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Providing Optimal Nutrition In Critical Care, Jo Anne Foley

Walden Dissertations and Doctoral Studies

Malnutrition among hospitalized patients is prevalent and associated with adverse outcomes. At the health care facility for which this quality improvement (QI) initiative was developed, patients were not consistently fed within the nationally recommended 48 hours. The purpose of this project was to facilitate the early initiation of enteral feedings to prevent malnutrition in a vulnerable patient group by development of an evidence-based enteral feeding policy, algorithm, and nursing education module. The find, organize, clarify, understand, select, plan, do, check, and act model provided a systematic approach for development of the project. Validation of the QI initiative was through the …

Social Demography Of Health Seeking Experiences Among Transgender African Americans, Alicia Cutrice Fritz

Walden Dissertations and Doctoral Studies

Access to and receipt of health care is an essential human right; however, transgender people often have negative health seeking experiences that give way to the many health disparities seen in the transgender community. Using the social ecological model, this study determined, through multiple logistic regressions, that correlations existed between socioeconomic, health behaviors, and sociocultural variables and 6 measures of health seeking experiences among transgender African Americans. Secondary data from the 2010 National Transgender Discrimination Survey were used, yielding a sample size of 253 transgender African Americans. Those in the African American transgender community at most risk for negative health …

Community College Basic Skills Math Instructors" Experiences With Universal Design For Learning, Sunny Greene

Walden Dissertations and Doctoral Studies

Multiple approaches have been used in U.S. community colleges to address the learning needs of postsecondary students who are underprepared in basic skills math. The purpose of this exploratory interview study was to gain a deeper understanding of community college basic skills math learning through instructors' lived experiences using the Universal Design for Learning (UDL) approach and its technology tool, a computerized pen. The conceptual framework for this study used Knowles's adult learning and Kolb's experiential learning theories with UDL principles. The central research questions investigated the professional development and teaching experiences of community college basic skills math instructors in …

Health Care Professionals' Perceptions Of Media Influence On Eating Disorder-Related Factors Among African American Women, Erica Hudson

Walden Dissertations and Doctoral Studies

Little is known about health care professionals' perceptions of eating disorder etiology among African American (AA) women. The purpose of this quantitative research study was to examine the associations among health care professionals' race, cultural awareness, and perceptions of media influence on eating disorder-related factors in AA women. Festigner's social comparison theory; Bandura's social learning theory; and Garcia, Cartwright, Winston, and Borzuchowska's transcultural integrative model served as the theoretical frameworks for this study. Specifically, this study examined whether race and cultural awareness of health care professionals relate to their perceptions of the extent to which media influences AA women's eating …

Delaying First Pregnancies: Canadian Women's Knowledge And Perception Of The Consequences, Deborah Haynes

Walden Dissertations and Doctoral Studies

Many women aged 20-30 are postponing their first pregnancies until their mid 30s and beyond, which has resulted in compressed childbearing years and/or infertility. Little is known about the knowledge and understanding that Canadian women of advanced age (age 35-45) possess of their reproductive capacity. This phenomenological study sought to explore these women's knowledge and perception of their reproductive capacity in relation to the timing of first pregnancy. Research questions using the constructs of Ajzen's theory of planned behavior were developed to explore how the behavioral, normative, and control beliefs of women's childbearing behaviors were based on their perceptions of …

Nurses' Occupational Trauma Exposure, Resilience, And Coping Education, Sherry Lynn Jones

Walden Dissertations and Doctoral Studies

Nursing education courses and professional development (PD) do not include coping and resilience training for registered nurses (RNs) who work in emergency departments (EDs). Exposure to traumatic events, death, and dying may lead to health issues, substance abuse, stress symptoms, nursing staff turnover, and compassion fatigue among ED RNs. Without training, the pattern of adverse outcomes may continue. The purpose of this study was to explore ED RNs' experiences with occupational traumatic stress (OTS), and their recommendations for change to nursing PD programs, using a qualitative bounded intrinsic case study. The conceptual framework for this study included social learning and …

