Digital Commons Network^™

Closing The Knowledge Gap For Advanced Practice Nurses On Medical Cannabis, Regina Bernice Askew-Gibbs

Walden Dissertations and Doctoral Studies

AbstractSince cannabis, also called marijuana, has been decriminalized or legalized as a prescription for medical purposes, more patients are using cannabis recreationally for medical purposes or as a holistic therapeutic approach in contrast to Western medicine. With increased use among patients, it has become important for the advanced practice nurse (APN) to have a basic knowledge of the therapeutic benefits of marijuana. The goal of this DNP project was to supply APNs with education on marijuana and cannabis to prevent poor patient assessment and education. Pre-and posttest data from 6 participants who work at a medical, ambulatory clinical site, were …

Mental Health In Black Women With Endometriosis-Related Symptoms During Covid-19, Anjanette Jaye Blunt

Walden Dissertations and Doctoral Studies

Endometriosis is an incurable chronic illness impacting 190 million women worldwide. Despite the prevalence of this painful disease, research addressing how it affects Black women in the United States was limited. Research addressing this phenomenon during the COVID-19 pandemic was further limited. The purpose of this qualitative study employing an interpretative phenomenological analysis was to understand the mental health of Black women with endometriosis-related symptoms during the COVID-19 pandemic and how having the illness during the pandemic might have impacted individuals in this population. The strong Black woman schema and biopsychosocial model were the theoretical foundations for the study. Data …

Training Strategies To Improve Salesperson Confidence And Production, William B. Bronson

Walden Dissertations and Doctoral Studies

Many sales leaders need strategies to improve the productivity and confidence of their sales personnel. Ineffective sales training programs cost organizations billions of dollars in annual revenue and profits. Grounded in adaptive leadership theory, the purpose of this qualitative mini-ethnographic multiple-case study was to explore successful strategies used by sales leaders that combine and balance virtual and online resources with traditional face-to-face training methods to increase the productivity and confidence of sales personnel. Data were collected by interviewing eight salespeople and two sales managers spanning two Texas insurance companies and reviewing company documents. Data were analyzed using Yin’s five-step process …

Stigma Associated With Invisible Disabilities And Its Effect On Intended Disclosure In The Workplace, Jessica Lynne Hicksted

Walden Dissertations and Doctoral Studies

Disability discrimination is a long-standing issue that, despite protections, continues to result in unemployment, underemployment, and lack of advancement for disabled persons. Visible stigma is researched substantially; however, less is known about the impact of stigma associated with identities that can be concealed. Although researchers have investigated this issue, currently there is no tool to measure this phenomenon. The purpose of this quantitative study was to create and validate a new tool to measure stigma associated with invisible disabilities. The study is grounded by Roberts’ conceptual model of professional image construction integrating social identity, impression management, and organizational behavior; Meisenbach’s …

Relationship Between Substance Use, Alcohol, And Posttraumatic Stress Disorder Symptoms In Law Enforcement, Vanessa Nash

Walden Dissertations and Doctoral Studies

Law enforcement officers are plagued by a variety of traumatic incidents and organizational stressors. As a result, officers are more likely to use maladaptive coping skills and develop stress-related disorders. The purpose of this study was to identify the predictive relationship between substance use, alcohol use, and posttraumatic stress symptoms (PTSS)/dissociation symptoms in 107 law enforcement officers using the Personal Observation Wellness and Evaluation Report- POWER Portfolio survey through an archival dataset. Lazurus and Folkman’s transactional model of stress and coping was used for the theoretical understanding of the current study. The independent variable for this study was PTSS as …

Understanding The Lack Of Communication Between Communities And Law Enforcement Through A Community Policing Program, Patrick B. Skoczek

Walden Dissertations and Doctoral Studies

Abstract

Inequitable treatment by law enforcement officers has deeply impacted minority communities in the United States. Public incidents of abuse of power, discriminatory treatment, and excessive use of force have received increased attention, creating increased community mistrust of law enforcement officers. To help bridge the gap between communities and law enforcement agencies, this qualitative phenomenological study was conducted to examine the use and impact of the Policing and Public Safety Problem-Solving Programs. Data were collected through interviews with 12 retired police officers and 12 community members. Interview questions were related to participants’ perceptions regarding a breakdown in trust between law …

