Digital Commons Network^™

Behavioral Health Leadership Perspectives On The Transition To Medicaid Managed Care, Cynthia Lyn Gee

Walden Dissertations and Doctoral Studies

Healthcare and behavioral healthcare reform are sweeping across the United States to improve health outcomes, increase client satisfaction, and to decrease healthcare expenditures through statewide transitions to Medicaid managed care (MMC). Leaders of behavioral health organizations face significant challenges when implementing wide scale organizational change. A case study design was used to explore senior leaders’ experiences with transitioning from a fee for service environment to MMC at a behavioral health organization, which operates in the Northeastern region of the United States. The Baldrige excellence framework was used as a conceptual lens to assess the organization’s effectiveness in key factors. Senior …

Adults' Use Of Mobile Learning Environments While Enrolled In General Educational Development Classes, Tia Wilkinson

Walden Dissertations and Doctoral Studies

Mobile learning environments (MLEs) offer ubiquitous learning opportunities for adults in General Educational Development (GED) programs. However, MLEs have not been integrated into most adult GED programs; therefore, little is known about the experiences of adult learners who use MLEs as part of their education. The purpose of this basic qualitative study was to explore how adult learners described making connections within MLEs, how they perceived learning with MLEs, and how they expanded their use of MLEs. The principles of connectivism provided the conceptual framework for the study. Participants were 11 adult learners in GED programs in a Southern urban …

Understanding Community Members’ Perception Of Opioid Treatment Programs For Women In Westchester County, Erika Jean Pichardo

Walden Dissertations and Doctoral Studies

Research shows a significant rise in opioid abuse that has led to an opioid epidemic. Although research has shown the importance and effectiveness of treatment programs for opioid users, there is a lack of research on understanding community members’ perception and role of such programs and their perception of women who are opioid abusers and enter programs. The purpose of this study was to understand community members’ perception of opioid treatment programs for women in New York State’s Westchester County, using the theoretical framework of Becker’s social labeling theory. The study employed a phenomenological design using interviews. Results of the …

Need To Belong, Fear Of Missing Out, And Social Media Use: Predictors Of Perceived Social Rejection, Linda K. Perna

Walden Dissertations and Doctoral Studies

The decline in mental health among U.S. college students is a significant concern. Research suggests that social media use may contribute to this decline. Heavy reliance on social media has been linked to feelings of loneliness and disconnection, psychological distress, and a fear of missing out on rewarding social experiences, which may ultimately trigger feelings of social rejection. Using a foundation of need to belong theory, the purpose of this quantitative study was to examine individual differences in the need to belong, fear of missing out, and social media use as predictors of emotional and behavioral reactions to ambiguous social …

A Systematic Review Of Structured Communication Among Interprofessional Teams, Angeleta Zipporah Robinson

Walden Dissertations and Doctoral Studies

A leading cause of errors in health care settings is failure of interprofessional teams to communicate effectively. Ineffective communication has been associated with delays in treatment, omission of care, readmissions, and adverse and sentinel events. These incidents cost billions of dollars per year and with current reimbursement processes, health care organizations are now incurring the cost of such errors. The purpose of this project was to promote effective communication between nurses and physicians to reduce errors by standardizing the interaction among team members during interdisciplinary rounds and patient handoffs to increase the nurse communication HCAHPS scores, the physician communication HCAHPs …

An Exploration Of Recidivism Based On Education And Race, Michael Thomas

Walden Dissertations and Doctoral Studies

The United States has the highest rate of incarceration in the world, with over 2,200,000 individuals in jails and prisons. From 1970 to 2000, the U.S. prison population increased by 500%. African American men are rearrested 72.7% of the time within 3 years of their release from prison. African Americans have a higher incarceration rate than any other racial group in the United States; nearly 1,000,000 African Americans are in jail or prison. Moreover, 60% of African American men who drop out of school are incarcerated by the age of 30 years old. Researchers have demonstrated that education can reduce …