Relationship Between Meaning In Life And Dispositional Forgiveness, Shirley Karseboom

Walden Dissertations and Doctoral Studies

Both meaning in life and forgiveness have been shown to separately contribute to better mental health. However, no prior research examined the linkage between meaning in life and forgiveness. This quantitative study was therefore to identify if there was a relationship between meaning in life, as measured by the Meaning in Life Questionnaire (MLQ), and overall dispositional forgiveness, dispositional forgiveness of self, dispositional forgiveness of others, and dispositional forgiveness of situations, as measured by the Heartland Forgiveness Scale (HFS). Survey data were gathered from 250 college students in Western Canada, and multiple linear regression controlling for sociodemographic factors was used. …

Short Term Memory Of Magnetic Resonance Imaging Technologists, Samuel Maldonado

Walden Dissertations and Doctoral Studies

This study examined the short term memory (STM) difference of magnetic resonance imaging (MRI) technologists versus non-MRI technologists. Human and animal studies have indicated that residual magnetic fields have caused changes within the cerebral structure. Research on residual magnetic fields and their effect on STM is still at its infancy. A quasi-experimental design was used to determine if any significant difference existed between the STM of MRI technologists (n = x) and a control population sample (n = x). The STM of both groups was assessed with the use of the Rivermead Behavioural Memory Test-Third Edition. Solicitation of the participants …

Gender And Self-Care Behaviors In The Burnout Of Mental Health Professionals, Kafy-Ann Martin-Johnson

Walden Dissertations and Doctoral Studies

Difficulties experienced at work can cause feelings of burnout that become prolonged and intensified without acts of self-care. The intense nature of mental health workers' jobs may make them, more vulnerable to burnout than other professionals. Because mental health professionals' mental and emotional wellness can significantly affect their work, adequate self-care is critical to both their well-being and that of their clients. Previous researchers have investigated the self-care behaviors of mental health professionals, but little was known about how gender affected the use of these behaviors in burnout prevention among mental health professionals. The purpose of this quantitative study was …

Hiv-Positive Status Disclosure Barriers In Stable Heterosexual Partners In Warri, Nigeria., Edith Nkechinyere Ogbozor

Walden Dissertations and Doctoral Studies

Nondisclosure of positive status drives the secondary transmission of human immunodeficiency virus (HIV) infection. This cross sectional quantitative survey study grounded by the consequence theory evaluates fear of stigma, lack of social support, and level of HIV-related knowledge as barriers to self-disclosure of HIV-positive status to stable heterosexual partners. A sample of 303 HIV-infected respondents (111 men and 192 women) accessing antiretroviral therapy at 4 designated centers in Warri, Nigeria, completed the self-administered questionnaires. Logistic regression analysis was used to assess the association between these factors and spousal HIV-positive status disclosure. Results demonstrated: (a) social support availability significantly predicted HIV …

Outcomes Of Aggression Replacement Training For U.S. Adolescents In Residential Facilities, Coral Ann Ondrus

Walden Dissertations and Doctoral Studies

A National Survey indicated that 1.6 million adolescents in the U.S. were arrested in 2010 and 1.5 million in 2011 for erratic aggressive behaviors, thus showing a decline from the 2.18 million adolescent arrests in 2007. Residential facilities in the state of Pennsylvania offer a group intervention called Aggression Replacement Training (ART) to help adjudicated adolescents regain control of erratic behaviors. The purpose of this study was to examine the extent to which level of group participation in ART and certain demographic factors (age, gender, ethnicity, family socioeconomic status, parental involvement, and education) predict decreased aggression and increased anger control …

Teacher Perceptions Of The Effectiveness Of Inclusion In Elementary Classroom Settings, Delicia Peacock Peacock

Walden Dissertations and Doctoral Studies

Inclusion classrooms were introduced in the United States in 1990 when the Individuals with Disabilities Education Act required that special education students be instructed in a general education setting. Ensuing changes in instructional formats have caused role confusion for special and general education teachers, resulted in mixed attitudes toward teacher responsibilities, and lowered teachers' sense of efficacy about being able to teach their students. Guided by Deci and Ryan's self-determination theory, this bounded case study design in a rural elementary school in a southeastern state was used to understand the perceptions of general and special educators regarding their work in …