Closing The Knowledge Gap For Advanced Practice Nurses On Medical Cannabis, Regina Bernice Askew-Gibbs

Walden Dissertations and Doctoral Studies

AbstractSince cannabis, also called marijuana, has been decriminalized or legalized as a prescription for medical purposes, more patients are using cannabis recreationally for medical purposes or as a holistic therapeutic approach in contrast to Western medicine. With increased use among patients, it has become important for the advanced practice nurse (APN) to have a basic knowledge of the therapeutic benefits of marijuana. The goal of this DNP project was to supply APNs with education on marijuana and cannabis to prevent poor patient assessment and education. Pre-and posttest data from 6 participants who work at a medical, ambulatory clinical site, were …

Social Media And The Learning And Engagement Experiences Of Minority Doctoral Students, Denzil O. Barnett

Walden Dissertations and Doctoral Studies

AbstractSocial media as a medium to facilitate and foster learning and engagement in education has received increased attention in recent years. Researchers have highlighted the affordances and drawbacks of social media use in educational contexts. There is a gap in the relevant literature on the social media learning and engagement experiences of doctoral students from underrepresented communities. The purpose of this qualitative study was to understand minority doctoral students’ experiences and perceptions of social media use in learning and engagement during the doctoral process. To ground this study, the connect learn and engagement (CoLeEn) conceptual framework, based on Siemens’s connectivism …

Perceptions Of Active Social Media Adults’ Mental Health After Participating Online With Uncivil Political Discourse With Out-Group Members, Bridgette Eastman

Walden Dissertations and Doctoral Studies

Online incivility that occurs in the comment sections of social media sites has become increasingly prevalent. Much of this incivility occurs in the context of political debate. Previous research has indicated that heated political debates online can lead to increased levels of emotional distress and that individuals have the capacity to become addicted to a variety of activities that take place on the internet. Using the theoretical lens of the social identity model of individuation effects, this study explored the impact of online political incivility on the mental health of individuals who engage in this type of behavior. This study …

Teachers’ Use Of Game-Based Technology Assessment Tools In United Arab Emirates Middle Schools, Simone Saad

Walden Dissertations and Doctoral Studies

Using technology in the 1:1 classroom has been a focus of scholars and has become the educational standard for many schools, especially those in the United Arab Emirates (UAE). However, researchers have demonstrated that even though access to laptops is no longer an issue in many schools, there remains low integration of engaging activities in the 1:1 classroom. The problem addressed in this study was the lack of adopting and incorporating game-based technology assessment tools at two middle schools in Abu Dhabi, UAE, both of which are 1:1 schools. The purpose of this basic qualitative project study was to better …

Managers' Experiences Coordinating Peer Mediation Programs In Schools, Ingrid Jeannis

Walden Dissertations and Doctoral Studies

Peer mediation (PM) programs implemented in schools promote resolution of disputes and conflicts among peers. Several benefits have been associated with young children involved in these programs including reductions in physical aggression, as well as learning skills involving communication, problem solving, and decision making. While positive outcomes have been observed, less was known about manager experiences involving coordinating PM programs. The purpose of this phenomenological study was to explore manager thoughts and experiences regarding their roles in PM programs and how they perceived strengths and weaknesses of these programs. The social learning theory was the theoretical framework for this study. …

Fourth Grade Teacher Perspectives Of Instructional Practices To Support Students With Reading Deficits, Juanita Carter Robbins

Walden Dissertations and Doctoral Studies

The problem that was the focus of this study was that only 30% of fourth grade students in the United States read at or above grade-level proficiency. Lack of reading proficiency affects fourth-grade students’ ability to master content presented in subjects across the curriculum and may limit their educational attainment. The purpose of this basic qualitative study was to explore fourth-grade teachers’ perspectives of instructional practices to support students with reading deficits, the challenges teachers encounter, and the resources teachers need to meet those challenges. The conceptual framework comprised Tomlinson’s model of differentiated instruction. Three research questions explored the instructional …

Middle School Teacher Perceptions Of The Use Of Serious Games For Students With Attention Deficit Hyperactivity Disorder, Latoyia R. Stewart

