnic, religious, and personal beliefs and orientations can conflict. Using a qualitative research approach, the study addressed perceptions and roles of cultural competence in social work practice. Three research questions guided the study. The Campinha-Bacote framework of culturally competent healthcare was used for this study. The study involved employing thematic analysis to analyze research questions. It was determined that social workers must meet clients where they are culturally, respecting and learning from them to adapt interventions accordingly. …