The Successful Implementation Of Electronic Health Records At Small Rural Hospitals, Daniel Richardson

Walden Dissertations and Doctoral Studies

Electronic health records (EHRs) have been in use since the 1960s. U.S. rural hospital leaders and administrators face significant pressure to implement health information technology because of the American Recovery and Reinvestment Act of 2009. However, some leaders and managers of small rural hospital lack strategies to develop and implement EHRs. The focus of this descriptive phenomenological study was to explore lived experiences of hospital leaders and administrators who have used successful strategies to implement EHRs in small rural hospitals. Diffusion of innovation theory shaped the theoretical framework of this study. Data were collected through telephone interviews conducted with participants …

Children Of Holocaust Survivors On Middle-Age: A Phenomenological Inquiry, Elizabeth Rosenberg

Walden Dissertations and Doctoral Studies

Children of Holocaust survivors are vulnerable to experiencing secondary trauma which typically manifests in emotional and psychological difficulties. Despite,their exposure to a traumatized family environment, many children of Holocaust survivors do not develop emotional or adaptive difficulties. Some demonstrate psychological resilience, reflected by their ability to adapt,to adversity and problems. The purpose of this study was to gain insight into how well-adjusted,middle aged children of Holocaust survivors developed and maintained resilience.In line with resilience theory,which explains how an individual bounces back from negative circumstances, the research questions for this study examined the factors that the participants used to develop and …

Experiences Of Colorado Parents As They Recognized Their Child's Mental Illness, Lori Salgado

Walden Dissertations and Doctoral Studies

Mental illness is not only the leading cause of disability among adults, but there is also an emerging public health crisis in childhood mental illness. A majority of parents do not recognize symptoms of psychological disorder in their children, and current policies and programs for mental health service delivery are not sufficiently responsive to the early help-seeking dynamics of families. Using a concurrent mixed methods design, this study explored how parents in the Pikes Peak region of Colorado learned to recognize their child's mental illness. Phenomenological interviews, augmented by poetic inquiry and quantitative measurements, were used to discover factors that …

Small Business Crisis Management Strategies, Dovie Wilson

Walden Dissertations and Doctoral Studies

The absence of adequate crisis management strategies in small firms could result in a premature small business closure. A qualitative multiple-case study was used to explore the crisis management strategies that 3 small business owners have used to survive an unexpected operational interruption. The small business owners in this study were from different industries in the southeast region of the United States and each owner owned a business for more than 5 years and had survived at least a single crisis. The theory of crisis management and crisis intervention theory were the conceptual frameworks for this study. Data collection occurred …

Emotional Dysregulation And Adaptive Skills Among Siblings Of Bipolar Children, Nikki Marie Woller

Walden Dissertations and Doctoral Studies

The purpose of this study was to understand the effects of pediatric bipolar disorder on child siblings. A quantitative quasi-experimental research design was used. According to family systems theory, which was used in the formation of this study, all family members are interconnected and affect each other in a variety of ways. The research questions investigated whether children demonstrated more emotional dysregulation and fewer adaptive skills when a bipolar sibling was living in the home than when there was no bipolar sibling. The matched comparison study used 2 groups of children: those with bipolar siblings and those without bipolar siblings. …

A Program Evaluation Of The Comprehensive School Reform Model Making Middle Grades Work, Wycondia West

Walden Dissertations and Doctoral Studies

A Program Evaluation of the Comprehensive School Reform Model Making Middle Grades Work

by

Wycondia S. West

MA, Spring Hill College, 2002

BS, Spring Hill College, 1998

Doctoral Study Submitted in Partial Fulfillment

of the Requirements for the Degree of

Doctor of Education

Walden University

August 2016

There is increasing concern in the United States about the academic challenges that middle grade students face. Middle schools are not meeting accountability standards, and as a result students are not being adequately prepared for high school. In response to these concerns, a state in the southeastern United States adopted a comprehensive school …