Walden Dissertations and Doctoral Studies

Attention deficient hyperactivity disorder (ADHD) is the most common childhood neurodevelopment disorder, and digital serious game use has recently shown significant promise in this psychotherapeutic area. Digital serious games have also been used as an innovative teaching and learning approach. The purpose of this study was to explore middle school teachers’ perceptions of the use of digital serious games for students with ADHD. The conceptual framework for this study was Sherry’s model of game engagement. The two research questions for this basic qualitative study focused on middle school teacher perceptions regarding the benefits and challenges related to the use of …

Increasing Organizational Value Of A Private Healthcare Education Academy, Diana Skaff

Walden Dissertations and Doctoral Studies

Amid the dynamic changes and innovations of the healthcare field, healthcare providers seek educational activities that enhance their growth and decrease their knowledge gap. Healthcare education organizations responsible for providing high-quality healthcare education, have opportunities to differentiate their programs to acquire, attract, activate, and retain healthcare providers. Grounded in the five forces of competition and the value chain theories, this mixed method formative program evaluation aimed to improve the business development program by developing a differentiation by quality strategy that will increase its competitive advantage. Participants included three decision-makers and nine leaders in a healthcare education organization in the Kingdom …

Juvenile Delinquency: The Effectiveness Of The Juvenile Direct File Law, Kimberlee Nicole Taggart

Walden Dissertations and Doctoral Studies

The juvenile direct file law stands firm among Florida laws despite lacking research to show its effectiveness in the prevention of juvenile delinquency. In Florida, juvenile delinquency and the juvenile direct file law cause significant concern due to the uncertainty surrounding the law. The Florida juvenile justice system fosters a vital position in the lives of many children, young adults, and families. Florida’s direct file law has a negative impact on the health, mental health, education, and brain development of juveniles and their ability to separate from a criminal lifestyle. Identifying the direct file law’s effects on the future of …

The Self-Efficacy Of Counselors Providing Telemental Health Services During The Covid-19 Pandemic, Chelsea Threadgill

Walden Dissertations and Doctoral Studies

Since the onset of the COVID-19 pandemic, counselors have had to adapt and evolve to meet the needs of clients and the growing need for mental health services. In addition to a lack of experience providing telemental health (TMH) services, many counselors had received little or no TMH training or continuing education prior to the onset of the COVID-19 pandemic. Counselor self-efficacy (CSE) may be an important factor in determining how counselors have been impacted by the increase in provision of TMH services, and the areas where they are needing more support. The purpose of this quantitative study was to …

Experiences Of Black Women In The Workforce, Neferiatiti Lukina Holt

Walden Dissertations and Doctoral Studies

Black women in America face double discrimination in the workforce. The problem is that Black women experience discrimination in the workforce based on gender and race. The purpose of this qualitative descriptive phenomenological study was to explore Black women’s experiences of discrimination in the workforce based on gender and race. The conceptual frameworks that grounded this study were general systems theory and intersectionality theory. Purposive sampling was used to identify participants; data were collected through semi-structured interviews with 13 Black women who work in a large city in central Texas. Thematic analysis based on descriptive phenomenology was applied to reveal …

Non-Alcoholic Fatty Liver Disease And Metabolic Syndrome: The Role Of Gender Differences And Menopausal Status Of Women, Kimberly Kushner

Walden Dissertations and Doctoral Studies

There are few studies that investigate the association between non-alcoholic fatty liver disease (NAFLD) and metabolic syndrome (MetS) predominantly in menopausal women. This quantitative study investigated the association between MetS and NAFLD while controlling for age, gender, ethnicity, and menopausal status of women. The theoretical framework that helps establish and guide the research was the diffusion of innovation (DOI). A multivariable logistic regression was conducted using secondary data from the National Health and Nutrition Examination Survey. There is a statistically significant association between MetS, and NAFLD after controlling for age (OR = 2.96, 95% CI = 2.319–3.778, p < 0.001). However, ethnicity was not statistically significant. After further controlling for gender, the relationship remained statistically significant and exhibited a decrease in risk for females compared to males (OR = -.734, 95%CI = .387–.596, p < 0.001). Lastly, focusing on women only, and further controlling for menopausal status, the association between MetS and NAFLD was still statistically significant (OR = 2.227, p < 0.001). Mexican Americans, other Hispanics, and Non-Hispanic Black women were at higher risk (95% CI 1.102–7.039, 1.321–5.351, and 1.255–3.013, respectively). Implications for positive social change include adopting proactive and preventative strategies that can improve the quality of life for vulnerable patients and reduce morbidity and mortality associated with MetS and NAFLD.