Factors Influencing Cloud Computing Adoption By Small Firms In The Payment Card Industry, Marie Njanje Tambe

Walden Dissertations and Doctoral Studies

Technology acceptance is increasingly gaining attention in research considering the continuous exploits of innovation and various derived advantages. Cloud computing (CC) has shown to be the ideal solution for aligning information technology with business strategies. However, small to medium-sized enterprises (SMEs) in the payment card industry are reluctantly adopting this technology despite the benefits. This correlational study aims at investigating whether security, cost effectiveness, or regulatory compliance influence CC adoption by U.S. SMEs in the payment card sector. The study builds on the technology-organization-environment (TOE) framework and uses a previously validated instrument to assess CC adoption by decision-makers in U.S. …

Search Results: Predicting Ranking Algorithms With User Ratings And User-Driven Data, Gary Michael Taylor

Walden Dissertations and Doctoral Studies

The purpose of this correlational quantitative study was to examine the possible relationship between user-driven parameters, user ratings, and ranking algorithms. The study’s population consisted of students and faculty in the information technology (IT) field at a university in Huntington, WV. Arrow’s impossibility theorem was used as the theoretical framework for this study. Complete survey data were collected from 47 students and faculty members in the IT field, and a multiple regression analysis was used to measure the correlations between the variables. The model was able to explain 85% of the total variability in the ranking algorithm. The overall model …

Childhood Blood Lead Levels And Adolescent Crime Rates In The United States, Jude Juiye Soweh

Walden Dissertations and Doctoral Studies

Juvenile violent crime rates in the United States have been on a continuous decline since 1996. Despite this decrease, youth violence as well as racial differences in crime rates continues to be a public health issue in the United States. Researchers have linked externalization behavior in children to factors including genetics, parental upbringing, abuse, school environment, and media exposure but have not fully considered the relationship between early childhood lead contamination and youth violence. This was an ecologic study of the relationship between early childhood blood lead levels (BLLs; ≥ 10µg/dL before 2012 or ≥ 5µg/dL after 2012) and crime …

Afriican American Students' Experiences Of Stress From Discrimination In Online Doctoral Education, Senovia Wyche

Walden Dissertations and Doctoral Studies

Abstract

There is a lack of current research about the experiences of stress related to discrimination encountered by African American students in online doctoral programs. Such discrimination can negatively impact the academics, educational experiences, and overall health of this student population. In this generic qualitative study, how African American students in online doctoral programs interpreted, perceived, and responded to their experiences of stress regarding discrimination was explored. Using the conceptual framework of Lazarus and Folkman’s cognitive appraisal theory, the research questions addressed stress related to discrimination encountered in online educational institutions, discriminatory factors perceived as inhibitors towards earning a doctoral …

Bidding Strategies For Winning Construction Bids In South Africa, Momoh Vandi

Walden Dissertations and Doctoral Studies

The failure of small business managers to understand various bidding strategies leads to losing construction bids. The lack of management skills, limited access to markets, weak customer relationships, lack of appropriate technology, and government bureaucracy are problems small business managers face when preparing to bid for construction contracts. The purpose of this qualitative multiple case study was to explore bidding strategies small and medium enterprise business managers use to win construction bids. The participants comprised 5 business owners of small- and medium-sized construction enterprises in Johannesburg, South Africa. The conceptual framework was the theory of constraints. Data were collected using …

Compassion Fatigue And Organizational Factors Among Paraprofessionals In Inpatient Psychiatric Centers, Sephiratu Raji Wahab

Walden Dissertations and Doctoral Studies

Compassion fatigue negatively affects the emotional and professional lives of human service workers; however, limited research has examined the underlying factors contributing to compassion fatigue among mental health paraprofessionals in inpatient psychiatric settings. This study applied the constructivist self-development theory and etiological model to examine three organizational factors including work demand, work organization and content, and interpersonal relations and leadership as predictors of compassion fatigue among 153 paraprofessionals working at inpatient psychiatric centers in Upstate New York. A cross-sectional design involved convenience sampling was employed to recruit 153 paraprofessionals to complete the Compassion Fatigue Short-Scale and Copenhagen Psychosocial Questionnaire, and …