Culture And Attitudes Regarding Physical Punishment Of Children In Akwa Ibom State Of Nigeria, Alfred Aniefiok Bassey

Walden Dissertations and Doctoral Studies

This study examined whether cultural factors could predict parents' attitudes toward the use of harsh physical punishment on their children in Akwa Ibom state in Nigeria. Presuming that most people disapprove of child abuse, different cultural groups may define the parental behaviors that constitute abuse differently, and such variances may result in a disparity of identification of parents from some cultures as more abusive than others. Four different independent cultural variables were measured: (a) conflict tactics, (b) nurturance, (c) drinking, and (d) valuing children. Form P, Part E of Dimension of Disciplinary Inventory (DDI) was used to measure parents' perception …

Special Education Teachers' Sense Of Efficacy And Reading Achievement Of Students With Severe Disabilities, Melissa Victoria Beck Wells

Walden Dissertations and Doctoral Studies

Assessment scores indicated students with severe disabilities (SWSD) have not been performing to their maximum potential, which may lead to lower quality of life after graduation. Teacher efficacy has been shown to impact student achievement; thus, this study involved exploring the teacher efficacy of the teachers of SWSD. Tschannen-Moran, Woolfolk Hoy, and Hoy's teacher efficacy conceptual framework guided this nonexperimental correlation study to investigate if levels of self-efficacy, years of overall teaching experience, and years of teaching experience with Grade 3 to 8 SWSD were predictors of student reading achievement in a New York City school district. Two open-ended questions …

Perceived Barriers To Oral Health Care Access For Massachusetts' Underserved Parents, Doudelyne Cenafils-Brutus

Walden Dissertations and Doctoral Studies

Poor oral care is detrimental to the overall health of the population. In the United States, oral health diseases affect millions of individuals, especially children and adolescents. Guided by the health belief model, the purpose of this study was to identify parents' perceived barriers to oral health care access among their 5- to 10-year-old children. A phenomenological approach was used to gather data and thematically analyze interview data from 20 parents who were recruited from a health center in the northeastern United States. All participants had at least one child between 5-10 years old and all identified as under-served. Data …

Social Disorganization Theory: The Role Of Diversity In New Jersey's Hate Crimes, Dana Maria Ciobanu

Walden Dissertations and Doctoral Studies

The reported number of hate crimes in New Jersey continues to remain high despite the enforcement of laws against perpetrators. The purpose of this correlational panel study was to test Shaw & McKay's theory of social disorganization by examining the relationship between demographic diversity and hate crime rates. This study focused on analyzing the relationship between the level of diversity, residential mobility, unemployment, family disruption, proximity to urban areas, and population density in all 21 New Jersey counties and hate crime rates. The existing data of Federal Bureau of Investigations' hate crime rates and the U.S. Census Bureau's demographic diversity, …

The First 4 Years: A Small Business Sustainability Study, Iris Ann Cooper

Walden Dissertations and Doctoral Studies

Small businesses create most of the new jobs in the world, yet more than half fail before the 5th year. Small businesses contribute to the economy by originating new products and services, yet they often lack the strategies to overcome the challenges of the beginning years. When businesses fail, the community wanes from unemployment, poverty, crime, and other social dilemmas. The purpose of this single case study was to explore small business strategies for sustainability beyond Year 4, specifically in a single independent operating Ohio restaurant owner with less than 500 employees. The conceptual framework was Schumpeter's theory of the …

History Of Pregnancy-Loss And Maternal Socioeconomic Factors As Predictors Of Under-Five Child Mortality, Henry Chukwunonso Debem

Walden Dissertations and Doctoral Studies

Nigeria is one of the countries with the highest Under-5 Mortality rates (U5M) estimated at 117 deaths/1000 live births. Despite public health control initiatives, no significant improvement in U5M has been demonstrated. The purpose of the study was to determine whether history of Adverse Pregnancy Outcomes (APO) and maternal socioeconomic factors could predict the death of children before their fifth birthday, using the life course health development and fetal programming theories. The study population was women in their reproductive age (15- 49 years). The study was a secondary data analysis of the datasets obtained from three Nigeria Demographic and Health …