Mitigating Supply Chain Disruptions In Retail Discount Department Stores, Anthony T. Patton

Walden Dissertations and Doctoral Studies

Supply chain disruptions can have adverse effects on business outcomes. Retail industry supply chain leaders are concerned with supply chain disruptions because supply chain disruptions can lead to dissatisfied customers and loss of profits. Grounded in game theory, the purpose of this multiple case study was to explore strategies four retail industry supply chain leaders in Northern Illinois and Northwest Indiana implemented to mitigate the effects of supply chain disruptions. Data were collected using semistructured virtual interviews with four retail industry supply chain leaders and a review of company documents. Through thematic analysis, four themes emerged: (a) choosing appropriate inventory …

Customer Relationship Management In The Hotel Industry, Lakewa Davis

Walden Dissertations and Doctoral Studies

The inability to satisfy customers in the hospitality industry is a concern for business managers, as a decrease in customer satisfaction can lead to unhappy customers, which adversely affects business performance and profitability. Grounded in the customer relationship management theory, the purpose of this qualitative multiple-case study was to explore how managers of boutiques improve customer satisfaction and increase profitability. Participants were four boutique hotel managers in the metro Detroit area who successfully improved customer satisfaction and increased profitability. Data were collected from semistructured interviews, customer reviews, hotel website documents, customer indices, and hotel industry reports. Data were analyzed using …

Health Education Practices For Middle Eastern Women With Polycystic Ovary Syndrome, Walaa Daffaalla

Walden Dissertations and Doctoral Studies

Polycystic ovarian syndrome (PCOS) is a complex women’s health condition that reduces women’s quality of life, leading to health complications, such as menstruation issues, infertility, insulin resistance, risk of type 2 diabetes, depression, anxiety, emotional stress, being overweight or obese, and more. Research on PCOS has focused on the etiology and complications in women from different ethnicities. But limited research has explored the experiences and perspectives of Middle Eastern (ME) women in the United States with PCOS related to PCOS health education. The purpose of this qualitative study was to explore the perspectives and experiences of ME women of reproductive …

Impacts Of White Privilege And Implicit Bias On Treatment Implementation With Black Pediatric Patients, Tara Geer-Leiker

Walden Dissertations and Doctoral Studies

White privilege and implicit bias are known contributing factors to the racial health inequities that exist in the treatment of Black children in U.S. hospitals. There is limited research, however, on the potential for White nurses to engage in self-examination related to either concept. The purpose of this basic qualitative inquiry was to understand how White privilege and/or implicit bias shapes the lived experiences of White nurses as they treat and interact with Black pediatric patients. The conceptual framework included a modified model comprised of Hobbs’s concept of White privilege and Blair et al.’s model of influences of implicit bias …

Resilience Characteristics In Law Enforcement Officers, Jocelyn Grace Jameson

Walden Dissertations and Doctoral Studies

Resilience characteristics in law enforcement officers have been a focus of scholars for several decades. Repetitive trauma requires officers to establish coping mechanisms and manufacture varying resilience factors. Researchers have demonstrated that interventions to improve resilience may result in a higher demand for psychoeducation, training and well-being, and stress management. Researchers have yet to establish what shared characteristics are among law enforcement officers that promote resilience. The purpose of this study was to examine the lived experiences of law enforcement officers’ experiences, beliefs, and knowledge about their exposure to repetitive traumatic events. The resilience theory supported the research. A qualitative, …

Impact On Retention For Students Participating In Supplemental Instruction At A Community College, Jacqueline Ann Larry

Walden Dissertations and Doctoral Studies

AbstractTitle III Strengthening Institutions Program is a supplemental grant that was designed to help eligible higher education institutions improve and strengthen academic quality, institutional management, and fiscal stability of eligible institutions. A community college in the Midsouth region was the focus of this quantitative study. Graduation and retention rates have steadily declined, and there are significant achievement gaps in terms of ethnicity and race, program completion, and failure rates in high-enrolled courses among first-year students. Using the retention model, this study involved examining the impact on retention for students participating in supplemental instruction upon entering college during their freshman year. …