Decision Making Process And Contralateral Prophylactic Mastectomy, Hala Alameddine

Walden Dissertations and Doctoral Studies

The increased rate of contralateral prophylactic mastectomy (CPM) among women with early stage unilateral breast cancer has raised concerns particularly with the lack of evidence for a survival benefit related to the CPM procedure and with the low risk of developing contralateral breast cancer among women with early stage sporadic breast cancer. The purpose of this quantitative cross-sectional study, using normative decision theory as the framework, was to assess the influence of the partner, physician, and media on the decision of women with unilateral breast cancer who decided to undergo CPM. Women with stage 0 to III early stage unilateral …

Perceptions Of African American Males On Teaching In Elementary Schools, Reggie Wicker

Walden Dissertations and Doctoral Studies

There is a shortage of African American males teaching in primarily minority student population elementary schools. Understanding why the current African American male teachers accepted positions in schools will provide insight into what attracted them to the school systems and the pros and cons for retention. The purpose of this study was to explore the perceptions of African American male teachers on the challenges and benefits of teaching at a predominately minority elementary school, and to ascertain strategies for recruiting and retaining African American male teachers in the profession. These views and strategies can help gain perspectives on attracting more …

The Role Of Self-Mutilation Behaviors Among Adolescents Who Are Depressed, Patricia Wilkins

Walden Dissertations and Doctoral Studies

Adolescents who are depressed may self-injure themselves. Common methods for non-suicidal self-injury are cutting and burning the skin of one’s own body. Multiple confounding factors of age, gender, race and socio-economic status could lead one to engage in intentional or unintentional self-mutilation acts. The current body of literature on adolescent mental health demonstrates limited understanding of how racial and ethnic identity factors contributes to depression, self-injurious behavior, and suicide. This quantitative study determined if there was a relationship between depression and prevalence of adolescent self-mutilation. The social ecological theory was used to study the intersection of social determinants of depression …

Rural Primary School Educators’ Perspectives Of The Responsive Classroom Approach To Teaching, Tarsha Brown-Foye

Walden Dissertations and Doctoral Studies

Reactive behavior management strategies used in classrooms to discipline students have been ineffective in limiting discipline problems and decreasing the number of suspensions and expulsions. A rural primary school in California with numerous discipline problems during the 2015-2016 through 2017-2018 school years adopted the Responsive Classroom (RC), a proactive and systemwide approach to improve behavioral and academic outcomes. The purpose of this case study was to identify, explore, and understand the discipline strategies used by primary school educators and their perspectives regarding the RC approach to teaching used at the research site. Bandura’s social learning theory was the conceptual framework …

Media’S Influence On Secondary Teachers’ Perceptions Of Their Roles And Attrition, Sophronia D. Beckford

Walden Dissertations and Doctoral Studies

Past researchers have argued that teacher attrition rates result from burnout, job dissatisfaction, and lack of support, but they have not explored the possibility of the media’s ability to influence the perception teachers have regarding their roles. The purpose of this study was to gain insight into whether the media influenced secondary teachers’ self-perceptions and attrition in a public high school in the Midwest. Social influence theory served as the theoretical framework. The research questions focused on how the media’s portrayal of educators in print and film influenced how teachers perceived themselves and teacher attrition. For this qualitative case study, …

The Experiences Of Administrators Recruiting Volunteers For Educational Outreach Programs, Kimberly Burgess-Neloms

Walden Dissertations and Doctoral Studies

Volunteers are needed for community educational outreach programs (EOP). Though the

research site is a local university where EOP programs are offered to the community,

EOP administrators are experiencing difficulties in recruiting volunteers who can deliver