The Lived Experiences Of Counselor Educators Using Mindful Teaching Approaches, Abby E. Dougherty

Walden Dissertations and Doctoral Studies

Researchers have indicated that mindful teaching approaches support students and educators throughout the learning process. The purpose of this hermeneutic phenomenological study was to explore the lived experiences of counselor educators with a daily mindfulness practice in the classroom with culturally diverse students. Relational-cultural theory (RCT) was the conceptual framework. Relational cultural theory concepts of relational connections and disconnections were used to explore the participants' lived experiences implementing a mindful teaching approach. Purposeful sampling yielded 10 participants who participated in semi-structured interviews. Using an inductive approach, the data were analyzed to identify essential themes. Thematic analysis was conducted by hand …

The Lived Experiences Of Immigrant Canadian Women With The Healthcare System, Salma Debs-Ivall

Walden Dissertations and Doctoral Studies

Immigrants to Canada report better health status than the Canadian-born population when they first arrive in Canada, a phenomenon called the Healthy Immigrant Effect. However, by the fourth year after immigration, immigrants report a health status that is worse than that of the Canadian-born population. Visible minority immigrant women report the largest deterioration in health. The purpose of this qualitative study was to explore the lived experiences of visible minority immigrant women with encounters with the Canadian healthcare system to examine the multiplicative impact of gender, ethnicity, and immigration on their health. This phenomenological study, guided by Crenshaw's feminist intersectionality …

Industry Best Practices Contributing To Small Business Success, Timothy John Giardino

Walden Dissertations and Doctoral Studies

Small business owners generate jobs within the local community, but half of new business owners often fail to sustain operations for the first five years. The purpose of this qualitative descriptive study was to explore strategies that small business owners in central Texas used to sustain their businesses beyond the first 5 years. Schumpeter's theory of economic development grounded the study. Data collection included semistructured face-to-face interviews with a purposeful sample of 20 small business owners due to their success in creating strategies resulting in sustaining their businesses beyond 5 years in a postrecession business environment. All interpretations from the …

African Americans' Understanding Of The Provisions Of The Affordable Care Act, Ewang Theo Epie-Alobwede

Walden Dissertations and Doctoral Studies

African Americans as a group tend to have numerous health issues, and by the time they seek healthcare, the conditions often advance into more serious ailments. Researchers have shown that cultural distrust of the U.S. healthcare system coupled with some discriminatory practices has hindered African Americans seeking care and taking full advantage of the healthcare system. With the introduction of the Patient Protection and Affordable Care Act (ACA), there is some confusion about the application of the law, resulting in many intended beneficiaries misinterpreting it, and not accessing quality healthcare. This interpretive phenomenological study explored how African Americans in the …

Perceptions Of Infertility Among Arab Women In The U.S, Zena Hamdan

Walden Dissertations and Doctoral Studies

Infertility is a serious public health issue. Infertile couples may perceive infertility differently based on their own cultural background. There is a paucity of literature about how infertility is perceived among Arab women living in the United States. The purpose of this study was to be able to understand how Arab women who live in Dearborn, Michigan feel about infertility and to understand their concerns and worries about their health status. The primary research questions asked Arab women how they perceive infertility and how infertility may impact their future. This qualitative case study was guided by the social support theory …

The Relationship Between Christian Religiosity And Heterosexism In The Southern United States, Patricia Hare

Walden Dissertations and Doctoral Studies

The internalization of heterosexism places lesbian, gay, and bisexual (LGB) individuals at disproportionately higher risks of depression and self-destructive behaviors. For LGB Christians, this phenomenon is often exacerbated. Although literature on heterosexism has increased, little research has examined more insular, religious environments. The purpose of this study was to examine the relationship between Christian denominational religiosity and heterosexism and to compare the degree of religiosity and heterosexism between members of 5 Christian denominations and between same-sex sexuality perspectives in the southern United States. Guided by the attribution theory, a correlational, cross-sectional survey design was used to analyze degree of religiosity …