Strategies Organizational Leaders Use To Engage Employees, Latisha Valencia Lewis

Walden Dissertations and Doctoral Studies

For many organizations, employee engagement is a major component that drives a business’s productivity, performance, and profitability. Some healthcare leaders lack strategies to engage employees. Grounded in Kahn’s employee engagement theory, the purpose of this qualitative single case study was to explore strategies healthcare leaders use to engage employees. The participants were eight healthcare leaders in a greater Atlanta, Georgia, healthcare facility who successfully implemented strategies to engage employees. Data were collected from Press Ganey quarterly engagement scores and semistructured interviews. Data were analyzed using Yin’s five-phase process, from which three themes emerged: (a) mentorship, (b) leadership, and (c) teamwork. …

Comparative Study Of Risky Sexual Behaviors In African American Adolescents Who Use Drugs And Alcohol, Angela Matthew

Walden Dissertations and Doctoral Studies

Sexually transmitted infections (STIs) are a major public health problem in the United States. Adolescents are a high majority of these cases, with African American adolescents being affected disproportionally. Previous research has shown that risky sexual behaviors, such as non-condom use, multiple sexual partners, early initiation of sexual intercourse, and alcohol or marijuana use before sexual intercourse put adolescents at a higher risk of contracting an STI when they are sexually active. These behaviors can be observed through the theoretical framework of the problem behavior theory that describes the constructs of why individuals engage certain behaviors. How alcohol and drug …

Knowledge-Sharing Practice As A Tool In Organizational Development In Nigerian Higher Educational Institutions, Emmanuel Ajiri Ojo

Walden Dissertations and Doctoral Studies

AbstractUnderstanding knowledge management is key to understanding organizational development and innovations. Inadequate knowledge-sharing practices in Nigerian educational institutions has impeded innovation and management development. The purpose of this qualitative modified Delphi study was to seek consensus among administrators from Nigerian educational institutions and scholars from Nigerian universities regarding knowledge-sharing practices that nourish innovation in Nigerian higher educational institutions. The organizational development framework was used to guide the study. Data collection included a nonprobability purposive sampling of 25 participants and three rounds of surveys administered online. A consensus was reached on eight factors after coding and thematic analysis: setting knowledge-sharing expectations, …

Examining The Relationship Of Social Inclusion On Job Satisfaction And Turnover Intentions Of Us Post-9/11 Veterans, Sheree' L. Peters

Walden Dissertations and Doctoral Studies

Many American veterans return to the civilian workforce and report having problems reintegrating into society, as well as finding their role in the new corporate social realms. Over 80% leave their civilian jobs within the first two years of employment, and over 70% report experiencing feelings of loneliness. Recently, the World Health Organization reported that the lack of perceived social inclusion also has a significant economic impact on both individuals and societies. A quantitative, nonexperimental methodology was used to examine the moderating relationship of social inclusion on the relationship between job employee turnover intentions of post-9/11 enlisted veterans. This study …

Perceptions And Experiences Of The Benefits Of Premarital Counseling Among African American Couples, Evelyn N. Roberts

Walden Dissertations and Doctoral Studies

Researchers have conducted studies on the benefits of premarital counseling. However, little was known about the experiences of African American couples. The purpose of this generic qualitative study was to explore African American couples’ perceptions and experiences concerning the benefits of premarital counseling. Social learning theory provided the framework for the study. Data were collected from semistructured interviews with eight heterosexual African American couples. Colaizzi’s seven-step method of coding was used to analyze participants’ responses. Four themes emerged: couples’ expectations of premarital counseling, influences regarding participation, quality and structure of sessions, and overall experience. Findings could impact social change by …

Perceptions Of Law Enforcement Officers Regarding Their Interactions With Persons In Mental Health Crises., Monica Roundtree

Walden Dissertations and Doctoral Studies

Law enforcement officers are guided by principles to protect and serve the community in general; this includes persons with mental health illnesses. These officers are often the sole community resource responding to calls involving persons in mental health crises. However, many officers lack the knowledge and skills to effectively interact with this group. This quantitative study addressed how law enforcement officers perceive that a selected policy, procedure, or strategy is effective for interacting with a person experiencing a mental health crisis. The theoretical framework for this study is the procedural justice theory. A convenience sample of 100 sworn law enforcement …