EOP workshops. The purpose of this basic qualitative study was to understand the

experiences of EOP administrators recruiting volunteers in order to maintain the EOP

program. The conceptual framework was the social identity theory by Tajfel regarding

organizational management of volunteers. The research question was about the

recruitment experiences of EOP administrators regarding volunteers who facilitate

educational programs. The sample was 10 purposefully selected …

Organizational Support For Critical Incident Wellness And Crime Scene Investigators’ Perceived Effectiveness, Leggie Boone

Walden Dissertations and Doctoral Studies

Law enforcement agencies are frequently studied for officer wellness, yet research is limited in the influence of organizational support for the psychological wellness of crime scene investigators exposed to tragic scenes. The purpose of this quantitative study was to examine the perceptions of job performance effectiveness of crime scene investigators based on organizational support through the provision of stress management resources. The theoretical framework of organizational support theory and management theory formed the basis of the investigation into the contributing elements of job performance. Data were collected through surveys from 92 crime scene investigators, of whom 77 were civilians and …

Social Media And Customer Engagement: Customer Relations In A Digital Era, Nadia Delanoy

Walden Dissertations and Doctoral Studies

Traditional big data analytics do not include the contextual facets that social media narratives and customer engagement do. There is currently a gap in research on how customer relations managers can integrate social media in their existing data analytics to improve business performance. The purpose of this qualitative, exploratory multiple case study was to further understand of how customer relations managers can use social media within the context of already existing data analytics across industries in Canada. Communication theory was the conceptual lens for assessing customer relations management and consumer feedback within an increasingly digital business environment. Purposeful sampling was …

E-Business Training Strategies For Profitability In Small And Midsize Enterprises, Papa Faal

Walden Dissertations and Doctoral Studies

E-business skills are an essential part of the global market, yet many small and mid-size enterprise leaders lack the necessary training to become competitive. Grounded in the diffusion of innovation theory, the purpose of this qualitative multiple-case study was to explore e-business training strategies small and mid-size enterprise leaders use to increase profitability. The participants comprised 5 small and mid-size enterprise leaders in a metropolitan area in the Gambia who have increased profitability using e-business tools and training strategies. Data were collected from semistructured interviews and company documents. Thematic and content analysis were used to analyze the data. Three themes …

Exploring Software Testing Strategies Used On Software Applications In The Government, Angel Diane Cross

Walden Dissertations and Doctoral Studies

Developing a defect-free software application is a challenging task. Despite many years of experience, the intense development of reliable software remains a challenge. For this reason, software defects identified at the end of the testing phase are more expensive than those detected sooner. The purpose of this multiple case study is to explore the testing strategies software developers use to ensure the reliability of software applications in the government contracting industry. The target population consisted of software developers from 3 government contracting organizations located along the East Coast region of the United States. Lehman’s laws of software evolution was the …

Gender And Millennial Support For Women Political Leaders, Delaina Lea Sawyers

Walden Dissertations and Doctoral Studies

Despite comprising more than 50% of the population and voting in greater numbers than men, women are underrepresented in U.S. political leadership. Although research exists on the correlation between gender and politics, little literature addresses the influence of generation and gender on voting behavior. Using Jaggar's liberal feminist theory as a framework, the purpose of this study was to investigate the relationship between female generational cohorts and their policy preferences and candidate support. Two research questions assessed the differences between female millennials and baby boomers regarding policy preferences in the areas of income equality, opportunity, representation, and candidate support. A …

Vicarious Bullying And Career Progression: Narratives From African American Women Academics, Laurenda Mckinney

Walden Dissertations and Doctoral Studies

Intersectionality scholars have indicated that a literature gap exists in workplace bullying research on the implications of vicarious bullying on African American women's career progression. The purpose of this qualitative, narrative inquiry study was to explore African American women academics' stories of daily work experiences with vicarious bullying and how these experiences may interfere with their career progression. Narrative inquiry is a qualitative research approach conceived to honor a person's lived experiences as a source of valuable knowledge. Data were collected through in-depth storytelling from 5 African American women academics. Three key concepts frame this study: Miller et al.'s concept …

A Retrospective Program Evaluation Of Existing Quality Improvement Project Colorectal Cancer Screening, Laveda Lynn Roberts

Walden Dissertations and Doctoral Studies

The United States Preventive Services Task Force (USPSTF) makes recommendations on preventive health screenings based on the level of evidence. Colorectal Cancer is the third most commonly diagnosed cancer. The practice problem for this DNP QI project, is that providers are not following the USPSTF Guidelines on colorectal cancer screening with the FQHC scores below the HRSA expectation of 80% showing only a 43% screening compliance rate for patients age 50 -75 years. The purpose of this DNP QI project was to evaluate the effectiveness of the existing QI initiative for provider colorectal screening of patients age 50-75 years, then …

Mental Health Care Practitioners, Self-Care, And Men Who Are Postincarcerated, Aduke Mccoy

Walden Dissertations and Doctoral Studies

Mental health practitioners often suffer physical exhaustion, burnout, and increased stress from providing care to postincarcerated men with elevated mental illness. When working in these high environments, helping professionals, may neglect self-care when caring for clients under stressful conditions. Neglected self-care can have adverse implications for both the patient and the mental health professional. The research question aligned with the purpose of this study was to understand what grounded theory that explains how mental health practitioners manage self-care while providing services to postincarcerated men with elevated mental illness. Self-care theory was used as a conceptual framework for this qualitative grounded …

Stress And Coping Strategies Of Female 911 Emergency Telecommunicators, Briana Denise Kelley

Walden Dissertations and Doctoral Studies

The Emergency number 9-1-1 is the most widely known and used telephone number in the United States and Canada, yet turnover, understaffing, and low retention of staff are national concerns in 9-1-1 emergency telecommunication centers. Emergency (9-1-1) telecommunicators are often the “first” first responder in the emergency cycle and are responsible for the collection and dissemination of emergency information to police, fire, and medical units. Resilience theory was utilized to see how some individuals adjust, adapt, and assimilate with presenting environmental stressors and/or conditions. This study of female emergency telecommunicators in a Southern Combined Emergency Dispatch Center explored the stressors …

The Predictive Ability Of Self-Efficacy On Recidivism Among Adult Male Offenders, Marianne Kelly

Walden Dissertations and Doctoral Studies

With crime rates high and increasing numbers of offenders receiving community-based corrections sentences, factors related to risk of recidivism should be a high priority for researchers. The impact of crime on offenders, victims, and communities is costly. Traditional punishment has done little to reduce crime, particularly among repeat offenders. The purpose of this study was to examine the predictive ability of self-efficacy on recidivism, based on social cognitive theory. The research design was quantitative and nonexperimental, using regression analyses. The nonrandomized sample consisted of adult males incarcerated on felony charges at a large urban jail in the Midwest of the …

Leadership Strategies And Millennial Organizational Commitment, Louis Wilford

Walden Dissertations and Doctoral Studies

Managing millennial employees may present challenges to managers as the workforce demographics shifts to a population of employees who have management needs that differ from previous generations. Managers who struggle with retaining millennial employees may experience business failure. Grounded in the transformational leadership theory, the purpose of this qualitative single case study was to explore the strategies managers in the financial management industry use to harness the creativity and commitment of millennial employees to increase organizational profitability. Two financial management industry managers who successfully retained talented millennials to improve profitability were interviewed; organizational documents were a secondary data source. A …

Treatment Providers’ Perceptions Of Effective Sexual Offender Treatment Modalities, Reta Alphin

Walden Dissertations and Doctoral Studies

The treatment of sex offenders is a controversial public policy issue, yet the research on what treatment providers perceive to be effective treatment modalities is limited. Using von Bertalanffy’s systems theory as the theoretical foundation, the purpose of this quantitative study was to examine and evaluate the treatment providers’ perceptions of effective treatment modalities. Data were collected from 101 treatment providers located within 6 states in the Midwest through a researcher developed survey. Data were analyzed using descriptive statistical analysis. A total of 55 treatment modalities were examined, which were condensed into 5 categories. Findings indicated that the psychoeducational modality …